Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.
DRG
Admission
Discharges
Charge
Paid
Billed ÷ paid
274
Percutaneous and other intracardiac procedures without mcc
249
$99,068
$22,764
4.4× st 3.9×
291
Heart failure and shock with mcc
210
$28,219
$9,803
2.9× st 3.5×
871
Septicemia or severe sepsis without mv >96 hours with mcc
176
$60,796
$15,966
3.8× st 3.6×
193
Simple pneumonia and pleurisy with mcc
118
$37,214
$10,093
3.7× st 3.8×
177
Respiratory infections and inflammations with mcc
113
$46,752
$12,808
3.7× st 3.9×
378
Gastrointestinal hemorrhage with cc
107
$19,564
$7,733
2.5× st 3.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
99
$21,017
$6,347
3.3× st 3.8×
690
Kidney and urinary tract infections without mcc
87
$19,368
$6,338
3.1× st 3.6×
330
Major small and large bowel procedures with cc
80
$65,622
$17,664
3.7× st 3.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
79
$50,847
$14,230
3.6× st 4.4×
189
Pulmonary edema and respiratory failure
76
$43,234
$12,431
3.5× st 4.1×
194
Simple pneumonia and pleurisy with cc
70
$22,253
$6,619
3.4× st 3.9×
689
Kidney and urinary tract infections with mcc
65
$23,441
$8,757
2.7× st 3.4×
603
Cellulitis without mcc
64
$18,162
$6,939
2.6× st 3.0×
190
Chronic obstructive pulmonary disease with mcc
60
$38,512
$8,856
4.3× st 4.2×
552
Medical back problems without mcc
52
$17,980
$7,326
2.5× st 3.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
50
$69,928
$13,991
5.0× st 5.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
50
$130,423
$34,934
3.7× st 4.0×
309
Cardiac arrhythmia and conduction disorders with cc
50
$18,918
$5,883
3.2× st 3.5×
329
Major small and large bowel procedures with mcc
49
$121,834
$33,743
3.6× st 3.9×
308
Cardiac arrhythmia and conduction disorders with mcc
49
$24,639
$9,327
2.6× st 3.4×
164
Major chest procedures with cc
47
$96,155
$19,983
4.8× st 4.5×
312
Syncope and collapse
47
$21,523
$6,873
3.1× st 3.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
46
$37,407
$14,435
2.6× st 3.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
46
$26,556
$7,641
3.5× st 4.2×
178
Respiratory infections and inflammations with cc
46
$26,398
$8,226
3.2× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
46
$39,581
$11,838
3.3× st 4.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
46
$150,406
$41,501
3.6× st 3.5×
481
Hip and femur procedures except major joint with cc
46
$52,455
$15,897
3.3× st 4.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
45
$20,273
$6,282
3.2× st 3.7×
682
Renal failure with mcc
45
$38,133
$11,406
3.3× st 3.3×
331
Major small and large bowel procedures without cc/mcc
43
$45,594
$13,403
3.4× st 3.9×
683
Renal failure with cc
43
$18,879
$7,053
2.7× st 3.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
42
$32,689
$10,190
3.2× st 3.6×
389
Gastrointestinal obstruction with cc
39
$21,731
$6,588
3.3× st 3.4×
872
Septicemia or severe sepsis without mv >96 hours without mcc
35
$24,832
$7,871
3.2× st 3.7×
698
Other kidney and urinary tract diagnoses with mcc
34
$39,496
$12,463
3.2× st 3.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
33
$23,966
$4,986
4.8× st 3.8×
394
Other digestive system diagnoses with cc
33
$21,635
$7,416
2.9× st 3.3×
377
Gastrointestinal hemorrhage with mcc
32
$45,624
$13,614
3.4× st 3.8×
812
Red blood cell disorders without mcc
31
$17,825
$7,027
2.5× st 3.8×
271
Other major cardiovascular procedures with cc
30
$105,545
$25,829
4.1× st 3.9×
236
Coronary bypass without cardiac catheterization without mcc
28
$102,075
$30,412
3.4× st 3.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
27
$30,074
$10,144
3.0× st 3.6×
390
Gastrointestinal obstruction without cc/mcc
27
$16,546
$4,749
3.5× st 3.7×
699
Other kidney and urinary tract diagnoses with cc
26
$19,200
$7,814
2.5× st 2.9×
176
Pulmonary embolism without mcc
26
$18,095
$6,673
2.7× st 3.5×
163
Major chest procedures with mcc
26
$128,460
$39,784
3.2× st 3.6×
660
Kidney and ureter procedures for non-neoplasm with cc
25
$39,109
$9,954
3.9× st 3.8×
948
Signs and symptoms without mcc
25
$18,500
$6,859
2.7× st 3.9×
025
Craniotomy and endovascular intracranial procedures with mcc
24
$79,966
$32,395
2.5× st 3.6×
141
Major head and neck procedures with cc
24
$52,150
$16,188
3.2× st 3.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
24
$34,314
$10,566
3.2× st 3.9×
657
Kidney and ureter procedures for neoplasm with cc
23
$46,658
$13,462
3.5× st 3.8×
445
Disorders of the biliary tract with cc
23
$32,532
$8,640
3.8× st 4.4×
270
Other major cardiovascular procedures with mcc
23
$143,520
$40,985
3.5× st 3.6×
281
Acute myocardial infarction, discharged alive with cc
23
$27,078
$7,047
3.8× st 4.9×
092
Other disorders of nervous system with cc
22
$27,214
$8,162
3.3× st 3.4×
229
Other cardiothoracic procedures without mcc
22
$79,389
$22,546
3.5× st 4.1×
372
Major gastrointestinal disorders and peritoneal infections with cc
22
$21,001
$8,072
2.6× st 3.2×
191
Chronic obstructive pulmonary disease with cc
22
$18,110
$7,217
2.5× st 3.6×
418
Laparoscopic cholecystectomy without c.d.e. with cc
21
$47,430
$13,119
3.6× st 4.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
21
$131,656
$29,635
4.4× st 4.5×
483
Major joint or limb reattachment procedures of upper extremities
21
$67,751
$17,956
3.8× st 3.8×
235
Coronary bypass without cardiac catheterization with mcc
21
$169,557
$45,370
3.7× st 3.7×
659
Kidney and ureter procedures for non-neoplasm with mcc
20
$92,174
$24,157
3.8× st 3.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
20
$64,966
$16,210
4.0× st 4.1×
243
Permanent cardiac pacemaker implant with cc
20
$63,522
$16,555
3.8× st 3.8×
602
Cellulitis with mcc
19
$35,170
$10,871
3.2× st 2.9×
536
Fractures of hip and pelvis without mcc
19
$14,168
$6,297
2.3× st 3.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
19
$49,316
$16,084
3.1× st 4.1×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
19
$157,096
$38,793
4.1× st 3.9×
195
Simple pneumonia and pleurisy without cc/mcc
19
$16,823
$5,118
3.3× st 3.3×
388
Gastrointestinal obstruction with mcc
19
$54,312
$12,905
4.2× st 3.3×
811
Red blood cell disorders with mcc
19
$38,536
$11,594
3.3× st 4.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
19
$44,049
$8,139
5.4× st 5.1×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
19
$181,077
$56,514
3.2× st 3.6×
314
Other circulatory system diagnoses with mcc
19
$43,740
$13,908
3.1× st 3.5×
439
Disorders of pancreas except malignancy with cc
18
$23,009
$7,483
3.1× st 3.2×
253
Other vascular procedures with cc
18
$65,698
$19,459
3.4× st 4.2×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
18
$231,167
$64,291
3.6× st 3.6×
884
Organic disturbances and intellectual disability
18
$19,431
$11,561
1.7× st 2.7×
326
Stomach, esophageal and duodenal procedures with mcc
18
$171,371
$46,475
3.7× st 3.6×
196
Interstitial lung disease with mcc
17
$40,643
$14,081
2.9× st 3.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
17
$109,586
$33,047
3.3× st 3.9×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
17
$54,093
$16,484
3.3× st 4.3×
057
Degenerative nervous system disorders without mcc
17
$27,511
$10,228
2.7× st 2.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$16,459
$6,956
2.4× st 3.1×
071
Other cerebrovascular disorders with cc
17
$23,292
$8,347
2.8× st 3.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
17
$55,627
$19,591
2.8× st 3.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
17
$21,798
$5,451
4.0× st 4.6×
070
Other cerebrovascular disorders with mcc
16
$57,487
$15,860
3.6× st 3.9×
519
Back and neck procedures except spinal fusion with cc
16
$39,250
$14,620
2.7× st 3.4×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$97,008
$19,324
5.0× st 4.7×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
16
$21,880
$7,563
2.9× st 2.5×
713
Transurethral prostatectomy with cc/mcc
16
$32,739
$11,609
2.8× st 3.1×
374
Digestive malignancy with mcc
16
$57,134
$16,919
3.4× st 3.4×
035
Carotid artery stent procedures with cc
15
$54,734
$16,379
3.3× st 3.3×
186
Pleural effusion with mcc
15
$40,935
$10,206
4.0× st 4.2×
406
Pancreas, liver and shunt procedures with cc
15
$71,506
$19,420
3.7× st 3.9×
644
Endocrine disorders with cc
15
$24,317
$7,996
3.0× st 3.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
15
$45,321
$13,359
3.4× st 4.2×
637
Diabetes with mcc
15
$37,235
$10,651
3.5× st 3.1×
180
Respiratory neoplasms with mcc
14
$54,843
$14,425
3.8× st 3.5×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
14
$55,071
$14,908
3.7× st 4.3×
919
Complications of treatment with mcc
14
$49,463
$14,542
3.4× st 4.0×
036
Carotid artery stent procedures without cc/mcc
14
$59,588
$14,229
4.2× st 3.8×
091
Other disorders of nervous system with mcc
14
$51,243
$13,818
3.7× st 3.9×
444
Disorders of the biliary tract with mcc
14
$53,497
$12,704
4.2× st 3.4×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
14
$51,518
$18,010
2.9× st 4.5×
480
Hip and femur procedures except major joint with mcc
14
$65,595
$21,583
3.0× st 4.1×
252
Other vascular procedures with mcc
14
$81,301
$27,130
3.0× st 3.7×
242
Permanent cardiac pacemaker implant with mcc
14
$74,434
$23,966
3.1× st 4.1×
638
Diabetes with cc
13
$15,393
$6,960
2.2× st 2.9×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
13
$134,002
$38,980
3.4× st 3.8×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$19,852
$6,988
2.8× st 2.8×
737
Uterine and adnexa procedures for ovarian or adnexal malignancy with cc
13
$54,121
$15,245
3.6× st 3.6×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
13
$52,157
$18,203
2.9× st 4.9×
947
Signs and symptoms with mcc
13
$19,305
$9,740
2.0× st 2.0×
086
Traumatic stupor and coma <1 hour with cc
13
$16,927
$9,671
1.8× st 2.9×
292
Heart failure and shock with cc
12
$23,105
$6,700
3.4× st 3.1×
554
Bone diseases and arthropathies without mcc
12
$16,447
$6,604
2.5× st 3.0×
460
Spinal fusion except cervical without mcc
12
$67,880
$27,486
2.5× st 4.3×
100
Seizures with mcc
12
$57,065
$14,829
3.8× st 3.8×
202
Bronchitis and asthma with cc/mcc
12
$29,317
$7,646
3.8× st 3.9×
482
Hip and femur procedures except major joint without cc/mcc
12
$43,802
$11,844
3.7× st 4.4×
696
Kidney and urinary tract signs and symptoms without mcc
11
$11,156
$5,577
2.0× st 2.0×
371
Major gastrointestinal disorders and peritoneal infections with mcc
11
$36,826
$13,289
2.8× st 3.1×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
11
$33,394
$12,630
2.6× st 2.6×
354
Hernia procedures except inguinal and femoral with cc
11
$36,639
$13,731
2.7× st 4.0×
920
Complications of treatment with cc
11
$18,721
$7,959
2.4× st 3.8×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
11
$18,649
$7,203
2.6× st 3.3×
336
Peritoneal adhesiolysis with cc
11
$56,315
$16,047
3.5× st 4.3×
327
Stomach, esophageal and duodenal procedures with cc
11
$50,671
$18,062
2.8× st 3.9×
187
Pleural effusion with cc
11
$28,449
$7,816
3.6× st 3.6×
038
Extracranial procedures with cc
11
$40,612
$11,859
3.4× st 3.6×
056
Degenerative nervous system disorders with mcc
11
$43,480
$14,958
2.9× st 3.1×
840
Lymphoma and non-acute leukemia with mcc
11
$115,390
$29,913
3.9× st 3.6×
375
Digestive malignancy with cc
11
$30,805
$9,323
3.3× st 3.3×
755
Malignancy, female reproductive system with cc
11
$36,694
$8,447
4.3× st 4.3×
746
Vagina, cervix and vulva procedures with cc/mcc
11
$33,572
$12,887
2.6× st 2.6×
467
Revision of hip or knee replacement with cc
11
$79,289
$23,840
3.3× st 4.2×
393
Other digestive system diagnoses with mcc
11
$54,255
$13,418
4.0× st 3.2×
707
Major male pelvic procedures with cc/mcc
11
$59,984
$14,428
4.2× st 4.2×