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
291
Heart failure and shock with mcc
554
$103,156
$10,649
9.7× st 7.6×
871
Septicemia or severe sepsis without mv >96 hours with mcc
510
$150,628
$16,022
9.4× st 6.8×
690
Kidney and urinary tract infections without mcc
254
$67,714
$6,613
10.2× st 7.8×
177
Respiratory infections and inflammations with mcc
242
$144,237
$13,854
10.4× st 7.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
232
$72,974
$6,838
10.7× st 7.5×
193
Simple pneumonia and pleurisy with mcc
226
$113,009
$10,962
10.3× st 7.6×
603
Cellulitis without mcc
202
$71,664
$7,440
9.6× st 7.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
144
$65,445
$6,552
10.0× st 7.8×
683
Renal failure with cc
143
$70,220
$7,881
8.9× st 7.5×
190
Chronic obstructive pulmonary disease with mcc
140
$100,008
$9,202
10.9× st 8.3×
689
Kidney and urinary tract infections with mcc
138
$83,852
$9,555
8.8× st 7.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
136
$96,870
$9,675
10.0× st 7.3×
378
Gastrointestinal hemorrhage with cc
131
$92,461
$8,105
11.4× st 7.9×
189
Pulmonary edema and respiratory failure
123
$111,196
$10,351
10.7× st 7.7×
194
Simple pneumonia and pleurisy with cc
123
$76,851
$7,021
10.9× st 8.0×
682
Renal failure with mcc
106
$123,154
$12,021
10.2× st 7.3×
698
Other kidney and urinary tract diagnoses with mcc
98
$117,665
$13,303
8.8× st 6.8×
699
Other kidney and urinary tract diagnoses with cc
98
$70,707
$8,351
8.5× st 6.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
97
$106,347
$11,201
9.5× st 7.2×
312
Syncope and collapse
95
$71,196
$7,033
10.1× st 7.8×
552
Medical back problems without mcc
95
$74,418
$8,013
9.3× st 6.7×
309
Cardiac arrhythmia and conduction disorders with cc
88
$62,059
$6,333
9.8× st 8.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
85
$317,687
$40,031
7.9× st 6.0×
389
Gastrointestinal obstruction with cc
83
$81,058
$6,615
12.3× st 7.3×
812
Red blood cell disorders without mcc
81
$97,189
$7,643
12.7× st 7.6×
308
Cardiac arrhythmia and conduction disorders with mcc
79
$117,672
$9,967
11.8× st 8.3×
178
Respiratory infections and inflammations with cc
77
$84,981
$8,329
10.2× st 8.1×
202
Bronchitis and asthma with cc/mcc
77
$82,782
$8,162
10.1× st 7.6×
377
Gastrointestinal hemorrhage with mcc
75
$161,761
$14,464
11.2× st 7.2×
481
Hip and femur procedures except major joint with cc
72
$195,495
$16,168
12.1× st 5.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
71
$86,820
$9,033
9.6× st 8.5×
638
Diabetes with cc
71
$85,665
$7,508
11.4× st 7.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
66
$150,737
$17,561
8.6× st 5.9×
330
Major small and large bowel procedures with cc
62
$189,674
$19,707
9.6× st 6.0×
057
Degenerative nervous system disorders without mcc
61
$83,490
$10,720
7.8× st 6.0×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
59
$120,635
$10,590
11.4× st 7.2×
300
Peripheral vascular disorders with cc
59
$81,631
$8,596
9.5× st 6.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
58
$168,778
$17,776
9.5× st 7.5×
280
Acute myocardial infarction, discharged alive with mcc
57
$117,432
$12,590
9.3× st 7.3×
305
Hypertension without mcc
56
$60,074
$6,371
9.4× st 7.2×
602
Cellulitis with mcc
54
$115,110
$13,693
8.4× st 6.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
54
$63,887
$7,297
8.8× st 6.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
53
$48,242
$4,557
10.6× st 7.8×
660
Kidney and ureter procedures for non-neoplasm with cc
51
$120,402
$11,586
10.4× st 6.8×
394
Other digestive system diagnoses with cc
51
$89,683
$7,851
11.4× st 7.1×
554
Bone diseases and arthropathies without mcc
49
$70,136
$6,742
10.4× st 7.4×
191
Chronic obstructive pulmonary disease with cc
48
$75,538
$6,812
11.1× st 7.7×
372
Major gastrointestinal disorders and peritoneal infections with cc
47
$84,628
$8,409
10.1× st 7.4×
884
Organic disturbances and intellectual disability
44
$74,446
$12,585
5.9× st 5.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
44
$199,871
$23,595
8.5× st 7.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
42
$159,501
$13,241
12.0× st 6.7×
329
Major small and large bowel procedures with mcc
42
$407,662
$40,002
10.2× st 5.9×
092
Other disorders of nervous system with cc
40
$71,785
$8,265
8.7× st 6.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
39
$172,513
$15,171
11.4× st 5.2×
393
Other digestive system diagnoses with mcc
39
$135,878
$13,803
9.8× st 6.7×
176
Pulmonary embolism without mcc
38
$78,171
$7,068
11.1× st 7.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
38
$82,336
$9,428
8.7× st 6.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
37
$96,651
$12,207
7.9× st 7.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
37
$138,939
$16,017
8.7× st 7.3×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
35
$81,345
$8,491
9.6× st 7.2×
637
Diabetes with mcc
33
$108,958
$12,759
8.5× st 6.8×
480
Hip and femur procedures except major joint with mcc
32
$303,201
$25,887
11.7× st 6.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
32
$136,110
$16,681
8.2× st 6.7×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
32
$64,727
$8,362
7.7× st 5.7×
811
Red blood cell disorders with mcc
31
$99,363
$12,102
8.2× st 7.3×
388
Gastrointestinal obstruction with mcc
31
$122,213
$12,224
10.0× st 7.5×
314
Other circulatory system diagnoses with mcc
31
$130,894
$14,864
8.8× st 6.9×
299
Peripheral vascular disorders with mcc
30
$139,795
$14,495
9.6× st 6.7×
281
Acute myocardial infarction, discharged alive with cc
30
$95,637
$7,903
12.1× st 7.4×
948
Signs and symptoms without mcc
30
$58,120
$6,419
9.1× st 7.4×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
29
$59,568
$6,706
8.9× st 7.5×
101
Seizures without mcc
29
$67,423
$7,485
9.0× st 7.0×
536
Fractures of hip and pelvis without mcc
28
$58,586
$6,426
9.1× st 6.8×
331
Major small and large bowel procedures without cc/mcc
28
$158,520
$11,976
13.2× st 6.1×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
27
$133,694
$19,356
6.9× st 7.0×
644
Endocrine disorders with cc
27
$79,196
$8,539
9.3× st 7.2×
164
Major chest procedures with cc
26
$236,340
$19,027
12.4× st 4.3×
482
Hip and femur procedures except major joint without cc/mcc
26
$126,624
$12,159
10.4× st 5.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
26
$209,005
$21,108
9.9× st 6.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
25
$346,895
$37,825
9.2× st 6.4×
195
Simple pneumonia and pleurisy without cc/mcc
25
$55,774
$5,830
9.6× st 8.0×
071
Other cerebrovascular disorders with cc
25
$94,165
$8,410
11.2× st 7.8×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
25
$74,952
$11,146
6.7× st 5.4×
643
Endocrine disorders with mcc
25
$117,506
$12,201
9.6× st 6.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
25
$167,913
$19,606
8.6× st 6.3×
315
Other circulatory system diagnoses with cc
24
$106,612
$9,502
11.2× st 7.7×
205
Other respiratory system diagnoses with mcc
23
$99,360
$13,803
7.2× st 5.3×
870
Septicemia or severe sepsis with mv >96 hours
23
$497,647
$70,735
7.0× st 5.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
23
$193,261
$26,469
7.3× st 6.7×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
22
$74,131
$8,883
8.3× st 6.6×
439
Disorders of pancreas except malignancy with cc
22
$77,328
$8,096
9.6× st 7.3×
375
Digestive malignancy with cc
22
$109,817
$12,661
8.7× st 6.4×
074
Cranial and peripheral nerve disorders without mcc
22
$83,950
$8,360
10.0× st 5.8×
813
Coagulation disorders
21
$135,369
$12,585
10.8× st 6.5×
313
Chest pain
21
$53,355
$5,895
9.1× st 6.5×
180
Respiratory neoplasms with mcc
21
$174,740
$14,041
12.4× st 6.5×
264
Other circulatory system o.r. procedures
21
$192,404
$26,891
7.2× st 6.2×
862
Postoperative and post-traumatic infections with mcc
20
$95,332
$14,235
6.7× st 6.6×
056
Degenerative nervous system disorders with mcc
20
$164,003
$17,902
9.2× st 5.9×
070
Other cerebrovascular disorders with mcc
20
$151,364
$14,003
10.8× st 6.3×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
19
$124,552
$10,603
11.7× st 6.5×
253
Other vascular procedures with cc
19
$275,645
$19,406
14.2× st 6.7×
374
Digestive malignancy with mcc
19
$170,974
$18,111
9.4× st 6.6×
386
Inflammatory bowel disease with cc
19
$147,093
$10,102
14.6× st 9.6×
390
Gastrointestinal obstruction without cc/mcc
19
$48,637
$5,852
8.3× st 6.8×
252
Other vascular procedures with mcc
19
$268,111
$28,072
9.6× st 6.3×
091
Other disorders of nervous system with mcc
19
$128,243
$13,069
9.8× st 6.5×
445
Disorders of the biliary tract with cc
19
$84,337
$9,269
9.1× st 7.8×
069
Transient ischemia without thrombolytic
18
$68,766
$6,507
10.6× st 7.8×
659
Kidney and ureter procedures for non-neoplasm with mcc
18
$177,897
$19,242
9.2× st 6.6×
863
Postoperative and post-traumatic infections without mcc
18
$89,670
$8,937
10.0× st 6.9×
494
Lower extremity and humerus procedures except hip, foot and femur without cc/mcc
18
$158,269
$16,148
9.8× st 7.2×
196
Interstitial lung disease with mcc
17
$145,899
$14,874
9.8× st 6.5×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
17
$181,732
$21,194
8.6× st 5.4×
673
Other kidney and urinary tract procedures with mcc
17
$278,556
$34,043
8.2× st 6.0×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
17
$108,821
$9,795
11.1× st 6.6×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
17
$84,150
$6,125
13.7× st 8.0×
444
Disorders of the biliary tract with mcc
17
$85,526
$10,604
8.1× st 6.5×
885
Psychoses
17
$85,563
$10,091
8.5× st 6.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
17
$102,218
$13,967
7.3× st 6.8×
186
Pleural effusion with mcc
16
$128,461
$11,894
10.8× st 6.4×
468
Revision of hip or knee replacement without cc/mcc
16
$225,495
$21,159
10.7× st 5.2×
304
Hypertension with mcc
16
$94,729
$9,355
10.1× st 6.8×
355
Hernia procedures except inguinal and femoral without cc/mcc
16
$108,489
$10,915
9.9× st 6.3×
149
Dysequilibrium
16
$74,519
$6,642
11.2× st 7.7×
181
Respiratory neoplasms with cc
15
$100,872
$8,941
11.3× st 11.3×
919
Complications of treatment with mcc
15
$134,000
$14,132
9.5× st 6.7×
920
Complications of treatment with cc
15
$81,636
$8,976
9.1× st 6.8×
840
Lymphoma and non-acute leukemia with mcc
15
$176,659
$21,944
8.1× st 5.9×
379
Gastrointestinal hemorrhage without cc/mcc
15
$59,850
$5,218
11.5× st 7.9×
917
Poisoning and toxic effects of drugs with mcc
14
$96,949
$11,889
8.2× st 6.0×
907
Other o.r. procedures for injuries with mcc
14
$251,920
$31,274
8.1× st 6.1×
544
Pathological fractures and musculoskeletal and connective tissue malignancy without cc/m
14
$64,248
$6,268
10.2× st 8.2×
551
Medical back problems with mcc
14
$153,460
$13,353
11.5× st 6.6×
165
Major chest procedures without cc/mcc
14
$204,698
$17,265
11.9× st 5.2×
696
Kidney and urinary tract signs and symptoms without mcc
14
$62,241
$5,675
11.0× st 11.0×
694
Urinary stones without mcc
14
$65,408
$6,375
10.3× st 6.9×
243
Permanent cardiac pacemaker implant with cc
14
$176,288
$20,983
8.4× st 6.0×
083
Traumatic stupor and coma >1 hour with cc
13
$89,690
$11,028
8.1× st 7.7×
467
Revision of hip or knee replacement with cc
13
$268,179
$27,893
9.6× st 4.5×
558
Tendonitis, myositis and bursitis without mcc
13
$65,937
$6,919
9.5× st 8.0×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$56,878
$7,000
8.1× st 3.6×
192
Chronic obstructive pulmonary disease without cc/mcc
13
$52,803
$5,843
9.0× st 9.7×
436
Malignancy of hepatobiliary system or pancreas with cc
12
$74,590
$8,920
8.4× st 6.0×
947
Signs and symptoms with mcc
12
$99,626
$9,795
10.2× st 7.8×
460
Spinal fusion except cervical without mcc
12
$299,281
$29,160
10.3× st 5.0×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$234,151
$27,340
8.6× st 6.5×
674
Other kidney and urinary tract procedures with cc
12
$182,398
$18,950
9.6× st 6.7×
565
Other musculoskeletal system and connective tissue diagnoses with cc
12
$94,252
$8,165
11.5× st 5.7×
371
Major gastrointestinal disorders and peritoneal infections with mcc
12
$107,974
$13,240
8.2× st 6.5×
207
Respiratory system diagnosis with ventilator support >96 hours
12
$536,168
$53,753
10.0× st 5.8×
841
Lymphoma and non-acute leukemia with cc
12
$142,693
$16,366
8.7× st 7.8×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
12
$180,965
$15,169
11.9× st 6.8×
354
Hernia procedures except inguinal and femoral with cc
12
$138,493
$13,734
10.1× st 6.3×
204
Respiratory signs and symptoms
11
$69,181
$6,698
10.3× st 9.4×
395
Other digestive system diagnoses without cc/mcc
11
$54,410
$5,312
10.2× st 7.2×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
11
$124,102
$13,027
9.5× st 6.6×
951
Other factors influencing health status
11
$33,229
$4,762
7.0× st 4.9×
864
Fever and inflammatory conditions
11
$70,890
$7,218
9.8× st 6.4×
179
Respiratory infections and inflammations without cc/mcc
11
$76,554
$11,040
6.9× st 7.6×
607
Minor skin disorders without mcc
11
$52,428
$7,161
7.3× st 6.9×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
11
$131,635
$17,700
7.4× st 6.3×
433
Cirrhosis and alcoholic hepatitis with cc
11
$151,373
$8,044
18.8× st 7.1×
100
Seizures with mcc
11
$155,516
$15,800
9.8× st 6.2×
988
Non-extensive o.r. procedures unrelated to principal diagnosis with cc
11
$185,435
$15,507
12.0× st 6.3×