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
871
Septicemia or severe sepsis without mv >96 hours with mcc
188
$69,004
$18,428
3.7× st 4.8×
291
Heart failure and shock with mcc
170
$46,690
$12,396
3.8× st 5.1×
177
Respiratory infections and inflammations with mcc
119
$55,232
$16,134
3.4× st 4.9×
690
Kidney and urinary tract infections without mcc
118
$45,551
$7,578
6.0× st 5.2×
689
Kidney and urinary tract infections with mcc
107
$51,475
$10,988
4.7× st 5.3×
193
Simple pneumonia and pleurisy with mcc
82
$51,196
$13,128
3.9× st 4.9×
603
Cellulitis without mcc
53
$42,450
$8,535
5.0× st 4.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
51
$56,532
$11,771
4.8× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
50
$38,337
$7,459
5.1× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
49
$56,077
$9,693
5.8× st 4.9×
189
Pulmonary edema and respiratory failure
49
$59,545
$11,794
5.0× st 5.0×
683
Renal failure with cc
45
$41,525
$8,122
5.1× st 5.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
44
$35,816
$7,424
4.8× st 4.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
43
$105,297
$39,998
2.6× st 4.7×
194
Simple pneumonia and pleurisy with cc
41
$40,256
$7,811
5.2× st 4.9×
178
Respiratory infections and inflammations with cc
40
$46,357
$9,097
5.1× st 5.6×
378
Gastrointestinal hemorrhage with cc
39
$42,207
$9,215
4.6× st 5.5×
312
Syncope and collapse
37
$37,673
$8,203
4.6× st 5.2×
870
Septicemia or severe sepsis with mv >96 hours
33
$100,856
$55,913
1.8× st 4.3×
698
Other kidney and urinary tract diagnoses with mcc
31
$62,679
$15,136
4.1× st 4.9×
812
Red blood cell disorders without mcc
30
$36,308
$8,564
4.2× st 5.2×
682
Renal failure with mcc
29
$47,929
$13,677
3.5× st 5.1×
552
Medical back problems without mcc
25
$45,337
$9,121
5.0× st 5.3×
300
Peripheral vascular disorders with cc
25
$47,080
$10,076
4.7× st 5.3×
699
Other kidney and urinary tract diagnoses with cc
24
$40,269
$9,620
4.2× st 5.4×
057
Degenerative nervous system disorders without mcc
24
$33,832
$12,171
2.8× st 4.7×
481
Hip and femur procedures except major joint with cc
23
$72,843
$18,472
3.9× st 4.8×
309
Cardiac arrhythmia and conduction disorders with cc
23
$36,676
$7,095
5.2× st 5.1×
191
Chronic obstructive pulmonary disease with cc
23
$41,473
$8,074
5.1× st 4.8×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
23
$202,936
$115,619
1.8× st 4.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
23
$83,957
$24,500
3.4× st 4.8×
070
Other cerebrovascular disorders with mcc
22
$59,048
$16,429
3.6× st 5.3×
394
Other digestive system diagnoses with cc
21
$39,527
$9,809
4.0× st 5.4×
536
Fractures of hip and pelvis without mcc
20
$34,143
$7,331
4.7× st 6.0×
377
Gastrointestinal hemorrhage with mcc
19
$49,485
$15,515
3.2× st 5.3×
638
Diabetes with cc
19
$43,491
$8,109
5.4× st 4.9×
389
Gastrointestinal obstruction with cc
19
$46,356
$7,659
6.1× st 5.7×
660
Kidney and ureter procedures for non-neoplasm with cc
18
$63,526
$12,657
5.0× st 5.5×
884
Organic disturbances and intellectual disability
18
$38,204
$15,415
2.5× st 4.3×
280
Acute myocardial infarction, discharged alive with mcc
18
$38,209
$13,545
2.8× st 4.9×
811
Red blood cell disorders with mcc
18
$43,803
$13,166
3.3× st 5.4×
445
Disorders of the biliary tract with cc
17
$49,246
$10,267
4.8× st 5.8×
313
Chest pain
17
$37,539
$6,827
5.5× st 4.9×
948
Signs and symptoms without mcc
17
$39,882
$7,613
5.2× st 5.7×
602
Cellulitis with mcc
17
$43,663
$14,485
3.0× st 5.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$51,929
$8,803
5.9× st 5.7×
179
Respiratory infections and inflammations without cc/mcc
16
$37,660
$7,280
5.2× st 5.3×
393
Other digestive system diagnoses with mcc
16
$61,492
$17,204
3.6× st 5.4×
071
Other cerebrovascular disorders with cc
15
$41,210
$9,984
4.1× st 5.4×
637
Diabetes with mcc
15
$53,550
$13,518
4.0× st 4.8×
056
Degenerative nervous system disorders with mcc
14
$50,015
$20,060
2.5× st 5.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$24,047
$5,334
4.5× st 5.4×
069
Transient ischemia without thrombolytic
14
$36,827
$7,056
5.2× st 6.2×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$67,438
$19,670
3.4× st 4.8×
149
Dysequilibrium
14
$37,560
$7,222
5.2× st 6.4×
390
Gastrointestinal obstruction without cc/mcc
14
$44,484
$5,335
8.3× st 5.5×
314
Other circulatory system diagnoses with mcc
13
$45,058
$18,366
2.5× st 5.1×
101
Seizures without mcc
13
$36,839
$8,640
4.3× st 5.3×
195
Simple pneumonia and pleurisy without cc/mcc
13
$52,175
$6,910
7.6× st 6.0×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
12
$38,334
$7,815
4.9× st 5.8×
329
Major small and large bowel procedures with mcc
12
$182,972
$42,065
4.4× st 5.0×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
12
$107,556
$40,423
2.7× st 5.0×
299
Peripheral vascular disorders with mcc
12
$48,951
$14,866
3.3× st 5.6×
713
Transurethral prostatectomy with cc/mcc
12
$53,981
$13,551
4.0× st 5.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
11
$48,576
$18,075
2.7× st 5.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$54,824
$13,163
4.2× st 6.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
11
$49,114
$11,989
4.1× st 5.4×
176
Pulmonary embolism without mcc
11
$31,018
$7,619
4.1× st 6.0×