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
896
$143,945
$25,092
5.7× st 4.8×
291
Heart failure and shock with mcc
217
$109,164
$16,278
6.7× st 5.1×
177
Respiratory infections and inflammations with mcc
129
$122,882
$19,575
6.3× st 4.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
124
$74,243
$23,332
3.2× st 4.7×
689
Kidney and urinary tract infections with mcc
118
$86,529
$14,281
6.1× st 5.3×
870
Septicemia or severe sepsis with mv >96 hours
118
$376,766
$79,085
4.8× st 4.3×
193
Simple pneumonia and pleurisy with mcc
114
$113,189
$16,187
7.0× st 4.9×
312
Syncope and collapse
102
$63,467
$10,317
6.2× st 5.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
100
$323,469
$62,892
5.1× st 4.7×
872
Septicemia or severe sepsis without mv >96 hours without mcc
95
$71,084
$13,052
5.4× st 4.9×
690
Kidney and urinary tract infections without mcc
82
$62,996
$10,318
6.1× st 5.2×
698
Other kidney and urinary tract diagnoses with mcc
75
$139,557
$22,036
6.3× st 4.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
72
$155,583
$26,163
5.9× st 5.4×
683
Renal failure with cc
70
$64,513
$11,855
5.4× st 5.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
66
$82,289
$15,371
5.4× st 4.8×
378
Gastrointestinal hemorrhage with cc
63
$77,210
$14,452
5.3× st 5.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
62
$57,645
$9,647
6.0× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
61
$94,238
$12,394
7.6× st 5.7×
377
Gastrointestinal hemorrhage with mcc
59
$116,092
$19,869
5.8× st 5.3×
682
Renal failure with mcc
55
$139,843
$21,921
6.4× st 5.1×
309
Cardiac arrhythmia and conduction disorders with cc
53
$47,396
$9,682
4.9× st 5.1×
481
Hip and femur procedures except major joint with cc
52
$101,187
$22,241
4.6× st 4.8×
190
Chronic obstructive pulmonary disease with mcc
51
$72,425
$13,363
5.4× st 4.7×
552
Medical back problems without mcc
49
$65,183
$12,648
5.2× st 5.3×
393
Other digestive system diagnoses with mcc
49
$125,663
$20,088
6.3× st 5.4×
394
Other digestive system diagnoses with cc
49
$66,545
$11,682
5.7× st 5.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
45
$56,508
$9,673
5.8× st 4.6×
101
Seizures without mcc
45
$54,921
$10,727
5.1× st 5.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
44
$184,546
$30,620
6.0× st 5.7×
280
Acute myocardial infarction, discharged alive with mcc
43
$117,569
$18,494
6.4× st 4.9×
057
Degenerative nervous system disorders without mcc
42
$69,833
$15,287
4.6× st 4.7×
603
Cellulitis without mcc
36
$79,968
$11,450
7.0× st 4.7×
313
Chest pain
35
$56,959
$10,174
5.6× st 4.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
34
$96,764
$23,292
4.2× st 4.8×
638
Diabetes with cc
33
$51,464
$10,105
5.1× st 4.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
33
$51,249
$10,633
4.8× st 5.2×
314
Other circulatory system diagnoses with mcc
31
$123,544
$22,880
5.4× st 5.1×
100
Seizures with mcc
30
$104,102
$29,547
3.5× st 4.8×
149
Dysequilibrium
30
$65,101
$9,435
6.9× st 6.4×
056
Degenerative nervous system disorders with mcc
30
$144,731
$27,009
5.4× st 5.3×
189
Pulmonary edema and respiratory failure
28
$81,715
$15,521
5.3× st 5.0×
699
Other kidney and urinary tract diagnoses with cc
28
$74,807
$12,387
6.0× st 5.4×
480
Hip and femur procedures except major joint with mcc
27
$138,612
$32,997
4.2× st 5.3×
274
Percutaneous and other intracardiac procedures without mcc
27
$112,787
$35,617
3.2× st 4.6×
948
Signs and symptoms without mcc
27
$54,053
$10,780
5.0× st 5.7×
299
Peripheral vascular disorders with mcc
26
$85,801
$18,037
4.8× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$98,378
$15,101
6.5× st 5.4×
305
Hypertension without mcc
25
$49,929
$9,246
5.4× st 5.3×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
24
$135,461
$31,619
4.3× st 4.9×
551
Medical back problems with mcc
24
$99,599
$19,352
5.1× st 5.6×
637
Diabetes with mcc
23
$136,366
$23,420
5.8× st 4.8×
811
Red blood cell disorders with mcc
23
$82,423
$16,607
5.0× st 5.4×
202
Bronchitis and asthma with cc/mcc
23
$61,553
$12,554
4.9× st 5.4×
812
Red blood cell disorders without mcc
22
$48,910
$11,255
4.3× st 5.2×
194
Simple pneumonia and pleurisy with cc
22
$67,011
$10,170
6.6× st 4.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$106,685
$23,167
4.6× st 4.6×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
21
$1,170,886
$248,666
4.7× st 5.2×
178
Respiratory infections and inflammations with cc
20
$70,247
$12,066
5.8× st 5.6×
086
Traumatic stupor and coma <1 hour with cc
20
$67,787
$14,478
4.7× st 5.7×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
20
$73,006
$16,364
4.5× st 5.6×
069
Transient ischemia without thrombolytic
19
$49,920
$9,600
5.2× st 6.2×
602
Cellulitis with mcc
19
$112,214
$17,952
6.3× st 5.6×
330
Major small and large bowel procedures with cc
19
$140,142
$38,468
3.6× st 4.9×
374
Digestive malignancy with mcc
19
$159,506
$24,099
6.6× st 6.4×
643
Endocrine disorders with mcc
18
$93,723
$19,530
4.8× st 5.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
18
$108,828
$17,644
6.2× st 5.4×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
18
$923,602
$131,930
7.0× st 4.6×
565
Other musculoskeletal system and connective tissue diagnoses with cc
18
$61,495
$12,203
5.0× st 5.7×
300
Peripheral vascular disorders with cc
18
$56,488
$12,727
4.4× st 5.3×
660
Kidney and ureter procedures for non-neoplasm with cc
17
$92,876
$18,986
4.9× st 5.5×
207
Respiratory system diagnosis with ventilator support >96 hours
17
$346,498
$73,907
4.7× st 4.4×
196
Interstitial lung disease with mcc
17
$151,870
$22,485
6.8× st 5.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$144,990
$17,976
8.1× st 6.1×
082
Traumatic stupor and coma >1 hour with mcc
17
$126,539
$28,759
4.4× st 5.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
17
$271,988
$55,205
4.9× st 5.0×
025
Craniotomy and endovascular intracranial procedures with mcc
16
$273,012
$50,535
5.4× st 4.9×
252
Other vascular procedures with mcc
16
$222,647
$41,397
5.4× st 4.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
16
$187,604
$53,648
3.5× st 4.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
15
$357,074
$68,303
5.2× st 4.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$214,487
$32,739
6.6× st 4.8×
536
Fractures of hip and pelvis without mcc
15
$44,699
$9,375
4.8× st 6.0×
644
Endocrine disorders with cc
15
$71,617
$13,032
5.5× st 6.1×
253
Other vascular procedures with cc
15
$132,143
$29,488
4.5× st 4.8×
083
Traumatic stupor and coma >1 hour with cc
15
$75,485
$15,023
5.0× st 5.2×
329
Major small and large bowel procedures with mcc
14
$139,263
$44,287
3.1× st 5.0×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
14
$84,005
$17,494
4.8× st 5.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
14
$84,107
$18,875
4.5× st 5.7×
070
Other cerebrovascular disorders with mcc
14
$75,270
$16,789
4.5× st 5.3×
919
Complications of treatment with mcc
14
$108,440
$21,506
5.0× st 5.2×
085
Traumatic stupor and coma <1 hour with mcc
14
$139,822
$24,716
5.7× st 5.6×
071
Other cerebrovascular disorders with cc
13
$118,319
$12,147
9.7× st 5.4×
371
Major gastrointestinal disorders and peritoneal infections with mcc
13
$103,325
$18,333
5.6× st 6.2×
813
Coagulation disorders
13
$101,244
$18,805
5.4× st 5.4×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
13
$430,368
$80,875
5.3× st 4.2×
521
Hip replacement with principal diagnosis of hip fracture with mcc
13
$153,927
$32,902
4.7× st 5.9×
964
Other multiple significant trauma with cc
13
$62,086
$17,682
3.5× st 6.1×
092
Other disorders of nervous system with cc
13
$64,873
$12,422
5.2× st 5.8×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
12
$203,835
$40,771
5.0× st 5.3×
389
Gastrointestinal obstruction with cc
12
$66,944
$10,667
6.3× st 5.7×
281
Acute myocardial infarction, discharged alive with cc
12
$58,078
$10,107
5.7× st 5.1×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
12
$52,654
$11,994
4.4× st 5.8×
180
Respiratory neoplasms with mcc
12
$187,859
$20,012
9.4× st 5.9×
183
Major chest trauma with mcc
12
$62,879
$18,226
3.5× st 5.6×
483
Major joint or limb reattachment procedures of upper extremities
12
$79,942
$25,941
3.1× st 4.5×
482
Hip and femur procedures except major joint without cc/mcc
12
$83,441
$18,005
4.6× st 5.1×
542
Pathological fractures and musculoskeletal and connective tissue malignancy with mcc
12
$99,725
$20,352
4.9× st 6.7×
273
Percutaneous and other intracardiac procedures with mcc
12
$178,419
$43,459
4.1× st 5.2×
956
Limb reattachment, hip and femur procedures for multiple significant trauma
11
$148,028
$41,934
3.5× st 5.2×
091
Other disorders of nervous system with mcc
11
$87,404
$20,796
4.2× st 5.5×
554
Bone diseases and arthropathies without mcc
11
$48,064
$8,464
5.7× st 6.0×
270
Other major cardiovascular procedures with mcc
11
$188,834
$52,304
3.6× st 5.0×
242
Permanent cardiac pacemaker implant with mcc
11
$167,172
$37,114
4.5× st 5.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$122,575
$21,627
5.7× st 5.0×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
11
$101,751
$25,522
4.0× st 5.3×
054
Nervous system neoplasms with mcc
11
$111,675
$17,062
6.5× st 6.5×
184
Major chest trauma with cc
11
$57,905
$12,551
4.6× st 5.8×
445
Disorders of the biliary tract with cc
11
$82,287
$15,502
5.3× st 5.8×