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
317
$85,512
$19,052
4.5× st 4.8×
291
Heart failure and shock with mcc
199
$66,234
$11,922
5.6× st 5.1×
193
Simple pneumonia and pleurisy with mcc
100
$61,088
$12,364
4.9× st 4.9×
177
Respiratory infections and inflammations with mcc
94
$72,881
$15,679
4.6× st 4.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
70
$33,012
$7,785
4.2× st 4.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
59
$40,910
$7,016
5.8× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
58
$49,471
$10,752
4.6× st 4.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$58,886
$12,983
4.5× st 4.8×
683
Renal failure with cc
51
$42,430
$9,049
4.7× st 5.0×
189
Pulmonary edema and respiratory failure
49
$54,483
$11,710
4.7× st 5.0×
689
Kidney and urinary tract infections with mcc
47
$54,506
$10,266
5.3× st 5.3×
690
Kidney and urinary tract infections without mcc
46
$38,410
$7,541
5.1× st 5.2×
682
Renal failure with mcc
42
$62,226
$15,803
3.9× st 5.1×
378
Gastrointestinal hemorrhage with cc
41
$54,128
$10,532
5.1× st 5.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
41
$56,789
$9,002
6.3× st 5.7×
194
Simple pneumonia and pleurisy with cc
34
$38,753
$7,263
5.3× st 4.9×
312
Syncope and collapse
34
$40,192
$7,769
5.2× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
34
$59,912
$18,439
3.2× st 4.7×
280
Acute myocardial infarction, discharged alive with mcc
33
$93,244
$14,522
6.4× st 4.9×
481
Hip and femur procedures except major joint with cc
30
$83,816
$18,674
4.5× st 4.8×
603
Cellulitis without mcc
29
$37,850
$9,383
4.0× st 4.7×
389
Gastrointestinal obstruction with cc
27
$43,669
$7,187
6.1× st 5.7×
309
Cardiac arrhythmia and conduction disorders with cc
26
$35,129
$7,462
4.7× st 5.1×
811
Red blood cell disorders with mcc
24
$54,032
$14,871
3.6× st 5.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$73,278
$18,539
4.0× st 5.4×
552
Medical back problems without mcc
24
$42,860
$8,640
5.0× st 5.3×
190
Chronic obstructive pulmonary disease with mcc
22
$42,708
$13,038
3.3× st 4.7×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$52,681
$10,003
5.3× st 5.4×
101
Seizures without mcc
21
$37,243
$8,057
4.6× st 5.3×
698
Other kidney and urinary tract diagnoses with mcc
20
$91,311
$14,323
6.4× st 4.9×
377
Gastrointestinal hemorrhage with mcc
20
$79,606
$17,987
4.4× st 5.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
20
$49,715
$6,739
7.4× st 6.2×
069
Transient ischemia without thrombolytic
19
$48,340
$7,175
6.7× st 6.2×
870
Septicemia or severe sepsis with mv >96 hours
19
$338,821
$67,358
5.0× st 4.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
18
$182,321
$40,382
4.5× st 4.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
17
$80,851
$22,335
3.6× st 4.8×
176
Pulmonary embolism without mcc
16
$42,348
$7,251
5.8× st 6.0×
480
Hip and femur procedures except major joint with mcc
15
$135,763
$26,657
5.1× st 5.3×
637
Diabetes with mcc
15
$73,748
$12,130
6.1× st 4.8×
178
Respiratory infections and inflammations with cc
14
$42,892
$8,823
4.9× st 5.6×
314
Other circulatory system diagnoses with mcc
14
$86,840
$18,078
4.8× st 5.1×
372
Major gastrointestinal disorders and peritoneal infections with cc
14
$57,687
$9,268
6.2× st 5.7×
057
Degenerative nervous system disorders without mcc
14
$47,258
$13,485
3.5× st 4.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
14
$107,283
$15,158
7.1× st 5.4×
394
Other digestive system diagnoses with cc
14
$39,058
$8,396
4.7× st 5.4×
812
Red blood cell disorders without mcc
13
$30,251
$8,074
3.7× st 5.2×
884
Organic disturbances and intellectual disability
13
$50,899
$14,286
3.6× st 4.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
13
$82,089
$21,331
3.8× st 4.6×
202
Bronchitis and asthma with cc/mcc
13
$42,937
$8,574
5.0× st 5.4×
092
Other disorders of nervous system with cc
12
$45,514
$9,279
4.9× st 5.8×
313
Chest pain
12
$29,608
$6,517
4.5× st 4.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$30,019
$8,033
3.7× st 5.2×
070
Other cerebrovascular disorders with mcc
12
$87,774
$14,669
6.0× st 5.3×
071
Other cerebrovascular disorders with cc
11
$43,877
$12,477
3.5× st 5.4×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$75,198
$11,406
6.6× st 6.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$193,967
$28,298
6.9× st 4.8×
281
Acute myocardial infarction, discharged alive with cc
11
$47,845
$7,971
6.0× st 5.1×
445
Disorders of the biliary tract with cc
11
$60,848
$9,674
6.3× st 5.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$98,616
$24,994
3.9× st 4.9×
329
Major small and large bowel procedures with mcc
11
$192,036
$39,205
4.9× st 5.0×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
11
$50,780
$8,938
5.7× st 5.4×
393
Other digestive system diagnoses with mcc
11
$37,411
$15,178
2.5× st 5.4×
638
Diabetes with cc
11
$101,559
$15,178
6.7× st 4.9×