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
301
$84,459
$34,334
2.5× st 4.8×
312
Syncope and collapse
81
$36,688
$14,896
2.5× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
76
$53,060
$19,169
2.8× st 4.9×
690
Kidney and urinary tract infections without mcc
74
$41,892
$15,254
2.7× st 5.2×
870
Septicemia or severe sepsis with mv >96 hours
55
$171,595
$98,528
1.7× st 4.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
54
$61,150
$22,513
2.7× st 4.8×
291
Heart failure and shock with mcc
53
$84,748
$25,793
3.3× st 5.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
49
$42,644
$14,714
2.9× st 4.6×
101
Seizures without mcc
43
$37,185
$15,699
2.4× st 5.3×
948
Signs and symptoms without mcc
34
$38,889
$14,322
2.7× st 5.7×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
31
$39,826
$13,885
2.9× st 5.2×
378
Gastrointestinal hemorrhage with cc
30
$65,901
$22,209
3.0× st 5.5×
189
Pulmonary edema and respiratory failure
30
$66,948
$21,474
3.1× st 5.0×
313
Chest pain
29
$29,744
$12,666
2.3× st 4.9×
190
Chronic obstructive pulmonary disease with mcc
29
$59,091
$21,083
2.8× st 4.7×
689
Kidney and urinary tract infections with mcc
29
$54,314
$19,812
2.7× st 5.3×
812
Red blood cell disorders without mcc
28
$50,185
$18,283
2.7× st 5.2×
191
Chronic obstructive pulmonary disease with cc
26
$53,375
$15,817
3.4× st 4.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
25
$178,114
$77,692
2.3× st 4.7×
683
Renal failure with cc
24
$52,307
$17,689
3.0× st 5.0×
603
Cellulitis without mcc
23
$36,280
$14,463
2.5× st 4.7×
638
Diabetes with cc
22
$49,123
$16,528
3.0× st 4.9×
305
Hypertension without mcc
22
$43,360
$14,443
3.0× st 5.3×
309
Cardiac arrhythmia and conduction disorders with cc
21
$51,175
$14,839
3.4× st 5.1×
194
Simple pneumonia and pleurisy with cc
21
$40,829
$15,051
2.7× st 4.9×
639
Diabetes without cc/mcc
20
$28,437
$11,558
2.5× st 3.8×
394
Other digestive system diagnoses with cc
19
$44,032
$17,173
2.6× st 5.4×
682
Renal failure with mcc
19
$90,040
$25,643
3.5× st 5.1×
192
Chronic obstructive pulmonary disease without cc/mcc
18
$37,892
$12,009
3.2× st 3.6×
280
Acute myocardial infarction, discharged alive with mcc
18
$102,133
$28,746
3.6× st 4.9×
177
Respiratory infections and inflammations with mcc
17
$60,672
$28,268
2.1× st 4.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
17
$58,188
$17,182
3.4× st 5.7×
207
Respiratory system diagnosis with ventilator support >96 hours
17
$151,760
$90,090
1.7× st 4.4×
314
Other circulatory system diagnoses with mcc
16
$65,742
$32,043
2.1× st 5.1×
811
Red blood cell disorders with mcc
16
$51,667
$23,703
2.2× st 5.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$96,715
$40,608
2.4× st 4.8×
377
Gastrointestinal hemorrhage with mcc
15
$90,830
$30,773
3.0× st 5.3×
698
Other kidney and urinary tract diagnoses with mcc
15
$73,386
$24,603
3.0× st 4.9×
193
Simple pneumonia and pleurisy with mcc
14
$78,306
$22,730
3.4× st 4.9×
202
Bronchitis and asthma with cc/mcc
13
$39,917
$15,100
2.6× st 5.4×
178
Respiratory infections and inflammations with cc
13
$62,889
$19,360
3.2× st 5.6×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
12
$46,356
$14,650
3.2× st 3.7×
552
Medical back problems without mcc
12
$44,556
$16,678
2.7× st 5.3×
300
Peripheral vascular disorders with cc
11
$53,369
$18,511
2.9× st 5.3×