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
185
$56,239
$15,384
3.7× st 3.5×
291
Heart failure and shock with mcc
139
$34,189
$10,146
3.4× st 3.2×
690
Kidney and urinary tract infections without mcc
49
$22,837
$7,145
3.2× st 3.5×
280
Acute myocardial infarction, discharged alive with mcc
48
$46,467
$14,198
3.3× st 3.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
44
$30,894
$10,691
2.9× st 3.3×
193
Simple pneumonia and pleurisy with mcc
43
$35,204
$9,997
3.5× st 3.5×
177
Respiratory infections and inflammations with mcc
42
$42,397
$12,738
3.3× st 3.3×
189
Pulmonary edema and respiratory failure
38
$35,448
$9,752
3.6× st 3.7×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
36
$23,757
$6,798
3.5× st 3.6×
885
Psychoses
36
$19,048
$10,712
1.8× st 2.8×
377
Gastrointestinal hemorrhage with mcc
32
$50,594
$13,900
3.6× st 3.7×
378
Gastrointestinal hemorrhage with cc
31
$30,824
$8,714
3.5× st 3.9×
194
Simple pneumonia and pleurisy with cc
30
$27,199
$7,329
3.7× st 3.7×
682
Renal failure with mcc
29
$35,378
$12,017
2.9× st 3.3×
683
Renal failure with cc
29
$24,696
$7,253
3.4× st 3.4×
312
Syncope and collapse
27
$24,937
$7,309
3.4× st 3.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
26
$26,148
$8,867
2.9× st 3.6×
481
Hip and femur procedures except major joint with cc
25
$76,116
$15,437
4.9× st 4.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
24
$45,193
$8,342
5.4× st 4.2×
309
Cardiac arrhythmia and conduction disorders with cc
24
$23,872
$6,576
3.6× st 3.4×
698
Other kidney and urinary tract diagnoses with mcc
23
$51,134
$13,699
3.7× st 3.0×
190
Chronic obstructive pulmonary disease with mcc
22
$30,399
$9,352
3.3× st 3.6×
308
Cardiac arrhythmia and conduction disorders with mcc
22
$36,748
$9,585
3.8× st 3.6×
689
Kidney and urinary tract infections with mcc
21
$33,213
$10,087
3.3× st 3.3×
699
Other kidney and urinary tract diagnoses with cc
19
$29,009
$8,859
3.3× st 3.0×
178
Respiratory infections and inflammations with cc
18
$31,054
$8,418
3.7× st 3.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$64,082
$14,620
4.4× st 3.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
18
$84,411
$19,166
4.4× st 5.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
17
$122,379
$33,374
3.7× st 3.6×
603
Cellulitis without mcc
17
$23,087
$7,469
3.1× st 3.0×
281
Acute myocardial infarction, discharged alive with cc
17
$36,852
$7,997
4.6× st 4.2×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
17
$20,434
$7,244
2.8× st 1.9×
660
Kidney and ureter procedures for non-neoplasm with cc
15
$53,208
$12,071
4.4× st 4.0×
552
Medical back problems without mcc
14
$29,298
$8,103
3.6× st 3.7×
811
Red blood cell disorders with mcc
13
$40,074
$11,548
3.5× st 3.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$21,213
$5,528
3.8× st 3.6×
389
Gastrointestinal obstruction with cc
13
$31,090
$7,795
4.0× st 3.4×
637
Diabetes with mcc
12
$29,499
$11,510
2.6× st 3.4×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$34,767
$6,379
5.5× st 4.6×
393
Other digestive system diagnoses with mcc
12
$32,246
$12,448
2.6× st 3.2×
329
Major small and large bowel procedures with mcc
12
$132,360
$32,479
4.1× st 3.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
11
$114,401
$22,116
5.2× st 4.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$76,296
$15,243
5.0× st 4.6×
292
Heart failure and shock with cc
11
$24,971
$7,197
3.5× st 3.0×
638
Diabetes with cc
11
$25,210
$8,077
3.1× st 3.2×
480
Hip and femur procedures except major joint with mcc
11
$115,776
$20,569
5.6× st 4.2×
394
Other digestive system diagnoses with cc
11
$25,410
$7,802
3.3× st 3.4×