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
291
Heart failure and shock with mcc
102
$22,982
$13,722
1.7× st 3.2×
871
Septicemia or severe sepsis without mv >96 hours with mcc
101
$41,304
$20,737
2.0× st 3.5×
193
Simple pneumonia and pleurisy with mcc
58
$32,771
$14,438
2.3× st 3.5×
689
Kidney and urinary tract infections with mcc
47
$21,894
$13,194
1.7× st 3.3×
885
Psychoses
46
$24,535
$16,500
1.5× st 2.8×
177
Respiratory infections and inflammations with mcc
36
$39,124
$18,262
2.1× st 3.3×
190
Chronic obstructive pulmonary disease with mcc
32
$24,971
$12,401
2.0× st 3.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
29
$26,052
$10,099
2.6× st 3.6×
280
Acute myocardial infarction, discharged alive with mcc
29
$31,969
$17,164
1.9× st 3.6×
690
Kidney and urinary tract infections without mcc
28
$18,341
$9,883
1.9× st 3.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
25
$26,217
$13,916
1.9× st 3.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
25
$18,749
$9,271
2.0× st 3.6×
683
Renal failure with cc
24
$23,729
$10,818
2.2× st 3.4×
189
Pulmonary edema and respiratory failure
24
$27,868
$13,903
2.0× st 3.7×
378
Gastrointestinal hemorrhage with cc
21
$24,300
$12,103
2.0× st 3.9×
682
Renal failure with mcc
21
$32,722
$16,306
2.0× st 3.3×
812
Red blood cell disorders without mcc
21
$19,462
$10,614
1.8× st 3.5×
194
Simple pneumonia and pleurisy with cc
21
$21,510
$10,555
2.0× st 3.7×
698
Other kidney and urinary tract diagnoses with mcc
21
$30,638
$18,064
1.7× st 3.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
18
$29,131
$11,701
2.5× st 3.6×
308
Cardiac arrhythmia and conduction disorders with mcc
17
$33,927
$12,945
2.6× st 3.6×
312
Syncope and collapse
17
$20,962
$9,705
2.2× st 3.9×
637
Diabetes with mcc
16
$38,438
$16,028
2.4× st 3.4×
071
Other cerebrovascular disorders with cc
16
$28,300
$12,515
2.3× st 4.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
16
$49,639
$22,566
2.2× st 3.7×
178
Respiratory infections and inflammations with cc
16
$24,153
$11,162
2.2× st 3.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
15
$89,376
$45,611
2.0× st 3.6×
811
Red blood cell disorders with mcc
15
$31,400
$16,606
1.9× st 3.4×
309
Cardiac arrhythmia and conduction disorders with cc
15
$18,776
$8,919
2.1× st 3.4×
243
Permanent cardiac pacemaker implant with cc
15
$62,885
$23,118
2.7× st 4.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
14
$22,307
$14,189
1.6× st 3.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$70,906
$18,090
3.9× st 5.5×
191
Chronic obstructive pulmonary disease with cc
13
$18,758
$9,946
1.9× st 3.5×
281
Acute myocardial infarction, discharged alive with cc
12
$38,150
$11,666
3.3× st 4.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
12
$100,439
$31,672
3.2× st 4.7×
070
Other cerebrovascular disorders with mcc
12
$33,064
$18,480
1.8× st 3.3×
092
Other disorders of nervous system with cc
11
$21,839
$11,173
2.0× st 3.5×
638
Diabetes with cc
11
$21,715
$9,858
2.2× st 3.2×
603
Cellulitis without mcc
11
$25,480
$11,530
2.2× st 3.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$55,209
$27,372
2.0× st 3.6×