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
207
$54,258
$22,707
2.4× st 4.1×
291
Heart failure and shock with mcc
88
$33,615
$15,006
2.2× st 4.0×
177
Respiratory infections and inflammations with mcc
81
$43,412
$18,837
2.3× st 3.9×
193
Simple pneumonia and pleurisy with mcc
65
$34,729
$15,458
2.2× st 3.9×
689
Kidney and urinary tract infections with mcc
53
$26,578
$13,611
2.0× st 3.7×
481
Hip and femur procedures except major joint with cc
40
$63,011
$23,767
2.7× st 5.1×
189
Pulmonary edema and respiratory failure
36
$33,157
$14,391
2.3× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
35
$31,053
$18,287
1.7× st 3.8×
280
Acute myocardial infarction, discharged alive with mcc
34
$51,559
$17,823
2.9× st 4.5×
690
Kidney and urinary tract infections without mcc
34
$20,944
$9,457
2.2× st 3.8×
309
Cardiac arrhythmia and conduction disorders with cc
31
$22,601
$8,794
2.6× st 4.2×
378
Gastrointestinal hemorrhage with cc
30
$31,484
$11,600
2.7× st 4.8×
190
Chronic obstructive pulmonary disease with mcc
30
$25,317
$12,866
2.0× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
29
$32,605
$14,823
2.2× st 4.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
28
$23,950
$8,810
2.7× st 3.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$21,574
$9,255
2.3× st 4.2×
603
Cellulitis without mcc
26
$22,249
$10,411
2.1× st 3.5×
064
Intracranial hemorrhage or cerebral infarction with mcc
25
$40,948
$22,470
1.8× st 4.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
23
$26,441
$12,096
2.2× st 4.0×
682
Renal failure with mcc
23
$30,751
$17,305
1.8× st 3.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
22
$35,518
$12,078
2.9× st 4.8×
377
Gastrointestinal hemorrhage with mcc
21
$59,262
$21,148
2.8× st 4.8×
683
Renal failure with cc
20
$27,321
$10,667
2.6× st 3.8×
281
Acute myocardial infarction, discharged alive with cc
20
$35,753
$10,835
3.3× st 5.2×
552
Medical back problems without mcc
19
$25,116
$11,123
2.3× st 3.8×
308
Cardiac arrhythmia and conduction disorders with mcc
19
$34,124
$14,246
2.4× st 4.4×
330
Major small and large bowel procedures with cc
19
$58,210
$26,807
2.2× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
18
$120,149
$52,798
2.3× st 4.2×
699
Other kidney and urinary tract diagnoses with cc
18
$18,198
$11,754
1.5× st 3.7×
480
Hip and femur procedures except major joint with mcc
17
$73,661
$33,115
2.2× st 5.1×
194
Simple pneumonia and pleurisy with cc
17
$22,383
$9,544
2.3× st 4.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
16
$115,685
$32,663
3.5× st 5.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$36,375
$16,313
2.2× st 4.4×
445
Disorders of the biliary tract with cc
15
$40,769
$12,779
3.2× st 4.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$61,989
$24,306
2.6× st 4.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
13
$70,039
$21,370
3.3× st 5.0×
312
Syncope and collapse
13
$29,881
$10,407
2.9× st 4.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
13
$81,684
$25,437
3.2× st 4.4×
389
Gastrointestinal obstruction with cc
13
$23,382
$9,497
2.5× st 3.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
13
$83,049
$23,047
3.6× st 5.9×
176
Pulmonary embolism without mcc
12
$27,546
$9,527
2.9× st 4.6×
660
Kidney and ureter procedures for non-neoplasm with cc
12
$53,740
$15,766
3.4× st 5.0×
178
Respiratory infections and inflammations with cc
12
$24,649
$11,386
2.2× st 4.3×
101
Seizures without mcc
12
$24,774
$10,631
2.3× st 4.2×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
12
$27,670
$14,891
1.9× st 4.2×
870
Septicemia or severe sepsis with mv >96 hours
12
$156,634
$70,959
2.2× st 4.5×
444
Disorders of the biliary tract with mcc
12
$49,535
$18,751
2.6× st 4.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$53,442
$30,622
1.7× st 4.7×
083
Traumatic stupor and coma >1 hour with cc
11
$30,147
$15,565
1.9× st 4.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$17,197
$6,687
2.6× st 4.0×
637
Diabetes with mcc
11
$36,328
$15,009
2.4× st 4.4×