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
290
$56,259
$13,090
4.3× st 4.1×
291
Heart failure and shock with mcc
217
$32,414
$8,500
3.8× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
107
$30,943
$7,098
4.4× st 4.0×
177
Respiratory infections and inflammations with mcc
89
$39,191
$10,228
3.8× st 3.9×
193
Simple pneumonia and pleurisy with mcc
86
$33,093
$8,586
3.9× st 3.9×
690
Kidney and urinary tract infections without mcc
73
$19,789
$5,120
3.9× st 3.8×
378
Gastrointestinal hemorrhage with cc
49
$33,066
$6,422
5.1× st 4.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
47
$21,690
$5,653
3.8× st 3.9×
190
Chronic obstructive pulmonary disease with mcc
46
$35,542
$7,691
4.6× st 4.4×
683
Renal failure with cc
41
$24,369
$6,150
4.0× st 3.8×
698
Other kidney and urinary tract diagnoses with mcc
41
$40,164
$10,848
3.7× st 3.8×
603
Cellulitis without mcc
40
$26,943
$5,932
4.5× st 3.5×
309
Cardiac arrhythmia and conduction disorders with cc
37
$29,384
$4,845
6.1× st 4.2×
682
Renal failure with mcc
37
$34,998
$9,215
3.8× st 3.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
35
$114,944
$32,712
3.5× st 4.2×
308
Cardiac arrhythmia and conduction disorders with mcc
31
$37,279
$8,125
4.6× st 4.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
31
$20,998
$5,017
4.2× st 4.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
31
$28,696
$8,804
3.3× st 4.0×
689
Kidney and urinary tract infections with mcc
30
$28,124
$7,051
4.0× st 3.7×
189
Pulmonary edema and respiratory failure
27
$40,739
$8,262
4.9× st 4.2×
312
Syncope and collapse
26
$25,129
$5,536
4.5× st 4.3×
552
Medical back problems without mcc
26
$22,892
$6,193
3.7× st 3.8×
699
Other kidney and urinary tract diagnoses with cc
25
$22,890
$7,347
3.1× st 3.7×
481
Hip and femur procedures except major joint with cc
25
$68,195
$13,826
4.9× st 5.1×
194
Simple pneumonia and pleurisy with cc
25
$26,326
$5,502
4.8× st 4.2×
389
Gastrointestinal obstruction with cc
25
$23,335
$5,140
4.5× st 3.9×
638
Diabetes with cc
23
$26,448
$6,069
4.4× st 4.0×
377
Gastrointestinal hemorrhage with mcc
22
$50,781
$11,473
4.4× st 4.8×
811
Red blood cell disorders with mcc
20
$54,281
$9,003
6.0× st 4.4×
812
Red blood cell disorders without mcc
19
$27,100
$5,808
4.7× st 4.6×
394
Other digestive system diagnoses with cc
19
$25,695
$5,931
4.3× st 4.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
18
$29,032
$6,194
4.7× st 4.8×
202
Bronchitis and asthma with cc/mcc
18
$32,999
$6,742
4.9× st 4.7×
388
Gastrointestinal obstruction with mcc
18
$36,859
$8,939
4.1× st 3.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
18
$26,670
$8,189
3.3× st 4.2×
178
Respiratory infections and inflammations with cc
17
$25,815
$6,060
4.3× st 4.3×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$22,358
$4,074
5.5× st 4.0×
393
Other digestive system diagnoses with mcc
16
$44,687
$10,754
4.2× st 4.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
16
$34,530
$8,050
4.3× st 4.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
16
$41,063
$11,034
3.7× st 4.3×
280
Acute myocardial infarction, discharged alive with mcc
15
$41,606
$9,367
4.4× st 4.5×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$56,046
$19,596
2.9× st 4.3×
444
Disorders of the biliary tract with mcc
14
$34,224
$9,612
3.6× st 4.3×
300
Peripheral vascular disorders with cc
14
$24,325
$6,736
3.6× st 4.2×
439
Disorders of pancreas except malignancy with cc
14
$29,150
$6,017
4.8× st 3.8×
176
Pulmonary embolism without mcc
13
$26,422
$5,007
5.3× st 4.6×
813
Coagulation disorders
12
$55,991
$9,656
5.8× st 4.6×
281
Acute myocardial infarction, discharged alive with cc
12
$21,904
$5,987
3.7× st 5.2×
314
Other circulatory system diagnoses with mcc
12
$46,058
$16,797
2.7× st 4.1×
330
Major small and large bowel procedures with cc
12
$92,909
$15,917
5.8× st 4.5×
371
Major gastrointestinal disorders and peritoneal infections with mcc
12
$28,810
$9,885
2.9× st 3.5×
315
Other circulatory system diagnoses with cc
12
$35,788
$6,740
5.3× st 4.4×
299
Peripheral vascular disorders with mcc
11
$33,229
$9,620
3.5× st 4.6×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$21,434
$9,382
2.3× st 5.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$54,985
$10,825
5.1× st 5.9×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
11
$22,071
$5,452
4.0× st 4.3×