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
371
$132,579
$15,268
8.7× st 4.7×
280
Acute myocardial infarction, discharged alive with mcc
147
$122,066
$13,398
9.1× st 6.1×
291
Heart failure and shock with mcc
117
$85,138
$10,482
8.1× st 4.5×
698
Other kidney and urinary tract diagnoses with mcc
101
$96,630
$12,953
7.5× st 4.8×
274
Percutaneous and other intracardiac procedures without mcc
98
$183,829
$24,472
7.5× st 5.3×
193
Simple pneumonia and pleurisy with mcc
83
$96,253
$10,263
9.4× st 5.2×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
73
$69,710
$8,176
8.5× st 5.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
72
$305,265
$34,957
8.7× st 5.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
68
$133,549
$14,724
9.1× st 5.6×
177
Respiratory infections and inflammations with mcc
65
$98,668
$12,831
7.7× st 4.8×
689
Kidney and urinary tract infections with mcc
64
$60,408
$9,059
6.7× st 4.5×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
55
$66,510
$10,608
6.3× st 4.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
53
$235,205
$37,595
6.3× st 5.9×
690
Kidney and urinary tract infections without mcc
52
$40,109
$6,846
5.9× st 4.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
49
$59,015
$8,253
7.2× st 4.3×
683
Renal failure with cc
46
$48,104
$7,434
6.5× st 4.5×
378
Gastrointestinal hemorrhage with cc
44
$74,773
$8,644
8.7× st 5.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
44
$50,478
$7,017
7.2× st 4.9×
699
Other kidney and urinary tract diagnoses with cc
43
$50,091
$8,238
6.1× st 5.0×
281
Acute myocardial infarction, discharged alive with cc
43
$66,665
$7,456
8.9× st 6.2×
377
Gastrointestinal hemorrhage with mcc
42
$136,243
$13,433
10.1× st 4.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
41
$120,987
$15,134
8.0× st 6.7×
309
Cardiac arrhythmia and conduction disorders with cc
40
$49,539
$6,527
7.6× st 4.5×
682
Renal failure with mcc
39
$94,513
$11,216
8.4× st 4.8×
481
Hip and femur procedures except major joint with cc
39
$111,804
$16,303
6.9× st 5.8×
312
Syncope and collapse
38
$62,625
$7,951
7.9× st 5.1×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
36
$250,778
$47,028
5.3× st 5.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
35
$188,611
$21,739
8.7× st 5.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
35
$182,661
$22,197
8.2× st 5.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
34
$56,854
$6,871
8.3× st 4.4×
313
Chest pain
33
$52,552
$6,320
8.3× st 6.9×
660
Kidney and ureter procedures for non-neoplasm with cc
32
$73,163
$11,026
6.6× st 5.1×
235
Coronary bypass without cardiac catheterization with mcc
31
$405,312
$46,887
8.6× st 5.6×
035
Carotid artery stent procedures with cc
30
$113,443
$17,547
6.5× st 5.0×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
29
$78,018
$8,601
9.1× st 6.0×
252
Other vascular procedures with mcc
29
$186,475
$25,518
7.3× st 5.7×
101
Seizures without mcc
29
$59,865
$7,677
7.8× st 5.5×
637
Diabetes with mcc
28
$111,565
$13,837
8.1× st 5.6×
100
Seizures with mcc
27
$125,792
$15,237
8.3× st 5.3×
603
Cellulitis without mcc
27
$46,004
$7,202
6.4× st 4.6×
036
Carotid artery stent procedures without cc/mcc
26
$95,837
$14,043
6.8× st 5.5×
314
Other circulatory system diagnoses with mcc
26
$130,967
$17,007
7.7× st 5.3×
329
Major small and large bowel procedures with mcc
25
$260,152
$30,885
8.4× st 5.2×
394
Other digestive system diagnoses with cc
25
$41,393
$8,145
5.1× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
25
$59,488
$9,143
6.5× st 6.0×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
24
$618,804
$76,091
8.1× st 5.5×
069
Transient ischemia without thrombolytic
24
$61,850
$6,615
9.4× st 6.1×
812
Red blood cell disorders without mcc
24
$57,512
$7,658
7.5× st 5.7×
552
Medical back problems without mcc
23
$40,325
$7,454
5.4× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
23
$93,843
$10,399
9.0× st 4.9×
189
Pulmonary edema and respiratory failure
22
$78,393
$9,872
7.9× st 5.1×
194
Simple pneumonia and pleurisy with cc
22
$56,697
$7,042
8.1× st 5.2×
271
Other major cardiovascular procedures with cc
22
$218,739
$28,270
7.7× st 5.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
22
$113,025
$19,200
5.9× st 5.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$119,347
$15,710
7.6× st 5.9×
657
Kidney and ureter procedures for neoplasm with cc
21
$131,465
$14,290
9.2× st 7.3×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$111,479
$10,470
10.6× st 5.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
21
$119,913
$14,391
8.3× st 5.2×
870
Septicemia or severe sepsis with mv >96 hours
21
$478,409
$56,413
8.5× st 6.2×
057
Degenerative nervous system disorders without mcc
20
$70,097
$11,237
6.2× st 4.8×
163
Major chest procedures with mcc
20
$294,421
$34,785
8.5× st 5.4×
480
Hip and femur procedures except major joint with mcc
20
$131,089
$21,689
6.0× st 5.6×
305
Hypertension without mcc
19
$46,796
$6,560
7.1× st 4.8×
025
Craniotomy and endovascular intracranial procedures with mcc
19
$208,975
$30,561
6.8× st 6.0×
948
Signs and symptoms without mcc
19
$41,747
$6,721
6.2× st 5.3×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
18
$113,968
$15,692
7.3× st 5.6×
435
Malignancy of hepatobiliary system or pancreas with mcc
18
$141,316
$13,261
10.7× st 6.8×
445
Disorders of the biliary tract with cc
18
$86,680
$9,451
9.2× st 5.7×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
18
$262,099
$33,574
7.8× st 5.3×
393
Other digestive system diagnoses with mcc
18
$112,560
$12,437
9.1× st 5.3×
638
Diabetes with cc
18
$60,971
$7,651
8.0× st 5.0×
917
Poisoning and toxic effects of drugs with mcc
17
$117,041
$12,067
9.7× st 4.9×
300
Peripheral vascular disorders with cc
17
$80,777
$10,966
7.4× st 5.0×
299
Peripheral vascular disorders with mcc
17
$90,463
$12,287
7.4× st 6.0×
269
Aortic and heart assist procedures except pulsation balloon without mcc
17
$200,217
$33,892
5.9× st 5.7×
253
Other vascular procedures with cc
17
$177,728
$20,951
8.5× st 5.7×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
17
$418,819
$60,125
7.0× st 5.1×
054
Nervous system neoplasms with mcc
17
$72,788
$11,277
6.5× st 5.4×
919
Complications of treatment with mcc
17
$100,090
$14,253
7.0× st 5.4×
515
Other musculoskeletal system and connective tissue o.r. procedures with mcc
16
$174,449
$23,229
7.5× st 5.1×
856
Postoperative or post-traumatic infections with o.r. procedures with mcc
16
$311,918
$35,680
8.7× st 6.0×
242
Permanent cardiac pacemaker implant with mcc
16
$188,743
$23,650
8.0× st 5.0×
038
Extracranial procedures with cc
16
$92,358
$13,215
7.0× st 5.3×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
16
$1,041,961
$138,077
7.5× st 6.1×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
16
$144,181
$21,149
6.8× st 5.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
16
$84,592
$17,352
4.9× st 5.2×
191
Chronic obstructive pulmonary disease with cc
15
$54,877
$7,141
7.7× st 6.6×
811
Red blood cell disorders with mcc
15
$87,732
$12,069
7.3× st 4.9×
330
Major small and large bowel procedures with cc
15
$167,795
$21,599
7.8× st 5.1×
092
Other disorders of nervous system with cc
15
$55,845
$8,450
6.6× st 4.9×
444
Disorders of the biliary tract with mcc
14
$115,277
$13,038
8.8× st 6.9×
270
Other major cardiovascular procedures with mcc
14
$319,333
$42,239
7.6× st 6.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
14
$160,140
$13,643
11.7× st 6.4×
813
Coagulation disorders
13
$108,106
$13,547
8.0× st 4.3×
149
Dysequilibrium
13
$45,100
$6,407
7.0× st 5.4×
928
Full thickness burn with skin graft or inhalation injury with cc/mcc
13
$388,735
$61,226
6.3× st 5.5×
180
Respiratory neoplasms with mcc
13
$118,788
$14,851
8.0× st 5.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$398,482
$40,263
9.9× st 6.9×
243
Permanent cardiac pacemaker implant with cc
13
$147,090
$16,979
8.7× st 4.9×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
13
$51,395
$9,296
5.5× st 6.5×
315
Other circulatory system diagnoses with cc
13
$71,630
$8,091
8.9× st 6.3×
388
Gastrointestinal obstruction with mcc
13
$157,718
$14,220
11.1× st 5.0×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$124,354
$15,395
8.1× st 5.3×
862
Postoperative and post-traumatic infections with mcc
12
$118,353
$12,911
9.2× st 5.9×
389
Gastrointestinal obstruction with cc
12
$38,160
$6,494
5.9× st 4.3×
907
Other o.r. procedures for injuries with mcc
12
$278,231
$33,616
8.3× st 6.7×
178
Respiratory infections and inflammations with cc
12
$43,247
$8,973
4.8× st 5.1×
273
Percutaneous and other intracardiac procedures with mcc
12
$252,041
$25,195
10.0× st 5.8×
086
Traumatic stupor and coma <1 hour with cc
12
$60,591
$10,403
5.8× st 5.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$51,085
$5,962
8.6× st 5.9×
085
Traumatic stupor and coma <1 hour with mcc
11
$86,540
$17,083
5.1× st 5.4×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$93,022
$15,076
6.2× st 5.7×
438
Disorders of pancreas except malignancy with mcc
11
$104,083
$13,217
7.9× st 5.5×
244
Permanent cardiac pacemaker implant without cc/mcc
11
$121,506
$15,273
8.0× st 5.4×
857
Postoperative or post-traumatic infections with o.r. procedures with cc
11
$126,515
$14,741
8.6× st 8.6×
176
Pulmonary embolism without mcc
11
$59,662
$6,828
8.7× st 5.6×
283
Acute myocardial infarction, expired with mcc
11
$178,386
$15,474
11.5× st 6.6×
643
Endocrine disorders with mcc
11
$95,149
$13,805
6.9× st 4.8×
472
Cervical spinal fusion with cc
11
$167,829
$22,220
7.6× st 6.3×