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
217
$128,637
$16,536
7.8× st 5.2×
871
Septicemia or severe sepsis without mv >96 hours with mcc
128
$217,652
$24,454
8.9× st 5.2×
177
Respiratory infections and inflammations with mcc
79
$225,191
$22,076
10.2× st 5.2×
189
Pulmonary edema and respiratory failure
77
$127,947
$15,876
8.1× st 5.9×
280
Acute myocardial infarction, discharged alive with mcc
77
$179,740
$21,899
8.2× st 5.2×
193
Simple pneumonia and pleurisy with mcc
73
$140,626
$17,183
8.2× st 5.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
71
$94,198
$10,939
8.6× st 5.7×
205
Other respiratory system diagnoses with mcc
68
$271,502
$26,133
10.4× st 8.9×
312
Syncope and collapse
65
$92,983
$11,679
8.0× st 5.8×
194
Simple pneumonia and pleurisy with cc
57
$94,754
$10,982
8.6× st 5.6×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
54
$478,511
$57,140
8.4× st 6.4×
378
Gastrointestinal hemorrhage with cc
53
$102,778
$13,419
7.7× st 6.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
53
$304,998
$30,701
9.9× st 6.3×
070
Other cerebrovascular disorders with mcc
50
$194,780
$23,325
8.4× st 6.0×
690
Kidney and urinary tract infections without mcc
50
$85,151
$11,229
7.6× st 5.3×
698
Other kidney and urinary tract diagnoses with mcc
49
$181,297
$23,396
7.7× st 5.2×
191
Chronic obstructive pulmonary disease with cc
49
$102,426
$11,956
8.6× st 6.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
48
$177,721
$18,403
9.7× st 5.6×
689
Kidney and urinary tract infections with mcc
47
$118,013
$15,308
7.7× st 5.3×
699
Other kidney and urinary tract diagnoses with cc
46
$122,282
$13,773
8.9× st 5.2×
682
Renal failure with mcc
45
$163,869
$18,966
8.6× st 5.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
43
$375,342
$36,817
10.2× st 6.4×
207
Respiratory system diagnosis with ventilator support >96 hours
43
$558,315
$70,149
8.0× st 5.9×
064
Intracranial hemorrhage or cerebral infarction with mcc
42
$251,296
$24,691
10.2× st 6.0×
603
Cellulitis without mcc
42
$88,642
$12,197
7.3× st 4.9×
314
Other circulatory system diagnoses with mcc
41
$172,006
$25,768
6.7× st 5.8×
638
Diabetes with cc
41
$97,158
$12,339
7.9× st 5.2×
007
Lung transplant
41
$1,820,546
$158,122
11.5× st 10.4×
683
Renal failure with cc
40
$104,725
$12,674
8.3× st 5.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
39
$99,792
$11,093
9.0× st 5.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
39
$145,391
$16,809
8.6× st 6.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
39
$137,630
$17,509
7.9× st 5.8×
917
Poisoning and toxic effects of drugs with mcc
36
$184,496
$23,475
7.9× st 6.2×
101
Seizures without mcc
36
$90,416
$12,111
7.5× st 6.1×
016
Autologous bone marrow transplant with cc/mcc
34
$502,531
$73,548
6.8× st 4.7×
178
Respiratory infections and inflammations with cc
32
$134,038
$14,412
9.3× st 5.8×
377
Gastrointestinal hemorrhage with mcc
31
$182,695
$22,625
8.1× st 5.9×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
31
$3,088,763
$292,662
10.6× st 6.4×
637
Diabetes with mcc
31
$151,946
$18,896
8.0× st 5.4×
190
Chronic obstructive pulmonary disease with mcc
30
$119,595
$13,796
8.7× st 5.5×
274
Percutaneous and other intracardiac procedures without mcc
30
$250,206
$34,798
7.2× st 6.2×
309
Cardiac arrhythmia and conduction disorders with cc
29
$78,071
$10,385
7.5× st 5.4×
206
Other respiratory system diagnoses without mcc
28
$201,481
$13,230
15.2× st 9.8×
393
Other digestive system diagnoses with mcc
28
$168,802
$21,460
7.9× st 5.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
28
$194,250
$24,620
7.9× st 5.0×
164
Major chest procedures with cc
27
$303,323
$30,207
10.0× st 6.2×
196
Interstitial lung disease with mcc
27
$195,339
$24,072
8.1× st 6.2×
870
Septicemia or severe sepsis with mv >96 hours
27
$768,291
$86,950
8.8× st 5.9×
071
Other cerebrovascular disorders with cc
26
$133,636
$15,832
8.4× st 6.2×
394
Other digestive system diagnoses with cc
26
$87,911
$12,431
7.1× st 5.9×
811
Red blood cell disorders with mcc
25
$110,312
$17,391
6.3× st 5.8×
853
Infectious and parasitic diseases with o.r. procedures with mcc
25
$627,491
$69,928
9.0× st 5.3×
552
Medical back problems without mcc
24
$118,763
$13,342
8.9× st 5.5×
057
Degenerative nervous system disorders without mcc
23
$153,935
$17,533
8.8× st 5.1×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
23
$640,125
$71,400
9.0× st 5.5×
300
Peripheral vascular disorders with cc
23
$117,079
$14,684
8.0× st 5.7×
389
Gastrointestinal obstruction with cc
22
$111,505
$11,753
9.5× st 5.8×
176
Pulmonary embolism without mcc
22
$89,934
$11,014
8.2× st 6.5×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
21
$96,788
$12,478
7.8× st 5.5×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
21
$496,511
$59,782
8.3× st 5.8×
025
Craniotomy and endovascular intracranial procedures with mcc
21
$463,879
$49,723
9.3× st 6.4×
281
Acute myocardial infarction, discharged alive with cc
20
$113,146
$12,120
9.3× st 6.6×
660
Kidney and ureter procedures for non-neoplasm with cc
20
$144,813
$15,547
9.3× st 5.8×
602
Cellulitis with mcc
20
$114,779
$17,808
6.4× st 4.9×
252
Other vascular procedures with mcc
20
$410,889
$39,305
10.5× st 6.1×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
19
$1,211,132
$112,921
10.7× st 6.1×
004
Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck withou
19
$1,241,279
$142,067
8.7× st 6.3×
372
Major gastrointestinal disorders and peritoneal infections with cc
18
$87,587
$13,123
6.7× st 5.8×
163
Major chest procedures with mcc
18
$484,104
$57,329
8.4× st 5.9×
308
Cardiac arrhythmia and conduction disorders with mcc
18
$168,903
$16,251
10.4× st 5.4×
812
Red blood cell disorders without mcc
18
$122,365
$12,302
9.9× st 6.3×
330
Major small and large bowel procedures with cc
18
$259,091
$27,788
9.3× st 6.0×
202
Bronchitis and asthma with cc/mcc
18
$82,953
$12,245
6.8× st 5.7×
652
Kidney transplant
17
$813,349
$34,975
23.3× st 10.1×
299
Peripheral vascular disorders with mcc
17
$238,602
$24,032
9.9× st 5.8×
948
Signs and symptoms without mcc
17
$80,067
$11,004
7.3× st 6.1×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$167,906
$17,937
9.4× st 6.2×
253
Other vascular procedures with cc
17
$270,177
$32,337
8.4× st 6.4×
091
Other disorders of nervous system with mcc
16
$185,529
$22,935
8.1× st 6.3×
273
Percutaneous and other intracardiac procedures with mcc
16
$390,802
$48,236
8.1× st 7.4×
808
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
16
$423,557
$41,417
10.2× st 7.6×
315
Other circulatory system diagnoses with cc
16
$173,313
$14,780
11.7× st 6.9×
388
Gastrointestinal obstruction with mcc
16
$193,020
$19,662
9.8× st 6.1×
018
Chimeric antigen receptor (car) t-cell and other immunotherapies
16
$7,196,637
$639,965
11.2× st 9.3×
270
Other major cardiovascular procedures with mcc
15
$611,581
$56,122
10.9× st 6.0×
100
Seizures with mcc
15
$223,317
$26,978
8.3× st 5.9×
481
Hip and femur procedures except major joint with cc
15
$234,600
$22,111
10.6× st 6.0×
186
Pleural effusion with mcc
15
$174,478
$20,485
8.5× st 7.4×
054
Nervous system neoplasms with mcc
15
$153,836
$18,047
8.5× st 6.5×
371
Major gastrointestinal disorders and peritoneal infections with mcc
15
$195,732
$24,137
8.1× st 5.6×
834
Acute leukemia with mcc
14
$594,507
$74,842
7.9× st 7.0×
166
Other respiratory system o.r. procedures with mcc
14
$401,247
$51,285
7.8× st 5.9×
092
Other disorders of nervous system with cc
14
$246,571
$14,739
16.7× st 6.1×
074
Cranial and peripheral nerve disorders without mcc
14
$82,897
$13,797
6.0× st 6.1×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
14
$287,876
$29,103
9.9× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
14
$150,942
$21,804
6.9× st 6.9×
433
Cirrhosis and alcoholic hepatitis with cc
14
$156,329
$14,304
10.9× st 7.4×
841
Lymphoma and non-acute leukemia with cc
13
$190,712
$20,696
9.2× st 8.3×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
13
$281,362
$21,929
12.8× st 5.9×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
13
$259,101
$28,864
9.0× st 6.0×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$95,925
$11,867
8.1× st 5.1×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
13
$578,124
$67,835
8.5× st 5.8×
239
Amputation for circulatory system disorders except upper limb and toe with mcc
13
$557,099
$59,899
9.3× st 7.5×
918
Poisoning and toxic effects of drugs without mcc
13
$92,291
$11,659
7.9× st 6.5×
657
Kidney and ureter procedures for neoplasm with cc
13
$197,965
$21,722
9.1× st 7.2×
920
Complications of treatment with cc
13
$116,384
$13,850
8.4× st 6.4×
056
Degenerative nervous system disorders with mcc
12
$235,220
$30,089
7.8× st 5.3×
840
Lymphoma and non-acute leukemia with mcc
12
$455,188
$43,247
10.5× st 6.7×
200
Pneumothorax with cc
12
$96,590
$13,455
7.2× st 6.7×
435
Malignancy of hepatobiliary system or pancreas with mcc
12
$189,508
$23,744
8.0× st 7.1×
480
Hip and femur procedures except major joint with mcc
12
$314,817
$37,005
8.5× st 6.4×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$855,283
$89,674
9.5× st 6.3×
069
Transient ischemia without thrombolytic
11
$122,356
$11,052
11.1× st 6.4×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
11
$270,542
$29,986
9.0× st 5.6×
607
Minor skin disorders without mcc
11
$95,599
$11,863
8.1× st 5.9×
432
Cirrhosis and alcoholic hepatitis with mcc
11
$321,971
$27,580
11.7× st 5.9×
167
Other respiratory system o.r. procedures with cc
11
$300,020
$28,115
10.7× st 8.2×
551
Medical back problems with mcc
11
$219,616
$22,519
9.8× st 5.7×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
11
$115,604
$14,237
8.1× st 5.9×
557
Tendonitis, myositis and bursitis with mcc
11
$187,359
$18,804
10.0× st 10.0×
445
Disorders of the biliary tract with cc
11
$141,337
$14,711
9.6× st 6.8×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$173,301
$14,243
12.2× st 7.1×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
11
$139,184
$15,922
8.7× st 7.5×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
11
$404,935
$46,539
8.7× st 6.2×