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
249
$50,130
$15,408
3.3× st 5.2×
291
Heart failure and shock with mcc
115
$37,859
$10,257
3.7× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
65
$31,848
$9,740
3.3× st 5.5×
690
Kidney and urinary tract infections without mcc
47
$25,170
$6,583
3.8× st 5.3×
683
Renal failure with cc
42
$25,239
$6,874
3.7× st 5.4×
177
Respiratory infections and inflammations with mcc
39
$45,727
$12,718
3.6× st 5.2×
280
Acute myocardial infarction, discharged alive with mcc
39
$43,185
$12,699
3.4× st 5.2×
309
Cardiac arrhythmia and conduction disorders with cc
30
$28,754
$6,152
4.7× st 5.4×
193
Simple pneumonia and pleurisy with mcc
27
$42,636
$10,434
4.1× st 5.3×
189
Pulmonary edema and respiratory failure
24
$43,710
$10,066
4.3× st 5.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
23
$26,537
$7,643
3.5× st 5.7×
190
Chronic obstructive pulmonary disease with mcc
23
$31,994
$9,223
3.5× st 5.5×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
22
$34,495
$10,356
3.3× st 6.3×
698
Other kidney and urinary tract diagnoses with mcc
22
$41,091
$12,634
3.3× st 5.2×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
22
$124,745
$28,940
4.3× st 6.9×
682
Renal failure with mcc
21
$48,817
$11,436
4.3× st 5.4×
378
Gastrointestinal hemorrhage with cc
20
$34,856
$7,385
4.7× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$35,455
$10,088
3.5× st 5.6×
281
Acute myocardial infarction, discharged alive with cc
19
$40,480
$11,202
3.6× st 6.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
19
$33,738
$5,991
5.6× st 5.7×
689
Kidney and urinary tract infections with mcc
19
$28,990
$8,931
3.2× st 5.3×
812
Red blood cell disorders without mcc
18
$35,759
$8,788
4.1× st 6.3×
603
Cellulitis without mcc
18
$29,140
$6,780
4.3× st 4.9×
377
Gastrointestinal hemorrhage with mcc
18
$54,669
$14,086
3.9× st 5.9×
853
Infectious and parasitic diseases with o.r. procedures with mcc
16
$127,417
$37,184
3.4× st 5.3×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
16
$42,388
$13,608
3.1× st 5.9×
638
Diabetes with cc
15
$25,205
$6,901
3.7× st 5.2×
481
Hip and femur procedures except major joint with cc
14
$75,966
$15,750
4.8× st 6.0×
389
Gastrointestinal obstruction with cc
14
$25,404
$6,138
4.1× st 5.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$46,276
$10,903
4.2× st 6.6×
329
Major small and large bowel procedures with mcc
13
$134,861
$33,502
4.0× st 5.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
12
$43,754
$12,604
3.5× st 6.2×
178
Respiratory infections and inflammations with cc
12
$37,471
$7,580
4.9× st 5.8×
811
Red blood cell disorders with mcc
12
$42,654
$10,646
4.0× st 5.8×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
12
$59,312
$19,912
3.0× st 6.3×
699
Other kidney and urinary tract diagnoses with cc
12
$30,089
$9,019
3.3× st 5.2×
308
Cardiac arrhythmia and conduction disorders with mcc
12
$39,099
$9,243
4.2× st 5.4×
194
Simple pneumonia and pleurisy with cc
11
$25,389
$6,314
4.0× st 5.6×
637
Diabetes with mcc
11
$44,994
$10,963
4.1× st 5.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
11
$95,547
$26,696
3.6× st 5.7×
330
Major small and large bowel procedures with cc
11
$82,521
$17,968
4.6× st 6.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$27,194
$4,270
6.4× st 5.4×