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
343
$37,508
$10,114
3.7× st 5.2×
871
Septicemia or severe sepsis without mv >96 hours with mcc
309
$61,192
$15,949
3.8× st 5.2×
193
Simple pneumonia and pleurisy with mcc
213
$37,896
$11,170
3.4× st 5.3×
177
Respiratory infections and inflammations with mcc
204
$41,364
$12,708
3.3× st 5.2×
189
Pulmonary edema and respiratory failure
141
$39,635
$10,179
3.9× st 5.9×
690
Kidney and urinary tract infections without mcc
114
$27,215
$6,568
4.1× st 5.3×
689
Kidney and urinary tract infections with mcc
110
$31,093
$9,005
3.5× st 5.3×
481
Hip and femur procedures except major joint with cc
109
$67,584
$16,164
4.2× st 6.0×
552
Medical back problems without mcc
105
$32,282
$7,875
4.1× st 5.5×
280
Acute myocardial infarction, discharged alive with mcc
101
$53,577
$12,275
4.4× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
95
$27,356
$6,689
4.1× st 5.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
90
$151,724
$36,423
4.2× st 6.4×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
87
$36,295
$8,671
4.2× st 6.3×
683
Renal failure with cc
86
$29,854
$7,339
4.1× st 5.4×
378
Gastrointestinal hemorrhage with cc
84
$35,340
$8,358
4.2× st 6.1×
064
Intracranial hemorrhage or cerebral infarction with mcc
72
$56,828
$15,418
3.7× st 6.0×
309
Cardiac arrhythmia and conduction disorders with cc
70
$26,884
$6,438
4.2× st 5.4×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
70
$81,851
$17,173
4.8× st 6.3×
281
Acute myocardial infarction, discharged alive with cc
67
$36,642
$7,614
4.8× st 6.6×
682
Renal failure with mcc
65
$42,647
$11,787
3.6× st 5.4×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
63
$48,939
$15,095
3.2× st 5.0×
377
Gastrointestinal hemorrhage with mcc
61
$46,739
$17,042
2.7× st 5.9×
603
Cellulitis without mcc
61
$28,228
$6,877
4.1× st 4.9×
698
Other kidney and urinary tract diagnoses with mcc
59
$50,259
$13,066
3.8× st 5.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
56
$39,110
$11,612
3.4× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
56
$42,257
$11,262
3.8× st 5.4×
057
Degenerative nervous system disorders without mcc
53
$39,218
$10,728
3.7× st 5.1×
330
Major small and large bowel procedures with cc
53
$72,769
$19,356
3.8× st 6.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
53
$170,723
$45,428
3.8× st 5.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
50
$34,723
$7,214
4.8× st 5.4×
312
Syncope and collapse
50
$32,497
$7,020
4.6× st 5.8×
178
Respiratory infections and inflammations with cc
50
$32,376
$7,565
4.3× st 5.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
49
$106,215
$18,138
5.9× st 6.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
48
$25,608
$6,480
4.0× st 5.7×
394
Other digestive system diagnoses with cc
47
$31,038
$7,873
3.9× st 5.9×
190
Chronic obstructive pulmonary disease with mcc
47
$37,480
$9,059
4.1× st 5.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
47
$66,180
$17,643
3.8× st 5.7×
194
Simple pneumonia and pleurisy with cc
45
$26,280
$6,931
3.8× st 5.6×
389
Gastrointestinal obstruction with cc
44
$25,959
$6,525
4.0× st 5.8×
329
Major small and large bowel procedures with mcc
44
$118,687
$33,948
3.5× st 5.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
44
$33,419
$10,369
3.2× st 5.8×
243
Permanent cardiac pacemaker implant with cc
43
$105,427
$21,034
5.0× st 6.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
42
$39,344
$8,500
4.6× st 5.5×
041
Peripheral, cranial nerve and other nervous system procedures with cc or peripheral neur
41
$77,432
$16,701
4.6× st 6.0×
242
Permanent cardiac pacemaker implant with mcc
40
$125,716
$29,673
4.2× st 6.2×
884
Organic disturbances and intellectual disability
39
$45,234
$12,949
3.5× st 4.5×
274
Percutaneous and other intracardiac procedures without mcc
38
$126,380
$24,967
5.1× st 6.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
38
$152,814
$35,564
4.3× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
38
$44,093
$11,902
3.7× st 6.2×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
37
$210,894
$64,859
3.3× st 6.1×
393
Other digestive system diagnoses with mcc
36
$55,259
$13,571
4.1× st 5.6×
184
Major chest trauma with cc
35
$38,827
$10,262
3.8× st 5.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
34
$129,465
$24,907
5.2× st 6.5×
467
Revision of hip or knee replacement with cc
33
$76,291
$30,391
2.5× st 4.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
33
$103,619
$25,574
4.1× st 6.4×
071
Other cerebrovascular disorders with cc
33
$35,810
$8,448
4.2× st 6.2×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
33
$32,592
$7,538
4.3× st 5.9×
101
Seizures without mcc
32
$28,944
$7,316
4.0× st 6.1×
082
Traumatic stupor and coma >1 hour with mcc
31
$59,316
$18,626
3.2× st 5.6×
069
Transient ischemia without thrombolytic
31
$26,145
$6,470
4.0× st 6.4×
100
Seizures with mcc
30
$57,095
$15,174
3.8× st 5.9×
092
Other disorders of nervous system with cc
29
$40,468
$8,868
4.6× st 6.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
29
$36,593
$8,786
4.2× st 5.9×
252
Other vascular procedures with mcc
29
$151,260
$36,393
4.2× st 6.1×
699
Other kidney and urinary tract diagnoses with cc
29
$34,843
$8,161
4.3× st 5.2×
480
Hip and femur procedures except major joint with mcc
29
$79,749
$21,767
3.7× st 6.4×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
28
$23,805
$4,657
5.1× st 5.4×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
28
$200,261
$48,865
4.1× st 5.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
28
$56,635
$8,660
6.5× st 6.6×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
27
$222,021
$61,080
3.6× st 6.3×
202
Bronchitis and asthma with cc/mcc
27
$27,948
$7,703
3.6× st 5.7×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
26
$25,834
$6,208
4.2× st 6.3×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
26
$73,814
$18,168
4.1× st 6.0×
056
Degenerative nervous system disorders with mcc
26
$65,427
$16,814
3.9× st 5.3×
638
Diabetes with cc
26
$27,470
$7,814
3.5× st 5.2×
235
Coronary bypass without cardiac catheterization with mcc
26
$153,156
$40,311
3.8× st 6.3×
314
Other circulatory system diagnoses with mcc
25
$52,802
$18,368
2.9× st 5.8×
388
Gastrointestinal obstruction with mcc
24
$39,955
$12,253
3.3× st 6.1×
253
Other vascular procedures with cc
24
$101,831
$21,351
4.8× st 6.4×
460
Spinal fusion except cervical without mcc
24
$77,448
$27,402
2.8× st 4.7×
086
Traumatic stupor and coma <1 hour with cc
24
$39,204
$10,647
3.7× st 5.7×
637
Diabetes with mcc
24
$51,232
$11,680
4.4× st 5.4×
660
Kidney and ureter procedures for non-neoplasm with cc
24
$40,503
$11,525
3.5× st 5.8×
536
Fractures of hip and pelvis without mcc
24
$23,272
$6,212
3.7× st 5.8×
180
Respiratory neoplasms with mcc
24
$73,913
$15,917
4.6× st 6.4×
432
Cirrhosis and alcoholic hepatitis with mcc
23
$64,911
$15,809
4.1× st 5.9×
300
Peripheral vascular disorders with cc
23
$38,401
$10,234
3.8× st 5.7×
183
Major chest trauma with mcc
23
$59,649
$12,983
4.6× st 5.9×
602
Cellulitis with mcc
23
$49,166
$10,982
4.5× st 4.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
22
$52,055
$12,717
4.1× st 6.5×
273
Percutaneous and other intracardiac procedures with mcc
22
$187,876
$34,775
5.4× st 7.4×
083
Traumatic stupor and coma >1 hour with cc
22
$49,166
$10,610
4.6× st 5.8×
305
Hypertension without mcc
22
$27,576
$6,167
4.5× st 5.8×
521
Hip replacement with principal diagnosis of hip fracture with mcc
22
$77,486
$21,621
3.6× st 6.5×
644
Endocrine disorders with cc
22
$26,670
$8,407
3.2× st 5.6×
551
Medical back problems with mcc
21
$54,234
$12,753
4.3× st 5.7×
091
Other disorders of nervous system with mcc
21
$40,504
$15,642
2.6× st 6.3×
812
Red blood cell disorders without mcc
21
$29,241
$8,516
3.4× st 6.3×
917
Poisoning and toxic effects of drugs with mcc
20
$42,418
$19,135
2.2× st 6.2×
483
Major joint or limb reattachment procedures of upper extremities
20
$63,308
$18,971
3.3× st 5.0×
811
Red blood cell disorders with mcc
20
$39,123
$14,114
2.8× st 5.8×
554
Bone diseases and arthropathies without mcc
20
$28,646
$6,765
4.2× st 5.1×
445
Disorders of the biliary tract with cc
20
$46,251
$9,899
4.7× st 6.8×
164
Major chest procedures with cc
20
$52,016
$23,765
2.2× st 6.2×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
20
$203,207
$58,784
3.5× st 5.8×
331
Major small and large bowel procedures without cc/mcc
20
$45,437
$16,050
2.8× st 6.1×
025
Craniotomy and endovascular intracranial procedures with mcc
20
$171,134
$39,995
4.3× st 6.4×
054
Nervous system neoplasms with mcc
19
$39,635
$11,563
3.4× st 6.5×
315
Other circulatory system diagnoses with cc
19
$52,349
$11,169
4.7× st 6.9×
299
Peripheral vascular disorders with mcc
19
$56,445
$14,204
4.0× st 5.8×
372
Major gastrointestinal disorders and peritoneal infections with cc
19
$30,945
$8,234
3.8× st 5.8×
948
Signs and symptoms without mcc
19
$30,828
$6,576
4.7× st 6.1×
264
Other circulatory system o.r. procedures
19
$122,895
$26,545
4.6× st 5.7×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
18
$26,304
$6,701
3.9× st 5.5×
176
Pulmonary embolism without mcc
18
$28,387
$6,584
4.3× st 6.5×
149
Dysequilibrium
18
$24,766
$6,108
4.1× st 6.2×
374
Digestive malignancy with mcc
18
$76,692
$17,462
4.4× st 5.7×
919
Complications of treatment with mcc
18
$45,874
$14,096
3.3× st 5.9×
468
Revision of hip or knee replacement without cc/mcc
18
$66,965
$22,260
3.0× st 5.0×
191
Chronic obstructive pulmonary disease with cc
18
$28,117
$6,867
4.1× st 6.0×
070
Other cerebrovascular disorders with mcc
18
$48,133
$15,831
3.0× st 6.0×
085
Traumatic stupor and coma <1 hour with mcc
17
$69,088
$24,991
2.8× st 5.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
17
$58,509
$18,962
3.1× st 5.1×
454
Combined anterior and posterior spinal fusion with cc
17
$120,827
$45,446
2.7× st 4.0×
565
Other musculoskeletal system and connective tissue diagnoses with cc
16
$35,001
$11,267
3.1× st 5.1×
643
Endocrine disorders with mcc
16
$39,262
$12,848
3.1× st 5.4×
562
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc
16
$38,525
$12,661
3.0× st 3.6×
444
Disorders of the biliary tract with mcc
16
$68,057
$14,658
4.6× st 6.7×
519
Back and neck procedures except spinal fusion with cc
16
$55,836
$14,962
3.7× st 6.1×
074
Cranial and peripheral nerve disorders without mcc
16
$25,871
$9,495
2.7× st 6.1×
371
Major gastrointestinal disorders and peritoneal infections with mcc
16
$49,613
$13,472
3.7× st 5.6×
163
Major chest procedures with mcc
15
$123,488
$35,191
3.5× st 5.9×
042
Peripheral, cranial nerve and other nervous system procedures without cc/mcc
15
$65,628
$13,529
4.9× st 4.9×
040
Peripheral, cranial nerve and other nervous system procedures with mcc
15
$104,746
$33,586
3.1× st 4.9×
220
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
15
$195,964
$39,736
4.9× st 5.7×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
15
$177,892
$46,192
3.9× st 5.3×
439
Disorders of pancreas except malignancy with cc
15
$29,089
$6,509
4.5× st 6.8×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
15
$67,504
$15,214
4.4× st 5.7×
564
Other musculoskeletal system and connective tissue diagnoses with mcc
15
$45,733
$12,423
3.7× st 5.1×
244
Permanent cardiac pacemaker implant without cc/mcc
15
$86,267
$14,571
5.9× st 6.5×
390
Gastrointestinal obstruction without cc/mcc
15
$20,741
$4,708
4.4× st 6.5×
282
Acute myocardial infarction, discharged alive without cc/mcc
14
$37,006
$5,927
6.2× st 7.3×
840
Lymphoma and non-acute leukemia with mcc
14
$126,902
$27,354
4.6× st 6.7×
380
Complicated peptic ulcer with mcc
14
$67,858
$18,427
3.7× st 3.7×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
14
$103,909
$25,945
4.0× st 6.1×
166
Other respiratory system o.r. procedures with mcc
14
$95,145
$33,338
2.9× st 5.9×
003
Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and nec
14
$577,172
$203,835
2.8× st 6.4×
982
Extensive o.r. procedures unrelated to principal diagnosis with cc
14
$96,078
$23,544
4.1× st 5.6×
987
Non-extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$83,716
$36,411
2.3× st 6.2×
103
Headaches without mcc
13
$37,932
$8,621
4.4× st 4.6×
236
Coronary bypass without cardiac catheterization without mcc
13
$131,104
$30,586
4.3× st 5.6×
270
Other major cardiovascular procedures with mcc
13
$233,231
$49,698
4.7× st 6.0×
196
Interstitial lung disease with mcc
13
$71,348
$16,612
4.3× st 6.2×
920
Complications of treatment with cc
12
$28,217
$8,172
3.5× st 6.4×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
12
$53,729
$10,281
5.2× st 5.5×
964
Other multiple significant trauma with cc
12
$43,844
$11,579
3.8× st 6.1×
659
Kidney and ureter procedures for non-neoplasm with mcc
12
$80,922
$24,160
3.3× st 6.1×
558
Tendonitis, myositis and bursitis without mcc
12
$26,082
$6,875
3.8× st 4.9×
165
Major chest procedures without cc/mcc
12
$46,973
$18,453
2.5× st 6.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
12
$69,479
$15,993
4.3× st 5.9×
841
Lymphoma and non-acute leukemia with cc
12
$76,228
$12,920
5.9× st 8.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
12
$81,758
$31,667
2.6× st 3.6×
207
Respiratory system diagnosis with ventilator support >96 hours
11
$236,071
$55,898
4.2× st 5.9×
472
Cervical spinal fusion with cc
11
$76,669
$22,315
3.4× st 5.0×
847
Chemotherapy without acute leukemia as secondary diagnosis with cc
11
$49,434
$19,006
2.6× st 5.9×
283
Acute myocardial infarction, expired with mcc
11
$75,692
$17,338
4.4× st 7.7×
482
Hip and femur procedures except major joint without cc/mcc
11
$46,847
$16,350
2.9× st 4.7×