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
161
$81,239
$14,867
5.5× st 5.2×
291
Heart failure and shock with mcc
104
$56,404
$10,466
5.4× st 5.2×
193
Simple pneumonia and pleurisy with mcc
52
$71,282
$11,216
6.4× st 5.3×
309
Cardiac arrhythmia and conduction disorders with cc
46
$45,668
$6,452
7.1× st 5.4×
690
Kidney and urinary tract infections without mcc
45
$39,974
$6,550
6.1× st 5.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
42
$44,226
$6,510
6.8× st 5.7×
274
Percutaneous and other intracardiac procedures without mcc
38
$143,685
$25,478
5.6× st 6.2×
189
Pulmonary edema and respiratory failure
37
$65,018
$10,221
6.4× st 5.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
34
$35,807
$4,810
7.4× st 5.4×
177
Respiratory infections and inflammations with mcc
34
$62,797
$13,453
4.7× st 5.2×
689
Kidney and urinary tract infections with mcc
33
$50,985
$9,230
5.5× st 5.3×
312
Syncope and collapse
32
$50,976
$7,147
7.1× st 5.8×
378
Gastrointestinal hemorrhage with cc
32
$58,839
$8,157
7.2× st 6.1×
190
Chronic obstructive pulmonary disease with mcc
29
$57,993
$9,585
6.1× st 5.5×
698
Other kidney and urinary tract diagnoses with mcc
29
$79,774
$12,813
6.2× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
28
$59,956
$8,844
6.8× st 5.5×
194
Simple pneumonia and pleurisy with cc
27
$41,908
$6,772
6.2× st 5.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
26
$36,484
$6,486
5.6× st 5.7×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$62,739
$9,472
6.6× st 5.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
25
$104,936
$15,067
7.0× st 6.9×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
25
$48,399
$10,152
4.8× st 5.6×
603
Cellulitis without mcc
24
$40,072
$7,689
5.2× st 4.9×
481
Hip and femur procedures except major joint with cc
23
$81,559
$16,137
5.1× st 6.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
23
$127,258
$37,194
3.4× st 5.3×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$53,219
$7,404
7.2× st 6.3×
683
Renal failure with cc
23
$55,128
$7,391
7.5× st 5.4×
552
Medical back problems without mcc
23
$42,572
$7,892
5.4× st 5.5×
280
Acute myocardial infarction, discharged alive with mcc
22
$77,876
$12,408
6.3× st 5.2×
149
Dysequilibrium
18
$50,819
$6,246
8.1× st 6.2×
202
Bronchitis and asthma with cc/mcc
18
$62,336
$7,939
7.9× st 5.7×
682
Renal failure with mcc
17
$56,528
$11,806
4.8× st 5.4×
377
Gastrointestinal hemorrhage with mcc
17
$67,789
$13,119
5.2× st 5.9×
057
Degenerative nervous system disorders without mcc
17
$38,695
$9,974
3.9× st 5.1×
281
Acute myocardial infarction, discharged alive with cc
17
$53,439
$7,379
7.2× st 6.6×
812
Red blood cell disorders without mcc
16
$43,489
$8,542
5.1× st 6.3×
092
Other disorders of nervous system with cc
16
$52,263
$8,367
6.2× st 6.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
15
$109,710
$16,605
6.6× st 5.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
15
$62,079
$10,476
5.9× st 5.8×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$153,254
$22,772
6.7× st 6.5×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$65,640
$10,120
6.5× st 6.6×
191
Chronic obstructive pulmonary disease with cc
15
$44,725
$6,976
6.4× st 6.0×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$131,184
$17,868
7.3× st 6.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
13
$61,614
$10,769
5.7× st 6.2×
699
Other kidney and urinary tract diagnoses with cc
13
$71,037
$8,495
8.4× st 5.2×
069
Transient ischemia without thrombolytic
13
$46,041
$6,553
7.0× st 6.4×
178
Respiratory infections and inflammations with cc
13
$48,690
$7,791
6.3× st 5.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
13
$53,713
$14,390
3.7× st 6.0×
854
Infectious and parasitic diseases with o.r. procedures with cc
12
$104,893
$19,081
5.5× st 5.5×
101
Seizures without mcc
12
$42,015
$7,007
6.0× st 6.1×
884
Organic disturbances and intellectual disability
12
$72,048
$13,574
5.3× st 4.5×
315
Other circulatory system diagnoses with cc
11
$48,683
$7,892
6.2× st 6.9×
536
Fractures of hip and pelvis without mcc
11
$41,814
$7,204
5.8× st 5.8×