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
349
$69,570
$14,204
4.9× st 5.2×
291
Heart failure and shock with mcc
304
$44,193
$9,178
4.8× st 5.2×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
142
$33,655
$6,011
5.6× st 5.7×
177
Respiratory infections and inflammations with mcc
124
$57,751
$11,599
5.0× st 5.2×
190
Chronic obstructive pulmonary disease with mcc
108
$50,576
$8,217
6.2× st 5.5×
690
Kidney and urinary tract infections without mcc
107
$32,289
$6,013
5.4× st 5.3×
193
Simple pneumonia and pleurisy with mcc
100
$46,438
$9,698
4.8× st 5.3×
378
Gastrointestinal hemorrhage with cc
93
$48,775
$7,359
6.6× st 6.1×
683
Renal failure with cc
89
$34,724
$6,608
5.3× st 5.4×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
86
$37,407
$5,782
6.5× st 5.7×
689
Kidney and urinary tract infections with mcc
80
$42,943
$8,567
5.0× st 5.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
79
$60,320
$13,859
4.4× st 5.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
77
$53,058
$9,748
5.4× st 5.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
77
$50,454
$7,521
6.7× st 6.3×
194
Simple pneumonia and pleurisy with cc
76
$36,283
$6,072
6.0× st 5.6×
603
Cellulitis without mcc
76
$33,635
$6,646
5.1× st 4.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
74
$44,678
$7,577
5.9× st 5.5×
312
Syncope and collapse
63
$34,594
$6,490
5.3× st 5.8×
189
Pulmonary edema and respiratory failure
62
$50,873
$9,145
5.6× st 5.9×
309
Cardiac arrhythmia and conduction disorders with cc
59
$30,825
$5,631
5.5× st 5.4×
698
Other kidney and urinary tract diagnoses with mcc
56
$53,870
$11,928
4.5× st 5.2×
308
Cardiac arrhythmia and conduction disorders with mcc
55
$38,703
$9,148
4.2× st 5.4×
389
Gastrointestinal obstruction with cc
53
$35,406
$5,945
6.0× st 5.8×
699
Other kidney and urinary tract diagnoses with cc
52
$35,207
$7,420
4.7× st 5.2×
178
Respiratory infections and inflammations with cc
50
$49,849
$7,711
6.5× st 5.8×
292
Heart failure and shock with cc
49
$34,326
$6,175
5.6× st 7.5×
552
Medical back problems without mcc
47
$43,146
$7,262
5.9× st 5.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
45
$70,103
$15,413
4.5× st 5.7×
202
Bronchitis and asthma with cc/mcc
45
$38,900
$7,274
5.3× st 5.7×
377
Gastrointestinal hemorrhage with mcc
45
$72,935
$12,627
5.8× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
44
$64,928
$14,227
4.6× st 6.9×
460
Spinal fusion except cervical without mcc
44
$118,721
$27,102
4.4× st 4.7×
682
Renal failure with mcc
43
$57,354
$10,806
5.3× st 5.4×
394
Other digestive system diagnoses with cc
42
$43,096
$7,284
5.9× st 5.9×
481
Hip and femur procedures except major joint with cc
42
$74,635
$15,079
4.9× st 6.0×
069
Transient ischemia without thrombolytic
39
$43,528
$6,002
7.3× st 6.4×
812
Red blood cell disorders without mcc
38
$43,172
$6,785
6.4× st 6.3×
948
Signs and symptoms without mcc
36
$39,514
$5,853
6.8× st 6.1×
149
Dysequilibrium
36
$36,588
$5,619
6.5× st 6.2×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
35
$81,386
$15,480
5.3× st 6.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
35
$138,941
$33,385
4.2× st 5.3×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
32
$29,696
$6,526
4.6× st 5.4×
280
Acute myocardial infarction, discharged alive with mcc
32
$64,561
$11,335
5.7× st 5.2×
175
Pulmonary embolism with mcc or acute cor pulmonale
31
$48,469
$9,501
5.1× st 6.2×
057
Degenerative nervous system disorders without mcc
31
$43,325
$9,641
4.5× st 5.1×
884
Organic disturbances and intellectual disability
30
$65,857
$12,965
5.1× st 4.5×
638
Diabetes with cc
30
$35,605
$6,765
5.3× st 5.2×
092
Other disorders of nervous system with cc
30
$38,564
$7,856
4.9× st 6.1×
393
Other digestive system diagnoses with mcc
29
$53,093
$12,051
4.4× st 5.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
29
$46,249
$8,265
5.6× st 6.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
28
$45,528
$9,631
4.7× st 5.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
28
$22,693
$4,371
5.2× st 5.4×
191
Chronic obstructive pulmonary disease with cc
28
$40,742
$6,327
6.4× st 6.0×
243
Permanent cardiac pacemaker implant with cc
27
$80,051
$16,493
4.9× st 6.1×
660
Kidney and ureter procedures for non-neoplasm with cc
27
$49,438
$10,438
4.7× st 5.8×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
26
$176,568
$35,128
5.0× st 6.4×
281
Acute myocardial infarction, discharged alive with cc
26
$39,662
$6,807
5.8× st 6.6×
390
Gastrointestinal obstruction without cc/mcc
25
$23,783
$4,242
5.6× st 6.5×
329
Major small and large bowel procedures with mcc
25
$143,094
$33,821
4.2× st 5.9×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
24
$75,426
$21,832
3.5× st 6.5×
314
Other circulatory system diagnoses with mcc
24
$72,415
$15,016
4.8× st 5.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
23
$41,437
$5,457
7.6× st 6.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
23
$67,810
$13,463
5.0× st 6.0×
536
Fractures of hip and pelvis without mcc
23
$26,025
$5,677
4.6× st 5.8×
305
Hypertension without mcc
22
$31,449
$5,674
5.5× st 5.8×
445
Disorders of the biliary tract with cc
22
$60,951
$8,087
7.5× st 6.8×
274
Percutaneous and other intracardiac procedures without mcc
21
$106,440
$23,954
4.4× st 6.2×
176
Pulmonary embolism without mcc
21
$36,461
$6,099
6.0× st 6.5×
372
Major gastrointestinal disorders and peritoneal infections with cc
21
$39,612
$7,567
5.2× st 5.8×
330
Major small and large bowel procedures with cc
21
$100,157
$17,373
5.8× st 6.0×
556
Signs and symptoms of musculoskeletal system and connective tissue without mcc
20
$33,461
$6,166
5.4× st 5.5×
554
Bone diseases and arthropathies without mcc
20
$27,123
$6,180
4.4× st 5.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
20
$33,922
$8,102
4.2× st 5.9×
454
Combined anterior and posterior spinal fusion with cc
20
$163,877
$46,443
3.5× st 4.0×
446
Disorders of the biliary tract without cc/mcc
18
$40,242
$6,334
6.4× st 7.4×
315
Other circulatory system diagnoses with cc
18
$45,268
$6,904
6.6× st 6.9×
101
Seizures without mcc
18
$32,965
$6,753
4.9× st 6.1×
236
Coronary bypass without cardiac catheterization without mcc
17
$142,419
$27,225
5.2× st 5.6×
375
Digestive malignancy with cc
16
$56,138
$9,611
5.8× st 6.3×
242
Permanent cardiac pacemaker implant with mcc
15
$111,843
$23,670
4.7× st 6.2×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
15
$42,122
$7,848
5.4× st 7.1×
637
Diabetes with mcc
15
$50,077
$10,503
4.8× st 5.4×
947
Signs and symptoms with mcc
15
$57,809
$8,964
6.4× st 8.0×
444
Disorders of the biliary tract with mcc
15
$69,612
$12,106
5.8× st 6.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
15
$83,231
$14,211
5.9× st 5.5×
379
Gastrointestinal hemorrhage without cc/mcc
15
$30,522
$4,809
6.3× st 5.2×
813
Coagulation disorders
15
$78,729
$11,496
6.8× st 6.5×
300
Peripheral vascular disorders with cc
15
$34,750
$7,730
4.5× st 5.7×
374
Digestive malignancy with mcc
15
$70,190
$15,441
4.5× st 5.7×
493
Lower extremity and humerus procedures except hip, foot and femur with cc
15
$74,818
$17,163
4.4× st 6.0×
071
Other cerebrovascular disorders with cc
14
$38,998
$7,442
5.2× st 6.2×
661
Kidney and ureter procedures for non-neoplasm without cc/mcc
14
$37,017
$7,762
4.8× st 4.7×
388
Gastrointestinal obstruction with mcc
14
$54,276
$10,776
5.0× st 6.1×
269
Aortic and heart assist procedures except pulsation balloon without mcc
14
$93,496
$30,373
3.1× st 6.0×
270
Other major cardiovascular procedures with mcc
14
$156,547
$35,620
4.4× st 6.0×
602
Cellulitis with mcc
14
$59,973
$10,872
5.5× st 4.9×
313
Chest pain
14
$31,904
$5,426
5.9× st 5.0×
480
Hip and femur procedures except major joint with mcc
14
$86,330
$20,644
4.2× st 6.4×
811
Red blood cell disorders with mcc
14
$36,425
$10,396
3.5× st 5.8×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$42,514
$6,505
6.5× st 5.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$126,849
$36,971
3.4× st 5.8×
840
Lymphoma and non-acute leukemia with mcc
13
$105,892
$22,869
4.6× st 6.7×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
13
$197,500
$38,912
5.1× st 5.3×
036
Carotid artery stent procedures without cc/mcc
13
$66,004
$14,592
4.5× st 4.5×
180
Respiratory neoplasms with mcc
13
$55,928
$12,826
4.4× st 6.4×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
13
$64,243
$15,554
4.1× st 5.7×
605
Trauma to the skin, subcutaneous tissue and breast without mcc
12
$32,194
$6,841
4.7× st 5.9×
439
Disorders of pancreas except malignancy with cc
12
$38,983
$6,431
6.1× st 6.8×
866
Viral illness without mcc
12
$31,673
$6,777
4.7× st 6.0×
694
Urinary stones without mcc
12
$26,049
$6,123
4.3× st 4.3×
483
Major joint or limb reattachment procedures of upper extremities
11
$83,380
$18,404
4.5× st 5.0×
299
Peripheral vascular disorders with mcc
11
$42,391
$11,710
3.6× st 5.8×
919
Complications of treatment with mcc
11
$66,653
$13,344
5.0× st 5.9×
809
Major hematological and immunological diagnoses except sickle cell crisis and coagulatio
11
$50,469
$9,033
5.6× st 7.5×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
11
$208,133
$53,034
3.9× st 6.1×
070
Other cerebrovascular disorders with mcc
11
$48,313
$11,544
4.2× st 6.0×
103
Headaches without mcc
11
$41,089
$6,332
6.5× st 4.6×
684
Renal failure without cc/mcc
11
$24,318
$4,623
5.3× st 7.7×
205
Other respiratory system diagnoses with mcc
11
$58,827
$13,223
4.4× st 8.9×