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
255
$114,397
$14,682
7.8× st 4.8×
291
Heart failure and shock with mcc
128
$64,509
$9,789
6.6× st 4.3×
872
Septicemia or severe sepsis without mv >96 hours without mcc
70
$63,784
$8,443
7.6× st 5.0×
193
Simple pneumonia and pleurisy with mcc
51
$76,970
$10,266
7.5× st 4.8×
189
Pulmonary edema and respiratory failure
46
$74,684
$9,586
7.8× st 5.1×
280
Acute myocardial infarction, discharged alive with mcc
43
$83,196
$11,495
7.2× st 5.7×
698
Other kidney and urinary tract diagnoses with mcc
43
$108,836
$12,360
8.8× st 4.4×
683
Renal failure with cc
42
$48,754
$6,952
7.0× st 4.5×
177
Respiratory infections and inflammations with mcc
41
$88,575
$12,552
7.1× st 4.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
37
$54,126
$10,051
5.4× st 4.2×
190
Chronic obstructive pulmonary disease with mcc
36
$60,712
$8,113
7.5× st 4.4×
312
Syncope and collapse
36
$53,756
$6,800
7.9× st 4.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
35
$57,479
$6,520
8.8× st 5.1×
309
Cardiac arrhythmia and conduction disorders with cc
34
$49,998
$6,050
8.3× st 4.8×
378
Gastrointestinal hemorrhage with cc
33
$57,443
$7,866
7.3× st 4.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
33
$125,086
$15,512
8.1× st 5.8×
274
Percutaneous and other intracardiac procedures without mcc
30
$188,101
$23,585
8.0× st 7.2×
689
Kidney and urinary tract infections with mcc
29
$60,418
$9,168
6.6× st 4.3×
481
Hip and femur procedures except major joint with cc
29
$123,171
$14,761
8.3× st 5.9×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
27
$49,194
$6,455
7.6× st 4.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
26
$336,734
$38,446
8.8× st 5.0×
690
Kidney and urinary tract infections without mcc
26
$56,701
$6,793
8.3× st 4.5×
682
Renal failure with mcc
26
$96,535
$10,913
8.8× st 4.5×
069
Transient ischemia without thrombolytic
26
$55,576
$6,672
8.3× st 6.6×
377
Gastrointestinal hemorrhage with mcc
23
$89,171
$13,344
6.7× st 5.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
23
$63,528
$9,046
7.0× st 5.2×
308
Cardiac arrhythmia and conduction disorders with mcc
23
$81,687
$10,380
7.9× st 4.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
21
$147,502
$13,538
10.9× st 7.7×
330
Major small and large bowel procedures with cc
20
$200,836
$17,241
11.6× st 5.7×
812
Red blood cell disorders without mcc
20
$49,580
$7,315
6.8× st 4.3×
948
Signs and symptoms without mcc
19
$58,719
$6,561
8.9× st 4.1×
194
Simple pneumonia and pleurisy with cc
18
$46,354
$6,736
6.9× st 4.6×
064
Intracranial hemorrhage or cerebral infarction with mcc
18
$84,283
$14,336
5.9× st 5.3×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
17
$88,584
$8,820
10.0× st 4.7×
389
Gastrointestinal obstruction with cc
17
$49,926
$6,882
7.3× st 4.7×
603
Cellulitis without mcc
17
$58,013
$7,433
7.8× st 4.1×
305
Hypertension without mcc
15
$45,261
$6,328
7.2× st 5.2×
638
Diabetes with cc
14
$55,114
$7,220
7.6× st 4.5×
175
Pulmonary embolism with mcc or acute cor pulmonale
14
$72,790
$10,062
7.2× st 4.9×
092
Other disorders of nervous system with cc
14
$45,734
$8,741
5.2× st 4.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
14
$34,746
$4,840
7.2× st 4.9×
536
Fractures of hip and pelvis without mcc
13
$45,649
$6,470
7.1× st 4.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$176,520
$18,046
9.8× st 5.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$96,292
$9,135
10.5× st 5.7×
300
Peripheral vascular disorders with cc
11
$53,162
$8,287
6.4× st 4.9×
813
Coagulation disorders
11
$46,224
$11,408
4.1× st 4.1×
521
Hip replacement with principal diagnosis of hip fracture with mcc
11
$148,766
$20,094
7.4× st 5.8×
811
Red blood cell disorders with mcc
11
$59,833
$10,619
5.6× st 4.7×