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
$61,302
$14,137
4.3× st 3.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
62
$53,635
$13,146
4.1× st 3.8×
280
Acute myocardial infarction, discharged alive with mcc
60
$48,540
$11,406
4.3× st 4.4×
291
Heart failure and shock with mcc
55
$33,854
$8,920
3.8× st 4.0×
481
Hip and femur procedures except major joint with cc
33
$57,702
$14,262
4.0× st 4.1×
872
Septicemia or severe sepsis without mv >96 hours without mcc
33
$32,313
$7,160
4.5× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
27
$119,627
$33,843
3.5× st 4.0×
330
Major small and large bowel procedures with cc
24
$67,724
$16,596
4.1× st 4.4×
683
Renal failure with cc
23
$26,840
$6,192
4.3× st 3.9×
193
Simple pneumonia and pleurisy with mcc
23
$38,696
$9,277
4.2× st 3.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$59,188
$14,740
4.0× st 3.9×
329
Major small and large bowel procedures with mcc
20
$115,677
$29,950
3.9× st 4.1×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$102,274
$20,672
4.9× st 5.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
19
$30,705
$8,993
3.4× st 4.0×
281
Acute myocardial infarction, discharged alive with cc
19
$35,567
$6,259
5.7× st 5.1×
189
Pulmonary edema and respiratory failure
18
$29,298
$8,423
3.5× st 3.9×
698
Other kidney and urinary tract diagnoses with mcc
18
$40,162
$11,416
3.5× st 3.9×
177
Respiratory infections and inflammations with mcc
18
$62,912
$11,236
5.6× st 3.8×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
16
$76,674
$12,718
6.0× st 6.0×
682
Renal failure with mcc
16
$39,850
$10,013
4.0× st 4.0×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
15
$24,363
$5,520
4.4× st 3.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$38,382
$7,145
5.4× st 5.7×
378
Gastrointestinal hemorrhage with cc
15
$34,441
$6,776
5.1× st 4.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
15
$17,622
$3,933
4.5× st 4.5×
480
Hip and femur procedures except major joint with mcc
14
$76,105
$19,338
3.9× st 4.4×
389
Gastrointestinal obstruction with cc
14
$25,705
$5,633
4.6× st 4.1×
377
Gastrointestinal hemorrhage with mcc
13
$35,504
$11,370
3.1× st 4.6×
390
Gastrointestinal obstruction without cc/mcc
13
$17,377
$3,918
4.4× st 3.9×
282
Acute myocardial infarction, discharged alive without cc/mcc
13
$31,895
$5,050
6.3× st 5.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
12
$37,097
$7,530
4.9× st 4.9×
331
Major small and large bowel procedures without cc/mcc
12
$44,227
$11,683
3.8× st 4.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
12
$60,648
$13,876
4.4× st 5.0×
521
Hip replacement with principal diagnosis of hip fracture with mcc
12
$83,907
$20,301
4.1× st 4.0×
469
Major hip and knee joint replacement or reattachment of lower extremity with mcc or tota
11
$91,894
$22,867
4.0× st 4.8×