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
353
$54,138
$15,012
3.6× st 4.7×
291
Heart failure and shock with mcc
243
$33,309
$10,401
3.2× st 4.5×
193
Simple pneumonia and pleurisy with mcc
179
$35,198
$10,806
3.3× st 4.7×
177
Respiratory infections and inflammations with mcc
111
$48,073
$13,447
3.6× st 4.2×
683
Renal failure with cc
84
$25,015
$7,666
3.3× st 4.4×
689
Kidney and urinary tract infections with mcc
74
$29,515
$9,779
3.0× st 4.7×
682
Renal failure with mcc
73
$38,312
$11,928
3.2× st 4.5×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
73
$25,895
$6,921
3.7× st 5.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
69
$156,328
$36,617
4.3× st 4.8×
690
Kidney and urinary tract infections without mcc
68
$24,356
$7,261
3.4× st 4.7×
309
Cardiac arrhythmia and conduction disorders with cc
65
$24,095
$6,678
3.6× st 4.4×
280
Acute myocardial infarction, discharged alive with mcc
63
$43,865
$12,665
3.5× st 4.9×
378
Gastrointestinal hemorrhage with cc
63
$30,284
$8,273
3.7× st 4.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
59
$34,674
$8,633
4.0× st 5.6×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
57
$23,052
$6,736
3.4× st 4.6×
481
Hip and femur procedures except major joint with cc
56
$76,122
$15,795
4.8× st 5.5×
189
Pulmonary edema and respiratory failure
53
$38,429
$10,420
3.7× st 4.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
52
$32,363
$10,602
3.1× st 4.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
47
$78,632
$16,875
4.7× st 5.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
47
$74,637
$14,552
5.1× st 5.6×
377
Gastrointestinal hemorrhage with mcc
46
$53,119
$14,211
3.7× st 4.9×
308
Cardiac arrhythmia and conduction disorders with mcc
46
$36,690
$10,160
3.6× st 4.4×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
44
$49,641
$9,815
5.1× st 6.2×
194
Simple pneumonia and pleurisy with cc
44
$24,924
$7,266
3.4× st 4.6×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
43
$117,665
$15,194
7.7× st 7.4×
064
Intracranial hemorrhage or cerebral infarction with mcc
43
$54,342
$14,474
3.8× st 5.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
43
$33,813
$8,729
3.9× st 4.7×
698
Other kidney and urinary tract diagnoses with mcc
43
$49,725
$12,986
3.8× st 4.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
41
$16,287
$5,368
3.0× st 4.5×
190
Chronic obstructive pulmonary disease with mcc
38
$27,694
$9,180
3.0× st 4.5×
389
Gastrointestinal obstruction with cc
36
$29,276
$7,048
4.2× st 4.4×
312
Syncope and collapse
35
$29,954
$7,581
4.0× st 5.1×
603
Cellulitis without mcc
33
$20,829
$7,835
2.7× st 3.9×
812
Red blood cell disorders without mcc
31
$21,158
$7,370
2.9× st 4.5×
699
Other kidney and urinary tract diagnoses with cc
31
$30,370
$8,519
3.6× st 4.3×
163
Major chest procedures with mcc
31
$103,880
$34,128
3.0× st 3.7×
305
Hypertension without mcc
30
$23,263
$6,630
3.5× st 5.0×
330
Major small and large bowel procedures with cc
29
$65,714
$19,031
3.5× st 4.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
29
$33,782
$10,690
3.2× st 4.3×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
29
$76,456
$16,677
4.6× st 5.3×
281
Acute myocardial infarction, discharged alive with cc
29
$41,771
$7,805
5.4× st 5.7×
394
Other digestive system diagnoses with cc
26
$25,513
$7,896
3.2× st 4.3×
552
Medical back problems without mcc
25
$28,569
$8,265
3.5× st 4.9×
178
Respiratory infections and inflammations with cc
24
$34,659
$9,082
3.8× st 3.7×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
24
$292,337
$39,941
7.3× st 5.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
24
$43,436
$10,629
4.1× st 4.6×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
22
$22,508
$7,707
2.9× st 4.6×
331
Major small and large bowel procedures without cc/mcc
21
$64,646
$13,155
4.9× st 4.7×
208
Respiratory system diagnosis with ventilator support <=96 hours
19
$88,637
$21,919
4.0× st 5.2×
482
Hip and femur procedures except major joint without cc/mcc
19
$50,690
$12,393
4.1× st 4.9×
100
Seizures with mcc
19
$59,416
$14,980
4.0× st 4.9×
393
Other digestive system diagnoses with mcc
18
$59,784
$13,111
4.6× st 4.4×
811
Red blood cell disorders with mcc
18
$38,417
$10,656
3.6× st 5.0×
314
Other circulatory system diagnoses with mcc
18
$35,338
$15,016
2.4× st 3.9×
164
Major chest procedures with cc
18
$71,853
$20,658
3.5× st 4.8×
036
Carotid artery stent procedures without cc/mcc
18
$91,026
$14,968
6.1× st 4.9×
236
Coronary bypass without cardiac catheterization without mcc
18
$245,598
$30,259
8.1× st 6.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
18
$135,267
$22,055
6.1× st 6.5×
329
Major small and large bowel procedures with mcc
18
$119,016
$33,385
3.6× st 4.6×
303
Atherosclerosis without mcc
18
$24,289
$5,899
4.1× st 4.2×
637
Diabetes with mcc
17
$43,298
$12,235
3.5× st 4.1×
057
Degenerative nervous system disorders without mcc
17
$24,878
$10,205
2.4× st 4.2×
551
Medical back problems with mcc
16
$35,394
$13,311
2.7× st 4.7×
252
Other vascular procedures with mcc
16
$130,645
$25,254
5.2× st 4.6×
300
Peripheral vascular disorders with cc
16
$19,298
$8,570
2.3× st 3.7×
243
Permanent cardiac pacemaker implant with cc
16
$78,567
$19,288
4.1× st 5.7×
313
Chest pain
16
$23,705
$5,837
4.1× st 6.1×
092
Other disorders of nervous system with cc
16
$26,624
$8,479
3.1× st 4.3×
446
Disorders of the biliary tract without cc/mcc
16
$36,371
$6,946
5.2× st 5.9×
884
Organic disturbances and intellectual disability
15
$32,384
$13,800
2.3× st 3.6×
388
Gastrointestinal obstruction with mcc
15
$41,785
$12,970
3.2× st 4.4×
660
Kidney and ureter procedures for non-neoplasm with cc
15
$38,593
$11,333
3.4× st 4.0×
521
Hip replacement with principal diagnosis of hip fracture with mcc
15
$89,601
$20,253
4.4× st 4.8×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
15
$29,843
$6,694
4.5× st 5.9×
069
Transient ischemia without thrombolytic
15
$26,878
$6,836
3.9× st 6.3×
242
Permanent cardiac pacemaker implant with mcc
15
$107,009
$24,804
4.3× st 5.5×
176
Pulmonary embolism without mcc
14
$66,208
$7,941
8.3× st 4.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
14
$62,183
$17,331
3.6× st 4.1×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
14
$138,743
$34,561
4.0× st 4.3×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
14
$86,366
$17,707
4.9× st 4.5×
253
Other vascular procedures with cc
14
$102,136
$19,238
5.3× st 4.7×
432
Cirrhosis and alcoholic hepatitis with mcc
14
$50,743
$15,203
3.3× st 4.0×
445
Disorders of the biliary tract with cc
14
$62,585
$9,098
6.9× st 5.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
13
$70,573
$13,105
5.4× st 5.2×
025
Craniotomy and endovascular intracranial procedures with mcc
13
$172,654
$30,872
5.6× st 4.8×
372
Major gastrointestinal disorders and peritoneal infections with cc
12
$30,497
$8,791
3.5× st 3.7×
086
Traumatic stupor and coma <1 hour with cc
12
$23,784
$10,176
2.3× st 4.6×
467
Revision of hip or knee replacement with cc
12
$113,372
$29,379
3.9× st 5.7×
468
Revision of hip or knee replacement without cc/mcc
12
$126,922
$22,812
5.6× st 5.4×
165
Major chest procedures without cc/mcc
12
$49,896
$14,361
3.5× st 5.6×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$39,192
$6,386
6.1× st 6.0×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
12
$71,686
$16,059
4.5× st 4.4×
638
Diabetes with cc
12
$42,036
$8,506
4.9× st 4.5×
101
Seizures without mcc
12
$25,197
$7,743
3.3× st 5.0×
311
Angina pectoris
11
$25,654
$5,630
4.6× st 4.6×
439
Disorders of pancreas except malignancy with cc
11
$24,124
$7,486
3.2× st 4.4×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
11
$57,773
$11,848
4.9× st 4.2×