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
278
$112,609
$14,256
7.9× st 4.7×
885
Psychoses
161
$70,720
$11,431
6.2× st 4.0×
291
Heart failure and shock with mcc
137
$84,385
$10,520
8.0× st 4.5×
193
Simple pneumonia and pleurisy with mcc
80
$79,704
$10,243
7.8× st 4.7×
274
Percutaneous and other intracardiac procedures without mcc
68
$204,408
$23,170
8.8× st 6.5×
682
Renal failure with mcc
62
$88,086
$10,829
8.1× st 4.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
54
$106,023
$13,790
7.7× st 5.6×
811
Red blood cell disorders with mcc
51
$96,726
$11,696
8.3× st 5.0×
189
Pulmonary edema and respiratory failure
49
$66,966
$10,254
6.5× st 4.6×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
47
$49,495
$6,418
7.7× st 5.0×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
45
$74,328
$10,264
7.2× st 4.6×
177
Respiratory infections and inflammations with mcc
43
$83,306
$12,604
6.6× st 4.2×
853
Infectious and parasitic diseases with o.r. procedures with mcc
43
$239,925
$35,368
6.8× st 4.8×
872
Septicemia or severe sepsis without mv >96 hours without mcc
41
$62,113
$8,482
7.3× st 4.7×
454
Combined anterior and posterior spinal fusion with cc
41
$190,616
$42,211
4.5× st 5.1×
280
Acute myocardial infarction, discharged alive with mcc
40
$115,574
$11,471
10.1× st 4.9×
455
Combined anterior and posterior spinal fusion without cc/mcc
39
$164,918
$33,562
4.9× st 4.9×
377
Gastrointestinal hemorrhage with mcc
35
$109,156
$13,103
8.3× st 4.9×
039
Extracranial procedures without cc/mcc
33
$55,304
$11,203
4.9× st 5.3×
683
Renal failure with cc
33
$53,081
$7,977
6.7× st 4.4×
689
Kidney and urinary tract infections with mcc
30
$64,899
$8,981
7.2× st 4.7×
309
Cardiac arrhythmia and conduction disorders with cc
27
$45,701
$6,623
6.9× st 4.4×
603
Cellulitis without mcc
26
$46,382
$7,077
6.6× st 3.9×
552
Medical back problems without mcc
25
$51,079
$7,643
6.7× st 4.9×
389
Gastrointestinal obstruction with cc
25
$42,141
$6,505
6.5× st 4.4×
394
Other digestive system diagnoses with cc
24
$62,348
$7,426
8.4× st 4.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$91,261
$13,871
6.6× st 5.2×
305
Hypertension without mcc
23
$48,091
$6,187
7.8× st 5.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
23
$197,497
$18,583
10.6× st 7.4×
895
Alcohol, drug abuse or dependence with rehabilitation therapy
23
$54,163
$11,356
4.8× st 4.8×
269
Aortic and heart assist procedures except pulsation balloon without mcc
22
$253,970
$33,147
7.7× st 5.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
21
$76,071
$7,989
9.5× st 5.6×
522
Hip replacement with principal diagnosis of hip fracture without mcc
21
$120,016
$15,159
7.9× st 5.5×
312
Syncope and collapse
21
$67,509
$7,194
9.4× st 5.1×
748
Female reproductive system reconstructive procedures
21
$58,431
$10,495
5.6× st 5.6×
690
Kidney and urinary tract infections without mcc
21
$56,551
$6,627
8.5× st 4.7×
281
Acute myocardial infarction, discharged alive with cc
21
$84,047
$9,558
8.8× st 5.7×
698
Other kidney and urinary tract diagnoses with mcc
20
$80,282
$11,276
7.1× st 4.7×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
19
$139,596
$15,254
9.2× st 5.3×
481
Hip and femur procedures except major joint with cc
19
$105,357
$14,771
7.1× st 5.5×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
18
$38,259
$9,312
4.1× st 4.6×
638
Diabetes with cc
18
$51,846
$7,791
6.7× st 4.5×
091
Other disorders of nervous system with mcc
17
$97,894
$13,175
7.4× st 4.0×
329
Major small and large bowel procedures with mcc
17
$215,178
$33,501
6.4× st 4.6×
884
Organic disturbances and intellectual disability
17
$73,271
$12,237
6.0× st 3.6×
743
Uterine and adnexa procedures for non-malignancy without cc/mcc
16
$75,692
$9,019
8.4× st 6.3×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$157,306
$19,262
8.2× st 5.2×
378
Gastrointestinal hemorrhage with cc
16
$79,939
$8,296
9.6× st 4.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
15
$114,192
$9,729
11.7× st 6.2×
402
Single level combined anterior and posterior spinal fusion except cervical
14
$161,027
$27,493
5.9× st 7.6×
176
Pulmonary embolism without mcc
14
$48,510
$8,192
5.9× st 4.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
14
$271,514
$27,249
10.0× st 6.5×
252
Other vascular procedures with mcc
14
$200,384
$24,294
8.2× st 4.6×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
13
$35,705
$4,890
7.3× st 4.5×
897
Alcohol, drug abuse or dependence without rehabilitation therapy without mcc
13
$59,180
$7,391
8.0× st 4.2×
092
Other disorders of nervous system with cc
13
$55,525
$8,085
6.9× st 4.3×
069
Transient ischemia without thrombolytic
13
$67,689
$6,482
10.4× st 6.3×
300
Peripheral vascular disorders with cc
13
$41,362
$8,136
5.1× st 3.7×
308
Cardiac arrhythmia and conduction disorders with mcc
13
$74,681
$11,032
6.8× st 4.4×
536
Fractures of hip and pelvis without mcc
13
$48,546
$6,333
7.7× st 3.9×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
13
$90,569
$15,072
6.0× st 4.3×
637
Diabetes with mcc
13
$59,345
$11,554
5.1× st 4.1×
313
Chest pain
13
$75,595
$5,985
12.6× st 6.1×
472
Cervical spinal fusion with cc
12
$133,305
$20,343
6.6× st 4.4×
180
Respiratory neoplasms with mcc
12
$111,974
$12,812
8.7× st 5.1×
194
Simple pneumonia and pleurisy with cc
12
$50,915
$7,643
6.7× st 4.6×
101
Seizures without mcc
12
$53,686
$7,899
6.8× st 5.0×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$112,933
$12,134
9.3× st 5.2×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
11
$49,932
$7,937
6.3× st 4.4×
699
Other kidney and urinary tract diagnoses with cc
11
$52,938
$7,780
6.8× st 4.3×
270
Other major cardiovascular procedures with mcc
11
$396,669
$36,359
10.9× st 5.7×
314
Other circulatory system diagnoses with mcc
11
$98,437
$15,048
6.5× st 3.9×