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
454
$115,028
$17,983
6.4× st 6.7×
291
Heart failure and shock with mcc
125
$69,157
$13,448
5.1× st 5.8×
193
Simple pneumonia and pleurisy with mcc
86
$69,060
$13,454
5.1× st 6.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
76
$230,857
$36,315
6.4× st 6.9×
872
Septicemia or severe sepsis without mv >96 hours without mcc
64
$60,048
$11,011
5.5× st 5.8×
280
Acute myocardial infarction, discharged alive with mcc
59
$77,999
$14,705
5.3× st 6.9×
682
Renal failure with mcc
57
$69,231
$14,667
4.7× st 6.2×
481
Hip and femur procedures except major joint with cc
57
$148,340
$18,789
7.9× st 7.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
55
$111,696
$17,745
6.3× st 7.3×
177
Respiratory infections and inflammations with mcc
53
$85,855
$15,959
5.4× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
50
$63,046
$13,311
4.7× st 5.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
49
$57,399
$11,660
4.9× st 6.9×
522
Hip replacement with principal diagnosis of hip fracture without mcc
47
$108,398
$19,794
5.5× st 7.9×
690
Kidney and urinary tract infections without mcc
37
$46,113
$9,562
4.8× st 5.2×
683
Renal failure with cc
36
$45,607
$10,470
4.4× st 5.8×
698
Other kidney and urinary tract diagnoses with mcc
36
$87,754
$15,746
5.6× st 6.1×
378
Gastrointestinal hemorrhage with cc
34
$69,863
$11,289
6.2× st 6.2×
870
Septicemia or severe sepsis with mv >96 hours
31
$270,706
$46,809
5.8× st 7.3×
377
Gastrointestinal hemorrhage with mcc
30
$107,807
$16,816
6.4× st 7.1×
281
Acute myocardial infarction, discharged alive with cc
30
$51,532
$10,751
4.8× st 7.8×
689
Kidney and urinary tract infections with mcc
30
$51,616
$12,124
4.3× st 5.6×
309
Cardiac arrhythmia and conduction disorders with cc
29
$48,787
$9,333
5.2× st 6.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
29
$48,996
$9,589
5.1× st 6.2×
252
Other vascular procedures with mcc
28
$205,269
$28,476
7.2× st 6.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
25
$95,911
$18,771
5.1× st 7.1×
208
Respiratory system diagnosis with ventilator support <=96 hours
24
$157,576
$24,111
6.5× st 7.8×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
24
$227,945
$42,255
5.4× st 7.9×
312
Syncope and collapse
23
$43,196
$10,404
4.2× st 7.1×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
23
$79,437
$16,816
4.7× st 9.2×
189
Pulmonary edema and respiratory failure
23
$56,037
$12,208
4.6× st 5.6×
468
Revision of hip or knee replacement without cc/mcc
21
$224,290
$24,454
9.2× st 9.0×
552
Medical back problems without mcc
20
$68,052
$11,105
6.1× st 7.0×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
20
$63,553
$9,721
6.5× st 5.6×
308
Cardiac arrhythmia and conduction disorders with mcc
19
$67,587
$12,978
5.2× st 6.6×
329
Major small and large bowel procedures with mcc
19
$220,776
$32,599
6.8× st 6.4×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
19
$85,400
$13,989
6.1× st 5.9×
638
Diabetes with cc
19
$50,101
$10,772
4.7× st 4.8×
472
Cervical spinal fusion with cc
18
$152,638
$28,804
5.3× st 7.2×
480
Hip and femur procedures except major joint with mcc
18
$185,194
$23,885
7.8× st 7.1×
603
Cellulitis without mcc
18
$57,106
$10,809
5.3× st 4.9×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
17
$373,874
$55,440
6.7× st 7.7×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
17
$41,327
$7,972
5.2× st 6.7×
101
Seizures without mcc
17
$41,011
$10,036
4.1× st 6.2×
194
Simple pneumonia and pleurisy with cc
17
$53,396
$10,257
5.2× st 5.7×
432
Cirrhosis and alcoholic hepatitis with mcc
17
$92,976
$15,782
5.9× st 6.5×
482
Hip and femur procedures except major joint without cc/mcc
16
$107,201
$16,169
6.6× st 8.2×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
16
$99,171
$17,207
5.8× st 5.9×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$89,441
$14,419
6.2× st 6.5×
454
Combined anterior and posterior spinal fusion with cc
15
$391,218
$63,832
6.1× st 8.8×
314
Other circulatory system diagnoses with mcc
15
$80,730
$19,549
4.1× st 6.1×
330
Major small and large bowel procedures with cc
15
$86,349
$18,926
4.6× st 6.8×
071
Other cerebrovascular disorders with cc
15
$66,252
$11,708
5.7× st 5.2×
270
Other major cardiovascular procedures with mcc
15
$202,526
$42,038
4.8× st 7.6×
659
Kidney and ureter procedures for non-neoplasm with mcc
14
$134,126
$21,034
6.4× st 7.2×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
14
$317,052
$36,209
8.8× st 7.1×
394
Other digestive system diagnoses with cc
14
$77,160
$10,405
7.4× st 6.4×
418
Laparoscopic cholecystectomy without c.d.e. with cc
14
$90,206
$16,007
5.6× st 7.9×
025
Craniotomy and endovascular intracranial procedures with mcc
14
$304,763
$35,707
8.5× st 7.4×
389
Gastrointestinal obstruction with cc
14
$53,490
$9,403
5.7× st 5.9×
069
Transient ischemia without thrombolytic
14
$40,616
$9,073
4.5× st 9.5×
190
Chronic obstructive pulmonary disease with mcc
13
$53,766
$12,104
4.4× st 4.9×
393
Other digestive system diagnoses with mcc
13
$62,600
$16,069
3.9× st 6.4×
299
Peripheral vascular disorders with mcc
13
$78,580
$15,385
5.1× st 7.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
12
$33,273
$9,165
3.6× st 7.9×
637
Diabetes with mcc
12
$78,911
$14,465
5.5× st 6.5×
331
Major small and large bowel procedures without cc/mcc
12
$83,433
$15,786
5.3× st 6.8×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$42,433
$9,451
4.5× st 8.7×
163
Major chest procedures with mcc
11
$223,109
$37,400
6.0× st 7.1×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$41,832
$11,070
3.8× st 5.1×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
11
$114,965
$17,608
6.5× st 7.7×
300
Peripheral vascular disorders with cc
11
$74,831
$10,947
6.8× st 6.2×
100
Seizures with mcc
11
$136,232
$18,055
7.5× st 7.0×
813
Coagulation disorders
11
$80,331
$12,747
6.3× st 7.0×
699
Other kidney and urinary tract diagnoses with cc
11
$34,248
$11,406
3.0× st 5.2×
536
Fractures of hip and pelvis without mcc
11
$27,313
$9,560
2.9× st 5.8×
551
Medical back problems with mcc
11
$71,996
$15,248
4.7× st 7.0×
253
Other vascular procedures with cc
11
$154,459
$22,780
6.8× st 6.9×
907
Other o.r. procedures for injuries with mcc
11
$154,795
$31,232
5.0× st 5.6×