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
185
$52,985
$14,179
3.7× st 6.7×
291
Heart failure and shock with mcc
175
$31,455
$9,306
3.4× st 5.8×
193
Simple pneumonia and pleurisy with mcc
123
$38,524
$9,606
4.0× st 6.5×
280
Acute myocardial infarction, discharged alive with mcc
111
$43,928
$11,661
3.8× st 6.9×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
77
$85,442
$14,121
6.1× st 7.7×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
73
$144,573
$13,395
10.8× st 9.2×
689
Kidney and urinary tract infections with mcc
64
$28,795
$8,519
3.4× st 5.6×
177
Respiratory infections and inflammations with mcc
62
$38,964
$12,111
3.2× st 6.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
60
$23,963
$5,884
4.1× st 6.2×
189
Pulmonary edema and respiratory failure
53
$36,832
$8,944
4.1× st 5.6×
682
Renal failure with mcc
49
$36,103
$10,839
3.3× st 6.2×
690
Kidney and urinary tract infections without mcc
49
$21,698
$6,002
3.6× st 5.2×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
48
$35,361
$9,522
3.7× st 5.7×
683
Renal failure with cc
46
$26,142
$6,600
4.0× st 5.8×
309
Cardiac arrhythmia and conduction disorders with cc
45
$22,661
$5,586
4.1× st 6.3×
281
Acute myocardial infarction, discharged alive with cc
42
$38,171
$6,778
5.6× st 7.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
41
$82,269
$15,315
5.4× st 7.9×
481
Hip and femur procedures except major joint with cc
35
$81,153
$14,959
5.4× st 7.3×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
35
$23,711
$5,999
4.0× st 5.6×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
32
$28,798
$7,392
3.9× st 6.9×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
31
$48,915
$7,887
6.2× st 8.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
31
$28,152
$7,626
3.7× st 5.8×
194
Simple pneumonia and pleurisy with cc
29
$25,174
$6,164
4.1× st 5.7×
378
Gastrointestinal hemorrhage with cc
28
$41,608
$7,194
5.8× st 6.2×
308
Cardiac arrhythmia and conduction disorders with mcc
27
$41,621
$8,758
4.8× st 6.6×
190
Chronic obstructive pulmonary disease with mcc
27
$39,498
$8,038
4.9× st 4.9×
698
Other kidney and urinary tract diagnoses with mcc
25
$32,362
$12,033
2.7× st 6.1×
312
Syncope and collapse
24
$26,471
$6,425
4.1× st 7.1×
460
Spinal fusion except cervical without mcc
24
$100,579
$26,286
3.8× st 6.9×
552
Medical back problems without mcc
23
$22,136
$7,097
3.1× st 7.0×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
22
$19,612
$4,397
4.5× st 6.7×
603
Cellulitis without mcc
20
$26,745
$6,541
4.1× st 4.9×
638
Diabetes with cc
20
$22,880
$6,691
3.4× st 4.8×
482
Hip and femur procedures except major joint without cc/mcc
20
$67,960
$11,472
5.9× st 8.2×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
20
$190,572
$21,677
8.8× st 8.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
20
$43,728
$14,495
3.0× st 7.3×
812
Red blood cell disorders without mcc
19
$30,867
$6,692
4.6× st 5.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
19
$140,853
$36,140
3.9× st 6.9×
282
Acute myocardial infarction, discharged alive without cc/mcc
17
$34,722
$5,473
6.3× st 8.7×
330
Major small and large bowel procedures with cc
16
$111,934
$17,239
6.5× st 6.8×
069
Transient ischemia without thrombolytic
16
$27,636
$5,744
4.8× st 9.5×
811
Red blood cell disorders with mcc
16
$56,916
$10,143
5.6× st 5.9×
394
Other digestive system diagnoses with cc
15
$23,257
$6,939
3.4× st 6.4×
283
Acute myocardial infarction, expired with mcc
14
$51,962
$14,312
3.6× st 8.8×
305
Hypertension without mcc
14
$25,868
$5,661
4.6× st 7.4×
948
Signs and symptoms without mcc
14
$24,721
$5,990
4.1× st 5.4×
377
Gastrointestinal hemorrhage with mcc
13
$66,886
$12,998
5.1× st 7.1×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
12
$24,258
$6,624
3.7× st 6.7×
870
Septicemia or severe sepsis with mv >96 hours
12
$154,683
$49,746
3.1× st 7.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$72,486
$11,565
6.3× st 7.9×
071
Other cerebrovascular disorders with cc
11
$25,311
$7,681
3.3× st 5.2×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
11
$25,988
$5,269
4.9× st 7.9×