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
314
$101,211
$16,103
6.3× st 6.7×
291
Heart failure and shock with mcc
162
$66,602
$11,398
5.8× st 5.8×
177
Respiratory infections and inflammations with mcc
69
$85,869
$13,864
6.2× st 6.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
61
$44,019
$7,893
5.6× st 5.6×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
55
$67,455
$12,027
5.6× st 5.7×
190
Chronic obstructive pulmonary disease with mcc
51
$60,359
$9,997
6.0× st 4.9×
690
Kidney and urinary tract infections without mcc
47
$39,825
$7,996
5.0× st 5.2×
378
Gastrointestinal hemorrhage with cc
45
$61,217
$9,584
6.4× st 6.2×
683
Renal failure with cc
44
$45,484
$8,358
5.4× st 5.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
43
$78,467
$9,648
8.1× st 6.9×
193
Simple pneumonia and pleurisy with mcc
40
$69,782
$11,364
6.1× st 6.5×
885
Psychoses
37
$26,885
$12,456
2.2× st 3.4×
689
Kidney and urinary tract infections with mcc
37
$58,813
$10,826
5.4× st 5.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
36
$57,552
$9,649
6.0× st 5.8×
377
Gastrointestinal hemorrhage with mcc
34
$74,672
$14,175
5.3× st 7.1×
853
Infectious and parasitic diseases with o.r. procedures with mcc
33
$288,381
$39,056
7.4× st 6.9×
481
Hip and femur procedures except major joint with cc
33
$84,897
$16,995
5.0× st 7.3×
312
Syncope and collapse
32
$51,663
$8,733
5.9× st 7.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
32
$46,201
$8,093
5.7× st 6.2×
309
Cardiac arrhythmia and conduction disorders with cc
31
$36,606
$7,760
4.7× st 6.3×
682
Renal failure with mcc
31
$76,660
$13,826
5.5× st 6.2×
191
Chronic obstructive pulmonary disease with cc
29
$48,117
$8,308
5.8× st 6.1×
812
Red blood cell disorders without mcc
29
$47,780
$8,673
5.5× st 5.1×
698
Other kidney and urinary tract diagnoses with mcc
28
$86,442
$13,339
6.5× st 6.1×
178
Respiratory infections and inflammations with cc
27
$61,758
$9,718
6.4× st 5.4×
194
Simple pneumonia and pleurisy with cc
26
$47,323
$8,272
5.7× st 5.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
22
$94,018
$15,340
6.1× st 7.3×
394
Other digestive system diagnoses with cc
22
$58,974
$9,182
6.4× st 6.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
22
$99,623
$17,954
5.5× st 7.9×
811
Red blood cell disorders with mcc
22
$80,879
$12,361
6.5× st 5.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
22
$33,964
$6,248
5.4× st 6.7×
308
Cardiac arrhythmia and conduction disorders with mcc
21
$68,697
$10,861
6.3× st 6.6×
948
Signs and symptoms without mcc
21
$47,045
$7,887
6.0× st 5.4×
280
Acute myocardial infarction, discharged alive with mcc
21
$94,967
$13,345
7.1× st 6.9×
274
Percutaneous and other intracardiac procedures without mcc
20
$138,066
$26,113
5.3× st 9.3×
389
Gastrointestinal obstruction with cc
19
$54,151
$8,163
6.6× st 5.9×
039
Extracranial procedures without cc/mcc
19
$61,109
$10,647
5.7× st 8.2×
314
Other circulatory system diagnoses with mcc
19
$79,877
$15,570
5.1× st 6.1×
101
Seizures without mcc
18
$44,765
$8,634
5.2× st 6.2×
638
Diabetes with cc
18
$43,149
$8,753
4.9× st 4.8×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
18
$79,422
$11,903
6.7× st 5.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$158,940
$15,637
10.2× st 9.2×
331
Major small and large bowel procedures without cc/mcc
16
$70,260
$14,618
4.8× st 6.8×
330
Major small and large bowel procedures with cc
16
$115,780
$18,965
6.1× st 6.8×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
16
$234,640
$47,888
4.9× st 7.5×
189
Pulmonary edema and respiratory failure
16
$56,273
$11,512
4.9× st 5.6×
292
Heart failure and shock with cc
15
$51,121
$8,556
6.0× st 5.0×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$236,443
$23,817
9.9× st 8.2×
208
Respiratory system diagnosis with ventilator support <=96 hours
14
$118,217
$20,900
5.7× st 7.8×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
14
$76,882
$10,292
7.5× st 8.5×
313
Chest pain
13
$38,144
$7,635
5.0× st 7.4×
236
Coronary bypass without cardiac catheterization without mcc
13
$213,074
$32,252
6.6× st 7.3×
854
Infectious and parasitic diseases with o.r. procedures with cc
13
$93,433
$15,939
5.9× st 7.1×
375
Digestive malignancy with cc
13
$76,019
$11,580
6.6× st 7.3×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$87,214
$14,309
6.1× st 7.9×
480
Hip and femur procedures except major joint with mcc
12
$111,322
$22,505
4.9× st 7.1×
870
Septicemia or severe sepsis with mv >96 hours
12
$325,194
$47,066
6.9× st 7.3×
300
Peripheral vascular disorders with cc
12
$45,981
$10,181
4.5× st 6.2×
552
Medical back problems without mcc
12
$68,895
$9,410
7.3× st 7.0×
603
Cellulitis without mcc
12
$37,000
$8,605
4.3× st 4.9×
390
Gastrointestinal obstruction without cc/mcc
12
$33,424
$6,410
5.2× st 5.7×
699
Other kidney and urinary tract diagnoses with cc
11
$45,251
$9,244
4.9× st 5.2×
252
Other vascular procedures with mcc
11
$118,780
$27,295
4.4× st 6.7×
270
Other major cardiovascular procedures with mcc
11
$199,795
$38,386
5.2× st 7.6×
271
Other major cardiovascular procedures with cc
11
$230,097
$28,351
8.1× st 7.3×
482
Hip and femur procedures except major joint without cc/mcc
11
$75,458
$14,368
5.3× st 8.2×