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
284
$119,050
$15,344
7.8× st 6.7×
291
Heart failure and shock with mcc
96
$66,557
$10,404
6.4× st 5.8×
193
Simple pneumonia and pleurisy with mcc
72
$71,927
$11,024
6.5× st 6.5×
682
Renal failure with mcc
53
$69,986
$11,849
5.9× st 6.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
52
$52,731
$9,148
5.8× st 5.8×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
51
$61,868
$7,171
8.6× st 6.2×
189
Pulmonary edema and respiratory failure
51
$75,980
$10,240
7.4× st 5.6×
177
Respiratory infections and inflammations with mcc
45
$76,678
$13,133
5.8× st 6.1×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
45
$63,988
$11,032
5.8× st 5.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
40
$84,441
$15,124
5.6× st 7.3×
853
Infectious and parasitic diseases with o.r. procedures with mcc
39
$346,697
$33,778
10.3× st 6.9×
699
Other kidney and urinary tract diagnoses with cc
38
$56,793
$8,836
6.4× st 5.2×
698
Other kidney and urinary tract diagnoses with mcc
38
$105,984
$16,623
6.4× st 6.1×
690
Kidney and urinary tract infections without mcc
35
$50,425
$7,887
6.4× st 5.2×
280
Acute myocardial infarction, discharged alive with mcc
33
$99,518
$13,242
7.5× st 6.9×
603
Cellulitis without mcc
32
$48,857
$7,824
6.2× st 4.9×
377
Gastrointestinal hemorrhage with mcc
31
$125,590
$14,586
8.6× st 7.1×
638
Diabetes with cc
29
$50,444
$8,764
5.8× st 4.8×
689
Kidney and urinary tract infections with mcc
28
$56,876
$9,942
5.7× st 5.6×
683
Renal failure with cc
28
$48,805
$7,968
6.1× st 5.8×
394
Other digestive system diagnoses with cc
27
$70,757
$8,440
8.4× st 6.4×
811
Red blood cell disorders with mcc
27
$122,974
$11,719
10.5× st 5.9×
884
Organic disturbances and intellectual disability
27
$64,026
$12,912
5.0× st 5.7×
378
Gastrointestinal hemorrhage with cc
26
$76,898
$8,474
9.1× st 6.2×
329
Major small and large bowel procedures with mcc
26
$261,069
$30,858
8.5× st 6.4×
309
Cardiac arrhythmia and conduction disorders with cc
26
$47,477
$6,874
6.9× st 6.3×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$74,743
$9,761
7.7× st 6.6×
870
Septicemia or severe sepsis with mv >96 hours
24
$443,820
$54,507
8.1× st 7.3×
389
Gastrointestinal obstruction with cc
22
$56,708
$8,005
7.1× st 5.9×
312
Syncope and collapse
22
$52,316
$7,622
6.9× st 7.1×
432
Cirrhosis and alcoholic hepatitis with mcc
21
$116,068
$15,354
7.6× st 6.5×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
21
$83,139
$10,800
7.7× st 5.9×
330
Major small and large bowel procedures with cc
21
$186,243
$19,993
9.3× st 6.8×
393
Other digestive system diagnoses with mcc
19
$89,961
$12,969
6.9× st 6.4×
305
Hypertension without mcc
19
$61,655
$7,130
8.6× st 7.4×
101
Seizures without mcc
18
$33,658
$8,687
3.9× st 6.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
17
$43,954
$7,745
5.7× st 5.6×
637
Diabetes with mcc
17
$51,644
$11,473
4.5× st 6.5×
069
Transient ischemia without thrombolytic
17
$57,036
$7,058
8.1× st 9.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
17
$200,255
$14,521
13.8× st 7.7×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
17
$38,669
$7,872
4.9× st 6.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
16
$58,330
$8,977
6.5× st 6.9×
467
Revision of hip or knee replacement with cc
15
$204,877
$23,153
8.8× st 9.4×
091
Other disorders of nervous system with mcc
15
$75,182
$13,244
5.7× st 6.7×
441
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc
15
$80,134
$15,039
5.3× st 5.9×
100
Seizures with mcc
14
$95,205
$15,390
6.2× st 7.0×
304
Hypertension with mcc
14
$56,516
$9,566
5.9× st 6.5×
812
Red blood cell disorders without mcc
14
$69,676
$8,041
8.7× st 5.1×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$192,543
$16,423
11.7× st 7.9×
743
Uterine and adnexa procedures for non-malignancy without cc/mcc
14
$134,773
$9,521
14.2× st 14.2×
242
Permanent cardiac pacemaker implant with mcc
13
$248,207
$25,437
9.8× st 7.6×
314
Other circulatory system diagnoses with mcc
13
$129,436
$15,684
8.3× st 6.1×
388
Gastrointestinal obstruction with mcc
13
$146,800
$12,361
11.9× st 6.5×
386
Inflammatory bowel disease with cc
12
$48,920
$9,058
5.4× st 5.5×
299
Peripheral vascular disorders with mcc
12
$92,004
$13,807
6.7× st 7.2×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$131,664
$14,617
9.0× st 6.1×
418
Laparoscopic cholecystectomy without c.d.e. with cc
12
$142,651
$13,963
10.2× st 7.9×
552
Medical back problems without mcc
12
$42,673
$8,218
5.2× st 7.0×
481
Hip and femur procedures except major joint with cc
12
$188,610
$18,172
10.4× st 7.3×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
11
$209,702
$14,186
14.8× st 9.2×
300
Peripheral vascular disorders with cc
11
$40,573
$8,627
4.7× st 6.2×
442
Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc
11
$54,822
$8,372
6.5× st 5.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
11
$140,004
$14,026
10.0× st 7.2×
433
Cirrhosis and alcoholic hepatitis with cc
11
$80,608
$9,298
8.7× st 6.2×
536
Fractures of hip and pelvis without mcc
11
$42,673
$6,832
6.2× st 5.8×
419
Laparoscopic cholecystectomy without c.d.e. without cc/mcc
11
$143,553
$10,811
13.3× st 9.6×
208
Respiratory system diagnosis with ventilator support <=96 hours
11
$215,002
$26,939
8.0× st 7.8×
202
Bronchitis and asthma with cc/mcc
11
$56,314
$9,064
6.2× st 6.7×
438
Disorders of pancreas except malignancy with mcc
11
$130,878
$13,433
9.7× st 6.7×
175
Pulmonary embolism with mcc or acute cor pulmonale
11
$87,398
$11,334
7.7× st 6.5×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
11
$44,060
$5,677
7.8× st 6.7×