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
330
$61,684
$14,456
4.3× st 4.0×
291
Heart failure and shock with mcc
224
$45,326
$9,952
4.6× st 3.7×
274
Percutaneous and other intracardiac procedures without mcc
112
$281,281
$29,400
9.6× st 6.9×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
105
$45,697
$7,834
5.8× st 5.0×
064
Intracranial hemorrhage or cerebral infarction with mcc
99
$71,253
$14,954
4.8× st 4.2×
872
Septicemia or severe sepsis without mv >96 hours without mcc
88
$36,514
$8,090
4.5× st 4.1×
309
Cardiac arrhythmia and conduction disorders with cc
88
$28,060
$5,873
4.8× st 4.1×
177
Respiratory infections and inflammations with mcc
74
$45,084
$12,127
3.7× st 3.6×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
72
$104,299
$14,111
7.4× st 6.9×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
70
$30,864
$6,175
5.0× st 4.8×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
67
$26,751
$6,503
4.1× st 4.2×
193
Simple pneumonia and pleurisy with mcc
67
$41,159
$10,223
4.0× st 4.0×
378
Gastrointestinal hemorrhage with cc
59
$45,181
$8,119
5.6× st 4.6×
312
Syncope and collapse
56
$29,498
$6,898
4.3× st 4.6×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
55
$75,777
$17,126
4.4× st 4.3×
698
Other kidney and urinary tract diagnoses with mcc
54
$45,189
$12,403
3.6× st 3.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
53
$38,327
$9,883
3.9× st 4.1×
689
Kidney and urinary tract infections with mcc
52
$33,141
$9,095
3.6× st 3.7×
690
Kidney and urinary tract infections without mcc
49
$25,794
$6,254
4.1× st 4.1×
683
Renal failure with cc
48
$50,831
$10,426
4.9× st 4.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
46
$91,503
$19,391
4.7× st 6.8×
682
Renal failure with mcc
45
$55,054
$11,071
5.0× st 4.2×
025
Craniotomy and endovascular intracranial procedures with mcc
45
$170,211
$34,577
4.9× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
43
$206,233
$44,102
4.7× st 4.2×
308
Cardiac arrhythmia and conduction disorders with mcc
41
$50,689
$9,206
5.5× st 4.2×
885
Psychoses
40
$37,015
$10,846
3.4× st 2.4×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
39
$326,487
$35,511
9.2× st 5.3×
280
Acute myocardial infarction, discharged alive with mcc
39
$61,941
$13,204
4.7× st 4.4×
552
Medical back problems without mcc
35
$24,942
$7,328
3.4× st 4.7×
522
Hip replacement with principal diagnosis of hip fracture without mcc
35
$98,357
$15,534
6.3× st 5.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
35
$137,475
$20,361
6.8× st 5.9×
812
Red blood cell disorders without mcc
35
$36,897
$7,029
5.2× st 4.3×
194
Simple pneumonia and pleurisy with cc
34
$28,335
$6,322
4.5× st 4.0×
069
Transient ischemia without thrombolytic
33
$34,064
$6,677
5.1× st 6.0×
190
Chronic obstructive pulmonary disease with mcc
33
$34,899
$8,376
4.2× st 3.6×
481
Hip and femur procedures except major joint with cc
33
$82,841
$15,155
5.5× st 5.5×
377
Gastrointestinal hemorrhage with mcc
33
$78,697
$14,080
5.6× st 4.3×
266
Endovascular cardiac valve replacement and supplement procedures with mcc
33
$357,449
$58,502
6.1× st 4.0×
638
Diabetes with cc
33
$32,658
$7,041
4.6× st 4.1×
603
Cellulitis without mcc
32
$30,097
$7,221
4.2× st 3.5×
314
Other circulatory system diagnoses with mcc
32
$86,146
$19,244
4.5× st 3.6×
305
Hypertension without mcc
31
$27,522
$6,930
4.0× st 5.2×
699
Other kidney and urinary tract diagnoses with cc
31
$28,243
$7,644
3.7× st 3.8×
389
Gastrointestinal obstruction with cc
31
$33,283
$6,838
4.9× st 4.4×
189
Pulmonary edema and respiratory failure
30
$55,248
$10,321
5.4× st 4.5×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
30
$40,590
$5,906
6.9× st 5.5×
811
Red blood cell disorders with mcc
30
$46,358
$10,550
4.4× st 4.7×
023
Craniotomy with major device implant or acute complex cns principal diagnosis with mcc o
30
$221,719
$41,214
5.4× st 3.8×
330
Major small and large bowel procedures with cc
29
$114,198
$17,381
6.6× st 5.2×
235
Coronary bypass without cardiac catheterization with mcc
29
$182,113
$44,919
4.1× st 5.3×
178
Respiratory infections and inflammations with cc
29
$33,330
$7,564
4.4× st 3.7×
460
Spinal fusion except cervical without mcc
28
$204,416
$33,813
6.0× st 6.1×
180
Respiratory neoplasms with mcc
26
$44,427
$12,875
3.5× st 4.2×
236
Coronary bypass without cardiac catheterization without mcc
26
$137,525
$34,211
4.0× st 4.3×
884
Organic disturbances and intellectual disability
26
$27,967
$11,237
2.5× st 3.4×
057
Degenerative nervous system disorders without mcc
25
$27,826
$9,516
2.9× st 3.6×
329
Major small and large bowel procedures with mcc
25
$199,357
$35,354
5.6× st 4.5×
394
Other digestive system diagnoses with cc
25
$28,821
$7,611
3.8× st 4.3×
455
Combined anterior and posterior spinal fusion without cc/mcc
25
$279,453
$40,136
7.0× st 5.8×
024
Craniotomy with major device implant or acute complex cns principal diagnosis without mc
25
$188,989
$26,990
7.0× st 5.9×
101
Seizures without mcc
25
$36,669
$6,965
5.3× st 4.3×
315
Other circulatory system diagnoses with cc
24
$28,402
$7,358
3.9× st 3.7×
433
Cirrhosis and alcoholic hepatitis with cc
24
$57,966
$8,257
7.0× st 4.7×
372
Major gastrointestinal disorders and peritoneal infections with cc
22
$35,317
$7,956
4.4× st 3.6×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
22
$55,999
$9,790
5.7× st 5.8×
468
Revision of hip or knee replacement without cc/mcc
21
$151,818
$21,417
7.1× st 6.2×
432
Cirrhosis and alcoholic hepatitis with mcc
21
$78,302
$18,800
4.2× st 4.1×
454
Combined anterior and posterior spinal fusion with cc
21
$329,330
$54,622
6.0× st 5.2×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
21
$21,389
$4,521
4.7× st 4.4×
457
Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive
21
$388,583
$51,724
7.5× st 5.3×
292
Heart failure and shock with cc
21
$31,873
$6,727
4.7× st 3.6×
149
Dysequilibrium
20
$27,793
$5,898
4.7× st 6.1×
092
Other disorders of nervous system with cc
20
$34,653
$7,681
4.5× st 4.6×
854
Infectious and parasitic diseases with o.r. procedures with cc
20
$87,564
$17,448
5.0× st 5.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
20
$198,107
$34,212
5.8× st 4.1×
176
Pulmonary embolism without mcc
20
$36,962
$6,392
5.8× st 4.7×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$33,382
$9,639
3.5× st 4.0×
175
Pulmonary embolism with mcc or acute cor pulmonale
19
$59,940
$10,531
5.7× st 4.2×
643
Endocrine disorders with mcc
18
$55,546
$12,344
4.5× st 4.0×
300
Peripheral vascular disorders with cc
18
$30,135
$8,161
3.7× st 3.9×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
18
$90,207
$14,828
6.1× st 7.9×
202
Bronchitis and asthma with cc/mcc
18
$26,185
$8,451
3.1× st 3.6×
191
Chronic obstructive pulmonary disease with cc
17
$24,333
$6,413
3.8× st 3.8×
281
Acute myocardial infarction, discharged alive with cc
17
$43,659
$7,084
6.2× st 5.4×
813
Coagulation disorders
17
$119,712
$15,146
7.9× st 3.7×
467
Revision of hip or knee replacement with cc
17
$176,661
$27,279
6.5× st 6.1×
862
Postoperative and post-traumatic infections with mcc
17
$74,137
$13,430
5.5× st 3.7×
390
Gastrointestinal obstruction without cc/mcc
16
$19,117
$5,033
3.8× st 4.4×
208
Respiratory system diagnosis with ventilator support <=96 hours
16
$117,855
$22,775
5.2× st 5.1×
304
Hypertension with mcc
16
$36,407
$8,834
4.1× st 5.0×
948
Signs and symptoms without mcc
16
$29,207
$6,283
4.6× st 3.8×
435
Malignancy of hepatobiliary system or pancreas with mcc
16
$74,828
$18,370
4.1× st 4.0×
375
Digestive malignancy with cc
16
$45,794
$9,791
4.7× st 4.2×
242
Permanent cardiac pacemaker implant with mcc
15
$136,983
$23,782
5.8× st 5.1×
472
Cervical spinal fusion with cc
15
$131,221
$21,252
6.2× st 5.8×
313
Chest pain
15
$23,114
$6,563
3.5× st 5.4×
521
Hip replacement with principal diagnosis of hip fracture with mcc
14
$91,286
$20,358
4.5× st 4.8×
243
Permanent cardiac pacemaker implant with cc
14
$129,554
$20,140
6.4× st 5.3×
482
Hip and femur procedures except major joint without cc/mcc
14
$70,185
$11,761
6.0× st 6.8×
637
Diabetes with mcc
14
$44,476
$10,617
4.2× st 4.3×
393
Other digestive system diagnoses with mcc
14
$64,524
$12,191
5.3× st 4.3×
036
Carotid artery stent procedures without cc/mcc
13
$119,841
$15,584
7.7× st 6.1×
917
Poisoning and toxic effects of drugs with mcc
13
$87,837
$11,155
7.9× st 4.6×
445
Disorders of the biliary tract with cc
13
$56,426
$9,185
6.1× st 4.9×
920
Complications of treatment with cc
13
$32,395
$7,912
4.1× st 4.5×
103
Headaches without mcc
13
$32,141
$6,564
4.9× st 6.0×
617
Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc
12
$66,117
$14,879
4.4× st 3.8×
517
Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc
12
$64,677
$10,039
6.4× st 13.2×
273
Percutaneous and other intracardiac procedures with mcc
12
$183,373
$28,468
6.4× st 6.1×
233
Coronary bypass with cardiac catheterization or open ablation with mcc
12
$270,479
$59,434
4.6× st 7.5×
374
Digestive malignancy with mcc
12
$63,343
$15,612
4.1× st 3.3×
282
Acute myocardial infarction, discharged alive without cc/mcc
12
$27,192
$5,657
4.8× st 6.4×
196
Interstitial lung disease with mcc
12
$44,123
$13,745
3.2× st 3.6×
919
Complications of treatment with mcc
11
$66,910
$13,640
4.9× st 3.5×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
11
$39,760
$8,043
4.9× st 3.7×
068
Precerebral occlusion without infarction without mcc
11
$39,163
$6,744
5.8× st 5.2×
841
Lymphoma and non-acute leukemia with cc
11
$45,431
$13,835
3.3× st 2.7×
070
Other cerebrovascular disorders with mcc
11
$53,718
$11,797
4.6× st 3.9×
100
Seizures with mcc
11
$51,595
$12,334
4.2× st 4.2×
644
Endocrine disorders with cc
11
$35,535
$8,173
4.3× st 3.8×