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
409
$65,340
$15,296
4.3× st 4.0×
291
Heart failure and shock with mcc
284
$38,511
$10,314
3.7× st 3.7×
274
Percutaneous and other intracardiac procedures without mcc
156
$244,604
$25,331
9.7× st 6.9×
378
Gastrointestinal hemorrhage with cc
97
$40,480
$7,901
5.1× st 4.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
96
$37,564
$8,419
4.5× st 4.1×
177
Respiratory infections and inflammations with mcc
77
$49,298
$12,520
3.9× st 3.6×
309
Cardiac arrhythmia and conduction disorders with cc
74
$24,959
$6,230
4.0× st 4.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
74
$28,276
$6,671
4.2× st 4.8×
193
Simple pneumonia and pleurisy with mcc
73
$42,798
$10,384
4.1× st 4.0×
853
Infectious and parasitic diseases with o.r. procedures with mcc
72
$165,171
$37,479
4.4× st 4.2×
069
Transient ischemia without thrombolytic
67
$33,617
$6,444
5.2× st 6.0×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
66
$35,958
$8,692
4.1× st 5.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
66
$93,147
$16,917
5.5× st 6.8×
280
Acute myocardial infarction, discharged alive with mcc
63
$47,829
$12,502
3.8× st 4.4×
312
Syncope and collapse
61
$27,931
$6,883
4.1× st 4.6×
683
Renal failure with cc
59
$26,435
$7,129
3.7× st 4.0×
690
Kidney and urinary tract infections without mcc
58
$24,303
$6,619
3.7× st 4.1×
308
Cardiac arrhythmia and conduction disorders with mcc
54
$49,219
$10,118
4.9× st 4.2×
377
Gastrointestinal hemorrhage with mcc
53
$75,171
$14,146
5.3× st 4.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
53
$53,991
$11,907
4.5× st 4.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
52
$26,363
$6,405
4.1× st 4.2×
682
Renal failure with mcc
48
$49,883
$11,991
4.2× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
47
$59,465
$13,257
4.5× st 3.7×
267
Endovascular cardiac valve replacement and supplement procedures without mcc
45
$111,984
$33,815
3.3× st 5.3×
522
Hip replacement with principal diagnosis of hip fracture without mcc
44
$89,043
$15,360
5.8× st 5.7×
603
Cellulitis without mcc
43
$30,071
$7,112
4.2× st 3.5×
689
Kidney and urinary tract infections with mcc
43
$31,360
$8,962
3.5× st 3.7×
189
Pulmonary edema and respiratory failure
42
$56,912
$10,358
5.5× st 4.5×
884
Organic disturbances and intellectual disability
41
$24,487
$11,803
2.1× st 3.4×
190
Chronic obstructive pulmonary disease with mcc
39
$38,064
$8,983
4.2× st 3.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
39
$161,442
$27,378
5.9× st 5.9×
330
Major small and large bowel procedures with cc
38
$76,507
$17,191
4.5× st 5.2×
057
Degenerative nervous system disorders without mcc
37
$27,248
$9,734
2.8× st 3.6×
481
Hip and femur procedures except major joint with cc
36
$84,642
$15,917
5.3× st 5.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
34
$68,747
$17,436
3.9× st 4.3×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
32
$97,179
$15,133
6.4× st 6.9×
460
Spinal fusion except cervical without mcc
32
$159,200
$27,584
5.8× st 6.1×
812
Red blood cell disorders without mcc
31
$34,472
$7,544
4.6× st 4.3×
638
Diabetes with cc
31
$26,488
$7,810
3.4× st 4.1×
637
Diabetes with mcc
31
$50,905
$12,426
4.1× st 4.3×
064
Intracranial hemorrhage or cerebral infarction with mcc
31
$57,382
$14,303
4.0× st 4.2×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
30
$46,761
$8,410
5.6× st 5.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
29
$47,293
$11,374
4.2× st 4.2×
394
Other digestive system diagnoses with cc
28
$39,881
$8,121
4.9× st 4.3×
329
Major small and large bowel procedures with mcc
27
$157,139
$32,438
4.8× st 4.5×
552
Medical back problems without mcc
27
$25,452
$7,568
3.4× st 4.7×
194
Simple pneumonia and pleurisy with cc
26
$26,718
$6,550
4.1× st 4.0×
516
Other musculoskeletal system and connective tissue o.r. procedures with cc
26
$86,377
$15,549
5.6× st 7.9×
101
Seizures without mcc
25
$28,232
$7,379
3.8× st 4.3×
281
Acute myocardial infarction, discharged alive with cc
24
$41,612
$7,168
5.8× st 5.4×
811
Red blood cell disorders with mcc
23
$46,545
$11,385
4.1× st 4.7×
372
Major gastrointestinal disorders and peritoneal infections with cc
22
$29,217
$8,126
3.6× st 3.6×
243
Permanent cardiac pacemaker implant with cc
22
$121,044
$17,198
7.0× st 5.3×
180
Respiratory neoplasms with mcc
22
$49,679
$13,582
3.7× st 4.2×
176
Pulmonary embolism without mcc
22
$45,509
$7,917
5.7× st 4.7×
521
Hip replacement with principal diagnosis of hip fracture with mcc
22
$109,705
$21,424
5.1× st 4.8×
178
Respiratory infections and inflammations with cc
21
$28,704
$7,820
3.7× st 3.7×
854
Infectious and parasitic diseases with o.r. procedures with cc
21
$74,865
$17,461
4.3× st 5.2×
390
Gastrointestinal obstruction without cc/mcc
21
$18,566
$5,493
3.4× st 4.4×
092
Other disorders of nervous system with cc
21
$37,535
$7,918
4.7× st 4.6×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
21
$169,453
$33,946
5.0× st 4.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
20
$42,256
$9,399
4.5× st 4.0×
208
Respiratory system diagnosis with ventilator support <=96 hours
20
$82,358
$21,466
3.8× st 5.1×
242
Permanent cardiac pacemaker implant with mcc
20
$197,649
$26,743
7.4× st 5.1×
331
Major small and large bowel procedures without cc/mcc
19
$57,392
$12,221
4.7× st 7.2×
467
Revision of hip or knee replacement with cc
19
$189,766
$25,771
7.4× st 6.1×
056
Degenerative nervous system disorders with mcc
19
$62,817
$17,799
3.5× st 3.7×
253
Other vascular procedures with cc
19
$121,937
$20,528
5.9× st 4.8×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
18
$27,691
$4,487
6.2× st 4.4×
870
Septicemia or severe sepsis with mv >96 hours
18
$245,576
$62,553
3.9× st 4.6×
389
Gastrointestinal obstruction with cc
18
$22,428
$6,485
3.5× st 4.4×
305
Hypertension without mcc
17
$29,365
$6,009
4.9× st 5.2×
468
Revision of hip or knee replacement without cc/mcc
17
$117,479
$20,783
5.7× st 6.2×
269
Aortic and heart assist procedures except pulsation balloon without mcc
17
$290,509
$47,471
6.1× st 5.9×
418
Laparoscopic cholecystectomy without c.d.e. with cc
17
$89,865
$12,496
7.2× st 7.1×
393
Other digestive system diagnoses with mcc
17
$40,866
$13,334
3.1× st 4.3×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
17
$32,637
$6,629
4.9× st 5.5×
314
Other circulatory system diagnoses with mcc
17
$71,063
$19,439
3.7× st 3.6×
273
Percutaneous and other intracardiac procedures with mcc
17
$180,021
$30,633
5.9× st 6.1×
543
Pathological fractures and musculoskeletal and connective tissue malignancy with cc
16
$35,407
$8,594
4.1× st 3.7×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
16
$25,459
$7,214
3.5× st 5.2×
699
Other kidney and urinary tract diagnoses with cc
16
$33,158
$8,934
3.7× st 3.8×
234
Coronary bypass with cardiac catheterization or open ablation without mcc
16
$207,876
$40,700
5.1× st 3.7×
149
Dysequilibrium
16
$25,772
$5,911
4.4× st 6.1×
300
Peripheral vascular disorders with cc
15
$30,530
$8,915
3.4× st 3.9×
282
Acute myocardial infarction, discharged alive without cc/mcc
15
$30,732
$6,164
5.0× st 6.4×
100
Seizures with mcc
15
$60,938
$15,133
4.0× st 4.2×
948
Signs and symptoms without mcc
15
$19,794
$6,840
2.9× st 3.8×
036
Carotid artery stent procedures without cc/mcc
14
$112,910
$17,443
6.5× st 6.1×
271
Other major cardiovascular procedures with cc
14
$133,339
$24,533
5.4× st 4.9×
229
Other cardiothoracic procedures without mcc
14
$204,900
$24,064
8.5× st 7.8×
252
Other vascular procedures with mcc
13
$129,676
$24,479
5.3× st 4.1×
035
Carotid artery stent procedures with cc
13
$116,136
$18,885
6.2× st 5.2×
813
Coagulation disorders
13
$99,248
$13,215
7.5× st 3.7×
236
Coronary bypass without cardiac catheterization without mcc
13
$150,758
$32,537
4.6× st 4.3×
074
Cranial and peripheral nerve disorders without mcc
13
$31,827
$8,337
3.8× st 5.1×
435
Malignancy of hepatobiliary system or pancreas with mcc
13
$58,933
$13,303
4.4× st 4.0×
455
Combined anterior and posterior spinal fusion without cc/mcc
13
$243,420
$42,941
5.7× st 5.8×
480
Hip and femur procedures except major joint with mcc
13
$139,307
$22,118
6.3× st 5.0×
202
Bronchitis and asthma with cc/mcc
12
$30,871
$7,529
4.1× st 3.6×
068
Precerebral occlusion without infarction without mcc
12
$31,712
$6,743
4.7× st 5.2×
191
Chronic obstructive pulmonary disease with cc
12
$35,828
$7,046
5.1× st 3.8×
536
Fractures of hip and pelvis without mcc
12
$19,708
$6,372
3.1× st 4.9×
694
Urinary stones without mcc
12
$21,242
$6,002
3.5× st 5.3×
299
Peripheral vascular disorders with mcc
12
$69,661
$12,502
5.6× st 4.6×
417
Laparoscopic cholecystectomy without c.d.e. with mcc
12
$77,102
$17,081
4.5× st 6.0×
482
Hip and femur procedures except major joint without cc/mcc
11
$72,890
$13,494
5.4× st 6.8×
917
Poisoning and toxic effects of drugs with mcc
11
$37,403
$13,682
2.7× st 4.6×
062
Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent wit
11
$108,647
$13,316
8.2× st 5.9×
554
Bone diseases and arthropathies without mcc
11
$26,599
$6,677
4.0× st 5.6×
356
Other digestive system o.r. procedures with mcc
11
$247,702
$41,366
6.0× st 3.7×
313
Chest pain
11
$24,220
$5,738
4.2× st 5.4×
219
Cardiac valve and other major cardiothoracic procedures without cardiac catheterization
11
$505,295
$79,652
6.3× st 4.7×
303
Atherosclerosis without mcc
11
$37,435
$5,628
6.7× st 4.6×
235
Coronary bypass without cardiac catheterization with mcc
11
$155,695
$49,207
3.2× st 5.3×
483
Major joint or limb reattachment procedures of upper extremities
11
$143,171
$18,589
7.7× st 7.6×