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
464
$78,615
$15,342
5.1× st 4.0×
291
Heart failure and shock with mcc
124
$49,462
$10,856
4.6× st 3.7×
193
Simple pneumonia and pleurisy with mcc
98
$52,788
$10,977
4.8× st 4.0×
872
Septicemia or severe sepsis without mv >96 hours without mcc
63
$54,728
$9,057
6.0× st 4.1×
177
Respiratory infections and inflammations with mcc
63
$67,554
$12,475
5.4× st 3.6×
481
Hip and femur procedures except major joint with cc
51
$121,978
$16,262
7.5× st 5.5×
189
Pulmonary edema and respiratory failure
49
$55,035
$10,482
5.3× st 4.5×
853
Infectious and parasitic diseases with o.r. procedures with mcc
49
$173,599
$34,174
5.1× st 4.2×
689
Kidney and urinary tract infections with mcc
47
$60,200
$9,587
6.3× st 3.7×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
44
$48,818
$10,768
4.5× st 4.1×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
43
$59,270
$8,684
6.8× st 5.0×
683
Renal failure with cc
41
$39,582
$7,761
5.1× st 4.0×
682
Renal failure with mcc
39
$66,149
$12,132
5.5× st 4.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
38
$36,722
$6,845
5.4× st 4.2×
698
Other kidney and urinary tract diagnoses with mcc
35
$71,551
$13,434
5.3× st 3.7×
280
Acute myocardial infarction, discharged alive with mcc
34
$83,625
$12,925
6.5× st 4.4×
522
Hip replacement with principal diagnosis of hip fracture without mcc
33
$128,876
$16,949
7.6× st 5.7×
309
Cardiac arrhythmia and conduction disorders with cc
27
$41,213
$6,654
6.2× st 4.1×
308
Cardiac arrhythmia and conduction disorders with mcc
25
$59,713
$10,516
5.7× st 4.2×
064
Intracranial hemorrhage or cerebral infarction with mcc
24
$83,530
$14,737
5.7× st 4.2×
870
Septicemia or severe sepsis with mv >96 hours
24
$304,018
$48,006
6.3× st 4.6×
190
Chronic obstructive pulmonary disease with mcc
23
$57,199
$9,550
6.0× st 3.6×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
22
$212,101
$28,483
7.4× st 5.9×
330
Major small and large bowel procedures with cc
22
$161,330
$19,476
8.3× st 5.2×
378
Gastrointestinal hemorrhage with cc
21
$60,803
$8,501
7.2× st 4.6×
690
Kidney and urinary tract infections without mcc
20
$47,834
$10,031
4.8× st 4.1×
194
Simple pneumonia and pleurisy with cc
18
$46,158
$7,087
6.5× st 4.0×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
17
$157,219
$21,466
7.3× st 6.8×
637
Diabetes with mcc
17
$72,239
$12,268
5.9× st 4.3×
175
Pulmonary embolism with mcc or acute cor pulmonale
17
$67,266
$11,153
6.0× st 4.2×
377
Gastrointestinal hemorrhage with mcc
16
$84,396
$13,679
6.2× st 4.3×
638
Diabetes with cc
16
$38,389
$7,412
5.2× st 4.1×
312
Syncope and collapse
16
$45,802
$7,055
6.5× st 4.6×
389
Gastrointestinal obstruction with cc
15
$44,926
$8,276
5.4× st 4.4×
482
Hip and femur procedures except major joint without cc/mcc
15
$96,328
$12,652
7.6× st 6.8×
208
Respiratory system diagnosis with ventilator support <=96 hours
15
$110,335
$20,490
5.4× st 5.1×
460
Spinal fusion except cervical without mcc
15
$300,668
$30,653
9.8× st 6.1×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
15
$51,939
$6,560
7.9× st 4.8×
563
Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc
14
$41,616
$7,312
5.7× st 5.2×
069
Transient ischemia without thrombolytic
14
$58,810
$7,074
8.3× st 6.0×
281
Acute myocardial infarction, discharged alive with cc
14
$65,454
$7,448
8.8× st 5.4×
603
Cellulitis without mcc
13
$46,356
$7,050
6.6× st 3.5×
480
Hip and femur procedures except major joint with mcc
13
$139,095
$21,296
6.5× st 5.0×
552
Medical back problems without mcc
13
$52,563
$8,366
6.3× st 4.7×
314
Other circulatory system diagnoses with mcc
12
$119,454
$22,760
5.2× st 3.6×
812
Red blood cell disorders without mcc
12
$49,263
$7,612
6.5× st 4.3×
070
Other cerebrovascular disorders with mcc
12
$91,548
$14,704
6.2× st 3.9×
644
Endocrine disorders with cc
11
$39,721
$9,159
4.3× st 3.8×
854
Infectious and parasitic diseases with o.r. procedures with cc
11
$83,051
$15,774
5.3× st 5.2×
917
Poisoning and toxic effects of drugs with mcc
11
$78,975
$13,096
6.0× st 4.6×