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
243
$54,765
$17,150
3.2× st 4.3×
291
Heart failure and shock with mcc
141
$45,563
$11,157
4.1× st 4.4×
193
Simple pneumonia and pleurisy with mcc
102
$38,938
$11,335
3.4× st 4.4×
177
Respiratory infections and inflammations with mcc
86
$51,676
$14,647
3.5× st 4.2×
280
Acute myocardial infarction, discharged alive with mcc
69
$56,555
$13,835
4.1× st 4.6×
189
Pulmonary edema and respiratory failure
54
$39,498
$10,905
3.6× st 4.9×
682
Renal failure with mcc
53
$50,267
$12,739
3.9× st 4.4×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
52
$36,041
$12,008
3.0× st 4.5×
689
Kidney and urinary tract infections with mcc
49
$40,037
$10,231
3.9× st 4.5×
872
Septicemia or severe sepsis without mv >96 hours without mcc
48
$32,923
$8,442
3.9× st 4.3×
378
Gastrointestinal hemorrhage with cc
48
$31,922
$8,691
3.7× st 4.7×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
47
$42,678
$9,294
4.6× st 4.9×
698
Other kidney and urinary tract diagnoses with mcc
43
$49,980
$15,008
3.3× st 4.1×
481
Hip and femur procedures except major joint with cc
42
$64,928
$17,533
3.7× st 5.1×
308
Cardiac arrhythmia and conduction disorders with mcc
39
$43,426
$10,232
4.2× st 4.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
38
$114,163
$42,480
2.7× st 4.2×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
37
$26,045
$7,266
3.6× st 4.7×
389
Gastrointestinal obstruction with cc
37
$24,577
$7,710
3.2× st 4.2×
690
Kidney and urinary tract infections without mcc
35
$26,943
$7,140
3.8× st 4.7×
281
Acute myocardial infarction, discharged alive with cc
34
$42,350
$8,226
5.1× st 5.1×
377
Gastrointestinal hemorrhage with mcc
33
$50,953
$16,512
3.1× st 4.9×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
33
$84,411
$15,668
5.4× st 5.8×
309
Cardiac arrhythmia and conduction disorders with cc
31
$30,815
$6,517
4.7× st 4.4×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
30
$29,079
$7,072
4.1× st 4.7×
312
Syncope and collapse
30
$29,786
$8,172
3.6× st 4.9×
480
Hip and femur procedures except major joint with mcc
30
$90,017
$25,506
3.5× st 4.7×
064
Intracranial hemorrhage or cerebral infarction with mcc
27
$65,429
$16,758
3.9× st 4.3×
683
Renal failure with cc
27
$34,132
$8,092
4.2× st 4.6×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
27
$43,687
$10,897
4.0× st 4.5×
522
Hip replacement with principal diagnosis of hip fracture without mcc
27
$53,431
$17,733
3.0× st 5.2×
069
Transient ischemia without thrombolytic
24
$31,978
$6,925
4.6× st 5.5×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
23
$119,762
$25,781
4.6× st 5.3×
603
Cellulitis without mcc
22
$33,174
$7,787
4.3× st 3.9×
190
Chronic obstructive pulmonary disease with mcc
21
$35,625
$9,034
3.9× st 4.5×
329
Major small and large bowel procedures with mcc
20
$98,795
$35,984
2.7× st 4.1×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
20
$26,508
$5,272
5.0× st 4.5×
811
Red blood cell disorders with mcc
18
$46,361
$12,315
3.8× st 4.5×
178
Respiratory infections and inflammations with cc
18
$32,726
$8,918
3.7× st 4.0×
637
Diabetes with mcc
18
$44,568
$12,132
3.7× st 4.3×
287
Circulatory disorders except ami, with cardiac catheterization without mcc
17
$44,856
$9,155
4.9× st 5.2×
699
Other kidney and urinary tract diagnoses with cc
16
$33,336
$9,097
3.7× st 4.0×
066
Intracranial hemorrhage or cerebral infarction without cc/mcc
16
$35,504
$6,122
5.8× st 5.3×
394
Other digestive system diagnoses with cc
16
$28,579
$8,013
3.6× st 4.3×
660
Kidney and ureter procedures for non-neoplasm with cc
15
$48,040
$12,064
4.0× st 3.8×
175
Pulmonary embolism with mcc or acute cor pulmonale
15
$50,256
$12,222
4.1× st 4.3×
314
Other circulatory system diagnoses with mcc
15
$41,678
$17,467
2.4× st 4.0×
948
Signs and symptoms without mcc
15
$26,028
$6,996
3.7× st 3.5×
388
Gastrointestinal obstruction with mcc
15
$43,555
$12,249
3.6× st 4.2×
305
Hypertension without mcc
14
$32,955
$6,603
5.0× st 5.6×
390
Gastrointestinal obstruction without cc/mcc
14
$21,196
$5,299
4.0× st 4.5×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
14
$86,022
$19,786
4.3× st 4.9×
813
Coagulation disorders
13
$45,817
$13,236
3.5× st 4.2×
981
Extensive o.r. procedures unrelated to principal diagnosis with mcc
13
$128,644
$40,404
3.2× st 4.3×
917
Poisoning and toxic effects of drugs with mcc
13
$54,302
$13,744
4.0× st 4.7×
812
Red blood cell disorders without mcc
12
$44,743
$7,973
5.6× st 4.9×
208
Respiratory system diagnosis with ventilator support <=96 hours
12
$131,556
$24,837
5.3× st 4.6×
552
Medical back problems without mcc
12
$29,977
$8,302
3.6× st 4.5×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
12
$45,379
$15,690
2.9× st 5.2×
176
Pulmonary embolism without mcc
11
$26,270
$8,537
3.1× st 4.2×
243
Permanent cardiac pacemaker implant with cc
11
$63,058
$18,972
3.3× st 4.2×
270
Other major cardiovascular procedures with mcc
11
$113,016
$41,292
2.7× st 4.4×
638
Diabetes with cc
11
$34,860
$7,076
4.9× st 4.6×
536
Fractures of hip and pelvis without mcc
11
$34,926
$6,984
5.0× st 4.7×
418
Laparoscopic cholecystectomy without c.d.e. with cc
11
$44,535
$13,750
3.2× st 6.1×
393
Other digestive system diagnoses with mcc
11
$57,005
$13,897
4.1× st 4.4×
324
Coronary intravascular lithotripsy with intraluminal device without mcc
11
$116,174
$24,740
4.7× st 5.6×
330
Major small and large bowel procedures with cc
11
$59,831
$19,958
3.0× st 5.1×