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
235
$52,794
$13,713
3.9× st 3.6×
291
Heart failure and shock with mcc
92
$45,459
$8,711
5.2× st 3.6×
872
Septicemia or severe sepsis without mv >96 hours without mcc
45
$39,494
$7,459
5.3× st 3.9×
177
Respiratory infections and inflammations with mcc
42
$58,589
$12,141
4.8× st 3.6×
193
Simple pneumonia and pleurisy with mcc
40
$41,454
$8,963
4.6× st 3.6×
853
Infectious and parasitic diseases with o.r. procedures with mcc
36
$133,095
$34,758
3.8× st 3.3×
392
Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc
31
$30,037
$5,452
5.5× st 4.2×
274
Percutaneous and other intracardiac procedures without mcc
30
$162,733
$22,179
7.3× st 4.3×
640
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc
30
$41,971
$9,308
4.5× st 3.6×
312
Syncope and collapse
29
$35,178
$6,405
5.5× st 4.4×
552
Medical back problems without mcc
28
$33,009
$7,504
4.4× st 4.1×
698
Other kidney and urinary tract diagnoses with mcc
26
$47,280
$10,476
4.5× st 3.3×
690
Kidney and urinary tract infections without mcc
26
$28,926
$5,528
5.2× st 4.0×
683
Renal failure with cc
25
$33,878
$6,794
5.0× st 3.7×
682
Renal failure with mcc
24
$43,763
$11,100
3.9× st 3.6×
603
Cellulitis without mcc
24
$34,662
$6,039
5.7× st 3.7×
378
Gastrointestinal hemorrhage with cc
23
$44,661
$7,457
6.0× st 4.0×
330
Major small and large bowel procedures with cc
23
$81,309
$17,621
4.6× st 4.1×
641
Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc
23
$33,869
$5,343
6.3× st 3.9×
884
Organic disturbances and intellectual disability
23
$39,235
$10,101
3.9× st 3.4×
322
Percutaneous cardiovascular procedures with intraluminal device without mcc
22
$96,436
$13,696
7.0× st 5.0×
309
Cardiac arrhythmia and conduction disorders with cc
22
$25,271
$5,533
4.6× st 3.6×
689
Kidney and urinary tract infections with mcc
21
$42,174
$8,014
5.3× st 3.7×
481
Hip and femur procedures except major joint with cc
21
$81,888
$16,133
5.1× st 4.2×
470
Major hip and knee joint replacement or reattachment of lower extremity without mcc
20
$95,081
$13,880
6.9× st 4.6×
280
Acute myocardial infarction, discharged alive with mcc
20
$56,168
$12,066
4.7× st 3.7×
236
Coronary bypass without cardiac catheterization without mcc
18
$121,751
$30,413
4.0× st 3.9×
310
Cardiac arrhythmia and conduction disorders without cc/mcc
18
$23,505
$4,313
5.5× st 3.8×
189
Pulmonary edema and respiratory failure
17
$38,724
$9,127
4.2× st 3.8×
065
Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours
15
$42,951
$8,442
5.1× st 4.7×
321
Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/
15
$110,372
$19,761
5.6× st 4.2×
389
Gastrointestinal obstruction with cc
15
$33,865
$6,380
5.3× st 4.1×
391
Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc
14
$55,852
$8,916
6.3× st 3.8×
522
Hip replacement with principal diagnosis of hip fracture without mcc
14
$106,506
$14,283
7.5× st 4.3×
190
Chronic obstructive pulmonary disease with mcc
14
$29,892
$7,720
3.9× st 3.8×
064
Intracranial hemorrhage or cerebral infarction with mcc
13
$60,264
$13,654
4.4× st 4.1×
286
Circulatory disorders except ami, with cardiac catheterization with mcc
13
$81,218
$16,116
5.0× st 4.4×
252
Other vascular procedures with mcc
13
$104,874
$23,361
4.5× st 4.2×
235
Coronary bypass without cardiac catheterization with mcc
12
$167,732
$47,107
3.6× st 4.1×
394
Other digestive system diagnoses with cc
12
$34,008
$6,559
5.2× st 3.8×
377
Gastrointestinal hemorrhage with mcc
12
$71,815
$14,509
5.0× st 3.8×
308
Cardiac arrhythmia and conduction disorders with mcc
11
$41,161
$9,892
4.2× st 3.9×
165
Major chest procedures without cc/mcc
11
$71,657
$12,725
5.6× st 4.5×
813
Coagulation disorders
11
$45,523
$10,833
4.2× st 3.1×
164
Major chest procedures with cc
11
$73,610
$23,819
3.1× st 3.9×
660
Kidney and ureter procedures for non-neoplasm with cc
11
$54,243
$8,770
6.2× st 3.7×