Hospital Stay Costs by DRG

770 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay

Surgical DRGs 42 procedures
001
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
$182,155
25.8 days
002
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
$73,657
8.5 days
003
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
$137,964
22.9 days
004
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
$90,034
22.4 days
005
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
$67,018
14 days
006
LIVER TRANSPLANT WITHOUT MCC
$30,141
7.1 days
007
LUNG TRANSPLANT
$84,176
19.7 days
008
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
$36,430
8.5 days
010
PANCREAS TRANSPLANT
$46,642
5.9 days
011
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
$35,452
11.4 days
012
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
$27,404
8.6 days
013
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
$18,732
6.5 days
019
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
$46,375
10.1 days
020
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
$51,147
8.8 days
021
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
$34,410
4.9 days
022
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
$20,653
1.7 days
023
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
$37,247
7.1 days
024
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
$25,427
3.7 days
025
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
$29,554
6.4 days
026
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
$20,210
2.8 days
027
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
$16,399
1.5 days
028
SPINAL PROCEDURES WITH MCC
$39,054
9.5 days
029
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
$22,175
4.7 days
030
SPINAL PROCEDURES WITHOUT CC/MCC
$14,269
2.6 days
031
VENTRICULAR SHUNT PROCEDURES WITH MCC
$29,123
7 days
Medical DRGs 58 diagnoses
014
ALLOGENEIC BONE MARROW TRANSPLANT
$78,116
25.7 days
016
AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
$38,543
16.1 days
017
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
$35,310
8.3 days
018
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
$280,688
12.4 days
052
SPINAL DISORDERS AND INJURIES WITH CC/MCC
$11,773
4.1 days
053
SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
$6,365
2.6 days
054
NERVOUS SYSTEM NEOPLASMS WITH MCC
$9,925
4 days
055
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
$6,627
2.9 days
056
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
$15,100
5.7 days
057
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
$8,421
3.8 days
058
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
$11,112
4.6 days
059
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
$8,066
3.6 days
060
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
$5,979
2.9 days
061
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
$17,921
4.7 days
062
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
$11,422
3 days
063
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
$9,125
2.2 days
064
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
$13,072
4.4 days
065
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
$6,567
2.8 days
066
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
$4,449
1.9 days
067
PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
$9,547
3.4 days
068
PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
$5,619
2 days
069
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
$5,192
2 days
070
OTHER CEREBROVASCULAR DISORDERS WITH MCC
$10,821
4.5 days
071
OTHER CEREBROVASCULAR DISORDERS WITH CC
$6,669
3.3 days
072
OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
$4,915
2.3 days
Page 1 of 8 Next →

What is a DRG?

A Diagnosis-Related Group (DRG) is how Medicare classifies hospital inpatient stays for payment purposes. Each DRG groups patients with similar diagnoses and treatments, establishing a standard payment amount regardless of the actual costs incurred by the hospital.

Average Medicare Payment

The amount Medicare pays the hospital for this DRG. This is a national average — actual payments vary by hospital wage index, teaching status, and case mix.

Average Length of Stay

The typical number of days patients spend in the hospital for this DRG. Hospitals receive the same DRG payment whether the stay is shorter or longer than average.

Surgical vs. Medical

Surgical DRGs involve operating room procedures. Medical DRGs are for non-surgical hospital stays. Surgical DRGs generally have higher payments due to greater resource use.