Hospital Stay Costs by DRG
770 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay
Surgical DRGs 42 procedures
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
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
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
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
—
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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.