Hospital Stay Costs by DRG
770 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay
Surgical DRGs 52 procedures
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
136
SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
$6,599
1.3 days
—
137
MOUTH PROCEDURES WITH CC/MCC
$9,706
3.4 days
—
138
MOUTH PROCEDURES WITHOUT CC/MCC
$5,760
1.6 days
—
139
SALIVARY GLAND PROCEDURES
$8,032
2 days
—
140
MAJOR HEAD AND NECK PROCEDURES WITH MCC
$27,724
6.9 days
—
141
MAJOR HEAD AND NECK PROCEDURES WITH CC
$14,177
3 days
—
142
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
$10,377
1.9 days
—
143
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
$24,353
6.2 days
—
144
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
$11,264
2.8 days
—
145
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
$7,815
1.6 days
—
163
MAJOR CHEST PROCEDURES WITH MCC
$29,132
6.3 days
—
164
MAJOR CHEST PROCEDURES WITH CC
$16,406
3.4 days
—
165
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
$12,442
2 days
—
166
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
$24,295
7.6 days
—
167
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
$11,722
3.4 days
—
168
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
$8,882
1.8 days
—
173
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
$19,347
3.8 days
—
209
COMPLEX AORTIC ARCH PROCEDURES
$73,572
6.7 days
—
212
CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES
$70,682
12.5 days
—
213
ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES
$37,095
1.7 days
—
215
OTHER HEART ASSIST SYSTEM IMPLANT
$64,721
4.7 days
—
216
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
$63,588
10.6 days
—
217
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
$42,739
4.3 days
—
218
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
$42,739
4.3 days
—
219
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
$49,909
8.2 days
—
Medical DRGs 48 diagnoses
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
146
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
$13,763
5.5 days
—
147
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
$8,265
3.5 days
—
148
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
$5,181
1.9 days
—
149
DYSEQUILIBRIUM
$4,885
1.9 days
—
150
EPISTAXIS WITH MCC
$8,655
3.4 days
—
151
EPISTAXIS WITHOUT MCC
$4,771
2.1 days
—
152
OTITIS MEDIA AND URI WITH MCC
$7,684
3.2 days
—
153
OTITIS MEDIA AND URI WITHOUT MCC
$4,798
2.2 days
—
154
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
$10,163
3.9 days
—
155
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
$5,957
2.8 days
—
156
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
$4,492
2 days
—
157
DENTAL AND ORAL DISEASES WITH MCC
$11,159
4.5 days
—
158
DENTAL AND ORAL DISEASES WITH CC
$5,914
2.8 days
—
159
DENTAL AND ORAL DISEASES WITHOUT CC/MCC
$4,605
2.1 days
—
175
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
$8,928
3.8 days
—
176
PULMONARY EMBOLISM WITHOUT MCC
$5,233
2.4 days
—
177
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
$10,158
4.4 days
—
178
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
$6,344
3.1 days
—
179
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
$4,908
2.4 days
—
180
RESPIRATORY NEOPLASMS WITH MCC
$11,479
4.8 days
—
181
RESPIRATORY NEOPLASMS WITH CC
$6,962
3.1 days
—
182
RESPIRATORY NEOPLASMS WITHOUT CC/MCC
$4,900
2.2 days
—
183
MAJOR CHEST TRAUMA WITH MCC
$9,944
4.2 days
—
184
MAJOR CHEST TRAUMA WITH CC
$6,917
3.1 days
—
185
MAJOR CHEST TRAUMA WITHOUT CC/MCC
$5,112
2.3 days
—
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.