Hospital Stay Costs by DRG

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

Surgical DRGs 52 procedures
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
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
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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.