Medical Hospital Stay Costs

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

All DRGs Surgical Medical

DRG

Description

Type

Avg Medicare Payment

Avg Length of Stay

Discharges

BRONCHITIS AND ASTHMA WITHOUT CC/MCC

RESPIRATORY SIGNS AND SYMPTOMS

OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC

OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS

RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS

ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC

ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC

ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC

ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC

ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC

ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC

CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC

ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC

ACUTE AND SUBACUTE ENDOCARDITIS WITH CC

ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC

HEART FAILURE AND SHOCK WITH MCC

HEART FAILURE AND SHOCK WITH CC

HEART FAILURE AND SHOCK WITHOUT CC/MCC

CARDIAC ARREST, UNEXPLAINED WITH MCC

CARDIAC ARREST, UNEXPLAINED WITH CC

CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC

PERIPHERAL VASCULAR DISORDERS WITH MCC

PERIPHERAL VASCULAR DISORDERS WITH CC

PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC

ATHEROSCLEROSIS WITH MCC

ATHEROSCLEROSIS WITHOUT MCC

HYPERTENSION WITH MCC

HYPERTENSION WITHOUT MCC

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC

ANGINA PECTORIS

SYNCOPE AND COLLAPSE

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

MAJOR ESOPHAGEAL DISORDERS WITH MCC

MAJOR ESOPHAGEAL DISORDERS WITH CC

MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC

DIGESTIVE MALIGNANCY WITH MCC

DIGESTIVE MALIGNANCY WITH CC

DIGESTIVE MALIGNANCY WITHOUT CC/MCC

GASTROINTESTINAL HEMORRHAGE WITH MCC

GASTROINTESTINAL HEMORRHAGE WITH CC

GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC

COMPLICATED PEPTIC ULCER WITH MCC

COMPLICATED PEPTIC ULCER WITH CC

COMPLICATED PEPTIC ULCER WITHOUT CC/MCC

UNCOMPLICATED PEPTIC ULCER WITH MCC

UNCOMPLICATED PEPTIC ULCER WITHOUT MCC

INFLAMMATORY BOWEL DISEASE WITH MCC

INFLAMMATORY BOWEL DISEASE WITH CC

INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC

GASTROINTESTINAL OBSTRUCTION WITH MCC

GASTROINTESTINAL OBSTRUCTION WITH CC

GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC

ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC

ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC

CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC

CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC

DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC

DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC

DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC

DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC

DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC

DISORDERS OF THE BILIARY TRACT WITH MCC

DISORDERS OF THE BILIARY TRACT WITH CC

DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC

FRACTURES OF FEMUR WITH MCC

FRACTURES OF FEMUR WITHOUT MCC

FRACTURES OF HIP AND PELVIS WITH MCC

FRACTURES OF HIP AND PELVIS WITHOUT MCC

SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC

SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

OSTEOMYELITIS WITH MCC

OSTEOMYELITIS WITH CC

OSTEOMYELITIS WITHOUT CC/MCC

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC

PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

CONNECTIVE TISSUE DISORDERS WITH MCC

CONNECTIVE TISSUE DISORDERS WITH CC

CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

SEPTIC ARTHRITIS WITH MCC

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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.