Surgical Hospital Stay Costs

403 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

ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC

ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC

AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC

AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC

PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC

ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC

CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION

PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC

CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC

CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC

STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

RECTAL RESECTION WITH MCC

RECTAL RESECTION WITH CC

RECTAL RESECTION WITHOUT CC/MCC

PERITONEAL ADHESIOLYSIS WITH MCC

PERITONEAL ADHESIOLYSIS WITH CC

PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC

MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

ANAL AND STOMAL PROCEDURES WITH MCC

ANAL AND STOMAL PROCEDURES WITH CC

ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC

INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC

INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC

INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC

HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC

PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC

APPENDIX PROCEDURES WITH MCC

APPENDIX PROCEDURES WITH CC

APPENDIX PROCEDURES WITHOUT CC/MCC

SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL

PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC

PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC

PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC

BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC

BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC

BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC

CHOLECYSTECTOMY WITH C.D.E. WITH MCC

CHOLECYSTECTOMY WITH C.D.E. WITH CC

CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC

CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC

LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC

LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC

LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC

HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC

HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC

HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC

MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC

COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC

COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC

MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC

SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC

BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC

WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC

WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC

WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

REVISION OF HIP OR KNEE REPLACEMENT WITH MCC

REVISION OF HIP OR KNEE REPLACEMENT WITH CC

REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

CERVICAL SPINAL FUSION 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.