Hospital Stay Costs by DRG
770 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay
Surgical DRGs 58 procedures
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
260
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC
$21,143
5.5 days
—
261
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC
$12,288
2.8 days
—
262
CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC
$10,594
2.1 days
—
263
VEIN LIGATION AND STRIPPING
$19,873
4.7 days
—
264
OTHER CIRCULATORY SYSTEM O.R. PROCEDURES
$21,714
6.7 days
—
265
AICD LEAD PROCEDURES
$23,518
4.4 days
—
266
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC
$39,835
2.5 days
—
267
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC
$30,945
1.3 days
—
268
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC
$44,706
6.1 days
—
269
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC
$27,451
1.5 days
—
270
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC
$34,296
6.3 days
—
271
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC
$23,116
3.7 days
—
272
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC
$16,595
1.7 days
—
273
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC
$26,816
3.7 days
—
274
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC
$21,396
1.2 days
—
275
CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC
$46,348
8.3 days
—
276
CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR
$39,043
6.2 days
—
277
CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC
$30,020
3.3 days
—
278
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC
$36,180
7.2 days
—
279
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC
$23,442
3.5 days
—
317
CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION
$43,462
5.1 days
—
318
PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE
$15,744
2.7 days
—
319
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC
$29,009
7.4 days
—
320
OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC
$15,634
2.1 days
—
321
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES
$17,685
3.7 days
—
Medical DRGs 42 diagnoses
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
280
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC
$10,427
4.1 days
—
281
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC
$5,974
2.3 days
—
282
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC
$4,700
1.7 days
—
283
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC
$12,875
3.2 days
—
284
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC
$4,499
1.5 days
—
285
ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC
$3,893
1.1 days
—
286
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC
$14,383
5.4 days
—
287
CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC
$6,956
2.1 days
—
288
ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC
$17,590
7.5 days
—
289
ACUTE AND SUBACUTE ENDOCARDITIS WITH CC
$11,095
5.2 days
—
290
ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC
$6,043
2.9 days
—
291
HEART FAILURE AND SHOCK WITH MCC
$8,345
3.8 days
—
292
HEART FAILURE AND SHOCK WITH CC
$5,519
2.9 days
—
293
HEART FAILURE AND SHOCK WITHOUT CC/MCC
$3,679
2.1 days
—
296
CARDIAC ARREST, UNEXPLAINED WITH MCC
$10,152
2 days
—
297
CARDIAC ARREST, UNEXPLAINED WITH CC
$4,121
1.3 days
—
298
CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC
$2,958
1.1 days
—
299
PERIPHERAL VASCULAR DISORDERS WITH MCC
$10,613
3.9 days
—
300
PERIPHERAL VASCULAR DISORDERS WITH CC
$6,939
3.1 days
—
301
PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC
$4,678
2 days
—
302
ATHEROSCLEROSIS WITH MCC
$7,778
2.9 days
—
303
ATHEROSCLEROSIS WITHOUT MCC
$4,376
1.8 days
—
304
HYPERTENSION WITH MCC
$7,735
3.1 days
—
305
HYPERTENSION WITHOUT MCC
$4,908
2.1 days
—
306
CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC
$10,243
3.8 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.