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

CERVICAL SPINAL FUSION WITH CC

CERVICAL SPINAL FUSION WITHOUT CC/MCC

AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC

AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC

AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC

HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES

KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC

KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC

KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC

KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC

LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC

LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC

LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC

LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC

LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC

LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC

LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC

SOFT TISSUE PROCEDURES WITH MCC

SOFT TISSUE PROCEDURES WITH CC

SOFT TISSUE PROCEDURES WITHOUT CC/MCC

FOOT PROCEDURES WITH MCC

FOOT PROCEDURES WITH CC

FOOT PROCEDURES WITHOUT CC/MCC

MAJOR THUMB OR JOINT PROCEDURES

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC

SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC

SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC

HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR

BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC

BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC

HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC

HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC

SKIN DEBRIDEMENT WITH MCC

SKIN DEBRIDEMENT WITH CC

SKIN DEBRIDEMENT WITHOUT CC/MCC

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC

SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC

SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC

SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC

SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC

OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC

MASTECTOMY FOR MALIGNANCY WITH CC/MCC

MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC

BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC

BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC

ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC

ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC

AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC

O.R. PROCEDURES FOR OBESITY WITH MCC

O.R. PROCEDURES FOR OBESITY WITH CC

O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC

SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC

SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC

SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC

THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

KIDNEY TRANSPLANT

MAJOR BLADDER PROCEDURES WITH MCC

MAJOR BLADDER PROCEDURES WITH CC

MAJOR BLADDER PROCEDURES WITHOUT CC/MCC

KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC

KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC

KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC

KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC

MINOR BLADDER PROCEDURES WITH MCC

MINOR BLADDER PROCEDURES WITH CC

MINOR BLADDER PROCEDURES WITHOUT CC/MCC

PROSTATECTOMY WITH MCC

PROSTATECTOMY WITH CC

PROSTATECTOMY WITHOUT CC/MCC

TRANSURETHRAL PROCEDURES WITH MCC

TRANSURETHRAL PROCEDURES WITH CC

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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.

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