Hospital Stay Costs by DRG
770 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay
Surgical DRGs 64 procedures
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
397
APPENDIX PROCEDURES WITH MCC
$15,567
4.8 days
—
398
APPENDIX PROCEDURES WITH CC
$9,838
2.9 days
—
399
APPENDIX PROCEDURES WITHOUT CC/MCC
$7,441
1.8 days
—
402
SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL
$26,133
2.4 days
—
405
PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC
$35,558
8.4 days
—
406
PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC
$18,851
4.7 days
—
407
PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC
$14,427
3.2 days
—
408
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC
$23,176
7.8 days
—
409
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC
$14,152
4.3 days
—
410
BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC
$10,320
2.9 days
—
411
CHOLECYSTECTOMY WITH C.D.E. WITH MCC
$21,471
5.9 days
—
412
CHOLECYSTECTOMY WITH C.D.E. WITH CC
$13,666
3.8 days
—
413
CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC
$10,793
2.7 days
—
414
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC
$23,157
7.3 days
—
415
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC
$13,434
4.6 days
—
416
CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC
$8,861
2.8 days
—
417
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC
$15,512
4.7 days
—
418
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC
$10,995
3.2 days
—
419
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC
$8,878
2.2 days
—
420
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC
$22,146
6.9 days
—
421
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC
$11,294
3.4 days
—
422
HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC
$9,097
2.3 days
—
423
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC
$26,995
8.1 days
—
424
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC
$14,221
4.5 days
—
425
OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC
$9,752
2.6 days
—
Medical DRGs 36 diagnoses
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
375
DIGESTIVE MALIGNANCY WITH CC
$7,862
3.5 days
—
376
DIGESTIVE MALIGNANCY WITHOUT CC/MCC
$6,008
2.3 days
—
377
GASTROINTESTINAL HEMORRHAGE WITH MCC
$11,882
4.5 days
—
378
GASTROINTESTINAL HEMORRHAGE WITH CC
$6,375
2.9 days
—
379
GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC
$4,098
2 days
—
380
COMPLICATED PEPTIC ULCER WITH MCC
$12,754
5.1 days
—
381
COMPLICATED PEPTIC ULCER WITH CC
$7,043
3.1 days
—
382
COMPLICATED PEPTIC ULCER WITHOUT CC/MCC
$5,204
2.4 days
—
383
UNCOMPLICATED PEPTIC ULCER WITH MCC
$8,975
3.9 days
—
384
UNCOMPLICATED PEPTIC ULCER WITHOUT MCC
$5,556
2.4 days
—
385
INFLAMMATORY BOWEL DISEASE WITH MCC
$10,285
4.8 days
—
386
INFLAMMATORY BOWEL DISEASE WITH CC
$6,346
3.3 days
—
387
INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC
$4,428
2.5 days
—
388
GASTROINTESTINAL OBSTRUCTION WITH MCC
$9,599
4.5 days
—
389
GASTROINTESTINAL OBSTRUCTION WITH CC
$5,134
2.9 days
—
390
GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC
$3,536
2.2 days
—
391
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
$8,244
3.8 days
—
392
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
$5,067
2.5 days
—
393
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
$10,395
4.2 days
—
394
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
$6,082
2.9 days
—
395
OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
$4,219
2 days
—
432
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC
$12,793
4.9 days
—
433
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC
$6,865
3.3 days
—
434
CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC
$4,631
2.3 days
—
435
MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
$11,939
4.8 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.