Medical Hospital Stay Costs
367 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay
DRG
Description
Type
Avg Medicare Payment
Avg Length of Stay
Discharges
834
ACUTE LEUKEMIA WITH MCC
Medical
$35,684
9.6 days
—
835
ACUTE LEUKEMIA WITH CC
Medical
$13,558
4.4 days
—
836
ACUTE LEUKEMIA WITHOUT CC/MCC
Medical
$7,927
2.9 days
—
837
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC
Medical
$31,228
10.2 days
—
838
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT
Medical
$13,568
5.1 days
—
839
CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
Medical
$9,385
4 days
—
840
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC
Medical
$21,027
6.8 days
—
841
LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC
Medical
$10,604
4 days
—
842
LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC
Medical
$6,568
2.6 days
—
843
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC
Medical
$12,966
5.4 days
—
844
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC
Medical
$7,913
3.7 days
—
845
OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC
Medical
$5,535
2.4 days
—
846
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC
Medical
$16,851
5.8 days
—
847
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC
Medical
$8,503
3.8 days
—
848
CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC
Medical
$5,521
2.6 days
—
849
RADIOTHERAPY
Medical
$17,612
7.1 days
—
862
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC
Medical
$11,854
5 days
—
863
POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC
Medical
$6,486
3.3 days
—
864
FEVER AND INFLAMMATORY CONDITIONS
Medical
$5,770
2.6 days
—
865
VIRAL ILLNESS WITH MCC
Medical
$9,739
4 days
—
866
VIRAL ILLNESS WITHOUT MCC
Medical
$5,652
2.7 days
—
867
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC
Medical
$13,606
5.4 days
—
868
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC
Medical
$6,702
3.4 days
—
869
OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC
Medical
$4,743
2.4 days
—
870
SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS
Medical
$44,927
12.7 days
—
871
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC
Medical
$12,626
4.8 days
—
872
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC
Medical
$6,651
3.4 days
—
880
ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION
Medical
$6,241
2.8 days
—
881
DEPRESSIVE NEUROSES
Medical
$6,116
4.1 days
—
882
NEUROSES EXCEPT DEPRESSIVE
Medical
$6,980
3.4 days
—
883
DISORDERS OF PERSONALITY AND IMPULSE CONTROL
Medical
$12,781
5.8 days
—
884
ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY
Medical
$10,458
4.6 days
—
885
PSYCHOSES
Medical
$9,079
6.5 days
—
886
BEHAVIORAL AND DEVELOPMENTAL DISORDERS
Medical
$13,489
5.9 days
—
887
OTHER MENTAL DISORDER DIAGNOSES
Medical
$6,961
3.1 days
—
894
ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA
Medical
$4,010
2 days
—
895
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY
Medical
$9,201
7.2 days
—
896
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC
Medical
$11,343
4.8 days
—
897
ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC
Medical
$5,738
3.3 days
—
913
TRAUMATIC INJURY WITH MCC
Medical
$10,625
3.9 days
—
914
TRAUMATIC INJURY WITHOUT MCC
Medical
$5,756
2.5 days
—
915
ALLERGIC REACTIONS WITH MCC
Medical
$10,930
3.5 days
—
916
ALLERGIC REACTIONS WITHOUT MCC
Medical
$4,331
1.8 days
—
917
POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
Medical
$10,195
3.7 days
—
918
POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
Medical
$5,571
2.4 days
—
919
COMPLICATIONS OF TREATMENT WITH MCC
Medical
$11,900
4.3 days
—
920
COMPLICATIONS OF TREATMENT WITH CC
Medical
$6,515
2.8 days
—
921
COMPLICATIONS OF TREATMENT WITHOUT CC/MCC
Medical
$4,475
2.1 days
—
922
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
Medical
$11,371
4.2 days
—
923
OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
Medical
$6,615
2.8 days
—
933
EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT
Medical
$25,312
3 days
—
934
FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY
Medical
$14,369
4.9 days
—
935
NON-EXTENSIVE BURNS
Medical
$13,390
3.9 days
—
945
REHABILITATION WITH CC/MCC
Medical
$10,066
5.6 days
—
946
REHABILITATION WITHOUT CC/MCC
Medical
$7,454
4.4 days
—
947
SIGNS AND SYMPTOMS WITH MCC
Medical
$8,251
3.7 days
—
948
SIGNS AND SYMPTOMS WITHOUT MCC
Medical
$5,203
2.6 days
—
949
AFTERCARE WITH CC/MCC
Medical
$7,733
4.3 days
—
950
AFTERCARE WITHOUT CC/MCC
Medical
$4,080
3.2 days
—
951
OTHER FACTORS INFLUENCING HEALTH STATUS
Medical
$3,614
1.8 days
—
963
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC
Medical
$17,770
5.5 days
—
964
OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC
Medical
$9,962
3.9 days
—
965
OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC
Medical
$6,113
2.5 days
—
974
HIV WITH MAJOR RELATED CONDITION WITH MCC
Medical
$18,759
6.6 days
—
975
HIV WITH MAJOR RELATED CONDITION WITH CC
Medical
$8,418
3.9 days
—
976
HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC
Medical
$5,868
3 days
—
977
HIV WITH OR WITHOUT OTHER RELATED CONDITION
Medical
$8,435
3.6 days
—
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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.