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

TRANSURETHRAL PROCEDURES WITHOUT CC/MCC

URETHRAL PROCEDURES WITH CC/MCC

URETHRAL PROCEDURES WITHOUT CC/MCC

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

MAJOR MALE PELVIC PROCEDURES WITH CC/MCC

MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC

PENIS PROCEDURES WITH CC/MCC

PENIS PROCEDURES WITHOUT CC/MCC

TESTES PROCEDURES WITH CC/MCC

TESTES PROCEDURES WITHOUT CC/MCC

TRANSURETHRAL PROSTATECTOMY WITH CC/MCC

TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC

PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC

PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC

UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC

UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC

UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC

D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC

VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC

VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC

FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C

POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES

ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

CESAREAN SECTION WITH STERILIZATION WITH MCC

CESAREAN SECTION WITH STERILIZATION WITH CC

CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC

CESAREAN SECTION WITHOUT STERILIZATION WITH MCC

CESAREAN SECTION WITHOUT STERILIZATION WITH CC

CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC

VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC

SPLENIC PROCEDURES WITH MCC

SPLENIC PROCEDURES WITH CC

SPLENIC PROCEDURES WITHOUT CC/MCC

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC

OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC

LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC

LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC

LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC

LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC

MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC

ACUTE LEUKEMIA WITH OTHER PROCEDURES

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC

INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC

POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC

O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS

WOUND DEBRIDEMENTS FOR INJURIES WITH MCC

WOUND DEBRIDEMENTS FOR INJURIES WITH CC

WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC

SKIN GRAFTS FOR INJURIES WITH CC/MCC

SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC

HAND PROCEDURES FOR INJURIES

OTHER O.R. PROCEDURES FOR INJURIES WITH MCC

OTHER O.R. PROCEDURES FOR INJURIES WITH CC

OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT

FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC

FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC

O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC

O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC

O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC

CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC

HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/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.

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