Hospital Stay Costs by DRG
770 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay
Surgical DRGs 66 procedures
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
617
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
$12,157
5.6 days
—
618
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
$9,219
4.1 days
—
619
O.R. PROCEDURES FOR OBESITY WITH MCC
$18,768
2.8 days
—
620
O.R. PROCEDURES FOR OBESITY WITH CC
$10,402
1.5 days
—
621
O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC
$9,805
1.2 days
—
622
SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC
$23,135
8.6 days
—
623
SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC
$11,660
5.2 days
—
624
SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC
$8,137
3.1 days
—
625
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC
$19,631
5.1 days
—
626
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC
$9,746
1.9 days
—
627
THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC
$8,634
1.3 days
—
628
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC
$24,224
8.3 days
—
629
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC
$14,162
5.9 days
—
630
OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC
$9,487
1.9 days
—
650
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC
$30,559
6.3 days
—
651
KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC
$24,088
5.5 days
—
652
KIDNEY TRANSPLANT
$20,992
4.3 days
—
653
MAJOR BLADDER PROCEDURES WITH MCC
$33,777
9.5 days
—
654
MAJOR BLADDER PROCEDURES WITH CC
$18,195
5.1 days
—
655
MAJOR BLADDER PROCEDURES WITHOUT CC/MCC
$13,758
3.2 days
—
656
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
$20,695
5 days
—
657
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
$11,895
2.5 days
—
658
KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
$10,087
1.6 days
—
659
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
$16,516
5.7 days
—
660
KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
$8,591
2.8 days
—
Medical DRGs 34 diagnoses
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
637
DIABETES WITH MCC
$9,339
3.9 days
—
638
DIABETES WITH CC
$5,825
2.9 days
—
639
DIABETES WITHOUT CC/MCC
$4,038
2.1 days
—
640
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC
$8,681
3.6 days
—
641
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC
$5,058
2.6 days
—
642
INBORN AND OTHER DISORDERS OF METABOLISM
$9,244
3.4 days
—
643
ENDOCRINE DISORDERS WITH MCC
$10,700
4.9 days
—
644
ENDOCRINE DISORDERS WITH CC
$6,663
3.4 days
—
645
ENDOCRINE DISORDERS WITHOUT CC/MCC
$4,994
2.7 days
—
682
RENAL FAILURE WITH MCC
$9,627
4.3 days
—
683
RENAL FAILURE WITH CC
$5,693
3 days
—
684
RENAL FAILURE WITHOUT CC/MCC
$3,902
2.2 days
—
686
KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC
$11,724
5.1 days
—
687
KIDNEY AND URINARY TRACT NEOPLASMS WITH CC
$6,811
3.3 days
—
688
KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC
$5,137
2 days
—
689
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
$7,542
3.8 days
—
690
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
$5,262
2.8 days
—
693
URINARY STONES WITH MCC
$8,739
3.7 days
—
694
URINARY STONES WITHOUT MCC
$5,081
2.1 days
—
695
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC
$7,435
3.6 days
—
696
KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC
$4,479
2.3 days
—
697
URETHRAL STRICTURE
$7,006
2.6 days
—
698
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC
$10,754
4.8 days
—
699
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC
$6,598
3.2 days
—
700
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC
$4,484
2.3 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.