Hospital Stay Costs by DRG
770 Diagnosis-Related Groups with average charges, Medicare payments, and length of stay
Surgical DRGs 42 procedures
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
748
FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES
$9,017
1.4 days
—
749
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC
$16,689
5.1 days
—
750
OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
$9,593
1.9 days
—
768
VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C
$6,965
2.7 days
—
769
POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES
$10,984
3 days
—
770
ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY
$6,518
1.9 days
—
783
CESAREAN SECTION WITH STERILIZATION WITH MCC
$15,958
4.9 days
—
784
CESAREAN SECTION WITH STERILIZATION WITH CC
$6,891
3.1 days
—
785
CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC
$6,226
2.6 days
—
786
CESAREAN SECTION WITHOUT STERILIZATION WITH MCC
$10,722
4.4 days
—
787
CESAREAN SECTION WITHOUT STERILIZATION WITH CC
$7,259
3.4 days
—
788
CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC
$6,232
2.9 days
—
796
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC
$7,586
3.5 days
—
797
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC
$6,503
2.5 days
—
798
VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC
$6,221
2.3 days
—
799
SPLENIC PROCEDURES WITH MCC
$29,438
6.8 days
—
800
SPLENIC PROCEDURES WITH CC
$18,261
3.9 days
—
801
SPLENIC PROCEDURES WITHOUT CC/MCC
$12,408
2.4 days
—
802
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC
$25,897
7.8 days
—
803
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC
$12,083
3.7 days
—
804
OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC
$8,814
1.7 days
—
817
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC
$14,830
3.6 days
—
818
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC
$7,535
2.7 days
—
819
OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC
$5,589
1.6 days
—
820
LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
$38,121
10.7 days
—
Medical DRGs 58 diagnoses
DRG
Description
Avg Medicare Payment
Avg Length of Stay
Discharges
754
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC
$11,971
5.1 days
—
755
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC
$7,071
3.2 days
—
756
MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
$6,243
2 days
—
757
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC
$9,307
4.6 days
—
758
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC
$6,364
3.6 days
—
759
INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC
$4,313
2.4 days
—
760
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC
$6,549
2.8 days
—
761
MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC
$3,708
1.7 days
—
776
POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES
$4,256
2.4 days
—
779
ABORTION WITHOUT D&C
$5,468
1.5 days
—
789
NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY
$11,714
1.8 days
—
790
EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE
$38,633
17.9 days
—
791
PREMATURITY WITH MAJOR PROBLEMS
$26,384
13.3 days
—
792
PREMATURITY WITHOUT MAJOR PROBLEMS
$15,920
8.6 days
—
793
FULL TERM NEONATE WITH MAJOR PROBLEMS
$27,102
4.7 days
—
794
NEONATE WITH OTHER SIGNIFICANT PROBLEMS
$9,593
3.4 days
—
795
NORMAL NEWBORN
$1,299
3.1 days
—
805
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC
$7,015
3 days
—
806
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC
$4,901
2.4 days
—
807
VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC
$4,382
2 days
—
808
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC
$14,351
5.2 days
—
809
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC
$8,228
3.3 days
—
810
MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC
$6,803
2.6 days
—
811
RED BLOOD CELL DISORDERS WITH MCC
$9,128
3.7 days
—
812
RED BLOOD CELL DISORDERS WITHOUT MCC
$5,968
2.7 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.