Medical Hospital Stay Costs

367 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

ALLOGENEIC BONE MARROW TRANSPLANT

AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC

AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC

CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

SPINAL DISORDERS AND INJURIES WITH CC/MCC

SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC

NERVOUS SYSTEM NEOPLASMS WITH MCC

NERVOUS SYSTEM NEOPLASMS WITHOUT MCC

DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC

DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC

MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC

MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC

MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC

ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC

PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC

PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC

TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC

OTHER CEREBROVASCULAR DISORDERS WITH MCC

OTHER CEREBROVASCULAR DISORDERS WITH CC

OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC

CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC

VIRAL MENINGITIS WITH CC/MCC

VIRAL MENINGITIS WITHOUT CC/MCC

NONTRAUMATIC STUPOR AND COMA WITH MCC

NONTRAUMATIC STUPOR AND COMA WITHOUT MCC

TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC

TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC

TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC

TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC

TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC

TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC

CONCUSSION WITH MCC

CONCUSSION WITH CC

CONCUSSION WITHOUT CC/MCC

OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC

BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC

BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC

NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC

NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC

NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC

SEIZURES WITH MCC

SEIZURES WITHOUT MCC

HEADACHES WITH MCC

HEADACHES WITHOUT MCC

ACUTE MAJOR EYE INFECTIONS WITH CC/MCC

ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC

NEUROLOGICAL EYE DISORDERS

OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT

OTHER DISORDERS OF THE EYE WITHOUT MCC

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC

EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC

EPISTAXIS WITH MCC

EPISTAXIS WITHOUT MCC

OTITIS MEDIA AND URI WITH MCC

OTITIS MEDIA AND URI WITHOUT MCC

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC

OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC

DENTAL AND ORAL DISEASES WITH MCC

DENTAL AND ORAL DISEASES WITH CC

DENTAL AND ORAL DISEASES WITHOUT CC/MCC

PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE

PULMONARY EMBOLISM WITHOUT MCC

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC

RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC

RESPIRATORY NEOPLASMS WITH MCC

RESPIRATORY NEOPLASMS WITH CC

RESPIRATORY NEOPLASMS WITHOUT CC/MCC

MAJOR CHEST TRAUMA WITH MCC

MAJOR CHEST TRAUMA WITH CC

MAJOR CHEST TRAUMA WITHOUT CC/MCC

PLEURAL EFFUSION WITH MCC

PLEURAL EFFUSION WITH CC

PLEURAL EFFUSION WITHOUT CC/MCC

PULMONARY EDEMA AND RESPIRATORY FAILURE

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC

CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC

SIMPLE PNEUMONIA AND PLEURISY WITH MCC

SIMPLE PNEUMONIA AND PLEURISY WITH CC

SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC

INTERSTITIAL LUNG DISEASE WITH MCC

INTERSTITIAL LUNG DISEASE WITH CC

INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC

PNEUMOTHORAX WITH MCC

PNEUMOTHORAX WITH CC

PNEUMOTHORAX WITHOUT CC/MCC

BRONCHITIS AND ASTHMA WITH 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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