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

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC

HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC

ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES

TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES

LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT

LIVER TRANSPLANT WITHOUT MCC

LUNG TRANSPLANT

SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT

PANCREAS TRANSPLANT

TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC

TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC

TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC

SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS

INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC

INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC

INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR

CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC

CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC

SPINAL PROCEDURES WITH MCC

SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS

SPINAL PROCEDURES WITHOUT CC/MCC

VENTRICULAR SHUNT PROCEDURES WITH MCC

VENTRICULAR SHUNT PROCEDURES WITH CC

VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC

CAROTID ARTERY STENT PROCEDURES WITH MCC

CAROTID ARTERY STENT PROCEDURES WITH CC

CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC

EXTRACRANIAL PROCEDURES WITH MCC

EXTRACRANIAL PROCEDURES WITH CC

EXTRACRANIAL PROCEDURES WITHOUT CC/MCC

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR

PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC

ORBITAL PROCEDURES WITH CC/MCC

ORBITAL PROCEDURES WITHOUT CC/MCC

EXTRAOCULAR PROCEDURES EXCEPT ORBIT

INTRAOCULAR PROCEDURES WITH CC/MCC

INTRAOCULAR PROCEDURES WITHOUT CC/MCC

SINUS AND MASTOID PROCEDURES WITH CC/MCC

SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC

MOUTH PROCEDURES WITH CC/MCC

MOUTH PROCEDURES WITHOUT CC/MCC

SALIVARY GLAND PROCEDURES

MAJOR HEAD AND NECK PROCEDURES WITH MCC

MAJOR HEAD AND NECK PROCEDURES WITH CC

MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC

OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC

MAJOR CHEST PROCEDURES WITH MCC

MAJOR CHEST PROCEDURES WITH CC

MAJOR CHEST PROCEDURES WITHOUT CC/MCC

OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC

OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC

OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM

COMPLEX AORTIC ARCH PROCEDURES

CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES

ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES

OTHER HEART ASSIST SYSTEM IMPLANT

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC

CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC

OTHER CARDIOTHORACIC PROCEDURES WITH MCC

OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

CORONARY BYPASS WITH PTCA WITH MCC

CORONARY BYPASS WITH PTCA WITHOUT MCC

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC

CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC

CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC

AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC

AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC

PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC

PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC

PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC

AICD GENERATOR PROCEDURES

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC

PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC

OTHER VASCULAR PROCEDURES WITH MCC

OTHER VASCULAR PROCEDURES WITH CC

OTHER VASCULAR PROCEDURES WITHOUT CC/MCC

UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC

UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC

UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC

CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC

CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC

CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC

VEIN LIGATION AND STRIPPING

OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

AICD LEAD PROCEDURES

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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.