MS-DRG · 854

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

Medicare inpatient claims for MS-DRG 854. National volume + top hospitals + geographic distribution. Sourced from CMS Medicare Inpatient Hospitals by Provider; refreshed annually.

26,711
DISCHARGES (NATIONAL)
889
HOSPITALS REPORTING
$97K
AVG SUBMITTED CHARGE
$15K
AVG MEDICARE PAYMENT
▸ OVERVIEW

What is MS-DRG 854?

MS-DRG 854 is the Medicare Severity Diagnosis-Related Group for INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC. When a Medicare patient is discharged, the hospital stay is grouped into a single MS-DRG, and Medicare reimburses the hospital a fixed, predetermined amount for that group rather than itemizing each service.

Across the CMS Medicare Inpatient Hospitals by Provider dataset, 889 hospitals reported 26,711 discharges for MS-DRG 854. The average hospital submitted charge was $97K, while the average amount Medicare actually paid was $15K — a 6.5× gap between list price and reimbursement, which is typical for Medicare inpatient claims.

▸ TOP 25 HOSPITALS BY VOLUME

Highest-volume hospitals for MS-DRG 854

#HospitalLocationDischargesAvg chargeAvg payment
1Adventhealth OrlandoOrlando, FL106$145K$13K
2Adventhealth OrlandoOrlando, FL90$127K$13K
3Methodist HospitalSan Antonio, TX56$170K$13K
4Centra HealthLynchburg, VA56$68K$13K
5Kennedy University HospitalCherry Hill, NJ55$123K$16K
6New York Presbyterian HospitalNew York, NY53$203K$24K
7Saint Francis HospitalTulsa, OK51$65K$12K
8Kennedy University HospitalCherry Hill, NJ50$141K$17K
9Bryan Medical CenterLincoln, NE50$62K$13K
10Methodist HospitalSan Antonio, TX50$142K$13K
11Cedars-Sinai Medical CenterLos Angeles, CA49$329K$21K
12Memorial Hermann Hospital SysHouston, TX49$106K$15K
13Baptist Medical CenterJacksonville, FL48$109K$15K
14Norton Hospitals IncLouisville, KY48$54K$13K
15Cedars-Sinai Medical CenterLos Angeles, CA47$390K$24K
16St. Josephs HospitalTampa, FL46$89K$14K
17Iowa Methodist Medical CenterDes Moines, IA46$59K$12K
18Community Medical CenterToms River, NJ46$129K$15K
19Norton Hospitals IncLouisville, KY45$76K$13K
20Cape Cod HospitalHyannis, MA45$34K$19K
21Nyu Langone HospitalsNew York, NY45$225K$22K
22Charleston Area Medical Center Inc.Charleston, WV45$111K$14K
23Presbyterian HospitalAlbuquerque, NM45$53K$13K
24Baptist Medical CenterJacksonville, FL44$134K$14K
25Sutter Roseville Medical CenterRoseville, CA43$85K$17K