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DRG Explainer - Understand Your Hospital Stay Payment

Enter a diagnosis code (ICD-10) or DRG number to see how Medicare classifies the hospital stay and what it pays. Add your hospital charges to see how they compare.

Common diagnoses:

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DRG weights and IPPS rates from CMS FY2025 Final Rule. Wage index at state level (CBSA-level variation not shown).

Educational only. Not medical, legal, or financial advice. Actual Medicare payments vary by provider-specific adjustments (DSH, IME, outlier).