Objective:To analyze the cost of aortic surgery patients under the DRG payment reform and explore potential factors affecting hospitalization costs for aortic surgery patients.Method:The medical insurance patients who underwent FE1 aortic surgery were grouped into ADRG groups as the research subjects,and the patient costs were analyzed from the aspects of age,gender,length of hospital stay,intensive care,ventilator treatment,and surgical procedures.Mann Whitney test and Kruskalwalis test were used to analyze the differences in patient costs,with P<0.05 indicating statistical significance.Result:Among the 126 patients included in the analysis,the hospitalization costs varied among different hospitalization days,admission routes,intensive care,ventilator treatment,and surgical procedures.And the differences were statistically significant(P<0.05).Patients undergoing aortic open surgery had significantly higher costs than those undergoing aortic interventional surgery.Conclusion:Therefore,the operation method is the key factor affecting the cost of FE1 group.When optimizing the DRGs grouping scheme,the patients'disease characteristics in this group should be fully considered and be subdivided from the actual clinical diagnosis and treatment.