Advocate Christ Hospital & Medical Center
4440 W 95th Street, Oak Lawn, IL 60453 · (708) 684-8000
The money
$24what care cost the hospital for every $100 it billed
$190.3Mnet income, all sources
8.6%margin on patient care alone
$17.1Mcost of charity care (1.3% of costs)
$44.3Munpaid bills written off (bad debt)
735beds
From the hospital's Medicare cost report for the year ending December 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.
Hospital stays
Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.
Billed (list price)Actually paid (Medicare + patient)
| Stay | Medicare stays | Billed | Paid | Insurers (median) | |
|---|---|---|---|---|---|
| Sepsis, with major complications 871 | 593 | $84,873 | $23,032 | $32,644$24,767–$42,809 · 11 plans | |
| Heart failure, with major complications 291 | 380 | $55,310 | $14,758 | $21,574$16,368–$28,292 · 11 plans | |
| Heart catheterization, with major complications 286 | 140 | $109,846 | $25,186 | $37,186$28,213–$48,766 · 11 plans | |
| Heart attack, with major complications 280 | 138 | $75,202 | $19,506 | $26,957$20,452–$35,351 · 11 plans | |
| Infection needing surgery, with major complications 853 | 105 | $223,425 | $74,848 | $82,993$62,967–$108,837 · 11 plans | |
| Stomach and digestive disorders 392 | 101 | $32,703 | $9,415 | $13,101$9,940–$17,181 · 11 plans | |
| Respiratory failure 189 | 99 | $43,524 | $12,587 | $20,761$15,751–$27,226 · 11 plans | |
| Stroke, with major complications 064 | 98 | $85,827 | $22,837 | $33,795$25,640–$44,318 · 11 plans | |
| Lung infection, with major complications 177 | 98 | $60,098 | $16,075 | $26,261$19,924–$34,439 · 11 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 97 | $59,701 | $18,074 | $30,720$23,307–$40,285 · 11 plans | |
| Fainting 312 | 95 | $36,082 | $9,621 | $14,647$11,113–$19,208 · 11 plans | |
| Back problems (no surgery) 552 | 83 | $33,161 | $10,842 | $16,155$12,257–$21,185 · 11 plans | |
| Stomach or intestinal bleeding, with complications 378 | 81 | $37,355 | $11,562 | $16,481$12,504–$21,613 · 11 plans | |
| Pneumonia, with major complications 193 | 80 | $47,454 | $14,784 | $22,088$16,759–$28,967 · 11 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 80 | $185,790 | $45,170 | $80,005$60,700–$104,919 · 11 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 79 | $110,435 | $28,212 | $55,317$41,969–$72,542 · 11 plans | |
| Other circulation problems, with major complications 314 | 79 | $94,245 | $23,455 | $35,042$26,586–$45,954 · 11 plans | |
| Kidney failure, with major complications 682 | 78 | $56,613 | $15,571 | $24,888$18,883–$32,638 · 11 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 76 | $48,317 | $13,604 | $22,445$17,029–$29,434 · 11 plans | |
| Urinary tract infection 690 | 74 | $28,217 | $8,944 | $13,604$10,321–$17,840 · 11 plans | |
| Stroke, with complications or clot-busting drug 065 | 70 | $41,460 | $11,293 | $16,978$12,881–$22,265 · 11 plans | |
| Kidney failure, with complications 683 | 70 | $31,512 | $9,909 | $14,718$11,166–$19,301 · 11 plans | |
| Major Chest Procedures with Mcc 163 | 69 | $164,148 | $58,722 | $75,317$57,143–$98,770 · 11 plans | |
| Sepsis 872 | 67 | $42,557 | $12,218 | $17,197$13,047–$22,551 · 11 plans | |
| Irregular heartbeat, with complications 309 | 62 | $31,750 | $8,824 | $12,363$9,380–$16,213 · 11 plans | |
| Other kidney and urinary problems, with major complications 698 | 62 | $54,308 | $17,331 | $27,802$21,094–$36,460 · 11 plans | |
| Other Vascular Procedures with Mcc 252 | 61 | $120,261 | $33,827 | $58,621$44,476–$76,875 · 11 plans | |
| Chest pain 313 | 60 | $28,670 | $8,225 | $12,100$9,180–$15,867 · 11 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 59 | $74,505 | $19,113 | $35,198$26,705–$46,159 · 11 plans | |
| Stomach and digestive disorders, with major complications 391 | 57 | $47,252 | $13,072 | $21,314$16,171–$27,951 · 11 plans | |
| Dehydration and electrolyte problems 641 | 55 | $34,106 | $10,410 | $13,078$9,922–$17,150 · 11 plans | |
| Coagulation Disorders 813 | 54 | $47,798 | $16,870 | $25,633$19,448–$33,615 · 11 plans | |
| Delirium and other mental confusion 884 | 51 | $35,656 | $15,120 | $27,038$20,513–$35,457 · 11 plans | |
| Urinary tract infection, with major complications 689 | 48 | $39,646 | $11,977 | $19,499$14,794–$25,571 · 11 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 46 | $258,963 | $79,307 | $88,668$67,273–$116,279 · 11 plans | |
| Heart catheterization 287 | 46 | $45,615 | $10,760 | $17,983$13,644–$23,583 · 11 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 46 | $180,987 | $45,051 | $78,846$59,820–$103,398 · 11 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 44 | $39,568 | $13,427 | $21,773$16,519–$28,552 · 11 plans | |
| Seizures with Mcc 100 | 44 | $71,672 | $23,138 | $32,548$24,694–$42,683 · 11 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 43 | $233,468 | $79,082 | $98,622$74,825–$129,332 · 11 plans | |
| Anemia and blood disorders, with major complications 811 | 43 | $42,694 | $13,793 | $23,599$17,905–$30,948 · 11 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 41 | $64,317 | $24,399 | $39,040$29,620–$51,196 · 11 plans | |
| Diabetes, with complications 638 | 41 | $37,654 | $9,736 | $15,061$11,427–$19,750 · 11 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 40 | $57,196 | $15,316 | $27,438$20,817–$35,981 · 11 plans | |
| Irregular heartbeat, with major complications 308 | 40 | $45,511 | $12,332 | $20,233$15,351–$26,534 · 11 plans | |
| Heart stent, with major complications or 4+ stents 321 | 38 | $122,492 | $30,430 | $45,723$34,690–$59,961 · 11 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 38 | $55,864 | $17,154 | $26,876$20,391–$35,245 · 11 plans | |
| Hip or knee replacement 470 | 38 | $68,230 | $17,443 | $32,415$24,593–$42,509 · 11 plans | |
| COPD, with major complications 190 | 37 | $44,676 | $11,207 | $18,615$14,123–$24,411 · 11 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 36 | $591,420 | $193,243 | $356,689$270,621–$467,761 · 11 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 35 | $109,576 | $31,139 | $46,192$35,046–$60,576 · 11 plans | |
| Heart attack, with complications 281 | 35 | $40,335 | $13,565 | $15,445$11,719–$20,255 · 11 plans | |
| Bowel surgery, with major complications 329 | 35 | $200,296 | $80,187 | $77,244$58,605–$101,298 · 11 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 34 | $64,640 | $16,581 | $27,977$21,226–$36,689 · 11 plans | |
| Seizures 101 | 34 | $31,400 | $9,537 | $15,168$11,508–$19,892 · 11 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 34 | $240,192 | $65,412 | $102,988$78,137–$135,058 · 11 plans | |
| Heart stent 322 | 34 | $74,570 | $22,223 | $29,627$22,478–$38,853 · 11 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 33 | $74,452 | $21,540 | $23,083$17,513–$30,271 · 11 plans | |
| Peripheral Vascular Disorders with Cc 300 | 33 | $35,144 | $12,338 | $17,939$13,611–$23,526 · 11 plans | |
| Diabetes, with major complications 637 | 32 | $59,274 | $16,097 | $24,144$18,318–$31,662 · 11 plans | |
| Complications of Treatment with Mcc 919 | 32 | $50,623 | $20,698 | $30,767$23,343–$40,347 · 11 plans | |
| High blood pressure 305 | 31 | $31,371 | $7,594 | $12,689$9,628–$16,641 · 11 plans | |
| Digestive Malignancy with Mcc 374 | 30 | $63,875 | $21,333 | $35,941$27,268–$47,133 · 11 plans | |
| Other digestive problems, with complications 394 | 30 | $34,078 | $10,924 | $15,724$11,930–$20,621 · 11 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 30 | $115,124 | $29,000 | $48,941$37,132–$64,181 · 11 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | 30 | $30,291 | $9,261 | $13,950$10,584–$18,294 · 11 plans | |
| Skin infection (cellulitis) 603 | 30 | $30,965 | $9,284 | $14,635$11,104–$19,193 · 11 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 29 | $201,378 | $52,602 | $76,407$57,970–$100,200 · 11 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 29 | $319,624 | $101,647 | $128,478$97,476–$168,485 · 11 plans | |
| Bowel obstruction, with complications 389 | 29 | $30,238 | $8,425 | $13,273$10,070–$17,406 · 11 plans | |
| Dysequilibrium 149 | 28 | $29,318 | $8,956 | $12,631$9,583–$16,564 · 11 plans | |
| Major Chest Procedures with Cc 164 | 28 | $115,462 | $24,211 | $42,416$32,181–$55,624 · 11 plans | |
| Other Vascular Procedures with Cc 253 | 28 | $117,394 | $37,165 | $43,619$33,094–$57,202 · 11 plans | |
| Medical Back Problems with Mcc 551 | 28 | $67,943 | $16,594 | $28,167$21,370–$36,938 · 11 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 27 | $486,433 | $147,584 | $232,773$176,605–$305,257 · 11 plans | |
| Pneumonia, with complications 194 | 27 | $30,600 | $8,371 | $13,543$10,275–$17,760 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 27 | $366,672 | $115,692 | $129,034$97,898–$169,214 · 11 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 27 | $28,751 | $9,842 | $16,188$12,282–$21,229 · 11 plans | |
| Bowel surgery, with complications 330 | 27 | $83,823 | $28,815 | $40,285$30,564–$52,829 · 11 plans | |
| Other kidney and urinary problems, with complications 699 | 27 | $34,242 | $12,554 | $17,057$12,941–$22,369 · 11 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 27 | $249,725 | $70,801 | $116,153$88,125–$152,322 · 11 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 26 | $96,503 | $27,456 | $38,410$29,141–$50,370 · 11 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | 26 | $190,711 | $63,511 | $82,709$62,752–$108,464 · 11 plans | |
| Anemia and blood disorders 812 | 26 | $34,176 | $9,599 | $15,430$11,707–$20,235 · 11 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 25 | $37,593 | $11,093 | $17,323$13,143–$22,717 · 11 plans | |
| Lung infection, with complications 178 | 25 | $35,192 | $9,431 | $16,402$12,444–$21,509 · 11 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 25 | $29,643 | $8,642 | $14,835$11,256–$19,455 · 11 plans | |
| Other Disorders of Nervous System with Cc 092 | 24 | $41,609 | $13,923 | $17,192$13,043–$22,545 · 11 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 23 | $228,441 | $55,289 | $96,298$73,061–$126,284 · 11 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 23 | $53,008 | $14,721 | $24,818$18,829–$32,546 · 11 plans | |
| Signs and Symptoms Without Mcc 948 | 23 | $29,284 | $9,930 | $13,452$10,206–$17,641 · 11 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | 22 | $1,395,649 | $369,991 | $470,942$357,305–$617,591 · 11 plans | |
| Respiratory Neoplasms with Mcc 180 | 22 | $72,883 | $20,831 | $29,678$22,517–$38,919 · 11 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 22 | $76,277 | $32,600 | $29,686$22,523–$38,930 · 11 plans | |
| Endocrine Disorders with Mcc 643 | 22 | $68,251 | $19,529 | $27,663$20,988–$36,277 · 11 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | 21 | $47,880 | $15,423 | $26,960$20,455–$35,356 · 11 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 21 | $156,988 | $39,138 | $70,971$53,846–$93,071 · 11 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 21 | $228,430 | $58,769 | – | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 21 | $76,788 | $24,056 | $33,613$25,503–$44,080 · 11 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 21 | $77,659 | $25,527 | $33,578$25,476–$44,034 · 11 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 21 | $155,962 | $40,386 | $64,519$48,951–$84,610 · 11 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 21 | $90,522 | $20,263 | $41,315$31,346–$54,180 · 11 plans | |
| Other Disorders of Nervous System with Mcc 091 | 20 | $78,736 | $22,210 | $29,513$22,392–$38,703 · 11 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 20 | $53,987 | $16,156 | $28,079$21,304–$36,823 · 11 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 20 | $93,190 | $22,688 | $42,619$32,335–$55,891 · 11 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 20 | $150,955 | $41,009 | $54,362$41,245–$71,291 · 11 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 20 | $49,203 | $18,924 | $29,326$22,250–$38,459 · 11 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 19 | $32,699 | $7,927 | $11,501$8,726–$15,083 · 11 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 18 | $222,022 | $57,237 | $108,135$82,042–$141,808 · 11 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 18 | $66,556 | $24,435 | $33,076$25,095–$43,375 · 11 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 18 | $87,240 | $20,513 | $30,866$23,418–$40,477 · 11 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 18 | $28,998 | $8,255 | $13,958$10,590–$18,305 · 11 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 17 | $29,598 | $10,248 | $14,167$10,748–$18,578 · 11 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 17 | $35,757 | $10,222 | $17,276$13,107–$22,655 · 11 plans | |
| Fracture or sprain (not hip or thigh) 563 | 17 | $30,412 | $9,248 | $15,049$11,418–$19,735 · 11 plans | |
| Cellulitis with Mcc 602 | 17 | $51,956 | $15,857 | $23,885$18,122–$31,323 · 11 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 17 | $170,793 | $71,450 | $70,608$53,570–$92,595 · 11 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 17 | $190,866 | $70,583 | $76,441$57,996–$100,244 · 11 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 17 | $88,594 | $25,159 | $35,988$27,304–$47,194 · 11 plans | |
| Nervous System Neoplasms with Mcc 054 | 16 | $87,781 | $15,737 | $25,660$19,468–$33,650 · 11 plans | |
| Pleural Effusion with Mcc 186 | 16 | $65,637 | $17,579 | $26,191$19,871–$34,346 · 11 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 15 | $45,888 | $12,629 | $17,242$13,082–$22,611 · 11 plans | |
| Interstitial Lung Disease with Mcc 196 | 15 | $98,478 | $28,222 | $31,714$24,062–$41,590 · 11 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 15 | $93,237 | $17,255 | $30,770$23,345–$40,352 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 15 | $325,457 | $114,246 | $164,400$124,731–$215,593 · 11 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 15 | $72,076 | $16,892 | $27,396$20,785–$35,926 · 11 plans | |
| Minor Skin Disorders Without Mcc 607 | 15 | $23,998 | $8,807 | $15,232$11,557–$19,975 · 11 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 15 | $57,255 | $18,082 | $26,357$19,997–$34,564 · 11 plans | |
| Complications of Treatment with Cc 920 | 15 | $22,651 | $10,025 | $16,844$12,779–$22,089 · 11 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | 15 | $171,932 | $41,199 | $63,237$47,978–$82,929 · 11 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | 14 | $162,901 | $56,508 | $62,812$47,656–$82,371 · 11 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 14 | $34,703 | $9,125 | $16,321$12,383–$21,403 · 11 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 14 | $86,317 | $31,454 | $53,655$40,708–$70,363 · 11 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 14 | $67,797 | $20,525 | $35,810$27,169–$46,961 · 11 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 14 | $108,044 | $56,246 | $59,764$45,343–$78,374 · 11 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 13 | $46,543 | $10,888 | $21,892$16,609–$28,709 · 11 plans | |
| Headaches Without Mcc 103 | 13 | $32,601 | $13,079 | $14,054$10,663–$18,430 · 11 plans | |
| Dental and Oral Diseases with Cc 158 | 13 | $38,787 | $9,502 | $15,289$11,600–$20,050 · 11 plans | |
| Pulmonary Embolism Without Mcc 176 | 13 | $35,951 | $11,122 | $13,528$10,264–$17,741 · 11 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | 13 | $226,589 | $61,720 | $83,141$63,079–$109,031 · 11 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | 13 | $201,156 | $51,544 | $91,801$69,649–$120,387 · 11 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | 13 | $84,863 | $24,654 | $33,287$25,255–$43,653 · 11 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | 13 | $215,635 | $53,244 | $72,722$55,174–$95,367 · 11 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 13 | $45,077 | $16,287 | $29,797$22,607–$39,076 · 11 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 13 | $63,659 | $30,660 | $30,160$22,882–$39,552 · 11 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 13 | $105,177 | $27,095 | $48,234$36,595–$63,253 · 11 plans | |
| Hip replacement after a hip fracture 522 | 13 | $78,209 | $19,530 | $35,588$27,001–$46,670 · 11 plans | |
| Connective Tissue Disorders with Mcc 545 | 13 | $102,383 | $25,012 | $41,705$31,642–$54,692 · 11 plans | |
| Kidney Transplant 652 | 13 | $308,889 | $31,704 | $54,272$41,176–$71,172 · 11 plans | |
| Psychoses 885 | 13 | $24,072 | $12,612 | $23,473$17,809–$30,783 · 11 plans | |
| Signs and Symptoms with Mcc 947 | 13 | $49,402 | $11,688 | $21,332$16,185–$27,975 · 11 plans | |
| Other Factors Influencing Health Status 951 | 13 | $21,827 | $6,182 | $9,344$7,089–$12,253 · 11 plans | |
| Extracranial Procedures with Cc 038 | 12 | $50,809 | $21,092 | $27,268$20,688–$35,759 · 11 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 12 | $44,056 | $10,716 | $19,754$14,988–$25,906 · 11 plans | |
| Mini-stroke (TIA) 069 | 12 | $41,178 | $8,397 | $13,424$10,185–$17,604 · 11 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 12 | $161,551 | $41,341 | $70,393$53,407–$92,313 · 11 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | 12 | $121,085 | $25,518 | $47,903$36,344–$62,819 · 11 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 12 | $162,223 | $41,085 | $69,329$52,600–$90,918 · 11 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 12 | $237,655 | $58,373 | $83,813$63,589–$109,912 · 11 plans | |
| Disorders of the Biliary Tract with Cc 445 | 12 | $45,823 | $11,036 | $18,391$13,954–$24,118 · 11 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 11 | $49,010 | $18,260 | $38,179$28,967–$50,068 · 11 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | 11 | $30,442 | $7,810 | $13,382$10,153–$17,549 · 11 plans | |
| Respiratory Neoplasms with Cc 181 | 11 | $52,571 | $14,904 | $17,998$13,655–$23,603 · 11 plans | |
| Other Circulatory System O.r. Procedures 264 | 11 | $207,804 | $48,467 | $56,139$42,593–$73,620 · 11 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | 11 | $116,679 | $46,302 | $95,780$72,669–$125,606 · 11 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 11 | $74,295 | $21,601 | $34,922$26,496–$45,797 · 11 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 11 | $30,694 | $7,789 | $13,572$10,297–$17,798 · 11 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | 11 | $33,824 | $10,682 | $16,375$12,424–$21,474 · 11 plans | |
| Ms-Drg 002 002 | – | – | – | $190,431$144,480–$249,730 · 11 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $173,268$131,459–$227,223 · 11 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $77,925$59,122–$102,190 · 11 plans | |
| Lung Transplant 007 | – | – | – | $217,628$165,115–$285,397 · 11 plans | |
| Ms-Drg 008 008 | – | – | – | $94,185$71,459–$123,514 · 11 plans | |
| Ms-Drg 010 010 | – | – | – | $120,588$91,490–$158,138 · 11 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $91,656$69,540–$120,197 · 11 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $70,850$53,754–$92,912 · 11 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $48,429$36,743–$63,509 · 11 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $201,961$153,228–$264,850 · 11 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $99,649$75,604–$130,679 · 11 plans | |
| Ms-Drg 017 017 | – | – | – | $91,290$69,262–$119,717 · 11 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $725,687$550,581–$951,663 · 11 plans | |
| Ms-Drg 019 019 | – | – | – | $119,897$90,966–$157,232 · 11 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $132,235$100,327–$173,413 · 11 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $88,962$67,496–$116,665 · 11 plans | |
| Ms-Drg 022 022 | – | – | – | $53,396$40,512–$70,024 · 11 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $65,739$49,877–$86,210 · 11 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $52,250$39,642–$68,521 · 11 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $42,397$32,167–$55,600 · 11 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $100,969$76,606–$132,411 · 11 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $57,332$43,498–$75,185 · 11 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $36,890$27,989–$48,378 · 11 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $75,295$57,126–$98,741 · 11 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $35,811$27,170–$46,963 · 11 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $27,945$21,202–$36,647 · 11 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $65,047$49,351–$85,302 · 11 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $40,172$30,479–$52,682 · 11 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $32,649$24,771–$42,815 · 11 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $55,324$41,974–$72,551 · 11 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $64,887$49,230–$85,093 · 11 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $36,949$28,033–$48,455 · 11 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $29,034$22,028–$38,075 · 11 plans | |
| Ms-Drg 052 052 | – | – | – | $30,439$23,094–$39,917 · 11 plans | |
| Ms-Drg 053 053 | – | – | – | $16,455$12,485–$21,580 · 11 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $17,134$13,000–$22,470 · 11 plans | |
| Ms-Drg 058 058 | – | – | – | $28,728$21,796–$37,674 · 11 plans | |
| Ms-Drg 059 059 | – | – | – | $20,853$15,821–$27,347 · 11 plans | |
| Ms-Drg 060 060 | – | – | – | $15,457$11,727–$20,271 · 11 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $46,333$35,153–$60,761 · 11 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $29,530$22,404–$38,725 · 11 plans | |
| Ms-Drg 063 063 | – | – | – | $23,591$17,898–$30,937 · 11 plans | |
| Ms-Drg 067 067 | – | – | – | $24,682$18,726–$32,367 · 11 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $14,526$11,021–$19,050 · 11 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $12,708$9,642–$16,665 · 11 plans | |
| Ms-Drg 075 075 | – | – | – | $32,224$24,448–$42,258 · 11 plans | |
| Ms-Drg 076 076 | – | – | – | $13,867$10,521–$18,186 · 11 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $30,417$23,078–$39,889 · 11 plans | |
| Ms-Drg 081 081 | – | – | – | $15,051$11,419–$19,737 · 11 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $23,456$17,796–$30,761 · 11 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $16,062$12,186–$21,064 · 11 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $15,372$11,662–$20,158 · 11 plans | |
| Concussion with Mcc 088 | – | – | – | $22,717$17,235–$29,791 · 11 plans | |
| Concussion with Cc 089 | – | – | – | $18,462$14,007–$24,211 · 11 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $13,834$10,496–$18,142 · 11 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $59,144$44,872–$77,561 · 11 plans | |
| Ms-Drg 095 095 | – | – | – | $43,343$32,885–$56,840 · 11 plans | |
| Ms-Drg 096 096 | – | – | – | $43,343$32,885–$56,840 · 11 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $60,696$46,050–$79,597 · 11 plans | |
| Ms-Drg 098 098 | – | – | – | $38,566$29,260–$50,575 · 11 plans | |
| Ms-Drg 099 099 | – | – | – | $22,895$17,371–$30,025 · 11 plans | |
| Headaches with Mcc 102 | – | – | – | $18,837$14,291–$24,702 · 11 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $39,510$29,977–$51,814 · 11 plans | |
| Ms-Drg 114 114 | – | – | – | $22,737$17,251–$29,817 · 11 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $25,794$19,570–$33,826 · 11 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $30,385$23,053–$39,847 · 11 plans | |
| Ms-Drg 117 117 | – | – | – | $18,232$13,832–$23,909 · 11 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $19,549$14,832–$25,637 · 11 plans | |
| Ms-Drg 122 122 | – | – | – | $13,205$10,019–$17,317 · 11 plans | |
| Neurological Eye Disorders 123 | – | – | – | $13,420$10,182–$17,600 · 11 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $22,235$16,870–$29,158 · 11 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $12,903$9,789–$16,921 · 11 plans | |
| Ms-Drg 135 135 | – | – | – | $36,467$27,668–$47,822 · 11 plans | |
| Ms-Drg 136 136 | – | – | – | $17,062$12,945–$22,375 · 11 plans | |
| Ms-Drg 137 137 | – | – | – | $25,093$19,038–$32,907 · 11 plans | |
| Ms-Drg 138 138 | – | – | – | $14,893$11,299–$19,530 · 11 plans | |
| Ms-Drg 139 139 | – | – | – | $20,766$15,755–$27,232 · 11 plans | |
| Ms-Drg 140 140 | – | – | – | $71,678$54,383–$93,999 · 11 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $36,653$27,809–$48,067 · 11 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $26,828$20,354–$35,181 · 11 plans | |
| Ms-Drg 143 143 | – | – | – | $62,962$47,769–$82,568 · 11 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $29,121$22,094–$38,190 · 11 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $20,205$15,329–$26,496 · 11 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $35,583$26,997–$46,663 · 11 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $21,368$16,212–$28,021 · 11 plans | |
| Ms-Drg 148 148 | – | – | – | $13,395$10,163–$17,566 · 11 plans | |
| Ms-Drg 150 150 | – | – | – | $22,376$16,977–$29,344 · 11 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $12,335$9,359–$16,176 · 11 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $19,867$15,073–$26,053 · 11 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $12,405$9,412–$16,268 · 11 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $26,275$19,935–$34,456 · 11 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $15,402$11,685–$20,198 · 11 plans | |
| Ms-Drg 156 156 | – | – | – | $11,614$8,812–$15,230 · 11 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $28,851$21,889–$37,835 · 11 plans | |
| Ms-Drg 159 159 | – | – | – | $11,906$9,033–$15,614 · 11 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $32,168$24,406–$42,185 · 11 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $30,306$22,993–$39,743 · 11 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $22,962$17,422–$30,113 · 11 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $50,018$37,949–$65,594 · 11 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $12,688$9,626–$16,639 · 11 plans | |
| Ms-Drg 182 182 | – | – | – | $12,668$9,611–$16,612 · 11 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $25,710$19,506–$33,716 · 11 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $17,882$13,567–$23,451 · 11 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $13,217$10,028–$17,333 · 11 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $16,622$12,611–$21,798 · 11 plans | |
| Ms-Drg 188 188 | – | – | – | $12,053$9,144–$15,806 · 11 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $10,789$8,186–$14,148 · 11 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $10,562$8,013–$13,851 · 11 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $15,950$12,101–$20,916 · 11 plans | |
| Ms-Drg 198 198 | – | – | – | $12,036$9,132–$15,784 · 11 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $29,646$22,492–$38,877 · 11 plans | |
| Pneumothorax with Cc 200 | – | – | – | $18,474$14,016–$24,226 · 11 plans | |
| Ms-Drg 201 201 | – | – | – | $12,017$9,118–$15,759 · 11 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $11,259$8,543–$14,765 · 11 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $13,568$10,294–$17,793 · 11 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $15,815$11,999–$20,740 · 11 plans | |
| Ms-Drg 209 209 | – | – | – | $190,212$144,315–$249,444 · 11 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $182,739$138,645–$239,643 · 11 plans | |
| Ms-Drg 213 213 | – | – | – | $95,904$72,763–$125,769 · 11 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $167,327$126,952–$219,432 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $110,498$83,835–$144,906 · 11 plans | |
| Ms-Drg 218 218 | – | – | – | $110,498$83,835–$144,906 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $89,618$67,993–$117,524 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $84,701$64,263–$111,076 · 11 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $52,927$40,156–$69,409 · 11 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $141,664$107,481–$185,778 · 11 plans | |
| Ms-Drg 232 232 | – | – | – | $101,882$77,298–$133,608 · 11 plans | |
| Ms-Drg 241 241 | – | – | – | $23,265$17,651–$30,509 · 11 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $30,375$23,046–$39,834 · 11 plans | |
| Ms-Drg 245 245 | – | – | – | $76,671$58,171–$100,546 · 11 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $36,677$27,827–$48,098 · 11 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $25,115$19,055–$32,936 · 11 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $29,941$22,717–$39,265 · 11 plans | |
| Ms-Drg 255 255 | – | – | – | $45,330$34,392–$59,445 · 11 plans | |
| Ms-Drg 256 256 | – | – | – | $28,533$21,648–$37,418 · 11 plans | |
| Ms-Drg 257 257 | – | – | – | $18,354$13,926–$24,070 · 11 plans | |
| Ms-Drg 258 258 | – | – | – | $52,803$40,062–$69,246 · 11 plans | |
| Ms-Drg 259 259 | – | – | – | $33,981$25,782–$44,563 · 11 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $54,663$41,473–$71,685 · 11 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $31,770$24,104–$41,663 · 11 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $27,390$20,781–$35,920 · 11 plans | |
| Ms-Drg 263 263 | – | – | – | $51,380$38,982–$67,379 · 11 plans | |
| Ms-Drg 265 265 | – | – | – | $60,804$46,132–$79,738 · 11 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $115,583$87,693–$151,575 · 11 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $42,903$32,551–$56,263 · 11 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $119,826$90,913–$157,140 · 11 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $100,941$76,584–$132,373 · 11 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $77,614$58,886–$101,783 · 11 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $93,540$70,969–$122,668 · 11 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $60,606$45,982–$79,478 · 11 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $12,152$9,220–$15,936 · 11 plans | |
| Ms-Drg 284 284 | – | – | – | $11,632$8,826–$15,255 · 11 plans | |
| Ms-Drg 285 285 | – | – | – | $10,065$7,636–$13,199 · 11 plans | |
| Ms-Drg 288 288 | – | – | – | $45,478$34,504–$59,639 · 11 plans | |
| Ms-Drg 289 289 | – | – | – | $28,684$21,763–$37,617 · 11 plans | |
| Ms-Drg 290 290 | – | – | – | $15,624$11,854–$20,489 · 11 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $14,267$10,825–$18,710 · 11 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $9,512$7,217–$12,474 · 11 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $26,248$19,914–$34,421 · 11 plans | |
| Ms-Drg 297 297 | – | – | – | $10,654$8,084–$13,972 · 11 plans | |
| Ms-Drg 298 298 | – | – | – | $7,648$5,803–$10,029 · 11 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $12,095$9,176–$15,861 · 11 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $20,109$15,257–$26,371 · 11 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $11,313$8,583–$14,836 · 11 plans | |
| Hypertension with Mcc 304 | – | – | – | $19,998$15,173–$26,225 · 11 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $26,481$20,091–$34,727 · 11 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $15,346$11,643–$20,125 · 11 plans | |
| Irregular heartbeat 310 | – | – | – | $9,513$7,218–$12,476 · 11 plans | |
| Angina Pectoris 311 | – | – | – | $11,795$8,949–$15,468 · 11 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $11,463$8,697–$15,032 · 11 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $112,367$85,253–$147,357 · 11 plans | |
| Ms-Drg 318 318 | – | – | – | $40,705$30,883–$53,380 · 11 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $74,999$56,902–$98,353 · 11 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $40,421$30,668–$53,008 · 11 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $52,953$40,175–$69,442 · 11 plans | |
| Ms-Drg 325 325 | – | – | – | $53,951$40,933–$70,751 · 11 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $41,075$31,164–$53,865 · 11 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $26,927$20,429–$35,311 · 11 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $28,281$21,457–$37,088 · 11 plans | |
| Ms-Drg 332 332 | – | – | – | $60,846$46,164–$79,793 · 11 plans | |
| Ms-Drg 333 333 | – | – | – | $39,361$29,863–$51,617 · 11 plans | |
| Ms-Drg 334 334 | – | – | – | $27,525$20,883–$36,096 · 11 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $60,009$45,529–$78,695 · 11 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $35,437$26,886–$46,472 · 11 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $25,796$19,571–$33,828 · 11 plans | |
| Ms-Drg 344 344 | – | – | – | $43,404$32,931–$56,920 · 11 plans | |
| Ms-Drg 345 345 | – | – | – | $25,286$19,185–$33,161 · 11 plans | |
| Ms-Drg 346 346 | – | – | – | $19,934$15,124–$26,141 · 11 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $38,578$29,269–$50,590 · 11 plans | |
| Ms-Drg 348 348 | – | – | – | $21,994$16,687–$28,843 · 11 plans | |
| Ms-Drg 349 349 | – | – | – | $14,630$11,100–$19,186 · 11 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $41,876$31,772–$54,916 · 11 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $25,619$19,437–$33,597 · 11 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $19,625$14,889–$25,736 · 11 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $48,768$37,001–$63,954 · 11 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $28,273$21,451–$37,077 · 11 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $22,603$17,149–$29,641 · 11 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $73,821$56,008–$96,809 · 11 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $39,080$29,650–$51,249 · 11 plans | |
| Ms-Drg 358 358 | – | – | – | $23,492$17,823–$30,807 · 11 plans | |
| Ms-Drg 359 359 | – | – | – | $57,786$43,842–$75,780 · 11 plans | |
| Ms-Drg 360 360 | – | – | – | $40,572$30,782–$53,206 · 11 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $26,752$20,297–$35,082 · 11 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $16,808$12,753–$22,042 · 11 plans | |
| Ms-Drg 370 370 | – | – | – | $11,777$8,935–$15,444 · 11 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $17,158$13,018–$22,501 · 11 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $12,224$9,274–$16,030 · 11 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $20,327$15,422–$26,657 · 11 plans | |
| Ms-Drg 376 376 | – | – | – | $15,533$11,785–$20,370 · 11 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $10,594$8,038–$13,893 · 11 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $32,975$25,018–$43,243 · 11 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $18,208$13,815–$23,878 · 11 plans | |
| Ms-Drg 382 382 | – | – | – | $13,454$10,208–$17,644 · 11 plans | |
| Ms-Drg 383 383 | – | – | – | $23,203$17,604–$30,428 · 11 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $14,365$10,899–$18,838 · 11 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $26,591$20,174–$34,871 · 11 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $16,407$12,448–$21,516 · 11 plans | |
| Ms-Drg 387 387 | – | – | – | $11,449$8,687–$15,014 · 11 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $9,142$6,936–$11,989 · 11 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $10,906$8,275–$14,303 · 11 plans | |
| Ms-Drg 397 397 | – | – | – | $40,246$30,535–$52,779 · 11 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $25,436$19,298–$33,357 · 11 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $19,237$14,595–$25,227 · 11 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $67,565$51,261–$88,604 · 11 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $91,932$69,749–$120,559 · 11 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $48,738$36,978–$63,915 · 11 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $37,300$28,300–$48,916 · 11 plans | |
| Ms-Drg 408 408 | – | – | – | $59,920$45,461–$78,579 · 11 plans | |
| Ms-Drg 409 409 | – | – | – | $36,590$27,761–$47,983 · 11 plans | |
| Ms-Drg 410 410 | – | – | – | $26,681$20,243–$34,990 · 11 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $55,512$42,117–$72,798 · 11 plans | |
| Ms-Drg 412 412 | – | – | – | $35,333$26,807–$46,335 · 11 plans | |
| Ms-Drg 413 413 | – | – | – | $27,905$21,171–$36,594 · 11 plans | |
| Ms-Drg 414 414 | – | – | – | $59,869$45,423–$78,513 · 11 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $34,731$26,350–$45,546 · 11 plans | |
| Ms-Drg 416 416 | – | – | – | $22,910$17,382–$30,044 · 11 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $40,103$30,427–$52,591 · 11 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | – | – | – | $28,427$21,568–$37,279 · 11 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $22,952$17,414–$30,100 · 11 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $57,256$43,441–$75,086 · 11 plans | |
| Ms-Drg 421 421 | – | – | – | $29,199$22,153–$38,291 · 11 plans | |
| Ms-Drg 422 422 | – | – | – | $23,519$17,844–$30,842 · 11 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $69,791$52,951–$91,524 · 11 plans | |
| Ms-Drg 424 424 | – | – | – | $36,768$27,896–$48,217 · 11 plans | |
| Ms-Drg 425 425 | – | – | – | $25,213$19,129–$33,064 · 11 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $185,211$140,520–$242,885 · 11 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $121,309$92,037–$159,084 · 11 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $94,478$71,681–$123,898 · 11 plans | |
| Ms-Drg 429 429 | – | – | – | $151,406$114,872–$198,554 · 11 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $96,916$73,531–$127,095 · 11 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $17,749$13,467–$23,277 · 11 plans | |
| Ms-Drg 434 434 | – | – | – | $11,974$9,084–$15,702 · 11 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $19,008$14,422–$24,927 · 11 plans | |
| Ms-Drg 437 437 | – | – | – | $14,340$10,880–$18,805 · 11 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $14,136$10,725–$18,538 · 11 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $10,443$7,923–$13,694 · 11 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $16,222$12,308–$21,273 · 11 plans | |
| Ms-Drg 443 443 | – | – | – | $11,758$8,921–$15,420 · 11 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $13,903$10,548–$18,232 · 11 plans | |
| Ms-Drg 447 447 | – | – | – | $112,284$85,190–$147,249 · 11 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $71,267$54,070–$93,459 · 11 plans | |
| Ms-Drg 450 450 | – | – | – | $89,564$67,952–$117,454 · 11 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $54,287$41,188–$71,192 · 11 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $141,219$107,143–$185,194 · 11 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $100,210$76,030–$131,415 · 11 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $70,121$53,201–$91,956 · 11 plans | |
| Ms-Drg 461 461 | – | – | – | $92,814$70,418–$121,716 · 11 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $44,701$33,915–$58,621 · 11 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $52,343$39,712–$68,642 · 11 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $30,647$23,252–$40,191 · 11 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $87,477$66,369–$114,717 · 11 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $59,265$44,964–$77,719 · 11 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $46,180$35,037–$60,560 · 11 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $50,973$38,673–$66,846 · 11 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $81,146$61,566–$106,415 · 11 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $49,509$37,563–$64,926 · 11 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $41,026$31,127–$53,801 · 11 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $72,142$54,734–$94,607 · 11 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $38,243$29,015–$50,152 · 11 plans | |
| Ms-Drg 476 476 | – | – | – | $19,833$15,048–$26,009 · 11 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $58,055$44,046–$76,132 · 11 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $41,327$31,355–$54,196 · 11 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $31,239$23,701–$40,966 · 11 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $27,409$20,795–$35,944 · 11 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $46,582$35,342–$61,087 · 11 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $54,231$41,146–$71,119 · 11 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $35,141$26,662–$46,084 · 11 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $26,320$19,969–$34,516 · 11 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $29,726$22,553–$38,983 · 11 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $18,768$14,239–$24,612 · 11 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $61,701$46,813–$80,915 · 11 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $33,719$25,583–$44,219 · 11 plans | |
| Ms-Drg 495 495 | – | – | – | $60,930$46,228–$79,903 · 11 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $30,315$23,000–$39,754 · 11 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $20,305$15,406–$26,629 · 11 plans | |
| Ms-Drg 498 498 | – | – | – | $50,697$38,464–$66,484 · 11 plans | |
| Ms-Drg 499 499 | – | – | – | $33,859$25,689–$44,402 · 11 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $53,184$40,351–$69,746 · 11 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $29,377$22,288–$38,525 · 11 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $22,618$17,160–$29,661 · 11 plans | |
| Ms-Drg 503 503 | – | – | – | $46,904$35,587–$61,510 · 11 plans | |
| Foot Procedures with Cc 504 | – | – | – | $31,412$23,832–$41,193 · 11 plans | |
| Ms-Drg 505 505 | – | – | – | $30,128$22,858–$39,510 · 11 plans | |
| Ms-Drg 506 506 | – | – | – | $22,673$17,202–$29,734 · 11 plans | |
| Ms-Drg 507 507 | – | – | – | $30,357$23,032–$39,809 · 11 plans | |
| Ms-Drg 508 508 | – | – | – | $25,449$19,309–$33,374 · 11 plans | |
| Ms-Drg 510 510 | – | – | – | $50,760$38,511–$66,566 · 11 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $34,944$26,512–$45,826 · 11 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $27,819$21,106–$36,482 · 11 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $26,456$20,072–$34,694 · 11 plans | |
| Ms-Drg 514 514 | – | – | – | $17,180$13,034–$22,529 · 11 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $53,556$40,633–$70,233 · 11 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $25,824$19,593–$33,866 · 11 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $62,805$47,651–$82,363 · 11 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $25,105$19,047–$32,923 · 11 plans | |
| Ms-Drg 533 533 | – | – | – | $26,345$19,988–$34,549 · 11 plans | |
| Ms-Drg 534 534 | – | – | – | $13,547$10,278–$17,765 · 11 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $21,544$16,346–$28,253 · 11 plans | |
| Ms-Drg 537 537 | – | – | – | $16,037$12,167–$21,031 · 11 plans | |
| Ms-Drg 538 538 | – | – | – | $12,105$9,184–$15,874 · 11 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $33,101$25,114–$43,408 · 11 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $21,784$16,528–$28,568 · 11 plans | |
| Ms-Drg 541 541 | – | – | – | $13,232$10,039–$17,353 · 11 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $12,681$9,621–$16,630 · 11 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $19,383$14,706–$25,419 · 11 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $14,052$10,662–$18,428 · 11 plans | |
| Ms-Drg 548 548 | – | – | – | $32,449$24,619–$42,553 · 11 plans | |
| Ms-Drg 549 549 | – | – | – | $20,287$15,392–$26,604 · 11 plans | |
| Ms-Drg 550 550 | – | – | – | $14,689$11,145–$19,263 · 11 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $21,784$16,528–$28,568 · 11 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $22,213$16,853–$29,130 · 11 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $24,987$18,958–$32,768 · 11 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $15,010$11,388–$19,684 · 11 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $31,340$23,777–$41,099 · 11 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $18,924$14,358–$24,817 · 11 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $13,510$10,250–$17,716 · 11 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $23,944$18,166–$31,400 · 11 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $25,940$19,681–$34,018 · 11 plans | |
| Ms-Drg 566 566 | – | – | – | $12,592$9,554–$16,513 · 11 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $49,425$37,499–$64,816 · 11 plans | |
| Skin Debridement with Cc 571 | – | – | – | $28,392$21,541–$37,233 · 11 plans | |
| Ms-Drg 572 572 | – | – | – | $19,264$14,615–$25,262 · 11 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $110,096$83,530–$144,380 · 11 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $58,337$44,260–$76,503 · 11 plans | |
| Ms-Drg 575 575 | – | – | – | $30,199$22,912–$39,602 · 11 plans | |
| Ms-Drg 576 576 | – | – | – | $82,365$62,490–$108,013 · 11 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $44,545$33,796–$58,416 · 11 plans | |
| Ms-Drg 578 578 | – | – | – | $26,996$20,482–$35,402 · 11 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $54,423$41,291–$71,370 · 11 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $29,039$22,032–$38,082 · 11 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $24,251$18,400–$31,803 · 11 plans | |
| Ms-Drg 582 582 | – | – | – | $32,377$24,564–$42,458 · 11 plans | |
| Ms-Drg 583 583 | – | – | – | $28,979$21,986–$38,002 · 11 plans | |
| Ms-Drg 584 584 | – | – | – | $35,974$27,294–$47,177 · 11 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $32,419$24,596–$42,514 · 11 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $32,523$24,675–$42,650 · 11 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $19,936$15,125–$26,144 · 11 plans | |
| Ms-Drg 594 594 | – | – | – | $14,567$11,052–$19,103 · 11 plans | |
| Ms-Drg 595 595 | – | – | – | $35,638$27,039–$46,736 · 11 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $18,191$13,802–$23,856 · 11 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $28,016$21,256–$36,740 · 11 plans | |
| Ms-Drg 598 598 | – | – | – | $19,012$14,424–$24,932 · 11 plans | |
| Ms-Drg 599 599 | – | – | – | $12,930$9,810–$16,956 · 11 plans | |
| Ms-Drg 600 600 | – | – | – | $17,504$13,280–$22,955 · 11 plans | |
| Ms-Drg 601 601 | – | – | – | $10,167$7,714–$13,333 · 11 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $24,739$18,769–$32,442 · 11 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $15,393$11,679–$20,187 · 11 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $25,429$19,293–$33,348 · 11 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $36,833$27,945–$48,303 · 11 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $23,515$17,841–$30,838 · 11 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $58,606$44,464–$76,855 · 11 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $31,430$23,846–$41,218 · 11 plans | |
| Ms-Drg 618 618 | – | – | – | $23,835$18,083–$31,257 · 11 plans | |
| Ms-Drg 619 619 | – | – | – | $43,369$16,950–$63,633 · 11 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $24,037$16,950–$35,267 · 11 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $23,620$16,950–$33,242 · 11 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $59,812$45,380–$78,438 · 11 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $30,146$22,872–$39,534 · 11 plans | |
| Ms-Drg 624 624 | – | – | – | $21,038$15,962–$27,589 · 11 plans | |
| Ms-Drg 625 625 | – | – | – | $50,753$38,506–$66,557 · 11 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $25,197$19,117–$33,044 · 11 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $22,322$16,936–$29,273 · 11 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $62,629$47,517–$82,131 · 11 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $36,615$27,780–$48,016 · 11 plans | |
| Ms-Drg 630 630 | – | – | – | $24,527$18,609–$32,164 · 11 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $10,439$7,920–$13,690 · 11 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $23,898$18,132–$31,340 · 11 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $17,225$13,069–$22,589 · 11 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $12,911$9,796–$16,932 · 11 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $79,007$59,943–$103,609 · 11 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $62,276$47,249–$81,668 · 11 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $87,326$66,254–$114,518 · 11 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $47,042$35,691–$61,691 · 11 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $35,569$26,987–$46,646 · 11 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $53,504$40,593–$70,165 · 11 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $30,753$23,333–$40,330 · 11 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $26,078$19,785–$34,199 · 11 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $42,700$32,396–$55,996 · 11 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | – | – | – | $22,211$16,852–$29,128 · 11 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $17,400$13,201–$22,818 · 11 plans | |
| Ms-Drg 662 662 | – | – | – | $51,449$39,034–$67,469 · 11 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $25,547$19,383–$33,502 · 11 plans | |
| Ms-Drg 664 664 | – | – | – | $17,593$13,348–$23,072 · 11 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $52,452$39,795–$68,785 · 11 plans | |
| Ms-Drg 666 666 | – | – | – | $29,397$22,304–$38,551 · 11 plans | |
| Ms-Drg 667 667 | – | – | – | $18,590$14,104–$24,378 · 11 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $49,071$37,230–$64,351 · 11 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $26,081$19,788–$34,203 · 11 plans | |
| Ms-Drg 670 670 | – | – | – | $16,424$12,461–$21,538 · 11 plans | |
| Ms-Drg 671 671 | – | – | – | $30,165$22,886–$39,558 · 11 plans | |
| Ms-Drg 672 672 | – | – | – | $18,141$13,764–$23,790 · 11 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $39,300$29,817–$51,538 · 11 plans | |
| Ms-Drg 675 675 | – | – | – | $27,584$20,928–$36,173 · 11 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $10,088$7,654–$13,229 · 11 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $30,311$22,997–$39,750 · 11 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $17,608$13,359–$23,091 · 11 plans | |
| Ms-Drg 688 688 | – | – | – | $13,281$10,076–$17,417 · 11 plans | |
| Ms-Drg 693 693 | – | – | – | $22,594$17,142–$29,630 · 11 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $13,136$9,967–$17,227 · 11 plans | |
| Ms-Drg 695 695 | – | – | – | $19,222$14,583–$25,207 · 11 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $11,579$8,785–$15,184 · 11 plans | |
| Ms-Drg 697 697 | – | – | – | $18,112$13,742–$23,753 · 11 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $11,594$8,796–$15,204 · 11 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $33,615$25,504–$44,083 · 11 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $25,782$19,561–$33,811 · 11 plans | |
| Ms-Drg 709 709 | – | – | – | $39,107$29,671–$51,285 · 11 plans | |
| Ms-Drg 710 710 | – | – | – | $23,547$17,865–$30,880 · 11 plans | |
| Ms-Drg 711 711 | – | – | – | $35,018$26,568–$45,923 · 11 plans | |
| Ms-Drg 712 712 | – | – | – | $18,480$14,021–$24,235 · 11 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $25,265$19,168–$33,132 · 11 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $17,770$13,482–$23,303 · 11 plans | |
| Ms-Drg 715 715 | – | – | – | $37,598$28,526–$49,306 · 11 plans | |
| Ms-Drg 716 716 | – | – | – | $24,720$18,755–$32,418 · 11 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $31,770$24,104–$41,663 · 11 plans | |
| Ms-Drg 718 718 | – | – | – | $22,571$17,125–$29,599 · 11 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $30,412$23,074–$39,882 · 11 plans | |
| Ms-Drg 723 723 | – | – | – | $19,203$14,569–$25,183 · 11 plans | |
| Ms-Drg 724 724 | – | – | – | $11,019$8,360–$14,450 · 11 plans | |
| Ms-Drg 725 725 | – | – | – | $19,665$14,920–$25,789 · 11 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $12,133$9,206–$15,911 · 11 plans | |
| Ms-Drg 727 727 | – | – | – | $24,920$18,907–$32,680 · 11 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $13,632$10,343–$17,877 · 11 plans | |
| Ms-Drg 729 729 | – | – | – | $17,791$13,498–$23,332 · 11 plans | |
| Ms-Drg 730 730 | – | – | – | $11,293$8,568–$14,810 · 11 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $35,795$27,158–$46,941 · 11 plans | |
| Ms-Drg 735 735 | – | – | – | $22,611$17,155–$29,652 · 11 plans | |
| Ms-Drg 736 736 | – | – | – | $60,069$45,575–$78,775 · 11 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $34,628$26,273–$45,412 · 11 plans | |
| Ms-Drg 738 738 | – | – | – | $24,678$18,723–$32,363 · 11 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $60,209$45,681–$78,958 · 11 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $30,410$23,072–$39,880 · 11 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $23,966$18,183–$31,428 · 11 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $30,834$23,394–$40,435 · 11 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $20,850$15,819–$27,343 · 11 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $34,435$26,126–$45,158 · 11 plans | |
| Ms-Drg 745 745 | – | – | – | $19,116$14,503–$25,068 · 11 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $29,192$22,148–$38,282 · 11 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $14,447$10,961–$18,946 · 11 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $23,314$17,688–$30,573 · 11 plans | |
| Ms-Drg 749 749 | – | – | – | $43,149$32,737–$56,585 · 11 plans | |
| Ms-Drg 750 750 | – | – | – | $24,801$18,816–$32,524 · 11 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $30,950$23,482–$40,587 · 11 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $18,280$13,869–$23,973 · 11 plans | |
| Ms-Drg 756 756 | – | – | – | $16,141$12,246–$21,168 · 11 plans | |
| Ms-Drg 757 757 | – | – | – | $24,063$18,257–$31,556 · 11 plans | |
| Ms-Drg 758 758 | – | – | – | $16,452$12,482–$21,575 · 11 plans | |
| Ms-Drg 759 759 | – | – | – | $11,152$8,461–$14,624 · 11 plans | |
| Ms-Drg 760 760 | – | – | – | $16,931$12,846–$22,203 · 11 plans | |
| Ms-Drg 761 761 | – | – | – | $9,587$7,274–$12,573 · 11 plans | |
| Ms-Drg 768 768 | – | – | – | $17,218$13,663–$23,562 · 12 plans | |
| Ms-Drg 769 769 | – | – | – | $28,397$21,545–$37,240 · 11 plans | |
| Ms-Drg 770 770 | – | – | – | $16,850$12,784–$22,098 · 11 plans | |
| Ms-Drg 776 776 | – | – | – | $11,002$8,347–$14,428 · 11 plans | |
| Ms-Drg 779 779 | – | – | – | $14,138$10,727–$18,541 · 11 plans | |
| Ms-Drg 783 783 | – | – | – | $39,447$31,303–$53,982 · 12 plans | |
| Ms-Drg 784 784 | – | – | – | $17,033$13,516–$23,309 · 12 plans | |
| Ms-Drg 785 785 | – | – | – | $15,389$12,212–$21,060 · 12 plans | |
| C-section, with major complications 786 | – | – | – | $26,503$21,031–$36,269 · 12 plans | |
| C-section, with complications 787 | – | – | – | $17,944$14,239–$24,556 · 12 plans | |
| C-section 788 | – | – | – | $15,406$12,225–$21,082 · 12 plans | |
| Ms-Drg 789 789 | – | – | – | $30,286$22,978–$39,717 · 11 plans | |
| Ms-Drg 790 790 | – | – | – | $99,881$75,780–$130,983 · 11 plans | |
| Ms-Drg 791 791 | – | – | – | $68,212$51,752–$89,452 · 11 plans | |
| Ms-Drg 792 792 | – | – | – | $41,159$31,227–$53,975 · 11 plans | |
| Ms-Drg 793 793 | – | – | – | $70,070$53,162–$91,890 · 11 plans | |
| Ms-Drg 794 794 | – | – | – | $24,803$18,818–$32,526 · 11 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $3,210$2,547–$4,393 · 12 plans | |
| Ms-Drg 796 796 | – | – | – | $18,751$14,879–$25,660 · 12 plans | |
| Ms-Drg 797 797 | – | – | – | $16,074$12,755–$21,997 · 12 plans | |
| Ms-Drg 798 798 | – | – | – | $15,378$12,203–$21,045 · 12 plans | |
| Ms-Drg 799 799 | – | – | – | $76,108$57,743–$99,808 · 11 plans | |
| Ms-Drg 800 800 | – | – | – | $47,212$35,820–$61,914 · 11 plans | |
| Ms-Drg 801 801 | – | – | – | $32,079$24,338–$42,068 · 11 plans | |
| Ms-Drg 802 802 | – | – | – | $66,953$50,797–$87,802 · 11 plans | |
| Ms-Drg 803 803 | – | – | – | $31,239$23,701–$40,966 · 11 plans | |
| Ms-Drg 804 804 | – | – | – | $22,788$17,289–$29,884 · 11 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $17,340$13,760–$23,729 · 12 plans | |
| Vaginal birth, with complications 806 | – | – | – | $12,115$9,626–$16,579 · 12 plans | |
| Vaginal birth 807 | – | – | – | $10,833$8,680–$14,824 · 12 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $37,104$28,151–$48,658 · 11 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $21,273$16,140–$27,898 · 11 plans | |
| Ms-Drg 810 810 | – | – | – | $17,588$13,344–$23,065 · 11 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $35,739$27,115–$46,868 · 11 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $17,040$12,929–$22,347 · 11 plans | |
| Ms-Drg 816 816 | – | – | – | $10,621$8,058–$13,928 · 11 plans | |
| Ms-Drg 817 817 | – | – | – | $38,342$29,090–$50,282 · 11 plans | |
| Ms-Drg 818 818 | – | – | – | $19,480$14,780–$25,546 · 11 plans | |
| Ms-Drg 819 819 | – | – | – | $14,451$10,964–$18,950 · 11 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $98,558$74,776–$129,248 · 11 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $37,620$28,542–$49,334 · 11 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $20,233$15,351–$26,534 · 11 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $77,048$58,456–$101,040 · 11 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $38,073$28,886–$49,929 · 11 plans | |
| Ms-Drg 825 825 | – | – | – | $22,677$17,205–$29,738 · 11 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $78,610$59,642–$103,089 · 11 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $38,840$29,468–$50,934 · 11 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $28,632$21,723–$37,548 · 11 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $53,104$40,290–$69,640 · 11 plans | |
| Ms-Drg 830 830 | – | – | – | $25,292$19,189–$33,167 · 11 plans | |
| Ms-Drg 831 831 | – | – | – | $20,208$15,332–$26,501 · 11 plans | |
| Ms-Drg 832 832 | – | – | – | $12,126$9,200–$15,903 · 11 plans | |
| Ms-Drg 833 833 | – | – | – | $8,787$6,667–$11,524 · 11 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $92,258$69,996–$120,986 · 11 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $35,052$26,594–$45,967 · 11 plans | |
| Ms-Drg 836 836 | – | – | – | $20,494$15,549–$26,875 · 11 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $80,736$61,255–$105,877 · 11 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $35,079$26,614–$46,002 · 11 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $24,265$18,410–$31,821 · 11 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $27,416$20,800–$35,953 · 11 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $16,980$12,883–$22,267 · 11 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $33,523$25,434–$43,961 · 11 plans | |
| Ms-Drg 844 844 | – | – | – | $20,458$15,522–$26,829 · 11 plans | |
| Ms-Drg 845 845 | – | – | – | $14,311$10,858–$18,768 · 11 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $43,567$33,054–$57,134 · 11 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $21,984$16,680–$28,830 · 11 plans | |
| Ms-Drg 848 848 | – | – | – | $14,274$10,830–$18,719 · 11 plans | |
| Radiotherapy 849 | – | – | – | $45,533$34,546–$59,712 · 11 plans | |
| Ms-Drg 850 850 | – | – | – | $145,523$110,409–$190,838 · 11 plans | |
| Ms-Drg 855 855 | – | – | – | $25,160$19,089–$32,995 · 11 plans | |
| Ms-Drg 858 858 | – | – | – | $23,408$17,759–$30,697 · 11 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $30,647$23,252–$40,191 · 11 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $16,770$12,723–$21,992 · 11 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $14,918$11,318–$19,563 · 11 plans | |
| Viral Illness with Mcc 865 | – | – | – | $25,179$19,103–$33,020 · 11 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $14,614$11,087–$19,164 · 11 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $35,176$26,688–$46,130 · 11 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $17,328$13,147–$22,723 · 11 plans | |
| Ms-Drg 869 869 | – | – | – | $12,263$9,304–$16,081 · 11 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $64,950$49,277–$85,175 · 11 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $16,136$12,243–$21,161 · 11 plans | |
| Depressive Neuroses 881 | – | – | – | $15,812$11,996–$20,736 · 11 plans | |
| Neuroses Except Depressive 882 | – | – | – | $18,045$13,691–$23,664 · 11 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $33,044$25,070–$43,333 · 11 plans | |
| Ms-Drg 886 886 | – | – | – | $34,875$26,460–$45,735 · 11 plans | |
| Ms-Drg 887 887 | – | – | – | $17,996$13,654–$23,600 · 11 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $10,367$7,865–$13,595 · 11 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $23,789$18,049–$31,197 · 11 plans | |
| Ms-Drg 901 901 | – | – | – | $70,524$53,507–$92,485 · 11 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $32,173$24,410–$42,192 · 11 plans | |
| Ms-Drg 903 903 | – | – | – | $19,655$14,912–$25,776 · 11 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $61,726$46,832–$80,948 · 11 plans | |
| Ms-Drg 905 905 | – | – | – | $24,929$18,913–$32,691 · 11 plans | |
| Ms-Drg 906 906 | – | – | – | $33,010$25,045–$43,289 · 11 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $33,529$25,439–$43,970 · 11 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $22,060$16,737–$28,929 · 11 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $27,469$20,841–$36,023 · 11 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $14,881$11,290–$19,515 · 11 plans | |
| Ms-Drg 915 915 | – | – | – | $28,259$21,440–$37,059 · 11 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $11,197$8,495–$14,684 · 11 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $14,404$10,928–$18,889 · 11 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $11,569$8,777–$15,171 · 11 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $29,399$22,305–$38,553 · 11 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $17,102$12,976–$22,428 · 11 plans | |
| Ms-Drg 927 927 | – | – | – | $358,795$272,219–$470,522 · 11 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $120,537$91,452–$158,072 · 11 plans | |
| Ms-Drg 929 929 | – | – | – | $54,126$41,065–$70,980 · 11 plans | |
| Ms-Drg 933 933 | – | – | – | $65,442$49,651–$85,820 · 11 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $37,149$28,185–$48,717 · 11 plans | |
| Non-Extensive Burns 935 | – | – | – | $34,618$26,265–$45,398 · 11 plans | |
| Ms-Drg 939 939 | – | – | – | $60,977$46,263–$79,965 · 11 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $39,272$29,795–$51,501 · 11 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $34,076$25,853–$44,686 · 11 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $23,260$1,540–$34,128 · 11 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $17,225$1,540–$25,273 · 11 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $19,993$15,169–$26,219 · 11 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $10,549$8,003–$13,833 · 11 plans | |
| Ms-Drg 955 955 | – | – | – | $113,116$85,822–$148,340 · 11 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $128,052$97,154–$167,927 · 11 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $70,815$53,727–$92,866 · 11 plans | |
| Ms-Drg 959 959 | – | – | – | $49,476$37,537–$64,882 · 11 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $45,942$34,856–$60,247 · 11 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $25,755$19,541–$33,775 · 11 plans | |
| Ms-Drg 965 965 | – | – | – | $15,805$11,991–$20,727 · 11 plans | |
| Ms-Drg 969 969 | – | – | – | $102,868$78,047–$134,901 · 11 plans | |
| Ms-Drg 970 970 | – | – | – | $44,322$33,627–$58,123 · 11 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $48,499$36,797–$63,602 · 11 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $21,762$16,511–$28,539 · 11 plans | |
| Ms-Drg 976 976 | – | – | – | $15,170$11,509–$19,894 · 11 plans | |
| Ms-Drg 977 977 | – | – | – | $21,808$16,546–$28,599 · 11 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $28,804$21,854–$37,773 · 11 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $57,614$43,712–$75,555 · 11 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $27,621$20,956–$36,222 · 11 plans | |
| Ms-Drg 989 989 | – | – | – | $20,153$15,290–$26,428 · 11 plans |
Outpatient procedures and tests
The hospital's facility charge only; doctors usually bill separately.
| Procedure | List price | Cash price | Insurers (median) |
|---|---|---|---|
| Cataract surgery CPT 66984 | – | – | $3,515$3,190–$4,267 · 4 plans |
| Colonoscopy CPT 45378 | – | – | $2,175$1,683–$4,210 · 9 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $3,735$3,390–$4,535 · 4 plans |
| Complete blood count (CBC) CPT 85025 | $90 | $45 | $37$7–$75 · 15 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $225 | $113 | $93$9–$191 · 15 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,680 | $1,840 | $1,277$600–$2,683 · 15 plans |
| Emergency room visit, highest level CPT 99285 | $3,520 | $1,760 | $2,470$1,865–$2,908 · 15 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $18,645$16,930–$22,628 · 4 plans |
| Hip replacement CPT 27130 | – | – | $32,040$29,100–$38,886 · 4 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $13,325$12,100–$16,174 · 4 plans |
| Knee replacement CPT 27447 | – | – | $32,040$29,100–$38,886 · 4 plans |
| MRI of the brain, with and without contrast CPT 70553 | $3,980 | $1,990 | $1,661$1,074–$2,901 · 15 plans |
| MRI of the knee, without contrast CPT 73721 | $2,830 | $1,415 | $1,521$1,074–$2,051 · 15 plans |
Price file: Advocate Christ Hospital & Medical Center, read November 9, 2026.