Baptist Health Medical Center - Jacksonville
800 Prudential Dr, Jacksonville, FL 32207 · (904) 202-2000
The money
$15what care cost the hospital for every $100 it billed
$718.5Mnet income, all sources
13.8%margin on patient care alone
$129.9Mcost of charity care (7.2% of costs)
$2.1Munpaid bills written off (bad debt)
1,051beds
From the hospital's Medicare cost report for the year ending September 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 | 941 | $105,834 | $15,956 | $32,277$25,701–$49,270 · 21 plans | |
| Heart failure, with major complications 291 | 593 | $73,308 | $11,255 | $21,353$16,986–$32,562 · 21 plans | |
| Lung infection, with major complications 177 | 295 | $78,860 | $12,709 | $25,992$20,676–$39,636 · 21 plans | |
| Stomach and digestive disorders 392 | 247 | $45,528 | $6,915 | $12,967$10,315–$19,818 · 21 plans | |
| Pneumonia, with major complications 193 | 222 | $75,236 | $11,383 | $21,862$17,391–$33,338 · 21 plans | |
| Urinary tract infection, with major complications 689 | 222 | $58,997 | $9,412 | $19,299$15,352–$29,430 · 21 plans | |
| Urinary tract infection 690 | 221 | $43,200 | $6,939 | $13,464$10,710–$20,578 · 21 plans | |
| Sepsis 872 | 210 | $64,381 | $9,134 | $17,021$13,539–$26,013 · 21 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 206 | $193,121 | $45,939 | $101,829$64,869–$155,441 · 21 plans | |
| Other kidney and urinary problems, with major complications 698 | 205 | $92,993 | $13,379 | $27,518$21,889–$41,962 · 21 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 204 | $62,959 | $10,619 | $22,215$17,671–$33,876 · 21 plans | |
| Irregular heartbeat, with complications 309 | 177 | $47,097 | $6,788 | $12,237$9,734–$18,702 · 21 plans | |
| Stroke, with major complications 064 | 174 | $120,814 | $16,022 | $33,415$26,608–$51,007 · 21 plans | |
| Infection needing surgery, with major complications 853 | 173 | $242,110 | $42,649 | $82,060$52,275–$125,263 · 21 plans | |
| Stroke, with complications or clot-busting drug 065 | 170 | $70,115 | $8,608 | $16,804$13,367–$25,683 · 21 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 167 | $137,577 | $25,297 | $54,695$34,843–$83,491 · 21 plans | |
| Kidney failure, with major complications 682 | 165 | $84,548 | $12,203 | $24,633$19,595–$37,564 · 21 plans | |
| Kidney failure, with complications 683 | 153 | $45,238 | $7,587 | $14,567$11,588–$22,264 · 21 plans | |
| Fainting 312 | 148 | $48,706 | $7,495 | $14,497$11,532–$22,157 · 21 plans | |
| Heart attack, with major complications 280 | 138 | $88,146 | $12,823 | $26,681$21,224–$40,686 · 21 plans | |
| Dehydration and electrolyte problems 641 | 137 | $46,336 | $6,885 | $12,944$10,296–$19,783 · 21 plans | |
| Irregular heartbeat, with major complications 308 | 135 | $68,499 | $10,033 | $20,026$15,930–$30,538 · 21 plans | |
| Stomach or intestinal bleeding, with complications 378 | 129 | $60,625 | $8,709 | $16,312$12,976–$24,930 · 21 plans | |
| Skin infection (cellulitis) 603 | 128 | $47,396 | $7,763 | $14,486$11,523–$22,139 · 21 plans | |
| Heart catheterization 287 | 120 | $63,534 | $8,866 | $17,799$14,158–$27,203 · 21 plans | |
| Heart stent 322 | 117 | $100,408 | $14,451 | $29,294$23,326–$44,717 · 21 plans | |
| Respiratory failure 189 | 107 | $75,827 | $11,100 | $20,548$16,346–$31,335 · 21 plans | |
| Pneumonia, with complications 194 | 106 | $49,225 | $7,226 | $13,405$10,663–$20,487 · 21 plans | |
| Stomach and digestive disorders, with major complications 391 | 106 | $63,809 | $10,842 | $21,096$16,781–$32,169 · 21 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 104 | $99,923 | $14,933 | $30,374$24,186–$46,365 · 21 plans | |
| COPD, with major complications 190 | 96 | $67,654 | $9,590 | $18,424$14,656–$28,096 · 21 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 95 | $102,243 | $15,854 | $34,802$27,712–$53,125 · 21 plans | |
| Back problems (no surgery) 552 | 94 | $45,504 | $8,133 | $15,989$12,719–$24,437 · 21 plans | |
| Heart catheterization, with major complications 286 | 86 | $100,636 | $17,323 | $36,768$27,756–$56,125 · 21 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 85 | $233,968 | $37,325 | $75,548$48,127–$115,323 · 21 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 85 | $79,030 | $12,022 | $22,847$18,174–$34,840 · 21 plans | |
| Bowel surgery, with major complications 329 | 82 | $203,986 | $35,971 | $76,375$48,654–$116,586 · 21 plans | |
| Diabetes, with complications 638 | 80 | $53,013 | $7,587 | $14,906$11,858–$22,782 · 21 plans | |
| Anemia and blood disorders, with major complications 811 | 80 | $81,648 | $12,183 | $23,358$18,580–$35,619 · 21 plans | |
| High blood pressure 305 | 79 | $42,770 | $6,790 | $12,560$9,991–$19,195 · 21 plans | |
| Anemia and blood disorders 812 | 78 | $44,033 | $8,981 | $15,272$12,149–$23,342 · 21 plans | |
| Irregular heartbeat 310 | 77 | $35,035 | $5,317 | $9,416$7,490–$14,391 · 21 plans | |
| Other kidney and urinary problems, with complications 699 | 76 | $54,702 | $9,239 | $16,883$13,429–$25,802 · 21 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 75 | $290,201 | $50,503 | $95,215$60,655–$145,343 · 21 plans | |
| Pulmonary Embolism Without Mcc 176 | 72 | $53,234 | $7,220 | $13,390$10,651–$20,464 · 21 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | 72 | $192,144 | $35,471 | – | |
| Lung infection, with complications 178 | 69 | $48,017 | $8,729 | $16,234$12,913–$24,811 · 21 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 67 | $229,765 | $36,522 | $77,959$49,663–$119,003 · 21 plans | |
| Bowel obstruction, with complications 389 | 66 | $38,666 | $7,131 | $13,137$10,450–$20,078 · 21 plans | |
| Heart attack, with complications 281 | 64 | $58,002 | $8,369 | $15,287$12,161–$23,364 · 21 plans | |
| Other digestive problems, with complications 394 | 64 | $56,825 | $8,554 | $15,564$12,380–$23,786 · 21 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 64 | $150,643 | $23,629 | $48,391$30,827–$73,868 · 21 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 63 | $247,601 | $31,267 | $69,601$44,338–$106,245 · 21 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 60 | $71,512 | $13,287 | $26,601$21,160–$40,565 · 21 plans | |
| Heart stent, with major complications or 4+ stents 321 | 59 | $159,809 | $26,021 | $45,209$28,800–$69,010 · 21 plans | |
| Hip replacement after a hip fracture 522 | 59 | $104,340 | $16,652 | $35,188$27,756–$53,713 · 21 plans | |
| Mini-stroke (TIA) 069 | 58 | $56,163 | $7,384 | $13,286$10,569–$20,306 · 21 plans | |
| Seizures with Mcc 100 | 58 | $102,986 | $15,131 | $32,182$25,626–$49,125 · 21 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | 58 | $305,370 | $40,471 | $90,768$57,823–$138,556 · 21 plans | |
| Other circulation problems, with major complications 314 | 58 | $133,391 | $20,246 | $34,648$27,589–$52,889 · 21 plans | |
| Bowel surgery, with complications 330 | 58 | $121,588 | $24,133 | $39,832$27,756–$60,803 · 21 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 56 | $102,344 | $14,167 | $28,108$22,382–$42,906 · 21 plans | |
| Spinal fusion (lower or mid back) 460 | 54 | $205,400 | $28,167 | – | |
| Seizures 101 | 53 | $61,639 | $7,644 | $15,013$11,942–$22,945 · 21 plans | |
| Major Chest Procedures with Cc 164 | 53 | $154,144 | $21,501 | $41,939$27,756–$64,019 · 21 plans | |
| Cervical Spinal Fusion with Cc 472 | 53 | $133,244 | $24,091 | $48,952$31,184–$74,725 · 21 plans | |
| Fracture or sprain (not hip or thigh) 563 | 53 | $42,870 | $7,537 | $14,895$11,848–$22,765 · 21 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 52 | $78,459 | $14,109 | $27,157$21,602–$41,412 · 21 plans | |
| Diabetes, with major complications 637 | 52 | $86,576 | $12,560 | $23,897$19,009–$36,440 · 21 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 51 | $46,200 | $6,335 | $11,384$9,055–$17,398 · 21 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 50 | $48,740 | $8,293 | $16,154$12,850–$24,689 · 21 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 50 | $219,307 | $39,667 | $87,671$55,850–$133,828 · 21 plans | |
| Chest pain 313 | 50 | $44,308 | $6,840 | $11,976$9,526–$18,303 · 21 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 50 | $67,805 | $13,222 | $21,984$17,487–$33,524 · 21 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 49 | $99,810 | $17,511 | $35,407$27,756–$54,048 · 21 plans | |
| Hip or knee replacement 470 | 49 | $108,290 | $15,838 | $32,051$25,521–$48,925 · 21 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 48 | $234,138 | $50,636 | – | |
| Coagulation Disorders 813 | 47 | $83,030 | $12,485 | $25,370$20,181–$38,688 · 21 plans | |
| Other Disorders of Nervous System with Cc 092 | 45 | $60,819 | $8,864 | $17,016$13,535–$26,006 · 21 plans | |
| Cellulitis with Mcc 602 | 44 | $69,056 | $11,370 | $23,640$18,805–$36,050 · 21 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 44 | $134,240 | $19,756 | $33,200$26,437–$50,680 · 21 plans | |
| Other Vascular Procedures with Mcc 252 | 43 | $169,331 | $29,728 | $57,962$36,924–$88,477 · 21 plans | |
| Other Disorders of Nervous System with Mcc 091 | 42 | $85,025 | $13,607 | $29,181$23,236–$44,544 · 21 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 42 | $377,959 | $57,442 | $114,846$73,161–$175,311 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 41 | $86,928 | $16,102 | $34,530$27,495–$52,709 · 21 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 41 | $137,649 | $26,282 | $47,691$30,381–$72,800 · 21 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 40 | $95,739 | $15,323 | $29,462$23,460–$44,973 · 21 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 40 | $82,377 | $13,540 | $30,303$24,129–$46,256 · 21 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 39 | $67,772 | $11,945 | $24,564$19,540–$37,458 · 21 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | 39 | $134,574 | $17,675 | $29,807$23,735–$45,500 · 21 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | 38 | $168,454 | $28,221 | $65,000$41,407–$99,221 · 21 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 38 | $84,535 | $14,584 | $32,282$25,705–$49,277 · 21 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 38 | $73,938 | $13,437 | $27,963$22,266–$42,685 · 21 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 38 | $54,473 | $8,754 | $16,982$13,509–$25,955 · 21 plans | |
| Other Circulatory System O.r. Procedures 264 | 37 | $174,439 | $30,180 | $55,507$35,360–$84,731 · 21 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 37 | $166,466 | $29,476 | $59,091$37,643–$90,202 · 21 plans | |
| Peripheral Vascular Disorders with Cc 300 | 37 | $48,127 | $8,850 | $17,756$14,124–$27,137 · 21 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 36 | $66,862 | $11,376 | $21,550$17,142–$32,862 · 21 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | 36 | $154,922 | $26,512 | $52,357$33,353–$79,922 · 21 plans | |
| Delirium and other mental confusion 884 | 36 | $66,835 | $12,962 | $26,733$17,030–$40,808 · 21 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 36 | $68,213 | $12,807 | $26,087$20,752–$39,781 · 21 plans | |
| Complications of Treatment with Mcc 919 | 36 | $83,614 | $14,486 | $30,421$24,223–$46,436 · 21 plans | |
| Signs and Symptoms Without Mcc 948 | 36 | $53,028 | $7,045 | $13,315$10,591–$20,350 · 21 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | 35 | $123,852 | $19,026 | $31,806$25,327–$48,552 · 21 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | 35 | $82,582 | $12,379 | $27,128$21,580–$41,369 · 21 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | 34 | $135,470 | $21,660 | $41,921$27,756–$63,991 · 21 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 34 | $94,600 | $17,934 | $38,601$27,756–$58,923 · 21 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 34 | $88,519 | $14,567 | $30,519$24,301–$46,586 · 21 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 34 | $40,392 | $7,031 | $13,433$10,685–$20,530 · 21 plans | |
| Major Chest Procedures with Mcc 163 | 33 | $185,821 | $32,005 | $74,470$47,440–$113,676 · 21 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 33 | $180,329 | $30,500 | $69,814$44,474–$106,569 · 21 plans | |
| Complications of Treatment with Cc 920 | 33 | $51,910 | $8,780 | $16,671$13,261–$25,479 · 21 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | 32 | $82,464 | $17,694 | $29,605$23,574–$45,191 · 21 plans | |
| Hypertension with Mcc 304 | 32 | $53,038 | $9,538 | $19,793$15,745–$30,183 · 21 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | 32 | $117,850 | $21,423 | $40,565$27,756–$61,921 · 21 plans | |
| Endocrine Disorders with Cc 644 | 32 | $46,156 | $8,503 | $17,049$13,562–$26,057 · 21 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 31 | $46,901 | $6,990 | $14,022$11,154–$21,430 · 21 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 31 | $86,661 | $14,816 | $32,704$26,041–$49,921 · 21 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 31 | $143,956 | $20,674 | $40,850$27,756–$62,357 · 21 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 30 | $381,794 | $63,109 | $127,033$80,924–$193,913 · 21 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 30 | $32,005 | $5,374 | $9,048$7,198–$13,829 · 21 plans | |
| Dysequilibrium 149 | 29 | $47,621 | $6,512 | $12,501$9,944–$19,106 · 21 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 29 | $154,263 | $24,278 | $45,672$29,095–$69,718 · 21 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 29 | $98,683 | $16,998 | $27,764$22,108–$42,381 · 21 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 29 | $138,172 | $19,134 | $42,220$27,756–$64,447 · 21 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 28 | $185,252 | $39,079 | $79,105$50,393–$120,753 · 21 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 28 | $185,371 | $36,068 | $68,549$43,668–$104,639 · 21 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 28 | $118,160 | $21,156 | $45,661$29,088–$69,700 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 28 | $73,481 | $11,764 | $25,560$20,332–$38,977 · 21 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | 28 | $125,650 | $23,071 | $56,966$36,290–$86,958 · 21 plans | |
| Other Vascular Procedures with Cc 253 | 27 | $130,762 | $20,707 | $43,128$27,756–$65,835 · 21 plans | |
| Nervous System Neoplasms with Mcc 054 | 26 | $51,548 | $11,400 | $25,397$20,202–$38,728 · 21 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 26 | $97,304 | $16,354 | $37,750$27,756–$57,624 · 21 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 26 | $161,779 | $33,855 | $70,173$44,703–$107,117 · 21 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | 26 | $43,143 | $7,383 | $13,807$10,983–$21,102 · 21 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | 26 | $85,346 | $15,657 | $33,152$26,398–$50,606 · 21 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 25 | $64,780 | $8,549 | $17,145$13,639–$26,204 · 21 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | 25 | $50,892 | $6,652 | $12,027$9,567–$18,382 · 21 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 25 | $57,263 | $9,221 | $17,222$13,699–$26,321 · 21 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 24 | $250,328 | $43,350 | $82,871$52,792–$126,500 · 21 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 24 | $57,461 | $8,344 | $13,992$11,130–$21,384 · 21 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 24 | $143,938 | $22,975 | $58,598$37,329–$89,449 · 21 plans | |
| Medical Back Problems with Mcc 551 | 24 | $82,322 | $13,833 | $27,850$22,176–$42,513 · 21 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 24 | $69,049 | $17,144 | $21,056$16,749–$32,108 · 21 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 24 | $216,772 | $37,576 | $63,794$40,639–$97,380 · 21 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 23 | $135,374 | $18,443 | $37,978$27,756–$57,972 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 23 | $322,673 | $46,746 | $88,610$56,448–$135,261 · 21 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 23 | $87,831 | $14,243 | $30,033$23,915–$45,845 · 21 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 23 | $55,873 | $10,427 | $16,023$12,745–$24,488 · 21 plans | |
| Digestive Malignancy with Mcc 374 | 23 | $93,932 | $16,264 | $35,537$27,756–$54,246 · 21 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 23 | $109,352 | $17,922 | $39,652$27,756–$60,529 · 21 plans | |
| Disorders of the Biliary Tract with Cc 445 | 23 | $66,244 | $9,311 | $18,203$14,480–$27,758 · 21 plans | |
| Headaches Without Mcc 103 | 22 | $46,500 | $7,630 | $13,910$11,065–$21,260 · 21 plans | |
| Respiratory Neoplasms with Mcc 180 | 22 | $82,991 | $14,928 | $29,344$23,366–$44,793 · 21 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 22 | $165,367 | $27,341 | $53,052$33,796–$80,982 · 21 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | 22 | $201,685 | $36,551 | $72,991$46,498–$111,419 · 21 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 22 | $42,207 | $9,194 | $17,099$13,601–$26,133 · 21 plans | |
| Endocrine Disorders with Mcc 643 | 22 | $71,515 | $12,314 | $27,380$21,780–$41,752 · 21 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 22 | $198,381 | $34,552 | $75,581$48,148–$115,373 · 21 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 21 | $52,864 | $10,642 | $21,668$17,236–$33,042 · 21 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | 21 | $135,515 | $24,672 | $52,332$33,337–$79,884 · 21 plans | |
| Atherosclerosis Without Mcc 303 | 21 | $46,785 | $5,936 | $11,197$8,907–$17,113 · 21 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 21 | $112,875 | $20,417 | $42,140$27,756–$64,326 · 21 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | 21 | $62,137 | $10,556 | $21,324$16,962–$32,517 · 21 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 20 | $82,861 | $13,694 | $27,691$22,027–$42,226 · 21 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 20 | $86,646 | $13,998 | $30,424$24,226–$46,441 · 21 plans | |
| Heart Failure and Shock with Cc 292 | 20 | $47,681 | $7,316 | $14,121$11,233–$21,582 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | 20 | $100,652 | $24,432 | $52,954$33,733–$80,833 · 21 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | 20 | $78,148 | $11,641 | $24,848$19,766–$37,891 · 21 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | 20 | $167,825 | $35,440 | $59,140$37,674–$90,276 · 21 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 20 | $83,449 | $9,804 | $21,759$17,309–$33,181 · 21 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | 19 | $134,572 | $17,404 | $29,198$23,250–$44,570 · 21 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 19 | $62,794 | $10,964 | $23,216$18,468–$35,403 · 21 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 19 | $83,598 | $13,455 | $27,115$21,569–$41,348 · 21 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 19 | $112,476 | $20,589 | $46,058$29,341–$70,306 · 21 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | 19 | $99,411 | $13,899 | $25,811$20,532–$39,360 · 21 plans | |
| Transurethral Procedures with Cc 669 | 19 | $76,326 | $12,257 | $25,814$20,535–$39,365 · 21 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 19 | $162,637 | $16,588 | $36,686$27,756–$56,001 · 21 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 19 | $47,505 | $7,404 | $14,669$9,344–$22,391 · 21 plans | |
| Carotid Artery Stent Procedures with Cc 035 | 18 | $146,283 | $17,610 | $39,721$27,756–$60,633 · 21 plans | |
| Pleural Effusion with Mcc 186 | 18 | $98,258 | $13,341 | $25,923$20,621–$39,530 · 21 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | 18 | $71,502 | $11,124 | $22,717$18,071–$34,642 · 21 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 18 | $63,500 | $9,932 | $17,568$13,975–$26,850 · 21 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 18 | $96,308 | $15,115 | $33,235$26,465–$50,733 · 21 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | 18 | $144,386 | $18,357 | $31,077$24,746–$47,438 · 21 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | 17 | $122,749 | $29,001 | $64,158$40,871–$97,935 · 21 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 17 | $291,958 | $47,998 | $97,513$62,119–$148,851 · 21 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | 17 | $67,540 | $17,179 | $26,651$21,200–$40,641 · 21 plans | |
| Digestive Malignancy with Cc 375 | 17 | $60,956 | $9,751 | $20,119$16,004–$30,680 · 21 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | 17 | $39,583 | $7,873 | $10,336$8,222–$15,797 · 21 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 17 | $43,707 | $7,677 | $15,236$12,120–$23,286 · 21 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | 17 | $129,720 | $20,621 | $38,858$27,756–$59,316 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 17 | $127,735 | $22,884 | $53,751$34,241–$82,050 · 21 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | 17 | $147,262 | $16,842 | $43,077$27,756–$65,756 · 21 plans | |
| Signs and Symptoms with Mcc 947 | 17 | $73,569 | $10,087 | $21,114$16,795–$32,197 · 21 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | 17 | $115,154 | $13,294 | $27,338$21,746–$41,688 · 21 plans | |
| Extracranial Procedures with Cc 038 | 16 | $115,574 | $13,712 | $26,989$21,469–$41,156 · 21 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | 16 | $37,071 | $7,049 | $13,245$10,536–$20,243 · 21 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | 15 | $162,052 | $28,860 | $51,662$32,911–$78,862 · 21 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | 15 | $142,264 | $29,099 | $64,316$40,971–$98,176 · 21 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 15 | $67,163 | $9,274 | $19,552$15,553–$29,815 · 21 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | 15 | $38,921 | $5,641 | $10,454$8,316–$15,977 · 21 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | 15 | $152,703 | $24,237 | $32,913$26,208–$50,241 · 21 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | 15 | $199,729 | $34,542 | $66,805$42,557–$101,976 · 21 plans | |
| Fever and Inflammatory Conditions 864 | 15 | $69,697 | $8,844 | $14,765$11,745–$22,566 · 21 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 15 | $92,288 | $16,105 | $28,997$18,472–$44,263 · 21 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 14 | $955,545 | $206,088 | $352,678$224,669–$538,356 · 21 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | 14 | $69,496 | $12,172 | $26,684$21,226–$40,691 · 21 plans | |
| Interstitial Lung Disease with Mcc 196 | 14 | $85,571 | $14,866 | $31,358$24,970–$47,867 · 21 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | 14 | $43,937 | $7,886 | $15,653$12,452–$23,924 · 21 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 14 | $344,464 | $51,140 | $106,919$68,111–$163,210 · 21 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 14 | $137,201 | $18,922 | $40,613$27,756–$61,995 · 21 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | 14 | $32,466 | $5,693 | $10,485$8,341–$16,025 · 21 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 14 | $61,543 | $13,863 | $29,821$23,746–$45,521 · 21 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 14 | $181,953 | $28,708 | $29,352$23,373–$44,806 · 21 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | 14 | $143,110 | $18,229 | $36,203$27,756–$55,263 · 21 plans | |
| Urinary Stones Without Mcc 694 | 14 | $41,953 | $7,245 | $13,002$10,343–$19,872 · 21 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | 14 | $108,992 | $12,838 | $25,518$20,299–$38,913 · 21 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 13 | $618,127 | $113,854 | $230,155$146,617–$351,327 · 21 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 13 | $66,336 | $8,507 | $17,065$13,575–$26,082 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 13 | $444,547 | $85,571 | $127,583$81,275–$194,752 · 21 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | 13 | $132,750 | $22,403 | $42,421$27,756–$64,754 · 21 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | 13 | $35,541 | $5,455 | $10,795$8,587–$16,498 · 21 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | 13 | $88,408 | $14,598 | $24,732$19,673–$37,714 · 21 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | 13 | $39,620 | $7,367 | $14,857$11,818–$22,706 · 21 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 13 | $53,109 | $8,142 | $16,598$13,203–$25,368 · 21 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | 13 | $117,017 | $25,906 | $62,526$39,831–$95,445 · 21 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | 12 | $45,917 | $7,446 | $15,214$12,102–$23,253 · 21 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | 12 | $41,957 | $6,454 | $12,558$9,989–$19,193 · 21 plans | |
| Pneumothorax with Mcc 199 | 12 | $74,077 | $13,825 | $29,312$23,341–$44,745 · 21 plans | |
| Peritoneal Adhesiolysis with Cc 336 | 12 | $86,260 | $16,209 | $35,038$27,756–$53,485 · 21 plans | |
| Inflammatory Bowel Disease with Cc 386 | 12 | $45,391 | $8,217 | $16,239$12,917–$24,819 · 21 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | 12 | $54,012 | $9,098 | $18,814$14,966–$28,689 · 21 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | 12 | $236,362 | $46,981 | $99,083$63,119–$151,248 · 21 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | 12 | $215,329 | $34,853 | $94,703$60,329–$144,562 · 21 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | 12 | $115,110 | $19,510 | $40,862$27,756–$62,375 · 21 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | 12 | $60,218 | $10,881 | $23,699$18,852–$36,139 · 21 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | 12 | $138,662 | $16,555 | $28,712$22,863–$43,829 · 21 plans | |
| Minor Skin Disorders Without Mcc 607 | 12 | $46,159 | $8,231 | $15,076$11,993–$23,042 · 21 plans | |
| Renal Failure Without Cc/Mcc 684 | 12 | $33,902 | $5,505 | $9,985$7,943–$15,260 · 21 plans | |
| Psychoses 885 | 12 | $77,344 | $10,928 | $23,209$14,785–$35,428 · 21 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | 11 | $91,131 | $19,308 | $36,534$27,756–$55,768 · 21 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | 11 | $153,519 | $30,267 | $62,106$39,564–$94,803 · 21 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | 11 | $197,097 | $37,604 | $82,206$52,368–$125,486 · 21 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | 11 | $154,049 | $25,062 | $59,334$37,798–$90,572 · 21 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | 11 | $132,734 | $25,199 | $51,754$32,969–$79,001 · 21 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | 11 | $79,291 | $16,474 | $33,340$26,548–$50,893 · 21 plans | |
| Skin Debridement with Cc 571 | 11 | $93,858 | $17,958 | $28,073$22,354–$42,852 · 21 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 11 | $123,102 | $19,674 | $30,407$24,213–$46,416 · 21 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $465,645$296,633–$710,798 · 21 plans | |
| Ms-Drg 002 002 | – | – | – | $188,289$119,947–$287,420 · 21 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $171,319$109,137–$261,516 · 21 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $77,048$49,083–$117,613 · 21 plans | |
| Lung Transplant 007 | – | – | – | $215,181$137,078–$328,469 · 21 plans | |
| Ms-Drg 008 008 | – | – | – | $93,126$59,325–$142,155 · 21 plans | |
| Ms-Drg 010 010 | – | – | – | $119,231$75,955–$182,004 · 21 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $90,625$57,732–$138,338 · 21 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $70,053$44,626–$106,935 · 21 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $47,884$30,504–$73,094 · 21 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $199,689$127,209–$304,822 · 21 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $98,528$62,766–$150,401 · 21 plans | |
| Ms-Drg 017 017 | – | – | – | $90,263$57,501–$137,785 · 21 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $717,525$457,090–$1,095,289 · 21 plans | |
| Ms-Drg 019 019 | – | – | – | $118,549$75,520–$180,962 · 21 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $130,748$83,291–$199,584 · 21 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $87,962$56,035–$134,272 · 21 plans | |
| Ms-Drg 022 022 | – | – | – | $52,796$33,633–$80,592 · 21 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $99,834$63,598–$152,395 · 21 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $56,687$36,112–$86,532 · 21 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $36,475$27,756–$55,679 · 21 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $74,448$47,426–$113,643 · 21 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $35,409$27,756–$54,051 · 21 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $27,659$22,002–$42,178 · 21 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $54,702$34,847–$83,501 · 21 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $28,707$22,859–$43,821 · 21 plans | |
| Ms-Drg 052 052 | – | – | – | $30,097$23,965–$45,942 · 21 plans | |
| Ms-Drg 053 053 | – | – | – | $16,287$12,956–$24,892 · 21 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $16,959$13,490–$25,919 · 21 plans | |
| Ms-Drg 058 058 | – | – | – | $28,405$22,618–$43,360 · 21 plans | |
| Ms-Drg 059 059 | – | – | – | $20,640$16,418–$31,474 · 21 plans | |
| Ms-Drg 060 060 | – | – | – | $15,299$12,170–$23,382 · 21 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $45,812$29,184–$69,931 · 21 plans | |
| Ms-Drg 063 063 | – | – | – | $23,349$18,574–$35,606 · 21 plans | |
| Ms-Drg 067 067 | – | – | – | $24,429$19,432–$37,252 · 21 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $14,378$11,437–$21,974 · 21 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $12,578$10,005–$19,223 · 21 plans | |
| Ms-Drg 075 075 | – | – | – | $31,861$25,370–$48,635 · 21 plans | |
| Ms-Drg 076 076 | – | – | – | $13,726$10,918–$20,977 · 21 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $30,075$23,948–$45,909 · 21 plans | |
| Ms-Drg 081 081 | – | – | – | $14,897$11,850–$22,767 · 21 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $15,898$12,646–$24,297 · 21 plans | |
| Concussion with Mcc 088 | – | – | – | $22,484$17,886–$34,287 · 21 plans | |
| Concussion with Cc 089 | – | – | – | $18,273$14,536–$27,865 · 21 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $13,692$10,892–$20,927 · 21 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $58,478$37,253–$89,266 · 21 plans | |
| Ms-Drg 095 095 | – | – | – | $42,856$27,756–$65,419 · 21 plans | |
| Ms-Drg 096 096 | – | – | – | $42,856$27,756–$65,419 · 21 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $60,014$38,231–$91,610 · 21 plans | |
| Ms-Drg 098 098 | – | – | – | $38,132$27,756–$58,208 · 21 plans | |
| Ms-Drg 099 099 | – | – | – | $22,661$18,026–$34,556 · 21 plans | |
| Headaches with Mcc 102 | – | – | – | $18,644$14,831–$28,431 · 21 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $39,066$27,756–$59,633 · 21 plans | |
| Ms-Drg 114 114 | – | – | – | $22,504$17,902–$34,317 · 21 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $25,530$20,308–$38,931 · 21 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $30,043$23,923–$45,861 · 21 plans | |
| Ms-Drg 117 117 | – | – | – | $18,045$14,354–$27,579 · 21 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $19,349$15,392–$29,506 · 21 plans | |
| Ms-Drg 122 122 | – | – | – | $13,070$10,397–$19,976 · 21 plans | |
| Neurological Eye Disorders 123 | – | – | – | $13,283$10,566–$20,301 · 21 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $22,007$17,506–$33,559 · 21 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $12,771$10,159–$19,518 · 21 plans | |
| Ms-Drg 135 135 | – | – | – | $36,057$27,756–$55,040 · 21 plans | |
| Ms-Drg 136 136 | – | – | – | $16,887$13,433–$25,810 · 21 plans | |
| Ms-Drg 137 137 | – | – | – | $24,836$19,757–$37,874 · 21 plans | |
| Ms-Drg 138 138 | – | – | – | $14,740$11,725–$22,528 · 21 plans | |
| Ms-Drg 139 139 | – | – | – | $20,553$16,350–$31,342 · 21 plans | |
| Ms-Drg 140 140 | – | – | – | $70,872$45,148–$108,185 · 21 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $36,241$27,756–$55,321 · 21 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $26,553$21,122–$40,491 · 21 plans | |
| Ms-Drg 143 143 | – | – | – | $62,254$39,658–$95,029 · 21 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $28,794$22,928–$43,953 · 21 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $19,998$15,908–$30,495 · 21 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $35,183$27,756–$53,706 · 21 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $21,149$16,823–$32,250 · 21 plans | |
| Ms-Drg 148 148 | – | – | – | $13,258$10,546–$20,263 · 21 plans | |
| Ms-Drg 150 150 | – | – | – | $22,147$17,617–$33,772 · 21 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $12,209$9,712–$18,659 · 21 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $19,664$15,642–$29,985 · 21 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $12,278$9,767–$18,766 · 21 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $26,006$20,687–$39,657 · 21 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $15,244$12,126–$23,298 · 21 plans | |
| Ms-Drg 156 156 | – | – | – | $11,495$9,144–$17,568 · 21 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $28,526$22,715–$43,545 · 21 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $15,133$12,038–$23,128 · 21 plans | |
| Ms-Drg 159 159 | – | – | – | $11,784$9,374–$18,011 · 21 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $29,965$23,861–$45,741 · 21 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $22,727$18,079–$34,657 · 21 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $49,456$31,505–$75,493 · 21 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $17,814$14,170–$27,226 · 21 plans | |
| Ms-Drg 182 182 | – | – | – | $12,538$9,974–$19,162 · 21 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $25,447$20,242–$38,804 · 21 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $17,699$14,079–$27,050 · 21 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $13,082$10,406–$19,994 · 21 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $16,452$13,087–$25,144 · 21 plans | |
| Ms-Drg 188 188 | – | – | – | $11,929$9,489–$18,232 · 21 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $10,678$8,494–$16,320 · 21 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $15,786$12,558–$24,127 · 21 plans | |
| Ms-Drg 198 198 | – | – | – | $11,913$9,476–$18,207 · 21 plans | |
| Pneumothorax with Cc 200 | – | – | – | $18,285$14,545–$27,883 · 21 plans | |
| Ms-Drg 201 201 | – | – | – | $11,894$9,461–$18,179 · 21 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $11,144$8,865–$17,032 · 21 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $13,429$10,683–$20,525 · 21 plans | |
| Ms-Drg 209 209 | – | – | – | $199,232only 1 plan | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $180,684$115,102–$275,811 · 21 plans | |
| Ms-Drg 213 213 | – | – | – | $101,752only 1 plan | |
| Other Heart Assist System Implant 215 | – | – | – | $165,446$105,395–$252,549 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $162,551$103,551–$248,131 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $109,255$69,600–$166,776 · 21 plans | |
| Ms-Drg 218 218 | – | – | – | $109,255$69,600–$166,776 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $83,748$53,351–$127,840 · 21 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $140,071$89,230–$213,816 · 21 plans | |
| Ms-Drg 232 232 | – | – | – | $100,736$64,173–$153,772 · 21 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $81,779$52,096–$124,834 · 21 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $47,364$30,173–$72,300 · 21 plans | |
| Ms-Drg 241 241 | – | – | – | $23,027$18,317–$35,114 · 21 plans | |
| Ms-Drg 245 245 | – | – | – | $75,809$48,293–$115,721 · 21 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $36,264$27,756–$55,357 · 21 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $24,858$19,774–$37,907 · 21 plans | |
| Ms-Drg 255 255 | – | – | – | $44,820$28,552–$68,417 · 21 plans | |
| Ms-Drg 256 256 | – | – | – | $28,212$22,465–$43,066 · 21 plans | |
| Ms-Drg 257 257 | – | – | – | $18,167$14,451–$27,756 · 21 plans | |
| Ms-Drg 258 258 | – | – | – | $52,209$33,259–$79,696 · 21 plans | |
| Ms-Drg 259 259 | – | – | – | $33,599$26,754–$51,289 · 21 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $54,049$34,431–$82,504 · 21 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $31,413$25,013–$47,951 · 21 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $27,110$21,565–$41,341 · 21 plans | |
| Ms-Drg 263 263 | – | – | – | $50,802$32,363–$77,548 · 21 plans | |
| Ms-Drg 265 265 | – | – | – | $60,120$38,299–$91,772 · 21 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $114,283$72,803–$174,451 · 21 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $118,479$75,475–$180,855 · 21 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $99,806$63,580–$152,351 · 21 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $76,741$48,887–$117,144 · 21 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $92,488$58,918–$141,181 · 21 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $59,924$38,174–$91,473 · 21 plans | |
| Ms-Drg 284 284 | – | – | – | $11,513$9,159–$17,596 · 21 plans | |
| Ms-Drg 285 285 | – | – | – | $9,962$7,924–$15,225 · 21 plans | |
| Ms-Drg 288 288 | – | – | – | $44,966$28,645–$68,640 · 21 plans | |
| Ms-Drg 289 289 | – | – | – | $28,362$22,584–$43,294 · 21 plans | |
| Ms-Drg 290 290 | – | – | – | $15,464$12,301–$23,634 · 21 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $9,414$7,489–$14,388 · 21 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $25,979$20,666–$39,616 · 21 plans | |
| Ms-Drg 297 297 | – | – | – | $10,545$8,388–$16,117 · 21 plans | |
| Ms-Drg 298 298 | – | – | – | $7,570$6,021–$11,569 · 21 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $11,971$9,522–$18,295 · 21 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $19,903$15,832–$30,351 · 21 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $26,210$20,849–$39,969 · 21 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $15,189$12,083–$23,214 · 21 plans | |
| Angina Pectoris 311 | – | – | – | $11,675$9,287–$17,843 · 21 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $11,345$9,025–$17,340 · 21 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $111,103$70,777–$169,596 · 21 plans | |
| Ms-Drg 318 318 | – | – | – | $44,695only 1 plan | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $74,156$47,240–$113,197 · 21 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $39,966$27,756–$61,008 · 21 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $71,904$45,806–$109,760 · 21 plans | |
| Ms-Drg 325 325 | – | – | – | $53,344$33,982–$81,429 · 21 plans | |
| Ms-Drg 332 332 | – | – | – | $60,162$38,325–$91,835 · 21 plans | |
| Ms-Drg 333 333 | – | – | – | $38,918$27,756–$59,408 · 21 plans | |
| Ms-Drg 334 334 | – | – | – | $27,243$21,671–$41,544 · 21 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $25,532$20,310–$38,934 · 21 plans | |
| Ms-Drg 344 344 | – | – | – | $42,916$27,756–$65,510 · 21 plans | |
| Ms-Drg 345 345 | – | – | – | $25,028$19,909–$38,165 · 21 plans | |
| Ms-Drg 346 346 | – | – | – | $19,730$15,695–$30,087 · 21 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $38,144$27,756–$58,226 · 21 plans | |
| Ms-Drg 348 348 | – | – | – | $21,769$17,317–$33,196 · 21 plans | |
| Ms-Drg 349 349 | – | – | – | $14,481$11,519–$22,132 · 21 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $41,405$27,756–$63,205 · 21 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $25,357$20,171–$38,667 · 21 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $19,424$15,451–$29,620 · 21 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $48,220$30,718–$73,606 · 21 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $27,955$22,260–$42,672 · 21 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $22,371$17,796–$34,115 · 21 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $38,641$27,756–$58,984 · 21 plans | |
| Ms-Drg 358 358 | – | – | – | $23,251$18,496–$35,456 · 21 plans | |
| Ms-Drg 359 359 | – | – | – | $62,350only 1 plan | |
| Ms-Drg 360 360 | – | – | – | $44,558only 1 plan | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $26,478$21,062–$40,377 · 21 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $16,636$13,234–$25,426 · 21 plans | |
| Ms-Drg 370 370 | – | – | – | $11,656$9,272–$17,815 · 21 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $12,099$9,624–$18,491 · 21 plans | |
| Ms-Drg 376 376 | – | – | – | $15,374$12,229–$23,497 · 21 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $32,604$25,962–$49,769 · 21 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $18,022$14,336–$27,544 · 21 plans | |
| Ms-Drg 382 382 | – | – | – | $13,316$10,593–$20,352 · 21 plans | |
| Ms-Drg 383 383 | – | – | – | $22,965$18,268–$35,020 · 21 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $14,218$11,310–$21,730 · 21 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $26,318$20,935–$40,133 · 21 plans | |
| Ms-Drg 387 387 | – | – | – | $11,332$9,014–$17,319 · 21 plans | |
| Ms-Drg 397 397 | – | – | – | $39,794$27,756–$60,744 · 21 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $25,176$20,026–$38,391 · 21 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $19,040$15,146–$29,034 · 21 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $90,898$57,905–$138,754 · 21 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $48,190$30,699–$73,561 · 21 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $36,881$27,756–$56,298 · 21 plans | |
| Ms-Drg 408 408 | – | – | – | $59,246$37,742–$90,438 · 21 plans | |
| Ms-Drg 409 409 | – | – | – | $36,178$27,756–$55,225 · 21 plans | |
| Ms-Drg 410 410 | – | – | – | $26,408$21,007–$40,270 · 21 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $54,888$34,965–$83,785 · 21 plans | |
| Ms-Drg 412 412 | – | – | – | $34,935$27,756–$53,328 · 21 plans | |
| Ms-Drg 413 413 | – | – | – | $27,619$21,970–$42,117 · 21 plans | |
| Ms-Drg 414 414 | – | – | – | $59,196$37,710–$90,362 · 21 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $34,340$27,345–$52,420 · 21 plans | |
| Ms-Drg 416 416 | – | – | – | $22,676$18,038–$34,579 · 21 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $56,612$36,064–$86,418 · 21 plans | |
| Ms-Drg 421 421 | – | – | – | $28,870$22,989–$44,070 · 21 plans | |
| Ms-Drg 422 422 | – | – | – | $23,278$18,517–$35,497 · 21 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $69,006$43,960–$105,337 · 21 plans | |
| Ms-Drg 424 424 | – | – | – | $36,354$27,756–$55,494 · 21 plans | |
| Ms-Drg 425 425 | – | – | – | $24,954$19,850–$38,054 · 21 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $183,128$116,659–$279,542 · 21 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $119,944$76,409–$183,093 · 21 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $93,415$59,509–$142,596 · 21 plans | |
| Ms-Drg 429 429 | – | – | – | $149,704$95,367–$228,519 · 21 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $95,826$61,045–$146,277 · 21 plans | |
| Ms-Drg 434 434 | – | – | – | $11,851$9,427–$18,112 · 21 plans | |
| Ms-Drg 437 437 | – | – | – | $14,193$11,290–$21,692 · 21 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $16,056$12,772–$24,539 · 21 plans | |
| Ms-Drg 443 443 | – | – | – | $11,638$9,258–$17,787 · 21 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $13,760$10,946–$21,031 · 21 plans | |
| Ms-Drg 447 447 | – | – | – | $111,021$70,725–$169,472 · 21 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $70,465$44,889–$107,564 · 21 plans | |
| Ms-Drg 450 450 | – | – | – | $88,557$56,414–$135,180 · 21 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $53,676$34,194–$81,936 · 21 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $139,631$88,950–$213,144 · 21 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $69,332$44,167–$105,834 · 21 plans | |
| Ms-Drg 461 461 | – | – | – | $91,770$58,461–$140,085 · 21 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $44,199$28,156–$67,468 · 21 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $30,303$24,129–$46,256 · 21 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $86,493$55,099–$132,030 · 21 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $50,400$32,106–$76,934 · 21 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $80,234$51,112–$122,475 · 21 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $71,331$45,440–$108,885 · 21 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $37,813$27,756–$57,721 · 21 plans | |
| Ms-Drg 476 476 | – | – | – | $19,630$15,615–$29,935 · 21 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $57,402$36,567–$87,622 · 21 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $30,887$24,595–$47,149 · 21 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $53,621$34,159–$81,852 · 21 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $34,746$27,667–$53,039 · 21 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $26,051$20,722–$39,725 · 21 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $29,392$23,404–$44,866 · 21 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $18,576$14,776–$28,327 · 21 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $61,007$38,864–$93,126 · 21 plans | |
| Ms-Drg 495 495 | – | – | – | $60,245$38,378–$91,962 · 21 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $29,974$23,867–$45,754 · 21 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $20,098$15,987–$30,647 · 21 plans | |
| Ms-Drg 498 498 | – | – | – | $50,127$31,933–$76,518 · 21 plans | |
| Ms-Drg 499 499 | – | – | – | $33,478$26,658–$51,103 · 21 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $52,586$33,499–$80,272 · 21 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $29,046$23,129–$44,339 · 21 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $22,386$17,808–$34,137 · 21 plans | |
| Ms-Drg 503 503 | – | – | – | $46,377$29,544–$70,793 · 21 plans | |
| Foot Procedures with Cc 504 | – | – | – | $31,059$24,731–$47,410 · 21 plans | |
| Ms-Drg 505 505 | – | – | – | $29,789$23,721–$45,473 · 21 plans | |
| Ms-Drg 506 506 | – | – | – | $22,441$17,851–$34,221 · 21 plans | |
| Ms-Drg 507 507 | – | – | – | $30,015$23,900–$45,818 · 21 plans | |
| Ms-Drg 508 508 | – | – | – | $25,189$20,037–$38,411 · 21 plans | |
| Ms-Drg 510 510 | – | – | – | $50,189$31,972–$76,612 · 21 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $34,551$27,513–$52,742 · 21 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $27,534$21,903–$41,988 · 21 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $26,185$20,830–$39,931 · 21 plans | |
| Ms-Drg 514 514 | – | – | – | $17,004$13,526–$25,988 · 21 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $62,099$39,559–$94,793 · 21 plans | |
| Ms-Drg 533 533 | – | – | – | $26,076$20,742–$39,763 · 21 plans | |
| Ms-Drg 534 534 | – | – | – | $13,408$10,666–$20,492 · 21 plans | |
| Ms-Drg 537 537 | – | – | – | $15,873$12,626–$24,259 · 21 plans | |
| Ms-Drg 538 538 | – | – | – | $11,981$9,530–$18,311 · 21 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $32,729$26,061–$49,959 · 21 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $21,561$17,151–$32,879 · 21 plans | |
| Ms-Drg 541 541 | – | – | – | $13,097$10,418–$20,017 · 21 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $12,551$9,984–$19,183 · 21 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $41,236$27,756–$62,946 · 21 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $19,185$15,261–$29,255 · 21 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $13,909$11,064–$21,257 · 21 plans | |
| Ms-Drg 548 548 | – | – | – | $32,084$25,548–$48,975 · 21 plans | |
| Ms-Drg 549 549 | – | – | – | $20,079$15,972–$30,619 · 21 plans | |
| Ms-Drg 550 550 | – | – | – | $14,539$11,565–$22,221 · 21 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $21,561$17,151–$32,879 · 21 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $21,986$17,489–$33,526 · 21 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $13,815$10,990–$21,115 · 21 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $30,987$24,674–$47,301 · 21 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $18,730$14,899–$28,562 · 21 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $13,371$10,636–$20,436 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $25,675$20,423–$39,152 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $16,207$12,892–$24,770 · 21 plans | |
| Ms-Drg 566 566 | – | – | – | $12,463$9,914–$19,048 · 21 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $48,869$31,132–$74,598 · 21 plans | |
| Ms-Drg 572 572 | – | – | – | $19,066$15,167–$29,075 · 21 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $108,858$69,347–$166,170 · 21 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $57,681$36,745–$88,049 · 21 plans | |
| Ms-Drg 575 575 | – | – | – | $29,859$23,776–$45,579 · 21 plans | |
| Ms-Drg 576 576 | – | – | – | $81,438$51,879–$124,314 · 21 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $44,044$28,058–$67,232 · 21 plans | |
| Ms-Drg 578 578 | – | – | – | $26,719$21,254–$40,745 · 21 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $53,811$34,280–$82,141 · 21 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $24,003$19,094–$36,603 · 21 plans | |
| Ms-Drg 582 582 | – | – | – | $32,012$25,491–$48,866 · 21 plans | |
| Ms-Drg 583 583 | – | – | – | $28,653$22,816–$43,738 · 21 plans | |
| Ms-Drg 584 584 | – | – | – | $35,570$27,756–$54,297 · 21 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $32,054$25,524–$48,930 · 21 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $32,157$25,606–$49,087 · 21 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $19,732$15,696–$30,089 · 21 plans | |
| Ms-Drg 594 594 | – | – | – | $14,417$11,469–$22,035 · 21 plans | |
| Ms-Drg 595 595 | – | – | – | $35,238$27,756–$53,789 · 21 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $18,005$14,323–$27,518 · 21 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $27,729$22,057–$42,284 · 21 plans | |
| Ms-Drg 598 598 | – | – | – | $18,817$14,968–$28,694 · 21 plans | |
| Ms-Drg 599 599 | – | – | – | $12,797$10,180–$19,559 · 21 plans | |
| Ms-Drg 600 600 | – | – | – | $17,325$13,781–$26,479 · 21 plans | |
| Ms-Drg 601 601 | – | – | – | $10,063$8,005–$15,380 · 21 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $24,485$19,477–$37,338 · 21 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $25,169$20,021–$38,381 · 21 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $36,419$27,756–$55,593 · 21 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $23,275$18,514–$35,492 · 21 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $57,947$36,914–$88,454 · 21 plans | |
| Ms-Drg 618 618 | – | – | – | $23,591$18,766–$35,974 · 21 plans | |
| Ms-Drg 619 619 | – | – | – | $47,977$30,563–$73,236 · 21 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $26,618$21,174–$40,590 · 21 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $25,089$19,958–$38,259 · 21 plans | |
| Ms-Drg 624 624 | – | – | – | $20,823$16,564–$31,753 · 21 plans | |
| Ms-Drg 625 625 | – | – | – | $50,182$31,968–$76,602 · 21 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $24,940$19,839–$38,031 · 21 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $22,094$17,575–$33,691 · 21 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $61,925$39,448–$94,527 · 21 plans | |
| Ms-Drg 630 630 | – | – | – | $24,276$19,311–$37,019 · 21 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $10,332$8,219–$15,792 · 21 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $23,654$18,816–$36,070 · 21 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $12,779$10,165–$19,531 · 21 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $78,118$49,764–$119,246 · 21 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $61,576$39,226–$93,994 · 21 plans | |
| Kidney Transplant 652 | – | – | – | $53,661$34,184–$81,913 · 21 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $86,343$55,004–$131,801 · 21 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $46,513$29,631–$71,001 · 21 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $35,169$27,756–$53,685 · 21 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $52,902$33,701–$80,754 · 21 plans | |
| Ms-Drg 662 662 | – | – | – | $50,870$32,406–$77,652 · 21 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $25,285$20,114–$38,558 · 21 plans | |
| Ms-Drg 664 664 | – | – | – | $17,413$13,852–$26,613 · 21 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $51,862$33,038–$79,166 · 21 plans | |
| Ms-Drg 666 666 | – | – | – | $29,066$23,145–$44,369 · 21 plans | |
| Ms-Drg 667 667 | – | – | – | $18,399$14,636–$28,058 · 21 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $48,519$30,908–$74,063 · 21 plans | |
| Ms-Drg 670 670 | – | – | – | $16,255$12,931–$24,844 · 21 plans | |
| Ms-Drg 671 671 | – | – | – | $29,826$23,750–$45,528 · 21 plans | |
| Ms-Drg 672 672 | – | – | – | $17,955$14,283–$27,442 · 21 plans | |
| Ms-Drg 675 675 | – | – | – | $27,301$21,717–$41,632 · 21 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $29,970$23,865–$45,749 · 21 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $17,428$13,863–$26,636 · 21 plans | |
| Ms-Drg 688 688 | – | – | – | $13,145$10,456–$20,090 · 21 plans | |
| Ms-Drg 693 693 | – | – | – | $22,363$17,789–$34,102 · 21 plans | |
| Ms-Drg 695 695 | – | – | – | $19,025$15,134–$29,011 · 21 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $11,460$9,116–$17,515 · 21 plans | |
| Ms-Drg 697 697 | – | – | – | $17,927$14,260–$27,399 · 21 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $11,475$9,128–$17,538 · 21 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $33,237$26,466–$50,736 · 21 plans | |
| Ms-Drg 709 709 | – | – | – | $38,667$27,756–$59,025 · 21 plans | |
| Ms-Drg 710 710 | – | – | – | $23,306$18,539–$35,540 · 21 plans | |
| Ms-Drg 711 711 | – | – | – | $34,624$27,571–$52,854 · 21 plans | |
| Ms-Drg 712 712 | – | – | – | $18,291$14,550–$27,893 · 21 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $25,006$19,891–$38,132 · 21 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $17,588$13,990–$26,880 · 21 plans | |
| Ms-Drg 715 715 | – | – | – | $37,175$27,756–$56,747 · 21 plans | |
| Ms-Drg 716 716 | – | – | – | $24,467$19,463–$37,310 · 21 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $31,413$25,013–$47,951 · 21 plans | |
| Ms-Drg 718 718 | – | – | – | $22,340$17,771–$34,066 · 21 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $30,070$23,944–$45,901 · 21 plans | |
| Ms-Drg 723 723 | – | – | – | $19,007$15,119–$28,983 · 21 plans | |
| Ms-Drg 724 724 | – | – | – | $10,906$8,676–$16,669 · 21 plans | |
| Ms-Drg 725 725 | – | – | – | $19,464$15,483–$29,681 · 21 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $12,009$9,553–$18,354 · 21 plans | |
| Ms-Drg 727 727 | – | – | – | $24,665$19,620–$37,612 · 21 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $13,493$10,733–$20,622 · 21 plans | |
| Ms-Drg 729 729 | – | – | – | $17,609$14,008–$26,913 · 21 plans | |
| Ms-Drg 730 730 | – | – | – | $11,177$8,891–$17,083 · 21 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $35,392$27,756–$54,025 · 21 plans | |
| Ms-Drg 735 735 | – | – | – | $22,380$17,802–$34,127 · 21 plans | |
| Ms-Drg 736 736 | – | – | – | $59,394$37,836–$90,664 · 21 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $34,239$27,264–$52,265 · 21 plans | |
| Ms-Drg 738 738 | – | – | – | $24,426$19,430–$37,247 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $59,532$37,924–$90,874 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $30,068$23,943–$45,899 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $23,720$18,869–$36,172 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $30,487$24,276–$46,538 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $20,637$16,416–$31,469 · 21 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $34,048$27,112–$51,973 · 21 plans | |
| Ms-Drg 745 745 | – | – | – | $18,920$15,050–$28,852 · 21 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $28,864$22,984–$44,060 · 21 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $14,299$11,375–$21,854 · 21 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $23,075$18,355–$35,187 · 21 plans | |
| Ms-Drg 749 749 | – | – | – | $42,663$27,756–$65,125 · 21 plans | |
| Ms-Drg 750 750 | – | – | – | $24,547$19,526–$37,432 · 21 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $30,602$24,368–$46,713 · 21 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $18,093$14,393–$27,653 · 21 plans | |
| Ms-Drg 756 756 | – | – | – | $15,976$12,708–$24,417 · 21 plans | |
| Ms-Drg 757 757 | – | – | – | $23,817$18,945–$36,319 · 21 plans | |
| Ms-Drg 758 758 | – | – | – | $16,284$12,953–$24,887 · 21 plans | |
| Ms-Drg 759 759 | – | – | – | $11,038$8,780–$16,869 · 21 plans | |
| Ms-Drg 760 760 | – | – | – | $16,758$13,330–$25,612 · 21 plans | |
| Ms-Drg 761 761 | – | – | – | $9,489$7,548–$14,503 · 21 plans | |
| Ms-Drg 768 768 | – | – | – | $17,824$14,178–$27,241 · 21 plans | |
| Ms-Drg 769 769 | – | – | – | $28,078$22,358–$42,860 · 21 plans | |
| Ms-Drg 770 770 | – | – | – | $16,678$13,267–$25,490 · 21 plans | |
| Ms-Drg 776 776 | – | – | – | $10,890$8,662–$16,643 · 21 plans | |
| Ms-Drg 779 779 | – | – | – | $13,993$11,131–$21,387 · 21 plans | |
| Ms-Drg 783 783 | – | – | – | $40,794$27,756–$62,271 · 21 plans | |
| Ms-Drg 784 784 | – | – | – | $17,633$14,026–$26,949 · 21 plans | |
| Ms-Drg 785 785 | – | – | – | $15,931$12,673–$24,348 · 21 plans | |
| C-section, with major complications 786 | – | – | – | $27,436$21,825–$41,838 · 21 plans | |
| C-section, with complications 787 | – | – | – | $18,576$14,776–$28,327 · 21 plans | |
| C-section 788 | – | – | – | $15,948$12,686–$24,374 · 21 plans | |
| Ms-Drg 789 789 | – | – | – | $29,945$23,845–$45,711 · 21 plans | |
| Ms-Drg 790 790 | – | – | – | $98,757$62,912–$150,751 · 21 plans | |
| Ms-Drg 791 791 | – | – | – | $67,444$42,965–$102,952 · 21 plans | |
| Ms-Drg 792 792 | – | – | – | $40,696$27,756–$62,122 · 21 plans | |
| Ms-Drg 793 793 | – | – | – | $69,282$44,135–$105,758 · 21 plans | |
| Ms-Drg 794 794 | – | – | – | $24,549$19,528–$37,435 · 21 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $3,323$2,644–$5,669 · 21 plans | |
| Ms-Drg 796 796 | – | – | – | $19,411$15,441–$29,600 · 21 plans | |
| Ms-Drg 797 797 | – | – | – | $16,640$13,236–$25,431 · 21 plans | |
| Ms-Drg 798 798 | – | – | – | $15,919$12,663–$24,330 · 21 plans | |
| Ms-Drg 799 799 | – | – | – | $75,252$47,938–$114,871 · 21 plans | |
| Ms-Drg 800 800 | – | – | – | $46,681$29,738–$71,258 · 21 plans | |
| Ms-Drg 801 801 | – | – | – | $31,718$25,257–$48,417 · 21 plans | |
| Ms-Drg 802 802 | – | – | – | $66,200$42,172–$101,053 · 21 plans | |
| Ms-Drg 803 803 | – | – | – | $30,887$24,595–$47,149 · 21 plans | |
| Ms-Drg 804 804 | – | – | – | $22,554$17,941–$34,394 · 21 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $17,950$14,279–$27,434 · 21 plans | |
| Vaginal birth, with complications 806 | – | – | – | $12,541$9,976–$19,167 · 21 plans | |
| Vaginal birth 807 | – | – | – | $11,214$8,920–$17,139 · 21 plans | |
| Ms-Drg 810 810 | – | – | – | $17,408$13,848–$26,606 · 21 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $35,337$27,756–$53,942 · 21 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $16,866$13,416–$25,777 · 21 plans | |
| Ms-Drg 816 816 | – | – | – | $10,512$8,362–$16,066 · 21 plans | |
| Ms-Drg 817 817 | – | – | – | $37,911$27,756–$57,871 · 21 plans | |
| Ms-Drg 818 818 | – | – | – | $19,281$15,337–$29,402 · 21 plans | |
| Ms-Drg 819 819 | – | – | – | $14,303$11,377–$21,860 · 21 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $97,450$62,079–$148,755 · 21 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $37,197$27,756–$56,780 · 21 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $20,026$15,930–$30,538 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $76,181$48,530–$116,289 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $37,645$27,756–$57,465 · 21 plans | |
| Ms-Drg 825 825 | – | – | – | $22,445$17,854–$34,226 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $77,726$49,515–$118,648 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $38,403$27,756–$58,621 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $28,310$22,543–$43,215 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $52,507$33,449–$80,150 · 21 plans | |
| Ms-Drg 830 830 | – | – | – | $25,033$19,913–$38,173 · 21 plans | |
| Ms-Drg 831 831 | – | – | – | $20,001$15,910–$30,500 · 21 plans | |
| Ms-Drg 832 832 | – | – | – | $12,002$9,547–$18,344 · 21 plans | |
| Ms-Drg 833 833 | – | – | – | $8,697$6,918–$13,293 · 21 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $91,220$58,111–$139,246 · 21 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $34,658$27,597–$52,904 · 21 plans | |
| Ms-Drg 836 836 | – | – | – | $20,284$16,135–$30,931 · 21 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $79,828$50,854–$121,856 · 21 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $34,684$27,618–$52,945 · 21 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $24,016$19,104–$36,623 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $27,135$21,585–$41,379 · 21 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $16,806$13,369–$25,685 · 21 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $33,146$26,393–$50,596 · 21 plans | |
| Ms-Drg 844 844 | – | – | – | $20,249$16,107–$30,878 · 21 plans | |
| Ms-Drg 845 845 | – | – | – | $14,165$11,268–$21,649 · 21 plans | |
| Ms-Drg 848 848 | – | – | – | $14,128$11,238–$21,593 · 21 plans | |
| Radiotherapy 849 | – | – | – | $45,021$28,680–$68,724 · 21 plans | |
| Ms-Drg 850 850 | – | – | – | $143,886$91,661–$219,640 · 21 plans | |
| Ms-Drg 855 855 | – | – | – | $24,903$19,809–$37,975 · 21 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $35,583$27,756–$54,317 · 21 plans | |
| Ms-Drg 858 858 | – | – | – | $23,168$18,429–$35,330 · 21 plans | |
| Viral Illness with Mcc 865 | – | – | – | $24,921$19,824–$38,003 · 21 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $14,464$11,506–$22,106 · 21 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $34,781$27,695–$53,092 · 21 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $17,150$13,642–$26,212 · 21 plans | |
| Ms-Drg 869 869 | – | – | – | $12,137$9,655–$18,550 · 21 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $64,219$40,910–$98,029 · 21 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $15,955$10,164–$24,355 · 21 plans | |
| Depressive Neuroses 881 | – | – | – | $15,634$9,959–$23,865 · 21 plans | |
| Neuroses Except Depressive 882 | – | – | – | $17,842$11,366–$27,236 · 21 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $32,672$20,813–$49,873 · 21 plans | |
| Ms-Drg 886 886 | – | – | – | $34,483$21,967–$52,638 · 21 plans | |
| Ms-Drg 887 887 | – | – | – | $17,794$11,335–$27,162 · 21 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $10,250$6,530–$15,647 · 21 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $23,522$14,984–$35,905 · 21 plans | |
| Ms-Drg 901 901 | – | – | – | $69,731$44,421–$106,443 · 21 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $31,811$25,331–$48,559 · 21 plans | |
| Ms-Drg 903 903 | – | – | – | $19,454$15,475–$29,666 · 21 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $61,032$38,880–$93,165 · 21 plans | |
| Ms-Drg 905 905 | – | – | – | $24,673$19,627–$37,625 · 21 plans | |
| Ms-Drg 906 906 | – | – | – | $32,639$25,990–$49,823 · 21 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $21,834$17,368–$33,295 · 21 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $27,188$21,627–$41,460 · 21 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $14,729$11,716–$22,510 · 21 plans | |
| Ms-Drg 915 915 | – | – | – | $27,941$22,249–$42,652 · 21 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $11,083$8,816–$16,938 · 21 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $14,256$11,340–$21,788 · 21 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $11,450$9,108–$17,500 · 21 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $29,068$23,146–$44,372 · 21 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $16,927$13,465–$25,871 · 21 plans | |
| Ms-Drg 927 927 | – | – | – | $354,760$225,995–$541,534 · 21 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $119,182$75,923–$181,928 · 21 plans | |
| Ms-Drg 929 929 | – | – | – | $53,517$34,092–$81,692 · 21 plans | |
| Ms-Drg 933 933 | – | – | – | $64,706$41,220–$98,772 · 21 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $36,731$27,756–$56,070 · 21 plans | |
| Non-Extensive Burns 935 | – | – | – | $34,229$27,256–$52,250 · 21 plans | |
| Ms-Drg 939 939 | – | – | – | $60,291$38,408–$92,033 · 21 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $38,830$27,756–$59,273 · 21 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $33,692$26,829–$51,431 · 21 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $25,758$20,490–$39,279 · 21 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $19,075$15,173–$29,087 · 21 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $19,788$15,741–$30,176 · 21 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $10,441$8,305–$15,957 · 21 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $9,248$7,356–$14,134 · 21 plans | |
| Ms-Drg 955 955 | – | – | – | $111,844$71,249–$170,728 · 21 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $126,612$80,657–$193,271 · 21 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $70,018$44,604–$106,881 · 21 plans | |
| Ms-Drg 959 959 | – | – | – | $48,919$31,163–$74,674 · 21 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $45,425$28,937–$69,340 · 21 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $25,492$20,278–$38,873 · 21 plans | |
| Ms-Drg 965 965 | – | – | – | $15,643$12,444–$23,908 · 21 plans | |
| Ms-Drg 969 969 | – | – | – | $101,712$64,794–$155,261 · 21 plans | |
| Ms-Drg 970 970 | – | – | – | $43,823$27,917–$66,895 · 21 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $47,954$30,548–$73,201 · 21 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $21,540$17,134–$32,846 · 21 plans | |
| Ms-Drg 976 976 | – | – | – | $15,015$11,944–$22,948 · 21 plans | |
| Ms-Drg 977 977 | – | – | – | $21,585$17,170–$32,915 · 21 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $28,480$22,678–$43,474 · 21 plans | |
| Ms-Drg 989 989 | – | – | – | $19,946$15,867–$30,417 · 21 plans |
Outpatient procedures and tests
The hospital's facility charge only; doctors usually bill separately.
| Procedure | List price | Cash price | Insurers (median) |
|---|---|---|---|
| C-section, with prenatal and postpartum care CPT 59510 | – | – | $2,017only 1 plan |
| Cataract surgery CPT 66984 | – | – | $4,162$1,900–$5,228 · 3 plans |
| Colonoscopy CPT 45378 | – | – | $1,265$864–$2,010 · 3 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $2,840$1,180–$3,201 · 3 plans |
| Complete blood count (CBC) CPT 85025 | $121 | $75 | $56$29–$105 · 48 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | – | – | $15only 2 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,325 | $2,682 | $1,817$524–$3,157 · 48 plans |
| Emergency room visit, highest level CPT 99285 | $4,710 | $2,920 | $2,647$1,338–$18,129 · 47 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $2,880$1,653–$11,820 · 3 plans |
| Hip replacement CPT 27130 | – | – | $7,150$2,303–$26,228 · 3 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $3,107$1,947–$6,875 · 3 plans |
| Knee replacement CPT 27447 | – | – | $7,150$6,258–$26,228 · 3 plans |
| MRI of the brain, with and without contrast CPT 70553 | $4,540 | $2,815 | $1,907$866–$3,632 · 48 plans |
| MRI of the knee, without contrast CPT 73721 | $2,983 | $1,849 | $1,253$866–$2,431 · 48 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $1,824only 1 plan |
Price file: Baptist Health Medical Center - Jacksonville, read November 9, 2026.