Beaumont Hospital Royal Oak
3601 W Thirteen Mile Rd, Royal Oak, MI 48073 · (248) 898-5400
The money
$20what care cost the hospital for every $100 it billed
$30.8Mnet income, all sources
0.6%margin on patient care alone
$6.5Mcost of charity care (0.5% of costs)
$71.9Munpaid bills written off (bad debt)
1,026beds
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) | |
|---|---|---|---|---|---|
| Heart failure, with major complications 291 | 559 | $41,752 | $12,234 | $16,883$15,105–$20,516 · 10 plans | |
| Sepsis, with major complications 871 | 435 | $71,937 | $18,491 | $25,545$22,663–$30,232 · 10 plans | |
| Stomach and digestive disorders 392 | 194 | $28,592 | $7,726 | $10,252$9,319–$12,003 · 10 plans | |
| Lung infection, with major complications 177 | 157 | $60,571 | $15,414 | $20,550$18,305–$22,709 · 10 plans | |
| Pneumonia, with major complications 193 | 147 | $42,151 | $12,824 | $17,043$15,456–$18,046 · 10 plans | |
| Urinary tract infection 690 | 139 | $26,598 | $7,892 | $10,369$9,662–$11,114 · 10 plans | |
| Urinary tract infection, with major complications 689 | 127 | $37,907 | $11,089 | $15,258$13,687–$16,643 · 10 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 125 | $43,912 | $12,290 | $17,564$15,699–$22,257 · 10 plans | |
| Stomach or intestinal bleeding, with complications 378 | 121 | $38,846 | $9,563 | $12,897$11,627–$18,133 · 10 plans | |
| Kidney failure, with complications 683 | 120 | $29,893 | $8,664 | $11,517$10,423–$13,477 · 10 plans | |
| Sepsis 872 | 113 | $35,833 | $10,074 | $13,438$12,116–$14,049 · 10 plans | |
| Fainting 312 | 109 | $28,296 | $8,240 | $11,462$10,375–$15,911 · 10 plans | |
| Other kidney and urinary problems, with major complications 698 | 107 | $53,895 | $16,123 | $21,756$19,357–$23,630 · 10 plans | |
| Irregular heartbeat, with complications 309 | 103 | $26,268 | $7,259 | $9,675$8,816–$12,681 · 10 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 101 | $218,514 | $43,975 | $62,607$55,001–$94,448 · 10 plans | |
| Skin infection (cellulitis) 603 | 95 | $23,475 | $8,388 | $11,255$10,367–$11,957 · 10 plans | |
| COPD, with major complications 190 | 93 | $41,288 | $10,532 | $14,567$13,084–$16,983 · 10 plans | |
| Kidney failure, with major complications 682 | 93 | $42,490 | $14,339 | $19,476$17,367–$24,743 · 10 plans | |
| Dehydration and electrolyte problems 641 | 92 | $24,347 | $7,498 | $10,234$9,303–$12,441 · 10 plans | |
| Bowel surgery, with complications 330 | 89 | $96,425 | $21,502 | $31,524$27,880–$39,619 · 10 plans | |
| Back problems (no surgery) 552 | 89 | $32,613 | $9,103 | $12,642$11,404–$16,007 · 10 plans | |
| Irregular heartbeat, with major complications 308 | 85 | $41,719 | $11,537 | $15,833$14,189–$19,314 · 10 plans | |
| Infection needing surgery, with major complications 853 | 84 | $203,136 | $43,994 | $64,945$57,041–$73,393 · 10 plans | |
| Stroke, with major complications 064 | 83 | $72,532 | $18,243 | $26,446$23,449–$34,082 · 10 plans | |
| Stroke, with complications or clot-busting drug 065 | 82 | $46,840 | $10,122 | $13,286$11,966–$21,274 · 10 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 82 | $84,692 | $18,754 | $27,544$24,407–$37,105 · 10 plans | |
| Heart attack, with major complications 280 | 76 | $56,055 | $15,058 | $21,095$18,780–$25,829 · 10 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 74 | $29,516 | $9,093 | $12,240$11,179–$13,334 · 10 plans | |
| Heart catheterization, with major complications 286 | 74 | $85,814 | $20,075 | $29,099$25,764–$33,934 · 10 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 74 | $61,957 | $15,746 | $24,039$21,349–$27,668 · 10 plans | |
| Other digestive problems, with complications 394 | 73 | $34,691 | $9,392 | $12,305$11,110–$15,863 · 10 plans | |
| Other kidney and urinary problems, with complications 699 | 73 | $31,918 | $9,638 | $13,348$12,020–$16,360 · 10 plans | |
| Heart catheterization 287 | 72 | $47,014 | $10,232 | $14,072$12,653–$20,964 · 10 plans | |
| Other circulation problems, with major complications 314 | 70 | $73,712 | $19,786 | $27,421$24,300–$32,433 · 10 plans | |
| Spinal fusion (lower or mid back) 460 | 67 | $111,838 | $32,039 | Not in dollars (14 plans) | |
| Heart stent 322 | 62 | $97,164 | $17,152 | $23,184$20,603–$38,610 · 10 plans | |
| Stomach and digestive disorders, with major complications 391 | 59 | $45,655 | $12,676 | $16,679$14,927–$19,643 · 10 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 57 | $113,630 | $27,483 | $43,287$38,144–$56,424 · 10 plans | |
| Hip or knee replacement 470 | 57 | $72,463 | $17,461 | $25,366$22,507–$34,078 · 10 plans | |
| Mini-stroke (TIA) 069 | 56 | $31,570 | $7,725 | $10,505$9,540–$16,632 · 10 plans | |
| Lung infection, with complications 178 | 55 | $26,531 | $9,628 | $12,835$11,573–$17,305 · 10 plans | |
| Respiratory failure 189 | 54 | $57,753 | $12,604 | $16,246$14,549–$18,945 · 10 plans | |
| Delirium and other mental confusion 884 | 54 | $31,674 | $15,302 | $20,276$18,835–$22,089 · 10 plans | |
| Chest pain 313 | 52 | $24,321 | $6,965 | $9,468$8,635–$13,431 · 10 plans | |
| Bowel surgery, with major complications 329 | 52 | $215,095 | $45,696 | $60,446$53,115–$65,354 · 10 plans | |
| Other Disorders of Nervous System with Cc 092 | 50 | $34,339 | $9,752 | $13,453$12,112–$17,932 · 10 plans | |
| Pneumonia, with complications 194 | 50 | $25,812 | $7,949 | $10,598$9,621–$11,178 · 10 plans | |
| Heart stent, with major complications or 4+ stents 321 | 50 | $153,077 | $29,352 | $35,780$31,593–$55,459 · 10 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 49 | $178,942 | $41,513 | $59,791$52,544–$88,259 · 10 plans | |
| Seizures 101 | 49 | $40,148 | $9,391 | $11,870$10,731–$13,249 · 10 plans | |
| Anemia and blood disorders 812 | 49 | $33,672 | $8,747 | $12,075$10,910–$15,756 · 10 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 48 | $54,348 | $15,240 | $21,032$18,725–$25,200 · 10 plans | |
| High blood pressure 305 | 47 | $34,042 | $7,642 | $9,930$9,038–$13,212 · 10 plans | |
| Peripheral Vascular Disorders with Cc 300 | 45 | $31,583 | $10,085 | $14,038$12,623–$17,526 · 10 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 44 | $316,548 | $60,784 | $80,591$70,693–$112,542 · 10 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 44 | $45,763 | $14,576 | $21,471$19,108–$25,072 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 43 | $182,555 | $45,139 | $61,699$54,209–$101,296 · 10 plans | |
| Dysequilibrium 149 | 42 | $29,448 | $7,454 | $9,884$8,998–$14,757 · 10 plans | |
| Other Vascular Procedures with Mcc 252 | 42 | $138,513 | $30,782 | $45,873$40,400–$86,028 · 10 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 42 | $97,895 | $20,464 | $33,351$29,474–$47,796 · 10 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 41 | $77,804 | $13,640 | $18,063$16,135–$23,847 · 10 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 39 | $30,149 | $12,339 | $17,038$15,240–$30,572 · 10 plans | |
| Irregular heartbeat 310 | 39 | $25,102 | $5,508 | $7,444$6,869–$9,750 · 10 plans | |
| Major Chest Procedures with Cc 164 | 38 | $106,043 | $24,526 | $33,192$29,335–$46,284 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 38 | $285,164 | $73,757 | $100,973$88,477–$135,946 · 10 plans | |
| Bowel obstruction, with complications 389 | 36 | $28,843 | $7,885 | $10,386$9,436–$11,928 · 10 plans | |
| Diabetes, with complications 638 | 36 | $25,918 | $8,453 | $11,602$10,657–$12,304 · 10 plans | |
| Seizures with Mcc 100 | 35 | $113,638 | $22,055 | $25,470$22,597–$28,462 · 10 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 34 | $55,393 | $19,186 | $30,550$27,030–$41,507 · 10 plans | |
| Heart attack, with complications 281 | 34 | $42,405 | $9,037 | $12,087$10,920–$17,964 · 10 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 34 | $128,672 | $26,579 | $38,298$33,790–$58,144 · 10 plans | |
| Diabetes, with major complications 637 | 34 | $55,433 | $14,282 | $18,490$16,859–$19,725 · 10 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 33 | $94,988 | $22,234 | $35,699$32,179–$38,056 · 10 plans | |
| Hip replacement after a hip fracture 522 | 33 | $85,639 | $18,069 | $27,849$24,673–$39,242 · 10 plans | |
| Fracture or sprain (not hip or thigh) 563 | 33 | $30,196 | $8,283 | $11,776$10,649–$15,888 · 10 plans | |
| Cellulitis with Mcc 602 | 33 | $38,833 | $13,277 | $18,691$16,682–$24,184 · 10 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 32 | $34,387 | $9,629 | $13,555$12,202–$18,787 · 10 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 32 | $61,493 | $15,927 | $22,131$19,684–$29,036 · 10 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 32 | $102,550 | $26,850 | $46,376$40,839–$49,651 · 10 plans | |
| Anemia and blood disorders, with major complications 811 | 32 | $47,478 | $12,663 | $18,467$16,487–$22,875 · 10 plans | |
| Signs and Symptoms Without Mcc 948 | 32 | $27,773 | $7,643 | $10,527$9,559–$17,049 · 10 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 31 | $32,854 | $8,306 | $11,086$10,047–$15,112 · 10 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 31 | $70,657 | $18,983 | $25,883$22,958–$33,612 · 10 plans | |
| Disorders of the Biliary Tract with Cc 445 | 31 | $49,857 | $10,552 | $14,392$12,931–$17,980 · 10 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 30 | $68,663 | $17,505 | $24,153$21,449–$32,022 · 10 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 30 | $222,083 | $61,551 | $90,893$79,682–$122,412 · 10 plans | |
| Psychoses 885 | 30 | $27,678 | $12,975 | $17,603$15,478–$19,177 · 10 plans | |
| Major Chest Trauma with Cc 184 | 29 | $44,958 | $9,935 | $13,993$12,584–$17,633 · 10 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 29 | $36,903 | $8,960 | $11,157$10,503–$12,120 · 10 plans | |
| Respiratory Neoplasms with Mcc 180 | 28 | $70,521 | $17,359 | $23,224$20,637–$29,864 · 10 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 28 | $154,907 | $37,921 | $55,085$48,437–$74,885 · 10 plans | |
| Cervical Spinal Fusion with Cc 472 | 28 | $83,023 | $24,933 | $38,743$34,178–$44,514 · 10 plans | |
| Nervous System Neoplasms with Mcc 054 | 27 | $56,228 | $14,364 | $20,079$17,894–$23,053 · 10 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 27 | $77,602 | $24,225 | $36,137$31,905–$43,526 · 10 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | 27 | $24,098 | $7,881 | $10,916$9,899–$13,666 · 10 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 27 | $47,928 | $12,106 | $17,381$15,539–$20,393 · 10 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 26 | $197,455 | $51,449 | $77,175$67,712–$94,135 · 10 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 26 | $44,776 | $9,640 | $13,616$12,254–$18,885 · 10 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 25 | $204,936 | $52,698 | Not in dollars (14 plans) | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 24 | $130,692 | $25,616 | $36,147$31,913–$40,431 · 10 plans | |
| Hypertension with Mcc 304 | 24 | $41,311 | $10,662 | $15,649$14,028–$25,396 · 10 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 24 | $33,139 | $9,442 | $12,668$11,427–$17,724 · 10 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 24 | $39,328 | $10,026 | $13,427$12,089–$15,464 · 10 plans | |
| Kidney Transplant 652 | 24 | $262,761 | $36,115 | $42,469$37,430–$139,390 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 23 | $217,082 | $47,201 | $70,129$61,564–$101,004 · 10 plans | |
| Digestive Malignancy with Mcc 374 | 23 | $104,222 | $19,505 | $28,125$24,914–$31,678 · 10 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 23 | $138,809 | $34,821 | $55,253$48,584–$63,142 · 10 plans | |
| Coagulation Disorders 813 | 23 | $68,393 | $15,560 | $20,058$17,876–$29,123 · 10 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 22 | $92,499 | $20,143 | $28,022$24,824–$40,474 · 10 plans | |
| Other Vascular Procedures with Cc 253 | 22 | $114,727 | $24,468 | $34,133$30,157–$47,069 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 22 | $77,320 | $18,064 | $27,328$24,219–$40,755 · 10 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 22 | $69,607 | $23,034 | $32,925$29,529–$34,884 · 10 plans | |
| Pulmonary Embolism Without Mcc 176 | 21 | $30,513 | $7,921 | $10,586$9,611–$13,664 · 10 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 21 | $125,152 | $30,047 | $41,987$37,009–$60,908 · 10 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 21 | $236,768 | $57,616 | $69,386$60,916–$98,212 · 10 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 21 | $240,877 | $58,634 | $65,587$57,601–$82,568 · 10 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 21 | $121,275 | $22,363 | $32,142$28,419–$44,053 · 10 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | 21 | $56,547 | $12,167 | $17,687$15,807–$25,181 · 10 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 21 | $38,186 | $8,407 | $11,062$10,026–$15,236 · 10 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 21 | $107,348 | $18,785 | $23,601$20,967–$45,762 · 10 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | 21 | $162,192 | $37,786 | Not in dollars (14 plans) | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 21 | $68,639 | $17,447 | $23,230$20,643–$43,677 · 10 plans | |
| Endocrine Disorders with Cc 644 | 21 | $27,921 | $9,755 | $13,479$12,135–$16,721 · 10 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 21 | $140,236 | $34,217 | $50,488$44,427–$62,352 · 10 plans | |
| Complications of Treatment with Mcc 919 | 21 | $64,627 | $17,452 | $24,076$21,381–$32,730 · 10 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | 20 | $320,318 | $77,287 | $71,939$63,144–$85,957 · 10 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 20 | $78,197 | $15,744 | $22,245$19,784–$30,775 · 10 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 20 | $60,202 | $15,509 | $21,438$19,079–$29,600 · 10 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 20 | $65,900 | $15,882 | $21,973$19,546–$30,558 · 10 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | 20 | $117,574 | $26,726 | $39,888$35,178–$64,230 · 10 plans | |
| Medical Back Problems with Mcc 551 | 20 | $47,685 | $14,996 | $22,041$19,606–$27,841 · 10 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 20 | $32,767 | $8,488 | $12,046$10,884–$12,932 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 20 | $114,432 | $27,949 | $42,540$37,492–$69,775 · 10 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 19 | $32,998 | $7,223 | $9,000$8,227–$16,134 · 10 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 19 | $125,491 | $30,984 | $46,767$41,180–$62,181 · 10 plans | |
| Atherosclerosis Without Mcc 303 | 19 | $25,549 | $7,352 | $8,853$8,098–$12,601 · 10 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 19 | $20,953 | $5,806 | $7,154$6,616–$9,321 · 10 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | 19 | $97,282 | $28,490 | $42,481$37,440–$51,385 · 10 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 19 | $78,562 | $18,642 | $26,304$23,325–$37,493 · 10 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 19 | $32,361 | $7,801 | $10,620$9,641–$11,463 · 10 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 19 | $38,088 | $7,588 | $10,923$9,904–$16,182 · 10 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 19 | $32,867 | $9,371 | $13,123$11,824–$14,624 · 10 plans | |
| Complications of Treatment with Cc 920 | 19 | $43,002 | $10,170 | $13,181$11,875–$18,504 · 10 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 18 | $171,072 | $45,591 | $75,356$66,125–$102,767 · 10 plans | |
| Other Disorders of Nervous System with Mcc 091 | 18 | $61,720 | $17,117 | $23,095$20,525–$35,221 · 10 plans | |
| Interstitial Lung Disease with Mcc 196 | 18 | $52,730 | $17,399 | $23,784$22,028–$25,910 · 10 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | 18 | $75,870 | $15,129 | $21,071$18,759–$29,064 · 10 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | 18 | $137,778 | $28,101 | $38,139$33,652–$61,698 · 10 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 18 | $33,992 | $10,515 | $13,519$12,169–$22,875 · 10 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 18 | $84,637 | $18,536 | $24,065$21,372–$36,541 · 10 plans | |
| Heart Failure and Shock with Cc 292 | 17 | $33,311 | $8,565 | $11,165$10,116–$13,799 · 10 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | 17 | $162,602 | $34,762 | $52,871$46,506–$56,315 · 10 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 17 | $37,808 | $10,572 | $13,890$12,493–$14,707 · 10 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 17 | $144,726 | $33,345 | $37,744$33,307–$68,794 · 10 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 17 | $37,375 | $11,441 | $16,647$14,899–$19,262 · 10 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 17 | $73,645 | $16,894 | $22,984$20,985–$25,038 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 16 | $48,226 | $11,480 | $17,131$15,321–$20,003 · 10 plans | |
| Neurological Eye Disorders 123 | 16 | $51,620 | $10,529 | $10,502$9,537–$19,152 · 10 plans | |
| Major Chest Procedures with Mcc 163 | 16 | $195,280 | $42,672 | $58,938$51,799–$66,166 · 10 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | 16 | $77,173 | $16,816 | $25,173$22,338–$37,014 · 10 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 16 | $93,720 | $21,206 | $23,317$20,719–$29,785 · 10 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | 16 | $117,554 | $36,256 | $55,768$49,034–$60,126 · 10 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | 16 | $35,745 | $13,030 | $18,737$16,722–$20,897 · 10 plans | |
| Endocrine Disorders with Mcc 643 | 16 | $47,421 | $14,211 | $21,647$19,262–$24,684 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 16 | $101,666 | $21,704 | $32,330$28,583–$42,242 · 10 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 15 | $614,895 | $150,058 | $279,121$243,918–$429,050 · 10 plans | |
| Headaches Without Mcc 103 | 15 | $28,637 | $8,787 | $10,998$9,970–$17,599 · 10 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 15 | $89,698 | $15,852 | $23,769$21,114–$37,778 · 10 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 15 | $156,107 | $36,746 | $55,537$48,832–$65,728 · 10 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | 15 | $24,558 | $6,644 | $9,464$8,632–$14,579 · 10 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | 15 | $41,268 | $9,373 | $12,694$11,450–$17,129 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | 15 | $110,157 | $23,431 | $32,340$28,591–$39,881 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 15 | $59,574 | $14,804 | $20,208$18,006–$27,718 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | 15 | $35,089 | $11,240 | $12,814$11,554–$14,994 · 10 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 15 | $68,741 | $17,289 | $25,181$23,301–$27,432 · 10 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 14 | $31,908 | $9,884 | $13,492$12,146–$17,528 · 10 plans | |
| Other Disorders of the Eye Without Mcc 125 | 14 | $29,565 | $7,605 | $10,097$9,184–$12,302 · 10 plans | |
| Respiratory Signs and Symptoms 204 | 14 | $34,636 | $8,021 | $10,618$9,638–$14,316 · 10 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 14 | $49,774 | $16,837 | $24,078$21,383–$30,435 · 10 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 14 | $258,761 | $66,759 | $100,538$88,097–$110,625 · 10 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 14 | $217,162 | $39,912 | $54,252$47,711–$67,207 · 10 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | 14 | $169,349 | $27,550 | $41,437$36,529–$62,653 · 10 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | 14 | $66,178 | $15,928 | $22,124$19,678–$29,826 · 10 plans | |
| Spinal Fusion Except Cervical with Mcc 459 | 14 | $182,874 | $45,718 | Not in dollars (14 plans) | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | 14 | $78,732 | $21,432 | $30,754$27,208–$32,753 · 10 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 14 | $84,290 | $20,490 | $29,035$25,708–$39,543 · 10 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | 14 | $165,934 | $32,273 | $45,085$39,712–$75,585 · 10 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 13 | $53,867 | $17,115 | $21,893$19,476–$32,353 · 10 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | 13 | $145,539 | $39,405 | $49,152$43,261–$62,037 · 10 plans | |
| Other Heart Assist System Implant 215 | 13 | $491,992 | $123,244 | $130,939$114,623–$171,173 · 10 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | 13 | $112,189 | $18,397 | $26,048$23,102–$39,546 · 10 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | 13 | $200,681 | $41,264 | $57,767$50,778–$65,279 · 10 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 13 | $43,560 | $13,532 | $19,421$17,319–$21,536 · 10 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | 13 | $52,472 | $12,478 | $17,961$16,045–$27,442 · 10 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | 13 | $142,229 | $49,936 | $78,417$68,796–$98,581 · 10 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | 13 | $81,793 | $20,650 | $32,104$28,386–$36,398 · 10 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | 13 | $61,928 | $14,209 | $21,448$19,088–$28,441 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | 13 | $90,678 | $17,678 | $21,454$19,093–$32,730 · 10 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 13 | $38,557 | $11,041 | $17,203$15,385–$21,427 · 10 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 13 | $58,931 | $19,561 | $28,162$24,946–$30,070 · 10 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | 13 | $23,092 | $8,337 | $12,627$11,391–$16,609 · 10 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | 12 | $135,864 | $29,512 | $40,887$36,050–$65,753 · 10 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 12 | $112,979 | $24,179 | $30,057$26,600–$46,070 · 10 plans | |
| Dental and Oral Diseases with Cc 158 | 12 | $40,112 | $9,258 | $11,964$10,813–$17,526 · 10 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | 12 | $162,113 | $29,429 | $41,417$36,512–$66,773 · 10 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | 12 | $33,352 | $8,145 | $9,509$8,671–$15,587 · 10 plans | |
| Peritoneal Adhesiolysis with Cc 336 | 12 | $78,819 | $19,331 | $27,730$24,570–$34,746 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | 12 | $118,095 | $22,722 | $22,724$20,201–$38,704 · 10 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | 11 | $140,679 | $22,575 | $33,177$29,322–$59,437 · 10 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 11 | $53,396 | $14,055 | $15,458$13,862–$27,567 · 10 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | 11 | $75,704 | $21,201 | $28,914$25,602–$41,428 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 11 | $53,743 | $19,701 | $29,876$26,442–$37,956 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 11 | $485,789 | $97,748 | $128,648$112,625–$187,191 · 10 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | 11 | $38,372 | $8,762 | $11,257$9,631–$12,263 · 10 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | 11 | $71,996 | $15,010 | $20,407$18,180–$31,938 · 10 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 11 | $167,271 | $43,055 | $59,817$52,567–$74,155 · 10 plans | |
| Fever and Inflammatory Conditions 864 | 11 | $54,456 | $9,961 | $11,674$10,560–$13,424 · 10 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $368,527$321,928–$559,035 · 10 plans | |
| Ms-Drg 002 002 | – | – | – | $149,018$130,398–$205,842 · 10 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $182,152$159,309–$206,998 · 10 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $135,588$118,680–$211,374 · 10 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $60,979$53,580–$81,315 · 10 plans | |
| Lung Transplant 007 | – | – | – | $170,301$148,968–$206,218 · 10 plans | |
| Ms-Drg 008 008 | – | – | – | $73,703$64,683–$88,457 · 10 plans | |
| Ms-Drg 010 010 | – | – | – | $90,433$80,205–$98,516 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $71,724$62,956–$94,386 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $55,442$48,749–$94,295 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $37,897$33,440–$66,073 · 10 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $158,041$138,271–$319,022 · 10 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $77,978$68,413–$202,975 · 10 plans | |
| Ms-Drg 017 017 | – | – | – | $71,437$62,706–$103,846 · 10 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $544,220$154,480–$592,864 · 10 plans | |
| Ms-Drg 019 019 | – | – | – | $93,823$82,238–$134,383 · 10 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $103,478$90,663–$167,524 · 10 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $69,616$61,116–$122,449 · 10 plans | |
| Ms-Drg 022 022 | – | – | – | $41,784$36,832–$79,123 · 10 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $51,443$45,260–$79,828 · 10 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $79,012$69,315–$88,706 · 10 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $44,864$39,520–$58,433 · 10 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $28,868$25,562–$42,778 · 10 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $58,921$51,784–$90,378 · 10 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $28,024$24,826–$38,775 · 10 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $21,868$19,454–$35,453 · 10 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $50,901$44,787–$60,904 · 10 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $31,436$27,803–$38,987 · 10 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $25,549$22,666–$28,792 · 10 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $42,391$38,148–$45,198 · 10 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $21,338$18,992–$28,537 · 10 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $50,776$44,678–$59,282 · 10 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $22,720$20,198–$35,928 · 10 plans | |
| Ms-Drg 052 052 | – | – | – | $23,819$21,157–$27,563 · 10 plans | |
| Ms-Drg 053 053 | – | – | – | $12,877$11,610–$19,882 · 10 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $13,408$12,073–$21,716 · 10 plans | |
| Ms-Drg 058 058 | – | – | – | $22,481$19,989–$27,602 · 10 plans | |
| Ms-Drg 059 059 | – | – | – | $16,318$14,612–$26,447 · 10 plans | |
| Ms-Drg 060 060 | – | – | – | $12,096$10,928–$17,439 · 10 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $36,257$32,010–$54,038 · 10 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $23,108$20,536–$33,868 · 10 plans | |
| Ms-Drg 063 063 | – | – | – | $18,461$16,481–$33,615 · 10 plans | |
| Ms-Drg 067 067 | – | – | – | $19,314$17,226–$27,935 · 10 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $11,367$10,292–$16,602 · 10 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $9,944$9,051–$14,095 · 10 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $21,097$18,782–$25,948 · 10 plans | |
| Ms-Drg 075 075 | – | – | – | $24,166$17,499–$26,326 · 10 plans | |
| Ms-Drg 076 076 | – | – | – | $10,400$9,842–$11,329 · 10 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | Not in dollars (14 plans) | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | Not in dollars (14 plans) | |
| Ms-Drg 079 079 | – | – | – | Not in dollars (14 plans) | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $23,802$21,142–$24,874 · 10 plans | |
| Ms-Drg 081 081 | – | – | – | $11,778$10,650–$20,804 · 10 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $18,355$16,390–$24,691 · 10 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $12,569$11,341–$15,833 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $12,029$10,869–$13,917 · 10 plans | |
| Concussion with Mcc 088 | – | – | – | $17,777$15,885–$37,978 · 10 plans | |
| Concussion with Cc 089 | – | – | – | $14,447$12,980–$21,114 · 10 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $10,825$9,820–$19,711 · 10 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $10,472$9,511–$16,246 · 10 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $46,282$40,756–$66,696 · 10 plans | |
| Ms-Drg 095 095 | – | – | – | $33,918$29,968–$56,515 · 10 plans | |
| Ms-Drg 096 096 | – | – | – | $33,918$29,968–$39,687 · 10 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $45,518$39,515–$49,587 · 10 plans | |
| Ms-Drg 098 098 | – | – | – | $29,776$26,706–$31,507 · 10 plans | |
| Ms-Drg 099 099 | – | – | – | $17,916$16,006–$30,250 · 10 plans | |
| Headaches with Mcc 102 | – | – | – | $14,740$13,235–$19,228 · 10 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $30,918$27,351–$41,551 · 10 plans | |
| Ms-Drg 114 114 | – | – | – | $17,793$15,899–$27,444 · 10 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $19,344$17,116–$21,073 · 10 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $23,777$21,121–$26,274 · 10 plans | |
| Ms-Drg 117 117 | – | – | – | $14,267$12,822–$21,851 · 10 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $14,661$10,511–$15,971 · 10 plans | |
| Ms-Drg 122 122 | – | – | – | $9,903$9,200–$10,788 · 10 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $17,399$15,556–$21,931 · 10 plans | |
| Ms-Drg 135 135 | – | – | – | $28,536$25,273–$32,041 · 10 plans | |
| Ms-Drg 136 136 | – | – | – | $13,352$12,024–$18,997 · 10 plans | |
| Ms-Drg 137 137 | – | – | – | $19,636$17,507–$22,288 · 10 plans | |
| Ms-Drg 138 138 | – | – | – | $11,654$10,542–$13,228 · 10 plans | |
| Ms-Drg 139 139 | – | – | – | $16,250$14,553–$22,207 · 10 plans | |
| Ms-Drg 140 140 | – | – | – | $56,091$49,315–$76,445 · 10 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $28,682$25,400–$58,347 · 10 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $20,993$18,691–$43,147 · 10 plans | |
| Ms-Drg 143 143 | – | – | – | $49,269$43,363–$70,738 · 10 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $22,788$20,258–$30,647 · 10 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $15,811$14,169–$23,961 · 10 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $27,845$24,670–$29,880 · 10 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $16,721$14,963–$22,373 · 10 plans | |
| Ms-Drg 148 148 | – | – | – | $10,482$9,520–$18,596 · 10 plans | |
| Ms-Drg 150 150 | – | – | – | $17,510$15,652–$28,975 · 10 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $9,652$8,796–$14,517 · 10 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $14,899$11,780–$16,231 · 10 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $9,303$8,096–$10,135 · 10 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $20,283$18,314–$21,466 · 10 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $12,052$10,890–$19,323 · 10 plans | |
| Ms-Drg 156 156 | – | – | – | $9,088$8,304–$9,793 · 10 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $22,577$20,073–$46,914 · 10 plans | |
| Ms-Drg 159 159 | – | – | – | $9,317$8,503–$12,537 · 10 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $23,716$21,067–$33,044 · 10 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $17,969$16,052–$27,392 · 10 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $39,141$34,526–$49,224 · 10 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $9,929$9,037–$13,491 · 10 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $14,084$12,663–$18,582 · 10 plans | |
| Ms-Drg 182 182 | – | – | – | $9,500$9,005–$10,349 · 10 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $19,771$17,928–$21,004 · 10 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $10,343$9,398–$13,999 · 10 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $20,495$18,257–$24,219 · 10 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $13,007$11,723–$16,194 · 10 plans | |
| Ms-Drg 188 188 | – | – | – | $9,432$8,603–$12,133 · 10 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $8,443$7,740–$11,089 · 10 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $7,921$7,464–$8,629 · 10 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $12,481$11,264–$19,041 · 10 plans | |
| Ms-Drg 198 198 | – | – | – | $9,418$8,592–$12,560 · 10 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $22,232$20,616–$24,220 · 10 plans | |
| Pneumothorax with Cc 200 | – | – | – | $14,456$12,988–$15,918 · 10 plans | |
| Ms-Drg 201 201 | – | – | – | $9,404$8,579–$10,829 · 10 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $8,444$6,205–$9,199 · 10 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $12,376$11,172–$14,597 · 10 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $84,619$74,208–$125,836 · 10 plans | |
| Ms-Drg 209 209 | – | – | – | $148,847$130,249–$219,269 · 10 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $142,999$125,146–$216,718 · 10 plans | |
| Ms-Drg 213 213 | – | – | – | $75,048$65,857–$89,003 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $86,468$75,821–$125,428 · 10 plans | |
| Ms-Drg 218 218 | – | – | – | $86,468$75,821–$100,878 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $66,281$58,207–$86,375 · 10 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $65,060$57,142–$112,923 · 10 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $110,857$97,101–$139,605 · 10 plans | |
| Ms-Drg 232 232 | – | – | – | $79,726$69,938–$125,072 · 10 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $71,837$63,054–$91,329 · 10 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $62,027$56,847–$67,571 · 10 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $37,485$33,081–$43,348 · 10 plans | |
| Ms-Drg 241 241 | – | – | – | $18,205$16,259–$20,040 · 10 plans | |
| Ms-Drg 245 245 | – | – | – | $59,998$52,724–$83,519 · 10 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $28,701$25,417–$46,681 · 10 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $19,653$17,522–$29,281 · 10 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $23,430$20,818–$33,989 · 10 plans | |
| Ms-Drg 255 255 | – | – | – | $35,472$31,325–$39,014 · 10 plans | |
| Ms-Drg 256 256 | – | – | – | $22,328$19,856–$35,259 · 10 plans | |
| Ms-Drg 257 257 | – | – | – | $14,363$12,906–$18,130 · 10 plans | |
| Ms-Drg 258 258 | – | – | – | $41,320$36,427–$46,784 · 10 plans | |
| Ms-Drg 259 259 | – | – | – | $26,592$23,576–$30,109 · 10 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $42,776$37,697–$76,288 · 10 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $24,861$22,066–$41,763 · 10 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $21,434$19,076–$37,828 · 10 plans | |
| Ms-Drg 263 263 | – | – | – | $40,206$35,455–$52,226 · 10 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $43,930$38,705–$48,257 · 10 plans | |
| Ms-Drg 265 265 | – | – | – | $47,581$41,890–$69,109 · 10 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $90,447$79,293–$104,777 · 10 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $33,573$29,668–$45,413 · 10 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $93,768$82,190–$137,310 · 10 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $78,989$69,295–$132,832 · 10 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $60,735$53,368–$103,210 · 10 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $73,198$64,242–$100,990 · 10 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $47,426$41,755–$50,855 · 10 plans | |
| Ms-Drg 284 284 | – | – | – | $9,103$8,316–$14,946 · 10 plans | |
| Ms-Drg 285 285 | – | – | – | $7,876$7,246–$9,873 · 10 plans | |
| Ms-Drg 288 288 | – | – | – | $35,588$31,426–$61,677 · 10 plans | |
| Ms-Drg 289 289 | – | – | – | $21,696$19,959–$23,434 · 10 plans | |
| Ms-Drg 290 290 | – | – | – | $12,226$11,042–$18,755 · 10 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $7,443$6,868–$9,047 · 10 plans | |
| Ms-Drg 294 294 | – | – | – | Not in dollars (14 plans) | |
| Ms-Drg 295 295 | – | – | – | Not in dollars (14 plans) | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $20,540$18,296–$32,020 · 10 plans | |
| Ms-Drg 297 297 | – | – | – | $8,337$7,649–$10,808 · 10 plans | |
| Ms-Drg 298 298 | – | – | – | $5,985$5,596–$9,925 · 10 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $15,736$14,104–$27,419 · 10 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $20,722$18,455–$35,337 · 10 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $12,009$10,852–$19,218 · 10 plans | |
| Angina Pectoris 311 | – | – | – | $9,230$8,428–$13,538 · 10 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $8,970$8,200–$10,758 · 10 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $87,930$77,097–$105,609 · 10 plans | |
| Ms-Drg 318 318 | – | – | – | $31,853$28,167–$39,010 · 10 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $58,689$51,582–$68,696 · 10 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $31,631$27,973–$54,085 · 10 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $56,907$50,028–$95,023 · 10 plans | |
| Ms-Drg 325 325 | – | – | – | $40,460$36,707–$44,076 · 10 plans | |
| Ms-Drg 332 332 | – | – | – | $47,614$41,919–$56,136 · 10 plans | |
| Ms-Drg 333 333 | – | – | – | $30,801$27,249–$43,725 · 10 plans | |
| Ms-Drg 334 334 | – | – | – | $21,539$19,168–$34,281 · 10 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $46,959$41,347–$53,602 · 10 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $20,186$17,987–$29,659 · 10 plans | |
| Ms-Drg 344 344 | – | – | – | $33,965$30,010–$49,049 · 10 plans | |
| Ms-Drg 345 345 | – | – | – | $19,787$17,639–$28,224 · 10 plans | |
| Ms-Drg 346 346 | – | – | – | $15,599$13,985–$26,274 · 10 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $30,188$26,714–$62,028 · 10 plans | |
| Ms-Drg 348 348 | – | – | – | $17,211$15,391–$21,605 · 10 plans | |
| Ms-Drg 349 349 | – | – | – | $11,449$10,363–$20,204 · 10 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $31,506$28,967–$34,212 · 10 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $20,048$17,866–$27,159 · 10 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $15,357$13,774–$26,837 · 10 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $38,163$33,672–$57,398 · 10 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $30,581$27,057–$37,582 · 10 plans | |
| Ms-Drg 358 358 | – | – | – | $18,383$16,414–$30,754 · 10 plans | |
| Ms-Drg 359 359 | – | – | – | $45,219$39,829–$62,199 · 10 plans | |
| Ms-Drg 360 360 | – | – | – | $31,749$28,076–$48,207 · 10 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $20,934$18,640–$26,393 · 10 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $13,153$11,850–$19,139 · 10 plans | |
| Ms-Drg 370 370 | – | – | – | $9,216$8,415–$13,178 · 10 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $9,566$8,720–$13,322 · 10 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $15,907$14,253–$18,190 · 10 plans | |
| Ms-Drg 376 376 | – | – | – | $12,155$10,980–$13,900 · 10 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $8,290$7,607–$13,370 · 10 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $25,804$22,889–$36,411 · 10 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $14,249$12,806–$16,730 · 10 plans | |
| Ms-Drg 382 382 | – | – | – | $10,528$9,560–$13,662 · 10 plans | |
| Ms-Drg 383 383 | – | – | – | $18,157$16,216–$20,227 · 10 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $11,241$10,182–$12,667 · 10 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $20,808$18,530–$23,847 · 10 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $12,839$11,576–$17,765 · 10 plans | |
| Ms-Drg 387 387 | – | – | – | $8,959$8,191–$12,152 · 10 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $8,535$7,821–$12,806 · 10 plans | |
| Ms-Drg 397 397 | – | – | – | $30,182$27,854–$32,880 · 10 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $19,905$17,741–$26,240 · 10 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $15,053$13,508–$22,084 · 10 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $29,189$25,842–$40,974 · 10 plans | |
| Ms-Drg 408 408 | – | – | – | $46,889$41,287–$87,878 · 10 plans | |
| Ms-Drg 409 409 | – | – | – | $28,632$25,357–$54,355 · 10 plans | |
| Ms-Drg 410 410 | – | – | – | $20,879$18,592–$34,815 · 10 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $43,440$38,277–$45,903 · 10 plans | |
| Ms-Drg 412 412 | – | – | – | $27,649$24,499–$30,553 · 10 plans | |
| Ms-Drg 413 413 | – | – | – | $21,836$19,427–$27,661 · 10 plans | |
| Ms-Drg 414 414 | – | – | – | $46,850$41,252–$61,593 · 10 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $27,178$24,088–$35,483 · 10 plans | |
| Ms-Drg 416 416 | – | – | – | $17,928$16,017–$27,499 · 10 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $31,382$27,756–$33,925 · 10 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $44,805$39,468–$76,349 · 10 plans | |
| Ms-Drg 421 421 | – | – | – | $22,849$20,310–$36,635 · 10 plans | |
| Ms-Drg 422 422 | – | – | – | $18,404$16,432–$30,236 · 10 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $54,614$48,027–$74,381 · 10 plans | |
| Ms-Drg 424 424 | – | – | – | $28,772$25,478–$39,393 · 10 plans | |
| Ms-Drg 425 425 | – | – | – | $19,730$17,589–$30,232 · 10 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $138,897$126,834–$151,312 · 10 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $90,974$83,202–$99,105 · 10 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $72,555$64,882–$77,185 · 10 plans | |
| Ms-Drg 429 429 | – | – | – | $118,480$103,753–$129,782 · 10 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $75,840$66,547–$91,224 · 10 plans | |
| Ms-Drg 434 434 | – | – | – | $9,370$8,549–$9,875 · 10 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $14,874$13,352–$20,578 · 10 plans | |
| Ms-Drg 437 437 | – | – | – | $11,221$10,165–$17,307 · 10 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $8,172$7,504–$11,164 · 10 plans | |
| Ms-Drg 443 443 | – | – | – | $9,201$8,402–$13,611 · 10 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $10,879$9,867–$15,201 · 10 plans | |
| Ms-Drg 447 447 | – | – | – | $87,866$77,041–$94,721 · 10 plans | |
| Ms-Drg 450 450 | – | – | – | $70,087$61,527–$77,985 · 10 plans | |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | – | – | – | Not in dollars (14 plans) | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $110,508$96,797–$122,090 · 10 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $54,872$48,252–$93,795 · 10 plans | |
| Ms-Drg 461 461 | – | – | – | $72,630$63,746–$101,161 · 10 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $34,980$30,895–$54,494 · 10 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $74,951$65,772–$99,188 · 10 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $40,960$36,113–$54,165 · 10 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $23,982$21,300–$30,916 · 10 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $68,453$60,102–$71,500 · 10 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $60,855$55,780–$66,294 · 10 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $56,454$49,632–$73,058 · 10 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $29,926$26,486–$35,034 · 10 plans | |
| Ms-Drg 476 476 | – | – | – | $15,520$13,916–$19,456 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $45,430$40,013–$52,562 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $24,445$21,703–$25,789 · 10 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $42,438$37,403–$46,252 · 10 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $27,499$24,368–$30,718 · 10 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $20,596$18,345–$23,966 · 10 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $23,262$20,671–$29,269 · 10 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $14,686$13,188–$18,739 · 10 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $48,283$42,503–$60,089 · 10 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $26,386$23,397–$32,504 · 10 plans | |
| Ms-Drg 495 495 | – | – | – | $47,680$41,976–$63,737 · 10 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $23,722$21,072–$38,505 · 10 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $15,890$14,238–$25,268 · 10 plans | |
| Ms-Drg 498 498 | – | – | – | $39,672$34,990–$50,310 · 10 plans | |
| Ms-Drg 499 499 | – | – | – | $26,496$23,492–$37,410 · 10 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $41,619$36,688–$75,619 · 10 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $22,988$20,432–$31,204 · 10 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $17,699$15,817–$26,324 · 10 plans | |
| Ms-Drg 503 503 | – | – | – | $36,704$32,400–$45,328 · 10 plans | |
| Foot Procedures with Cc 504 | – | – | – | $24,581$21,822–$31,781 · 10 plans | |
| Ms-Drg 505 505 | – | – | – | $23,576$20,945–$25,393 · 10 plans | |
| Ms-Drg 506 506 | – | – | – | $17,743$15,855–$19,120 · 10 plans | |
| Ms-Drg 507 507 | – | – | – | $22,766$20,904–$24,800 · 10 plans | |
| Ms-Drg 508 508 | – | – | – | $19,086$14,237–$20,791 · 10 plans | |
| Ms-Drg 509 509 | – | – | – | Not in dollars (14 plans) | |
| Ms-Drg 510 510 | – | – | – | $39,157$35,032–$41,469 · 10 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $27,345$24,234–$39,060 · 10 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $21,769$19,368–$33,252 · 10 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $20,703$18,438–$23,849 · 10 plans | |
| Ms-Drg 514 514 | – | – | – | $13,444$12,104–$16,782 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $41,909$36,941–$85,590 · 10 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $49,147$43,257–$54,181 · 10 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $19,645$17,515–$29,728 · 10 plans | |
| Ms-Drg 533 533 | – | – | – | $20,616$18,362–$24,285 · 10 plans | |
| Ms-Drg 534 534 | – | – | – | $10,601$9,623–$13,573 · 10 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $16,859$15,084–$18,883 · 10 plans | |
| Ms-Drg 537 537 | – | – | – | $12,549$11,324–$27,741 · 10 plans | |
| Ms-Drg 538 538 | – | – | – | $9,472$8,639–$13,990 · 10 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $24,824$22,975–$27,042 · 10 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $17,047$15,248–$17,891 · 10 plans | |
| Ms-Drg 541 541 | – | – | – | $9,923$9,290–$10,810 · 10 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $9,923$9,032–$16,994 · 10 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $32,635$28,850–$47,901 · 10 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $15,168$13,608–$23,434 · 10 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $10,996$9,969–$19,047 · 10 plans | |
| Ms-Drg 548 548 | – | – | – | $25,392$22,530–$28,421 · 10 plans | |
| Ms-Drg 549 549 | – | – | – | $15,754$14,226–$16,574 · 10 plans | |
| Ms-Drg 550 550 | – | – | – | $11,495$10,404–$14,362 · 10 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $17,047$15,248–$21,534 · 10 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $17,382$15,541–$28,708 · 10 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $19,553$17,435–$29,607 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $24,524$21,772–$43,392 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $14,809$13,295–$17,441 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $10,572$9,598–$13,290 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $20,299$18,086–$33,444 · 10 plans | |
| Ms-Drg 566 566 | – | – | – | $9,854$8,972–$10,454 · 10 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $37,066$34,121–$40,379 · 10 plans | |
| Skin Debridement with Cc 571 | – | – | – | $22,218$19,760–$27,444 · 10 plans | |
| Ms-Drg 572 572 | – | – | – | $15,074$13,527–$18,484 · 10 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $86,154$75,547–$117,964 · 10 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $43,749$39,950–$47,659 · 10 plans | |
| Ms-Drg 575 575 | – | – | – | $23,466$20,993–$24,671 · 10 plans | |
| Ms-Drg 576 576 | – | – | – | $64,453$56,612–$103,926 · 10 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $34,858$30,789–$66,650 · 10 plans | |
| Ms-Drg 578 578 | – | – | – | $21,125$18,806–$33,106 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $41,556$37,533–$44,462 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $18,977$16,932–$37,385 · 10 plans | |
| Ms-Drg 582 582 | – | – | – | $25,336$22,480–$72,266 · 10 plans | |
| Ms-Drg 583 583 | – | – | – | $22,677$20,160–$65,345 · 10 plans | |
| Ms-Drg 584 584 | – | – | – | $28,151$24,937–$58,296 · 10 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $25,369$22,509–$50,865 · 10 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $24,390$22,580–$26,570 · 10 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $14,951$13,986–$16,287 · 10 plans | |
| Ms-Drg 594 594 | – | – | – | $10,924$9,347–$11,900 · 10 plans | |
| Ms-Drg 595 595 | – | – | – | $27,888$24,707–$47,493 · 10 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $13,642$12,465–$14,862 · 10 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $21,923$19,503–$31,048 · 10 plans | |
| Ms-Drg 598 598 | – | – | – | $14,877$13,355–$16,408 · 10 plans | |
| Ms-Drg 599 599 | – | – | – | $10,118$9,202–$11,362 · 10 plans | |
| Ms-Drg 600 600 | – | – | – | $13,198$12,325–$14,300 · 10 plans | |
| Ms-Drg 601 601 | – | – | – | $7,625$7,263–$8,306 · 10 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $18,552$15,014–$20,211 · 10 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $19,899$17,737–$25,425 · 10 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $11,852$10,774–$12,444 · 10 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $28,823$25,523–$55,336 · 10 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $18,401$16,430–$33,765 · 10 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $43,951$39,209–$47,879 · 10 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $24,595$21,834–$25,977 · 10 plans | |
| Ms-Drg 618 618 | – | – | – | $18,651$16,648–$20,142 · 10 plans | |
| Ms-Drg 619 619 | – | – | – | $37,971$33,505–$39,792 · 10 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $21,045$18,736–$28,662 · 10 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $19,836$17,682–$26,078 · 10 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $44,856$39,198–$48,865 · 10 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $23,591$20,958–$26,623 · 10 plans | |
| Ms-Drg 624 624 | – | – | – | $16,463$14,739–$19,059 · 10 plans | |
| Ms-Drg 625 625 | – | – | – | $39,552$35,027–$41,463 · 10 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $19,718$17,578–$30,467 · 10 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $17,468$15,615–$25,241 · 10 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $46,968$43,136–$51,166 · 10 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $27,980$25,374–$29,913 · 10 plans | |
| Ms-Drg 630 630 | – | – | – | $19,193$17,121–$25,136 · 10 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $8,169$7,502–$9,647 · 10 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $18,701$16,691–$39,347 · 10 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $9,683$9,190–$10,548 · 10 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $61,825$54,319–$175,168 · 10 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $48,733$42,895–$111,834 · 10 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $65,489$59,647–$71,342 · 10 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $36,812$32,494–$60,288 · 10 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $27,834$24,660–$53,645 · 10 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $41,868$36,906–$65,487 · 10 plans | |
| Ms-Drg 662 662 | – | – | – | $40,260$35,502–$50,287 · 10 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $19,991$17,817–$31,151 · 10 plans | |
| Ms-Drg 664 664 | – | – | – | $13,767$12,386–$22,668 · 10 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $41,045$36,187–$49,817 · 10 plans | |
| Ms-Drg 666 666 | – | – | – | $23,004$20,446–$26,071 · 10 plans | |
| Ms-Drg 667 667 | – | – | – | $14,547$13,067–$15,934 · 10 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $38,399$33,879–$42,789 · 10 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $20,409$18,182–$30,462 · 10 plans | |
| Ms-Drg 670 670 | – | – | – | $12,852$11,588–$18,176 · 10 plans | |
| Ms-Drg 671 671 | – | – | – | $23,605$20,970–$40,912 · 10 plans | |
| Ms-Drg 672 672 | – | – | – | $14,196$12,760–$15,792 · 10 plans | |
| Ms-Drg 675 675 | – | – | – | $21,585$19,208–$27,636 · 10 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $7,894$7,262–$10,167 · 10 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $23,719$21,070–$44,956 · 10 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $13,779$12,397–$18,947 · 10 plans | |
| Ms-Drg 688 688 | – | – | – | $10,393$9,442–$15,607 · 10 plans | |
| Ms-Drg 693 693 | – | – | – | $16,944$14,726–$18,459 · 10 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $10,280$9,343–$11,536 · 10 plans | |
| Ms-Drg 695 695 | – | – | – | $15,041$13,498–$16,201 · 10 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $8,802$8,280–$9,459 · 10 plans | |
| Ms-Drg 697 697 | – | – | – | $13,583$12,741–$14,797 · 10 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $9,072$8,290–$12,485 · 10 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $26,305$23,326–$50,447 · 10 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $20,175$17,978–$29,963 · 10 plans | |
| Ms-Drg 709 709 | – | – | – | $30,602$27,076–$35,481 · 10 plans | |
| Ms-Drg 710 710 | – | – | – | $17,659$11,711–$19,237 · 10 plans | |
| Ms-Drg 711 711 | – | – | – | $27,403$24,284–$32,419 · 10 plans | |
| Ms-Drg 712 712 | – | – | – | $14,462$12,992–$17,870 · 10 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $19,770$17,624–$24,394 · 10 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $13,905$12,507–$20,731 · 10 plans | |
| Ms-Drg 715 715 | – | – | – | $29,421$26,045–$47,406 · 10 plans | |
| Ms-Drg 716 716 | – | – | – | $19,344$17,253–$31,076 · 10 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $24,861$22,066–$26,719 · 10 plans | |
| Ms-Drg 718 718 | – | – | – | $17,582$15,785–$18,440 · 10 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $23,090$21,139–$24,846 · 10 plans | |
| Ms-Drg 723 723 | – | – | – | $15,027$13,486–$18,726 · 10 plans | |
| Ms-Drg 724 724 | – | – | – | $8,623$7,898–$14,392 · 10 plans | |
| Ms-Drg 725 725 | – | – | – | $15,389$13,801–$20,745 · 10 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $9,495$8,658–$12,218 · 10 plans | |
| Ms-Drg 727 727 | – | – | – | $19,501$17,389–$22,558 · 10 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $10,223$9,680–$11,137 · 10 plans | |
| Ms-Drg 729 729 | – | – | – | $13,922$12,522–$19,063 · 10 plans | |
| Ms-Drg 730 730 | – | – | – | $8,837$8,085–$12,884 · 10 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $28,010$24,814–$34,700 · 10 plans | |
| Ms-Drg 735 735 | – | – | – | $17,694$15,813–$27,700 · 10 plans | |
| Ms-Drg 736 736 | – | – | – | $47,006$41,389–$68,557 · 10 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $27,098$24,018–$36,106 · 10 plans | |
| Ms-Drg 738 738 | – | – | – | $19,311$17,224–$26,071 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $47,115$41,484–$57,368 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $23,797$21,138–$36,261 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $18,754$16,737–$27,024 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $24,128$21,427–$29,630 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $16,316$14,610–$21,470 · 10 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $26,947$23,886–$29,376 · 10 plans | |
| Ms-Drg 745 745 | – | – | – | $14,959$13,426–$23,445 · 10 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $22,844$20,306–$27,193 · 10 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $11,305$10,238–$22,538 · 10 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $18,244$16,292–$33,975 · 10 plans | |
| Ms-Drg 749 749 | – | – | – | $33,765$29,835–$37,739 · 10 plans | |
| Ms-Drg 750 750 | – | – | – | $19,407$17,308–$20,419 · 10 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $24,219$21,506–$35,022 · 10 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $14,305$12,856–$16,112 · 10 plans | |
| Ms-Drg 756 756 | – | – | – | $12,149$11,395–$13,187 · 10 plans | |
| Ms-Drg 757 757 | – | – | – | $18,518$16,804–$19,659 · 10 plans | |
| Ms-Drg 758 758 | – | – | – | $12,654$11,607–$13,441 · 10 plans | |
| Ms-Drg 759 759 | – | – | – | $8,727$7,988–$12,110 · 10 plans | |
| Ms-Drg 760 760 | – | – | – | $13,249$11,934–$15,532 · 10 plans | |
| Ms-Drg 761 761 | – | – | – | $7,502$6,920–$9,451 · 10 plans | |
| Ms-Drg 768 768 | – | – | – | $13,505$10,657–$14,712 · 10 plans | |
| Ms-Drg 769 769 | – | – | – | $22,222$19,763–$27,143 · 10 plans | |
| Ms-Drg 770 770 | – | – | – | $13,186$11,879–$13,770 · 10 plans | |
| Ms-Drg 776 776 | – | – | – | $8,251$7,372–$8,988 · 10 plans | |
| Ms-Drg 779 779 | – | – | – | $10,603$8,785–$11,550 · 10 plans | |
| Ms-Drg 783 783 | – | – | – | $30,941$22,084–$33,706 · 10 plans | |
| Ms-Drg 784 784 | – | – | – | $13,941$12,538–$15,215 · 10 plans | |
| Ms-Drg 785 785 | – | – | – | $12,539$11,364–$13,150 · 10 plans | |
| C-section, with major complications 786 | – | – | – | $20,788$19,301–$22,646 · 10 plans | |
| C-section, with complications 787 | – | – | – | $14,281$13,188–$15,333 · 10 plans | |
| C-section 788 | – | – | – | $12,609$11,375–$13,263 · 10 plans | |
| Ms-Drg 789 789 | – | – | – | $22,713$4,243–$24,743 · 10 plans | |
| Ms-Drg 790 790 | – | – | – | $74,904$19,577–$81,599 · 10 plans | |
| Ms-Drg 791 791 | – | – | – | $51,154$11,301–$55,727 · 10 plans | |
| Ms-Drg 792 792 | – | – | – | $30,867$5,913–$33,625 · 10 plans | |
| Ms-Drg 793 793 | – | – | – | $52,548$4,893–$57,245 · 10 plans | |
| Ms-Drg 794 794 | – | – | – | $18,600$3,253–$20,263 · 10 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $2,518$2,459–$2,743 · 10 plans | |
| Ms-Drg 796 796 | – | – | – | $15,347$13,764–$17,045 · 10 plans | |
| Ms-Drg 797 797 | – | – | – | $13,156$11,853–$14,113 · 10 plans | |
| Ms-Drg 798 798 | – | – | – | $12,362$11,356–$13,140 · 10 plans | |
| Ms-Drg 799 799 | – | – | – | $58,672$52,340–$62,178 · 10 plans | |
| Ms-Drg 800 800 | – | – | – | $36,945$32,610–$43,855 · 10 plans | |
| Ms-Drg 801 801 | – | – | – | $25,103$22,277–$42,438 · 10 plans | |
| Ms-Drg 802 802 | – | – | – | $52,393$46,089–$55,539 · 10 plans | |
| Ms-Drg 803 803 | – | – | – | $24,445$21,703–$30,184 · 10 plans | |
| Ms-Drg 804 804 | – | – | – | $17,832$15,933–$28,916 · 10 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $13,601$10,728–$14,817 · 10 plans | |
| Vaginal birth, with complications 806 | – | – | – | $9,502$8,845–$10,352 · 10 plans | |
| Vaginal birth 807 | – | – | – | $8,497$7,864–$9,256 · 10 plans | |
| Ms-Drg 810 810 | – | – | – | $13,763$12,383–$17,056 · 10 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $27,967$24,776–$38,131 · 10 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $13,335$12,009–$15,582 · 10 plans | |
| Ms-Drg 816 816 | – | – | – | $8,311$7,626–$11,139 · 10 plans | |
| Ms-Drg 817 817 | – | – | – | $29,307$26,554–$31,324 · 10 plans | |
| Ms-Drg 818 818 | – | – | – | $15,244$13,675–$19,041 · 10 plans | |
| Ms-Drg 819 819 | – | – | – | $11,149$10,241–$11,806 · 10 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $77,125$67,668–$102,605 · 10 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $29,439$26,060–$44,671 · 10 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $15,833$14,189–$30,946 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $60,292$52,981–$87,014 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $29,794$26,370–$42,559 · 10 plans | |
| Ms-Drg 825 825 | – | – | – | $17,745$15,857–$35,633 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $58,953$53,854–$64,222 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $30,393$26,893–$53,985 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $22,406$19,924–$37,077 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $41,555$36,633–$74,061 · 10 plans | |
| Ms-Drg 830 830 | – | – | – | $19,630$17,643–$20,662 · 10 plans | |
| Ms-Drg 831 831 | – | – | – | $15,155$13,841–$16,509 · 10 plans | |
| Ms-Drg 832 832 | – | – | – | $9,094$8,654–$9,907 · 10 plans | |
| Ms-Drg 833 833 | – | – | – | $6,590$5,684–$7,179 · 10 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $72,195$63,367–$168,326 · 10 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $27,429$24,307–$81,219 · 10 plans | |
| Ms-Drg 836 836 | – | – | – | $16,037$14,367–$23,265 · 10 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $63,179$55,500–$92,333 · 10 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $27,450$24,325–$41,211 · 10 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $18,988$16,942–$20,485 · 10 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $13,287$11,967–$20,847 · 10 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $26,233$23,263–$33,188 · 10 plans | |
| Ms-Drg 844 844 | – | – | – | $16,009$14,343–$22,989 · 10 plans | |
| Ms-Drg 845 845 | – | – | – | $11,199$10,145–$18,005 · 10 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $34,093$30,121–$40,312 · 10 plans | |
| Ms-Drg 848 848 | – | – | – | $11,170$10,120–$12,256 · 10 plans | |
| Radiotherapy 849 | – | – | – | $35,631$31,463–$57,660 · 10 plans | |
| Ms-Drg 850 850 | – | – | – | $113,876$99,736–$147,764 · 10 plans | |
| Ms-Drg 855 855 | – | – | – | $19,404$17,553–$20,555 · 10 plans | |
| Ms-Drg 858 858 | – | – | – | $18,317$16,356–$20,948 · 10 plans | |
| Viral Illness with Mcc 865 | – | – | – | $19,703$17,566–$23,192 · 10 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $10,959$10,298–$11,939 · 10 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $27,527$24,392–$51,592 · 10 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $13,559$12,205–$19,675 · 10 plans | |
| Ms-Drg 869 869 | – | – | – | $9,596$8,747–$19,276 · 10 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $48,708$44,721–$53,062 · 10 plans | |
| Depressive Neuroses 881 | – | – | – | $11,858$9,531–$12,918 · 10 plans | |
| Neuroses Except Depressive 882 | – | – | – | $14,121$12,695–$25,466 · 10 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $24,781$18,486–$26,996 · 10 plans | |
| Ms-Drg 886 886 | – | – | – | $26,154$19,563–$28,492 · 10 plans | |
| Ms-Drg 887 887 | – | – | – | $14,083$12,662–$15,963 · 10 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $8,113$7,452–$8,963 · 10 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $18,616$16,617–$21,299 · 10 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $22,749$20,398–$23,959 · 10 plans | |
| Ms-Drg 901 901 | – | – | – | $55,187$48,527–$64,414 · 10 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $25,177$22,341–$41,943 · 10 plans | |
| Ms-Drg 903 903 | – | – | – | $15,381$13,794–$23,304 · 10 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $48,303$42,520–$57,601 · 10 plans | |
| Ms-Drg 905 905 | – | – | – | $19,507$17,395–$25,724 · 10 plans | |
| Ms-Drg 906 906 | – | – | – | $25,831$22,913–$36,060 · 10 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $26,238$23,267–$31,785 · 10 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $17,263$15,436–$20,820 · 10 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $20,600$19,130–$22,442 · 10 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $11,645$10,534–$16,137 · 10 plans | |
| Ms-Drg 915 915 | – | – | – | $22,114$19,669–$29,500 · 10 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $8,762$8,019–$10,505 · 10 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | – | – | – | $20,625$18,370–$23,733 · 10 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $10,802$9,610–$11,767 · 10 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $9,053$8,273–$13,694 · 10 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $23,005$20,447–$70,423 · 10 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $13,383$12,051–$19,412 · 10 plans | |
| Ms-Drg 927 927 | – | – | – | $280,768$245,356–$381,673 · 10 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $94,324$82,676–$100,224 · 10 plans | |
| Ms-Drg 929 929 | – | – | – | $42,355$37,330–$46,560 · 10 plans | |
| Ms-Drg 933 933 | – | – | – | $49,077$43,513–$53,464 · 10 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $27,860$22,567–$30,350 · 10 plans | |
| Non-Extensive Burns 935 | – | – | – | $25,962$16,132–$28,282 · 10 plans | |
| Ms-Drg 939 939 | – | – | – | $47,716$42,008–$55,680 · 10 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $30,731$27,188–$37,520 · 10 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $26,665$23,640–$31,466 · 10 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $20,365$18,143–$32,666 · 10 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $15,081$13,533–$18,717 · 10 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $16,693$14,939–$21,812 · 10 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $15,418$14,025–$16,334 · 10 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $8,255$7,576–$9,606 · 10 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $7,007$6,754–$7,633 · 10 plans | |
| Ms-Drg 955 955 | – | – | – | $88,517$77,608–$172,291 · 10 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $49,485$43,552–$106,355 · 10 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $100,205$87,807–$146,113 · 10 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $55,415$48,725–$69,378 · 10 plans | |
| Ms-Drg 959 959 | – | – | – | $38,716$34,155–$41,364 · 10 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $35,951$31,742–$54,409 · 10 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $20,154$17,959–$23,867 · 10 plans | |
| Ms-Drg 965 965 | – | – | – | $12,368$11,165–$14,357 · 10 plans | |
| Ms-Drg 969 969 | – | – | – | $80,498$70,611–$128,443 · 10 plans | |
| Ms-Drg 970 970 | – | – | – | $34,683$30,636–$41,587 · 10 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $37,952$33,489–$49,480 · 10 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $16,321$12,991–$17,779 · 10 plans | |
| Ms-Drg 976 976 | – | – | – | $11,871$10,732–$12,618 · 10 plans | |
| Ms-Drg 977 977 | – | – | – | $17,065$15,264–$19,317 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $22,540$20,041–$31,988 · 10 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $21,614$19,233–$29,481 · 10 plans | |
| Ms-Drg 989 989 | – | – | – | $15,770$14,134–$20,635 · 10 plans | |
| Ms-Drg 998 998 | – | – | – | Not in dollars (14 plans) | |
| Ms-Drg 999 999 | – | – | – | Not in dollars (14 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 | – | – | $4,351$4,351–$5,026 · 5 plans |
| Cataract surgery CPT 66984 | – | – | $1,232$1,087–$3,269 · 8 plans |
| Colonoscopy CPT 45378 | – | – | $419$382–$1,200 · 8 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $674$455–$1,200 · 8 plans |
| Complete blood count (CBC) CPT 85025 | $37 | $37 | $11$9–$13 · 9 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $59 | $59 | $19$13–$21 · 9 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $5,181 | $5,181 | $296$296–$490 · 5 plans |
| Emergency room visit, highest level CPT 99285 | $2,998 | $2,998 | $352$238–$527 · 8 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $1,532$1,094–$6,035 · 8 plans |
| Hip replacement CPT 27130 | – | – | $2,107$1,592–$3,267 · 8 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $1,396$793–$3,935 · 8 plans |
| Knee replacement CPT 27447 | – | – | $2,251$2,201–$3,262 · 8 plans |
| MRI of the brain, with and without contrast CPT 70553 | $6,234 | $6,234 | $595$480–$1,318 · 8 plans |
| MRI of the knee, without contrast CPT 73721 | $3,636 | $3,636 | $436$317–$930 · 8 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $3,880$3,880–$5,026 · 5 plans |
Price file: Beaumont Hospital Royal Oak, read November 9, 2026.