HCA Florida Brandon Hospital
119 Oakfield Dr, Brandon, FL 33511 · (813) 916-0600
The money
$6what care cost the hospital for every $100 it billed
$354.5Mnet income, all sources
53.1%margin on patient care alone
$52.5Mcost of charity care (12.5% of costs)
$41.8Munpaid bills written off (bad debt)
445beds
From the hospital's Medicare cost report for the year ending December 2024.
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 | 371 | $199,790 | $19,446 | $20,210$16,974–$23,833 · 43 plans | |
| Heart failure, with major complications 291 | 124 | $115,505 | $13,283 | $14,122$11,683–$19,487 · 44 plans | |
| Stomach and digestive disorders 392 | 97 | $84,288 | $8,768 | $9,556$7,953–$21,658 · 43 plans | |
| Fainting 312 | 83 | $97,413 | $8,995 | $10,211$7,158–$11,508 · 42 plans | |
| Pneumonia, with major complications 193 | 71 | $115,464 | $13,044 | $14,548$9,324–$22,223 · 43 plans | |
| Lung infection, with major complications 177 | 66 | $151,058 | $16,326 | $16,783$9,297–$24,769 · 42 plans | |
| Stroke, with major complications 064 | 62 | $197,602 | $19,426 | $20,843$15,206–$36,171 · 44 plans | |
| Other kidney and urinary problems, with major complications 698 | 55 | $138,811 | $15,800 | $17,374$9,263–$19,580 · 42 plans | |
| Irregular heartbeat, with complications 309 | 52 | $76,427 | $8,499 | $9,091$7,781–$11,661 · 42 plans | |
| Urinary tract infection 690 | 51 | $81,593 | $8,796 | $9,835$8,125–$21,658 · 43 plans | |
| Mini-stroke (TIA) 069 | 50 | $115,549 | $8,477 | $9,683$8,122–$24,498 · 44 plans | |
| Back problems (no surgery) 552 | 49 | $101,343 | $10,254 | $11,032$7,730–$12,433 · 42 plans | |
| Infection needing surgery, with major complications 853 | 47 | $484,222 | $45,241 | $47,899$20,658–$56,260 · 42 plans | |
| Kidney failure, with complications 683 | 45 | $81,925 | $9,459 | $10,352$8,641–$21,658 · 43 plans | |
| Urinary tract infection, with major complications 689 | 44 | $126,677 | $11,664 | $13,110$9,324–$21,735 · 43 plans | |
| Chest pain 313 | 43 | $78,644 | $8,175 | $9,125$7,252–$15,520 · 43 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 42 | $175,918 | $28,535 | $32,355$19,656–$38,485 · 44 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 42 | $126,059 | $13,134 | $14,457$9,128–$16,293 · 42 plans | |
| Heart attack, with major complications 280 | 41 | $153,348 | $15,262 | $17,083$11,105–$28,121 · 44 plans | |
| Kidney failure, with major complications 682 | 41 | $111,472 | $14,174 | $15,945$9,224–$21,203 · 42 plans | |
| Respiratory failure 189 | 40 | $111,096 | $13,699 | $13,743$9,224–$20,914 · 42 plans | |
| Anemia and blood disorders 812 | 40 | $66,947 | $9,544 | $10,637$3,822–$11,690 · 42 plans | |
| Sepsis 872 | 39 | $98,691 | $10,202 | $12,295$10,214–$22,823 · 43 plans | |
| Dehydration and electrolyte problems 641 | 34 | $80,454 | $8,663 | $9,450$7,737–$11,616 · 42 plans | |
| Stroke, with complications or clot-busting drug 065 | 33 | $131,224 | $10,951 | $12,341$11,136–$36,171 · 44 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 33 | $214,347 | $20,524 | $22,792$20,759–$32,763 · 44 plans | |
| Anemia and blood disorders, with major complications 811 | 33 | $111,797 | $13,869 | $15,085$8,276–$17,001 · 42 plans | |
| Skin infection (cellulitis) 603 | 31 | $81,831 | $9,608 | $10,307$8,603–$21,658 · 43 plans | |
| Delirium and other mental confusion 884 | 31 | $109,113 | $15,622 | $16,957$9,428–$18,653 · 31 plans | |
| Heart stent 322 | 29 | $177,051 | $20,313 | $19,386$17,816–$30,461 · 44 plans | |
| Other digestive problems, with complications 394 | 28 | $94,969 | $9,745 | $10,905$9,105–$14,731 · 42 plans | |
| Stomach and digestive disorders, with major complications 391 | 27 | $142,953 | $12,929 | $13,841$6,979–$15,599 · 42 plans | |
| Other kidney and urinary problems, with complications 699 | 27 | $78,448 | $10,173 | $11,638$9,135–$13,431 · 42 plans | |
| High blood pressure 305 | 26 | $61,996 | $8,154 | $9,236$7,347–$10,326 · 42 plans | |
| Irregular heartbeat 310 | 26 | $65,724 | $6,568 | $7,710$6,482–$12,921 · 41 plans | |
| Spinal fusion (lower or mid back) 460 | 26 | $327,185 | $39,048 | – | |
| Diabetes, with complications 638 | 26 | $81,737 | $9,541 | $10,540$8,720–$12,717 · 42 plans | |
| Dysequilibrium 149 | 25 | $90,279 | $8,555 | $9,119$5,207–$10,280 · 42 plans | |
| Other Disorders of Nervous System with Cc 092 | 23 | $86,677 | $10,565 | $11,712$9,208–$15,667 · 42 plans | |
| Heart attack, with complications 281 | 23 | $128,482 | $10,304 | $11,071$9,402–$28,121 · 44 plans | |
| Irregular heartbeat, with major complications 308 | 23 | $112,024 | $12,391 | $13,252$9,020–$14,935 · 42 plans | |
| Cervical Spinal Fusion with Cc 472 | 23 | $233,489 | $29,227 | $31,237$28,317–$52,702 · 43 plans | |
| Seizures 101 | 22 | $95,463 | $9,706 | $10,495$7,237–$11,827 · 42 plans | |
| Pneumonia, with complications 194 | 22 | $92,669 | $9,884 | $9,802$8,097–$21,658 · 43 plans | |
| Stomach or intestinal bleeding, with complications 378 | 22 | $103,194 | $10,144 | $11,321$9,167–$14,569 · 42 plans | |
| Diabetes, with major complications 637 | 22 | $134,136 | $14,327 | $15,382$8,771–$17,335 · 42 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 21 | $397,246 | $48,815 | $49,462$44,424–$107,349 · 44 plans | |
| Seizures with Mcc 100 | 20 | $173,936 | $18,722 | $19,958$8,842–$22,515 · 42 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 20 | $81,690 | $9,938 | $11,233$9,148–$13,620 · 42 plans | |
| Peripheral Vascular Disorders with Cc 300 | 20 | $102,858 | $11,100 | $12,173$9,546–$24,350 · 44 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 19 | $93,098 | $11,897 | $11,668$7,577–$13,149 · 42 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 19 | $248,605 | $23,584 | $27,798$11,573–$43,567 · 42 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 19 | $130,018 | $15,660 | $17,347$9,546–$25,147 · 44 plans | |
| Hip replacement after a hip fracture 522 | 19 | $209,477 | $19,638 | $23,126$20,965–$36,708 · 43 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 18 | $110,882 | $13,192 | $14,231$9,224–$16,128 · 42 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 18 | $140,235 | $13,643 | $15,026$9,224–$21,772 · 42 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 18 | $629,110 | $35,610 | $41,827$39,347–$58,297 · 44 plans | |
| Heart catheterization, with major complications 286 | 18 | $244,500 | $21,445 | $22,483$10,556–$25,385 · 44 plans | |
| Fracture or sprain (not hip or thigh) 563 | 18 | $90,917 | $9,119 | $10,430$5,968–$11,754 · 42 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 17 | $87,862 | $8,828 | $10,084$8,293–$13,362 · 42 plans | |
| Heart stent, with major complications or 4+ stents 321 | 17 | $234,400 | $24,777 | $27,674$25,866–$62,987 · 43 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 17 | $225,498 | $17,343 | $18,962$10,053–$21,378 · 42 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 17 | $240,527 | $25,615 | $29,173$23,202–$33,308 · 44 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 17 | $241,277 | $21,427 | $20,826$12,405–$38,513 · 42 plans | |
| Lung infection, with complications 178 | 16 | $89,733 | $10,263 | $11,278$9,162–$22,381 · 42 plans | |
| Heart catheterization 287 | 16 | $128,029 | $11,965 | $12,253$9,796–$18,700 · 43 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 15 | $541,071 | $60,387 | $55,462$45,790–$70,878 · 44 plans | |
| COPD, with major complications 190 | 15 | $89,081 | $11,137 | $12,495$9,224–$17,283 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 15 | $164,314 | $20,619 | $21,463$16,073–$29,636 · 42 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 15 | $84,254 | $8,751 | $9,770$7,983–$12,800 · 42 plans | |
| Bowel obstruction, with complications 389 | 14 | $105,166 | $8,098 | $9,557$7,779–$12,188 · 42 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 14 | $99,716 | $9,724 | $10,617$5,168–$11,966 · 42 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 14 | $461,507 | $52,098 | $65,480$18,004–$71,242 · 43 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 14 | $110,415 | $15,162 | $16,587$8,042–$18,693 · 42 plans | |
| Rehabilitation with Cc/Mcc 945 | 14 | $94,168 | $13,994 | $16,570$3,130–$18,391 · 34 plans | |
| Other Disorders of Nervous System with Mcc 091 | 13 | $153,400 | $17,324 | $18,305$10,121–$20,630 · 42 plans | |
| Pulmonary Embolism Without Mcc 176 | 13 | $97,230 | $8,498 | $9,745$7,960–$17,121 · 42 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | 12 | $235,403 | $24,323 | $27,738$11,608–$36,070 · 42 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 12 | $145,235 | $15,125 | $17,324$9,530–$28,502 · 41 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 12 | $232,628 | $22,214 | $27,737$17,386–$31,104 · 42 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 12 | $271,170 | $25,792 | $30,208$27,644–$58,034 · 43 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 11 | $95,332 | $8,411 | $9,135$7,958–$36,171 · 44 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 11 | $194,150 | $20,836 | $23,024$10,151–$26,017 · 42 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 11 | $393,101 | $45,513 | $51,020$38,318–$59,546 · 44 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 11 | $96,776 | $10,426 | $11,160$9,150–$15,268 · 42 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $258,660$125,272–$283,233 · 36 plans | |
| Ms-Drg 002 002 | – | – | – | $109,139$51,161–$205,761 · 36 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | – | – | – | $200,380$103,662–$323,188 · 41 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $130,914$67,061–$193,973 · 40 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $98,510$45,706–$173,308 · 35 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $45,112$20,930–$173,308 · 35 plans | |
| Lung Transplant 007 | – | – | – | $121,940$57,234–$149,861 · 35 plans | |
| Ms-Drg 008 008 | – | – | – | $54,522$25,155–$80,888 · 35 plans | |
| Ms-Drg 010 010 | – | – | – | $68,574$32,016–$87,266 · 35 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $52,663$22,797–$62,097 · 42 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $41,221$17,661–$52,502 · 42 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $29,034$13,800–$45,677 · 42 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $114,446$53,162–$160,151 · 35 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $57,623$26,575–$156,264 · 35 plans | |
| Ms-Drg 017 017 | – | – | – | $52,845$24,403–$156,264 · 35 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $401,341$128,287–$467,192 · 37 plans | |
| Ms-Drg 019 019 | – | – | – | $68,194$33,905–$94,176 · 38 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $79,062$52,585–$114,802 · 44 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $53,969$45,729–$94,017 · 44 plans | |
| Ms-Drg 022 022 | – | – | – | $33,814$30,464–$94,017 · 44 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $40,883$37,003–$65,619 · 44 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | – | – | – | $44,277$36,667–$60,595 · 44 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $33,140$29,857–$60,595 · 44 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $27,346$24,561–$56,618 · 44 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $57,499$34,284–$67,552 · 44 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $35,349$32,449–$49,700 · 44 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $22,646$16,756–$38,378 · 44 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $43,410$25,252–$47,513 · 42 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $23,365$21,083–$36,160 · 42 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $17,792$13,904–$33,365 · 42 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $38,030$20,646–$44,302 · 44 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $24,579$20,646–$42,071 · 44 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $20,646$19,472–$41,235 · 44 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $32,683$19,296–$40,288 · 44 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $18,449$16,570–$36,008 · 44 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $13,355$12,435–$34,476 · 44 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $37,942$17,291–$44,246 · 44 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $22,578$16,043–$36,640 · 44 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $18,225$9,045–$29,001 · 44 plans | |
| Ms-Drg 052 052 | – | – | – | $18,997$10,148–$22,955 · 42 plans | |
| Ms-Drg 053 053 | – | – | – | $11,307$9,165–$16,470 · 42 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $16,369$9,224–$18,308 · 42 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $11,681$9,204–$14,998 · 42 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | – | – | – | $23,492$10,215–$26,594 · 42 plans | |
| Ms-Drg 058 058 | – | – | – | $17,878$9,932–$20,148 · 42 plans | |
| Ms-Drg 059 059 | – | – | – | $13,726$9,224–$15,787 · 42 plans | |
| Ms-Drg 060 060 | – | – | – | $10,758$8,966–$14,579 · 42 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $18,589$10,122–$27,852 · 42 plans | |
| Ms-Drg 063 063 | – | – | – | $15,307$9,224–$26,001 · 42 plans | |
| Ms-Drg 067 067 | – | – | – | $15,831$7,368–$21,998 · 44 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $10,246$7,221–$21,998 · 44 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | – | – | – | $17,469$9,728–$19,687 · 42 plans | |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | $11,740$9,211–$14,576 · 42 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $9,246$7,549–$10,969 · 42 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $16,915$8,754–$19,063 · 42 plans | |
| Ms-Drg 075 075 | – | – | – | $19,979$10,199–$22,313 · 42 plans | |
| Ms-Drg 076 076 | – | – | – | $9,933$8,137–$15,206 · 42 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $18,797$10,147–$21,189 · 42 plans | |
| Ms-Drg 081 081 | – | – | – | $10,535$8,754–$14,195 · 42 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $23,381$10,375–$26,169 · 42 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $15,233$9,224–$22,123 · 42 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $11,091$9,142–$18,101 · 42 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | – | – | – | $14,297$9,224–$15,953 · 42 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $10,605$7,477–$11,952 · 42 plans | |
| Concussion with Mcc 088 | – | – | – | $14,605$6,226–$16,460 · 42 plans | |
| Concussion with Cc 089 | – | – | – | $12,288$6,226–$13,849 · 42 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $9,768$4,702–$11,009 · 42 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $9,617$7,789–$11,905 · 42 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $34,439$14,470–$40,159 · 42 plans | |
| Ms-Drg 095 095 | – | – | – | $25,836$10,870–$29,498 · 42 plans | |
| Ms-Drg 096 096 | – | – | – | $25,836$10,870–$29,498 · 42 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $35,284$14,809–$41,207 · 42 plans | |
| Ms-Drg 098 098 | – | – | – | $23,234$10,380–$26,274 · 42 plans | |
| Ms-Drg 099 099 | – | – | – | $14,922$9,224–$21,594 · 42 plans | |
| Headaches with Mcc 102 | – | – | – | $12,492$7,237–$14,079 · 42 plans | |
| Headaches Without Mcc 103 | – | – | – | $9,888$6,387–$11,144 · 42 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $23,749$7,865–$26,765 · 42 plans | |
| Ms-Drg 114 114 | – | – | – | $14,616$7,737–$16,472 · 42 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $16,280$6,231–$17,892 · 42 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $18,780$8,216–$21,170 · 42 plans | |
| Ms-Drg 117 117 | – | – | – | $12,278$7,569–$13,730 · 42 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $12,880$7,399–$14,516 · 42 plans | |
| Ms-Drg 122 122 | – | – | – | $9,520$7,399–$10,623 · 42 plans | |
| Neurological Eye Disorders 123 | – | – | – | $9,543$6,256–$10,755 · 42 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $14,342$6,952–$16,164 · 42 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $9,261$4,844–$10,437 · 42 plans | |
| Ms-Drg 135 135 | – | – | – | $22,092$8,058–$24,830 · 42 plans | |
| Ms-Drg 136 136 | – | – | – | $11,633$7,144–$13,548 · 42 plans | |
| Ms-Drg 137 137 | – | – | – | $15,899$10,212–$17,918 · 42 plans | |
| Ms-Drg 138 138 | – | – | – | $10,448$7,613–$12,865 · 42 plans | |
| Ms-Drg 139 139 | – | – | – | $13,574$8,137–$15,262 · 42 plans | |
| Ms-Drg 140 140 | – | – | – | $41,677$17,865–$48,617 · 42 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $22,526$12,405–$34,570 · 42 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $17,096$12,405–$33,254 · 42 plans | |
| Ms-Drg 143 143 | – | – | – | $36,518$13,442–$40,133 · 42 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $18,273$12,921–$19,895 · 42 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $13,369$8,929–$15,677 · 42 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $21,610$10,189–$24,402 · 42 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $14,009$9,224–$15,753 · 42 plans | |
| Ms-Drg 148 148 | – | – | – | $9,672$7,891–$12,634 · 42 plans | |
| Ms-Drg 150 150 | – | – | – | $14,419$4,858–$15,847 · 42 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $8,997$4,795–$10,119 · 42 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $13,183$9,224–$15,099 · 42 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $9,080$7,320–$10,614 · 42 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $16,542$6,994–$18,643 · 42 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $10,622$6,994–$11,971 · 42 plans | |
| Ms-Drg 156 156 | – | – | – | $8,602$6,035–$10,075 · 42 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $17,945$8,269–$20,224 · 42 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $10,666$7,949–$11,902 · 42 plans | |
| Ms-Drg 159 159 | – | – | – | $8,762$4,870–$10,093 · 42 plans | |
| Major Chest Procedures with Mcc 163 | – | – | – | $43,677$18,763–$51,072 · 42 plans | |
| Major Chest Procedures with Cc 164 | – | – | – | $25,711$13,628–$40,005 · 42 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $20,047$12,405–$34,451 · 42 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $36,801$15,676–$42,655 · 42 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $19,018$12,405–$29,692 · 42 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $14,959$12,373–$21,657 · 42 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $29,912$13,846–$47,176 · 42 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $9,281$7,803–$16,646 · 42 plans | |
| Respiratory Neoplasms with Mcc 180 | – | – | – | $18,395$10,126–$20,731 · 42 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $12,209$9,224–$16,975 · 42 plans | |
| Ms-Drg 182 182 | – | – | – | $9,270$7,802–$13,026 · 42 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $16,234$9,142–$18,296 · 42 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $12,092$9,142–$13,541 · 42 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $9,527$6,849–$10,630 · 42 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $16,661$9,279–$18,591 · 42 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $11,399$9,175–$15,677 · 42 plans | |
| Ms-Drg 188 188 | – | – | – | $9,050$7,760–$11,368 · 42 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $8,434$7,387–$12,459 · 42 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $8,466$7,299–$21,658 · 43 plans | |
| Interstitial Lung Disease with Mcc 196 | – | – | – | $19,504$10,184–$21,996 · 42 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $11,029$9,136–$15,043 · 42 plans | |
| Ms-Drg 198 198 | – | – | – | $9,045$7,759–$11,352 · 42 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $18,561$10,125–$21,035 · 42 plans | |
| Pneumothorax with Cc 200 | – | – | – | $12,479$9,224–$17,424 · 42 plans | |
| Ms-Drg 201 201 | – | – | – | $9,040$7,758–$11,334 · 42 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $8,450$7,675–$10,620 · 42 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $9,720$7,963–$12,758 · 42 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $18,990$9,409–$21,409 · 42 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $10,901$7,731–$12,224 · 42 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $61,420$26,865–$73,216 · 42 plans | |
| Ms-Drg 209 209 | – | – | – | $107,392$61,787–$135,473 · 44 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $106,812$73,403–$170,315 · 44 plans | |
| Ms-Drg 213 213 | – | – | – | $55,258$36,461–$90,737 · 44 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $99,412$88,668–$172,673 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $92,668$63,576–$116,981 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $66,457$60,361–$116,306 · 44 plans | |
| Ms-Drg 218 218 | – | – | – | $66,457$60,361–$116,306 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | – | – | – | $73,340$61,586–$100,784 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $55,114$49,501–$100,784 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $52,223$46,904–$100,784 · 44 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $51,306$46,080–$77,087 · 44 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $33,538$30,216–$77,087 · 44 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $83,070$72,914–$129,179 · 44 plans | |
| Ms-Drg 232 232 | – | – | – | $62,326$55,978–$117,163 · 44 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | – | – | – | $72,913$54,816–$98,494 · 44 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $53,936$50,654–$75,042 · 44 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $57,071$50,961–$81,056 · 44 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $47,507$20,588–$56,060 · 42 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $28,601$13,785–$40,680 · 42 plans | |
| Ms-Drg 241 241 | – | – | – | $15,127$12,391–$29,324 · 42 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | – | – | – | $32,079$29,689–$60,436 · 41 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | – | – | – | $23,255$20,729–$60,436 · 41 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $20,183$17,772–$32,039 · 42 plans | |
| Ms-Drg 245 245 | – | – | – | $44,422$30,370–$52,016 · 42 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $22,428$19,656–$29,967 · 44 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $17,148$15,433–$29,859 · 44 plans | |
| Other Vascular Procedures with Mcc 252 | – | – | – | $34,496$23,684–$44,715 · 44 plans | |
| Other Vascular Procedures with Cc 253 | – | – | – | $26,614$23,514–$44,715 · 44 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $20,022$17,982–$32,945 · 44 plans | |
| Ms-Drg 255 255 | – | – | – | $27,187$13,712–$30,847 · 42 plans | |
| Ms-Drg 256 256 | – | – | – | $18,038$12,405–$26,912 · 42 plans | |
| Ms-Drg 257 257 | – | – | – | $12,490$10,749–$21,888 · 42 plans | |
| Ms-Drg 258 258 | – | – | – | $31,001$22,242–$35,881 · 42 plans | |
| Ms-Drg 259 259 | – | – | – | $21,800$19,716–$30,894 · 42 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $31,999$15,028–$37,136 · 42 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $19,729$15,028–$26,733 · 42 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $17,321$14,779–$25,394 · 42 plans | |
| Ms-Drg 263 263 | – | – | – | $30,211$10,770–$34,048 · 42 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $33,131$18,472–$38,132 · 42 plans | |
| Ms-Drg 265 265 | – | – | – | $35,786$30,273–$49,768 · 42 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | – | – | – | $62,102$56,562–$134,312 · 44 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $65,170$38,318–$77,219 · 44 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | – | – | – | $41,288$28,403–$50,276 · 44 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | – | – | – | $37,037$33,100–$52,985 · 44 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $27,284$24,362–$45,291 · 44 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $40,385$23,071–$63,537 · 43 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $72,541$65,658–$113,327 · 44 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $61,201$55,481–$113,617 · 43 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $48,055$43,250–$114,103 · 43 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $53,699$28,796–$70,918 · 44 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $35,763$30,152–$50,888 · 44 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $9,427$8,303–$21,094 · 44 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $20,564$11,610–$22,974 · 42 plans | |
| Ms-Drg 284 284 | – | – | – | $9,104$7,942–$15,856 · 42 plans | |
| Ms-Drg 285 285 | – | – | – | $8,217$6,900–$15,856 · 42 plans | |
| Ms-Drg 288 288 | – | – | – | $27,403$14,945–$42,893 · 42 plans | |
| Ms-Drg 289 289 | – | – | – | $18,122$10,768–$34,520 · 42 plans | |
| Ms-Drg 290 290 | – | – | – | $10,904$9,224–$34,520 · 42 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $10,754$9,704–$16,055 · 44 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $7,971$7,192–$16,055 · 44 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $16,775$9,294–$24,756 · 42 plans | |
| Ms-Drg 297 297 | – | – | – | $8,358$7,304–$19,899 · 42 plans | |
| Ms-Drg 298 298 | – | – | – | $6,816$5,311–$19,899 · 42 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $8,953$7,758–$22,457 · 44 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $13,185$8,921–$14,859 · 42 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $8,479$7,708–$10,670 · 42 plans | |
| Hypertension with Mcc 304 | – | – | – | $13,124$7,362–$14,791 · 42 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $16,654$9,331–$18,770 · 42 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $10,697$8,369–$12,135 · 42 plans | |
| Angina Pectoris 311 | – | – | – | $8,745$7,641–$11,088 · 42 plans | |
| Other circulation problems, with major complications 314 | – | – | – | $21,316$10,279–$24,065 · 42 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $8,816$7,720–$10,811 · 42 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $65,115$36,097–$98,361 · 44 plans | |
| Ms-Drg 318 318 | – | – | – | $24,643$15,873–$38,512 · 44 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $43,244$19,656–$51,604 · 44 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $24,487$19,656–$30,732 · 44 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $43,505$31,924–$66,174 · 44 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $32,900$30,136–$49,322 · 44 plans | |
| Ms-Drg 325 325 | – | – | – | $31,928$29,673–$48,412 · 44 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $48,111$20,861–$56,805 · 42 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $24,970$13,457–$38,741 · 42 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $17,150$12,405–$25,396 · 42 plans | |
| Bowel surgery, with major complications 329 | – | – | – | $44,737$20,248–$52,120 · 44 plans | |
| Bowel surgery, with complications 330 | – | – | – | $24,654$13,293–$58,222 · 43 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $18,340$12,672–$33,499 · 44 plans | |
| Ms-Drg 332 332 | – | – | – | $35,719$15,191–$49,357 · 42 plans | |
| Ms-Drg 333 333 | – | – | – | $24,022$13,016–$37,124 · 42 plans | |
| Ms-Drg 334 334 | – | – | – | $17,481$12,405–$26,304 · 42 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $35,259$14,984–$40,743 · 42 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $21,854$12,405–$33,423 · 42 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $16,525$12,405–$24,330 · 42 plans | |
| Ms-Drg 344 344 | – | – | – | $25,869$13,656–$29,539 · 42 plans | |
| Ms-Drg 345 345 | – | – | – | $16,164$12,405–$22,565 · 42 plans | |
| Ms-Drg 346 346 | – | – | – | $13,220$11,602–$17,643 · 42 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $23,241$8,506–$26,252 · 42 plans | |
| Ms-Drg 348 348 | – | – | – | $14,211$8,448–$16,016 · 42 plans | |
| Ms-Drg 349 349 | – | – | – | $10,253$6,376–$12,704 · 42 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $25,037$11,162–$28,508 · 42 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $16,185$10,729–$18,241 · 42 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $12,986$7,562–$14,562 · 42 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $28,789$11,567–$33,158 · 42 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $17,630$11,118–$19,869 · 42 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $14,543$8,628–$16,389 · 42 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $42,855$18,394–$50,062 · 42 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $23,867$12,944–$36,859 · 42 plans | |
| Ms-Drg 358 358 | – | – | – | $15,252$12,404–$26,952 · 42 plans | |
| Ms-Drg 359 359 | – | – | – | $34,036$19,593–$54,672 · 44 plans | |
| Ms-Drg 360 360 | – | – | – | $24,570$15,169–$38,386 · 44 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $16,970$9,423–$18,936 · 42 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $11,501$9,186–$15,853 · 42 plans | |
| Ms-Drg 370 370 | – | – | – | $8,973$7,741–$12,873 · 42 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $18,644$10,129–$21,573 · 42 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $11,694$9,206–$16,183 · 42 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $9,097$7,772–$15,478 · 42 plans | |
| Digestive Malignancy with Mcc 374 | – | – | – | $21,805$10,298–$24,625 · 42 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $13,437$9,224–$17,262 · 42 plans | |
| Ms-Drg 376 376 | – | – | – | $10,800$9,005–$14,650 · 42 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $8,124$7,267–$10,108 · 42 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $20,190$10,139–$22,780 · 42 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $12,271$9,224–$15,023 · 42 plans | |
| Ms-Drg 382 382 | – | – | – | $9,705$7,922–$12,690 · 42 plans | |
| Ms-Drg 383 383 | – | – | – | $14,869$7,654–$16,758 · 42 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $10,057$6,426–$11,334 · 42 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $16,714$9,382–$18,837 · 42 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $11,281$9,162–$15,445 · 42 plans | |
| Ms-Drg 387 387 | – | – | – | $8,808$7,719–$11,425 · 42 plans | |
| Gastrointestinal Obstruction with Mcc 388 | – | – | – | $15,749$8,774–$17,749 · 42 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $7,285$6,251–$9,114 · 42 plans | |
| Other Digestive System Diagnoses with Mcc 393 | – | – | – | $16,869$9,455–$19,012 · 42 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $8,276$7,459–$10,287 · 42 plans | |
| Ms-Drg 397 397 | – | – | – | $24,512$13,244–$36,059 · 42 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $16,327$12,405–$23,918 · 42 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $12,858$11,249–$17,866 · 42 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $39,914$24,381–$109,021 · 43 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $52,815$22,865–$71,590 · 42 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $29,205$13,809–$51,606 · 42 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $22,884$12,486–$46,786 · 42 plans | |
| Ms-Drg 408 408 | – | – | – | $35,210$14,962–$45,162 · 42 plans | |
| Ms-Drg 409 409 | – | – | – | $22,491$12,405–$34,510 · 42 plans | |
| Ms-Drg 410 410 | – | – | – | $17,015$12,405–$25,165 · 42 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $32,786$14,003–$37,709 · 42 plans | |
| Ms-Drg 412 412 | – | – | – | $21,796$12,405–$33,325 · 42 plans | |
| Ms-Drg 413 413 | – | – | – | $17,645$12,405–$25,639 · 42 plans | |
| Ms-Drg 414 414 | – | – | – | $34,834$14,950–$40,649 · 42 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $21,358$12,405–$27,396 · 42 plans | |
| Ms-Drg 416 416 | – | – | – | $14,857$12,306–$18,382 · 42 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $24,192$14,112–$27,287 · 44 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | – | – | – | $17,891$14,112–$24,275 · 44 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $14,880$13,452–$21,126 · 43 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $33,745$14,305–$42,319 · 42 plans | |
| Ms-Drg 421 421 | – | – | – | $18,406$12,405–$30,407 · 42 plans | |
| Ms-Drg 422 422 | – | – | – | $15,267$12,405–$27,050 · 42 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $40,639$17,399–$47,343 · 42 plans | |
| Ms-Drg 424 424 | – | – | – | $22,589$12,405–$34,678 · 42 plans | |
| Ms-Drg 425 425 | – | – | – | $16,203$12,405–$31,384 · 42 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $106,179$44,459–$166,554 · 44 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $69,653$37,083–$113,336 · 43 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $54,691$30,948–$109,021 · 43 plans | |
| Ms-Drg 429 429 | – | – | – | $87,007$41,218–$132,611 · 44 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $56,102$31,505–$109,021 · 43 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | – | – | – | $20,245$10,223–$22,843 · 42 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $12,056$9,224–$16,741 · 42 plans | |
| Ms-Drg 434 434 | – | – | – | $9,028$7,755–$13,496 · 42 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | – | – | – | $19,042$10,160–$21,468 · 42 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $12,711$9,224–$16,593 · 42 plans | |
| Ms-Drg 437 437 | – | – | – | $10,144$8,383–$13,525 · 42 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $10,032$8,183–$22,284 · 41 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $8,080$7,115–$19,463 · 41 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $18,657$10,140–$21,030 · 42 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $11,179$9,152–$15,300 · 42 plans | |
| Ms-Drg 443 443 | – | – | – | $8,768$7,740–$11,090 · 42 plans | |
| Disorders of the Biliary Tract with Mcc 444 | – | – | – | $17,525$8,996–$19,750 · 42 plans | |
| Disorders of the Biliary Tract with Cc 445 | – | – | – | $12,372$8,647–$13,805 · 42 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $9,806$6,703–$11,051 · 42 plans | |
| Ms-Drg 447 447 | – | – | – | $64,007$35,020–$78,674 · 43 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $41,450$25,618–$57,165 · 43 plans | |
| Ms-Drg 450 450 | – | – | – | $51,513$29,824–$64,842 · 43 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $33,702$22,330–$57,165 · 43 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $79,920$40,560–$94,178 · 44 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $57,907$33,215–$80,672 · 44 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $41,224$25,235–$101,020 · 43 plans | |
| Ms-Drg 461 461 | – | – | – | $53,300$37,494–$62,162 · 44 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $28,701$25,798–$74,906 · 43 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $54,659$24,096–$64,879 · 42 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $31,043$17,307–$37,246 · 42 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $19,680$14,020–$28,906 · 42 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $49,866$28,725–$54,703 · 44 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $34,850$29,193–$52,635 · 43 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $29,023$26,594–$51,287 · 43 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $30,590$24,577–$58,034 · 43 plans | |
| Hip or knee replacement 470 | – | – | – | $21,476$19,289–$36,639 · 43 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $46,974$37,625–$55,068 · 43 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $26,294$23,837–$43,421 · 43 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $41,639$17,934–$48,930 · 42 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $23,289$12,728–$31,700 · 42 plans | |
| Ms-Drg 476 476 | – | – | – | $13,404$11,560–$22,851 · 42 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $33,846$14,396–$39,424 · 42 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $24,985$13,522–$28,137 · 42 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $19,437$12,405–$24,996 · 42 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $18,532$16,645–$29,615 · 44 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $32,082$17,257–$41,212 · 42 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $22,043$13,949–$33,144 · 42 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $17,088$13,769–$24,802 · 42 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $18,606$13,617–$20,761 · 42 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $13,096$12,081–$17,701 · 42 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $36,011$15,963–$41,885 · 42 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | – | – | – | $25,696$15,963–$31,617 · 42 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $20,801$12,074–$29,538 · 42 plans | |
| Ms-Drg 495 495 | – | – | – | $35,589$15,947–$41,364 · 42 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $19,332$13,755–$28,528 · 42 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $13,425$11,476–$15,995 · 42 plans | |
| Ms-Drg 498 498 | – | – | – | $29,840$11,750–$34,460 · 42 plans | |
| Ms-Drg 499 499 | – | – | – | $20,671$11,415–$23,330 · 42 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $31,194$10,162–$35,156 · 42 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $18,231$10,103–$20,546 · 42 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $14,551$7,605–$16,399 · 42 plans | |
| Ms-Drg 503 503 | – | – | – | $27,775$7,830–$31,302 · 42 plans | |
| Foot Procedures with Cc 504 | – | – | – | $19,413$7,584–$21,808 · 42 plans | |
| Ms-Drg 505 505 | – | – | – | $18,726$7,581–$21,010 · 42 plans | |
| Ms-Drg 506 506 | – | – | – | $14,581$9,098–$16,433 · 42 plans | |
| Ms-Drg 507 507 | – | – | – | $18,952$13,580–$21,152 · 42 plans | |
| Ms-Drg 508 508 | – | – | – | $16,254$13,580–$19,775 · 42 plans | |
| Ms-Drg 510 510 | – | – | – | $30,066$10,649–$33,704 · 42 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $21,475$8,687–$26,390 · 42 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $17,557$8,144–$24,398 · 42 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $16,641$6,247–$18,288 · 42 plans | |
| Ms-Drg 514 514 | – | – | – | $11,706$5,824–$13,556 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $31,710$16,073–$36,389 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $16,460$11,011–$24,357 · 42 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $36,797$25,086–$45,157 · 44 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $20,938$19,053–$35,907 · 44 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $17,105$15,460–$25,086 · 43 plans | |
| Ms-Drg 533 533 | – | – | – | $16,746$9,319–$22,689 · 42 plans | |
| Ms-Drg 534 534 | – | – | – | $9,756$7,970–$16,355 · 42 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $14,106$9,224–$17,274 · 42 plans | |
| Ms-Drg 537 537 | – | – | – | $10,968$6,999–$12,360 · 42 plans | |
| Ms-Drg 538 538 | – | – | – | $8,915$6,999–$10,105 · 42 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $20,461$10,224–$26,437 · 42 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $14,308$9,224–$20,546 · 42 plans | |
| Ms-Drg 541 541 | – | – | – | $9,582$7,841–$19,057 · 42 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $18,399$10,126–$20,736 · 42 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $11,758$9,213–$14,906 · 42 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $9,277$7,803–$11,960 · 42 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $24,944$10,116–$28,393 · 42 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $12,917$9,214–$14,589 · 42 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $9,986$8,147–$12,035 · 42 plans | |
| Ms-Drg 548 548 | – | – | – | $20,103$10,205–$23,483 · 42 plans | |
| Ms-Drg 549 549 | – | – | – | $13,481$9,224–$19,134 · 42 plans | |
| Ms-Drg 550 550 | – | – | – | $10,336$8,565–$16,848 · 42 plans | |
| Medical Back Problems with Mcc 551 | – | – | – | $17,572$7,914–$19,804 · 42 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $14,097$7,800–$15,887 · 42 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $9,929$7,405–$11,080 · 42 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $14,330$6,703–$16,150 · 42 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $9,836$6,703–$11,085 · 42 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $15,841$6,817–$17,853 · 42 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $10,409$6,817–$11,730 · 42 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $19,300$9,111–$21,763 · 42 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $12,665$8,758–$14,132 · 42 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $9,687$7,910–$12,640 · 42 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $15,273$7,313–$17,212 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $16,360$8,089–$18,438 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $11,210$7,775–$12,568 · 42 plans | |
| Ms-Drg 566 566 | – | – | – | $9,183$7,713–$11,274 · 42 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $29,439$13,829–$38,799 · 42 plans | |
| Skin Debridement with Cc 571 | – | – | – | $17,960$12,405–$27,968 · 42 plans | |
| Ms-Drg 572 572 | – | – | – | $13,052$11,263–$25,220 · 42 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $62,493$26,709–$74,539 · 42 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $34,340$14,572–$39,671 · 42 plans | |
| Ms-Drg 575 575 | – | – | – | $18,959$12,405–$28,482 · 42 plans | |
| Ms-Drg 576 576 | – | – | – | $47,318$15,534–$53,062 · 42 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $26,490$13,689–$30,309 · 42 plans | |
| Ms-Drg 578 578 | – | – | – | $16,934$8,461–$19,085 · 42 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $31,869$13,113–$36,974 · 42 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $18,228$12,299–$20,339 · 42 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $15,440$8,819–$17,401 · 42 plans | |
| Ms-Drg 582 582 | – | – | – | $19,864$11,820–$22,408 · 42 plans | |
| Ms-Drg 583 583 | – | – | – | $18,014$10,784–$20,302 · 42 plans | |
| Ms-Drg 584 584 | – | – | – | $21,823$9,956–$24,646 · 42 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $19,887$7,720–$22,434 · 42 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $20,143$10,207–$22,499 · 42 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $13,287$9,224–$18,803 · 42 plans | |
| Ms-Drg 594 594 | – | – | – | $10,269$8,502–$14,592 · 42 plans | |
| Ms-Drg 595 595 | – | – | – | $21,640$9,480–$24,436 · 42 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $12,262$8,855–$13,683 · 42 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $17,490$9,748–$19,711 · 42 plans | |
| Ms-Drg 598 598 | – | – | – | $12,713$9,224–$16,640 · 42 plans | |
| Ms-Drg 599 599 | – | – | – | $9,415$7,820–$12,195 · 42 plans | |
| Ms-Drg 600 600 | – | – | – | $11,766$6,568–$13,261 · 42 plans | |
| Ms-Drg 601 601 | – | – | – | $7,849$6,314–$9,546 · 42 plans | |
| Cellulitis with Mcc 602 | – | – | – | $15,241$9,194–$17,176 · 42 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $15,706$6,264–$17,700 · 42 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $16,082$7,364–$18,124 · 42 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $10,529$5,982–$11,867 · 42 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $22,625$12,405–$34,740 · 42 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $15,265$12,405–$30,923 · 42 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $34,658$14,638–$52,516 · 42 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $19,639$12,405–$37,856 · 42 plans | |
| Ms-Drg 618 618 | – | – | – | $15,441$12,405–$37,856 · 42 plans | |
| Ms-Drg 619 619 | – | – | – | $28,942$21,634–$32,885 · 44 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $18,229$16,372–$30,478 · 44 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $17,296$15,557–$30,478 · 44 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $35,151$14,936–$40,610 · 42 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $18,930$12,405–$28,433 · 42 plans | |
| Ms-Drg 624 624 | – | – | – | $13,896$12,188–$27,509 · 42 plans | |
| Ms-Drg 625 625 | – | – | – | $29,870$13,719–$34,497 · 42 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $16,115$12,405–$21,354 · 42 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $14,390$9,521–$16,217 · 42 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $36,700$15,631–$42,511 · 42 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $22,505$12,405–$34,534 · 42 plans | |
| Ms-Drg 630 630 | – | – | – | $15,824$12,405–$23,133 · 42 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $8,166$7,170–$10,098 · 42 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $15,248$8,925–$17,185 · 42 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $17,298$9,658–$19,495 · 42 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $11,731$9,210–$15,019 · 42 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $9,358$7,629–$11,098 · 42 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $47,065$22,747–$74,517 · 38 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $37,590$18,182–$62,451 · 38 plans | |
| Kidney Transplant 652 | – | – | – | $32,104$15,049–$73,213 · 35 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $50,282$21,728–$59,174 · 42 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $28,267$13,760–$44,369 · 42 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $21,927$12,405–$38,710 · 42 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $31,682$13,945–$44,309 · 42 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $19,265$12,405–$31,940 · 42 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $17,092$13,755–$31,940 · 42 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $25,740$14,738–$32,680 · 42 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | – | – | – | $14,875$12,932–$23,513 · 42 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $12,342$11,358–$17,231 · 42 plans | |
| Ms-Drg 662 662 | – | – | – | $30,249$12,776–$34,967 · 42 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $16,307$12,316–$18,524 · 42 plans | |
| Ms-Drg 664 664 | – | – | – | $11,933$9,614–$13,939 · 42 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $30,795$13,640–$35,644 · 42 plans | |
| Ms-Drg 666 666 | – | – | – | $18,424$12,405–$20,583 · 42 plans | |
| Ms-Drg 667 667 | – | – | – | $12,481$10,627–$15,456 · 42 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $28,954$8,467–$32,631 · 42 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $16,437$8,406–$18,524 · 42 plans | |
| Ms-Drg 670 670 | – | – | – | $11,240$6,438–$13,509 · 42 plans | |
| Ms-Drg 671 671 | – | – | – | $18,660$8,454–$21,033 · 42 plans | |
| Ms-Drg 672 672 | – | – | – | $12,234$6,715–$13,680 · 42 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | – | – | – | $41,088$17,601–$47,894 · 42 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $23,989$13,000–$37,067 · 42 plans | |
| Ms-Drg 675 675 | – | – | – | $17,514$12,405–$32,091 · 42 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $8,038$6,936–$15,284 · 42 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $18,740$10,128–$21,124 · 42 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $11,941$9,224–$14,853 · 42 plans | |
| Ms-Drg 688 688 | – | – | – | $9,562$7,760–$11,945 · 42 plans | |
| Ms-Drg 693 693 | – | – | – | $14,538$4,813–$15,701 · 42 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $9,435$4,739–$11,300 · 42 plans | |
| Ms-Drg 695 695 | – | – | – | $12,702$7,524–$14,315 · 42 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $8,625$6,376–$10,073 · 42 plans | |
| Ms-Drg 697 697 | – | – | – | $12,098$6,871–$13,634 · 42 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $8,740$7,729–$10,935 · 42 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $20,744$19,331–$28,675 · 44 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $17,379$15,786–$38,578 · 43 plans | |
| Ms-Drg 709 709 | – | – | – | $23,529$11,535–$26,640 · 42 plans | |
| Ms-Drg 710 710 | – | – | – | $15,207$11,088–$16,969 · 42 plans | |
| Ms-Drg 711 711 | – | – | – | $21,303$10,305–$24,051 · 42 plans | |
| Ms-Drg 712 712 | – | – | – | $12,360$6,671–$13,868 · 42 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $15,992$10,976–$18,023 · 42 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $12,030$9,011–$13,592 · 42 plans | |
| Ms-Drg 715 715 | – | – | – | $22,707$12,419–$25,655 · 42 plans | |
| Ms-Drg 716 716 | – | – | – | $15,852$12,286–$18,084 · 42 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $19,534$9,456–$22,031 · 42 plans | |
| Ms-Drg 718 718 | – | – | – | $14,525$9,090–$16,370 · 42 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $18,795$9,529–$21,186 · 42 plans | |
| Ms-Drg 723 723 | – | – | – | $12,818$9,161–$14,303 · 42 plans | |
| Ms-Drg 724 724 | – | – | – | $8,318$7,164–$10,378 · 42 plans | |
| Ms-Drg 725 725 | – | – | – | $12,943$7,239–$14,587 · 42 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $8,886$5,615–$10,107 · 42 plans | |
| Ms-Drg 727 727 | – | – | – | $15,804$7,254–$17,812 · 42 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $9,755$7,254–$10,885 · 42 plans | |
| Ms-Drg 729 729 | – | – | – | $11,923$6,195–$13,437 · 42 plans | |
| Ms-Drg 730 730 | – | – | – | $8,426$3,931–$10,055 · 42 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $22,051$12,405–$33,761 · 42 plans | |
| Ms-Drg 735 735 | – | – | – | $14,765$12,353–$27,637 · 42 plans | |
| Ms-Drg 736 736 | – | – | – | $34,943$14,999–$40,784 · 42 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $21,407$12,405–$32,638 · 42 plans | |
| Ms-Drg 738 738 | – | – | – | $15,908$12,405–$24,416 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $35,194$15,084–$40,878 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $18,982$13,748–$21,872 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $15,590$13,435–$33,742 · 43 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $19,215$13,643–$23,771 · 43 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $13,860$12,292–$22,921 · 43 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $20,985$7,702–$23,605 · 42 plans | |
| Ms-Drg 745 745 | – | – | – | $12,707$7,122–$14,250 · 42 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $18,130$7,333–$20,433 · 42 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $10,203$7,333–$12,592 · 42 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $15,004$9,800–$20,991 · 44 plans | |
| Ms-Drg 749 749 | – | – | – | $25,987$13,649–$30,776 · 42 plans | |
| Ms-Drg 750 750 | – | – | – | $15,976$12,405–$23,391 · 42 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $19,087$9,591–$21,521 · 42 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $12,311$9,167–$13,907 · 42 plans | |
| Ms-Drg 756 756 | – | – | – | $11,024$6,193–$12,424 · 42 plans | |
| Ms-Drg 757 757 | – | – | – | $15,338$8,600–$17,286 · 42 plans | |
| Ms-Drg 758 758 | – | – | – | $11,306$8,464–$12,615 · 42 plans | |
| Ms-Drg 759 759 | – | – | – | $8,450$7,609–$10,518 · 42 plans | |
| Ms-Drg 760 760 | – | – | – | $11,454$6,359–$12,909 · 42 plans | |
| Ms-Drg 761 761 | – | – | – | $7,530$6,113–$9,042 · 42 plans | |
| Ms-Drg 768 768 | – | – | – | $12,161$6,885–$14,961 · 44 plans | |
| Ms-Drg 769 769 | – | – | – | $17,698$6,690–$19,945 · 42 plans | |
| Ms-Drg 770 770 | – | – | – | $11,503$4,482–$13,382 · 42 plans | |
| Ms-Drg 776 776 | – | – | – | $8,267$4,911–$10,037 · 42 plans | |
| Ms-Drg 779 779 | – | – | – | $9,934$3,868–$11,195 · 42 plans | |
| Ms-Drg 783 783 | – | – | – | $24,700$9,424–$27,763 · 43 plans | |
| Ms-Drg 784 784 | – | – | – | $12,055$8,160–$21,145 · 43 plans | |
| Ms-Drg 785 785 | – | – | – | $11,110$8,160–$15,122 · 43 plans | |
| C-section, with major complications 786 | – | – | – | $17,502$8,525–$21,145 · 43 plans | |
| C-section, with complications 787 | – | – | – | $12,579$8,160–$21,145 · 43 plans | |
| C-section 788 | – | – | – | $11,119$8,160–$15,122 · 43 plans | |
| Ms-Drg 789 789 | – | – | – | $18,726$5,275–$20,299 · 37 plans | |
| Ms-Drg 790 790 | – | – | – | $57,186$16,320–$61,408 · 37 plans | |
| Ms-Drg 791 791 | – | – | – | $39,770$16,192–$50,355 · 37 plans | |
| Ms-Drg 792 792 | – | – | – | $24,646$5,275–$26,717 · 37 plans | |
| Ms-Drg 793 793 | – | – | – | $40,792$16,320–$51,114 · 37 plans | |
| Ms-Drg 794 794 | – | – | – | $15,740$5,275–$17,063 · 37 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $4,064$1,288–$4,405 · 37 plans | |
| Ms-Drg 796 796 | – | – | – | $12,656$6,433–$14,037 · 44 plans | |
| Ms-Drg 797 797 | – | – | – | $11,162$6,433–$12,380 · 44 plans | |
| Ms-Drg 798 798 | – | – | – | $10,773$6,330–$11,950 · 44 plans | |
| Ms-Drg 799 799 | – | – | – | $44,113$18,959–$52,390 · 42 plans | |
| Ms-Drg 800 800 | – | – | – | $28,361$13,765–$44,529 · 42 plans | |
| Ms-Drg 801 801 | – | – | – | $19,899$12,405–$24,521 · 42 plans | |
| Ms-Drg 802 802 | – | – | – | $38,724$12,599–$43,605 · 42 plans | |
| Ms-Drg 803 803 | – | – | – | $19,245$12,078–$21,700 · 42 plans | |
| Ms-Drg 804 804 | – | – | – | $14,790$12,078–$17,560 · 42 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $12,110$6,901–$13,612 · 43 plans | |
| Vaginal birth, with complications 806 | – | – | – | $9,226$6,521–$10,868 · 43 plans | |
| Vaginal birth 807 | – | – | – | $8,405$6,521–$9,995 · 43 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $22,438$10,338–$25,348 · 42 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $14,008$9,224–$20,010 · 42 plans | |
| Ms-Drg 810 810 | – | – | – | $11,957$9,224–$16,589 · 42 plans | |
| Coagulation Disorders 813 | – | – | – | $16,192$9,224–$18,249 · 42 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $21,695$10,187–$24,499 · 42 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $11,629$9,199–$15,652 · 42 plans | |
| Ms-Drg 816 816 | – | – | – | $8,139$7,284–$10,110 · 42 plans | |
| Ms-Drg 817 817 | – | – | – | $23,113$4,142–$26,048 · 42 plans | |
| Ms-Drg 818 818 | – | – | – | $12,842$4,082–$14,114 · 42 plans | |
| Ms-Drg 819 819 | – | – | – | $10,154$3,548–$12,186 · 42 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $56,179$24,501–$66,753 · 42 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $23,060$12,568–$39,160 · 42 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $13,562$11,768–$19,083 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $44,394$18,958–$52,240 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $23,196$12,685–$31,021 · 42 plans | |
| Ms-Drg 825 825 | – | – | – | $14,729$11,693–$16,955 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $45,264$19,576–$53,294 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $23,734$12,882–$36,633 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $18,093$12,405–$26,937 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $31,150$12,149–$36,084 · 42 plans | |
| Ms-Drg 830 830 | – | – | – | $16,167$11,678–$18,039 · 42 plans | |
| Ms-Drg 831 831 | – | – | – | $13,239$4,070–$14,549 · 42 plans | |
| Ms-Drg 832 832 | – | – | – | $8,883$4,010–$10,106 · 42 plans | |
| Ms-Drg 833 833 | – | – | – | $7,055$3,548–$8,288 · 42 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $52,732$22,715–$62,502 · 42 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $21,641$10,279–$33,060 · 42 plans | |
| Ms-Drg 836 836 | – | – | – | $13,528$9,224–$16,778 · 42 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $46,427$20,101–$54,728 · 42 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $21,656$10,280–$33,085 · 42 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $15,679$9,224–$29,777 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $31,836$13,360–$36,933 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $17,335$9,594–$21,728 · 42 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $11,596$9,195–$14,644 · 42 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $20,488$10,236–$23,121 · 42 plans | |
| Ms-Drg 844 844 | – | – | – | $13,509$9,224–$16,846 · 42 plans | |
| Ms-Drg 845 845 | – | – | – | $10,128$8,368–$13,498 · 42 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $25,957$5,119–$29,254 · 42 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $14,206$4,994–$15,612 · 42 plans | |
| Ms-Drg 848 848 | – | – | – | $10,008$4,957–$11,279 · 42 plans | |
| Radiotherapy 849 | – | – | – | $27,028$10,925–$30,976 · 42 plans | |
| Ms-Drg 850 850 | – | – | – | $83,670$36,095–$137,253 · 42 plans | |
| Ms-Drg 855 855 | – | – | – | $16,174$12,405–$38,513 · 42 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $44,296$19,041–$53,679 · 42 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $22,158$12,405–$38,513 · 42 plans | |
| Ms-Drg 858 858 | – | – | – | $15,206$12,399–$38,513 · 42 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $18,923$10,154–$21,333 · 42 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $11,480$9,183–$15,776 · 42 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $10,462$8,685–$14,070 · 42 plans | |
| Viral Illness with Mcc 865 | – | – | – | $15,945$7,617–$17,970 · 42 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $10,193$6,563–$11,487 · 42 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $21,389$10,283–$24,149 · 42 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $11,797$9,216–$16,343 · 42 plans | |
| Ms-Drg 869 869 | – | – | – | $9,108$7,775–$15,278 · 42 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $37,600$24,484–$41,360 · 31 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $11,022$7,046–$12,124 · 31 plans | |
| Depressive Neuroses 881 | – | – | – | $10,953$9,153–$13,436 · 31 plans | |
| Neuroses Except Depressive 882 | – | – | – | $12,061$7,770–$13,267 · 31 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $20,228$9,850–$22,250 · 31 plans | |
| Psychoses 885 | – | – | – | $15,167$11,913–$17,352 · 31 plans | |
| Ms-Drg 886 886 | – | – | – | $21,225$9,826–$23,347 · 31 plans | |
| Ms-Drg 887 887 | – | – | – | $12,035$7,715–$13,238 · 31 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $7,880$4,519–$9,059 · 34 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $14,885$8,250–$16,662 · 34 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $17,748$4,625–$19,787 · 34 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $10,113$4,625–$11,314 · 34 plans | |
| Ms-Drg 901 901 | – | – | – | $40,730$17,580–$47,838 · 42 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $20,050$12,405–$30,345 · 42 plans | |
| Ms-Drg 903 903 | – | – | – | $13,294$11,467–$23,627 · 42 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $35,845$15,301–$41,902 · 42 plans | |
| Ms-Drg 905 905 | – | – | – | $16,046$12,405–$23,512 · 42 plans | |
| Ms-Drg 906 906 | – | – | – | $20,209$8,450–$22,802 · 42 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $37,366$16,092–$43,786 · 42 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $20,697$12,405–$29,120 · 42 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $14,461$12,321–$20,806 · 42 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $17,192$8,182–$19,376 · 42 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $10,338$6,958–$11,651 · 42 plans | |
| Ms-Drg 915 915 | – | – | – | $17,623$5,340–$19,372 · 42 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $8,374$4,074–$10,049 · 42 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $10,078$6,360–$11,358 · 42 plans | |
| Complications of Treatment with Mcc 919 | – | – | – | $18,988$9,147–$21,407 · 42 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $11,521$8,963–$13,028 · 42 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $8,630$7,727–$10,911 · 42 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $18,243$9,150–$20,560 · 42 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $11,548$6,944–$13,014 · 42 plans | |
| Ms-Drg 927 927 | – | – | – | $199,573$72,339–$244,970 · 39 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $68,500$26,109–$82,669 · 39 plans | |
| Ms-Drg 929 929 | – | – | – | $31,707$13,511–$37,429 · 39 plans | |
| Ms-Drg 933 933 | – | – | – | $37,868$14,722–$45,138 · 39 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $22,688$9,921–$25,865 · 39 plans | |
| Non-Extensive Burns 935 | – | – | – | $21,085$9,921–$24,141 · 39 plans | |
| Ms-Drg 939 939 | – | – | – | $35,437$14,810–$41,396 · 42 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $23,619$12,993–$26,751 · 42 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $20,997$12,405–$23,465 · 42 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $12,856$3,130–$14,269 · 34 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $13,851$8,834–$15,610 · 42 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $9,656$7,718–$11,211 · 42 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $13,122$4,808–$14,788 · 42 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $8,019$3,443–$9,867 · 42 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $7,736$6,440–$10,023 · 42 plans | |
| Ms-Drg 955 955 | – | – | – | $65,292$28,095–$106,688 · 42 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $37,034$15,781–$52,358 · 42 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $72,679$31,782–$86,654 · 42 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $41,406$17,652–$66,790 · 42 plans | |
| Ms-Drg 959 959 | – | – | – | $29,612$13,830–$57,391 · 42 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $27,523$11,511–$31,251 · 42 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $16,503$9,224–$24,292 · 42 plans | |
| Ms-Drg 965 965 | – | – | – | $10,950$9,127–$21,201 · 42 plans | |
| Ms-Drg 969 969 | – | – | – | $58,829$25,565–$72,693 · 42 plans | |
| Ms-Drg 970 970 | – | – | – | $26,764$13,683–$52,155 · 42 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $28,929$12,143–$33,339 · 42 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $14,296$9,224–$23,920 · 42 plans | |
| Ms-Drg 976 976 | – | – | – | $10,600$8,816–$23,920 · 42 plans | |
| Ms-Drg 977 977 | – | – | – | $14,251$9,224–$18,952 · 42 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | – | – | – | $45,618$19,635–$58,187 · 42 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $25,102$13,519–$41,886 · 42 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $18,188$12,405–$41,886 · 42 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $33,606$14,393–$39,127 · 42 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $17,534$12,405–$26,051 · 42 plans | |
| Ms-Drg 989 989 | – | – | – | $13,540$11,726–$20,202 · 42 plans | |
| Ms-Drg 998 998 | – | – | – | $2,370$2,191–$14,611 · 33 plans | |
| Ms-Drg 999 999 | – | – | – | $2,370$2,191–$14,611 · 33 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 | – | – | $3,535$1,919–$11,999 · 10 plans |
| Cataract surgery CPT 66984 | – | – | $4,330$1,950–$8,348 · 23 plans |
| Colonoscopy CPT 45378 | – | – | $2,007$1,644–$7,480 · 23 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $2,875$1,950–$7,480 · 23 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$8–$97 · 25 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $3,561 | $3,561 | $278$11–$2,244 · 49 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $32,060 | $32,060 | $5,098$1,478–$25,808 · 30 plans |
| Emergency room visit, highest level CPT 99285 | $7,106 | $7,106 | $3,493$1,130–$6,002 · 32 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $12,845$2,321–$20,098 · 26 plans |
| Hip replacement CPT 27130 | – | – | $11,000$1,950–$31,455 · 29 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $10,559$2,698–$19,358 · 26 plans |
| Knee replacement CPT 27447 | – | – | $13,361$1,950–$31,455 · 31 plans |
| MRI of the brain, with and without contrast CPT 70553 | $17,016 | $17,016 | $3,671$1,215–$13,698 · 30 plans |
| MRI of the knee, without contrast CPT 73721 | $8,106 | $8,106 | $2,415$627–$6,526 · 30 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $3,535$1,919–$11,999 · 10 plans |
Price file: Marion Communtiy Hospital, read November 9, 2026.