HCA Houston Healthcare Clear Lake
500 W Medical Center Blvd, Webster, TX 77598 · (281) 332-2511
The money
$6what care cost the hospital for every $100 it billed
$309.8Mnet income, all sources
38.5%margin on patient care alone
$42.5Mcost of charity care (8.1% of costs)
$40.2Munpaid bills written off (bad debt)
530beds
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 | 358 | $211,892 | $16,632 | $17,241$9,600–$24,167 · 61 plans | |
| Heart failure, with major complications 291 | 180 | $108,927 | $10,865 | $12,240$11,023–$17,946 · 61 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 115 | $347,440 | $25,251 | $27,731$16,728–$42,291 · 73 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 82 | $104,704 | $10,874 | $12,647$11,467–$18,228 · 61 plans | |
| Kidney failure, with major complications 682 | 81 | $136,059 | $12,206 | $13,788$12,716–$20,297 · 61 plans | |
| Stomach and digestive disorders 392 | 76 | $74,688 | $7,209 | $8,200$6,694–$11,494 · 61 plans | |
| Kidney failure, with complications 683 | 74 | $73,643 | $8,134 | $9,036$6,745–$12,846 · 61 plans | |
| Infection needing surgery, with major complications 853 | 69 | $534,258 | $41,005 | $42,141$39,331–$62,208 · 61 plans | |
| Pneumonia, with major complications 193 | 67 | $153,991 | $11,066 | $12,480$8,618–$17,939 · 61 plans | |
| Urinary tract infection 690 | 60 | $67,834 | $7,325 | $8,432$6,745–$11,819 · 61 plans | |
| Heart attack, with major complications 280 | 58 | $155,138 | $13,277 | $14,755$13,773–$21,893 · 61 plans | |
| Urinary tract infection, with major complications 689 | 58 | $86,678 | $9,567 | $11,270$8,618–$16,091 · 61 plans | |
| Fainting 312 | 57 | $77,089 | $7,756 | $9,003$7,484–$12,496 · 61 plans | |
| Back problems (no surgery) 552 | 56 | $83,958 | $8,321 | $9,708$8,942–$13,800 · 61 plans | |
| Other kidney and urinary problems, with major complications 698 | 52 | $142,507 | $13,124 | $15,001$7,951–$21,027 · 61 plans | |
| Respiratory failure 189 | 46 | $127,785 | $10,782 | $11,860$10,607–$17,270 · 61 plans | |
| Sepsis 872 | 46 | $85,408 | $9,064 | $9,995$5,885–$14,149 · 61 plans | |
| Stroke, with major complications 064 | 43 | $206,414 | $15,189 | $17,950$17,246–$27,277 · 61 plans | |
| Lung infection, with major complications 177 | 42 | $143,189 | $13,150 | $14,430$13,155–$20,513 · 61 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 40 | $215,894 | $15,925 | $18,605$17,876–$28,273 · 61 plans | |
| High blood pressure 305 | 39 | $71,460 | $7,002 | $8,009$6,745–$11,227 · 61 plans | |
| Anemia and blood disorders 812 | 39 | $70,601 | $7,968 | $9,369$7,884–$13,004 · 61 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 38 | $472,065 | $35,776 | $40,704$38,261–$60,086 · 61 plans | |
| Chest pain 313 | 36 | $62,510 | $6,873 | $7,736$6,182–$10,844 · 61 plans | |
| Stroke, with complications or clot-busting drug 065 | 35 | $138,194 | $10,597 | $10,092$8,674–$14,347 · 61 plans | |
| Other Vascular Procedures with Mcc 252 | 35 | $276,405 | $26,281 | $29,951$28,390–$44,903 · 61 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 34 | $446,657 | $44,894 | $43,161$23,880–$65,829 · 73 plans | |
| Heart catheterization 287 | 34 | $106,367 | $9,412 | $10,873$9,696–$16,273 · 73 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 32 | $664,777 | $47,088 | $50,388$46,707–$87,541 · 73 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 32 | $202,700 | $14,555 | $16,513$15,695–$24,949 · 61 plans | |
| Dehydration and electrolyte problems 641 | 32 | $65,974 | $7,089 | $8,233$6,745–$11,478 · 61 plans | |
| Anemia and blood disorders, with major complications 811 | 32 | $96,060 | $11,726 | $13,186$12,057–$19,411 · 61 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 31 | $300,943 | $20,302 | $23,742$22,811–$36,079 · 61 plans | |
| Mini-stroke (TIA) 069 | 30 | $88,122 | $7,158 | $8,432$6,859–$11,703 · 61 plans | |
| Hip replacement after a hip fracture 522 | 30 | $214,814 | $16,144 | $18,788$18,180–$28,625 · 61 plans | |
| Other kidney and urinary problems, with complications 699 | 30 | $90,332 | $8,823 | $10,129$8,715–$14,400 · 61 plans | |
| Seizures with Mcc 100 | 28 | $178,712 | $16,522 | $17,367$16,629–$26,391 · 61 plans | |
| Irregular heartbeat, with complications 309 | 28 | $77,268 | $6,991 | $7,859$6,621–$11,015 · 61 plans | |
| Skin infection (cellulitis) 603 | 28 | $61,082 | $8,388 | $8,910$6,745–$12,500 · 61 plans | |
| Seizures 101 | 27 | $71,689 | $8,576 | $9,247$7,750–$13,009 · 61 plans | |
| Heart stent 322 | 27 | $193,161 | $15,660 | $16,473$15,518–$22,724 · 68 plans | |
| Hip or knee replacement 470 | 27 | $154,297 | $17,144 | $17,814$16,755–$26,297 · 73 plans | |
| Heart catheterization, with major complications 286 | 26 | $179,861 | $16,882 | $19,343$13,379–$28,622 · 73 plans | |
| Heart stent, with major complications or 4+ stents 321 | 26 | $304,002 | $26,921 | $23,148$16,521–$33,205 · 68 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 25 | $87,500 | $11,116 | $12,333$11,124–$18,111 · 61 plans | |
| Bowel surgery, with major complications 329 | 25 | $479,440 | $39,412 | $39,376$36,751–$58,126 · 61 plans | |
| Diabetes, with complications 638 | 25 | $83,819 | $8,283 | $9,197$7,695–$12,878 · 61 plans | |
| Peripheral Vascular Disorders with Cc 300 | 24 | $89,841 | $9,462 | $10,542$9,166–$14,986 · 61 plans | |
| Pneumonia, with complications 194 | 22 | $82,743 | $8,997 | $8,488$6,919–$12,494 · 61 plans | |
| Irregular heartbeat 310 | 22 | $50,985 | $5,777 | $6,540$5,095–$9,024 · 61 plans | |
| Stomach or intestinal bleeding, with complications 378 | 22 | $100,480 | $8,467 | $9,860$8,420–$14,017 · 61 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 21 | $116,231 | $11,222 | $12,388$11,724–$18,210 · 61 plans | |
| Respiratory Neoplasms with Mcc 180 | 20 | $205,161 | $13,851 | $16,026$15,163–$24,102 · 61 plans | |
| Irregular heartbeat, with major complications 308 | 20 | $110,728 | $10,055 | $11,613$10,338–$16,831 · 61 plans | |
| Bowel surgery, with complications 330 | 20 | $223,110 | $18,608 | $20,982$20,159–$31,885 · 61 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 20 | $601,440 | $46,731 | $58,090$54,217–$85,752 · 61 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 19 | $140,777 | $16,811 | $20,400$19,600–$31,001 · 61 plans | |
| Other Disorders of Nervous System with Mcc 091 | 19 | $152,687 | $13,542 | $15,949$15,079–$23,969 · 61 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 19 | $220,221 | $17,577 | $19,447$17,554–$28,707 · 73 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 19 | $436,445 | $38,626 | $30,083$23,880–$45,429 · 73 plans | |
| Other circulation problems, with major complications 314 | 19 | $240,439 | $18,935 | $18,532$17,806–$28,162 · 61 plans | |
| Delirium and other mental confusion 884 | 19 | $74,279 | $13,227 | $14,503$2,509–$18,301 · 56 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 18 | $181,726 | $15,319 | $17,614$16,899–$26,766 · 61 plans | |
| Diabetes, with major complications 637 | 18 | $95,355 | $12,270 | $13,440$12,336–$19,785 · 61 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 17 | $406,467 | $28,337 | $27,229$17,554–$41,378 · 73 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 17 | $94,342 | $12,921 | $14,979$14,018–$22,283 · 61 plans | |
| Fracture or sprain (not hip or thigh) 563 | 17 | $88,245 | $7,632 | $9,191$7,689–$12,772 · 61 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 16 | $182,108 | $11,108 | $11,390$10,093–$16,432 · 61 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 16 | $88,848 | $9,612 | $10,253$8,850–$14,576 · 61 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 16 | $82,065 | $8,281 | $8,779$7,238–$12,480 · 61 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 16 | $454,242 | $29,307 | $34,214$17,554–$52,178 · 73 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 16 | $208,616 | $29,904 | $36,075$33,772–$51,743 · 61 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 16 | $246,938 | $17,002 | $17,674$13,155–$24,773 · 61 plans | |
| Interstitial Lung Disease with Mcc 196 | 15 | $183,287 | $16,545 | $16,978$16,204–$25,459 · 61 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 15 | $111,822 | $8,952 | $9,785$8,339–$13,911 · 61 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 15 | $914,417 | $61,756 | $65,926$60,465–$95,291 · 73 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 15 | $838,246 | $57,860 | $65,237$60,213–$95,133 · 73 plans | |
| Stomach and digestive disorders, with major complications 391 | 15 | $92,731 | $10,921 | $12,118$10,890–$17,730 · 61 plans | |
| Other digestive problems, with complications 394 | 15 | $82,968 | $8,186 | $9,507$8,034–$13,514 · 61 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 15 | $311,996 | $21,293 | $25,027$24,045–$38,031 · 61 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 14 | $934,058 | $87,350 | $112,550$104,472–$168,553 · 60 plans | |
| COPD, with major complications 190 | 14 | $139,059 | $9,348 | $10,857$9,511–$15,485 · 61 plans | |
| Heart attack, with complications 281 | 14 | $103,842 | $8,590 | $9,376$8,150–$13,329 · 61 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 14 | $96,151 | $13,892 | $16,251$15,409–$24,696 · 61 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 14 | $246,343 | $18,008 | $22,722$18,583–$32,464 · 73 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 13 | $475,464 | $39,901 | $48,540$45,628–$71,654 · 61 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 13 | $167,761 | $15,309 | $17,485$16,731–$26,463 · 61 plans | |
| Major Chest Procedures with Mcc 163 | 13 | $458,904 | $34,642 | $38,449$35,885–$56,757 · 61 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 13 | $632,994 | $45,340 | $54,233$50,618–$80,059 · 61 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 13 | $754,248 | $34,278 | $36,080$34,019–$74,969 · 73 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | 13 | $519,675 | $38,886 | $42,004$39,204–$62,006 · 61 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 13 | $171,779 | $13,191 | $14,717$13,732–$21,842 · 61 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 13 | $187,528 | $13,275 | $15,442$14,524–$23,466 · 61 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 12 | $186,140 | $14,129 | $15,231$14,294–$22,721 · 61 plans | |
| Major Chest Procedures with Cc 164 | 12 | $309,984 | $25,665 | $21,978$21,116–$33,398 · 61 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | 12 | $674,060 | $44,606 | $46,903$43,621–$78,144 · 73 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 12 | $174,593 | $13,867 | $15,374$14,449–$23,362 · 61 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 12 | $64,659 | $7,381 | $8,681$7,132–$12,049 · 61 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 12 | $134,053 | $13,393 | $14,475$13,466–$21,406 · 61 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 11 | $1,409,939 | $122,220 | $171,299$158,331–$256,706 · 60 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | 11 | $168,072 | $14,659 | $15,957$15,087–$24,248 · 61 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 11 | $100,810 | $11,301 | $13,119$12,605–$19,512 · 61 plans | |
| Major Chest Trauma with Cc 184 | 11 | $100,933 | $9,013 | $10,515$9,136–$14,948 · 61 plans | |
| Other Circulatory System O.r. Procedures 264 | 11 | $227,519 | $24,966 | $28,682$27,276–$43,141 · 61 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 11 | $94,154 | $8,358 | $9,723$8,271–$13,822 · 61 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 11 | $254,954 | $20,680 | $20,897$20,078–$31,756 · 61 plans | |
| Cellulitis with Mcc 602 | 11 | $94,069 | $11,525 | $13,320$12,203–$19,607 · 61 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 11 | $139,760 | $16,410 | $19,496$18,731–$29,626 · 61 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 11 | $445,396 | $55,369 | $40,146$37,470–$59,263 · 61 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $220,020$102,792–$283,190 · 44 plans | |
| Ms-Drg 002 002 | – | – | – | $90,688$74,118–$114,741 · 44 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $83,116$79,938–$114,732 · 42 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $38,569$37,094–$53,083 · 42 plans | |
| Lung Transplant 007 | – | – | – | $103,843$99,872–$143,415 · 42 plans | |
| Ms-Drg 008 008 | – | – | – | $46,166$44,401–$63,597 · 42 plans | |
| Ms-Drg 010 010 | – | – | – | $58,502$56,265–$80,669 · 42 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $46,308$43,220–$68,359 · 61 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $36,199$33,880–$53,586 · 61 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $24,787$23,815–$37,667 · 61 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $96,522$92,926–$132,601 · 43 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $48,719$46,808–$67,619 · 41 plans | |
| Ms-Drg 017 017 | – | – | – | $44,813$43,100–$61,725 · 42 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $341,224$329,850–$518,526 · 47 plans | |
| Ms-Drg 019 019 | – | – | – | $58,179$56,297–$87,288 · 48 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $65,825$62,064–$107,675 · 61 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $45,012$42,440–$78,577 · 61 plans | |
| Ms-Drg 022 022 | – | – | – | $27,905$26,311–$50,445 · 61 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $33,842$31,908–$49,958 · 61 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | – | – | – | $38,973$36,375–$57,532 · 61 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $27,354$25,791–$41,425 · 61 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $22,615$21,323–$33,629 · 61 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $50,787$47,401–$74,971 · 61 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $29,292$27,812–$43,988 · 61 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $19,396$18,635–$29,474 · 61 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $38,438$35,876–$56,742 · 61 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $18,892$18,151–$28,708 · 61 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $15,217$14,278–$23,123 · 61 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $33,234$31,275–$49,466 · 61 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $20,930$20,109–$31,805 · 61 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $28,266$26,910–$42,562 · 61 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $14,900$13,932–$22,642 · 61 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $33,152$31,204–$49,353 · 61 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $19,424$18,662–$29,516 · 61 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $15,725$15,109–$23,896 · 61 plans | |
| Ms-Drg 052 052 | – | – | – | $16,382$15,552–$24,721 · 61 plans | |
| Ms-Drg 053 053 | – | – | – | $9,848$8,407–$14,497 · 61 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $14,149$13,110–$20,839 · 61 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $10,165$8,754–$14,451 · 61 plans | |
| Ms-Drg 058 058 | – | – | – | $15,582$14,678–$23,331 · 61 plans | |
| Ms-Drg 059 059 | – | – | – | $11,903$10,654–$16,936 · 61 plans | |
| Ms-Drg 060 060 | – | – | – | $9,382$7,897–$13,337 · 61 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $23,808$22,874–$36,179 · 61 plans | |
| Ms-Drg 063 063 | – | – | – | $13,182$12,053–$19,624 · 61 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $7,460$6,160–$10,456 · 61 plans | |
| Ms-Drg 067 067 | – | – | – | $13,692$12,610–$20,155 · 61 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $8,947$7,422–$12,719 · 61 plans | |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | $10,216$8,809–$14,522 · 61 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $8,018$6,745–$11,300 · 61 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $14,756$13,775–$21,722 · 61 plans | |
| Ms-Drg 075 075 | – | – | – | $17,216$16,464–$25,342 · 61 plans | |
| Ms-Drg 076 076 | – | – | – | $8,639$7,085–$12,717 · 61 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | $20,155$16,359–$23,822 · 5 plans | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | $12,490$10,137–$14,762 · 5 plans | |
| Ms-Drg 079 079 | – | – | – | $9,583$7,778–$11,326 · 5 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $16,372$15,541–$24,878 · 61 plans | |
| Ms-Drg 081 081 | – | – | – | $9,102$7,690–$12,520 · 61 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $20,570$19,455–$30,553 · 61 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $9,665$8,891–$14,227 · 61 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | – | – | – | $20,447$19,351–$30,390 · 61 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $9,342$8,232–$12,966 · 61 plans | |
| Concussion with Mcc 088 | – | – | – | $12,774$11,607–$18,897 · 61 plans | |
| Concussion with Cc 089 | – | – | – | $10,786$9,433–$15,357 · 61 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $8,623$7,068–$12,259 · 61 plans | |
| Other Disorders of Nervous System with Cc 092 | – | – | – | $10,192$8,783–$14,481 · 61 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $8,412$6,837–$11,676 · 61 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $30,218$28,625–$45,274 · 61 plans | |
| Ms-Drg 095 095 | – | – | – | $22,411$21,532–$34,056 · 61 plans | |
| Ms-Drg 096 096 | – | – | – | $22,411$21,532–$34,056 · 61 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $31,011$29,322–$46,377 · 61 plans | |
| Ms-Drg 098 098 | – | – | – | $20,179$19,388–$30,664 · 61 plans | |
| Ms-Drg 099 099 | – | – | – | $12,857$11,698–$18,926 · 61 plans | |
| Headaches with Mcc 102 | – | – | – | $10,961$9,624–$15,669 · 61 plans | |
| Headaches Without Mcc 103 | – | – | – | $8,726$7,180–$12,147 · 61 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $20,620$19,812–$31,335 · 61 plans | |
| Ms-Drg 114 114 | – | – | – | $12,783$11,617–$18,914 · 61 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $14,212$13,179–$20,948 · 61 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $16,357$15,524–$24,856 · 61 plans | |
| Ms-Drg 117 117 | – | – | – | $10,678$9,315–$15,180 · 61 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $11,294$9,988–$16,262 · 61 plans | |
| Ms-Drg 122 122 | – | – | – | $8,248$6,745–$10,985 · 61 plans | |
| Neurological Eye Disorders 123 | – | – | – | $8,430$6,857–$11,701 · 61 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $12,549$11,360–$18,472 · 61 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $8,188$6,745–$11,640 · 61 plans | |
| Ms-Drg 135 135 | – | – | – | $19,198$18,445–$29,174 · 61 plans | |
| Ms-Drg 136 136 | – | – | – | $10,132$9,138–$14,914 · 61 plans | |
| Ms-Drg 137 137 | – | – | – | $13,884$12,821–$20,873 · 61 plans | |
| Ms-Drg 138 138 | – | – | – | $9,118$7,976–$12,655 · 61 plans | |
| Ms-Drg 139 139 | – | – | – | $11,862$10,610–$17,274 · 61 plans | |
| Ms-Drg 140 140 | – | – | – | $36,622$34,252–$54,174 · 61 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $19,285$18,529–$29,306 · 61 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $14,694$13,707–$22,316 · 61 plans | |
| Ms-Drg 143 143 | – | – | – | $31,577$30,339–$46,327 · 61 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $15,766$14,879–$23,958 · 61 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $11,600$10,323–$17,032 · 61 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $18,785$18,049–$28,546 · 61 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $12,143$10,917–$17,774 · 61 plans | |
| Ms-Drg 148 148 | – | – | – | $8,418$6,844–$11,967 · 61 plans | |
| Dysequilibrium 149 | – | – | – | $7,982$6,745–$11,188 · 61 plans | |
| Ms-Drg 150 150 | – | – | – | $12,614$11,432–$18,569 · 61 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $7,845$6,606–$10,997 · 61 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $11,442$10,150–$16,266 · 61 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $7,878$6,644–$11,042 · 61 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $14,436$13,424–$21,339 · 61 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $9,356$7,869–$13,300 · 61 plans | |
| Ms-Drg 156 156 | – | – | – | $7,512$6,220–$10,529 · 61 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $15,640$14,740–$23,081 · 61 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $9,303$7,812–$13,182 · 61 plans | |
| Ms-Drg 159 159 | – | – | – | $7,647$6,377–$10,701 · 61 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $17,190$16,435–$26,122 · 61 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $32,092$30,272–$47,879 · 61 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $16,320$15,484–$24,800 · 61 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $12,888$11,732–$18,973 · 61 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $25,530$19,153–$36,937 · 56 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | – | – | – | $12,945$11,794–$19,202 · 61 plans | |
| Pulmonary Embolism Without Mcc 176 | – | – | – | $8,480$6,912–$12,056 · 61 plans | |
| Lung infection, with complications 178 | – | – | – | $9,823$8,380–$14,460 · 61 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $8,088$6,745–$11,497 · 61 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $10,569$9,196–$15,025 · 61 plans | |
| Ms-Drg 182 182 | – | – | – | $8,078$6,745–$11,484 · 61 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $14,172$13,136–$20,880 · 61 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $8,320$6,753–$11,569 · 61 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $14,397$13,381–$21,270 · 61 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $9,926$8,492–$14,110 · 61 plans | |
| Ms-Drg 188 188 | – | – | – | $7,715$6,455–$10,814 · 61 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $7,130$5,778–$10,186 · 61 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $7,025$5,657–$10,085 · 61 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $9,612$8,149–$13,664 · 61 plans | |
| Ms-Drg 198 198 | – | – | – | $7,708$6,446–$10,886 · 61 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $16,011$15,147–$24,076 · 61 plans | |
| Pneumothorax with Cc 200 | – | – | – | $10,791$9,439–$15,367 · 61 plans | |
| Ms-Drg 201 201 | – | – | – | $7,698$6,436–$10,791 · 61 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $7,348$6,030–$10,353 · 61 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $8,499$6,932–$11,797 · 61 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $16,536$15,721–$24,671 · 61 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $9,549$8,080–$13,254 · 61 plans | |
| Ms-Drg 209 209 | – | – | – | $90,141$70,550–$133,330 · 65 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $87,541$70,550–$127,643 · 68 plans | |
| Ms-Drg 213 213 | – | – | – | $46,048$24,074–$68,193 · 65 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $82,703$70,550–$122,086 · 73 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $81,295$70,550–$120,007 · 73 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $56,456$52,079–$89,432 · 73 plans | |
| Ms-Drg 218 218 | – | – | – | $56,456$52,079–$88,202 · 73 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $45,787$42,633–$83,061 · 73 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $43,275$40,409–$74,969 · 73 plans | |
| Ms-Drg 222 222 | – | – | – | $110,940$88,749–$126,194 · 5 plans | |
| Ms-Drg 223 223 | – | – | – | $80,908$64,724–$92,032 · 5 plans | |
| Ms-Drg 224 224 | – | – | – | $104,914$83,928–$119,339 · 5 plans | |
| Ms-Drg 225 225 | – | – | – | $78,385$62,706–$89,162 · 5 plans | |
| Ms-Drg 226 226 | – | – | – | $91,601$73,279–$104,196 · 5 plans | |
| Ms-Drg 227 227 | – | – | – | $72,724$58,177–$82,723 · 5 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $43,016$39,800–$81,909 · 73 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $28,346$26,098–$74,969 · 73 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $70,550$66,340–$103,865 · 73 plans | |
| Ms-Drg 232 232 | – | – | – | $53,177$48,299–$87,511 · 73 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $24,541$23,579–$37,293 · 61 plans | |
| Ms-Drg 241 241 | – | – | – | $13,030$11,886–$19,353 · 61 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $16,833$15,871–$24,849 · 73 plans | |
| Ms-Drg 245 245 | – | – | – | $37,611$18,081–$57,719 · 73 plans | |
| Ms-Drg 246 246 | – | – | – | $43,593$34,873–$49,587 · 5 plans | |
| Ms-Drg 247 247 | – | – | – | $27,532$22,025–$31,317 · 5 plans | |
| Ms-Drg 248 248 | – | – | – | $44,122$35,296–$50,189 · 5 plans | |
| Ms-Drg 249 249 | – | – | – | $26,144$20,914–$29,738 · 5 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $19,296$16,521–$29,139 · 73 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $14,303$13,446–$21,114 · 73 plans | |
| Other Vascular Procedures with Cc 253 | – | – | – | $22,540$21,656–$34,252 · 61 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $16,149$15,438–$24,541 · 61 plans | |
| Ms-Drg 255 255 | – | – | – | $23,339$22,424–$35,467 · 61 plans | |
| Ms-Drg 256 256 | – | – | – | $15,491$14,578–$23,173 · 61 plans | |
| Ms-Drg 257 257 | – | – | – | $10,736$9,378–$15,803 · 61 plans | |
| Ms-Drg 258 258 | – | – | – | $26,978$25,779–$40,773 · 61 plans | |
| Ms-Drg 259 259 | – | – | – | $18,037$17,330–$27,409 · 61 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $27,929$26,614–$42,093 · 61 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $17,004$16,232–$25,839 · 61 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $14,957$14,371–$22,729 · 61 plans | |
| Ms-Drg 263 263 | – | – | – | $26,166$25,140–$37,199 · 61 plans | |
| Ms-Drg 265 265 | – | – | – | $31,066$29,370–$46,453 · 61 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | – | – | – | $51,758$48,652–$76,404 · 61 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $55,613$24,968–$85,347 · 73 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | – | – | – | $35,320$23,880–$53,579 · 73 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $22,859$21,552–$33,744 · 73 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $59,857$56,385–$88,360 · 68 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $50,773$47,625–$82,575 · 68 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $39,554$37,259–$74,969 · 68 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $45,865$34,155–$67,620 · 56 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $30,477$22,803–$44,371 · 56 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $7,837$6,508–$10,878 · 61 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $17,713$17,007–$26,916 · 61 plans | |
| Ms-Drg 284 284 | – | – | – | $7,595$6,230–$10,593 · 61 plans | |
| Ms-Drg 285 285 | – | – | – | $6,728$5,390–$8,654 · 61 plans | |
| Ms-Drg 288 288 | – | – | – | $23,408$22,490–$35,572 · 61 plans | |
| Ms-Drg 289 289 | – | – | – | $15,562$14,655–$23,296 · 61 plans | |
| Ms-Drg 290 290 | – | – | – | $9,460$8,648–$13,502 · 61 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $8,826$7,641–$12,547 · 61 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $6,564$5,265–$9,388 · 61 plans | |
| Ms-Drg 294 294 | – | – | – | $16,867$13,690–$19,935 · 5 plans | |
| Ms-Drg 295 295 | – | – | – | $12,939$10,502–$15,293 · 5 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $14,424$13,410–$21,317 · 61 plans | |
| Ms-Drg 297 297 | – | – | – | $7,068$5,706–$10,147 · 61 plans | |
| Ms-Drg 298 298 | – | – | – | $5,621$4,233–$7,888 · 61 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $7,811$6,477–$10,882 · 61 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $11,555$10,274–$16,427 · 61 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $7,373$6,059–$10,334 · 61 plans | |
| Hypertension with Mcc 304 | – | – | – | $11,503$10,217–$16,353 · 61 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $14,533$13,530–$21,507 · 61 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $9,330$7,841–$12,950 · 61 plans | |
| Angina Pectoris 311 | – | – | – | $7,596$6,317–$10,647 · 61 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $7,501$6,139–$10,593 · 61 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $54,661$44,372–$80,909 · 56 plans | |
| Ms-Drg 318 318 | – | – | – | $20,971$16,521–$29,852 · 65 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $38,296$35,743–$56,532 · 61 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $21,046$20,220–$31,981 · 61 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $35,429$16,521–$51,756 · 68 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $26,373$16,521–$38,270 · 68 plans | |
| Ms-Drg 325 325 | – | – | – | $26,831$16,521–$38,951 · 68 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $42,535$39,700–$62,790 · 61 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $21,351$20,514–$32,445 · 61 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $14,741$13,757–$22,399 · 61 plans | |
| Ms-Drg 332 332 | – | – | – | $31,087$29,389–$46,483 · 61 plans | |
| Ms-Drg 333 333 | – | – | – | $20,550$19,744–$31,228 · 61 plans | |
| Ms-Drg 334 334 | – | – | – | $15,020$14,063–$22,354 · 61 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $30,660$29,014–$45,889 · 61 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $18,717$17,983–$28,442 · 61 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $14,212$13,180–$21,458 · 61 plans | |
| Ms-Drg 338 338 | – | – | – | $38,906$30,061–$42,573 · 5 plans | |
| Ms-Drg 339 339 | – | – | – | $23,608$18,241–$25,833 · 5 plans | |
| Ms-Drg 340 340 | – | – | – | $17,084$13,200–$18,694 · 5 plans | |
| Ms-Drg 341 341 | – | – | – | $32,301$24,958–$35,346 · 5 plans | |
| Ms-Drg 342 342 | – | – | – | $19,929$15,399–$21,808 · 5 plans | |
| Ms-Drg 343 343 | – | – | – | $15,419$11,914–$16,872 · 5 plans | |
| Ms-Drg 344 344 | – | – | – | $22,439$21,559–$34,099 · 61 plans | |
| Ms-Drg 345 345 | – | – | – | $13,974$12,919–$21,034 · 61 plans | |
| Ms-Drg 346 346 | – | – | – | $11,474$10,185–$16,890 · 61 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $20,184$19,393–$30,672 · 61 plans | |
| Ms-Drg 348 348 | – | – | – | $12,436$11,237–$18,307 · 61 plans | |
| Ms-Drg 349 349 | – | – | – | $8,996$7,835–$13,242 · 61 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $21,726$20,874–$33,015 · 61 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $14,130$13,089–$20,806 · 61 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $11,329$10,027–$16,266 · 61 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $24,946$23,968–$37,908 · 61 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $15,370$14,445–$23,356 · 61 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $12,720$11,548–$18,802 · 61 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $37,717$35,214–$55,696 · 61 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $20,419$19,618–$31,029 · 61 plans | |
| Ms-Drg 358 358 | – | – | – | $13,136$12,002–$19,337 · 61 plans | |
| Ms-Drg 359 359 | – | – | – | $28,587$16,521–$41,683 · 65 plans | |
| Ms-Drg 360 360 | – | – | – | $20,909$16,521–$29,761 · 65 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $14,659$13,668–$22,253 · 61 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $10,013$8,588–$14,234 · 61 plans | |
| Ms-Drg 370 370 | – | – | – | $7,662$6,307–$10,892 · 61 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $16,082$15,224–$24,199 · 61 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $10,176$8,766–$14,467 · 61 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $7,794$6,547–$10,925 · 61 plans | |
| Digestive Malignancy with Mcc 374 | – | – | – | $18,952$18,209–$28,800 · 61 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $11,657$10,386–$16,909 · 61 plans | |
| Ms-Drg 376 376 | – | – | – | $9,417$7,936–$13,387 · 61 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $7,040$5,674–$9,868 · 61 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $17,567$16,847–$26,694 · 61 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $10,667$9,303–$15,164 · 61 plans | |
| Ms-Drg 382 382 | – | – | – | $8,446$6,874–$11,722 · 61 plans | |
| Ms-Drg 383 383 | – | – | – | $13,001$11,855–$19,138 · 61 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $8,871$7,339–$12,611 · 61 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $14,584$13,586–$21,595 · 61 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $9,825$8,383–$13,968 · 61 plans | |
| Ms-Drg 387 387 | – | – | – | $7,436$6,132–$10,466 · 61 plans | |
| Gastrointestinal Obstruction with Mcc 388 | – | – | – | $13,755$12,680–$20,249 · 61 plans | |
| Bowel obstruction, with complications 389 | – | – | – | $8,361$6,781–$11,886 · 61 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $6,368$4,896–$8,926 · 61 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $7,184$5,841–$10,070 · 61 plans | |
| Ms-Drg 397 397 | – | – | – | $20,964$15,785–$30,331 · 56 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $14,044$11,099–$20,311 · 56 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $11,093$9,515–$15,735 · 56 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $34,720$32,567–$50,131 · 68 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $46,440$43,344–$68,554 · 61 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $24,932$23,954–$37,886 · 61 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $19,588$18,820–$29,766 · 61 plans | |
| Ms-Drg 408 408 | – | – | – | $30,614$28,974–$45,826 · 61 plans | |
| Ms-Drg 409 409 | – | – | – | $19,256$18,500–$29,261 · 61 plans | |
| Ms-Drg 410 410 | – | – | – | $14,626$13,632–$21,813 · 61 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $28,362$26,995–$42,696 · 61 plans | |
| Ms-Drg 412 412 | – | – | – | $18,668$17,936–$28,368 · 61 plans | |
| Ms-Drg 413 413 | – | – | – | $15,198$14,257–$23,095 · 61 plans | |
| Ms-Drg 414 414 | – | – | – | $30,588$28,951–$45,790 · 61 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $18,387$17,666–$27,941 · 61 plans | |
| Ms-Drg 416 416 | – | – | – | $12,864$11,705–$19,058 · 61 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $12,884$11,727–$18,966 · 61 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $29,253$27,778–$43,934 · 61 plans | |
| Ms-Drg 421 421 | – | – | – | $15,802$14,918–$24,013 · 61 plans | |
| Ms-Drg 422 422 | – | – | – | $13,148$12,016–$19,564 · 61 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $35,658$33,405–$52,834 · 61 plans | |
| Ms-Drg 424 424 | – | – | – | $19,339$18,580–$29,387 · 61 plans | |
| Ms-Drg 425 425 | – | – | – | $13,940$12,882–$20,973 · 61 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $86,957$38,192–$127,431 · 68 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $57,685$34,900–$84,535 · 68 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $45,849$34,900–$68,233 · 68 plans | |
| Ms-Drg 429 429 | – | – | – | $71,472$36,584–$104,739 · 68 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $46,977$34,662–$69,181 · 68 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $10,453$9,069–$14,859 · 61 plans | |
| Ms-Drg 434 434 | – | – | – | $7,678$6,413–$10,017 · 61 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | – | – | – | $16,581$15,770–$25,067 · 61 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $11,041$9,712–$15,812 · 61 plans | |
| Ms-Drg 437 437 | – | – | – | $8,860$7,326–$12,595 · 61 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $14,960$13,997–$22,249 · 61 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $8,765$7,223–$12,377 · 61 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $6,901$5,593–$9,770 · 61 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $9,739$8,288–$13,618 · 61 plans | |
| Ms-Drg 443 443 | – | – | – | $7,579$6,297–$10,623 · 61 plans | |
| Disorders of the Biliary Tract with Mcc 444 | – | – | – | $15,279$14,346–$22,804 · 61 plans | |
| Disorders of the Biliary Tract with Cc 445 | – | – | – | $10,753$9,397–$15,299 · 61 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $8,656$7,103–$12,013 · 61 plans | |
| Ms-Drg 447 447 | – | – | – | $53,552$26,244–$78,477 · 68 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $34,936$23,950–$50,763 · 68 plans | |
| Ms-Drg 450 450 | – | – | – | $43,144$24,135–$63,225 · 68 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $27,524$22,945–$39,668 · 68 plans | |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | – | – | – | $128,200$102,556–$145,826 · 5 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | – | – | – | $85,017$68,011–$96,706 · 5 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | – | – | – | $66,713$53,369–$75,886 · 5 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $67,474$39,496–$103,549 · 73 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $48,981$39,496–$74,432 · 73 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $35,949$33,813–$58,137 · 73 plans | |
| Spinal Fusion Except Cervical with Mcc 459 | – | – | – | $93,953$75,159–$106,870 · 5 plans | |
| Spinal fusion (lower or mid back) 460 | – | – | – | $54,845$43,874–$62,386 · 5 plans | |
| Ms-Drg 461 461 | – | – | – | $45,079$24,381–$69,018 · 73 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $23,723$22,368–$36,047 · 73 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $48,291$45,394–$71,287 · 61 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $27,399$25,833–$40,446 · 61 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $16,964$15,946–$25,042 · 61 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $42,610$24,381–$65,391 · 73 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $29,850$24,381–$45,076 · 73 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $24,435$22,950–$36,433 · 73 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $25,976$19,505–$39,226 · 73 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $39,681$9,965–$60,897 · 73 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $25,044$9,965–$38,434 · 73 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $21,119$9,965–$32,411 · 73 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $36,859$34,460–$54,504 · 61 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $20,028$19,243–$30,435 · 61 plans | |
| Ms-Drg 476 476 | – | – | – | $11,426$10,133–$16,498 · 61 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $29,661$28,136–$44,501 · 61 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $21,469$20,627–$32,624 · 61 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $16,756$15,961–$25,370 · 61 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $14,966$14,004–$22,743 · 61 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $23,924$22,986–$36,355 · 61 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $27,708$26,420–$41,787 · 61 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $18,579$17,850–$28,232 · 61 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $14,457$13,890–$21,894 · 61 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $16,049$15,188–$24,388 · 61 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $10,929$10,051–$16,088 · 61 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $30,685$18,583–$46,796 · 73 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $18,441$17,249–$27,188 · 73 plans | |
| Ms-Drg 495 495 | – | – | – | $31,130$29,427–$46,543 · 61 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $16,324$15,488–$24,806 · 61 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $11,647$11,007–$17,145 · 61 plans | |
| Ms-Drg 498 498 | – | – | – | $25,902$24,834–$38,053 · 61 plans | |
| Ms-Drg 499 499 | – | – | – | $17,980$12,741–$25,559 · 61 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $27,173$25,950–$41,043 · 61 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $15,886$15,009–$24,140 · 61 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $12,728$11,556–$18,736 · 61 plans | |
| Ms-Drg 503 503 | – | – | – | $24,075$23,131–$36,585 · 61 plans | |
| Foot Procedures with Cc 504 | – | – | – | $16,836$16,049–$25,511 · 61 plans | |
| Ms-Drg 505 505 | – | – | – | $16,237$15,393–$24,673 · 61 plans | |
| Ms-Drg 506 506 | – | – | – | $12,753$11,584–$18,860 · 61 plans | |
| Ms-Drg 507 507 | – | – | – | $16,343$15,510–$24,835 · 61 plans | |
| Ms-Drg 508 508 | – | – | – | $14,051$13,003–$20,683 · 61 plans | |
| Ms-Drg 509 509 | – | – | – | $23,457$18,124–$25,668 · 5 plans | |
| Ms-Drg 510 510 | – | – | – | $25,934$24,861–$39,322 · 61 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $18,487$17,762–$28,093 · 61 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $15,158$14,213–$22,593 · 61 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $14,521$13,517–$21,864 · 61 plans | |
| Ms-Drg 514 514 | – | – | – | $10,187$9,201–$14,481 · 61 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $27,363$26,117–$41,307 · 61 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $18,703$17,843–$28,077 · 61 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $14,226$13,765–$20,941 · 61 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $31,196$15,394–$47,874 · 73 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $17,865$13,939–$26,978 · 73 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $14,298$13,364–$20,435 · 73 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | – | – | – | $24,696$23,728–$37,528 · 61 plans | |
| Ms-Drg 533 533 | – | – | – | $14,469$13,460–$21,299 · 61 plans | |
| Ms-Drg 534 534 | – | – | – | $8,489$6,921–$11,782 · 61 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $12,226$11,007–$17,921 · 61 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | – | – | – | $8,501$6,934–$11,799 · 61 plans | |
| Ms-Drg 537 537 | – | – | – | $9,653$8,194–$13,698 · 61 plans | |
| Ms-Drg 538 538 | – | – | – | $7,739$6,483–$10,847 · 61 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $17,626$16,912–$26,784 · 61 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $12,338$11,130–$18,121 · 61 plans | |
| Ms-Drg 541 541 | – | – | – | $8,342$6,761–$11,859 · 61 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $16,030$15,167–$24,109 · 61 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $10,231$8,826–$14,545 · 61 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $8,064$6,745–$11,388 · 61 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $21,646$20,797–$32,893 · 61 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $11,216$9,903–$16,123 · 61 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $8,725$7,180–$12,207 · 61 plans | |
| Ms-Drg 548 548 | – | – | – | $17,321$16,579–$26,321 · 61 plans | |
| Ms-Drg 549 549 | – | – | – | $11,638$10,365–$16,875 · 61 plans | |
| Ms-Drg 550 550 | – | – | – | $9,023$7,505–$12,827 · 61 plans | |
| Medical Back Problems with Mcc 551 | – | – | – | $15,320$14,719–$22,875 · 61 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $12,338$11,130–$18,121 · 61 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $8,678$7,127–$12,044 · 61 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $12,538$11,349–$18,457 · 61 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $13,835$12,767–$20,365 · 61 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $9,173$7,669–$12,732 · 61 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $16,803$16,012–$25,452 · 61 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $11,002$9,669–$15,742 · 61 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $8,472$6,902–$11,758 · 61 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $13,347$12,233–$19,648 · 61 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $14,280$13,253–$21,067 · 61 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $9,811$8,366–$13,946 · 61 plans | |
| Ms-Drg 566 566 | – | – | – | $7,964$6,744–$11,163 · 61 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $25,253$24,262–$38,374 · 61 plans | |
| Skin Debridement with Cc 571 | – | – | – | $15,425$14,506–$23,058 · 61 plans | |
| Ms-Drg 572 572 | – | – | – | $11,160$9,842–$16,024 · 61 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $55,177$51,498–$81,451 · 61 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $29,805$28,263–$44,702 · 61 plans | |
| Ms-Drg 575 575 | – | – | – | $16,269$15,429–$24,525 · 61 plans | |
| Ms-Drg 576 576 | – | – | – | $41,839$39,049–$61,762 · 61 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $22,973$22,072–$34,909 · 61 plans | |
| Ms-Drg 578 578 | – | – | – | $14,773$13,793–$22,187 · 61 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $27,806$26,506–$41,923 · 61 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $15,728$14,837–$23,900 · 61 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $13,491$12,390–$19,859 · 61 plans | |
| Ms-Drg 582 582 | – | – | – | $17,287$16,542–$25,448 · 61 plans | |
| Ms-Drg 583 583 | – | – | – | $15,699$14,806–$23,535 · 61 plans | |
| Ms-Drg 584 584 | – | – | – | $18,968$18,224–$27,922 · 61 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $17,307$16,563–$25,621 · 61 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $17,355$16,616–$25,548 · 61 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $11,474$10,186–$16,583 · 61 plans | |
| Ms-Drg 594 594 | – | – | – | $8,966$7,442–$12,444 · 61 plans | |
| Ms-Drg 595 595 | – | – | – | $18,811$18,073–$28,586 · 61 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $10,659$9,294–$15,132 · 61 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $15,250$14,314–$22,753 · 61 plans | |
| Ms-Drg 598 598 | – | – | – | $11,043$9,713–$15,814 · 61 plans | |
| Ms-Drg 599 599 | – | – | – | $8,121$6,745–$11,382 · 61 plans | |
| Ms-Drg 600 600 | – | – | – | $10,338$8,943–$14,598 · 61 plans | |
| Ms-Drg 601 601 | – | – | – | $6,842$5,445–$9,823 · 61 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $13,718$13,180–$20,194 · 61 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $9,352$8,521–$13,236 · 61 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $14,041$12,992–$20,669 · 61 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $9,215$7,782–$12,875 · 61 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $19,369$18,610–$29,434 · 61 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $13,147$12,014–$19,561 · 61 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $29,943$28,384–$44,893 · 61 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $16,845$16,058–$25,598 · 61 plans | |
| Ms-Drg 618 618 | – | – | – | $13,296$12,178–$19,357 · 61 plans | |
| Ms-Drg 619 619 | – | – | – | $24,831$13,389–$33,710 · 74 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $15,017$13,288–$26,847 · 74 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $14,223$13,250–$26,443 · 74 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $30,559$28,925–$45,749 · 61 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $16,245$15,402–$24,686 · 61 plans | |
| Ms-Drg 624 624 | – | – | – | $11,989$10,749–$17,085 · 61 plans | |
| Ms-Drg 625 625 | – | – | – | $25,931$24,858–$39,317 · 61 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $13,933$12,874–$20,960 · 61 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $12,589$11,405–$18,129 · 61 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $31,998$30,190–$47,749 · 61 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $19,267$18,512–$29,279 · 61 plans | |
| Ms-Drg 630 630 | – | – | – | $13,619$12,531–$20,049 · 61 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $6,899$5,591–$9,767 · 61 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $13,326$12,210–$19,409 · 61 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $15,085$14,133–$22,466 · 61 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $10,208$8,801–$14,511 · 61 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $8,128$6,745–$11,370 · 61 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $40,224$37,925–$65,410 · 53 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $32,176$30,338–$51,558 · 53 plans | |
| Kidney Transplant 652 | – | – | – | $27,517$26,600–$60,052 · 47 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $44,225$41,276–$65,284 · 61 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $24,139$23,193–$36,682 · 61 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $18,779$18,043–$28,537 · 61 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $27,336$26,093–$41,270 · 61 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $16,529$15,712–$25,117 · 61 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $14,344$13,324–$21,179 · 61 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $22,761$21,395–$33,599 · 61 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | – | – | – | $12,538$11,895–$18,476 · 61 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $10,290$9,319–$14,794 · 61 plans | |
| Ms-Drg 662 662 | – | – | – | $26,286$25,171–$39,811 · 61 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $14,096$13,052–$21,251 · 61 plans | |
| Ms-Drg 664 664 | – | – | – | $10,380$9,203–$15,280 · 61 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $26,799$25,621–$40,523 · 61 plans | |
| Ms-Drg 666 666 | – | – | – | $15,895$15,019–$24,154 · 61 plans | |
| Ms-Drg 667 667 | – | – | – | $10,845$9,498–$15,418 · 61 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $25,087$24,103–$38,123 · 61 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $14,346$13,325–$21,695 · 61 plans | |
| Ms-Drg 670 670 | – | – | – | $9,833$8,796–$13,979 · 61 plans | |
| Ms-Drg 671 671 | – | – | – | $16,254$15,412–$24,699 · 61 plans | |
| Ms-Drg 672 672 | – | – | – | $10,636$9,269–$15,657 · 61 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $20,522$19,717–$31,185 · 61 plans | |
| Ms-Drg 675 675 | – | – | – | $15,048$14,093–$22,867 · 61 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $6,764$5,403–$9,540 · 61 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $16,322$15,487–$24,617 · 61 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $10,387$8,996–$14,766 · 61 plans | |
| Ms-Drg 688 688 | – | – | – | $8,283$6,786–$11,610 · 61 plans | |
| Ms-Drg 693 693 | – | – | – | $12,717$11,544–$18,719 · 61 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $8,270$7,035–$11,516 · 61 plans | |
| Ms-Drg 695 695 | – | – | – | $11,141$9,821–$15,989 · 61 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $7,495$6,201–$10,506 · 61 plans | |
| Ms-Drg 697 697 | – | – | – | $10,622$9,254–$15,067 · 61 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $7,577$6,209–$10,771 · 61 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $17,866$17,165–$27,149 · 61 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $14,206$13,173–$20,939 · 61 plans | |
| Ms-Drg 709 709 | – | – | – | $20,432$19,631–$31,048 · 61 plans | |
| Ms-Drg 710 710 | – | – | – | $13,162$12,031–$19,587 · 61 plans | |
| Ms-Drg 711 711 | – | – | – | $18,521$17,795–$28,145 · 61 plans | |
| Ms-Drg 712 712 | – | – | – | $10,794$9,442–$15,373 · 61 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $13,964$12,908–$20,771 · 61 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $10,462$9,203–$14,521 · 61 plans | |
| Ms-Drg 715 715 | – | – | – | $19,727$18,953–$29,977 · 61 plans | |
| Ms-Drg 716 716 | – | – | – | $13,710$12,630–$20,076 · 61 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $17,004$16,232–$25,802 · 61 plans | |
| Ms-Drg 718 718 | – | – | – | $12,706$11,532–$18,331 · 61 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $16,369$15,538–$24,699 · 61 plans | |
| Ms-Drg 723 723 | – | – | – | $11,132$9,811–$15,974 · 61 plans | |
| Ms-Drg 724 724 | – | – | – | $7,237$5,901–$10,143 · 61 plans | |
| Ms-Drg 725 725 | – | – | – | $11,348$10,047–$16,705 · 61 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $7,752$6,498–$10,905 · 61 plans | |
| Ms-Drg 727 727 | – | – | – | $13,803$12,732–$20,319 · 61 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $8,529$6,965–$11,838 · 61 plans | |
| Ms-Drg 729 729 | – | – | – | $10,472$9,090–$14,800 · 61 plans | |
| Ms-Drg 730 730 | – | – | – | $7,363$5,899–$9,394 · 61 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $18,884$18,144–$28,697 · 61 plans | |
| Ms-Drg 735 735 | – | – | – | $12,724$11,552–$18,809 · 61 plans | |
| Ms-Drg 736 736 | – | – | – | $30,691$29,041–$45,932 · 61 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $18,339$17,620–$27,868 · 61 plans | |
| Ms-Drg 738 738 | – | – | – | $13,690$12,609–$20,528 · 61 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $30,762$29,103–$46,031 · 61 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $16,368$15,537–$24,874 · 61 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $13,357$12,244–$19,463 · 61 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $16,566$15,754–$25,041 · 61 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $11,902$10,653–$16,933 · 61 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $18,249$17,533–$26,864 · 61 plans | |
| Ms-Drg 745 745 | – | – | – | $11,091$9,767–$16,273 · 61 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $15,799$14,915–$23,708 · 61 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $8,910$7,737–$13,061 · 61 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $13,053$12,319–$19,214 · 61 plans | |
| Ms-Drg 749 749 | – | – | – | $22,320$21,445–$33,918 · 61 plans | |
| Ms-Drg 750 750 | – | – | – | $13,747$12,671–$20,359 · 61 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $16,620$15,813–$25,136 · 61 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $10,701$9,340–$15,212 · 61 plans | |
| Ms-Drg 756 756 | – | – | – | $9,701$8,247–$13,465 · 61 plans | |
| Ms-Drg 757 757 | – | – | – | $13,403$12,294–$20,017 · 61 plans | |
| Ms-Drg 758 758 | – | – | – | $9,847$8,406–$13,998 · 61 plans | |
| Ms-Drg 759 759 | – | – | – | $7,298$5,972–$10,229 · 61 plans | |
| Ms-Drg 760 760 | – | – | – | $10,070$8,650–$14,084 · 61 plans | |
| Ms-Drg 761 761 | – | – | – | $6,574$5,135–$9,215 · 61 plans | |
| Ms-Drg 768 768 | – | – | – | $10,232$3,604–$10,885 · 73 plans | |
| Ms-Drg 769 769 | – | – | – | $15,428$14,509–$23,062 · 61 plans | |
| Ms-Drg 770 770 | – | – | – | $10,003$9,024–$13,925 · 61 plans | |
| Ms-Drg 776 776 | – | – | – | $7,241$5,892–$10,378 · 61 plans | |
| Ms-Drg 779 779 | – | – | – | $8,765$7,223–$12,903 · 61 plans | |
| Ms-Drg 783 783 | – | – | – | $20,806$5,228–$22,824 · 73 plans | |
| Ms-Drg 784 784 | – | – | – | $10,185$5,228–$11,272 · 73 plans | |
| Ms-Drg 785 785 | – | – | – | $9,405$5,228–$10,663 · 73 plans | |
| C-section, with major complications 786 | – | – | – | $14,667$5,228–$16,089 · 73 plans | |
| C-section, with complications 787 | – | – | – | $10,607$5,228–$11,555 · 73 plans | |
| C-section 788 | – | – | – | $9,413$5,228–$10,664 · 73 plans | |
| Ms-Drg 789 789 | – | – | – | $15,991$4,000–$21,006 · 55 plans | |
| Ms-Drg 790 790 | – | – | – | $47,608$4,000–$50,838 · 55 plans | |
| Ms-Drg 791 791 | – | – | – | $33,363$4,000–$36,428 · 55 plans | |
| Ms-Drg 792 792 | – | – | – | $20,782$3,921–$22,271 · 55 plans | |
| Ms-Drg 793 793 | – | – | – | $33,907$4,000–$36,336 · 55 plans | |
| Ms-Drg 794 794 | – | – | – | $13,357$3,128–$14,314 · 55 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $3,651$1,406–$3,904 · 52 plans | |
| Ms-Drg 796 796 | – | – | – | $10,990$4,332–$11,833 · 73 plans | |
| Ms-Drg 797 797 | – | – | – | $9,720$4,332–$10,466 · 73 plans | |
| Ms-Drg 798 798 | – | – | – | $9,390$4,332–$10,092 · 73 plans | |
| Ms-Drg 799 799 | – | – | – | $38,829$36,241–$57,319 · 61 plans | |
| Ms-Drg 800 800 | – | – | – | $24,219$23,269–$36,803 · 61 plans | |
| Ms-Drg 801 801 | – | – | – | $17,148$16,390–$25,243 · 61 plans | |
| Ms-Drg 802 802 | – | – | – | $34,207$32,131–$50,819 · 61 plans | |
| Ms-Drg 803 803 | – | – | – | $16,756$15,961–$25,462 · 61 plans | |
| Ms-Drg 804 804 | – | – | – | $12,807$11,643–$18,956 · 61 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $10,321$4,332–$11,113 · 73 plans | |
| Vaginal birth, with complications 806 | – | – | – | $7,842$4,332–$8,704 · 73 plans | |
| Vaginal birth 807 | – | – | – | $7,242$4,292–$8,334 · 73 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $12,099$10,869–$17,696 · 61 plans | |
| Ms-Drg 810 810 | – | – | – | $10,377$8,986–$14,630 · 61 plans | |
| Coagulation Disorders 813 | – | – | – | $14,136$13,096–$20,817 · 61 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $18,858$18,119–$27,760 · 61 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $10,122$8,706–$14,388 · 61 plans | |
| Ms-Drg 816 816 | – | – | – | $7,052$5,688–$9,885 · 61 plans | |
| Ms-Drg 817 817 | – | – | – | $20,074$19,287–$30,505 · 61 plans | |
| Ms-Drg 818 818 | – | – | – | $11,262$9,953–$16,578 · 61 plans | |
| Ms-Drg 819 819 | – | – | – | $8,912$7,383–$13,118 · 61 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $49,627$46,319–$73,259 · 61 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $19,737$18,963–$29,992 · 61 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $11,613$10,338–$16,831 · 61 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $39,281$36,662–$57,986 · 61 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $19,949$19,167–$30,314 · 61 plans | |
| Ms-Drg 825 825 | – | – | – | $12,755$11,586–$18,776 · 61 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $40,033$37,364–$59,096 · 61 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $20,307$19,511–$30,859 · 61 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $15,538$14,629–$23,253 · 61 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $27,132$25,914–$40,986 · 61 plans | |
| Ms-Drg 830 830 | – | – | – | $13,977$12,922–$20,575 · 61 plans | |
| Ms-Drg 831 831 | – | – | – | $11,602$10,325–$16,492 · 61 plans | |
| Ms-Drg 832 832 | – | – | – | $7,826$6,196–$11,125 · 61 plans | |
| Ms-Drg 833 833 | – | – | – | $6,143$4,490–$8,666 · 61 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $46,597$43,490–$68,786 · 61 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $18,537$17,810–$28,169 · 61 plans | |
| Ms-Drg 836 836 | – | – | – | $11,735$10,471–$17,047 · 61 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $41,055$38,318–$60,829 · 61 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $18,550$17,822–$28,188 · 61 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $13,497$12,397–$19,868 · 61 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $27,775$26,479–$41,880 · 61 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $14,969$14,007–$22,265 · 61 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $10,093$8,675–$14,348 · 61 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $17,823$17,124–$27,083 · 61 plans | |
| Ms-Drg 844 844 | – | – | – | $11,719$10,453–$17,018 · 61 plans | |
| Ms-Drg 845 845 | – | – | – | $8,846$7,312–$12,431 · 61 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $22,516$21,633–$34,215 · 61 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $12,432$11,232–$18,287 · 61 plans | |
| Ms-Drg 848 848 | – | – | – | $8,829$7,293–$12,997 · 61 plans | |
| Radiotherapy 849 | – | – | – | $23,434$22,515–$35,611 · 61 plans | |
| Ms-Drg 850 850 | – | – | – | $70,153$52,074–$104,315 · 56 plans | |
| Ms-Drg 855 855 | – | – | – | $13,916$12,855–$20,929 · 61 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $38,989$36,390–$57,556 · 61 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $18,974$18,230–$28,834 · 61 plans | |
| Ms-Drg 858 858 | – | – | – | $13,097$11,959–$19,279 · 61 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $16,479$15,658–$24,939 · 61 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $9,995$8,568–$14,209 · 61 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $9,130$7,622–$12,835 · 61 plans | |
| Viral Illness with Mcc 865 | – | – | – | $13,924$12,864–$20,497 · 61 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $8,988$7,466–$12,474 · 61 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $18,595$17,866–$28,257 · 61 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $10,256$8,853–$14,579 · 61 plans | |
| Ms-Drg 869 869 | – | – | – | $7,812$6,567–$10,950 · 61 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $32,188$2,545–$45,142 · 57 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $9,509$2,509–$11,080 · 56 plans | |
| Depressive Neuroses 881 | – | – | – | $9,360$2,509–$10,882 · 56 plans | |
| Neuroses Except Depressive 882 | – | – | – | $10,383$2,509–$12,247 · 56 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $17,254$2,509–$22,367 · 56 plans | |
| Psychoses 885 | – | – | – | $12,870$2,509–$15,889 · 56 plans | |
| Ms-Drg 886 886 | – | – | – | $18,093$2,509–$23,607 · 56 plans | |
| Ms-Drg 887 887 | – | – | – | $10,361$2,509–$12,217 · 56 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $6,866$2,311–$7,525 · 57 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $13,015$2,311–$16,013 · 57 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $15,551$2,311–$19,741 · 57 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $8,913$2,311–$10,278 · 57 plans | |
| Ms-Drg 901 901 | – | – | – | $36,032$33,734–$53,355 · 61 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $17,192$16,438–$26,125 · 61 plans | |
| Ms-Drg 903 903 | – | – | – | $11,343$10,042–$16,350 · 61 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $31,537$29,785–$47,108 · 61 plans | |
| Ms-Drg 905 905 | – | – | – | $13,807$12,736–$20,736 · 61 plans | |
| Ms-Drg 906 906 | – | – | – | $17,583$16,865–$26,719 · 61 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $32,964$31,038–$49,091 · 61 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $17,826$17,127–$27,088 · 61 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $12,467$11,271–$18,352 · 61 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $14,994$14,035–$22,309 · 61 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $9,113$7,603–$12,954 · 61 plans | |
| Ms-Drg 915 915 | – | – | – | $15,363$14,438–$22,950 · 61 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $7,319$5,997–$10,259 · 61 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $8,808$7,359–$12,338 · 61 plans | |
| Complications of Treatment with Mcc 919 | – | – | – | $16,535$15,719–$24,987 · 61 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $10,030$8,606–$14,258 · 61 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $7,491$6,196–$10,500 · 61 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $15,896$15,020–$23,399 · 61 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $10,151$8,738–$14,226 · 61 plans | |
| Ms-Drg 927 927 | – | – | – | $169,800$103,056–$240,334 · 53 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $58,479$35,826–$82,738 · 53 plans | |
| Ms-Drg 929 929 | – | – | – | $27,449$17,087–$38,836 · 53 plans | |
| Ms-Drg 933 933 | – | – | – | $32,736$20,280–$46,317 · 53 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $19,517$12,297–$27,050 · 53 plans | |
| Non-Extensive Burns 935 | – | – | – | $18,335$11,583–$25,371 · 53 plans | |
| Ms-Drg 939 939 | – | – | – | $31,154$29,448–$46,576 · 61 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $20,509$19,704–$31,165 · 61 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $18,081$17,372–$27,476 · 61 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $13,898$1,257–$15,077 · 59 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $10,836$1,257–$11,755 · 59 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $12,127$10,899–$17,484 · 61 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $8,445$6,873–$11,721 · 61 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $11,501$10,215–$16,350 · 61 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $7,019$5,649–$10,077 · 61 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $6,461$5,004–$9,031 · 61 plans | |
| Ms-Drg 955 955 | – | – | – | $56,629$52,854–$83,595 · 61 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $32,639$30,680–$48,181 · 61 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $63,813$59,984–$94,200 · 61 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $36,283$34,210–$53,561 · 61 plans | |
| Ms-Drg 959 959 | – | – | – | $26,020$24,533–$38,410 · 61 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $24,320$22,930–$35,901 · 61 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $14,193$13,637–$20,917 · 61 plans | |
| Ms-Drg 965 965 | – | – | – | $9,544$8,749–$14,050 · 61 plans | |
| Ms-Drg 969 969 | – | – | – | $51,700$48,254–$76,320 · 61 plans | |
| Ms-Drg 970 970 | – | – | – | $22,868$21,971–$34,751 · 61 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $24,820$23,847–$37,717 · 61 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $12,328$11,119–$18,103 · 61 plans | |
| Ms-Drg 976 976 | – | – | – | $9,248$7,751–$13,146 · 61 plans | |
| Ms-Drg 977 977 | – | – | – | $12,349$11,142–$18,141 · 61 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $21,463$20,622–$32,616 · 61 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $15,618$14,716–$23,393 · 61 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $29,436$27,939–$44,189 · 61 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $15,065$14,112–$22,893 · 61 plans | |
| Ms-Drg 989 989 | – | – | – | $11,576$10,296–$16,548 · 61 plans | |
| Ms-Drg 998 998 | – | – | – | $2,160$2,096–$3,070 · 41 plans | |
| Ms-Drg 999 999 | – | – | – | $2,160$2,096–$3,070 · 41 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 | – | – | $4,255$948–$27,932 · 13 plans |
| Cataract surgery CPT 66984 | – | – | $3,522$948–$4,528 · 42 plans |
| Colonoscopy CPT 45378 | – | – | $1,903$368–$3,005 · 42 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $2,195$481–$3,005 · 42 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$7–$42 · 75 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,948 | $2,948 | $21$11–$1,621 · 104 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $23,377 | $23,377 | $1,403$318–$16,130 · 57 plans |
| Emergency room visit, highest level CPT 99285 | $5,616 | $5,616 | $4,235$1,096–$5,874 · 54 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $5,815$2,116–$10,006 · 42 plans |
| Hip replacement CPT 27130 | – | – | $8,509$1,532–$36,772 · 36 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $5,202$1,219–$7,026 · 43 plans |
| Knee replacement CPT 27447 | – | – | $8,509$1,532–$36,772 · 36 plans |
| MRI of the brain, with and without contrast CPT 70553 | $20,489 | $20,489 | $2,099$333–$14,137 · 57 plans |
| MRI of the knee, without contrast CPT 73721 | $17,565 | $17,565 | $2,099$211–$12,120 · 57 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $4,255$948–$25,193 · 13 plans |
Price file: HCA Houston Healthcare Kingwood, read November 9, 2026.