Cleveland Clinic

9500 Euclid Avenue, Cleveland, OH 44195 · (216) 952-9829

General hospitalVoluntary non-profit - PrivateEmergency roomCMS rating ★★★★★

The money

$21what care cost the hospital for every $100 it billed

$427.8Mnet income, all sources

−23.7%margin on patient care alone

$75.2Mcost of charity care (1.9% of costs)

$83.9Munpaid bills written off (bad debt)

1,318beds

From the hospital's Medicare cost report for the year ending December 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.

Billed (list price)Actually paid (Medicare + patient)

Stay	Medicare stays	Billed	Paid	Insurers (median)
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219	405	$289,834	$85,389	$167,049$23,342–$198,413 · 18 plans
Heart failure, with major complications 291	347	$78,374	$17,561	$36,603$13,303–$48,273 · 18 plans
Heart valve replacement through a catheter (TAVR), with major complications 266	286	$178,036	$55,275	$116,992$23,656–$201,533 · 18 plans
Sepsis, with major complications 871	278	$98,315	$23,015	$35,435$18,083–$49,800 · 18 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220	245	$196,750	$56,000	$136,427$23,342–$195,352 · 18 plans
Bowel surgery, with complications 330	202	$86,571	$25,916	$54,915$21,116–$67,482 · 18 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216	180	$372,233	$101,634	$208,978$23,342–$283,600 · 18 plans
Heart catheterization, with major complications 286	175	$131,574	$30,651	$43,570$20,408–$73,936 · 18 plans
Heart procedure through a catheter (e.g. ablation, valve clip) 274	140	$116,132	$29,419	$60,753$22,750–$84,250 · 13 plans
Hip or knee replacement 470	136	$73,325	$19,467	$37,769$18,099–$61,291 · 19 plans
Seizures 101	134	$38,537	$10,099	$23,705$9,694–$33,500 · 18 plans
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003	133	$1,084,238	$253,048	$327,951$69,908–$492,858 · 13 plans
Bowel surgery, with major complications 329	131	$187,256	$57,572	$76,514$21,727–$121,940 · 18 plans
Irregular heartbeat, with complications 309	130	$32,550	$8,877	$17,400$8,113–$26,056 · 18 plans
Other circulation problems, with major complications 314	116	$96,969	$25,241	$32,636$19,463–$43,600 · 18 plans
Heart valve replacement through a catheter (TAVR) 267	112	$148,977	$42,604	$91,598$23,475–$175,865 · 17 plans
Craniotomy and Endovascular Intracranial Procedures with Mcc 025	110	$139,277	$43,825	$88,300$24,125–$136,862 · 18 plans
Spinal fusion (lower or mid back) 460	108	$103,878	$35,560	–
Lung infection, with major complications 177	104	$74,422	$17,437	$39,899$15,944–$48,238 · 18 plans
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027	97	$83,867	$23,664	$49,900$22,986–$77,400 · 18 plans
Stroke, with major complications 064	97	$97,404	$21,970	$39,320$18,586–$58,630 · 18 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217	97	$232,408	$60,676	$137,729$23,342–$223,200 · 18 plans
Revision of Hip or Knee Replacement with Cc 467	88	$120,499	$33,966	$69,362$22,450–$91,638 · 18 plans
Stomach and digestive disorders 392	87	$34,396	$9,549	$14,200$8,411–$21,364 · 18 plans
Coronary Bypass Without Cardiac Catheterization Without Mcc 236	86	$183,508	$46,534	$90,396$23,656–$132,703 · 18 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847	86	$47,037	$13,294	$20,066$12,484–$28,347 · 18 plans
Stomach or intestinal bleeding, with complications 378	84	$44,798	$11,072	$21,200$10,433–$24,966 · 18 plans
Major Chest Procedures with Cc 164	82	$87,267	$25,074	$50,549$20,209–$78,100 · 18 plans
Kidney failure, with complications 683	81	$30,784	$10,219	$16,385$9,440–$22,681 · 18 plans
Infection needing surgery, with major complications 853	80	$290,691	$79,819	$95,761$20,209–$124,000 · 18 plans
Coronary Bypass Without Cardiac Catheterization with Mcc 235	78	$253,426	$66,450	$108,490$23,656–$180,752 · 18 plans
Urinary tract infection 690	77	$29,527	$9,409	$15,145$8,812–$20,845 · 18 plans
Irregular heartbeat, with major complications 308	76	$69,508	$14,992	$22,526$12,548–$30,950 · 18 plans
Hernia Procedures Except Inguinal and Femoral with Cc 354	73	$77,356	$19,118	$30,907$17,238–$41,829 · 19 plans
Concomitant Aortic and Mitral Valve Procedures 212	72	$469,154	$132,035	$136,879$18,469–$265,332 · 12 plans
Kidney failure, with major complications 682	71	$63,063	$18,304	$26,592$15,171–$38,099 · 18 plans
Stomach, Esophageal and Duodenal Procedures with Mcc 326	70	$237,310	$62,079	$98,747$21,727–$144,100 · 18 plans
Dehydration and electrolyte problems 641	68	$46,848	$10,084	$14,146$8,118–$20,090 · 13 plans
Other Circulatory System Diagnoses with Cc 315	67	$58,958	$12,829	$21,157$10,269–$29,538 · 18 plans
Other digestive problems, with complications 394	67	$42,111	$10,666	$17,300$10,007–$23,907 · 18 plans
Stroke, with complications or clot-busting drug 065	66	$64,914	$11,906	$23,716$10,714–$36,286 · 18 plans
Respiratory failure 189	65	$73,531	$16,135	$22,945$12,845–$41,000 · 18 plans
Major Small and Large Bowel Procedures Without Cc/Mcc 331	62	$60,653	$17,663	$37,137$17,083–$46,400 · 18 plans
Stomach and digestive disorders, with major complications 391	61	$77,955	$18,204	$21,200$12,719–$31,604 · 18 plans
Heart catheterization 287	60	$66,572	$12,140	$30,965$11,280–$39,565 · 18 plans
Irregular heartbeat 310	60	$25,260	$7,070	$14,800$6,507–$20,805 · 18 plans
Other kidney and urinary problems, with major complications 698	60	$69,615	$19,316	$26,900$16,194–$41,611 · 18 plans
Heart stent 322	59	$95,441	$18,779	$26,447$16,822–$74,269 · 12 plans
Other Digestive System Diagnoses with Mcc 393	59	$74,839	$20,924	$32,513$16,291–$42,044 · 18 plans
Skin infection (cellulitis) 603	58	$32,032	$10,356	$15,444$8,955–$20,686 · 13 plans
Dehydration and electrolyte problems, with major complications 640	57	$69,812	$15,595	$23,110$13,149–$31,297 · 13 plans
Kidney Transplant 652	57	$180,753	$38,109	$39,789$15,163–$89,736 · 14 plans
Heart stent, with major complications or 4+ stents 321	56	$156,900	$36,225	$35,330$19,365–$101,830 · 12 plans
Heart attack, with major complications 280	55	$103,041	$20,603	$36,215$16,336–$59,200 · 18 plans
Stomach or intestinal bleeding, with major complications 377	55	$95,849	$21,008	$34,385$18,457–$45,936 · 18 plans
Stomach, Esophageal and Duodenal Procedures with Cc 327	54	$116,026	$27,386	$51,064$21,504–$74,300 · 18 plans
Kidney and Ureter Procedures for Neoplasm with Cc 657	53	$90,686	$19,667	$37,507$17,729–$68,300 · 18 plans
Other kidney and urinary problems, with complications 699	53	$41,633	$11,971	$18,990$10,758–$26,184 · 18 plans
Degenerative nerve disorders (e.g. Parkinson's, dementia) 057	52	$38,034	$13,766	$19,187$12,458–$30,458 · 18 plans
Pneumonia, with major complications 193	52	$54,862	$14,734	$23,601$13,593–$33,054 · 18 plans
Urinary tract infection, with major complications 689	52	$50,222	$13,157	$20,834$12,134–$29,960 · 18 plans
Sepsis 872	52	$41,613	$12,296	$18,376$10,837–$28,200 · 18 plans
Craniotomy and Endovascular Intracranial Procedures with Cc 026	50	$95,871	$29,506	$62,836$24,125–$88,178 · 18 plans
Other Major Cardiovascular Procedures with Mcc 270	50	$293,765	$66,478	$111,230$22,750–$167,779 · 13 plans
Bowel obstruction, with complications 389	49	$38,176	$9,705	$17,940$8,626–$22,319 · 18 plans
Other Respiratory System Diagnoses with Mcc 205	47	$103,416	$23,839	$28,000$17,203–$39,417 · 18 plans
Heart Transplant or Implant of Heart Assist System with Mcc 001	46	$1,301,911	$308,174	$420,246$85,631–$641,991 · 14 plans
Heart Failure and Shock with Cc 292	45	$58,104	$10,223	$20,791$9,186–$30,580 · 18 plans
Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328	45	$75,544	$16,728	$30,110$16,319–$46,000 · 18 plans
Cervical Spinal Fusion with Cc 472	45	$84,036	$27,274	$59,764$21,256–$102,300 · 18 plans
Major Joint or Limb Reattachment Procedures of Upper Extremities 483	45	$88,730	$25,919	$50,025$22,227–$66,688 · 18 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846	45	$222,460	$49,445	$30,334$22,038–$54,600 · 18 plans
Permanent Cardiac Pacemaker Implant with Cc 243	44	$94,926	$23,702	$60,969$20,100–$87,064 · 18 plans
Lymphoma and Non-Acute Leukemia with Mcc 840	44	$167,337	$40,661	$59,802$20,869–$74,158 · 18 plans
Other Respiratory System O.r. Procedures with Mcc 166	42	$227,224	$57,937	$67,412$20,209–$82,331 · 18 plans
Breathing problem needing a ventilator (up to 4 days) 208	42	$171,121	$31,041	$49,620$20,209–$61,907 · 18 plans
Percutaneous and Other Intracardiac Procedures with Mcc 273	42	$200,705	$41,111	$86,544$22,750–$122,918 · 13 plans
Major Bladder Procedures with Cc 654	42	$139,054	$32,131	$64,605$20,869–$115,500 · 18 plans
Heart attack, with complications 281	41	$61,100	$11,610	$26,744$9,850–$40,000 · 18 plans
Extracranial Procedures Without Cc/Mcc 039	40	$62,720	$12,252	$23,462$11,815–$43,400 · 19 plans
Other Major Cardiovascular Procedures with Cc 271	40	$161,385	$34,810	$74,970$22,750–$108,115 · 13 plans
Peritoneal Adhesiolysis with Cc 336	40	$91,558	$23,115	$35,300$19,503–$58,169 · 18 plans
Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018	39	$1,788,757	$406,443	$707,205$330,989–$1,034,526 · 12 plans
Major Chest Procedures with Mcc 163	39	$168,820	$49,952	$70,799$20,209–$119,500 · 18 plans
COPD, with major complications 190	39	$55,143	$12,178	$19,889$11,636–$29,600 · 18 plans
Combined Anterior and Posterior Spinal Fusion with Cc 454	39	$160,176	$63,950	–
Anemia and blood disorders 812	39	$40,589	$10,278	$16,282$9,382–$25,947 · 13 plans
Other Vascular Procedures with Cc 253	38	$106,930	$27,232	$58,600$22,450–$85,700 · 18 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981	37	$243,930	$73,883	$51,799$18,444–$111,993 · 12 plans
Peripheral Vascular Disorders with Cc 300	36	$52,642	$12,626	$19,453$11,255–$29,704 · 18 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441	36	$139,498	$31,464	$43,868$17,666–$57,895 · 18 plans
Other O.r. Procedures for Injuries with Cc 908	36	$89,286	$22,470	$30,828$18,266–$46,436 · 13 plans
Complications of Treatment with Mcc 919	36	$74,483	$21,029	$31,678$17,449–$44,616 · 13 plans
Other Cardiothoracic Procedures Without Mcc 229	35	$151,472	$31,870	$92,600$22,991–$145,400 · 18 plans
Fainting 312	35	$37,158	$10,234	$16,307$9,400–$24,920 · 18 plans
Digestive Malignancy with Mcc 374	35	$86,070	$21,815	$41,516$21,399–$54,711 · 18 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809	35	$64,064	$18,436	$24,603$12,520–$36,493 · 13 plans
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175	34	$59,898	$14,231	$24,664$14,154–$37,600 · 18 plans
Acute Leukemia with Mcc 834	34	$147,429	$52,911	$107,406$20,869–$152,300 · 18 plans
Kidney and Ureter Procedures for Non-Neoplasm with Cc 660	33	$74,169	$15,143	$31,778$13,662–$51,200 · 18 plans
Liver Transplant with Mcc or Intestinal Transplant 005	32	$555,905	$120,821	$101,549$18,016–$281,623 · 15 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023	32	$231,744	$55,624	$93,158$22,450–$145,161 · 18 plans
Seizures with Mcc 100	32	$84,140	$22,248	$39,800$18,127–$54,134 · 18 plans
Lung infection, with complications 178	32	$55,206	$11,315	$17,946$10,389–$28,900 · 18 plans
Pneumonia, with complications 194	32	$35,589	$9,146	$15,078$8,778–$21,760 · 18 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233	32	$322,811	$94,047	$141,333$23,656–$224,899 · 18 plans
Peripheral Vascular Disorders with Mcc 299	32	$96,842	$20,876	$29,316$16,607–$42,514 · 18 plans
Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355	32	$60,718	$14,475	$24,449$13,475–$33,082 · 19 plans
Pancreas, Liver and Shunt Procedures with Cc 406	32	$124,204	$27,324	$49,685$26,202–$73,800 · 18 plans
Malignancy of Hepatobiliary System or Pancreas with Mcc 435	32	$78,820	$20,441	$30,400$17,747–$41,629 · 18 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457	32	$182,099	$61,926	$149,365$23,696–$189,480 · 18 plans
Back problems (no surgery) 552	32	$31,441	$10,875	$16,800$9,944–$25,046 · 18 plans
Diabetes, with complications 638	32	$37,704	$10,348	$15,892$9,183–$21,622 · 13 plans
Nervous System Neoplasms with Mcc 054	31	$74,682	$15,644	$27,158$15,605–$43,926 · 18 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269	31	$129,004	$38,167	$92,863$22,932–$148,544 · 14 plans
Revision of Hip or Knee Replacement Without Cc/Mcc 468	31	$83,405	$24,577	$50,715$22,450–$76,552 · 18 plans
Lymphoma and Non-Acute Leukemia with Cc 841	31	$76,750	$17,652	$29,293$16,595–$36,481 · 18 plans
Other Vascular Procedures with Mcc 252	30	$139,083	$31,247	$60,229$22,450–$100,341 · 18 plans
Cardiac Congenital and Valvular Disorders with Mcc 306	30	$85,017	$17,648	$28,822$16,068–$47,517 · 18 plans
Complications of Treatment with Cc 920	30	$42,611	$12,340	$17,774$10,141–$24,747 · 13 plans
Permanent Cardiac Pacemaker Implant with Mcc 242	29	$144,179	$42,962	$66,439$22,991–$124,010 · 18 plans
Gastrointestinal Obstruction with Mcc 388	29	$52,495	$16,969	$28,934$15,131–$38,087 · 18 plans
Cirrhosis and Alcoholic Hepatitis with Mcc 432	29	$118,218	$28,499	$35,340$18,388–$43,015 · 18 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442	29	$42,298	$11,275	$17,849$10,287–$24,500 · 18 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987	29	$262,737	$55,318	$55,579$30,973–$81,851 · 12 plans
Lung Transplant 007	28	$829,205	$151,672	$200,094$21,290–$353,724 · 15 plans
Respiratory Neoplasms with Mcc 180	28	$60,832	$19,718	$31,709$17,715–$43,000 · 18 plans
Other Kidney and Urinary Tract Procedures with Mcc 673	28	$220,832	$51,154	$56,100$35,983–$103,112 · 18 plans
Anemia and blood disorders, with major complications 811	28	$55,729	$15,421	$24,299$13,770–$39,684 · 13 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856	28	$219,268	$56,056	$61,810$20,209–$106,487 · 18 plans
Other Respiratory System O.r. Procedures with Cc 167	26	$75,189	$20,834	$32,568$17,658–$50,100 · 18 plans
High blood pressure 305	26	$28,899	$8,701	$12,600$7,743–$22,780 · 19 plans
Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004	25	$503,330	$127,359	$214,018$47,427–$321,635 · 13 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516	25	$77,670	$20,562	$37,776$21,020–$55,672 · 19 plans
Back and Neck Procedures Except Spinal Fusion with Cc 519	25	$74,549	$19,243	$35,485$19,336–$51,250 · 14 plans
Other O.r. Procedures for Injuries with Mcc 907	25	$199,120	$43,735	$66,431$35,051–$91,750 · 13 plans
Allogeneic Bone Marrow Transplant 014	24	$393,671	$132,681	$207,946$16,050–$270,084 · 17 plans
Hypertension with Mcc 304	24	$57,070	$12,678	$21,367$11,951–$36,636 · 14 plans
Pancreas, Liver and Shunt Procedures with Mcc 405	24	$211,837	$51,289	$103,499$20,209–$130,057 · 18 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857	24	$81,555	$23,314	$37,991$19,878–$49,818 · 18 plans
Connective Tissue Disorders with Mcc 545	23	$102,663	$23,447	$44,560$23,080–$71,031 · 18 plans
Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658	23	$68,409	$14,665	$27,128$15,841–$59,500 · 18 plans
Signs and Symptoms with Mcc 947	23	$49,033	$14,335	$21,091$12,552–$30,581 · 13 plans
Signs and Symptoms Without Mcc 948	23	$28,564	$8,552	$15,402$8,319–$20,792 · 13 plans
Other Disorders of Nervous System with Cc 092	22	$49,487	$11,408	$19,139$10,834–$28,990 · 18 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234	22	$240,005	$61,723	$123,712$23,656–$175,143 · 18 plans
Other Vascular Procedures Without Cc/Mcc 254	22	$123,989	$20,826	$39,975$18,018–$57,562 · 18 plans
Other Circulatory System O.r. Procedures 264	22	$183,971	$45,498	$54,600$30,792–$73,993 · 18 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371	22	$133,776	$46,463	$33,645$17,937–$46,980 · 18 plans
Postoperative and Post-Traumatic Infections Without Mcc 863	22	$35,277	$10,867	$18,145$10,596–$24,571 · 18 plans
Major Chest Procedures Without Cc/Mcc 165	21	$75,550	$19,847	$35,236$17,987–$57,400 · 18 plans
Pulmonary Embolism Without Mcc 176	21	$35,842	$9,355	$15,394$8,770–$25,000 · 18 plans
Diabetes, with major complications 637	21	$110,231	$24,468	$24,859$14,062–$34,237 · 13 plans
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659	21	$114,234	$27,795	$45,623$23,398–$72,731 · 18 plans
Degenerative Nervous System Disorders with Mcc 056	20	$70,820	$21,256	$41,198$23,356–$54,099 · 18 plans
Major Head and Neck Procedures with Cc 141	20	$187,069	$26,168	$35,720$19,385–$52,252 · 12 plans
Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276	20	$364,425	$92,856	$73,497$19,365–$219,771 · 12 plans
Other Digestive System O.r. Procedures with Mcc 356	20	$216,685	$69,451	$77,898$20,458–$103,188 · 19 plans
Disorders of the Biliary Tract with Mcc 444	20	$63,469	$19,080	$27,364$16,845–$40,762 · 18 plans
Multiple Level Spinal Fusion Except Cervical Without Mcc 448	20	$126,326	$38,699	$82,727$28,623–$134,520 · 16 plans
Revision of Hip or Knee Replacement with Mcc 466	20	$176,591	$69,124	$84,000$21,256–$126,027 · 18 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808	20	$193,412	$40,387	$40,135$20,518–$64,101 · 13 plans
Respiratory Neoplasms with Cc 181	19	$51,773	$12,336	$19,230$11,288–$27,173 · 18 plans
Chronic Obstructive Pulmonary Disease with Cc 191	19	$43,713	$9,587	$16,219$9,215–$24,524 · 19 plans
Cardiac Defibrillator Implant Without Mcc 277	19	$181,566	$61,941	$63,026$19,365–$140,025 · 12 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372	19	$39,170	$12,063	$20,900$10,815–$26,441 · 18 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464	19	$158,045	$29,861	$61,559$27,893–$105,500 · 18 plans
Septicemia or Severe Sepsis with Mv >96 Hours 870	19	$260,389	$63,903	$122,297$20,209–$194,500 · 18 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988	19	$68,864	$21,441	$26,917$15,773–$39,376 · 12 plans
Extracranial Procedures with Cc 038	18	$79,311	$15,912	$32,456$16,512–$54,900 · 18 plans
Bronchitis and Asthma with Cc/Mcc 202	18	$48,147	$11,335	$17,200$10,180–$22,953 · 18 plans
Other Cardiothoracic Procedures with Mcc 228	18	$250,900	$61,115	$102,950$22,991–$185,200 · 18 plans
Inflammatory Bowel Disease with Mcc 385	18	$61,713	$17,307	$30,725$16,130–$40,555 · 18 plans
Inflammatory Bowel Disease with Cc 386	18	$37,767	$12,863	$19,400$10,392–$26,073 · 18 plans
Cervical Spinal Fusion Without Cc/Mcc 473	18	$68,267	$25,425	$47,731$21,138–$83,000 · 18 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011	17	$233,699	$57,145	$89,322$47,421–$130,663 · 12 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040	17	$179,052	$39,288	$62,308$21,256–$92,920 · 18 plans
Other Disorders of Nervous System with Mcc 091	17	$118,618	$26,085	$31,533$17,777–$52,176 · 18 plans
Interstitial Lung Disease with Mcc 196	17	$113,814	$42,597	$33,886$18,037–$50,400 · 18 plans
Peritoneal Adhesiolysis with Mcc 335	17	$157,827	$37,789	$64,117$32,460–$93,864 · 18 plans
Disorders of the Biliary Tract with Cc 445	17	$42,569	$12,103	$19,651$11,510–$24,768 · 18 plans
Hip or thigh bone surgery (not replacement), with complications 481	17	$105,347	$22,130	$42,490$19,318–$67,000 · 18 plans
Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520	17	$65,794	$14,583	$19,509$13,108–$34,181 · 14 plans
Cellulitis with Mcc 602	17	$41,683	$15,708	$24,593$13,923–$33,656 · 13 plans
Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737	17	$92,285	$19,636	$33,361$18,382–$58,230 · 13 plans
Respiratory System Diagnosis with Ventilator Support >96 Hours 207	16	$236,717	$56,787	$115,538$57,539–$151,138 · 18 plans
Other Endovascular Cardiac Valve Procedures with Mcc 319	16	$185,397	$45,492	$74,048$38,779–$121,026 · 12 plans
Hernia Procedures Except Inguinal and Femoral with Mcc 353	16	$154,196	$32,854	$50,213$26,170–$75,169 · 13 plans
Malignancy of Hepatobiliary System or Pancreas with Cc 436	16	$39,743	$12,629	$20,309$11,857–$26,857 · 18 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517	16	$56,949	$14,302	$32,823$15,698–$49,400 · 18 plans
Connective Tissue Disorders with Cc 546	16	$87,145	$16,661	$21,690$12,069–$33,192 · 18 plans
Bone Diseases and Arthropathies Without Mcc 554	16	$29,293	$8,751	$11,900$8,285–$17,330 · 18 plans
Minor Skin Disorders Without Mcc 607	16	$23,718	$9,886	$15,683$9,275–$21,382 · 13 plans
Coagulation Disorders 813	16	$89,596	$21,452	$27,727$14,862–$43,873 · 13 plans
Autologous Bone Marrow Transplant with Cc/Mcc 016	15	$224,627	$69,931	$102,602$31,975–$213,566 · 15 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024	15	$169,751	$35,624	$72,010$21,256–$98,433 · 18 plans
Other Digestive System O.r. Procedures with Cc 357	15	$85,564	$24,718	$41,592$21,930–$55,386 · 19 plans
Digestive Malignancy with Cc 375	15	$48,319	$13,242	$23,275$12,601–$33,560 · 18 plans
Other Kidney and Urinary Tract Procedures with Cc 674	15	$107,114	$29,294	$41,991$21,433–$60,564 · 18 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982	15	$110,599	$30,721	$38,150$21,952–$58,637 · 12 plans
Ventricular Shunt Procedures with Cc 032	14	$65,772	$19,520	$41,489$19,701–$53,252 · 18 plans
Other Cerebrovascular Disorders with Mcc 070	14	$109,284	$21,302	$31,147$16,911–$64,800 · 18 plans
Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244	14	$67,763	$17,271	$48,100$18,263–$69,999 · 18 plans
Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317	14	$156,191	$61,393	$90,871$54,632–$174,665 · 12 plans
Cirrhosis and Alcoholic Hepatitis with Cc 433	14	$38,734	$11,541	$17,200$10,413–$22,737 · 18 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463	14	$185,298	$51,964	$110,226$50,234–$188,200 · 18 plans
Adrenal and Pituitary Procedures with Cc/Mcc 614	14	$67,261	$21,638	$40,266$20,360–$61,691 · 13 plans
Kidney and Ureter Procedures for Neoplasm with Mcc 656	14	$112,923	$35,086	$61,567$20,869–$103,500 · 18 plans
Reticuloendothelial and Immunity Disorders with Mcc 814	14	$107,522	$42,815	$36,798$19,000–$55,373 · 13 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838	14	$88,048	$20,287	$44,118$19,154–$71,900 · 18 plans
Acute Adjustment Reaction and Psychosocial Dysfunction 880	14	$30,032	$11,323	$9,041$1,893–$23,145 · 13 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020	13	$251,016	$94,976	$145,467$21,256–$289,300 · 18 plans
Ventricular Shunt Procedures Without Cc/Mcc 033	13	$56,295	$17,415	$31,285$16,893–$50,400 · 18 plans
Cranial and Peripheral Nerve Disorders Without Mcc 074	13	$44,027	$12,275	$16,800$10,166–$27,808 · 18 plans
Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275	13	$366,182	$94,392	$94,116$19,365–$239,375 · 12 plans
Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323	13	$274,741	$55,316	$43,143$19,365–$102,833 · 12 plans
Single Level Spinal Fusion Except Cervical Without Mcc 451	13	$102,687	$34,058	$80,412$24,989–$108,180 · 16 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617	13	$81,981	$20,495	$32,362$17,976–$51,717 · 13 plans
Viral Illness Without Mcc 866	13	$66,112	$13,627	$13,041$8,659–$19,897 · 18 plans
Spinal Procedures with Cc or Spinal Neurostimulators 029	12	$93,104	$38,102	$61,118$24,125–$80,520 · 18 plans
Cranial and Peripheral Nerve Disorders with Mcc 073	12	$48,782	$15,862	$30,015$16,338–$52,600 · 18 plans
Other Respiratory System Diagnoses Without Mcc 206	12	$46,197	$9,943	$17,607$10,058–$21,612 · 18 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251	12	$104,332	$15,870	$47,305$15,299–$68,254 · 18 plans
Gastrointestinal Obstruction Without Cc/Mcc 390	12	$17,032	$6,272	$10,800$6,298–$16,071 · 18 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456	12	$224,090	$127,633	$139,209$21,256–$216,352 · 18 plans
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469	12	$115,429	$32,231	$53,788$21,279–$95,100 · 19 plans
O.r. Procedures for Obesity with Cc 620	12	$64,585	$16,699	$29,336$16,300–$68,400 · 18 plans
O.r. Procedures for Obesity Without Cc/Mcc 621	12	$54,218	$15,159	$27,707$15,430–$56,100 · 18 plans
Endocrine Disorders with Mcc 643	12	$75,048	$27,879	$28,482$15,952–$39,299 · 13 plans
Postoperative and Post-Traumatic Infections with Mcc 862	12	$82,819	$21,206	$32,745$17,868–$44,962 · 18 plans
Carotid Artery Stent Procedures Without Cc/Mcc 036	11	$80,012	$16,634	$29,400$17,654–$48,648 · 19 plans
Other Cerebrovascular Disorders with Cc 071	11	$35,194	$11,258	$19,195$10,862–$32,011 · 18 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239	11	$203,427	$47,250	$92,080$44,476–$162,155 · 18 plans
Cardiac Pacemaker Revision Except Device Replacement with Mcc 260	11	$262,982	$66,282	$59,129$30,047–$111,667 · 19 plans
Other Major Cardiovascular Procedures Without Cc/Mcc 272	11	$109,025	$25,673	$53,820$22,332–$77,894 · 13 plans
Atherosclerosis Without Mcc 303	11	$58,087	$8,429	$12,952$7,592–$23,587 · 19 plans
Complicated Peptic Ulcer with Cc 381	11	$51,547	$13,767	$19,696$10,874–$28,905 · 13 plans
Disorders of Pancreas Except Malignancy with Cc 439	11	$24,848	$9,969	$15,738$9,112–$21,800 · 18 plans
Spinal Fusion Except Cervical with Mcc 459	11	$208,104	$55,018	–
Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475	11	$96,985	$23,341	$37,269$22,533–$57,400 · 18 plans
Soft Tissue Procedures with Cc 501	11	$105,421	$17,593	$32,154$17,700–$51,600 · 18 plans
Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518	11	$125,674	$33,265	$61,206$25,657–$85,617 · 14 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543	11	$53,514	$11,714	$19,965$10,881–$35,600 · 18 plans
Medical Back Problems with Mcc 551	11	$68,417	$18,258	$29,811$17,018–$45,721 · 18 plans
Adrenal and Pituitary Procedures Without Cc/Mcc 615	11	$65,497	$14,439	$24,212$13,724–$36,851 · 13 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823	11	$195,543	$48,145	$85,368$41,466–$112,072 · 18 plans
Infectious and Parasitic Diseases with O.r. Procedures with Cc 854	11	$112,628	$23,620	$34,573$18,271–$52,343 · 13 plans
Ms-Drg -P -P	–	–	–	$228,000only 1 plan
Ms-Drg -Cp -CP	–	–	–	$471,700only 1 plan
Ms-Drg -Da -DA	–	–	–	$422,668$207,748–$486,600 · 4 plans
Ms-Drg -Dp -DP	–	–	–	$471,700$227,529–$471,700 · 3 plans
Ms-Drg -Kp -KP	–	–	–	$292,000only 1 plan
Ms-Drg -La -LA	–	–	–	$467,848$204,348–$561,500 · 4 plans
Ms-Drg -Ld -LD	–	–	–	$170,100$170,100–$170,100 · 3 plans
Ms-Drg -Lp -LP	–	–	–	$560,500$275,334–$560,500 · 4 plans
Ms-Drg -Ra -RA	–	–	–	$357,979only 2 plans
Ms-Drg -Rp -RP	–	–	–	$417,604only 2 plans
Ms-Drg -Ua -UA	–	–	–	$411,530only 2 plans
Ms-Drg -Up -UP	–	–	–	$492,350only 2 plans
Ms-Drg 0-a 0-A	–	–	–	$159,837only 2 plans
Ms-Drg 0-C 0-C	–	–	–	$185,100$178,240–$185,100 · 4 plans
Ms-Drg 0-D 0-D	–	–	–	$175,300only 2 plans
Ms-Drg 0-L 0-L	–	–	–	$161,100only 2 plans
Ms-Drg 0-P 0-P	–	–	–	$175,870only 1 plan
Ms-Drg 002 002	–	–	–	$185,581$41,380–$314,870 · 14 plans
Liver Transplant Without Mcc 006	–	–	–	$75,940$25,337–$128,846 · 14 plans
Ms-Drg 008 008	–	–	–	$101,880$26,000–$308,400 · 21 plans
Ms-Drg 010 010	–	–	–	$138,060$64,575–$240,800 · 21 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012	–	–	–	$51,763$18,444–$101,002 · 12 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013	–	–	–	$47,195$23,888–$69,039 · 12 plans
Ms-Drg 017 017	–	–	–	$93,995$30,549–$207,756 · 15 plans
Ms-Drg 019 019	–	–	–	$126,518$45,787–$281,357 · 17 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021	–	–	–	$95,737$21,256–$173,757 · 18 plans
Ms-Drg 022 022	–	–	–	$32,110$21,138–$129,947 · 13 plans
Spinal Procedures with Mcc 028	–	–	–	$96,956$21,256–$126,209 · 18 plans
Spinal Procedures Without Cc/Mcc 030	–	–	–	$37,049$20,330–$59,300 · 18 plans
Ventricular Shunt Procedures with Mcc 031	–	–	–	$72,302$21,256–$102,133 · 18 plans
Carotid Artery Stent Procedures with Mcc 034	–	–	–	$62,461$21,256–$93,485 · 18 plans
Carotid Artery Stent Procedures with Cc 035	–	–	–	$42,506$20,872–$59,910 · 18 plans
Extracranial Procedures with Mcc 037	–	–	–	$56,400$20,458–$92,700 · 19 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041	–	–	–	$42,935$20,437–$55,268 · 18 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042	–	–	–	$31,700$16,272–$52,538 · 19 plans
Ms-Drg 052 052	–	–	–	$31,341$18,247–$49,609 · 13 plans
Ms-Drg 053 053	–	–	–	$17,189$9,932–$30,107 · 13 plans
Nervous System Neoplasms Without Mcc 055	–	–	–	$21,407$10,827–$32,993 · 18 plans
Ms-Drg 058 058	–	–	–	$29,579$16,902–$54,829 · 13 plans
Ms-Drg 059 059	–	–	–	$23,216$12,897–$34,500 · 18 plans
Ms-Drg 060 060	–	–	–	$17,209$9,857–$24,906 · 18 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061	–	–	–	$47,706$24,454–$95,424 · 13 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062	–	–	–	$30,926$16,955–$65,076 · 13 plans
Ms-Drg 063 063	–	–	–	$25,518$13,765–$51,145 · 13 plans
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066	–	–	–	$17,304$7,628–$25,597 · 18 plans
Ms-Drg 067 067	–	–	–	$25,413$14,351–$50,173 · 13 plans
Precerebral Occlusion Without Infarction Without Mcc 068	–	–	–	$18,046$9,332–$28,001 · 18 plans
Mini-stroke (TIA) 069	–	–	–	$14,910$8,711–$24,541 · 18 plans
Other Cerebrovascular Disorders Without Cc/Mcc 072	–	–	–	$15,075$8,307–$25,700 · 18 plans
Ms-Drg 075 075	–	–	–	$33,100$19,485–$54,767 · 19 plans
Ms-Drg 076 076	–	–	–	$12,375$8,590–$28,149 · 18 plans
Nontraumatic Stupor and Coma with Mcc 080	–	–	–	$31,318$18,074–$41,995 · 13 plans
Ms-Drg 081 081	–	–	–	$15,400$8,979–$19,860 · 18 plans
Traumatic Stupor and Coma >1 Hour with Mcc 082	–	–	–	$37,431$20,916–$63,370 · 14 plans
Traumatic Stupor and Coma >1 Hour with Cc 083	–	–	–	$24,200$13,693–$44,798 · 13 plans
Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084	–	–	–	$17,375$9,721–$28,945 · 13 plans
Traumatic Stupor and Coma <1 Hour with Mcc 085	–	–	–	$39,311$21,601–$67,858 · 13 plans
Traumatic Stupor and Coma <1 Hour with Cc 086	–	–	–	$23,500$13,482–$37,360 · 18 plans
Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087	–	–	–	$13,681$8,936–$24,701 · 18 plans
Concussion with Mcc 088	–	–	–	$23,971$13,296–$52,215 · 13 plans
Concussion with Cc 089	–	–	–	$19,481$11,010–$32,584 · 13 plans
Concussion Without Cc/Mcc 090	–	–	–	$14,598$8,524–$24,480 · 13 plans
Other Disorders of Nervous System Without Cc/Mcc 093	–	–	–	$14,638$8,687–$23,781 · 18 plans
Bacterial and Tuberculous Infections of Nervous System with Mcc 094	–	–	–	$63,193$32,206–$112,184 · 18 plans
Ms-Drg 095 095	–	–	–	$46,311$24,109–$77,486 · 18 plans
Ms-Drg 096 096	–	–	–	$46,311$24,109–$65,020 · 18 plans
Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097	–	–	–	$62,495$31,910–$112,228 · 13 plans
Ms-Drg 098 098	–	–	–	$41,206$22,878–$57,948 · 18 plans
Ms-Drg 099 099	–	–	–	$24,159$13,391–$41,366 · 13 plans
Ms-Drg 1-a 1-A	–	–	–	$298,884$148,850–$361,500 · 6 plans
Ms-Drg 1-B 1-B	–	–	–	$45,300only 1 plan
Ms-Drg 1-C 1-C	–	–	–	$185,100$111,580–$185,100 · 5 plans
Ms-Drg 1-D 1-D	–	–	–	$175,300only 2 plans
Ms-Drg 1-L 1-L	–	–	–	$161,100only 2 plans
Ms-Drg 1-P 1-P	–	–	–	$363,339$357,186–$428,588 · 3 plans
Headaches with Mcc 102	–	–	–	$20,971$11,761–$32,122 · 18 plans
Headaches Without Mcc 103	–	–	–	$14,200$8,562–$18,523 · 18 plans
Orbital Procedures with Cc/Mcc 113	–	–	–	$40,681$20,540–$57,106 · 13 plans
Ms-Drg 114 114	–	–	–	$23,411$13,306–$32,798 · 13 plans
Extraocular Procedures Except Orbit 115	–	–	–	$26,558$14,948–$37,321 · 13 plans
Intraocular Procedures with Cc/Mcc 116	–	–	–	$31,286$17,288–$43,731 · 13 plans
Ms-Drg 117 117	–	–	–	$18,772$10,886–$25,768 · 13 plans
Acute Major Eye Infections with Cc/Mcc 121	–	–	–	$20,129$11,594–$27,963 · 13 plans
Ms-Drg 122 122	–	–	–	$13,935$8,186–$19,020 · 13 plans
Neurological Eye Disorders 123	–	–	–	$14,162$8,302–$19,270 · 13 plans
Other Disorders of the Eye with Mcc or Thrombolytic Agent 124	–	–	–	$22,894$13,037–$31,913 · 13 plans
Other Disorders of the Eye Without Mcc 125	–	–	–	$13,615$8,049–$18,757 · 13 plans
Ms-Drg 135 135	–	–	–	$37,548$20,528–$61,321 · 13 plans
Ms-Drg 136 136	–	–	–	$18,004$10,258–$28,691 · 13 plans
Ms-Drg 137 137	–	–	–	$25,837$14,572–$42,196 · 13 plans
Ms-Drg 138 138	–	–	–	$15,524$9,000–$24,624 · 14 plans
Ms-Drg 139 139	–	–	–	$20,237$12,187–$34,336 · 14 plans
Ms-Drg 140 140	–	–	–	$69,853$37,337–$102,183 · 12 plans
Major Head and Neck Procedures Without Cc/Mcc 142	–	–	–	$26,144$15,352–$38,245 · 12 plans
Ms-Drg 143 143	–	–	–	$61,358$29,700–$89,757 · 12 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144	–	–	–	$28,380$16,572–$41,515 · 12 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145	–	–	–	$19,690$11,829–$28,803 · 12 plans
Ear, Nose, Mouth and Throat Malignancy with Mcc 146	–	–	–	$34,677$20,026–$48,507 · 14 plans
Ear, Nose, Mouth and Throat Malignancy with Cc 147	–	–	–	$22,274$12,694–$29,128 · 14 plans
Ms-Drg 148 148	–	–	–	$14,312$8,370–$22,149 · 14 plans
Dysequilibrium 149	–	–	–	$13,167$7,955–$20,884 · 14 plans
Ms-Drg 150 150	–	–	–	$23,039$13,112–$31,201 · 13 plans
Epistaxis Without Mcc 151	–	–	–	$13,016$7,719–$18,114 · 13 plans
Otitis Media and Uri with Mcc 152	–	–	–	$18,600$11,765–$27,702 · 13 plans
Otitis Media and Uri Without Mcc 153	–	–	–	$12,900$7,757–$18,134 · 13 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154	–	–	–	$26,100$15,207–$36,637 · 13 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155	–	–	–	$16,252$9,366–$21,579 · 13 plans
Ms-Drg 156 156	–	–	–	$12,100$7,332–$17,904 · 13 plans
Dental and Oral Diseases with Mcc 157	–	–	–	$27,463$15,296–$39,330 · 14 plans
Dental and Oral Diseases with Cc 158	–	–	–	$15,621$8,957–$21,036 · 14 plans
Ms-Drg 159 159	–	–	–	$12,259$7,489–$17,989 · 13 plans
Other Respiratory System O.r. Procedures Without Cc/Mcc 168	–	–	–	$24,534$14,086–$34,500 · 18 plans
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173	–	–	–	$49,549$27,212–$71,877 · 12 plans
Respiratory Infections and Inflammations Without Cc/Mcc 179	–	–	–	$14,125$8,296–$19,564 · 18 plans
Ms-Drg 17c 17C	–	–	–	$16,600only 1 plan
Ms-Drg 182 182	–	–	–	$16,327$8,362–$31,800 · 18 plans
Major Chest Trauma with Mcc 183	–	–	–	$26,472$14,903–$37,731 · 13 plans
Major Chest Trauma with Cc 184	–	–	–	$18,412$10,699–$25,820 · 13 plans
Major Chest Trauma Without Cc/Mcc 185	–	–	–	$13,947$8,193–$19,083 · 13 plans
Pleural Effusion with Mcc 186	–	–	–	$27,984$15,905–$38,468 · 18 plans
Pleural Effusion with Cc 187	–	–	–	$18,065$10,513–$24,930 · 18 plans
Ms-Drg 188 188	–	–	–	$12,718$7,567–$19,150 · 13 plans
Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192	–	–	–	$12,011$7,226–$18,225 · 18 plans
Simple Pneumonia and Pleurisy Without Cc/Mcc 195	–	–	–	$11,662$7,098–$17,905 · 18 plans
Interstitial Lung Disease with Cc 197	–	–	–	$17,701$10,134–$24,304 · 18 plans
Ms-Drg 198 198	–	–	–	$13,399$7,929–$18,855 · 18 plans
Pneumothorax with Mcc 199	–	–	–	$30,524$16,977–$45,197 · 13 plans
Ms-Drg 2-a 2-A	–	–	–	$302,477$274,897–$361,500 · 5 plans
Ms-Drg 2-C 2-C	–	–	–	$185,100$178,240–$185,100 · 4 plans
Ms-Drg 2-D 2-D	–	–	–	$175,300only 2 plans
Ms-Drg 2-L 2-L	–	–	–	$161,100only 2 plans
Ms-Drg 2-P 2-P	–	–	–	$444,900$358,724–$444,900 · 5 plans
Pneumothorax with Cc 200	–	–	–	$17,400$10,740–$26,624 · 18 plans
Ms-Drg 201 201	–	–	–	$11,500$7,280–$18,315 · 18 plans
Bronchitis and Asthma Without Cc/Mcc 203	–	–	–	$10,047$6,937–$17,415 · 18 plans
Respiratory Signs and Symptoms 204	–	–	–	$15,106$8,792–$19,090 · 18 plans
Ms-Drg 209 209	–	–	–	$137,976$59,695–$234,344 · 6 plans
Ms-Drg 213 213	–	–	–	$69,859$34,863–$99,973 · 6 plans
Other Heart Assist System Implant 215	–	–	–	$212,378$90,011–$345,171 · 14 plans
Ms-Drg 218 218	–	–	–	$95,611$22,750–$182,632 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221	–	–	–	$123,413$23,342–$169,546 · 18 plans
Coronary Bypass with Ptca with Mcc 231	–	–	–	$122,579$22,750–$245,494 · 13 plans
Ms-Drg 232 232	–	–	–	$88,156$22,750–$198,979 · 13 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240	–	–	–	$51,182$26,162–$77,600 · 18 plans
Ms-Drg 241 241	–	–	–	$25,901$14,394–$53,900 · 18 plans
Ms-Drg 245 245	–	–	–	$74,200$23,656–$152,434 · 18 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250	–	–	–	$49,683$20,322–$114,400 · 18 plans
Ms-Drg 255 255	–	–	–	$46,673$24,349–$85,990 · 13 plans
Ms-Drg 256 256	–	–	–	$28,500$16,939–$36,358 · 18 plans
Ms-Drg 257 257	–	–	–	$19,611$11,060–$35,147 · 14 plans
Ms-Drg 258 258	–	–	–	$51,458$26,112–$94,126 · 14 plans
Ms-Drg 259 259	–	–	–	$42,800$20,484–$64,064 · 19 plans
Cardiac Pacemaker Revision Except Device Replacement with Cc 261	–	–	–	$46,400$19,226–$61,061 · 19 plans
Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262	–	–	–	$40,177$16,581–$47,857 · 18 plans
Ms-Drg 263 263	–	–	–	$52,902$24,986–$67,114 · 13 plans
Ms-Drg 265 265	–	–	–	$56,338$22,932–$97,518 · 14 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268	–	–	–	$148,185$22,932–$238,968 · 14 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278	–	–	–	$68,151$19,365–$109,291 · 12 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279	–	–	–	$47,388$19,365–$103,445 · 12 plans
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282	–	–	–	$21,626$7,994–$30,200 · 18 plans
Acute Myocardial Infarction, Expired with Mcc 283	–	–	–	$36,303$19,904–$61,209 · 18 plans
Ms-Drg 284 284	–	–	–	$18,113$7,342–$28,257 · 13 plans
Ms-Drg 285 285	–	–	–	$12,462$6,499–$21,260 · 13 plans
Ms-Drg 288 288	–	–	–	$47,989$24,272–$83,742 · 19 plans
Ms-Drg 289 289	–	–	–	$27,954$14,903–$61,363 · 14 plans
Ms-Drg 290 290	–	–	–	$16,087$9,249–$42,854 · 15 plans
Heart Failure and Shock Without Cc/Mcc 293	–	–	–	$11,095$6,506–$24,280 · 18 plans
Cardiac Arrest, Unexplained with Mcc 296	–	–	–	$27,026$15,192–$46,338 · 13 plans
Ms-Drg 297 297	–	–	–	$11,243$6,953–$24,039 · 13 plans
Ms-Drg 298 298	–	–	–	$8,070$5,201–$18,156 · 13 plans
Ms-Drg 3-P 3-P	–	–	–	$444,900only 2 plans
Peripheral Vascular Disorders Without Cc/Mcc 301	–	–	–	$13,465$7,962–$24,202 · 18 plans
Atherosclerosis with Mcc 302	–	–	–	$21,219$11,895–$36,227 · 13 plans
Cardiac Congenital and Valvular Disorders Without Mcc 307	–	–	–	$18,700$9,794–$26,633 · 18 plans
Angina Pectoris 311	–	–	–	$13,132$7,793–$19,549 · 18 plans
Chest pain 313	–	–	–	$13,470$7,965–$21,089 · 18 plans
Other Circulatory System Diagnoses Without Cc/Mcc 316	–	–	–	$11,949$6,314–$18,000 · 18 plans
Ms-Drg 318 318	–	–	–	$29,990$20,329–$42,432 · 6 plans
Other Endovascular Cardiac Valve Procedures Without Mcc 320	–	–	–	$39,909$22,542–$68,974 · 12 plans
Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324	–	–	–	$42,686$19,365–$76,507 · 12 plans
Ms-Drg 325 325	–	–	–	$38,304$19,365–$76,580 · 12 plans
Ms-Drg 332 332	–	–	–	$62,649$31,128–$102,316 · 13 plans
Ms-Drg 333 333	–	–	–	$46,252$21,940–$63,160 · 18 plans
Ms-Drg 334 334	–	–	–	$31,400$16,812–$51,500 · 19 plans
Peritoneal Adhesiolysis Without Cc/Mcc 337	–	–	–	$31,166$15,682–$39,235 · 18 plans
Ms-Drg 344 344	–	–	–	$46,375$23,959–$66,888 · 18 plans
Ms-Drg 345 345	–	–	–	$28,400$15,395–$41,278 · 18 plans
Ms-Drg 346 346	–	–	–	$22,748$12,379–$30,646 · 18 plans
Anal and Stomal Procedures with Mcc 347	–	–	–	$40,795$21,510–$63,960 · 13 plans
Ms-Drg 348 348	–	–	–	$24,596$13,540–$33,895 · 18 plans
Ms-Drg 349 349	–	–	–	$19,333$9,391–$22,990 · 18 plans
Inguinal and Femoral Hernia Procedures with Mcc 350	–	–	–	$43,117$22,225–$63,721 · 13 plans
Inguinal and Femoral Hernia Procedures with Cc 351	–	–	–	$27,893$15,583–$40,300 · 18 plans
Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352	–	–	–	$21,506$12,205–$27,127 · 18 plans
Ms-Drg 358 358	–	–	–	$26,287$14,384–$37,100 · 18 plans
Ms-Drg 359 359	–	–	–	$42,327$24,826–$60,237 · 6 plans
Ms-Drg 360 360	–	–	–	$29,894$20,294–$42,294 · 6 plans
Major Esophageal Disorders with Mcc 368	–	–	–	$28,938$15,463–$45,348 · 13 plans
Major Esophageal Disorders with Cc 369	–	–	–	$18,182$10,122–$28,177 · 13 plans
Ms-Drg 370 370	–	–	–	$12,739$7,419–$20,573 · 13 plans
Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373	–	–	–	$16,076$8,035–$21,143 · 18 plans
Ms-Drg 376 376	–	–	–	$14,900$9,206–$22,859 · 18 plans
Gastrointestinal Hemorrhage Without Cc/Mcc 379	–	–	–	$14,046$7,116–$18,193 · 18 plans
Complicated Peptic Ulcer with Mcc 380	–	–	–	$33,952$18,806–$54,007 · 13 plans
Ms-Drg 382 382	–	–	–	$14,800$8,728–$21,370 · 18 plans
Ms-Drg 383 383	–	–	–	$23,890$13,556–$35,880 · 13 plans
Uncomplicated Peptic Ulcer Without Mcc 384	–	–	–	$15,539$8,809–$23,440 · 13 plans
Ms-Drg 387 387	–	–	–	$15,089$7,598–$20,047 · 18 plans
Other Digestive System Diagnoses Without Cc/Mcc 395	–	–	–	$13,783$7,292–$18,356 · 18 plans
Ms-Drg 397 397	–	–	–	$39,508$22,124–$57,739 · 12 plans
Appendix Procedures with Cc 398	–	–	–	$25,705$14,611–$36,686 · 12 plans
Appendix Procedures Without Cc/Mcc 399	–	–	–	$18,983$11,314–$27,624 · 12 plans
Ms-Drg 4-a 4-A	–	–	–	$10,300only 1 plan
Ms-Drg 4-B 4-B	–	–	–	$19,300only 1 plan
Ms-Drg 4-R 4-R	–	–	–	$428,000only 2 plans
Ms-Drg 4-U 4-U	–	–	–	$481,200$481,200–$481,200 · 3 plans
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402	–	–	–	$123,832$27,886–$172,700 · 16 plans
Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407	–	–	–	$39,824$20,250–$50,035 · 18 plans
Ms-Drg 408 408	–	–	–	$61,696$31,255–$85,052 · 13 plans
Ms-Drg 409 409	–	–	–	$40,735$19,887–$70,100 · 18 plans
Ms-Drg 410 410	–	–	–	$27,472$15,425–$37,595 · 13 plans
Cholecystectomy with C.d.e. with Mcc 411	–	–	–	$57,157$25,527–$78,634 · 13 plans
Ms-Drg 412 412	–	–	–	$36,380$19,240–$50,477 · 13 plans
Ms-Drg 413 413	–	–	–	$28,732$16,082–$39,521 · 13 plans
Ms-Drg 414 414	–	–	–	$61,644$31,267–$83,493 · 13 plans
Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415	–	–	–	$35,760$18,392–$48,429 · 13 plans
Ms-Drg 416 416	–	–	–	$23,589$13,399–$31,946 · 13 plans
Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417	–	–	–	$42,849$21,905–$61,900 · 18 plans
Laparoscopic Cholecystectomy Without C.d.e. with Cc 418	–	–	–	$30,374$17,165–$44,600 · 18 plans
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419	–	–	–	$24,460$14,080–$33,341 · 18 plans
Hepatobiliary Diagnostic Procedures with Mcc 420	–	–	–	$58,953$31,168–$81,593 · 13 plans
Ms-Drg 421 421	–	–	–	$30,064$16,777–$40,714 · 13 plans
Ms-Drg 422 422	–	–	–	$24,216$13,726–$32,989 · 13 plans
Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423	–	–	–	$74,569$37,212–$111,300 · 18 plans
Ms-Drg 424 424	–	–	–	$37,857$20,434–$52,050 · 13 plans
Ms-Drg 425 425	–	–	–	$25,960$14,636–$35,343 · 13 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426	–	–	–	$165,274$28,283–$337,088 · 12 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427	–	–	–	$147,157$41,608–$269,394 · 16 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428	–	–	–	$115,007$34,733–$203,786 · 16 plans
Ms-Drg 429 429	–	–	–	$135,108$26,447–$268,843 · 12 plans
Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430	–	–	–	$140,726$34,588–$228,300 · 16 plans
Ms-Drg 434 434	–	–	–	$10,685$7,200–$17,655 · 18 plans
Ms-Drg 437 437	–	–	–	$12,796$8,301–$21,073 · 18 plans
Disorders of Pancreas Except Malignancy with Mcc 438	–	–	–	$28,900$16,584–$38,853 · 18 plans
Disorders of Pancreas Except Malignancy Without Cc/Mcc 440	–	–	–	$11,626$7,031–$16,093 · 18 plans
Ms-Drg 443 443	–	–	–	$12,000$7,359–$17,436 · 18 plans
Disorders of the Biliary Tract Without Cc/Mcc 446	–	–	–	$15,319$8,981–$18,781 · 18 plans
Ms-Drg 447 447	–	–	–	$104,619$25,040–$216,205 · 12 plans
Ms-Drg 450 450	–	–	–	$89,615$23,703–$169,326 · 12 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458	–	–	–	$113,083$23,696–$147,986 · 18 plans
Ms-Drg 461 461	–	–	–	$89,125$21,256–$126,758 · 18 plans
Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462	–	–	–	$59,433$21,256–$90,590 · 18 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465	–	–	–	$40,748$18,416–$67,300 · 18 plans
Cervical Spinal Fusion with Mcc 471	–	–	–	$80,964$21,256–$128,691 · 18 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474	–	–	–	$74,280$39,125–$104,015 · 13 plans
Ms-Drg 476 476	–	–	–	$21,449$11,747–$29,698 · 13 plans
Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477	–	–	–	$50,233$30,630–$65,733 · 13 plans
Biopsies of Musculoskeletal System and Connective Tissue with Cc 478	–	–	–	$44,671$23,021–$63,346 · 18 plans
Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479	–	–	–	$34,301$18,749–$45,411 · 18 plans
Hip or thigh bone surgery (not replacement), with major complications 480	–	–	–	$52,620$26,619–$87,981 · 18 plans
Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482	–	–	–	$30,772$16,591–$47,613 · 18 plans
Knee Procedures with Principal Diagnosis of Infection with Mcc 485	–	–	–	$59,658$21,256–$140,400 · 18 plans
Knee Procedures with Principal Diagnosis of Infection with Cc 486	–	–	–	$42,875$19,416–$77,200 · 18 plans
Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487	–	–	–	$23,100$15,231–$43,252 · 13 plans
Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488	–	–	–	$34,853$17,836–$47,684 · 17 plans
Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489	–	–	–	$25,615$11,809–$40,900 · 17 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492	–	–	–	$36,921$21,138–$90,294 · 13 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493	–	–	–	$42,548$21,232–$53,913 · 17 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494	–	–	–	$32,501$18,468–$42,342 · 17 plans
Ms-Drg 495 495	–	–	–	$65,908$32,326–$98,000 · 17 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496	–	–	–	$35,719$18,350–$64,200 · 17 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497	–	–	–	$25,200$12,702–$44,600 · 17 plans
Ms-Drg 498 498	–	–	–	$52,200$24,034–$63,713 · 13 plans
Ms-Drg 499 499	–	–	–	$24,587$18,646–$34,811 · 13 plans
Ms-Drg 5-a 5-A	–	–	–	$305,485only 2 plans
Ms-Drg 5-B 5-B	–	–	–	$12,900only 1 plan
Ms-Drg 5-C 5-C	–	–	–	$312,800only 2 plans
Ms-Drg 5-I 5-I	–	–	–	$563,700only 2 plans
Ms-Drg 5-L 5-L	–	–	–	$350,250only 2 plans
Ms-Drg 5-P 5-P	–	–	–	$696,055only 1 plan
Soft Tissue Procedures with Mcc 500	–	–	–	$57,530$28,668–$71,383 · 17 plans
Soft Tissue Procedures Without Cc/Mcc 502	–	–	–	$25,228$13,891–$38,100 · 18 plans
Ms-Drg 503 503	–	–	–	$45,710$24,224–$65,434 · 14 plans
Foot Procedures with Cc 504	–	–	–	$31,288$17,966–$45,274 · 13 plans
Ms-Drg 505 505	–	–	–	$29,300$17,954–$34,676 · 17 plans
Ms-Drg 506 506	–	–	–	$23,345$13,814–$37,699 · 13 plans
Ms-Drg 507 507	–	–	–	$31,882$17,726–$54,446 · 13 plans
Ms-Drg 508 508	–	–	–	$27,515$14,763–$37,620 · 13 plans
Ms-Drg 510 510	–	–	–	$52,264$25,864–$67,787 · 13 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511	–	–	–	$34,908$19,864–$45,070 · 13 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512	–	–	–	$29,368$16,822–$34,500 · 18 plans
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513	–	–	–	$27,240$15,304–$39,496 · 13 plans
Ms-Drg 514 514	–	–	–	$18,968$10,422–$28,682 · 14 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515	–	–	–	$58,900$28,899–$97,674 · 19 plans
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521	–	–	–	$27,796$18,444–$68,761 · 12 plans
Hip replacement after a hip fracture 522	–	–	–	$21,560$18,228–$50,734 · 12 plans
Ms-Drg 533 533	–	–	–	$27,126$15,244–$43,693 · 13 plans
Ms-Drg 534 534	–	–	–	$14,977$8,780–$22,693 · 18 plans
Fractures of Hip and Pelvis with Mcc 535	–	–	–	$22,734$12,666–$37,981 · 13 plans
Fractures of Hip and Pelvis Without Mcc 536	–	–	–	$14,321$8,383–$22,849 · 13 plans
Ms-Drg 537 537	–	–	–	$16,923$9,707–$26,306 · 13 plans
Ms-Drg 538 538	–	–	–	$12,773$7,595–$21,504 · 13 plans
Osteomyelitis with Mcc 539	–	–	–	$36,851$19,798–$63,600 · 18 plans
Osteomyelitis with Cc 540	–	–	–	$21,200$12,793–$28,246 · 18 plans
Ms-Drg 541 541	–	–	–	$13,963$8,425–$29,335 · 13 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542	–	–	–	$31,889$17,600–$55,012 · 18 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544	–	–	–	$14,459$8,292–$24,009 · 18 plans
Connective Tissue Disorders Without Cc/Mcc 547	–	–	–	$15,644$9,065–$23,123 · 18 plans
Ms-Drg 548 548	–	–	–	$33,410$18,523–$53,135 · 13 plans
Ms-Drg 549 549	–	–	–	$21,407$11,990–$35,074 · 13 plans
Ms-Drg 550 550	–	–	–	$15,500$8,984–$24,402 · 13 plans
Bone Diseases and Arthropathies with Mcc 553	–	–	–	$21,800$13,073–$34,816 · 18 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555	–	–	–	$23,100$13,025–$37,342 · 13 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556	–	–	–	$14,800$8,827–$21,993 · 18 plans
Tendonitis, Myositis and Bursitis with Mcc 557	–	–	–	$26,698$15,227–$41,339 · 18 plans
Tendonitis, Myositis and Bursitis Without Mcc 558	–	–	–	$13,693$8,751–$24,402 · 18 plans
Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559	–	–	–	$32,268$17,927–$56,338 · 13 plans
Aftercare, Musculoskeletal System and Connective Tissue with Cc 560	–	–	–	$19,969$11,258–$31,212 · 13 plans
Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561	–	–	–	$15,040$8,759–$20,841 · 18 plans
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562	–	–	–	$24,653$13,955–$41,653 · 13 plans
Fracture or sprain (not hip or thigh) 563	–	–	–	$13,429$8,843–$22,901 · 18 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564	–	–	–	$26,709$15,027–$44,600 · 13 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565	–	–	–	$18,230$10,374–$27,649 · 18 plans
Ms-Drg 566 566	–	–	–	$11,237$7,561–$21,452 · 18 plans
Skin Debridement with Mcc 570	–	–	–	$50,890$26,770–$83,111 · 13 plans
Skin Debridement with Cc 571	–	–	–	$29,233$16,344–$47,743 · 13 plans
Ms-Drg 572 572	–	–	–	$19,834$11,441–$32,393 · 13 plans
Skin Graft for Skin Ulcer or Cellulitis with Mcc 573	–	–	–	$113,359$54,822–$158,188 · 13 plans
Skin Graft for Skin Ulcer or Cellulitis with Cc 574	–	–	–	$60,066$30,838–$98,097 · 13 plans
Ms-Drg 575 575	–	–	–	$31,093$18,006–$50,781 · 13 plans
Ms-Drg 576 576	–	–	–	$84,805$44,998–$138,501 · 13 plans
Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577	–	–	–	$45,865$23,866–$74,905 · 13 plans
Ms-Drg 578 578	–	–	–	$27,796$15,632–$45,395 · 13 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579	–	–	–	$56,036$29,011–$91,515 · 13 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580	–	–	–	$29,900$16,691–$48,831 · 13 plans
Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581	–	–	–	$21,091$14,120–$40,780 · 13 plans
Ms-Drg 582 582	–	–	–	$33,336$18,127–$54,443 · 13 plans
Ms-Drg 583 583	–	–	–	$29,837$16,659–$48,729 · 13 plans
Ms-Drg 584 584	–	–	–	$37,041$18,728–$60,493 · 13 plans
Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585	–	–	–	$33,379$18,145–$54,514 · 13 plans
Skin Ulcers with Mcc 592	–	–	–	$29,902$18,256–$45,350 · 13 plans
Skin Ulcers with Cc 593	–	–	–	$20,000$11,802–$27,798 · 13 plans
Ms-Drg 594 594	–	–	–	$14,998$8,918–$20,606 · 13 plans
Ms-Drg 595 595	–	–	–	$36,694$19,159–$49,694 · 13 plans
Major Skin Disorders Without Mcc 596	–	–	–	$18,731$10,865–$25,366 · 13 plans
Malignant Breast Disorders with Mcc 597	–	–	–	$28,846$16,206–$39,690 · 13 plans
Ms-Drg 598 598	–	–	–	$19,575$11,305–$26,936 · 13 plans
Ms-Drg 599 599	–	–	–	$13,644$8,253–$18,699 · 13 plans
Ms-Drg 6-a 6-A	–	–	–	$201,089only 2 plans
Ms-Drg 6-C 6-C	–	–	–	$312,800only 2 plans
Ms-Drg 6-L 6-L	–	–	–	$350,250only 2 plans
Ms-Drg 6-P 6-P	–	–	–	$285,257only 2 plans
Ms-Drg 600 600	–	–	–	$18,150$10,495–$24,420 · 13 plans
Ms-Drg 601 601	–	–	–	$10,728$6,554–$17,096 · 13 plans
Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604	–	–	–	$25,472$14,382–$34,495 · 13 plans
Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605	–	–	–	$16,200$9,362–$21,570 · 13 plans
Minor Skin Disorders with Mcc 606	–	–	–	$26,183$14,899–$35,459 · 13 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616	–	–	–	$60,342$32,356–$98,549 · 13 plans
Ms-Drg 618 618	–	–	–	$24,541$13,896–$34,357 · 13 plans
Ms-Drg 619 619	–	–	–	$57,427$21,777–$97,600 · 18 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622	–	–	–	$61,585$32,652–$95,507 · 13 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623	–	–	–	$31,040$17,527–$48,863 · 13 plans
Ms-Drg 624 624	–	–	–	$21,662$12,394–$30,218 · 13 plans
Ms-Drg 625 625	–	–	–	$52,257$25,925–$73,328 · 13 plans
Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626	–	–	–	$25,944$14,628–$39,181 · 13 plans
Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627	–	–	–	$22,984$13,083–$31,434 · 13 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628	–	–	–	$64,485$34,189–$90,729 · 13 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629	–	–	–	$37,700$20,351–$56,668 · 13 plans
Ms-Drg 630 630	–	–	–	$25,254$14,268–$39,066 · 13 plans
Diabetes Without Cc/Mcc 639	–	–	–	$11,016$6,701–$17,554 · 13 plans
Inborn and Other Disorders of Metabolism 642	–	–	–	$24,607$13,930–$33,324 · 13 plans
Endocrine Disorders with Cc 644	–	–	–	$18,176$10,346–$24,574 · 13 plans
Endocrine Disorders Without Cc/Mcc 645	–	–	–	$13,624$8,028–$20,042 · 13 plans
Kidney Transplant with Hemodialysis with Mcc 650	–	–	–	$57,655$15,163–$130,635 · 14 plans
Kidney Transplant with Hemodialysis Without Mcc 651	–	–	–	$45,570$15,163–$102,971 · 14 plans
Major Bladder Procedures with Mcc 653	–	–	–	$93,304$48,239–$146,815 · 18 plans
Major Bladder Procedures Without Cc/Mcc 655	–	–	–	$39,599$20,186–$92,000 · 18 plans
Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661	–	–	–	$20,721$10,951–$50,400 · 18 plans
Ms-Drg 662 662	–	–	–	$52,973$27,736–$86,514 · 13 plans
Minor Bladder Procedures with Cc 663	–	–	–	$28,441$15,542–$50,900 · 18 plans
Ms-Drg 664 664	–	–	–	$20,246$11,060–$38,900 · 18 plans
Prostatectomy with Mcc 665	–	–	–	$54,006$29,021–$88,201 · 13 plans
Ms-Drg 666 666	–	–	–	$30,268$16,884–$49,433 · 13 plans
Ms-Drg 667 667	–	–	–	$19,616$11,079–$30,296 · 13 plans
Transurethral Procedures with Mcc 668	–	–	–	$50,525$26,087–$75,177 · 13 plans
Transurethral Procedures with Cc 669	–	–	–	$27,867$15,843–$38,746 · 18 plans
Ms-Drg 670 670	–	–	–	$18,352$10,401–$29,500 · 18 plans
Ms-Drg 671 671	–	–	–	$32,230$18,144–$46,190 · 18 plans
Ms-Drg 672 672	–	–	–	$20,560$11,369–$46,000 · 18 plans
Ms-Drg 675 675	–	–	–	$27,500$16,369–$42,508 · 18 plans
Renal Failure Without Cc/Mcc 684	–	–	–	$11,231$6,831–$17,509 · 18 plans
Kidney and Urinary Tract Neoplasms with Mcc 686	–	–	–	$32,386$18,227–$45,099 · 18 plans
Kidney and Urinary Tract Neoplasms with Cc 687	–	–	–	$19,603$11,069–$28,600 · 18 plans
Ms-Drg 688 688	–	–	–	$14,786$8,630–$19,755 · 18 plans
Ms-Drg 693 693	–	–	–	$19,950$13,301–$34,290 · 18 plans
Urinary Stones Without Mcc 694	–	–	–	$14,625$8,549–$20,485 · 18 plans
Ms-Drg 695 695	–	–	–	$20,283$11,418–$32,322 · 13 plans
Kidney and Urinary Tract Signs and Symptoms Without Mcc 696	–	–	–	$12,891$7,671–$19,826 · 18 plans
Ms-Drg 697 697	–	–	–	$19,113$10,822–$25,909 · 13 plans
Ms-Drg 7-a 7-A	–	–	–	$201,089only 2 plans
Ms-Drg 7-D 7-D	–	–	–	$433,900$378,155–$465,569 · 4 plans
Ms-Drg 7-L 7-L	–	–	–	$433,900only 1 plan
Ms-Drg 7-P 7-P	–	–	–	$234,776only 2 plans
Ms-Drg 7-S 7-S	–	–	–	$428,300$373,300–$444,777 · 4 plans
Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700	–	–	–	$12,907$7,680–$20,208 · 18 plans
Major Male Pelvic Procedures with Cc/Mcc 707	–	–	–	$29,086$17,972–$56,526 · 13 plans
Major Male Pelvic Procedures Without Cc/Mcc 708	–	–	–	$17,927$13,213–$43,903 · 13 plans
Ms-Drg 709 709	–	–	–	$40,266$20,432–$65,761 · 13 plans
Ms-Drg 710 710	–	–	–	$24,245$13,931–$39,596 · 13 plans
Ms-Drg 711 711	–	–	–	$36,056$18,423–$58,885 · 13 plans
Ms-Drg 712 712	–	–	–	$19,028$11,020–$31,076 · 13 plans
Transurethral Prostatectomy with Cc/Mcc 713	–	–	–	$26,013$14,664–$42,484 · 13 plans
Transurethral Prostatectomy Without Cc/Mcc 714	–	–	–	$18,296$10,638–$27,257 · 13 plans
Ms-Drg 715 715	–	–	–	$38,712$20,350–$63,223 · 13 plans
Ms-Drg 716 716	–	–	–	$25,453$14,372–$38,962 · 13 plans
Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717	–	–	–	$32,711$17,872–$52,376 · 13 plans
Ms-Drg 718 718	–	–	–	$23,240$13,217–$33,856 · 13 plans
Ms-Drg 71a 71A	–	–	–	$43,800only 1 plan
Ms-Drg 71b 71B	–	–	–	$36,700only 1 plan
Malignancy, Male Reproductive System with Mcc 722	–	–	–	$27,962$17,300–$42,406 · 13 plans
Ms-Drg 723 723	–	–	–	$18,150$11,408–$26,777 · 13 plans
Ms-Drg 724 724	–	–	–	$11,346$7,162–$17,730 · 13 plans
Ms-Drg 725 725	–	–	–	$18,150$11,839–$27,421 · 13 plans
Benign Prostatic Hypertrophy Without Mcc 726	–	–	–	$12,493$7,611–$18,055 · 13 plans
Ms-Drg 727 727	–	–	–	$22,912$14,479–$34,749 · 13 plans
Inflammation of the Male Reproductive System Without Mcc 728	–	–	–	$14,036$8,416–$19,517 · 13 plans
Ms-Drg 729 729	–	–	–	$18,150$10,650–$24,808 · 13 plans
Ms-Drg 730 730	–	–	–	$11,628$7,159–$17,810 · 13 plans
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734	–	–	–	$36,855$19,090–$60,191 · 13 plans
Ms-Drg 735 735	–	–	–	$23,281$13,239–$38,022 · 13 plans
Ms-Drg 736 736	–	–	–	$61,850$33,097–$101,010 · 13 plans
Ms-Drg 738 738	–	–	–	$25,409$14,349–$41,498 · 13 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739	–	–	–	$61,993$33,230–$101,245 · 13 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740	–	–	–	$31,312$17,299–$51,137 · 13 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741	–	–	–	$24,676$13,966–$38,502 · 13 plans
Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742	–	–	–	$26,680$17,433–$50,024 · 13 plans
Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743	–	–	–	$21,468$12,293–$32,075 · 13 plans
D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744	–	–	–	$35,456$18,361–$52,673 · 13 plans
Ms-Drg 745 745	–	–	–	$19,682$11,361–$32,144 · 13 plans
Vagina, Cervix and Vulva Procedures with Cc/Mcc 746	–	–	–	$30,057$16,774–$46,185 · 13 plans
Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747	–	–	–	$15,245$9,119–$24,294 · 13 plans
Female Reproductive System Reconstructive Procedures 748	–	–	–	$24,004$13,616–$37,193 · 13 plans
Ms-Drg 749 749	–	–	–	$44,427$23,208–$72,557 · 13 plans
Ms-Drg 750 750	–	–	–	$25,536$14,415–$40,346 · 13 plans
Malignancy, Female Reproductive System with Mcc 754	–	–	–	$31,867$17,526–$44,449 · 13 plans
Malignancy, Female Reproductive System with Cc 755	–	–	–	$18,822$10,913–$26,224 · 13 plans
Ms-Drg 756 756	–	–	–	$16,620$9,763–$22,507 · 13 plans
Ms-Drg 757 757	–	–	–	$24,776$14,019–$34,343 · 13 plans
Ms-Drg 758 758	–	–	–	$17,361$9,930–$23,754 · 13 plans
Ms-Drg 759 759	–	–	–	$11,768$7,083–$17,769 · 13 plans
Ms-Drg 760 760	–	–	–	$17,866$10,188–$23,609 · 13 plans
Ms-Drg 761 761	–	–	–	$10,117$6,345–$16,122 · 13 plans
Ms-Drg 768 768	–	–	–	$9,539$7,523–$11,400 · 13 plans
Ms-Drg 769 769	–	–	–	$29,239$16,347–$47,751 · 13 plans
Ms-Drg 770 770	–	–	–	$17,781$10,228–$27,149 · 13 plans
Ms-Drg 776 776	–	–	–	$11,610$7,056–$18,925 · 13 plans
Ms-Drg 779 779	–	–	–	$14,919$8,942–$20,417 · 13 plans
Ms-Drg 783 783	–	–	–	$12,153$10,092–$24,623 · 13 plans
Ms-Drg 784 784	–	–	–	$11,499$9,874–$16,249 · 13 plans
Ms-Drg 785 785	–	–	–	$11,378$9,573–$16,249 · 13 plans
C-section, with major complications 786	–	–	–	$12,153$10,092–$17,144 · 13 plans
C-section, with complications 787	–	–	–	$11,521$9,838–$16,249 · 13 plans
C-section 788	–	–	–	$11,378$9,580–$16,249 · 13 plans
Ms-Drg 789 789	–	–	–	$18,039$8,376–$44,055 · 14 plans
Ms-Drg 790 790	–	–	–	$36,510$8,376–$145,289 · 14 plans
Ms-Drg 791 791	–	–	–	$28,404$8,376–$99,222 · 14 plans
Ms-Drg 792 792	–	–	–	$21,479$8,376–$59,871 · 14 plans
Ms-Drg 793 793	–	–	–	$28,879$8,376–$101,926 · 14 plans
Ms-Drg 794 794	–	–	–	$16,737$4,760–$36,078 · 14 plans
Newborn care (healthy baby) 795	–	–	–	$2,465$747–$5,552 · 14 plans
Ms-Drg 796 796	–	–	–	$9,539$7,523–$12,387 · 13 plans
Ms-Drg 797 797	–	–	–	$9,123$7,523–$10,766 · 13 plans
Ms-Drg 798 798	–	–	–	$9,123$7,523–$10,429 · 13 plans
Ms-Drg 799 799	–	–	–	$78,364$41,260–$106,125 · 13 plans
Ms-Drg 800 800	–	–	–	$45,900$25,874–$65,832 · 13 plans
Ms-Drg 801 801	–	–	–	$29,494$18,002–$44,731 · 13 plans
Ms-Drg 802 802	–	–	–	$61,558$32,570–$92,935 · 13 plans
Ms-Drg 803 803	–	–	–	$28,722$17,648–$43,559 · 13 plans
Ms-Drg 804 804	–	–	–	$20,952$13,334–$31,775 · 13 plans
Vaginal birth, with major complications 805	–	–	–	$9,380$7,523–$11,472 · 13 plans
Vaginal birth, with complications 806	–	–	–	$8,519$7,113–$10,107 · 13 plans
Vaginal birth 807	–	–	–	$8,126$6,429–$10,107 · 13 plans
Ms-Drg 810 810	–	–	–	$18,150$10,541–$29,575 · 13 plans
Reticuloendothelial and Immunity Disorders with Cc 815	–	–	–	$17,981$10,246–$28,654 · 13 plans
Ms-Drg 816 816	–	–	–	$11,207$6,798–$18,395 · 13 plans
Ms-Drg 817 817	–	–	–	$39,479$21,531–$64,475 · 13 plans
Ms-Drg 818 818	–	–	–	$20,058$11,992–$32,757 · 13 plans
Ms-Drg 819 819	–	–	–	$15,249$8,855–$20,961 · 13 plans
Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820	–	–	–	$109,725$52,345–$207,900 · 18 plans
Lymphoma and Leukemia with Major O.r. Procedures with Cc 821	–	–	–	$40,195$20,723–$62,300 · 18 plans
Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822	–	–	–	$22,526$12,548–$53,000 · 18 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824	–	–	–	$42,387$20,890–$72,800 · 18 plans
Ms-Drg 825 825	–	–	–	$25,246$13,925–$45,700 · 18 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826	–	–	–	$80,940$41,991–$111,954 · 13 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827	–	–	–	$52,840$21,396–$98,600 · 18 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828	–	–	–	$29,481$16,473–$39,925 · 13 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829	–	–	–	$59,120$28,522–$104,500 · 18 plans
Ms-Drg 830 830	–	–	–	$26,041$14,679–$35,755 · 13 plans
Ms-Drg 831 831	–	–	–	$20,807$11,948–$30,768 · 13 plans
Ms-Drg 832 832	–	–	–	$12,796$7,607–$20,488 · 13 plans
Ms-Drg 833 833	–	–	–	$9,273$5,813–$14,776 · 13 plans
Acute Leukemia with Cc 835	–	–	–	$39,023$20,104–$106,100 · 18 plans
Ms-Drg 836 836	–	–	–	$21,897$12,695–$28,906 · 18 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837	–	–	–	$103,067$20,869–$171,600 · 18 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839	–	–	–	$20,800$13,475–$30,248 · 18 plans
Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842	–	–	–	$18,904$10,715–$28,400 · 18 plans
Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843	–	–	–	$34,516$19,050–$46,744 · 13 plans
Ms-Drg 844 844	–	–	–	$21,859$12,675–$28,961 · 18 plans
Ms-Drg 845 845	–	–	–	$15,101$8,780–$20,748 · 13 plans
Ms-Drg 848 848	–	–	–	$13,700$8,502–$20,483 · 18 plans
Radiotherapy 849	–	–	–	$32,900$22,745–$56,391 · 18 plans
Ms-Drg 850 850	–	–	–	$99,711$77,779–$206,535 · 12 plans
Ms-Drg 855 855	–	–	–	$25,906$14,973–$36,362 · 13 plans
Ms-Drg 858 858	–	–	–	$25,010$14,337–$38,300 · 18 plans
Fever and Inflammatory Conditions 864	–	–	–	$16,608$9,553–$21,290 · 18 plans
Viral Illness with Mcc 865	–	–	–	$25,925$14,618–$36,024 · 13 plans
Other Infectious and Parasitic Diseases Diagnoses with Mcc 867	–	–	–	$37,584$19,489–$54,209 · 18 plans
Other Infectious and Parasitic Diseases Diagnoses with Cc 868	–	–	–	$19,291$10,911–$37,600 · 18 plans
Ms-Drg 869 869	–	–	–	$12,940$7,680–$18,093 · 13 plans
O.r. Procedures with Principal Diagnosis of Mental Illness 876	–	–	–	$10,457$1,706–$83,962 · 14 plans
Depressive Neuroses 881	–	–	–	$8,658$1,893–$22,327 · 13 plans
Neuroses Except Depressive 882	–	–	–	$9,070$1,893–$25,290 · 13 plans
Disorders of Personality and Impulse Control 883	–	–	–	$16,742$1,893–$46,030 · 13 plans
Delirium and other mental confusion 884	–	–	–	$15,161$1,893–$38,390 · 13 plans
Psychoses 885	–	–	–	$12,920$1,845–$33,776 · 13 plans
Ms-Drg 886 886	–	–	–	$9,505$1,706–$42,914 · 14 plans
Ms-Drg 887 887	–	–	–	$6,656$1,706–$28,515 · 14 plans
Alcohol, Drug Abuse or Dependence, Left Ama 894	–	–	–	$4,135$1,586–$17,141 · 14 plans
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895	–	–	–	$2,106$1,557–$34,164 · 13 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896	–	–	–	$2,106$1,557–$42,177 · 13 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897	–	–	–	$2,106$1,557–$21,009 · 13 plans
Ms-Drg 901 901	–	–	–	$72,614$38,350–$98,338 · 13 plans
Wound Debridements for Injuries with Cc 902	–	–	–	$33,127$18,042–$45,593 · 13 plans
Ms-Drg 903 903	–	–	–	$19,900$11,651–$27,407 · 13 plans
Skin Grafts for Injuries with Cc/Mcc 904	–	–	–	$58,400$33,664–$86,071 · 13 plans
Ms-Drg 905 905	–	–	–	$24,700$15,102–$34,760 · 13 plans
Ms-Drg 906 906	–	–	–	$30,350$18,678–$46,029 · 13 plans
Other O.r. Procedures for Injuries Without Cc/Mcc 909	–	–	–	$22,714$12,943–$30,760 · 13 plans
Traumatic Injury with Mcc 913	–	–	–	$28,283$15,848–$38,303 · 13 plans
Traumatic Injury Without Mcc 914	–	–	–	$15,703$9,086–$21,102 · 13 plans
Ms-Drg 915 915	–	–	–	$29,097$16,273–$40,834 · 13 plans
Allergic Reactions Without Mcc 916	–	–	–	$11,816$7,108–$17,782 · 13 plans
Poisoning and Toxic Effects of Drugs with Mcc 917	–	–	–	$27,138$15,251–$37,777 · 13 plans
Poisoning and Toxic Effects of Drugs Without Mcc 918	–	–	–	$15,199$8,830–$20,416 · 13 plans
Complications of Treatment Without Cc/Mcc 921	–	–	–	$12,207$7,307–$17,960 · 13 plans
Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922	–	–	–	$30,270$16,873–$41,402 · 13 plans
Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923	–	–	–	$18,047$10,280–$23,971 · 13 plans
Ms-Drg 927 927	–	–	–	$369,428$192,985–$500,302 · 13 plans
Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928	–	–	–	$124,109$59,505–$168,076 · 13 plans
Ms-Drg 929 929	–	–	–	$55,730$28,436–$76,399 · 13 plans
Ms-Drg 933 933	–	–	–	$60,169$36,030–$91,252 · 13 plans
Full Thickness Burn Without Skin Graft or Inhalation Injury 934	–	–	–	$34,156$19,529–$51,801 · 13 plans
Non-Extensive Burns 935	–	–	–	$31,829$19,379–$48,272 · 13 plans
Ms-Drg 939 939	–	–	–	$62,784$29,114–$85,026 · 13 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940	–	–	–	$38,600$19,516–$54,760 · 13 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941	–	–	–	$31,330$18,323–$47,515 · 13 plans
Rehabilitation with Cc/Mcc 945	–	–	–	$16,254$2,496–$36,469 · 13 plans
Rehabilitation Without Cc/Mcc 946	–	–	–	$12,343$2,381–$27,760 · 13 plans
Aftercare with Cc/Mcc 949	–	–	–	$20,585$11,832–$28,060 · 13 plans
Aftercare Without Cc/Mcc 950	–	–	–	$11,131$6,759–$17,593 · 13 plans
Other Factors Influencing Health Status 951	–	–	–	$9,860$6,112–$17,767 · 13 plans
Ms-Drg 955 955	–	–	–	$116,468$59,751–$160,327 · 13 plans
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956	–	–	–	$65,111$33,814–$97,784 · 13 plans
Other O.r. Procedures for Multiple Significant Trauma with Mcc 957	–	–	–	$131,847$65,700–$185,074 · 13 plans
Other O.r. Procedures for Multiple Significant Trauma with Cc 958	–	–	–	$72,913$36,589–$102,608 · 13 plans
Ms-Drg 959 959	–	–	–	$50,942$24,255–$70,820 · 13 plans
Other Multiple Significant Trauma with Mcc 963	–	–	–	$47,303$24,383–$64,061 · 13 plans
Other Multiple Significant Trauma with Cc 964	–	–	–	$26,519$14,928–$35,913 · 13 plans
Ms-Drg 965 965	–	–	–	$16,678$9,583–$22,260 · 13 plans
Ms-Drg 969 969	–	–	–	$105,917$55,204–$152,131 · 13 plans
Ms-Drg 970 970	–	–	–	$45,635$23,777–$64,213 · 13 plans
Hiv with Major Related Condition with Mcc 974	–	–	–	$49,936$26,507–$72,770 · 13 plans
Hiv with Major Related Condition with Cc 975	–	–	–	$22,407$13,174–$34,341 · 13 plans
Ms-Drg 976 976	–	–	–	$16,008$9,531–$23,700 · 13 plans
Ms-Drg 977 977	–	–	–	$22,454$13,321–$33,634 · 13 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983	–	–	–	$28,070$16,403–$41,062 · 12 plans
Ms-Drg 989 989	–	–	–	$19,639$11,801–$28,729 · 12 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	–	–	$7,099only 1 plan
Cataract surgery CPT 66984	–	–	$4,315$2,314–$15,417 · 7 plans
Colonoscopy CPT 45378	$4,194	$2,726	$2,831$1,344–$3,775 · 54 plans
Colonoscopy with biopsy CPT 45380	$5,424	$3,526	$3,527$1,739–$4,882 · 54 plans
Complete blood count (CBC) CPT 85025	$54	$35	$33$17–$48 · 53 plans
Comprehensive metabolic panel (blood test) CPT 80053	$73	$47	$44$17–$65 · 53 plans
CT scan of the abdomen and pelvis, with contrast CPT 74177	$2,464	$1,602	$1,553$790–$2,192 · 54 plans
Emergency room visit, highest level CPT 99285	$4,230	$2,750	$2,606$1,354–$3,477 · 54 plans
Gallbladder removal (laparoscopic) CPT 47562	–	–	$9,911$6,006–$18,538 · 6 plans
Hip replacement CPT 27130	–	–	$12,146$11,323–$25,960 · 5 plans
Knee arthroscopy (meniscus) CPT 29881	–	–	$7,701$3,250–$9,369 · 6 plans
Knee replacement CPT 27447	–	–	$12,146$7,391–$25,960 · 5 plans
MRI of the brain, with and without contrast CPT 70553	$2,464	$1,602	$1,553$790–$2,192 · 54 plans
MRI of the knee, without contrast CPT 73721	$1,668	$1,084	$1,067$535–$1,484 · 54 plans
Vaginal delivery, with prenatal and postpartum care CPT 59400	–	–	$6,374only 1 plan

Price file: Cleveland Clinic, read November 9, 2026.