HCA Florida Sarasota Doctors Hospital
5731 Bee Ridge Rd, Sarasota, FL 34233 · (941) 342-1100
The money
$7what care cost the hospital for every $100 it billed
$41.7Mnet income, all sources
17.9%margin on patient care alone
$7.4Mcost of charity care (4.3% of costs)
$8.5Munpaid bills written off (bad debt)
139beds
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 | 208 | $120,786 | $13,261 | $16,896$15,394–$21,763 · 39 plans | |
| Hip or knee replacement 470 | 141 | $185,895 | $13,379 | $17,094$15,479–$38,736 · 39 plans | |
| Heart failure, with major complications 291 | 87 | $88,981 | $8,882 | $11,198$10,218–$20,926 · 41 plans | |
| Pneumonia, with major complications 193 | 55 | $94,984 | $8,932 | $11,163$8,877–$21,445 · 40 plans | |
| Lung infection, with major complications 177 | 52 | $121,644 | $12,070 | $12,951$8,751–$26,867 · 39 plans | |
| Stomach or intestinal bleeding, with complications 378 | 52 | $80,202 | $7,496 | $8,530$7,438–$13,222 · 39 plans | |
| Urinary tract infection 690 | 52 | $66,303 | $5,960 | $7,107$6,429–$18,434 · 40 plans | |
| Heart attack, with major complications 280 | 48 | $100,951 | $11,038 | $13,294$10,120–$25,775 · 41 plans | |
| Stomach and digestive disorders 392 | 47 | $69,926 | $5,301 | $6,845$6,192–$18,434 · 40 plans | |
| Kidney failure, with complications 683 | 44 | $68,912 | $6,322 | $7,689$6,802–$18,434 · 40 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 40 | $197,617 | $18,777 | $22,781$16,333–$29,396 · 39 plans | |
| Sepsis 872 | 35 | $79,577 | $6,963 | $9,068$8,145–$21,653 · 39 plans | |
| Kidney failure, with major complications 682 | 34 | $99,863 | $9,981 | $12,274$8,681–$19,251 · 39 plans | |
| Urinary tract infection, with major complications 689 | 34 | $81,385 | $7,907 | $10,092$8,796–$19,043 · 40 plans | |
| Other kidney and urinary problems, with major complications 698 | 31 | $127,820 | $10,858 | $13,575$8,601–$17,757 · 39 plans | |
| Respiratory failure 189 | 30 | $79,930 | $8,796 | $10,239$8,628–$25,106 · 39 plans | |
| Bowel surgery, with major complications 329 | 30 | $364,307 | $34,295 | $38,094$13,607–$50,930 · 41 plans | |
| Stroke, with complications or clot-busting drug 065 | 29 | $111,789 | $7,179 | $9,036$8,116–$40,180 · 40 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 29 | $254,739 | $22,918 | $30,486$27,769–$57,053 · 40 plans | |
| Infection needing surgery, with major complications 853 | 29 | $297,192 | $30,365 | $40,929$13,339–$53,007 · 39 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 28 | $139,937 | $12,189 | $15,000$8,980–$19,620 · 39 plans | |
| Dehydration and electrolyte problems 641 | 28 | $67,093 | $5,448 | $6,769$6,167–$10,497 · 39 plans | |
| High blood pressure 305 | 27 | $57,057 | $5,379 | $6,642$5,984–$9,442 · 39 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 27 | $147,717 | $10,275 | $11,713$10,474–$28,225 · 39 plans | |
| Mini-stroke (TIA) 069 | 25 | $90,149 | $5,388 | $7,145$6,441–$25,095 · 40 plans | |
| Fainting 312 | 24 | $76,225 | $6,352 | $7,223$6,627–$10,008 · 39 plans | |
| Anemia and blood disorders, with major complications 811 | 24 | $108,227 | $9,584 | $11,523$7,400–$15,073 · 39 plans | |
| Irregular heartbeat, with complications 309 | 23 | $57,767 | $5,089 | $6,520$5,830–$11,857 · 39 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 23 | $71,633 | $9,128 | $11,069$8,349–$14,335 · 39 plans | |
| Heart attack, with complications 281 | 22 | $79,358 | $6,318 | $8,145$7,315–$25,775 · 41 plans | |
| Back problems (no surgery) 552 | 22 | $82,762 | $6,835 | $7,967$7,135–$10,318 · 39 plans | |
| Irregular heartbeat 310 | 20 | $46,496 | $3,735 | $4,970$4,506–$14,957 · 38 plans | |
| Bowel obstruction, with complications 389 | 20 | $81,753 | $5,360 | $6,870$6,259–$11,051 · 39 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 19 | $192,682 | $19,363 | $24,353$21,872–$55,587 · 40 plans | |
| Fracture or sprain (not hip or thigh) 563 | 19 | $70,374 | $6,148 | $7,422$5,670–$10,146 · 39 plans | |
| Skin infection (cellulitis) 603 | 18 | $61,072 | $6,257 | $7,646$6,768–$18,434 · 40 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 17 | $161,446 | $13,876 | $18,733$16,826–$30,285 · 40 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 16 | $122,282 | $12,635 | $17,536$15,623–$41,801 · 41 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 16 | $129,533 | $17,648 | $22,780$9,921–$44,804 · 39 plans | |
| Other digestive problems, with complications 394 | 16 | $90,180 | $5,942 | $8,139$7,158–$13,375 · 39 plans | |
| Disorders of the Biliary Tract with Cc 445 | 16 | $94,819 | $7,517 | $9,070$7,928–$11,746 · 39 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 15 | $282,741 | $33,174 | $35,000$27,222–$48,356 · 41 plans | |
| Irregular heartbeat, with major complications 308 | 15 | $69,636 | $8,072 | $9,978$8,235–$12,923 · 39 plans | |
| Stomach and digestive disorders, with major complications 391 | 15 | $113,029 | $8,636 | $10,407$6,594–$13,613 · 39 plans | |
| Other kidney and urinary problems, with complications 699 | 15 | $76,630 | $7,267 | $8,828$7,652–$12,138 · 39 plans | |
| Stroke, with major complications 064 | 14 | $111,846 | $12,021 | $17,079$14,574–$40,180 · 40 plans | |
| Bowel surgery, with complications 330 | 14 | $211,493 | $20,170 | $20,359$12,129–$64,658 · 40 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 14 | $135,080 | $11,602 | $13,711$8,145–$17,934 · 39 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 14 | $68,451 | $5,541 | $7,024$6,400–$14,878 · 39 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 14 | $200,067 | $17,970 | $16,559$11,643–$46,232 · 39 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 13 | $75,792 | $7,950 | $10,737$1,213–$14,626 · 39 plans | |
| Seizures with Mcc 100 | 13 | $94,066 | $13,371 | $15,893$8,401–$20,788 · 39 plans | |
| Heart stent, with major complications or 4+ stents 321 | 13 | $231,648 | $20,092 | $23,888$21,609–$65,862 · 40 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 13 | $116,644 | $12,136 | $16,267$9,101–$21,125 · 39 plans | |
| Hip replacement after a hip fracture 522 | 13 | $203,127 | $14,255 | $18,767$16,819–$38,115 · 40 plans | |
| Pneumonia, with complications 194 | 11 | $73,983 | $5,410 | $7,076$6,401–$20,413 · 40 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | 11 | $93,480 | $8,936 | $6,408$5,755–$19,334 · 41 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 11 | $226,118 | $11,625 | $14,431$13,435–$22,250 · 40 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 11 | $132,780 | $12,538 | $15,071$8,987–$19,714 · 39 plans | |
| Spinal fusion (lower or mid back) 460 | 11 | $241,684 | $23,229 | – | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 11 | $203,542 | $20,130 | $24,136$22,515–$33,220 · 41 plans | |
| Anemia and blood disorders 812 | 11 | $68,288 | $6,429 | $7,534$3,273–$9,776 · 39 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $229,952$78,192–$305,808 · 37 plans | |
| Ms-Drg 002 002 | – | – | – | $98,563$35,047–$186,072 · 37 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | – | – | – | $180,260$68,455–$292,063 · 38 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $115,477$46,219–$175,293 · 38 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $89,680$29,274–$167,112 · 36 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $40,332$17,054–$159,509 · 36 plans | |
| Lung Transplant 007 | – | – | – | $107,326$34,960–$143,486 · 36 plans | |
| Ms-Drg 008 008 | – | – | – | $48,748$19,138–$85,106 · 36 plans | |
| Ms-Drg 010 010 | – | – | – | $61,879$22,522–$84,251 · 36 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $45,201$13,339–$58,540 · 39 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $34,941$13,339–$47,731 · 39 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $23,883$12,806–$46,973 · 39 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $104,530$31,208–$164,414 · 36 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $51,576$18,095–$156,934 · 36 plans | |
| Ms-Drg 017 017 | – | – | – | $47,250$17,023–$156,934 · 36 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $354,339$53,957–$450,620 · 35 plans | |
| Ms-Drg 019 019 | – | – | – | $62,012$22,433–$85,106 · 36 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $69,088$60,794–$105,224 · 40 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $46,479$42,135–$100,235 · 40 plans | |
| Ms-Drg 022 022 | – | – | – | $28,419$25,525–$100,235 · 40 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | – | – | – | $49,434$45,475–$65,619 · 40 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $34,988$31,425–$64,965 · 40 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | – | – | – | $39,730$35,948–$55,539 · 40 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $27,809$24,977–$55,539 · 40 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $22,565$20,279–$51,894 · 40 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $49,301$32,419–$63,412 · 41 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $30,234$27,400–$49,885 · 40 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $19,094$16,059–$40,349 · 40 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $36,765$24,767–$44,600 · 39 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $18,885$17,101–$33,023 · 39 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $14,123$13,299–$33,023 · 38 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $32,079$19,787–$44,261 · 41 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $20,202$19,027–$42,995 · 41 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $27,014$18,494–$39,914 · 41 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $15,082$13,084–$40,349 · 40 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $10,610$9,453–$34,819 · 41 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $31,683$15,376–$44,211 · 41 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $19,124$15,376–$40,349 · 40 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $14,319$8,277–$27,769 · 41 plans | |
| Ms-Drg 052 052 | – | – | – | $15,011$8,966–$20,745 · 39 plans | |
| Ms-Drg 053 053 | – | – | – | $8,517$7,428–$19,771 · 39 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $12,654$8,721–$16,696 · 39 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $8,868$7,680–$13,608 · 39 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | – | – | – | $18,490$1,224–$24,934 · 39 plans | |
| Ms-Drg 058 058 | – | – | – | $14,027$8,878–$18,348 · 39 plans | |
| Ms-Drg 059 059 | – | – | – | $10,284$8,628–$14,267 · 39 plans | |
| Ms-Drg 060 060 | – | – | – | $8,000$7,058–$14,267 · 39 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $23,348$11,718–$32,750 · 38 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $14,923$9,821–$31,228 · 38 plans | |
| Ms-Drg 063 063 | – | – | – | $11,922$9,821–$31,228 · 38 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $6,410$5,519–$40,180 · 40 plans | |
| Ms-Drg 067 067 | – | – | – | $12,172$6,921–$22,229 · 40 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $7,341$6,880–$22,229 · 40 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | – | – | – | $13,661$8,839–$17,869 · 39 plans | |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | $8,924$7,720–$13,177 · 39 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $6,642$5,993–$9,954 · 39 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $13,164$7,910–$17,219 · 39 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | – | – | – | $8,543$6,888–$11,064 · 39 plans | |
| Ms-Drg 075 075 | – | – | – | $15,892$9,057–$20,581 · 39 plans | |
| Ms-Drg 076 076 | – | – | – | $7,178$6,540–$18,254 · 39 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $15,001$8,964–$19,427 · 39 plans | |
| Ms-Drg 081 081 | – | – | – | $7,790$6,908–$15,610 · 39 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $18,942$9,921–$24,532 · 39 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $11,568$8,628–$22,752 · 39 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $8,313$7,283–$21,729 · 39 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | – | – | – | $18,642$9,823–$24,385 · 39 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | – | – | – | $10,796$8,628–$13,982 · 39 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $7,581$6,814–$10,190 · 39 plans | |
| Concussion with Mcc 088 | – | – | – | $11,092$5,967–$14,509 · 39 plans | |
| Concussion with Cc 089 | – | – | – | $9,015$5,916–$11,791 · 39 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $6,755$4,507–$9,564 · 39 plans | |
| Other Disorders of Nervous System with Mcc 091 | – | – | – | $14,411$8,918–$18,850 · 39 plans | |
| Other Disorders of Nervous System with Cc 092 | – | – | – | $8,898$7,701–$14,225 · 39 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $6,926$6,311–$10,759 · 39 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $28,879$9,921–$37,774 · 39 plans | |
| Ms-Drg 095 095 | – | – | – | $21,164$9,921–$27,683 · 39 plans | |
| Ms-Drg 096 096 | – | – | – | $21,164$9,921–$27,683 · 39 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $29,637$9,921–$38,766 · 39 plans | |
| Ms-Drg 098 098 | – | – | – | $19,019$9,921–$24,632 · 39 plans | |
| Ms-Drg 099 099 | – | – | – | $11,291$8,628–$20,529 · 39 plans | |
| Seizures 101 | – | – | – | $7,480$6,641–$10,163 · 39 plans | |
| Headaches with Mcc 102 | – | – | – | $9,198$6,641–$12,031 · 39 plans | |
| Headaches Without Mcc 103 | – | – | – | $6,931$6,068–$9,684 · 39 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $19,292$7,415–$24,255 · 39 plans | |
| Ms-Drg 114 114 | – | – | – | $11,102$7,351–$14,522 · 39 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $12,595$4,583–$15,835 · 39 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $14,836$7,806–$19,407 · 39 plans | |
| Ms-Drg 117 117 | – | – | – | $8,991$7,192–$12,659 · 39 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $9,546$6,757–$12,486 · 39 plans | |
| Ms-Drg 122 122 | – | – | – | $6,835$6,227–$9,479 · 39 plans | |
| Neurological Eye Disorders 123 | – | – | – | $6,618$5,944–$9,339 · 39 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $10,857$6,589–$14,201 · 39 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $6,363$4,636–$9,324 · 39 plans | |
| Ms-Drg 135 135 | – | – | – | $17,806$7,609–$22,435 · 39 plans | |
| Ms-Drg 136 136 | – | – | – | $8,414$6,788–$12,538 · 39 plans | |
| Ms-Drg 137 137 | – | – | – | $12,375$9,292–$16,027 · 39 plans | |
| Ms-Drg 138 138 | – | – | – | $7,344$6,966–$12,538 · 39 plans | |
| Ms-Drg 139 139 | – | – | – | $10,241$7,481–$13,715 · 39 plans | |
| Ms-Drg 140 140 | – | – | – | $35,349$13,339–$45,780 · 39 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $18,076$11,801–$39,920 · 39 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $13,607$11,314–$39,920 · 39 plans | |
| Ms-Drg 143 143 | – | – | – | $30,436$12,883–$34,963 · 38 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $14,362$12,717–$18,671 · 38 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $9,964$8,557–$15,474 · 38 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $17,374$9,542–$22,726 · 39 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $10,538$8,628–$14,301 · 39 plans | |
| Ms-Drg 148 148 | – | – | – | $6,933$6,317–$13,568 · 39 plans | |
| Dysequilibrium 149 | – | – | – | $6,229$4,947–$9,324 · 39 plans | |
| Ms-Drg 150 150 | – | – | – | $10,926$4,595–$13,736 · 39 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $6,083$4,595–$9,324 · 39 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $9,935$8,628–$13,645 · 39 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $6,542$5,850–$9,697 · 39 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $12,829$6,691–$16,781 · 39 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $7,596$6,596–$10,194 · 39 plans | |
| Ms-Drg 156 156 | – | – | – | $5,784$5,477–$9,324 · 39 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $14,087$7,853–$18,427 · 39 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $7,913$6,996–$10,416 · 39 plans | |
| Ms-Drg 159 159 | – | – | – | $5,872$4,655–$9,324 · 39 plans | |
| Major Chest Procedures with Mcc 163 | – | – | – | $37,143$13,339–$48,104 · 39 plans | |
| Major Chest Procedures with Cc 164 | – | – | – | $20,918$12,096–$41,356 · 39 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $15,864$11,571–$41,356 · 39 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $30,977$13,339–$40,117 · 39 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $14,946$11,476–$35,643 · 39 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $11,885$10,009–$23,242 · 39 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $24,667$13,132–$44,812 · 39 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | – | – | – | $11,384$8,628–$21,565 · 39 plans | |
| Pulmonary Embolism Without Mcc 176 | – | – | – | $7,002$6,380–$20,553 · 39 plans | |
| Lung infection, with complications 178 | – | – | – | $8,489$7,409–$26,867 · 39 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $6,642$5,983–$19,982 · 39 plans | |
| Respiratory Neoplasms with Mcc 180 | – | – | – | $14,636$8,927–$18,955 · 39 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $9,315$8,000–$16,406 · 39 plans | |
| Ms-Drg 182 182 | – | – | – | $6,642$5,974–$15,636 · 39 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $12,554$8,551–$16,421 · 39 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $9,125$7,957–$12,237 · 39 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $6,565$6,233–$9,324 · 39 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $12,916$8,748–$16,728 · 39 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $8,603$7,490–$16,122 · 39 plans | |
| Ms-Drg 188 188 | – | – | – | $6,356$5,684–$13,557 · 39 plans | |
| COPD, with major complications 190 | – | – | – | $9,635$8,229–$15,692 · 39 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | – | – | – | $7,332$6,627–$14,956 · 39 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $5,689$5,088–$14,956 · 39 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $5,570$4,992–$20,413 · 40 plans | |
| Interstitial Lung Disease with Mcc 196 | – | – | – | $15,500$9,031–$20,256 · 39 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $8,255$7,241–$15,476 · 39 plans | |
| Ms-Drg 198 198 | – | – | – | $6,347$5,676–$12,001 · 39 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $14,620$8,925–$19,247 · 39 plans | |
| Pneumothorax with Cc 200 | – | – | – | $9,562$8,177–$18,117 · 39 plans | |
| Ms-Drg 201 201 | – | – | – | $6,337$5,667–$12,217 · 39 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | – | – | – | $8,447$7,379–$12,308 · 39 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $5,938$5,310–$10,494 · 39 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $7,023$6,399–$11,763 · 39 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $15,024$8,864–$19,652 · 39 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $7,799$7,136–$10,251 · 39 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $52,800$9,921–$69,065 · 39 plans | |
| Ms-Drg 209 209 | – | – | – | $93,806$57,118–$157,048 · 41 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $94,582$71,080–$156,961 · 41 plans | |
| Ms-Drg 213 213 | – | – | – | $47,297$34,281–$83,167 · 41 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $88,239$79,252–$162,430 · 41 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $81,076$57,795–$106,603 · 41 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $57,795$52,335–$106,603 · 41 plans | |
| Ms-Drg 218 218 | – | – | – | $57,795$52,335–$106,603 · 41 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | – | – | – | $66,785$57,043–$92,375 · 41 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $47,259$42,446–$92,375 · 41 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $44,666$40,117–$92,375 · 41 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $43,844$39,378–$71,080 · 41 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $28,428$25,068–$71,080 · 41 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $73,322$65,160–$135,081 · 41 plans | |
| Ms-Drg 232 232 | – | – | – | $53,727$48,255–$107,388 · 41 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | – | – | – | $65,733$50,289–$90,277 · 41 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $48,410$43,480–$68,782 · 41 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $51,044$46,710–$74,293 · 41 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $37,121$33,340–$55,367 · 41 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $40,385$13,339–$52,826 · 39 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $23,624$12,698–$36,935 · 39 plans | |
| Ms-Drg 241 241 | – | – | – | $12,041$10,122–$35,202 · 39 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | – | – | – | $27,771$25,193–$71,125 · 38 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | – | – | – | $18,709$16,814–$71,125 · 38 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $16,018$14,387–$30,063 · 39 plans | |
| Ms-Drg 245 245 | – | – | – | $37,811$29,342–$49,854 · 39 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $18,839$17,371–$30,914 · 41 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $13,490$11,895–$30,914 · 41 plans | |
| Other Vascular Procedures with Mcc 252 | – | – | – | $28,910$22,515–$44,715 · 41 plans | |
| Other Vascular Procedures with Cc 253 | – | – | – | $22,598$20,659–$44,715 · 40 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $15,936$14,181–$30,197 · 40 plans | |
| Ms-Drg 255 255 | – | – | – | $22,355$12,246–$28,952 · 39 plans | |
| Ms-Drg 256 256 | – | – | – | $14,072$11,385–$27,569 · 39 plans | |
| Ms-Drg 257 257 | – | – | – | $9,500$8,301–$26,275 · 39 plans | |
| Ms-Drg 258 258 | – | – | – | $26,041$21,134–$33,725 · 39 plans | |
| Ms-Drg 259 259 | – | – | – | $17,920$16,002–$28,398 · 39 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $26,691$14,404–$34,913 · 39 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $15,668$14,404–$27,578 · 39 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $14,404$12,973–$26,567 · 39 plans | |
| Ms-Drg 263 263 | – | – | – | $25,088$10,162–$31,541 · 39 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $27,686$14,654–$35,855 · 39 plans | |
| Ms-Drg 265 265 | – | – | – | $31,471$27,772–$45,187 · 39 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | – | – | – | $54,310$48,778–$131,040 · 41 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | – | – | – | $42,190$37,893–$98,393 · 41 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $56,437$36,725–$72,589 · 41 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | – | – | – | $43,728$36,725–$57,523 · 41 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | – | – | – | $31,516$28,306–$48,263 · 41 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $22,625$20,320–$46,895 · 41 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $34,191$20,264–$66,217 · 40 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | – | – | – | $27,010$18,839–$34,741 · 41 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $63,190$56,754–$116,226 · 41 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $53,014$47,705–$118,451 · 40 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $40,929$36,681–$118,997 · 40 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $46,131$26,723–$65,001 · 41 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $31,368$28,083–$46,642 · 41 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $16,416$9,921–$21,260 · 39 plans | |
| Ms-Drg 284 284 | – | – | – | $6,134$5,478–$19,033 · 39 plans | |
| Ms-Drg 285 285 | – | – | – | $5,307$4,739–$19,033 · 39 plans | |
| Heart catheterization, with major complications 286 | – | – | – | $18,157$9,483–$23,354 · 41 plans | |
| Heart catheterization 287 | – | – | – | $9,344$8,493–$20,124 · 40 plans | |
| Ms-Drg 288 288 | – | – | – | $22,428$11,770–$43,480 · 39 plans | |
| Ms-Drg 289 289 | – | – | – | $14,846$9,921–$41,439 · 39 plans | |
| Ms-Drg 290 290 | – | – | – | $8,239$7,368–$41,439 · 39 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $7,524$6,758–$14,716 · 41 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $5,109$4,505–$14,716 · 41 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $12,944$8,751–$25,064 · 39 plans | |
| Ms-Drg 297 297 | – | – | – | $5,619$5,024–$23,888 · 39 plans | |
| Ms-Drg 298 298 | – | – | – | $4,033$3,622–$23,888 · 39 plans | |
| Peripheral Vascular Disorders with Mcc 299 | – | – | – | $13,531$9,150–$26,723 · 41 plans | |
| Peripheral Vascular Disorders with Cc 300 | – | – | – | $9,285$8,575–$26,724 · 40 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $6,805$5,782–$22,222 · 40 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $9,917$8,151–$12,843 · 39 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $5,966$5,335–$10,273 · 39 plans | |
| Hypertension with Mcc 304 | – | – | – | $9,765$6,730–$12,773 · 39 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $12,930$8,763–$16,913 · 39 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $7,943$7,017–$10,966 · 39 plans | |
| Angina Pectoris 311 | – | – | – | $6,220$5,563–$10,061 · 39 plans | |
| Chest pain 313 | – | – | – | $6,322$5,718–$16,826 · 40 plans | |
| Other circulation problems, with major complications 314 | – | – | – | $17,110$9,431–$22,381 · 39 plans | |
| Other Circulatory System Diagnoses with Cc 315 | – | – | – | $8,379$7,329–$15,702 · 39 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $6,045$5,406–$11,771 · 39 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $58,158$29,330–$90,154 · 41 plans | |
| Ms-Drg 318 318 | – | – | – | $20,264$13,607–$35,299 · 41 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $36,621$18,839–$51,100 · 41 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $19,934$18,730–$30,914 · 41 plans | |
| Heart stent 322 | – | – | – | $15,913$14,032–$30,914 · 41 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $37,639$33,419–$64,802 · 40 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $27,924$24,537–$51,361 · 41 plans | |
| Ms-Drg 325 325 | – | – | – | $28,059$25,000–$52,330 · 41 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $40,924$13,339–$53,531 · 39 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $20,257$12,028–$39,166 · 39 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $13,607$11,314–$26,089 · 39 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $14,638$12,271–$30,704 · 41 plans | |
| Ms-Drg 332 332 | – | – | – | $30,007$13,339–$44,813 · 39 plans | |
| Ms-Drg 333 333 | – | – | – | $19,411$11,940–$42,710 · 39 plans | |
| Ms-Drg 334 334 | – | – | – | $13,607$11,333–$31,577 · 39 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $29,594$13,339–$38,327 · 39 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $17,476$11,739–$34,139 · 39 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $13,351$11,060–$23,171 · 39 plans | |
| Ms-Drg 344 344 | – | – | – | $21,193$12,147–$27,722 · 39 plans | |
| Ms-Drg 345 345 | – | – | – | $13,088$10,871–$20,488 · 39 plans | |
| Ms-Drg 346 346 | – | – | – | $10,317$8,887–$16,019 · 39 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $18,837$8,027–$23,770 · 39 plans | |
| Ms-Drg 348 348 | – | – | – | $10,739$7,696–$14,048 · 39 plans | |
| Ms-Drg 349 349 | – | – | – | $7,215$6,111–$12,538 · 39 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $20,447$10,605–$26,746 · 39 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $12,634$9,686–$16,363 · 39 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $9,582$7,185–$13,418 · 39 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $23,813$10,990–$30,979 · 39 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $13,941$10,041–$18,058 · 39 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $11,036$7,827–$14,436 · 39 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $36,406$13,339–$47,149 · 39 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $19,273$11,925–$38,349 · 39 plans | |
| Ms-Drg 358 358 | – | – | – | $12,159$10,206–$32,354 · 39 plans | |
| Ms-Drg 359 359 | – | – | – | $28,498$15,338–$50,111 · 41 plans | |
| Ms-Drg 360 360 | – | – | – | $20,009$13,607–$35,184 · 41 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $13,193$8,777–$17,086 · 39 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $8,700$7,559–$16,214 · 39 plans | |
| Ms-Drg 370 370 | – | – | – | $6,210$5,554–$15,453 · 39 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $14,695$8,933–$19,657 · 39 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $8,881$7,689–$18,581 · 39 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $6,446$5,765–$18,581 · 39 plans | |
| Digestive Malignancy with Mcc 374 | – | – | – | $17,549$9,616–$22,955 · 39 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $10,120$8,628–$15,663 · 39 plans | |
| Ms-Drg 376 376 | – | – | – | $8,039$7,086–$13,993 · 39 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $5,587$4,996–$10,276 · 39 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $16,101$9,096–$21,061 · 39 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $9,424$8,078–$13,576 · 39 plans | |
| Ms-Drg 382 382 | – | – | – | $6,964$6,345–$13,050 · 39 plans | |
| Ms-Drg 383 383 | – | – | – | $11,329$6,944–$14,819 · 39 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $7,084$6,106–$9,854 · 39 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $13,114$8,768–$16,983 · 39 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $8,492$7,410–$14,391 · 39 plans | |
| Ms-Drg 387 387 | – | – | – | $6,038$5,399–$13,715 · 39 plans | |
| Gastrointestinal Obstruction with Mcc 388 | – | – | – | $12,118$7,814–$15,851 · 39 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $4,821$4,330–$8,867 · 39 plans | |
| Other Digestive System Diagnoses with Mcc 393 | – | – | – | $13,123$8,783–$17,166 · 39 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $5,751$5,143–$10,450 · 39 plans | |
| Ms-Drg 397 397 | – | – | – | $19,848$11,985–$32,740 · 39 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $13,165$10,926–$22,053 · 39 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $9,956$8,628–$16,221 · 39 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $34,970$20,167–$121,499 · 40 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $45,337$13,339–$65,000 · 39 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $24,036$12,869–$61,949 · 39 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $18,395$11,834–$56,163 · 39 plans | |
| Ms-Drg 408 408 | – | – | – | $29,550$13,339–$40,972 · 39 plans | |
| Ms-Drg 409 409 | – | – | – | $18,045$11,798–$39,049 · 39 plans | |
| Ms-Drg 410 410 | – | – | – | $13,607$11,314–$29,450 · 39 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $27,376$13,339–$35,455 · 39 plans | |
| Ms-Drg 412 412 | – | – | – | $17,425$11,733–$33,116 · 39 plans | |
| Ms-Drg 413 413 | – | – | – | $13,762$11,352–$23,279 · 39 plans | |
| Ms-Drg 414 414 | – | – | – | $29,233$13,339–$38,238 · 39 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $17,128$11,702–$24,854 · 39 plans | |
| Ms-Drg 416 416 | – | – | – | $11,858$9,990–$16,612 · 39 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $19,778$13,514–$25,186 · 41 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $12,104$10,824–$22,694 · 39 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $28,237$13,339–$38,442 · 39 plans | |
| Ms-Drg 421 421 | – | – | – | $14,400$11,419–$36,502 · 39 plans | |
| Ms-Drg 422 422 | – | – | – | $12,173$10,216–$32,471 · 39 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $34,418$13,339–$44,575 · 39 plans | |
| Ms-Drg 424 424 | – | – | – | $18,132$11,807–$37,674 · 39 plans | |
| Ms-Drg 425 425 | – | – | – | $13,049$10,844–$37,674 · 39 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $91,339$39,914–$152,658 · 41 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $59,825$30,480–$121,499 · 40 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $46,593$24,290–$121,499 · 40 plans | |
| Ms-Drg 429 429 | – | – | – | $74,668$39,338–$121,548 · 41 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $47,796$24,852–$121,499 · 40 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $9,187$7,908–$16,999 · 39 plans | |
| Ms-Drg 434 434 | – | – | – | $6,314$5,647–$16,202 · 39 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $9,838$8,375–$15,066 · 39 plans | |
| Ms-Drg 437 437 | – | – | – | $7,422$6,644–$14,358 · 39 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $13,510$8,652–$32,813 · 38 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $7,317$6,615–$25,949 · 38 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $5,456$4,914–$22,284 · 38 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $14,874$8,951–$19,263 · 39 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $8,396$7,342–$15,619 · 39 plans | |
| Ms-Drg 443 443 | – | – | – | $6,201$5,545–$11,272 · 39 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $6,856$6,368–$9,602 · 39 plans | |
| Ms-Drg 447 447 | – | – | – | $55,375$28,398–$83,972 · 40 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $36,886$20,167–$64,364 · 40 plans | |
| Ms-Drg 450 450 | – | – | – | $44,170$23,156–$73,141 · 40 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $28,098$20,167–$64,364 · 40 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $69,644$39,595–$89,442 · 40 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $50,643$38,544–$73,942 · 40 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $36,293$30,609–$115,080 · 39 plans | |
| Ms-Drg 461 461 | – | – | – | $45,772$37,494–$58,785 · 40 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $23,573$21,739–$82,947 · 39 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $46,768$21,867–$61,174 · 39 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $25,813$13,876–$34,060 · 39 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $15,862$13,339–$32,079 · 39 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $41,859$27,531–$46,985 · 41 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $26,382$23,968–$64,265 · 39 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $40,018$35,179–$57,201 · 40 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $26,108$23,643–$55,855 · 39 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $21,635$19,680–$44,857 · 39 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $35,226$13,339–$46,077 · 39 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $18,860$11,883–$28,782 · 39 plans | |
| Ms-Drg 476 476 | – | – | – | $10,265$8,849–$27,431 · 39 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $28,347$13,339–$37,079 · 39 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $20,381$12,041–$26,395 · 39 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $15,406$11,523–$22,683 · 39 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $14,722$13,116–$29,959 · 41 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $27,228$14,263–$37,394 · 39 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $17,965$13,339–$35,639 · 39 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $13,623$12,427–$23,323 · 39 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $14,660$12,963–$18,986 · 39 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $9,897$8,889–$18,041 · 39 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $30,128$15,299–$39,408 · 39 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | – | – | – | $21,018$15,299–$30,611 · 39 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $16,629$11,572–$30,508 · 39 plans | |
| Ms-Drg 495 495 | – | – | – | $29,751$15,197–$38,915 · 39 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $15,498$13,339–$26,501 · 39 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $10,525$9,617–$14,508 · 39 plans | |
| Ms-Drg 498 498 | – | – | – | $24,755$11,165–$32,052 · 39 plans | |
| Ms-Drg 499 499 | – | – | – | $16,533$10,462–$21,625 · 39 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $25,969$9,656–$32,649 · 39 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $14,344$9,067–$18,763 · 39 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $11,044$7,226–$14,446 · 39 plans | |
| Ms-Drg 503 503 | – | – | – | $22,903$7,266–$28,794 · 39 plans | |
| Foot Procedures with Cc 504 | – | – | – | $15,338$7,266–$20,027 · 39 plans | |
| Ms-Drg 505 505 | – | – | – | $14,711$7,266–$19,242 · 39 plans | |
| Ms-Drg 506 506 | – | – | – | $11,182$8,441–$14,481 · 39 plans | |
| Ms-Drg 507 507 | – | – | – | $14,971$12,864–$19,857 · 39 plans | |
| Ms-Drg 508 508 | – | – | – | $13,172$12,002–$18,027 · 39 plans | |
| Ms-Drg 510 510 | – | – | – | $24,785$7,645–$32,147 · 39 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $17,233$7,645–$25,039 · 39 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $13,719$7,645–$23,264 · 39 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $12,918$5,539–$16,268 · 39 plans | |
| Ms-Drg 514 514 | – | – | – | $8,389$5,539–$12,538 · 39 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $26,412$15,272–$34,206 · 39 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $17,222$15,272–$30,030 · 39 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $13,202$10,553–$25,437 · 39 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $32,499$24,020–$42,792 · 41 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $17,890$16,129–$40,000 · 40 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $13,484$12,043–$28,072 · 39 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | – | – | – | $25,436$22,796–$62,902 · 40 plans | |
| Ms-Drg 533 533 | – | – | – | $12,992$8,756–$20,600 · 39 plans | |
| Ms-Drg 534 534 | – | – | – | $7,011$6,388–$19,633 · 39 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $10,625$8,628–$15,611 · 39 plans | |
| Ms-Drg 537 537 | – | – | – | $7,909$6,597–$10,281 · 39 plans | |
| Ms-Drg 538 538 | – | – | – | $6,383$5,708–$9,324 · 39 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $16,324$9,102–$24,003 · 39 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $10,743$8,628–$22,877 · 39 plans | |
| Ms-Drg 541 541 | – | – | – | $6,849$6,240–$22,877 · 39 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $14,495$8,927–$18,960 · 39 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $8,941$7,732–$13,506 · 39 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $6,642$5,980–$12,872 · 39 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $20,364$9,505–$26,637 · 39 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $9,600$8,514–$13,189 · 39 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $7,273$6,616–$10,876 · 39 plans | |
| Ms-Drg 548 548 | – | – | – | $16,003$9,069–$21,399 · 39 plans | |
| Ms-Drg 549 549 | – | – | – | $10,120$8,628–$20,225 · 39 plans | |
| Ms-Drg 550 550 | – | – | – | $7,603$6,774–$20,225 · 39 plans | |
| Medical Back Problems with Mcc 551 | – | – | – | $13,753$7,519–$17,990 · 39 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $10,637$7,052–$13,913 · 39 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $7,097$6,578–$9,628 · 39 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $10,846$6,383–$14,187 · 39 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $6,884$6,368–$9,632 · 39 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $12,201$6,534–$15,959 · 39 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $7,403$6,477–$10,141 · 39 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $15,303$8,518–$20,016 · 39 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $9,333$8,013–$12,087 · 39 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $6,992$6,371–$11,476 · 39 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $11,691$6,698–$15,293 · 39 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $12,666$7,369–$16,568 · 39 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $8,075$7,263–$10,458 · 39 plans | |
| Ms-Drg 566 566 | – | – | – | $6,640$5,938–$10,188 · 39 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $24,375$13,010–$35,227 · 39 plans | |
| Skin Debridement with Cc 571 | – | – | – | $14,002$11,377–$33,574 · 39 plans | |
| Ms-Drg 572 572 | – | – | – | $9,970$8,638–$30,275 · 39 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $53,758$13,339–$70,317 · 39 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $28,770$13,339–$37,259 · 39 plans | |
| Ms-Drg 575 575 | – | – | – | $14,893$11,470–$30,275 · 39 plans | |
| Ms-Drg 576 576 | – | – | – | $40,217$13,339–$50,563 · 39 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $21,750$12,206–$28,450 · 39 plans | |
| Ms-Drg 578 578 | – | – | – | $13,181$7,705–$17,242 · 39 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $26,574$12,222–$34,687 · 39 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $14,321$11,215–$18,547 · 39 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $11,841$7,967–$15,489 · 39 plans | |
| Ms-Drg 582 582 | – | – | – | $15,809$10,789–$20,679 · 39 plans | |
| Ms-Drg 583 583 | – | – | – | $14,150$9,821–$18,508 · 39 plans | |
| Ms-Drg 584 584 | – | – | – | $17,566$9,460–$22,977 · 39 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $15,829$7,384–$20,602 · 39 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $16,039$9,072–$20,772 · 39 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $10,120$8,628–$18,379 · 39 plans | |
| Ms-Drg 594 594 | – | – | – | $7,539$6,728–$17,517 · 39 plans | |
| Ms-Drg 595 595 | – | – | – | $17,402$9,109–$22,762 · 39 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $8,971$8,072–$11,772 · 39 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $13,816$8,841–$17,893 · 39 plans | |
| Ms-Drg 598 598 | – | – | – | $9,840$8,376–$15,108 · 39 plans | |
| Ms-Drg 599 599 | – | – | – | $6,692$6,097–$13,722 · 39 plans | |
| Ms-Drg 600 600 | – | – | – | $8,547$6,241–$11,180 · 39 plans | |
| Ms-Drg 601 601 | – | – | – | $5,362$4,795–$9,272 · 39 plans | |
| Cellulitis with Mcc 602 | – | – | – | $11,779$8,630–$15,255 · 39 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $12,079$6,004–$15,800 · 39 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $7,516$4,911–$10,193 · 39 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $12,417$6,986–$16,241 · 39 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $7,512$5,684–$10,171 · 39 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $18,165$11,810–$37,121 · 39 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $12,171$10,214–$37,121 · 39 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $28,902$13,339–$47,681 · 39 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $15,500$11,533–$45,443 · 39 plans | |
| Ms-Drg 618 618 | – | – | – | $12,336$10,333–$45,443 · 39 plans | |
| Ms-Drg 619 619 | – | – | – | $23,930$21,671–$30,718 · 40 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $14,313$12,856–$30,013 · 40 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $13,883$12,117–$30,013 · 40 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $29,497$13,339–$38,202 · 39 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $14,867$11,467–$33,022 · 39 plans | |
| Ms-Drg 624 624 | – | – | – | $10,889$9,296–$33,022 · 39 plans | |
| Ms-Drg 625 625 | – | – | – | $24,782$13,282–$32,415 · 39 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $13,042$10,838–$19,388 · 39 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $11,008$8,764–$14,257 · 39 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $30,886$13,339–$40,000 · 39 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $18,057$11,799–$33,706 · 39 plans | |
| Ms-Drg 630 630 | – | – | – | $12,695$10,589–$24,945 · 39 plans | |
| Diabetes, with major complications 637 | – | – | – | $11,789$8,037–$15,420 · 39 plans | |
| Diabetes, with complications 638 | – | – | – | $7,795$6,911–$11,492 · 39 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $5,505$4,923–$10,353 · 39 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $11,669$8,156–$15,264 · 39 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $13,507$8,823–$17,668 · 39 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $8,915$7,714–$13,623 · 39 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $6,683$6,089–$10,047 · 39 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $40,892$17,192–$67,425 · 36 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $32,233$15,048–$64,357 · 36 plans | |
| Kidney Transplant 652 | – | – | – | $28,090$14,022–$64,357 · 36 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $43,066$13,339–$55,774 · 39 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $23,200$12,522–$46,468 · 39 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $17,542$11,745–$46,468 · 39 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $26,386$13,339–$40,230 · 39 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $15,166$11,499–$38,342 · 39 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $13,497$12,234–$38,342 · 39 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $21,564$13,339–$29,615 · 39 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $9,176$8,205–$20,685 · 39 plans | |
| Ms-Drg 662 662 | – | – | – | $25,121$12,255–$32,860 · 39 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $12,599$10,968–$16,873 · 39 plans | |
| Ms-Drg 664 664 | – | – | – | $9,106$8,019–$12,799 · 39 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $25,611$13,144–$33,500 · 39 plans | |
| Ms-Drg 666 666 | – | – | – | $14,498$11,429–$18,776 · 39 plans | |
| Ms-Drg 667 667 | – | – | – | $9,622$8,388–$13,968 · 39 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $23,960$7,987–$30,124 · 39 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $12,735$7,664–$16,658 · 39 plans | |
| Ms-Drg 670 670 | – | – | – | $8,099$6,170–$12,538 · 39 plans | |
| Ms-Drg 671 671 | – | – | – | $14,729$8,033–$19,266 · 39 plans | |
| Ms-Drg 672 672 | – | – | – | $8,858$6,394–$12,610 · 39 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | – | – | – | $34,821$13,339–$45,097 · 39 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $19,381$11,937–$38,523 · 39 plans | |
| Ms-Drg 675 675 | – | – | – | $13,607$11,336–$38,523 · 39 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $5,320$4,757–$18,347 · 39 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $14,800$8,959–$19,359 · 39 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $9,114$7,856–$13,430 · 39 plans | |
| Ms-Drg 688 688 | – | – | – | $6,874$6,263–$10,806 · 39 plans | |
| Ms-Drg 693 693 | – | – | – | $11,032$4,542–$12,362 · 39 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $6,478$4,529–$8,872 · 39 plans | |
| Ms-Drg 695 695 | – | – | – | $9,477$6,849–$12,277 · 39 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $5,993$5,460–$9,324 · 39 plans | |
| Ms-Drg 697 697 | – | – | – | $8,844$6,529–$11,568 · 39 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $6,114$5,467–$11,245 · 39 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $17,727$15,921–$26,282 · 41 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $13,596$12,185–$40,373 · 40 plans | |
| Ms-Drg 709 709 | – | – | – | $19,095$10,573–$24,977 · 39 plans | |
| Ms-Drg 710 710 | – | – | – | $11,613$9,961–$15,039 · 39 plans | |
| Ms-Drg 711 711 | – | – | – | $17,099$9,492–$22,366 · 39 plans | |
| Ms-Drg 712 712 | – | – | – | $9,024$6,361–$12,795 · 39 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $12,460$9,875–$16,136 · 39 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $8,763$8,084–$12,538 · 39 plans | |
| Ms-Drg 715 715 | – | – | – | $18,358$11,552–$24,013 · 39 plans | |
| Ms-Drg 716 716 | – | – | – | $12,271$10,661–$16,442 · 39 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $15,513$8,672–$20,291 · 39 plans | |
| Ms-Drg 718 718 | – | – | – | $11,131$8,435–$14,416 · 39 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $14,850$8,937–$19,424 · 39 plans | |
| Ms-Drg 723 723 | – | – | – | $9,470$8,447–$12,606 · 39 plans | |
| Ms-Drg 724 724 | – | – | – | $5,811$5,196–$9,533 · 39 plans | |
| Ms-Drg 725 725 | – | – | – | $9,602$6,641–$12,560 · 39 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $5,984$5,335–$9,324 · 39 plans | |
| Ms-Drg 727 727 | – | – | – | $12,168$6,861–$15,916 · 39 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $6,953$6,429–$9,454 · 39 plans | |
| Ms-Drg 729 729 | – | – | – | $8,687$5,886–$11,363 · 39 plans | |
| Ms-Drg 730 730 | – | – | – | $5,569$3,696–$9,324 · 39 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $17,653$11,757–$34,719 · 39 plans | |
| Ms-Drg 735 735 | – | – | – | $11,703$9,879–$33,177 · 39 plans | |
| Ms-Drg 736 736 | – | – | – | $29,428$13,339–$38,366 · 39 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $17,077$11,697–$30,753 · 39 plans | |
| Ms-Drg 738 738 | – | – | – | $12,773$10,645–$29,310 · 39 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $29,399$14,235–$39,423 · 39 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $14,997$13,339–$19,956 · 39 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $12,638$11,326–$36,571 · 40 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $15,959$13,982–$25,411 · 39 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $10,995$9,957–$24,052 · 39 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $16,814$7,312–$21,415 · 39 plans | |
| Ms-Drg 745 745 | – | – | – | $9,334$6,768–$13,141 · 39 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $14,254$7,028–$18,645 · 39 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $7,125$6,719–$12,538 · 39 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $11,497$9,392–$22,613 · 41 plans | |
| Ms-Drg 749 749 | – | – | – | $21,279$12,134–$28,130 · 39 plans | |
| Ms-Drg 750 750 | – | – | – | $12,836$10,691–$26,507 · 39 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $15,112$8,992–$19,767 · 39 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $9,151$8,105–$12,568 · 39 plans | |
| Ms-Drg 756 756 | – | – | – | $7,881$5,885–$10,309 · 39 plans | |
| Ms-Drg 757 757 | – | – | – | $11,750$7,799–$15,369 · 39 plans | |
| Ms-Drg 758 758 | – | – | – | $8,439$7,427–$11,114 · 39 plans | |
| Ms-Drg 759 759 | – | – | – | $5,881$5,259–$10,817 · 39 plans | |
| Ms-Drg 760 760 | – | – | – | $8,267$6,042–$10,814 · 39 plans | |
| Ms-Drg 761 761 | – | – | – | $5,056$4,541–$9,160 · 39 plans | |
| Ms-Drg 768 768 | – | – | – | $8,881$6,408–$17,689 · 41 plans | |
| Ms-Drg 769 769 | – | – | – | $13,866$6,391–$18,001 · 39 plans | |
| Ms-Drg 770 770 | – | – | – | $8,228$4,159–$12,176 · 39 plans | |
| Ms-Drg 776 776 | – | – | – | $5,426$4,687–$9,324 · 39 plans | |
| Ms-Drg 779 779 | – | – | – | $6,903$3,628–$9,730 · 39 plans | |
| Ms-Drg 783 783 | – | – | – | $20,246$8,917–$25,443 · 40 plans | |
| Ms-Drg 784 784 | – | – | – | $9,014$8,080–$22,789 · 40 plans | |
| Ms-Drg 785 785 | – | – | – | $8,331$7,614–$16,391 · 40 plans | |
| C-section, with major complications 786 | – | – | – | $13,603$8,080–$22,789 · 40 plans | |
| C-section, with complications 787 | – | – | – | $9,256$8,080–$22,789 · 40 plans | |
| C-section 788 | – | – | – | $8,340$7,621–$16,391 · 40 plans | |
| Ms-Drg 789 789 | – | – | – | $14,492$4,724–$15,912 · 33 plans | |
| Ms-Drg 790 790 | – | – | – | $48,770$15,801–$55,667 · 33 plans | |
| Ms-Drg 791 791 | – | – | – | $33,639$15,801–$49,470 · 33 plans | |
| Ms-Drg 792 792 | – | – | – | $19,695$4,724–$21,624 · 33 plans | |
| Ms-Drg 793 793 | – | – | – | $34,556$15,801–$49,470 · 33 plans | |
| Ms-Drg 794 794 | – | – | – | $11,868$4,724–$13,031 · 33 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $1,639$1,112–$1,797 · 33 plans | |
| Ms-Drg 796 796 | – | – | – | $9,289$5,954–$10,342 · 41 plans | |
| Ms-Drg 797 797 | – | – | – | $8,209$5,954–$9,030 · 41 plans | |
| Ms-Drg 798 798 | – | – | – | $7,854$5,954–$8,639 · 41 plans | |
| Ms-Drg 799 799 | – | – | – | $37,534$13,339–$48,610 · 39 plans | |
| Ms-Drg 800 800 | – | – | – | $23,283$12,556–$45,793 · 39 plans | |
| Ms-Drg 801 801 | – | – | – | $15,820$11,566–$22,160 · 39 plans | |
| Ms-Drg 802 802 | – | – | – | $32,692$11,971–$41,101 · 39 plans | |
| Ms-Drg 803 803 | – | – | – | $15,253$10,950–$19,952 · 39 plans | |
| Ms-Drg 804 804 | – | – | – | $11,794$9,945–$15,869 · 39 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $8,944$6,285–$11,581 · 40 plans | |
| Vaginal birth, with complications 806 | – | – | – | $6,558$5,788–$11,581 · 40 plans | |
| Vaginal birth 807 | – | – | – | $5,919$5,229–$10,144 · 40 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $18,117$9,854–$23,698 · 39 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $10,491$8,628–$18,505 · 39 plans | |
| Ms-Drg 810 810 | – | – | – | $9,103$7,848–$17,636 · 39 plans | |
| Coagulation Disorders 813 | – | – | – | $12,641$8,719–$16,371 · 39 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $17,451$9,574–$22,826 · 39 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $8,820$7,645–$14,212 · 39 plans | |
| Ms-Drg 816 816 | – | – | – | $5,601$5,009–$10,302 · 39 plans | |
| Ms-Drg 817 817 | – | – | – | $18,722$3,843–$23,538 · 39 plans | |
| Ms-Drg 818 818 | – | – | – | $9,512$3,843–$12,471 · 39 plans | |
| Ms-Drg 819 819 | – | – | – | $7,056$3,382–$10,359 · 39 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $48,124$13,339–$62,948 · 39 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $18,553$11,851–$47,009 · 39 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $10,472$8,998–$18,786 · 39 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $37,621$13,339–$49,210 · 39 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $18,776$11,874–$28,165 · 39 plans | |
| Ms-Drg 825 825 | – | – | – | $11,659$9,904–$15,348 · 39 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $38,384$13,339–$50,208 · 39 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $19,154$11,913–$36,873 · 39 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $14,120$11,390–$24,955 · 39 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $25,930$11,543–$33,484 · 39 plans | |
| Ms-Drg 830 830 | – | – | – | $12,473$10,410–$16,153 · 39 plans | |
| Ms-Drg 831 831 | – | – | – | $9,867$3,843–$12,405 · 39 plans | |
| Ms-Drg 832 832 | – | – | – | $5,921$3,819–$9,324 · 39 plans | |
| Ms-Drg 833 833 | – | – | – | $4,334$3,382–$8,523 · 39 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $45,048$9,921–$58,924 · 39 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $17,286$9,433–$33,919 · 39 plans | |
| Ms-Drg 836 836 | – | – | – | $10,120$8,628–$15,166 · 39 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $39,422$9,921–$51,566 · 39 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $17,300$9,439–$35,745 · 39 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $11,966$8,649–$35,745 · 39 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $26,544$9,921–$34,721 · 39 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $13,520$8,811–$19,663 · 39 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $8,788$7,623–$13,263 · 39 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $16,368$9,124–$21,411 · 39 plans | |
| Ms-Drg 844 844 | – | – | – | $10,120$8,628–$15,236 · 39 plans | |
| Ms-Drg 845 845 | – | – | – | $7,407$6,640–$13,091 · 39 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $21,273$4,751–$26,745 · 39 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $10,735$4,751–$13,821 · 39 plans | |
| Ms-Drg 848 848 | – | – | – | $6,970$4,722–$9,804 · 39 plans | |
| Radiotherapy 849 | – | – | – | $22,233$9,921–$29,082 · 39 plans | |
| Ms-Drg 850 850 | – | – | – | $71,767$13,339–$134,245 · 39 plans | |
| Ms-Drg 855 855 | – | – | – | $13,022$10,824–$46,232 · 39 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $37,698$13,339–$49,224 · 39 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $17,748$11,767–$46,232 · 39 plans | |
| Ms-Drg 858 858 | – | – | – | $12,115$10,174–$46,232 · 39 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $14,964$8,976–$19,574 · 39 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $8,680$7,545–$14,605 · 39 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $7,721$6,858–$13,560 · 39 plans | |
| Viral Illness with Mcc 865 | – | – | – | $12,294$6,984–$16,082 · 39 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $7,207$6,235–$9,989 · 39 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $17,348$9,459–$22,467 · 39 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $8,968$7,752–$18,340 · 39 plans | |
| Ms-Drg 869 869 | – | – | – | $6,467$5,783–$18,340 · 39 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | – | – | – | $55,014$17,852–$61,479 · 39 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $30,837$1,407–$36,788 · 27 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $7,879$1,178–$9,264 · 27 plans | |
| Depressive Neuroses 881 | – | – | – | $7,798$1,156–$11,828 · 27 plans | |
| Neuroses Except Depressive 882 | – | – | – | $8,811$1,113–$10,542 · 27 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $15,312$1,276–$18,716 · 27 plans | |
| Delirium and other mental confusion 884 | – | – | – | $12,529$1,178–$15,314 · 27 plans | |
| Psychoses 885 | – | – | – | $11,576$1,091–$15,275 · 27 plans | |
| Ms-Drg 886 886 | – | – | – | $16,161$1,167–$19,754 · 27 plans | |
| Ms-Drg 887 887 | – | – | – | $8,787$1,091–$10,486 · 27 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $5,062$950–$6,642 · 31 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $10,718$994–$12,777 · 31 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $9,125$1,085–$15,179 · 31 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $6,874$1,050–$9,125 · 31 plans | |
| Ms-Drg 901 901 | – | – | – | $34,435$13,339–$45,043 · 39 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $15,867$11,571–$29,760 · 39 plans | |
| Ms-Drg 903 903 | – | – | – | $10,173$8,783–$28,363 · 39 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $30,140$13,339–$39,424 · 39 plans | |
| Ms-Drg 905 905 | – | – | – | $12,902$10,738–$24,053 · 39 plans | |
| Ms-Drg 906 906 | – | – | – | $16,118$8,028–$21,083 · 39 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $31,504$13,339–$41,208 · 39 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $16,535$11,641–$26,440 · 39 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $11,418$9,675–$21,397 · 39 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $13,413$7,554–$17,544 · 39 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $7,339$6,590–$10,123 · 39 plans | |
| Ms-Drg 915 915 | – | – | – | $13,798$4,957–$17,348 · 39 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $5,522$3,848–$9,324 · 39 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | – | – | – | $12,484$1,300–$16,834 · 39 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $7,103$1,224–$9,875 · 39 plans | |
| Complications of Treatment with Mcc 919 | – | – | – | $15,023$8,540–$19,650 · 39 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $8,718$7,572–$11,774 · 39 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $6,101$5,456–$10,883 · 39 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $14,355$8,487–$18,777 · 39 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $8,434$6,587–$10,923 · 39 plans | |
| Ms-Drg 927 927 | – | – | – | $176,945$13,072–$229,180 · 37 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $59,236$13,072–$76,993 · 37 plans | |
| Ms-Drg 929 929 | – | – | – | $26,428$13,072–$34,573 · 37 plans | |
| Ms-Drg 933 933 | – | – | – | $31,954$9,722–$41,801 · 37 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $18,321$9,722–$23,729 · 37 plans | |
| Non-Extensive Burns 935 | – | – | – | $16,903$9,722–$22,112 · 37 plans | |
| Ms-Drg 939 939 | – | – | – | $29,774$13,339–$38,945 · 39 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $19,176$11,935–$25,082 · 39 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $16,805$11,669–$21,764 · 39 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $12,834$2,999–$26,120 · 37 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $9,504$2,999–$26,120 · 37 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $10,416$1,224–$13,625 · 39 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $6,634$1,191–$10,131 · 39 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $9,762$4,604–$12,735 · 39 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $5,202$3,195–$9,167 · 39 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $4,927$4,425–$10,070 · 39 plans | |
| Ms-Drg 955 955 | – | – | – | $55,785$13,339–$101,970 · 39 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $31,186$13,339–$47,539 · 39 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $63,151$13,339–$81,786 · 39 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $34,923$13,339–$68,894 · 39 plans | |
| Ms-Drg 959 959 | – | – | – | $24,400$13,021–$68,894 · 39 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $22,657$9,921–$29,342 · 39 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $12,702$8,725–$25,450 · 39 plans | |
| Ms-Drg 965 965 | – | – | – | $8,180$7,187–$25,450 · 39 plans | |
| Ms-Drg 969 969 | – | – | – | $50,731$13,339–$66,572 · 39 plans | |
| Ms-Drg 970 970 | – | – | – | $21,858$12,194–$62,609 · 39 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $23,918$9,921–$30,976 · 39 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $10,732$8,628–$28,714 · 39 plans | |
| Ms-Drg 976 976 | – | – | – | $7,852$6,952–$28,714 · 39 plans | |
| Ms-Drg 977 977 | – | – | – | $10,755$8,628–$17,208 · 39 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | – | – | – | $38,884$13,339–$52,950 · 39 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $20,375$12,040–$50,281 · 39 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $14,205$11,399–$50,281 · 39 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $28,132$13,339–$36,798 · 39 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $13,622$11,338–$25,446 · 39 plans | |
| Ms-Drg 989 989 | – | – | – | $10,431$8,968–$24,252 · 39 plans | |
| Ms-Drg 998 998 | – | – | – | $12,482$9,655–$16,355 · 10 plans | |
| Ms-Drg 999 999 | – | – | – | $12,482$9,655–$16,355 · 10 plans |
Outpatient procedures and tests
The hospital's facility charge only; doctors usually bill separately.
| Procedure | List price | Cash price | Insurers (median) |
|---|---|---|---|
| C-section, with prenatal and postpartum care CPT 59510 | – | – | $2,550$1,950–$11,869 · 11 plans |
| Cataract surgery CPT 66984 | – | – | $4,330$1,950–$8,385 · 25 plans |
| Colonoscopy CPT 45378 | – | – | $2,550$1,650–$8,253 · 25 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $3,148$1,950–$8,253 · 25 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$8–$154 · 20 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $1,473 | $1,473 | $176$11–$958 · 46 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $23,779 | $23,779 | $4,695$1,478–$19,023 · 31 plans |
| Emergency room visit, highest level CPT 99285 | $7,301 | $7,301 | $3,249$1,097–$5,793 · 33 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $10,192$2,930–$17,747 · 28 plans |
| Hip replacement CPT 27130 | – | – | $9,404$1,950–$31,455 · 30 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $9,404$2,997–$15,793 · 28 plans |
| Knee replacement CPT 27447 | – | – | $10,819$1,950–$31,160 · 32 plans |
| MRI of the brain, with and without contrast CPT 70553 | $12,726 | $12,726 | $3,690$993–$10,180 · 31 plans |
| MRI of the knee, without contrast CPT 73721 | $10,193 | $10,193 | $2,956$795–$8,154 · 31 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $2,550$1,950–$11,869 · 11 plans |
Price file: Marion Communtiy Hospital, read November 9, 2026.