HCA Florida Fawcett Hospital
21298 Olean Blvd, Port Charlotte, FL 33952 · (941) 629-1181
The money
$6what care cost the hospital for every $100 it billed
$37.2Mnet income, all sources
13.1%margin on patient care alone
$10.0Mcost of charity care (4.3% of costs)
$9.1Munpaid bills written off (bad debt)
239beds
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 | 386 | $172,034 | $12,524 | $15,371$13,877–$21,763 · 36 plans | |
| Pneumonia, with major complications 193 | 115 | $137,762 | $8,683 | $10,120$9,255–$21,505 · 37 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 113 | $199,130 | $21,438 | $24,480$18,839–$35,625 · 38 plans | |
| Heart failure, with major complications 291 | 99 | $112,985 | $8,359 | $10,253$9,190–$20,926 · 38 plans | |
| Kidney failure, with major complications 682 | 84 | $141,154 | $9,673 | $11,122$9,622–$19,251 · 36 plans | |
| Lung infection, with major complications 177 | 77 | $168,883 | $10,925 | $11,736$9,622–$26,156 · 36 plans | |
| Mini-stroke (TIA) 069 | 71 | $147,931 | $5,333 | $6,642$5,853–$30,033 · 37 plans | |
| Stroke, with major complications 064 | 64 | $216,245 | $12,244 | $15,176$14,381–$40,980 · 37 plans | |
| Stroke, with complications or clot-busting drug 065 | 61 | $166,282 | $6,581 | $8,143$7,343–$40,980 · 37 plans | |
| Sepsis 872 | 60 | $111,780 | $7,363 | $8,172$7,423–$21,694 · 36 plans | |
| Infection needing surgery, with major complications 853 | 54 | $469,354 | $32,092 | $36,908$12,939–$54,334 · 36 plans | |
| Heart attack, with major complications 280 | 53 | $134,115 | $10,246 | $12,576$11,016–$25,775 · 38 plans | |
| Kidney failure, with complications 683 | 52 | $88,383 | $5,967 | $6,930$6,263–$18,236 · 37 plans | |
| Back problems (no surgery) 552 | 48 | $128,586 | $6,411 | $7,362$6,832–$10,576 · 36 plans | |
| Other kidney and urinary problems, with major complications 698 | 47 | $134,834 | $10,373 | $12,138$8,981–$18,202 · 36 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 45 | $123,922 | $8,746 | $9,981$8,951–$14,694 · 36 plans | |
| Urinary tract infection 690 | 40 | $99,109 | $5,403 | $6,406$5,789–$18,236 · 37 plans | |
| Respiratory failure 189 | 39 | $129,310 | $8,725 | $9,459$8,780–$22,609 · 36 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 39 | $244,829 | $13,493 | $16,881$15,335–$31,263 · 37 plans | |
| Fainting 312 | 38 | $101,646 | $5,801 | $6,706$6,226–$10,050 · 36 plans | |
| Urinary tract infection, with major complications 689 | 37 | $119,366 | $7,617 | $9,125$8,246–$18,913 · 37 plans | |
| Irregular heartbeat, with complications 309 | 34 | $90,137 | $5,380 | $5,822$5,256–$11,857 · 36 plans | |
| Stomach and digestive disorders 392 | 34 | $101,215 | $5,693 | $6,169$5,575–$18,236 · 37 plans | |
| Seizures with Mcc 100 | 32 | $196,756 | $14,031 | $14,198$8,292–$21,309 · 36 plans | |
| Seizures 101 | 30 | $139,423 | $6,019 | $6,874$6,448–$10,227 · 36 plans | |
| Hip or knee replacement 470 | 30 | $243,378 | $13,621 | $15,447$14,133–$37,494 · 36 plans | |
| Chest pain 313 | 29 | $66,930 | $4,821 | $5,697$5,149–$16,942 · 37 plans | |
| Heart stent, with major complications or 4+ stents 321 | 29 | $306,922 | $19,183 | $21,530$19,456–$64,789 · 37 plans | |
| Anemia and blood disorders 812 | 29 | $89,465 | $6,098 | $6,795$3,273–$9,905 · 36 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 28 | $450,795 | $35,981 | $45,344$40,977–$65,619 · 37 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 28 | $350,519 | $32,197 | $38,021$34,079–$98,870 · 38 plans | |
| Hip replacement after a hip fracture 522 | 28 | $249,501 | $14,000 | $16,757$15,273–$37,494 · 37 plans | |
| Dehydration and electrolyte problems 641 | 28 | $86,699 | $5,278 | $6,158$5,559–$10,497 · 36 plans | |
| Heart stent 322 | 26 | $215,930 | $12,138 | $15,178$12,840–$31,924 · 38 plans | |
| Heart attack, with complications 281 | 25 | $117,334 | $6,123 | $7,340$6,579–$25,775 · 38 plans | |
| Carotid Artery Stent Procedures with Cc 035 | 24 | $302,221 | $15,443 | $19,100$17,410–$43,375 · 38 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 24 | $215,424 | $17,563 | $20,643$9,622–$44,804 · 36 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 24 | $365,783 | $41,177 | $48,943$43,869–$131,101 · 38 plans | |
| Anemia and blood disorders, with major complications 811 | 24 | $139,201 | $9,396 | $10,392$7,761–$15,450 · 36 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | 23 | $235,460 | $12,329 | $13,261$11,067–$30,166 · 35 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 22 | $106,547 | $8,288 | $9,920$9,166–$14,705 · 36 plans | |
| Dysequilibrium 149 | 22 | $130,766 | $5,014 | $5,617$4,990–$9,622 · 36 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 22 | $183,729 | $15,046 | $16,862$15,207–$66,694 · 35 plans | |
| Heart catheterization, with major complications 286 | 22 | $202,886 | $14,565 | $16,375$9,452–$23,949 · 38 plans | |
| Heart catheterization 287 | 22 | $167,492 | $7,792 | $8,468$7,652–$20,261 · 37 plans | |
| Irregular heartbeat, with major complications 308 | 22 | $108,969 | $8,111 | $9,022$8,557–$13,246 · 36 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 22 | $156,073 | $12,016 | $13,400$9,376–$20,112 · 36 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 20 | $100,215 | $5,405 | $6,391$5,769–$14,013 · 36 plans | |
| Diabetes, with complications 638 | 20 | $72,012 | $6,036 | $7,026$6,402–$11,492 · 36 plans | |
| Other Disorders of Nervous System with Cc 092 | 19 | $127,177 | $6,916 | $8,020$7,270–$14,225 · 36 plans | |
| Pneumonia, with complications 194 | 19 | $122,872 | $5,455 | $6,377$5,763–$20,817 · 37 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 18 | $294,866 | $17,983 | $22,530$20,847–$33,257 · 38 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 17 | $509,387 | $27,960 | $35,978$33,046–$55,539 · 37 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 17 | $129,726 | $8,489 | $9,914$9,192–$14,332 · 36 plans | |
| Lung infection, with complications 178 | 17 | $103,568 | $6,404 | $7,652$6,936–$24,145 · 36 plans | |
| Bowel obstruction, with complications 389 | 17 | $88,733 | $5,210 | $6,250$5,642–$11,051 · 36 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | 17 | $372,076 | $30,282 | – | |
| Other Major Cardiovascular Procedures with Mcc 270 | 16 | $539,564 | $39,703 | $39,607$36,725–$58,390 · 38 plans | |
| Stomach or intestinal bleeding, with complications 378 | 16 | $123,961 | $6,602 | $7,688$6,970–$13,222 · 36 plans | |
| Other digestive problems, with complications 394 | 16 | $94,802 | $6,936 | $7,336$6,650–$13,375 · 36 plans | |
| Skin infection (cellulitis) 603 | 16 | $82,736 | $5,868 | $6,891$6,228–$18,236 · 37 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 15 | $200,635 | $14,920 | $16,654$9,561–$24,995 · 36 plans | |
| Respiratory Neoplasms with Mcc 180 | 15 | $175,954 | $11,317 | $13,133$9,622–$19,430 · 36 plans | |
| Peripheral Vascular Disorders with Cc 300 | 15 | $99,763 | $7,727 | $8,755$7,821–$26,726 · 37 plans | |
| Irregular heartbeat 310 | 15 | $61,869 | $3,855 | $4,480$4,098–$14,026 · 35 plans | |
| Spinal fusion (lower or mid back) 460 | 15 | $324,546 | $23,142 | – | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 15 | $83,461 | $5,857 | $6,424$5,934–$9,815 · 36 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 14 | $235,711 | $12,022 | $16,726$14,149–$42,539 · 38 plans | |
| COPD, with major complications 190 | 14 | $121,811 | $7,980 | $8,684$7,872–$15,692 · 36 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 14 | $300,098 | $26,941 | $25,265$22,785–$66,694 · 35 plans | |
| Bowel surgery, with major complications 329 | 14 | $461,490 | $27,927 | $34,351$13,206–$51,440 · 38 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 14 | $301,206 | $12,918 | $17,474$14,655–$40,258 · 37 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 14 | $126,819 | $11,512 | $12,466$4,432–$13,886 · 28 plans | |
| Other Disorders of Nervous System with Mcc 091 | 13 | $189,066 | $11,481 | $13,060$9,622–$19,322 · 36 plans | |
| Other Vascular Procedures with Mcc 252 | 13 | $344,272 | $20,888 | $26,524$23,612–$44,715 · 38 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 13 | $103,229 | $6,408 | $7,552$6,846–$15,702 · 36 plans | |
| Stomach and digestive disorders, with major complications 391 | 13 | $137,897 | $8,475 | $9,344$6,665–$13,954 · 36 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 13 | $376,932 | $40,201 | – | |
| Fracture or sprain (not hip or thigh) 563 | 13 | $83,060 | $5,764 | $6,692$5,720–$10,186 · 36 plans | |
| Diabetes, with major complications 637 | 13 | $125,060 | $9,256 | $10,684$8,556–$15,807 · 36 plans | |
| Delirium and other mental confusion 884 | 13 | $100,535 | $10,506 | $11,853$9,336–$14,205 · 24 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 12 | $121,384 | $6,840 | $7,614$6,902–$12,308 · 36 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 12 | $181,473 | $12,292 | $10,928$8,228–$16,248 · 36 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 12 | $332,327 | $19,567 | $27,906$25,219–$55,817 · 37 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 12 | $232,581 | $9,781 | $11,766$10,553–$26,019 · 36 plans | |
| Medical Back Problems with Mcc 551 | 12 | $168,127 | $9,983 | $12,287$7,421–$18,440 · 36 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 12 | $97,442 | $14,904 | $16,420$9,622–$24,291 · 36 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 11 | $255,292 | $25,134 | $30,914$25,678–$65,183 · 37 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | 11 | $206,887 | $16,308 | $19,939$17,887–$45,163 · 36 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 11 | $281,862 | $18,291 | $19,046$15,299–$31,589 · 36 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 11 | $190,764 | $8,943 | $10,459$9,442–$25,366 · 36 plans | |
| Other kidney and urinary problems, with complications 699 | 11 | $89,097 | $6,586 | $7,957$7,214–$12,138 · 36 plans | |
| Rehabilitation with Cc/Mcc 945 | 11 | $114,463 | $9,401 | $11,409$2,863–$12,992 · 28 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $207,380$50,617–$313,341 · 34 plans | |
| Ms-Drg 002 002 | – | – | – | $88,838$33,685–$187,094 · 34 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | – | – | – | $160,179$68,503–$292,063 · 35 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $104,532$47,541–$175,293 · 35 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $80,076$25,541–$167,112 · 33 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $36,013$17,476–$152,718 · 33 plans | |
| Lung Transplant 007 | – | – | – | $100,577$29,293–$146,362 · 33 plans | |
| Ms-Drg 008 008 | – | – | – | $43,528$18,852–$85,106 · 33 plans | |
| Ms-Drg 010 010 | – | – | – | $55,730$21,085–$84,251 · 33 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $40,561$12,939–$60,006 · 36 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $31,662$12,939–$47,934 · 36 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $21,642$12,939–$46,973 · 36 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $93,336$25,178–$164,414 · 33 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $46,053$16,524–$150,253 · 33 plans | |
| Ms-Drg 017 017 | – | – | – | $42,190$15,817–$150,253 · 33 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $318,133$21,079–$449,725 · 32 plans | |
| Ms-Drg 019 019 | – | – | – | $55,410$21,026–$85,106 · 33 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $62,266$55,924–$105,224 · 37 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $41,890$38,476–$96,484 · 37 plans | |
| Ms-Drg 022 022 | – | – | – | $25,608$23,094–$96,484 · 37 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $31,528$28,433–$64,965 · 37 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $25,059$22,598–$55,539 · 37 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $20,333$18,485–$51,894 · 37 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $44,493$33,441–$65,027 · 38 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $27,428$24,796–$49,885 · 37 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $17,049$15,940–$41,653 · 37 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $33,023$24,982–$42,648 · 36 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $17,019$15,457–$33,023 · 36 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $13,158$12,184–$33,023 · 35 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $28,927$19,787–$44,278 · 38 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $24,333$18,494–$41,218 · 38 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $14,861$11,889–$41,653 · 37 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $10,120$8,561–$36,348 · 38 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $28,474$15,376–$44,226 · 38 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $17,076$15,526–$41,653 · 37 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $12,912$8,277–$31,412 · 38 plans | |
| Ms-Drg 052 052 | – | – | – | $13,603$9,622–$20,745 · 36 plans | |
| Ms-Drg 053 053 | – | – | – | $7,677$6,959–$17,856 · 36 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $11,467$9,622–$16,991 · 36 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $7,993$7,246–$13,608 · 36 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | – | – | – | $17,029$9,622–$25,559 · 36 plans | |
| Ms-Drg 058 058 | – | – | – | $12,713$9,622–$18,808 · 36 plans | |
| Ms-Drg 059 059 | – | – | – | $9,501$8,819–$14,267 · 36 plans | |
| Ms-Drg 060 060 | – | – | – | $7,211$6,571–$14,267 · 36 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $20,807$13,910–$32,750 · 35 plans | |
| Ms-Drg 063 063 | – | – | – | $10,594$9,977–$28,677 · 35 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $6,268$5,014–$40,980 · 37 plans | |
| Ms-Drg 067 067 | – | – | – | $10,976$6,921–$28,124 · 37 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $6,840$6,333–$28,124 · 37 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | – | – | – | $12,381$9,360–$18,316 · 36 plans | |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | $8,044$7,292–$13,177 · 36 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $5,984$5,402–$10,016 · 36 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $11,760$8,209–$17,651 · 36 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | – | – | – | $7,704$7,106–$11,341 · 36 plans | |
| Ms-Drg 075 075 | – | – | – | $14,330$9,622–$21,096 · 36 plans | |
| Ms-Drg 076 076 | – | – | – | $6,530$5,895–$16,405 · 36 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $13,461$9,622–$19,914 · 36 plans | |
| Ms-Drg 081 081 | – | – | – | $7,021$6,398–$15,096 · 36 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $17,081$9,622–$25,146 · 36 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $10,482$9,523–$22,752 · 36 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $7,493$6,793–$19,528 · 36 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $7,003$6,534–$10,296 · 36 plans | |
| Concussion with Mcc 088 | – | – | – | $9,959$5,967–$14,873 · 36 plans | |
| Concussion with Cc 089 | – | – | – | $8,130$5,967–$12,087 · 36 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $6,122$4,507–$9,773 · 36 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $6,301$5,689–$10,759 · 36 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $25,799$9,622–$38,720 · 36 plans | |
| Ms-Drg 095 095 | – | – | – | $19,181$9,622–$28,376 · 36 plans | |
| Ms-Drg 096 096 | – | – | – | $19,181$9,622–$28,376 · 36 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $26,476$9,622–$39,737 · 36 plans | |
| Ms-Drg 098 098 | – | – | – | $17,067$9,622–$25,248 · 36 plans | |
| Ms-Drg 099 099 | – | – | – | $10,232$9,404–$20,529 · 36 plans | |
| Headaches with Mcc 102 | – | – | – | $8,377$6,789–$12,332 · 36 plans | |
| Headaches Without Mcc 103 | – | – | – | $6,250$5,944–$9,848 · 36 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $17,235$7,415–$23,238 · 36 plans | |
| Ms-Drg 114 114 | – | – | – | $10,012$7,415–$14,886 · 36 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $11,358$4,583–$15,128 · 36 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $13,321$7,705–$19,893 · 36 plans | |
| Ms-Drg 117 117 | – | – | – | $8,108$7,254–$13,014 · 36 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $8,694$6,939–$12,799 · 36 plans | |
| Ms-Drg 122 122 | – | – | – | $6,218$5,613–$9,719 · 36 plans | |
| Neurological Eye Disorders 123 | – | – | – | $5,996$5,705–$9,632 · 36 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $9,747$6,653–$14,557 · 36 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $5,738$4,643–$9,622 · 36 plans | |
| Ms-Drg 135 135 | – | – | – | $15,907$7,563–$22,610 · 36 plans | |
| Ms-Drg 136 136 | – | – | – | $7,588$6,847–$12,939 · 36 plans | |
| Ms-Drg 137 137 | – | – | – | $11,159$9,962–$16,428 · 36 plans | |
| Ms-Drg 138 138 | – | – | – | $6,997$6,331–$12,939 · 36 plans | |
| Ms-Drg 139 139 | – | – | – | $9,235$7,642–$13,878 · 36 plans | |
| Ms-Drg 140 140 | – | – | – | $31,874$12,939–$46,927 · 36 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $16,380$12,939–$37,716 · 36 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $12,335$11,346–$35,876 · 36 plans | |
| Ms-Drg 143 143 | – | – | – | $27,451$12,883–$32,666 · 35 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $12,951$12,321–$19,054 · 35 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $8,985$8,550–$15,474 · 35 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $15,522$9,622–$23,296 · 36 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $9,735$9,037–$14,398 · 36 plans | |
| Ms-Drg 148 148 | – | – | – | $6,307$5,694–$13,274 · 36 plans | |
| Ms-Drg 150 150 | – | – | – | $9,809$4,595–$13,739 · 36 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $5,485$4,595–$9,622 · 36 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $9,153$8,402–$13,645 · 36 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $5,841$5,273–$9,856 · 36 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $11,461$6,673–$17,202 · 36 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $6,849$6,514–$10,307 · 36 plans | |
| Ms-Drg 156 156 | – | – | – | $5,469$4,937–$9,622 · 36 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $12,585$7,755–$18,888 · 36 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $7,133$6,499–$10,416 · 36 plans | |
| Ms-Drg 159 159 | – | – | – | $5,295$4,667–$9,622 · 36 plans | |
| Major Chest Procedures with Mcc 163 | – | – | – | $33,330$12,939–$49,309 · 36 plans | |
| Major Chest Procedures with Cc 164 | – | – | – | $18,955$12,939–$41,228 · 36 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $14,376$12,938–$37,166 · 36 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $27,933$12,939–$41,122 · 36 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $13,608$12,544–$32,501 · 36 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $10,712$9,711–$22,745 · 36 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $22,353$12,939–$44,812 · 36 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | – | – | – | $10,316$9,444–$21,565 · 36 plans | |
| Pulmonary Embolism Without Mcc 176 | – | – | – | $6,370$5,751–$18,471 · 36 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $5,974$5,393–$17,958 · 36 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $8,396$7,612–$16,406 · 36 plans | |
| Ms-Drg 182 182 | – | – | – | $5,965$5,385–$14,052 · 36 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $11,377$9,018–$16,832 · 36 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $8,342$7,563–$12,237 · 36 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $6,224$5,618–$9,622 · 36 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $11,704$9,622–$17,147 · 36 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $7,754$7,030–$16,122 · 36 plans | |
| Ms-Drg 188 188 | – | – | – | $5,675$5,123–$12,617 · 36 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | – | – | – | $6,656$6,022–$14,341 · 36 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $5,080$4,608–$13,441 · 36 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $4,973$4,568–$20,817 · 37 plans | |
| Interstitial Lung Disease with Mcc 196 | – | – | – | $14,035$9,622–$20,763 · 36 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $7,441$6,745–$15,470 · 36 plans | |
| Ms-Drg 198 198 | – | – | – | $5,667$5,116–$11,832 · 36 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $13,248$9,622–$19,604 · 36 plans | |
| Pneumothorax with Cc 200 | – | – | – | $8,618$7,813–$18,009 · 36 plans | |
| Ms-Drg 201 201 | – | – | – | $5,659$5,108–$11,930 · 36 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $5,302$4,786–$10,494 · 36 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $6,389$5,768–$11,763 · 36 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $13,422$9,051–$20,145 · 36 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $7,284$6,688–$10,448 · 36 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $47,170$9,622–$70,795 · 36 plans | |
| Ms-Drg 209 209 | – | – | – | $84,590$63,871–$141,946 · 38 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $83,258$75,422–$156,961 · 38 plans | |
| Ms-Drg 213 213 | – | – | – | $42,859$38,132–$83,167 · 38 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $79,519$71,275–$164,533 · 38 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $74,902$66,007–$108,226 · 38 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $52,512$47,068–$106,603 · 38 plans | |
| Ms-Drg 218 218 | – | – | – | $52,512$47,068–$106,603 · 38 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | – | – | – | $60,196$54,964–$92,375 · 38 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $42,589$38,174–$92,375 · 38 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $40,252$36,079–$92,375 · 38 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $39,511$35,415–$73,403 · 38 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $27,114$22,905–$73,403 · 38 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $66,706$60,344–$135,081 · 38 plans | |
| Ms-Drg 232 232 | – | – | – | $48,417$43,398–$107,388 · 38 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | – | – | – | $59,771$53,121–$90,277 · 38 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $43,626$39,104–$68,782 · 38 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $46,868$42,009–$74,293 · 38 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $33,453$29,985–$57,176 · 38 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $36,421$12,939–$54,149 · 36 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $21,407$12,939–$36,935 · 36 plans | |
| Ms-Drg 241 241 | – | – | – | $10,853$9,839–$31,636 · 36 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $14,396$13,098–$30,263 · 36 plans | |
| Ms-Drg 245 245 | – | – | – | $34,240$31,177–$50,748 · 36 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $17,430$15,872–$31,924 · 38 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $12,866$10,869–$31,924 · 38 plans | |
| Other Vascular Procedures with Cc 253 | – | – | – | $20,919$18,865–$44,715 · 37 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $14,360$12,950–$30,197 · 37 plans | |
| Ms-Drg 255 255 | – | – | – | $20,159$12,939–$29,677 · 36 plans | |
| Ms-Drg 256 256 | – | – | – | $13,000$12,067–$27,569 · 36 plans | |
| Ms-Drg 257 257 | – | – | – | $8,563$7,762–$23,613 · 36 plans | |
| Ms-Drg 258 258 | – | – | – | $23,482$21,317–$34,569 · 36 plans | |
| Ms-Drg 259 259 | – | – | – | $16,001$14,504–$28,972 · 36 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $24,071$14,404–$35,787 · 36 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $14,404$13,678–$28,460 · 36 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $13,017$11,811–$26,567 · 36 plans | |
| Ms-Drg 263 263 | – | – | – | $22,412$10,162–$30,978 · 36 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $25,001$18,674–$36,753 · 36 plans | |
| Ms-Drg 265 265 | – | – | – | $28,366$25,847–$45,187 · 36 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $50,897$36,725–$74,438 · 38 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | – | – | – | $31,716$27,222–$49,450 · 38 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | – | – | – | $28,401$25,457–$49,385 · 38 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $20,427$18,567–$48,427 · 38 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $56,945$51,042–$116,226 · 38 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $47,530$42,953–$117,044 · 37 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $36,546$33,027–$117,651 · 37 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $42,618$28,760–$65,001 · 38 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $28,537$25,816–$46,642 · 38 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $5,775$5,176–$19,334 · 38 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $14,876$12,099–$21,793 · 36 plans | |
| Ms-Drg 284 284 | – | – | – | $5,477$4,945–$17,288 · 36 plans | |
| Ms-Drg 285 285 | – | – | – | $4,739$4,340–$17,105 · 36 plans | |
| Ms-Drg 288 288 | – | – | – | $20,324$13,639–$43,480 · 36 plans | |
| Ms-Drg 289 289 | – | – | – | $13,069$11,125–$37,241 · 36 plans | |
| Ms-Drg 290 290 | – | – | – | $7,357$6,641–$37,241 · 36 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $7,167$6,183–$14,865 · 38 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $4,873$4,122–$14,865 · 38 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $11,730$9,622–$25,064 · 36 plans | |
| Ms-Drg 297 297 | – | – | – | $5,017$4,580–$21,468 · 36 plans | |
| Ms-Drg 298 298 | – | – | – | $3,635$3,301–$21,468 · 36 plans | |
| Peripheral Vascular Disorders with Mcc 299 | – | – | – | $12,202$9,150–$26,725 · 38 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $6,591$5,273–$23,722 · 37 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $8,943$8,504–$13,165 · 36 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $5,327$4,809–$10,273 · 36 plans | |
| Hypertension with Mcc 304 | – | – | – | $8,893$6,904–$13,092 · 36 plans | |
| High blood pressure 305 | – | – | – | $5,975$5,394–$9,696 · 36 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $11,719$9,304–$17,337 · 36 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $7,159$6,524–$10,966 · 36 plans | |
| Angina Pectoris 311 | – | – | – | $5,554$5,014–$10,083 · 36 plans | |
| Other circulation problems, with major complications 314 | – | – | – | $15,458$9,622–$22,941 · 36 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $5,397$4,873–$11,439 · 36 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $51,195$33,069–$90,154 · 38 plans | |
| Ms-Drg 318 318 | – | – | – | $18,989$16,132–$35,299 · 38 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $32,879$18,839–$51,194 · 38 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $18,839$17,218–$31,924 · 38 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $34,243$30,850–$64,802 · 37 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $24,934$22,394–$51,361 · 38 plans | |
| Ms-Drg 325 325 | – | – | – | $25,404$22,816–$52,330 · 38 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $37,090$12,939–$54,871 · 36 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $18,356$12,939–$39,166 · 36 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $12,358$11,388–$26,089 · 36 plans | |
| Bowel surgery, with complications 330 | – | – | – | $18,091$13,072–$63,257 · 37 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $13,193$11,960–$30,704 · 38 plans | |
| Ms-Drg 332 332 | – | – | – | $27,191$12,939–$44,813 · 36 plans | |
| Ms-Drg 333 333 | – | – | – | $17,590$12,939–$40,422 · 36 plans | |
| Ms-Drg 334 334 | – | – | – | $12,541$11,641–$29,121 · 36 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $26,556$12,939–$39,287 · 36 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $15,836$12,939–$34,139 · 36 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $12,034$10,909–$23,171 · 36 plans | |
| Ms-Drg 344 344 | – | – | – | $19,208$12,939–$28,416 · 36 plans | |
| Ms-Drg 345 345 | – | – | – | $11,796$10,694–$20,488 · 36 plans | |
| Ms-Drg 346 346 | – | – | – | $9,299$8,430–$16,019 · 36 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $16,828$7,923–$23,942 · 36 plans | |
| Ms-Drg 348 348 | – | – | – | $9,781$7,923–$14,399 · 36 plans | |
| Ms-Drg 349 349 | – | – | – | $6,506$6,111–$12,939 · 36 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $18,267$10,467–$27,416 · 36 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $11,393$10,467–$16,773 · 36 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $8,727$7,248–$13,489 · 36 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $21,273$10,847–$31,507 · 36 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $12,573$10,847–$18,510 · 36 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $10,052$8,091–$14,798 · 36 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $32,668$12,939–$48,330 · 36 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $17,465$12,939–$38,108 · 36 plans | |
| Ms-Drg 358 358 | – | – | – | $10,959$9,935–$29,077 · 36 plans | |
| Ms-Drg 359 359 | – | – | – | $25,698$20,044–$50,111 · 38 plans | |
| Ms-Drg 360 360 | – | – | – | $18,131$16,093–$35,184 · 38 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $11,897$9,622–$17,514 · 36 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $7,841$7,108–$16,214 · 36 plans | |
| Ms-Drg 370 370 | – | – | – | $5,545$5,006–$13,887 · 36 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $13,316$9,622–$19,899 · 36 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $8,004$7,256–$17,602 · 36 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $5,756$5,196–$16,698 · 36 plans | |
| Digestive Malignancy with Mcc 374 | – | – | – | $15,678$9,622–$23,530 · 36 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $9,261$8,597–$15,663 · 36 plans | |
| Ms-Drg 376 376 | – | – | – | $7,246$6,603–$13,993 · 36 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $4,988$4,567–$10,276 · 36 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $14,384$9,505–$21,588 · 36 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $8,494$7,700–$13,576 · 36 plans | |
| Ms-Drg 382 382 | – | – | – | $6,335$5,719–$13,050 · 36 plans | |
| Ms-Drg 383 383 | – | – | – | $10,123$7,177–$15,190 · 36 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $6,388$6,075–$9,953 · 36 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $11,767$9,622–$17,408 · 36 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $7,654$6,939–$14,391 · 36 plans | |
| Ms-Drg 387 387 | – | – | – | $5,391$4,867–$12,403 · 36 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $4,345$3,946–$8,867 · 36 plans | |
| Other Digestive System Diagnoses with Mcc 393 | – | – | – | $11,894$9,432–$17,596 · 36 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $5,136$4,636–$10,450 · 36 plans | |
| Ms-Drg 397 397 | – | – | – | $17,986$12,939–$32,740 · 36 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $11,866$10,757–$22,053 · 36 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $8,974$8,135–$16,221 · 36 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $31,225$25,225–$118,878 · 37 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $41,083$12,939–$65,000 · 36 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $21,781$12,939–$55,673 · 36 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $16,669$12,939–$50,473 · 36 plans | |
| Ms-Drg 408 408 | – | – | – | $26,778$12,939–$40,972 · 36 plans | |
| Ms-Drg 409 409 | – | – | – | $16,352$12,939–$37,250 · 36 plans | |
| Ms-Drg 410 410 | – | – | – | $12,301$11,284–$27,650 · 36 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $24,687$12,939–$36,343 · 36 plans | |
| Ms-Drg 412 412 | – | – | – | $15,790$12,939–$33,116 · 36 plans | |
| Ms-Drg 413 413 | – | – | – | $12,714$11,801–$23,279 · 36 plans | |
| Ms-Drg 414 414 | – | – | – | $26,116$12,939–$39,196 · 36 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $15,521$12,939–$24,854 · 36 plans | |
| Ms-Drg 416 416 | – | – | – | $10,688$9,689–$16,612 · 36 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $17,660$13,514–$25,828 · 38 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | – | – | – | $13,386$12,097–$22,250 · 37 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $10,808$9,757–$22,783 · 36 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $25,587$12,939–$38,655 · 36 plans | |
| Ms-Drg 421 421 | – | – | – | $13,303$12,310–$32,804 · 36 plans | |
| Ms-Drg 422 422 | – | – | – | $10,972$9,946–$29,182 · 36 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $30,885$12,939–$45,691 · 36 plans | |
| Ms-Drg 424 424 | – | – | – | $16,431$12,939–$36,649 · 36 plans | |
| Ms-Drg 425 425 | – | – | – | $11,762$10,663–$33,857 · 36 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $82,769$34,000–$152,658 · 38 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $53,947$32,029–$118,878 · 37 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $42,427$32,029–$118,878 · 37 plans | |
| Ms-Drg 429 429 | – | – | – | $67,662$34,000–$121,548 · 38 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $43,522$32,029–$118,878 · 37 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | – | – | – | $14,637$9,622–$21,654 · 36 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $8,280$7,506–$16,999 · 36 plans | |
| Ms-Drg 434 434 | – | – | – | $5,638$5,090–$14,560 · 36 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | – | – | – | $13,659$9,622–$20,207 · 36 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $8,868$8,039–$15,066 · 36 plans | |
| Ms-Drg 437 437 | – | – | – | $6,697$6,096–$14,126 · 36 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $12,183$9,523–$30,768 · 35 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $6,642$6,003–$24,334 · 35 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $4,917$4,498–$20,895 · 35 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $13,347$9,622–$19,745 · 36 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $7,568$6,860–$15,619 · 36 plans | |
| Ms-Drg 443 443 | – | – | – | $5,537$4,998–$11,272 · 36 plans | |
| Disorders of the Biliary Tract with Mcc 444 | – | – | – | $12,249$8,436–$18,383 · 36 plans | |
| Disorders of the Biliary Tract with Cc 445 | – | – | – | $8,379$7,778–$12,041 · 36 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $6,424$5,910–$9,796 · 36 plans | |
| Ms-Drg 447 447 | – | – | – | $49,934$32,029–$79,339 · 37 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $32,936$26,164–$62,969 · 37 plans | |
| Ms-Drg 450 450 | – | – | – | $40,221$30,807–$71,556 · 37 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $25,089$21,856–$62,969 · 37 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $62,802$42,522–$91,701 · 37 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $45,001$41,394–$73,942 · 37 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $32,712$29,655–$110,199 · 36 plans | |
| Ms-Drg 461 461 | – | – | – | $41,275$37,600–$60,269 · 37 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $21,653$19,489–$79,428 · 36 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $41,780$18,769–$62,706 · 36 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $23,391$17,871–$34,661 · 36 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $13,963$12,961–$30,887 · 36 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $37,817$27,531–$43,669 · 38 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $21,866$19,651–$54,382 · 37 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $24,002$22,002–$61,539 · 36 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $36,440$34,318–$55,817 · 37 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $23,528$21,370–$54,187 · 36 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $31,469$12,939–$47,230 · 36 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $17,091$12,939–$28,782 · 36 plans | |
| Ms-Drg 476 476 | – | – | – | $9,252$8,388–$24,652 · 36 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $25,324$12,939–$38,008 · 36 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $18,288$12,939–$27,056 · 36 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $13,960$12,741–$22,683 · 36 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $14,041$11,878–$30,937 · 38 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $20,715$16,961–$29,607 · 36 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $24,708$15,683–$37,394 · 36 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $16,394$14,234–$34,844 · 36 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $12,393$11,188–$23,323 · 36 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $13,478$12,572–$19,461 · 36 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $8,862$7,978–$18,041 · 36 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $27,305$15,299–$40,395 · 36 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $15,069$11,572–$31,332 · 36 plans | |
| Ms-Drg 495 495 | – | – | – | $26,698$14,601–$39,890 · 36 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $14,142$12,820–$26,501 · 36 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $9,588$8,632–$14,587 · 36 plans | |
| Ms-Drg 498 498 | – | – | – | $22,115$11,019–$32,370 · 36 plans | |
| Ms-Drg 499 499 | – | – | – | $14,800$11,019–$22,167 · 36 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $23,200$9,530–$31,193 · 36 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $12,878$9,530–$19,233 · 36 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $9,960$7,289–$14,808 · 36 plans | |
| Ms-Drg 503 503 | – | – | – | $20,460$7,266–$27,510 · 36 plans | |
| Foot Procedures with Cc 504 | – | – | – | $13,771$7,266–$20,477 · 36 plans | |
| Ms-Drg 505 505 | – | – | – | $13,267$7,266–$19,724 · 36 plans | |
| Ms-Drg 506 506 | – | – | – | $10,083$8,875–$14,844 · 36 plans | |
| Ms-Drg 507 507 | – | – | – | $13,598$12,838–$20,167 · 36 plans | |
| Ms-Drg 508 508 | – | – | – | $11,983$10,818–$18,261 · 36 plans | |
| Ms-Drg 510 510 | – | – | – | $22,352$7,645–$32,549 · 36 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $15,540$7,645–$26,884 · 36 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $12,371$7,645–$24,658 · 36 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $11,650$5,539–$16,398 · 36 plans | |
| Ms-Drg 514 514 | – | – | – | $7,565$5,539–$12,939 · 36 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $23,817$15,405–$35,062 · 36 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $15,607$14,769–$30,180 · 36 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $28,615$24,020–$43,233 · 38 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $12,861$10,946–$32,513 · 36 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | – | – | – | $22,712$20,525–$61,539 · 37 plans | |
| Ms-Drg 533 533 | – | – | – | $11,773$9,622–$20,600 · 36 plans | |
| Ms-Drg 534 534 | – | – | – | $6,379$5,759–$17,645 · 36 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $9,816$9,111–$15,611 · 36 plans | |
| Ms-Drg 537 537 | – | – | – | $7,132$6,675–$10,523 · 36 plans | |
| Ms-Drg 538 538 | – | – | – | $5,700$5,146–$9,622 · 36 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $14,792$9,622–$24,003 · 36 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $9,925$9,169–$21,992 · 36 plans | |
| Ms-Drg 541 541 | – | – | – | $6,231$5,625–$20,559 · 36 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $13,072$9,480–$19,435 · 36 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $8,059$7,306–$13,506 · 36 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $5,971$5,391–$12,580 · 36 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $18,192$9,362–$27,304 · 36 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $9,041$8,197–$13,195 · 36 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $6,617$5,974–$10,876 · 36 plans | |
| Ms-Drg 548 548 | – | – | – | $14,501$9,622–$21,665 · 36 plans | |
| Ms-Drg 549 549 | – | – | – | $9,250$8,580–$19,941 · 36 plans | |
| Ms-Drg 550 550 | – | – | – | $6,853$6,244–$18,176 · 36 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $9,640$7,315–$14,262 · 36 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $6,569$5,930–$9,812 · 36 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $9,738$6,424–$14,542 · 36 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $10,900$6,534–$16,359 · 36 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $6,675$6,348–$10,173 · 36 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $13,671$8,544–$20,518 · 36 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $8,615$8,003–$12,389 · 36 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $6,361$5,743–$11,476 · 36 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $10,444$6,858–$15,676 · 36 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $11,315$7,585–$16,983 · 36 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $7,493$6,925–$10,720 · 36 plans | |
| Ms-Drg 566 566 | – | – | – | $5,929$5,353–$10,188 · 36 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $22,088$12,939–$35,227 · 36 plans | |
| Skin Debridement with Cc 571 | – | – | – | $12,936$12,007–$30,539 · 36 plans | |
| Ms-Drg 572 572 | – | – | – | $8,987$8,147–$27,208 · 36 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $48,025$12,939–$72,079 · 36 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $25,943$12,939–$38,192 · 36 plans | |
| Ms-Drg 575 575 | – | – | – | $13,584$12,521–$29,768 · 36 plans | |
| Ms-Drg 576 576 | – | – | – | $35,928$12,939–$48,487 · 36 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $19,615$12,939–$29,163 · 36 plans | |
| Ms-Drg 578 578 | – | – | – | $11,888$7,935–$17,674 · 36 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $23,740$12,149–$35,448 · 36 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $12,914$12,149–$19,011 · 36 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $10,785$8,270–$15,877 · 36 plans | |
| Ms-Drg 582 582 | – | – | – | $14,328$11,534–$21,196 · 36 plans | |
| Ms-Drg 583 583 | – | – | – | $12,887$10,520–$18,972 · 36 plans | |
| Ms-Drg 584 584 | – | – | – | $15,692$9,336–$23,552 · 36 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $14,141$7,384–$20,966 · 36 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $14,392$9,622–$21,292 · 36 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $9,169$8,431–$18,379 · 36 plans | |
| Ms-Drg 594 594 | – | – | – | $6,795$6,192–$15,814 · 36 plans | |
| Ms-Drg 595 595 | – | – | – | $15,546$9,085–$23,332 · 36 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $8,433$7,693–$12,005 · 36 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $12,398$9,622–$18,341 · 36 plans | |
| Ms-Drg 598 598 | – | – | – | $8,869$8,040–$15,108 · 36 plans | |
| Ms-Drg 599 599 | – | – | – | $6,088$5,496–$13,125 · 36 plans | |
| Ms-Drg 600 600 | – | – | – | $7,784$6,295–$11,460 · 36 plans | |
| Ms-Drg 601 601 | – | – | – | $4,787$4,388–$9,493 · 36 plans | |
| Cellulitis with Mcc 602 | – | – | – | $10,570$9,264–$15,637 · 36 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $10,791$6,004–$16,196 · 36 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $6,778$4,953–$10,304 · 36 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $11,093$6,906–$16,648 · 36 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $6,774$5,733–$10,249 · 36 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $16,460$12,939–$36,405 · 36 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $10,970$9,945–$33,361 · 36 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $26,190$12,939–$47,681 · 36 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $14,046$12,782–$40,840 · 36 plans | |
| Ms-Drg 618 618 | – | – | – | $11,119$10,080–$40,840 · 36 plans | |
| Ms-Drg 619 619 | – | – | – | $22,105$20,614–$30,734 · 38 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $14,404$11,725–$30,168 · 38 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $13,983$11,052–$30,168 · 38 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $26,482$12,939–$39,158 · 36 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $13,572$12,510–$31,115 · 36 plans | |
| Ms-Drg 624 624 | – | – | – | $9,815$8,897–$29,677 · 36 plans | |
| Ms-Drg 625 625 | – | – | – | $22,139$12,939–$33,227 · 36 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $11,755$10,656–$19,388 · 36 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $9,927$9,262–$14,614 · 36 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $27,715$12,939–$41,002 · 36 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $16,363$12,939–$33,706 · 36 plans | |
| Ms-Drg 630 630 | – | – | – | $11,442$10,373–$24,355 · 36 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $4,916$4,506–$10,234 · 36 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $10,576$8,724–$15,646 · 36 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $12,242$9,522–$18,110 · 36 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $8,036$7,285–$13,623 · 36 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $6,080$5,488–$10,074 · 36 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $36,513$17,568–$67,425 · 33 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $28,781$16,153–$63,437 · 33 plans | |
| Kidney Transplant 652 | – | – | – | $25,082$15,476–$61,885 · 33 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $38,644$12,939–$57,171 · 36 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $21,023$12,939–$46,025 · 36 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $15,896$12,939–$41,761 · 36 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $23,910$12,939–$40,230 · 36 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $13,743$12,638–$34,458 · 36 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $12,275$11,086–$34,458 · 36 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $19,455$15,832–$29,615 · 36 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $8,193$7,397–$18,771 · 36 plans | |
| Ms-Drg 662 662 | – | – | – | $22,442$12,230–$33,683 · 36 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $11,918$10,804–$17,073 · 36 plans | |
| Ms-Drg 664 664 | – | – | – | $8,207$7,463–$13,102 · 36 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $22,880$12,817–$34,339 · 36 plans | |
| Ms-Drg 666 666 | – | – | – | $13,282$12,352–$19,246 · 36 plans | |
| Ms-Drg 667 667 | – | – | – | $8,672$7,862–$13,968 · 36 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $21,405$7,883–$28,780 · 36 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $11,485$7,883–$17,075 · 36 plans | |
| Ms-Drg 670 670 | – | – | – | $7,304$6,170–$12,939 · 36 plans | |
| Ms-Drg 671 671 | – | – | – | $13,224$7,928–$19,749 · 36 plans | |
| Ms-Drg 672 672 | – | – | – | $8,068$6,436–$12,983 · 36 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | – | – | – | $31,246$12,939–$46,226 · 36 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $17,563$12,939–$38,301 · 36 plans | |
| Ms-Drg 675 675 | – | – | – | $12,567$11,665–$34,620 · 36 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $4,750$4,354–$16,489 · 36 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $13,348$9,452–$19,844 · 36 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $8,214$7,447–$13,430 · 36 plans | |
| Ms-Drg 688 688 | – | – | – | $6,254$5,646–$10,806 · 36 plans | |
| Ms-Drg 693 693 | – | – | – | $9,856$4,542–$11,845 · 36 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $5,842$4,542–$8,902 · 36 plans | |
| Ms-Drg 695 695 | – | – | – | $8,548$7,056–$12,584 · 36 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $5,452$4,922–$9,622 · 36 plans | |
| Ms-Drg 697 697 | – | – | – | $8,055$6,586–$11,858 · 36 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $5,459$4,928–$11,245 · 36 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $15,975$14,319–$26,282 · 38 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $12,140$11,004–$40,294 · 37 plans | |
| Ms-Drg 709 709 | – | – | – | $17,059$10,817–$25,603 · 36 plans | |
| Ms-Drg 710 710 | – | – | – | $10,731$9,958–$15,416 · 36 plans | |
| Ms-Drg 711 711 | – | – | – | $15,275$9,664–$22,926 · 36 plans | |
| Ms-Drg 712 712 | – | – | – | $8,218$6,394–$13,099 · 36 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $11,235$10,578–$16,540 · 36 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $8,238$7,515–$12,939 · 36 plans | |
| Ms-Drg 715 715 | – | – | – | $16,401$12,085–$24,615 · 36 plans | |
| Ms-Drg 716 716 | – | – | – | $11,532$10,454–$16,593 · 36 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $13,858$8,868–$20,799 · 36 plans | |
| Ms-Drg 718 718 | – | – | – | $10,037$8,868–$14,777 · 36 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $13,266$9,108–$19,910 · 36 plans | |
| Ms-Drg 723 723 | – | – | – | $8,958$8,121–$12,785 · 36 plans | |
| Ms-Drg 724 724 | – | – | – | $5,189$4,684–$9,753 · 36 plans | |
| Ms-Drg 725 725 | – | – | – | $8,745$6,790–$12,875 · 36 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $5,396$5,140–$9,622 · 36 plans | |
| Ms-Drg 727 727 | – | – | – | $10,870$6,803–$16,315 · 36 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $6,419$5,795–$9,704 · 36 plans | |
| Ms-Drg 729 729 | – | – | – | $7,834$5,937–$11,648 · 36 plans | |
| Ms-Drg 730 730 | – | – | – | $4,997$3,696–$9,622 · 36 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $15,996$12,939–$34,719 · 36 plans | |
| Ms-Drg 735 735 | – | – | – | $10,548$9,563–$29,816 · 36 plans | |
| Ms-Drg 736 736 | – | – | – | $26,583$12,939–$39,327 · 36 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $15,475$12,939–$30,753 · 36 plans | |
| Ms-Drg 738 738 | – | – | – | $11,513$10,437–$26,608 · 36 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $26,395$13,999–$40,023 · 36 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $13,855$12,861–$20,243 · 36 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $11,285$10,339–$35,779 · 37 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $14,384$13,040–$24,334 · 36 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $10,202$9,090–$23,771 · 36 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $15,021$7,312–$21,494 · 36 plans | |
| Ms-Drg 745 745 | – | – | – | $8,501$6,826–$13,315 · 36 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $12,797$7,028–$19,112 · 36 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $6,764$6,200–$12,939 · 36 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $10,419$9,392–$22,613 · 38 plans | |
| Ms-Drg 749 749 | – | – | – | $19,283$12,939–$28,606 · 36 plans | |
| Ms-Drg 750 750 | – | – | – | $11,570$10,489–$25,268 · 36 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $13,501$9,138–$20,262 · 36 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $8,528$7,731–$12,568 · 36 plans | |
| Ms-Drg 756 756 | – | – | – | $7,178$5,936–$10,567 · 36 plans | |
| Ms-Drg 757 757 | – | – | – | $10,596$8,257–$15,754 · 36 plans | |
| Ms-Drg 758 758 | – | – | – | $7,675$6,958–$11,150 · 36 plans | |
| Ms-Drg 759 759 | – | – | – | $5,251$4,741–$10,817 · 36 plans | |
| Ms-Drg 760 760 | – | – | – | $7,529$6,095–$11,085 · 36 plans | |
| Ms-Drg 761 761 | – | – | – | $4,556$4,138–$9,212 · 36 plans | |
| Ms-Drg 768 768 | – | – | – | $8,008$6,596–$15,203 · 38 plans | |
| Ms-Drg 769 769 | – | – | – | $12,449$6,391–$18,252 · 36 plans | |
| Ms-Drg 770 770 | – | – | – | $7,453$4,159–$12,211 · 36 plans | |
| Ms-Drg 776 776 | – | – | – | $4,893$4,653–$9,622 · 36 plans | |
| Ms-Drg 779 779 | – | – | – | $6,257$3,628–$9,876 · 36 plans | |
| Ms-Drg 783 783 | – | – | – | $18,168$8,653–$22,174 · 37 plans | |
| Ms-Drg 784 784 | – | – | – | $8,233$7,581–$22,232 · 37 plans | |
| Ms-Drg 785 785 | – | – | – | $7,579$6,962–$16,003 · 37 plans | |
| C-section, with major complications 786 | – | – | – | $12,206$8,653–$22,232 · 37 plans | |
| C-section, with complications 787 | – | – | – | $8,674$7,937–$22,232 · 37 plans | |
| C-section 788 | – | – | – | $7,587$6,969–$16,003 · 37 plans | |
| Ms-Drg 789 789 | – | – | – | $13,204$4,689–$14,261 · 30 plans | |
| Ms-Drg 790 790 | – | – | – | $43,787$14,549–$51,423 · 30 plans | |
| Ms-Drg 791 791 | – | – | – | $30,037$14,549–$43,808 · 30 plans | |
| Ms-Drg 792 792 | – | – | – | $17,945$4,689–$19,380 · 30 plans | |
| Ms-Drg 793 793 | – | – | – | $30,855$14,549–$43,808 · 30 plans | |
| Ms-Drg 794 794 | – | – | – | $10,814$4,689–$11,679 · 30 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $1,479$1,085–$1,706 · 30 plans | |
| Ms-Drg 796 796 | – | – | – | $8,465$6,142–$9,286 · 38 plans | |
| Ms-Drg 797 797 | – | – | – | $7,403$6,142–$8,512 · 38 plans | |
| Ms-Drg 798 798 | – | – | – | $7,083$6,142–$8,405 · 38 plans | |
| Ms-Drg 799 799 | – | – | – | $34,012$12,939–$49,827 · 36 plans | |
| Ms-Drg 800 800 | – | – | – | $21,099$12,939–$45,793 · 36 plans | |
| Ms-Drg 801 801 | – | – | – | $14,336$12,919–$22,160 · 36 plans | |
| Ms-Drg 802 802 | – | – | – | $29,205$11,815–$39,268 · 36 plans | |
| Ms-Drg 803 803 | – | – | – | $13,824$11,815–$20,452 · 36 plans | |
| Ms-Drg 804 804 | – | – | – | $10,631$9,637–$15,869 · 36 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $8,065$6,569–$11,280 · 37 plans | |
| Vaginal birth, with complications 806 | – | – | – | $5,966$5,359–$11,280 · 37 plans | |
| Vaginal birth 807 | – | – | – | $5,335$4,841–$9,522 · 37 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $9,692$8,997–$18,505 · 36 plans | |
| Ms-Drg 810 810 | – | – | – | $8,205$7,438–$17,339 · 36 plans | |
| Coagulation Disorders 813 | – | – | – | $11,343$9,622–$16,781 · 36 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $15,590$9,622–$23,398 · 36 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $7,949$7,207–$14,212 · 36 plans | |
| Ms-Drg 816 816 | – | – | – | $5,001$4,572–$10,302 · 36 plans | |
| Ms-Drg 817 817 | – | – | – | $16,717$3,843–$22,488 · 36 plans | |
| Ms-Drg 818 818 | – | – | – | $8,578$3,843–$12,772 · 36 plans | |
| Ms-Drg 819 819 | – | – | – | $6,363$3,382–$11,076 · 36 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $43,615$12,939–$64,525 · 36 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $16,812$12,939–$42,247 · 36 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $9,439$8,557–$18,786 · 36 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $33,609$12,939–$50,442 · 36 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $17,015$12,939–$28,165 · 36 plans | |
| Ms-Drg 825 825 | – | – | – | $10,579$9,590–$15,386 · 36 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $34,788$12,939–$51,465 · 36 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $17,357$12,939–$36,873 · 36 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $13,045$12,109–$24,955 · 36 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $23,164$11,393–$33,683 · 36 plans | |
| Ms-Drg 830 830 | – | – | – | $11,501$10,696–$16,558 · 36 plans | |
| Ms-Drg 831 831 | – | – | – | $8,899$3,843–$11,960 · 36 plans | |
| Ms-Drg 832 832 | – | – | – | $5,340$3,843–$9,622 · 36 plans | |
| Ms-Drg 833 833 | – | – | – | $3,908$3,382–$8,523 · 36 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $40,244$9,622–$60,400 · 36 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $15,664$9,622–$33,919 · 36 plans | |
| Ms-Drg 836 836 | – | – | – | $9,337$8,667–$15,166 · 36 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $35,631$9,622–$52,857 · 36 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $15,676$9,622–$34,867 · 36 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $10,844$9,622–$32,124 · 36 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $23,713$9,622–$35,590 · 36 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $12,252$9,622–$19,663 · 36 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $7,921$7,181–$13,263 · 36 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $14,762$9,622–$21,947 · 36 plans | |
| Ms-Drg 844 844 | – | – | – | $9,321$8,652–$15,236 · 36 plans | |
| Ms-Drg 845 845 | – | – | – | $6,690$6,084–$13,091 · 36 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $18,995$4,751–$25,552 · 36 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $9,638$4,751–$13,843 · 36 plans | |
| Ms-Drg 848 848 | – | – | – | $6,317$4,751–$9,923 · 36 plans | |
| Radiotherapy 849 | – | – | – | $19,862$9,622–$29,810 · 36 plans | |
| Ms-Drg 850 850 | – | – | – | $65,033$12,939–$134,245 · 36 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | – | – | – | $15,006$12,939–$41,549 · 36 plans | |
| Ms-Drg 855 855 | – | – | – | $11,738$10,641–$41,549 · 36 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $34,161$12,939–$50,296 · 36 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $16,083$12,939–$41,549 · 36 plans | |
| Ms-Drg 858 858 | – | – | – | $10,920$9,899–$41,549 · 36 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $13,562$9,622–$20,064 · 36 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $7,823$7,092–$14,605 · 36 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $6,959$6,341–$13,560 · 36 plans | |
| Viral Illness with Mcc 865 | – | – | – | $10,983$7,143–$16,484 · 36 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $6,499$6,180–$10,038 · 36 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $15,567$9,622–$23,029 · 36 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $8,084$7,328–$17,564 · 36 plans | |
| Ms-Drg 869 869 | – | – | – | $5,774$5,213–$16,482 · 36 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | – | – | – | $50,352$17,740–$55,199 · 36 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $28,601$24,521–$34,445 · 24 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $7,106$6,753–$8,875 · 24 plans | |
| Depressive Neuroses 881 | – | – | – | $7,445$6,708–$11,968 · 24 plans | |
| Neuroses Except Depressive 882 | – | – | – | $7,946$7,632–$10,227 · 24 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $14,407$9,440–$17,360 · 24 plans | |
| Psychoses 885 | – | – | – | $11,053$9,958–$15,455 · 24 plans | |
| Ms-Drg 886 886 | – | – | – | $15,205$9,418–$18,322 · 24 plans | |
| Ms-Drg 887 887 | – | – | – | $7,925$7,611–$10,154 · 24 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $4,631$4,331–$7,387 · 28 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $10,372$7,456–$11,876 · 28 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $6,471$4,432–$9,183 · 28 plans | |
| Ms-Drg 901 901 | – | – | – | $30,763$12,939–$46,171 · 36 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $14,378$12,939–$29,760 · 36 plans | |
| Ms-Drg 903 903 | – | – | – | $9,169$8,312–$25,490 · 36 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $26,926$12,939–$40,411 · 36 plans | |
| Ms-Drg 905 905 | – | – | – | $11,629$10,543–$24,053 · 36 plans | |
| Ms-Drg 906 906 | – | – | – | $14,399$7,924–$21,611 · 36 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $28,144$12,939–$42,240 · 36 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $14,984$12,939–$26,440 · 36 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $10,291$9,329–$21,397 · 36 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $11,982$7,673–$17,984 · 36 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $6,669$6,326–$10,129 · 36 plans | |
| Ms-Drg 915 915 | – | – | – | $12,327$4,957–$16,574 · 36 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $4,980$3,848–$9,622 · 36 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | – | – | – | $11,497$7,542–$17,256 · 36 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $6,405$6,091–$9,967 · 36 plans | |
| Complications of Treatment with Mcc 919 | – | – | – | $13,421$8,766–$20,142 · 36 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $7,858$7,123–$11,774 · 36 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $5,447$4,918–$10,883 · 36 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $12,824$8,787–$19,247 · 36 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $7,606$6,649–$11,197 · 36 plans | |
| Ms-Drg 927 927 | – | – | – | $157,996$12,805–$228,959 · 35 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $53,079$12,805–$75,553 · 35 plans | |
| Ms-Drg 929 929 | – | – | – | $23,834$12,805–$33,926 · 35 plans | |
| Ms-Drg 933 933 | – | – | – | $28,532$9,523–$41,019 · 35 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $16,359$9,523–$23,451 · 35 plans | |
| Non-Extensive Burns 935 | – | – | – | $15,244$9,523–$21,699 · 35 plans | |
| Ms-Drg 939 939 | – | – | – | $26,599$12,939–$39,921 · 36 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $17,379$12,939–$25,711 · 36 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $15,089$12,939–$22,309 · 36 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $8,449$2,863–$9,621 · 28 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $9,487$8,625–$13,966 · 36 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $6,334$5,719–$10,131 · 36 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $8,804$4,604–$13,003 · 36 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $4,668$3,195–$9,229 · 36 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $4,440$4,033–$10,063 · 36 plans | |
| Ms-Drg 955 955 | – | – | – | $50,551$12,939–$101,970 · 36 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $28,260$12,939–$47,539 · 36 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $56,667$12,939–$83,834 · 36 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $31,646$12,939–$68,755 · 36 plans | |
| Ms-Drg 959 959 | – | – | – | $22,110$12,939–$61,914 · 36 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $20,375$9,622–$30,077 · 36 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $11,510$9,622–$25,203 · 36 plans | |
| Ms-Drg 965 965 | – | – | – | $7,373$6,684–$22,872 · 36 plans | |
| Ms-Drg 969 969 | – | – | – | $45,971$12,939–$67,891 · 36 plans | |
| Ms-Drg 970 970 | – | – | – | $19,807$12,939–$56,266 · 36 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $21,674$9,622–$31,752 · 36 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $9,915$9,164–$25,805 · 36 plans | |
| Ms-Drg 976 976 | – | – | – | $7,077$6,449–$25,805 · 36 plans | |
| Ms-Drg 977 977 | – | – | – | $9,936$9,174–$17,208 · 36 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | – | – | – | $35,235$12,939–$53,239 · 36 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $18,463$12,939–$45,187 · 36 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $13,123$12,181–$45,187 · 36 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $25,371$12,939–$37,719 · 36 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $12,584$11,681–$25,446 · 36 plans | |
| Ms-Drg 989 989 | – | – | – | $9,401$8,523–$21,887 · 36 plans | |
| Ms-Drg 998 998 | – | – | – | $12,482$10,946–$19,920 · 8 plans | |
| Ms-Drg 999 999 | – | – | – | $12,482$10,946–$19,920 · 8 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 | – | – | $4,152$1,950–$8,407 · 24 plans |
| Colonoscopy CPT 45378 | – | – | $2,300$1,623–$8,253 · 24 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $3,148$1,950–$8,253 · 24 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$8–$149 · 19 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $1,327 | $1,327 | $106$11–$664 · 43 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $34,634 | $34,634 | $5,126$1,478–$25,976 · 29 plans |
| Emergency room visit, highest level CPT 99285 | $12,994 | $12,994 | $3,837$1,937–$9,614 · 32 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $10,346$2,615–$17,747 · 27 plans |
| Hip replacement CPT 27130 | – | – | $8,771$1,950–$31,455 · 29 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $8,771$2,784–$15,813 · 27 plans |
| Knee replacement CPT 27447 | – | – | $11,000$1,950–$31,455 · 31 plans |
| MRI of the brain, with and without contrast CPT 70553 | $20,846 | $20,846 | $3,594$1,425–$15,635 · 29 plans |
| MRI of the knee, without contrast CPT 73721 | $11,928 | $11,928 | $3,265$916–$8,946 · 29 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.