Hillcrest Hospital
6780 Mayfield Road, Mayfield Heights, OH 44124 · (440) 312-4500
The money
$18what care cost the hospital for every $100 it billed
$224.0Mnet income, all sources
13.5%margin on patient care alone
$13.4Mcost of charity care (2.6% of costs)
$17.7Munpaid bills written off (bad debt)
483beds
From the hospital's Medicare cost report for the year ending December 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.
Hospital stays
Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.
Billed (list price)Actually paid (Medicare + patient)
| Stay | Medicare stays | Billed | Paid | Insurers (median) | |
|---|---|---|---|---|---|
| Sepsis, with major complications 871 | 398 | $64,977 | $14,183 | $18,460$12,625–$30,008 · 11 plans | |
| Heart failure, with major complications 291 | 347 | $47,661 | $9,389 | $15,392$9,439–$21,411 · 11 plans | |
| Lung infection, with major complications 177 | 184 | $50,475 | $11,777 | $15,782$11,350–$26,063 · 11 plans | |
| Urinary tract infection 690 | 152 | $24,951 | $5,683 | $9,914$6,090–$13,501 · 11 plans | |
| Pneumonia, with major complications 193 | 149 | $46,935 | $8,986 | $13,274$9,656–$21,922 · 11 plans | |
| Other kidney and urinary problems, with major complications 698 | 116 | $50,266 | $11,071 | $16,708$11,790–$25,557 · 11 plans | |
| Sepsis 872 | 104 | $33,780 | $7,438 | $14,181$7,600–$18,460 · 11 plans | |
| Stomach and digestive disorders 392 | 101 | $25,701 | $5,632 | $10,573$5,879–$13,002 · 11 plans | |
| Stomach or intestinal bleeding, with complications 378 | 99 | $42,387 | $7,420 | $12,351$7,299–$16,356 · 11 plans | |
| Skin infection (cellulitis) 603 | 88 | $23,169 | $6,167 | $10,374$6,503–$13,207 · 10 plans | |
| Kidney failure, with complications 683 | 86 | $29,049 | $6,347 | $11,156$6,558–$14,607 · 11 plans | |
| Urinary tract infection, with major complications 689 | 83 | $38,265 | $8,245 | $12,929$8,567–$19,351 · 11 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 79 | $79,094 | $13,681 | $17,737$14,382–$36,150 · 11 plans | |
| Irregular heartbeat, with complications 309 | 75 | $28,894 | $5,365 | $12,270$5,569–$18,202 · 11 plans | |
| Back problems (no surgery) 552 | 69 | $27,709 | $6,514 | $10,651$7,162–$16,033 · 11 plans | |
| Fainting 312 | 67 | $31,476 | $6,112 | $9,898$6,528–$14,537 · 11 plans | |
| Respiratory failure 189 | 66 | $47,241 | $10,128 | $11,990$9,098–$20,604 · 11 plans | |
| Other kidney and urinary problems, with complications 699 | 64 | $28,384 | $7,172 | $11,526$7,541–$16,928 · 11 plans | |
| Dehydration and electrolyte problems 641 | 61 | $25,462 | $5,663 | $9,234$5,846–$12,414 · 10 plans | |
| COPD, with major complications 190 | 59 | $46,069 | $7,899 | $12,579$8,196–$18,474 · 11 plans | |
| Lung infection, with complications 178 | 58 | $35,208 | $6,975 | $11,083$7,266–$16,278 · 11 plans | |
| Kidney failure, with major complications 682 | 58 | $35,854 | $10,156 | $14,957$10,732–$22,878 · 11 plans | |
| Infection needing surgery, with major complications 853 | 57 | $145,277 | $34,550 | $38,656$12,625–$76,291 · 11 plans | |
| Hip or knee replacement 470 | 56 | $60,410 | $12,677 | $18,856$13,189–$37,297 · 11 plans | |
| Hip replacement after a hip fracture 522 | 56 | $67,072 | $15,018 | $17,859$14,166–$27,118 · 10 plans | |
| Pneumonia, with complications 194 | 54 | $30,092 | $5,842 | $11,371$6,064–$13,441 · 11 plans | |
| Stroke, with complications or clot-busting drug 065 | 50 | $35,249 | $7,173 | $15,150$7,508–$20,502 · 11 plans | |
| Heart stent 322 | 46 | $94,258 | $13,912 | $16,060$12,623–$49,992 · 10 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 44 | $70,837 | $12,052 | $21,061$12,351–$30,487 · 11 plans | |
| Fracture or sprain (not hip or thigh) 563 | 44 | $29,889 | $5,935 | $10,169$6,697–$12,864 · 11 plans | |
| Irregular heartbeat, with major complications 308 | 43 | $47,465 | $9,115 | $14,625$8,876–$20,080 · 11 plans | |
| Heart attack, with major complications 280 | 42 | $63,322 | $11,475 | $15,139$11,701–$26,753 · 11 plans | |
| Bowel surgery, with complications 330 | 42 | $80,944 | $16,318 | $19,033$12,625–$38,091 · 11 plans | |
| Stomach and digestive disorders, with major complications 391 | 42 | $40,801 | $8,816 | $15,473$9,330–$21,153 · 11 plans | |
| Heart stent, with major complications or 4+ stents 321 | 41 | $125,232 | $22,919 | $20,624$14,166–$38,324 · 10 plans | |
| Heart catheterization, with major complications 286 | 40 | $93,051 | $14,678 | $18,460$12,625–$34,183 · 11 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 40 | $53,195 | $12,090 | $19,863$11,668–$26,673 · 11 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 40 | $40,883 | $8,659 | $14,509$9,763–$19,495 · 10 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 39 | $49,635 | $9,444 | $16,758$10,074–$22,909 · 11 plans | |
| Bowel obstruction, with complications 389 | 38 | $29,195 | $5,768 | $11,844$5,951–$13,172 · 11 plans | |
| Other circulation problems, with major complications 314 | 35 | $73,061 | $14,185 | $18,460$12,625–$32,212 · 11 plans | |
| Diabetes, with complications 638 | 35 | $32,023 | $6,447 | $9,735$6,689–$13,081 · 10 plans | |
| Heart attack, with complications 281 | 33 | $46,298 | $6,563 | $13,203$6,864–$23,842 · 11 plans | |
| Irregular heartbeat 310 | 33 | $27,014 | $4,584 | $10,498$4,371–$13,458 · 11 plans | |
| Other digestive problems, with complications 394 | 33 | $37,354 | $6,957 | $12,351$6,981–$15,606 · 11 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 30 | $37,739 | $9,439 | $15,806$9,523–$21,364 · 11 plans | |
| Anemia and blood disorders 812 | 30 | $36,902 | $6,326 | $10,463$6,833–$13,924 · 10 plans | |
| Peripheral Vascular Disorders with Cc 300 | 29 | $33,094 | $7,414 | $12,123$7,912–$17,804 · 11 plans | |
| High blood pressure 305 | 29 | $24,419 | $5,312 | $8,894$5,763–$12,599 · 12 plans | |
| Bowel surgery, with major complications 329 | 29 | $112,126 | $32,235 | $36,118$12,625–$71,007 · 11 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 27 | $42,393 | $12,167 | $11,674$7,633–$17,145 · 11 plans | |
| Mini-stroke (TIA) 069 | 26 | $32,265 | $5,641 | $9,071$6,014–$13,322 · 11 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 26 | $45,524 | $6,934 | $11,029$7,232–$16,198 · 11 plans | |
| Digestive Malignancy with Cc 375 | 26 | $38,234 | $8,016 | $14,757$8,915–$20,174 · 11 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 26 | $111,561 | $18,902 | $33,072$20,940–$48,571 · 11 plans | |
| Extracranial Procedures with Cc 038 | 25 | $66,716 | $13,588 | $17,737$11,832–$31,585 · 11 plans | |
| Stroke, with major complications 064 | 25 | $77,428 | $15,739 | $21,264$14,575–$33,539 · 11 plans | |
| Major Chest Procedures with Mcc 163 | 25 | $135,856 | $33,560 | $54,678$32,025–$74,747 · 11 plans | |
| Major Chest Procedures with Cc 164 | 25 | $103,628 | $21,283 | $31,471$18,198–$42,095 · 11 plans | |
| Disorders of the Biliary Tract with Cc 445 | 25 | $37,094 | $7,610 | $12,428$8,102–$18,252 · 11 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 25 | $34,002 | $9,565 | $13,348$9,707–$22,043 · 11 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 25 | $65,221 | $14,627 | $17,196$12,436–$25,341 · 10 plans | |
| Other Vascular Procedures with Cc 253 | 24 | $130,765 | $20,488 | $26,916$17,750–$61,900 · 11 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 24 | $93,188 | $16,543 | $20,112$14,382–$38,553 · 11 plans | |
| Medical Back Problems with Mcc 551 | 24 | $42,096 | $11,045 | $19,034$12,210–$27,954 · 11 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 24 | $28,618 | $6,469 | $9,951$6,819–$13,370 · 10 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 23 | $62,186 | $13,055 | $25,237$11,586–$33,928 · 11 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 23 | $32,294 | $7,178 | $12,898$7,583–$17,028 · 11 plans | |
| Spinal fusion (lower or mid back) 460 | 23 | $97,493 | $23,074 | – | |
| Anemia and blood disorders, with major complications 811 | 23 | $54,599 | $9,674 | $15,255$10,253–$20,498 · 10 plans | |
| Seizures with Mcc 100 | 22 | $69,307 | $13,473 | $21,994$14,051–$32,302 · 11 plans | |
| Pulmonary Embolism Without Mcc 176 | 22 | $26,476 | $6,648 | $9,962$6,058–$13,426 · 11 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 22 | $73,610 | $17,454 | $17,737$14,382–$62,996 · 11 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 22 | $87,122 | $21,306 | $22,626$14,166–$57,925 · 10 plans | |
| Heart Failure and Shock with Cc 292 | 22 | $32,868 | $6,041 | $11,622$6,369–$14,160 · 11 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 22 | $29,490 | $7,368 | $10,939$7,176–$16,066 · 11 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 21 | $55,947 | $10,923 | $16,489$11,358–$27,230 · 11 plans | |
| Cervical Spinal Fusion with Cc 472 | 21 | $79,341 | $20,637 | $21,489$14,382–$51,942 · 11 plans | |
| Respiratory Neoplasms with Mcc 180 | 20 | $66,979 | $12,466 | $20,055$12,845–$29,453 · 11 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 20 | $129,891 | $30,045 | $24,665$14,166–$71,588 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 20 | $70,067 | $14,241 | $27,602$15,200–$37,188 · 12 plans | |
| Coagulation Disorders 813 | 20 | $73,295 | $10,866 | $16,569$11,119–$22,264 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 20 | $77,413 | $19,660 | $36,736$23,219–$53,952 · 11 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 19 | $30,496 | $7,185 | $11,651$7,619–$17,112 · 11 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 19 | $37,961 | $9,382 | $18,492$10,188–$23,396 · 10 plans | |
| Seizures 101 | 19 | $31,564 | $6,434 | $10,483$6,747–$18,460 · 11 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 19 | $100,722 | $20,744 | $33,534$19,785–$45,843 · 11 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 19 | $285,996 | $58,303 | $79,281$53,720–$144,158 · 11 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 19 | $89,960 | $22,083 | $23,484$14,382–$39,511 · 11 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 19 | $65,266 | $17,084 | $22,714$14,499–$33,359 · 11 plans | |
| Delirium and other mental confusion 884 | 19 | $33,650 | $11,030 | $2,439$1,706–$14,301 · 10 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 18 | $60,287 | $7,936 | $15,613$8,761–$21,404 · 12 plans | |
| Major Chest Trauma with Cc 184 | 18 | $29,733 | $7,161 | $11,559$7,859–$15,532 · 10 plans | |
| Digestive Malignancy with Mcc 374 | 18 | $68,867 | $14,397 | $26,092$15,477–$35,669 · 11 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 18 | $19,481 | $4,239 | $7,147$4,215–$9,073 · 11 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 18 | $53,722 | $12,452 | $20,111$11,637–$28,213 · 11 plans | |
| Cellulitis with Mcc 602 | 18 | $43,126 | $11,766 | $13,352$10,404–$21,553 · 10 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 18 | $34,066 | $11,781 | $20,710$13,252–$30,416 · 11 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | 17 | $217,737 | $39,338 | $66,645$36,661–$122,018 · 11 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 17 | $57,867 | $12,710 | $18,975$12,173–$27,867 · 11 plans | |
| Signs and Symptoms Without Mcc 948 | 17 | $37,509 | $5,483 | $8,696$5,997–$11,684 · 10 plans | |
| Other Vascular Procedures with Mcc 252 | 16 | $100,113 | $22,770 | $35,228$21,489–$43,168 · 11 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | 16 | $59,990 | $10,977 | $20,212$12,377–$27,691 · 12 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 16 | $85,520 | $16,815 | $27,100$17,226–$39,800 · 11 plans | |
| Other Disorders of Nervous System with Cc 092 | 15 | $38,325 | $6,906 | $11,617$7,598–$17,062 · 11 plans | |
| Dysequilibrium 149 | 15 | $24,735 | $5,243 | $8,535$5,681–$12,535 · 11 plans | |
| Heart catheterization 287 | 15 | $49,986 | $7,544 | $16,531$7,930–$27,967 · 11 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 15 | $41,926 | $11,476 | $18,382$10,498–$24,630 · 11 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 15 | $32,000 | $5,654 | $8,773$6,053–$11,788 · 10 plans | |
| Endocrine Disorders with Mcc 643 | 15 | $47,541 | $10,149 | $17,882$11,961–$24,027 · 10 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 14 | $23,500 | $4,906 | $9,831$5,206–$14,670 · 11 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 14 | $149,493 | $31,919 | $33,995$14,382–$58,915 · 11 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 14 | $58,358 | $12,649 | $21,632$12,895–$29,572 · 11 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 13 | $126,425 | $47,937 | – | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 13 | $27,843 | $5,796 | $9,432$6,239–$13,853 · 11 plans | |
| Diabetes, with major complications 637 | 13 | $60,613 | $9,648 | $17,677$10,493–$22,056 · 10 plans | |
| Complications of Treatment with Mcc 919 | 13 | $48,853 | $14,831 | $19,888$13,249–$26,723 · 10 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 12 | $23,189 | $7,519 | $11,706$7,653–$16,800 · 11 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | 12 | $21,606 | $4,386 | $7,778$4,812–$11,900 · 11 plans | |
| Inflammatory Bowel Disease with Cc 386 | 12 | $29,558 | $6,283 | $12,222$7,268–$16,283 · 11 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 12 | $136,741 | $20,049 | $21,675$14,166–$36,754 · 10 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | 12 | $27,997 | $7,190 | $11,899$7,773–$17,475 · 11 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 12 | $218,401 | $45,424 | $78,490$49,186–$115,275 · 11 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 11 | $174,776 | $35,780 | $40,842$14,382–$50,321 · 11 plans | |
| Interstitial Lung Disease with Mcc 196 | 11 | $33,938 | $14,944 | $21,431$13,701–$31,475 · 11 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 11 | $38,070 | $11,847 | $20,793$13,304–$28,000 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 11 | $253,726 | $53,175 | $54,599$14,382–$95,019 · 11 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 11 | $138,005 | $31,464 | $29,468$14,166–$92,195 · 10 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | 11 | $47,464 | $10,236 | $16,663$10,019–$22,779 · 11 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 11 | $50,895 | $7,301 | $11,994$7,832–$17,200 · 11 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | 11 | $29,656 | $6,159 | $10,143$6,681–$12,831 · 11 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 11 | $38,030 | $8,272 | $12,705$9,258–$18,570 · 10 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 11 | $26,602 | $6,991 | $11,332$7,420–$16,643 · 11 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 11 | $222,479 | $56,310 | $50,967$33,436–$68,483 · 10 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | 11 | $89,685 | $24,931 | $37,970$24,551–$50,042 · 10 plans | |
| Ms-Drg -Da -DA | – | – | – | $486,600$384,308–$486,600 · 3 plans | |
| Ms-Drg -Dp -DP | – | – | – | $471,700only 2 plans | |
| Ms-Drg -La -LA | – | – | – | $561,500$411,657–$561,500 · 3 plans | |
| Ms-Drg -Ld -LD | – | – | – | $170,100only 1 plan | |
| Ms-Drg -Lp -LP | – | – | – | $560,500only 2 plans | |
| Ms-Drg -Ra -RA | – | – | – | $366,514only 1 plan | |
| Ms-Drg -Rp -RP | – | – | – | $440,327only 1 plan | |
| Ms-Drg -Ua -UA | – | – | – | $430,092only 1 plan | |
| Ms-Drg -Up -UP | – | – | – | $540,638only 1 plan | |
| Ms-Drg 0-a 0-A | – | – | – | $158,573only 1 plan | |
| Ms-Drg 0-C 0-C | – | – | – | $185,100only 1 plan | |
| Ms-Drg 0-D 0-D | – | – | – | $175,300only 2 plans | |
| Ms-Drg 0-L 0-L | – | – | – | $161,100only 2 plans | |
| Ms-Drg 0-P 0-P | – | – | – | $175,870only 1 plan | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $304,424$197,737–$409,045 · 10 plans | |
| Ms-Drg 002 002 | – | – | – | $123,097$79,922–$165,402 · 10 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | – | – | – | $150,271$12,625–$382,013 · 11 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $98,195$12,625–$143,338 · 11 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $106,920$73,080–$148,110 · 11 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $50,372$33,410–$67,683 · 10 plans | |
| Lung Transplant 007 | – | – | – | $134,294$89,614–$186,030 · 11 plans | |
| Ms-Drg 008 008 | – | – | – | $68,376$38,474–$292,000 · 15 plans | |
| Ms-Drg 010 010 | – | – | – | $87,544$52,546–$232,569 · 15 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $59,248$38,720–$79,610 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $45,798$29,967–$61,538 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $31,305$20,494–$42,064 · 10 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $130,550$85,706–$197,655 · 12 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $69,840$42,673–$226,340 · 12 plans | |
| Ms-Drg 017 017 | – | – | – | $63,982$41,658–$225,510 · 12 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $469,095$300,611–$630,309 · 10 plans | |
| Ms-Drg 019 019 | – | – | – | $87,042$54,749–$288,452 · 13 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $55,945$14,382–$97,376 · 11 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $38,076$14,382–$65,511 · 11 plans | |
| Ms-Drg 022 022 | – | – | – | $23,621$14,166–$36,406 · 10 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $28,000$14,382–$48,410 · 11 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | – | – | – | $32,483$14,382–$56,265 · 11 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $22,331$14,382–$56,705 · 11 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $20,009$14,696–$45,330 · 11 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $42,805$14,382–$74,353 · 11 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $24,467$14,382–$60,824 · 11 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $17,737$14,382–$36,263 · 11 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $32,015$14,382–$55,446 · 11 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $17,737$14,382–$39,214 · 11 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $17,737$12,117–$30,508 · 11 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $27,709$14,382–$47,900 · 11 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $18,981$14,382–$44,573 · 11 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $16,620$12,917–$33,202 · 12 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $23,310$12,441–$40,404 · 12 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $27,642$14,382–$47,782 · 11 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $17,737$14,382–$40,477 · 11 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $16,060$12,234–$36,047 · 12 plans | |
| Ms-Drg 052 052 | – | – | – | $23,386$13,967–$30,211 · 10 plans | |
| Ms-Drg 053 053 | – | – | – | $12,667$7,219–$16,338 · 10 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $17,339$11,156–$25,466 · 11 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $14,647$7,759–$19,593 · 11 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | – | – | – | $26,381$17,416–$38,745 · 11 plans | |
| Ms-Drg 058 058 | – | – | – | $18,570$12,871–$24,952 · 10 plans | |
| Ms-Drg 059 059 | – | – | – | $14,092$9,136–$20,696 · 11 plans | |
| Ms-Drg 060 060 | – | – | – | $10,445$6,869–$15,340 · 11 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $29,950$19,738–$40,243 · 10 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $23,340$12,752–$34,449 · 10 plans | |
| Ms-Drg 063 063 | – | – | – | $18,646$10,249–$28,786 · 10 plans | |
| Ms-Drg 067 067 | – | – | – | $15,954$10,695–$21,438 · 10 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $12,417$6,478–$16,518 · 11 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | – | – | – | $18,905$12,186–$27,766 · 11 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $8,587$5,713–$12,612 · 11 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $18,218$11,703–$26,757 · 11 plans | |
| Ms-Drg 075 075 | – | – | – | $22,584$14,054–$32,268 · 12 plans | |
| Ms-Drg 076 076 | – | – | – | $9,371$6,569–$11,854 · 11 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $19,662$13,814–$26,419 · 10 plans | |
| Ms-Drg 081 081 | – | – | – | $11,919$6,698–$14,937 · 11 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $23,702$16,159–$32,833 · 11 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $12,695$7,094–$16,914 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | – | – | – | $24,680$16,355–$33,161 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | – | – | – | $17,770$9,573–$21,774 · 11 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $11,200$6,833–$15,255 · 11 plans | |
| Concussion with Mcc 088 | – | – | – | $14,685$9,941–$19,731 · 10 plans | |
| Concussion with Cc 089 | – | – | – | $11,934$8,081–$16,036 · 10 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $8,942$6,184–$12,016 · 10 plans | |
| Other Disorders of Nervous System with Mcc 091 | – | – | – | $19,943$12,776–$29,290 · 11 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $9,043$5,997–$13,281 · 11 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $39,966$25,238–$58,697 · 11 plans | |
| Ms-Drg 095 095 | – | – | – | $29,289$18,588–$43,016 · 11 plans | |
| Ms-Drg 096 096 | – | – | – | $29,289$18,588–$43,016 · 11 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $39,235$25,772–$52,719 · 10 plans | |
| Ms-Drg 098 098 | – | – | – | $26,061$16,580–$38,274 · 11 plans | |
| Ms-Drg 099 099 | – | – | – | $14,800$9,978–$19,886 · 10 plans | |
| Ms-Drg 1-a 1-A | – | – | – | $331,988$116,223–$361,500 · 4 plans | |
| Ms-Drg 1-B 1-B | – | – | – | $45,300only 1 plan | |
| Ms-Drg 1-C 1-C | – | – | – | $127,100only 2 plans | |
| Ms-Drg 1-D 1-D | – | – | – | $175,300only 2 plans | |
| Ms-Drg 1-L 1-L | – | – | – | $161,100only 2 plans | |
| Ms-Drg 1-P 1-P | – | – | – | $355,648only 1 plan | |
| Headaches with Mcc 102 | – | – | – | $12,729$8,289–$18,694 · 11 plans | |
| Headaches Without Mcc 103 | – | – | – | $9,497$6,279–$13,948 · 11 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $25,540$16,852–$34,317 · 10 plans | |
| Ms-Drg 114 114 | – | – | – | $14,698$9,773–$19,749 · 10 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $16,674$11,168–$22,404 · 10 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $19,641$12,999–$26,392 · 10 plans | |
| Ms-Drg 117 117 | – | – | – | $11,785$7,999–$15,836 · 10 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $12,637$8,555–$16,980 · 10 plans | |
| Ms-Drg 122 122 | – | – | – | $8,536$5,824–$11,470 · 10 plans | |
| Neurological Eye Disorders 123 | – | – | – | $8,675$5,991–$11,657 · 10 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $14,373$9,667–$19,312 · 10 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $8,341$5,931–$11,207 · 10 plans | |
| Ms-Drg 135 135 | – | – | – | $23,573$16,672–$31,674 · 10 plans | |
| Ms-Drg 136 136 | – | – | – | $11,029$7,488–$14,820 · 10 plans | |
| Ms-Drg 137 137 | – | – | – | $16,221$10,813–$21,795 · 10 plans | |
| Ms-Drg 138 138 | – | – | – | $9,200$6,631–$12,730 · 11 plans | |
| Ms-Drg 139 139 | – | – | – | $12,814$9,100–$17,751 · 11 plans | |
| Ms-Drg 140 140 | – | – | – | $46,334$30,367–$62,258 · 10 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $23,693$15,697–$31,836 · 10 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $17,342$11,587–$23,302 · 10 plans | |
| Ms-Drg 143 143 | – | – | – | $40,699$26,436–$54,687 · 10 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $18,824$12,581–$25,294 · 10 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $13,061$8,817–$17,549 · 10 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $24,045$15,981–$30,500 · 11 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $14,439$9,353–$21,206 · 11 plans | |
| Ms-Drg 148 148 | – | – | – | $9,052$6,002–$13,294 · 11 plans | |
| Ms-Drg 150 150 | – | – | – | $14,464$9,774–$19,435 · 10 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $7,973$5,549–$10,714 · 10 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $12,842$8,656–$17,256 · 10 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $8,019$5,544–$10,775 · 10 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $16,984$11,417–$22,821 · 10 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $9,956$6,829–$13,378 · 10 plans | |
| Ms-Drg 156 156 | – | – | – | $7,507$5,218–$10,088 · 10 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $17,803$12,400–$24,662 · 11 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $9,435$6,798–$13,069 · 11 plans | |
| Ms-Drg 159 159 | – | – | – | $7,696$5,320–$10,341 · 10 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $21,738$13,892–$31,925 · 11 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $37,747$12,351–$62,337 · 11 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $22,001$13,109–$30,077 · 11 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $15,517$10,023–$22,789 · 11 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $33,944$21,381–$43,444 · 10 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $8,574$5,705–$12,592 · 11 plans | |
| Ms-Drg 17c 17C | – | – | – | $16,600only 1 plan | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $12,162$7,937–$17,862 · 11 plans | |
| Ms-Drg 182 182 | – | – | – | $8,560$6,027–$12,572 · 11 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $16,619$11,175–$22,331 · 10 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $8,544$5,896–$11,480 · 10 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $17,698$11,379–$25,993 · 11 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $11,232$7,358–$16,496 · 11 plans | |
| Ms-Drg 188 188 | – | – | – | $7,791$5,426–$10,468 · 10 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | – | – | – | $9,929$6,390–$23,456 · 12 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $7,291$4,907–$10,707 · 11 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $10,778$7,076–$15,829 · 11 plans | |
| Ms-Drg 198 198 | – | – | – | $8,133$5,431–$11,945 · 11 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $19,163$12,785–$25,749 · 10 plans | |
| Ms-Drg 2-a 2-A | – | – | – | $361,500$314,281–$361,500 · 3 plans | |
| Ms-Drg 2-C 2-C | – | – | – | $185,100only 1 plan | |
| Ms-Drg 2-D 2-D | – | – | – | $175,300only 2 plans | |
| Ms-Drg 2-L 2-L | – | – | – | $161,100only 2 plans | |
| Ms-Drg 2-P 2-P | – | – | – | $444,900$373,498–$444,900 · 3 plans | |
| Pneumothorax with Cc 200 | – | – | – | $12,484$8,136–$17,400 · 11 plans | |
| Ms-Drg 201 201 | – | – | – | $8,121$5,423–$11,500 · 11 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $8,291$5,105–$11,174 · 11 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $9,169$6,075–$13,466 · 11 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $10,687$7,019–$15,696 · 11 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $66,728$45,817–$107,318 · 11 plans | |
| Ms-Drg 209 209 | – | – | – | $88,340$81,916–$178,277 · 3 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $81,027$14,166–$117,954 · 10 plans | |
| Ms-Drg 213 213 | – | – | – | $44,744$41,490–$89,927 · 3 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $108,163$72,506–$145,335 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $69,462$14,382–$121,062 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $46,810$14,382–$81,369 · 11 plans | |
| Ms-Drg 218 218 | – | – | – | $43,885$14,166–$75,339 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $38,035$14,382–$123,303 · 11 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $35,968$14,382–$110,271 · 11 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $49,964$21,489–$61,224 · 11 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $31,807$21,489–$38,975 · 11 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $75,516$21,114–$102,992 · 10 plans | |
| Ms-Drg 232 232 | – | – | – | $54,367$21,114–$74,070 · 10 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $60,857$40,515–$84,302 · 11 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $29,955$14,382–$92,128 · 11 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $55,891$35,131–$82,084 · 11 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $32,370$20,504–$47,541 · 11 plans | |
| Ms-Drg 241 241 | – | – | – | $15,721$10,622–$23,089 · 11 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $17,737$12,636–$48,700 · 11 plans | |
| Ms-Drg 245 245 | – | – | – | $33,699$14,382–$108,756 · 11 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $22,041$14,696–$41,153 · 11 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $22,852$10,982–$41,559 · 11 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $21,489$12,956–$42,488 · 11 plans | |
| Ms-Drg 255 255 | – | – | – | $29,302$19,299–$39,372 · 10 plans | |
| Ms-Drg 256 256 | – | – | – | $19,281$12,364–$28,318 · 11 plans | |
| Ms-Drg 257 257 | – | – | – | $12,403$8,086–$18,216 · 11 plans | |
| Ms-Drg 258 258 | – | – | – | $35,400$22,563–$45,136 · 11 plans | |
| Ms-Drg 259 259 | – | – | – | $31,386$14,800–$45,086 · 12 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $36,169$23,791–$53,498 · 12 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $29,343$13,861–$46,221 · 12 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $23,414$11,884–$38,306 · 11 plans | |
| Ms-Drg 263 263 | – | – | – | $33,213$21,632–$44,627 · 10 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $37,936$24,188–$54,600 · 11 plans | |
| Ms-Drg 265 265 | – | – | – | $25,926$14,382–$73,143 · 11 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | – | – | – | $42,449$14,718–$75,214 · 12 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $47,408$14,166–$144,328 · 10 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | – | – | – | $36,509$14,166–$108,943 · 10 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $19,323$14,166–$52,927 · 10 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $28,267$14,166–$82,515 · 10 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $49,664$14,166–$81,699 · 10 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $42,714$14,476–$68,823 · 10 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $32,542$14,166–$104,416 · 10 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $37,089$14,166–$63,777 · 10 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $24,022$14,166–$55,765 · 10 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $10,387$5,480–$17,850 · 11 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $22,494$14,362–$33,036 · 11 plans | |
| Ms-Drg 284 284 | – | – | – | $9,194$5,357–$17,270 · 10 plans | |
| Ms-Drg 285 285 | – | – | – | $7,955$4,556–$11,881 · 10 plans | |
| Ms-Drg 288 288 | – | – | – | $29,397$19,022–$44,508 · 12 plans | |
| Ms-Drg 289 289 | – | – | – | $17,701$11,078–$24,520 · 11 plans | |
| Ms-Drg 290 290 | – | – | – | $10,099$6,944–$13,396 · 12 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $6,428$4,370–$9,440 · 11 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $16,967$11,490–$22,798 · 10 plans | |
| Ms-Drg 297 297 | – | – | – | $6,887$5,090–$9,254 · 10 plans | |
| Ms-Drg 298 298 | – | – | – | $4,944$3,560–$6,643 · 10 plans | |
| Ms-Drg 3-P 3-P | – | – | – | $444,900only 2 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $8,173$5,456–$12,003 · 11 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $12,999$8,767–$17,466 · 10 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $7,929$5,178–$16,333 · 12 plans | |
| Hypertension with Mcc 304 | – | – | – | $13,514$8,777–$19,847 · 11 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $17,895$11,502–$26,281 · 11 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $13,118$6,822–$18,700 · 11 plans | |
| Angina Pectoris 311 | – | – | – | $7,971$5,330–$11,706 · 11 plans | |
| Chest pain 313 | – | – | – | $8,910$5,458–$12,351 · 11 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $7,746$5,190–$11,376 · 11 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $51,831$40,096–$84,570 · 10 plans | |
| Ms-Drg 318 318 | – | – | – | $19,227$17,829–$38,215 · 3 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $45,676$29,065–$57,149 · 10 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $24,617$17,236–$30,801 · 10 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $31,809$14,166–$43,260 · 10 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $23,757$14,166–$49,800 · 10 plans | |
| Ms-Drg 325 325 | – | – | – | $24,198$14,166–$37,150 · 10 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $56,637$35,595–$83,180 · 11 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $30,764$17,635–$40,764 · 11 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $19,548$11,689–$26,723 · 11 plans | |
| Ms-Drg 332 332 | – | – | – | $39,332$25,750–$52,849 · 10 plans | |
| Ms-Drg 333 333 | – | – | – | $29,584$16,914–$39,063 · 11 plans | |
| Ms-Drg 334 334 | – | – | – | $21,049$12,060–$26,938 · 12 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $40,551$25,592–$59,555 · 11 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $27,844$15,265–$35,169 · 11 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $19,259$11,213–$25,601 · 11 plans | |
| Ms-Drg 344 344 | – | – | – | $29,330$18,717–$43,076 · 11 plans | |
| Ms-Drg 345 345 | – | – | – | $19,707$11,000–$25,095 · 11 plans | |
| Ms-Drg 346 346 | – | – | – | $14,614$8,813–$19,783 · 11 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $28,744$16,574–$36,341 · 10 plans | |
| Ms-Drg 348 348 | – | – | – | $17,194$9,616–$21,828 · 11 plans | |
| Ms-Drg 349 349 | – | – | – | $11,356$6,521–$14,520 · 11 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $29,613$17,857–$36,373 · 10 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $18,599$11,139–$25,426 · 11 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $13,883$8,620–$19,477 · 11 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $34,776$20,816–$42,498 · 10 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $15,747$9,970–$22,121 · 12 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $47,719$29,649–$72,247 · 12 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $26,510$16,964–$38,247 · 12 plans | |
| Ms-Drg 358 358 | – | – | – | $17,054$10,245–$23,314 · 11 plans | |
| Ms-Drg 359 359 | – | – | – | $27,123$25,150–$54,217 · 3 plans | |
| Ms-Drg 360 360 | – | – | – | $19,166$17,772–$38,091 · 3 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $20,850$11,706–$26,625 · 10 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $12,381$7,419–$15,518 · 10 plans | |
| Ms-Drg 370 370 | – | – | – | $8,730$5,297–$10,994 · 10 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $9,139$5,510–$12,132 · 11 plans | |
| Ms-Drg 376 376 | – | – | – | $11,276$6,901–$14,900 · 11 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $7,801$4,825–$10,514 · 11 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $23,965$14,153–$29,730 · 10 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $12,995$7,997–$15,891 · 10 plans | |
| Ms-Drg 382 382 | – | – | – | $9,767$6,027–$13,352 · 11 plans | |
| Ms-Drg 383 383 | – | – | – | $16,282$10,006–$20,153 · 10 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $10,337$6,393–$12,724 · 10 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $20,536$11,548–$26,390 · 11 plans | |
| Ms-Drg 387 387 | – | – | – | $8,817$5,184–$11,363 · 11 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $7,918$4,956–$10,824 · 11 plans | |
| Ms-Drg 397 397 | – | – | – | $27,913$17,281–$34,957 · 10 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $18,346$11,021–$22,624 · 10 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $13,645$8,410–$16,708 · 10 plans | |
| Ms-Drg 4-a 4-A | – | – | – | $10,300only 1 plan | |
| Ms-Drg 4-B 4-B | – | – | – | $19,300only 1 plan | |
| Ms-Drg 4-R 4-R | – | – | – | $428,000only 2 plans | |
| Ms-Drg 4-U 4-U | – | – | – | $481,200only 2 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $41,693$21,489–$121,096 · 11 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $62,123$39,007–$91,237 · 11 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $32,935$20,855–$48,370 · 11 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $25,206$16,048–$37,018 · 11 plans | |
| Ms-Drg 408 408 | – | – | – | $38,733$25,422–$52,045 · 10 plans | |
| Ms-Drg 409 409 | – | – | – | $24,725$15,750–$36,313 · 11 plans | |
| Ms-Drg 410 410 | – | – | – | $17,247$11,517–$23,175 · 10 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $35,884$23,232–$48,216 · 10 plans | |
| Ms-Drg 412 412 | – | – | – | $22,839$15,186–$30,689 · 10 plans | |
| Ms-Drg 413 413 | – | – | – | $18,038$12,056–$24,237 · 10 plans | |
| Ms-Drg 414 414 | – | – | – | $38,701$25,404–$52,001 · 10 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $22,451$14,854–$30,166 · 10 plans | |
| Ms-Drg 416 416 | – | – | – | $14,810$9,968–$19,899 · 10 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $37,011$24,434–$49,731 · 10 plans | |
| Ms-Drg 421 421 | – | – | – | $18,874$12,529–$25,361 · 10 plans | |
| Ms-Drg 422 422 | – | – | – | $15,203$10,336–$20,428 · 10 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $47,161$29,703–$69,264 · 11 plans | |
| Ms-Drg 424 424 | – | – | – | $23,767$15,899–$31,935 · 10 plans | |
| Ms-Drg 425 425 | – | – | – | $16,298$10,958–$21,899 · 10 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $98,666$21,114–$134,652 · 10 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $74,857$21,489–$146,521 · 11 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $58,300$21,489–$114,510 · 11 plans | |
| Ms-Drg 429 429 | – | – | – | $80,695$21,114–$110,075 · 10 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $59,805$21,489–$140,119 · 11 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | – | – | – | $24,012$14,273–$32,826 · 11 plans | |
| Ms-Drg 434 434 | – | – | – | $7,700$5,405–$10,235 · 11 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | – | – | – | $20,858$13,344–$30,400 · 11 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $12,845$8,361–$18,864 · 11 plans | |
| Ms-Drg 437 437 | – | – | – | $9,690$6,399–$12,258 · 11 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $16,463$11,673–$27,188 · 11 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $9,553$6,314–$14,030 · 11 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $7,690$4,761–$12,351 · 11 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $20,381$13,222–$29,932 · 11 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $10,962$7,190–$16,099 · 11 plans | |
| Ms-Drg 443 443 | – | – | – | $7,946$5,314–$11,670 · 11 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $9,395$6,216–$13,798 · 11 plans | |
| Ms-Drg 447 447 | – | – | – | $20,837$15,346–$54,672 · 10 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $30,323$15,580–$76,320 · 11 plans | |
| Ms-Drg 450 450 | – | – | – | $20,080$15,346–$38,392 · 10 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $23,187$15,580–$72,686 · 11 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $59,720$14,382–$103,992 · 11 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $42,486$14,696–$127,239 · 11 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $29,841$14,382–$96,326 · 11 plans | |
| Ms-Drg 461 461 | – | – | – | $42,241$14,382–$68,347 · 11 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $21,074$15,580–$59,175 · 11 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $64,724$40,624–$95,056 · 11 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $44,743$22,370–$55,015 · 11 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $26,197$13,252–$36,873 · 11 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $37,135$14,382–$64,417 · 11 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $25,279$14,382–$62,088 · 11 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $21,489$14,382–$50,404 · 11 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $22,641$14,382–$37,536 · 11 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $34,475$14,382–$59,755 · 11 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $19,375$14,382–$42,736 · 11 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $46,634$30,925–$62,660 · 10 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $30,481$16,445–$37,954 · 11 plans | |
| Ms-Drg 476 476 | – | – | – | $15,128$8,662–$19,457 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $37,527$24,674–$50,424 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $33,009$17,740–$41,015 · 11 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $25,741$13,501–$31,542 · 11 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $17,737$11,891–$29,488 · 11 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $35,481$19,949–$46,230 · 11 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $23,164$14,382–$39,935 · 11 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $17,737$14,382–$37,264 · 11 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $16,060$11,401–$26,620 · 10 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $17,737$12,865–$31,580 · 11 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $17,737$8,766–$23,209 · 11 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $25,437$14,166–$42,069 · 10 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $17,737$13,188–$29,447 · 11 plans | |
| Ms-Drg 495 495 | – | – | – | $41,173$25,979–$60,469 · 11 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $25,913$13,787–$32,364 · 11 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $17,357$9,478–$22,833 · 11 plans | |
| Ms-Drg 498 498 | – | – | – | $32,772$21,266–$44,034 · 10 plans | |
| Ms-Drg 499 499 | – | – | – | $20,041$13,965–$29,409 · 10 plans | |
| Ms-Drg 5-a 5-A | – | – | – | $305,485only 2 plans | |
| Ms-Drg 5-B 5-B | – | – | – | $12,900only 1 plan | |
| Ms-Drg 5-I 5-I | – | – | – | $563,700only 2 plans | |
| Ms-Drg 5-P 5-P | – | – | – | $696,055only 1 plan | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $35,939$22,724–$52,783 · 11 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $24,584$12,846–$29,948 · 12 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $18,523$9,977–$29,245 · 12 plans | |
| Ms-Drg 503 503 | – | – | – | $30,000$20,084–$40,094 · 11 plans | |
| Foot Procedures with Cc 504 | – | – | – | $22,970$13,446–$28,632 · 10 plans | |
| Ms-Drg 505 505 | – | – | – | $21,872$13,034–$29,900 · 11 plans | |
| Ms-Drg 506 506 | – | – | – | $17,921$10,483–$22,795 · 10 plans | |
| Ms-Drg 507 507 | – | – | – | $23,994$13,507–$33,718 · 10 plans | |
| Ms-Drg 508 508 | – | – | – | $20,115$10,874–$29,098 · 10 plans | |
| Ms-Drg 510 510 | – | – | – | $32,812$21,518–$44,088 · 10 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $25,590$14,923–$31,933 · 10 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $20,946$12,064–$27,609 · 11 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $20,652$11,401–$26,338 · 10 plans | |
| Ms-Drg 514 514 | – | – | – | $14,311$7,593–$17,537 · 11 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $37,535$23,108–$63,365 · 12 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $22,075$11,225–$32,388 · 11 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $38,756$24,796–$53,686 · 11 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $16,965$10,923–$24,915 · 11 plans | |
| Ms-Drg 533 533 | – | – | – | $17,030$11,372–$22,883 · 10 plans | |
| Ms-Drg 534 534 | – | – | – | $9,154$6,066–$13,444 · 11 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $13,926$9,423–$18,712 · 10 plans | |
| Ms-Drg 537 537 | – | – | – | $10,367$7,060–$13,929 · 10 plans | |
| Ms-Drg 538 538 | – | – | – | $7,825$5,403–$10,514 · 10 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $22,368$14,283–$32,851 · 11 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $14,721$9,528–$21,200 · 11 plans | |
| Ms-Drg 541 541 | – | – | – | $8,554$6,247–$11,493 · 10 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $20,060$13,049–$29,462 · 11 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $8,569$5,702–$12,585 · 11 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $28,182$17,899–$41,390 · 11 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $13,098$8,519–$19,236 · 11 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $9,496$6,278–$13,946 · 11 plans | |
| Ms-Drg 548 548 | – | – | – | $20,975$14,065–$28,184 · 10 plans | |
| Ms-Drg 549 549 | – | – | – | $13,114$8,863–$17,621 · 10 plans | |
| Ms-Drg 550 550 | – | – | – | $9,495$6,511–$12,759 · 10 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $14,721$9,528–$21,620 · 11 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $9,427$6,235–$11,924 · 11 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $14,359$9,688–$19,293 · 10 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $16,885$10,894–$24,799 · 11 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $20,258$13,488–$27,221 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $12,233$8,302–$16,437 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $9,129$6,050–$13,407 · 11 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $15,478$10,422–$20,797 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $16,768$11,250–$22,531 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $11,065$7,272–$16,251 · 11 plans | |
| Ms-Drg 566 566 | – | – | – | $8,509$5,665–$10,764 · 11 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $31,949$21,117–$42,929 · 10 plans | |
| Skin Debridement with Cc 571 | – | – | – | $18,353$12,249–$24,660 · 10 plans | |
| Ms-Drg 572 572 | – | – | – | $12,452$8,433–$16,732 · 10 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $71,168$46,215–$95,626 · 10 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $37,710$24,798–$50,670 · 10 plans | |
| Ms-Drg 575 575 | – | – | – | $19,521$13,860–$26,230 · 10 plans | |
| Ms-Drg 576 576 | – | – | – | $53,242$36,955–$71,539 · 10 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $28,795$19,034–$38,690 · 10 plans | |
| Ms-Drg 578 578 | – | – | – | $17,450$11,842–$23,448 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $35,180$23,177–$47,270 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $18,771$12,561–$25,222 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $15,676$10,522–$21,064 · 10 plans | |
| Ms-Drg 582 582 | – | – | – | $20,929$13,808–$28,121 · 10 plans | |
| Ms-Drg 583 583 | – | – | – | $18,732$12,449–$25,170 · 10 plans | |
| Ms-Drg 584 584 | – | – | – | $23,254$15,372–$31,246 · 10 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $20,956$13,984–$28,158 · 10 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $21,023$14,324–$28,248 · 10 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $12,887$8,742–$17,316 · 10 plans | |
| Ms-Drg 594 594 | – | – | – | $9,416$6,455–$12,652 · 10 plans | |
| Ms-Drg 595 595 | – | – | – | $23,037$15,291–$30,954 · 10 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $11,759$7,985–$15,800 · 10 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $18,110$12,292–$24,333 · 10 plans | |
| Ms-Drg 598 598 | – | – | – | $12,289$8,294–$16,513 · 10 plans | |
| Ms-Drg 599 599 | – | – | – | $8,358$6,112–$11,230 · 10 plans | |
| Ms-Drg 6-a 6-A | – | – | – | $205,695only 1 plan | |
| Ms-Drg 6-P 6-P | – | – | – | $348,484only 1 plan | |
| Ms-Drg 600 600 | – | – | – | $11,315$7,640–$15,204 · 10 plans | |
| Ms-Drg 601 601 | – | – | – | $6,572$4,621–$8,831 · 10 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $15,991$10,738–$21,487 · 10 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $16,438$11,283–$22,087 · 10 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $9,846$6,718–$13,230 · 10 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $23,810$15,875–$31,992 · 10 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $15,201$10,239–$20,425 · 10 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $37,884$26,545–$50,903 · 10 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $20,317$13,574–$27,299 · 10 plans | |
| Ms-Drg 618 618 | – | – | – | $15,407$10,232–$20,702 · 10 plans | |
| Ms-Drg 619 619 | – | – | – | $32,789$20,765–$48,156 · 11 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $18,173$11,675–$26,690 · 11 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $11,026$9,363–$23,302 · 11 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $38,664$25,839–$51,951 · 10 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $19,487$13,342–$26,184 · 10 plans | |
| Ms-Drg 624 624 | – | – | – | $13,599$9,009–$18,273 · 10 plans | |
| Ms-Drg 625 625 | – | – | – | $32,807$21,521–$44,082 · 10 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $16,288$10,928–$21,886 · 10 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $14,429$9,674–$19,388 · 10 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $40,484$27,210–$54,397 · 10 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $23,668$15,752–$31,802 · 10 plans | |
| Ms-Drg 630 630 | – | – | – | $15,855$10,600–$21,303 · 10 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $6,748$4,743–$9,067 · 10 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $15,448$10,253–$20,757 · 10 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $11,135$7,587–$14,961 · 10 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $8,346$5,781–$11,214 · 10 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $51,071$33,397–$68,623 · 10 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $40,256$26,293–$54,091 · 10 plans | |
| Kidney Transplant 652 | – | – | – | $35,082$22,992–$47,139 · 10 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $63,396$38,400–$86,666 · 11 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $31,789$20,142–$46,687 · 11 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $24,036$15,321–$35,301 · 11 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $36,155$22,858–$53,099 · 11 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $17,230$12,625–$28,270 · 11 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $17,622$11,332–$25,881 · 11 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $28,854$18,317–$42,377 · 11 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $11,758$7,685–$17,268 · 11 plans | |
| Ms-Drg 662 662 | – | – | – | $33,257$21,957–$44,687 · 10 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $17,263$11,109–$25,354 · 11 plans | |
| Ms-Drg 664 664 | – | – | – | $11,889$7,766–$17,460 · 11 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $33,906$23,633–$45,558 · 10 plans | |
| Ms-Drg 666 666 | – | – | – | $19,003$12,610–$25,533 · 10 plans | |
| Ms-Drg 667 667 | – | – | – | $12,017$8,099–$16,146 · 10 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $31,720$20,919–$42,621 · 10 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $17,625$11,334–$25,884 · 11 plans | |
| Ms-Drg 670 670 | – | – | – | $11,098$7,275–$16,299 · 11 plans | |
| Ms-Drg 671 671 | – | – | – | $20,384$13,050–$29,937 · 11 plans | |
| Ms-Drg 672 672 | – | – | – | $12,259$7,997–$18,004 · 11 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | – | – | – | $47,713$30,046–$60,356 · 11 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $26,557$16,889–$39,003 · 11 plans | |
| Ms-Drg 675 675 | – | – | – | $18,640$11,965–$27,375 · 11 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $6,817$4,612–$10,012 · 11 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $20,483$13,190–$30,082 · 11 plans | |
| Ms-Drg 688 688 | – | – | – | $8,975$5,954–$13,181 · 11 plans | |
| Ms-Drg 693 693 | – | – | – | $15,268$10,352–$19,314 · 11 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $8,877$5,893–$13,037 · 11 plans | |
| Ms-Drg 695 695 | – | – | – | $12,425$8,407–$16,695 · 10 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $7,824$5,239–$11,491 · 11 plans | |
| Ms-Drg 697 697 | – | – | – | $11,708$7,901–$15,732 · 10 plans | |
| Ms-Drg 7-a 7-A | – | – | – | $205,695only 1 plan | |
| Ms-Drg 7-D 7-D | – | – | – | $433,900$433,900–$470,093 · 3 plans | |
| Ms-Drg 7-P 7-P | – | – | – | $247,521only 1 plan | |
| Ms-Drg 7-S 7-S | – | – | – | $428,300$428,300–$447,131 · 3 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $7,835$5,245–$11,506 · 11 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $17,205$12,436–$28,493 · 10 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $13,322$10,702–$22,551 · 10 plans | |
| Ms-Drg 709 709 | – | – | – | $25,279$16,693–$33,967 · 10 plans | |
| Ms-Drg 710 710 | – | – | – | $15,221$10,534–$20,452 · 10 plans | |
| Ms-Drg 711 711 | – | – | – | $22,636$14,916–$30,416 · 10 plans | |
| Ms-Drg 712 712 | – | – | – | $11,946$8,087–$16,052 · 10 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $16,331$10,910–$21,944 · 10 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $11,487$7,729–$15,434 · 10 plans | |
| Ms-Drg 715 715 | – | – | – | $24,304$16,130–$32,656 · 10 plans | |
| Ms-Drg 716 716 | – | – | – | $15,979$10,686–$21,471 · 10 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $20,537$13,650–$27,594 · 10 plans | |
| Ms-Drg 718 718 | – | – | – | $14,590$9,745–$19,604 · 10 plans | |
| Ms-Drg 71a 71A | – | – | – | $43,800only 1 plan | |
| Ms-Drg 71b 71B | – | – | – | $36,700only 1 plan | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $19,659$13,050–$26,415 · 10 plans | |
| Ms-Drg 723 723 | – | – | – | $12,413$8,396–$16,679 · 10 plans | |
| Ms-Drg 724 724 | – | – | – | $7,123$5,255–$9,571 · 10 plans | |
| Ms-Drg 725 725 | – | – | – | $12,712$8,902–$17,081 · 10 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $7,843$5,464–$10,539 · 10 plans | |
| Ms-Drg 727 727 | – | – | – | $16,109$10,795–$21,645 · 10 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $8,812$6,080–$11,841 · 10 plans | |
| Ms-Drg 729 729 | – | – | – | $11,501$7,847–$15,453 · 10 plans | |
| Ms-Drg 730 730 | – | – | – | $7,300$5,052–$9,809 · 10 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $23,138$15,341–$31,090 · 10 plans | |
| Ms-Drg 735 735 | – | – | – | $14,616$9,748–$19,639 · 10 plans | |
| Ms-Drg 736 736 | – | – | – | $38,830$27,053–$52,174 · 10 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $22,384$14,829–$30,077 · 10 plans | |
| Ms-Drg 738 738 | – | – | – | $15,952$10,736–$21,435 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $38,920$27,325–$52,296 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $19,658$13,110–$26,413 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $15,492$10,369–$20,816 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $15,699$12,166–$27,823 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $11,459$9,071–$18,814 · 10 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $22,259$14,725–$29,909 · 10 plans | |
| Ms-Drg 745 745 | – | – | – | $12,357$8,296–$16,603 · 10 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $18,870$12,551–$25,355 · 10 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $9,339$6,792–$12,548 · 10 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $15,070$10,115–$20,249 · 10 plans | |
| Ms-Drg 749 749 | – | – | – | $27,892$18,455–$37,477 · 10 plans | |
| Ms-Drg 750 750 | – | – | – | $16,032$10,627–$21,541 · 10 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $20,006$13,308–$26,882 · 10 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $11,817$8,039–$15,878 · 10 plans | |
| Ms-Drg 756 756 | – | – | – | $10,434$7,124–$14,020 · 10 plans | |
| Ms-Drg 757 757 | – | – | – | $15,555$10,434–$20,900 · 10 plans | |
| Ms-Drg 758 758 | – | – | – | $10,635$7,285–$14,290 · 10 plans | |
| Ms-Drg 759 759 | – | – | – | $7,209$5,021–$9,686 · 10 plans | |
| Ms-Drg 760 760 | – | – | – | $10,944$7,443–$14,706 · 10 plans | |
| Ms-Drg 761 761 | – | – | – | $6,197$4,612–$8,327 · 10 plans | |
| Ms-Drg 768 768 | – | – | – | $8,707$7,753–$9,771 · 10 plans | |
| Ms-Drg 769 769 | – | – | – | $18,356$12,056–$24,665 · 10 plans | |
| Ms-Drg 770 770 | – | – | – | $10,892$7,636–$14,636 · 10 plans | |
| Ms-Drg 776 776 | – | – | – | $7,112$5,161–$9,556 · 10 plans | |
| Ms-Drg 779 779 | – | – | – | $9,139$6,654–$12,280 · 10 plans | |
| Ms-Drg 783 783 | – | – | – | $12,030$9,983–$17,889 · 10 plans | |
| Ms-Drg 784 784 | – | – | – | $10,510$7,844–$12,458 · 10 plans | |
| Ms-Drg 785 785 | – | – | – | $10,510$7,051–$12,458 · 10 plans | |
| C-section, with major complications 786 | – | – | – | $11,677$9,983–$13,269 · 10 plans | |
| C-section, with complications 787 | – | – | – | $11,290$8,190–$14,633 · 10 plans | |
| C-section 788 | – | – | – | $11,130$7,078–$13,689 · 10 plans | |
| Ms-Drg 789 789 | – | – | – | $5,351$3,727–$14,411 · 11 plans | |
| Ms-Drg 790 790 | – | – | – | $5,351$3,727–$46,582 · 11 plans | |
| Ms-Drg 791 791 | – | – | – | $5,351$3,727–$31,943 · 11 plans | |
| Ms-Drg 792 792 | – | – | – | $5,351$2,486–$19,437 · 11 plans | |
| Ms-Drg 793 793 | – | – | – | $5,351$2,925–$32,802 · 11 plans | |
| Ms-Drg 794 794 | – | – | – | $4,144$1,981–$11,876 · 11 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $1,662$867–$1,962 · 11 plans | |
| Ms-Drg 796 796 | – | – | – | $8,647$7,312–$9,611 · 10 plans | |
| Ms-Drg 797 797 | – | – | – | $8,013$6,900–$9,359 · 10 plans | |
| Ms-Drg 798 798 | – | – | – | $7,845$6,900–$9,359 · 10 plans | |
| Ms-Drg 799 799 | – | – | – | $49,197$32,753–$66,105 · 10 plans | |
| Ms-Drg 800 800 | – | – | – | $30,519$20,216–$41,007 · 10 plans | |
| Ms-Drg 801 801 | – | – | – | $20,736$13,621–$27,863 · 10 plans | |
| Ms-Drg 802 802 | – | – | – | $43,279$28,139–$58,153 · 10 plans | |
| Ms-Drg 803 803 | – | – | – | $20,193$13,398–$27,133 · 10 plans | |
| Ms-Drg 804 804 | – | – | – | $14,730$9,740–$19,793 · 10 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $8,736$7,352–$9,771 · 10 plans | |
| Vaginal birth, with complications 806 | – | – | – | $8,414$5,653–$10,070 · 10 plans | |
| Vaginal birth 807 | – | – | – | $7,611$5,087–$9,359 · 10 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $23,984$15,965–$32,227 · 10 plans | |
| Ms-Drg 810 810 | – | – | – | $11,369$7,669–$15,276 · 10 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $23,102$15,312–$31,042 · 10 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $11,015$7,505–$14,801 · 10 plans | |
| Ms-Drg 816 816 | – | – | – | $6,865$4,834–$9,225 · 10 plans | |
| Ms-Drg 817 817 | – | – | – | $24,785$17,514–$33,303 · 10 plans | |
| Ms-Drg 818 818 | – | – | – | $12,592$9,051–$16,920 · 10 plans | |
| Ms-Drg 819 819 | – | – | – | $9,341$6,389–$12,551 · 10 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $66,601$41,792–$97,813 · 11 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $25,422$16,183–$37,335 · 11 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $13,673$8,876–$20,080 · 11 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $52,065$32,752–$76,465 · 11 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $25,728$16,373–$37,786 · 11 plans | |
| Ms-Drg 825 825 | – | – | – | $15,324$9,903–$22,505 · 11 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $50,815$33,362–$68,279 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $26,246$16,695–$38,546 · 11 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $18,508$12,291–$24,869 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $35,885$22,690–$52,702 · 11 plans | |
| Ms-Drg 830 830 | – | – | – | $16,349$10,931–$21,967 · 10 plans | |
| Ms-Drg 831 831 | – | – | – | $10,180$8,476–$17,552 · 10 plans | |
| Ms-Drg 832 832 | – | – | – | $8,657$5,463–$10,589 · 10 plans | |
| Ms-Drg 833 833 | – | – | – | $5,680$4,045–$7,632 · 10 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $62,343$39,144–$91,561 · 11 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $23,686$15,103–$34,787 · 11 plans | |
| Ms-Drg 836 836 | – | – | – | $13,849$8,987–$20,339 · 11 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $54,558$34,522–$80,126 · 11 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $23,705$15,115–$34,814 · 11 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $16,397$10,570–$20,800 · 11 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $18,526$11,894–$27,208 · 11 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $11,474$7,509–$16,851 · 11 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $21,670$14,339–$29,117 · 10 plans | |
| Ms-Drg 844 844 | – | – | – | $13,825$8,971–$20,304 · 11 plans | |
| Ms-Drg 845 845 | – | – | – | $9,251$6,351–$12,430 · 10 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $26,884$18,682–$37,241 · 11 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $14,856$9,612–$19,900 · 11 plans | |
| Ms-Drg 848 848 | – | – | – | $9,646$6,372–$13,700 · 11 plans | |
| Radiotherapy 849 | – | – | – | $29,700$19,508–$38,922 · 11 plans | |
| Ms-Drg 850 850 | – | – | – | $65,469$55,379–$126,397 · 10 plans | |
| Ms-Drg 855 855 | – | – | – | $16,264$11,366–$21,854 · 10 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $55,494$32,497–$75,863 · 11 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $24,319$15,497–$35,716 · 11 plans | |
| Ms-Drg 858 858 | – | – | – | $15,818$10,210–$23,231 · 11 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $10,081$6,642–$14,805 · 11 plans | |
| Viral Illness with Mcc 865 | – | – | – | $16,276$10,898–$21,870 · 10 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $9,875$6,514–$12,600 · 11 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $23,770$15,156–$34,910 · 11 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $11,709$7,655–$17,197 · 11 plans | |
| Ms-Drg 869 869 | – | – | – | $7,927$5,496–$10,651 · 10 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $2,346$1,483–$30,435 · 11 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $2,439$1,706–$8,684 · 10 plans | |
| Depressive Neuroses 881 | – | – | – | $2,439$1,706–$8,517 · 10 plans | |
| Neuroses Except Depressive 882 | – | – | – | $2,439$1,706–$9,668 · 10 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $2,519$1,706–$17,396 · 10 plans | |
| Psychoses 885 | – | – | – | $2,519$1,758–$12,465 · 10 plans | |
| Ms-Drg 886 886 | – | – | – | $2,346$1,483–$16,532 · 11 plans | |
| Ms-Drg 887 887 | – | – | – | $2,346$1,483–$8,729 · 11 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $1,929$1,504–$5,203 · 11 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $1,886$1,442–$12,627 · 10 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $1,886$1,442–$15,481 · 10 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $1,886$1,442–$8,014 · 10 plans | |
| Ms-Drg 901 901 | – | – | – | $45,588$30,524–$61,255 · 10 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $20,797$13,831–$27,945 · 10 plans | |
| Ms-Drg 903 903 | – | – | – | $12,705$8,634–$17,072 · 10 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $39,901$26,652–$53,614 · 10 plans | |
| Ms-Drg 905 905 | – | – | – | $16,114$11,495–$21,652 · 10 plans | |
| Ms-Drg 906 906 | – | – | – | $21,338$15,121–$28,672 · 10 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $43,537$27,523–$56,040 · 10 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $22,876$14,426–$29,123 · 10 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $12,941$9,576–$18,642 · 10 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $17,757$11,861–$23,859 · 10 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $9,619$6,620–$12,925 · 10 plans | |
| Ms-Drg 915 915 | – | – | – | $18,267$12,242–$24,545 · 10 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $7,238$5,055–$9,726 · 10 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | – | – | – | $17,038$11,503–$22,893 · 10 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $9,311$6,418–$12,510 · 10 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $10,888$7,431–$14,630 · 10 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $7,478$5,211–$10,048 · 10 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $19,004$12,640–$25,535 · 10 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $11,055$7,531–$14,855 · 10 plans | |
| Ms-Drg 927 927 | – | – | – | $231,930$161,296–$311,638 · 10 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $77,917$50,520–$104,695 · 10 plans | |
| Ms-Drg 929 929 | – | – | – | $34,988$23,011–$47,012 · 10 plans | |
| Ms-Drg 933 933 | – | – | – | $42,303$29,673–$56,841 · 10 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $24,014$15,883–$32,267 · 10 plans | |
| Non-Extensive Burns 935 | – | – | – | $22,378$15,274–$30,068 · 10 plans | |
| Ms-Drg 939 939 | – | – | – | $39,416$25,598–$52,963 · 10 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $25,386$16,662–$34,110 · 10 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $22,027$14,590–$29,597 · 10 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $6,828$1,772–$19,586 · 10 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $5,409$1,772–$14,505 · 10 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $13,790$9,313–$18,529 · 10 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $12,924$8,665–$17,365 · 10 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $6,819$4,756–$9,162 · 10 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $6,040$4,287–$8,116 · 10 plans | |
| Ms-Drg 955 955 | – | – | – | $73,120$47,816–$98,249 · 10 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $40,877$26,896–$54,926 · 10 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $82,775$53,899–$111,222 · 10 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $45,776$29,958–$61,507 · 10 plans | |
| Ms-Drg 959 959 | – | – | – | $31,982$20,886–$42,973 · 10 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $29,697$19,599–$39,903 · 10 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $16,649$11,132–$22,370 · 10 plans | |
| Ms-Drg 965 965 | – | – | – | $10,217$6,967–$13,728 · 10 plans | |
| Ms-Drg 969 969 | – | – | – | $66,496$43,595–$89,348 · 10 plans | |
| Ms-Drg 970 970 | – | – | – | $28,650$18,943–$38,496 · 10 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $31,351$20,750–$42,125 · 10 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $14,068$9,967–$18,902 · 10 plans | |
| Ms-Drg 976 976 | – | – | – | $9,806$7,117–$13,176 · 10 plans | |
| Ms-Drg 977 977 | – | – | – | $14,097$10,095–$18,942 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $26,707$17,665–$35,885 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $18,619$12,400–$25,018 · 10 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $17,854$12,025–$23,990 · 10 plans | |
| Ms-Drg 989 989 | – | – | – | $13,027$8,778–$17,504 · 10 plans |
Outpatient procedures and tests
The hospital's facility charge only; doctors usually bill separately.
| Procedure | List price | Cash price | Insurers (median) |
|---|---|---|---|
| Cataract surgery CPT 66984 | – | – | $5,679$2,293–$6,564 · 6 plans |
| Colonoscopy CPT 45378 | $4,194 | $2,726 | $2,516$1,348–$3,782 · 39 plans |
| Colonoscopy with biopsy CPT 45380 | $5,424 | $3,526 | $3,254$1,744–$4,882 · 39 plans |
| Complete blood count (CBC) CPT 85025 | $54 | $35 | $28$11–$49 · 39 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $73 | $47 | $38$16–$66 · 39 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,464 | $1,602 | $1,355$519–$2,218 · 39 plans |
| Emergency room visit, highest level CPT 99285 | $4,230 | $2,750 | $2,284$1,040–$3,807 · 39 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | $26,838 | $17,445 | $14,761$8,555–$24,154 · 39 plans |
| Hip replacement CPT 27130 | – | – | $21,570$12,188–$34,219 · 6 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $7,705$3,250–$8,721 · 6 plans |
| Knee replacement CPT 27447 | – | – | $21,570$12,188–$34,219 · 6 plans |
| MRI of the brain, with and without contrast CPT 70553 | $2,464 | $1,602 | $1,355$539–$2,218 · 39 plans |
| MRI of the knee, without contrast CPT 73721 | $1,668 | $1,084 | $917$352–$1,501 · 39 plans |
Price file: Cleveland Clinic, read November 9, 2026.