US Health Care Costs

Jackson Health System

1611 NW 12th Ave, Miami, FL 33136 · (305) 585-1111

General hospitalGovernment - Hospital District or AuthorityEmergency roomCMS rating ★★★★★

The money

$32what care cost the hospital for every $100 it billed
$104.4Mnet income, all sources
−90.5%margin on patient care alone
$175.3Mcost of charity care (7.6% of costs)
$346.2Munpaid bills written off (bad debt)
1,595beds

From the hospital's Medicare cost report for the year ending September 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)

StayMedicare staysBilledPaidCash priceInsurers (median)
Heart failure, with major complications 291346$65,145$22,060
$14,762$15,031$12,512–$58,054 · 44 plans
Sepsis, with major complications 871343$81,786$26,934
$36,304$22,743$18,932–$79,123 · 44 plans
Urinary tract infection 690153$32,338$16,101
$14,521$8,679$902–$31,481 · 53 plans
Lung infection, with major complications 177135$64,887$24,624
$19,300$18,796$15,231–$67,366 · 44 plans
Other kidney and urinary problems, with complications 699117$44,787$18,533
$12,584$12,500$9,893–$42,349 · 44 plans
Pneumonia, with major complications 193111$61,724$21,379
$11,200$15,389$12,811–$61,088 · 44 plans
Urinary tract infection, with major complications 689110$47,821$20,165
$15,271$13,585$11,309–$53,627 · 44 plans
Septicemia or Severe Sepsis with Mv >96 Hours 870104$219,079$67,700
$46,054$80,923$67,365–$190,681 · 44 plans
Other kidney and urinary problems, with major complications 69881$88,920$27,157
$16,334$19,370$16,124–$64,286 · 44 plans
COPD, with major complications 19078$57,600$17,887
$12,269$12,969$10,796–$48,108 · 44 plans
Pneumonia, with complications 19477$42,137$15,797
$10,450$9,435$7,855–$47,609 · 44 plans
Respiratory System Diagnosis with Ventilator Support >96 Hours 20775$203,947$65,775
$42,877$75,337$62,715–$176,332 · 44 plans
Kidney failure, with major complications 68273$72,829$23,993
$10,945$17,339$14,434–$49,826 · 44 plans
Stomach and digestive disorders 39272$35,460$15,705
$10,487$9,128$7,598–$36,032 · 44 plans
Stroke, with major complications 06468$107,380$28,094
$14,483$21,560$902–$76,300 · 53 plans
Psychoses 88566$26,200$21,691
$15,364$14,300$7,200–$23,748 · 53 plans
Seizures 10165$41,129$17,241
$16,951$9,677$1,215–$33,672 · 53 plans
Infection needing surgery, with major complications 85364$176,808$54,805
$33,942$64,534$48,133–$204,368 · 44 plans
Breathing problem needing a ventilator (up to 4 days) 20860$90,847$33,026
$37,627$32,182$26,790–$75,123 · 44 plans
Heart attack, with major complications 28060$86,162$24,984
$12,310$17,354$13,742–$58,966 · 44 plans
Kidney failure, with complications 68360$39,866$16,488
$10,195$10,254$8,536–$38,295 · 44 plans
Stroke, with complications or clot-busting drug 06555$62,450$17,413
$12,633$11,829$9,847–$47,630 · 44 plans
Dehydration and electrolyte problems, with major complications 64055$43,858$20,701
$14,107$16,152$13,017–$54,837 · 44 plans
Anemia and blood disorders 81253$31,636$16,811
$12,020$10,750$8,949–$50,238 · 44 plans
Dehydration and electrolyte problems 64149$32,599$15,399
$12,607$9,111$7,585–$47,337 · 44 plans
Stomach or intestinal bleeding, with major complications 37748$87,134$27,658
$14,934$21,402$17,816–$60,214 · 44 plans
Anemia and blood disorders, with major complications 81148$55,603$22,603
$17,270$16,441$13,687–$64,397 · 44 plans
Kidney Transplant 65247$259,820$36,771
$33,167$40,000$31,476–$184,249 · 39 plans
Seizures with Mcc 10045$94,976$27,483
$16,201$22,676$18,877–$62,033 · 44 plans
Respiratory failure 18943$73,987$20,547
$13,974$14,464$12,041–$48,987 · 44 plans
Diabetes, with major complications 63742$66,494$21,712
$12,921$16,821$14,003–$49,483 · 44 plans
Other circulation problems, with major complications 31441$104,630$32,225
$19,495$24,413$20,323–$82,031 · 44 plans
Stomach or intestinal bleeding, with complications 37840$44,469$18,495
$13,434$11,482$9,558–$38,787 · 44 plans
Skin infection (cellulitis) 60340$33,025$16,290
$9,896$10,196$8,488–$29,887 · 44 plans
Hip or thigh bone surgery (not replacement), with complications 48136$89,726$26,844
$20,702$29,222$20,414–$82,243 · 44 plans
Diabetes, with complications 63836$44,649$16,285
$11,421$10,493$8,735–$49,349 · 44 plans
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 02735$99,450$30,040
$27,237$35,761$24,589–$71,031 · 44 plans
Lung infection, with complications 17835$42,638$17,705
$15,550$11,427$9,512–$56,105 · 44 plans
Other Kidney and Urinary Tract Procedures with Mcc 67334$136,875$45,623
$30,193$50,011$40,950–$172,635 · 44 plans
Hypertension with Mcc 30432$51,594$20,251
$9,665$13,932$11,598–$38,335 · 44 plans
Spinal fusion (lower or mid back) 46032$97,190$41,935
$39,833$46,409$35,651–$74,816 · 44 plans
Other Major Cardiovascular Procedures with Mcc 27031$223,494$56,062
$35,218$63,377$51,425–$137,851 · 44 plans
Heart Failure and Shock with Cc 29231$28,141$16,529
$11,762$9,940$8,275–$26,568 · 44 plans
Stomach and digestive disorders, with major complications 39131$57,261$18,850
$14,987$14,849$12,361–$54,868 · 44 plans
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 00330$951,567$231,462
$138,517$231,693$206,868–$603,062 · 44 plans
Heart stent, with major complications or 4+ stents 32130$137,242$37,337
$100,097$30,163$26,518–$79,353 · 44 plans
Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 00429$411,370$113,793
$131,017$157,880$135,001–$375,745 · 44 plans
Heart catheterization, with major complications 28629$100,239$29,022
$19,142$23,616$11,928–$81,175 · 44 plans
Irregular heartbeat, with major complications 30829$64,098$17,744
$11,180$14,306$11,735–$45,857 · 44 plans
Craniotomy and Endovascular Intracranial Procedures with Mcc 02527$229,671$56,411
$33,987$49,631$37,622–$127,684 · 48 plans
Other Cerebrovascular Disorders with Cc 07126$53,491$18,686
$16,840$12,012$10,000–$44,809 · 44 plans
Irregular heartbeat, with complications 30926$49,622$14,484
$10,430$8,614$7,170–$31,200 · 44 plans
Bowel obstruction, with complications 38926$37,862$16,716
$11,343$9,247$7,698–$38,552 · 44 plans
Sepsis 87226$48,523$18,298
$28,054$10,971$902–$41,464 · 53 plans
Heart attack, with complications 28124$47,672$17,720
$10,810$9,406$902–$29,928 · 53 plans
Other Digestive System Diagnoses with Mcc 39324$92,038$30,537
$15,208$18,725$15,587–$102,818 · 44 plans
Hip and Femur Procedures Except Major Joint Without Cc/Mcc 48224$67,168$22,612
$18,452$22,523$15,896–$57,366 · 44 plans
Chronic Obstructive Pulmonary Disease with Cc 19123$38,038$15,639
$10,769$9,870$8,216–$28,511 · 44 plans
Major Small and Large Bowel Procedures Without Cc/Mcc 33123$48,005$22,544
$24,173$21,275$16,402–$63,563 · 44 plans
Other digestive problems, with complications 39423$45,305$16,908
$14,458$12,567$9,120–$43,761 · 44 plans
Gastrointestinal Obstruction Without Cc/Mcc 39022$33,536$14,177
$8,343$6,369$5,302–$25,185 · 44 plans
Cervical Spinal Fusion Without Cc/Mcc 47322$86,385$30,800
$27,144$28,051$23,794–$65,966 · 44 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 98122$197,819$54,684
$32,354$58,018$45,728–$155,182 · 44 plans
Simple Pneumonia and Pleurisy Without Cc/Mcc 19521$32,686$14,730
$10,450$7,358$6,126–$31,559 · 44 plans
High blood pressure 30521$38,539$15,217
$12,665$8,841$7,359–$47,009 · 44 plans
Heart stent 32221$75,941$25,464
$70,496$19,761$17,183–$49,459 · 44 plans
Other Factors Influencing Health Status 95121$15,752$13,926
$12,365$5,961$902–$31,704 · 53 plans
Peripheral Vascular Disorders with Cc 30020$44,080$18,321
$10,166$12,498$10,404–$33,725 · 44 plans
Irregular heartbeat 31020$29,782$12,608
$8,930$6,703$5,517–$28,026 · 44 plans
Chest pain 31320$30,586$14,409
$8,228$8,430$7,017–$26,740 · 44 plans
Cirrhosis and Alcoholic Hepatitis with Mcc 43220$163,846$41,964
$16,817$23,044$19,183–$97,551 · 44 plans
Hip replacement after a hip fracture 52220$74,709$25,722
$22,515$29,857$20,640–$73,498 · 44 plans
Back problems (no surgery) 55220$40,736$15,700
$13,270$11,332$9,369–$39,825 · 44 plans
Complications of Treatment with Cc 92020$69,109$19,676
$13,788$11,735$9,769–$44,304 · 44 plans
Fainting 31219$38,599$16,047
$10,663$10,205$8,495–$44,410 · 44 plans
Other Circulatory System Diagnoses with Cc 31519$81,309$22,825
$13,495$11,278$9,389–$47,344 · 44 plans
Bowel surgery, with major complications 32919$307,516$56,717
$30,173$57,195$44,799–$160,382 · 44 plans
Poisoning and Toxic Effects of Drugs with Mcc 91719$73,707$24,677
$13,708$18,363$15,286–$52,725 · 44 plans
Other Major Cardiovascular Procedures with Cc 27118$127,009$39,330
$30,718$44,125$34,661–$106,716 · 44 plans
Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 45518$133,727$49,891
$49,020$52,892$44,888–$107,225 · 44 plans
Signs and Symptoms Without Mcc 94818$29,344$15,834
$11,704$8,845$6,624–$38,709 · 48 plans
Other Cerebrovascular Disorders with Mcc 07017$64,233$24,001
$13,840$19,491$16,226–$57,037 · 44 plans
Peripheral Vascular Disorders with Mcc 29917$48,427$23,686
$10,916$19,116$15,913–$52,633 · 44 plans
Bowel surgery, with complications 33017$98,949$33,195
$29,423$30,945$23,364–$96,131 · 44 plans
Hip or thigh bone surgery (not replacement), with major complications 48017$129,265$37,451
$21,452$39,526$28,384–$117,842 · 44 plans
Complications of Treatment with Mcc 91917$67,230$26,695
$13,038$21,435$17,844–$71,712 · 44 plans
Hiv with Major Related Condition with Mcc 97417$165,898$40,719
$17,695$33,789$28,128–$107,595 · 44 plans
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 06616$39,978$14,301
$11,133$8,013$6,670–$32,979 · 44 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 44116$170,322$46,664
$15,915$21,982$17,492–$95,266 · 44 plans
Other Disorders of Nervous System with Cc 09215$49,888$18,791
$18,150$11,167$8,529–$53,197 · 48 plans
Other Respiratory System Diagnoses with Mcc 20515$113,528$27,785
$13,415$21,437$17,846–$65,070 · 44 plans
Other Vascular Procedures with Cc 25315$139,623$31,519
$25,654$32,214$25,298–$73,807 · 44 plans
Acute Myocardial Infarction, Expired with Mcc 28315$90,119$28,566
$19,700$23,191$19,306–$109,110 · 44 plans
Fracture or sprain (not hip or thigh) 56315$56,414$18,138
$12,899$10,793$8,728–$42,362 · 44 plans
Pulmonary Embolism Without Mcc 17614$50,901$17,132
$10,253$9,425$7,846–$36,450 · 44 plans
Respiratory Infections and Inflammations Without Cc/Mcc 17914$29,535$14,656
$13,300$8,840$7,359–$40,739 · 44 plans
Other Vascular Procedures with Mcc 25214$108,780$37,491
$26,404$41,954$33,998–$158,884 · 44 plans
Gastrointestinal Hemorrhage Without Cc/Mcc 37914$39,975$14,170
$8,184$7,381$6,144–$17,648 · 44 plans
Traumatic Stupor and Coma <1 Hour with Cc 08613$76,467$20,166
$17,988$15,821$12,697–$48,325 · 44 plans
Heart catheterization 28713$62,816$18,849
$15,392$11,420$9,081–$34,655 · 44 plans
Cardiac Arrest, Unexplained with Mcc 29613$102,722$29,232
$9,658$18,287$15,223–$46,637 · 44 plans
Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 32813$52,583$23,497
$26,998$18,760$15,617–$53,822 · 44 plans
Gastrointestinal Obstruction with Mcc 38813$70,154$24,052
$13,593$17,290$14,393–$92,631 · 44 plans
Disorders of the Biliary Tract with Cc 44513$50,194$19,538
$13,866$12,813$10,666–$43,994 · 44 plans
Cervical Spinal Fusion with Cc 47213$85,789$35,301
$28,644$38,703$28,714–$81,899 · 44 plans
Tendonitis, Myositis and Bursitis Without Mcc 55813$28,998$17,355
$12,065$10,458$8,705–$29,865 · 44 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 61713$70,505$26,129
$18,830$21,897$18,229–$52,591 · 44 plans
Renal Failure Without Cc/Mcc 68413$19,849$14,133
$9,445$7,513$5,851–$23,843 · 44 plans
Postoperative and Post-Traumatic Infections with Mcc 86213$127,063$32,839
$20,822$21,352$17,774–$73,590 · 44 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 89713$25,428$16,543
$12,311$9,465$2,700–$19,154 · 53 plans
Traumatic Stupor and Coma >1 Hour with Mcc 08212$158,265$38,084
$21,388$29,056$22,276–$101,720 · 44 plans
Traumatic Stupor and Coma >1 Hour with Cc 08312$93,830$22,503
$14,638$14,964$1,215–$56,071 · 53 plans
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 17512$100,751$22,416
$11,753$16,082$13,388–$47,405 · 44 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 37112$63,691$22,762
$10,528$20,759$17,281–$44,749 · 44 plans
Digestive Malignancy with Mcc 37412$90,899$29,681
$18,820$25,040$20,845–$75,199 · 44 plans
Combined Anterior and Posterior Spinal Fusion with Cc 45412$153,488$63,925
$50,520$66,765$59,612–$131,605 · 44 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 49412$57,763$23,928
$21,674$26,630$19,556–$56,225 · 44 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 51612$94,234$26,126
$21,300$28,585$20,254–$72,965 · 44 plans
Major Skin Disorders Without Mcc 59612$33,751$17,394
$15,435$13,759$10,550–$50,565 · 44 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 04111$77,611$30,280
$22,218$28,013$21,429–$60,709 · 44 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 06211$95,086$26,290
$19,994$20,573$17,126–$52,172 · 44 plans
Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 08411$42,680$15,316
$15,388$11,197$9,316–$48,906 · 44 plans
Traumatic Stupor and Coma <1 Hour with Mcc 08511$120,524$29,124
$16,138$27,048$22,143–$90,505 · 44 plans
Bronchitis and Asthma with Cc/Mcc 20211$49,453$19,143
$11,007$11,981$9,466–$44,717 · 44 plans
Other Digestive System O.r. Procedures with Mcc 35611$117,638$47,123
$30,178$54,675$42,814–$179,711 · 44 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 44211$69,317$20,005
$10,665$11,302$9,408–$39,668 · 44 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 45711$170,173$63,144
$54,000$74,853$58,119–$155,052 · 44 plans
Hip or knee replacement 47011$71,818$25,737
$25,338$27,852$18,800–$66,902 · 44 plans
Fractures of Hip and Pelvis Without Mcc 53611$43,240$15,591
$9,719$9,686$7,871–$37,763 · 44 plans
Cellulitis with Mcc 60211$44,769$22,872
$13,646$16,641$13,853–$50,116 · 44 plans
Other Kidney and Urinary Tract Procedures with Cc 67411$97,793$29,735
$22,693$27,380$22,793–$67,562 · 44 plans
Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 70011$40,017$14,680
$8,834$8,077$6,724–$21,179 · 44 plans
Poisoning and Toxic Effects of Drugs Without Mcc 91811$25,868$16,901
$12,958$9,189$1,804–$29,230 · 53 plans
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 95611$180,283$55,608
$41,748$52,294$36,676–$160,149 · 44 plans
Heart Transplant or Implant of Heart Assist System with Mcc 001–––$193,917$358,785$273,131–$771,583 · 39 plans
Ms-Drg 002 002–––$300,417$141,648$110,444–$1,052,997 · 39 plans
Liver Transplant with Mcc or Intestinal Transplant 005–––$75,107$133,263$100,490–$521,145 · 39 plans
Liver Transplant Without Mcc 006–––$60,107$52,483$45,194–$252,465 · 39 plans
Lung Transplant 007–––$93,487$141,363$126,217–$529,042 · 39 plans
Ms-Drg 008 008–––$44,164$61,179$54,624–$299,727 · 39 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011–––$41,429$70,370$53,158–$202,505 · 44 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012–––$43,679$53,532$41,091–$179,814 · 44 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013–––$30,179$33,740$28,087–$79,503 · 44 plans
Allogeneic Bone Marrow Transplant 014–––$96,655$131,186$117,131–$413,814 · 39 plans
Autologous Bone Marrow Transplant with Cc/Mcc 016–––$70,784$74,121$57,793–$317,517 · 39 plans
Ms-Drg 017 017–––$59,534$60,479$47,156–$198,099 · 39 plans
Ms-Drg 019 019–––$63,570$77,208$64,591–$451,156 · 39 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020–––$67,275$93,587$76,692–$221,175 · 44 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021–––$56,025$67,791$51,595–$173,286 · 44 plans
Ms-Drg 022 022–––$50,025$38,704$29,971–$84,214 · 44 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023–––$46,985$67,796$55,850–$166,201 · 44 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024–––$36,485$42,702$38,127–$104,557 · 44 plans
Craniotomy and Endovascular Intracranial Procedures with Cc 026–––$27,237$33,940$25,728–$93,096 · 48 plans
Spinal Procedures with Mcc 028–––$40,036$71,777$58,559–$165,756 · 44 plans
Spinal Procedures with Cc or Spinal Neurostimulators 029–––$31,786$47,908$33,251–$93,952 · 44 plans
Spinal Procedures Without Cc/Mcc 030–––$29,536$28,010$21,395–$62,510 · 44 plans
Ventricular Shunt Procedures with Mcc 031–––$24,222$53,385$43,669–$133,878 · 44 plans
Ventricular Shunt Procedures with Cc 032–––$21,972$23,904$20,769–$72,054 · 44 plans
Ventricular Shunt Procedures Without Cc/Mcc 033–––$22,722$22,819$16,207–$50,413 · 44 plans
Carotid Artery Stent Procedures with Mcc 034–––$27,920$47,748$37,725–$136,330 · 44 plans
Carotid Artery Stent Procedures with Cc 035–––$21,170$26,095$22,005–$65,949 · 44 plans
Carotid Artery Stent Procedures Without Cc/Mcc 036–––$20,420$21,207$18,935–$52,347 · 44 plans
Extracranial Procedures with Mcc 037–––$19,344$35,936$32,086–$82,080 · 44 plans
Extracranial Procedures with Cc 038–––$19,344$20,614$15,814–$72,184 · 44 plans
Extracranial Procedures Without Cc/Mcc 039–––$17,844$16,201$11,457–$50,073 · 44 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040–––$23,718$41,772$19,104–$104,548 · 48 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042–––$23,718$22,894$16,839–$52,700 · 44 plans
Ms-Drg 052 052–––$13,131$19,439$14,736–$45,458 · 48 plans
Nervous System Neoplasms with Mcc 054–––$11,657$17,877$14,882–$42,817 · 44 plans
Nervous System Neoplasms Without Mcc 055–––$10,907$11,937$9,937–$34,609 · 44 plans
Degenerative Nervous System Disorders with Mcc 056–––$22,516$25,359$19,223–$74,797 · 48 plans
Degenerative nerve disorders (e.g. Parkinson's, dementia) 057–––$21,766$13,890$4,050–$53,908 · 53 plans
Ms-Drg 058 058–––$27,846$20,015$16,661–$135,108 · 44 plans
Ms-Drg 059 059–––$14,346$14,528$12,094–$40,857 · 44 plans
Ms-Drg 060 060–––$10,596$10,769$8,965–$25,438 · 44 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061–––$29,744$32,280$26,872–$95,228 · 44 plans
Ms-Drg 063 063–––$18,094$16,436$13,682–$46,709 · 44 plans
Ms-Drg 067 067–––$18,127$17,195$14,314–$104,129 · 44 plans
Precerebral Occlusion Without Infarction Without Mcc 068–––$9,877$10,120$8,425–$28,614 · 44 plans
Mini-stroke (TIA) 069–––$8,767$9,352$7,785–$31,315 · 44 plans
Other Cerebrovascular Disorders Without Cc/Mcc 072–––$11,590$8,854$7,370–$29,945 · 44 plans
Cranial and Peripheral Nerve Disorders with Mcc 073–––$15,868$18,783$15,636–$41,488 · 44 plans
Cranial and Peripheral Nerve Disorders Without Mcc 074–––$15,118$11,252$8,530–$42,989 · 48 plans
Ms-Drg 075 075–––$10,164$20,464$16,427–$37,455 · 44 plans
Ms-Drg 076 076–––$10,164$8,174$7,298–$21,006 · 44 plans
Hypertensive Encephalopathy with Mcc 077–––$9,429$16,577$14,015–$37,436 · 44 plans
Hypertensive Encephalopathy with Cc 078–––$7,929$10,892$9,580–$27,513 · 44 plans
Ms-Drg 079 079–––$10,179$7,746$6,448–$27,525 · 44 plans
Nontraumatic Stupor and Coma with Mcc 080–––$16,619$21,191$17,641–$71,936 · 44 plans
Ms-Drg 081 081–––$12,469$10,486$8,729–$32,890 · 44 plans
Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087–––$13,888$10,813$8,915–$43,758 · 44 plans
Concussion with Mcc 088–––$11,595$14,887$13,175–$37,293 · 44 plans
Concussion with Cc 089–––$8,595$11,885$9,412–$25,375 · 44 plans
Concussion Without Cc/Mcc 090–––$11,595$9,638$8,023–$36,951 · 44 plans
Other Disorders of Nervous System with Mcc 091–––$17,750$19,171$14,532–$70,171 · 48 plans
Other Disorders of Nervous System Without Cc/Mcc 093–––$16,650$8,692$6,589–$38,773 · 48 plans
Bacterial and Tuberculous Infections of Nervous System with Mcc 094–––$32,274$41,205$34,301–$125,840 · 44 plans
Ms-Drg 095 095–––$24,024$30,197$25,138–$71,154 · 44 plans
Ms-Drg 096 096–––$21,774$28,154$25,138–$71,402 · 44 plans
Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097–––$26,010$42,287$35,202–$111,042 · 44 plans
Ms-Drg 098 098–––$22,610$26,869$22,367–$79,452 · 44 plans
Ms-Drg 099 099–––$19,610$15,951$13,278–$61,396 · 44 plans
Headaches with Mcc 102–––$9,415$12,400$10,925–$28,920 · 44 plans
Headaches Without Mcc 103–––$10,165$9,791$8,151–$27,949 · 44 plans
Orbital Procedures with Cc/Mcc 113–––$15,073$26,045$22,915–$59,493 · 44 plans
Ms-Drg 114 114–––$14,673$15,865$13,187–$55,062 · 44 plans
Extraocular Procedures Except Orbit 115–––$13,980$17,971$14,960–$60,577 · 44 plans
Intraocular Procedures with Cc/Mcc 116–––$26,906$25,724$17,622–$206,498 · 44 plans
Acute Major Eye Infections with Cc/Mcc 121–––$9,925$13,620$11,338–$27,046 · 44 plans
Ms-Drg 122 122–––$7,675$9,195$7,659–$19,578 · 44 plans
Neurological Eye Disorders 123–––$9,487$9,350$7,783–$37,271 · 44 plans
Other Disorders of the Eye with Mcc or Thrombolytic Agent 124–––$14,178$18,824$12,895–$82,065 · 44 plans
Other Disorders of the Eye Without Mcc 125–––$13,428$10,576$7,483–$40,549 · 44 plans
Ms-Drg 135 135–––$16,801$23,089$20,616–$58,354 · 44 plans
Ms-Drg 136 136–––$13,051$10,836$5,047–$28,010 · 44 plans
Ms-Drg 137 137–––$12,366$16,885$14,553–$43,800 · 44 plans
Ms-Drg 138 138–––$8,616$10,274$8,637–$27,655 · 44 plans
Ms-Drg 139 139–––$10,590$13,075$11,779–$34,005 · 44 plans
Ms-Drg 140 140–––$27,744$55,720$41,571–$161,234 · 44 plans
Major Head and Neck Procedures with Cc 141–––$22,494$27,654$21,258–$61,333 · 44 plans
Major Head and Neck Procedures Without Cc/Mcc 142–––$22,494$21,731$15,559–$59,787 · 44 plans
Ms-Drg 143 143–––$19,413$44,604$36,516–$105,312 · 44 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144–––$16,413$20,289$16,889–$47,807 · 44 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145–––$17,163$14,583$11,718–$37,813 · 44 plans
Ear, Nose, Mouth and Throat Malignancy with Mcc 146–––$17,241$24,790$20,637–$51,892 · 44 plans
Ear, Nose, Mouth and Throat Malignancy with Cc 147–––$13,491$14,887$12,393–$33,135 · 44 plans
Ms-Drg 148 148–––$9,741$9,332$7,769–$20,590 · 44 plans
Dysequilibrium 149–––$6,958$8,800$7,325–$27,386 · 44 plans
Ms-Drg 150 150–––$8,521$14,275$12,710–$36,733 · 44 plans
Epistaxis Without Mcc 151–––$9,271$8,594$7,154–$24,779 · 44 plans
Otitis Media and Uri with Mcc 152–––$10,574$13,841$11,522–$36,884 · 44 plans
Otitis Media and Uri Without Mcc 153–––$12,074$8,643$7,195–$36,792 · 44 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154–––$11,978$18,305$15,238–$52,094 · 44 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155–––$8,978$10,730$8,933–$25,883 · 44 plans
Ms-Drg 156 156–––$9,728$8,091$6,736–$21,405 · 44 plans
Dental and Oral Diseases with Mcc 157–––$14,073$20,100$16,733–$48,412 · 44 plans
Dental and Oral Diseases with Cc 158–––$11,073$10,652$8,867–$37,073 · 44 plans
Ms-Drg 159 159–––$8,823$8,295$6,905–$24,880 · 44 plans
Major Chest Procedures with Mcc 163–––$40,536$56,148$43,681–$147,204 · 44 plans
Major Chest Procedures with Cc 164–––$31,536$30,384$24,600–$92,518 · 44 plans
Major Chest Procedures Without Cc/Mcc 165–––$27,036$22,411$18,656–$61,512 · 44 plans
Other Respiratory System O.r. Procedures with Mcc 166–––$26,578$45,125$36,429–$121,459 · 44 plans
Other Respiratory System O.r. Procedures with Cc 167–––$20,578$22,436$17,577–$68,299 · 44 plans
Other Respiratory System O.r. Procedures Without Cc/Mcc 168–––$16,828$15,213$13,317–$38,645 · 44 plans
Respiratory Neoplasms with Mcc 180–––$14,201$20,676$17,212–$80,606 · 44 plans
Respiratory Neoplasms with Cc 181–––$16,451$12,539$10,438–$47,885 · 44 plans
Ms-Drg 182 182–––$8,951$8,121$7,251–$20,525 · 44 plans
Major Chest Trauma with Mcc 183–––$10,957$19,449$14,911–$64,660 · 44 plans
Major Chest Trauma with Cc 184–––$10,207$13,211$10,371–$46,675 · 44 plans
Major Chest Trauma Without Cc/Mcc 185–––$9,457$9,776$7,666–$31,152 · 44 plans
Pleural Effusion with Mcc 186–––$16,943$18,247$15,190–$54,707 · 44 plans
Pleural Effusion with Cc 187–––$9,443$11,580$9,640–$33,144 · 44 plans
Ms-Drg 188 188–––$7,943$7,829$6,990–$16,270 · 44 plans
Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192–––$7,769$7,517$6,257–$23,891 · 44 plans
Interstitial Lung Disease with Mcc 196–––$12,770$22,095$18,393–$63,589 · 44 plans
Interstitial Lung Disease with Cc 197–––$8,270$10,360$9,250–$29,264 · 44 plans
Ms-Drg 198 198–––$8,270$7,818$6,980–$19,893 · 44 plans
Pneumothorax with Mcc 199–––$11,270$21,877$17,194–$49,209 · 44 plans
Pneumothorax with Cc 200–––$15,770$13,419$10,714–$38,738 · 44 plans
Ms-Drg 201 201–––$9,770$8,372$6,970–$23,175 · 44 plans
Bronchitis and Asthma Without Cc/Mcc 203–––$8,757$8,505$6,530–$20,835 · 44 plans
Respiratory Signs and Symptoms 204–––$8,850$9,453$7,869–$24,680 · 44 plans
Other Respiratory System Diagnoses Without Mcc 206–––$12,665$10,273$7,787–$46,458 · 48 plans
Concomitant Aortic and Mitral Valve Procedures 212–––$262,517$116,581$86,064–$261,195 · 44 plans
Other Heart Assist System Implant 215–––$74,474$106,749$79,674–$185,157 · 44 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216–––$53,829$104,881$83,810–$237,600 · 44 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217–––$54,579$70,790$56,331–$181,398 · 44 plans
Ms-Drg 218 218–––$53,079$71,775$56,331–$163,204 · 44 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219–––$57,579$82,319$65,780–$221,460 · 44 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220–––$56,079$58,212$48,337–$157,496 · 44 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221–––$51,579$55,018$45,685–$130,799 · 44 plans
Other Cardiothoracic Procedures with Mcc 228–––$37,241$54,005$45,112–$137,086 · 44 plans
Other Cardiothoracic Procedures Without Mcc 229–––$37,241$37,543$30,696–$87,339 · 44 plans
Coronary Bypass with Ptca with Mcc 231–––$92,005$92,020$72,219–$512,401 · 44 plans
Ms-Drg 232 232–––$51,505$64,702$53,672–$118,423 · 44 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233–––$68,935$81,964$65,497–$210,914 · 44 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234–––$48,985$58,748$49,515–$162,733 · 44 plans
Coronary Bypass Without Cardiac Catheterization with Mcc 235–––$48,388$63,489$52,481–$185,385 · 44 plans
Coronary Bypass Without Cardiac Catheterization Without Mcc 236–––$43,888$45,725$40,826–$148,686 · 44 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239–––$28,226$57,623$47,969–$138,467 · 44 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240–––$25,226$34,867$27,782–$80,926 · 44 plans
Permanent Cardiac Pacemaker Implant with Mcc 242–––$21,597$39,822$31,118–$85,500 · 44 plans
Permanent Cardiac Pacemaker Implant with Cc 243–––$21,597$26,198$20,769–$55,977 · 44 plans
Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244–––$18,597$20,990$17,617–$48,975 · 44 plans
Ms-Drg 245 245–––$35,245$48,913$38,513–$89,679 · 44 plans
Ms-Drg 246 246–––$19,227$31,968$21,017–$64,319 · 44 plans
Ms-Drg 247 247–––$19,227$20,658$17,286–$55,015 · 44 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250–––$19,869$23,824$21,271–$72,533 · 44 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251–––$16,869$16,314$14,566–$54,818 · 44 plans
Other Vascular Procedures Without Cc/Mcc 254–––$21,904$22,450$17,365–$49,153 · 44 plans
Ms-Drg 255 255–––$14,891$33,124$26,290–$68,284 · 44 plans
Ms-Drg 256 256–––$16,391$19,879$16,548–$48,284 · 44 plans
Ms-Drg 258 258–––$19,762$33,686$28,289–$68,212 · 44 plans
Ms-Drg 259 259–––$17,512$25,552$19,708–$60,691 · 44 plans
Cardiac Pacemaker Revision Except Device Replacement with Mcc 260–––$24,174$39,726$31,703–$110,586 · 44 plans
Cardiac Pacemaker Revision Except Device Replacement with Cc 261–––$24,574$25,216$18,425–$54,191 · 44 plans
Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262–––$18,574$20,883$15,886–$44,080 · 44 plans
Ms-Drg 263 263–––$20,138$32,629$23,869–$128,911 · 44 plans
Other Circulatory System O.r. Procedures 264–––$29,923$44,372$32,559–$113,384 · 44 plans
Ms-Drg 265 265–––$24,446$39,496$32,086–$102,587 · 44 plans
Heart valve replacement through a catheter (TAVR), with major complications 266–––$48,507$79,587$59,730–$173,286 · 44 plans
Heart valve replacement through a catheter (TAVR) 267–––$45,507$60,998$46,400–$123,433 · 44 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268–––$63,718$83,594$67,034–$413,045 · 44 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269–––$43,468$50,757$41,161–$111,020 · 44 plans
Other Major Cardiovascular Procedures Without Cc/Mcc 272–––$30,718$36,864$24,882–$88,758 · 44 plans
Percutaneous and Other Intracardiac Procedures with Mcc 273–––$37,145$49,340$40,209–$106,437 · 44 plans
Heart procedure through a catheter (e.g. ablation, valve clip) 274–––$29,645$37,109$32,082–$76,360 · 44 plans
Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275–––$268,786$102,959$69,495–$229,911 · 44 plans
Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276–––$200,916$84,583$58,542–$174,786 · 44 plans
Cardiac Defibrillator Implant Without Mcc 277–––$118,652$53,220$45,014–$105,025 · 44 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278–––$42,160$48,550$24,814–$58,482 · 44 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279–––$109,871$38,664$24,156–$94,341 · 44 plans
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282–––$9,310$7,823$6,554–$25,200 · 44 plans
Ms-Drg 284 284–––$10,700$8,104$6,746–$55,521 · 44 plans
Ms-Drg 285 285–––$7,700$6,392$5,268–$9,852 · 44 plans
Ms-Drg 288 288–––$23,774$34,298$26,376–$168,776 · 44 plans
Ms-Drg 289 289–––$14,024$18,632$16,636–$41,483 · 44 plans
Heart Failure and Shock Without Cc/Mcc 293–––$9,512$6,627$5,516–$21,901 · 44 plans
Ms-Drg 294 294–––$8,873$13,404$11,968–$24,213 · 44 plans
Ms-Drg 297 297–––$7,408$7,281$6,077–$27,781 · 44 plans
Peripheral Vascular Disorders Without Cc/Mcc 301–––$11,666$8,865$7,014–$28,744 · 44 plans
Atherosclerosis with Mcc 302–––$9,802$14,010$11,662–$43,367 · 44 plans
Atherosclerosis Without Mcc 303–––$8,302$8,070$6,561–$20,415 · 44 plans
Cardiac Congenital and Valvular Disorders with Mcc 306–––$19,128$19,003$15,358–$93,332 · 44 plans
Cardiac Congenital and Valvular Disorders Without Mcc 307–––$10,128$10,692$8,900–$28,402 · 44 plans
Angina Pectoris 311–––$5,579$7,662$6,841–$17,408 · 44 plans
Other Circulatory System Diagnoses Without Cc/Mcc 316–––$10,495$7,986$6,648–$22,744 · 44 plans
Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317–––$248,593$71,686$57,197–$187,855 · 44 plans
Other Endovascular Cardiac Valve Procedures with Mcc 319–––$28,247$57,863$43,497–$124,206 · 44 plans
Other Endovascular Cardiac Valve Procedures Without Mcc 320–––$24,497$25,670$19,049–$57,694 · 44 plans
Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323–––$117,900$46,394$34,627–$111,330 · 44 plans
Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324–––$120,064$33,782$25,214–$88,129 · 44 plans
Stomach, Esophageal and Duodenal Procedures with Mcc 326–––$28,498$59,205$48,609–$156,027 · 44 plans
Stomach, Esophageal and Duodenal Procedures with Cc 327–––$25,498$28,617$23,822–$74,772 · 44 plans
Ms-Drg 332 332–––$20,794$38,818$30,019–$83,614 · 44 plans
Ms-Drg 333 333–––$19,294$24,997$13,494–$56,876 · 44 plans
Ms-Drg 334 334–––$19,294$17,480$13,460–$37,568 · 44 plans
Peritoneal Adhesiolysis with Mcc 335–––$26,796$46,221$34,803–$119,102 · 44 plans
Peritoneal Adhesiolysis with Cc 336–––$22,296$26,807$20,552–$83,087 · 44 plans
Peritoneal Adhesiolysis Without Cc/Mcc 337–––$19,296$22,165$14,961–$68,316 · 44 plans
Ms-Drg 344 344–––$17,634$30,239$25,173–$87,634 · 44 plans
Ms-Drg 345 345–––$23,634$17,617$14,665–$63,178 · 44 plans
Ms-Drg 346 346–––$13,134$12,948$11,561–$37,549 · 44 plans
Anal and Stomal Procedures with Mcc 347–––$13,346$24,611$20,173–$44,987 · 44 plans
Ms-Drg 348 348–––$14,846$15,323$12,756–$33,830 · 44 plans
Ms-Drg 349 349–––$12,596$10,193$8,485–$23,696 · 44 plans
Inguinal and Femoral Hernia Procedures with Mcc 350–––$15,627$29,879$24,287–$68,746 · 44 plans
Inguinal and Femoral Hernia Procedures with Cc 351–––$14,877$22,442$14,858–$59,512 · 44 plans
Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352–––$13,377$13,673$11,382–$32,662 · 44 plans
Hernia Procedures Except Inguinal and Femoral with Mcc 353–––$19,687$40,970$28,284–$103,289 · 44 plans
Hernia Procedures Except Inguinal and Femoral with Cc 354–––$16,687$26,442$16,397–$54,420 · 44 plans
Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355–––$15,937$19,421$13,109–$46,091 · 44 plans
Other Digestive System O.r. Procedures with Cc 357–––$21,928$27,079$22,665–$60,564 · 44 plans
Ms-Drg 358 358–––$21,178$16,367$13,624–$58,231 · 44 plans
Major Esophageal Disorders with Mcc 368–––$11,493$18,638$15,515–$42,810 · 44 plans
Major Esophageal Disorders with Cc 369–––$10,743$11,710$9,748–$29,573 · 44 plans
Ms-Drg 370 370–––$9,993$8,205$6,830–$23,111 · 44 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372–––$12,778$11,954$9,951–$42,994 · 44 plans
Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373–––$10,528$8,516$7,090–$29,395 · 44 plans
Digestive Malignancy with Cc 375–––$12,820$14,162$11,789–$34,624 · 44 plans
Ms-Drg 376 376–––$10,570$10,090$9,009–$25,499 · 44 plans
Complicated Peptic Ulcer with Mcc 380–––$16,486$22,973$19,124–$54,848 · 44 plans
Complicated Peptic Ulcer with Cc 381–––$13,486$12,686$10,560–$53,298 · 44 plans
Ms-Drg 382 382–––$15,736$9,373$7,803–$38,666 · 44 plans
Ms-Drg 383 383–––$8,174$14,735$11,048–$28,321 · 44 plans
Uncomplicated Peptic Ulcer Without Mcc 384–––$11,924$10,008$8,331–$31,040 · 44 plans
Inflammatory Bowel Disease with Mcc 385–––$15,476$18,526$15,422–$74,139 · 44 plans
Inflammatory Bowel Disease with Cc 386–––$10,976$11,430$9,515–$45,876 · 44 plans
Ms-Drg 387 387–––$10,226$7,977$6,640–$26,476 · 44 plans
Other Digestive System Diagnoses Without Cc/Mcc 395–––$9,208$7,598$6,325–$21,550 · 44 plans
Ms-Drg 397 397–––$136,136$28,039$23,342–$120,415 · 44 plans
Appendix Procedures with Cc 398–––$83,725$19,347$14,752–$64,618 · 44 plans
Appendix Procedures Without Cc/Mcc 399–––$44,473$13,402$11,157–$31,580 · 44 plans
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402–––$119,409$43,887$35,591–$102,713 · 44 plans
Pancreas, Liver and Shunt Procedures with Mcc 405–––$37,774$66,379$53,317–$143,021 · 44 plans
Pancreas, Liver and Shunt Procedures with Cc 406–––$30,274$35,377$28,266–$82,086 · 44 plans
Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407–––$28,774$24,229$21,633–$61,234 · 44 plans
Ms-Drg 408 408–––$24,067$41,746$34,752–$136,012 · 44 plans
Ms-Drg 409 409–––$21,067$25,492$21,221–$84,353 · 44 plans
Ms-Drg 410 410–––$18,067$17,599$15,474–$51,378 · 44 plans
Ms-Drg 412 412–––$18,326$22,438$18,012–$58,003 · 44 plans
Ms-Drg 413 413–––$19,076$19,441$16,184–$79,886 · 44 plans
Ms-Drg 414 414–––$33,902$41,711$34,722–$169,058 · 44 plans
Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415–––$19,652$24,197$20,143–$75,446 · 44 plans
Ms-Drg 416 416–––$16,652$14,882$13,287–$40,034 · 44 plans
Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417–––$15,875$26,050$23,259–$60,167 · 44 plans
Laparoscopic Cholecystectomy Without C.d.e. with Cc 418–––$15,875$19,805$16,487–$54,709 · 44 plans
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419–––$17,375$15,991$13,312–$41,717 · 44 plans
Hepatobiliary Diagnostic Procedures with Mcc 420–––$29,811$39,890$33,207–$217,895 · 44 plans
Ms-Drg 421 421–––$16,311$18,628$15,752–$41,918 · 44 plans
Ms-Drg 422 422–––$15,561$15,004$11,990–$38,687 · 44 plans
Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423–––$42,627$56,189$40,477–$205,363 · 44 plans
Ms-Drg 424 424–––$21,627$26,346$21,324–$71,401 · 44 plans
Ms-Drg 425 425–––$20,127$16,377$14,622–$41,390 · 44 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426–––$271,278$121,253$107,417–$277,954 · 44 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427–––$216,930$80,563$70,355–$185,521 · 44 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428–––$172,485$62,400$54,794–$144,758 · 44 plans
Ms-Drg 429 429–––$287,840$117,949$87,811–$251,293 · 44 plans
Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430–––$181,670$62,953$56,208–$151,679 · 44 plans
Cirrhosis and Alcoholic Hepatitis with Cc 433–––$13,817$12,366$10,294–$40,870 · 44 plans
Ms-Drg 434 434–––$8,567$7,778$6,944–$13,917 · 44 plans
Malignancy of Hepatobiliary System or Pancreas with Mcc 435–––$20,901$21,504$17,901–$74,463 · 44 plans
Malignancy of Hepatobiliary System or Pancreas with Cc 436–––$10,401$13,243$11,024–$31,601 · 44 plans
Ms-Drg 437 437–––$9,651$9,720$8,317–$23,541 · 44 plans
Disorders of Pancreas Except Malignancy with Mcc 438–––$11,300$19,086$15,889–$71,425 · 44 plans
Disorders of Pancreas Except Malignancy with Cc 439–––$9,800$9,849$8,199–$28,920 · 44 plans
Disorders of Pancreas Except Malignancy Without Cc/Mcc 440–––$10,550$7,275$6,056–$21,643 · 44 plans
Ms-Drg 443 443–––$10,665$8,372$6,820–$27,480 · 44 plans
Disorders of the Biliary Tract with Mcc 444–––$12,366$19,563$16,285–$52,462 · 44 plans
Disorders of the Biliary Tract Without Cc/Mcc 446–––$11,616$9,686$8,063–$30,347 · 44 plans
Ms-Drg 447 447–––$211,828$79,529$65,121–$187,240 · 44 plans
Multiple Level Spinal Fusion Except Cervical Without Mcc 448–––$131,317$55,641$41,332–$112,597 · 44 plans
Ms-Drg 450 450–––$144,281$72,200$51,944–$144,811 · 44 plans
Single Level Spinal Fusion Except Cervical Without Mcc 451–––$97,529$39,375$31,485–$82,891 · 44 plans
Combined Anterior and Posterior Spinal Fusion with Mcc 453–––$52,770$96,730$80,018–$173,142 · 44 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456–––$55,500$90,488$76,169–$164,146 · 44 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458–––$48,000$54,006$40,668–$125,101 · 44 plans
Spinal Fusion Except Cervical with Mcc 459–––$40,583$72,268$64,641–$129,551 · 44 plans
Ms-Drg 461 461–––$51,976$77,404$52,246–$258,061 · 44 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463–––$39,628$70,210$55,549–$189,095 · 44 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464–––$32,878$40,964$30,357–$125,477 · 44 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465–––$26,128$25,251$17,774–$71,840 · 44 plans
Revision of Hip or Knee Replacement with Mcc 466–––$46,134$75,163$50,734–$228,780 · 44 plans
Revision of Hip or Knee Replacement with Cc 467–––$31,884$50,922$34,372–$114,903 · 44 plans
Revision of Hip or Knee Replacement Without Cc/Mcc 468–––$28,134$30,938$26,783–$68,426 · 44 plans
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469–––$23,838$38,336$29,563–$85,679 · 44 plans
Cervical Spinal Fusion with Mcc 471–––$39,894$65,986$47,062–$142,219 · 44 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474–––$30,180$50,261$41,840–$121,239 · 44 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475–––$25,680$26,644$22,180–$70,372 · 44 plans
Ms-Drg 476 476–––$18,180$17,042$11,503–$75,516 · 44 plans
Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477–––$42,119$40,446$33,670–$142,921 · 44 plans
Biopsies of Musculoskeletal System and Connective Tissue with Cc 478–––$22,619$29,687$23,968–$72,340 · 44 plans
Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479–––$18,869$21,986$18,118–$46,613 · 44 plans
Major Joint or Limb Reattachment Procedures of Upper Extremities 483–––$19,291$33,263$27,016–$80,801 · 44 plans
Knee Procedures with Principal Diagnosis of Infection with Cc 486–––$18,224$22,826$20,381–$64,646 · 44 plans
Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487–––$16,724$17,820$15,265–$52,349 · 44 plans
Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488–––$19,007$21,564$14,850–$86,690 · 44 plans
Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489–––$15,257$14,940$10,885–$54,264 · 44 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492–––$23,174$49,859$35,785–$117,804 · 44 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493–––$22,424$35,255$24,718–$82,797 · 44 plans
Ms-Drg 495 495–––$24,467$43,850$35,337–$122,543 · 44 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496–––$22,217$22,297$17,581–$57,688 · 44 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497–––$19,217$13,779$11,225–$67,643 · 44 plans
Ms-Drg 498 498–––$18,467$32,343$26,918–$77,026 · 44 plans
Ms-Drg 499 499–––$16,217$21,502$8,353–$54,617 · 44 plans
Soft Tissue Procedures with Mcc 500–––$23,518$37,730$30,845–$150,603 · 44 plans
Soft Tissue Procedures with Cc 501–––$18,268$22,376$17,038–$52,522 · 44 plans
Soft Tissue Procedures Without Cc/Mcc 502–––$17,518$18,770$13,118–$48,710 · 44 plans
Ms-Drg 503 503–––$22,137$32,678$27,203–$104,354 · 44 plans
Foot Procedures with Cc 504–––$17,637$24,540$18,218–$59,757 · 44 plans
Ms-Drg 505 505–––$14,637$19,406$15,359–$40,886 · 44 plans
Ms-Drg 506 506–––$10,190$12,802$10,021–$24,274 · 44 plans
Ms-Drg 507 507–––$22,437$21,149$17,606–$122,698 · 44 plans
Ms-Drg 508 508–––$11,937$16,236$12,974–$42,292 · 44 plans
Ms-Drg 510 510–––$21,598$37,450$29,439–$150,532 · 44 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511–––$20,098$27,013$20,267–$76,766 · 44 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512–––$17,848$22,568$16,134–$46,959 · 44 plans
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513–––$13,994$19,566$15,344–$47,780 · 44 plans
Ms-Drg 514 514–––$10,994$12,290$9,964–$34,184 · 44 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515–––$26,550$47,993$31,061–$164,598 · 44 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517–––$19,800$21,584$14,977–$57,018 · 44 plans
Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518–––$23,364$41,098$36,425–$93,002 · 44 plans
Back and Neck Procedures Except Spinal Fusion with Cc 519–––$19,614$25,874$19,495–$61,375 · 44 plans
Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520–––$19,614$21,571$14,560–$55,739 · 44 plans
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521–––$27,015$40,248$27,974–$170,770 · 44 plans
Ms-Drg 533 533–––$12,531$18,355$15,279–$45,945 · 44 plans
Ms-Drg 534 534–––$9,531$9,438$7,857–$24,091 · 44 plans
Fractures of Hip and Pelvis with Mcc 535–––$15,719$15,010$12,495–$63,639 · 44 plans
Ms-Drg 537 537–––$7,607$10,417$9,301–$26,591 · 44 plans
Osteomyelitis with Mcc 539–––$15,274$23,061$19,197–$42,845 · 44 plans
Osteomyelitis with Cc 540–––$11,524$15,177$12,634–$29,501 · 44 plans
Ms-Drg 541 541–––$10,024$8,422$7,519–$15,517 · 44 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542–––$15,653$20,682$17,217–$57,429 · 44 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543–––$10,403$12,036$10,019–$35,155 · 44 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544–––$9,653$8,835$7,355–$25,246 · 44 plans
Connective Tissue Disorders with Mcc 545–––$19,403$29,056$24,188–$137,406 · 44 plans
Connective Tissue Disorders with Cc 546–––$14,153$13,504$11,241–$35,599 · 44 plans
Connective Tissue Disorders Without Cc/Mcc 547–––$12,653$9,790$8,150–$32,438 · 44 plans
Ms-Drg 548 548–––$16,119$22,607$18,819–$58,614 · 44 plans
Ms-Drg 549 549–––$11,619$14,134$11,766–$29,506 · 44 plans
Ms-Drg 550 550–––$10,119$9,542$8,519–$17,597 · 44 plans
Medical Back Problems with Mcc 551–––$14,020$21,307$16,336–$55,426 · 44 plans
Bone Diseases and Arthropathies with Mcc 553–––$9,257$18,718$12,634–$70,460 · 44 plans
Bone Diseases and Arthropathies Without Mcc 554–––$10,007$9,719$8,090–$24,982 · 44 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555–––$12,232$15,476$12,883–$36,627 · 44 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556–––$8,482$9,725$8,095–$21,610 · 44 plans
Tendonitis, Myositis and Bursitis with Mcc 557–––$11,315$17,409$14,492–$48,496 · 44 plans
Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559–––$17,844$20,357$15,431–$53,846 · 48 plans
Aftercare, Musculoskeletal System and Connective Tissue with Cc 560–––$15,594$12,292$9,414–$43,464 · 48 plans
Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561–––$24,594$9,092$6,981–$39,893 · 48 plans
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562–––$12,149$17,299$13,887–$48,152 · 44 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564–––$11,661$18,072$15,044–$57,526 · 44 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565–––$9,411$10,636$8,063–$28,781 · 48 plans
Ms-Drg 566 566–––$8,661$8,773$7,303–$21,133 · 44 plans
Skin Debridement with Mcc 570–––$15,400$31,388$25,070–$58,336 · 44 plans
Skin Debridement with Cc 571–––$19,150$19,781$16,466–$55,282 · 44 plans
Ms-Drg 572 572–––$13,900$12,285$9,820–$27,996 · 44 plans
Skin Graft for Skin Ulcer or Cellulitis with Mcc 573–––$31,518$70,238$55,630–$142,552 · 44 plans
Skin Graft for Skin Ulcer or Cellulitis with Cc 574–––$30,768$37,894$33,834–$84,220 · 44 plans
Ms-Drg 576 576–––$54,796$63,869$47,769–$230,184 · 44 plans
Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577–––$24,046$28,935$25,835–$99,903 · 44 plans
Ms-Drg 578 578–––$24,046$17,535$15,417–$43,024 · 44 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579–––$21,178$38,028$31,564–$80,071 · 44 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580–––$18,178$20,231$16,842–$53,364 · 44 plans
Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581–––$18,928$17,017$14,065–$45,497 · 44 plans
Ms-Drg 582 582–––$16,952$21,031$18,777–$108,963 · 44 plans
Ms-Drg 583 583–––$13,952$18,963$16,807–$77,232 · 44 plans
Ms-Drg 584 584–––$18,123$23,368$20,864–$41,815 · 44 plans
Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585–––$15,873$22,957$18,802–$93,184 · 44 plans
Skin Ulcers with Mcc 592–––$14,189$22,658$18,862–$47,365 · 44 plans
Skin Ulcers with Cc 593–––$10,439$13,889$11,562–$28,704 · 44 plans
Ms-Drg 594 594–––$8,939$9,251$5,668–$17,199 · 44 plans
Ms-Drg 595 595–––$20,685$26,959$20,669–$129,271 · 44 plans
Malignant Breast Disorders with Mcc 597–––$16,682$19,518$16,248–$54,944 · 44 plans
Ms-Drg 598 598–––$14,432$13,245$11,026–$46,121 · 44 plans
Ms-Drg 599 599–––$8,432$8,004$7,146–$21,289 · 44 plans
Ms-Drg 600 600–––$7,807$11,818$10,152–$28,416 · 44 plans
Ms-Drg 601 601–––$6,307$6,604$5,897–$13,575 · 44 plans
Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604–––$10,245$17,330$14,348–$37,415 · 44 plans
Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605–––$12,495$10,724$8,928–$41,011 · 44 plans
Minor Skin Disorders with Mcc 606–––$13,113$17,716$14,748–$52,171 · 44 plans
Minor Skin Disorders Without Mcc 607–––$10,863$10,612$8,834–$27,499 · 44 plans
Adrenal and Pituitary Procedures with Cc/Mcc 614–––$16,077$25,662$21,362–$80,545 · 44 plans
Adrenal and Pituitary Procedures Without Cc/Mcc 615–––$16,827$15,344$13,638–$45,419 · 44 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616–––$30,080$40,830$33,989–$99,372 · 44 plans
Ms-Drg 619 619–––$8,000$28,983$8,415–$31,747 · 44 plans
O.r. Procedures for Obesity with Cc 620–––$8,750$17,079$11,759–$44,146 · 44 plans
O.r. Procedures for Obesity Without Cc/Mcc 621–––$11,750$17,016$14,701–$50,110 · 44 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622–––$17,898$44,034$34,689–$89,114 · 44 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623–––$18,648$22,834$17,484–$50,314 · 44 plans
Ms-Drg 624 624–––$16,398$14,657$12,201–$27,814 · 44 plans
Ms-Drg 625 625–––$30,408$35,359$29,435–$122,741 · 44 plans
Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626–––$13,908$16,002$12,611–$43,629 · 44 plans
Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627–––$15,408$14,956$12,946–$43,975 · 44 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628–––$31,072$43,633$36,323–$145,311 · 44 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629–––$19,822$27,659$21,235–$60,409 · 44 plans
Ms-Drg 630 630–––$17,572$15,576$6,086–$30,247 · 44 plans
Diabetes Without Cc/Mcc 639–––$10,671$7,273$6,054–$36,959 · 44 plans
Inborn and Other Disorders of Metabolism 642–––$13,144$17,870$13,860–$67,686 · 44 plans
Endocrine Disorders with Mcc 643–––$10,455$19,272$16,043–$51,563 · 44 plans
Endocrine Disorders with Cc 644–––$11,955$12,001$9,990–$39,626 · 44 plans
Endocrine Disorders Without Cc/Mcc 645–––$12,705$8,237$902–$32,001 · 53 plans
Kidney Transplant with Hemodialysis with Mcc 650–––$30,917$55,205$45,822–$228,907 · 39 plans
Kidney Transplant with Hemodialysis Without Mcc 651–––$30,167$39,730$31,462–$180,592 · 39 plans
Major Bladder Procedures with Mcc 653–––$38,188$60,839$50,646–$270,130 · 44 plans
Major Bladder Procedures with Cc 654–––$29,188$30,557$27,283–$97,483 · 44 plans
Major Bladder Procedures Without Cc/Mcc 655–––$25,438$23,105$19,338–$74,746 · 44 plans
Kidney and Ureter Procedures for Neoplasm with Mcc 656–––$24,543$35,943$31,030–$123,024 · 44 plans
Kidney and Ureter Procedures for Neoplasm with Cc 657–––$20,793$21,426$17,836–$63,795 · 44 plans
Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658–––$16,293$16,561$8,974–$45,732 · 44 plans
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659–––$21,206$29,749$24,765–$120,002 · 44 plans
Kidney and Ureter Procedures for Non-Neoplasm with Cc 660–––$18,206$15,474$12,882–$55,532 · 44 plans
Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661–––$13,706$12,122$10,091–$33,990 · 44 plans
Ms-Drg 662 662–––$18,211$35,024$29,838–$79,104 · 44 plans
Minor Bladder Procedures with Cc 663–––$14,461$16,594$14,816–$39,079 · 44 plans
Ms-Drg 666 666–––$13,893$18,669$12,433–$34,170 · 44 plans
Ms-Drg 667 667–––$13,893$12,075$10,781–$33,359 · 44 plans
Transurethral Procedures with Mcc 668–––$26,474$34,187$28,459–$86,411 · 44 plans
Transurethral Procedures with Cc 669–––$17,474$18,171$15,126–$65,103 · 44 plans
Ms-Drg 670 670–––$12,974$10,668$9,525–$28,788 · 44 plans
Ms-Drg 671 671–––$24,634$21,016$17,495–$123,878 · 44 plans
Ms-Drg 672 672–––$10,384$11,521$5,197–$37,353 · 44 plans
Ms-Drg 675 675–––$18,193$17,917$15,998–$38,231 · 44 plans
Kidney and Urinary Tract Neoplasms with Mcc 686–––$19,184$21,118$17,580–$96,478 · 44 plans
Kidney and Urinary Tract Neoplasms with Cc 687–––$12,434$12,268$10,212–$40,851 · 44 plans
Ms-Drg 688 688–––$8,684$8,550$7,143–$15,437 · 44 plans
Ms-Drg 693 693–––$13,301$15,741$13,104–$57,913 · 44 plans
Urinary Stones Without Mcc 694–––$11,051$9,152$7,619–$31,993 · 44 plans
Ms-Drg 695 695–––$16,405$13,392$11,148–$55,490 · 44 plans
Kidney and Urinary Tract Signs and Symptoms Without Mcc 696–––$6,655$8,067$6,715–$18,614 · 44 plans
Ms-Drg 697 697–––$7,174$11,660$9,769–$30,288 · 44 plans
Major Male Pelvic Procedures with Cc/Mcc 707–––$17,827$23,419$19,496–$80,902 · 44 plans
Major Male Pelvic Procedures Without Cc/Mcc 708–––$12,577$16,373$6,261–$43,116 · 44 plans
Ms-Drg 709 709–––$13,927$24,835$10,787–$47,710 · 44 plans
Ms-Drg 711 711–––$13,372$22,747$18,899–$55,231 · 44 plans
Ms-Drg 712 712–––$11,872$11,736$9,465–$28,452 · 44 plans
Transurethral Prostatectomy with Cc/Mcc 713–––$12,211$16,411$14,653–$45,473 · 44 plans
Transurethral Prostatectomy Without Cc/Mcc 714–––$6,926$11,285$8,143–$25,631 · 44 plans
Ms-Drg 715 715–––$12,821$22,965$10,577–$37,761 · 44 plans
Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717–––$16,984$22,134$18,425–$73,944 · 44 plans
Malignancy, Male Reproductive System with Mcc 722–––$11,711$21,188$17,638–$49,926 · 44 plans
Ms-Drg 723 723–––$11,711$13,379$11,137–$34,765 · 44 plans
Ms-Drg 724 724–––$8,711$6,260$4,103–$9,373 · 44 plans
Ms-Drg 725 725–––$10,304$13,701$11,405–$36,088 · 44 plans
Benign Prostatic Hypertrophy Without Mcc 726–––$7,304$8,453$7,037–$24,258 · 44 plans
Ms-Drg 727 727–––$15,663$17,362$14,453–$54,609 · 44 plans
Inflammation of the Male Reproductive System Without Mcc 728–––$10,413$9,498$7,906–$25,847 · 44 plans
Ms-Drg 729 729–––$7,765$12,060$10,318–$29,207 · 44 plans
Ms-Drg 730 730–––$7,765$9,561$6,550–$30,101 · 44 plans
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734–––$12,496$22,732$7,654–$48,320 · 44 plans
Ms-Drg 736 736–––$24,535$39,019$34,838–$122,688 · 44 plans
Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737–––$19,285$22,493$20,039–$71,559 · 44 plans
Ms-Drg 738 738–––$18,535$15,738$12,799–$52,095 · 44 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739–––$22,908$38,103$34,369–$104,790 · 44 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740–––$18,408$19,881$17,637–$59,209 · 44 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741–––$16,908$15,567$13,899–$47,004 · 44 plans
Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742–––$19,776$21,482$17,883–$51,620 · 44 plans
Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743–––$10,711$14,280$12,092–$34,228 · 44 plans
D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744–––$23,020$23,991$19,971–$56,470 · 44 plans
Ms-Drg 745 745–––$11,020$12,306$10,310–$22,875 · 44 plans
Vagina, Cervix and Vulva Procedures with Cc/Mcc 746–––$11,437$18,623$15,751–$47,669 · 44 plans
Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747–––$9,187$8,959$7,445–$23,234 · 44 plans
Female Reproductive System Reconstructive Procedures 748–––$15,494$16,242$13,521–$45,908 · 44 plans
Ms-Drg 749 749–––$18,788$28,028$25,025–$76,759 · 44 plans
Ms-Drg 750 750–––$14,288$15,750$8,796–$36,677 · 44 plans
Malignancy, Female Reproductive System with Mcc 754–––$13,691$21,563$17,950–$52,403 · 44 plans
Malignancy, Female Reproductive System with Cc 755–––$11,441$12,736$10,602–$36,250 · 44 plans
Ms-Drg 756 756–––$9,191$10,251$8,229–$17,890 · 44 plans
Ms-Drg 757 757–––$12,353$16,765$13,956–$40,319 · 44 plans
Ms-Drg 758 758–––$9,353$11,462$9,542–$35,813 · 44 plans
Ms-Drg 759 759–––$7,853$7,769$6,468–$22,737 · 44 plans
Ms-Drg 760 760–––$7,788$11,796$9,819–$23,767 · 44 plans
Ms-Drg 761 761–––$8,538$6,669$5,552–$24,201 · 44 plans
Ms-Drg 768 768–––$9,040$10,966$6,705–$23,145 · 44 plans
Ms-Drg 769 769–––$15,008$19,784$16,469–$50,042 · 44 plans
Ms-Drg 770 770–––$7,758$11,740$9,773–$20,314 · 44 plans
Ms-Drg 776 776–––$10,289$7,019$902–$19,937 · 53 plans
Ms-Drg 779 779–––$9,613$8,349$6,950–$20,205 · 44 plans
Ms-Drg 783 783–––$11,750$25,125$8,248–$48,643 · 44 plans
Ms-Drg 784 784–––$11,000$10,849$8,236–$32,440 · 44 plans
Ms-Drg 785 785–––$9,500$9,989$7,664–$25,404 · 44 plans
C-section, with major complications 786–––$9,250$16,880$8,248–$42,186 · 44 plans
C-section, with complications 787–––$9,250$11,647$8,248–$31,480 · 44 plans
C-section 788–––$7,750$10,233$7,672–$28,516 · 44 plans
Ms-Drg 789 789–––$20,698$21,600$17,565–$115,585 · 44 plans
Ms-Drg 790 790–––$66,022$70,086$57,927–$333,028 · 44 plans
Ms-Drg 791 791–––$23,829$48,023$39,560–$103,870 · 44 plans
Ms-Drg 792 792–––$23,829$25,064$19,458–$41,521 · 44 plans
Ms-Drg 793 793–––$30,532$44,702$36,338–$69,635 · 44 plans
Ms-Drg 794 794–––$10,807$14,117$9,830–$23,438 · 44 plans
Newborn care (healthy baby) 795–––$1,463$3,298$1,947–$16,152 · 44 plans
Ms-Drg 796 796–––$9,135$11,943$6,705–$30,145 · 44 plans
Ms-Drg 797 797–––$9,135$10,238$6,705–$25,520 · 44 plans
Ms-Drg 798 798–––$10,635$9,981$6,705–$24,607 · 44 plans
Ms-Drg 799 799–––$25,530$48,996$40,490–$124,942 · 44 plans
Ms-Drg 800 800–––$26,280$33,699$27,381–$123,590 · 44 plans
Ms-Drg 801 801–––$23,280$20,837$17,033–$52,662 · 44 plans
Ms-Drg 802 802–––$20,172$43,102$34,132–$103,742 · 44 plans
Ms-Drg 803 803–––$17,172$21,470$18,118–$46,025 · 44 plans
Ms-Drg 804 804–––$17,172$15,876$13,216–$43,075 · 44 plans
Vaginal birth, with major complications 805–––$4,000$11,044$6,705–$28,124 · 44 plans
Vaginal birth, with complications 806–––$4,000$7,716$6,033–$18,748 · 44 plans
Vaginal birth 807–––$4,000$7,195$5,395–$16,010 · 44 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808–––$16,350$25,850$21,519–$118,354 · 44 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809–––$13,350$14,821$12,338–$43,792 · 44 plans
Ms-Drg 810 810–––$11,850$12,254$10,201–$29,044 · 44 plans
Coagulation Disorders 813–––$13,562$22,025$14,866–$64,093 · 44 plans
Reticuloendothelial and Immunity Disorders with Mcc 814–––$13,268$24,989$20,728–$83,178 · 44 plans
Reticuloendothelial and Immunity Disorders with Cc 815–––$10,268$11,872$9,883–$36,270 · 44 plans
Ms-Drg 816 816–––$9,518$7,399$6,160–$19,079 · 44 plans
Ms-Drg 817 817–––$16,513$19,196$16,452–$45,498 · 44 plans
Ms-Drg 818 818–––$16,513$13,402$10,275–$33,573 · 44 plans
Ms-Drg 819 819–––$15,013$10,904$8,381–$20,665 · 44 plans
Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820–––$27,676$69,026$57,160–$151,563 · 44 plans
Lymphoma and Leukemia with Major O.r. Procedures with Cc 821–––$22,426$24,436$21,818–$67,042 · 44 plans
Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822–––$20,926$12,849$9,725–$39,540 · 44 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823–––$34,865$53,679$44,685–$130,160 · 44 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824–––$23,615$26,526$22,081–$62,503 · 44 plans
Ms-Drg 825 825–––$22,115$15,799$13,152–$62,286 · 44 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826–––$29,918$54,768$45,592–$173,485 · 44 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827–––$23,168$27,059$22,526–$75,493 · 44 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828–––$23,168$19,948$16,606–$49,187 · 44 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829–––$24,668$37,506$30,799–$93,737 · 44 plans
Ms-Drg 830 830–––$20,168$16,428$14,668–$44,626 · 44 plans
Ms-Drg 831 831–––$10,281$15,287$11,720–$48,512 · 44 plans
Ms-Drg 832 832–––$10,281$7,736$2,700–$20,241 · 53 plans
Ms-Drg 833 833–––$8,781$5,606$902–$14,599 · 53 plans
Acute Leukemia with Mcc 834–––$31,157$64,276$53,507–$152,772 · 44 plans
Acute Leukemia with Cc 835–––$27,407$24,420$20,329–$80,469 · 44 plans
Ms-Drg 836 836–––$25,157$14,278$11,886–$62,779 · 44 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837–––$30,639$53,702$46,824–$121,300 · 44 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838–––$21,639$22,277$17,883–$40,774 · 44 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839–––$21,639$15,762$14,073–$29,033 · 44 plans
Lymphoma and Non-Acute Leukemia with Mcc 840–––$19,238$35,312$31,529–$83,388 · 44 plans
Lymphoma and Non-Acute Leukemia with Cc 841–––$16,988$19,100$15,900–$61,804 · 44 plans
Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842–––$13,988$11,029$9,357–$23,567 · 44 plans
Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843–––$10,203$20,414$2,700–$37,355 · 53 plans
Ms-Drg 844 844–––$9,453$13,289$11,865–$27,229 · 44 plans
Ms-Drg 845 845–––$10,203$9,971$8,300–$22,806 · 44 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846–––$13,978$28,300$24,655–$50,640 · 44 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847–––$13,978$15,316$12,750–$31,929 · 44 plans
Ms-Drg 848 848–––$13,978$9,945$8,279–$27,440 · 44 plans
Ms-Drg 850 850–––$253,525$94,526$84,399–$238,897 · 44 plans
Infectious and Parasitic Diseases with O.r. Procedures with Cc 854–––$22,692$23,995$19,474–$55,529 · 44 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856–––$29,072$54,408$44,333–$170,580 · 44 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857–––$19,322$27,026$20,872–$78,778 · 44 plans
Ms-Drg 858 858–––$17,072$16,308$13,576–$37,535 · 44 plans
Postoperative and Post-Traumatic Infections Without Mcc 863–––$17,822$11,683$9,726–$40,326 · 44 plans
Fever and Inflammatory Conditions 864–––$7,631$10,393$8,652–$24,490 · 44 plans
Viral Illness with Mcc 865–––$15,297$17,542$14,603–$71,274 · 44 plans
Viral Illness Without Mcc 866–––$12,297$9,323$902–$30,857 · 53 plans
Other Infectious and Parasitic Diseases Diagnoses with Mcc 867–––$31,920$26,610$20,401–$157,836 · 44 plans
Other Infectious and Parasitic Diseases Diagnoses with Cc 868–––$21,420$12,072$10,049–$84,928 · 44 plans
Ms-Drg 869 869–––$9,420$8,543$7,112–$20,131 · 44 plans
O.r. Procedures with Principal Diagnosis of Mental Illness 876–––$25,354$41,247$33,609–$75,494 · 44 plans
Acute Adjustment Reaction and Psychosocial Dysfunction 880–––$8,801$9,826$1,804–$15,341 · 53 plans
Depressive Neuroses 881–––$7,684$9,629$4,500–$14,611 · 53 plans
Neuroses Except Depressive 882–––$9,314$10,778$4,500–$14,141 · 53 plans
Disorders of Personality and Impulse Control 883–––$13,170$18,137$3,600–$21,042 · 53 plans
Delirium and other mental confusion 884–––$13,597$17,092$1,804–$32,494 · 53 plans
Ms-Drg 886 886–––$9,866$10,954$2,700–$21,238 · 53 plans
Ms-Drg 887 887–––$9,372$10,217$1,800–$11,293 · 53 plans
Alcohol, Drug Abuse or Dependence, Left Ama 894–––$11,561$6,614$1,804–$32,293 · 53 plans
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895–––$9,311$13,797$4,500–$17,431 · 53 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896–––$13,061$18,539$1,804–$44,864 · 53 plans
Ms-Drg 901 901–––$48,302$52,935$40,902–$227,172 · 44 plans
Wound Debridements for Injuries with Cc 902–––$18,302$20,432$16,257–$44,620 · 44 plans
Ms-Drg 903 903–––$18,302$16,175$11,399–$69,508 · 44 plans
Skin Grafts for Injuries with Cc/Mcc 904–––$22,225$40,095$35,799–$101,333 · 44 plans
Ms-Drg 905 905–––$19,225$20,674$13,955–$50,916 · 44 plans
Ms-Drg 906 906–––$15,923$20,669$17,177–$44,872 · 44 plans
Other O.r. Procedures for Injuries with Mcc 907–––$23,557$48,203$37,419–$106,243 · 44 plans
Other O.r. Procedures for Injuries with Cc 908–––$29,557$25,869$19,446–$103,764 · 44 plans
Other O.r. Procedures for Injuries Without Cc/Mcc 909–––$21,307$18,306$12,794–$47,495 · 44 plans
Traumatic Injury with Mcc 913–––$8,686$18,852$15,931–$39,190 · 44 plans
Traumatic Injury Without Mcc 914–––$12,436$10,367$8,630–$44,703 · 44 plans
Ms-Drg 915 915–––$14,978$19,688$16,389–$74,837 · 44 plans
Allergic Reactions Without Mcc 916–––$16,478$7,801$6,494–$31,039 · 44 plans
Complications of Treatment Without Cc/Mcc 921–––$10,788$8,060$6,709–$30,440 · 44 plans
Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922–––$13,531$21,589$17,050–$68,575 · 44 plans
Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923–––$12,031$10,911$902–$25,629 · 53 plans
Ms-Drg 927 927–––$172,458$201,755$179,627–$515,046 · 44 plans
Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928–––$38,997$89,345$69,908–$205,470 · 44 plans
Ms-Drg 929 929–––$32,997$35,278$31,391–$71,638 · 44 plans
Ms-Drg 933 933–––$25,673$41,663$34,595–$100,279 · 44 plans
Full Thickness Burn Without Skin Graft or Inhalation Injury 934–––$15,060$28,052$21,545–$51,373 · 44 plans
Non-Extensive Burns 935–––$19,130$25,772$20,078–$55,373 · 44 plans
Ms-Drg 939 939–––$39,068$39,608$30,025–$174,315 · 48 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940–––$24,818$25,509$19,337–$81,311 · 48 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941–––$17,318$23,504$19,763–$56,287 · 44 plans
Rehabilitation with Cc/Mcc 945–––$10,880$16,904$13,014–$61,129 · 48 plans
Rehabilitation Without Cc/Mcc 946–––$9,497$12,518$9,924–$45,720 · 48 plans
Signs and Symptoms with Mcc 947–––$11,864$13,857$10,504–$42,814 · 48 plans
Aftercare with Cc/Mcc 949–––$10,622$12,987$9,844–$36,917 · 48 plans
Aftercare Without Cc/Mcc 950–––$6,872$6,852$5,194–$23,569 · 48 plans
Ms-Drg 955 955–––$56,190$88,699$65,604–$248,181 · 44 plans
Other O.r. Procedures for Multiple Significant Trauma with Mcc 957–––$50,592$93,619$74,266–$212,074 · 44 plans
Other O.r. Procedures for Multiple Significant Trauma with Cc 958–––$39,342$56,675$41,070–$137,540 · 44 plans
Ms-Drg 959 959–––$35,592$36,970$28,694–$79,114 · 44 plans
Other Multiple Significant Trauma with Mcc 963–––$16,902$34,753$26,645–$98,243 · 44 plans
Other Multiple Significant Trauma with Cc 964–––$18,402$19,483$14,937–$60,719 · 44 plans
Ms-Drg 965 965–––$13,902$11,651$9,166–$36,632 · 44 plans
Ms-Drg 969 969–––$39,605$66,820$59,660–$148,685 · 44 plans
Ms-Drg 970 970–––$37,355$28,790$25,705–$73,795 · 44 plans
Hiv with Major Related Condition with Cc 975–––$17,695$13,884$902–$52,864 · 53 plans
Ms-Drg 976 976–––$13,195$9,590$902–$33,677 · 53 plans
Ms-Drg 977 977–––$12,445$13,837$10,489–$35,965 · 48 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982–––$27,854$26,837$20,343–$75,665 · 48 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983–––$23,354$20,153$16,705–$47,928 · 44 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987–––$21,488$40,878$33,414–$121,185 · 44 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988–––$18,488$17,941$13,600–$58,414 · 48 plans
Ms-Drg 989 989–––$16,988$12,857$902–$36,247 · 53 plans

Outpatient procedures and tests

The hospital's facility charge only; doctors usually bill separately.

ProcedureList priceCash priceInsurers (median)
Complete blood count (CBC) CPT 85025$209$209$209$67–$871 · 44 plans
Comprehensive metabolic panel (blood test) CPT 80053$454$454$454$129–$1,014 · 44 plans
CT scan of the abdomen and pelvis, with contrast CPT 74177$5,999$392$5,009$663–$6,719 · 44 plans
Emergency room visit, highest level CPT 99285$2,982$555$2,982$1,310–$4,157 · 47 plans
MRI of the brain, with and without contrast CPT 70553$3,922$392$3,726$1,173–$4,479 · 44 plans
MRI of the knee, without contrast CPT 73721$2,166$245$2,166$1,166–$3,099 · 44 plans

Price file: Jackson Health System (Jackson Memorial Hospital), read November 8, 2026.