Lakeland Regional Medical Center
1324 Lakeland Hills Blvd, Lakeland, FL 33805 · (863) 687-1100
The money
$17what care cost the hospital for every $100 it billed
$163.6Mnet income, all sources
11.9%margin on patient care alone
$52.3Mcost of charity care (5.5% of costs)
$93.1Munpaid bills written off (bad debt)
782beds
From the hospital's Medicare cost report for the year ending September 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 | 613 | $74,127 | $14,940 | $17,194$13,920–$20,334 · 10 plans | |
| Heart failure, with major complications 291 | 375 | $42,658 | $9,829 | $17,194$13,920–$20,334 · 10 plans | |
| Lung infection, with major complications 177 | 248 | $59,536 | $12,531 | $17,194$13,920–$20,334 · 10 plans | |
| Stomach and digestive disorders 392 | 182 | $38,488 | $6,731 | $17,194$13,920–$20,334 · 10 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 157 | $109,055 | $24,317 | $17,194$13,920–$20,334 · 10 plans | |
| Urinary tract infection 690 | 148 | $33,386 | $6,803 | $17,194$13,920–$20,334 · 10 plans | |
| Urinary tract infection, with major complications 689 | 142 | $39,351 | $9,219 | $17,194$13,920–$20,334 · 10 plans | |
| Other kidney and urinary problems, with major complications 698 | 126 | $59,744 | $12,619 | $17,194$13,920–$20,334 · 10 plans | |
| Kidney failure, with complications 683 | 125 | $34,756 | $7,684 | $17,194$13,920–$20,334 · 10 plans | |
| Irregular heartbeat, with complications 309 | 123 | $35,267 | $6,598 | $17,194$13,920–$20,334 · 10 plans | |
| Stomach or intestinal bleeding, with complications 378 | 120 | $50,024 | $8,619 | $17,194$13,920–$20,334 · 10 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 113 | $42,156 | $10,502 | $17,194$13,920–$20,334 · 10 plans | |
| Dehydration and electrolyte problems 641 | 113 | $31,844 | $6,687 | $17,194$13,920–$20,334 · 10 plans | |
| Respiratory failure 189 | 108 | $49,361 | $9,799 | $17,194$13,920–$20,334 · 10 plans | |
| Kidney failure, with major complications 682 | 106 | $45,656 | $11,059 | $17,194$13,920–$20,334 · 10 plans | |
| Fainting 312 | 103 | $38,750 | $7,464 | $17,194$13,920–$20,334 · 10 plans | |
| Pneumonia, with major complications 193 | 101 | $45,820 | $10,319 | $17,194$13,920–$20,334 · 10 plans | |
| Infection needing surgery, with major complications 853 | 98 | $213,530 | $39,089 | $17,194$13,920–$20,334 · 10 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 97 | $262,528 | $36,694 | $17,194$13,920–$20,334 · 10 plans | |
| Lung infection, with complications 178 | 96 | $36,977 | $8,150 | $17,194$13,920–$20,334 · 10 plans | |
| Sepsis 872 | 95 | $39,674 | $8,667 | $17,194$13,920–$20,334 · 10 plans | |
| Heart catheterization 287 | 86 | $64,706 | $9,226 | $17,194$13,920–$20,334 · 10 plans | |
| COPD, with major complications 190 | 84 | $47,201 | $8,916 | $17,194$13,920–$20,334 · 10 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 83 | $76,981 | $14,843 | $17,194$13,920–$20,334 · 10 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 81 | $81,457 | $15,661 | $17,194$13,920–$20,334 · 10 plans | |
| Back problems (no surgery) 552 | 81 | $39,484 | $8,164 | $17,194$13,920–$20,334 · 10 plans | |
| Stroke, with complications or clot-busting drug 065 | 80 | $57,449 | $8,178 | $17,194$13,920–$20,334 · 10 plans | |
| Skin infection (cellulitis) 603 | 79 | $30,751 | $7,446 | $17,194$13,920–$20,334 · 10 plans | |
| Irregular heartbeat, with major complications 308 | 78 | $48,331 | $10,020 | $17,194$13,920–$20,334 · 10 plans | |
| Heart stent 322 | 77 | $113,989 | $15,275 | $17,194$13,920–$20,334 · 10 plans | |
| Chest pain 313 | 72 | $33,906 | $6,360 | $17,194$13,920–$20,334 · 10 plans | |
| Mini-stroke (TIA) 069 | 71 | $49,606 | $6,795 | $17,194$13,920–$20,334 · 10 plans | |
| Heart attack, with major complications 280 | 70 | $62,827 | $12,315 | $17,194$13,920–$20,334 · 10 plans | |
| Other kidney and urinary problems, with complications 699 | 70 | $39,002 | $8,301 | $17,194$13,920–$20,334 · 10 plans | |
| Hip or knee replacement 470 | 69 | $80,917 | $15,378 | $17,194$13,920–$20,334 · 10 plans | |
| Stomach and digestive disorders, with major complications 391 | 66 | $50,475 | $10,110 | $17,194$13,920–$20,334 · 10 plans | |
| Pneumonia, with complications 194 | 65 | $30,426 | $7,261 | $17,194$13,920–$20,334 · 10 plans | |
| Heart catheterization, with major complications 286 | 57 | $84,893 | $16,196 | $17,194$13,920–$20,334 · 10 plans | |
| Heart stent, with major complications or 4+ stents 321 | 56 | $143,842 | $22,670 | $17,772$15,975–$20,627 · 9 plans | |
| Irregular heartbeat 310 | 55 | $28,786 | $5,300 | $17,194$13,920–$20,334 · 10 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 55 | $41,634 | $8,712 | $17,194$13,920–$20,334 · 10 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 54 | $310,040 | $46,044 | $17,194$13,920–$20,334 · 10 plans | |
| Other circulation problems, with major complications 314 | 54 | $74,600 | $15,410 | $17,194$13,920–$20,334 · 10 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 53 | $34,344 | $7,133 | $17,194$13,920–$20,334 · 10 plans | |
| High blood pressure 305 | 51 | $32,956 | $6,650 | $17,194$13,920–$20,334 · 10 plans | |
| Other digestive problems, with complications 394 | 50 | $43,066 | $8,023 | $17,194$13,920–$20,334 · 10 plans | |
| Diabetes, with complications 638 | 50 | $33,608 | $7,477 | $17,194$13,920–$20,334 · 10 plans | |
| Stroke, with major complications 064 | 48 | $66,400 | $13,894 | $17,194$13,920–$20,334 · 10 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 48 | $37,826 | $8,196 | $17,194$13,920–$20,334 · 10 plans | |
| Hip replacement after a hip fracture 522 | 47 | $98,746 | $16,119 | $17,772$15,975–$20,627 · 9 plans | |
| Anemia and blood disorders 812 | 47 | $36,832 | $7,584 | $17,194$13,920–$20,334 · 10 plans | |
| Bowel obstruction, with complications 389 | 45 | $38,431 | $7,116 | $17,194$13,920–$20,334 · 10 plans | |
| Fracture or sprain (not hip or thigh) 563 | 44 | $38,805 | $7,384 | $17,194$13,920–$20,334 · 10 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 43 | $107,510 | $22,286 | $17,194$13,920–$20,334 · 10 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 42 | $34,457 | $10,076 | $17,194$13,920–$20,334 · 10 plans | |
| Bowel surgery, with major complications 329 | 42 | $172,324 | $32,051 | $17,194$13,920–$20,334 · 10 plans | |
| Delirium and other mental confusion 884 | 42 | $35,760 | $11,964 | $16,615$1,058–$20,040 · 11 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 39 | $60,462 | $12,411 | $17,194$13,920–$20,334 · 10 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 36 | $37,683 | $8,059 | $17,194$13,920–$20,334 · 10 plans | |
| Other Vascular Procedures with Mcc 252 | 36 | $138,013 | $24,876 | $17,194$13,920–$20,334 · 10 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 36 | $63,076 | $13,633 | $17,194$13,920–$20,334 · 10 plans | |
| Diabetes, with major complications 637 | 35 | $54,542 | $10,883 | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 35 | $61,857 | $10,104 | $17,194$13,920–$20,334 · 10 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 34 | $215,714 | $47,183 | $17,194$13,920–$20,334 · 10 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 32 | $96,456 | $20,038 | $17,194$13,920–$20,334 · 10 plans | |
| Peripheral Vascular Disorders with Cc 300 | 32 | $45,283 | $8,521 | $17,194$13,920–$20,334 · 10 plans | |
| Dysequilibrium 149 | 31 | $34,677 | $6,617 | $17,194$13,920–$20,334 · 10 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 31 | $62,022 | $12,836 | $17,194$13,920–$20,334 · 10 plans | |
| Anemia and blood disorders, with major complications 811 | 31 | $50,394 | $11,008 | $17,194$13,920–$20,334 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 31 | $131,248 | $29,970 | $17,194$13,920–$20,334 · 10 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 30 | $124,891 | $18,354 | $17,194$13,920–$20,334 · 10 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 29 | $63,592 | $10,635 | $17,194$13,920–$20,334 · 10 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 28 | $158,005 | $27,100 | $17,194$13,920–$20,334 · 10 plans | |
| Heart attack, with complications 281 | 28 | $49,811 | $8,425 | $17,194$13,920–$20,334 · 10 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 28 | $52,826 | $11,588 | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 27 | $74,670 | $17,218 | $17,194$13,920–$20,334 · 10 plans | |
| Bowel surgery, with complications 330 | 27 | $91,926 | $17,568 | $17,194$13,920–$20,334 · 10 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 27 | $92,478 | $17,859 | $17,194$13,920–$20,334 · 10 plans | |
| Cellulitis with Mcc 602 | 27 | $43,899 | $10,249 | $17,194$13,920–$20,334 · 10 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 26 | $182,987 | $33,364 | $17,194$13,920–$20,334 · 10 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 26 | $188,700 | $27,388 | $17,194$13,920–$20,334 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 26 | $79,123 | $16,136 | $17,194$13,920–$20,334 · 10 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 26 | $29,208 | $6,240 | $17,194$13,920–$20,334 · 10 plans | |
| Coagulation Disorders 813 | 26 | $43,091 | $12,304 | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 25 | $68,507 | $10,299 | $17,194$13,920–$20,334 · 10 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 24 | $42,591 | $8,735 | $17,194$13,920–$20,334 · 10 plans | |
| Pulmonary Embolism Without Mcc 176 | 24 | $36,994 | $7,894 | $17,194$13,920–$20,334 · 10 plans | |
| Atherosclerosis Without Mcc 303 | 24 | $30,465 | $5,975 | $17,194$13,920–$20,334 · 10 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 24 | $37,054 | $7,805 | $17,194$13,920–$20,334 · 10 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 23 | $211,023 | $40,595 | $17,194$13,920–$20,334 · 10 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 23 | $34,078 | $7,843 | $17,194$13,920–$20,334 · 10 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 23 | $52,077 | $11,106 | $17,194$13,920–$20,334 · 10 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 23 | $41,682 | $8,827 | $17,194$13,920–$20,334 · 10 plans | |
| Signs and Symptoms Without Mcc 948 | 23 | $33,008 | $6,587 | $17,194$13,920–$20,334 · 10 plans | |
| Seizures 101 | 21 | $40,809 | $7,604 | $17,194$13,920–$20,334 · 10 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 21 | $32,512 | $5,286 | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of the Biliary Tract with Cc 445 | 21 | $56,919 | $9,132 | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 21 | $50,975 | $8,728 | $17,194$13,920–$20,334 · 10 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 21 | $60,912 | $12,153 | $17,194$13,920–$20,334 · 10 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 20 | $57,230 | $16,256 | $17,194$13,920–$20,334 · 10 plans | |
| Respiratory Neoplasms with Mcc 180 | 20 | $63,529 | $13,813 | $17,194$13,920–$20,334 · 10 plans | |
| Psychoses 885 | 20 | $22,656 | $10,048 | $16,615$1,058–$20,040 · 11 plans | |
| Complications of Treatment with Cc 920 | 20 | $33,091 | $8,634 | $17,194$13,920–$20,334 · 10 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 19 | $190,419 | $32,615 | $17,194$13,920–$20,334 · 10 plans | |
| Seizures with Mcc 100 | 19 | $66,109 | $14,483 | $17,194$13,920–$20,334 · 10 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | 19 | $29,113 | $5,976 | $17,194$13,920–$20,334 · 10 plans | |
| Other Vascular Procedures with Cc 253 | 19 | $125,807 | $21,120 | $17,194$13,920–$20,334 · 10 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 18 | $59,337 | $9,589 | $17,194$13,920–$20,334 · 10 plans | |
| Hypertension with Mcc 304 | 18 | $41,083 | $9,559 | $17,194$13,920–$20,334 · 10 plans | |
| Medical Back Problems with Mcc 551 | 18 | $54,525 | $13,494 | $17,194$13,920–$20,334 · 10 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 18 | $32,061 | $7,304 | $16,615$1,058–$20,040 · 11 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 17 | $41,974 | $6,491 | $17,194$13,920–$20,334 · 10 plans | |
| Other Disorders of Nervous System with Cc 092 | 17 | $52,921 | $8,302 | $17,194$13,920–$20,334 · 10 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 17 | $118,837 | $19,094 | $17,772$15,975–$20,627 · 9 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 17 | $83,999 | $20,892 | $17,194$13,920–$20,334 · 10 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 17 | $50,289 | $8,421 | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Injury Without Mcc 914 | 17 | $43,529 | $7,325 | $17,194$13,920–$20,334 · 10 plans | |
| Complications of Treatment with Mcc 919 | 17 | $82,119 | $14,379 | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 16 | $65,406 | $10,416 | $17,194$13,920–$20,334 · 10 plans | |
| Other Disorders of Nervous System with Mcc 091 | 16 | $49,132 | $13,202 | $17,194$13,920–$20,334 · 10 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 16 | $82,491 | $14,069 | $17,194$13,920–$20,334 · 10 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 16 | $87,373 | $14,260 | $17,194$13,920–$20,334 · 10 plans | |
| Urinary Stones Without Mcc 694 | 16 | $38,392 | $6,881 | $17,194$13,920–$20,334 · 10 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 16 | $46,833 | $17,193 | $17,194$13,920–$20,334 · 10 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 15 | $144,672 | $29,199 | $17,194$13,920–$20,334 · 10 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | 15 | $193,151 | $33,921 | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | 15 | $35,701 | $7,870 | $17,194$13,920–$20,334 · 10 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 15 | $52,447 | $11,783 | $17,194$13,920–$20,334 · 10 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 15 | $34,662 | $7,167 | $17,194$13,920–$20,334 · 10 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 14 | $51,569 | $13,179 | $17,194$13,920–$20,334 · 10 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | 14 | $28,764 | $6,722 | $17,194$13,920–$20,334 · 10 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | 14 | $198,335 | $45,522 | $17,194$13,920–$20,334 · 10 plans | |
| Major Esophageal Disorders with Mcc 368 | 14 | $58,388 | $13,419 | $17,194$13,920–$20,334 · 10 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | 14 | $35,337 | $5,997 | $17,194$13,920–$20,334 · 10 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 14 | $85,522 | $14,322 | $17,194$13,920–$20,334 · 10 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 14 | $42,872 | $9,169 | $17,194$13,920–$20,334 · 10 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | 14 | $50,590 | $10,844 | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 14 | $74,900 | $14,293 | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 14 | $59,012 | $7,473 | $17,194$13,920–$20,334 · 10 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 14 | $118,358 | $19,037 | $17,194$13,920–$20,334 · 10 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 14 | $110,679 | $29,421 | $17,194$13,920–$20,334 · 10 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | 14 | $27,180 | $11,813 | $17,194$13,920–$20,334 · 10 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | 14 | $34,013 | $8,137 | $16,615$1,058–$20,040 · 11 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 13 | $507,646 | $95,011 | $17,194$13,920–$20,334 · 10 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 13 | $225,913 | $63,052 | $17,194$13,920–$20,334 · 10 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 13 | $95,694 | $14,151 | $17,194$13,920–$20,334 · 10 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | 13 | $29,829 | $7,222 | $17,194$13,920–$20,334 · 10 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | 13 | $45,244 | $12,028 | $17,194$13,920–$20,334 · 10 plans | |
| Endocrine Disorders with Cc 644 | 13 | $41,938 | $8,933 | $17,194$13,920–$20,334 · 10 plans | |
| Extracranial Procedures with Cc 038 | 12 | $71,068 | $12,887 | $17,194$13,920–$20,334 · 10 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | 12 | $86,123 | $28,404 | $17,194$13,920–$20,334 · 10 plans | |
| Major Chest Trauma with Cc 184 | 12 | $63,098 | $9,431 | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 12 | $40,901 | $13,185 | $17,194$13,920–$20,334 · 10 plans | |
| Spinal fusion (lower or mid back) 460 | 12 | $143,285 | $27,219 | – | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | 12 | $106,340 | $14,150 | $17,194$13,920–$20,334 · 10 plans | |
| Carotid Artery Stent Procedures with Cc 035 | 11 | $65,014 | $17,441 | $17,194$13,920–$20,334 · 10 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | 11 | $42,938 | $7,569 | $17,194$13,920–$20,334 · 10 plans | |
| Major Chest Trauma with Mcc 183 | 11 | $61,703 | $12,664 | $17,194$13,920–$20,334 · 10 plans | |
| Interstitial Lung Disease with Mcc 196 | 11 | $88,468 | $16,143 | $17,194$13,920–$20,334 · 10 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | 11 | $40,133 | $7,751 | $17,194$13,920–$20,334 · 10 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 11 | $186,801 | $42,788 | $17,194$13,920–$20,334 · 10 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | 11 | $34,015 | $7,124 | $17,194$13,920–$20,334 · 10 plans | |
| Renal Failure Without Cc/Mcc 684 | 11 | $28,845 | $5,531 | $17,194$13,920–$20,334 · 10 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 11 | $106,423 | $18,778 | $17,194$13,920–$20,334 · 10 plans | |
| Signs and Symptoms with Mcc 947 | 11 | $40,109 | $10,006 | $17,194$13,920–$20,334 · 10 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 052 052 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 053 053 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 058 058 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 059 059 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 060 060 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 063 063 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 067 067 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 075 075 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 076 076 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | $17,194$956–$20,334 · 10 plans | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | $17,194$956–$20,334 · 10 plans | |
| Ms-Drg 079 079 | – | – | – | $17,194$956–$20,334 · 10 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 081 081 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Concussion with Mcc 088 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Concussion with Cc 089 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 095 095 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 096 096 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 098 098 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 099 099 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Headaches with Mcc 102 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Headaches Without Mcc 103 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 117 117 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Neurological Eye Disorders 123 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 135 135 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 137 137 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 139 139 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 140 140 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ms-Drg 143 143 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 150 150 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 156 156 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 159 159 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Chest Procedures with Mcc 163 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Chest Procedures with Cc 164 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 182 182 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 188 188 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 198 198 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pneumothorax with Cc 200 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 201 201 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 209 209 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ms-Drg 213 213 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 218 218 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 232 232 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 245 245 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 255 255 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 256 256 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 258 258 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 259 259 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 265 265 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 284 284 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 285 285 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 288 288 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 289 289 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 297 297 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Angina Pectoris 311 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 325 325 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 332 332 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 333 333 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 334 334 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 344 344 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 345 345 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 346 346 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 348 348 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 349 349 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 358 358 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 359 359 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 360 360 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 370 370 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Digestive Malignancy with Mcc 374 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 376 376 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 382 382 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 383 383 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 387 387 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 397 397 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 408 408 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 409 409 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 410 410 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 412 412 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 414 414 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 416 416 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 421 421 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 422 422 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 424 424 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ms-Drg 429 429 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 434 434 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 437 437 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 443 443 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of the Biliary Tract with Mcc 444 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 447 447 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ms-Drg 450 450 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 495 495 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 498 498 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 503 503 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Foot Procedures with Cc 504 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 505 505 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 506 506 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 507 507 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 510 510 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 514 514 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 533 533 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 534 534 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 537 537 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 541 541 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 548 548 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 549 549 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 550 550 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 566 566 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Debridement with Cc 571 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 572 572 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 575 575 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 576 576 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 578 578 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 584 584 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 595 595 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 598 598 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 599 599 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ms-Drg 600 600 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 601 601 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 618 618 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 619 619 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 625 625 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 630 630 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 662 662 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 664 664 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 666 666 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 667 667 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 670 670 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 671 671 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 675 675 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 688 688 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 693 693 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 695 695 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 697 697 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 709 709 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 710 710 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 711 711 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 712 712 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 715 715 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 718 718 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 723 723 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 724 724 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ms-Drg 725 725 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 727 727 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 729 729 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 730 730 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 735 735 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 736 736 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 738 738 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 745 745 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 749 749 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 757 757 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 758 758 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 759 759 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 760 760 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 761 761 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 768 768 | – | – | – | $16,383$7,941–$20,334 · 10 plans | |
| Ms-Drg 769 769 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| Ms-Drg 770 770 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| Ms-Drg 776 776 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| Ms-Drg 779 779 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| Ms-Drg 783 783 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| Ms-Drg 784 784 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| Ms-Drg 785 785 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| C-section, with major complications 786 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| C-section, with complications 787 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| C-section 788 | – | – | – | $16,383$13,920–$20,334 · 10 plans | |
| Ms-Drg 789 789 | – | – | – | $16,141$2,107–$20,334 · 10 plans | |
| Ms-Drg 790 790 | – | – | – | $5,192$4,779–$16,540 · 10 plans | |
| Ms-Drg 791 791 | – | – | – | $4,075$3,773–$16,540 · 10 plans | |
| Ms-Drg 792 792 | – | – | – | $2,224$2,107–$16,540 · 10 plans | |
| Ms-Drg 793 793 | – | – | – | $4,075$3,773–$16,540 · 10 plans | |
| Ms-Drg 794 794 | – | – | – | $2,224$2,107–$16,540 · 10 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $933$924–$16,540 · 10 plans | |
| Ms-Drg 796 796 | – | – | – | $16,383$7,941–$20,334 · 10 plans | |
| Ms-Drg 797 797 | – | – | – | $16,383$7,941–$20,334 · 10 plans | |
| Ms-Drg 798 798 | – | – | – | $16,383$7,941–$20,334 · 10 plans | |
| Ms-Drg 799 799 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 800 800 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 801 801 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 802 802 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 803 803 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 804 804 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $16,383$7,941–$20,334 · 10 plans | |
| Vaginal birth, with complications 806 | – | – | – | $16,383$7,941–$20,334 · 10 plans | |
| Vaginal birth 807 | – | – | – | $16,383$7,941–$20,334 · 10 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 810 810 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 816 816 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 817 817 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 818 818 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 819 819 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 825 825 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 830 830 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 831 831 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 832 832 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 833 833 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 836 836 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 844 844 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 850 850 | – | – | – | $17,772$15,975–$20,627 · 9 plans | |
| Ms-Drg 855 855 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 858 858 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Viral Illness with Mcc 865 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 869 869 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Depressive Neuroses 881 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Neuroses Except Depressive 882 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Ms-Drg 886 886 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Ms-Drg 887 887 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Ms-Drg 901 901 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 903 903 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 905 905 | – | – | – | $16,615$1,058–$20,040 · 11 plans | |
| Ms-Drg 906 906 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 915 915 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Non-Extensive Burns 935 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 939 939 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 955 955 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 959 959 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 965 965 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 969 969 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 976 976 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 977 977 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $17,194$13,920–$20,334 · 10 plans | |
| Ms-Drg 989 989 | – | – | – | $17,194$13,920–$20,334 · 10 plans |
Outpatient procedures and tests
The hospital's facility charge only; doctors usually bill separately.
| Procedure | List price | Cash price | Insurers (median) |
|---|---|---|---|
| Complete blood count (CBC) CPT 85025 | $354 | $71 | $635$489–$952 · 6 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $895 | $179 | $635$489–$952 · 6 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $11,677 | $2,335 | $5,202$2,779–$6,679 · 6 plans |
| Emergency room visit, highest level CPT 99285 | $3,645 | $729 | $4,311$2,648–$5,185 · 8 plans |
| MRI of the brain, with and without contrast CPT 70553 | $9,658 | $1,932 | $4,247$2,365–$5,370 · 6 plans |
| MRI of the knee, without contrast CPT 73721 | $6,554 | $1,311 | $4,247$2,365–$5,370 · 6 plans |
Price file: Lakeland Regional Medical Center, read November 9, 2026.