Cleveland Clinic Martin North Hospital
200 SE Hospital Ave, Stuart, FL 34994 · (772) 287-5200
The money
$17what care cost the hospital for every $100 it billed
−$43.9Mnet income, all sources
−10.9%margin on patient care alone
$40.0Mcost of charity care (5.8% of costs)
$53.3Munpaid bills written off (bad debt)
521beds
From the hospital's Medicare cost report for the year ending December 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.
Hospital stays
Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.
Billed (list price)Actually paid (Medicare + patient)
| Stay | Medicare stays | Billed | Paid | Insurers (median) | |
|---|---|---|---|---|---|
| Sepsis, with major complications 871 | 885 | $62,140 | $12,775 | $26,628$16,419–$34,209 · 21 plans | |
| Heart failure, with major complications 291 | 508 | $41,209 | $8,490 | $17,598$11,119–$22,609 · 21 plans | |
| Lung infection, with major complications 177 | 260 | $50,072 | $11,104 | $21,421$13,363–$27,521 · 21 plans | |
| Pneumonia, with major complications 193 | 258 | $43,035 | $9,043 | $18,018$11,365–$23,148 · 21 plans | |
| Stomach and digestive disorders 392 | 244 | $31,338 | $5,384 | $10,687$7,062–$13,730 · 21 plans | |
| Sepsis 872 | 231 | $35,499 | $7,116 | $14,027$9,023–$18,021 · 21 plans | |
| Urinary tract infection 690 | 223 | $29,552 | $5,512 | $11,097$7,302–$14,256 · 21 plans | |
| Urinary tract infection, with major complications 689 | 186 | $35,771 | $7,621 | $15,905$10,125–$20,434 · 21 plans | |
| Pneumonia, with complications 194 | 141 | $30,252 | $5,584 | $11,047$7,273–$14,193 · 21 plans | |
| Stomach or intestinal bleeding, with complications 378 | 139 | $38,133 | $6,836 | $13,443$8,680–$17,271 · 21 plans | |
| Skin infection (cellulitis) 603 | 138 | $27,952 | $5,938 | $11,938$7,796–$15,337 · 21 plans | |
| Fainting 312 | 127 | $32,579 | $5,880 | $11,948$7,802–$15,350 · 21 plans | |
| Other kidney and urinary problems, with major complications 698 | 121 | $50,063 | $10,639 | $22,679$14,101–$29,136 · 21 plans | |
| COPD, with major complications 190 | 120 | $38,268 | $7,321 | $15,184$9,702–$19,508 · 21 plans | |
| Back problems (no surgery) 552 | 110 | $32,252 | $6,420 | $13,178$8,524–$16,929 · 21 plans | |
| Infection needing surgery, with major complications 853 | 109 | $149,658 | $33,601 | $67,698$40,527–$86,974 · 21 plans | |
| Stroke, with major complications 064 | 103 | $75,701 | $13,219 | $27,567$16,970–$35,416 · 21 plans | |
| Dehydration and electrolyte problems 641 | 102 | $31,335 | $5,250 | $10,668$7,050–$13,705 · 21 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 101 | $95,249 | $21,928 | $43,987$11,271–$57,970 · 21 plans | |
| Stroke, with complications or clot-busting drug 065 | 98 | $41,007 | $6,734 | $13,849$8,918–$17,792 · 21 plans | |
| Heart stent 322 | 95 | $100,579 | $13,520 | $24,167$14,975–$31,048 · 21 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 91 | $59,553 | $11,476 | $25,058$15,498–$32,193 · 21 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 91 | $81,189 | $13,531 | $28,171$17,642–$36,886 · 21 plans | |
| Irregular heartbeat, with complications 309 | 89 | $27,045 | $5,246 | $10,085$6,708–$12,956 · 21 plans | |
| Kidney failure, with complications 683 | 89 | $31,209 | $6,212 | $12,005$7,836–$15,424 · 21 plans | |
| Kidney failure, with major complications 682 | 85 | $43,990 | $9,394 | $20,302$12,706–$26,082 · 21 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 83 | $46,044 | $9,038 | $18,308$11,536–$23,521 · 21 plans | |
| Hip replacement after a hip fracture 522 | 76 | $78,602 | $13,768 | $28,299$17,829–$37,295 · 21 plans | |
| Stomach and digestive disorders, with major complications 391 | 73 | $43,073 | $8,551 | $17,386$10,994–$22,336 · 21 plans | |
| Irregular heartbeat, with major complications 308 | 72 | $40,047 | $8,752 | $16,504$10,477–$21,204 · 21 plans | |
| Lung infection, with complications 178 | 70 | $33,707 | $6,457 | $13,379$8,642–$17,188 · 21 plans | |
| Heart catheterization, with major complications 286 | 69 | $82,264 | $15,718 | $29,570$18,594–$38,970 · 21 plans | |
| Bowel obstruction, with complications 389 | 68 | $32,181 | $5,404 | $10,827$7,144–$13,909 · 21 plans | |
| High blood pressure 305 | 67 | $32,002 | $5,411 | $10,351$6,864–$13,298 · 21 plans | |
| Other kidney and urinary problems, with complications 699 | 64 | $30,875 | $7,009 | $13,914$8,956–$17,875 · 21 plans | |
| Anemia and blood disorders 812 | 64 | $33,202 | $6,447 | $12,587$8,177–$16,170 · 21 plans | |
| Mini-stroke (TIA) 069 | 62 | $35,442 | $5,478 | $10,950$7,216–$14,068 · 21 plans | |
| Respiratory failure 189 | 56 | $36,514 | $8,969 | $16,935$10,729–$21,757 · 21 plans | |
| Heart catheterization 287 | 56 | $61,236 | $7,474 | $15,461$9,399–$21,000 · 21 plans | |
| Heart attack, with major complications 280 | 54 | $63,362 | $10,801 | $21,989$13,696–$28,250 · 21 plans | |
| Irregular heartbeat 310 | 54 | $23,801 | $3,938 | $7,760$5,344–$9,970 · 21 plans | |
| Diabetes, with complications 638 | 52 | $30,860 | $6,060 | $12,285$8,000–$15,783 · 21 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 51 | $154,282 | $32,273 | $65,261$39,097–$83,842 · 21 plans | |
| Fracture or sprain (not hip or thigh) 563 | 50 | $29,295 | $5,856 | $12,276$7,994–$15,771 · 21 plans | |
| Seizures with Mcc 100 | 45 | $74,691 | $12,679 | $26,550$16,373–$34,109 · 21 plans | |
| Bowel surgery, with major complications 329 | 45 | $155,114 | $28,852 | $61,423$32,584–$80,949 · 21 plans | |
| Chest pain 313 | 43 | $28,152 | $4,886 | $9,870$6,582–$12,680 · 21 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 43 | $38,066 | $7,131 | $13,996$9,004–$17,981 · 21 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 43 | $71,682 | $11,112 | $23,188$14,400–$29,791 · 21 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 42 | $32,877 | $6,950 | $13,313$8,603–$17,104 · 21 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 41 | $44,877 | $8,675 | $17,760$11,214–$22,817 · 21 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 41 | $34,895 | $7,289 | $14,064$9,044–$18,069 · 21 plans | |
| Bowel surgery, with complications 330 | 41 | $89,362 | $16,049 | $32,584$20,078–$42,217 · 21 plans | |
| Other digestive problems, with complications 394 | 40 | $36,119 | $6,578 | $12,827$8,318–$16,479 · 21 plans | |
| Heart stent, with major complications or 4+ stents 321 | 39 | $129,537 | $20,191 | $38,347$22,682–$47,916 · 21 plans | |
| Cellulitis with Mcc 602 | 39 | $56,923 | $9,495 | $19,483$12,225–$25,031 · 21 plans | |
| Coagulation Disorders 813 | 39 | $84,181 | $12,534 | $20,909$13,062–$26,862 · 21 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 38 | $172,597 | $27,591 | $62,326$37,374–$80,072 · 21 plans | |
| Medical Back Problems with Mcc 551 | 37 | $50,343 | $9,855 | $22,976$14,275–$29,518 · 21 plans | |
| Dysequilibrium 149 | 35 | $36,018 | $5,062 | $10,303$6,836–$13,236 · 21 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 35 | $53,053 | $9,047 | $18,118$11,424–$23,276 · 21 plans | |
| Anemia and blood disorders, with major complications 811 | 35 | $39,181 | $9,529 | $19,250$12,088–$24,731 · 21 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 33 | $27,826 | $6,598 | $11,556$7,572–$14,846 · 21 plans | |
| Peripheral Vascular Disorders with Cc 300 | 33 | $31,732 | $7,135 | $14,633$9,378–$18,800 · 21 plans | |
| Other Disorders of Nervous System with Cc 092 | 32 | $37,781 | $6,736 | $14,023$9,020–$18,016 · 21 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 32 | $47,928 | $8,930 | $18,829$11,841–$24,190 · 21 plans | |
| Other Vascular Procedures with Mcc 252 | 32 | $124,884 | $23,465 | $47,818$28,857–$61,432 · 21 plans | |
| Heart Failure and Shock with Cc 292 | 32 | $26,801 | $5,702 | $11,638$7,620–$14,952 · 21 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 32 | $25,979 | $4,995 | $11,071$7,287–$14,223 · 21 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 31 | $27,630 | $3,823 | $7,457$5,166–$9,580 · 21 plans | |
| Delirium and other mental confusion 884 | 31 | $31,661 | $11,152 | $22,055$13,735–$28,334 · 21 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 30 | $43,636 | $9,691 | $20,244$12,672–$26,008 · 21 plans | |
| Diabetes, with major complications 637 | 30 | $47,245 | $10,586 | $19,694$12,349–$25,302 · 21 plans | |
| Seizures 101 | 29 | $43,917 | $6,057 | $12,373$8,051–$15,896 · 21 plans | |
| Major Chest Procedures with Cc 164 | 29 | $86,952 | $14,938 | $34,599$21,098–$44,450 · 21 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 29 | $103,799 | $18,508 | $38,917$23,550–$51,289 · 21 plans | |
| Pulmonary Embolism Without Mcc 176 | 28 | $37,224 | $5,473 | $11,035$7,266–$14,177 · 21 plans | |
| Heart attack, with complications 281 | 28 | $45,927 | $6,410 | $12,599$8,184–$16,186 · 21 plans | |
| Other circulation problems, with major complications 314 | 28 | $52,354 | $13,892 | $28,584$17,567–$36,722 · 21 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 28 | $61,724 | $12,544 | $21,923$13,657–$28,165 · 21 plans | |
| Disorders of the Biliary Tract with Cc 445 | 28 | $41,779 | $7,421 | $15,002$9,595–$19,273 · 21 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 28 | $37,838 | $6,238 | $12,557$8,159–$16,132 · 21 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 27 | $37,466 | $6,919 | $14,130$9,083–$18,153 · 21 plans | |
| Respiratory Neoplasms with Mcc 180 | 27 | $49,500 | $12,043 | $24,208$14,999–$31,101 · 21 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 27 | $97,777 | $17,884 | $37,679$22,906–$48,407 · 21 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 27 | $267,172 | $40,768 | $102,163$62,306–$134,640 · 21 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 27 | $51,035 | $11,545 | $24,306$15,056–$31,226 · 21 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 27 | $43,598 | $6,671 | $14,092$9,060–$18,104 · 21 plans | |
| Complications of Treatment with Cc 920 | 27 | $28,856 | $6,838 | $13,740$8,854–$17,652 · 21 plans | |
| Signs and Symptoms Without Mcc 948 | 26 | $34,212 | $5,799 | $10,973$7,230–$14,098 · 21 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 25 | $187,493 | $36,767 | $78,551$46,898–$100,916 · 21 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 25 | $129,027 | $23,543 | $48,750$29,405–$62,630 · 21 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 25 | $53,835 | $10,886 | $22,381$13,926–$28,753 · 21 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 25 | $46,860 | $7,085 | $14,193$9,120–$18,234 · 21 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 24 | $34,803 | $6,985 | $14,478$9,287–$18,601 · 21 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 24 | $29,309 | $6,770 | $11,531$7,557–$14,814 · 21 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 23 | $68,854 | $14,396 | $31,845$19,482–$40,912 · 21 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 23 | $36,912 | $5,095 | $9,382$6,296–$12,053 · 21 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 23 | $61,549 | $11,080 | $22,821$14,184–$29,319 · 21 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 23 | $72,139 | $15,493 | $31,331$19,180–$40,252 · 21 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 23 | $70,392 | $14,468 | $28,475$17,437–$37,527 · 21 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | 23 | $49,932 | $9,604 | $19,531$12,253–$25,092 · 21 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 23 | $108,812 | $24,875 | $57,596$34,597–$73,994 · 21 plans | |
| Other Vascular Procedures with Cc 253 | 22 | $99,023 | $19,853 | $35,580$21,674–$45,711 · 21 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 22 | $141,528 | $35,554 | $72,328$43,245–$92,921 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 21 | $258,190 | $51,156 | $102,605$62,573–$135,223 · 21 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 21 | $75,859 | $13,232 | $24,315$14,330–$32,584 · 21 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 21 | $83,962 | $15,493 | $32,713$19,991–$42,027 · 21 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | 19 | $20,430 | $4,483 | $8,615$5,846–$11,069 · 21 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 19 | $110,490 | $21,739 | $47,126$26,925–$62,107 · 21 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 19 | $28,294 | $5,812 | $12,101$7,892–$15,547 · 21 plans | |
| Complications of Treatment with Mcc 919 | 19 | $45,158 | $12,276 | $25,097$15,520–$32,242 · 21 plans | |
| Extracranial Procedures with Cc 038 | 18 | $66,325 | $11,531 | $22,243$13,845–$28,576 · 21 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 18 | $58,535 | $7,652 | $16,114$10,247–$20,702 · 21 plans | |
| Other Disorders of Nervous System with Mcc 091 | 18 | $50,004 | $11,012 | $24,074$14,920–$30,928 · 21 plans | |
| Major Chest Procedures with Mcc 163 | 18 | $187,135 | $29,469 | $61,437$36,852–$78,929 · 21 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | 18 | $28,383 | $5,063 | $10,350$6,864–$13,296 · 21 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 18 | $103,426 | $18,373 | $38,354$23,220–$50,547 · 21 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 18 | $28,601 | $5,689 | $11,386$7,472–$14,628 · 21 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 18 | $210,971 | $44,294 | $94,747$56,405–$121,724 · 21 plans | |
| Carotid Artery Stent Procedures with Cc 035 | 17 | $68,590 | $15,405 | $31,944$14,959–$42,099 · 21 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 17 | $78,331 | $16,043 | $33,505$20,456–$43,045 · 21 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | 17 | $65,460 | $10,745 | $18,722$11,779–$24,053 · 21 plans | |
| Endocrine Disorders with Mcc 643 | 17 | $100,497 | $14,820 | $22,565$14,034–$28,989 · 21 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 17 | $70,004 | $15,980 | $34,831$21,234–$44,748 · 21 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 17 | $95,196 | $13,511 | $27,390$16,866–$35,189 · 21 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 17 | $57,650 | $11,412 | $23,922$14,831–$30,733 · 21 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 17 | $145,318 | $37,059 | $64,315$38,541–$82,627 · 21 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 16 | $65,606 | $12,217 | $25,962$14,833–$34,215 · 21 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | 16 | $72,916 | $12,424 | $24,088$14,928–$30,946 · 21 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | 16 | $24,598 | $4,419 | $8,801$5,954–$11,306 · 21 plans | |
| Respiratory Signs and Symptoms 204 | 16 | $49,261 | $5,543 | $11,068$7,285–$14,219 · 21 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | 16 | $27,087 | $6,314 | $12,901$8,361–$16,574 · 21 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 16 | $72,463 | $12,694 | $25,177$15,568–$32,346 · 21 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 16 | $40,942 | $12,432 | $22,347$13,906–$28,709 · 21 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | 16 | $43,353 | $7,607 | $17,574$11,104–$22,577 · 21 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 16 | $62,671 | $12,224 | $24,999$15,463–$32,117 · 21 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 15 | $77,053 | $14,377 | $31,143$19,070–$40,010 · 21 plans | |
| Headaches Without Mcc 103 | 15 | $36,795 | $5,823 | $11,464$7,518–$14,728 · 21 plans | |
| Pleural Effusion with Mcc 186 | 15 | $43,449 | $9,901 | $21,364$13,329–$27,447 · 21 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | 15 | $119,544 | $21,820 | $43,173$26,131–$55,466 · 21 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 15 | $54,537 | $12,205 | $24,154$15,333–$31,832 · 21 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 15 | $30,636 | $6,603 | $13,205$8,540–$16,965 · 21 plans | |
| Inflammatory Bowel Disease with Cc 386 | 15 | $38,047 | $6,636 | $13,383$8,644–$17,194 · 21 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 15 | $53,025 | $14,134 | $26,980$16,626–$34,662 · 21 plans | |
| Hip or knee replacement 470 | 15 | $75,738 | $12,616 | $27,186$16,310–$33,970 · 21 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 15 | $52,767 | $11,484 | $24,215$15,003–$31,110 · 21 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 15 | $58,548 | $12,980 | $21,500$13,409–$27,621 · 21 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 14 | $48,632 | $11,602 | $25,099$15,522–$32,246 · 21 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 14 | $116,547 | $31,941 | $68,367$40,920–$87,833 · 21 plans | |
| Digestive Malignancy with Mcc 374 | 14 | $42,049 | $12,920 | $29,317$17,998–$37,665 · 21 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | 14 | $26,264 | $4,403 | $8,642$5,861–$11,102 · 21 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 14 | $95,177 | $17,429 | $34,765$21,195–$44,663 · 21 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 14 | $55,566 | $17,927 | $30,266$18,555–$38,883 · 21 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 14 | $34,373 | $6,415 | $13,679$8,818–$17,574 · 21 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 13 | $41,784 | $9,256 | $19,134$12,020–$24,581 · 21 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 13 | $52,109 | $9,140 | $17,857$11,271–$22,942 · 21 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 13 | $191,832 | $29,353 | $80,447$48,011–$103,352 · 21 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 13 | $163,296 | $25,906 | $57,420$34,494–$73,769 · 21 plans | |
| Hypertension with Mcc 304 | 13 | $46,394 | $7,907 | $16,313$10,364–$20,957 · 21 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | 13 | $60,730 | $12,000 | $21,964$13,682–$28,218 · 21 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | 13 | $65,607 | $10,321 | $23,203$13,912–$28,724 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | 13 | $34,258 | $6,912 | $13,357$8,629–$17,160 · 21 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | 13 | $27,370 | $5,810 | $11,749$7,685–$15,094 · 21 plans | |
| Nervous System Neoplasms with Mcc 054 | 12 | $61,456 | $9,166 | $20,931$13,075–$26,890 · 21 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | 12 | $74,365 | $20,540 | $37,794$22,974–$48,555 · 21 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | 12 | $80,383 | $12,296 | $26,240$16,191–$33,711 · 21 plans | |
| Interstitial Lung Disease with Mcc 196 | 12 | $50,015 | $12,494 | $25,870$15,974–$33,235 · 21 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 12 | $123,536 | $26,084 | $55,129$11,271–$72,654 · 21 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | 12 | $140,631 | $19,847 | $43,194$26,143–$55,492 · 21 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 12 | $53,656 | $11,151 | $24,602$15,230–$31,606 · 21 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | 12 | $27,861 | $5,563 | $11,379$7,468–$14,619 · 21 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | 12 | $26,276 | $7,247 | $12,244$7,976–$15,730 · 21 plans | |
| Endocrine Disorders with Cc 644 | 12 | $26,392 | $6,390 | $14,051$9,036–$18,051 · 21 plans | |
| Psychoses 885 | 12 | $32,943 | $9,420 | $19,147$12,028–$24,599 · 21 plans | |
| Signs and Symptoms with Mcc 947 | 12 | $48,472 | $8,491 | $17,401$11,003–$22,355 · 21 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | 12 | $101,489 | $20,000 | $51,583$31,068–$66,270 · 21 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | 11 | $225,724 | $31,356 | $77,712$44,745–$96,204 · 21 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 11 | $125,754 | $31,183 | $57,892$34,771–$74,375 · 21 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | 11 | $124,276 | $19,173 | $27,153$16,727–$34,884 · 21 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | 11 | $64,208 | $9,873 | $20,898$13,056–$26,848 · 21 plans | |
| Digestive Malignancy with Cc 375 | 11 | $42,715 | $7,680 | $16,581$10,522–$21,302 · 21 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 11 | $60,232 | $11,191 | $22,905$14,234–$29,426 · 21 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | 11 | $24,781 | $4,754 | $9,445$6,333–$12,134 · 21 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 11 | $77,746 | $15,413 | $33,701$20,571–$43,297 · 21 plans | |
| Ms-Drg -Da -DA | – | – | – | $143,039only 1 plan | |
| Ms-Drg -Dp -DP | – | – | – | $166,486only 1 plan | |
| Ms-Drg -La -LA | – | – | – | $131,556only 1 plan | |
| Ms-Drg -Lp -LP | – | – | – | $153,120only 1 plan | |
| Ms-Drg -Ra -RA | – | – | – | $349,444only 1 plan | |
| Ms-Drg -Rp -RP | – | – | – | $394,880only 1 plan | |
| Ms-Drg -Ua -UA | – | – | – | $392,967only 1 plan | |
| Ms-Drg -Up -UP | – | – | – | $444,062only 1 plan | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $385,000$226,285–$454,548 · 21 plans | |
| Ms-Drg 002 002 | – | – | – | $163,722$91,971–$400,000 · 21 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | – | – | – | $290,955$171,579–$373,797 · 21 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $189,875$112,245–$243,937 · 21 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $148,966$83,753–$235,000 · 21 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $66,995$38,100–$235,000 · 21 plans | |
| Lung Transplant 007 | – | – | – | $177,521$104,993–$228,066 · 21 plans | |
| Ms-Drg 008 008 | – | – | – | $76,828$45,886–$98,703 · 21 plans | |
| Ms-Drg 010 010 | – | – | – | $99,749$60,959–$138,364 · 22 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $74,765$44,675–$96,052 · 21 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $57,793$34,713–$74,248 · 21 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $39,504$23,977–$50,751 · 21 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $164,741$97,491–$211,647 · 21 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $81,284$48,502–$104,428 · 21 plans | |
| Ms-Drg 017 017 | – | – | – | $74,466$44,500–$95,668 · 21 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $591,950$348,262–$760,492 · 21 plans | |
| Ms-Drg 019 019 | – | – | – | $97,801$58,198–$125,647 · 21 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $107,866$64,105–$138,577 · 21 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $72,567$43,385–$93,229 · 21 plans | |
| Ms-Drg 022 022 | – | – | – | $43,556$26,356–$55,957 · 21 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $53,624$32,266–$68,892 · 21 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $42,621$25,807–$54,756 · 21 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $34,584$21,089–$44,431 · 21 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $82,362$49,135–$105,812 · 21 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $46,766$28,240–$60,082 · 21 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $30,092$18,452–$38,660 · 21 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $61,419$36,841–$78,906 · 21 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $29,212$17,936–$37,529 · 21 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $22,795$14,169–$29,285 · 21 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $51,724$14,959–$68,167 · 21 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $45,128$27,279–$57,977 · 21 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $52,929$31,858–$68,000 · 21 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $30,140$18,481–$38,721 · 21 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $23,683$14,691–$30,427 · 21 plans | |
| Ms-Drg 052 052 | – | – | – | $24,829$15,363–$31,899 · 21 plans | |
| Ms-Drg 053 053 | – | – | – | $13,423$8,668–$17,245 · 21 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $13,977$8,993–$17,956 · 21 plans | |
| Ms-Drg 058 058 | – | – | – | $23,434$14,544–$30,106 · 21 plans | |
| Ms-Drg 059 059 | – | – | – | $17,010$10,774–$21,853 · 21 plans | |
| Ms-Drg 060 060 | – | – | – | $12,609$8,190–$16,199 · 21 plans | |
| Ms-Drg 063 063 | – | – | – | $19,243$12,084–$24,722 · 21 plans | |
| Ms-Drg 067 067 | – | – | – | $20,133$12,607–$25,865 · 21 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $11,849$7,744–$15,223 · 21 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $10,366$6,873–$13,317 · 21 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $21,992$13,698–$28,253 · 21 plans | |
| Ms-Drg 075 075 | – | – | – | $26,285$16,218–$33,769 · 21 plans | |
| Ms-Drg 076 076 | – | – | – | $11,312$7,429–$14,533 · 21 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $24,811$15,353–$31,876 · 21 plans | |
| Ms-Drg 081 081 | – | – | – | $12,277$7,995–$15,772 · 21 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $13,102$8,479–$16,833 · 21 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $12,539$8,149–$16,109 · 21 plans | |
| Concussion with Mcc 088 | – | – | – | $18,530$11,666–$23,807 · 21 plans | |
| Concussion with Cc 089 | – | – | – | $15,060$9,628–$19,347 · 21 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $11,284$7,412–$14,497 · 21 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $10,916$7,196–$14,024 · 21 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $48,244$29,108–$61,980 · 21 plans | |
| Ms-Drg 095 095 | – | – | – | $35,356$21,542–$45,422 · 21 plans | |
| Ms-Drg 096 096 | – | – | – | $35,356$21,542–$45,422 · 21 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $49,511$29,851–$63,607 · 21 plans | |
| Ms-Drg 098 098 | – | – | – | $31,458$19,255–$40,415 · 21 plans | |
| Ms-Drg 099 099 | – | – | – | $18,676$11,751–$23,993 · 21 plans | |
| Ms-Drg 1-a 1-A | – | – | – | $295,292only 1 plan | |
| Ms-Drg 1-P 1-P | – | – | – | $363,339only 1 plan | |
| Headaches with Mcc 102 | – | – | – | $15,365$9,808–$19,740 · 21 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $32,229$19,707–$41,405 · 21 plans | |
| Ms-Drg 114 114 | – | – | – | $18,547$11,676–$23,828 · 21 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $21,040$13,139–$27,031 · 21 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $24,785$15,338–$31,842 · 21 plans | |
| Ms-Drg 117 117 | – | – | – | $14,872$9,518–$19,106 · 21 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $15,947$10,149–$20,487 · 21 plans | |
| Ms-Drg 122 122 | – | – | – | $10,772$7,112–$13,839 · 21 plans | |
| Neurological Eye Disorders 123 | – | – | – | $10,947$7,215–$14,064 · 21 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $18,137$11,435–$23,301 · 21 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $10,525$6,967–$13,522 · 21 plans | |
| Ms-Drg 135 135 | – | – | – | $29,746$18,250–$38,216 · 21 plans | |
| Ms-Drg 136 136 | – | – | – | $13,918$8,958–$17,880 · 21 plans | |
| Ms-Drg 137 137 | – | – | – | $20,469$12,804–$26,297 · 21 plans | |
| Ms-Drg 138 138 | – | – | – | $12,148$7,919–$15,607 · 21 plans | |
| Ms-Drg 139 139 | – | – | – | $16,939$10,732–$21,762 · 21 plans | |
| Ms-Drg 140 140 | – | – | – | $58,469$35,110–$75,116 · 21 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $29,899$18,339–$38,411 · 21 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $21,883$13,634–$28,114 · 21 plans | |
| Ms-Drg 143 143 | – | – | – | $51,358$30,936–$65,981 · 21 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $23,755$14,732–$30,518 · 21 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $16,481$10,463–$21,174 · 21 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $29,025$17,826–$37,290 · 21 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $17,430$11,020–$22,392 · 21 plans | |
| Ms-Drg 148 148 | – | – | – | $10,927$7,202–$14,038 · 21 plans | |
| Ms-Drg 150 150 | – | – | – | $18,252$11,503–$23,449 · 21 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $10,062$6,695–$12,926 · 21 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $16,206$10,301–$20,820 · 21 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $10,119$6,729–$13,000 · 21 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $21,432$13,369–$27,535 · 21 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $12,563$8,163–$16,140 · 21 plans | |
| Ms-Drg 156 156 | – | – | – | $9,474$6,350–$12,171 · 21 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $23,534$14,603–$30,235 · 21 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $12,472$8,109–$16,022 · 21 plans | |
| Ms-Drg 159 159 | – | – | – | $9,712$6,490–$12,477 · 21 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $51,236$30,864–$65,825 · 21 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $24,721$15,300–$31,760 · 21 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $18,731$11,783–$24,064 · 21 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $40,800$24,738–$52,417 · 21 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $14,681$9,406–$18,861 · 21 plans | |
| Ms-Drg 182 182 | – | – | – | $10,333$6,854–$13,275 · 21 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $20,972$13,099–$26,943 · 21 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $14,587$9,351–$18,740 · 21 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $10,781$7,117–$13,851 · 21 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $13,559$8,747–$17,419 · 21 plans | |
| Ms-Drg 188 188 | – | – | – | $9,831$6,560–$12,631 · 21 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $13,010$8,426–$16,715 · 21 plans | |
| Ms-Drg 198 198 | – | – | – | $9,818$6,551–$12,613 · 21 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $24,182$14,983–$31,068 · 21 plans | |
| Ms-Drg 2-a 2-A | – | – | – | $295,292only 1 plan | |
| Ms-Drg 2-P 2-P | – | – | – | $363,339only 1 plan | |
| Pneumothorax with Cc 200 | – | – | – | $15,069$9,634–$19,360 · 21 plans | |
| Ms-Drg 201 201 | – | – | – | $9,803$6,543–$12,594 · 21 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $9,184$6,180–$11,799 · 21 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $88,207$52,566–$113,322 · 21 plans | |
| Ms-Drg 209 209 | – | – | – | $153,253$89,569–$188,469 · 12 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $149,062$88,288–$191,504 · 21 plans | |
| Ms-Drg 213 213 | – | – | – | $77,270$45,542–$95,026 · 12 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $136,491$80,908–$175,353 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $130,728$77,298–$172,285 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $92,672$53,697–$115,798 · 21 plans | |
| Ms-Drg 218 218 | – | – | – | $92,672$53,697–$115,798 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $76,830$43,699–$93,916 · 21 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $72,821$41,345–$93,259 · 21 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $67,819$40,598–$87,129 · 21 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $112,649$68,620–$148,459 · 21 plans | |
| Ms-Drg 232 232 | – | – | – | $85,446$49,572–$106,768 · 21 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $67,467$40,391–$86,676 · 21 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $39,075$23,725–$50,200 · 21 plans | |
| Ms-Drg 241 241 | – | – | – | $18,977$11,928–$24,381 · 21 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | – | – | – | $42,665$21,577–$56,228 · 21 plans | |
| Ms-Drg 245 245 | – | – | – | $60,967$21,577–$80,348 · 21 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $29,165$11,271–$38,436 · 21 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $19,971$11,271–$26,320 · 21 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $24,424$15,125–$31,378 · 21 plans | |
| Ms-Drg 255 255 | – | – | – | $36,976$22,493–$47,504 · 21 plans | |
| Ms-Drg 256 256 | – | – | – | $23,275$14,451–$29,902 · 21 plans | |
| Ms-Drg 257 257 | – | – | – | $14,972$9,577–$19,235 · 21 plans | |
| Ms-Drg 258 258 | – | – | – | $41,988$18,861–$55,336 · 21 plans | |
| Ms-Drg 259 259 | – | – | – | $27,021$16,586–$35,611 · 21 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $43,467$15,358–$57,285 · 21 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $25,263$14,433–$33,294 · 21 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $21,780$13,517–$28,704 · 21 plans | |
| Ms-Drg 263 263 | – | – | – | $41,911$25,390–$53,844 · 21 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $45,793$27,669–$58,831 · 21 plans | |
| Ms-Drg 265 265 | – | – | – | $49,598$29,903–$63,720 · 21 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | – | – | – | $84,008$50,101–$107,927 · 21 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $94,282$56,132–$121,127 · 21 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $34,997$21,331–$44,961 · 21 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $97,744$56,548–$125,573 · 21 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $80,266$49,121–$105,782 · 21 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $63,310$37,952–$81,336 · 21 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $76,301$45,577–$98,026 · 21 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $49,437$29,808–$63,512 · 21 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $9,912$6,607–$12,735 · 21 plans | |
| Ms-Drg 284 284 | – | – | – | $9,489$6,358–$12,190 · 21 plans | |
| Ms-Drg 285 285 | – | – | – | $8,210$5,608–$10,547 · 21 plans | |
| Ms-Drg 288 288 | – | – | – | $37,097$22,564–$47,659 · 21 plans | |
| Ms-Drg 289 289 | – | – | – | $23,398$14,523–$30,060 · 21 plans | |
| Ms-Drg 290 290 | – | – | – | $12,744$8,269–$16,373 · 21 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $7,759$5,343–$9,968 · 21 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $21,411$13,356–$27,507 · 21 plans | |
| Ms-Drg 297 297 | – | – | – | $8,691$5,890–$11,165 · 21 plans | |
| Ms-Drg 298 298 | – | – | – | $6,239$4,451–$8,015 · 21 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $9,866$6,580–$12,675 · 21 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $16,403$10,417–$21,073 · 21 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $9,228$6,205–$11,856 · 21 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $21,601$13,468–$27,751 · 21 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $12,518$8,137–$16,082 · 21 plans | |
| Angina Pectoris 311 | – | – | – | $9,622$6,436–$12,361 · 21 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $9,350$6,277–$12,012 · 21 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $90,505$54,440–$118,998 · 20 plans | |
| Ms-Drg 318 318 | – | – | – | $32,796$19,772–$40,332 · 12 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $61,177$36,700–$78,596 · 21 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $32,972$20,143–$42,360 · 21 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $57,827$34,620–$76,210 · 21 plans | |
| Ms-Drg 325 325 | – | – | – | $44,008$26,621–$56,538 · 21 plans | |
| Ms-Drg 332 332 | – | – | – | $49,633$29,923–$63,764 · 21 plans | |
| Ms-Drg 333 333 | – | – | – | $32,107$19,635–$41,248 · 21 plans | |
| Ms-Drg 334 334 | – | – | – | $22,452$13,968–$28,845 · 21 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $48,950$29,522–$62,887 · 21 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $28,906$17,756–$37,136 · 21 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $21,042$13,140–$27,033 · 21 plans | |
| Ms-Drg 344 344 | – | – | – | $35,405$21,571–$45,486 · 21 plans | |
| Ms-Drg 345 345 | – | – | – | $20,626$12,896–$26,499 · 21 plans | |
| Ms-Drg 346 346 | – | – | – | $16,260$10,333–$20,890 · 21 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $31,468$19,260–$40,428 · 21 plans | |
| Ms-Drg 348 348 | – | – | – | $17,941$11,320–$23,049 · 21 plans | |
| Ms-Drg 349 349 | – | – | – | $11,934$7,794–$15,332 · 21 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $34,159$20,840–$43,885 · 21 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $16,008$10,185–$20,566 · 21 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $39,781$24,140–$51,107 · 21 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $23,062$14,326–$29,629 · 21 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $18,437$11,611–$23,687 · 21 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $60,217$36,136–$77,362 · 21 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $31,878$19,501–$40,954 · 21 plans | |
| Ms-Drg 358 358 | – | – | – | $19,162$12,037–$24,618 · 21 plans | |
| Ms-Drg 359 359 | – | – | – | $46,558$27,746–$57,256 · 12 plans | |
| Ms-Drg 360 360 | – | – | – | $32,689$19,710–$40,201 · 12 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $21,822$13,598–$28,035 · 21 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $13,711$8,837–$17,615 · 21 plans | |
| Ms-Drg 370 370 | – | – | – | $9,607$6,428–$12,342 · 21 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $9,971$6,642–$12,810 · 21 plans | |
| Ms-Drg 376 376 | – | – | – | $12,670$8,226–$16,278 · 21 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $26,898$16,578–$34,556 · 21 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $14,853$9,507–$19,082 · 21 plans | |
| Ms-Drg 382 382 | – | – | – | $10,975$7,231–$14,099 · 21 plans | |
| Ms-Drg 383 383 | – | – | – | $18,927$11,898–$24,316 · 21 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $11,718$7,667–$15,054 · 21 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $21,690$13,521–$27,866 · 21 plans | |
| Ms-Drg 387 387 | – | – | – | $9,339$6,271–$11,998 · 21 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $8,896$6,011–$11,430 · 21 plans | |
| Ms-Drg 397 397 | – | – | – | $32,829$20,059–$42,177 · 21 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $20,748$12,968–$26,656 · 21 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $15,692$9,999–$20,159 · 21 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $53,157$32,138–$71,552 · 20 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $74,990$44,807–$96,341 · 21 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $39,756$24,125–$51,075 · 21 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $30,426$18,649–$39,089 · 21 plans | |
| Ms-Drg 408 408 | – | – | – | $48,877$29,479–$62,794 · 21 plans | |
| Ms-Drg 409 409 | – | – | – | $29,846$18,308–$38,344 · 21 plans | |
| Ms-Drg 410 410 | – | – | – | $21,764$13,564–$27,961 · 21 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $45,282$27,369–$58,174 · 21 plans | |
| Ms-Drg 412 412 | – | – | – | $28,821$17,706–$37,027 · 21 plans | |
| Ms-Drg 413 413 | – | – | – | $22,762$14,150–$29,243 · 21 plans | |
| Ms-Drg 414 414 | – | – | – | $48,836$29,455–$62,741 · 21 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $28,330$17,418–$36,397 · 21 plans | |
| Ms-Drg 416 416 | – | – | – | $18,688$11,758–$24,009 · 21 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $46,705$28,204–$60,002 · 21 plans | |
| Ms-Drg 421 421 | – | – | – | $23,818$14,769–$30,599 · 21 plans | |
| Ms-Drg 422 422 | – | – | – | $19,184$12,050–$24,647 · 21 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $56,929$34,206–$73,138 · 21 plans | |
| Ms-Drg 424 424 | – | – | – | $29,992$18,394–$38,531 · 21 plans | |
| Ms-Drg 425 425 | – | – | – | $20,566$12,861–$26,422 · 21 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $145,717$83,927–$196,141 · 20 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $95,441$57,026–$128,467 · 20 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $74,331$44,565–$100,053 · 20 plans | |
| Ms-Drg 429 429 | – | – | – | $119,120$69,332–$160,341 · 20 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $76,250$45,698–$102,635 · 20 plans | |
| Ms-Drg 434 434 | – | – | – | $9,767$6,522–$12,548 · 21 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $15,505$9,890–$19,920 · 21 plans | |
| Ms-Drg 437 437 | – | – | – | $11,697$7,655–$15,027 · 21 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $8,518$5,789–$10,943 · 21 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $13,232$8,556–$17,000 · 21 plans | |
| Ms-Drg 443 443 | – | – | – | $9,591$6,419–$12,322 · 21 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $11,341$7,445–$14,570 · 21 plans | |
| Ms-Drg 447 447 | – | – | – | $88,341$51,613–$118,910 · 20 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $56,070$33,786–$75,472 · 20 plans | |
| Ms-Drg 450 450 | – | – | – | $70,465$42,283–$94,849 · 20 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $42,711$25,901–$57,490 · 20 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $115,194$68,407–$147,992 · 21 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $81,742$48,771–$105,016 · 21 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $57,198$34,364–$73,484 · 21 plans | |
| Ms-Drg 461 461 | – | – | – | $75,709$45,230–$97,266 · 21 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $36,463$22,192–$46,845 · 21 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $78,129$46,650–$100,374 · 21 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $42,696$25,851–$54,853 · 21 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $24,999$15,463–$32,117 · 21 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $69,560$28,171–$91,672 · 21 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $36,722$22,264–$48,395 · 21 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $40,533$24,496–$53,418 · 21 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $64,526$15,071–$85,038 · 21 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $39,369$15,071–$51,884 · 21 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $32,623$15,071–$42,994 · 21 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $58,847$35,332–$75,602 · 21 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $31,195$19,100–$40,077 · 21 plans | |
| Ms-Drg 476 476 | – | – | – | $16,178$10,285–$20,785 · 21 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $47,356$28,586–$60,839 · 21 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $33,711$20,577–$43,309 · 21 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $25,482$15,746–$32,737 · 21 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $37,997$23,093–$48,816 · 21 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $43,124$25,072–$56,832 · 21 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $28,171$17,615–$36,826 · 21 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $22,281$13,391–$28,171 · 21 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $25,072$15,022–$31,152 · 21 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $16,136$9,775–$24,490 · 21 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $50,330$30,332–$64,661 · 21 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $27,505$16,934–$35,336 · 21 plans | |
| Ms-Drg 495 495 | – | – | – | $49,701$29,963–$63,852 · 21 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $24,728$15,304–$31,768 · 21 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $16,563$10,511–$21,279 · 21 plans | |
| Ms-Drg 498 498 | – | – | – | $41,354$25,063–$53,129 · 21 plans | |
| Ms-Drg 499 499 | – | – | – | $27,619$17,001–$35,483 · 21 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $43,383$26,254–$55,735 · 21 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $23,963$14,855–$30,786 · 21 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $18,450$11,618–$23,703 · 21 plans | |
| Ms-Drg 503 503 | – | – | – | $38,260$23,247–$49,154 · 21 plans | |
| Foot Procedures with Cc 504 | – | – | – | $25,623$15,829–$32,918 · 21 plans | |
| Ms-Drg 505 505 | – | – | – | $24,576$15,214–$31,573 · 21 plans | |
| Ms-Drg 506 506 | – | – | – | $18,495$11,645–$23,761 · 21 plans | |
| Ms-Drg 507 507 | – | – | – | $24,762$15,324–$31,813 · 21 plans | |
| Ms-Drg 508 508 | – | – | – | $20,759$12,974–$26,670 · 21 plans | |
| Ms-Drg 510 510 | – | – | – | $41,405$25,093–$53,194 · 21 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $28,504$17,521–$36,620 · 21 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $22,692$14,109–$29,153 · 21 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $21,581$13,456–$27,725 · 21 plans | |
| Ms-Drg 514 514 | – | – | – | $14,014$9,015–$18,004 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $42,587$25,717–$56,125 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $29,563$17,510–$36,597 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $22,202$13,154–$30,783 · 21 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $49,942$8,794–$65,818 · 21 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $26,729$8,794–$35,226 · 21 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $19,963$8,794–$26,309 · 21 plans | |
| Ms-Drg 533 533 | – | – | – | $21,490$13,403–$27,609 · 21 plans | |
| Ms-Drg 534 534 | – | – | – | $11,050$7,275–$14,196 · 21 plans | |
| Ms-Drg 537 537 | – | – | – | $13,082$8,467–$16,806 · 21 plans | |
| Ms-Drg 538 538 | – | – | – | $9,874$6,584–$12,685 · 21 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $27,001$16,638–$34,688 · 21 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $17,770$11,219–$22,829 · 21 plans | |
| Ms-Drg 541 541 | – | – | – | $10,794$7,124–$13,867 · 21 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $10,344$6,860–$13,289 · 21 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $34,019$20,758–$43,705 · 21 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $15,811$10,069–$20,313 · 21 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $11,463$7,517–$14,726 · 21 plans | |
| Ms-Drg 548 548 | – | – | – | $26,469$16,326–$34,005 · 21 plans | |
| Ms-Drg 549 549 | – | – | – | $16,548$10,502–$21,260 · 21 plans | |
| Ms-Drg 550 550 | – | – | – | $11,982$7,822–$15,394 · 21 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $17,770$11,219–$22,829 · 21 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $18,119$11,424–$23,278 · 21 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $20,382$12,753–$26,186 · 21 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $25,564$15,795–$32,843 · 21 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $15,437$9,850–$19,832 · 21 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $11,020$7,257–$14,157 · 21 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $21,160$13,209–$27,184 · 21 plans | |
| Ms-Drg 566 566 | – | – | – | $10,271$6,818–$13,196 · 21 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $40,317$24,454–$51,796 · 21 plans | |
| Skin Debridement with Cc 571 | – | – | – | $23,160$14,383–$29,754 · 21 plans | |
| Ms-Drg 572 572 | – | – | – | $15,713$10,012–$20,187 · 21 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $89,807$53,505–$115,377 · 21 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $47,586$28,721–$61,135 · 21 plans | |
| Ms-Drg 575 575 | – | – | – | $24,633$15,248–$31,647 · 21 plans | |
| Ms-Drg 576 576 | – | – | – | $67,186$40,226–$86,315 · 21 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $36,336$22,118–$46,681 · 21 plans | |
| Ms-Drg 578 578 | – | – | – | $22,021$13,715–$28,290 · 21 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $44,393$26,847–$57,033 · 21 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $23,687$14,693–$30,432 · 21 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $19,782$12,401–$25,414 · 21 plans | |
| Ms-Drg 582 582 | – | – | – | $26,410$16,291–$33,929 · 21 plans | |
| Ms-Drg 583 583 | – | – | – | $23,638$14,664–$30,368 · 21 plans | |
| Ms-Drg 584 584 | – | – | – | $29,345$18,014–$37,700 · 21 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $26,444$16,311–$33,973 · 21 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $26,529$16,361–$34,083 · 21 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $16,262$10,334–$20,892 · 21 plans | |
| Ms-Drg 594 594 | – | – | – | $11,882$7,763–$15,265 · 21 plans | |
| Ms-Drg 595 595 | – | – | – | $29,071$17,853–$37,348 · 21 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $14,839$9,499–$19,064 · 21 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $22,853$14,203–$29,359 · 21 plans | |
| Ms-Drg 598 598 | – | – | – | $15,508$9,892–$19,923 · 21 plans | |
| Ms-Drg 599 599 | – | – | – | $10,547$6,980–$13,550 · 21 plans | |
| Ms-Drg 6-a 6-A | – | – | – | $196,483only 1 plan | |
| Ms-Drg 6-P 6-P | – | – | – | $222,030only 1 plan | |
| Ms-Drg 600 600 | – | – | – | $14,278$9,170–$18,344 · 21 plans | |
| Ms-Drg 601 601 | – | – | – | $8,293$5,657–$10,655 · 21 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $20,180$12,634–$25,925 · 21 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $20,743$12,965–$26,649 · 21 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $12,425$8,082–$15,963 · 21 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $30,045$18,425–$38,600 · 21 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $19,182$12,048–$24,643 · 21 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $47,805$28,850–$61,417 · 21 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $25,638$15,838–$32,938 · 21 plans | |
| Ms-Drg 618 618 | – | – | – | $19,442$12,201–$24,978 · 21 plans | |
| Ms-Drg 619 619 | – | – | – | $38,584$23,355–$50,850 · 21 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $22,766$13,665–$28,751 · 21 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $21,793$12,926–$28,751 · 21 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $48,790$29,428–$62,681 · 21 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $24,591$15,223–$31,592 · 21 plans | |
| Ms-Drg 624 624 | – | – | – | $17,161$10,862–$22,047 · 21 plans | |
| Ms-Drg 625 625 | – | – | – | $41,400$25,090–$53,187 · 21 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $20,554$12,854–$26,406 · 21 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $18,208$11,477–$23,393 · 21 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $51,087$30,777–$65,633 · 21 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $29,867$18,320–$38,371 · 21 plans | |
| Ms-Drg 630 630 | – | – | – | $20,007$12,532–$25,703 · 21 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $8,515$5,787–$10,940 · 21 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $19,494$12,232–$25,045 · 21 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $10,532$6,971–$13,531 · 21 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $71,868$40,325–$110,000 · 22 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $56,649$31,936–$110,000 · 22 plans | |
| Kidney Transplant 652 | – | – | – | $49,368$27,923–$110,000 · 22 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $71,232$42,602–$91,514 · 21 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $38,373$23,313–$49,298 · 21 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $29,014$17,820–$37,275 · 21 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $43,644$26,407–$56,070 · 21 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $25,086$15,514–$32,228 · 21 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $21,272$13,275–$27,329 · 21 plans | |
| Ms-Drg 662 662 | – | – | – | $41,967$25,423–$53,916 · 21 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $20,839$13,021–$26,772 · 21 plans | |
| Ms-Drg 664 664 | – | – | – | $14,351$9,212–$18,437 · 21 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $42,785$25,903–$54,967 · 21 plans | |
| Ms-Drg 666 666 | – | – | – | $23,979$14,864–$30,807 · 21 plans | |
| Ms-Drg 667 667 | – | – | – | $15,164$9,690–$19,481 · 21 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $40,027$24,285–$51,424 · 21 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $21,275$13,277–$27,332 · 21 plans | |
| Ms-Drg 670 670 | – | – | – | $13,397$8,652–$17,211 · 21 plans | |
| Ms-Drg 671 671 | – | – | – | $24,606$15,232–$31,612 · 21 plans | |
| Ms-Drg 672 672 | – | – | – | $14,798$9,475–$19,011 · 21 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $32,058$19,606–$41,185 · 21 plans | |
| Ms-Drg 675 675 | – | – | – | $22,500$13,996–$28,907 · 21 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $8,229$5,619–$10,572 · 21 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $24,725$15,302–$31,765 · 21 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $14,363$9,220–$18,453 · 21 plans | |
| Ms-Drg 688 688 | – | – | – | $10,833$7,148–$13,918 · 21 plans | |
| Ms-Drg 693 693 | – | – | – | $18,430$11,607–$23,678 · 21 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $10,716$7,079–$13,767 · 21 plans | |
| Ms-Drg 695 695 | – | – | – | $15,679$9,992–$20,143 · 21 plans | |
| Ms-Drg 697 697 | – | – | – | $14,774$9,461–$18,981 · 21 plans | |
| Ms-Drg 7-a 7-A | – | – | – | $196,483only 1 plan | |
| Ms-Drg 7-D 7-D | – | – | – | $354,264only 1 plan | |
| Ms-Drg 7-P 7-P | – | – | – | $222,030only 1 plan | |
| Ms-Drg 7-S 7-S | – | – | – | $349,729only 1 plan | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $9,457$6,340–$12,150 · 21 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $27,420$16,884–$35,227 · 21 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $21,031$13,134–$27,019 · 21 plans | |
| Ms-Drg 709 709 | – | – | – | $31,900$19,514–$40,983 · 21 plans | |
| Ms-Drg 710 710 | – | – | – | $19,208$12,063–$24,677 · 21 plans | |
| Ms-Drg 711 711 | – | – | – | $28,565$17,556–$36,698 · 21 plans | |
| Ms-Drg 712 712 | – | – | – | $15,075$9,637–$19,367 · 21 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $20,609$12,886–$26,476 · 21 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $14,495$9,297–$18,622 · 21 plans | |
| Ms-Drg 715 715 | – | – | – | $30,669$18,791–$39,401 · 21 plans | |
| Ms-Drg 716 716 | – | – | – | $20,164$12,625–$25,906 · 21 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $25,915$16,001–$33,294 · 21 plans | |
| Ms-Drg 718 718 | – | – | – | $18,411$11,596–$23,653 · 21 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $24,807$15,350–$31,871 · 21 plans | |
| Ms-Drg 723 723 | – | – | – | $15,664$9,983–$20,124 · 21 plans | |
| Ms-Drg 724 724 | – | – | – | $8,988$6,065–$11,548 · 21 plans | |
| Ms-Drg 725 725 | – | – | – | $16,041$10,205–$20,608 · 21 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $9,897$6,598–$12,715 · 21 plans | |
| Ms-Drg 727 727 | – | – | – | $20,328$12,721–$26,115 · 21 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $11,120$7,316–$14,286 · 21 plans | |
| Ms-Drg 729 729 | – | – | – | $14,513$9,307–$18,645 · 21 plans | |
| Ms-Drg 730 730 | – | – | – | $9,212$6,196–$11,835 · 21 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $28,463$17,430–$37,511 · 21 plans | |
| Ms-Drg 735 735 | – | – | – | $18,963$11,615–$23,696 · 21 plans | |
| Ms-Drg 736 736 | – | – | – | $47,766$15,073–$62,951 · 21 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $27,536$16,887–$36,289 · 21 plans | |
| Ms-Drg 738 738 | – | – | – | $20,605$12,605–$25,862 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $47,877$20,605–$63,097 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $24,182$15,350–$31,869 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $20,099$12,264–$25,115 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $24,518$15,552–$32,313 · 21 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $17,650$10,772–$21,850 · 21 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $28,089$17,277–$36,087 · 21 plans | |
| Ms-Drg 745 745 | – | – | – | $15,593$9,942–$20,033 · 21 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $23,812$14,766–$30,592 · 21 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $11,785$7,706–$15,140 · 21 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $19,553$11,952–$24,432 · 21 plans | |
| Ms-Drg 749 749 | – | – | – | $35,197$21,449–$45,218 · 21 plans | |
| Ms-Drg 750 750 | – | – | – | $20,230$12,664–$25,990 · 21 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $25,246$15,608–$32,434 · 21 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $14,912$9,542–$19,157 · 21 plans | |
| Ms-Drg 756 756 | – | – | – | $13,167$8,517–$16,915 · 21 plans | |
| Ms-Drg 757 757 | – | – | – | $19,628$12,310–$25,217 · 21 plans | |
| Ms-Drg 758 758 | – | – | – | $13,420$8,666–$17,241 · 21 plans | |
| Ms-Drg 759 759 | – | – | – | $9,097$6,128–$11,687 · 21 plans | |
| Ms-Drg 760 760 | – | – | – | $13,811$8,895–$17,743 · 21 plans | |
| Ms-Drg 761 761 | – | – | – | $7,820$5,379–$10,047 · 21 plans | |
| Ms-Drg 768 768 | – | – | – | $12,693$7,897–$17,843 · 21 plans | |
| Ms-Drg 769 769 | – | – | – | $23,164$14,386–$29,759 · 21 plans | |
| Ms-Drg 770 770 | – | – | – | $13,745$8,857–$17,659 · 21 plans | |
| Ms-Drg 776 776 | – | – | – | $8,975$6,057–$11,530 · 21 plans | |
| Ms-Drg 779 779 | – | – | – | $11,533$7,558–$14,816 · 21 plans | |
| Ms-Drg 783 783 | – | – | – | $29,079$12,638–$40,880 · 21 plans | |
| Ms-Drg 784 784 | – | – | – | $13,440$9,319–$17,652 · 21 plans | |
| Ms-Drg 785 785 | – | – | – | $12,985$8,496–$15,948 · 21 plans | |
| C-section, with major complications 786 | – | – | – | $19,538$12,638–$27,466 · 21 plans | |
| C-section, with complications 787 | – | – | – | $13,625$9,775–$18,596 · 21 plans | |
| C-section 788 | – | – | – | $12,985$8,504–$15,965 · 21 plans | |
| Ms-Drg 789 789 | – | – | – | $24,705$15,290–$31,739 · 21 plans | |
| Ms-Drg 790 790 | – | – | – | $81,474$48,613–$104,671 · 21 plans | |
| Ms-Drg 791 791 | – | – | – | $55,641$33,450–$71,483 · 21 plans | |
| Ms-Drg 792 792 | – | – | – | $33,574$20,496–$43,133 · 21 plans | |
| Ms-Drg 793 793 | – | – | – | $57,157$34,340–$73,431 · 21 plans | |
| Ms-Drg 794 794 | – | – | – | $20,232$12,664–$25,992 · 21 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $2,739$2,330–$3,519 · 21 plans | |
| Ms-Drg 796 796 | – | – | – | $13,823$7,897–$19,432 · 21 plans | |
| Ms-Drg 797 797 | – | – | – | $11,849$7,897–$16,658 · 21 plans | |
| Ms-Drg 798 798 | – | – | – | $11,336$7,897–$15,937 · 21 plans | |
| Ms-Drg 799 799 | – | – | – | $62,082$37,231–$79,758 · 21 plans | |
| Ms-Drg 800 800 | – | – | – | $38,511$23,395–$49,476 · 21 plans | |
| Ms-Drg 801 801 | – | – | – | $26,167$16,149–$33,618 · 21 plans | |
| Ms-Drg 802 802 | – | – | – | $54,614$32,847–$70,164 · 21 plans | |
| Ms-Drg 803 803 | – | – | – | $25,482$15,746–$32,737 · 21 plans | |
| Ms-Drg 804 804 | – | – | – | $18,588$11,700–$23,881 · 21 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $12,783$7,897–$17,970 · 21 plans | |
| Vaginal birth, with complications 806 | – | – | – | $9,862$6,665–$12,555 · 21 plans | |
| Vaginal birth 807 | – | – | – | $8,819$6,263–$11,226 · 21 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $17,353$10,975–$22,294 · 21 plans | |
| Ms-Drg 810 810 | – | – | – | $14,347$9,210–$18,432 · 21 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $29,153$17,901–$37,453 · 21 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $13,900$8,948–$17,858 · 21 plans | |
| Ms-Drg 816 816 | – | – | – | $8,663$5,874–$11,130 · 21 plans | |
| Ms-Drg 817 817 | – | – | – | $31,276$19,148–$40,181 · 21 plans | |
| Ms-Drg 818 818 | – | – | – | $15,890$10,116–$20,415 · 21 plans | |
| Ms-Drg 819 819 | – | – | – | $11,788$7,708–$15,144 · 21 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $80,395$47,980–$103,285 · 21 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $30,687$18,802–$39,424 · 21 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $16,504$10,477–$21,204 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $62,848$37,680–$80,743 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $31,057$19,019–$39,899 · 21 plans | |
| Ms-Drg 825 825 | – | – | – | $18,498$11,647–$23,764 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $64,123$38,429–$82,381 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $31,682$19,386–$40,703 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $23,356$14,498–$30,006 · 21 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $43,317$26,216–$55,651 · 21 plans | |
| Ms-Drg 830 830 | – | – | – | $20,631$12,899–$26,505 · 21 plans | |
| Ms-Drg 831 831 | – | – | – | $16,484$10,465–$21,177 · 21 plans | |
| Ms-Drg 832 832 | – | – | – | $9,892$6,595–$12,708 · 21 plans | |
| Ms-Drg 833 833 | – | – | – | $7,168$4,996–$9,209 · 21 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $75,256$44,963–$96,683 · 21 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $28,592$17,572–$36,733 · 21 plans | |
| Ms-Drg 836 836 | – | – | – | $16,717$10,601–$21,477 · 21 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $65,857$39,447–$84,609 · 21 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $28,614$17,585–$36,761 · 21 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $19,793$12,407–$25,429 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $44,344$26,818–$56,970 · 21 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $22,363$13,916–$28,731 · 21 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $13,851$8,919–$17,794 · 21 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $27,345$16,840–$35,130 · 21 plans | |
| Ms-Drg 844 844 | – | – | – | $16,688$10,584–$21,440 · 21 plans | |
| Ms-Drg 845 845 | – | – | – | $11,674$7,641–$14,998 · 21 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $35,538$21,649–$45,657 · 21 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $17,933$11,315–$23,039 · 21 plans | |
| Ms-Drg 848 848 | – | – | – | $11,644$7,623–$14,959 · 21 plans | |
| Radiotherapy 849 | – | – | – | $37,142$22,591–$47,717 · 21 plans | |
| Ms-Drg 850 850 | – | – | – | $117,211$70,272–$154,111 · 20 plans | |
| Ms-Drg 855 855 | – | – | – | $20,524$12,836–$26,367 · 21 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $62,354$37,390–$80,107 · 21 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $29,356$18,020–$37,714 · 21 plans | |
| Ms-Drg 858 858 | – | – | – | $19,094$11,997–$24,530 · 21 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $12,169$7,931–$15,633 · 21 plans | |
| Viral Illness with Mcc 865 | – | – | – | $20,539$12,845–$26,387 · 21 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $11,920$7,786–$15,315 · 21 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $28,694$17,632–$36,863 · 21 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $14,134$9,085–$18,159 · 21 plans | |
| Ms-Drg 869 869 | – | – | – | $10,003$6,660–$12,851 · 21 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $52,980$31,888–$68,065 · 21 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $13,162$8,515–$16,910 · 21 plans | |
| Depressive Neuroses 881 | – | – | – | $12,898$8,360–$16,570 · 21 plans | |
| Neuroses Except Depressive 882 | – | – | – | $14,720$9,429–$18,911 · 21 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $26,954$16,611–$34,629 · 21 plans | |
| Ms-Drg 886 886 | – | – | – | $28,448$17,488–$36,548 · 21 plans | |
| Ms-Drg 887 887 | – | – | – | $14,680$9,406–$18,860 · 21 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $8,456$5,752–$10,864 · 21 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $19,405$12,179–$24,930 · 21 plans | |
| Ms-Drg 901 901 | – | – | – | $57,527$34,557–$73,906 · 21 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $26,244$16,194–$33,716 · 21 plans | |
| Ms-Drg 903 903 | – | – | – | $16,033$10,200–$20,598 · 21 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $50,351$30,344–$64,687 · 21 plans | |
| Ms-Drg 905 905 | – | – | – | $20,334$12,725–$26,124 · 21 plans | |
| Ms-Drg 906 906 | – | – | – | $26,927$16,594–$34,593 · 21 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $52,629$31,682–$67,614 · 21 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $27,350$16,843–$35,137 · 21 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $17,994$11,351–$23,118 · 21 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $22,407$13,941–$28,787 · 21 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $12,138$7,914–$15,595 · 21 plans | |
| Ms-Drg 915 915 | – | – | – | $23,051$14,320–$29,615 · 21 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $9,134$6,150–$11,734 · 21 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $9,437$6,328–$12,123 · 21 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $23,981$14,865–$30,809 · 21 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $13,951$8,978–$17,923 · 21 plans | |
| Ms-Drg 927 927 | – | – | – | $292,673$172,587–$376,004 · 21 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $98,323$58,504–$126,318 · 21 plans | |
| Ms-Drg 929 929 | – | – | – | $44,151$26,705–$56,722 · 21 plans | |
| Ms-Drg 933 933 | – | – | – | $53,382$32,124–$68,581 · 21 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $30,303$18,576–$38,931 · 21 plans | |
| Non-Extensive Burns 935 | – | – | – | $28,238$17,364–$36,279 · 21 plans | |
| Ms-Drg 939 939 | – | – | – | $49,739$29,986–$63,902 · 21 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $32,034$19,593–$41,155 · 21 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $27,796$17,105–$35,710 · 21 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $21,228$13,249–$27,272 · 21 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $15,720$10,016–$20,196 · 21 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $16,308$10,362–$20,952 · 21 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $8,605$5,839–$11,054 · 21 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $7,622$5,262–$9,792 · 21 plans | |
| Ms-Drg 955 955 | – | – | – | $92,270$54,951–$118,541 · 21 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $104,454$62,103–$134,194 · 21 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $57,764$34,696–$74,211 · 21 plans | |
| Ms-Drg 959 959 | – | – | – | $40,358$24,478–$51,849 · 21 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $37,475$22,786–$48,145 · 21 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $21,009$13,121–$26,991 · 21 plans | |
| Ms-Drg 965 965 | – | – | – | $12,892$8,356–$16,563 · 21 plans | |
| Ms-Drg 969 969 | – | – | – | $83,911$50,044–$107,802 · 21 plans | |
| Ms-Drg 970 970 | – | – | – | $36,153$22,011–$46,447 · 21 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $39,561$24,011–$50,825 · 21 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $17,752$11,209–$22,806 · 21 plans | |
| Ms-Drg 976 976 | – | – | – | $12,374$8,052–$15,897 · 21 plans | |
| Ms-Drg 977 977 | – | – | – | $17,789$11,231–$22,854 · 21 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $23,496$14,580–$30,185 · 21 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $46,997$28,375–$60,378 · 21 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $22,530$14,014–$28,945 · 21 plans | |
| Ms-Drg 989 989 | – | – | – | $16,439$10,438–$21,119 · 21 plans |
Outpatient procedures and tests
The hospital's facility charge only; doctors usually bill separately.
| Procedure | List price | Cash price | Insurers (median) |
|---|---|---|---|
| Cataract surgery CPT 66984 | – | – | $6,754$4,556–$8,402 · 3 plans |
| Colonoscopy CPT 45378 | $5,243 | $3,408 | $3,408$1,543–$9,533 · 26 plans |
| Colonoscopy with biopsy CPT 45380 | $6,780 | $4,407 | $3,916$1,995–$9,533 · 26 plans |
| Complete blood count (CBC) CPT 85025 | $176 | $114 | $55$13–$125 · 15 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $514 | $334 | $160$18–$365 · 15 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,080 | $2,002 | $887$354–$2,069 · 26 plans |
| Emergency room visit, highest level CPT 99285 | $5,288 | $3,437 | $2,326$1,287–$3,702 · 26 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | $33,548 | $21,806 | $15,615$7,277–$22,809 · 20 plans |
| Hip replacement CPT 27130 | – | – | $23,364$7,646–$41,588 · 8 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $8,800$5,994–$11,110 · 6 plans |
| Knee replacement CPT 27447 | – | – | $23,364$7,646–$41,588 · 8 plans |
| MRI of the brain, with and without contrast CPT 70553 | $3,080 | $2,002 | $946$455–$2,153 · 26 plans |
| MRI of the knee, without contrast CPT 73721 | $2,085 | $1,355 | $653$387–$1,827 · 26 plans |
Price file: Cleveland Clinic, read November 9, 2026.