Medstar Washington Hospital Center
110 Irving Street NW, Washington, DC 20010 · (202) 877-7000
The money
$24what care cost the hospital for every $100 it billed
$174.8Mnet income, all sources
2.9%margin on patient care alone
$22.1Mcost of charity care (1.6% of costs)
$32.7Munpaid bills written off (bad debt)
737beds
From the hospital's Medicare cost report for the year ending June 2025. 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 | 421 | $95,122 | $23,936 | $50,769$20,582–$69,130 · 12 plans | |
| Heart failure, with major complications 291 | 321 | $64,703 | $16,198 | $33,553$13,818–$45,688 · 12 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 270 | $209,725 | $52,262 | $124,428$49,524–$169,429 · 12 plans | |
| Heart attack, with major complications 280 | 206 | $79,539 | $20,481 | $41,925$17,107–$57,087 · 12 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 142 | $195,968 | $68,034 | $153,382$60,900–$208,854 · 12 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 133 | $67,021 | $33,640 | $86,032$34,437–$117,146 · 12 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 131 | $308,597 | $94,091 | $200,680$79,484–$273,258 · 12 plans | |
| Heart catheterization, with major complications 286 | 121 | $118,060 | $26,517 | $57,834$23,358–$78,750 · 12 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 121 | $70,869 | $16,593 | $34,907$14,350–$47,532 · 12 plans | |
| Infection needing surgery, with major complications 853 | 114 | $288,569 | $68,332 | $129,075$51,350–$175,757 · 12 plans | |
| Stroke, with major complications 064 | 100 | $103,728 | $25,276 | $52,560$21,286–$71,568 · 12 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 97 | $260,491 | $69,032 | $137,901$54,817–$187,775 · 12 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 92 | $285,985 | $69,621 | $160,172$63,568–$218,100 · 12 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 86 | $95,309 | $21,042 | $47,777$19,407–$65,056 · 12 plans | |
| Stomach or intestinal bleeding, with complications 378 | 81 | $54,135 | $12,698 | $25,632$10,706–$34,902 · 12 plans | |
| Anemia and blood disorders 812 | 79 | $54,489 | $11,924 | $23,998$10,064–$32,677 · 12 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 77 | $151,769 | $47,963 | $109,478$43,650–$149,073 · 12 plans | |
| Other circulation problems, with major complications 314 | 75 | $107,326 | $27,658 | $54,499$22,048–$74,209 · 12 plans | |
| Other Vascular Procedures with Mcc 252 | 73 | $208,037 | $46,365 | $91,170$36,456–$124,143 · 12 plans | |
| Pneumonia, with major complications 193 | 68 | $58,303 | $16,092 | $34,353$14,132–$46,777 · 12 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 64 | $262,139 | $83,488 | $180,647$71,613–$245,980 · 12 plans | |
| Heart stent, with major complications or 4+ stents 321 | 62 | $119,976 | $32,946 | $71,111$28,575–$96,829 · 12 plans | |
| Heart stent 322 | 61 | $70,660 | $22,084 | $46,078$18,739–$62,742 · 12 plans | |
| Lung infection, with major complications 177 | 60 | $83,738 | $19,540 | $40,843$16,682–$55,614 · 12 plans | |
| Urinary tract infection, with major complications 689 | 60 | $65,909 | $14,427 | $30,326$12,550–$41,293 · 12 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 58 | $263,110 | $55,169 | $118,833$47,325–$161,810 · 12 plans | |
| Respiratory failure 189 | 58 | $54,368 | $14,487 | $32,288$13,321–$43,966 · 12 plans | |
| Heart attack, with complications 281 | 58 | $46,537 | $11,088 | $24,022$10,073–$32,709 · 12 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 57 | $832,673 | $248,376 | $554,742$218,598–$755,371 · 12 plans | |
| Other kidney and urinary problems, with major complications 698 | 56 | $94,589 | $19,228 | $43,239$17,624–$58,877 · 12 plans | |
| Kidney failure, with complications 683 | 55 | $53,978 | $12,031 | $22,890$9,628–$31,168 · 12 plans | |
| Anemia and blood disorders, with major complications 811 | 55 | $80,953 | $17,942 | $36,703$15,056–$49,977 · 12 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 54 | $117,413 | $23,648 | $54,742$22,143–$74,540 · 12 plans | |
| Other Vascular Procedures with Cc 253 | 53 | $152,084 | $32,315 | $67,839$27,289–$92,373 · 12 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | 51 | $1,389,796 | $345,001 | $618,936$346,604–$903,214 · 5 plans | |
| Irregular heartbeat, with major complications 308 | 51 | $66,365 | $15,261 | $31,468$12,999–$42,848 · 12 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 51 | $174,800 | $35,689 | $76,116$30,541–$103,644 · 12 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 50 | $385,275 | $117,707 | $255,683$101,095–$348,154 · 12 plans | |
| Fainting 312 | 49 | $45,997 | $13,198 | $22,780$9,585–$31,019 · 12 plans | |
| Kidney failure, with major complications 682 | 49 | $69,281 | $18,449 | $38,707$15,843–$52,706 · 12 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 48 | $232,554 | $63,587 | $139,378$55,398–$189,786 · 12 plans | |
| Irregular heartbeat, with complications 309 | 47 | $37,218 | $9,042 | $19,228$8,190–$26,182 · 12 plans | |
| Stroke, with complications or clot-busting drug 065 | 46 | $59,208 | $12,651 | $26,405$11,010–$35,955 · 12 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 46 | $138,016 | $39,111 | $83,447$33,422–$113,627 · 12 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 45 | $58,052 | $12,367 | $25,177$10,527–$34,282 · 12 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 45 | $207,426 | $50,958 | $122,625$48,815–$166,974 · 12 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 43 | $107,318 | $25,518 | $55,693$22,517–$75,835 · 12 plans | |
| Sepsis 872 | 43 | $53,550 | $12,543 | $26,745$11,143–$36,418 · 12 plans | |
| Heart catheterization 287 | 42 | $55,767 | $13,420 | $27,968$11,624–$38,083 · 12 plans | |
| Bowel surgery, with complications 330 | 42 | $141,025 | $28,597 | $62,653$25,252–$85,313 · 12 plans | |
| Spinal fusion (lower or mid back) 460 | 42 | $238,649 | $42,798 | $79,729$34,503–$79,729 · 12 plans | |
| Seizures with Mcc 100 | 41 | $94,891 | $23,015 | $50,620$20,524–$68,928 · 12 plans | |
| Dehydration and electrolyte problems 641 | 40 | $44,101 | $9,739 | $20,339$8,626–$27,695 · 12 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 37 | $167,529 | $49,413 | $107,824$43,000–$146,820 · 12 plans | |
| Bowel surgery, with major complications 329 | 37 | $299,604 | $69,743 | $120,134$47,837–$163,582 · 12 plans | |
| Major Chest Procedures with Cc 164 | 36 | $135,339 | $27,201 | $65,967$26,554–$89,825 · 12 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 36 | $288,065 | $90,515 | $199,815$79,144–$272,080 · 12 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 36 | $196,294 | $45,829 | $110,378$44,003–$150,297 · 12 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 36 | $86,469 | $20,546 | $41,799$17,058–$56,917 · 12 plans | |
| Urinary tract infection 690 | 36 | $43,158 | $9,889 | $21,157$8,947–$28,809 · 12 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 35 | $161,550 | $38,407 | $92,947$37,155–$126,563 · 12 plans | |
| Stomach and digestive disorders, with major complications 391 | 35 | $62,034 | $15,283 | $33,148$13,659–$45,137 · 12 plans | |
| COPD, with major complications 190 | 33 | $45,368 | $13,238 | $28,951$12,010–$39,421 · 12 plans | |
| Stomach and digestive disorders 392 | 33 | $45,013 | $9,709 | $20,376$8,640–$27,745 · 12 plans | |
| Diabetes, with major complications 637 | 33 | $94,806 | $19,133 | $37,550$15,388–$51,130 · 12 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 31 | $283,436 | $72,370 | $149,767$59,480–$203,932 · 12 plans | |
| Major Chest Procedures with Mcc 163 | 31 | $216,572 | $54,520 | $117,136$60,726–$159,500 · 12 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 31 | $87,950 | $19,361 | $40,992$16,741–$55,817 · 12 plans | |
| Back problems (no surgery) 552 | 30 | $48,680 | $11,018 | $25,125$10,506–$34,211 · 12 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 28 | $76,388 | $16,957 | $35,900$14,740–$48,884 · 12 plans | |
| Peripheral Vascular Disorders with Cc 300 | 28 | $48,600 | $11,867 | $27,900$11,597–$37,991 · 12 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 28 | $203,494 | $49,670 | $118,885$47,346–$161,881 · 12 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 27 | $313,092 | $68,024 | $168,177$83,482–$229,001 · 12 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | 27 | $153,415 | $38,169 | $82,315$32,977–$112,086 · 12 plans | |
| Delirium and other mental confusion 884 | 27 | $61,272 | $20,808 | $42,050$5,703–$57,258 · 12 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 26 | $136,521 | $32,168 | $71,840$28,861–$97,822 · 12 plans | |
| Other kidney and urinary problems, with complications 699 | 26 | $50,793 | $13,646 | $26,528$11,058–$36,122 · 12 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 25 | $95,495 | $21,636 | $43,511$17,731–$59,248 · 12 plans | |
| Other Disorders of Nervous System with Mcc 091 | 25 | $87,985 | $22,055 | $45,900$18,669–$62,500 · 12 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | 25 | $263,385 | $68,744 | $129,305$51,440–$176,070 · 12 plans | |
| Hip or knee replacement 470 | 25 | $116,619 | $21,259 | $50,414$20,443–$68,646 · 12 plans | |
| Seizures 101 | 24 | $40,767 | $11,311 | $23,590$9,904–$32,122 · 12 plans | |
| Other Disorders of Nervous System with Cc 092 | 23 | $48,924 | $12,285 | $26,737$11,140–$36,407 · 12 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | 23 | $223,937 | $69,236 | $171,852$68,157–$234,004 · 12 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | 23 | $220,157 | $50,031 | $116,642$46,465–$158,827 · 12 plans | |
| Diabetes, with complications 638 | 23 | $51,710 | $10,964 | $23,423$9,838–$31,894 · 12 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 23 | $37,884 | $15,991 | $34,191$14,069–$46,557 · 12 plans | |
| Non-Extensive Burns 935 | 23 | $92,625 | $25,362 | $53,840$21,789–$73,312 · 12 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | 22 | $298,352 | $93,794 | $205,659$81,440–$280,038 · 12 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | 22 | $285,682 | $69,562 | $156,989$62,317–$213,765 · 12 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 22 | $104,628 | $23,359 | $52,277$21,175–$71,184 · 12 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 21 | $51,836 | $15,643 | $33,862$13,939–$46,108 · 12 plans | |
| Major Chest Trauma with Mcc 183 | 21 | $69,015 | $18,173 | $39,985$16,345–$54,447 · 12 plans | |
| Major Chest Trauma with Cc 184 | 21 | $46,483 | $12,396 | $27,811$11,562–$37,870 · 12 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | 21 | $126,579 | $28,118 | $51,770$20,976–$70,494 · 12 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 21 | $133,034 | $24,577 | $42,672$17,401–$58,105 · 12 plans | |
| Irregular heartbeat 310 | 21 | $26,904 | $7,411 | $14,796$6,448–$20,147 · 12 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | 21 | $229,957 | $75,440 | $187,466$74,292–$255,265 · 12 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | 20 | $243,981 | $58,112 | $128,634$51,176–$175,155 · 12 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 20 | $91,531 | $22,283 | $47,241$19,196–$64,326 · 12 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 20 | $199,722 | $49,571 | $109,813$43,781–$149,528 · 12 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 20 | $165,326 | $29,260 | $52,222$21,153–$71,109 · 12 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 20 | $119,594 | $28,646 | $64,255$25,881–$87,494 · 12 plans | |
| Digestive Malignancy with Mcc 374 | 19 | $105,950 | $25,077 | $55,897$22,597–$76,113 · 12 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 19 | $86,068 | $18,810 | $38,598$15,800–$52,557 · 12 plans | |
| Lung infection, with complications 178 | 18 | $44,236 | $11,875 | $25,509$10,657–$34,734 · 12 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | 18 | $257,410 | $64,325 | $120,709$48,062–$164,365 · 12 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 18 | $87,511 | $23,532 | $43,984$17,917–$59,892 · 12 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | 18 | $214,169 | $35,816 | $81,406$32,620–$110,847 · 12 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 18 | $153,680 | $28,218 | $66,284$26,678–$90,256 · 12 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 17 | $117,310 | $29,537 | $60,717$24,491–$82,675 · 12 plans | |
| Other Circulatory System O.r. Procedures 264 | 17 | $169,314 | $43,391 | $87,310$34,940–$118,887 · 12 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | 17 | $332,821 | $81,844 | $186,360$73,857–$253,760 · 12 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 17 | $335,728 | $68,868 | $89,597$45,213–$89,597 · 12 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | 17 | $329,191 | $75,304 | $148,962$59,163–$202,836 · 12 plans | |
| Medical Back Problems with Mcc 551 | 17 | $95,706 | $19,114 | $43,807$17,847–$59,650 · 12 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | 17 | $38,155 | $9,292 | $21,695$9,159–$29,542 · 12 plans | |
| Skin infection (cellulitis) 603 | 17 | $38,913 | $10,769 | $22,762$9,578–$30,994 · 12 plans | |
| High blood pressure 305 | 16 | $31,807 | $9,409 | $19,735$8,389–$26,873 · 12 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 16 | $273,897 | $61,168 | $130,351$51,851–$177,494 · 12 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | 16 | $229,548 | $55,169 | $114,810$45,745–$156,333 · 12 plans | |
| Cellulitis with Mcc 602 | 16 | $60,503 | $17,959 | $37,147$15,230–$50,582 · 12 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 16 | $184,062 | $26,653 | $55,970$22,626–$76,213 · 12 plans | |
| Complications of Treatment with Mcc 919 | 16 | $62,926 | $21,695 | $47,850$19,435–$65,155 · 12 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 15 | $504,139 | $159,977 | $362,020$173,404–$492,949 · 12 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 15 | $58,168 | $15,576 | $36,481$14,968–$49,674 · 12 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | 15 | $96,716 | $25,295 | $57,042$23,047–$77,672 · 12 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | 15 | $271,773 | $56,633 | $85,015$34,038–$115,762 · 12 plans | |
| Other digestive problems, with complications 394 | 15 | $72,995 | $13,890 | $24,455$10,243–$33,300 · 12 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 15 | $73,091 | $17,505 | $43,671$17,793–$59,465 · 12 plans | |
| Hip replacement after a hip fracture 522 | 15 | $116,593 | $22,856 | $55,348$22,382–$75,366 · 12 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 15 | $92,505 | $21,711 | $47,829$19,427–$65,127 · 12 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | 15 | $75,804 | $19,718 | $40,558$16,570–$55,226 · 12 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | 15 | $64,346 | $12,886 | $32,427$13,376–$44,155 · 12 plans | |
| Psychoses 885 | 15 | $34,694 | $14,412 | $36,507$5,761–$49,710 · 12 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 14 | $117,865 | $31,342 | $59,736$24,106–$81,341 · 12 plans | |
| Pulmonary Embolism Without Mcc 176 | 14 | $43,647 | $11,029 | $21,039$8,901–$28,649 · 12 plans | |
| Respiratory Neoplasms with Mcc 180 | 14 | $69,084 | $19,294 | $46,156$18,770–$62,849 · 12 plans | |
| Heart Failure and Shock with Cc 292 | 14 | $38,688 | $11,525 | $22,189$9,353–$30,215 · 12 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 14 | $46,357 | $9,995 | $23,073$4,696–$31,417 · 12 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 14 | $217,540 | $49,623 | $100,344$40,061–$136,635 · 12 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | 13 | $149,216 | $43,335 | $100,916$40,286–$137,414 · 12 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 13 | $79,899 | $25,681 | $59,378$23,965–$80,853 · 12 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 13 | $51,331 | $15,986 | $34,047$14,012–$46,361 · 12 plans | |
| Hypertension with Mcc 304 | 13 | $69,655 | $13,902 | $31,102$12,855–$42,350 · 12 plans | |
| Cervical Spinal Fusion with Mcc 471 | 13 | $292,909 | $52,644 | $126,203$50,221–$171,846 · 12 plans | |
| Cervical Spinal Fusion with Cc 472 | 13 | $188,154 | $37,848 | $76,999$30,888–$104,847 · 12 plans | |
| Endocrine Disorders with Mcc 643 | 13 | $92,913 | $21,964 | $43,022$17,539–$58,582 · 12 plans | |
| Complications of Treatment with Cc 920 | 13 | $54,846 | $14,246 | $26,196$10,927–$35,670 · 12 plans | |
| Signs and Symptoms with Mcc 947 | 13 | $96,322 | $18,324 | $33,177$13,670–$45,176 · 12 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 12 | $65,718 | $19,548 | $50,777$20,585–$69,141 · 12 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | 12 | $91,175 | $20,213 | $50,030$20,292–$68,123 · 12 plans | |
| Pneumothorax with Cc 200 | 12 | $58,447 | $13,797 | $28,731$11,923–$39,122 · 12 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 12 | $51,780 | $11,813 | $25,383$10,608–$34,563 · 12 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | 12 | $107,733 | $21,206 | $46,567$18,931–$63,408 · 12 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 12 | $118,092 | $23,040 | $46,342$18,843–$63,102 · 12 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 12 | $112,213 | $23,303 | $46,169$18,775–$62,867 · 12 plans | |
| Female Reproductive System Reconstructive Procedures 748 | 12 | $35,647 | $14,621 | $36,258$14,881–$49,372 · 12 plans | |
| Carotid Artery Stent Procedures with Cc 035 | 11 | $121,032 | $27,198 | $62,478$25,183–$85,074 · 12 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 11 | $53,475 | $12,490 | $30,723$12,706–$41,834 · 12 plans | |
| Nervous System Neoplasms with Mcc 054 | 11 | $98,148 | $21,958 | $39,907$16,315–$54,340 · 12 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | 11 | $192,683 | $56,877 | $97,689$39,017–$133,019 · 12 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | 11 | $62,188 | $18,019 | $41,185$16,817–$56,080 · 12 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 11 | $97,016 | $24,707 | $51,441$20,846–$70,045 · 12 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 11 | $91,575 | $19,804 | $42,607$17,375–$58,016 · 12 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | 11 | $116,514 | $33,247 | $64,274$25,888–$87,519 · 12 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 11 | $76,364 | $16,619 | $40,163$16,415–$54,689 · 12 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | 11 | $105,533 | $18,956 | $33,506$13,800–$45,624 · 12 plans | |
| Connective Tissue Disorders with Mcc 545 | 11 | $133,374 | $32,330 | $64,862$26,119–$88,320 · 12 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | 11 | $96,927 | $26,579 | $61,122$24,650–$83,227 · 12 plans | |
| Ms-Drg 002 002 | – | – | – | $250,274$149,907–$720,062 · 5 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $252,205$146,493–$315,426 · 5 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $119,827$93,349–$146,993 · 5 plans | |
| Lung Transplant 007 | – | – | – | $309,259$247,873–$392,818 · 5 plans | |
| Ms-Drg 008 008 | – | – | – | $122,996$99,459–$160,151 · 5 plans | |
| Ms-Drg 010 010 | – | – | – | $125,331$79,146–$178,539 · 5 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $142,548$56,643–$194,103 · 12 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $110,189$43,929–$150,041 · 12 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $75,319$30,228–$102,559 · 12 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $327,067$198,137–$427,067 · 7 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $150,999$84,430–$186,180 · 5 plans | |
| Ms-Drg 017 017 | – | – | – | $147,840$89,212–$179,937 · 7 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $1,128,626$595,551–$1,536,807 · 12 plans | |
| Ms-Drg 019 019 | – | – | – | $186,470$73,901–$253,909 · 12 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $138,359$54,997–$188,398 · 12 plans | |
| Ms-Drg 022 022 | – | – | – | $83,045$38,765–$113,079 · 12 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $102,241$40,806–$139,218 · 12 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $81,262$32,563–$110,651 · 12 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $65,939$26,543–$89,786 · 12 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $157,033$62,334–$213,826 · 12 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $89,166$35,669–$121,413 · 12 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $57,374$23,177–$78,124 · 12 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $117,102$46,645–$159,454 · 12 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $55,696$22,518–$75,839 · 12 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $43,462$17,711–$59,180 · 12 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $101,165$40,383–$137,752 · 12 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $86,042$34,442–$117,161 · 12 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $42,408$17,297–$57,746 · 12 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $57,465$23,213–$78,248 · 12 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $45,155$18,377–$61,486 · 12 plans | |
| Ms-Drg 052 052 | – | – | – | $47,340$19,235–$64,461 · 12 plans | |
| Ms-Drg 053 053 | – | – | – | $25,592$10,690–$34,848 · 12 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $26,648$11,105–$36,286 · 12 plans | |
| Ms-Drg 058 058 | – | – | – | $44,680$18,190–$60,838 · 12 plans | |
| Ms-Drg 059 059 | – | – | – | $32,432$13,378–$44,162 · 12 plans | |
| Ms-Drg 060 060 | – | – | – | $24,040$10,080–$32,734 · 12 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $72,060$28,948–$98,121 · 12 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $45,926$18,679–$62,536 · 12 plans | |
| Ms-Drg 063 063 | – | – | – | $36,690$15,050–$49,959 · 12 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $17,887$7,663–$24,357 · 12 plans | |
| Ms-Drg 067 067 | – | – | – | $38,386$15,717–$52,269 · 12 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $22,592$9,511–$30,763 · 12 plans | |
| Mini-stroke (TIA) 069 | – | – | – | $20,877$8,838–$28,428 · 12 plans | |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | $26,816$11,171–$36,514 · 12 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $19,764$8,400–$26,912 · 12 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $41,930$17,109–$57,094 · 12 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | – | – | – | $26,941$11,220–$36,685 · 12 plans | |
| Ms-Drg 075 075 | – | – | – | $50,116$20,326–$68,241 · 12 plans | |
| Ms-Drg 076 076 | – | – | – | $21,567$9,109–$29,368 · 12 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | $31,235$14,958–$31,235 · 12 plans | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | $13,864$7,101–$13,864 · 12 plans | |
| Ms-Drg 079 079 | – | – | – | $13,561$6,662–$13,561 · 12 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $47,306$19,222–$64,415 · 12 plans | |
| Ms-Drg 081 081 | – | – | – | $23,407$9,832–$31,873 · 12 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $24,981$10,450–$34,015 · 12 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $23,907$10,028–$32,553 · 12 plans | |
| Concussion with Mcc 088 | – | – | – | $35,331$14,516–$48,108 · 12 plans | |
| Concussion with Cc 089 | – | – | – | $28,713$11,916–$39,097 · 12 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $21,515$9,088–$29,296 · 12 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $20,812$8,812–$28,339 · 12 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $91,983$36,776–$125,250 · 12 plans | |
| Ms-Drg 095 095 | – | – | – | $67,410$27,121–$91,790 · 12 plans | |
| Ms-Drg 096 096 | – | – | – | $67,410$27,121–$91,790 · 12 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $94,398$37,725–$128,538 · 12 plans | |
| Ms-Drg 098 098 | – | – | – | $59,980$24,201–$81,672 · 12 plans | |
| Ms-Drg 099 099 | – | – | – | $35,608$14,625–$48,486 · 12 plans | |
| Headaches with Mcc 102 | – | – | – | $29,296$12,145–$39,891 · 12 plans | |
| Headaches Without Mcc 103 | – | – | – | $21,858$9,223–$29,763 · 12 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $61,448$24,778–$83,672 · 12 plans | |
| Ms-Drg 114 114 | – | – | – | $35,362$14,529–$48,151 · 12 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $40,116$16,397–$54,625 · 12 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $47,257$19,202–$64,347 · 12 plans | |
| Ms-Drg 117 117 | – | – | – | $28,355$11,776–$38,610 · 12 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $30,404$12,581–$41,400 · 12 plans | |
| Ms-Drg 122 122 | – | – | – | $20,538$8,704–$27,965 · 12 plans | |
| Neurological Eye Disorders 123 | – | – | – | $20,872$8,836–$28,421 · 12 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $34,581$14,222–$47,087 · 12 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $20,067$8,519–$27,325 · 12 plans | |
| Ms-Drg 135 135 | – | – | – | $56,715$22,919–$77,227 · 12 plans | |
| Ms-Drg 136 136 | – | – | – | $26,536$11,061–$36,133 · 12 plans | |
| Ms-Drg 137 137 | – | – | – | $39,026$15,968–$53,141 · 12 plans | |
| Ms-Drg 138 138 | – | – | – | $23,162$9,735–$31,538 · 12 plans | |
| Ms-Drg 139 139 | – | – | – | $32,296$13,324–$43,977 · 12 plans | |
| Ms-Drg 140 140 | – | – | – | $111,478$44,435–$151,795 · 12 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $57,005$23,033–$77,622 · 12 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $41,724$17,028–$56,813 · 12 plans | |
| Ms-Drg 143 143 | – | – | – | $97,921$39,109–$133,336 · 12 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $45,291$18,430–$61,671 · 12 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $31,423$12,981–$42,788 · 12 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $55,340$22,378–$75,355 · 12 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $33,232$13,692–$45,251 · 12 plans | |
| Ms-Drg 148 148 | – | – | – | $20,833$8,820–$28,368 · 12 plans | |
| Dysequilibrium 149 | – | – | – | $19,644$8,353–$26,748 · 12 plans | |
| Ms-Drg 150 150 | – | – | – | $34,800$14,308–$47,386 · 12 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $19,184$8,172–$26,122 · 12 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $30,898$12,775–$42,073 · 12 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $19,294$8,215–$26,271 · 12 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $40,864$16,690–$55,642 · 12 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $23,954$10,046–$32,617 · 12 plans | |
| Ms-Drg 156 156 | – | – | – | $18,063$7,732–$24,595 · 12 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $44,870$18,265–$61,098 · 12 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $23,779$9,977–$32,378 · 12 plans | |
| Ms-Drg 159 159 | – | – | – | $18,517$7,910–$25,214 · 12 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $47,134$19,154–$64,180 · 12 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $35,712$14,666–$48,628 · 12 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $77,791$31,200–$105,925 · 12 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $19,733$8,388–$26,869 · 12 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $27,992$11,633–$38,115 · 12 plans | |
| Ms-Drg 182 182 | – | – | – | $19,701$8,375–$26,827 · 12 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $20,556$8,711–$27,990 · 12 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $40,733$16,639–$55,465 · 12 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $25,851$10,792–$35,200 · 12 plans | |
| Ms-Drg 188 188 | – | – | – | $18,745$8,000–$25,524 · 12 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | – | – | – | $22,033$9,291–$30,001 · 12 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $16,779$7,227–$22,848 · 12 plans | |
| Pneumonia, with complications 194 | – | – | – | $21,063$8,911–$28,681 · 12 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $16,426$7,089–$22,367 · 12 plans | |
| Interstitial Lung Disease with Mcc 196 | – | – | – | $49,324$20,014–$67,162 · 12 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $24,806$20,082–$33,777 · 12 plans | |
| Ms-Drg 198 198 | – | – | – | $18,719$7,989–$25,488 · 12 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $46,107$18,750–$62,781 · 12 plans | |
| Ms-Drg 201 201 | – | – | – | $18,690$7,978–$25,449 · 12 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $17,511$7,515–$23,844 · 12 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $21,102$8,926–$28,734 · 12 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $47,855$19,437–$65,162 · 12 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $24,597$10,299–$33,492 · 12 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $284,205$112,302–$386,992 · 12 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $269,551$102,884–$402,753 · 12 plans | |
| Ms-Drg 218 218 | – | – | – | $171,852$68,157–$234,004 · 12 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $131,731$52,393–$179,373 · 12 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $220,324$87,202–$300,007 · 12 plans | |
| Ms-Drg 232 232 | – | – | – | $158,452$62,892–$215,758 · 12 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $142,773$56,732–$194,409 · 12 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $74,501$29,907–$101,445 · 12 plans | |
| Ms-Drg 241 241 | – | – | – | $36,183$14,851–$49,269 · 12 plans | |
| Ms-Drg 245 245 | – | – | – | $119,243$47,486–$162,369 · 12 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $39,060$15,982–$53,187 · 12 plans | |
| Ms-Drg 255 255 | – | – | – | $70,499$28,334–$95,996 · 12 plans | |
| Ms-Drg 256 256 | – | – | – | $44,376$18,071–$60,426 · 12 plans | |
| Ms-Drg 257 257 | – | – | – | $28,546$11,851–$38,870 · 12 plans | |
| Ms-Drg 258 258 | – | – | – | $82,122$32,901–$111,822 · 12 plans | |
| Ms-Drg 259 259 | – | – | – | $52,850$21,400–$71,963 · 12 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $49,410$20,048–$67,280 · 12 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $42,599$17,372–$58,006 · 12 plans | |
| Ms-Drg 263 263 | – | – | – | $79,908$32,031–$108,808 · 12 plans | |
| Ms-Drg 265 265 | – | – | – | $94,565$37,790–$128,766 · 12 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $179,761$81,426–$244,773 · 12 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $66,725$26,852–$90,857 · 12 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $145,478$57,794–$198,092 · 12 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $94,257$37,669–$128,346 · 12 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $18,899$8,060–$25,734 · 12 plans | |
| Ms-Drg 284 284 | – | – | – | $18,091$7,743–$24,634 · 12 plans | |
| Ms-Drg 285 285 | – | – | – | $15,653$6,785–$21,314 · 12 plans | |
| Ms-Drg 288 288 | – | – | – | $70,729$28,425–$96,309 · 12 plans | |
| Ms-Drg 289 289 | – | – | – | $44,612$18,163–$60,746 · 12 plans | |
| Ms-Drg 290 290 | – | – | – | $24,299$10,182–$33,087 · 12 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $14,793$6,447–$20,143 · 12 plans | |
| Ms-Drg 294 294 | – | – | – | $17,980$9,128–$17,980 · 12 plans | |
| Ms-Drg 295 295 | – | – | – | $9,868$5,147–$9,868 · 12 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $40,822$16,674–$55,586 · 12 plans | |
| Ms-Drg 297 297 | – | – | – | $16,570$7,145–$22,563 · 12 plans | |
| Ms-Drg 298 298 | – | – | – | $11,894$5,308–$16,196 · 12 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $18,810$8,025–$25,613 · 12 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $31,274$12,923–$42,585 · 12 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $17,595$7,548–$23,958 · 12 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $23,867$10,012–$32,499 · 12 plans | |
| Angina Pectoris 311 | – | – | – | $18,345$7,843–$24,980 · 12 plans | |
| Chest pain 313 | – | – | – | $18,818$8,028–$25,624 · 12 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $17,827$7,639–$24,275 · 12 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $62,865$25,335–$85,601 · 12 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $113,101$45,073–$154,005 · 12 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $82,355$32,993–$112,139 · 12 plans | |
| Ms-Drg 325 325 | – | – | – | $83,907$33,603–$114,253 · 12 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $63,882$25,734–$86,985 · 12 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $41,878$17,089–$57,023 · 12 plans | |
| Ms-Drg 332 332 | – | – | – | $94,631$37,816–$128,855 · 12 plans | |
| Ms-Drg 333 333 | – | – | – | $61,216$24,687–$83,355 · 12 plans | |
| Ms-Drg 334 334 | – | – | – | $42,808$17,454–$58,290 · 12 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $93,329$37,305–$127,083 · 12 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $55,113$22,289–$75,045 · 12 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $40,119$16,398–$54,628 · 12 plans | |
| Ms-Drg 344 344 | – | – | – | $67,504$27,158–$91,918 · 12 plans | |
| Ms-Drg 345 345 | – | – | – | $39,327$16,087–$53,550 · 12 plans | |
| Ms-Drg 346 346 | – | – | – | $31,003$12,816–$42,215 · 12 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $59,998$25,129–$81,697 · 12 plans | |
| Ms-Drg 348 348 | – | – | – | $34,207$14,075–$46,578 · 12 plans | |
| Ms-Drg 349 349 | – | – | – | $22,754$9,575–$30,983 · 12 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $65,128$26,224–$88,683 · 12 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $39,844$16,290–$54,255 · 12 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $30,522$12,627–$41,560 · 12 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $75,847$30,436–$103,278 · 12 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $43,971$17,911–$59,874 · 12 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $35,153$14,447–$47,866 · 12 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $60,779$24,515–$82,761 · 12 plans | |
| Ms-Drg 358 358 | – | – | – | $36,536$14,990–$49,749 · 12 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $41,606$16,982–$56,653 · 12 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $26,141$10,906–$35,596 · 12 plans | |
| Ms-Drg 370 370 | – | – | – | $18,316$7,831–$24,940 · 12 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $26,685$11,119–$36,336 · 12 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $19,011$8,104–$25,887 · 12 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $31,614$13,056–$43,048 · 12 plans | |
| Ms-Drg 376 376 | – | – | – | $24,158$10,126–$32,894 · 12 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $16,476$7,108–$22,435 · 12 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $51,284$20,785–$69,832 · 12 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $28,318$11,761–$38,560 · 12 plans | |
| Ms-Drg 382 382 | – | – | – | $20,924$8,856–$28,492 · 12 plans | |
| Ms-Drg 383 383 | – | – | – | $36,086$14,813–$49,137 · 12 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $22,341$9,413–$30,421 · 12 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $41,355$16,883–$56,312 · 12 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $25,517$10,660–$34,745 · 12 plans | |
| Ms-Drg 387 387 | – | – | – | $17,806$7,631–$24,246 · 12 plans | |
| Bowel obstruction, with complications 389 | – | – | – | $20,642$8,745–$28,108 · 12 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $14,218$6,221–$19,360 · 12 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $16,962$7,299–$23,097 · 12 plans | |
| Ms-Drg 397 397 | – | – | – | $62,593$25,228–$85,231 · 12 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $39,559$16,178–$53,867 · 12 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $29,918$12,390–$40,738 · 12 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $142,977$56,812–$194,686 · 12 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $75,800$30,417–$103,213 · 12 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $58,011$23,428–$78,992 · 12 plans | |
| Ms-Drg 408 408 | – | – | – | $93,191$37,250–$126,894 · 12 plans | |
| Ms-Drg 409 409 | – | – | – | $56,906$22,994–$77,487 · 12 plans | |
| Ms-Drg 410 410 | – | – | – | $41,496$16,939–$56,504 · 12 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $86,335$34,557–$117,559 · 12 plans | |
| Ms-Drg 412 412 | – | – | – | $54,951$22,225–$74,825 · 12 plans | |
| Ms-Drg 413 413 | – | – | – | $43,399$17,686–$59,095 · 12 plans | |
| Ms-Drg 414 414 | – | – | – | $93,112$37,219–$126,787 · 12 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $54,015$21,858–$73,551 · 12 plans | |
| Ms-Drg 416 416 | – | – | – | $35,631$14,635–$48,518 · 12 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $62,371$25,141–$84,928 · 12 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | – | – | – | $44,212$18,006–$60,201 · 12 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $35,697$14,660–$48,607 · 12 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $89,048$35,622–$121,253 · 12 plans | |
| Ms-Drg 421 421 | – | – | – | $45,411$18,477–$61,835 · 12 plans | |
| Ms-Drg 422 422 | – | – | – | $36,577$15,006–$49,806 · 12 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $108,543$43,282–$147,799 · 12 plans | |
| Ms-Drg 424 424 | – | – | – | $57,183$23,102–$77,864 · 12 plans | |
| Ms-Drg 425 425 | – | – | – | $39,212$16,041–$53,393 · 12 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $27,605$11,481–$37,588 · 12 plans | |
| Ms-Drg 434 434 | – | – | – | $18,622$7,951–$25,357 · 12 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | – | – | – | $48,004$19,496–$65,365 · 12 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $29,562$12,250–$40,254 · 12 plans | |
| Ms-Drg 437 437 | – | – | – | $22,302$9,397–$30,368 · 12 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $21,986$9,273–$29,937 · 12 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $16,241$7,016–$22,115 · 12 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $46,906$19,065–$63,871 · 12 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $25,229$10,547–$34,353 · 12 plans | |
| Ms-Drg 443 443 | – | – | – | $18,287$7,820–$24,901 · 12 plans | |
| Disorders of the Biliary Tract with Cc 445 | – | – | – | $28,603$11,873–$38,948 · 12 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $21,622$9,130–$29,442 · 12 plans | |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | – | – | – | $273,656$88,213–$273,656 · 12 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | – | – | – | $146,158$46,314–$146,158 · 12 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $219,631$86,930–$299,064 · 12 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $155,852$61,870–$212,217 · 12 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $109,055$43,483–$148,496 · 12 plans | |
| Spinal Fusion Except Cervical with Mcc 459 | – | – | – | $176,974$65,041–$176,974 · 12 plans | |
| Ms-Drg 461 461 | – | – | – | $144,349$57,351–$196,555 · 12 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $69,522$27,950–$94,665 · 12 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $47,664$19,362–$64,903 · 12 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $136,048$54,089–$185,252 · 12 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $92,171$36,850–$125,506 · 12 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $71,822$28,854–$97,797 · 12 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $79,276$31,783–$107,947 · 12 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $63,806$25,705–$86,882 · 12 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $112,199$44,719–$152,777 · 12 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $59,478$24,004–$80,989 · 12 plans | |
| Ms-Drg 476 476 | – | – | – | $30,846$12,754–$42,001 · 12 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $90,289$36,110–$122,944 · 12 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $48,584$19,724–$66,155 · 12 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $42,628$17,384–$58,045 · 12 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $72,446$29,100–$98,647 · 12 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $84,343$33,774–$114,847 · 12 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $54,653$22,108–$74,419 · 12 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $40,934$16,718–$55,739 · 12 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $46,232$18,800–$62,952 · 12 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $29,189$12,103–$39,745 · 12 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $95,961$38,339–$130,666 · 12 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $52,442$21,240–$71,408 · 12 plans | |
| Ms-Drg 495 495 | – | – | – | $94,761$37,867–$129,033 · 12 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $47,147$19,159–$64,198 · 12 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $31,580$13,043–$43,001 · 12 plans | |
| Ms-Drg 498 498 | – | – | – | $78,847$31,614–$107,363 · 12 plans | |
| Ms-Drg 499 499 | – | – | – | $52,659$21,325–$71,704 · 12 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $82,715$33,134–$112,630 · 12 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $45,688$18,586–$62,212 · 12 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $35,176$14,456–$47,898 · 12 plans | |
| Ms-Drg 503 503 | – | – | – | $72,948$29,297–$99,331 · 12 plans | |
| Foot Procedures with Cc 504 | – | – | – | $48,853$19,830–$66,522 · 12 plans | |
| Ms-Drg 505 505 | – | – | – | $46,857$19,045–$63,803 · 12 plans | |
| Ms-Drg 506 506 | – | – | – | $35,263$14,490–$48,016 · 12 plans | |
| Ms-Drg 507 507 | – | – | – | $47,212$19,185–$64,287 · 12 plans | |
| Ms-Drg 508 508 | – | – | – | $39,580$16,186–$53,895 · 12 plans | |
| Ms-Drg 509 509 | – | – | – | $136,253$21,358–$136,253 · 12 plans | |
| Ms-Drg 510 510 | – | – | – | $78,944$31,652–$107,495 · 12 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $54,347$21,988–$74,003 · 12 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $43,266$17,634–$58,913 · 12 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $41,146$16,801–$56,027 · 12 plans | |
| Ms-Drg 514 514 | – | – | – | $26,719$11,133–$36,382 · 12 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $83,293$33,361–$113,417 · 12 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $54,313$21,975–$73,956 · 12 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $97,678$39,013–$133,005 · 12 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $39,045$15,976–$53,166 · 12 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | – | – | – | $75,016$30,109–$102,146 · 12 plans | |
| Ms-Drg 533 533 | – | – | – | $40,973$16,734–$55,792 · 12 plans | |
| Ms-Drg 534 534 | – | – | – | $21,068$8,913–$28,688 · 12 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | – | – | – | $21,107$8,928–$28,741 · 12 plans | |
| Ms-Drg 537 537 | – | – | – | $24,942$10,434–$33,962 · 12 plans | |
| Ms-Drg 538 538 | – | – | – | $18,826$8,031–$25,634 · 12 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $51,480$20,862–$70,098 · 12 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $33,880$13,946–$46,133 · 12 plans | |
| Ms-Drg 541 541 | – | – | – | $20,579$8,721–$28,022 · 12 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $26,868$11,191–$36,585 · 12 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $19,722$8,384–$26,855 · 12 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $30,145$12,479–$41,048 · 12 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $21,855$9,222–$29,759 · 12 plans | |
| Ms-Drg 548 548 | – | – | – | $50,466$20,463–$68,718 · 12 plans | |
| Ms-Drg 549 549 | – | – | – | $31,551$13,032–$42,962 · 12 plans | |
| Ms-Drg 550 550 | – | – | – | $22,845$9,611–$31,108 · 12 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $33,880$13,946–$46,133 · 12 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $34,547$14,208–$47,041 · 12 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $21,709$9,164–$29,560 · 12 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $38,862$15,904–$52,916 · 12 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $23,345$9,807–$31,788 · 12 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $48,741$19,785–$66,369 · 12 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $29,432$12,199–$40,076 · 12 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $21,011$8,890–$28,610 · 12 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $37,239$15,266–$50,706 · 12 plans | |
| Fracture or sprain (not hip or thigh) 563 | – | – | – | $23,405$9,831–$31,869 · 12 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $40,344$16,486–$54,934 · 12 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $25,467$10,641–$34,677 · 12 plans | |
| Ms-Drg 566 566 | – | – | – | $19,584$8,329–$26,666 · 12 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $79,146$62,231–$104,669 · 12 plans | |
| Skin Debridement with Cc 571 | – | – | – | $44,157$17,984–$60,127 · 12 plans | |
| Ms-Drg 572 572 | – | – | – | $29,960$12,406–$40,795 · 12 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $171,227$67,912–$233,154 · 12 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $90,729$36,283–$123,542 · 12 plans | |
| Ms-Drg 575 575 | – | – | – | $46,966$19,088–$63,952 · 12 plans | |
| Ms-Drg 576 576 | – | – | – | $128,098$50,966–$174,426 · 12 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $69,279$27,855–$94,334 · 12 plans | |
| Ms-Drg 578 578 | – | – | – | $41,985$17,131–$57,169 · 12 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $84,641$33,891–$115,253 · 12 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $45,163$18,380–$61,497 · 12 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $37,717$15,454–$51,358 · 12 plans | |
| Ms-Drg 582 582 | – | – | – | $50,354$20,419–$68,565 · 12 plans | |
| Ms-Drg 583 583 | – | – | – | $45,069$18,343–$61,369 · 12 plans | |
| Ms-Drg 584 584 | – | – | – | $55,949$22,618–$76,184 · 12 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $50,419$20,445–$68,654 · 12 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $50,581$20,508–$68,874 · 12 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $31,005$12,817–$42,219 · 12 plans | |
| Ms-Drg 594 594 | – | – | – | $22,655$9,536–$30,848 · 12 plans | |
| Ms-Drg 595 595 | – | – | – | $55,427$22,412–$75,472 · 12 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $28,292$11,751–$38,524 · 12 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $43,571$17,754–$59,329 · 12 plans | |
| Ms-Drg 598 598 | – | – | – | $29,568$12,252–$40,261 · 12 plans | |
| Ms-Drg 599 599 | – | – | – | $20,109$8,536–$27,382 · 12 plans | |
| Ms-Drg 600 600 | – | – | – | $27,223$11,331–$37,069 · 12 plans | |
| Ms-Drg 601 601 | – | – | – | $15,812$6,847–$21,531 · 12 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $38,475$15,752–$52,390 · 12 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $23,941$10,041–$32,599 · 12 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $39,549$16,174–$53,852 · 12 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $23,690$9,943–$32,257 · 12 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $57,285$23,142–$78,003 · 12 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $36,572$15,004–$49,799 · 12 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $91,147$36,447–$124,111 · 12 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $48,882$19,841–$66,561 · 12 plans | |
| Ms-Drg 618 618 | – | – | – | $37,069$15,199–$50,475 · 12 plans | |
| Ms-Drg 619 619 | – | – | – | $75,465$30,286–$102,758 · 12 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $41,825$17,068–$56,952 · 12 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $39,424$16,125–$53,682 · 12 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $93,023$37,184–$126,666 · 12 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $46,885$19,056–$63,842 · 12 plans | |
| Ms-Drg 624 624 | – | – | – | $32,720$13,491–$44,553 · 12 plans | |
| Ms-Drg 625 625 | – | – | – | $78,933$31,648–$107,481 · 12 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $39,188$16,032–$53,361 · 12 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $34,716$14,275–$47,272 · 12 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $97,404$38,906–$132,631 · 12 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $56,945$23,009–$77,540 · 12 plans | |
| Ms-Drg 630 630 | – | – | – | $38,146$15,622–$51,941 · 12 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $16,236$7,014–$22,108 · 12 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $37,168$15,238–$50,610 · 12 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $26,789$11,160–$36,478 · 12 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $20,080$8,524–$27,343 · 12 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $127,782$45,544–$178,310 · 10 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $100,722$36,048–$139,105 · 10 plans | |
| Kidney Transplant 652 | – | – | – | $88,588$46,176–$137,757 · 5 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $135,813$57,485–$184,932 · 12 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $73,163$29,381–$99,623 · 12 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $55,319$22,370–$75,326 · 12 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $83,212$33,329–$113,306 · 12 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $66,409$26,727–$90,427 · 12 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | – | – | – | $34,544$14,207–$47,037 · 12 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $27,061$11,267–$36,848 · 12 plans | |
| Ms-Drg 662 662 | – | – | – | $80,015$32,073–$108,954 · 12 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $39,732$16,246–$54,101 · 12 plans | |
| Ms-Drg 664 664 | – | – | – | $27,362$11,385–$37,257 · 12 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $81,576$32,687–$111,079 · 12 plans | |
| Ms-Drg 666 666 | – | – | – | $45,720$18,598–$62,255 · 12 plans | |
| Ms-Drg 667 667 | – | – | – | $28,912$11,994–$39,368 · 12 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $76,317$30,620–$103,918 · 12 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $40,563$16,572–$55,233 · 12 plans | |
| Ms-Drg 670 670 | – | – | – | $25,543$10,671–$34,781 · 12 plans | |
| Ms-Drg 671 671 | – | – | – | $46,914$19,068–$63,881 · 12 plans | |
| Ms-Drg 672 672 | – | – | – | $28,214$11,720–$38,418 · 12 plans | |
| Ms-Drg 675 675 | – | – | – | $42,900$17,490–$58,415 · 12 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $15,689$6,799–$21,364 · 12 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $47,142$19,157–$64,191 · 12 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $27,385$11,395–$37,290 · 12 plans | |
| Ms-Drg 688 688 | – | – | – | $20,655$8,750–$28,126 · 12 plans | |
| Ms-Drg 693 693 | – | – | – | $35,140$14,441–$47,849 · 12 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $20,431$8,662–$27,819 · 12 plans | |
| Ms-Drg 695 695 | – | – | – | $29,894$12,380–$40,706 · 12 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $18,008$7,710–$24,520 · 12 plans | |
| Ms-Drg 697 697 | – | – | – | $28,169$11,703–$38,357 · 12 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $18,031$7,719–$24,552 · 12 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $52,280$21,176–$71,187 · 12 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $40,098$16,389–$54,600 · 12 plans | |
| Ms-Drg 709 709 | – | – | – | $60,821$24,532–$82,818 · 12 plans | |
| Ms-Drg 710 710 | – | – | – | $36,622$15,024–$49,866 · 12 plans | |
| Ms-Drg 711 711 | – | – | – | $54,462$22,033–$74,159 · 12 plans | |
| Ms-Drg 712 712 | – | – | – | $28,742$11,928–$39,137 · 12 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $39,293$16,073–$53,504 · 12 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $27,636$11,493–$37,631 · 12 plans | |
| Ms-Drg 715 715 | – | – | – | $58,474$23,610–$79,622 · 12 plans | |
| Ms-Drg 716 716 | – | – | – | $38,446$15,740–$52,351 · 12 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $49,410$20,048–$67,280 · 12 plans | |
| Ms-Drg 718 718 | – | – | – | $35,103$14,427–$47,799 · 12 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $47,298$19,219–$64,404 · 12 plans | |
| Ms-Drg 723 723 | – | – | – | $29,866$12,369–$40,667 · 12 plans | |
| Ms-Drg 724 724 | – | – | – | $17,137$7,368–$23,335 · 12 plans | |
| Ms-Drg 725 725 | – | – | – | $30,584$12,652–$41,646 · 12 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $18,870$8,049–$25,695 · 12 plans | |
| Ms-Drg 727 727 | – | – | – | $38,757$15,863–$52,774 · 12 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $21,202$8,965–$28,869 · 12 plans | |
| Ms-Drg 729 729 | – | – | – | $27,670$11,507–$37,677 · 12 plans | |
| Ms-Drg 730 730 | – | – | – | $17,563$7,535–$23,915 · 12 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $55,670$22,508–$75,803 · 12 plans | |
| Ms-Drg 735 735 | – | – | – | $35,166$14,452–$47,884 · 12 plans | |
| Ms-Drg 736 736 | – | – | – | $93,423$37,342–$127,211 · 12 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $53,856$21,795–$73,333 · 12 plans | |
| Ms-Drg 738 738 | – | – | – | $38,381$15,715–$52,262 · 12 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $93,640$37,427–$127,506 · 12 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $47,296$19,218–$64,401 · 12 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $37,273$15,279–$50,753 · 12 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $47,954$19,476–$65,298 · 12 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $53,555$21,677–$72,924 · 12 plans | |
| Ms-Drg 745 745 | – | – | – | $29,730$12,795–$40,482 · 12 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $45,401$18,473–$61,821 · 12 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $22,469$9,463–$30,595 · 12 plans | |
| Ms-Drg 749 749 | – | – | – | $67,107$27,002–$91,377 · 12 plans | |
| Ms-Drg 750 750 | – | – | – | $38,572$15,790–$52,521 · 12 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $48,135$19,547–$65,543 · 12 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $28,431$11,805–$38,713 · 12 plans | |
| Ms-Drg 756 756 | – | – | – | $25,104$10,498–$34,183 · 12 plans | |
| Ms-Drg 757 757 | – | – | – | $37,424$15,339–$50,959 · 12 plans | |
| Ms-Drg 758 758 | – | – | – | $25,587$10,688–$34,841 · 12 plans | |
| Ms-Drg 759 759 | – | – | – | $17,344$7,449–$23,616 · 12 plans | |
| Ms-Drg 760 760 | – | – | – | $26,332$10,981–$35,855 · 12 plans | |
| Ms-Drg 761 761 | – | – | – | $14,911$6,493–$20,303 · 12 plans | |
| Ms-Drg 768 768 | – | – | – | $14,447$10,652–$28,614 · 12 plans | |
| Ms-Drg 769 769 | – | – | – | $44,165$17,987–$60,137 · 12 plans | |
| Ms-Drg 770 770 | – | – | – | $26,207$10,931–$35,684 · 12 plans | |
| Ms-Drg 776 776 | – | – | – | $17,111$7,358–$23,300 · 12 plans | |
| Ms-Drg 779 779 | – | – | – | $21,988$9,274–$29,941 · 12 plans | |
| Ms-Drg 783 783 | – | – | – | $25,766$18,235–$65,556 · 12 plans | |
| Ms-Drg 784 784 | – | – | – | $18,944$11,488–$28,698 · 12 plans | |
| Ms-Drg 785 785 | – | – | – | $18,944$10,470–$27,195 · 12 plans | |
| C-section, with major complications 786 | – | – | – | $23,116$16,567–$44,045 · 12 plans | |
| C-section, with complications 787 | – | – | – | $18,944$11,976–$30,086 · 12 plans | |
| C-section 788 | – | – | – | $18,944$10,481–$27,197 · 12 plans | |
| Ms-Drg 789 789 | – | – | – | $47,102$4,548–$64,137 · 12 plans | |
| Ms-Drg 790 790 | – | – | – | $155,339$61,669–$211,520 · 12 plans | |
| Ms-Drg 791 791 | – | – | – | $106,086$42,317–$144,453 · 12 plans | |
| Ms-Drg 792 792 | – | – | – | $64,012$25,786–$87,163 · 12 plans | |
| Ms-Drg 793 793 | – | – | – | $108,977$43,453–$148,389 · 12 plans | |
| Ms-Drg 794 794 | – | – | – | $38,574$15,791–$52,525 · 12 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $5,222$1,840–$7,111 · 12 plans | |
| Ms-Drg 796 796 | – | – | – | $14,478$10,803–$31,161 · 12 plans | |
| Ms-Drg 797 797 | – | – | – | $14,171$10,319–$26,713 · 12 plans | |
| Ms-Drg 798 798 | – | – | – | $13,814$9,946–$25,557 · 12 plans | |
| Ms-Drg 799 799 | – | – | – | $118,367$47,142–$161,176 · 12 plans | |
| Ms-Drg 800 800 | – | – | – | $73,426$29,485–$99,982 · 12 plans | |
| Ms-Drg 801 801 | – | – | – | $49,891$20,237–$67,935 · 12 plans | |
| Ms-Drg 802 802 | – | – | – | $104,128$41,548–$141,788 · 12 plans | |
| Ms-Drg 803 803 | – | – | – | $48,584$19,724–$66,155 · 12 plans | |
| Ms-Drg 804 804 | – | – | – | $35,440$14,560–$48,258 · 12 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $14,447$10,652–$28,817 · 12 plans | |
| Vaginal birth, with complications 806 | – | – | – | $12,136$8,196–$20,176 · 12 plans | |
| Vaginal birth 807 | – | – | – | $11,582$7,508–$18,221 · 12 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $57,706$23,308–$78,576 · 12 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $33,086$13,634–$45,051 · 12 plans | |
| Ms-Drg 810 810 | – | – | – | $27,354$11,382–$37,247 · 12 plans | |
| Coagulation Disorders 813 | – | – | – | $39,865$16,298–$54,283 · 12 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $55,583$22,474–$75,686 · 12 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $26,502$11,048–$36,087 · 12 plans | |
| Ms-Drg 816 816 | – | – | – | $16,518$7,125–$22,492 · 12 plans | |
| Ms-Drg 817 817 | – | – | – | $59,632$24,065–$81,198 · 12 plans | |
| Ms-Drg 818 818 | – | – | – | $30,297$12,539–$41,254 · 12 plans | |
| Ms-Drg 819 819 | – | – | – | $22,474$9,465–$30,602 · 12 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $153,282$60,861–$208,719 · 12 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $58,508$23,623–$79,668 · 12 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $31,468$12,999–$42,848 · 12 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $119,828$47,716–$163,166 · 12 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $59,214$23,900–$80,629 · 12 plans | |
| Ms-Drg 825 825 | – | – | – | $35,268$14,492–$48,023 · 12 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $122,259$48,671–$166,475 · 12 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $60,406$24,369–$82,252 · 12 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $44,531$18,131–$60,636 · 12 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $82,590$33,085–$112,459 · 12 plans | |
| Ms-Drg 830 830 | – | – | – | $39,335$16,090–$53,561 · 12 plans | |
| Ms-Drg 831 831 | – | – | – | $31,429$12,983–$42,795 · 12 plans | |
| Ms-Drg 832 832 | – | – | – | $18,860$8,045–$25,681 · 12 plans | |
| Ms-Drg 833 833 | – | – | – | $13,667$6,004–$18,609 · 12 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $143,484$57,011–$195,377 · 12 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $54,514$22,054–$74,230 · 12 plans | |
| Ms-Drg 836 836 | – | – | – | $31,873$13,158–$43,400 · 12 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $125,565$63,044–$170,977 · 12 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $54,556$22,070–$74,287 · 12 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $37,738$15,462–$51,386 · 12 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $84,547$33,854–$115,125 · 12 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $42,638$17,388–$58,059 · 12 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $26,408$11,011–$35,959 · 12 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $52,136$21,119–$70,992 · 12 plans | |
| Ms-Drg 844 844 | – | – | – | $31,818$13,136–$43,325 · 12 plans | |
| Ms-Drg 845 845 | – | – | – | $22,257$9,380–$30,307 · 12 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $67,758$27,257–$92,263 · 12 plans | |
| Ms-Drg 848 848 | – | – | – | $22,200$9,357–$30,229 · 12 plans | |
| Radiotherapy 849 | – | – | – | $70,816$28,459–$96,427 · 12 plans | |
| Ms-Drg 855 855 | – | – | – | $39,131$16,010–$53,283 · 12 plans | |
| Ms-Drg 858 858 | – | – | – | $36,405$14,938–$49,571 · 12 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $47,664$19,362–$64,903 · 12 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $26,081$10,882–$35,514 · 12 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $23,201$9,751–$31,592 · 12 plans | |
| Viral Illness with Mcc 865 | – | – | – | $39,160$16,021–$53,322 · 12 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $22,728$9,565–$30,948 · 12 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $54,708$22,130–$74,494 · 12 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $26,949$11,223–$36,695 · 12 plans | |
| Ms-Drg 869 869 | – | – | – | $19,071$8,128–$25,969 · 12 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $101,013$10,138–$137,546 · 12 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $25,096$5,391–$34,172 · 12 plans | |
| Depressive Neuroses 881 | – | – | – | $24,591$5,730–$33,485 · 12 plans | |
| Neuroses Except Depressive 882 | – | – | – | $28,065$6,530–$38,215 · 12 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $51,391$8,393–$69,977 · 12 plans | |
| Ms-Drg 886 886 | – | – | – | $54,240$8,425–$73,857 · 12 plans | |
| Ms-Drg 887 887 | – | – | – | $27,989$5,784–$38,112 · 12 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $16,123$6,210–$21,954 · 12 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $36,998$4,103–$50,379 · 12 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $45,610$7,761–$62,105 · 12 plans | |
| Ms-Drg 901 901 | – | – | – | $109,682$43,730–$149,350 · 12 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $50,037$20,295–$68,134 · 12 plans | |
| Ms-Drg 903 903 | – | – | – | $30,569$12,645–$41,624 · 12 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $96,000$38,354–$130,720 · 12 plans | |
| Ms-Drg 905 905 | – | – | – | $38,770$15,868–$52,792 · 12 plans | |
| Ms-Drg 906 906 | – | – | – | $51,339$20,806–$69,906 · 12 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $52,147$21,124–$71,006 · 12 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $34,309$14,115–$46,717 · 12 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $42,722$17,420–$58,173 · 12 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $23,143$9,728–$31,514 · 12 plans | |
| Ms-Drg 915 915 | – | – | – | $43,950$17,903–$59,845 · 12 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $17,414$7,477–$23,713 · 12 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $22,401$9,436–$30,503 · 12 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $17,992$7,704–$24,499 · 12 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $45,722$18,599–$62,258 · 12 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $26,599$11,086–$36,218 · 12 plans | |
| Ms-Drg 927 927 | – | – | – | $558,017$219,885–$759,830 · 12 plans | |
| Ms-Drg 929 929 | – | – | – | $84,179$33,709–$114,623 · 12 plans | |
| Ms-Drg 933 933 | – | – | – | $101,779$40,625–$138,588 · 12 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $57,776$23,336–$78,672 · 12 plans | |
| Ms-Drg 939 939 | – | – | – | $94,834$37,896–$129,133 · 12 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $61,077$24,633–$83,167 · 12 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $52,996$21,457–$72,163 · 12 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $20,922$8,855–$28,489 · 12 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $31,094$12,852–$42,340 · 12 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $16,406$7,081–$22,339 · 12 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $14,532$6,344–$19,787 · 12 plans | |
| Ms-Drg 955 955 | – | – | – | $175,924$69,757–$239,549 · 12 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $98,350$39,277–$133,919 · 12 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $199,154$78,884–$271,180 · 12 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $110,134$43,908–$149,966 · 12 plans | |
| Ms-Drg 959 959 | – | – | – | $76,947$30,868–$104,776 · 12 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $71,451$28,708–$97,292 · 12 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $40,056$16,373–$54,543 · 12 plans | |
| Ms-Drg 965 965 | – | – | – | $24,581$10,293–$33,471 · 12 plans | |
| Ms-Drg 969 969 | – | – | – | $159,986$113,800–$217,847 · 12 plans | |
| Ms-Drg 970 970 | – | – | – | $68,931$27,718–$93,861 · 12 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $75,429$30,271–$102,708 · 12 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $33,846$13,933–$46,087 · 12 plans | |
| Ms-Drg 976 976 | – | – | – | $23,593$9,905–$32,126 · 12 plans | |
| Ms-Drg 977 977 | – | – | – | $33,917$13,961–$46,183 · 12 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $44,797$18,236–$60,999 · 12 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $89,605$35,841–$122,011 · 12 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $42,957$17,513–$58,493 · 12 plans | |
| Ms-Drg 989 989 | – | – | – | $31,342$12,949–$42,678 · 12 plans | |
| Ms-Drg 998 998 | – | – | – | $11,378$5,484–$11,378 · 10 plans | |
| Ms-Drg 999 999 | – | – | – | $21,765$10,491–$21,765 · 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 | $142 | $92 | $47$11–$105 · 23 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $311 | $202 | $104$15–$230 · 23 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,960 | $3,224 | $1,758$693–$4,166 · 23 plans |
| Emergency room visit, highest level CPT 99285 | $4,286 | $2,786 | $2,735$395–$4,745 · 23 plans |
| MRI of the brain, with and without contrast CPT 70553 | $3,885 | $2,525 | $1,758$871–$3,263 · 23 plans |
| MRI of the knee, without contrast CPT 73721 | $2,437 | $1,584 | $707$259–$2,047 · 23 plans |
Price file: Medstar Washington Hospital Center, read November 9, 2026.