Methodist Hospital
7700 Floyd Curl Dr, San Antonio, TX 78229 · (210) 575-4000
The money
$9what care cost the hospital for every $100 it billed
$577.1Mnet income, all sources
20.3%margin on patient care alone
$170.1Mcost of charity care (8.3% of costs)
$107.3Munpaid bills written off (bad debt)
1,863beds
From the hospital's Medicare cost report for the year ending June 2025.
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 | 1,615 | $141,255 | $14,943 | $16,270$4,757–$23,719 · 54 plans | |
| Heart failure, with major complications 291 | 831 | $96,092 | $10,167 | $11,523$7,036–$17,957 · 54 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 437 | $334,085 | $24,640 | $26,860$20,307–$44,989 · 56 plans | |
| Sepsis 872 | 350 | $71,454 | $8,634 | $9,388$4,757–$13,856 · 54 plans | |
| Other kidney and urinary problems, with major complications 698 | 329 | $110,749 | $12,700 | $14,107$4,757–$20,235 · 54 plans | |
| Pneumonia, with major complications 193 | 314 | $103,634 | $10,916 | $11,756$4,757–$18,403 · 54 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 269 | $90,447 | $10,350 | $11,918$4,757–$18,265 · 54 plans | |
| Stomach and digestive disorders 392 | 261 | $57,200 | $7,409 | $7,671$4,757–$10,861 · 54 plans | |
| Heart attack, with major complications 280 | 239 | $132,822 | $12,025 | $13,969$9,766–$22,041 · 54 plans | |
| Other kidney and urinary problems, with complications 699 | 229 | $69,075 | $8,611 | $9,469$4,757–$14,440 · 54 plans | |
| Lung infection, with major complications 177 | 228 | $120,875 | $13,851 | $13,653$4,757–$21,171 · 54 plans | |
| Kidney failure, with major complications 682 | 220 | $102,304 | $11,417 | $13,029$4,757–$20,495 · 54 plans | |
| Stroke, with major complications 064 | 216 | $163,803 | $14,711 | $17,078$4,757–$26,989 · 54 plans | |
| Kidney failure, with complications 683 | 216 | $57,776 | $7,441 | $8,406$4,757–$12,391 · 54 plans | |
| Infection needing surgery, with major complications 853 | 205 | $367,558 | $38,727 | $39,441$6,760–$66,434 · 53 plans | |
| Irregular heartbeat, with complications 309 | 188 | $59,503 | $6,553 | $7,336$5,537–$10,527 · 54 plans | |
| Urinary tract infection 690 | 178 | $52,991 | $7,052 | $7,900$4,757–$11,265 · 54 plans | |
| Fainting 312 | 173 | $68,229 | $7,356 | $8,374$5,537–$11,968 · 54 plans | |
| Stroke, with complications or clot-busting drug 065 | 167 | $95,091 | $8,900 | $9,434$4,757–$14,350 · 54 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 165 | $120,978 | $13,952 | $15,680$4,757–$24,780 · 54 plans | |
| Heart stent 322 | 164 | $191,952 | $14,159 | $15,555$14,751–$24,055 · 52 plans | |
| Hip or knee replacement 470 | 162 | $146,742 | $14,724 | $16,450$15,928–$28,126 · 53 plans | |
| Respiratory failure 189 | 157 | $110,331 | $10,259 | $11,153$4,757–$17,336 · 54 plans | |
| Mini-stroke (TIA) 069 | 155 | $80,057 | $6,836 | $7,818$4,757–$11,152 · 54 plans | |
| Heart catheterization, with major complications 286 | 155 | $202,411 | $17,659 | $18,619$10,704–$29,439 · 57 plans | |
| High blood pressure 305 | 151 | $65,919 | $6,480 | $7,484$5,537–$10,501 · 54 plans | |
| Dehydration and electrolyte problems 641 | 149 | $57,551 | $6,710 | $7,661$4,757–$10,739 · 54 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 148 | $650,003 | $47,104 | $48,529$45,874–$89,361 · 53 plans | |
| Heart catheterization 287 | 147 | $114,428 | $9,326 | $10,084$9,357–$15,046 · 57 plans | |
| Seizures 101 | 140 | $77,079 | $7,529 | $8,611$4,757–$12,592 · 54 plans | |
| Irregular heartbeat 310 | 139 | $43,436 | $5,225 | $6,040$5,403–$7,918 · 54 plans | |
| Back problems (no surgery) 552 | 135 | $66,988 | $8,147 | $9,059$5,438–$13,383 · 54 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 134 | $253,849 | $20,036 | $22,713$4,757–$36,338 · 54 plans | |
| Seizures with Mcc 100 | 125 | $136,716 | $15,584 | $16,511$4,757–$26,093 · 54 plans | |
| Heart stent, with major complications or 4+ stents 321 | 123 | $254,731 | $22,666 | $22,500$21,266–$35,558 · 52 plans | |
| Stomach or intestinal bleeding, with complications 378 | 120 | $64,395 | $8,080 | $9,207$4,757–$13,964 · 54 plans | |
| Bowel obstruction, with complications 389 | 119 | $60,974 | $6,808 | $7,749$4,757–$11,431 · 54 plans | |
| Anemia and blood disorders, with major complications 811 | 117 | $79,833 | $10,973 | $12,443$4,757–$19,532 · 54 plans | |
| Urinary tract infection, with major complications 689 | 116 | $72,347 | $9,322 | $10,579$4,757–$15,908 · 54 plans | |
| Bowel surgery, with major complications 329 | 109 | $230,202 | $32,957 | $36,827$6,760–$62,876 · 53 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 106 | $535,293 | $44,765 | $54,513$4,757–$91,773 · 54 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 104 | $121,503 | $16,127 | $16,751$4,757–$26,473 · 54 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 103 | $143,985 | $15,056 | $17,715$11,393–$30,541 · 53 plans | |
| Psychoses 885 | 101 | $52,929 | $10,611 | $12,143$2,359–$13,926 · 50 plans | |
| Other digestive problems, with complications 394 | 100 | $65,301 | $8,095 | $8,864$4,757–$13,253 · 54 plans | |
| Other circulation problems, with major complications 314 | 98 | $146,352 | $15,953 | $17,644$5,537–$27,885 · 54 plans | |
| Bowel surgery, with complications 330 | 93 | $132,430 | $17,675 | $20,028$6,760–$32,792 · 53 plans | |
| Irregular heartbeat, with major complications 308 | 92 | $89,737 | $10,117 | $10,913$5,537–$16,955 · 54 plans | |
| Hip replacement after a hip fracture 522 | 86 | $154,391 | $15,813 | $17,893$12,451–$30,879 · 53 plans | |
| Diabetes, with complications 638 | 84 | $55,797 | $7,717 | $8,562$4,757–$12,476 · 54 plans | |
| Delirium and other mental confusion 884 | 84 | $76,386 | $12,623 | $13,731$2,359–$16,041 · 50 plans | |
| Skin infection (cellulitis) 603 | 83 | $46,041 | $7,690 | $8,369$4,757–$12,114 · 54 plans | |
| Anemia and blood disorders 812 | 83 | $57,005 | $7,618 | $8,730$4,757–$12,575 · 54 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 82 | $619,624 | $37,638 | $38,082$35,999–$69,419 · 53 plans | |
| Heart attack, with complications 281 | 77 | $88,243 | $7,971 | $8,737$8,320–$13,514 · 54 plans | |
| Complications of Treatment with Mcc 919 | 77 | $133,646 | $15,760 | $15,701$4,757–$24,814 · 54 plans | |
| Dysequilibrium 149 | 75 | $65,556 | $7,991 | $7,457$4,757–$10,458 · 54 plans | |
| Pneumonia, with complications 194 | 75 | $66,780 | $8,052 | $7,872$4,757–$12,334 · 54 plans | |
| Diabetes, with major complications 637 | 73 | $84,808 | $11,141 | $12,691$4,757–$19,668 · 54 plans | |
| Chest pain 313 | 72 | $59,293 | $6,776 | $7,216$5,737–$10,172 · 54 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 69 | $159,478 | $17,435 | $17,993$17,016–$30,182 · 57 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 69 | $470,634 | $47,788 | $42,020$35,721–$72,093 · 57 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 68 | $251,487 | $26,583 | $26,105$23,198–$43,625 · 57 plans | |
| Peripheral Vascular Disorders with Cc 300 | 68 | $67,052 | $8,365 | $9,870$5,851–$14,823 · 54 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 67 | $102,117 | $12,343 | $13,933$4,757–$21,980 · 54 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 66 | $174,138 | $22,699 | $18,582$4,757–$29,386 · 54 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 65 | $100,911 | $11,138 | $12,997$4,757–$20,442 · 54 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 65 | $90,748 | $10,627 | $9,784$4,757–$14,638 · 54 plans | |
| Other Disorders of Nervous System with Cc 092 | 63 | $78,428 | $8,423 | $9,531$4,757–$14,091 · 54 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 62 | $115,844 | $13,108 | $15,425$4,757–$24,543 · 54 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 61 | $82,297 | $10,422 | $11,613$4,757–$17,997 · 54 plans | |
| Hypertension with Mcc 304 | 61 | $89,119 | $9,545 | $10,806$5,537–$16,274 · 54 plans | |
| Stomach and digestive disorders, with major complications 391 | 61 | $89,375 | $10,209 | $11,404$4,757–$17,702 · 54 plans | |
| Other Vascular Procedures with Mcc 252 | 59 | $250,618 | $25,265 | $28,362$22,638–$46,361 · 53 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 59 | $122,215 | $14,168 | $15,746$4,757–$25,117 · 54 plans | |
| Kidney Transplant 652 | 59 | $602,478 | $35,400 | $26,385$5,648–$83,134 · 55 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 58 | $43,677 | $5,375 | $5,872$4,757–$7,937 · 54 plans | |
| Disorders of the Biliary Tract with Cc 445 | 57 | $77,814 | $8,946 | $10,076$4,757–$15,271 · 54 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 56 | $80,961 | $9,621 | $9,590$4,757–$14,425 · 54 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 56 | $169,588 | $15,428 | $16,979$6,760–$25,084 · 53 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 55 | $104,303 | $12,428 | $14,638$7,647–$23,133 · 56 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 54 | $249,479 | $26,513 | $33,811$6,760–$54,578 · 53 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 52 | $131,700 | $12,339 | $14,188$6,309–$22,328 · 54 plans | |
| Respiratory Neoplasms with Mcc 180 | 51 | $141,092 | $14,769 | $15,206$4,757–$24,151 · 54 plans | |
| Major Chest Procedures with Mcc 163 | 50 | $281,083 | $34,423 | $35,951$6,760–$61,307 · 53 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 50 | $74,315 | $8,859 | $9,515$4,757–$14,487 · 54 plans | |
| Interstitial Lung Disease with Mcc 196 | 49 | $116,587 | $14,169 | $16,132$4,757–$25,495 · 54 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 49 | $67,931 | $9,871 | $11,386$4,757–$17,434 · 54 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | 48 | $66,259 | $7,877 | $9,090$4,757–$13,265 · 54 plans | |
| Fracture or sprain (not hip or thigh) 563 | 47 | $57,187 | $7,247 | $8,557$4,757–$12,401 · 54 plans | |
| Other Disorders of Nervous System with Mcc 091 | 46 | $101,112 | $12,519 | $15,131$4,757–$23,913 · 54 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 46 | $137,120 | $14,093 | $15,679$14,686–$28,034 · 57 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 46 | $109,921 | $12,736 | $14,480$4,757–$22,879 · 54 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 46 | $44,683 | $6,750 | $7,885$4,757–$11,045 · 54 plans | |
| Major Chest Procedures with Cc 164 | 45 | $166,324 | $19,501 | $20,996$6,760–$34,526 · 53 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 45 | $129,115 | $11,045 | $12,209$4,757–$19,294 · 54 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | 45 | $165,472 | $21,922 | $23,870$7,391–$38,594 · 53 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 45 | $151,640 | $18,081 | $19,945$7,391–$32,420 · 57 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 45 | $136,882 | $17,435 | $21,089$13,215–$33,706 · 53 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 44 | $81,178 | $8,307 | $9,553$4,757–$14,333 · 54 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | 44 | $601,123 | $46,401 | $52,792$26,010–$84,881 · 48 plans | |
| Digestive Malignancy with Cc 375 | 44 | $75,993 | $9,680 | $10,956$4,757–$17,315 · 54 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | 44 | $161,917 | $14,686 | $16,003$6,760–$25,584 · 53 plans | |
| Other Vascular Procedures with Cc 253 | 43 | $199,658 | $20,143 | $21,543$18,070–$35,474 · 53 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 43 | $423,107 | $30,542 | $33,230$20,512–$54,690 · 56 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 43 | $180,212 | $20,786 | $23,962$11,848–$39,838 · 53 plans | |
| Cellulitis with Mcc 602 | 43 | $100,436 | $11,506 | $12,573$4,757–$19,745 · 54 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 42 | $73,174 | $8,042 | $9,135$4,757–$13,660 · 54 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 41 | $900,669 | $78,692 | $107,523$44,427–$183,778 · 45 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 41 | $236,935 | $23,223 | $28,655$22,677–$51,423 · 53 plans | |
| Endocrine Disorders with Mcc 643 | 41 | $110,084 | $12,871 | $14,290$4,757–$22,568 · 54 plans | |
| Coagulation Disorders 813 | 41 | $103,033 | $12,493 | $13,367$4,757–$21,051 · 54 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | 40 | $121,046 | $12,483 | $14,175$11,298–$23,798 · 53 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 40 | $102,677 | $13,271 | $15,647$4,757–$24,918 · 54 plans | |
| Complications of Treatment with Cc 920 | 40 | $67,200 | $8,958 | $9,372$4,757–$14,364 · 54 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 39 | $341,919 | $30,253 | $36,447$24,085–$62,195 · 53 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 39 | $570,617 | $39,531 | $43,700$41,453–$76,745 · 57 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 39 | $554,324 | $68,599 | $60,115$42,587–$104,461 · 57 plans | |
| Digestive Malignancy with Mcc 374 | 39 | $116,572 | $14,257 | $18,053$4,757–$29,247 · 54 plans | |
| Pulmonary Embolism Without Mcc 176 | 38 | $63,884 | $6,976 | $7,865$4,757–$11,843 · 54 plans | |
| Lung infection, with complications 178 | 38 | $69,585 | $8,541 | $9,172$4,757–$14,495 · 54 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 38 | $125,851 | $13,253 | $15,703$4,757–$24,816 · 54 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | 38 | $86,089 | $11,528 | $12,149$7,647–$18,946 · 56 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 37 | $79,901 | $6,299 | $6,944$4,757–$9,903 · 54 plans | |
| Headaches Without Mcc 103 | 37 | $72,102 | $7,548 | $8,104$4,757–$11,731 · 54 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 37 | $712,905 | $64,007 | $60,368$54,128–$104,913 · 57 plans | |
| Endocrine Disorders with Cc 644 | 37 | $67,694 | $8,420 | $9,546$4,757–$14,409 · 54 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 37 | $62,631 | $8,990 | $9,625$7,785–$15,014 · 53 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 36 | $79,042 | $8,416 | $9,075$5,537–$13,691 · 54 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 36 | $81,187 | $11,261 | $11,812$10,522–$18,668 · 53 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 35 | $115,188 | $20,473 | $15,260$4,757–$24,117 · 54 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 34 | $328,384 | $33,546 | $34,459$32,682–$56,223 · 57 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | 34 | $298,675 | $36,595 | $39,311$7,391–$65,411 · 53 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | 34 | $385,438 | $29,512 | $34,772$7,391–$54,953 · 52 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 33 | $1,447,914 | $145,603 | $163,849$158,548–$299,154 · 41 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 33 | $469,176 | $42,505 | $50,869$4,757–$84,045 · 54 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 32 | $275,830 | $24,928 | $28,882$26,477–$50,265 · 57 plans | |
| Atherosclerosis Without Mcc 303 | 32 | $53,368 | $5,892 | $6,859$5,537–$9,542 · 54 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | 32 | $138,556 | $16,925 | $19,580$6,760–$31,871 · 53 plans | |
| Acute Leukemia with Mcc 834 | 32 | $462,195 | $48,283 | $43,652$4,757–$79,437 · 54 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | 31 | $70,659 | $6,515 | $7,240$7,012–$11,185 · 54 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | 31 | $123,371 | $12,897 | $12,740$6,760–$20,027 · 53 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 31 | $90,954 | $12,276 | $13,697$4,757–$21,448 · 54 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 29 | $138,830 | $19,551 | $20,387$12,670–$33,435 · 53 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 29 | $117,401 | $16,100 | $17,590$14,670–$27,799 · 53 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | 29 | $153,451 | $16,019 | $14,916$6,760–$23,573 · 53 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | 29 | $726,925 | $33,963 | $37,629$5,539–$85,547 · 54 plans | |
| Medical Back Problems with Mcc 551 | 28 | $120,420 | $13,016 | $14,519$5,740–$22,945 · 54 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 28 | $313,651 | $28,374 | $26,427$4,757–$44,238 · 54 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | 27 | $147,203 | $14,960 | $15,139$4,757–$24,030 · 54 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | 27 | $347,998 | $25,340 | $31,401$25,168–$48,876 · 57 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | 27 | $178,421 | $14,079 | $16,847$9,533–$26,625 · 54 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 27 | $316,549 | $29,929 | $31,043$6,760–$52,519 · 53 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | 26 | $82,533 | $7,347 | $8,319$4,757–$12,440 · 54 plans | |
| Major Chest Trauma with Cc 184 | 26 | $70,601 | $8,330 | $9,844$4,757–$14,780 · 54 plans | |
| Appendix Procedures with Cc 398 | 26 | $89,136 | $12,091 | $13,278$6,511–$20,675 · 48 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | 26 | $86,482 | $9,291 | $10,356$4,757–$16,367 · 54 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 26 | $198,435 | $18,424 | $22,890$16,353–$40,418 · 53 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 26 | $207,130 | $19,789 | $23,641$13,511–$39,262 · 53 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 26 | $42,909 | $8,302 | $9,339$4,757–$14,213 · 54 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 25 | $490,373 | $38,999 | $45,488$37,305–$76,200 · 53 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 25 | $69,242 | $9,634 | $10,695$6,636–$16,519 · 53 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 25 | $403,444 | $43,666 | $46,545$39,646–$80,186 · 57 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | 25 | $210,612 | $19,501 | $23,490$7,391–$37,884 · 53 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 25 | $286,773 | $38,267 | $39,813$12,670–$68,224 · 53 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 25 | $78,900 | $13,235 | $14,751$2,544–$17,399 · 50 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 25 | $67,556 | $6,900 | $8,294$2,544–$8,802 · 50 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 24 | $89,987 | $10,342 | $11,667$6,700–$18,097 · 54 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 24 | $295,790 | $28,118 | $21,125$17,121–$34,757 · 53 plans | |
| Nervous System Neoplasms with Mcc 054 | 23 | $88,317 | $11,608 | $13,380$4,757–$21,071 · 54 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | 23 | $90,955 | $7,935 | $8,905$4,757–$12,870 · 54 plans | |
| Complicated Peptic Ulcer with Cc 381 | 23 | $72,128 | $8,819 | $9,993$4,757–$15,044 · 54 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | 23 | $48,597 | $7,096 | $8,057$4,757–$11,352 · 54 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | 23 | $104,969 | $12,200 | $13,507$4,757–$21,281 · 54 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | 23 | $159,191 | $14,870 | $16,957$6,760–$27,293 · 53 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | 22 | $2,545,241 | $372,545 | $211,551$145,954–$221,494 · 44 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 22 | $91,969 | $11,492 | $12,378$7,094–$19,174 · 54 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | 22 | $185,815 | $26,576 | $30,267$6,760–$49,794 · 53 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | 22 | $289,920 | $29,926 | $25,786$7,391–$40,751 · 52 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 22 | $92,886 | $12,681 | $14,571$6,760–$23,028 · 53 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 22 | $139,508 | $11,799 | $14,169$4,757–$22,368 · 54 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | 22 | $58,359 | $7,868 | $8,873$2,359–$9,573 · 50 plans | |
| Carotid Artery Stent Procedures with Cc 035 | 21 | $185,530 | $18,116 | $19,976$6,484–$31,774 · 53 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 21 | $185,291 | $15,457 | $19,462$4,757–$30,876 · 54 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | 21 | $50,998 | $7,402 | $6,517$4,757–$10,300 · 54 plans | |
| Pneumothorax with Mcc 199 | 21 | $123,605 | $13,722 | $15,192$4,757–$24,009 · 54 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | 21 | $364,979 | $33,205 | $35,271$6,760–$58,382 · 53 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | 21 | $56,520 | $7,351 | $8,036$4,757–$11,565 · 54 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | 21 | $64,437 | $8,669 | $9,159$4,757–$14,096 · 54 plans | |
| Signs and Symptoms Without Mcc 948 | 21 | $44,637 | $6,783 | $7,831$4,757–$11,159 · 54 plans | |
| COPD, with major complications 190 | 20 | $95,249 | $8,643 | $10,178$4,757–$15,802 · 54 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | 20 | $481,477 | $42,994 | $43,444$41,084–$74,786 · 57 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | 20 | $113,873 | $13,085 | $15,326$14,500–$24,284 · 53 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | 20 | $41,084 | $5,873 | $6,532$4,757–$8,962 · 54 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 20 | $181,964 | $21,033 | $22,707$21,465–$40,070 · 53 plans | |
| Connective Tissue Disorders with Mcc 545 | 20 | $190,432 | $20,079 | $20,673$4,757–$32,997 · 54 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | 20 | $136,347 | $13,904 | $14,178$4,757–$22,407 · 54 plans | |
| Rehabilitation with Cc/Mcc 945 | 20 | $80,998 | $10,009 | $13,280$2,069–$13,545 · 41 plans | |
| Pleural Effusion with Mcc 186 | 19 | $107,811 | $11,634 | $13,621$4,757–$21,468 · 54 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 19 | $64,422 | $7,193 | $8,156$4,757–$12,223 · 54 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | 19 | $97,400 | $12,162 | $13,956$12,583–$22,055 · 53 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | 19 | $180,367 | $16,507 | $19,480$6,760–$30,925 · 53 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | 19 | $46,403 | $5,960 | $6,674$4,757–$9,181 · 54 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 19 | $76,180 | $7,384 | $8,142$4,757–$11,908 · 54 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | 19 | $230,345 | $22,703 | $24,886$21,883–$44,228 · 53 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | 19 | $202,419 | $18,724 | $20,501$6,760–$32,684 · 53 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | 19 | $63,249 | $11,433 | $13,570$9,038–$21,446 · 53 plans | |
| Renal Failure Without Cc/Mcc 684 | 19 | $44,235 | $5,521 | $6,302$4,757–$8,545 · 54 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | 18 | $330,797 | $52,768 | $47,011$4,417–$59,119 · 42 plans | |
| Extracranial Procedures with Cc 038 | 18 | $115,037 | $15,266 | $14,111$6,466–$22,282 · 53 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 18 | $114,487 | $14,463 | $14,433$4,757–$22,803 · 54 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | 18 | $118,288 | $12,076 | $13,971$4,757–$21,939 · 54 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | 18 | $71,941 | $6,663 | $7,799$4,757–$11,093 · 54 plans | |
| Other Circulatory System O.r. Procedures 264 | 18 | $251,068 | $22,407 | $27,234$21,922–$44,398 · 53 plans | |
| Peritoneal Adhesiolysis with Cc 336 | 18 | $156,543 | $14,888 | $17,824$6,760–$28,845 · 53 plans | |
| Complicated Peptic Ulcer with Mcc 380 | 18 | $83,875 | $14,197 | $16,705$4,757–$26,400 · 54 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | 18 | $186,754 | $22,251 | $25,508$16,093–$41,396 · 53 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | 18 | $123,813 | $15,879 | $17,043$12,368–$26,935 · 53 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 18 | $84,300 | $9,282 | $9,569$4,757–$14,675 · 54 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 18 | $54,680 | $7,631 | $8,713$5,126–$12,802 · 54 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 17 | $165,431 | $22,697 | $19,175$7,146–$30,391 · 54 plans | |
| Other Heart Assist System Implant 215 | 17 | $799,716 | $74,134 | $78,537$73,581–$149,293 · 56 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 17 | $860,091 | $58,931 | $76,444$60,698–$133,668 · 57 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | 17 | $99,758 | $13,037 | $14,567$7,391–$23,026 · 53 plans | |
| Inflammatory Bowel Disease with Cc 386 | 17 | $63,192 | $8,373 | $9,174$4,757–$13,962 · 54 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 17 | $114,593 | $15,208 | $15,210$4,757–$24,038 · 54 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 17 | $398,729 | $30,645 | $36,462$6,760–$62,223 · 53 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | 16 | $561,500 | $39,134 | $31,598$29,869–$52,676 · 53 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 16 | $179,578 | $16,856 | $19,070$6,732–$30,385 · 54 plans | |
| Respiratory Neoplasms with Cc 181 | 16 | $75,396 | $8,467 | $9,897$4,757–$15,641 · 54 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | 16 | $101,517 | $11,746 | $13,074$4,757–$20,334 · 54 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | 16 | $137,060 | $10,977 | $12,600$4,757–$19,789 · 54 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | 16 | $187,189 | $19,089 | $15,419$6,760–$24,539 · 53 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | 16 | $153,475 | $17,966 | $18,359$6,760–$29,804 · 53 plans | |
| Fever and Inflammatory Conditions 864 | 16 | $61,091 | $7,425 | $8,497$4,757–$12,412 · 54 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 16 | $333,622 | $34,993 | $37,555$6,760–$62,356 · 53 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | 15 | $58,790 | $7,447 | $8,703$6,126–$13,189 · 54 plans | |
| Epistaxis Without Mcc 151 | 15 | $43,784 | $6,572 | $7,323$4,757–$10,399 · 54 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | 15 | $137,674 | $14,715 | $16,338$6,760–$25,821 · 53 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | 15 | $507,296 | $49,183 | $56,183$46,841–$88,791 · 51 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | 15 | $426,809 | $55,223 | $43,504$7,391–$74,832 · 53 plans | |
| Cervical Spinal Fusion with Cc 472 | 15 | $197,241 | $25,526 | $24,220$10,231–$40,289 · 54 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 15 | $110,357 | $12,149 | $13,455$12,718–$21,217 · 53 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | 15 | $54,443 | $7,529 | $8,539$4,757–$12,283 · 54 plans | |
| Diabetes Without Cc/Mcc 639 | 15 | $47,768 | $5,854 | $6,461$4,757–$8,648 · 54 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | 14 | $207,322 | $20,499 | $22,777$4,757–$37,704 · 54 plans | |
| Respiratory Signs and Symptoms 204 | 14 | $62,476 | $8,221 | $7,884$4,757–$11,253 · 54 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | 14 | $321,439 | $41,014 | $37,514$35,907–$61,440 · 51 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | 14 | $38,468 | $6,495 | $7,214$5,743–$10,388 · 54 plans | |
| Major Esophageal Disorders with Mcc 368 | 14 | $78,342 | $12,735 | $13,876$4,757–$21,930 · 54 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | 14 | $538,086 | $50,705 | $47,266$39,692–$84,182 · 53 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | 14 | $227,884 | $26,531 | $34,508$6,760–$57,054 · 53 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | 14 | $203,678 | $23,063 | $26,060$18,364–$42,355 · 53 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 14 | $52,716 | $6,985 | $8,061$4,757–$11,499 · 54 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | 14 | $99,020 | $11,476 | $13,238$12,519–$26,043 · 57 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 14 | $115,332 | $16,310 | $15,695$6,760–$25,866 · 53 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | 14 | $41,735 | $6,094 | $6,979$4,757–$9,749 · 54 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | 14 | $100,091 | $14,072 | $15,784$4,757–$25,186 · 54 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | 14 | $335,059 | $49,436 | $25,854$6,760–$43,247 · 53 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 14 | $150,221 | $15,166 | $18,074$6,760–$28,565 · 53 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | 14 | $35,181 | $9,603 | $8,263$4,757–$11,721 · 54 plans | |
| Signs and Symptoms with Mcc 947 | 14 | $82,323 | $10,369 | $11,413$4,757–$17,359 · 54 plans | |
| Major Chest Trauma with Mcc 183 | 13 | $106,857 | $12,262 | $13,403$4,757–$21,109 · 54 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 13 | $339,947 | $33,081 | $33,976$30,028–$57,704 · 57 plans | |
| Otitis Media and Uri Without Mcc 153 | 12 | $49,639 | $6,374 | $7,355$4,757–$10,165 · 54 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | 12 | $81,553 | $9,590 | $8,692$5,537–$12,488 · 54 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | 12 | $284,049 | $32,013 | $45,253$15,488–$75,749 · 53 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 12 | $107,768 | $9,739 | $11,709$4,757–$18,505 · 54 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | 11 | $141,945 | $13,905 | $16,557$6,484–$26,166 · 53 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | 11 | $410,543 | $36,463 | $39,714$38,287–$67,599 · 57 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | 11 | $114,163 | $14,242 | $16,157$11,888–$25,838 · 56 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | 11 | $567,792 | $54,218 | $54,254$38,301–$93,977 · 57 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | 11 | $83,565 | $11,415 | $13,361$6,760–$21,066 · 53 plans | |
| Appendix Procedures Without Cc/Mcc 399 | 11 | $65,715 | $9,000 | $10,460$6,511–$15,636 · 48 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | 11 | $265,563 | $26,002 | $29,762$11,425–$48,797 · 53 plans | |
| Transurethral Procedures with Cc 669 | 11 | $93,723 | $12,073 | $13,571$6,760–$21,407 · 53 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | 11 | $44,257 | $6,462 | $7,913$4,757–$11,389 · 54 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | 11 | $108,929 | $14,741 | $15,539$10,713–$24,558 · 53 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | 11 | $477,362 | $41,218 | $38,415$4,757–$69,516 · 54 plans | |
| Ms-Drg 002 002 | – | – | – | $88,276$83,516–$159,384 · 44 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $80,475$5,214–$119,074 · 47 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $37,137$5,214–$112,966 · 47 plans | |
| Lung Transplant 007 | – | – | – | $100,639$6,298–$129,113 · 41 plans | |
| Ms-Drg 008 008 | – | – | – | $44,528$5,322–$55,878 · 42 plans | |
| Ms-Drg 010 010 | – | – | – | $56,529$5,214–$71,542 · 47 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $43,378$6,760–$72,487 · 53 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $33,921$6,760–$55,885 · 53 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $23,729$6,760–$38,300 · 53 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $93,517$4,327–$119,818 · 41 plans | |
| Ms-Drg 017 017 | – | – | – | $43,212$4,417–$54,160 · 42 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $331,576$316,135–$573,429 · 34 plans | |
| Ms-Drg 019 019 | – | – | – | $56,215$5,472–$84,959 · 45 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $61,823$49,454–$113,556 · 53 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $42,154$39,848–$77,349 · 53 plans | |
| Ms-Drg 022 022 | – | – | – | $25,987$24,566–$59,657 · 53 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $25,466$22,077–$42,531 · 53 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $20,988$19,840–$34,511 · 53 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $47,612$8,176–$79,785 · 54 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $27,776$8,437–$46,655 · 54 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $18,485$8,111–$30,020 · 54 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $35,941$8,174–$59,497 · 54 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $17,994$8,174–$29,142 · 54 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $14,419$8,109–$22,787 · 54 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $31,283$6,484–$52,948 · 53 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $26,863$6,626–$43,831 · 53 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $31,211$27,858–$52,818 · 53 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $18,874$17,923–$32,178 · 53 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $15,352$14,504–$30,082 · 53 plans | |
| Ms-Drg 052 052 | – | – | – | $15,552$4,757–$24,578 · 54 plans | |
| Ms-Drg 053 053 | – | – | – | $9,196$4,757–$14,533 · 54 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $9,505$4,757–$15,021 · 54 plans | |
| Ms-Drg 058 058 | – | – | – | $14,774$4,757–$23,349 · 54 plans | |
| Ms-Drg 059 059 | – | – | – | $11,195$4,757–$16,970 · 54 plans | |
| Ms-Drg 060 060 | – | – | – | $8,742$4,757–$12,956 · 54 plans | |
| Ms-Drg 063 063 | – | – | – | $12,439$4,757–$19,659 · 54 plans | |
| Ms-Drg 067 067 | – | – | – | $12,935$4,757–$20,291 · 54 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $7,493$4,757–$10,824 · 54 plans | |
| Ms-Drg 075 075 | – | – | – | $16,363$4,757–$25,761 · 54 plans | |
| Ms-Drg 076 076 | – | – | – | $8,020$4,757–$12,674 · 54 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | $20,148$18,268–$22,955 · 5 plans | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | $12,485$11,320–$14,225 · 5 plans | |
| Ms-Drg 079 079 | – | – | – | $9,579$8,685–$10,914 · 5 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $15,542$4,757–$24,752 · 54 plans | |
| Ms-Drg 081 081 | – | – | – | $8,557$4,757–$12,136 · 54 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $9,017$6,215–$13,708 · 54 plans | |
| Concussion with Mcc 088 | – | – | – | $12,042$4,757–$19,031 · 54 plans | |
| Concussion with Cc 089 | – | – | – | $10,108$4,757–$15,148 · 54 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $8,004$4,757–$11,911 · 54 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $28,600$4,757–$47,817 · 54 plans | |
| Ms-Drg 095 095 | – | – | – | $21,418$4,757–$34,249 · 54 plans | |
| Ms-Drg 096 096 | – | – | – | $21,418$4,757–$33,986 · 54 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $29,306$4,757–$49,387 · 54 plans | |
| Ms-Drg 098 098 | – | – | – | $19,246$4,757–$30,417 · 54 plans | |
| Ms-Drg 099 099 | – | – | – | $12,123$4,757–$19,006 · 54 plans | |
| Headaches with Mcc 102 | – | – | – | $10,278$4,757–$15,973 · 54 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $19,675$6,760–$31,259 · 53 plans | |
| Ms-Drg 114 114 | – | – | – | $12,051$6,760–$19,046 · 53 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $13,441$6,760–$21,195 · 53 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $15,528$6,760–$24,733 · 53 plans | |
| Ms-Drg 117 117 | – | – | – | $10,003$6,760–$15,128 · 53 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $10,602$4,757–$16,506 · 54 plans | |
| Ms-Drg 122 122 | – | – | – | $7,719$4,757–$10,646 · 54 plans | |
| Neurological Eye Disorders 123 | – | – | – | $7,816$4,757–$10,949 · 54 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $11,823$4,757–$18,608 · 54 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $7,581$4,757–$11,258 · 54 plans | |
| Ms-Drg 135 135 | – | – | – | $18,292$6,760–$28,909 · 53 plans | |
| Ms-Drg 136 136 | – | – | – | $9,472$6,760–$14,969 · 53 plans | |
| Ms-Drg 137 137 | – | – | – | $13,122$6,760–$20,678 · 53 plans | |
| Ms-Drg 138 138 | – | – | – | $8,486$6,760–$12,427 · 53 plans | |
| Ms-Drg 139 139 | – | – | – | $11,155$6,760–$17,486 · 53 plans | |
| Ms-Drg 140 140 | – | – | – | $34,297$6,760–$56,688 · 53 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $18,377$6,760–$29,502 · 53 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $13,911$6,760–$21,984 · 53 plans | |
| Ms-Drg 143 143 | – | – | – | $30,335$6,760–$47,942 · 53 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $14,953$6,760–$23,632 · 53 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $10,900$6,760–$17,072 · 53 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $17,890$4,757–$28,956 · 54 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $11,429$4,757–$18,062 · 54 plans | |
| Ms-Drg 148 148 | – | – | – | $7,805$4,757–$12,016 · 54 plans | |
| Ms-Drg 150 150 | – | – | – | $11,887$4,757–$18,618 · 54 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $10,747$4,757–$16,167 · 54 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $13,659$4,757–$21,531 · 54 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $8,717$4,757–$12,860 · 54 plans | |
| Ms-Drg 156 156 | – | – | – | $6,995$4,757–$9,451 · 54 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $14,830$4,757–$23,436 · 54 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $8,666$4,757–$12,739 · 54 plans | |
| Ms-Drg 159 159 | – | – | – | $7,128$4,757–$9,689 · 54 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $15,492$6,760–$24,483 · 53 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $12,154$6,760–$19,106 · 53 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $24,452$6,511–$38,837 · 48 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $7,483$4,757–$11,471 · 54 plans | |
| Ms-Drg 182 182 | – | – | – | $7,474$4,757–$11,812 · 54 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $7,724$4,757–$10,980 · 54 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $9,272$4,757–$14,323 · 54 plans | |
| Ms-Drg 188 188 | – | – | – | $7,195$4,757–$10,241 · 54 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $6,620$4,757–$9,396 · 54 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $8,966$4,757–$13,807 · 54 plans | |
| Ms-Drg 198 198 | – | – | – | $7,187$4,757–$10,363 · 54 plans | |
| Pneumothorax with Cc 200 | – | – | – | $10,113$4,757–$15,281 · 54 plans | |
| Ms-Drg 201 201 | – | – | – | $7,179$4,757–$10,034 · 54 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $6,834$4,757–$9,731 · 54 plans | |
| Ms-Drg 209 209 | – | – | – | $88,177$73,863–$139,354 · 51 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $84,780$7,391–$133,986 · 52 plans | |
| Ms-Drg 213 213 | – | – | – | $45,309$42,822–$71,607 · 51 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $52,961$49,142–$89,842 · 57 plans | |
| Ms-Drg 218 218 | – | – | – | $52,961$49,142–$89,842 · 57 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $41,400$39,270–$72,028 · 57 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $66,110$60,569–$115,216 · 56 plans | |
| Ms-Drg 232 232 | – | – | – | $48,497$45,955–$86,338 · 56 plans | |
| Ms-Drg 241 241 | – | – | – | $12,291$7,391–$19,425 · 53 plans | |
| Ms-Drg 245 245 | – | – | – | $36,567$28,725–$62,502 · 53 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $18,748$17,480–$29,821 · 57 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $14,803$12,823–$22,178 · 57 plans | |
| Ms-Drg 255 255 | – | – | – | $22,321$14,738–$35,850 · 53 plans | |
| Ms-Drg 256 256 | – | – | – | $14,686$13,882–$23,209 · 53 plans | |
| Ms-Drg 257 257 | – | – | – | $10,059$9,509–$15,897 · 53 plans | |
| Ms-Drg 258 258 | – | – | – | $25,718$14,371–$42,945 · 56 plans | |
| Ms-Drg 259 259 | – | – | – | $17,162$14,218–$27,637 · 56 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $26,563$11,888–$44,458 · 56 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $14,166$11,888–$22,429 · 56 plans | |
| Ms-Drg 263 263 | – | – | – | $25,071$13,377–$39,621 · 53 plans | |
| Ms-Drg 265 265 | – | – | – | $29,354$21,183–$48,087 · 53 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $21,218$20,348–$41,561 · 57 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $47,599$44,541–$76,170 · 51 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $44,235$17,007–$70,978 · 48 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $29,264$12,807–$46,656 · 48 plans | |
| Ms-Drg 284 284 | – | – | – | $7,004$6,783–$11,069 · 54 plans | |
| Ms-Drg 285 285 | – | – | – | $6,291$5,958–$9,830 · 54 plans | |
| Ms-Drg 288 288 | – | – | – | $22,388$6,680–$35,936 · 54 plans | |
| Ms-Drg 289 289 | – | – | – | $14,755$6,680–$23,318 · 54 plans | |
| Ms-Drg 290 290 | – | – | – | $8,818$6,680–$13,684 · 54 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $8,201$6,530–$12,123 · 54 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $6,040$5,643–$8,527 · 54 plans | |
| Ms-Drg 294 294 | – | – | – | $16,861$15,287–$19,210 · 5 plans | |
| Ms-Drg 295 295 | – | – | – | $12,935$11,728–$14,737 · 5 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $13,647$5,537–$21,511 · 54 plans | |
| Ms-Drg 297 297 | – | – | – | $6,559$5,537–$9,358 · 54 plans | |
| Ms-Drg 298 298 | – | – | – | $5,193$4,543–$6,910 · 54 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $10,857$5,537–$16,364 · 54 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $13,753$5,537–$21,559 · 54 plans | |
| Angina Pectoris 311 | – | – | – | $7,078$5,537–$9,868 · 54 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $6,927$5,537–$9,921 · 54 plans | |
| Ms-Drg 318 318 | – | – | – | $20,317$19,624–$33,058 · 51 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $35,807$32,143–$59,314 · 53 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $20,089$18,835–$32,170 · 53 plans | |
| Ms-Drg 325 325 | – | – | – | $26,239$7,391–$41,469 · 52 plans | |
| Ms-Drg 332 332 | – | – | – | $29,374$6,760–$52,795 · 53 plans | |
| Ms-Drg 333 333 | – | – | – | $19,607$6,760–$32,039 · 53 plans | |
| Ms-Drg 334 334 | – | – | – | $14,228$6,760–$22,485 · 53 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $28,993$6,760–$48,847 · 53 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $13,442$6,760–$21,243 · 53 plans | |
| Ms-Drg 338 338 | – | – | – | $37,408$33,639–$42,881 · 5 plans | |
| Ms-Drg 339 339 | – | – | – | $22,699$20,412–$26,020 · 5 plans | |
| Ms-Drg 340 340 | – | – | – | $16,426$14,771–$18,829 · 5 plans | |
| Ms-Drg 341 341 | – | – | – | $31,057$27,928–$35,601 · 5 plans | |
| Ms-Drg 342 342 | – | – | – | $19,162$17,231–$21,966 · 5 plans | |
| Ms-Drg 343 343 | – | – | – | $14,825$13,331–$16,994 · 5 plans | |
| Ms-Drg 344 344 | – | – | – | $21,445$6,760–$35,331 · 53 plans | |
| Ms-Drg 345 345 | – | – | – | $13,210$6,760–$20,877 · 53 plans | |
| Ms-Drg 346 346 | – | – | – | $10,777$6,760–$17,032 · 53 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $19,252$6,760–$31,402 · 53 plans | |
| Ms-Drg 348 348 | – | – | – | $11,714$6,760–$18,415 · 53 plans | |
| Ms-Drg 349 349 | – | – | – | $8,366$6,760–$13,096 · 53 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $20,751$6,760–$33,118 · 53 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $10,637$6,760–$16,093 · 53 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $23,884$7,391–$39,697 · 53 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $11,990$7,391–$18,841 · 53 plans | |
| Ms-Drg 358 358 | – | – | – | $12,394$6,760–$19,497 · 53 plans | |
| Ms-Drg 359 359 | – | – | – | $27,983$26,446–$45,390 · 51 plans | |
| Ms-Drg 360 360 | – | – | – | $20,317$19,565–$33,045 · 51 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $9,356$4,757–$14,598 · 54 plans | |
| Ms-Drg 370 370 | – | – | – | $7,069$4,757–$10,213 · 54 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $7,273$4,757–$10,434 · 54 plans | |
| Ms-Drg 376 376 | – | – | – | $8,777$4,757–$13,724 · 54 plans | |
| Ms-Drg 382 382 | – | – | – | $7,832$4,757–$10,975 · 54 plans | |
| Ms-Drg 383 383 | – | – | – | $12,263$4,757–$18,881 · 54 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $8,246$4,757–$12,379 · 54 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $13,803$4,757–$21,767 · 54 plans | |
| Ms-Drg 387 387 | – | – | – | $6,920$4,757–$9,879 · 54 plans | |
| Ms-Drg 397 397 | – | – | – | $20,010$6,511–$31,624 · 48 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $32,427$19,583–$56,377 · 48 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $18,671$7,391–$29,541 · 53 plans | |
| Ms-Drg 408 408 | – | – | – | $28,953$6,760–$48,775 · 53 plans | |
| Ms-Drg 409 409 | – | – | – | $18,348$6,760–$28,997 · 53 plans | |
| Ms-Drg 410 410 | – | – | – | $13,844$6,760–$21,849 · 53 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $26,949$6,760–$45,187 · 53 plans | |
| Ms-Drg 412 412 | – | – | – | $17,776$6,760–$28,761 · 53 plans | |
| Ms-Drg 413 413 | – | – | – | $14,400$6,760–$22,758 · 53 plans | |
| Ms-Drg 414 414 | – | – | – | $28,930$6,760–$48,521 · 53 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $17,503$6,760–$27,662 · 53 plans | |
| Ms-Drg 416 416 | – | – | – | $12,130$6,760–$19,140 · 53 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $27,742$6,760–$46,606 · 53 plans | |
| Ms-Drg 421 421 | – | – | – | $14,988$6,760–$23,768 · 53 plans | |
| Ms-Drg 422 422 | – | – | – | $12,406$6,760–$19,574 · 53 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $33,440$6,760–$55,978 · 53 plans | |
| Ms-Drg 424 424 | – | – | – | $18,429$6,760–$29,929 · 53 plans | |
| Ms-Drg 425 425 | – | – | – | $13,176$6,760–$20,785 · 53 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $85,272$46,619–$138,677 · 48 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $56,857$32,726–$91,485 · 48 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $44,661$26,141–$73,589 · 48 plans | |
| Ms-Drg 429 429 | – | – | – | $70,538$37,825–$113,712 · 48 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $45,769$26,002–$74,164 · 48 plans | |
| Ms-Drg 434 434 | – | – | – | $7,159$4,757–$9,681 · 54 plans | |
| Ms-Drg 437 437 | – | – | – | $8,234$4,757–$13,013 · 54 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $6,463$4,757–$8,616 · 54 plans | |
| Ms-Drg 443 443 | – | – | – | $7,061$4,757–$9,569 · 54 plans | |
| Ms-Drg 447 447 | – | – | – | $52,755$30,936–$84,820 · 48 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $34,110$20,138–$59,466 · 48 plans | |
| Ms-Drg 450 450 | – | – | – | $42,427$24,532–$74,630 · 48 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $26,392$16,029–$45,298 · 48 plans | |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | – | – | – | $73,323$73,323–$73,323 · 4 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | – | – | – | $73,323$73,323–$73,323 · 4 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | – | – | – | $73,323$73,323–$73,323 · 4 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $65,907$40,660–$114,952 · 53 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $33,589$29,880–$73,323 · 53 plans | |
| Spinal Fusion Except Cervical with Mcc 459 | – | – | – | $78,560$78,560–$78,560 · 4 plans | |
| Spinal fusion (lower or mid back) 460 | – | – | – | $78,560$78,560–$78,560 · 4 plans | |
| Ms-Drg 461 461 | – | – | – | $43,905$35,262–$75,550 · 53 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $22,035$20,830–$48,330 · 53 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $15,647$14,514–$24,728 · 53 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $41,479$22,655–$75,902 · 53 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $38,601$10,084–$66,034 · 54 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $20,364$10,084–$36,661 · 54 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $19,100$6,760–$30,274 · 53 plans | |
| Ms-Drg 476 476 | – | – | – | $10,731$6,760–$16,779 · 53 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $28,105$6,760–$45,913 · 53 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $15,916$6,760–$25,153 · 53 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $26,367$7,436–$44,144 · 53 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $17,689$14,844–$28,605 · 53 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $13,680$8,079–$21,620 · 53 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $15,228$7,843–$24,197 · 53 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $10,247$7,766–$16,194 · 53 plans | |
| Ms-Drg 495 495 | – | – | – | $29,412$9,739–$48,703 · 53 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $15,496$8,457–$24,676 · 53 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $10,946$8,457–$17,299 · 53 plans | |
| Ms-Drg 498 498 | – | – | – | $24,761$6,760–$39,684 · 53 plans | |
| Ms-Drg 499 499 | – | – | – | $17,107$6,760–$26,993 · 53 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $25,891$6,760–$42,653 · 53 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $15,069$6,760–$23,815 · 53 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $11,997$6,760–$18,852 · 53 plans | |
| Ms-Drg 503 503 | – | – | – | $23,037$7,481–$37,095 · 53 plans | |
| Foot Procedures with Cc 504 | – | – | – | $15,994$7,215–$25,277 · 53 plans | |
| Ms-Drg 505 505 | – | – | – | $15,411$7,777–$24,355 · 53 plans | |
| Ms-Drg 506 506 | – | – | – | $12,022$6,760–$19,000 · 53 plans | |
| Ms-Drg 507 507 | – | – | – | $15,515$10,247–$24,710 · 53 plans | |
| Ms-Drg 508 508 | – | – | – | $13,284$10,247–$20,716 · 53 plans | |
| Ms-Drg 509 509 | – | – | – | $22,554$20,281–$25,853 · 5 plans | |
| Ms-Drg 510 510 | – | – | – | $24,789$10,247–$40,012 · 53 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $17,600$6,500–$27,815 · 53 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $14,361$6,624–$22,683 · 53 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $13,742$6,760–$21,683 · 53 plans | |
| Ms-Drg 514 514 | – | – | – | $9,525$6,760–$14,465 · 53 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $30,264$12,898–$51,109 · 54 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $16,995$7,952–$26,859 · 54 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $13,128$8,669–$20,625 · 54 plans | |
| Ms-Drg 533 533 | – | – | – | $13,691$4,757–$21,439 · 54 plans | |
| Ms-Drg 534 534 | – | – | – | $7,874$4,757–$11,213 · 54 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $11,509$4,757–$17,594 · 54 plans | |
| Ms-Drg 537 537 | – | – | – | $9,006$4,757–$13,274 · 54 plans | |
| Ms-Drg 538 538 | – | – | – | $7,218$4,757–$10,191 · 54 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $16,762$4,757–$26,491 · 54 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $11,618$4,757–$18,176 · 54 plans | |
| Ms-Drg 541 541 | – | – | – | $7,731$4,757–$11,485 · 54 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $7,480$4,757–$10,877 · 54 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $10,527$4,757–$16,409 · 54 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $8,104$4,757–$11,771 · 54 plans | |
| Ms-Drg 548 548 | – | – | – | $16,466$4,757–$26,406 · 54 plans | |
| Ms-Drg 549 549 | – | – | – | $10,938$4,757–$17,057 · 54 plans | |
| Ms-Drg 550 550 | – | – | – | $8,393$4,757–$12,380 · 54 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $11,618$4,757–$18,040 · 54 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $11,813$4,757–$18,496 · 54 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $15,962$4,757–$25,225 · 54 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $10,318$4,757–$15,401 · 54 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $7,857$4,757–$11,226 · 54 plans | |
| Ms-Drg 566 566 | – | – | – | $7,440$4,757–$10,597 · 54 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $24,182$6,760–$39,088 · 53 plans | |
| Skin Debridement with Cc 571 | – | – | – | $14,622$6,760–$23,108 · 53 plans | |
| Ms-Drg 572 572 | – | – | – | $10,472$6,760–$16,034 · 53 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $51,760$6,760–$85,543 · 53 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $28,233$6,760–$46,136 · 53 plans | |
| Ms-Drg 575 575 | – | – | – | $15,443$6,760–$24,406 · 53 plans | |
| Ms-Drg 576 576 | – | – | – | $39,155$6,760–$67,044 · 53 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $21,964$6,760–$35,229 · 53 plans | |
| Ms-Drg 578 578 | – | – | – | $13,987$6,760–$22,081 · 53 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $26,454$6,760–$43,041 · 53 plans | |
| Ms-Drg 582 582 | – | – | – | $16,433$6,760–$25,970 · 53 plans | |
| Ms-Drg 583 583 | – | – | – | $14,888$6,760–$23,535 · 53 plans | |
| Ms-Drg 584 584 | – | – | – | $18,068$6,760–$28,555 · 53 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $16,452$6,760–$26,001 · 53 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $16,499$4,757–$26,075 · 54 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $10,778$4,757–$16,279 · 54 plans | |
| Ms-Drg 594 594 | – | – | – | $8,337$4,757–$11,854 · 54 plans | |
| Ms-Drg 595 595 | – | – | – | $17,916$4,757–$28,314 · 54 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $9,985$4,757–$14,804 · 54 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $14,451$4,757–$22,838 · 54 plans | |
| Ms-Drg 598 598 | – | – | – | $10,358$4,757–$16,369 · 54 plans | |
| Ms-Drg 599 599 | – | – | – | $7,593$4,757–$10,960 · 54 plans | |
| Ms-Drg 600 600 | – | – | – | $9,673$4,757–$14,253 · 54 plans | |
| Ms-Drg 601 601 | – | – | – | $6,338$4,757–$9,027 · 54 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $12,961$4,980–$20,383 · 54 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $13,275$4,757–$20,899 · 54 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $8,640$4,757–$12,395 · 54 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $18,459$6,760–$29,982 · 53 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $12,405$6,760–$19,605 · 53 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $28,355$6,760–$47,705 · 53 plans | |
| Ms-Drg 618 618 | – | – | – | $12,550$6,760–$19,401 · 53 plans | |
| Ms-Drg 619 619 | – | – | – | $23,772$13,710–$34,150 · 57 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $13,940$13,183–$26,862 · 57 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $28,904$6,760–$48,342 · 53 plans | |
| Ms-Drg 624 624 | – | – | – | $11,279$6,760–$17,125 · 53 plans | |
| Ms-Drg 625 625 | – | – | – | $24,786$6,760–$40,138 · 53 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $13,170$6,760–$20,813 · 53 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $11,863$6,760–$18,170 · 53 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $30,184$6,760–$49,533 · 53 plans | |
| Ms-Drg 630 630 | – | – | – | $12,865$6,760–$20,260 · 53 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $12,579$4,757–$19,448 · 54 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $7,585$4,757–$10,842 · 54 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $30,024$5,539–$85,445 · 54 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $41,410$6,760–$71,083 · 53 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $23,099$6,760–$38,292 · 53 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $17,884$6,760–$28,264 · 53 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $26,036$6,760–$44,128 · 53 plans | |
| Ms-Drg 662 662 | – | – | – | $25,102$6,760–$40,689 · 53 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $13,328$6,760–$21,064 · 53 plans | |
| Ms-Drg 664 664 | – | – | – | $9,713$6,760–$15,351 · 53 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $25,558$6,760–$41,482 · 53 plans | |
| Ms-Drg 666 666 | – | – | – | $15,079$6,760–$23,830 · 53 plans | |
| Ms-Drg 667 667 | – | – | – | $10,166$6,760–$15,132 · 53 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $24,021$6,760–$38,808 · 53 plans | |
| Ms-Drg 670 670 | – | – | – | $9,181$6,760–$14,101 · 53 plans | |
| Ms-Drg 671 671 | – | – | – | $15,428$6,760–$24,382 · 53 plans | |
| Ms-Drg 672 672 | – | – | – | $9,962$6,760–$15,672 · 53 plans | |
| Ms-Drg 675 675 | – | – | – | $14,254$6,760–$22,527 · 53 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $15,494$4,757–$25,095 · 54 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $9,720$4,757–$15,361 · 54 plans | |
| Ms-Drg 688 688 | – | – | – | $7,753$4,757–$11,213 · 54 plans | |
| Ms-Drg 691 691 | – | – | – | Not in dollars (2 plans) | |
| Ms-Drg 692 692 | – | – | – | Not in dollars (2 plans) | |
| Ms-Drg 693 693 | – | – | – | $11,986$6,757–$18,619 · 57 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $7,687$6,732–$12,001 · 57 plans | |
| Ms-Drg 695 695 | – | – | – | $10,453$4,757–$16,076 · 54 plans | |
| Ms-Drg 697 697 | – | – | – | $9,949$4,757–$14,739 · 54 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $6,986$4,757–$10,093 · 54 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $16,996$10,049–$26,860 · 53 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $13,435$7,995–$21,186 · 53 plans | |
| Ms-Drg 709 709 | – | – | – | $19,492$6,760–$30,979 · 53 plans | |
| Ms-Drg 710 710 | – | – | – | $12,419$6,760–$19,628 · 53 plans | |
| Ms-Drg 711 711 | – | – | – | $17,634$6,760–$28,493 · 53 plans | |
| Ms-Drg 712 712 | – | – | – | $10,116$6,760–$15,388 · 53 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $13,200$6,760–$20,805 · 53 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $9,793$6,760–$14,464 · 53 plans | |
| Ms-Drg 715 715 | – | – | – | $18,806$6,760–$30,604 · 53 plans | |
| Ms-Drg 716 716 | – | – | – | $12,953$6,760–$20,403 · 53 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $16,157$6,760–$25,535 · 53 plans | |
| Ms-Drg 718 718 | – | – | – | $11,976$6,760–$18,373 · 53 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $15,540$4,757–$24,748 · 54 plans | |
| Ms-Drg 723 723 | – | – | – | $10,445$4,757–$16,507 · 54 plans | |
| Ms-Drg 724 724 | – | – | – | $6,725$4,757–$9,895 · 54 plans | |
| Ms-Drg 725 725 | – | – | – | $10,655$4,757–$16,839 · 54 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $7,231$4,757–$10,413 · 54 plans | |
| Ms-Drg 727 727 | – | – | – | $13,044$4,757–$20,302 · 54 plans | |
| Ms-Drg 729 729 | – | – | – | $9,803$4,757–$14,478 · 54 plans | |
| Ms-Drg 730 730 | – | – | – | $6,849$4,757–$9,104 · 54 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $17,987$6,389–$29,128 · 54 plans | |
| Ms-Drg 735 735 | – | – | – | $11,994$6,389–$18,940 · 54 plans | |
| Ms-Drg 736 736 | – | – | – | $29,021$6,760–$48,896 · 53 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $17,456$6,760–$27,588 · 53 plans | |
| Ms-Drg 738 738 | – | – | – | $12,934$6,760–$20,372 · 53 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $29,084$16,282–$49,010 · 53 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $12,610$9,768–$19,508 · 53 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $15,732$10,022–$24,862 · 53 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $11,193$7,920–$16,972 · 53 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $17,369$6,760–$27,449 · 53 plans | |
| Ms-Drg 745 745 | – | – | – | $10,405$6,760–$16,285 · 53 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $14,985$6,760–$23,683 · 53 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $8,283$6,760–$12,694 · 53 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $12,313$6,623–$19,365 · 53 plans | |
| Ms-Drg 749 749 | – | – | – | $21,329$6,760–$35,123 · 53 plans | |
| Ms-Drg 750 750 | – | – | – | $12,989$6,760–$20,462 · 53 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $10,026$4,757–$15,844 · 54 plans | |
| Ms-Drg 756 756 | – | – | – | $9,053$4,757–$13,139 · 54 plans | |
| Ms-Drg 757 757 | – | – | – | $12,654$4,757–$19,998 · 54 plans | |
| Ms-Drg 758 758 | – | – | – | $9,194$4,757–$13,719 · 54 plans | |
| Ms-Drg 759 759 | – | – | – | $6,785$4,757–$9,560 · 54 plans | |
| Ms-Drg 760 760 | – | – | – | $9,412$4,757–$13,778 · 54 plans | |
| Ms-Drg 761 761 | – | – | – | $6,074$4,757–$8,252 · 54 plans | |
| Ms-Drg 768 768 | – | – | – | $9,358$3,988–$9,902 · 57 plans | |
| Ms-Drg 769 769 | – | – | – | $14,624$6,760–$23,112 · 53 plans | |
| Ms-Drg 770 770 | – | – | – | $9,375$6,760–$13,716 · 53 plans | |
| Ms-Drg 776 776 | – | – | – | $6,717$4,757–$10,180 · 54 plans | |
| Ms-Drg 779 779 | – | – | – | $8,143$4,757–$12,868 · 54 plans | |
| Ms-Drg 783 783 | – | – | – | $15,239$5,331–$20,470 · 54 plans | |
| Ms-Drg 784 784 | – | – | – | $9,280$5,331–$9,814 · 54 plans | |
| Ms-Drg 785 785 | – | – | – | $8,811$5,331–$9,215 · 54 plans | |
| C-section, with major complications 786 | – | – | – | $12,331$5,331–$14,316 · 54 plans | |
| C-section, with complications 787 | – | – | – | $9,689$5,331–$10,247 · 54 plans | |
| C-section 788 | – | – | – | $8,650$5,331–$9,163 · 54 plans | |
| Ms-Drg 789 789 | – | – | – | $15,179$3,509–$15,543 · 49 plans | |
| Ms-Drg 790 790 | – | – | – | $44,576$3,509–$47,117 · 49 plans | |
| Ms-Drg 791 791 | – | – | – | $30,957$3,509–$32,722 · 49 plans | |
| Ms-Drg 792 792 | – | – | – | $19,323$3,509–$20,425 · 49 plans | |
| Ms-Drg 793 793 | – | – | – | $31,756$3,509–$33,566 · 49 plans | |
| Ms-Drg 794 794 | – | – | – | $12,290$2,724–$12,990 · 49 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $3,142$1,071–$3,242 · 46 plans | |
| Ms-Drg 796 796 | – | – | – | $7,629$3,988–$10,631 · 57 plans | |
| Ms-Drg 797 797 | – | – | – | $7,629$3,988–$9,358 · 57 plans | |
| Ms-Drg 798 798 | – | – | – | $7,629$3,988–$9,027 · 57 plans | |
| Ms-Drg 799 799 | – | – | – | $36,311$6,760–$61,952 · 53 plans | |
| Ms-Drg 800 800 | – | – | – | $23,176$6,760–$38,430 · 53 plans | |
| Ms-Drg 801 801 | – | – | – | $16,298$6,760–$25,757 · 53 plans | |
| Ms-Drg 802 802 | – | – | – | $32,149$6,760–$52,950 · 53 plans | |
| Ms-Drg 803 803 | – | – | – | $15,916$6,760–$25,228 · 53 plans | |
| Ms-Drg 804 804 | – | – | – | $12,074$6,760–$18,978 · 53 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $8,849$4,087–$9,960 · 54 plans | |
| Vaginal birth, with complications 806 | – | – | – | $7,073$4,087–$7,476 · 54 plans | |
| Vaginal birth 807 | – | – | – | $6,673$4,087–$6,866 · 54 plans | |
| Ms-Drg 810 810 | – | – | – | $9,711$4,757–$14,313 · 54 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $17,961$4,757–$28,386 · 54 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $9,462$4,757–$14,100 · 54 plans | |
| Ms-Drg 816 816 | – | – | – | $6,544$4,757–$9,157 · 54 plans | |
| Ms-Drg 817 817 | – | – | – | $19,145$4,848–$30,849 · 53 plans | |
| Ms-Drg 818 818 | – | – | – | $10,571$4,848–$16,706 · 53 plans | |
| Ms-Drg 819 819 | – | – | – | $8,285$4,848–$13,093 · 53 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $46,516$6,760–$80,226 · 53 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $18,816$6,760–$30,622 · 53 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $10,913$6,760–$17,247 · 53 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $36,738$6,760–$62,716 · 53 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $19,022$6,760–$31,690 · 53 plans | |
| Ms-Drg 825 825 | – | – | – | $12,024$6,760–$19,002 · 53 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $37,448$6,760–$67,185 · 53 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $19,371$6,760–$33,283 · 53 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $14,731$6,760–$23,312 · 53 plans | |
| Ms-Drg 830 830 | – | – | – | $13,212$6,760–$20,881 · 53 plans | |
| Ms-Drg 831 831 | – | – | – | $10,902$3,995–$16,445 · 54 plans | |
| Ms-Drg 832 832 | – | – | – | $7,228$3,995–$10,547 · 54 plans | |
| Ms-Drg 833 833 | – | – | – | $5,710$3,995–$7,518 · 54 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $17,649$4,757–$28,528 · 54 plans | |
| Ms-Drg 836 836 | – | – | – | $11,032$4,757–$17,434 · 54 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $17,661$4,757–$29,890 · 54 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $12,746$4,757–$20,143 · 54 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $9,434$4,757–$14,910 · 54 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $16,954$4,757–$27,279 · 54 plans | |
| Ms-Drg 844 844 | – | – | – | $11,015$4,757–$17,409 · 54 plans | |
| Ms-Drg 845 845 | – | – | – | $8,221$4,757–$12,961 · 54 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $21,519$4,757–$35,857 · 54 plans | |
| Ms-Drg 848 848 | – | – | – | $8,204$4,757–$12,966 · 54 plans | |
| Radiotherapy 849 | – | – | – | $22,413$4,757–$37,053 · 54 plans | |
| Ms-Drg 850 850 | – | – | – | $67,863$6,511–$109,367 · 48 plans | |
| Ms-Drg 855 855 | – | – | – | $13,153$6,760–$20,728 · 53 plans | |
| Ms-Drg 858 858 | – | – | – | $12,356$6,760–$19,435 · 53 plans | |
| Viral Illness with Mcc 865 | – | – | – | $13,161$4,757–$20,712 · 54 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $8,359$4,757–$11,962 · 54 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $17,705$4,757–$28,625 · 54 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $9,592$4,757–$14,846 · 54 plans | |
| Ms-Drg 869 869 | – | – | – | $7,290$4,757–$10,283 · 54 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $30,626$2,524–$38,533 · 49 plans | |
| Depressive Neuroses 881 | – | – | – | $8,729$2,359–$9,381 · 50 plans | |
| Neuroses Except Depressive 882 | – | – | – | $9,724$2,359–$10,706 · 50 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $16,408$2,359–$19,604 · 50 plans | |
| Ms-Drg 886 886 | – | – | – | $17,224$2,359–$20,691 · 50 plans | |
| Ms-Drg 887 887 | – | – | – | $9,702$2,359–$10,677 · 50 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $6,302$2,544–$6,561 · 50 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $12,284$2,544–$14,114 · 50 plans | |
| Ms-Drg 901 901 | – | – | – | $33,773$6,760–$57,085 · 53 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $16,340$6,760–$26,189 · 53 plans | |
| Ms-Drg 903 903 | – | – | – | $10,650$6,760–$16,458 · 53 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $29,774$6,760–$49,841 · 53 plans | |
| Ms-Drg 905 905 | – | – | – | $13,047$6,760–$20,620 · 53 plans | |
| Ms-Drg 906 906 | – | – | – | $16,721$6,760–$28,642 · 53 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $11,743$6,760–$18,514 · 53 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $14,202$4,757–$22,424 · 54 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $8,480$4,757–$12,507 · 54 plans | |
| Ms-Drg 915 915 | – | – | – | $14,561$4,757–$23,013 · 54 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $6,806$4,757–$9,321 · 54 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $6,975$4,757–$9,807 · 54 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $15,079$4,757–$23,831 · 54 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $9,490$4,757–$13,917 · 54 plans | |
| Ms-Drg 927 927 | – | – | – | $164,806$156,986–$260,458 · 34 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $56,506$53,825–$89,302 · 34 plans | |
| Ms-Drg 929 929 | – | – | – | $26,319$25,070–$41,594 · 34 plans | |
| Ms-Drg 933 933 | – | – | – | $31,463$29,766–$49,723 · 35 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $18,602$17,599–$29,399 · 35 plans | |
| Non-Extensive Burns 935 | – | – | – | $17,452$16,511–$27,581 · 35 plans | |
| Ms-Drg 939 939 | – | – | – | $29,433$6,760–$48,224 · 53 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $19,567$6,760–$31,074 · 53 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $17,205$6,760–$27,191 · 53 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $10,271$2,069–$10,476 · 41 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $10,804$4,757–$16,270 · 54 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $6,511$4,757–$9,729 · 54 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $5,963$4,757–$7,880 · 54 plans | |
| Ms-Drg 955 955 | – | – | – | $53,133$32,081–$89,459 · 53 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $31,356$29,624–$78,116 · 53 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $61,097$58,019–$103,486 · 53 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $34,902$32,974–$71,195 · 53 plans | |
| Ms-Drg 959 959 | – | – | – | $24,917$23,541–$69,836 · 53 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $22,599$16,324–$36,302 · 54 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $13,555$12,786–$21,155 · 54 plans | |
| Ms-Drg 965 965 | – | – | – | $9,118$8,620–$14,327 · 54 plans | |
| Ms-Drg 969 969 | – | – | – | $48,475$6,760–$81,355 · 53 plans | |
| Ms-Drg 970 970 | – | – | – | $21,862$6,760–$36,078 · 53 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $23,761$4,757–$38,323 · 54 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $11,608$4,757–$18,141 · 54 plans | |
| Ms-Drg 976 976 | – | – | – | $8,612$4,757–$13,100 · 54 plans | |
| Ms-Drg 977 977 | – | – | – | $11,629$4,757–$18,193 · 54 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $20,496$6,760–$33,630 · 53 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $14,809$6,760–$23,404 · 53 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $27,905$6,760–$45,565 · 53 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $14,271$6,760–$22,554 · 53 plans | |
| Ms-Drg 989 989 | – | – | – | $10,876$6,760–$16,411 · 53 plans | |
| Ms-Drg 998 998 | – | – | – | $1,716$1,657–$1,861 · 30 plans | |
| Ms-Drg 999 999 | – | – | – | $1,716$1,657–$1,861 · 30 plans |
Outpatient procedures and tests
The hospital's facility charge only; doctors usually bill separately.
| Procedure | List price | Cash price | Insurers (median) |
|---|---|---|---|
| C-section, with prenatal and postpartum care CPT 59510 | – | – | $6,483$423–$28,623 · 12 plans |
| Cataract surgery CPT 66984 | – | – | $3,695$889–$6,305 · 44 plans |
| Colonoscopy CPT 45378 | – | – | $1,517$365–$3,320 · 44 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $1,798$449–$3,320 · 44 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$7–$21 · 72 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,732 | $2,732 | $11$10–$1,344 · 89 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $14,859 | $14,859 | $867$318–$10,699 · 47 plans |
| Emergency room visit, highest level CPT 99285 | $4,559 | $4,559 | $3,920$790–$7,073 · 44 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $6,990$1,975–$11,513 · 44 plans |
| Hip replacement CPT 27130 | – | – | $20,844$948–$38,974 · 42 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $5,240$1,138–$9,529 · 44 plans |
| Knee replacement CPT 27447 | – | – | $20,844$948–$38,974 · 42 plans |
| MRI of the brain, with and without contrast CPT 70553 | $12,741 | $12,741 | $867$335–$9,174 · 47 plans |
| MRI of the knee, without contrast CPT 73721 | $6,646 | $6,646 | $529$213–$4,785 · 47 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $6,483$423–$25,816 · 12 plans |
Price file: Methodist Hospital, read November 9, 2026.