HCA Florida North Florida Hospital
6500 W Newberry Rd, Gainesville, FL 32605 · (352) 333-4100
The money
$6what care cost the hospital for every $100 it billed
$234.8Mnet income, all sources
30.6%margin on patient care alone
$35.1Mcost of charity care (6.6% of costs)
$34.0Munpaid bills written off (bad debt)
472beds
From the hospital's Medicare cost report for the year ending February 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 | 511 | $189,801 | $16,745 | $18,049$11,184–$31,262 · 43 plans | |
| Heart failure, with major complications 291 | 312 | $110,004 | $11,565 | $12,781$8,616–$24,175 · 44 plans | |
| Stomach and digestive disorders 392 | 166 | $90,788 | $7,293 | $8,292$5,392–$23,747 · 43 plans | |
| Pneumonia, with major complications 193 | 143 | $131,251 | $11,842 | $12,820$8,047–$24,507 · 42 plans | |
| Kidney failure, with major complications 682 | 128 | $139,666 | $12,914 | $14,350$8,828–$27,236 · 42 plans | |
| Lung infection, with major complications 177 | 117 | $139,197 | $13,993 | $15,099$9,210–$33,245 · 42 plans | |
| Urinary tract infection 690 | 116 | $85,257 | $7,412 | $8,501$5,424–$22,321 · 42 plans | |
| Back problems (no surgery) 552 | 114 | $90,471 | $8,682 | $9,349$6,257–$17,722 · 42 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 103 | $287,496 | $49,908 | $59,472$34,567–$125,421 · 44 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 103 | $125,470 | $11,398 | $12,640$8,146–$22,435 · 42 plans | |
| Heart attack, with major complications 280 | 99 | $182,640 | $14,146 | $15,777$9,419–$30,406 · 44 plans | |
| Hip or knee replacement 470 | 98 | $225,600 | $17,483 | $18,993$12,783–$39,603 · 43 plans | |
| Fainting 312 | 91 | $93,301 | $8,166 | $8,756$5,761–$16,068 · 42 plans | |
| Stroke, with major complications 064 | 88 | $213,928 | $16,943 | $18,752$11,548–$32,384 · 44 plans | |
| Kidney failure, with complications 683 | 88 | $90,913 | $8,297 | $9,133$5,790–$22,321 · 42 plans | |
| Irregular heartbeat, with complications 309 | 87 | $80,856 | $7,073 | $7,798$5,017–$14,113 · 42 plans | |
| Sepsis 872 | 86 | $107,913 | $10,123 | $10,637$8,201–$23,824 · 43 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 85 | $148,603 | $16,313 | $16,691$10,306–$29,523 · 42 plans | |
| Dehydration and electrolyte problems 641 | 85 | $82,690 | $7,406 | $8,203$5,251–$14,346 · 42 plans | |
| Stomach or intestinal bleeding, with complications 378 | 82 | $94,225 | $9,093 | $9,992$6,368–$18,080 · 42 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 76 | $219,546 | $18,086 | $20,845$13,576–$37,469 · 44 plans | |
| Stroke, with complications or clot-busting drug 065 | 75 | $144,468 | $9,772 | $10,704$8,462–$27,681 · 44 plans | |
| Chest pain 313 | 67 | $81,179 | $6,488 | $7,719$5,045–$16,382 · 43 plans | |
| Urinary tract infection, with major complications 689 | 67 | $109,803 | $10,269 | $11,410$7,325–$22,434 · 42 plans | |
| Anemia and blood disorders, with major complications 811 | 64 | $123,894 | $12,169 | $12,990$8,286–$22,680 · 42 plans | |
| Heart catheterization 287 | 63 | $187,527 | $9,944 | $11,087$7,084–$17,539 · 43 plans | |
| Other kidney and urinary problems, with major complications 698 | 63 | $151,010 | $13,947 | $15,175$9,648–$26,719 · 42 plans | |
| Delirium and other mental confusion 884 | 62 | $93,946 | $14,053 | $14,494$1,302–$19,702 · 35 plans | |
| Respiratory failure 189 | 61 | $117,375 | $11,067 | $12,095$7,677–$31,065 · 42 plans | |
| Hip replacement after a hip fracture 522 | 61 | $235,074 | $17,721 | $21,358$13,170–$41,055 · 43 plans | |
| Anemia and blood disorders 812 | 60 | $85,352 | $8,314 | $8,875$4,477–$14,829 · 42 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 58 | $241,039 | $21,980 | $25,985$11,463–$54,713 · 42 plans | |
| Irregular heartbeat 310 | 57 | $61,834 | $5,636 | $6,124$4,459–$15,761 · 41 plans | |
| Other digestive problems, with complications 394 | 57 | $98,081 | $8,847 | $9,569$6,120–$17,326 · 42 plans | |
| Infection needing surgery, with major complications 853 | 57 | $478,528 | $40,797 | $44,755$14,171–$87,766 · 42 plans | |
| Heart stent 322 | 55 | $326,097 | $15,864 | $18,078$14,621–$44,094 · 44 plans | |
| Heart attack, with complications 281 | 54 | $139,784 | $8,652 | $9,546$6,381–$29,831 · 44 plans | |
| Pneumonia, with complications 194 | 53 | $94,745 | $10,267 | $8,467$5,404–$24,001 · 42 plans | |
| High blood pressure 305 | 52 | $85,884 | $6,940 | $7,687$5,124–$13,921 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 52 | $207,539 | $17,573 | $19,830$12,308–$37,414 · 42 plans | |
| Mini-stroke (TIA) 069 | 51 | $111,309 | $7,357 | $8,385$6,732–$24,133 · 44 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 48 | $101,839 | $11,556 | $12,040$1,364–$23,885 · 42 plans | |
| Skin infection (cellulitis) 603 | 48 | $85,182 | $8,608 | $9,086$5,763–$22,321 · 42 plans | |
| Heart catheterization, with major complications 286 | 47 | $319,273 | $20,006 | $20,256$12,785–$34,479 · 44 plans | |
| Spinal fusion (lower or mid back) 460 | 46 | $290,297 | $28,654 | – | |
| Other circulation problems, with major complications 314 | 45 | $144,321 | $17,672 | $19,226$10,818–$33,677 · 42 plans | |
| Stomach and digestive disorders, with major complications 391 | 44 | $113,387 | $11,486 | $11,801$6,987–$20,483 · 42 plans | |
| Fracture or sprain (not hip or thigh) 563 | 41 | $91,011 | $8,227 | $8,760$5,754–$14,467 · 42 plans | |
| Bowel surgery, with complications 330 | 40 | $329,077 | $23,269 | $23,196$12,979–$71,668 · 43 plans | |
| Bowel obstruction, with complications 389 | 39 | $95,095 | $7,354 | $8,313$5,315–$14,596 · 42 plans | |
| COPD, with major complications 190 | 38 | $87,611 | $9,986 | $11,133$7,069–$20,493 · 42 plans | |
| Other kidney and urinary problems, with complications 699 | 38 | $100,900 | $8,970 | $9,830$6,557–$18,712 · 42 plans | |
| Heart stent, with major complications or 4+ stents 321 | 37 | $404,568 | $23,842 | $26,471$20,488–$58,223 · 43 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 37 | $111,348 | $14,492 | $14,916$9,394–$25,829 · 42 plans | |
| Irregular heartbeat, with major complications 308 | 36 | $95,173 | $10,984 | $11,467$7,530–$21,891 · 42 plans | |
| Seizures with Mcc 100 | 35 | $152,626 | $16,801 | $17,642$8,895–$31,280 · 42 plans | |
| Diabetes, with complications 638 | 35 | $94,700 | $8,214 | $9,145$5,902–$16,522 · 42 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 35 | $85,265 | $7,628 | $8,267$1,151–$10,977 · 38 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 34 | $240,645 | $14,827 | $16,119$10,802–$27,136 · 44 plans | |
| Psychoses 885 | 33 | $43,913 | $12,197 | $12,794$1,205–$18,664 · 35 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 31 | $91,093 | $7,830 | $8,820$5,609–$18,506 · 42 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 31 | $510,596 | $42,083 | $48,521$31,461–$84,615 · 44 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 31 | $216,745 | $26,781 | $29,326$18,206–$44,587 · 44 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 31 | $305,173 | $29,084 | $33,762$19,429–$55,571 · 43 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 31 | $182,971 | $13,070 | $14,780$10,146–$25,815 · 42 plans | |
| Bowel surgery, with major complications 329 | 30 | $436,066 | $34,362 | $41,706$15,903–$78,392 · 44 plans | |
| Peripheral Vascular Disorders with Cc 300 | 29 | $98,108 | $10,410 | $10,808$8,930–$25,464 · 44 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 29 | $136,644 | $13,146 | $13,623$8,759–$23,851 · 42 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 29 | $178,057 | $16,827 | $18,278$10,374–$31,885 · 42 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | 29 | $169,741 | $13,942 | $16,785$12,443–$32,219 · 44 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 29 | $88,595 | $7,719 | $8,483$5,414–$18,410 · 42 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 29 | $166,244 | $12,850 | $13,135$8,249–$34,925 · 42 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 28 | $134,643 | $19,056 | $19,919$1,376–$37,519 · 42 plans | |
| Seizures 101 | 28 | $96,355 | $8,310 | $9,041$5,914–$16,640 · 42 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 28 | $157,138 | $11,867 | $13,364$8,324–$25,669 · 42 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 28 | $151,807 | $13,619 | $15,288$9,561–$27,916 · 44 plans | |
| Other Disorders of Nervous System with Cc 092 | 27 | $100,008 | $8,702 | $10,341$6,601–$18,895 · 42 plans | |
| Dysequilibrium 149 | 27 | $93,278 | $7,863 | $7,471$5,003–$12,247 · 42 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 27 | $148,334 | $21,572 | $20,901$12,375–$92,270 · 41 plans | |
| Medical Back Problems with Mcc 551 | 27 | $161,160 | $14,375 | $15,364$8,017–$27,070 · 42 plans | |
| Pulmonary Embolism Without Mcc 176 | 26 | $98,198 | $7,525 | $8,458$5,399–$25,432 · 42 plans | |
| Disorders of the Biliary Tract with Cc 445 | 26 | $124,639 | $10,057 | $10,490$6,989–$20,176 · 42 plans | |
| Cervical Spinal Fusion with Cc 472 | 26 | $274,841 | $27,293 | $28,331$16,407–$52,494 · 43 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 25 | $111,536 | $9,732 | $10,369$6,618–$18,915 · 42 plans | |
| Headaches Without Mcc 103 | 25 | $102,081 | $7,855 | $8,432$5,519–$14,884 · 42 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 25 | $269,796 | $24,627 | $21,897$13,194–$31,015 · 44 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 25 | $245,438 | $22,504 | $26,478$15,802–$46,732 · 43 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 25 | $262,256 | $24,492 | $26,826$17,059–$45,426 · 44 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 25 | $289,164 | $24,090 | $27,621$17,500–$53,391 · 43 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 24 | $96,050 | $9,326 | $9,972$6,549–$17,721 · 42 plans | |
| Lung infection, with complications 178 | 24 | $91,616 | $10,044 | $9,948$6,342–$33,245 · 42 plans | |
| Rehabilitation with Cc/Mcc 945 | 24 | $111,074 | $12,140 | $14,394$3,502–$18,977 · 35 plans | |
| Respiratory Neoplasms with Mcc 180 | 23 | $169,863 | $15,613 | $16,476$10,262–$30,453 · 42 plans | |
| Other Vascular Procedures with Cc 253 | 23 | $236,249 | $25,359 | $25,513$14,582–$45,708 · 44 plans | |
| Other Vascular Procedures with Mcc 252 | 22 | $250,155 | $28,806 | $31,828$19,230–$53,698 · 44 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 22 | $88,976 | $9,446 | $10,652$6,785–$20,220 · 42 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | 22 | $141,304 | $10,236 | $11,273$7,188–$20,852 · 42 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 21 | $121,581 | $14,704 | $15,497$9,735–$26,887 · 42 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 21 | $329,378 | $31,266 | $38,186$13,827–$74,785 · 42 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | 20 | $160,423 | $10,277 | $12,323$9,814–$33,456 · 44 plans | |
| Cellulitis with Mcc 602 | 20 | $109,044 | $12,220 | $13,404$8,548–$24,020 · 42 plans | |
| Diabetes, with major complications 637 | 20 | $123,179 | $12,296 | $13,474$8,606–$23,203 · 42 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | 19 | $499,782 | $35,445 | $41,448$23,599–$76,029 · 44 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 19 | $86,497 | $5,631 | $5,971$4,463–$10,979 · 42 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 19 | $314,356 | $22,322 | $19,096$11,492–$57,207 · 42 plans | |
| Complications of Treatment with Cc 920 | 19 | $87,655 | $9,485 | $9,717$6,487–$18,478 · 42 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 18 | $659,533 | $46,221 | $55,934$33,620–$91,716 · 44 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | 18 | $640,722 | $37,161 | $40,535$28,603–$79,947 · 44 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 18 | $178,067 | $15,529 | $17,022$10,318–$29,663 · 42 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | 18 | $273,322 | $40,675 | – | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | 18 | $215,170 | $25,447 | $28,853$16,092–$51,469 · 42 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | 18 | $209,801 | $23,208 | $17,923$10,893–$56,231 · 42 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 18 | $313,609 | $30,563 | $34,264$13,657–$62,006 · 42 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 17 | $431,311 | $45,683 | $51,812$31,682–$99,680 · 44 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 17 | $128,721 | $10,832 | $12,346$7,992–$24,016 · 42 plans | |
| Other Disorders of Nervous System with Mcc 091 | 17 | $174,055 | $15,135 | $16,308$10,211–$28,363 · 42 plans | |
| Atherosclerosis Without Mcc 303 | 17 | $60,548 | $5,994 | $7,202$4,672–$12,542 · 42 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 17 | $79,221 | $8,611 | $9,829$6,272–$19,268 · 42 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 17 | $191,644 | $13,829 | $16,732$10,296–$29,176 · 42 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 17 | $233,731 | $20,889 | $25,316$15,500–$43,274 · 42 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 17 | $191,478 | $19,571 | $20,314$11,210–$35,663 · 42 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 17 | $142,227 | $14,579 | $14,486$1,212–$18,467 · 38 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 17 | $183,471 | $17,725 | $13,622$1,462–$25,330 · 42 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 16 | $73,285 | $9,845 | $9,784$6,316–$17,904 · 42 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 16 | $679,379 | $56,465 | $72,600$41,047–$117,048 · 44 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 16 | $853,022 | $56,908 | $71,761$40,875–$115,936 · 44 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 16 | $263,875 | $35,146 | $38,707$24,671–$67,967 · 44 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 16 | $209,279 | $14,209 | $16,514$10,386–$36,546 · 44 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | 16 | $206,395 | $12,246 | $13,548$8,805–$23,054 · 43 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 16 | $236,015 | $20,350 | $23,340$14,443–$40,959 · 42 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 16 | $106,835 | $9,237 | $10,388$6,629–$18,952 · 42 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 16 | $103,017 | $7,995 | $8,380$5,523–$15,312 · 42 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 16 | $93,343 | $8,383 | $8,899$5,188–$14,794 · 42 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 16 | $143,431 | $10,868 | $10,654$6,670–$25,595 · 42 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | 16 | $205,174 | $19,764 | $22,221$12,968–$47,669 · 42 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 16 | $566,764 | $46,935 | $55,554$15,781–$75,553 · 43 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 15 | $704,634 | $90,429 | $130,349$65,812–$245,941 · 41 plans | |
| Major Chest Procedures with Mcc 163 | 15 | $441,308 | $37,008 | $40,684$13,958–$79,769 · 42 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 15 | $318,538 | $31,916 | $34,682$23,842–$62,249 · 44 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | 15 | $138,120 | $6,781 | $7,784$5,179–$23,013 · 44 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 15 | $91,252 | $9,392 | $10,322$6,590–$22,991 · 42 plans | |
| Complications of Treatment with Mcc 919 | 15 | $164,365 | $16,068 | $16,716$9,359–$29,568 · 42 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | 14 | $97,105 | $6,349 | $7,512$5,796–$27,681 · 44 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | 14 | $90,324 | $8,100 | $8,899$7,181–$24,133 · 44 plans | |
| Respiratory Neoplasms with Cc 181 | 14 | $85,732 | $9,903 | $10,790$6,866–$19,961 · 42 plans | |
| Respiratory Signs and Symptoms 204 | 14 | $73,349 | $7,422 | $8,481$5,413–$14,976 · 42 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 14 | $566,188 | $49,878 | $51,853$33,167–$98,542 · 44 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 14 | $213,935 | $28,748 | $30,639$17,691–$61,094 · 41 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 14 | $108,872 | $7,537 | $8,722$5,447–$26,853 · 41 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 14 | $141,088 | $14,463 | $15,319$9,007–$26,986 · 42 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | 14 | $96,515 | $7,557 | $8,955$5,828–$15,888 · 42 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | 14 | $150,914 | $12,892 | $13,169$7,359–$23,011 · 42 plans | |
| Urinary Stones Without Mcc 694 | 14 | $93,574 | $7,201 | $7,702$4,764–$13,493 · 42 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | 14 | $101,761 | $8,218 | $9,201$1,302–$11,905 · 35 plans | |
| Major Chest Procedures with Cc 164 | 13 | $325,693 | $21,855 | $23,923$12,968–$51,200 · 42 plans | |
| Interstitial Lung Disease with Mcc 196 | 13 | $172,825 | $16,554 | $17,529$10,344–$30,554 · 42 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | 13 | $112,967 | $8,279 | $9,243$6,150–$17,350 · 42 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 13 | $155,406 | $16,730 | $18,013$12,634–$36,155 · 42 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | 13 | $68,690 | $6,046 | $6,794$4,535–$12,258 · 42 plans | |
| Coagulation Disorders 813 | 13 | $114,522 | $13,797 | $14,331$9,035–$26,904 · 42 plans | |
| Signs and Symptoms Without Mcc 948 | 13 | $70,549 | $7,284 | $8,001$1,339–$14,758 · 42 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | 12 | $56,978 | $6,542 | $6,905$4,544–$18,506 · 42 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 12 | $138,267 | $15,304 | $16,718$9,800–$29,571 · 42 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | 12 | $61,280 | $6,665 | $7,767$6,085–$25,464 · 44 plans | |
| Hypertension with Mcc 304 | 12 | $125,118 | $10,288 | $11,212$7,274–$19,219 · 42 plans | |
| Digestive Malignancy with Cc 375 | 12 | $139,521 | $10,945 | $11,859$7,556–$22,299 · 42 plans | |
| Inflammatory Bowel Disease with Cc 386 | 12 | $138,529 | $9,164 | $9,951$6,344–$18,129 · 42 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 12 | $270,444 | $54,996 | – | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | 12 | $195,172 | $20,452 | $23,609$14,244–$35,987 · 43 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 11 | $1,308,096 | $140,752 | $199,330$100,302–$376,094 · 41 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 11 | $700,882 | $39,309 | $42,488$24,741–$66,107 · 44 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | 11 | $393,587 | $24,621 | $30,819$18,278–$55,398 · 44 plans | |
| Digestive Malignancy with Mcc 374 | 11 | $214,118 | $14,674 | $19,406$11,043–$34,541 · 42 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | 11 | $553,306 | $34,434 | $27,376$13,218–$76,655 · 42 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 11 | $164,892 | $16,086 | $16,197$10,265–$28,530 · 42 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | 11 | $229,573 | $16,917 | $13,711$6,941–$24,014 · 42 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 11 | $222,190 | $29,579 | $23,541$13,091–$45,791 · 42 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 11 | $224,158 | $17,665 | $20,412$12,217–$57,207 · 42 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 11 | $277,480 | $18,051 | $23,321$12,968–$62,217 · 42 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $248,048$132,103–$454,183 · 41 plans | |
| Ms-Drg 002 002 | – | – | – | $106,778$54,027–$223,913 · 41 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $97,224$45,620–$198,910 · 40 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $44,149$21,737–$198,910 · 40 plans | |
| Lung Transplant 007 | – | – | – | $116,167$56,733–$231,226 · 40 plans | |
| Ms-Drg 008 008 | – | – | – | $53,201$25,810–$101,642 · 40 plans | |
| Ms-Drg 010 010 | – | – | – | $66,971$32,424–$128,706 · 40 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $49,350$14,412–$88,882 · 42 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $38,314$13,833–$75,116 · 42 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $27,207$13,209–$56,371 · 42 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $113,197$52,541–$214,674 · 40 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $56,243$26,911–$195,699 · 40 plans | |
| Ms-Drg 017 017 | – | – | – | $51,589$24,817–$195,699 · 40 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $376,103$94,569–$719,003 · 38 plans | |
| Ms-Drg 019 019 | – | – | – | $67,514$32,251–$127,976 · 40 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $72,979$39,092–$136,500 · 44 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $50,294$30,091–$121,781 · 44 plans | |
| Ms-Drg 022 022 | – | – | – | $31,502$20,095–$121,781 · 44 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $37,543$24,523–$76,055 · 44 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $30,420$18,062–$54,551 · 44 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $24,617$17,257–$48,522 · 44 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $53,374$32,695–$96,355 · 44 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $33,246$21,507–$59,758 · 44 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $21,082$16,307–$39,972 · 44 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $39,867$24,396–$56,157 · 42 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $20,804$16,253–$39,078 · 42 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $16,216$13,784–$32,532 · 42 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $35,062$20,670–$49,043 · 44 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $22,697$17,166–$42,473 · 44 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $19,551$16,086–$38,954 · 44 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $30,079$18,208–$44,312 · 44 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $16,254$13,472–$36,050 · 44 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $34,978$16,075–$47,003 · 44 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $20,937$16,036–$37,574 · 44 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $16,135$9,392–$34,738 · 44 plans | |
| Ms-Drg 052 052 | – | – | – | $16,880$10,305–$33,018 · 42 plans | |
| Ms-Drg 053 053 | – | – | – | $9,978$6,360–$24,464 · 42 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $14,345$9,043–$28,040 · 42 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $10,309$6,583–$18,797 · 42 plans | |
| Ms-Drg 058 058 | – | – | – | $15,893$9,968–$27,609 · 42 plans | |
| Ms-Drg 059 059 | – | – | – | $11,796$7,702–$22,876 · 42 plans | |
| Ms-Drg 060 060 | – | – | – | $9,420$6,032–$17,164 · 42 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $25,797$11,467–$49,576 · 42 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $16,885$10,216–$38,622 · 42 plans | |
| Ms-Drg 063 063 | – | – | – | $13,641$8,466–$38,622 · 42 plans | |
| Ms-Drg 067 067 | – | – | – | $13,826$8,139–$26,405 · 44 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $7,879$5,130–$13,941 · 42 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $14,737$8,764–$25,910 · 42 plans | |
| Ms-Drg 075 075 | – | – | – | $17,826$10,360–$34,878 · 42 plans | |
| Ms-Drg 076 076 | – | – | – | $8,651$5,511–$22,588 · 42 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $16,868$10,304–$30,478 · 42 plans | |
| Ms-Drg 081 081 | – | – | – | $9,254$5,899–$19,315 · 42 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $21,108$11,246–$41,322 · 42 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $13,568$8,428–$27,033 · 42 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $9,758$6,231–$26,888 · 42 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | – | – | – | $20,570$10,914–$36,692 · 42 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $9,124$5,995–$16,863 · 42 plans | |
| Concussion with Mcc 088 | – | – | – | $12,531$6,345–$21,832 · 42 plans | |
| Concussion with Cc 089 | – | – | – | $10,423$6,233–$17,743 · 42 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $8,072$4,724–$13,295 · 42 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $8,375$5,351–$14,680 · 42 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $31,469$11,706–$56,839 · 42 plans | |
| Ms-Drg 095 095 | – | – | – | $23,607$11,383–$41,655 · 42 plans | |
| Ms-Drg 096 096 | – | – | – | $23,607$11,383–$41,655 · 42 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $32,277$11,706–$58,332 · 42 plans | |
| Ms-Drg 098 098 | – | – | – | $21,190$11,250–$38,244 · 42 plans | |
| Ms-Drg 099 099 | – | – | – | $13,261$8,272–$25,352 · 42 plans | |
| Headaches with Mcc 102 | – | – | – | $10,726$6,937–$18,103 · 42 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $20,950$8,025–$37,971 · 42 plans | |
| Ms-Drg 114 114 | – | – | – | $12,731$7,746–$21,851 · 42 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $13,924$5,707–$24,789 · 42 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $16,518$8,351–$29,201 · 42 plans | |
| Ms-Drg 117 117 | – | – | – | $10,457$6,802–$17,791 · 42 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $11,093$7,152–$18,788 · 42 plans | |
| Ms-Drg 122 122 | – | – | – | $7,969$5,293–$14,487 · 42 plans | |
| Neurological Eye Disorders 123 | – | – | – | $8,086$5,329–$14,546 · 42 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $12,280$6,986–$21,368 · 42 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $7,578$4,850–$12,400 · 42 plans | |
| Ms-Drg 135 135 | – | – | – | $19,391$8,267–$35,046 · 42 plans | |
| Ms-Drg 136 136 | – | – | – | $9,833$6,433–$16,779 · 42 plans | |
| Ms-Drg 137 137 | – | – | – | $14,044$9,021–$24,923 · 42 plans | |
| Ms-Drg 138 138 | – | – | – | $8,890$5,847–$16,337 · 42 plans | |
| Ms-Drg 139 139 | – | – | – | $11,749$7,565–$19,957 · 42 plans | |
| Ms-Drg 140 140 | – | – | – | $38,754$13,856–$75,979 · 42 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $20,775$12,424–$49,396 · 42 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $15,409$9,610–$49,396 · 42 plans | |
| Ms-Drg 143 143 | – | – | – | $31,337$13,458–$41,801 · 42 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $16,181$10,238–$27,623 · 42 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $11,569$8,939–$20,861 · 42 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $19,220$10,954–$34,197 · 42 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $12,068$7,846–$23,441 · 42 plans | |
| Ms-Drg 148 148 | – | – | – | $8,383$5,356–$16,803 · 42 plans | |
| Ms-Drg 150 150 | – | – | – | $12,173$4,973–$21,504 · 42 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $7,277$4,800–$11,854 · 42 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $11,272$7,427–$21,794 · 42 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $7,651$5,031–$13,609 · 42 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $14,381$7,136–$25,251 · 42 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $9,133$5,955–$16,300 · 42 plans | |
| Ms-Drg 156 156 | – | – | – | $7,100$4,771–$12,741 · 42 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $15,720$8,356–$27,727 · 42 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $9,102$5,977–$16,773 · 42 plans | |
| Ms-Drg 159 159 | – | – | – | $7,085$4,768–$11,481 · 42 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $18,326$11,099–$51,173 · 42 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $34,051$13,610–$66,743 · 42 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $17,309$10,580–$44,104 · 42 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $13,309$8,495–$28,759 · 42 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $28,075$13,253–$53,925 · 42 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $7,982$5,124–$24,726 · 42 plans | |
| Ms-Drg 182 182 | – | – | – | $7,970$5,117–$19,348 · 42 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $14,300$9,057–$24,708 · 42 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $10,251$6,828–$19,617 · 42 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $7,975$5,297–$14,499 · 42 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $14,626$9,191–$28,593 · 42 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $10,071$6,415–$19,370 · 42 plans | |
| Ms-Drg 188 188 | – | – | – | $7,621$4,915–$16,775 · 42 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $6,776$4,533–$22,321 · 42 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $9,695$6,194–$19,173 · 42 plans | |
| Ms-Drg 198 198 | – | – | – | $7,612$4,910–$14,899 · 42 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $16,459$10,252–$32,192 · 42 plans | |
| Pneumothorax with Cc 200 | – | – | – | $11,055$7,022–$22,449 · 42 plans | |
| Ms-Drg 201 201 | – | – | – | $7,601$4,904–$15,139 · 42 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $7,172$4,655–$12,515 · 42 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $56,941$13,187–$103,922 · 42 plans | |
| Ms-Drg 209 209 | – | – | – | $102,632$60,113–$182,400 · 43 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $100,563$24,712–$191,422 · 44 plans | |
| Ms-Drg 213 213 | – | – | – | $52,686$32,281–$92,305 · 43 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $93,917$60,642–$197,239 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $87,935$52,005–$128,727 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $63,751$36,196–$116,814 · 44 plans | |
| Ms-Drg 218 218 | – | – | – | $62,576$36,196–$116,814 · 44 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $48,147$33,167–$98,366 · 44 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $47,941$33,506–$88,368 · 44 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $31,418$25,670–$86,060 · 44 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $79,632$50,800–$146,161 · 44 plans | |
| Ms-Drg 232 232 | – | – | – | $59,384$37,487–$125,693 · 44 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $52,118$32,141–$91,556 · 44 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $44,063$14,163–$79,487 · 42 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $26,919$13,195–$51,211 · 42 plans | |
| Ms-Drg 241 241 | – | – | – | $13,463$8,594–$43,558 · 42 plans | |
| Ms-Drg 245 245 | – | – | – | $41,402$24,914–$81,180 · 42 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $20,788$12,431–$33,786 · 44 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $15,030$11,050–$28,978 · 44 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $17,768$12,401–$32,820 · 44 plans | |
| Ms-Drg 255 255 | – | – | – | $24,778$13,123–$48,531 · 42 plans | |
| Ms-Drg 256 256 | – | – | – | $16,340$10,085–$32,706 · 42 plans | |
| Ms-Drg 257 257 | – | – | – | $11,196$6,983–$32,512 · 42 plans | |
| Ms-Drg 258 258 | – | – | – | $28,742$17,427–$52,064 · 43 plans | |
| Ms-Drg 259 259 | – | – | – | $19,873$13,026–$36,386 · 43 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $29,434$15,163–$52,349 · 43 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $17,760$12,909–$33,987 · 43 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $15,414$12,600–$29,887 · 43 plans | |
| Ms-Drg 263 263 | – | – | – | $27,031$10,723–$49,378 · 42 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $30,511$15,834–$59,163 · 43 plans | |
| Ms-Drg 265 265 | – | – | – | $33,966$20,489–$64,651 · 42 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | – | – | – | $46,376$33,506–$103,257 · 44 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $60,813$37,299–$91,144 · 44 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $25,119$20,933–$54,667 · 44 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $37,508$22,523–$70,501 · 43 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $69,703$57,290–$131,578 · 44 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $59,111$48,364–$150,569 · 43 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $45,636$37,338–$127,752 · 43 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $50,599$27,503–$96,855 · 44 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $33,857$21,612–$63,112 · 44 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $18,391$10,397–$35,986 · 42 plans | |
| Ms-Drg 284 284 | – | – | – | $7,383$4,777–$23,552 · 42 plans | |
| Ms-Drg 285 285 | – | – | – | $6,494$4,509–$23,552 · 42 plans | |
| Ms-Drg 288 288 | – | – | – | $26,087$13,829–$51,634 · 42 plans | |
| Ms-Drg 289 289 | – | – | – | $16,739$9,954–$51,276 · 42 plans | |
| Ms-Drg 290 290 | – | – | – | $9,513$6,087–$41,546 · 42 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $9,001$6,829–$22,196 · 44 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $6,352$4,827–$22,196 · 44 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $15,092$9,207–$29,768 · 42 plans | |
| Ms-Drg 297 297 | – | – | – | $6,828$4,538–$28,207 · 42 plans | |
| Ms-Drg 298 298 | – | – | – | $5,123$3,820–$20,338 · 42 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $11,401$7,495–$21,636 · 42 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $14,708$9,272–$25,450 · 42 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $9,118$5,996–$16,835 · 42 plans | |
| Angina Pectoris 311 | – | – | – | $7,476$4,831–$12,998 · 42 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $7,287$4,722–$14,580 · 42 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $60,634$32,602–$116,144 · 44 plans | |
| Ms-Drg 318 318 | – | – | – | $23,430$12,474–$41,464 · 43 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $38,931$19,680–$49,541 · 44 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $22,455$13,591–$36,327 · 44 plans | |
| Ms-Drg 325 325 | – | – | – | $30,718$18,494–$56,294 · 44 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $44,967$14,194–$80,548 · 42 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $23,190$12,968–$46,524 · 42 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $15,463$9,637–$30,941 · 42 plans | |
| Ms-Drg 332 332 | – | – | – | $33,989$13,555–$64,694 · 42 plans | |
| Ms-Drg 333 333 | – | – | – | $22,254$12,968–$52,849 · 42 plans | |
| Ms-Drg 334 334 | – | – | – | $15,790$9,804–$39,072 · 42 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $32,564$13,532–$63,200 · 42 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $20,111$12,047–$40,511 · 42 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $14,845$9,322–$28,452 · 42 plans | |
| Ms-Drg 344 344 | – | – | – | $23,639$13,069–$41,713 · 42 plans | |
| Ms-Drg 345 345 | – | – | – | $14,567$9,180–$27,651 · 42 plans | |
| Ms-Drg 346 346 | – | – | – | $11,924$7,501–$21,868 · 42 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $20,473$8,763–$37,075 · 42 plans | |
| Ms-Drg 348 348 | – | – | – | $12,401$7,939–$21,138 · 42 plans | |
| Ms-Drg 349 349 | – | – | – | $8,628$5,695–$14,917 · 42 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $22,492$11,226–$40,245 · 42 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $14,323$9,222–$26,114 · 42 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $11,199$7,190–$18,860 · 42 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $26,075$11,591–$46,868 · 42 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $15,731$10,002–$27,262 · 42 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $12,723$8,127–$21,722 · 42 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $39,890$13,916–$74,788 · 42 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $22,101$12,968–$47,452 · 42 plans | |
| Ms-Drg 358 358 | – | – | – | $13,587$8,669–$40,035 · 42 plans | |
| Ms-Drg 359 359 | – | – | – | $32,939$17,480–$55,412 · 43 plans | |
| Ms-Drg 360 360 | – | – | – | $23,356$13,093–$43,631 · 43 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $14,924$9,356–$29,178 · 42 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $10,176$6,476–$19,280 · 42 plans | |
| Ms-Drg 370 370 | – | – | – | $7,465$4,825–$19,121 · 42 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $16,539$10,285–$32,350 · 42 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $7,719$4,971–$22,991 · 42 plans | |
| Ms-Drg 376 376 | – | – | – | $9,462$6,057–$17,207 · 42 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $17,864$10,334–$31,690 · 42 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $10,792$6,935–$19,975 · 42 plans | |
| Ms-Drg 382 382 | – | – | – | $8,416$5,375–$16,102 · 42 plans | |
| Ms-Drg 383 383 | – | – | – | $12,783$7,663–$22,299 · 42 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $8,591$5,609–$14,997 · 42 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $14,839$9,306–$26,766 · 42 plans | |
| Ms-Drg 387 387 | – | – | – | $7,279$4,717–$16,971 · 42 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $6,971$4,550–$12,439 · 42 plans | |
| Ms-Drg 397 397 | – | – | – | $22,738$12,968–$43,251 · 42 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $14,649$9,222–$27,979 · 42 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $11,637$7,273–$21,179 · 42 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $38,382$23,060–$141,315 · 42 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $50,827$14,420–$97,078 · 42 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $21,129$12,624–$69,495 · 42 plans | |
| Ms-Drg 408 408 | – | – | – | $32,568$13,529–$63,730 · 42 plans | |
| Ms-Drg 409 409 | – | – | – | $20,740$12,404–$48,318 · 42 plans | |
| Ms-Drg 410 410 | – | – | – | $15,329$9,569–$36,441 · 42 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $30,179$13,406–$59,138 · 42 plans | |
| Ms-Drg 412 412 | – | – | – | $20,054$12,014–$39,403 · 42 plans | |
| Ms-Drg 413 413 | – | – | – | $15,997$9,910–$30,458 · 42 plans | |
| Ms-Drg 414 414 | – | – | – | $31,847$13,528–$57,537 · 42 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $19,551$11,828–$37,490 · 42 plans | |
| Ms-Drg 416 416 | – | – | – | $13,135$8,478–$25,133 · 42 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $31,104$13,455–$60,955 · 42 plans | |
| Ms-Drg 421 421 | – | – | – | $16,704$10,271–$45,167 · 42 plans | |
| Ms-Drg 422 422 | – | – | – | $13,602$8,678–$40,179 · 42 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $37,753$13,804–$73,208 · 42 plans | |
| Ms-Drg 424 424 | – | – | – | $20,838$12,459–$46,617 · 42 plans | |
| Ms-Drg 425 425 | – | – | – | $14,527$9,159–$46,617 · 42 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $103,873$53,283–$193,130 · 43 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $67,011$37,295–$148,018 · 42 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $53,364$30,656–$138,958 · 42 plans | |
| Ms-Drg 429 429 | – | – | – | $85,055$44,128–$158,177 · 43 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $54,721$31,336–$138,958 · 42 plans | |
| Ms-Drg 434 434 | – | – | – | $7,577$4,889–$20,047 · 42 plans | |
| Ms-Drg 437 437 | – | – | – | $8,919$5,666–$17,791 · 42 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $15,417$9,555–$30,655 · 41 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $6,646$4,459–$24,223 · 41 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $9,847$6,283–$18,582 · 42 plans | |
| Ms-Drg 443 443 | – | – | – | $7,455$4,819–$13,417 · 42 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $8,350$5,508–$15,252 · 42 plans | |
| Ms-Drg 447 447 | – | – | – | $60,292$20,462–$109,378 · 43 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $38,917$18,178–$62,613 · 43 plans | |
| Ms-Drg 450 450 | – | – | – | $48,241$28,818–$94,810 · 43 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $31,283$17,887–$57,250 · 43 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $75,639$40,760–$137,575 · 44 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $56,555$29,875–$103,688 · 44 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $39,805$20,991–$151,236 · 43 plans | |
| Ms-Drg 461 461 | – | – | – | $49,964$29,506–$96,111 · 44 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $26,486$16,290–$106,099 · 43 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $51,027$26,756–$92,049 · 42 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $28,498$15,761–$55,836 · 42 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $17,831$10,675–$39,695 · 42 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $45,290$26,052–$63,696 · 44 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $28,046$16,990–$50,772 · 43 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $43,776$24,129–$63,156 · 43 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $38,228$13,869–$69,332 · 42 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $21,644$12,916–$41,148 · 42 plans | |
| Ms-Drg 476 476 | – | – | – | $11,867$7,468–$33,942 · 42 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $30,903$13,477–$55,793 · 42 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $22,655$12,968–$42,132 · 42 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $17,753$10,840–$33,852 · 42 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $29,725$15,728–$57,193 · 43 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $20,333$11,955–$43,689 · 43 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $15,423$9,715–$28,831 · 43 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $16,502$10,418–$32,276 · 42 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $11,430$7,119–$21,444 · 42 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $33,130$16,204–$59,297 · 42 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $18,528$11,995–$32,406 · 42 plans | |
| Ms-Drg 495 495 | – | – | – | $32,725$18,178–$58,556 · 42 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $17,646$10,582–$33,120 · 42 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $11,652$7,623–$22,276 · 42 plans | |
| Ms-Drg 498 498 | – | – | – | $27,078$11,765–$48,722 · 42 plans | |
| Ms-Drg 499 499 | – | – | – | $18,324$11,570–$32,540 · 42 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $27,956$10,325–$51,112 · 42 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $15,993$10,169–$28,232 · 42 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $12,668$7,614–$21,737 · 42 plans | |
| Ms-Drg 503 503 | – | – | – | $25,106$7,863–$45,077 · 42 plans | |
| Foot Procedures with Cc 504 | – | – | – | $17,224$7,807–$30,188 · 42 plans | |
| Ms-Drg 505 505 | – | – | – | $16,384$7,772–$28,954 · 42 plans | |
| Ms-Drg 506 506 | – | – | – | $12,821$8,230–$22,234 · 42 plans | |
| Ms-Drg 507 507 | – | – | – | $16,836$10,594–$32,933 · 42 plans | |
| Ms-Drg 508 508 | – | – | – | $14,233$9,225–$27,821 · 42 plans | |
| Ms-Drg 510 510 | – | – | – | $27,110$10,966–$48,782 · 42 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $19,079$10,760–$33,583 · 42 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $15,414$8,858–$27,561 · 42 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $14,263$5,994–$25,425 · 42 plans | |
| Ms-Drg 514 514 | – | – | – | $9,847$5,788–$16,510 · 42 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $34,047$20,527–$53,127 · 44 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $19,280$12,869–$33,173 · 44 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $14,885$10,547–$24,804 · 43 plans | |
| Ms-Drg 533 533 | – | – | – | $15,145$9,234–$28,754 · 42 plans | |
| Ms-Drg 534 534 | – | – | – | $8,469$5,405–$24,294 · 42 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $12,346$7,895–$23,634 · 42 plans | |
| Ms-Drg 537 537 | – | – | – | $9,303$6,133–$16,371 · 42 plans | |
| Ms-Drg 538 538 | – | – | – | $7,368$4,932–$13,279 · 42 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $18,776$10,374–$35,791 · 42 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $12,654$7,962–$28,307 · 42 plans | |
| Ms-Drg 541 541 | – | – | – | $8,291$5,302–$28,307 · 42 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $7,978$5,121–$15,946 · 42 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $22,403$10,480–$40,080 · 42 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $11,016$7,292–$21,263 · 42 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $8,645$5,571–$15,416 · 42 plans | |
| Ms-Drg 548 548 | – | – | – | $17,946$10,367–$35,112 · 42 plans | |
| Ms-Drg 549 549 | – | – | – | $11,837$7,545–$25,026 · 42 plans | |
| Ms-Drg 550 550 | – | – | – | $9,117$5,780–$25,026 · 42 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $12,046$7,810–$20,936 · 42 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $8,375$5,538–$15,303 · 42 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $12,269$6,760–$21,347 · 42 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $17,014$9,137–$30,119 · 42 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $10,772$7,149–$20,760 · 42 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $8,448$5,393–$14,883 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $14,207$8,113–$24,930 · 42 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $9,467$6,333–$17,963 · 42 plans | |
| Ms-Drg 566 566 | – | – | – | $7,927$5,092–$13,814 · 42 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $27,610$13,237–$52,797 · 42 plans | |
| Skin Debridement with Cc 571 | – | – | – | $16,263$10,046–$41,544 · 42 plans | |
| Ms-Drg 572 572 | – | – | – | $11,644$7,281–$37,462 · 42 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $57,960$14,559–$105,807 · 42 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $31,677$13,485–$62,081 · 42 plans | |
| Ms-Drg 575 575 | – | – | – | $17,250$10,550–$37,462 · 42 plans | |
| Ms-Drg 576 576 | – | – | – | $42,905$13,377–$79,156 · 42 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $24,174$13,101–$42,810 · 42 plans | |
| Ms-Drg 578 578 | – | – | – | $14,755$8,478–$25,944 · 42 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $29,015$13,072–$52,303 · 42 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $16,137$10,226–$30,578 · 42 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $13,342$8,606–$23,307 · 42 plans | |
| Ms-Drg 582 582 | – | – | – | $17,819$11,157–$31,115 · 42 plans | |
| Ms-Drg 583 583 | – | – | – | $16,026$10,164–$27,850 · 42 plans | |
| Ms-Drg 584 584 | – | – | – | $19,424$10,075–$34,573 · 42 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $17,575$7,947–$31,156 · 42 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $17,985$10,369–$34,046 · 42 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $11,645$7,447–$22,135 · 42 plans | |
| Ms-Drg 594 594 | – | – | – | $9,047$5,740–$21,675 · 42 plans | |
| Ms-Drg 595 595 | – | – | – | $19,249$9,874–$34,250 · 42 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $10,384$6,930–$19,956 · 42 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $15,594$9,747–$28,109 · 42 plans | |
| Ms-Drg 598 598 | – | – | – | $11,274$7,189–$20,856 · 42 plans | |
| Ms-Drg 599 599 | – | – | – | $8,119$5,203–$16,980 · 42 plans | |
| Ms-Drg 600 600 | – | – | – | $9,969$6,499–$16,822 · 42 plans | |
| Ms-Drg 601 601 | – | – | – | $6,534$4,514–$11,292 · 42 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $13,582$6,435–$23,775 · 42 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $13,941$7,446–$24,439 · 42 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $8,858$5,806–$14,639 · 42 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $20,874$12,479–$45,933 · 42 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $13,600$8,677–$45,933 · 42 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $32,765$13,492–$62,384 · 42 plans | |
| Ms-Drg 618 618 | – | – | – | $13,774$8,775–$56,231 · 42 plans | |
| Ms-Drg 619 619 | – | – | – | $26,370$15,158–$41,755 · 45 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $15,890$11,565–$34,085 · 45 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $15,022$11,565–$34,085 · 45 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $32,460$13,526–$63,618 · 42 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $17,222$10,535–$40,861 · 42 plans | |
| Ms-Drg 624 624 | – | – | – | $12,541$7,864–$40,861 · 42 plans | |
| Ms-Drg 625 625 | – | – | – | $27,107$13,274–$48,776 · 42 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $14,518$9,155–$27,558 · 42 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $12,637$8,176–$23,134 · 42 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $33,954$13,604–$62,724 · 42 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $20,754$12,412–$40,120 · 42 plans | |
| Ms-Drg 630 630 | – | – | – | $14,152$8,968–$30,866 · 42 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $6,706$4,527–$12,879 · 42 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $13,344$8,552–$22,967 · 42 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $15,331$9,638–$26,585 · 42 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $10,360$6,613–$18,896 · 42 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $7,972$5,197–$14,164 · 42 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $44,752$22,008–$84,777 · 40 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $35,438$17,817–$80,255 · 40 plans | |
| Kidney Transplant 652 | – | – | – | $30,983$15,812–$80,255 · 40 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $47,053$14,292–$90,418 · 42 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $26,449$13,171–$57,499 · 42 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $20,183$12,088–$57,499 · 42 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $29,978$13,350–$57,046 · 42 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $17,553$10,704–$47,444 · 42 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $15,288$9,401–$47,444 · 42 plans | |
| Ms-Drg 662 662 | – | – | – | $27,469$13,090–$49,444 · 42 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $14,285$9,253–$27,922 · 42 plans | |
| Ms-Drg 664 664 | – | – | – | $10,365$6,733–$19,300 · 42 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $27,990$13,218–$50,408 · 42 plans | |
| Ms-Drg 666 666 | – | – | – | $16,327$10,326–$31,933 · 42 plans | |
| Ms-Drg 667 667 | – | – | – | $11,111$7,060–$20,393 · 42 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $25,848$8,718–$47,159 · 42 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $14,280$8,416–$25,065 · 42 plans | |
| Ms-Drg 670 670 | – | – | – | $9,493$6,184–$15,784 · 42 plans | |
| Ms-Drg 671 671 | – | – | – | $16,403$8,560–$28,990 · 42 plans | |
| Ms-Drg 672 672 | – | – | – | $10,357$6,691–$17,434 · 42 plans | |
| Ms-Drg 675 675 | – | – | – | $15,822$9,821–$47,667 · 42 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $6,507$4,510–$22,703 · 42 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $16,479$10,301–$29,130 · 42 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $10,573$6,738–$19,317 · 42 plans | |
| Ms-Drg 688 688 | – | – | – | $8,318$5,318–$14,575 · 42 plans | |
| Ms-Drg 693 693 | – | – | – | $12,467$5,086–$20,790 · 42 plans | |
| Ms-Drg 695 695 | – | – | – | $10,930$7,073–$18,473 · 42 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $7,080$4,760–$12,705 · 42 plans | |
| Ms-Drg 697 697 | – | – | – | $10,302$6,699–$17,407 · 42 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $7,361$4,765–$13,715 · 42 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $19,851$13,000–$35,459 · 44 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $15,551$11,231–$41,396 · 43 plans | |
| Ms-Drg 709 709 | – | – | – | $21,052$11,563–$37,583 · 42 plans | |
| Ms-Drg 710 710 | – | – | – | $13,224$8,681–$25,832 · 42 plans | |
| Ms-Drg 711 711 | – | – | – | $18,926$10,363–$33,654 · 42 plans | |
| Ms-Drg 712 712 | – | – | – | $10,537$6,679–$17,760 · 42 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $14,135$9,149–$26,623 · 42 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $10,462$6,791–$19,494 · 42 plans | |
| Ms-Drg 715 715 | – | – | – | $20,268$12,716–$36,133 · 42 plans | |
| Ms-Drg 716 716 | – | – | – | $13,847$9,022–$27,061 · 42 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $17,238$9,507–$30,532 · 42 plans | |
| Ms-Drg 718 718 | – | – | – | $12,769$8,201–$22,207 · 42 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $16,532$9,925–$29,227 · 42 plans | |
| Ms-Drg 723 723 | – | – | – | $10,920$7,242–$21,066 · 42 plans | |
| Ms-Drg 724 724 | – | – | – | $7,035$4,576–$12,145 · 42 plans | |
| Ms-Drg 725 725 | – | – | – | $11,055$7,169–$18,899 · 42 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $7,383$4,906–$13,064 · 42 plans | |
| Ms-Drg 727 727 | – | – | – | $13,676$7,333–$23,949 · 42 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $8,202$5,433–$14,955 · 42 plans | |
| Ms-Drg 729 729 | – | – | – | $10,121$6,202–$17,098 · 42 plans | |
| Ms-Drg 730 730 | – | – | – | $6,725$4,195–$11,164 · 42 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $20,306$12,157–$41,270 · 42 plans | |
| Ms-Drg 735 735 | – | – | – | $13,212$8,380–$41,052 · 42 plans | |
| Ms-Drg 736 736 | – | – | – | $32,596$13,579–$57,839 · 43 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $19,291$11,796–$37,582 · 43 plans | |
| Ms-Drg 738 738 | – | – | – | $14,509$9,308–$35,930 · 43 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $32,347$15,647–$57,660 · 43 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $16,865$10,729–$32,582 · 43 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $14,511$11,052–$35,501 · 43 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $17,935$11,730–$35,076 · 43 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $12,676$10,324–$34,874 · 43 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $18,350$7,913–$33,094 · 42 plans | |
| Ms-Drg 745 745 | – | – | – | $10,874$7,004–$18,371 · 42 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $15,897$7,523–$28,055 · 42 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $8,647$5,769–$15,849 · 42 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $13,100$8,747–$25,024 · 44 plans | |
| Ms-Drg 749 749 | – | – | – | $23,621$13,036–$46,258 · 42 plans | |
| Ms-Drg 750 750 | – | – | – | $14,302$9,045–$32,799 · 42 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $16,811$9,990–$29,744 · 42 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $10,431$6,959–$20,054 · 42 plans | |
| Ms-Drg 756 756 | – | – | – | $9,291$6,081–$15,512 · 42 plans | |
| Ms-Drg 757 757 | – | – | – | $13,282$8,552–$23,126 · 42 plans | |
| Ms-Drg 758 758 | – | – | – | $9,508$6,359–$18,048 · 42 plans | |
| Ms-Drg 759 759 | – | – | – | $7,111$4,620–$13,197 · 42 plans | |
| Ms-Drg 760 760 | – | – | – | $9,667$6,318–$16,271 · 42 plans | |
| Ms-Drg 761 761 | – | – | – | $6,223$4,485–$11,140 · 42 plans | |
| Ms-Drg 768 768 | – | – | – | $10,337$6,148–$19,360 · 44 plans | |
| Ms-Drg 769 769 | – | – | – | $15,484$6,901–$27,291 · 42 plans | |
| Ms-Drg 770 770 | – | – | – | $9,672$5,628–$16,194 · 42 plans | |
| Ms-Drg 776 776 | – | – | – | $6,660$4,520–$11,523 · 42 plans | |
| Ms-Drg 779 779 | – | – | – | $8,234$4,508–$13,587 · 42 plans | |
| Ms-Drg 783 783 | – | – | – | $21,947$9,156–$29,038 · 43 plans | |
| Ms-Drg 784 784 | – | – | – | $10,688$7,156–$26,862 · 43 plans | |
| Ms-Drg 785 785 | – | – | – | $9,731$7,156–$23,102 · 43 plans | |
| C-section, with major complications 786 | – | – | – | $15,438$8,763–$28,812 · 43 plans | |
| C-section, with complications 787 | – | – | – | $11,219$7,156–$26,862 · 43 plans | |
| C-section 788 | – | – | – | $9,740$7,156–$23,102 · 43 plans | |
| Ms-Drg 789 789 | – | – | – | $16,150$3,635–$19,926 · 35 plans | |
| Ms-Drg 790 790 | – | – | – | $53,181$23,361–$72,059 · 35 plans | |
| Ms-Drg 791 791 | – | – | – | $36,549$20,886–$65,665 · 35 plans | |
| Ms-Drg 792 792 | – | – | – | $21,694$3,635–$26,766 · 35 plans | |
| Ms-Drg 793 793 | – | – | – | $37,525$21,427–$66,357 · 35 plans | |
| Ms-Drg 794 794 | – | – | – | $12,377$3,635–$15,073 · 35 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $2,441$1,470–$2,984 · 35 plans | |
| Ms-Drg 796 796 | – | – | – | $10,756$6,413–$15,134 · 44 plans | |
| Ms-Drg 797 797 | – | – | – | $9,556$6,115–$14,500 · 44 plans | |
| Ms-Drg 798 798 | – | – | – | $9,174$6,048–$14,274 · 44 plans | |
| Ms-Drg 799 799 | – | – | – | $41,103$13,980–$80,594 · 42 plans | |
| Ms-Drg 800 800 | – | – | – | $26,542$13,175–$55,967 · 42 plans | |
| Ms-Drg 801 801 | – | – | – | $17,750$11,074–$34,727 · 42 plans | |
| Ms-Drg 802 802 | – | – | – | $35,009$12,614–$64,344 · 42 plans | |
| Ms-Drg 803 803 | – | – | – | $17,225$10,840–$30,080 · 42 plans | |
| Ms-Drg 804 804 | – | – | – | $12,885$8,438–$24,998 · 42 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $10,354$6,133–$17,404 · 43 plans | |
| Vaginal birth, with complications 806 | – | – | – | $7,762$5,123–$16,750 · 43 plans | |
| Vaginal birth 807 | – | – | – | $7,078$4,790–$14,102 · 43 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $12,375$7,820–$23,488 · 42 plans | |
| Ms-Drg 810 810 | – | – | – | $10,562$6,732–$21,823 · 42 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $19,301$10,993–$34,347 · 42 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $10,270$6,552–$18,742 · 42 plans | |
| Ms-Drg 816 816 | – | – | – | $6,809$4,536–$12,571 · 42 plans | |
| Ms-Drg 817 817 | – | – | – | $20,352$5,474–$36,849 · 42 plans | |
| Ms-Drg 818 818 | – | – | – | $10,958$5,474–$18,721 · 42 plans | |
| Ms-Drg 819 819 | – | – | – | $8,316$4,827–$13,888 · 42 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $53,011$14,604–$94,762 · 42 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $21,303$12,723–$58,168 · 42 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $12,091$7,600–$22,481 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $40,778$13,998–$74,046 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $21,551$12,864–$40,972 · 42 plans | |
| Ms-Drg 825 825 | – | – | – | $12,826$8,401–$24,877 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $42,221$14,049–$75,548 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $21,969$12,968–$43,818 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $16,395$10,113–$31,345 · 42 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $28,318$12,163–$51,035 · 42 plans | |
| Ms-Drg 830 830 | – | – | – | $14,150$9,181–$27,656 · 42 plans | |
| Ms-Drg 831 831 | – | – | – | $11,062$4,558–$19,421 · 42 plans | |
| Ms-Drg 832 832 | – | – | – | $7,131$4,404–$11,654 · 42 plans | |
| Ms-Drg 833 833 | – | – | – | $5,396$3,559–$9,720 · 42 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $48,686$12,745–$88,664 · 42 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $19,901$10,821–$40,232 · 42 plans | |
| Ms-Drg 836 836 | – | – | – | $11,888$7,602–$22,482 · 42 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $43,343$12,424–$77,591 · 42 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $19,915$10,827–$44,230 · 42 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $14,009$8,654–$44,230 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $28,984$11,638–$52,245 · 42 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $15,529$9,561–$29,869 · 42 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $10,253$6,532–$18,627 · 42 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $18,234$10,438–$32,217 · 42 plans | |
| Ms-Drg 844 844 | – | – | – | $11,906$7,592–$22,443 · 42 plans | |
| Ms-Drg 845 845 | – | – | – | $8,902$5,656–$15,878 · 42 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $23,029$5,141–$41,870 · 42 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $11,972$5,141–$21,128 · 42 plans | |
| Ms-Drg 848 848 | – | – | – | $8,306$4,966–$13,718 · 42 plans | |
| Radiotherapy 849 | – | – | – | $24,393$11,216–$43,759 · 42 plans | |
| Ms-Drg 850 850 | – | – | – | $80,236$15,912–$159,790 · 42 plans | |
| Ms-Drg 855 855 | – | – | – | $14,498$9,145–$57,207 · 42 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $41,280$13,989–$80,940 · 42 plans | |
| Ms-Drg 858 858 | – | – | – | $13,541$8,641–$57,207 · 42 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $16,906$10,311–$29,453 · 42 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $10,154$6,463–$18,518 · 42 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $9,217$5,855–$16,540 · 42 plans | |
| Viral Illness with Mcc 865 | – | – | – | $13,811$7,666–$24,198 · 42 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $8,738$5,692–$15,310 · 42 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $19,393$10,852–$35,755 · 42 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $10,417$6,646–$22,694 · 42 plans | |
| Ms-Drg 869 869 | – | – | – | $7,741$4,984–$22,694 · 42 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $34,140$1,555–$46,818 · 35 plans | |
| Depressive Neuroses 881 | – | – | – | $9,121$1,278–$14,453 · 35 plans | |
| Neuroses Except Depressive 882 | – | – | – | $10,204$1,230–$13,270 · 35 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $16,289$1,410–$22,949 · 35 plans | |
| Ms-Drg 886 886 | – | – | – | $17,192$1,290–$23,533 · 35 plans | |
| Ms-Drg 887 887 | – | – | – | $10,178$1,205–$13,235 · 35 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $6,161$1,044–$9,839 · 38 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $12,328$1,091–$16,952 · 38 plans | |
| Ms-Drg 901 901 | – | – | – | $37,386$13,824–$67,776 · 42 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $18,328$11,100–$35,422 · 42 plans | |
| Ms-Drg 903 903 | – | – | – | $11,768$7,410–$35,096 · 42 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $32,812$13,579–$59,322 · 42 plans | |
| Ms-Drg 905 905 | – | – | – | $14,372$9,080–$28,538 · 42 plans | |
| Ms-Drg 906 906 | – | – | – | $17,882$8,635–$31,724 · 42 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $19,069$11,479–$36,238 · 42 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $13,051$8,199–$25,631 · 42 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $15,002$8,240–$26,399 · 42 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $8,884$5,806–$16,174 · 42 plans | |
| Ms-Drg 915 915 | – | – | – | $15,187$5,364–$27,158 · 42 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $6,674$4,171–$11,154 · 42 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $8,374$1,376–$14,861 · 42 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $7,347$4,756–$12,954 · 42 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $16,005$9,382–$28,253 · 42 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $9,806$6,424–$16,479 · 42 plans | |
| Ms-Drg 927 927 | – | – | – | $191,044$13,066–$378,305 · 41 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $64,669$13,066–$116,248 · 41 plans | |
| Ms-Drg 929 929 | – | – | – | $29,444$13,066–$52,200 · 41 plans | |
| Ms-Drg 933 933 | – | – | – | $35,095$11,194–$63,113 · 41 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $20,439$11,194–$38,608 · 41 plans | |
| Non-Extensive Burns 935 | – | – | – | $19,097$10,659–$33,386 · 41 plans | |
| Ms-Drg 939 939 | – | – | – | $32,423$13,328–$58,601 · 42 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $21,458$12,968–$37,776 · 42 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $18,809$11,631–$36,490 · 42 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $10,848$3,502–$15,194 · 35 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $11,811$1,376–$21,539 · 42 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $11,210$4,982–$19,214 · 42 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $6,330$3,997–$11,103 · 42 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $6,085$4,473–$12,395 · 42 plans | |
| Ms-Drg 955 955 | – | – | – | $62,537$15,010–$121,373 · 42 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $35,295$13,621–$67,185 · 42 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $68,655$15,425–$133,916 · 42 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $39,433$13,832–$85,310 · 42 plans | |
| Ms-Drg 959 959 | – | – | – | $27,778$13,238–$85,248 · 42 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $25,103$11,456–$49,168 · 42 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $14,823$9,069–$31,492 · 42 plans | |
| Ms-Drg 965 965 | – | – | – | $9,614$6,147–$31,492 · 42 plans | |
| Ms-Drg 969 969 | – | – | – | $55,297$14,724–$108,471 · 42 plans | |
| Ms-Drg 970 970 | – | – | – | $24,963$13,095–$77,471 · 42 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $26,459$11,527–$51,832 · 42 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $12,642$7,956–$35,530 · 42 plans | |
| Ms-Drg 976 976 | – | – | – | $9,288$5,938–$35,530 · 42 plans | |
| Ms-Drg 977 977 | – | – | – | $12,667$7,969–$23,924 · 42 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | – | – | – | $42,555$14,056–$83,445 · 42 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $16,488$10,161–$62,217 · 42 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $30,674$13,465–$55,370 · 42 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $15,842$9,831–$30,448 · 42 plans | |
| Ms-Drg 989 989 | – | – | – | $12,046$7,573–$30,008 · 42 plans | |
| Ms-Drg 998 998 | – | – | – | $793$706–$15,746 · 31 plans | |
| Ms-Drg 999 999 | – | – | – | $793$706–$15,746 · 31 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 | – | – | $14,857$5,874–$35,535 · 7 plans |
| Cataract surgery CPT 66984 | – | – | $6,062$4,338–$16,238 · 21 plans |
| Colonoscopy CPT 45378 | – | – | $3,336$1,848–$16,100 · 22 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $4,287$3,000–$16,100 · 22 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$8–$55 · 28 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $1,257 | $1,257 | $13$11–$1,031 · 47 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $29,324 | $29,324 | $13,929$1,077–$24,925 · 24 plans |
| Emergency room visit, highest level CPT 99285 | $12,987 | $12,987 | $4,622$1,997–$11,039 · 35 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $18,340$857–$27,429 · 21 plans |
| Hip replacement CPT 27130 | – | – | $18,340$9,048–$32,884 · 27 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $15,889$4,149–$27,429 · 22 plans |
| Knee replacement CPT 27447 | – | – | $17,885$11,000–$31,558 · 30 plans |
| MRI of the brain, with and without contrast CPT 70553 | $9,824 | $9,824 | $4,667$1,671–$8,351 · 24 plans |
| MRI of the knee, without contrast CPT 73721 | $964 | $964 | $819$448–$2,603 · 24 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $14,857$5,874–$35,535 · 7 plans |
Price file: Marion Communtiy Hospital, read November 9, 2026.