HCA Florida Osceola Hospital
700 West Oak Street, Kissimmee, FL 34741 · (407) 846-2266
The money
$6what care cost the hospital for every $100 it billed
$228.6Mnet income, all sources
39.0%margin on patient care alone
$35.8Mcost of charity care (10.2% of costs)
$33.5Munpaid bills written off (bad debt)
345beds
From the hospital's Medicare cost report for the year ending December 2024.
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 | 232 | $193,826 | $18,531 | $22,331$12,279–$31,033 · 42 plans | |
| Heart failure, with major complications 291 | 71 | $107,146 | $12,527 | $15,977$9,649–$28,978 · 43 plans | |
| Fainting 312 | 51 | $113,330 | $9,520 | $11,485$6,830–$15,947 · 41 plans | |
| Other Vascular Procedures with Mcc 252 | 50 | $278,206 | $31,137 | $36,887$20,681–$56,589 · 43 plans | |
| Back problems (no surgery) 552 | 50 | $144,168 | $10,561 | $12,504$7,287–$17,588 · 41 plans | |
| Stroke, with major complications 064 | 47 | $292,291 | $17,875 | $23,545$14,180–$37,716 · 43 plans | |
| Heart attack, with major complications 280 | 46 | $167,089 | $15,643 | $19,118$10,338–$32,332 · 43 plans | |
| Infection needing surgery, with major complications 853 | 40 | $468,945 | $43,919 | $51,330$25,457–$90,357 · 41 plans | |
| Stomach and digestive disorders 392 | 38 | $86,915 | $9,127 | $10,877$6,470–$23,233 · 42 plans | |
| Pneumonia, with major complications 193 | 35 | $126,046 | $14,153 | $16,124$9,083–$24,048 · 41 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 33 | $277,395 | $19,887 | $24,379$17,268–$41,032 · 43 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 30 | $139,113 | $13,347 | $15,486$1,411–$23,704 · 41 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 27 | $197,771 | $22,665 | $24,688$1,424–$31,529 · 41 plans | |
| Urinary tract infection, with major complications 689 | 26 | $158,816 | $12,231 | $14,627$8,299–$23,233 · 41 plans | |
| Other kidney and urinary problems, with major complications 698 | 26 | $134,725 | $15,237 | $18,872$10,283–$24,397 · 41 plans | |
| Seizures with Mcc 100 | 25 | $188,684 | $17,489 | $21,536$11,293–$26,286 · 41 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 25 | $238,407 | $29,157 | $33,986$19,166–$44,700 · 43 plans | |
| Urinary tract infection 690 | 25 | $85,270 | $9,218 | $11,112$6,514–$23,233 · 41 plans | |
| Stroke, with complications or clot-busting drug 065 | 24 | $202,205 | $11,849 | $13,672$8,452–$37,716 · 43 plans | |
| Irregular heartbeat, with complications 309 | 24 | $102,218 | $8,077 | $10,402$6,139–$14,873 · 41 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 24 | $144,607 | $17,765 | $20,510$10,780–$26,577 · 41 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 24 | $121,877 | $12,789 | $15,863$9,191–$24,227 · 41 plans | |
| Dehydration and electrolyte problems 641 | 24 | $106,608 | $8,209 | $10,811$6,355–$14,238 · 41 plans | |
| Kidney failure, with major complications 682 | 24 | $142,982 | $14,630 | $17,742$9,593–$27,096 · 41 plans | |
| Hip replacement after a hip fracture 522 | 22 | $270,404 | $19,975 | $24,497$16,722–$38,326 · 42 plans | |
| Heart attack, with complications 281 | 20 | $124,125 | $9,588 | $12,474$7,512–$32,332 · 43 plans | |
| Chest pain 313 | 20 | $91,398 | $7,303 | $10,316$6,149–$14,117 · 42 plans | |
| Respiratory failure 189 | 19 | $137,250 | $12,420 | $15,356$8,681–$33,043 · 41 plans | |
| Stomach or intestinal bleeding, with complications 378 | 19 | $98,592 | $10,073 | $12,882$7,385–$17,943 · 41 plans | |
| Other kidney and urinary problems, with complications 699 | 18 | $112,256 | $11,157 | $13,215$7,560–$18,570 · 41 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 17 | $282,595 | $27,260 | $30,057$15,124–$58,052 · 41 plans | |
| Other circulation problems, with major complications 314 | 17 | $114,590 | $17,827 | $22,937$11,993–$32,690 · 41 plans | |
| Sepsis 872 | 17 | $118,061 | $11,197 | $13,613$7,748–$26,615 · 42 plans | |
| Lung infection, with major complications 177 | 16 | $176,882 | $17,516 | $18,536$9,994–$35,361 · 41 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 16 | $398,642 | $45,457 | $54,610$31,526–$83,997 · 43 plans | |
| Irregular heartbeat 310 | 16 | $76,839 | $7,118 | $8,897$5,276–$12,165 · 40 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 16 | $373,364 | $25,345 | $31,646$18,598–$46,161 · 43 plans | |
| Diabetes, with complications 638 | 16 | $108,854 | $9,495 | $12,061$6,955–$16,397 · 41 plans | |
| Kidney failure, with complications 683 | 16 | $99,428 | $9,928 | $11,863$6,852–$23,233 · 41 plans | |
| Other Disorders of Nervous System with Cc 092 | 15 | $177,291 | $10,522 | $13,293$7,601–$18,717 · 41 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 14 | $1,193,901 | $158,194 | $208,541$105,994–$402,242 · 40 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 14 | $225,670 | $19,893 | $24,699$13,471–$30,834 · 41 plans | |
| Other Disorders of Nervous System with Mcc 091 | 14 | $219,937 | $16,382 | $19,832$10,441–$28,592 · 41 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 14 | $836,331 | $63,520 | $76,882$44,962–$123,467 · 43 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 14 | $438,005 | $53,695 | $64,085$38,091–$164,374 · 43 plans | |
| Heart stent, with major complications or 4+ stents 321 | 14 | $296,462 | $27,691 | $29,955$22,832–$57,238 · 42 plans | |
| Other digestive problems, with complications 394 | 14 | $74,904 | $10,337 | $12,445$7,156–$17,120 · 41 plans | |
| Fracture or sprain (not hip or thigh) 563 | 14 | $152,324 | $10,013 | $11,710$6,952–$15,109 · 41 plans | |
| Anemia and blood disorders, with major complications 811 | 14 | $126,448 | $14,239 | $16,512$9,273–$20,953 · 41 plans | |
| Mini-stroke (TIA) 069 | 13 | $154,854 | $9,034 | $11,433$7,998–$21,356 · 43 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 13 | $199,075 | $13,492 | $16,010$9,024–$23,834 · 41 plans | |
| Seizures 101 | 13 | $153,504 | $11,189 | $11,777$6,988–$16,514 · 41 plans | |
| Pneumonia, with complications 194 | 12 | $92,772 | $9,241 | $11,078$6,496–$23,233 · 41 plans | |
| Other Vascular Procedures with Cc 253 | 12 | $269,878 | $24,379 | $28,570$17,048–$56,589 · 43 plans | |
| High blood pressure 305 | 12 | $106,781 | $8,559 | $10,589$6,237–$13,815 · 41 plans | |
| Irregular heartbeat, with major complications 308 | 12 | $112,882 | $12,457 | $14,873$8,522–$22,028 · 41 plans | |
| Heart stent 322 | 12 | $276,807 | $19,284 | $21,067$18,859–$52,325 · 43 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 12 | $357,184 | $26,826 | $27,725$16,134–$40,414 · 41 plans | |
| Medical Back Problems with Mcc 551 | 12 | $209,231 | $15,814 | $19,076$10,550–$22,748 · 41 plans | |
| Skin infection (cellulitis) 603 | 12 | $93,206 | $9,628 | $11,816$6,827–$23,233 · 41 plans | |
| Diabetes, with major complications 637 | 12 | $129,081 | $14,237 | $16,817$9,376–$23,100 · 41 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 11 | $175,564 | $21,317 | $24,628$13,649–$56,133 · 40 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 11 | $422,963 | $52,547 | $51,964$36,232–$125,496 · 43 plans | |
| Heart catheterization 287 | 11 | $180,490 | $13,550 | $13,685$8,055–$17,378 · 42 plans | |
| Stomach and digestive disorders, with major complications 391 | 11 | $123,753 | $13,360 | $15,228$8,849–$18,662 · 41 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 11 | $111,187 | $16,193 | $18,352$10,173–$26,884 · 41 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 11 | $417,522 | $42,750 | $48,932$24,292–$85,841 · 41 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $267,708$139,205–$384,743 · 40 plans | |
| Ms-Drg 002 002 | – | – | – | $115,054$57,667–$251,052 · 40 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $137,253$69,975–$259,736 · 40 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $104,498$52,470–$228,048 · 39 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $48,861$24,861–$228,048 · 39 plans | |
| Lung Transplant 007 | – | – | – | $130,385$65,315–$239,638 · 39 plans | |
| Ms-Drg 008 008 | – | – | – | $58,350$29,570–$116,140 · 39 plans | |
| Ms-Drg 010 010 | – | – | – | $73,757$37,215–$135,456 · 39 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $56,337$27,889–$95,668 · 41 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $44,310$22,047–$77,136 · 41 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $31,350$15,752–$59,702 · 41 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $121,242$60,779–$235,281 · 39 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $61,538$31,152–$224,367 · 39 plans | |
| Ms-Drg 017 017 | – | – | – | $56,660$28,731–$224,367 · 39 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $406,729$206,103–$536,457 · 37 plans | |
| Ms-Drg 019 019 | – | – | – | $73,354$37,015–$135,164 · 39 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $79,794$42,434–$143,968 · 43 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $55,302$31,340–$131,991 · 43 plans | |
| Ms-Drg 022 022 | – | – | – | $35,525$22,606–$131,991 · 43 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | – | – | – | $59,582$33,117–$104,842 · 43 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $42,538$25,450–$81,490 · 43 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | – | – | – | $47,070$27,129–$72,884 · 43 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $34,198$22,484–$69,667 · 43 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $28,925$21,436–$65,095 · 43 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $59,957$32,967–$89,493 · 43 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $37,191$21,236–$62,419 · 43 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $25,385$20,850–$41,969 · 43 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $45,094$25,193–$60,809 · 41 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $24,744$20,387–$43,660 · 41 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $20,252$17,948–$35,200 · 41 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $39,786$24,196–$51,848 · 43 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $27,590$21,199–$46,786 · 43 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $23,075$20,399–$46,786 · 43 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $34,326$19,395–$44,555 · 43 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $19,846$17,221–$43,842 · 43 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $15,337$13,604–$33,474 · 43 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $39,373$22,703–$45,341 · 43 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $25,347$20,857–$40,368 · 43 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $20,139$13,644–$28,528 · 43 plans | |
| Ms-Drg 052 052 | – | – | – | $20,951$10,701–$33,140 · 41 plans | |
| Ms-Drg 053 053 | – | – | – | $12,868$7,378–$26,022 · 41 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $18,188$9,818–$27,936 · 41 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $13,260$7,583–$18,655 · 41 plans | |
| Ms-Drg 058 058 | – | – | – | $19,392$10,283–$28,677 · 41 plans | |
| Ms-Drg 059 059 | – | – | – | $15,410$8,709–$22,704 · 41 plans | |
| Ms-Drg 060 060 | – | – | – | $12,291$7,075–$17,896 · 41 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $30,138$15,164–$50,444 · 41 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $20,425$10,446–$41,081 · 41 plans | |
| Ms-Drg 063 063 | – | – | – | $16,992$9,273–$41,081 · 41 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $10,290$7,794–$37,716 · 43 plans | |
| Ms-Drg 067 067 | – | – | – | $17,455$10,176–$23,321 · 43 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $11,732$8,116–$21,394 · 43 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | – | – | – | $18,970$10,283–$26,486 · 41 plans | |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | $13,322$7,616–$18,772 · 41 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $10,600$6,243–$13,835 · 41 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $18,399$10,198–$22,548 · 41 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | – | – | – | $12,987$7,640–$18,860 · 41 plans | |
| Ms-Drg 075 075 | – | – | – | $21,982$11,202–$35,083 · 41 plans | |
| Ms-Drg 076 076 | – | – | – | $11,263$6,594–$24,025 · 41 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $20,545$10,695–$32,921 · 41 plans | |
| Ms-Drg 081 081 | – | – | – | $12,056$6,952–$20,545 · 41 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $25,558$13,538–$41,817 · 41 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $16,915$9,498–$28,599 · 41 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $12,640$7,259–$28,599 · 41 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $11,891$7,050–$16,735 · 41 plans | |
| Concussion with Mcc 088 | – | – | – | $15,859$9,273–$18,347 · 41 plans | |
| Concussion with Cc 089 | – | – | – | $13,627$7,985–$16,699 · 41 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $11,028$6,584–$13,342 · 41 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $10,985$6,447–$14,569 · 41 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $36,471$18,760–$46,311 · 41 plans | |
| Ms-Drg 095 095 | – | – | – | $27,598$14,324–$41,264 · 41 plans | |
| Ms-Drg 096 096 | – | – | – | $27,598$14,324–$41,264 · 41 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $37,343$19,196–$46,311 · 41 plans | |
| Ms-Drg 098 098 | – | – | – | $25,648$12,983–$41,264 · 41 plans | |
| Ms-Drg 099 099 | – | – | – | $16,590$9,273–$25,751 · 41 plans | |
| Headaches with Mcc 102 | – | – | – | $13,837$8,099–$18,322 · 41 plans | |
| Headaches Without Mcc 103 | – | – | – | $11,152$6,651–$15,301 · 41 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $24,947$12,224–$31,184 · 41 plans | |
| Ms-Drg 114 114 | – | – | – | $16,027$9,280–$19,641 · 41 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $17,396$7,555–$20,832 · 41 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $20,322$11,595–$24,540 · 41 plans | |
| Ms-Drg 117 117 | – | – | – | $13,497$7,916–$19,163 · 41 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $14,237$8,314–$18,732 · 41 plans | |
| Ms-Drg 122 122 | – | – | – | $10,884$6,394–$14,377 · 41 plans | |
| Neurological Eye Disorders 123 | – | – | – | $10,796$6,459–$14,611 · 41 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $15,745$9,128–$19,296 · 41 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $10,505$6,302–$12,444 · 41 plans | |
| Ms-Drg 135 135 | – | – | – | $23,272$12,593–$29,090 · 41 plans | |
| Ms-Drg 136 136 | – | – | – | $12,841$7,561–$18,088 · 41 plans | |
| Ms-Drg 137 137 | – | – | – | $17,350$9,993–$26,896 · 41 plans | |
| Ms-Drg 138 138 | – | – | – | $12,028$6,905–$16,214 · 41 plans | |
| Ms-Drg 139 139 | – | – | – | $14,921$8,683–$20,601 · 41 plans | |
| Ms-Drg 140 140 | – | – | – | $44,789$22,280–$78,038 · 41 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $24,543$12,957–$52,540 · 41 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $18,863$10,518–$52,540 · 41 plans | |
| Ms-Drg 143 143 | – | – | – | $37,858$19,022–$41,643 · 41 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $19,997$11,213–$28,085 · 41 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $14,892$9,850–$20,307 · 41 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $23,241$12,145–$28,737 · 41 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $15,707$8,865–$23,263 · 41 plans | |
| Ms-Drg 148 148 | – | – | – | $10,993$6,451–$17,858 · 41 plans | |
| Dysequilibrium 149 | – | – | – | $10,352$6,220–$13,181 · 41 plans | |
| Ms-Drg 150 150 | – | – | – | $15,514$7,575–$18,071 · 41 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $10,186$6,130–$12,139 · 41 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $14,840$8,411–$21,630 · 41 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $10,426$6,151–$13,506 · 41 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $17,837$9,998–$21,220 · 41 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $11,908$7,059–$16,768 · 41 plans | |
| Ms-Drg 156 156 | – | – | – | $9,781$5,912–$12,644 · 41 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $19,460$10,283–$23,496 · 41 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $12,194$7,025–$16,646 · 41 plans | |
| Ms-Drg 159 159 | – | – | – | $9,946$6,000–$12,329 · 41 plans | |
| Major Chest Procedures with Mcc 163 | – | – | – | $46,892$23,301–$81,999 · 41 plans | |
| Major Chest Procedures with Cc 164 | – | – | – | $27,874$14,064–$54,431 · 41 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $21,950$11,717–$54,431 · 41 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $39,664$19,790–$68,385 · 41 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $20,874$11,572–$46,912 · 41 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $16,629$9,348–$30,590 · 41 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $32,269$16,198–$56,211 · 41 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | – | – | – | $16,699$9,273–$27,051 · 41 plans | |
| Pulmonary Embolism Without Mcc 176 | – | – | – | $11,069$6,491–$27,051 · 41 plans | |
| Lung infection, with complications 178 | – | – | – | $12,837$7,361–$35,361 · 41 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $10,588$6,237–$26,299 · 41 plans | |
| Respiratory Neoplasms with Mcc 180 | – | – | – | $20,511$10,487–$32,311 · 41 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $13,759$7,845–$20,580 · 41 plans | |
| Ms-Drg 182 182 | – | – | – | $10,576$6,231–$20,580 · 41 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $17,697$9,833–$24,596 · 41 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $13,692$7,810–$19,469 · 41 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $10,822$6,397–$14,390 · 41 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $18,495$9,973–$28,514 · 41 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $12,964$7,428–$20,466 · 41 plans | |
| Ms-Drg 188 188 | – | – | – | $10,283$6,045–$17,843 · 41 plans | |
| COPD, with major complications 190 | – | – | – | $14,116$8,032–$20,266 · 41 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | – | – | – | $11,441$6,685–$19,684 · 41 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $9,592$5,662–$19,684 · 41 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $9,461$5,593–$23,233 · 41 plans | |
| Interstitial Lung Disease with Mcc 196 | – | – | – | $21,068$11,059–$32,558 · 41 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $12,575$7,225–$20,318 · 41 plans | |
| Ms-Drg 198 198 | – | – | – | $10,283$6,039–$15,796 · 41 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $20,492$10,478–$32,276 · 41 plans | |
| Pneumothorax with Cc 200 | – | – | – | $14,034$7,989–$23,844 · 41 plans | |
| Ms-Drg 201 201 | – | – | – | $10,283$6,034–$16,079 · 41 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | – | – | – | $12,790$7,337–$17,769 · 41 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $9,864$5,804–$13,163 · 41 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $11,092$6,504–$14,772 · 41 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $20,538$10,794–$25,169 · 41 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $12,498$7,184–$17,218 · 41 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $63,981$32,516–$93,023 · 41 plans | |
| Ms-Drg 209 209 | – | – | – | $113,847$59,989–$206,908 · 42 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $108,987$53,899–$198,953 · 43 plans | |
| Ms-Drg 213 213 | – | – | – | $58,513$32,356–$104,322 · 42 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $101,032$58,183–$218,014 · 43 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $97,450$52,724–$153,584 · 43 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $67,869$39,667–$133,720 · 43 plans | |
| Ms-Drg 218 218 | – | – | – | $67,869$39,667–$133,720 · 43 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | – | – | – | $77,943$43,444–$129,796 · 43 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $56,210$37,380–$128,083 · 43 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $53,313$36,857–$128,083 · 43 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $52,394$35,951–$106,813 · 43 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $35,243$31,260–$106,813 · 43 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $86,868$49,118–$154,233 · 43 plans | |
| Ms-Drg 232 232 | – | – | – | $64,434$38,144–$134,705 · 43 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $58,570$35,080–$116,141 · 43 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $60,364$33,942–$94,728 · 43 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $44,885$30,815–$80,577 · 43 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $49,704$25,377–$74,241 · 41 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $31,046$15,604–$52,153 · 41 plans | |
| Ms-Drg 241 241 | – | – | – | $16,804$9,440–$46,331 · 41 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | – | – | – | $34,534$18,641–$58,415 · 40 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $21,511$13,695–$38,381 · 41 plans | |
| Ms-Drg 245 245 | – | – | – | $47,675$25,610–$83,474 · 41 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $24,791$16,432–$43,113 · 43 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $18,554$15,870–$43,113 · 43 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $21,450$14,648–$41,669 · 43 plans | |
| Ms-Drg 255 255 | – | – | – | $29,558$14,882–$49,352 · 41 plans | |
| Ms-Drg 256 256 | – | – | – | $19,849$11,035–$34,582 · 41 plans | |
| Ms-Drg 257 257 | – | – | – | $13,965$7,953–$34,582 · 41 plans | |
| Ms-Drg 258 258 | – | – | – | $33,717$18,383–$55,772 · 42 plans | |
| Ms-Drg 259 259 | – | – | – | $23,546$12,785–$36,996 · 42 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $33,955$18,347–$42,592 · 42 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $22,030$12,183–$34,548 · 42 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $19,463$10,989–$29,821 · 42 plans | |
| Ms-Drg 263 263 | – | – | – | $31,481$16,752–$39,352 · 41 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $35,977$17,996–$60,949 · 42 plans | |
| Ms-Drg 265 265 | – | – | – | $38,503$20,806–$66,199 · 41 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $68,163$38,046–$93,323 · 43 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | – | – | – | $44,803$27,334–$71,206 · 43 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | – | – | – | $39,346$26,176–$74,673 · 43 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $29,228$24,382–$64,006 · 43 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $42,604$22,643–$55,763 · 42 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $75,387$66,282–$139,427 · 43 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $63,761$54,901–$126,515 · 42 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $50,057$44,381–$126,037 · 42 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $56,879$29,150–$101,839 · 43 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $38,389$21,728–$65,983 · 43 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $10,479$6,714–$25,707 · 43 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $22,597$12,044–$36,241 · 41 plans | |
| Ms-Drg 284 284 | – | – | – | $10,176$5,917–$25,051 · 41 plans | |
| Ms-Drg 285 285 | – | – | – | $9,273$5,443–$25,051 · 41 plans | |
| Heart catheterization, with major complications 286 | – | – | – | $23,904$12,713–$32,429 · 43 plans | |
| Ms-Drg 288 288 | – | – | – | $29,644$15,601–$54,540 · 41 plans | |
| Ms-Drg 289 289 | – | – | – | $19,937$10,701–$54,540 · 41 plans | |
| Ms-Drg 290 290 | – | – | – | $12,505$7,126–$54,540 · 41 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $11,934$7,943–$28,978 · 43 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $9,107$7,344–$28,978 · 43 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $18,528$9,990–$31,440 · 41 plans | |
| Ms-Drg 297 297 | – | – | – | $9,514$5,621–$31,440 · 41 plans | |
| Ms-Drg 298 298 | – | – | – | $7,777$4,802–$31,440 · 41 plans | |
| Peripheral Vascular Disorders with Mcc 299 | – | – | – | $19,033$13,571–$26,405 · 43 plans | |
| Peripheral Vascular Disorders with Cc 300 | – | – | – | $14,118$12,638–$25,779 · 43 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $10,741$9,527–$21,722 · 43 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $14,692$8,484–$21,893 · 41 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $9,895$5,821–$12,886 · 41 plans | |
| Hypertension with Mcc 304 | – | – | – | $14,489$8,450–$18,639 · 41 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $18,130$10,058–$26,178 · 41 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $12,227$7,042–$16,708 · 41 plans | |
| Angina Pectoris 311 | – | – | – | $10,174$5,967–$12,842 · 41 plans | |
| Other Circulatory System Diagnoses with Cc 315 | – | – | – | $12,713$7,297–$20,400 · 41 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $9,982$5,866–$15,492 · 41 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $67,658$34,201–$122,336 · 43 plans | |
| Ms-Drg 318 318 | – | – | – | $26,629$14,259–$47,303 · 42 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $44,929$24,392–$55,161 · 43 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $27,230$16,432–$43,038 · 43 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $45,825$25,500–$79,174 · 43 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $34,935$20,711–$62,655 · 43 plans | |
| Ms-Drg 325 325 | – | – | – | $35,529$20,953–$62,872 · 43 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $50,324$25,687–$78,725 · 41 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $27,099$13,687–$49,129 · 41 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $18,921$10,548–$32,725 · 41 plans | |
| Bowel surgery, with major complications 329 | – | – | – | $47,549$24,048–$82,752 · 43 plans | |
| Bowel surgery, with complications 330 | – | – | – | $26,769$13,528–$52,925 · 42 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $19,891$10,958–$43,624 · 43 plans | |
| Ms-Drg 332 332 | – | – | – | $38,527$19,238–$66,244 · 41 plans | |
| Ms-Drg 333 333 | – | – | – | $26,108$13,206–$56,213 · 41 plans | |
| Ms-Drg 334 334 | – | – | – | $19,266$10,729–$41,560 · 41 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $38,044$19,003–$65,333 · 41 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $23,840$12,671–$42,823 · 41 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $18,267$10,206–$29,065 · 41 plans | |
| Ms-Drg 344 344 | – | – | – | $27,632$14,341–$41,182 · 41 plans | |
| Ms-Drg 345 345 | – | – | – | $17,972$10,052–$27,530 · 41 plans | |
| Ms-Drg 346 346 | – | – | – | $14,879$8,431–$21,703 · 41 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $24,434$12,986–$30,542 · 41 plans | |
| Ms-Drg 348 348 | – | – | – | $15,610$9,055–$21,389 · 41 plans | |
| Ms-Drg 349 349 | – | – | – | $11,686$6,825–$15,929 · 41 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $26,775$13,912–$32,812 · 41 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $17,646$10,152–$27,892 · 41 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $14,280$8,337–$19,145 · 41 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $30,344$15,847–$37,555 · 41 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $19,136$10,956–$29,283 · 41 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $15,952$9,239–$21,843 · 41 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $46,028$22,881–$80,371 · 41 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $25,946$13,127–$50,473 · 41 plans | |
| Ms-Drg 358 358 | – | – | – | $16,935$9,508–$42,583 · 41 plans | |
| Ms-Drg 359 359 | – | – | – | $36,408$19,262–$62,858 · 42 plans | |
| Ms-Drg 360 360 | – | – | – | $26,553$14,220–$44,787 · 42 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $18,820$10,137–$29,125 · 41 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $13,072$7,485–$20,338 · 41 plans | |
| Ms-Drg 370 370 | – | – | – | $10,163$5,961–$20,338 · 41 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $20,580$10,521–$32,441 · 41 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $13,274$7,590–$24,455 · 41 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $10,322$6,096–$24,455 · 41 plans | |
| Digestive Malignancy with Mcc 374 | – | – | – | $23,442$12,246–$31,483 · 41 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $15,106$8,550–$22,131 · 41 plans | |
| Ms-Drg 376 376 | – | – | – | $12,334$7,098–$17,552 · 41 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $9,479$5,603–$12,918 · 41 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $21,776$11,413–$27,288 · 41 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $13,881$7,908–$19,824 · 41 plans | |
| Ms-Drg 382 382 | – | – | – | $11,027$6,469–$17,030 · 41 plans | |
| Ms-Drg 383 383 | – | – | – | $16,289$9,273–$19,962 · 41 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $11,326$6,745–$15,639 · 41 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $18,191$10,090–$28,926 · 41 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $12,840$7,363–$18,052 · 41 plans | |
| Ms-Drg 387 387 | – | – | – | $9,974$5,862–$18,052 · 41 plans | |
| Gastrointestinal Obstruction with Mcc 388 | – | – | – | $17,196$9,573–$22,212 · 41 plans | |
| Bowel obstruction, with complications 389 | – | – | – | $10,923$6,414–$14,450 · 41 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $8,722$5,163–$10,652 · 41 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $9,660$5,698–$13,109 · 41 plans | |
| Ms-Drg 397 397 | – | – | – | $26,620$13,455–$43,817 · 41 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $18,059$10,097–$27,693 · 41 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $14,475$8,220–$20,943 · 41 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $43,219$22,853–$103,346 · 41 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $56,497$27,966–$100,088 · 41 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $31,528$15,839–$81,534 · 41 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $24,917$12,957–$73,919 · 41 plans | |
| Ms-Drg 408 408 | – | – | – | $37,992$18,978–$65,236 · 41 plans | |
| Ms-Drg 409 409 | – | – | – | $24,506$12,957–$51,394 · 41 plans | |
| Ms-Drg 410 410 | – | – | – | $18,779$10,474–$38,761 · 41 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $35,444$17,741–$60,437 · 41 plans | |
| Ms-Drg 412 412 | – | – | – | $23,780$12,640–$41,539 · 41 plans | |
| Ms-Drg 413 413 | – | – | – | $19,486$10,844–$30,381 · 41 plans | |
| Ms-Drg 414 414 | – | – | – | $36,878$18,964–$49,958 · 41 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $23,432$12,465–$37,812 · 41 plans | |
| Ms-Drg 416 416 | – | – | – | $16,599$9,332–$24,943 · 41 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $25,779$14,134–$37,419 · 43 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | – | – | – | $19,600$11,003–$27,910 · 43 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $16,069$9,418–$21,901 · 42 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $36,452$18,230–$62,336 · 41 plans | |
| Ms-Drg 421 421 | – | – | – | $20,234$11,236–$48,042 · 41 plans | |
| Ms-Drg 422 422 | – | – | – | $16,951$9,516–$42,737 · 41 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $43,698$21,750–$75,983 · 41 plans | |
| Ms-Drg 424 424 | – | – | – | $24,609$12,957–$49,585 · 41 plans | |
| Ms-Drg 425 425 | – | – | – | $17,930$10,029–$49,585 · 41 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $110,942$54,377–$201,644 · 42 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $73,478$39,126–$132,072 · 41 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $57,968$31,002–$103,346 · 41 plans | |
| Ms-Drg 429 429 | – | – | – | $91,308$46,681–$164,840 · 42 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $59,378$31,740–$105,515 · 41 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | – | – | – | $21,833$11,441–$34,169 · 41 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $13,616$7,770–$21,324 · 41 plans | |
| Ms-Drg 434 434 | – | – | – | $10,277$6,021–$21,324 · 41 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | – | – | – | $20,592$10,821–$30,282 · 41 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $14,343$8,151–$20,695 · 41 plans | |
| Ms-Drg 437 437 | – | – | – | $11,581$6,737–$18,898 · 41 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $19,100$10,239–$29,826 · 40 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $11,417$6,676–$21,161 · 40 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $9,347$5,557–$18,057 · 40 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $20,196$10,623–$31,395 · 41 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $12,733$7,307–$19,593 · 41 plans | |
| Ms-Drg 443 443 | – | – | – | $10,153$5,956–$14,140 · 41 plans | |
| Disorders of the Biliary Tract with Mcc 444 | – | – | – | $19,027$10,283–$23,318 · 41 plans | |
| Disorders of the Biliary Tract with Cc 445 | – | – | – | $13,987$7,964–$20,023 · 41 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $11,067$6,605–$15,136 · 41 plans | |
| Ms-Drg 447 447 | – | – | – | $65,661$35,223–$89,168 · 42 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $44,339$23,210–$57,104 · 42 plans | |
| Ms-Drg 450 450 | – | – | – | $54,078$30,500–$71,709 · 42 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $35,894$21,544–$53,001 · 42 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $84,178$43,677–$146,139 · 43 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $61,282$31,804–$109,101 · 43 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $44,275$22,874–$95,694 · 42 plans | |
| Ms-Drg 461 461 | – | – | – | $57,007$30,942–$100,307 · 43 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $30,168$17,932–$68,988 · 42 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $57,043$29,047–$75,931 · 41 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $33,612$17,604–$56,987 · 41 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $21,272$11,675–$42,221 · 41 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $51,867$28,060–$69,585 · 43 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $37,255$21,016–$50,952 · 42 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $30,193$17,450–$47,247 · 42 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $32,508$18,483–$53,460 · 42 plans | |
| Hip or knee replacement 470 | – | – | – | $22,830$16,553–$34,201 · 42 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $48,491$26,965–$64,965 · 42 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $32,431$20,761–$43,646 · 42 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $27,715$20,761–$40,695 · 42 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $43,770$22,410–$58,263 · 41 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $25,462$12,957–$41,636 · 41 plans | |
| Ms-Drg 476 476 | – | – | – | $14,820$8,400–$36,103 · 41 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $35,859$18,455–$46,886 · 41 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $27,245$13,758–$44,994 · 41 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $21,413$11,686–$34,010 · 41 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $19,931$16,440–$40,515 · 43 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $29,417$16,500–$41,136 · 41 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $34,539$17,456–$59,043 · 42 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $23,556$12,622–$46,906 · 42 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $18,481$10,387–$29,255 · 42 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $20,539$11,396–$32,364 · 41 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $14,340$8,078–$22,631 · 41 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $37,907$21,078–$46,455 · 41 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $22,629$16,134–$32,519 · 41 plans | |
| Ms-Drg 495 495 | – | – | – | $37,474$19,262–$53,268 · 41 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $20,879$11,574–$33,242 · 41 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $15,093$8,543–$22,107 · 41 plans | |
| Ms-Drg 498 498 | – | – | – | $31,417$16,389–$38,882 · 41 plans | |
| Ms-Drg 499 499 | – | – | – | $22,273$12,210–$29,749 · 41 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $32,475$16,055–$40,594 · 41 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $19,756$11,290–$25,727 · 41 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $15,960$9,244–$19,559 · 41 plans | |
| Ms-Drg 503 503 | – | – | – | $29,018$11,977–$36,272 · 41 plans | |
| Foot Procedures with Cc 504 | – | – | – | $20,694$11,906–$25,369 · 41 plans | |
| Ms-Drg 505 505 | – | – | – | $19,980$11,518–$24,332 · 41 plans | |
| Ms-Drg 506 506 | – | – | – | $15,992$9,260–$23,961 · 41 plans | |
| Ms-Drg 507 507 | – | – | – | $20,903$11,587–$33,050 · 41 plans | |
| Ms-Drg 508 508 | – | – | – | $18,239$10,101–$27,707 · 41 plans | |
| Ms-Drg 510 510 | – | – | – | $31,451$16,134–$38,925 · 41 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $22,664$12,602–$31,160 · 41 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $19,251$12,602–$26,829 · 41 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $17,761$9,131–$21,366 · 41 plans | |
| Ms-Drg 514 514 | – | – | – | $12,907$7,597–$15,817 · 41 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $33,333$18,611–$43,253 · 41 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $24,215$13,695–$38,021 · 41 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $18,109$13,695–$28,115 · 41 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $39,660$21,696–$60,136 · 43 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $23,135$20,502–$44,759 · 43 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $17,953$16,445–$25,551 · 42 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | – | – | – | $31,386$17,737–$53,460 · 42 plans | |
| Ms-Drg 533 533 | – | – | – | $18,584$10,018–$28,683 · 41 plans | |
| Ms-Drg 534 534 | – | – | – | $11,080$6,497–$25,841 · 41 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $15,809$8,918–$23,455 · 41 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | – | – | – | $11,094$6,505–$19,582 · 41 plans | |
| Ms-Drg 537 537 | – | – | – | $12,265$7,251–$17,460 · 41 plans | |
| Ms-Drg 538 538 | – | – | – | $10,283$6,060–$13,179 · 41 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $22,489$11,448–$36,038 · 41 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $15,948$8,991–$30,109 · 41 plans | |
| Ms-Drg 541 541 | – | – | – | $10,900$6,402–$30,109 · 41 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $19,929$10,490–$27,148 · 41 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $13,342$7,626–$18,808 · 41 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $10,584$6,235–$16,942 · 41 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $26,500$13,864–$32,694 · 41 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $14,560$8,264–$21,103 · 41 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $11,369$6,650–$15,299 · 41 plans | |
| Ms-Drg 548 548 | – | – | – | $22,113$11,265–$35,328 · 41 plans | |
| Ms-Drg 549 549 | – | – | – | $15,082$8,538–$26,619 · 41 plans | |
| Ms-Drg 550 550 | – | – | – | $11,847$6,843–$26,619 · 41 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $15,492$8,991–$19,749 · 41 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $11,311$6,619–$15,188 · 41 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $15,733$9,121–$19,044 · 41 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $11,098$6,622–$15,197 · 41 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $17,259$9,622–$20,180 · 41 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $11,689$6,940–$16,342 · 41 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $20,858$10,954–$25,561 · 41 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $14,295$8,125–$20,603 · 41 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $11,058$6,486–$14,708 · 41 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $16,705$9,318–$20,472 · 41 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $17,826$9,900–$21,846 · 41 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $12,780$7,353–$17,828 · 41 plans | |
| Ms-Drg 566 566 | – | – | – | $10,533$6,208–$13,709 · 41 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $31,926$16,032–$53,810 · 41 plans | |
| Skin Debridement with Cc 571 | – | – | – | $19,768$10,992–$44,188 · 41 plans | |
| Ms-Drg 572 572 | – | – | – | $14,491$8,228–$39,847 · 41 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $65,082$33,066–$79,758 · 41 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $37,077$18,534–$63,513 · 41 plans | |
| Ms-Drg 575 575 | – | – | – | $20,812$11,539–$39,847 · 41 plans | |
| Ms-Drg 576 576 | – | – | – | $48,539$25,280–$60,674 · 41 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $28,273$14,662–$40,912 · 41 plans | |
| Ms-Drg 578 578 | – | – | – | $18,419$10,569–$22,572 · 41 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $33,488$17,435–$41,446 · 41 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $20,142$11,188–$31,615 · 41 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $16,878$9,738–$22,326 · 41 plans | |
| Ms-Drg 582 582 | – | – | – | $21,440$11,778–$31,137 · 41 plans | |
| Ms-Drg 583 583 | – | – | – | $19,532$11,170–$28,402 · 41 plans | |
| Ms-Drg 584 584 | – | – | – | $23,461$12,828–$28,751 · 41 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $21,253$11,790–$26,182 · 41 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $22,155$11,286–$35,408 · 41 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $14,879$8,432–$23,055 · 41 plans | |
| Ms-Drg 594 594 | – | – | – | $11,764$6,806–$23,055 · 41 plans | |
| Ms-Drg 595 595 | – | – | – | $23,272$12,161–$28,519 · 41 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $13,871$7,903–$19,805 · 41 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $18,991$10,283–$30,367 · 41 plans | |
| Ms-Drg 598 598 | – | – | – | $14,345$8,152–$20,698 · 41 plans | |
| Ms-Drg 599 599 | – | – | – | $10,727$6,310–$18,061 · 41 plans | |
| Ms-Drg 600 600 | – | – | – | $13,089$7,695–$16,629 · 41 plans | |
| Ms-Drg 601 601 | – | – | – | $9,273$5,474–$11,069 · 41 plans | |
| Cellulitis with Mcc 602 | – | – | – | $16,672$9,300–$25,956 · 41 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $16,983$9,886–$19,979 · 41 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $11,904$7,056–$14,588 · 41 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $17,539$9,751–$20,925 · 41 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $11,813$7,007–$15,144 · 41 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $24,647$12,957–$48,857 · 41 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $16,949$9,515–$48,857 · 41 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $37,233$18,609–$63,805 · 41 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $21,524$11,686–$59,810 · 41 plans | |
| Ms-Drg 618 618 | – | – | – | $17,133$9,612–$59,810 · 41 plans | |
| Ms-Drg 619 619 | – | – | – | $31,255$18,136–$47,376 · 44 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $19,621$16,226–$44,923 · 44 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $18,694$15,979–$44,923 · 44 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $37,930$18,948–$65,119 · 41 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $20,782$11,523–$43,463 · 41 plans | |
| Ms-Drg 624 624 | – | – | – | $15,517$8,765–$43,463 · 41 plans | |
| Ms-Drg 625 625 | – | – | – | $31,759$16,405–$40,989 · 41 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $17,921$10,025–$27,433 · 41 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $15,794$9,154–$24,303 · 41 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $39,558$19,739–$67,749 · 41 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $24,521$12,957–$42,280 · 41 plans | |
| Ms-Drg 630 630 | – | – | – | $17,533$9,822–$32,831 · 41 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $9,390$5,556–$13,626 · 41 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $16,679$9,304–$23,554 · 41 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $18,793$10,283–$27,382 · 41 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $13,313$7,611–$18,753 · 41 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $10,716$6,305–$14,057 · 41 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $49,492$25,174–$93,164 · 39 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $39,729$20,330–$92,011 · 39 plans | |
| Kidney Transplant 652 | – | – | – | $35,058$18,012–$92,011 · 39 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $53,834$26,673–$95,073 · 41 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $30,548$15,363–$61,159 · 41 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $23,916$12,710–$61,159 · 41 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $34,283$17,177–$58,251 · 41 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $21,132$11,686–$50,464 · 41 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $18,430$10,291–$50,464 · 41 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $28,305$14,790–$46,488 · 41 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | – | – | – | $16,349$9,120–$37,149 · 41 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $13,541$7,664–$27,224 · 41 plans | |
| Ms-Drg 662 662 | – | – | – | $32,150$16,600–$39,399 · 41 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $18,123$10,131–$27,814 · 41 plans | |
| Ms-Drg 664 664 | – | – | – | $13,525$7,722–$19,154 · 41 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $32,713$16,882–$41,399 · 41 plans | |
| Ms-Drg 666 666 | – | – | – | $20,349$11,296–$32,005 · 41 plans | |
| Ms-Drg 667 667 | – | – | – | $14,101$8,024–$20,239 · 41 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $30,210$13,280–$37,763 · 41 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $17,905$10,292–$21,943 · 41 plans | |
| Ms-Drg 670 670 | – | – | – | $12,482$7,368–$16,298 · 41 plans | |
| Ms-Drg 671 671 | – | – | – | $20,198$11,529–$24,362 · 41 plans | |
| Ms-Drg 672 672 | – | – | – | $13,447$7,888–$17,001 · 41 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | – | – | – | $44,170$21,979–$76,872 · 41 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $26,073$13,189–$50,701 · 41 plans | |
| Ms-Drg 675 675 | – | – | – | $19,300$10,747–$50,701 · 41 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $9,273$5,450–$24,148 · 41 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $20,280$10,665–$26,996 · 41 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $13,534$7,727–$19,171 · 41 plans | |
| Ms-Drg 688 688 | – | – | – | $10,928$6,417–$14,459 · 41 plans | |
| Ms-Drg 693 693 | – | – | – | $15,322$7,487–$17,198 · 41 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $10,636$6,373–$12,119 · 41 plans | |
| Ms-Drg 695 695 | – | – | – | $14,053$8,215–$19,049 · 41 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $10,049$5,901–$12,606 · 41 plans | |
| Ms-Drg 697 697 | – | – | – | $13,430$7,879–$17,397 · 41 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $10,057$5,906–$14,463 · 41 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $22,570$13,909–$35,282 · 43 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $18,694$10,678–$29,235 · 42 plans | |
| Ms-Drg 709 709 | – | – | – | $25,220$13,135–$31,583 · 41 plans | |
| Ms-Drg 710 710 | – | – | – | $16,967$9,525–$25,636 · 41 plans | |
| Ms-Drg 711 711 | – | – | – | $22,924$12,549–$28,281 · 41 plans | |
| Ms-Drg 712 712 | – | – | – | $13,637$7,991–$16,890 · 41 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $17,960$10,045–$27,506 · 41 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $13,627$7,776–$19,346 · 41 plans | |
| Ms-Drg 715 715 | – | – | – | $24,372$12,957–$32,848 · 41 plans | |
| Ms-Drg 716 716 | – | – | – | $17,645$9,880–$26,913 · 41 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $21,100$11,686–$25,857 · 41 plans | |
| Ms-Drg 718 718 | – | – | – | $15,934$9,229–$23,940 · 41 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $20,337$10,694–$25,097 · 41 plans | |
| Ms-Drg 723 723 | – | – | – | $14,456$8,210–$20,907 · 41 plans | |
| Ms-Drg 724 724 | – | – | – | $9,725$5,732–$11,997 · 41 plans | |
| Ms-Drg 725 725 | – | – | – | $14,302$8,350–$18,328 · 41 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $10,073$6,069–$13,210 · 41 plans | |
| Ms-Drg 727 727 | – | – | – | $17,253$9,602–$20,613 · 41 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $11,129$6,523–$14,842 · 41 plans | |
| Ms-Drg 729 729 | – | – | – | $13,250$7,782–$16,238 · 41 plans | |
| Ms-Drg 730 730 | – | – | – | $9,601$5,815–$10,891 · 41 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $24,047$12,775–$43,665 · 41 plans | |
| Ms-Drg 735 735 | – | – | – | $16,426$9,242–$43,665 · 41 plans | |
| Ms-Drg 736 736 | – | – | – | $37,897$13,563–$61,427 · 42 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $23,261$11,933–$38,576 · 42 plans | |
| Ms-Drg 738 738 | – | – | – | $17,537$9,889–$38,576 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $36,887$19,143–$45,344 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $20,835$11,603–$33,108 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $17,127$10,416–$31,099 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $20,776$12,116–$25,182 · 42 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $15,635$10,225–$20,190 · 42 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $22,153$12,054–$27,691 · 41 plans | |
| Ms-Drg 745 745 | – | – | – | $13,994$8,183–$18,032 · 41 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $19,459$11,234–$23,576 · 41 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $11,595$6,770–$15,729 · 41 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $16,351$9,890–$25,268 · 43 plans | |
| Ms-Drg 749 749 | – | – | – | $28,298$14,270–$46,977 · 41 plans | |
| Ms-Drg 750 750 | – | – | – | $17,692$9,905–$34,887 · 41 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $20,639$10,845–$25,293 · 41 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $13,923$7,930–$19,902 · 41 plans | |
| Ms-Drg 756 756 | – | – | – | $12,324$7,283–$15,680 · 41 plans | |
| Ms-Drg 757 757 | – | – | – | $16,772$9,352–$22,291 · 41 plans | |
| Ms-Drg 758 758 | – | – | – | $12,866$7,377–$17,912 · 41 plans | |
| Ms-Drg 759 759 | – | – | – | $9,802$5,772–$13,911 · 41 plans | |
| Ms-Drg 760 760 | – | – | – | $12,767$7,522–$16,099 · 41 plans | |
| Ms-Drg 761 761 | – | – | – | $8,982$5,298–$10,592 · 41 plans | |
| Ms-Drg 768 768 | – | – | – | $13,372$6,541–$23,305 · 43 plans | |
| Ms-Drg 769 769 | – | – | – | $18,946$10,535–$22,934 · 41 plans | |
| Ms-Drg 770 770 | – | – | – | $12,597$6,857–$14,218 · 41 plans | |
| Ms-Drg 776 776 | – | – | – | $9,438$5,727–$11,978 · 41 plans | |
| Ms-Drg 779 779 | – | – | – | $10,979$5,981–$12,516 · 41 plans | |
| Ms-Drg 783 783 | – | – | – | $25,650$8,864–$28,474 · 42 plans | |
| Ms-Drg 784 784 | – | – | – | $13,263$7,789–$19,347 · 42 plans | |
| Ms-Drg 785 785 | – | – | – | $12,298$7,525–$13,813 · 42 plans | |
| C-section, with major complications 786 | – | – | – | $18,733$8,864–$20,966 · 42 plans | |
| C-section, with complications 787 | – | – | – | $13,799$7,929–$19,347 · 42 plans | |
| C-section 788 | – | – | – | $12,308$7,525–$13,814 · 42 plans | |
| Ms-Drg 789 789 | – | – | – | $20,068$5,700–$21,657 · 35 plans | |
| Ms-Drg 790 790 | – | – | – | $58,764$31,940–$66,803 · 35 plans | |
| Ms-Drg 791 791 | – | – | – | $41,563$22,560–$52,479 · 35 plans | |
| Ms-Drg 792 792 | – | – | – | $25,855$5,700–$28,182 · 35 plans | |
| Ms-Drg 793 793 | – | – | – | $42,606$23,110–$52,991 · 35 plans | |
| Ms-Drg 794 794 | – | – | – | $17,019$5,700–$18,940 · 35 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $5,044$2,305–$5,498 · 35 plans | |
| Ms-Drg 796 796 | – | – | – | $13,992$6,541–$15,839 · 43 plans | |
| Ms-Drg 797 797 | – | – | – | $12,451$6,482–$14,651 · 43 plans | |
| Ms-Drg 798 798 | – | – | – | $12,050$6,441–$14,560 · 43 plans | |
| Ms-Drg 799 799 | – | – | – | $47,350$23,523–$82,861 · 41 plans | |
| Ms-Drg 800 800 | – | – | – | $30,646$15,410–$59,388 · 41 plans | |
| Ms-Drg 801 801 | – | – | – | $21,899$11,691–$34,925 · 41 plans | |
| Ms-Drg 802 802 | – | – | – | $40,055$19,905–$50,068 · 41 plans | |
| Ms-Drg 803 803 | – | – | – | $20,801$11,686–$31,896 · 41 plans | |
| Ms-Drg 804 804 | – | – | – | $16,528$9,295–$24,809 · 41 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $13,048$6,462–$14,973 · 42 plans | |
| Vaginal birth, with complications 806 | – | – | – | $10,375$6,065–$12,547 · 42 plans | |
| Vaginal birth 807 | – | – | – | $9,480$5,836–$11,367 · 42 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $24,095$12,572–$37,195 · 41 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $15,653$8,837–$23,212 · 41 plans | |
| Ms-Drg 810 810 | – | – | – | $13,522$7,721–$23,212 · 41 plans | |
| Anemia and blood disorders 812 | – | – | – | $11,691$5,396–$13,327 · 41 plans | |
| Coagulation Disorders 813 | – | – | – | $18,173$9,810–$27,907 · 41 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $23,328$12,189–$28,864 · 41 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $13,206$7,555–$18,552 · 41 plans | |
| Ms-Drg 816 816 | – | – | – | $9,495$5,611–$13,248 · 41 plans | |
| Ms-Drg 817 817 | – | – | – | $24,304$6,336–$30,380 · 41 plans | |
| Ms-Drg 818 818 | – | – | – | $13,920$6,336–$15,869 · 41 plans | |
| Ms-Drg 819 819 | – | – | – | $11,263$5,575–$12,957 · 41 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $60,327$29,827–$99,142 · 41 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $25,102$12,957–$61,870 · 41 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $15,051$8,522–$23,565 · 41 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $46,524$23,787–$62,225 · 41 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $25,364$12,957–$41,451 · 41 plans | |
| Ms-Drg 825 825 | – | – | – | $16,464$9,261–$24,689 · 41 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $47,402$24,226–$74,115 · 41 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $25,807$13,060–$46,252 · 41 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $19,907$11,065–$31,303 · 41 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $32,755$17,065–$40,538 · 41 plans | |
| Ms-Drg 830 830 | – | – | – | $17,975$10,053–$27,535 · 41 plans | |
| Ms-Drg 831 831 | – | – | – | $14,321$6,336–$16,326 · 41 plans | |
| Ms-Drg 832 832 | – | – | – | $10,069$6,067–$11,394 · 41 plans | |
| Ms-Drg 833 833 | – | – | – | $8,194$5,056–$9,567 · 41 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $55,065$28,058–$74,509 · 41 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $23,617$11,996–$42,547 · 41 plans | |
| Ms-Drg 836 836 | – | – | – | $15,202$8,600–$22,312 · 41 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $48,596$24,823–$75,386 · 41 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $23,633$12,004–$47,045 · 41 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $17,382$9,411–$47,045 · 41 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $33,786$17,418–$43,904 · 41 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $19,203$10,283–$29,848 · 41 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $13,171$7,536–$18,486 · 41 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $22,084$11,567–$30,625 · 41 plans | |
| Ms-Drg 844 844 | – | – | – | $15,182$8,590–$22,274 · 41 plans | |
| Ms-Drg 845 845 | – | – | – | $11,558$6,728–$16,421 · 41 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $27,180$7,831–$33,975 · 41 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $15,299$7,831–$17,755 · 41 plans | |
| Ms-Drg 848 848 | – | – | – | $11,275$6,717–$13,766 · 41 plans | |
| Radiotherapy 849 | – | – | – | $28,828$14,939–$35,329 · 41 plans | |
| Ms-Drg 850 850 | – | – | – | $87,475$43,013–$168,394 · 41 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | – | – | – | $22,765$12,129–$60,849 · 41 plans | |
| Ms-Drg 855 855 | – | – | – | $17,900$10,013–$60,849 · 41 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $47,542$23,617–$83,223 · 41 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $24,158$12,832–$60,849 · 41 plans | |
| Ms-Drg 858 858 | – | – | – | $16,886$9,483–$60,849 · 41 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $20,469$10,760–$29,356 · 41 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $13,049$7,473–$18,320 · 41 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $11,979$6,912–$17,010 · 41 plans | |
| Viral Illness with Mcc 865 | – | – | – | $17,399$9,678–$21,322 · 41 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $11,466$6,820–$15,910 · 41 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $23,689$12,031–$38,297 · 41 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $13,372$7,642–$24,139 · 41 plans | |
| Ms-Drg 869 869 | – | – | – | $10,345$6,108–$24,139 · 41 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | – | – | – | $65,462$22,929–$73,787 · 42 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $39,342$1,627–$57,043 · 33 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $11,838$1,362–$15,840 · 33 plans | |
| Depressive Neuroses 881 | – | – | – | $12,020$1,337–$20,587 · 33 plans | |
| Neuroses Except Depressive 882 | – | – | – | $12,868$1,287–$18,057 · 33 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $20,959$1,476–$24,936 · 33 plans | |
| Delirium and other mental confusion 884 | – | – | – | $17,719$1,362–$22,512 · 33 plans | |
| Psychoses 885 | – | – | – | $16,280$1,262–$26,682 · 33 plans | |
| Ms-Drg 886 886 | – | – | – | $21,948$1,350–$25,400 · 33 plans | |
| Ms-Drg 887 887 | – | – | – | $12,841$1,262–$17,945 · 33 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $8,681$1,088–$10,706 · 36 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $15,771$1,139–$19,860 · 36 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $11,113$1,265–$21,178 · 36 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $10,747$1,202–$12,443 · 36 plans | |
| Ms-Drg 901 901 | – | – | – | $42,861$21,956–$59,817 · 41 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $21,953$11,719–$37,330 · 41 plans | |
| Ms-Drg 903 903 | – | – | – | $14,717$8,347–$37,330 · 41 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $37,921$19,486–$49,851 · 41 plans | |
| Ms-Drg 905 905 | – | – | – | $17,766$9,943–$30,171 · 41 plans | |
| Ms-Drg 906 906 | – | – | – | $21,582$11,963–$26,659 · 41 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $39,489$20,270–$53,144 · 41 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $22,737$12,114–$36,504 · 41 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $16,107$9,075–$27,129 · 41 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $18,685$10,283–$22,898 · 41 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $11,616$6,901–$16,201 · 41 plans | |
| Ms-Drg 915 915 | – | – | – | $18,753$8,171–$22,823 · 41 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $9,547$5,786–$10,799 · 41 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | – | – | – | $17,706$1,513–$22,132 · 41 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $11,125$1,424–$15,682 · 41 plans | |
| Complications of Treatment with Mcc 919 | – | – | – | $20,536$10,793–$25,167 · 41 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $13,092$7,495–$18,338 · 41 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $10,043$5,898–$13,652 · 41 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $19,768$10,409–$24,226 · 41 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $12,863$7,574–$17,581 · 41 plans | |
| Ms-Drg 927 927 | – | – | – | $209,752$93,899–$390,629 · 40 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $72,684$33,694–$124,427 · 40 plans | |
| Ms-Drg 929 929 | – | – | – | $33,653$16,912–$50,242 · 40 plans | |
| Ms-Drg 933 933 | – | – | – | $40,008$19,504–$53,000 · 40 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $24,711$12,355–$40,445 · 40 plans | |
| Non-Extensive Burns 935 | – | – | – | $22,699$11,715–$34,067 · 40 plans | |
| Ms-Drg 939 939 | – | – | – | $37,500$19,275–$45,956 · 41 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $25,312$13,181–$39,685 · 41 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $23,053$12,274–$37,099 · 41 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $17,523$4,129–$19,100 · 32 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $13,805$4,129–$15,048 · 32 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $14,940$1,424–$23,225 · 41 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $10,814$1,385–$14,646 · 41 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $14,202$7,590–$16,191 · 41 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $9,093$5,266–$10,263 · 41 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $8,840$5,224–$13,184 · 41 plans | |
| Ms-Drg 955 955 | – | – | – | $68,742$35,336–$127,909 · 41 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $39,910$20,782–$68,848 · 41 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $77,376$39,694–$139,414 · 41 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $44,290$22,993–$90,674 · 41 plans | |
| Ms-Drg 959 959 | – | – | – | $31,955$16,767–$90,674 · 41 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $29,912$15,736–$50,018 · 41 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $18,243$10,194–$33,496 · 41 plans | |
| Ms-Drg 965 965 | – | – | – | $12,492$7,181–$33,496 · 41 plans | |
| Ms-Drg 969 969 | – | – | – | $62,818$31,037–$111,995 · 41 plans | |
| Ms-Drg 970 970 | – | – | – | $28,976$14,599–$82,403 · 41 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $31,390$15,772–$52,802 · 41 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $15,935$8,985–$37,792 · 41 plans | |
| Ms-Drg 976 976 | – | – | – | $12,125$6,988–$37,792 · 41 plans | |
| Ms-Drg 977 977 | – | – | – | $15,962$8,998–$23,743 · 41 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $27,238$13,755–$66,177 · 41 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $20,006$11,117–$66,177 · 41 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $35,612$18,331–$51,147 · 41 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $19,322$10,758–$31,919 · 41 plans | |
| Ms-Drg 989 989 | – | – | – | $15,005$8,497–$31,919 · 41 plans | |
| Ms-Drg 998 998 | – | – | – | $3,356$2,534–$24,708 · 33 plans | |
| Ms-Drg 999 999 | – | – | – | $3,356$2,534–$24,708 · 33 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 | – | – | $5,882$1,950–$8,856 · 8 plans |
| Cataract surgery CPT 66984 | – | – | $4,993$4,121–$7,979 · 21 plans |
| Colonoscopy CPT 45378 | – | – | $3,160$1,723–$8,451 · 22 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $3,818$2,784–$8,451 · 22 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$8–$53 · 28 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,958 | $2,958 | $213$11–$2,514 · 51 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $25,236 | $25,236 | $11,987$1,432–$21,451 · 28 plans |
| Emergency room visit, highest level CPT 99285 | $14,280 | $14,280 | $6,146$2,748–$12,138 · 35 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $14,227$1,565–$23,903 · 23 plans |
| Hip replacement CPT 27130 | – | – | $15,915$5,617–$30,078 · 30 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $12,692$3,878–$27,057 · 24 plans |
| Knee replacement CPT 27447 | – | – | $15,741$8,305–$29,639 · 34 plans |
| MRI of the brain, with and without contrast CPT 70553 | $20,508 | $20,508 | $9,741$1,549–$17,432 · 28 plans |
| MRI of the knee, without contrast CPT 73721 | $17,008 | $17,008 | $8,079$1,473–$14,457 · 28 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $5,882$1,950–$8,856 · 8 plans |
Price file: Marion Communtiy Hospital, read November 9, 2026.