US Health Care Costs

St Josephs Hospital

3001 W Martin Luther King Jr Blvd, Tampa, FL 33607 · (813) 870-4398

General hospitalVoluntary non-profit - ChurchEmergency roomCMS rating ★★★★★

The money

$18what care cost the hospital for every $100 it billed
$358.7Mnet income, all sources
16.6%margin on patient care alone
$70.0Mcost of charity care (5.2% of costs)
$89.1Munpaid bills written off (bad debt)
1,345beds

From the hospital's Medicare cost report for the year ending December 2024. Non-profit hospitals must have a financial assistance (charity care) policy; ask for it if a bill is hard to pay.

Hospital stays

Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.

Billed (list price)Actually paid (Medicare + patient)

StayMedicare staysBilledPaidInsurers (median)
Sepsis, with major complications 871961$74,791$15,380
$41,112$23,617–$58,073 · 15 plans
Heart failure, with major complications 291431$48,876$10,568
$27,339$16,372–$38,618 · 15 plans
Stomach and digestive disorders 392205$35,123$7,294
$16,348$9,515–$23,095 · 15 plans
Urinary tract infection 690205$36,091$7,268
$16,815$9,835–$23,755 · 15 plans
Psychoses 885202$39,193$11,195
$8,884$1,707–$33,743 · 16 plans
Sepsis 872200$46,967$9,350
$21,600$12,783–$30,515 · 15 plans
Lung infection, with major complications 177179$58,990$13,317
$33,867$21,707–$47,844 · 15 plans
Urinary tract infection, with major complications 689179$46,245$9,693
$24,521$14,121–$34,638 · 15 plans
Heart attack, with major complications 280168$63,287$12,356
$34,391$18,744–$48,742 · 13 plans
Pneumonia, with major complications 193153$48,514$10,869
$27,609$16,371–$39,000 · 15 plans
Other kidney and urinary problems, with major complications 698145$58,217$12,852
$35,217$20,358–$49,750 · 15 plans
Stomach or intestinal bleeding, with complications 378134$45,537$8,672
$20,656$12,187–$29,180 · 15 plans
Infection needing surgery, with major complications 853130$155,173$34,799
$104,786$62,372–$148,024 · 15 plans
Kidney failure, with complications 683121$39,110$7,900
$18,623$11,029–$26,309 · 15 plans
Fainting 312111$39,674$7,959
$18,255$10,410–$25,788 · 15 plans
Stroke, with major complications 064107$85,023$14,948
$41,674$23,834–$58,875 · 15 plans
Skin infection (cellulitis) 603106$32,296$7,860
$18,456$10,638–$26,069 · 15 plans
Respiratory failure 189104$52,988$10,814
$25,927$15,141–$36,624 · 15 plans
Kidney failure, with major complications 682104$61,750$12,355
$31,468$18,392–$44,452 · 15 plans
Hip or thigh bone surgery (not replacement), with complications 481103$89,832$15,870
$43,471$27,847–$61,411 · 15 plans
Pneumonia, with complications 19489$39,241$7,051
$17,180$10,561–$24,270 · 15 plans
Dehydration and electrolyte problems, with major complications 64088$57,731$10,403
$27,825$15,674–$39,305 · 15 plans
Stroke, with complications or clot-busting drug 06587$58,346$9,105
$21,307$12,625–$30,097 · 15 plans
Dehydration and electrolyte problems 64186$37,972$7,255
$16,373$9,490–$23,127 · 15 plans
Irregular heartbeat, with complications 30983$38,569$6,880
$15,489$9,237–$21,881 · 15 plans
COPD, with major complications 19079$48,453$9,773
$23,534$14,000–$33,238 · 15 plans
Stomach or intestinal bleeding, with major complications 37779$68,436$14,052
$38,091$22,143–$53,814 · 15 plans
Heart attack, with complications 28167$50,431$8,600
$19,313$10,974–$27,373 · 13 plans
Back problems (no surgery) 55267$55,656$9,422
$20,193$11,570–$28,526 · 15 plans
Irregular heartbeat, with major complications 30865$50,970$11,415
$25,267$14,774–$35,691 · 15 plans
Heart stent 32263$104,700$16,239
$39,834$27,238–$53,636 · 14 plans
Bowel obstruction, with complications 38963$38,916$7,499
$16,796$10,140–$23,725 · 15 plans
Other kidney and urinary problems, with complications 69963$35,894$8,665
$21,366$12,674–$30,186 · 15 plans
Heart catheterization 28762$63,853$11,362
$22,828$13,033–$32,359 · 13 plans
Stomach and digestive disorders, with major complications 39162$52,283$11,129
$26,920$15,545–$38,018 · 15 plans
Diabetes, with complications 63859$35,425$7,815
$19,216$11,114–$27,147 · 15 plans
Hip replacement after a hip fracture 52256$98,548$16,231
$46,417$31,738–$62,498 · 14 plans
Bowel surgery, with complications 33055$132,716$21,706
$49,522$30,223–$69,959 · 15 plans
Lung infection, with complications 17850$46,327$8,215
$20,785$13,847–$29,363 · 15 plans
Heart catheterization, with major complications 28649$87,672$18,716
$46,371$25,260–$65,725 · 13 plans
Anemia and blood disorders 81246$34,015$7,944
$19,336$11,063–$27,315 · 15 plans
Infectious and Parasitic Diseases with O.r. Procedures with Cc 85446$89,006$15,621
$41,864$25,709–$59,138 · 15 plans
Other Vascular Procedures with Mcc 25245$148,709$25,302
$71,866$41,402–$101,530 · 15 plans
Chest pain 31345$35,855$6,464
$14,944$8,821–$21,115 · 15 plans
Heart stent, with major complications or 4+ stents 32145$159,313$31,518
$62,680$42,859–$84,397 · 14 plans
High blood pressure 30543$35,728$7,269
$15,728$9,147–$22,219 · 15 plans
Fracture or sprain (not hip or thigh) 56343$41,930$7,805
$18,724$10,783–$26,454 · 15 plans
Diabetes, with major complications 63743$60,329$11,687
$30,511$17,532–$43,102 · 15 plans
Other Digestive System Diagnoses with Mcc 39340$55,956$13,270
$34,693$20,247–$49,013 · 15 plans
Other circulation problems, with major complications 31439$81,972$14,849
$45,116$25,801–$63,738 · 15 plans
Other digestive problems, with complications 39439$49,594$8,605
$19,721$11,602–$27,860 · 15 plans
Septicemia or Severe Sepsis with Mv >96 Hours 87039$171,946$43,574
$145,746$83,612–$205,893 · 15 plans
Delirium and other mental confusion 88439$45,690$13,011
$13,589$1,707–$39,981 · 16 plans
Other Cerebrovascular Disorders with Mcc 07038$55,581$13,085
$36,428$22,482–$51,464 · 15 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 51638$78,917$16,102
$42,145$25,601–$59,541 · 15 plans
Seizures 10137$45,314$8,029
$19,308$11,134–$27,280 · 15 plans
Seizures with Mcc 10036$66,384$14,481
$41,592$23,463–$58,759 · 15 plans
Other Cerebrovascular Disorders with Cc 07135$48,727$8,984
$22,078$12,636–$31,192 · 15 plans
Breathing problem needing a ventilator (up to 4 days) 20835$92,499$21,885
$56,235$31,868–$79,433 · 15 plans
Hip and Femur Procedures Except Major Joint Without Cc/Mcc 48235$76,874$14,665
$33,237$20,156–$46,953 · 15 plans
Chronic Obstructive Pulmonary Disease with Cc 19134$38,017$7,621
$17,999$10,822–$25,427 · 15 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 54334$51,796$8,710
$22,225$13,070–$31,400 · 15 plans
Anemia and blood disorders, with major complications 81134$53,819$11,255
$29,474$16,948–$41,640 · 15 plans
Craniotomy and Endovascular Intracranial Procedures with Mcc 02533$237,249$36,008
$93,693$50,654–$132,808 · 13 plans
Pulmonary Embolism with Mcc or Acute Cor Pulmonale 17533$54,895$13,119
$29,522$17,623–$41,705 · 15 plans
Heart procedure through a catheter (e.g. ablation, valve clip) 27433$136,809$27,640
$65,384$39,724–$92,373 · 15 plans
Kidney and Ureter Procedures for Non-Neoplasm with Cc 66033$65,153$12,560
$28,072$17,059–$39,660 · 15 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 98133$191,022$29,303
$99,607$59,302–$140,702 · 15 plans
Other Disorders of Nervous System with Cc 09232$56,902$10,641
$22,183$12,483–$31,335 · 15 plans
Irregular heartbeat 31032$34,583$5,910
$11,722$6,907–$16,560 · 15 plans
Gastrointestinal Obstruction with Mcc 38832$53,022$11,919
$30,798$18,500–$43,505 · 15 plans
Fractures of Hip and Pelvis Without Mcc 53632$38,219$7,191
$16,989$9,679–$24,000 · 15 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 02331$193,793$40,861
$119,519$69,883–$168,855 · 15 plans
Bronchitis and Asthma with Cc/Mcc 20231$33,306$9,127
$20,253$11,817–$28,612 · 15 plans
Hip or thigh bone surgery (not replacement), with major complications 48031$122,587$21,988
$61,617$40,928–$87,045 · 15 plans
Cellulitis with Mcc 60231$52,608$11,838
$30,785$17,890–$43,484 · 15 plans
Peripheral Vascular Disorders with Cc 30030$40,411$9,124
$22,428$12,946–$31,687 · 15 plans
Bowel surgery, with major complications 32930$178,108$40,090
$96,201$58,703–$135,907 · 15 plans
Signs and Symptoms Without Mcc 94830$40,928$6,939
$16,646$9,715–$23,515 · 15 plans
Heart valve replacement through a catheter (TAVR), with major complications 26629$201,585$50,448
$125,505$81,161–$177,311 · 15 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Cc 37229$48,099$8,895
$21,565$12,666–$30,464 · 15 plans
Heart valve replacement through a catheter (TAVR) 26728$183,035$36,330
$98,562$64,265–$139,246 · 15 plans
Traumatic Stupor and Coma >1 Hour with Cc 08327$69,516$11,173
$29,128$16,661–$41,152 · 15 plans
Laparoscopic Cholecystectomy Without C.d.e. with Cc 41827$90,045$14,776
$34,747$20,544–$49,084 · 15 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 89727$31,459$7,699
$8,711$1,693–$21,269 · 15 plans
Traumatic Stupor and Coma >1 Hour with Mcc 08226$85,620$20,004
$48,608$28,213–$68,671 · 15 plans
Permanent Cardiac Pacemaker Implant with Cc 24326$88,587$17,771
$47,196$28,193–$66,898 · 13 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 49326$123,650$19,185
$50,303$30,068–$71,063 · 15 plans
Degenerative nerve disorders (e.g. Parkinson's, dementia) 05724$63,320$11,044
$27,963$16,891–$39,495 · 15 plans
Peripheral Vascular Disorders with Mcc 29924$61,357$12,379
$33,892$18,905–$47,876 · 15 plans
Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 60524$50,474$8,178
$19,352$11,100–$27,339 · 15 plans
Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 06623$51,080$6,456
$14,421$9,148–$20,372 · 15 plans
Other Disorders of Nervous System with Mcc 09123$70,609$14,675
$38,189$22,077–$53,953 · 15 plans
Respiratory Neoplasms with Mcc 18023$69,906$13,385
$36,616$23,402–$51,730 · 15 plans
Inflammatory Bowel Disease with Cc 38623$39,961$9,378
$20,792$12,208–$29,375 · 15 plans
Coronary Bypass Without Cardiac Catheterization Without Mcc 23622$219,311$28,979
$86,146$48,212–$122,111 · 13 plans
Other Major Cardiovascular Procedures with Cc 27122$146,506$32,969
$72,164$43,188–$101,945 · 15 plans
Other Circulatory System Diagnoses with Cc 31522$45,771$8,150
$20,161$11,933–$28,481 · 15 plans
Mini-stroke (TIA) 06921$51,391$7,232
$16,765$9,753–$23,681 · 15 plans
Traumatic Stupor and Coma <1 Hour with Cc 08621$71,009$11,074
$27,479$15,725–$38,820 · 15 plans
Other Cardiothoracic Procedures Without Mcc 22921$171,682$26,086
$65,076$44,109–$92,243 · 13 plans
Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 66121$51,346$9,608
$21,508$13,080–$30,384 · 15 plans
Coagulation Disorders 81321$153,763$24,345
$32,430$19,350–$45,816 · 15 plans
Nervous System Neoplasms with Mcc 05420$67,749$11,440
$31,408$17,499–$44,369 · 15 plans
Pulmonary Embolism Without Mcc 17620$48,944$7,769
$17,065$10,273–$24,107 · 15 plans
Other Vascular Procedures with Cc 25320$97,582$24,721
$53,486$31,864–$75,562 · 15 plans
Cervical Spinal Fusion with Cc 47220$197,864$23,991
$60,695$36,690–$85,749 · 15 plans
Endocrine Disorders with Cc 64420$43,954$8,931
$21,653$12,726–$30,586 · 15 plans
Gastrointestinal Obstruction Without Cc/Mcc 39019$34,478$5,510
$11,462$6,963–$16,196 · 15 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 26918$124,547$37,113
$87,165$52,046–$123,145 · 15 plans
Peritoneal Adhesiolysis with Cc 33618$98,347$20,123
$44,257$27,060–$62,518 · 15 plans
Malignancy of Hepatobiliary System or Pancreas with Mcc 43518$72,134$14,361
$38,225$21,718–$54,003 · 15 plans
Postoperative and Post-Traumatic Infections Without Mcc 86318$43,032$8,479
$20,949$12,270–$29,594 · 15 plans
Other O.r. Procedures for Injuries with Mcc 90718$153,845$29,327
$83,458$49,226–$117,906 · 15 plans
Percutaneous and Other Intracardiac Procedures with Mcc 27317$211,695$30,725
$81,918$50,976–$115,734 · 15 plans
Major Small and Large Bowel Procedures Without Cc/Mcc 33117$171,191$17,740
$34,590$20,628–$48,865 · 15 plans
Other Digestive System Diagnoses Without Cc/Mcc 39517$37,503$6,162
$13,333$7,972–$18,836 · 15 plans
Laparoscopic Cholecystectomy Without C.d.e. with Mcc 41717$145,229$21,510
$49,790$29,561–$70,338 · 15 plans
Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 41917$80,162$10,990
$27,605$16,507–$38,997 · 15 plans
Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 52117$106,799$20,565
$64,175$43,882–$86,410 · 14 plans
Poisoning and Toxic Effects of Drugs with Mcc 91717$67,859$14,912
$34,351$19,123–$48,531 · 15 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 98217$121,132$21,960
$51,299$30,165–$72,463 · 15 plans
Dysequilibrium 14916$42,599$6,873
$15,661$9,122–$22,124 · 15 plans
Major Chest Procedures with Mcc 16316$124,982$33,398
$96,561$58,594–$136,419 · 15 plans
Respiratory System Diagnosis with Ventilator Support >96 Hours 20716$198,305$37,289
$135,505$75,770–$191,411 · 15 plans
Other Major Cardiovascular Procedures with Mcc 27016$189,120$41,731
$107,537$63,234–$151,922 · 15 plans
Heart Failure and Shock with Cc 29216$38,467$7,545
$18,045$10,915–$25,489 · 15 plans
Other Digestive System O.r. Procedures with Mcc 35616$162,417$34,341
$89,364$51,471–$126,253 · 15 plans
Digestive Malignancy with Cc 37516$57,620$10,040
$25,742$15,035–$36,366 · 15 plans
Revision of Hip or Knee Replacement with Cc 46716$163,867$25,130
$71,755$42,845–$101,376 · 15 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 51516$109,287$23,644
$64,785$41,122–$91,526 · 15 plans
Medical Back Problems with Mcc 55116$83,291$13,025
$35,749$20,325–$50,505 · 15 plans
Endocrine Disorders with Mcc 64316$67,504$11,644
$34,722$20,261–$49,051 · 15 plans
Kidney and Ureter Procedures for Non-Neoplasm with Mcc 65916$107,332$19,604
$54,142$32,517–$76,488 · 15 plans
Other Kidney and Urinary Tract Procedures with Mcc 67316$93,769$28,386
$87,785$47,819–$124,000 · 15 plans
Depressive Neuroses 88116$24,604$7,644
$6,449$1,707–$21,882 · 16 plans
Permanent Cardiac Pacemaker Implant with Mcc 24215$140,357$27,574
$71,066$41,625–$100,727 · 13 plans
Cirrhosis and Alcoholic Hepatitis with Cc 43315$45,023$8,972
$22,411$12,969–$31,663 · 15 plans
Tendonitis, Myositis and Bursitis Without Mcc 55815$37,558$7,793
$18,097$10,650–$25,566 · 15 plans
Skin Ulcers with Mcc 59215$60,607$16,004
$43,079$24,886–$60,861 · 15 plans
Poisoning and Toxic Effects of Drugs Without Mcc 91815$45,792$7,700
$18,529$10,283–$26,182 · 15 plans
Extracranial Procedures Without Cc/Mcc 03914$49,728$11,164
$23,846$15,834–$33,688 · 15 plans
Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 28214$38,347$6,617
$15,192$8,937–$21,532 · 13 plans
Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 37114$84,422$13,665
$36,629$21,440–$51,736 · 15 plans
Digestive Malignancy with Mcc 37414$70,934$14,915
$44,238$25,346–$62,492 · 15 plans
Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 51714$63,520$14,617
$31,271$18,719–$44,180 · 15 plans
Postoperative and Post-Traumatic Infections with Mcc 86214$69,179$15,103
$38,521$22,779–$54,420 · 15 plans
Major Chest Procedures with Cc 16413$169,280$19,725
$52,729$31,171–$74,496 · 15 plans
Major Chest Trauma with Cc 18413$44,422$9,973
$22,376$12,871–$31,613 · 15 plans
Pleural Effusion with Mcc 18613$62,329$12,655
$33,103$19,273–$46,764 · 15 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 22013$305,573$41,815
$110,963$60,851–$157,289 · 13 plans
Acute Myocardial Infarction, Expired with Mcc 28313$54,752$15,734
$40,968$26,625–$58,067 · 13 plans
Hypertension with Mcc 30413$50,337$9,992
$24,613$13,976–$34,771 · 15 plans
Gastrointestinal Hemorrhage Without Cc/Mcc 37913$29,978$6,067
$13,337$7,919–$18,845 · 15 plans
Disorders of the Biliary Tract with Cc 44513$61,458$9,448
$22,719$13,327–$32,098 · 15 plans
Renal Failure Without Cc/Mcc 68413$32,864$5,907
$12,728$7,550–$17,977 · 15 plans
Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 00412$316,707$65,906
$296,019$175,994–$418,208 · 15 plans
Carotid Artery Stent Procedures with Cc 03512$108,177$29,220
$47,655$28,765–$67,328 · 15 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 23412$274,491$54,971
$111,457$63,207–$157,987 · 13 plans
Permanent Cardiac Pacemaker Implant Without Cc/Mcc 24412$72,553$14,715
$37,810$23,002–$53,592 · 13 plans
Disorders of Pancreas Except Malignancy with Cc 43912$44,666$10,266
$18,022$10,539–$25,460 · 15 plans
Transurethral Procedures with Cc 66912$63,954$13,616
$32,422$19,096–$45,802 · 15 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 85612$189,085$29,020
$94,516$55,160–$133,531 · 15 plans
Complications of Treatment with Mcc 91912$55,471$14,497
$38,202$22,527–$53,973 · 15 plans
Carotid Artery Stent Procedures Without Cc/Mcc 03611$73,539$14,392
$38,403$23,375–$54,255 · 15 plans
Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 08411$50,522$9,946
$20,029$11,431–$28,298 · 15 plans
Otitis Media and Uri Without Mcc 15311$44,438$6,760
$14,911$8,754–$21,064 · 15 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 21911$333,636$59,959
$162,098$89,648–$229,770 · 13 plans
Other Cardiothoracic Procedures with Mcc 22811$164,733$34,305
$104,397$68,226–$147,982 · 13 plans
Other Circulatory System O.r. Procedures 26411$94,277$25,008
$73,222$37,921–$103,789 · 13 plans
Disorders of the Biliary Tract with Mcc 44411$61,113$16,501
$35,292$20,427–$49,854 · 15 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 49211$108,510$24,609
$74,397$43,174–$105,106 · 15 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 54211$56,897$14,325
$39,072$26,622–$55,202 · 15 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 61711$104,151$15,504
$40,482$24,611–$57,170 · 15 plans
Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 85711$82,831$17,131
$45,650$25,978–$64,489 · 15 plans
Complications of Treatment with Cc 92011$37,184$8,943
$21,282$12,490–$30,068 · 15 plans
Heart Transplant or Implant of Heart Assist System with Mcc 001–––$590,114$380,398–$833,703 · 15 plans
Ms-Drg 002 002–––$206,619$145,514–$278,347 · 15 plans
Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003–––$448,984$270,754–$634,315 · 15 plans
Liver Transplant with Mcc or Intestinal Transplant 005–––$223,099$138,849–$315,192 · 15 plans
Liver Transplant Without Mcc 006–––$101,589$65,563–$143,523 · 15 plans
Lung Transplant 007–––$273,786$146,848–$386,800 · 15 plans
Ms-Drg 008 008–––$113,990$68,296–$161,041 · 15 plans
Ms-Drg 010 010–––$167,034$96,493–$235,978 · 15 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011–––$113,043$68,611–$159,704 · 15 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012–––$85,970$48,704–$121,458 · 15 plans
Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013–––$55,516$31,294–$78,433 · 15 plans
Allogeneic Bone Marrow Transplant 014–––$274,477$159,565–$387,777 · 15 plans
Autologous Bone Marrow Transplant with Cc/Mcc 016–––$126,450$79,929–$178,646 · 15 plans
Ms-Drg 017 017–––$126,450$73,049–$178,646 · 15 plans
Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018–––$830,333$567,776–$1,118,049 · 14 plans
Ms-Drg 019 019–––$174,537$119,347–$235,016 · 14 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020–––$168,876$120,014–$238,586 · 15 plans
Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021–––$111,889$81,989–$158,076 · 15 plans
Ms-Drg 022 022–––$66,195$46,196–$81,974 · 15 plans
Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024–––$79,643$48,307–$112,520 · 15 plans
Craniotomy and Endovascular Intracranial Procedures with Cc 026–––$64,077$34,985–$90,827 · 13 plans
Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027–––$51,699$28,216–$73,283 · 13 plans
Spinal Procedures with Mcc 028–––$127,363$71,955–$179,936 · 15 plans
Spinal Procedures with Cc or Spinal Neurostimulators 029–––$70,322$40,494–$99,349 · 15 plans
Spinal Procedures Without Cc/Mcc 030–––$46,620$27,775–$65,866 · 15 plans
Ventricular Shunt Procedures with Mcc 031–––$87,791$49,641–$124,442 · 13 plans
Ventricular Shunt Procedures with Cc 032–––$44,741$24,982–$63,418 · 13 plans
Ventricular Shunt Procedures Without Cc/Mcc 033–––$33,425$19,200–$47,379 · 13 plans
Carotid Artery Stent Procedures with Mcc 034–––$81,468$47,157–$115,095 · 15 plans
Extracranial Procedures with Mcc 037–––$69,572$44,989–$98,289 · 15 plans
Extracranial Procedures with Cc 038–––$33,754$20,686–$47,690 · 15 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040–––$79,023$48,045–$112,015 · 13 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041–––$47,320$26,871–$67,059 · 13 plans
Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042–––$36,821$20,935–$52,193 · 13 plans
Ms-Drg 052 052–––$42,162$22,409–$59,564 · 15 plans
Ms-Drg 053 053–––$19,302$11,661–$27,271 · 15 plans
Nervous System Neoplasms Without Mcc 055–––$22,855$12,803–$32,291 · 15 plans
Degenerative Nervous System Disorders with Mcc 056–––$52,461$28,937–$74,114 · 15 plans
Ms-Drg 058 058–––$38,669$23,777–$54,633 · 15 plans
Ms-Drg 059 059–––$25,634$14,644–$36,215 · 15 plans
Ms-Drg 060 060–––$18,697$11,384–$26,413 · 15 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061–––$56,635$33,953–$80,013 · 15 plans
Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062–––$37,310$23,454–$52,710 · 15 plans
Ms-Drg 063 063–––$29,430$19,101–$41,578 · 15 plans
Ms-Drg 067 067–––$30,500$18,025–$43,061 · 15 plans
Precerebral Occlusion Without Infarction Without Mcc 068–––$18,470$11,023–$26,090 · 15 plans
Other Cerebrovascular Disorders Without Cc/Mcc 072–––$15,715$9,438–$22,204 · 15 plans
Cranial and Peripheral Nerve Disorders with Mcc 073–––$32,380$18,257–$45,745 · 15 plans
Cranial and Peripheral Nerve Disorders Without Mcc 074–––$21,839$12,526–$30,852 · 15 plans
Ms-Drg 075 075–––$34,823$20,373–$49,196 · 15 plans
Ms-Drg 076 076–––$19,210$11,230–$27,138 · 15 plans
Hypertensive Encephalopathy with Mcc 077–––$32,394$19,069–$45,766 · 15 plans
Hypertensive Encephalopathy with Cc 078–––$20,905$12,093–$29,535 · 15 plans
Ms-Drg 079 079–––$13,861$8,705–$19,582 · 15 plans
Nontraumatic Stupor and Coma with Mcc 080–––$41,263$24,089–$58,277 · 15 plans
Ms-Drg 081 081–––$18,956$11,008–$26,780 · 15 plans
Traumatic Stupor and Coma <1 Hour with Mcc 085–––$47,473$28,687–$67,067 · 15 plans
Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087–––$18,521$10,630–$26,164 · 15 plans
Concussion with Mcc 088–––$29,553$17,281–$41,753 · 15 plans
Concussion with Cc 089–––$22,462$14,800–$31,731 · 15 plans
Concussion Without Cc/Mcc 090–––$17,959$11,998–$25,374 · 15 plans
Other Disorders of Nervous System Without Cc/Mcc 093–––$16,537$9,837–$23,361 · 15 plans
Bacterial and Tuberculous Infections of Nervous System with Mcc 094–––$76,438$44,645–$107,991 · 15 plans
Ms-Drg 095 095–––$50,220$29,662–$70,950 · 15 plans
Ms-Drg 096 096–––$50,220$28,740–$70,950 · 15 plans
Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097–––$75,105$44,205–$106,094 · 15 plans
Ms-Drg 098 098–––$45,445$25,422–$64,205 · 15 plans
Ms-Drg 099 099–––$29,189$16,498–$41,238 · 15 plans
Headaches with Mcc 102–––$24,291$14,527–$34,318 · 15 plans
Headaches Without Mcc 103–––$17,813$10,175–$25,164 · 15 plans
Ms-Drg 104 104–––$27,066only 1 plan
Ms-Drg 105 105–––$3,925only 1 plan
Ms-Drg 106 106–––$3,588only 1 plan
Ms-Drg 107 107–––$5,012only 1 plan
Ms-Drg 108 108–––$9,728only 1 plan
Ms-Drg 109 109–––$7,534only 1 plan
Ms-Drg 111 111–––$21,588only 1 plan
Ms-Drg 112 112–––$2,887only 1 plan
Orbital Procedures with Cc/Mcc 113–––$46,867$27,071–$66,215 · 15 plans
Ms-Drg 114 114–––$24,766$14,651–$34,987 · 15 plans
Extraocular Procedures Except Orbit 115–––$32,074$21,995–$45,313 · 15 plans
Intraocular Procedures with Cc/Mcc 116–––$34,957$22,017–$49,386 · 15 plans
Ms-Drg 117 117–––$21,207$13,153–$29,958 · 15 plans
Ms-Drg 118 118–––$5,211only 1 plan
Ms-Drg 119 119–––$6,606only 1 plan
Ms-Drg 120 120–––$8,143only 1 plan
Acute Major Eye Infections with Cc/Mcc 121–––$24,368$15,028–$34,427 · 15 plans
Ms-Drg 122 122–––$14,211$8,975–$20,076 · 15 plans
Neurological Eye Disorders 123–––$16,828$9,775–$23,772 · 15 plans
Other Disorders of the Eye with Mcc or Thrombolytic Agent 124–––$27,316$16,643–$38,592 · 15 plans
Other Disorders of the Eye Without Mcc 125–––$17,299$9,964–$24,438 · 15 plans
Ms-Drg 129 129–––$24,267only 1 plan
Ms-Drg 130 130–––$15,323only 1 plan
Ms-Drg 131 131–––$28,507only 1 plan
Ms-Drg 132 132–––$16,849only 1 plan
Ms-Drg 133 133–––$22,757only 1 plan
Ms-Drg 134 134–––$12,816only 1 plan
Ms-Drg 135 135–––$50,511$29,180–$71,362 · 15 plans
Ms-Drg 136 136–––$20,494$13,425–$28,952 · 15 plans
Ms-Drg 137 137–––$29,300$16,854–$41,395 · 15 plans
Ms-Drg 138 138–––$17,044$10,349–$24,077 · 15 plans
Ms-Drg 139 139–––$28,764$16,617–$40,637 · 15 plans
Ms-Drg 140 140–––$93,116$63,672–$125,381 · 14 plans
Major Head and Neck Procedures with Cc 141–––$47,304$32,346–$63,695 · 14 plans
Major Head and Neck Procedures Without Cc/Mcc 142–––$34,620$23,673–$46,616 · 14 plans
Ms-Drg 143 143–––$72,699$49,711–$97,889 · 14 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144–––$38,678$26,448–$52,080 · 14 plans
Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145–––$26,086$17,837–$35,125 · 14 plans
Ear, Nose, Mouth and Throat Malignancy with Mcc 146–––$48,060$26,001–$67,899 · 15 plans
Ear, Nose, Mouth and Throat Malignancy with Cc 147–––$26,078$15,345–$36,843 · 15 plans
Ms-Drg 148 148–––$15,990$9,555–$22,592 · 15 plans
Ms-Drg 150 150–––$28,956$16,728–$40,909 · 15 plans
Epistaxis Without Mcc 151–––$15,881$8,985–$22,435 · 15 plans
Otitis Media and Uri with Mcc 152–––$23,773$13,402–$33,587 · 15 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154–––$34,071$18,877–$48,134 · 15 plans
Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155–––$19,560$11,321–$27,632 · 15 plans
Ms-Drg 156 156–––$14,087$8,189–$19,901 · 15 plans
Dental and Oral Diseases with Mcc 157–––$34,305$19,744–$48,465 · 15 plans
Dental and Oral Diseases with Cc 158–––$19,704$11,143–$27,839 · 15 plans
Ms-Drg 159 159–––$13,819$8,229–$19,522 · 15 plans
Ms-Drg 160 160–––$8,241only 1 plan
Ms-Drg 161 161–––$17,796only 1 plan
Ms-Drg 162 162–––$11,008only 1 plan
Major Chest Procedures Without Cc/Mcc 165–––$39,051$22,921–$55,169 · 15 plans
Other Respiratory System O.r. Procedures with Mcc 166–––$80,682$46,780–$113,958 · 15 plans
Other Respiratory System O.r. Procedures with Cc 167–––$38,280$23,116–$54,080 · 15 plans
Other Respiratory System O.r. Procedures Without Cc/Mcc 168–––$28,363$16,544–$40,072 · 15 plans
Ms-Drg 169 169–––$4,202only 1 plan
Ms-Drg 170 170–––$3,238only 1 plan
Ms-Drg 171 171–––$5,022only 1 plan
Ms-Drg 172 172–––$5,372only 1 plan
Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173–––$67,562$46,199–$90,973 · 14 plans
Ms-Drg 174 174–––$3,867only 1 plan
Respiratory Infections and Inflammations Without Cc/Mcc 179–––$16,126$10,117–$22,781 · 15 plans
Respiratory Neoplasms with Cc 181–––$23,260$13,974–$32,862 · 15 plans
Ms-Drg 182 182–––$17,546$10,375–$24,788 · 15 plans
Major Chest Trauma with Mcc 183–––$33,253$19,102–$46,980 · 15 plans
Major Chest Trauma Without Cc/Mcc 185–––$16,292$9,325–$23,018 · 15 plans
Pleural Effusion with Cc 187–––$21,033$12,549–$29,716 · 15 plans
Ms-Drg 188 188–––$15,380$9,044–$21,730 · 15 plans
Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192–––$13,559$8,386–$19,155 · 15 plans
Simple Pneumonia and Pleurisy Without Cc/Mcc 195–––$13,048$8,066–$18,430 · 15 plans
Interstitial Lung Disease with Mcc 196–––$39,476$21,936–$55,764 · 15 plans
Interstitial Lung Disease with Cc 197–––$20,739$12,424–$29,301 · 15 plans
Ms-Drg 198 198–––$14,100$8,909–$19,919 · 15 plans
Pneumothorax with Mcc 199–––$36,983$21,980–$52,248 · 15 plans
Pneumothorax with Cc 200–––$23,201$13,513–$32,779 · 15 plans
Ms-Drg 201 201–––$14,182$8,621–$20,040 · 15 plans
Bronchitis and Asthma Without Cc/Mcc 203–––$14,588$8,583–$20,617 · 15 plans
Respiratory Signs and Symptoms 204–––$16,989$10,023–$24,003 · 15 plans
Other Respiratory System Diagnoses with Mcc 205–––$39,549$21,696–$55,874 · 15 plans
Other Respiratory System Diagnoses Without Mcc 206–––$18,977$10,972–$26,809 · 15 plans
Ms-Drg 209 209–––$4,885only 1 plan
Ms-Drg 210 210–––$14,584only 1 plan
Ms-Drg 211 211–––$5,723only 1 plan
Concomitant Aortic and Mitral Valve Procedures 212–––$239,854$164,010–$322,965 · 14 plans
Ms-Drg 213 213–––$16,936only 1 plan
Ms-Drg 214 214–––$5,573only 1 plan
Other Heart Assist System Implant 215–––$221,959$140,991–$314,619 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216–––$202,186$114,052–$286,595 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217–––$135,289$75,738–$191,771 · 13 plans
Ms-Drg 218 218–––$124,640$66,318–$176,668 · 13 plans
Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221–––$96,213$52,725–$136,380 · 13 plans
Ms-Drg 222 222–––$147,644$110,496–$215,679 · 5 plans
Ms-Drg 223 223–––$94,733$75,446–$145,217 · 5 plans
Ms-Drg 224 224–––$237,792$100,209–$241,135 · 5 plans
Ms-Drg 225 225–––$171,340$73,859–$176,062 · 5 plans
Ms-Drg 226 226–––$216,843$90,541–$230,846 · 5 plans
Ms-Drg 227 227–––$152,309$70,913–$163,998 · 5 plans
Ms-Drg 230 230–––$43,200only 1 plan
Coronary Bypass with Ptca with Mcc 231–––$177,526$95,002–$251,638 · 13 plans
Ms-Drg 232 232–––$127,975$69,053–$181,402 · 13 plans
Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233–––$163,749$89,280–$232,113 · 13 plans
Coronary Bypass Without Cardiac Catheterization with Mcc 235–––$123,271$67,517–$174,735 · 13 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239–––$105,520$54,678–$149,574 · 13 plans
Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240–––$61,009$32,123–$86,480 · 13 plans
Ms-Drg 241 241–––$31,632$17,378–$44,837 · 13 plans
Ms-Drg 245 245–––$102,377$62,381–$144,636 · 15 plans
Ms-Drg 246 246–––$68,883$42,645–$88,901 · 5 plans
Ms-Drg 247 247–––$46,499$27,262–$57,725 · 5 plans
Ms-Drg 248 248–––$98,273$42,267–$101,147 · 5 plans
Ms-Drg 249 249–––$61,544$25,815–$75,505 · 5 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250–––$48,453$28,548–$68,674 · 13 plans
Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251–––$32,736$18,950–$46,402 · 13 plans
Other Vascular Procedures Without Cc/Mcc 254–––$36,650$23,298–$51,777 · 15 plans
Ms-Drg 255 255–––$54,814$30,302–$77,699 · 13 plans
Ms-Drg 256 256–––$35,483$19,626–$50,295 · 13 plans
Ms-Drg 257 257–––$16,723$12,038–$23,537 · 13 plans
Ms-Drg 258 258–––$58,776$34,337–$83,311 · 13 plans
Ms-Drg 259 259–––$36,823$22,922–$52,196 · 13 plans
Cardiac Pacemaker Revision Except Device Replacement with Mcc 260–––$71,376$51,183–$101,149 · 13 plans
Cardiac Pacemaker Revision Except Device Replacement with Cc 261–––$39,752$26,058–$56,350 · 13 plans
Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262–––$31,797$18,770–$45,072 · 13 plans
Ms-Drg 263 263–––$56,188$29,898–$79,647 · 13 plans
Ms-Drg 265 265–––$74,730$43,172–$105,579 · 15 plans
Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268–––$139,685$83,059–$197,342 · 15 plans
Other Major Cardiovascular Procedures Without Cc/Mcc 272–––$52,419$31,526–$74,058 · 15 plans
Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275–––$155,596$106,395–$209,511 · 14 plans
Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276–––$136,384$93,258–$183,642 · 14 plans
Cardiac Defibrillator Implant Without Mcc 277–––$102,429$70,036–$137,912 · 14 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278–––$110,158$75,326–$148,330 · 14 plans
Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279–––$70,552$48,243–$94,999 · 14 plans
Ms-Drg 284 284–––$15,523$8,369–$22,004 · 13 plans
Ms-Drg 285 285–––$11,760$6,258–$16,671 · 13 plans
Ms-Drg 288 288–––$57,223$33,255–$80,845 · 15 plans
Ms-Drg 289 289–––$33,031$20,022–$46,666 · 15 plans
Ms-Drg 290 290–––$20,511$12,225–$28,976 · 15 plans
Heart Failure and Shock Without Cc/Mcc 293–––$11,502$7,453–$16,240 · 15 plans
Ms-Drg 294 294–––$25,726$15,442–$36,345 · 15 plans
Ms-Drg 295 295–––$16,547$9,559–$23,376 · 15 plans
Cardiac Arrest, Unexplained with Mcc 296–––$34,324$22,510–$48,492 · 15 plans
Ms-Drg 297 297–––$14,758$8,816–$20,848 · 15 plans
Ms-Drg 298 298–––$9,252$5,845–$13,073 · 15 plans
Peripheral Vascular Disorders Without Cc/Mcc 301–––$14,944$8,887–$21,115 · 15 plans
Atherosclerosis with Mcc 302–––$24,370$14,079–$34,430 · 15 plans
Atherosclerosis Without Mcc 303–––$14,087$8,323–$19,901 · 15 plans
Cardiac Congenital and Valvular Disorders with Mcc 306–––$31,372$18,122–$44,319 · 15 plans
Cardiac Congenital and Valvular Disorders Without Mcc 307–––$19,407$11,157–$27,419 · 15 plans
Angina Pectoris 311–––$14,634$8,538–$20,668 · 15 plans
Other Circulatory System Diagnoses Without Cc/Mcc 316–––$14,301$8,808–$20,206 · 15 plans
Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317–––$136,208$93,138–$183,404 · 14 plans
Ms-Drg 318 318–––$36,347only 1 plan
Other Endovascular Cardiac Valve Procedures with Mcc 319–––$92,027$53,164–$130,015 · 15 plans
Other Endovascular Cardiac Valve Procedures Without Mcc 320–––$48,493$28,791–$68,512 · 15 plans
Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323–––$93,781$64,126–$126,276 · 14 plans
Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324–––$70,349$48,103–$94,723 · 14 plans
Ms-Drg 325 325–––$63,017$43,090–$84,851 · 14 plans
Stomach, Esophageal and Duodenal Procedures with Mcc 326–––$106,404$63,930–$150,324 · 15 plans
Stomach, Esophageal and Duodenal Procedures with Cc 327–––$50,871$30,902–$71,865 · 15 plans
Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328–––$33,383$20,045–$47,163 · 15 plans
Ms-Drg 332 332–––$72,669$42,977–$102,664 · 15 plans
Ms-Drg 333 333–––$44,523$31,419–$62,903 · 15 plans
Ms-Drg 334 334–––$34,745$23,377–$49,090 · 15 plans
Peritoneal Adhesiolysis with Mcc 335–––$75,924$47,421–$107,243 · 15 plans
Peritoneal Adhesiolysis Without Cc/Mcc 337–––$32,160$19,620–$45,435 · 15 plans
Ms-Drg 338 338–––$77,841$40,246–$78,886 · 3 plans
Ms-Drg 339 339–––$47,715$24,096–$48,356 · 3 plans
Ms-Drg 340 340–––$35,159$17,526–$35,632 · 3 plans
Ms-Drg 341 341–––$66,193$34,931–$67,082 · 3 plans
Ms-Drg 342 342–––$42,582$22,172–$43,154 · 3 plans
Ms-Drg 343 343–––$32,018$16,169–$32,448 · 3 plans
Ms-Drg 344 344–––$56,450$35,182–$79,750 · 15 plans
Ms-Drg 345 345–––$31,200$19,301–$44,061 · 15 plans
Ms-Drg 346 346–––$26,088$15,614–$36,857 · 15 plans
Anal and Stomal Procedures with Mcc 347–––$49,583$30,938–$70,051 · 15 plans
Ms-Drg 348 348–––$26,373$16,501–$37,260 · 15 plans
Ms-Drg 349 349–––$18,456$11,513–$26,072 · 15 plans
Inguinal and Femoral Hernia Procedures with Mcc 350–––$50,697$29,996–$71,587 · 15 plans
Inguinal and Femoral Hernia Procedures with Cc 351–––$31,525$18,283–$44,529 · 15 plans
Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352–––$23,098$13,522–$32,634 · 15 plans
Hernia Procedures Except Inguinal and Femoral with Mcc 353–––$61,445$36,430–$86,809 · 15 plans
Hernia Procedures Except Inguinal and Femoral with Cc 354–––$35,640$21,138–$50,348 · 15 plans
Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355–––$27,930$16,711–$39,459 · 15 plans
Other Digestive System O.r. Procedures with Cc 357–––$47,180$27,796–$66,653 · 15 plans
Ms-Drg 358 358–––$28,389$16,837–$40,107 · 15 plans
Major Esophageal Disorders with Mcc 368–––$34,986$22,106–$49,427 · 15 plans
Major Esophageal Disorders with Cc 369–––$21,320$12,854–$30,118 · 15 plans
Ms-Drg 370 370–––$14,622$8,932–$20,659 · 15 plans
Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373–––$15,196$9,061–$21,470 · 15 plans
Ms-Drg 376 376–––$18,498$11,655–$26,134 · 15 plans
Complicated Peptic Ulcer with Mcc 380–––$40,316$23,527–$56,954 · 15 plans
Complicated Peptic Ulcer with Cc 381–––$22,818$13,369–$32,234 · 15 plans
Ms-Drg 382 382–––$15,699$9,520–$22,177 · 15 plans
Ms-Drg 383 383–––$26,486$16,004–$37,417 · 15 plans
Uncomplicated Peptic Ulcer Without Mcc 384–––$18,219$10,741–$25,738 · 15 plans
Inflammatory Bowel Disease with Mcc 385–––$34,039$19,970–$48,090 · 15 plans
Ms-Drg 387 387–––$14,043$8,470–$19,839 · 15 plans
Ms-Drg 397 397–––$54,554$37,304–$73,458 · 14 plans
Appendix Procedures with Cc 398–––$33,319$23,366–$44,861 · 14 plans
Appendix Procedures Without Cc/Mcc 399–––$24,747$16,919–$33,317 · 14 plans
Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402–––$81,833$58,673–$116,368 · 12 plans
Pancreas, Liver and Shunt Procedures with Mcc 405–––$113,730$67,020–$160,674 · 15 plans
Pancreas, Liver and Shunt Procedures with Cc 406–––$58,835$34,859–$83,121 · 15 plans
Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407–––$44,743$26,057–$63,214 · 15 plans
Ms-Drg 408 408–––$73,352$52,814–$103,629 · 15 plans
Ms-Drg 409 409–––$43,920$27,777–$62,051 · 15 plans
Ms-Drg 410 410–––$32,495$20,707–$45,908 · 15 plans
Cholecystectomy with C.d.e. with Mcc 411–––$56,848$40,745–$80,309 · 15 plans
Ms-Drg 412 412–––$44,657$27,880–$63,089 · 15 plans
Ms-Drg 413 413–––$34,829$20,240–$49,205 · 15 plans
Ms-Drg 414 414–––$73,404$42,707–$103,703 · 15 plans
Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415–––$41,441$24,892–$58,546 · 15 plans
Ms-Drg 416 416–––$28,707$20,650–$40,554 · 15 plans
Hepatobiliary Diagnostic Procedures with Mcc 420–––$73,940$52,679–$104,463 · 15 plans
Ms-Drg 421 421–––$34,307$21,515–$48,468 · 15 plans
Ms-Drg 422 422–––$30,783$17,783–$43,490 · 15 plans
Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423–––$85,210$58,015–$120,384 · 15 plans
Ms-Drg 424 424–––$47,833$28,779–$67,579 · 15 plans
Ms-Drg 425 425–––$32,384$18,708–$45,751 · 15 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426–––$219,119$157,103–$311,589 · 12 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427–––$148,571$106,521–$211,268 · 12 plans
Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428–––$115,132$82,547–$163,718 · 12 plans
Ms-Drg 429 429–––$174,465$125,087–$248,089 · 12 plans
Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430–––$114,429$82,043–$162,719 · 12 plans
Cirrhosis and Alcoholic Hepatitis with Mcc 432–––$41,045$23,327–$57,984 · 15 plans
Ms-Drg 434 434–––$14,590$8,240–$20,614 · 15 plans
Malignancy of Hepatobiliary System or Pancreas with Cc 436–––$23,624$13,911–$33,377 · 15 plans
Ms-Drg 437 437–––$16,449$10,285–$23,240 · 15 plans
Disorders of Pancreas Except Malignancy with Mcc 438–––$34,858$20,381–$49,241 · 15 plans
Disorders of Pancreas Except Malignancy Without Cc/Mcc 440–––$12,887$7,598–$18,205 · 15 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441–––$39,604$23,088–$55,951 · 15 plans
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442–––$20,243$11,721–$28,597 · 15 plans
Ms-Drg 443 443–––$14,720$8,534–$20,798 · 15 plans
Disorders of the Biliary Tract Without Cc/Mcc 446–––$16,702$9,942–$23,598 · 15 plans
Ms-Drg 447 447–––$140,246$100,553–$199,430 · 12 plans
Multiple Level Spinal Fusion Except Cervical Without Mcc 448–––$85,417$61,242–$121,463 · 12 plans
Ms-Drg 450 450–––$107,727$77,238–$153,189 · 12 plans
Single Level Spinal Fusion Except Cervical Without Mcc 451–––$64,551$46,282–$91,792 · 12 plans
Combined Anterior and Posterior Spinal Fusion with Mcc 453–––$202,040$114,469–$261,837 · 6 plans
Combined Anterior and Posterior Spinal Fusion with Cc 454–––$139,452$76,248–$180,724 · 6 plans
Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455–––$105,008$58,453–$136,086 · 6 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456–––$177,426$108,464–$250,665 · 15 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457–––$120,238$75,788–$169,870 · 15 plans
Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458–––$90,460$55,707–$127,801 · 15 plans
Spinal Fusion Except Cervical with Mcc 459–––$151,004$58,810–$195,971 · 6 plans
Spinal fusion (lower or mid back) 460–––$83,400$34,235–$108,084 · 6 plans
Ms-Drg 461 461–––$125,505$74,090–$177,311 · 15 plans
Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462–––$59,995$37,094–$84,760 · 15 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463–––$113,150$65,586–$159,854 · 15 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464–––$61,776$36,433–$87,270 · 15 plans
Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465–––$36,369$22,575–$51,384 · 15 plans
Revision of Hip or Knee Replacement with Mcc 466–––$106,731$62,933–$150,786 · 15 plans
Revision of Hip or Knee Replacement Without Cc/Mcc 468–––$54,959$33,592–$77,642 · 15 plans
Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469–––$68,478$39,541–$96,744 · 15 plans
Hip or knee replacement 470–––$39,503$23,808–$55,806 · 15 plans
Cervical Spinal Fusion with Mcc 471–––$101,759$60,847–$143,762 · 15 plans
Cervical Spinal Fusion Without Cc/Mcc 473–––$49,595$30,153–$70,068 · 15 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474–––$93,953$58,630–$132,735 · 15 plans
Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475–––$45,193$26,279–$63,850 · 15 plans
Ms-Drg 476 476–––$24,366$14,371–$34,425 · 15 plans
Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477–––$72,046$45,200–$101,785 · 15 plans
Biopsies of Musculoskeletal System and Connective Tissue with Cc 478–––$48,992$28,739–$69,216 · 15 plans
Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479–––$37,203$21,967–$52,559 · 15 plans
Major Joint or Limb Reattachment Procedures of Upper Extremities 483–––$53,385$30,471–$75,420 · 15 plans
Knee Procedures with Principal Diagnosis of Infection with Mcc 485–––$67,538$40,129–$95,282 · 15 plans
Knee Procedures with Principal Diagnosis of Infection with Cc 486–––$44,431$26,376–$62,773 · 15 plans
Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487–––$33,105$19,683–$46,770 · 15 plans
Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488–––$41,175$24,381–$58,170 · 15 plans
Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489–––$25,950$15,422–$36,653 · 15 plans
Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494–––$39,503$22,809–$55,803 · 15 plans
Ms-Drg 495 495–––$73,754$42,910–$104,200 · 15 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496–––$41,334$24,850–$58,395 · 15 plans
Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497–––$28,137$17,383–$39,737 · 15 plans
Ms-Drg 498 498–––$52,895$30,687–$74,730 · 15 plans
Ms-Drg 499 499–––$23,017$14,920–$32,518 · 15 plans
Soft Tissue Procedures with Mcc 500–––$66,383$38,149–$93,785 · 15 plans
Soft Tissue Procedures with Cc 501–––$37,395$21,358–$52,822 · 15 plans
Soft Tissue Procedures Without Cc/Mcc 502–––$29,271$16,765–$41,353 · 15 plans
Ms-Drg 503 503–––$55,447$33,124–$78,332 · 15 plans
Foot Procedures with Cc 504–––$36,782$21,552–$51,943 · 15 plans
Ms-Drg 505 505–––$36,782$21,202–$51,943 · 15 plans
Ms-Drg 506 506–––$31,406$18,143–$44,369 · 15 plans
Ms-Drg 507 507–––$40,605$24,961–$57,365 · 15 plans
Ms-Drg 508 508–––$26,011$17,489–$36,745 · 15 plans
Ms-Drg 509 509–––$36,800$21,260–$51,993 · 15 plans
Ms-Drg 510 510–––$59,878$35,228–$84,592 · 15 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511–––$41,093$24,292–$58,046 · 15 plans
Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512–––$33,683$19,254–$47,586 · 15 plans
Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513–––$31,542$19,045–$44,562 · 15 plans
Ms-Drg 514 514–––$21,362$12,890–$30,177 · 15 plans
Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518–––$75,084$43,137–$106,076 · 15 plans
Back and Neck Procedures Except Spinal Fusion with Cc 519–––$41,309$24,084–$58,363 · 15 plans
Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520–––$30,025$18,200–$42,419 · 15 plans
Ms-Drg 533 533–––$31,946$18,455–$45,133 · 15 plans
Ms-Drg 534 534–––$17,052$9,821–$24,092 · 15 plans
Fractures of Hip and Pelvis with Mcc 535–––$27,863$16,095–$39,361 · 15 plans
Ms-Drg 537 537–––$19,252$11,296–$27,200 · 15 plans
Ms-Drg 538 538–––$14,069$8,606–$19,875 · 15 plans
Osteomyelitis with Mcc 539–––$42,378$26,892–$59,857 · 15 plans
Osteomyelitis with Cc 540–––$27,119$16,016–$38,302 · 15 plans
Ms-Drg 541 541–––$18,328$11,005–$25,895 · 15 plans
Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544–––$15,833$9,484–$22,367 · 15 plans
Connective Tissue Disorders with Mcc 545–––$52,937$31,207–$74,789 · 15 plans
Connective Tissue Disorders with Cc 546–––$24,255$14,585–$34,265 · 15 plans
Connective Tissue Disorders Without Cc/Mcc 547–––$15,634$9,620–$22,085 · 15 plans
Ms-Drg 548 548–––$42,206$24,676–$59,627 · 15 plans
Ms-Drg 549 549–––$25,246$14,803–$35,668 · 15 plans
Ms-Drg 550 550–––$18,062$10,657–$25,516 · 15 plans
Bone Diseases and Arthropathies with Mcc 553–––$27,368$15,995–$38,654 · 15 plans
Bone Diseases and Arthropathies Without Mcc 554–––$17,486$10,004–$24,702 · 15 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555–––$28,211$16,428–$39,856 · 15 plans
Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556–––$17,106$9,925–$24,166 · 15 plans
Tendonitis, Myositis and Bursitis with Mcc 557–––$32,468$18,553–$45,867 · 15 plans
Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559–––$38,887$22,574–$54,941 · 15 plans
Aftercare, Musculoskeletal System and Connective Tissue with Cc 560–––$23,859$15,410–$33,702 · 15 plans
Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561–––$17,130$10,399–$24,199 · 15 plans
Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562–––$30,666$17,330–$43,316 · 15 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564–––$32,876$19,332–$46,444 · 15 plans
Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565–––$21,362$12,341–$30,180 · 15 plans
Ms-Drg 566 566–––$15,671$10,668–$22,142 · 15 plans
Skin Debridement with Mcc 570–––$63,071$36,431–$89,093 · 15 plans
Skin Debridement with Cc 571–––$35,089$20,660–$49,555 · 15 plans
Ms-Drg 572 572–––$23,934$13,974–$33,812 · 15 plans
Skin Graft for Skin Ulcer or Cellulitis with Mcc 573–––$129,012$74,530–$182,265 · 15 plans
Skin Graft for Skin Ulcer or Cellulitis with Cc 574–––$72,589$40,600–$102,551 · 15 plans
Ms-Drg 575 575–––$41,829$24,165–$59,097 · 15 plans
Ms-Drg 576 576–––$113,029$65,297–$159,686 · 15 plans
Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577–––$55,784$40,166–$78,811 · 15 plans
Ms-Drg 578 578–––$35,413$24,164–$50,031 · 15 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579–––$68,281$38,507–$96,469 · 15 plans
Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580–––$37,144$22,836–$52,476 · 15 plans
Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581–––$30,151$20,545–$42,596 · 15 plans
Ms-Drg 582 582–––$36,687$26,415–$51,831 · 15 plans
Ms-Drg 583 583–––$34,412$24,779–$48,619 · 15 plans
Ms-Drg 584 584–––$42,893$29,876–$60,597 · 15 plans
Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585–––$41,588$28,550–$58,753 · 15 plans
Skin Ulcers with Cc 593–––$25,615$14,621–$36,189 · 15 plans
Ms-Drg 594 594–––$17,779$10,272–$25,119 · 15 plans
Ms-Drg 595 595–––$44,311$25,598–$62,601 · 15 plans
Major Skin Disorders Without Mcc 596–––$22,648$12,668–$31,998 · 15 plans
Malignant Breast Disorders with Mcc 597–––$36,800$22,223–$51,993 · 15 plans
Ms-Drg 598 598–––$22,225$13,383–$31,397 · 15 plans
Ms-Drg 599 599–––$17,911$10,346–$25,303 · 15 plans
Ms-Drg 600 600–––$20,054$11,828–$28,313 · 15 plans
Ms-Drg 601 601–––$12,560$7,525–$17,744 · 15 plans
Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604–––$31,127$18,210–$43,973 · 15 plans
Minor Skin Disorders with Mcc 606–––$33,733$19,153–$47,660 · 15 plans
Minor Skin Disorders Without Mcc 607–––$18,108$10,428–$25,578 · 15 plans
Ms-Drg 608 608–––$33,969only 1 plan
Ms-Drg 609 609–––$26,427only 1 plan
Ms-Drg 610 610–––$3,339only 1 plan
Ms-Drg 611 611–––$2,159only 1 plan
Ms-Drg 612 612–––$286,326only 1 plan
Ms-Drg 613 613–––$40,143only 1 plan
Adrenal and Pituitary Procedures with Cc/Mcc 614–––$47,743$29,121–$67,452 · 15 plans
Adrenal and Pituitary Procedures Without Cc/Mcc 615–––$30,021$18,019–$42,413 · 15 plans
Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616–––$80,974$48,586–$114,393 · 15 plans
Ms-Drg 618 618–––$26,084$15,433–$36,851 · 15 plans
Ms-Drg 619 619–––$51,122$33,255–$80,697 · 15 plans
O.r. Procedures for Obesity with Cc 620–––$33,457$20,975–$47,267 · 15 plans
O.r. Procedures for Obesity Without Cc/Mcc 621–––$30,624$18,750–$43,265 · 15 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622–––$78,441$46,417–$110,753 · 15 plans
Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623–––$40,100$23,871–$56,614 · 15 plans
Ms-Drg 624 624–––$20,863$13,015–$29,476 · 15 plans
Ms-Drg 625 625–––$60,064$35,770–$84,858 · 15 plans
Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626–––$31,619$20,063–$44,671 · 15 plans
Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627–––$26,541$15,678–$37,497 · 15 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628–––$82,679$52,614–$116,782 · 15 plans
Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629–––$47,142$28,239–$66,567 · 15 plans
Ms-Drg 630 630–––$29,357$17,622–$41,475 · 15 plans
Ms-Drg 631 631–––$207,618only 1 plan
Ms-Drg 632 632–––$101,895only 1 plan
Ms-Drg 633 633–––$312,460only 1 plan
Ms-Drg 634 634–––$111,996only 1 plan
Ms-Drg 635 635–––$62,333only 1 plan
Ms-Drg 636 636–––$183,596only 1 plan
Diabetes Without Cc/Mcc 639–––$13,128$7,652–$18,546 · 15 plans
Inborn and Other Disorders of Metabolism 642–––$26,002$15,163–$36,733 · 15 plans
Endocrine Disorders Without Cc/Mcc 645–––$16,321$9,529–$23,047 · 15 plans
Ms-Drg 646 646–––$58,163only 1 plan
Ms-Drg 647 647–––$62,464only 1 plan
Ms-Drg 648 648–––$43,543only 1 plan
Ms-Drg 649 649–––$30,684only 1 plan
Kidney Transplant with Hemodialysis with Mcc 650–––$101,440$69,364–$136,590 · 14 plans
Kidney Transplant with Hemodialysis Without Mcc 651–––$82,874$54,761–$113,384 · 14 plans
Kidney Transplant 652–––$64,345$39,917–$90,905 · 15 plans
Major Bladder Procedures with Mcc 653–––$116,785$68,589–$164,993 · 15 plans
Major Bladder Procedures with Cc 654–––$59,122$34,782–$83,526 · 15 plans
Major Bladder Procedures Without Cc/Mcc 655–––$43,519$26,040–$61,482 · 15 plans
Kidney and Ureter Procedures for Neoplasm with Mcc 656–––$68,252$40,244–$96,428 · 15 plans
Kidney and Ureter Procedures for Neoplasm with Cc 657–––$38,298$23,247–$54,107 · 15 plans
Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658–––$31,508$20,336–$44,514 · 15 plans
Ms-Drg 662 662–––$65,355$38,806–$92,331 · 15 plans
Minor Bladder Procedures with Cc 663–––$31,998$18,834–$45,207 · 15 plans
Ms-Drg 664 664–––$22,623$13,503–$31,959 · 15 plans
Prostatectomy with Mcc 665–––$71,933$41,555–$101,625 · 15 plans
Ms-Drg 666 666–––$34,510$21,114–$48,755 · 15 plans
Ms-Drg 667 667–––$21,531$12,439–$30,420 · 15 plans
Transurethral Procedures with Mcc 668–––$61,095$35,295–$86,314 · 15 plans
Ms-Drg 670 670–––$20,021$11,947–$28,286 · 15 plans
Ms-Drg 671 671–––$36,111$21,944–$51,017 · 15 plans
Ms-Drg 672 672–––$22,927$13,245–$32,391 · 15 plans
Other Kidney and Urinary Tract Procedures with Cc 674–––$48,361$29,366–$68,322 · 15 plans
Ms-Drg 675 675–––$32,793$21,497–$46,329 · 15 plans
Ms-Drg 676 676–––$29,651only 1 plan
Ms-Drg 677 677–––$41,245only 1 plan
Ms-Drg 678 678–––$24,721only 1 plan
Ms-Drg 679 679–––$11,443only 1 plan
Ms-Drg 680 680–––$7,714only 1 plan
Ms-Drg 681 681–––$125,052only 1 plan
Ms-Drg 685 685–––$15,792$12,105–$17,476 · 3 plans
Kidney and Urinary Tract Neoplasms with Mcc 686–––$39,505$22,822–$55,811 · 15 plans
Kidney and Urinary Tract Neoplasms with Cc 687–––$22,053$12,997–$31,157 · 15 plans
Ms-Drg 688 688–––$15,173$9,242–$21,434 · 15 plans
Ms-Drg 691 691–––$25,932$19,345–$42,040 · 4 plans
Ms-Drg 692 692–––$18,051$13,466–$26,519 · 4 plans
Ms-Drg 693 693–––$30,804$17,411–$43,520 · 15 plans
Urinary Stones Without Mcc 694–––$16,371$9,387–$23,127 · 15 plans
Ms-Drg 695 695–––$23,626$14,208–$33,380 · 15 plans
Kidney and Urinary Tract Signs and Symptoms Without Mcc 696–––$14,492$8,463–$20,475 · 15 plans
Ms-Drg 697 697–––$20,381$12,131–$28,792 · 15 plans
Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700–––$14,542$8,930–$20,546 · 15 plans
Major Male Pelvic Procedures with Cc/Mcc 707–––$40,655$25,191–$57,436 · 15 plans
Major Male Pelvic Procedures Without Cc/Mcc 708–––$31,058$21,163–$43,878 · 15 plans
Ms-Drg 709 709–––$47,077$28,754–$66,508 · 15 plans
Ms-Drg 710 710–––$31,454$18,757–$44,437 · 15 plans
Ms-Drg 711 711–––$39,964$25,070–$56,460 · 15 plans
Ms-Drg 712 712–––$20,055$11,897–$26,226 · 15 plans
Transurethral Prostatectomy with Cc/Mcc 713–––$30,293$17,956–$42,798 · 15 plans
Transurethral Prostatectomy Without Cc/Mcc 714–––$19,686$11,448–$27,812 · 15 plans
Ms-Drg 715 715–––$47,312$27,331–$66,839 · 15 plans
Ms-Drg 716 716–––$29,734$17,818–$42,007 · 15 plans
Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717–––$38,872$22,330–$54,918 · 15 plans
Ms-Drg 718 718–––$25,807$15,131–$36,461 · 15 plans
Malignancy, Male Reproductive System with Mcc 722–––$36,220$21,831–$51,171 · 15 plans
Ms-Drg 723 723–––$23,526$13,766–$33,235 · 15 plans
Ms-Drg 724 724–––$13,761$8,464–$19,442 · 15 plans
Ms-Drg 725 725–––$26,463$15,544–$37,369 · 15 plans
Benign Prostatic Hypertrophy Without Mcc 726–––$15,594$9,320–$22,032 · 15 plans
Ms-Drg 727 727–––$30,783$17,875–$43,490 · 15 plans
Inflammation of the Male Reproductive System Without Mcc 728–––$17,119$9,996–$24,184 · 15 plans
Ms-Drg 729 729–––$23,063$13,421–$32,584 · 15 plans
Ms-Drg 730 730–––$12,715$7,651–$17,963 · 15 plans
Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734–––$44,054$27,098–$62,237 · 15 plans
Ms-Drg 735 735–––$25,430$16,008–$35,928 · 15 plans
Ms-Drg 736 736–––$82,490$51,057–$116,542 · 15 plans
Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737–––$41,866$24,603–$59,147 · 15 plans
Ms-Drg 738 738–––$31,778$17,852–$44,896 · 15 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739–––$83,400$48,179–$117,823 · 15 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740–––$38,093$23,472–$53,817 · 15 plans
Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741–––$28,776$17,398–$40,655 · 15 plans
Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742–––$38,269$21,682–$54,065 · 15 plans
Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743–––$25,112$14,481–$35,478 · 15 plans
D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744–––$40,936$22,769–$57,833 · 15 plans
Ms-Drg 745 745–––$21,471$12,911–$30,331 · 15 plans
Vagina, Cervix and Vulva Procedures with Cc/Mcc 746–––$35,082$20,400–$49,563 · 15 plans
Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747–––$20,010$11,648–$28,271 · 15 plans
Female Reproductive System Reconstructive Procedures 748–––$28,539$18,780–$40,320 · 15 plans
Ms-Drg 749 749–––$54,230$31,985–$76,615 · 15 plans
Ms-Drg 750 750–––$27,016$18,291–$38,166 · 15 plans
Malignancy, Female Reproductive System with Mcc 754–––$37,905$22,039–$53,550 · 15 plans
Malignancy, Female Reproductive System with Cc 755–––$23,258$13,158–$32,856 · 15 plans
Ms-Drg 756 756–––$20,006$11,558–$28,265 · 15 plans
Ms-Drg 757 757–––$29,650$17,507–$41,889 · 15 plans
Ms-Drg 758 758–––$21,355$12,243–$30,168 · 15 plans
Ms-Drg 759 759–––$13,407$8,031–$18,942 · 15 plans
Ms-Drg 760 760–––$20,647$11,641–$29,171 · 15 plans
Ms-Drg 761 761–––$13,281$7,391–$18,762 · 15 plans
Ms-Drg 762 762–––$9,798only 1 plan
Ms-Drg 763 763–––$7,473only 1 plan
Ms-Drg 764 764–––$6,545only 1 plan
Ms-Drg 765 765–––$17,618$13,505–$19,497 · 3 plans
Ms-Drg 766 766–––$12,530$9,605–$13,867 · 3 plans
Ms-Drg 767 767–––$13,937$10,683–$15,424 · 3 plans
Ms-Drg 768 768–––$19,012$10,398–$28,194 · 15 plans
Ms-Drg 769 769–––$28,835$17,497–$40,735 · 15 plans
Ms-Drg 770 770–––$22,541$11,443–$31,847 · 15 plans
Ms-Drg 771 771–––$10,029only 1 plan
Ms-Drg 772 772–––$8,139only 1 plan
Ms-Drg 773 773–––$6,931only 1 plan
Ms-Drg 774 774–––$8,802only 1 plan
Ms-Drg 775 775–––$6,841only 1 plan
Ms-Drg 776 776–––$14,946$8,787–$21,118 · 15 plans
Ms-Drg 777 777–––$9,308only 1 plan
Ms-Drg 778 778–––$6,451only 1 plan
Ms-Drg 779 779–––$19,583$12,859–$27,667 · 15 plans
Ms-Drg 780 780–––$5,172only 1 plan
Ms-Drg 781 781–––$9,132only 1 plan
Ms-Drg 782 782–––$6,482only 1 plan
Ms-Drg 783 783–––$31,946$21,685–$51,361 · 15 plans
Ms-Drg 784 784–––$22,690$13,132–$30,196 · 15 plans
Ms-Drg 785 785–––$18,330$10,689–$25,853 · 15 plans
C-section, with major complications 786–––$31,856$21,946–$45,628 · 14 plans
C-section, with complications 787–––$18,414$13,130–$29,605 · 15 plans
C-section 788–––$15,689$10,280–$25,224 · 15 plans
Ms-Drg 789 789–––$30,580$3,804–$50,259 · 15 plans
Ms-Drg 790 790–––$100,848$5,922–$165,751 · 15 plans
Ms-Drg 791 791–––$68,873$3,956–$113,197 · 15 plans
Ms-Drg 792 792–––$41,557$2,853–$68,302 · 15 plans
Ms-Drg 793 793–––$70,749$5,444–$116,280 · 15 plans
Ms-Drg 794 794–––$25,042$3,804–$41,159 · 15 plans
Newborn care (healthy baby) 795–––$3,465$1,809–$5,571 · 15 plans
Ms-Drg 796 796–––$22,227$16,092–$30,442 · 15 plans
Ms-Drg 797 797–––$20,285$9,435–$26,995 · 15 plans
Ms-Drg 798 798–––$21,167$13,245–$27,339 · 14 plans
Ms-Drg 799 799–––$99,612$59,914–$140,729 · 15 plans
Ms-Drg 800 800–––$61,043$41,155–$86,240 · 15 plans
Ms-Drg 801 801–––$34,395$21,743–$48,590 · 15 plans
Ms-Drg 802 802–––$75,101$43,385–$106,100 · 15 plans
Ms-Drg 803 803–––$37,291$21,988–$52,683 · 15 plans
Ms-Drg 804 804–––$23,161$15,286–$32,723 · 15 plans
Vaginal birth, with major complications 805–––$20,306$11,300–$27,826 · 15 plans
Vaginal birth, with complications 806–––$15,158$8,721–$20,175 · 15 plans
Vaginal birth 807–––$13,350$7,686–$17,769 · 15 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808–––$47,986$27,257–$67,786 · 15 plans
Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809–––$25,948$15,148–$36,656 · 15 plans
Ms-Drg 810 810–––$19,939$11,648–$28,171 · 15 plans
Reticuloendothelial and Immunity Disorders with Mcc 814–––$43,794$23,641–$61,873 · 15 plans
Reticuloendothelial and Immunity Disorders with Cc 815–––$21,288$12,525–$30,074 · 15 plans
Ms-Drg 816 816–––$13,815$8,501–$19,516 · 15 plans
Ms-Drg 817 817–––$47,533$29,344–$64,697 · 15 plans
Ms-Drg 818 818–––$22,337$14,141–$29,631 · 15 plans
Ms-Drg 819 819–––$15,309$9,197–$19,990 · 15 plans
Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820–––$121,975$71,218–$172,324 · 15 plans
Lymphoma and Leukemia with Major O.r. Procedures with Cc 821–––$46,767$30,281–$66,073 · 15 plans
Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822–––$23,960$17,252–$33,850 · 15 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823–––$98,034$57,311–$138,500 · 15 plans
Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824–––$46,078$27,956–$65,096 · 15 plans
Ms-Drg 825 825–––$25,784$15,984–$36,428 · 15 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826–––$100,045$60,488–$141,341 · 15 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827–––$49,438$28,861–$69,846 · 15 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828–––$33,580$22,395–$47,441 · 15 plans
Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829–––$64,605$38,434–$91,272 · 15 plans
Ms-Drg 830 830–––$30,639$17,526–$43,286 · 15 plans
Ms-Drg 831 831–––$24,113$13,751–$34,066 · 15 plans
Ms-Drg 832 832–––$15,657$9,026–$22,121 · 15 plans
Ms-Drg 833 833–––$10,890$6,496–$15,385 · 15 plans
Acute Leukemia with Mcc 834–––$115,794$83,087–$163,593 · 15 plans
Acute Leukemia with Cc 835–––$44,747$25,688–$63,217 · 15 plans
Ms-Drg 836 836–––$26,027$15,963–$36,772 · 15 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837–––$104,897$68,081–$148,199 · 15 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838–––$42,491$26,059–$60,029 · 15 plans
Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839–––$28,709$16,322–$40,560 · 15 plans
Lymphoma and Non-Acute Leukemia with Mcc 840–––$66,821$40,552–$94,385 · 15 plans
Lymphoma and Non-Acute Leukemia with Cc 841–––$32,849$19,639–$46,408 · 15 plans
Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842–––$22,036$13,590–$31,133 · 15 plans
Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843–––$39,662$23,469–$56,036 · 15 plans
Ms-Drg 844 844–––$25,039$14,839–$35,375 · 15 plans
Ms-Drg 845 845–––$17,530$10,517–$24,767 · 15 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846–––$53,500$31,996–$75,585 · 15 plans
Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847–––$26,620$15,977–$37,609 · 15 plans
Ms-Drg 848 848–––$17,157$11,145–$24,237 · 15 plans
Radiotherapy 849–––$55,958$32,327–$79,057 · 15 plans
Ms-Drg 850 850–––$192,690$138,154–$274,006 · 12 plans
Ms-Drg 855 855–––$34,056$23,210–$48,113 · 15 plans
Ms-Drg 858 858–––$26,993$16,468–$38,133 · 15 plans
Fever and Inflammatory Conditions 864–––$18,812$10,766–$26,578 · 15 plans
Viral Illness with Mcc 865–––$30,387$17,698–$42,931 · 15 plans
Viral Illness Without Mcc 866–––$18,535$10,505–$26,188 · 15 plans
Other Infectious and Parasitic Diseases Diagnoses with Mcc 867–––$44,923$26,737–$63,465 · 15 plans
Other Infectious and Parasitic Diseases Diagnoses with Cc 868–––$21,999$13,264–$31,080 · 15 plans
Ms-Drg 869 869–––$15,074$9,031–$21,298 · 15 plans
O.r. Procedures with Principal Diagnosis of Mental Illness 876–––$73,680$34,025–$116,305 · 15 plans
Acute Adjustment Reaction and Psychosocial Dysfunction 880–––$7,557$1,707–$22,947 · 16 plans
Neuroses Except Depressive 882–––$6,327$1,707–$23,028 · 16 plans
Disorders of Personality and Impulse Control 883–––$12,712$1,707–$44,379 · 16 plans
Ms-Drg 886 886–––$12,768$1,707–$43,005 · 16 plans
Ms-Drg 887 887–––$11,443$1,707–$28,472 · 16 plans
Alcohol, Drug Abuse or Dependence, Left Ama 894–––$4,847$1,707–$14,940 · 16 plans
Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895–––$12,002$1,707–$34,107 · 16 plans
Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896–––$14,496$1,707–$42,629 · 16 plans
Ms-Drg 898 898–––$7,893only 1 plan
Ms-Drg 899 899–––$8,048only 1 plan
Ms-Drg 901 901–––$92,817$54,048–$131,130 · 15 plans
Wound Debridements for Injuries with Cc 902–––$39,752$23,871–$56,164 · 15 plans
Ms-Drg 903 903–––$25,539$14,575–$36,082 · 15 plans
Skin Grafts for Injuries with Cc/Mcc 904–––$80,890$58,242–$114,278 · 15 plans
Ms-Drg 905 905–––$34,529$20,454–$48,782 · 15 plans
Ms-Drg 906 906–––$45,723$24,140–$64,596 · 15 plans
Other O.r. Procedures for Injuries with Cc 908–––$42,258$25,198–$59,701 · 15 plans
Other O.r. Procedures for Injuries Without Cc/Mcc 909–––$26,570$15,981–$37,538 · 15 plans
Traumatic Injury with Mcc 913–––$33,903$19,585–$47,897 · 15 plans
Traumatic Injury Without Mcc 914–––$19,197$10,967–$27,123 · 15 plans
Ms-Drg 915 915–––$36,409$21,212–$51,437 · 15 plans
Allergic Reactions Without Mcc 916–––$13,911$8,003–$19,656 · 15 plans
Complications of Treatment Without Cc/Mcc 921–––$14,406$8,510–$20,354 · 15 plans
Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922–––$35,390$20,314–$50,002 · 15 plans
Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923–––$21,366$11,611–$30,186 · 15 plans
Ms-Drg 927 927–––$444,803$267,818–$595,268 · 15 plans
Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928–––$139,921$79,388–$197,677 · 15 plans
Ms-Drg 929 929–––$66,628$37,750–$94,131 · 15 plans
Ms-Drg 933 933–––$90,649$52,367–$128,064 · 15 plans
Full Thickness Burn Without Skin Graft or Inhalation Injury 934–––$44,955$24,358–$63,510 · 15 plans
Non-Extensive Burns 935–––$46,015$25,440–$65,007 · 15 plans
Ms-Drg 939 939–––$66,494$42,246–$93,942 · 15 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940–––$44,234$27,090–$62,492 · 15 plans
O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941–––$40,942$23,980–$57,842 · 15 plans
Rehabilitation with Cc/Mcc 945–––$31,980$18,474–$45,180 · 15 plans
Rehabilitation Without Cc/Mcc 946–––$23,390$13,598–$33,045 · 15 plans
Signs and Symptoms with Mcc 947–––$26,945$15,316–$38,068 · 15 plans
Aftercare with Cc/Mcc 949–––$22,650$16,276–$31,935 · 15 plans
Aftercare Without Cc/Mcc 950–––$13,530$8,841–$17,835 · 15 plans
Other Factors Influencing Health Status 951–––$11,877$7,125–$16,782 · 15 plans
Ms-Drg 955 955–––$143,051$93,970–$202,770 · 13 plans
Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956–––$80,079$57,658–$113,132 · 15 plans
Other O.r. Procedures for Multiple Significant Trauma with Mcc 957–––$156,372$92,605–$220,919 · 15 plans
Other O.r. Procedures for Multiple Significant Trauma with Cc 958–––$86,098$53,090–$121,639 · 15 plans
Ms-Drg 959 959–––$55,388$33,641–$78,252 · 15 plans
Other Multiple Significant Trauma with Mcc 963–––$56,915$33,597–$80,407 · 15 plans
Other Multiple Significant Trauma with Cc 964–––$31,431$18,480–$44,399 · 15 plans
Ms-Drg 965 965–––$19,118$11,297–$27,010 · 15 plans
Ms-Drg 969 969–––$132,492$76,540–$187,182 · 15 plans
Ms-Drg 970 970–––$55,587$34,438–$78,530 · 15 plans
Hiv with Major Related Condition with Mcc 974–––$62,560$43,377–$88,383 · 15 plans
Hiv with Major Related Condition with Cc 975–––$29,778$17,203–$42,069 · 15 plans
Ms-Drg 976 976–––$21,012$12,139–$29,686 · 15 plans
Ms-Drg 977 977–––$30,207$17,451–$42,676 · 15 plans
Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983–––$34,948$20,400–$49,374 · 15 plans
Ms-Drg 984 984–––$36,156only 1 plan
Ms-Drg 985 985–––$19,157only 1 plan
Ms-Drg 986 986–––$11,796only 1 plan
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987–––$73,391$42,174–$103,670 · 15 plans
Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988–––$35,952$24,760–$50,789 · 15 plans
Ms-Drg 989 989–––$24,207$14,248–$34,200 · 15 plans

Outpatient procedures and tests

The hospital's facility charge only; doctors usually bill separately.

ProcedureList priceCash priceInsurers (median)
C-section, with prenatal and postpartum care CPT 59510––$2,735$2,066–$3,061 · 6 plans
Cataract surgery CPT 66984––$6,488$4,312–$8,664 · 9 plans
Colonoscopy CPT 45378––$1,715$1,077–$2,251 · 4 plans
Colonoscopy with biopsy CPT 45380––$2,016$1,272–$2,912 · 4 plans
Complete blood count (CBC) CPT 85025$118$71$58$14–$106 · 25 plans
Comprehensive metabolic panel (blood test) CPT 80053$323$194$159$23–$291 · 25 plans
CT scan of the abdomen and pelvis, with contrast CPT 74177$7,553$4,532$4,018$2,147–$7,342 · 25 plans
Emergency room visit, highest level CPT 99285$6,610$3,966$3,517$2,278–$6,425 · 25 plans
Gallbladder removal (laparoscopic) CPT 47562––$14,055$8,212–$18,386 · 4 plans
Hip replacement CPT 27130––$24,553$15,406–$31,772 · 4 plans
Knee arthroscopy (meniscus) CPT 29881––$7,817$4,567–$10,355 · 4 plans
Knee replacement CPT 27447––$24,553$15,406–$31,772 · 4 plans
MRI of the brain, with and without contrast CPT 70553$7,258$4,355$3,861$2,501–$7,055 · 25 plans
MRI of the knee, without contrast CPT 73721$6,089$3,653$3,239$2,035–$5,480 · 25 plans
Vaginal delivery, with prenatal and postpartum care CPT 59400––$2,803$2,004–$3,082 · 5 plans

Price file: St Josephs Hospital, read November 9, 2026.