Sunrise Hospital and Medical Center
3186 S Maryland Pkwy, Las Vegas, NV 89109 · (702) 731-8000
The money
$6what care cost the hospital for every $100 it billed
$207.4Mnet income, all sources
21.4%margin on patient care alone
$55.3Mcost of charity care (6.6% of costs)
$47.5Munpaid bills written off (bad debt)
808beds
From the hospital's Medicare cost report for the year ending January 2025.
Hospital stays
Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.
Billed (list price)Actually paid (Medicare + patient)
| Stay | Medicare stays | Billed | Paid | Insurers (median) | |
|---|---|---|---|---|---|
| Sepsis, with major complications 871 | 589 | $235,434 | $17,733 | $9,950$3,057–$23,212 · 35 plans | |
| Infection needing surgery, with major complications 853 | 193 | $654,975 | $45,827 | $23,818$3,344–$73,922 · 35 plans | |
| Heart failure, with major complications 291 | 169 | $146,699 | $11,628 | $11,969$3,509–$19,286 · 35 plans | |
| Sepsis 872 | 111 | $136,342 | $9,763 | $7,037$3,057–$14,884 · 35 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 102 | $315,761 | $25,109 | $13,244$3,057–$39,671 · 35 plans | |
| Stroke, with major complications 064 | 92 | $287,701 | $16,921 | $15,001$3,057–$29,399 · 35 plans | |
| Kidney failure, with major complications 682 | 90 | $175,211 | $13,476 | $7,850$3,057–$22,200 · 35 plans | |
| Pneumonia, with major complications 193 | 87 | $148,723 | $12,183 | $7,010$3,057–$19,477 · 35 plans | |
| Respiratory failure 189 | 78 | $134,698 | $11,492 | $6,643$3,057–$18,290 · 35 plans | |
| Back problems (no surgery) 552 | 75 | $117,987 | $9,459 | $9,094$3,344–$14,245 · 35 plans | |
| Heart attack, with major complications 280 | 71 | $200,240 | $15,070 | $14,807$3,509–$24,261 · 35 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 70 | $116,295 | $12,006 | $7,057$3,057–$19,629 · 35 plans | |
| Stomach and digestive disorders 392 | 62 | $96,877 | $7,739 | $5,727$3,057–$11,533 · 35 plans | |
| Other kidney and urinary problems, with major complications 698 | 59 | $173,589 | $14,651 | $8,666$3,057–$24,844 · 35 plans | |
| Kidney failure, with complications 683 | 57 | $121,682 | $9,330 | $5,727$3,057–$13,138 · 35 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 56 | $815,078 | $52,915 | $32,739$3,057–$102,817 · 35 plans | |
| Dehydration and electrolyte problems 641 | 48 | $100,395 | $7,702 | $5,727$3,057–$11,551 · 35 plans | |
| Fainting 312 | 47 | $106,105 | $8,316 | $8,314$3,057–$12,878 · 35 plans | |
| Stomach or intestinal bleeding, with complications 378 | 47 | $106,270 | $9,603 | $5,727$3,057–$14,572 · 35 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 46 | $703,290 | $39,419 | $26,700$10,372–$56,660 · 35 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 46 | $204,868 | $16,180 | $9,292$3,057–$26,872 · 35 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 44 | $200,449 | $18,418 | $18,461$3,344–$30,667 · 35 plans | |
| Mini-stroke (TIA) 069 | 42 | $108,347 | $8,037 | $5,727$3,057–$11,827 · 35 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 42 | $309,120 | $20,403 | $20,528$3,344–$34,291 · 35 plans | |
| Seizures 101 | 42 | $90,461 | $8,743 | $5,727$3,057–$13,621 · 35 plans | |
| Heart stent, with major complications or 4+ stents 321 | 42 | $446,947 | $29,084 | $19,138$3,686–$42,074 · 36 plans | |
| Hip or knee replacement 470 | 41 | $232,799 | $19,946 | $16,864$3,713–$27,868 · 35 plans | |
| Stroke, with complications or clot-busting drug 065 | 39 | $156,007 | $9,147 | $9,542$3,057–$15,031 · 35 plans | |
| Other kidney and urinary problems, with complications 699 | 39 | $106,071 | $9,532 | $5,727$3,057–$15,073 · 35 plans | |
| Psychoses 885 | 38 | $174,018 | $12,716 | $12,851$2,971–$13,408 · 25 plans | |
| Heart stent 322 | 37 | $258,386 | $18,005 | $16,220$3,666–$26,739 · 35 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 36 | $574,214 | $51,644 | $41,886$3,620–$69,531 · 36 plans | |
| Seizures with Mcc 100 | 35 | $193,833 | $18,312 | $10,055$3,057–$29,341 · 35 plans | |
| High blood pressure 305 | 35 | $93,871 | $7,511 | $7,297$3,057–$11,095 · 35 plans | |
| Lung infection, with major complications 177 | 33 | $193,926 | $17,326 | $8,373$3,057–$23,892 · 35 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 32 | $134,073 | $12,615 | $12,026$3,344–$19,385 · 35 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 32 | $456,584 | $25,029 | $10,114$3,344–$29,533 · 35 plans | |
| Anemia and blood disorders, with major complications 811 | 31 | $145,091 | $13,063 | $7,416$3,057–$20,793 · 35 plans | |
| Irregular heartbeat, with complications 309 | 30 | $99,659 | $7,350 | $7,201$3,057–$10,927 · 35 plans | |
| Other digestive problems, with complications 394 | 30 | $114,499 | $9,156 | $5,727$3,057–$13,912 · 35 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 30 | $193,376 | $15,309 | $8,683$3,057–$24,897 · 35 plans | |
| Diabetes, with complications 638 | 30 | $109,559 | $7,783 | $5,727$3,057–$13,556 · 35 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 29 | $150,450 | $12,867 | $12,689$3,344–$20,549 · 35 plans | |
| Major Chest Procedures with Mcc 163 | 29 | $613,832 | $37,320 | $22,027$3,344–$68,120 · 35 plans | |
| Other circulation problems, with major complications 314 | 29 | $229,758 | $18,671 | $15,128$3,057–$31,827 · 35 plans | |
| Hip replacement after a hip fracture 522 | 29 | $226,724 | $20,173 | $18,559$3,344–$31,159 · 35 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 29 | $460,059 | $39,616 | $22,690$3,344–$70,269 · 35 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 28 | $187,016 | $17,059 | $9,936$3,057–$28,956 · 35 plans | |
| Urinary tract infection 690 | 28 | $92,122 | $7,526 | $5,727$3,057–$11,862 · 35 plans | |
| Delirium and other mental confusion 884 | 28 | $147,348 | $13,624 | $15,048$2,971–$15,700 · 25 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 27 | $871,578 | $48,264 | $28,085$11,263–$56,660 · 35 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 27 | $106,173 | $12,709 | $7,087$3,057–$19,727 · 35 plans | |
| Irregular heartbeat, with major complications 308 | 27 | $145,868 | $10,890 | $11,136$3,057–$17,825 · 35 plans | |
| Bowel obstruction, with complications 389 | 27 | $97,861 | $7,702 | $5,727$3,057–$11,849 · 35 plans | |
| Medical Back Problems with Mcc 551 | 27 | $181,848 | $14,508 | $14,067$3,344–$25,219 · 35 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 26 | $417,959 | $34,652 | $20,115$3,344–$61,928 · 35 plans | |
| Chest pain 313 | 25 | $101,992 | $7,252 | $6,982$3,128–$10,543 · 35 plans | |
| Disorders of the Biliary Tract with Cc 445 | 25 | $147,639 | $10,515 | $5,945$3,057–$16,027 · 35 plans | |
| Anemia and blood disorders 812 | 25 | $73,596 | $9,476 | $5,727$3,057–$13,640 · 35 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 24 | $2,110,034 | $178,652 | $181,637$3,469–$316,738 · 32 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 24 | $611,884 | $49,672 | $30,508$3,057–$95,593 · 35 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 24 | $222,912 | $15,127 | $8,552$3,057–$24,474 · 35 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 24 | $276,707 | $25,148 | $25,763$3,344–$43,468 · 35 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 24 | $203,450 | $14,567 | $8,478$3,057–$24,233 · 35 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 23 | $112,195 | $9,755 | $5,805$3,057–$15,575 · 35 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 23 | $194,731 | $19,474 | $15,749$3,344–$33,490 · 35 plans | |
| Dysequilibrium 149 | 23 | $111,993 | $7,531 | $5,727$3,057–$11,048 · 35 plans | |
| Heart attack, with complications 281 | 23 | $149,912 | $9,524 | $8,740$3,509–$13,624 · 35 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 23 | $200,166 | $15,126 | $5,727$2,971–$16,542 · 29 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 22 | $464,585 | $28,972 | $19,349$3,620–$28,122 · 36 plans | |
| Heart catheterization, with major complications 286 | 22 | $351,415 | $19,889 | $12,602$3,830–$32,713 · 35 plans | |
| Major Chest Trauma with Cc 184 | 21 | $128,039 | $10,173 | $5,870$3,057–$15,785 · 35 plans | |
| Other Vascular Procedures with Mcc 252 | 21 | $328,452 | $30,269 | $19,192$3,819–$30,811 · 34 plans | |
| Peripheral Vascular Disorders with Cc 300 | 21 | $115,611 | $9,800 | $9,993$3,509–$15,822 · 35 plans | |
| Diabetes, with major complications 637 | 21 | $202,871 | $11,934 | $7,642$3,057–$21,524 · 35 plans | |
| Other Disorders of Nervous System with Mcc 091 | 20 | $135,887 | $15,657 | $9,314$3,057–$26,941 · 35 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 20 | $901,555 | $59,180 | $52,267$3,620–$88,538 · 36 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 20 | $789,699 | $47,977 | $41,260$3,713–$75,863 · 35 plans | |
| Heart catheterization 287 | 20 | $194,399 | $10,420 | $10,154$3,830–$16,104 · 35 plans | |
| Bowel surgery, with major complications 329 | 20 | $565,952 | $37,905 | $21,948$3,509–$67,865 · 35 plans | |
| Other Disorders of Nervous System with Cc 092 | 19 | $116,192 | $9,466 | $5,828$3,057–$15,649 · 35 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 19 | $303,900 | $21,899 | $17,890$3,344–$35,487 · 35 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | 19 | $90,321 | $8,160 | $5,727$3,057–$12,068 · 35 plans | |
| Skin infection (cellulitis) 603 | 19 | $90,637 | $8,719 | $5,727$3,057–$13,020 · 35 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 18 | $190,307 | $13,055 | $7,426$3,057–$20,827 · 35 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 18 | $179,270 | $13,780 | $14,606$3,509–$23,910 · 35 plans | |
| Bowel surgery, with complications 330 | 18 | $326,747 | $18,933 | $15,128$3,509–$34,935 · 35 plans | |
| Fracture or sprain (not hip or thigh) 563 | 18 | $127,889 | $8,823 | $5,727$3,057–$13,209 · 35 plans | |
| Urinary tract infection, with major complications 689 | 18 | $196,494 | $9,632 | $6,337$3,057–$17,299 · 35 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | 18 | $894,726 | $51,574 | $59,043$3,228–$98,708 · 26 plans | |
| Rehabilitation with Cc/Mcc 945 | 18 | $123,167 | $13,782 | $6,028$1,804–$14,265 · 24 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | 17 | $272,253 | $28,513 | $22,979$3,713–$32,820 · 35 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 17 | $184,292 | $14,809 | $12,264$3,344–$19,804 · 35 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 17 | $101,309 | $8,465 | $5,022$2,971–$8,700 · 29 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 16 | $1,012,066 | $82,786 | $120,084$3,469–$208,828 · 32 plans | |
| Nervous System Neoplasms with Mcc 054 | 16 | $205,914 | $13,043 | $7,837$3,057–$22,157 · 35 plans | |
| Pneumothorax with Cc 200 | 16 | $134,546 | $11,608 | $6,050$3,057–$16,367 · 35 plans | |
| Irregular heartbeat 310 | 16 | $66,824 | $6,069 | $5,685$3,057–$8,269 · 35 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 16 | $163,728 | $16,466 | $9,322$3,057–$26,966 · 35 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | 16 | $150,881 | $14,740 | $14,343$3,344–$23,447 · 35 plans | |
| Complications of Treatment with Mcc 919 | 16 | $166,974 | $31,803 | $9,317$3,057–$26,950 · 35 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | 15 | $493,093 | $34,763 | $28,085$10,536–$56,185 · 35 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | 15 | $118,414 | $8,455 | $9,028$3,344–$15,145 · 35 plans | |
| Headaches Without Mcc 103 | 15 | $109,982 | $8,136 | $5,727$3,057–$12,566 · 35 plans | |
| Other Vascular Procedures with Cc 253 | 15 | $344,913 | $23,143 | $21,736$3,959–$26,462 · 34 plans | |
| Other Circulatory System O.r. Procedures 264 | 15 | $357,652 | $25,765 | $16,944$3,509–$51,655 · 35 plans | |
| Hypertension with Mcc 304 | 15 | $96,855 | $11,019 | $10,873$3,057–$17,364 · 35 plans | |
| Stomach and digestive disorders, with major complications 391 | 15 | $152,356 | $14,268 | $6,859$3,057–$18,991 · 35 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | 15 | $328,487 | $21,285 | $11,840$3,397–$35,125 · 35 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 15 | $460,884 | $30,402 | $29,842$3,713–$32,879 · 35 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 15 | $99,632 | $7,779 | $5,727$3,057–$11,985 · 35 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | 14 | $429,935 | $26,662 | $26,700$11,031–$45,203 · 35 plans | |
| Respiratory Neoplasms with Mcc 180 | 14 | $259,555 | $16,188 | $8,971$3,057–$25,831 · 35 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 14 | $111,153 | $9,095 | $5,727$3,057–$12,714 · 35 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | 14 | $293,061 | $29,283 | $21,819$3,344–$52,484 · 35 plans | |
| Non-Extensive Burns 935 | 14 | $210,708 | $20,508 | $20,087$3,228–$32,461 · 26 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 13 | $158,685 | $14,608 | $8,930$3,057–$25,698 · 35 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 13 | $129,216 | $9,182 | $5,753$3,057–$15,407 · 35 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | 13 | $104,412 | $8,707 | $8,421$3,344–$13,066 · 35 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | 13 | $59,098 | $6,603 | $5,727$3,057–$9,406 · 35 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 13 | $278,347 | $18,081 | $14,855$3,321–$29,142 · 36 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | 13 | $190,634 | $15,832 | $9,506$3,057–$27,563 · 35 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | 12 | $256,111 | $14,300 | $14,418$3,509–$23,580 · 35 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | 12 | $557,603 | $37,588 | $28,995$3,509–$55,747 · 35 plans | |
| Pneumothorax with Mcc 199 | 12 | $158,482 | $17,504 | $9,051$3,057–$26,090 · 35 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 12 | $448,555 | $30,654 | $29,565$3,522–$48,316 · 36 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 12 | $588,405 | $35,858 | $30,006$3,713–$50,908 · 35 plans | |
| Digestive Malignancy with Mcc 374 | 12 | $260,554 | $19,105 | $10,631$3,057–$31,208 · 35 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 12 | $265,926 | $24,994 | $14,784$3,344–$32,820 · 35 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | 12 | $116,448 | $12,139 | $8,068$3,057–$22,905 · 35 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | 12 | $155,167 | $15,786 | $9,086$3,344–$26,203 · 35 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | 12 | $209,482 | $16,580 | $13,525$3,344–$26,997 · 35 plans | |
| Coagulation Disorders 813 | 12 | $110,367 | $14,450 | $8,060$3,057–$22,878 · 35 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | 11 | $326,226 | $24,579 | $22,445$10,683–$36,471 · 35 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 11 | $1,405,388 | $65,325 | $66,195$33,464–$92,463 · 35 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | 11 | $1,391,159 | $73,189 | $57,190$24,694–$92,463 · 36 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | 11 | $93,231 | $7,945 | $5,727$3,057–$11,783 · 35 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 11 | $826,266 | $56,998 | $25,587$25,587–$33,027 · 3 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | 11 | $480,496 | $34,868 | $32,820$3,713–$45,274 · 35 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 11 | $306,845 | $21,410 | $22,450$3,344–$37,661 · 35 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 11 | $323,385 | $38,343 | $19,173$3,344–$58,876 · 35 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $238,426$3,261–$416,299 · 30 plans | |
| Ms-Drg 002 002 | – | – | – | $96,774$3,261–$162,871 · 30 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $90,742$3,288–$157,386 · 32 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $41,847$3,288–$71,667 · 32 plans | |
| Lung Transplant 007 | – | – | – | $111,138$3,288–$193,144 · 32 plans | |
| Ms-Drg 008 008 | – | – | – | $46,837$3,288–$80,415 · 32 plans | |
| Ms-Drg 010 010 | – | – | – | $68,182$3,288–$117,835 · 32 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $25,616$3,344–$79,747 · 35 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $19,720$3,344–$60,648 · 35 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $13,087$3,344–$39,164 · 35 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $111,416$3,269–$193,631 · 31 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $51,851$3,288–$89,205 · 32 plans | |
| Ms-Drg 017 017 | – | – | – | $51,851$3,269–$89,205 · 31 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $318,886$3,288–$557,357 · 32 plans | |
| Ms-Drg 019 019 | – | – | – | $67,795$3,288–$117,157 · 32 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $47,982$6,635–$71,054 · 35 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $47,566$6,635–$56,660 · 35 plans | |
| Ms-Drg 022 022 | – | – | – | $31,682$6,635–$52,179 · 35 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $23,389$3,744–$89,849 · 36 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $17,396$3,744–$49,609 · 36 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $17,396$3,619–$32,888 · 36 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $20,117$3,509–$61,933 · 35 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $17,758$3,509–$31,563 · 35 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $18,740$3,344–$57,472 · 35 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $11,375$3,344–$33,619 · 35 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $9,360$3,344–$27,092 · 35 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $28,964$3,713–$49,080 · 35 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $15,001$3,713–$23,812 · 35 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $10,891$3,509–$16,823 · 35 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $20,628$3,713–$33,382 · 35 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $16,273$3,713–$25,976 · 35 plans | |
| Ms-Drg 052 052 | – | – | – | $10,179$3,057–$29,743 · 35 plans | |
| Ms-Drg 053 053 | – | – | – | $5,727$3,057–$13,617 · 35 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $5,974$3,057–$16,124 · 35 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | – | – | – | $12,422$3,057–$37,009 · 35 plans | |
| Ms-Drg 058 058 | – | – | – | $9,418$3,057–$27,279 · 35 plans | |
| Ms-Drg 059 059 | – | – | – | $6,579$3,057–$18,083 · 35 plans | |
| Ms-Drg 060 060 | – | – | – | $5,727$3,057–$13,190 · 35 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $13,331$3,057–$39,953 · 35 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $9,122$3,057–$26,320 · 35 plans | |
| Ms-Drg 063 063 | – | – | – | $7,406$3,057–$20,761 · 35 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $6,771$3,057–$10,173 · 35 plans | |
| Ms-Drg 067 067 | – | – | – | $11,612$3,057–$21,517 · 35 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $7,308$3,057–$13,030 · 35 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $5,727$3,057–$11,086 · 35 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $8,049$3,057–$22,842 · 35 plans | |
| Ms-Drg 075 075 | – | – | – | $8,856$3,057–$25,457 · 35 plans | |
| Ms-Drg 076 076 | – | – | – | $5,727$3,057–$13,552 · 35 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | $8,052$3,057–$22,853 · 35 plans | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | $5,727$3,057–$14,747 · 35 plans | |
| Ms-Drg 079 079 | – | – | – | $5,727$3,057–$9,854 · 35 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $10,067$3,057–$29,380 · 35 plans | |
| Ms-Drg 081 081 | – | – | – | $5,727$3,057–$13,373 · 35 plans | |
| Concussion with Mcc 088 | – | – | – | $7,433$3,057–$20,849 · 35 plans | |
| Concussion with Cc 089 | – | – | – | $5,889$3,057–$15,846 · 35 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $5,727$3,057–$12,669 · 35 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $5,727$3,057–$11,666 · 35 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $17,644$3,057–$53,923 · 35 plans | |
| Ms-Drg 095 095 | – | – | – | $11,934$3,057–$35,428 · 35 plans | |
| Ms-Drg 096 096 | – | – | – | $11,934$3,057–$35,428 · 35 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $17,354$3,057–$52,983 · 35 plans | |
| Ms-Drg 098 098 | – | – | – | $10,894$3,057–$32,059 · 35 plans | |
| Ms-Drg 099 099 | – | – | – | $7,354$3,057–$20,592 · 35 plans | |
| Headaches with Mcc 102 | – | – | – | $6,287$3,057–$17,136 · 35 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $11,293$3,344–$33,353 · 35 plans | |
| Ms-Drg 114 114 | – | – | – | $7,733$3,344–$17,471 · 35 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $7,982$3,344–$22,627 · 35 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $8,610$3,344–$24,660 · 35 plans | |
| Ms-Drg 117 117 | – | – | – | $7,733$3,344–$15,942 · 35 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $6,304$3,057–$17,191 · 35 plans | |
| Ms-Drg 122 122 | – | – | – | $5,727$3,057–$10,025 · 35 plans | |
| Neurological Eye Disorders 123 | – | – | – | $5,727$3,057–$11,871 · 35 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $6,946$3,057–$19,270 · 35 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $5,727$3,057–$12,204 · 35 plans | |
| Ms-Drg 135 135 | – | – | – | $11,997$3,344–$35,633 · 35 plans | |
| Ms-Drg 136 136 | – | – | – | $7,733$3,344–$14,458 · 35 plans | |
| Ms-Drg 137 137 | – | – | – | $7,733$3,344–$20,670 · 35 plans | |
| Ms-Drg 138 138 | – | – | – | $7,733$3,344–$12,024 · 35 plans | |
| Ms-Drg 139 139 | – | – | – | $7,733$3,344–$20,291 · 35 plans | |
| Ms-Drg 140 140 | – | – | – | $20,293$3,344–$62,505 · 35 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $10,799$3,344–$31,752 · 35 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $8,171$3,344–$23,239 · 35 plans | |
| Ms-Drg 143 143 | – | – | – | $16,062$3,344–$48,799 · 35 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $9,144$3,344–$25,963 · 35 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $7,733$3,344–$17,510 · 35 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $11,463$3,057–$33,904 · 35 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $6,676$3,057–$18,397 · 35 plans | |
| Ms-Drg 148 148 | – | – | – | $5,727$3,057–$11,834 · 35 plans | |
| Ms-Drg 150 150 | – | – | – | $7,303$3,057–$20,427 · 35 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $5,727$3,057–$11,203 · 35 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $6,174$3,057–$16,771 · 35 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $5,727$3,057–$10,519 · 35 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $8,417$3,057–$24,035 · 35 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $5,727$3,057–$13,799 · 35 plans | |
| Ms-Drg 156 156 | – | – | – | $5,727$3,057–$9,938 · 35 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $8,468$3,057–$24,201 · 35 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $5,727$3,057–$13,901 · 35 plans | |
| Ms-Drg 159 159 | – | – | – | $5,727$3,057–$9,749 · 35 plans | |
| Major Chest Procedures with Cc 164 | – | – | – | $12,481$3,344–$37,198 · 35 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $9,501$3,344–$27,548 · 35 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $18,568$3,344–$56,918 · 35 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $9,334$3,344–$27,005 · 35 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $7,733$3,344–$20,009 · 35 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $14,997$3,344–$45,351 · 35 plans | |
| Pulmonary Embolism Without Mcc 176 | – | – | – | $5,727$3,057–$12,038 · 35 plans | |
| Lung infection, with complications 178 | – | – | – | $5,727$3,057–$14,663 · 35 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $5,727$3,057–$11,376 · 35 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $6,062$3,057–$16,409 · 35 plans | |
| Ms-Drg 182 182 | – | – | – | $5,727$3,057–$12,378 · 35 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $8,239$3,057–$23,459 · 35 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $5,727$3,057–$11,493 · 35 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $8,206$3,057–$23,352 · 35 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $5,727$3,057–$14,838 · 35 plans | |
| Ms-Drg 188 188 | – | – | – | $5,727$3,057–$10,850 · 35 plans | |
| COPD, with major complications 190 | – | – | – | $6,122$3,057–$16,602 · 35 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | – | – | – | $5,727$3,057–$12,698 · 35 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $5,727$3,057–$9,566 · 35 plans | |
| Pneumonia, with complications 194 | – | – | – | $5,727$3,057–$12,120 · 35 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $5,727$3,057–$9,205 · 35 plans | |
| Interstitial Lung Disease with Mcc 196 | – | – | – | $9,594$3,057–$27,848 · 35 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $5,727$3,057–$14,631 · 35 plans | |
| Ms-Drg 198 198 | – | – | – | $5,727$3,057–$10,352 · 35 plans | |
| Ms-Drg 201 201 | – | – | – | $5,727$3,057–$10,005 · 35 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | – | – | – | $5,727$3,057–$14,288 · 35 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $5,727$3,057–$10,291 · 35 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $5,727$3,057–$11,985 · 35 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $9,610$3,057–$27,900 · 35 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $5,727$3,057–$13,388 · 35 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $68,019$3,344–$161,000 · 35 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $77,316$24,893–$156,582 · 36 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $68,019$33,007–$92,463 · 35 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $55,408$31,025–$92,463 · 35 plans | |
| Ms-Drg 218 218 | – | – | – | $51,122$29,634–$87,928 · 35 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $45,619$29,402–$78,279 · 35 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $40,911$30,317–$67,874 · 35 plans | |
| Ms-Drg 222 222 | – | – | – | $41,652$21,390–$41,652 · 3 plans | |
| Ms-Drg 223 223 | – | – | – | $41,652$21,390–$41,652 · 3 plans | |
| Ms-Drg 224 224 | – | – | – | $31,211$19,302–$31,211 · 3 plans | |
| Ms-Drg 225 225 | – | – | – | $31,211$19,302–$31,211 · 3 plans | |
| Ms-Drg 226 226 | – | – | – | $27,008$16,682–$27,008 · 3 plans | |
| Ms-Drg 227 227 | – | – | – | $27,008$16,682–$27,008 · 3 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $42,977$3,744–$73,647 · 36 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $27,994$3,978–$46,777 · 35 plans | |
| Ms-Drg 230 230 | – | – | – | $26,640only 2 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $69,265$31,871–$92,463 · 34 plans | |
| Ms-Drg 232 232 | – | – | – | $52,465$26,101–$90,281 · 35 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $45,818$24,694–$78,628 · 36 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $49,413$24,514–$86,963 · 36 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $36,735$21,471–$60,772 · 36 plans | |
| Ms-Drg 237 237 | – | – | – | $9,750only 1 plan | |
| Ms-Drg 238 238 | – | – | – | $9,750only 1 plan | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $23,978$3,509–$74,439 · 35 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $15,128$3,509–$43,039 · 35 plans | |
| Ms-Drg 241 241 | – | – | – | $13,697$3,509–$22,315 · 35 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | – | – | – | $20,577$3,522–$34,419 · 36 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $16,683$3,522–$28,600 · 36 plans | |
| Ms-Drg 245 245 | – | – | – | $22,976$3,522–$43,468 · 36 plans | |
| Ms-Drg 246 246 | – | – | – | $13,034$8,522–$13,256 · 6 plans | |
| Ms-Drg 247 247 | – | – | – | $11,456$6,431–$11,456 · 3 plans | |
| Ms-Drg 248 248 | – | – | – | $22,582$9,621–$39,545 · 4 plans | |
| Ms-Drg 249 249 | – | – | – | $11,868$9,621–$13,166 · 5 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $20,466$9,621–$23,208 · 35 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $14,578$8,724–$22,872 · 35 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $15,716$3,959–$25,540 · 34 plans | |
| Ms-Drg 255 255 | – | – | – | $15,128$3,509–$38,669 · 35 plans | |
| Ms-Drg 256 256 | – | – | – | $15,128$3,509–$25,031 · 35 plans | |
| Ms-Drg 257 257 | – | – | – | $8,488$3,509–$13,182 · 35 plans | |
| Ms-Drg 258 258 | – | – | – | $21,736$3,713–$29,275 · 35 plans | |
| Ms-Drg 259 259 | – | – | – | $16,274$3,713–$30,124 · 35 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $23,496$3,713–$32,327 · 35 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $17,489$3,713–$29,756 · 35 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $14,189$3,713–$26,518 · 35 plans | |
| Ms-Drg 263 263 | – | – | – | $15,128$3,509–$39,638 · 35 plans | |
| Ms-Drg 265 265 | – | – | – | $17,702$3,321–$31,999 · 36 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $43,201$3,713–$98,541 · 35 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | – | – | – | $36,043$3,713–$61,491 · 35 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $22,744$3,713–$36,980 · 35 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $20,901$3,620–$34,981 · 36 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $60,543$3,666–$104,443 · 35 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $47,356$3,509–$91,547 · 35 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $40,189$3,509–$68,760 · 35 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $23,824$3,509–$73,943 · 35 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $15,617$3,509–$47,358 · 35 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $7,300$3,509–$11,370 · 35 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $15,128$3,509–$28,901 · 35 plans | |
| Ms-Drg 284 284 | – | – | – | $7,438$3,509–$10,951 · 35 plans | |
| Ms-Drg 285 285 | – | – | – | $5,877$3,497–$9,540 · 35 plans | |
| Ms-Drg 288 288 | – | – | – | $15,128$3,509–$40,369 · 35 plans | |
| Ms-Drg 289 289 | – | – | – | $14,260$3,509–$23,302 · 35 plans | |
| Ms-Drg 290 290 | – | – | – | $9,507$3,509–$14,522 · 35 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $8,230$3,509–$12,730 · 35 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $5,770$3,474–$8,305 · 35 plans | |
| Ms-Drg 294 294 | – | – | – | $11,320$3,057–$18,148 · 35 plans | |
| Ms-Drg 295 295 | – | – | – | $7,627$3,057–$11,673 · 35 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $14,780$3,057–$24,214 · 35 plans | |
| Ms-Drg 297 297 | – | – | – | $6,907$3,057–$10,411 · 35 plans | |
| Ms-Drg 298 298 | – | – | – | $4,691$2,987–$6,527 · 35 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $6,982$3,509–$10,543 · 35 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $10,775$3,057–$17,192 · 35 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $6,637$3,057–$9,938 · 35 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $13,592$3,057–$22,132 · 35 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $8,778$3,057–$13,691 · 35 plans | |
| Angina Pectoris 311 | – | – | – | $6,857$3,057–$10,324 · 35 plans | |
| Other Circulatory System Diagnoses with Cc 315 | – | – | – | $9,081$3,057–$14,223 · 35 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $6,723$3,057–$10,089 · 35 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $29,223$3,509–$91,429 · 35 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $28,298$3,509–$64,921 · 35 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $16,969$3,509–$34,210 · 35 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $21,189$3,509–$62,951 · 35 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $21,991$3,509–$47,222 · 35 plans | |
| Ms-Drg 325 325 | – | – | – | $15,128$3,509–$42,300 · 35 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $24,170$3,509–$75,063 · 35 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $16,552$3,509–$35,887 · 35 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $14,402$3,509–$23,550 · 35 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $14,887$3,509–$24,402 · 35 plans | |
| Ms-Drg 332 332 | – | – | – | $16,823$3,344–$51,264 · 35 plans | |
| Ms-Drg 333 333 | – | – | – | $10,693$3,344–$31,409 · 35 plans | |
| Ms-Drg 334 334 | – | – | – | $8,564$3,344–$24,511 · 35 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $17,532$3,344–$53,561 · 35 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $10,635$3,344–$31,221 · 35 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $8,001$3,344–$22,687 · 35 plans | |
| Ms-Drg 344 344 | – | – | – | $13,291$3,344–$39,823 · 35 plans | |
| Ms-Drg 345 345 | – | – | – | $7,792$3,344–$22,010 · 35 plans | |
| Ms-Drg 346 346 | – | – | – | $7,733$3,344–$18,404 · 35 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $11,795$3,344–$34,978 · 35 plans | |
| Ms-Drg 348 348 | – | – | – | $7,733$3,344–$18,605 · 35 plans | |
| Ms-Drg 349 349 | – | – | – | $7,733$3,344–$13,020 · 35 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $12,038$3,344–$35,765 · 35 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $7,862$3,344–$22,239 · 35 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $7,733$3,344–$16,295 · 35 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $14,379$3,344–$43,347 · 35 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $8,759$3,344–$25,142 · 35 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $7,733$3,344–$19,703 · 35 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $20,459$3,344–$63,043 · 35 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $11,272$3,344–$33,283 · 35 plans | |
| Ms-Drg 358 358 | – | – | – | $7,733$3,344–$20,027 · 35 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $8,616$3,057–$24,681 · 35 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $5,727$3,057–$15,040 · 35 plans | |
| Ms-Drg 370 370 | – | – | – | $5,727$3,057–$10,315 · 35 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $8,974$3,057–$25,840 · 35 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $5,727$3,057–$15,213 · 35 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $5,727$3,057–$10,720 · 35 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $6,603$3,057–$18,160 · 35 plans | |
| Ms-Drg 376 376 | – | – | – | $5,727$3,057–$13,049 · 35 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $5,727$3,057–$9,409 · 35 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $9,777$3,057–$28,441 · 35 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $5,966$3,057–$16,097 · 35 plans | |
| Ms-Drg 382 382 | – | – | – | $5,727$3,057–$11,075 · 35 plans | |
| Ms-Drg 383 383 | – | – | – | $6,765$3,057–$18,685 · 35 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $5,727$3,057–$12,853 · 35 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $8,410$3,057–$24,013 · 35 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $5,727$3,057–$14,668 · 35 plans | |
| Ms-Drg 387 387 | – | – | – | $5,727$3,057–$9,907 · 35 plans | |
| Gastrointestinal Obstruction with Mcc 388 | – | – | – | $7,704$3,057–$21,727 · 35 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $5,581$3,057–$8,086 · 35 plans | |
| Ms-Drg 397 397 | – | – | – | $12,302$3,344–$36,619 · 35 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $7,902$3,344–$22,367 · 35 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $7,733$3,344–$16,614 · 35 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $20,657$3,363–$58,074 · 36 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $25,766$3,344–$80,232 · 35 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $13,810$3,344–$41,505 · 35 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $10,741$3,344–$31,564 · 35 plans | |
| Ms-Drg 408 408 | – | – | – | $16,972$3,344–$51,746 · 35 plans | |
| Ms-Drg 409 409 | – | – | – | $10,562$3,344–$30,983 · 35 plans | |
| Ms-Drg 410 410 | – | – | – | $8,074$3,344–$22,924 · 35 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $13,483$3,344–$40,444 · 35 plans | |
| Ms-Drg 412 412 | – | – | – | $10,722$3,344–$31,504 · 35 plans | |
| Ms-Drg 413 413 | – | – | – | $8,582$3,344–$24,570 · 35 plans | |
| Ms-Drg 414 414 | – | – | – | $16,983$3,344–$51,783 · 35 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $10,022$3,344–$29,235 · 35 plans | |
| Ms-Drg 416 416 | – | – | – | $7,733$3,344–$20,252 · 35 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | – | – | – | $8,978$3,397–$24,513 · 35 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $8,978$3,397–$19,474 · 35 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $17,100$3,344–$52,162 · 35 plans | |
| Ms-Drg 421 421 | – | – | – | $8,468$3,344–$24,202 · 35 plans | |
| Ms-Drg 422 422 | – | – | – | $7,733$3,344–$21,716 · 35 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $19,554$3,344–$60,112 · 35 plans | |
| Ms-Drg 424 424 | – | – | – | $11,414$3,344–$33,744 · 35 plans | |
| Ms-Drg 425 425 | – | – | – | $8,050$3,344–$22,845 · 35 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $52,880$3,363–$154,918 · 36 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $36,285$3,363–$104,919 · 36 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $28,442$3,363–$81,367 · 36 plans | |
| Ms-Drg 429 429 | – | – | – | $42,375$3,363–$123,265 · 36 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $28,274$3,363–$80,848 · 36 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $5,878$3,057–$15,810 · 35 plans | |
| Ms-Drg 434 434 | – | – | – | $5,727$3,057–$10,293 · 35 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $6,142$3,057–$16,666 · 35 plans | |
| Ms-Drg 437 437 | – | – | – | $5,727$3,057–$11,604 · 35 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $8,588$3,057–$24,591 · 35 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $5,727$3,057–$9,091 · 35 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $9,622$3,057–$27,939 · 35 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $5,727$3,057–$14,280 · 35 plans | |
| Ms-Drg 443 443 | – | – | – | $5,727$3,057–$10,384 · 35 plans | |
| Ms-Drg 447 447 | – | – | – | $37,089$3,344–$99,088 · 35 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $21,459$3,363–$60,350 · 36 plans | |
| Ms-Drg 450 450 | – | – | – | $26,700$3,363–$76,113 · 36 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $16,558$3,363–$45,608 · 36 plans | |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | – | – | – | $25,587$25,587–$33,027 · 3 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | – | – | – | $26,490$26,490–$33,208 · 3 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $42,848$3,620–$75,977 · 36 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $42,848$3,620–$75,860 · 36 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $37,369$5,309–$63,816 · 34 plans | |
| Spinal Fusion Except Cervical with Mcc 459 | – | – | – | $27,087$16,105–$29,387 · 10 plans | |
| Spinal fusion (lower or mid back) 460 | – | – | – | $25,458$16,105–$27,764 · 10 plans | |
| Ms-Drg 461 461 | – | – | – | $30,179$3,344–$54,334 · 35 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $25,110$3,344–$32,820 · 35 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $37,821$3,344–$79,822 · 35 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $25,827$3,344–$43,580 · 35 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $16,085$3,344–$26,049 · 35 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $23,797$3,713–$32,820 · 35 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $22,777$7,810–$43,212 · 36 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $19,665$7,810–$34,059 · 36 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $18,570$7,817–$34,059 · 36 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $21,459$3,344–$66,279 · 35 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $10,839$3,344–$31,882 · 35 plans | |
| Ms-Drg 476 476 | – | – | – | $7,733$3,344–$17,189 · 35 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $16,688$3,344–$50,825 · 35 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $11,667$3,344–$34,562 · 35 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $9,099$3,344–$26,245 · 35 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $28,145$3,344–$47,645 · 35 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $18,847$3,344–$31,344 · 35 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $14,289$3,344–$25,251 · 35 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $15,446$3,344–$29,047 · 35 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $11,410$3,344–$18,307 · 35 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $15,925$3,344–$27,868 · 35 plans | |
| Ms-Drg 495 495 | – | – | – | $17,059$3,344–$52,030 · 35 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $9,999$3,344–$29,159 · 35 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $9,325$3,344–$19,850 · 35 plans | |
| Ms-Drg 498 498 | – | – | – | $12,517$3,344–$37,315 · 35 plans | |
| Ms-Drg 499 499 | – | – | – | $7,733$3,344–$17,157 · 35 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $15,454$3,344–$46,830 · 35 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $9,141$3,344–$26,381 · 35 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $7,733$3,344–$20,649 · 35 plans | |
| Ms-Drg 503 503 | – | – | – | $13,072$3,344–$39,115 · 35 plans | |
| Foot Procedures with Cc 504 | – | – | – | $9,965$3,344–$25,948 · 35 plans | |
| Ms-Drg 505 505 | – | – | – | $9,965$3,344–$25,948 · 35 plans | |
| Ms-Drg 506 506 | – | – | – | $7,836$3,344–$22,155 · 35 plans | |
| Ms-Drg 507 507 | – | – | – | $13,535$3,344–$28,645 · 35 plans | |
| Ms-Drg 508 508 | – | – | – | $11,849$3,344–$19,075 · 35 plans | |
| Ms-Drg 509 509 | – | – | – | $9,011$3,344–$25,961 · 35 plans | |
| Ms-Drg 510 510 | – | – | – | $14,037$3,344–$42,241 · 35 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $13,535$3,344–$28,989 · 35 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $13,535$3,344–$23,762 · 35 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $7,866$3,344–$22,251 · 35 plans | |
| Ms-Drg 514 514 | – | – | – | $7,733$3,344–$15,070 · 35 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $17,762$3,344–$45,703 · 35 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $17,762$3,344–$29,731 · 35 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $13,552$3,344–$22,061 · 35 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $16,630$3,321–$52,969 · 36 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $13,252$3,321–$21,181 · 36 plans | |
| Ms-Drg 533 533 | – | – | – | $7,954$3,057–$22,537 · 35 plans | |
| Ms-Drg 534 534 | – | – | – | $5,727$3,057–$12,029 · 35 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $7,065$3,057–$19,656 · 35 plans | |
| Ms-Drg 537 537 | – | – | – | $5,727$3,057–$13,581 · 35 plans | |
| Ms-Drg 538 538 | – | – | – | $5,727$3,057–$9,925 · 35 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $10,226$3,057–$29,896 · 35 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $6,903$3,057–$19,131 · 35 plans | |
| Ms-Drg 541 541 | – | – | – | $5,727$3,057–$12,930 · 35 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $5,837$3,057–$15,679 · 35 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $5,727$3,057–$11,169 · 35 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $12,526$3,057–$37,345 · 35 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $6,279$3,057–$17,111 · 35 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $5,727$3,057–$11,029 · 35 plans | |
| Ms-Drg 548 548 | – | – | – | $10,189$3,057–$29,774 · 35 plans | |
| Ms-Drg 549 549 | – | – | – | $6,495$3,057–$17,810 · 35 plans | |
| Ms-Drg 550 550 | – | – | – | $5,727$3,057–$12,742 · 35 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $6,957$3,057–$19,307 · 35 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $5,727$3,057–$12,335 · 35 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $7,141$3,057–$19,901 · 35 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $5,727$3,057–$12,767 · 35 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $9,466$3,057–$27,433 · 35 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $6,193$3,057–$16,831 · 35 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $5,727$3,057–$12,084 · 35 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $7,675$3,057–$21,633 · 35 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $8,157$3,057–$23,193 · 35 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $5,727$3,057–$15,070 · 35 plans | |
| Ms-Drg 566 566 | – | – | – | $5,727$3,057–$11,055 · 35 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $14,733$3,344–$44,494 · 35 plans | |
| Skin Debridement with Cc 571 | – | – | – | $8,639$3,344–$24,754 · 35 plans | |
| Ms-Drg 572 572 | – | – | – | $7,733$3,344–$16,885 · 35 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $29,094$3,344–$91,012 · 35 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $16,806$3,344–$51,208 · 35 plans | |
| Ms-Drg 575 575 | – | – | – | $10,106$3,344–$29,508 · 35 plans | |
| Ms-Drg 576 576 | – | – | – | $25,613$3,344–$79,737 · 35 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $13,146$3,344–$39,353 · 35 plans | |
| Ms-Drg 578 578 | – | – | – | $8,709$3,344–$24,983 · 35 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $15,868$3,344–$48,170 · 35 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $7,733$3,344–$21,270 · 35 plans | |
| Ms-Drg 582 582 | – | – | – | $8,987$3,344–$25,881 · 35 plans | |
| Ms-Drg 583 583 | – | – | – | $8,491$3,344–$24,276 · 35 plans | |
| Ms-Drg 584 584 | – | – | – | $10,338$3,344–$30,259 · 35 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $10,054$3,344–$29,338 · 35 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $10,379$3,057–$30,391 · 35 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $6,575$3,057–$18,070 · 35 plans | |
| Ms-Drg 594 594 | – | – | – | $5,727$3,057–$12,542 · 35 plans | |
| Ms-Drg 595 595 | – | – | – | $10,647$3,057–$31,260 · 35 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $5,929$3,057–$15,977 · 35 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $9,011$3,057–$25,961 · 35 plans | |
| Ms-Drg 598 598 | – | – | – | $5,920$3,057–$15,946 · 35 plans | |
| Ms-Drg 599 599 | – | – | – | $5,727$3,057–$12,635 · 35 plans | |
| Ms-Drg 600 600 | – | – | – | $5,727$3,057–$14,147 · 35 plans | |
| Ms-Drg 601 601 | – | – | – | $5,727$3,057–$8,861 · 35 plans | |
| Cellulitis with Mcc 602 | – | – | – | $7,701$3,057–$21,718 · 35 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $10,450$3,344–$21,959 · 35 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $8,756$3,344–$13,652 · 35 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $8,343$3,057–$23,797 · 35 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $5,727$3,057–$12,774 · 35 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $11,395$3,344–$33,681 · 35 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $7,733$3,344–$21,178 · 35 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $18,632$3,344–$57,123 · 35 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $9,813$3,344–$28,558 · 35 plans | |
| Ms-Drg 618 618 | – | – | – | $7,733$3,344–$18,401 · 35 plans | |
| Ms-Drg 619 619 | – | – | – | $20,751$3,959–$36,134 · 34 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $14,877$3,959–$22,876 · 34 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $13,702$3,959–$21,477 · 34 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $18,080$3,344–$55,336 · 35 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $9,730$3,344–$28,289 · 35 plans | |
| Ms-Drg 624 624 | – | – | – | $7,733$3,344–$14,826 · 35 plans | |
| Ms-Drg 625 625 | – | – | – | $14,078$3,344–$42,373 · 35 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $7,883$3,344–$22,306 · 35 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $7,733$3,344–$18,723 · 35 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $19,003$3,344–$58,326 · 35 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $11,264$3,344–$33,256 · 35 plans | |
| Ms-Drg 630 630 | – | – | – | $7,733$3,344–$20,710 · 35 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $5,727$3,057–$9,261 · 35 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $6,660$3,057–$18,343 · 35 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $8,559$3,057–$24,495 · 35 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $5,727$3,057–$15,275 · 35 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $5,727$3,057–$11,514 · 35 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $39,808$3,269–$68,091 · 31 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $30,241$3,269–$51,319 · 31 plans | |
| Kidney Transplant 652 | – | – | – | $26,860$3,269–$45,392 · 31 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $26,431$3,344–$82,387 · 35 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $13,873$3,344–$41,708 · 35 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $10,475$3,344–$30,701 · 35 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $15,861$3,344–$48,149 · 35 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $9,338$3,344–$27,018 · 35 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $13,634$3,344–$22,228 · 35 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $22,755$3,344–$38,194 · 35 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $8,639$3,344–$15,173 · 35 plans | |
| Ms-Drg 662 662 | – | – | – | $15,230$3,344–$46,105 · 35 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $7,966$3,344–$22,573 · 35 plans | |
| Ms-Drg 664 664 | – | – | – | $7,733$3,344–$15,959 · 35 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $16,663$3,344–$50,746 · 35 plans | |
| Ms-Drg 666 666 | – | – | – | $8,513$3,344–$24,346 · 35 plans | |
| Ms-Drg 667 667 | – | – | – | $7,733$3,344–$15,189 · 35 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $14,303$3,344–$43,100 · 35 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $8,058$3,344–$22,872 · 35 plans | |
| Ms-Drg 670 670 | – | – | – | $7,733$3,344–$14,124 · 35 plans | |
| Ms-Drg 671 671 | – | – | – | $8,861$3,344–$25,475 · 35 plans | |
| Ms-Drg 672 672 | – | – | – | $7,733$3,344–$16,174 · 35 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $11,529$3,344–$34,117 · 35 plans | |
| Ms-Drg 675 675 | – | – | – | $8,138$3,344–$23,134 · 35 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $5,727$3,057–$8,979 · 35 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $9,600$3,057–$27,869 · 35 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $5,800$3,057–$15,557 · 35 plans | |
| Ms-Drg 688 688 | – | – | – | $5,727$3,057–$10,704 · 35 plans | |
| Ms-Drg 693 693 | – | – | – | $7,705$3,344–$21,731 · 35 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $6,901$3,344–$11,549 · 35 plans | |
| Ms-Drg 695 695 | – | – | – | $6,142$3,057–$16,667 · 35 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $5,727$3,057–$10,223 · 35 plans | |
| Ms-Drg 697 697 | – | – | – | $5,727$3,057–$14,807 · 35 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $5,727$3,057–$10,259 · 35 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $15,772$3,344–$28,681 · 35 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $7,761$3,344–$21,910 · 35 plans | |
| Ms-Drg 709 709 | – | – | – | $11,249$3,344–$33,211 · 35 plans | |
| Ms-Drg 710 710 | – | – | – | $7,847$3,344–$22,189 · 35 plans | |
| Ms-Drg 711 711 | – | – | – | $9,715$3,344–$28,239 · 35 plans | |
| Ms-Drg 712 712 | – | – | – | $7,733$3,344–$15,809 · 35 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $7,733$3,344–$21,370 · 35 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $7,733$3,344–$13,887 · 35 plans | |
| Ms-Drg 715 715 | – | – | – | $11,301$3,344–$33,376 · 35 plans | |
| Ms-Drg 716 716 | – | – | – | $7,733$3,344–$20,976 · 35 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $9,463$3,344–$27,423 · 35 plans | |
| Ms-Drg 718 718 | – | – | – | $7,733$3,344–$18,206 · 35 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $8,885$3,057–$25,552 · 35 plans | |
| Ms-Drg 723 723 | – | – | – | $6,120$3,057–$16,596 · 35 plans | |
| Ms-Drg 724 724 | – | – | – | $5,727$3,057–$10,769 · 35 plans | |
| Ms-Drg 725 725 | – | – | – | $6,760$3,057–$18,669 · 35 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $5,727$3,057–$11,001 · 35 plans | |
| Ms-Drg 727 727 | – | – | – | $7,701$3,057–$21,716 · 35 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $5,727$3,057–$12,077 · 35 plans | |
| Ms-Drg 729 729 | – | – | – | $6,019$3,057–$16,270 · 35 plans | |
| Ms-Drg 730 730 | – | – | – | $5,727$3,057–$8,970 · 35 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $11,463$3,344–$31,078 · 35 plans | |
| Ms-Drg 735 735 | – | – | – | $11,201$3,344–$17,940 · 35 plans | |
| Ms-Drg 736 736 | – | – | – | $18,962$3,344–$58,193 · 35 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $10,115$3,344–$29,535 · 35 plans | |
| Ms-Drg 738 738 | – | – | – | $7,918$3,344–$22,418 · 35 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $29,201$3,344–$58,835 · 35 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $13,525$3,344–$26,873 · 35 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $12,548$3,344–$20,300 · 35 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $11,073$3,344–$17,715 · 35 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $9,912$3,344–$28,879 · 35 plans | |
| Ms-Drg 745 745 | – | – | – | $7,733$3,344–$15,147 · 35 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $8,637$3,344–$24,749 · 35 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $7,733$3,344–$14,116 · 35 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $10,175$3,344–$20,133 · 35 plans | |
| Ms-Drg 749 749 | – | – | – | $12,807$3,344–$38,257 · 35 plans | |
| Ms-Drg 750 750 | – | – | – | $7,733$3,344–$19,059 · 35 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $9,252$3,057–$26,740 · 35 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $6,062$3,057–$16,407 · 35 plans | |
| Ms-Drg 756 756 | – | – | – | $5,727$3,057–$14,113 · 35 plans | |
| Ms-Drg 757 757 | – | – | – | $7,454$3,057–$20,917 · 35 plans | |
| Ms-Drg 758 758 | – | – | – | $5,727$3,057–$15,065 · 35 plans | |
| Ms-Drg 759 759 | – | – | – | $5,727$3,057–$9,458 · 35 plans | |
| Ms-Drg 760 760 | – | – | – | $5,727$3,057–$14,566 · 35 plans | |
| Ms-Drg 761 761 | – | – | – | $5,727$3,057–$9,369 · 35 plans | |
| Ms-Drg 765 765 | – | – | – | $3,650only 1 plan | |
| Ms-Drg 766 766 | – | – | – | $3,650only 1 plan | |
| Ms-Drg 767 767 | – | – | – | $3,650only 1 plan | |
| Ms-Drg 768 768 | – | – | – | $5,999$3,596–$10,527 · 35 plans | |
| Ms-Drg 769 769 | – | – | – | $7,733$3,344–$20,537 · 35 plans | |
| Ms-Drg 770 770 | – | – | – | $7,733$3,344–$15,902 · 35 plans | |
| Ms-Drg 774 774 | – | – | – | $3,650only 1 plan | |
| Ms-Drg 775 775 | – | – | – | $3,650only 1 plan | |
| Ms-Drg 776 776 | – | – | – | $5,727$3,057–$10,544 · 35 plans | |
| Ms-Drg 779 779 | – | – | – | $5,727$3,057–$13,815 · 35 plans | |
| Ms-Drg 780 780 | – | – | – | $2,349only 1 plan | |
| Ms-Drg 783 783 | – | – | – | $9,401$3,344–$17,008 · 35 plans | |
| Ms-Drg 784 784 | – | – | – | $6,431$3,344–$11,745 · 35 plans | |
| Ms-Drg 785 785 | – | – | – | $6,431$3,344–$11,489 · 35 plans | |
| C-section, with major complications 786 | – | – | – | $8,369$3,344–$15,042 · 35 plans | |
| C-section, with complications 787 | – | – | – | $6,431$3,344–$11,666 · 35 plans | |
| C-section 788 | – | – | – | $6,431$3,344–$11,489 · 35 plans | |
| Ms-Drg 789 789 | – | – | – | $16,166$3,851–$16,966 · 22 plans | |
| Ms-Drg 790 790 | – | – | – | $51,088$3,900–$53,300 · 25 plans | |
| Ms-Drg 791 791 | – | – | – | $35,197$3,867–$36,866 · 23 plans | |
| Ms-Drg 792 792 | – | – | – | $21,621$3,851–$22,691 · 22 plans | |
| Ms-Drg 793 793 | – | – | – | $36,129$3,851–$37,917 · 22 plans | |
| Ms-Drg 794 794 | – | – | – | $13,413$3,851–$14,077 · 22 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $2,653$904–$2,735 · 21 plans | |
| Ms-Drg 796 796 | – | – | – | $6,822$3,344–$12,094 · 35 plans | |
| Ms-Drg 797 797 | – | – | – | $5,414$3,344–$9,413 · 35 plans | |
| Ms-Drg 798 798 | – | – | – | $5,414$3,344–$9,413 · 35 plans | |
| Ms-Drg 799 799 | – | – | – | $22,691$3,344–$70,272 · 35 plans | |
| Ms-Drg 800 800 | – | – | – | $14,291$3,344–$43,063 · 35 plans | |
| Ms-Drg 801 801 | – | – | – | $8,488$3,344–$24,264 · 35 plans | |
| Ms-Drg 802 802 | – | – | – | $17,353$3,344–$52,980 · 35 plans | |
| Ms-Drg 803 803 | – | – | – | $9,118$3,344–$26,307 · 35 plans | |
| Ms-Drg 804 804 | – | – | – | $7,733$3,344–$16,339 · 35 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $5,550$3,344–$9,671 · 35 plans | |
| Vaginal birth, with complications 806 | – | – | – | $4,941$3,344–$8,961 · 35 plans | |
| Vaginal birth 807 | – | – | – | $4,941$3,344–$8,961 · 35 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $11,448$3,057–$33,852 · 35 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $6,648$3,057–$18,305 · 35 plans | |
| Ms-Drg 810 810 | – | – | – | $5,727$3,057–$14,066 · 35 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $10,534$3,057–$30,895 · 35 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $5,727$3,057–$15,018 · 35 plans | |
| Ms-Drg 816 816 | – | – | – | $5,727$3,057–$9,746 · 35 plans | |
| Ms-Drg 817 817 | – | – | – | $12,564$2,822–$37,469 · 35 plans | |
| Ms-Drg 818 818 | – | – | – | $6,874$2,822–$19,037 · 35 plans | |
| Ms-Drg 819 819 | – | – | – | $4,722$2,822–$12,068 · 35 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $27,561$3,344–$86,048 · 35 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $11,182$3,344–$32,992 · 35 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $7,733$3,344–$16,902 · 35 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $22,347$3,344–$69,159 · 35 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $11,032$3,344–$32,506 · 35 plans | |
| Ms-Drg 825 825 | – | – | – | $7,733$3,344–$18,190 · 35 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $22,785$3,344–$70,577 · 35 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $11,764$3,344–$34,876 · 35 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $8,310$3,344–$23,689 · 35 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $15,067$3,344–$45,576 · 35 plans | |
| Ms-Drg 830 830 | – | – | – | $7,733$3,344–$21,614 · 35 plans | |
| Ms-Drg 831 831 | – | – | – | $6,248$2,736–$17,010 · 35 plans | |
| Ms-Drg 832 832 | – | – | – | $4,406$2,736–$11,045 · 35 plans | |
| Ms-Drg 833 833 | – | – | – | $4,392$2,736–$7,683 · 35 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $26,215$3,057–$81,688 · 35 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $10,742$3,057–$31,567 · 35 plans | |
| Ms-Drg 836 836 | – | – | – | $6,795$3,057–$18,781 · 35 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $23,842$3,057–$74,001 · 35 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $10,251$3,057–$29,975 · 35 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $7,249$3,057–$20,253 · 35 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $15,550$3,057–$47,139 · 35 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $8,151$3,057–$23,174 · 35 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $5,796$3,057–$15,546 · 35 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $9,635$3,057–$27,980 · 35 plans | |
| Ms-Drg 844 844 | – | – | – | $6,450$3,057–$17,664 · 35 plans | |
| Ms-Drg 845 845 | – | – | – | $5,727$3,057–$12,366 · 35 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $12,648$3,057–$37,742 · 35 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $6,794$3,057–$18,779 · 35 plans | |
| Ms-Drg 848 848 | – | – | – | $5,727$3,057–$12,103 · 35 plans | |
| Radiotherapy 849 | – | – | – | $13,184$3,057–$39,476 · 35 plans | |
| Ms-Drg 850 850 | – | – | – | $43,027$3,344–$136,143 · 35 plans | |
| Ms-Drg 855 855 | – | – | – | $8,414$3,344–$24,025 · 35 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $21,581$3,344–$66,677 · 35 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $10,939$3,344–$32,204 · 35 plans | |
| Ms-Drg 858 858 | – | – | – | $7,733$3,344–$19,043 · 35 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $9,386$3,057–$27,175 · 35 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $5,727$3,057–$14,779 · 35 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $5,727$3,057–$13,271 · 35 plans | |
| Viral Illness with Mcc 865 | – | – | – | $7,731$3,057–$21,814 · 35 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $5,727$3,057–$13,076 · 35 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $10,780$3,057–$31,691 · 35 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $5,788$3,057–$15,519 · 35 plans | |
| Ms-Drg 869 869 | – | – | – | $5,727$3,057–$10,634 · 35 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $34,095$3,397–$35,572 · 25 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $9,050$2,971–$9,442 · 25 plans | |
| Depressive Neuroses 881 | – | – | – | $8,675$2,971–$9,050 · 25 plans | |
| Neuroses Except Depressive 882 | – | – | – | $9,078$2,971–$9,471 · 25 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $16,619$2,971–$17,338 · 25 plans | |
| Ms-Drg 886 886 | – | – | – | $16,113$2,971–$16,811 · 25 plans | |
| Ms-Drg 887 887 | – | – | – | $10,995$2,971–$11,471 · 25 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $4,392$2,971–$6,448 · 29 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $5,727$2,971–$13,637 · 29 plans | |
| Ms-Drg 901 901 | – | – | – | $21,211$3,344–$65,478 · 35 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $9,654$3,344–$28,044 · 35 plans | |
| Ms-Drg 903 903 | – | – | – | $7,733$3,344–$18,017 · 35 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $18,614$3,344–$57,064 · 35 plans | |
| Ms-Drg 905 905 | – | – | – | $8,517$3,344–$24,359 · 35 plans | |
| Ms-Drg 906 906 | – | – | – | $10,955$3,344–$32,256 · 35 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $10,200$3,344–$29,811 · 35 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $7,733$3,344–$18,744 · 35 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $8,380$3,057–$23,917 · 35 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $5,727$3,057–$13,543 · 35 plans | |
| Ms-Drg 915 915 | – | – | – | $8,926$3,057–$25,685 · 35 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $5,727$3,057–$9,814 · 35 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $5,727$3,057–$13,071 · 35 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $5,727$3,057–$15,014 · 35 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $5,727$3,057–$10,163 · 35 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $8,704$3,057–$24,966 · 35 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $5,727$3,057–$15,073 · 35 plans | |
| Ms-Drg 927 927 | – | – | – | $207,180$3,228–$350,623 · 26 plans | |
| Ms-Drg 929 929 | – | – | – | $28,638$3,228–$47,003 · 26 plans | |
| Ms-Drg 933 933 | – | – | – | $38,603$3,228–$63,949 · 26 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $19,647$3,228–$31,713 · 26 plans | |
| Ms-Drg 939 939 | – | – | – | $15,478$3,344–$46,909 · 35 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $10,630$3,344–$31,205 · 35 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $9,913$3,344–$28,883 · 35 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $5,093$1,804–$10,701 · 24 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $6,865$3,057–$19,009 · 35 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $5,727$3,057–$11,743 · 35 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $5,920$3,057–$15,946 · 35 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $5,727$3,057–$8,663 · 35 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $5,727$3,057–$8,379 · 35 plans | |
| Ms-Drg 955 955 | – | – | – | $56,526$3,344–$100,916 · 35 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $24,024$3,344–$56,492 · 35 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $35,053$3,344–$110,313 · 35 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $31,763$3,344–$60,738 · 35 plans | |
| Ms-Drg 959 959 | – | – | – | $23,256$3,344–$39,074 · 35 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $14,646$3,344–$40,151 · 35 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $13,616$3,344–$22,173 · 35 plans | |
| Ms-Drg 965 965 | – | – | – | $8,661$3,344–$13,487 · 35 plans | |
| Ms-Drg 969 969 | – | – | – | $29,852$3,344–$93,467 · 35 plans | |
| Ms-Drg 970 970 | – | – | – | $13,103$3,344–$39,214 · 35 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $14,621$3,057–$44,133 · 35 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $7,482$3,057–$21,007 · 35 plans | |
| Ms-Drg 976 976 | – | – | – | $5,727$3,057–$14,823 · 35 plans | |
| Ms-Drg 977 977 | – | – | – | $7,575$3,057–$21,310 · 35 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $12,169$3,344–$36,189 · 35 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $8,608$3,344–$24,655 · 35 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $16,981$3,344–$51,774 · 35 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $8,827$3,344–$25,362 · 35 plans | |
| Ms-Drg 989 989 | – | – | – | $7,733$3,344–$17,077 · 35 plans | |
| Ms-Drg 998 998 | – | – | – | $998$968–$1,053 · 14 plans | |
| Ms-Drg 999 999 | – | – | – | $998$968–$1,053 · 14 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 | – | – | $3,528$2,323–$6,670 · 13 plans |
| Cataract surgery CPT 66984 | – | – | $3,652$2,482–$7,309 · 22 plans |
| Colonoscopy CPT 45378 | – | – | $2,138$1,274–$3,490 · 22 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $2,138$1,156–$3,481 · 23 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$8–$23 · 31 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,221 | $2,221 | $11$10–$32 · 31 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $20,739 | $20,739 | $828$282–$1,166 · 12 plans |
| Emergency room visit, highest level CPT 99285 | $7,128 | $7,128 | $4,721$392–$9,421 · 18 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $4,962$2,704–$6,490 · 22 plans |
| Hip replacement CPT 27130 | – | – | $11,551$2,937–$15,496 · 25 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $3,528$2,696–$4,398 · 24 plans |
| Knee replacement CPT 27447 | – | – | $11,551$2,937–$15,703 · 25 plans |
| MRI of the brain, with and without contrast CPT 70553 | $11,969 | $11,969 | $828$345–$2,663 · 12 plans |
| MRI of the knee, without contrast CPT 73721 | $9,502 | $9,502 | $518$229–$2,178 · 12 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $3,528$2,150–$5,336 · 13 plans |
Price file: Sunrise Hospital and Medical Center, read November 9, 2026.