Tampa General Hospital
1 Tampa General Cir, Tampa, FL 33606 · (813) 844-7000
The money
$16what care cost the hospital for every $100 it billed
$437.5Mnet income, all sources
−15.8%margin on patient care alone
$118.6Mcost of charity care (5.6% of costs)
$80.4Munpaid bills written off (bad debt)
946beds
From the hospital's Medicare cost report for the year ending September 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)
| Stay | Medicare stays | Billed | Paid | Insurers (median) | |
|---|---|---|---|---|---|
| Sepsis, with major complications 871 | 438 | $139,034 | $21,294 | $35,400$24,413–$45,659 · 19 plans | |
| Heart failure, with major complications 291 | 205 | $86,658 | $15,105 | $23,287$15,201–$28,832 · 19 plans | |
| Other kidney and urinary problems, with complications 699 | 146 | $52,275 | $11,411 | $19,454$14,550–$25,682 · 19 plans | |
| Stomach and digestive disorders 392 | 125 | $47,474 | $9,236 | $13,925$8,377–$17,313 · 19 plans | |
| Sepsis 872 | 125 | $63,114 | $12,133 | $20,699$15,146–$37,742 · 19 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 123 | $151,215 | $28,564 | $48,073$26,235–$68,397 · 19 plans | |
| Other kidney and urinary problems, with major complications 698 | 120 | $99,534 | $18,667 | $26,493$16,091–$36,839 · 19 plans | |
| Kidney Transplant 652 | 101 | $389,834 | $35,951 | $55,860$40,793–$77,958 · 19 plans | |
| Lung infection, with major complications 177 | 97 | $88,532 | $16,629 | $29,363$21,167–$40,823 · 19 plans | |
| Heart catheterization, with major complications 286 | 92 | $144,806 | $23,037 | $35,006$21,265–$48,508 · 19 plans | |
| Urinary tract infection 690 | 92 | $44,151 | $9,557 | $14,323$8,365–$17,801 · 19 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 88 | $215,710 | $44,243 | $89,741$65,054–$157,045 · 19 plans | |
| Dehydration and electrolyte problems 641 | 87 | $54,437 | $9,485 | $13,947$7,607–$17,301 · 19 plans | |
| Infection needing surgery, with major complications 853 | 85 | $456,946 | $57,112 | $89,257$57,577–$111,273 · 19 plans | |
| Kidney failure, with complications 683 | 81 | $48,986 | $10,235 | $17,846$13,273–$31,971 · 19 plans | |
| Skin infection (cellulitis) 603 | 80 | $38,935 | $10,248 | $15,721$9,978–$19,306 · 19 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 79 | $211,035 | $26,459 | $33,063$19,997–$42,936 · 19 plans | |
| Pneumonia, with major complications 193 | 76 | $66,177 | $13,892 | $24,230$15,950–$30,004 · 19 plans | |
| Anemia and blood disorders 812 | 76 | $49,734 | $10,722 | $17,605$12,325–$22,455 · 19 plans | |
| Back problems (no surgery) 552 | 75 | $53,679 | $10,716 | $17,200$10,989–$21,123 · 19 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 74 | $94,118 | $15,473 | $21,460$12,975–$29,107 · 19 plans | |
| Fainting 312 | 70 | $54,610 | $9,842 | $16,550$10,895–$20,354 · 19 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 68 | $411,925 | $48,196 | $77,422$50,965–$98,010 · 19 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 68 | $170,826 | $20,000 | $37,817$26,153–$49,049 · 19 plans | |
| Stroke, with major complications 064 | 65 | $126,964 | $19,770 | $31,350$17,863–$43,594 · 19 plans | |
| Irregular heartbeat, with complications 309 | 64 | $43,030 | $8,927 | $14,103$10,729–$19,124 · 19 plans | |
| Heart catheterization 287 | 59 | $95,001 | $11,682 | $20,785$14,999–$26,570 · 19 plans | |
| Bowel surgery, with complications 330 | 58 | $275,261 | $24,313 | $45,090$33,998–$82,182 · 19 plans | |
| Stomach and digestive disorders, with major complications 391 | 57 | $78,285 | $13,273 | $20,569$12,057–$28,160 · 19 plans | |
| Kidney failure, with major complications 682 | 57 | $108,394 | $17,098 | $28,064$19,594–$36,627 · 19 plans | |
| Stroke, with complications or clot-busting drug 065 | 56 | $84,727 | $11,920 | $19,400$14,756–$27,110 · 19 plans | |
| Stomach or intestinal bleeding, with complications 378 | 56 | $81,264 | $11,941 | $18,807$14,045–$24,622 · 19 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | 53 | $515,978 | $46,119 | $79,259$50,069–$100,969 · 19 plans | |
| Urinary tract infection, with major complications 689 | 51 | $64,143 | $12,766 | $20,887$12,929–$25,651 · 19 plans | |
| Heart attack, with major complications 280 | 50 | $131,920 | $18,362 | $30,021$21,226–$40,029 · 19 plans | |
| Heart stent 322 | 50 | $145,139 | $18,378 | $32,547$23,287–$45,241 · 19 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 50 | $222,007 | $28,820 | $60,583$37,354–$75,061 · 19 plans | |
| Peripheral Vascular Disorders with Cc 300 | 48 | $60,616 | $11,911 | $20,421$14,111–$25,978 · 19 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 48 | $182,753 | $28,285 | $29,551$17,900–$36,291 · 19 plans | |
| Other Vascular Procedures with Mcc 252 | 47 | $302,532 | $37,681 | $61,215$42,262–$83,647 · 19 plans | |
| Other digestive problems, with complications 394 | 47 | $66,288 | $11,763 | $18,719$13,978–$27,672 · 19 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 46 | $67,690 | $10,912 | $18,904$14,293–$27,947 · 19 plans | |
| Other circulation problems, with major complications 314 | 45 | $111,340 | $19,698 | $33,458$18,580–$47,195 · 19 plans | |
| Diabetes, with complications 638 | 45 | $49,189 | $10,535 | $17,389$11,447–$21,394 · 19 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 44 | $69,077 | $13,558 | $22,438$13,571–$29,252 · 19 plans | |
| Lung infection, with complications 178 | 44 | $52,274 | $11,389 | $20,036$14,579–$39,761 · 19 plans | |
| COPD, with major complications 190 | 44 | $53,362 | $11,888 | $20,861$13,732–$25,777 · 19 plans | |
| Other Vascular Procedures with Cc 253 | 44 | $271,260 | $26,682 | $48,699$36,682–$72,006 · 19 plans | |
| Seizures 101 | 43 | $60,748 | $10,479 | $15,724$9,008–$20,198 · 19 plans | |
| Major Chest Procedures with Mcc 163 | 42 | $339,707 | $49,397 | $75,768$48,290–$101,011 · 19 plans | |
| Respiratory failure 189 | 42 | $88,533 | $13,871 | $23,607$17,534–$33,220 · 19 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 42 | $150,010 | $18,541 | $28,006$15,374–$39,846 · 19 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 42 | $121,747 | $17,173 | $32,560$20,503–$39,986 · 19 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | 41 | $1,139,525 | $131,331 | $190,035$132,313–$267,529 · 19 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 39 | $1,814,240 | $260,202 | $382,443$246,836–$522,584 · 19 plans | |
| Pneumonia, with complications 194 | 39 | $47,023 | $9,695 | $16,463$12,428–$24,658 · 19 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 38 | $240,330 | $23,615 | $40,680$24,674–$55,845 · 19 plans | |
| Hip or knee replacement 470 | 37 | $138,626 | $17,952 | $35,184$25,158–$47,469 · 19 plans | |
| Major Chest Procedures with Cc 164 | 36 | $238,259 | $24,051 | $48,011$36,093–$74,655 · 19 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 35 | $134,786 | $20,731 | $29,078$14,827–$41,372 · 19 plans | |
| Irregular heartbeat, with major complications 308 | 35 | $84,203 | $14,319 | $20,453$12,370–$26,431 · 19 plans | |
| Anemia and blood disorders, with major complications 811 | 35 | $86,820 | $14,811 | $25,106$15,658–$30,832 · 19 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | 34 | $208,138 | $22,899 | $47,072$35,511–$76,090 · 19 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 34 | $148,193 | $21,337 | $30,366$18,399–$41,429 · 19 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 33 | $637,862 | $93,207 | $129,813$85,453–$169,567 · 19 plans | |
| Bowel surgery, with major complications 329 | 33 | $440,974 | $52,300 | $80,755$53,159–$100,966 · 19 plans | |
| Bowel obstruction, with complications 389 | 33 | $47,544 | $10,482 | $15,293$11,794–$22,248 · 19 plans | |
| Complications of Treatment with Cc 920 | 33 | $54,530 | $11,102 | $19,377$14,306–$25,221 · 19 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 31 | $372,907 | $51,327 | $101,806$66,204–$126,961 · 19 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | 31 | $69,014 | $11,719 | $19,206$14,323–$28,393 · 19 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 31 | $153,509 | $15,668 | $26,901$19,470–$57,261 · 19 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 30 | $90,364 | $14,403 | $26,521$18,754–$33,903 · 19 plans | |
| Hip replacement after a hip fracture 522 | 30 | $171,319 | $19,879 | $38,185$26,892–$51,409 · 19 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 30 | $192,878 | $25,482 | $40,118$28,777–$90,870 · 19 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 29 | $512,760 | $71,310 | $91,600$61,296–$117,499 · 19 plans | |
| Heart stent, with major complications or 4+ stents 321 | 29 | $200,099 | $27,095 | $50,802$35,169–$71,216 · 19 plans | |
| Other Disorders of Nervous System with Cc 092 | 28 | $72,938 | $11,751 | $20,198$14,484–$25,819 · 19 plans | |
| Seizures with Mcc 100 | 28 | $174,885 | $25,246 | $30,580$15,990–$43,508 · 19 plans | |
| Headaches Without Mcc 103 | 28 | $54,647 | $9,514 | $14,846$8,948–$18,633 · 19 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | 28 | $136,692 | $26,037 | $37,556$26,848–$50,638 · 19 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 27 | $59,492 | $11,501 | $17,422$10,177–$22,846 · 19 plans | |
| High blood pressure 305 | 27 | $52,794 | $9,418 | $13,770$8,748–$16,858 · 19 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 27 | $193,625 | $24,182 | $48,749$34,865–$101,225 · 19 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 27 | $472,284 | $65,570 | $84,845$55,234–$109,382 · 19 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 26 | $165,143 | $24,260 | $36,567$20,734–$50,848 · 19 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 26 | $359,932 | $61,579 | $114,273$82,688–$209,154 · 19 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | 26 | $165,690 | $15,650 | $29,992$19,970–$37,292 · 19 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 26 | $433,274 | $71,052 | Not in dollars (25 plans) | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 26 | $211,669 | $36,765 | $64,542$33,850–$91,830 · 19 plans | |
| Complications of Treatment with Mcc 919 | 26 | $102,998 | $18,269 | $28,187$15,667–$39,962 · 19 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 25 | $330,675 | $39,441 | $64,087$35,458–$91,181 · 19 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 25 | $80,137 | $11,600 | $20,912$15,678–$30,915 · 19 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 25 | $399,877 | $47,548 | $80,509$53,996–$108,897 · 19 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 25 | $454,632 | $63,581 | $107,157$34,775–$152,461 · 19 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | 24 | $222,410 | $32,503 | $54,580$41,103–$78,791 · 19 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 24 | $165,100 | $20,494 | $42,973$31,143–$72,122 · 19 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 24 | $321,115 | $31,900 | $65,416$49,389–$96,706 · 19 plans | |
| Cervical Spinal Fusion with Cc 472 | 24 | $280,854 | $27,688 | $51,700$34,980–$65,834 · 19 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 24 | $310,829 | $35,122 | $46,118$32,002–$63,017 · 19 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 24 | $106,327 | $19,429 | $28,978$16,159–$40,295 · 19 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 23 | $347,706 | $49,826 | $90,634$59,120–$121,565 · 19 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 23 | $62,701 | $11,918 | $20,665$15,121–$31,117 · 19 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 23 | $234,421 | $28,465 | $46,353$26,752–$64,456 · 19 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 23 | $174,297 | $22,898 | $38,555$23,363–$52,621 · 19 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 23 | $246,965 | $36,140 | $62,946$38,244–$87,304 · 19 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 22 | $135,568 | $22,246 | $35,713$20,767–$49,660 · 19 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 22 | $61,679 | $13,186 | $25,020$17,923–$32,993 · 19 plans | |
| Interstitial Lung Disease with Mcc 196 | 22 | $160,188 | $21,489 | $30,588$18,501–$41,295 · 19 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 22 | $196,051 | $27,733 | $51,202$38,579–$91,302 · 19 plans | |
| Heart attack, with complications 281 | 22 | $74,535 | $12,625 | $18,751$13,768–$36,721 · 19 plans | |
| Irregular heartbeat 310 | 22 | $39,949 | $6,980 | $11,233$7,464–$13,610 · 19 plans | |
| Digestive Malignancy with Cc 375 | 22 | $83,236 | $12,642 | $23,439$17,183–$32,529 · 19 plans | |
| Endocrine Disorders with Mcc 643 | 22 | $110,650 | $17,690 | $27,968$16,916–$36,322 · 19 plans | |
| Coagulation Disorders 813 | 22 | $115,533 | $22,959 | $28,768$19,064–$35,730 · 19 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 21 | $152,275 | $23,945 | $38,571$18,914–$54,879 · 19 plans | |
| Major Chest Trauma with Cc 184 | 21 | $60,557 | $11,583 | $20,373$14,749–$26,044 · 19 plans | |
| Chest pain 313 | 21 | $46,667 | $8,516 | $12,913$7,810–$16,230 · 19 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | 21 | $200,831 | $25,783 | $41,697$29,390–$56,289 · 19 plans | |
| Acute Leukemia with Mcc 834 | 21 | $322,741 | $46,759 | $91,794$59,165–$121,130 · 19 plans | |
| Other Disorders of Nervous System with Mcc 091 | 20 | $108,290 | $20,467 | $28,078$15,606–$39,949 · 19 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 20 | $76,836 | $11,996 | $20,236$14,520–$25,868 · 19 plans | |
| Diabetes, with major complications 637 | 20 | $95,508 | $15,446 | $22,800$11,914–$31,917 · 19 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 20 | $204,629 | $22,886 | $47,639$35,138–$90,146 · 19 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 19 | $56,323 | $9,862 | $16,388$12,363–$21,717 · 19 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 19 | $183,976 | $15,993 | $31,273$21,772–$40,260 · 19 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | 19 | $141,057 | $18,808 | $31,125$20,489–$38,583 · 19 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | 19 | $369,554 | $46,045 | $74,353$45,949–$93,482 · 19 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | 19 | $200,150 | $31,639 | $50,268$28,505–$69,900 · 19 plans | |
| Nervous System Neoplasms with Mcc 054 | 18 | $135,014 | $16,504 | $28,597$19,093–$35,536 · 19 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | 18 | $88,467 | $11,382 | $14,500$8,008–$19,975 · 19 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | 18 | $333,280 | $36,696 | $56,380$40,389–$107,459 · 19 plans | |
| Spinal fusion (lower or mid back) 460 | 18 | $329,849 | $32,630 | Not in dollars (25 plans) | |
| Bone Diseases and Arthropathies Without Mcc 554 | 18 | $48,352 | $10,197 | $14,763$8,602–$18,291 · 19 plans | |
| Delirium and other mental confusion 884 | 18 | $65,707 | $16,669 | $25,726$13,355–$36,603 · 19 plans | |
| Signs and Symptoms Without Mcc 948 | 18 | $46,528 | $9,082 | $12,888$7,101–$17,647 · 19 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 17 | $68,194 | $14,907 | $25,497$14,402–$35,454 · 19 plans | |
| Digestive Malignancy with Mcc 374 | 17 | $91,313 | $19,941 | $34,789$21,041–$46,276 · 19 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 17 | $87,403 | $14,182 | $23,626$17,361–$31,079 · 19 plans | |
| Mini-stroke (TIA) 069 | 16 | $57,423 | $8,973 | $15,265$10,890–$19,513 · 19 plans | |
| Other Disorders of the Eye Without Mcc 125 | 16 | $50,289 | $9,404 | $13,938$7,673–$18,096 · 19 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 16 | $89,182 | $14,510 | $26,356$18,497–$34,361 · 19 plans | |
| Pulmonary Embolism Without Mcc 176 | 16 | $53,624 | $9,354 | $16,353$12,404–$30,924 · 19 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 16 | $54,503 | $11,236 | $17,380$11,441–$21,625 · 19 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 16 | $483,560 | $49,858 | $94,518$68,749–$134,145 · 19 plans | |
| Other Circulatory System O.r. Procedures 264 | 16 | $227,676 | $33,511 | $57,626$35,435–$76,596 · 19 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 16 | $106,407 | $17,688 | $23,794$14,399–$32,217 · 19 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | 16 | $193,542 | $20,522 | $36,318$24,777–$46,243 · 19 plans | |
| Medical Back Problems with Mcc 551 | 16 | $62,536 | $15,593 | $26,284$13,253–$37,396 · 19 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | 16 | $436,611 | $31,976 | $63,432$44,831–$84,671 · 19 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 16 | $150,576 | $21,335 | $43,746$31,234–$90,870 · 19 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 16 | $49,685 | $11,123 | $19,074$14,357–$25,211 · 19 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | 15 | $1,679,172 | $256,618 | $462,635$304,543–$617,306 · 19 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | 15 | $148,619 | $23,938 | $43,614$30,896–$57,802 · 19 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | 15 | $189,514 | $27,781 | $34,482$25,890–$49,537 · 19 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 15 | $217,109 | $17,579 | $34,871$26,386–$57,880 · 19 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 15 | $80,143 | $13,492 | $22,835$15,032–$28,416 · 19 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 15 | $102,119 | $15,721 | $25,256$13,141–$35,934 · 19 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 14 | $845,218 | $134,832 | $252,148$159,409–$336,449 · 19 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 14 | $403,264 | $72,262 | $105,002$69,048–$142,089 · 19 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | 14 | $194,908 | $40,583 | $67,103$40,586–$85,693 · 19 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | 14 | $81,193 | $12,473 | $21,510$16,532–$31,696 · 19 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 14 | $69,040 | $17,889 | $29,692$18,125–$36,465 · 19 plans | |
| Cellulitis with Mcc 602 | 14 | $96,204 | $18,133 | $23,159$13,100–$32,204 · 19 plans | |
| Minor Skin Disorders Without Mcc 607 | 14 | $31,731 | $9,680 | $13,671$6,872–$19,332 · 19 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | 14 | $227,309 | $19,597 | $38,476$28,991–$58,857 · 19 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 13 | $62,644 | $12,022 | $20,102$14,953–$27,603 · 19 plans | |
| Dental and Oral Diseases with Cc 158 | 13 | $63,229 | $10,967 | $17,941$13,029–$22,934 · 19 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | 13 | $136,664 | $28,614 | $62,361$44,277–$128,686 · 19 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | 13 | $217,746 | $30,237 | $60,534$39,560–$82,715 · 19 plans | |
| Heart Failure and Shock with Cc 292 | 13 | $44,135 | $10,931 | $16,430$12,628–$23,500 · 19 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 13 | $159,540 | $22,690 | $27,662$16,731–$36,918 · 19 plans | |
| Cervical Spinal Fusion with Mcc 471 | 13 | $352,296 | $45,080 | $74,817$38,498–$106,448 · 19 plans | |
| Fracture or sprain (not hip or thigh) 563 | 13 | $47,003 | $9,650 | $15,949$10,245–$19,587 · 19 plans | |
| Endocrine Disorders with Cc 644 | 13 | $55,353 | $12,831 | $19,715$14,790–$26,256 · 19 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 13 | $92,513 | $11,102 | $19,583$14,919–$26,754 · 19 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | 13 | $80,342 | $15,215 | $29,909$22,669–$43,215 · 19 plans | |
| Viral Illness Without Mcc 866 | 13 | $56,351 | $10,747 | $13,944$7,408–$19,389 · 19 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | 13 | $252,389 | $35,963 | $54,491$30,253–$76,773 · 19 plans | |
| Liver Transplant Without Mcc 006 | 12 | $710,066 | $51,090 | $97,351$63,458–$255,423 · 19 plans | |
| Neurological Eye Disorders 123 | 12 | $57,272 | $9,087 | $15,322$10,171–$18,953 · 19 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | 12 | $160,381 | $21,431 | $42,957$32,517–$71,036 · 19 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 12 | $46,609 | $9,771 | $14,558$7,375–$20,244 · 19 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | 11 | $278,279 | $38,695 | $70,141$53,473–$103,691 · 19 plans | |
| Orbital Procedures with Cc/Mcc 113 | 11 | $239,304 | $30,987 | $34,913$18,043–$49,457 · 19 plans | |
| Major Head and Neck Procedures with Cc 141 | 11 | $267,141 | $23,103 | $39,193$26,554–$49,730 · 19 plans | |
| Dysequilibrium 149 | 11 | $43,006 | $9,110 | $13,340$8,013–$16,798 · 19 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 11 | $697,194 | $108,184 | $172,221$111,744–$221,454 · 19 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | 11 | $137,844 | $20,028 | $33,254$25,450–$48,837 · 19 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | 11 | $539,894 | $69,092 | $105,082$63,033–$146,121 · 19 plans | |
| Atherosclerosis Without Mcc 303 | 11 | $44,247 | $8,517 | $12,703$8,362–$15,641 · 19 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 11 | $172,792 | $16,442 | $31,412$22,675–$42,824 · 19 plans | |
| O.r. Procedures for Obesity with Cc 620 | 11 | $187,675 | $20,013 | $30,463$23,137–$50,218 · 19 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | 11 | $332,473 | $31,353 | $56,875$37,439–$71,397 · 19 plans | |
| Ms-Drg 002 002 | – | – | – | $221,243$149,783–$470,813 · 19 plans | |
| Lung Transplant 007 | – | – | – | $210,392$132,780–$286,401 · 19 plans | |
| Ms-Drg 008 008 | – | – | – | $97,097$70,951–$137,832 · 19 plans | |
| Ms-Drg 009 009 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 010 010 | – | – | – | $132,137$82,734–$174,731 · 19 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $91,225$58,050–$118,252 · 19 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $73,229$50,821–$100,063 · 19 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $50,548$38,481–$89,744 · 19 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $201,805$122,276–$287,125 · 19 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $115,133$80,126–$187,099 · 19 plans | |
| Ms-Drg 017 017 | – | – | – | $115,133$73,713–$187,099 · 19 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $580,885$172,392–$826,472 · 19 plans | |
| Ms-Drg 019 019 | – | – | – | $133,479$82,500–$173,725 · 19 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $143,848$92,638–$196,484 · 19 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $105,439$71,927–$167,949 · 19 plans | |
| Ms-Drg 022 022 | – | – | – | $70,880$44,637–$167,949 · 19 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $93,642$48,642–$133,232 · 19 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $59,900$41,458–$81,850 · 19 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $36,025$21,800–$48,768 · 19 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $64,547$35,083–$91,836 · 19 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $38,397$27,723–$53,903 · 19 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $28,472$18,080–$34,965 · 19 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $59,898$30,579–$85,222 · 19 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $40,784$26,847–$50,777 · 19 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $34,966$24,843–$44,698 · 19 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $51,152$26,567–$72,778 · 19 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $30,315$21,615–$40,508 · 19 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $21,712$16,048–$27,755 · 19 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $65,387$39,547–$82,664 · 19 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $41,357$31,549–$61,139 · 19 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $31,891$20,993–$39,602 · 19 plans | |
| Ms-Drg 043 043 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 044 044 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 045 045 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 046 046 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 047 047 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 048 048 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 049 049 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 050 050 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 051 051 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 052 052 | – | – | – | $33,209$20,086–$44,105 · 19 plans | |
| Ms-Drg 053 053 | – | – | – | $18,497$14,066–$31,052 · 19 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $19,468$12,745–$24,159 · 19 plans | |
| Ms-Drg 058 058 | – | – | – | $28,431$14,407–$40,451 · 19 plans | |
| Ms-Drg 059 059 | – | – | – | $20,222$12,231–$26,815 · 19 plans | |
| Ms-Drg 060 060 | – | – | – | $17,023$12,231–$21,762 · 19 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $48,350$33,460–$63,166 · 19 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $33,971$25,663–$52,272 · 19 plans | |
| Ms-Drg 063 063 | – | – | – | $27,624$20,421–$52,272 · 19 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $14,001$10,509–$27,110 · 19 plans | |
| Ms-Drg 067 067 | – | – | – | $22,945$11,659–$31,906 · 19 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $16,797$11,057–$20,645 · 19 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | – | – | – | $29,520$17,855–$38,106 · 19 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $14,309$10,064–$18,268 · 19 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $25,020$14,746–$33,872 · 19 plans | |
| Ms-Drg 075 075 | – | – | – | $32,857$21,926–$40,813 · 19 plans | |
| Ms-Drg 076 076 | – | – | – | $17,913$13,347–$33,897 · 19 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | $26,281$14,100–$35,231 · 16 plans | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | $19,533$13,514–$24,952 · 16 plans | |
| Ms-Drg 079 079 | – | – | – | $13,474$10,043–$23,954 · 16 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $30,620$15,301–$43,565 · 19 plans | |
| Ms-Drg 081 081 | – | – | – | $17,260$12,140–$22,035 · 19 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $19,194$14,206–$31,434 · 19 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $15,899$10,466–$19,781 · 19 plans | |
| Concussion with Mcc 088 | – | – | – | $22,799$13,800–$30,915 · 19 plans | |
| Concussion with Cc 089 | – | – | – | $20,451$13,789–$25,614 · 19 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $14,564$7,959–$18,787 · 19 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $14,316$8,854–$17,569 · 19 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $63,457$41,763–$79,960 · 19 plans | |
| Ms-Drg 095 095 | – | – | – | $45,522$33,877–$64,579 · 19 plans | |
| Ms-Drg 096 096 | – | – | – | $45,522$33,877–$64,579 · 19 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $63,457$41,773–$79,226 · 19 plans | |
| Ms-Drg 098 098 | – | – | – | $41,378$31,471–$64,579 · 19 plans | |
| Ms-Drg 099 099 | – | – | – | $27,971$20,191–$64,579 · 19 plans | |
| Headaches with Mcc 102 | – | – | – | $18,273$9,389–$25,410 · 19 plans | |
| Ms-Drg 104 104 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 105 105 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 106 106 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 107 107 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 108 108 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 109 109 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 110 110 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 111 111 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 112 112 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 114 114 | – | – | – | $22,550$16,701–$28,826 · 19 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $24,100$12,859–$33,552 · 19 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $26,297$12,793–$36,568 · 19 plans | |
| Ms-Drg 117 117 | – | – | – | $17,549$9,664–$23,639 · 19 plans | |
| Ms-Drg 118 118 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 119 119 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 120 120 | – | – | – | Not in dollars (25 plans) | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $18,332$10,116–$25,491 · 19 plans | |
| Ms-Drg 122 122 | – | – | – | $13,618$9,601–$16,964 · 19 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $21,295$12,115–$28,575 · 19 plans | |
| Ms-Drg 126 126 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 127 127 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 128 128 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 129 129 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 130 130 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 131 131 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 132 132 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 133 133 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 134 134 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 135 135 | – | – | – | $37,137$19,183–$52,838 · 19 plans | |
| Ms-Drg 136 136 | – | – | – | $15,417$7,796–$21,439 · 19 plans | |
| Ms-Drg 137 137 | – | – | – | $26,678$19,518–$34,103 · 19 plans | |
| Ms-Drg 138 138 | – | – | – | $15,518$10,478–$19,457 · 19 plans | |
| Ms-Drg 139 139 | – | – | – | $21,638$12,472–$30,089 · 19 plans | |
| Ms-Drg 140 140 | – | – | – | $65,143$32,704–$92,684 · 19 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $29,898$21,674–$41,052 · 19 plans | |
| Ms-Drg 143 143 | – | – | – | $52,038$25,514–$72,361 · 19 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $31,354$20,640–$39,074 · 19 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $22,599$16,984–$31,496 · 19 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $35,335$19,188–$50,274 · 19 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $23,744$17,319–$30,737 · 19 plans | |
| Ms-Drg 148 148 | – | – | – | $16,076$12,225–$28,654 · 19 plans | |
| Ms-Drg 150 150 | – | – | – | $21,406$10,615–$30,291 · 19 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $13,527$8,329–$16,625 · 19 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $19,428$11,305–$24,869 · 19 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $13,576$10,026–$17,355 · 19 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $25,050$12,955–$35,640 · 19 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $17,809$12,026–$22,331 · 19 plans | |
| Ms-Drg 156 156 | – | – | – | $12,922$9,567–$16,692 · 19 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $25,807$13,529–$35,886 · 19 plans | |
| Ms-Drg 159 159 | – | – | – | $13,153$9,703–$18,301 · 19 plans | |
| Ms-Drg 160 160 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 161 161 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 162 162 | – | – | – | Not in dollars (25 plans) | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $37,422$27,002–$74,655 · 19 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $68,725$44,349–$85,785 · 19 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $36,683$26,314–$70,080 · 19 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $25,825$18,214–$33,013 · 19 plans | |
| Ms-Drg 169 169 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 171 171 | – | – | – | Not in dollars (25 plans) | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $54,759$37,726–$76,531 · 19 plans | |
| Ms-Drg 174 174 | – | – | – | Not in dollars (25 plans) | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $15,657$11,752–$35,302 · 19 plans | |
| Respiratory Neoplasms with Mcc 180 | – | – | – | $32,594$21,539–$40,363 · 19 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $21,546$16,189–$33,299 · 19 plans | |
| Ms-Drg 182 182 | – | – | – | $16,814$12,248–$33,299 · 19 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $25,016$14,887–$34,786 · 19 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $13,877$8,206–$17,387 · 19 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $28,531$18,781–$35,467 · 19 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $19,641$14,748–$29,035 · 19 plans | |
| Ms-Drg 188 188 | – | – | – | $14,004$10,184–$17,901 · 19 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $12,994$9,881–$21,229 · 19 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $12,488$9,509–$18,461 · 19 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $19,347$14,492–$28,601 · 19 plans | |
| Ms-Drg 198 198 | – | – | – | $13,361$10,079–$17,706 · 19 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $29,911$18,091–$38,687 · 19 plans | |
| Pneumothorax with Cc 200 | – | – | – | $21,125$15,665–$28,122 · 19 plans | |
| Ms-Drg 201 201 | – | – | – | $13,240$8,752–$16,240 · 19 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $13,283$10,044–$17,650 · 19 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $15,469$10,478–$19,444 · 19 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $101,937$59,789–$141,749 · 19 plans | |
| Ms-Drg 209 209 | – | – | – | $153,715$137,318–$178,309 · 3 plans | |
| Ms-Drg 210 210 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 211 211 | – | – | – | Not in dollars (25 plans) | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $194,398$131,537–$268,791 · 19 plans | |
| Ms-Drg 213 213 | – | – | – | $79,370$70,904–$92,069 · 3 plans | |
| Ms-Drg 214 214 | – | – | – | Not in dollars (25 plans) | |
| Other Heart Assist System Implant 215 | – | – | – | $189,064$132,056–$270,930 · 19 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $123,181$88,451–$182,384 · 19 plans | |
| Ms-Drg 218 218 | – | – | – | $113,485$85,822–$182,384 · 19 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $87,603$66,316–$132,108 · 19 plans | |
| Ms-Drg 222 222 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 223 223 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 224 224 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 225 225 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 226 226 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 227 227 | – | – | – | Not in dollars (25 plans) | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $88,925$66,418–$128,686 · 19 plans | |
| Ms-Drg 230 230 | – | – | – | Not in dollars (25 plans) | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $151,216$98,330–$205,710 · 19 plans | |
| Ms-Drg 232 232 | – | – | – | $116,522$81,840–$173,045 · 19 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | – | – | – | $139,481$88,062–$175,887 · 19 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $94,939$64,390–$129,424 · 19 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $73,379$49,973–$99,850 · 19 plans | |
| Ms-Drg 237 237 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 238 238 | – | – | – | Not in dollars (25 plans) | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $77,582$41,709–$110,382 · 19 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $51,968$35,361–$71,010 · 19 plans | |
| Ms-Drg 241 241 | – | – | – | $30,312$21,517–$62,137 · 19 plans | |
| Ms-Drg 245 245 | – | – | – | $77,049$46,872–$107,094 · 19 plans | |
| Ms-Drg 246 246 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 247 247 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 248 248 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 249 249 | – | – | – | Not in dollars (25 plans) | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $39,216$25,561–$50,686 · 19 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $28,278$20,791–$39,691 · 19 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $32,844$25,120–$48,197 · 19 plans | |
| Ms-Drg 255 255 | – | – | – | $41,814$25,357–$57,340 · 19 plans | |
| Ms-Drg 256 256 | – | – | – | $31,512$22,339–$41,916 · 19 plans | |
| Ms-Drg 257 257 | – | – | – | $18,236$13,617–$39,098 · 19 plans | |
| Ms-Drg 258 258 | – | – | – | $44,216$22,551–$61,484 · 19 plans | |
| Ms-Drg 259 259 | – | – | – | $32,773$21,574–$40,463 · 19 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $52,478$26,073–$74,665 · 19 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $33,212$20,087–$41,584 · 19 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $28,952$20,087–$36,860 · 19 plans | |
| Ms-Drg 263 263 | – | – | – | $42,269$21,491–$58,778 · 19 plans | |
| Ms-Drg 265 265 | – | – | – | $63,655$43,468–$86,364 · 19 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $45,106$31,682–$61,012 · 19 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $126,109$86,213–$175,338 · 19 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $110,538$70,051–$141,197 · 19 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $83,023$60,333–$117,839 · 19 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $93,007$64,703–$121,834 · 19 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $61,123$43,605–$79,710 · 19 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $14,558$11,071–$23,821 · 19 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $36,009$23,897–$44,861 · 19 plans | |
| Ms-Drg 284 284 | – | – | – | $15,071$11,151–$36,944 · 19 plans | |
| Ms-Drg 285 285 | – | – | – | $11,701$8,570–$36,944 · 19 plans | |
| Ms-Drg 288 288 | – | – | – | $48,743$34,065–$67,057 · 19 plans | |
| Ms-Drg 289 289 | – | – | – | $31,655$23,142–$62,421 · 19 plans | |
| Ms-Drg 290 290 | – | – | – | $19,655$14,319–$62,421 · 19 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $11,265$8,382–$23,500 · 19 plans | |
| Ms-Drg 294 294 | – | – | – | $19,868$10,686–$27,978 · 16 plans | |
| Ms-Drg 295 295 | – | – | – | $15,462$10,258–$19,439 · 16 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $25,821$15,480–$35,906 · 19 plans | |
| Ms-Drg 297 297 | – | – | – | $14,142$10,509–$23,746 · 19 plans | |
| Ms-Drg 298 298 | – | – | – | $9,422$6,742–$23,746 · 19 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $13,301$8,614–$16,226 · 19 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $18,333$10,015–$25,493 · 19 plans | |
| Hypertension with Mcc 304 | – | – | – | $18,516$9,372–$25,747 · 19 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $24,642$13,893–$32,818 · 19 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $17,670$12,303–$22,512 · 19 plans | |
| Angina Pectoris 311 | – | – | – | $13,065$8,027–$15,928 · 19 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $13,021$8,875–$16,450 · 19 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $110,817$79,235–$154,025 · 19 plans | |
| Ms-Drg 318 318 | – | – | – | $35,855$32,031–$41,592 · 3 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $69,230$41,004–$96,268 · 19 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $41,306$25,371–$50,728 · 19 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $76,010$52,537–$103,862 · 19 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $57,018$38,852–$77,911 · 19 plans | |
| Ms-Drg 325 325 | – | – | – | $54,596$38,600–$69,791 · 19 plans | |
| Ms-Drg 332 332 | – | – | – | $62,079$41,773–$78,663 · 19 plans | |
| Ms-Drg 333 333 | – | – | – | $41,754$31,061–$64,579 · 19 plans | |
| Ms-Drg 334 334 | – | – | – | $30,558$21,587–$40,441 · 19 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $64,672$42,659–$83,245 · 19 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $40,296$30,376–$68,577 · 19 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $28,922$20,017–$37,251 · 19 plans | |
| Ms-Drg 338 338 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 339 339 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 340 340 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 341 341 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 342 342 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 343 343 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 344 344 | – | – | – | $45,579$29,304–$59,052 · 19 plans | |
| Ms-Drg 345 345 | – | – | – | $28,440$21,648–$45,304 · 19 plans | |
| Ms-Drg 346 346 | – | – | – | $23,377$16,369–$30,365 · 19 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $36,455$19,657–$51,867 · 19 plans | |
| Ms-Drg 348 348 | – | – | – | $24,013$17,730–$31,365 · 19 plans | |
| Ms-Drg 349 349 | – | – | – | $15,446$9,342–$19,306 · 19 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $37,274$19,115–$53,033 · 19 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $26,853$17,114–$32,978 · 19 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $19,237$10,466–$24,163 · 19 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $45,177$23,114–$64,276 · 19 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $21,317$11,775–$29,217 · 19 plans | |
| Ms-Drg 358 358 | – | – | – | $25,848$17,627–$32,668 · 19 plans | |
| Ms-Drg 359 359 | – | – | – | $49,320$44,059–$57,211 · 3 plans | |
| Ms-Drg 360 360 | – | – | – | $35,750$31,937–$41,471 · 3 plans | |
| Ms-Drg 361 361 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 362 362 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 363 363 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 364 364 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 365 365 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 366 366 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 367 367 | – | – | – | Not in dollars (25 plans) | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $27,677$16,740–$36,598 · 19 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $19,412$14,534–$25,880 · 19 plans | |
| Ms-Drg 370 370 | – | – | – | $14,012$10,655–$25,879 · 19 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $31,200$20,128–$38,316 · 19 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $14,754$11,074–$31,117 · 19 plans | |
| Ms-Drg 376 376 | – | – | – | $16,011$10,431–$19,724 · 19 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $12,144$8,153–$15,158 · 19 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $30,320$16,793–$42,174 · 19 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $20,776$15,240–$27,112 · 19 plans | |
| Ms-Drg 382 382 | – | – | – | $15,044$11,440–$25,325 · 19 plans | |
| Ms-Drg 383 383 | – | – | – | $22,165$13,406–$27,707 · 19 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $15,519$9,641–$19,059 · 19 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $27,035$16,352–$35,608 · 19 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $18,931$14,251–$25,279 · 19 plans | |
| Ms-Drg 387 387 | – | – | – | $13,458$10,234–$25,279 · 19 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $10,973$7,731–$13,341 · 19 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $12,946$9,716–$26,168 · 19 plans | |
| Ms-Drg 396 396 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 397 397 | – | – | – | $44,215$30,132–$60,417 · 19 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $28,582$20,234–$37,680 · 19 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $21,443$15,862–$27,770 · 19 plans | |
| Ms-Drg 400 400 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 401 401 | – | – | – | Not in dollars (25 plans) | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $70,121$49,200–$97,833 · 19 plans | |
| Ms-Drg 403 403 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 404 404 | – | – | – | Not in dollars (25 plans) | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $96,875$64,216–$129,231 · 19 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $39,805$27,466–$51,019 · 19 plans | |
| Ms-Drg 408 408 | – | – | – | $62,481$43,987–$87,321 · 19 plans | |
| Ms-Drg 409 409 | – | – | – | $42,087$30,344–$81,608 · 19 plans | |
| Ms-Drg 410 410 | – | – | – | $29,587$21,446–$40,226 · 19 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $52,200$39,818–$71,787 · 19 plans | |
| Ms-Drg 412 412 | – | – | – | $40,661$30,586–$71,787 · 19 plans | |
| Ms-Drg 413 413 | – | – | – | $30,917$21,824–$40,538 · 19 plans | |
| Ms-Drg 414 414 | – | – | – | $61,155$38,739–$76,786 · 19 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $37,732$28,696–$59,890 · 19 plans | |
| Ms-Drg 416 416 | – | – | – | $26,138$18,099–$33,282 · 19 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $42,411$27,700–$52,534 · 19 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $23,514$14,675–$28,877 · 19 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $62,982$41,726–$86,061 · 19 plans | |
| Ms-Drg 421 421 | – | – | – | $32,876$23,930–$73,992 · 19 plans | |
| Ms-Drg 422 422 | – | – | – | $29,499$21,173–$58,313 · 19 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $72,581$50,096–$99,178 · 19 plans | |
| Ms-Drg 424 424 | – | – | – | $45,838$31,878–$88,355 · 19 plans | |
| Ms-Drg 425 425 | – | – | – | $31,033$22,304–$88,355 · 19 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $187,055$129,610–$260,981 · 19 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $126,683$87,034–$176,751 · 19 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $98,246$67,784–$137,074 · 19 plans | |
| Ms-Drg 429 429 | – | – | – | $148,836$105,868–$207,658 · 19 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $97,619$69,030–$136,200 · 19 plans | |
| Ms-Drg 431 431 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 434 434 | – | – | – | $14,166$10,632–$30,915 · 19 plans | |
| Ms-Drg 437 437 | – | – | – | $15,971$11,987–$31,696 · 19 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $17,270$12,871–$28,021 · 19 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $12,512$9,391–$28,021 · 19 plans | |
| Ms-Drg 443 443 | – | – | – | $13,403$10,071–$17,680 · 19 plans | |
| Disorders of the Biliary Tract with Cc 445 | – | – | – | $20,686$15,397–$27,213 · 19 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $14,726$9,599–$18,077 · 19 plans | |
| Ms-Drg 447 447 | – | – | – | $119,643$81,922–$166,928 · 19 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $72,869$51,602–$101,668 · 19 plans | |
| Ms-Drg 449 449 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 450 450 | – | – | – | $91,902$64,224–$128,222 · 19 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $55,874$39,869–$76,833 · 19 plans | |
| Ms-Drg 452 452 | – | – | – | Not in dollars (25 plans) | |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | – | – | – | Not in dollars (25 plans) | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | – | – | – | Not in dollars (25 plans) | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $133,474$77,458–$185,601 · 19 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $102,418$69,857–$139,522 · 19 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $79,833$57,469–$118,019 · 19 plans | |
| Spinal Fusion Except Cervical with Mcc 459 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 461 461 | – | – | – | $92,320$48,859–$134,494 · 19 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $51,104$36,328–$72,210 · 19 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $85,120$48,953–$118,364 · 19 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $54,035$39,278–$74,874 · 19 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $34,852$25,287–$74,444 · 19 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $78,472$40,518–$111,649 · 19 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $48,205$33,956–$63,968 · 19 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $51,515$29,971–$71,634 · 19 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $37,309$21,667–$51,881 · 19 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $69,077$34,906–$98,282 · 19 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $40,697$28,292–$52,602 · 19 plans | |
| Ms-Drg 476 476 | – | – | – | $23,350$17,061–$45,210 · 19 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $57,643$34,864–$75,366 · 19 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $34,071$25,836–$53,898 · 19 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $28,311$18,410–$34,948 · 19 plans | |
| Ms-Drg 484 484 | – | – | – | Not in dollars (25 plans) | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $57,528$39,010–$76,854 · 19 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $40,455$30,433–$63,930 · 19 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $29,418$20,818–$38,831 · 19 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $30,975$18,625–$43,072 · 19 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $22,274$15,891–$30,651 · 19 plans | |
| Ms-Drg 490 490 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 491 491 | – | – | – | Not in dollars (25 plans) | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $54,699$27,675–$77,825 · 19 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $29,717$15,550–$41,323 · 19 plans | |
| Ms-Drg 495 495 | – | – | – | $54,226$28,540–$77,152 · 19 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $35,208$23,651–$48,110 · 19 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $23,729$14,924–$29,434 · 19 plans | |
| Ms-Drg 498 498 | – | – | – | $39,792$21,168–$55,332 · 19 plans | |
| Ms-Drg 499 499 | – | – | – | $23,613$17,015–$34,371 · 19 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $48,807$25,346–$69,442 · 19 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $32,310$22,577–$43,461 · 19 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $22,020$12,214–$30,619 · 19 plans | |
| Ms-Drg 503 503 | – | – | – | $40,767$20,504–$58,002 · 19 plans | |
| Foot Procedures with Cc 504 | – | – | – | $28,529$16,870–$38,476 · 19 plans | |
| Ms-Drg 505 505 | – | – | – | $27,772$16,870–$38,476 · 19 plans | |
| Ms-Drg 506 506 | – | – | – | $25,968$16,409–$32,853 · 19 plans | |
| Ms-Drg 507 507 | – | – | – | $29,854$15,502–$42,476 · 19 plans | |
| Ms-Drg 508 508 | – | – | – | $23,829$14,629–$29,131 · 19 plans | |
| Ms-Drg 509 509 | – | – | – | $27,371$14,547–$40,023 · 16 plans | |
| Ms-Drg 510 510 | – | – | – | $44,024$16,496–$62,637 · 19 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $30,914$15,014–$42,987 · 19 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $25,339$12,744–$35,235 · 19 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $23,728$11,913–$32,995 · 19 plans | |
| Ms-Drg 514 514 | – | – | – | $17,766$10,746–$22,346 · 19 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $52,103$31,513–$67,770 · 19 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $27,649$18,201–$34,184 · 19 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $63,956$44,468–$85,602 · 19 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $26,047$17,146–$32,334 · 19 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | – | – | – | $48,864$29,554–$63,878 · 19 plans | |
| Ms-Drg 523 523 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 524 524 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 525 525 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 526 526 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 527 527 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 528 528 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 529 529 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 530 530 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 531 531 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 532 532 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 533 533 | – | – | – | $24,032$12,191–$33,418 · 19 plans | |
| Ms-Drg 534 534 | – | – | – | $15,526$11,463–$19,847 · 19 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $20,750$10,806–$29,147 · 19 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | – | – | – | $15,469$10,365–$19,277 · 19 plans | |
| Ms-Drg 537 537 | – | – | – | $14,829$8,178–$20,206 · 19 plans | |
| Ms-Drg 538 538 | – | – | – | $12,810$8,012–$16,031 · 19 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $35,209$21,296–$44,330 · 19 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $24,692$17,998–$32,922 · 19 plans | |
| Ms-Drg 541 541 | – | – | – | $17,398$12,765–$32,922 · 19 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $28,727$15,621–$40,872 · 19 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $15,172$11,538–$23,334 · 19 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $38,921$21,290–$55,376 · 19 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $22,084$16,766–$31,848 · 19 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $14,434$9,501–$17,867 · 19 plans | |
| Ms-Drg 548 548 | – | – | – | $31,031$17,020–$44,151 · 19 plans | |
| Ms-Drg 549 549 | – | – | – | $22,987$16,392–$29,384 · 19 plans | |
| Ms-Drg 550 550 | – | – | – | $17,233$13,162–$25,477 · 19 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $20,589$11,099–$28,629 · 19 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $21,222$10,403–$29,510 · 19 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $14,571$8,406–$18,137 · 19 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $23,871$12,758–$33,964 · 19 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $16,478$12,180–$21,064 · 19 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $28,591$14,051–$40,679 · 19 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $18,685$10,367–$24,958 · 19 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $15,506$10,207–$19,076 · 19 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $22,642$11,725–$32,079 · 19 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $24,216$12,780–$34,391 · 19 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $18,632$12,265–$23,102 · 19 plans | |
| Ms-Drg 566 566 | – | – | – | $14,269$10,814–$19,010 · 19 plans | |
| Ms-Drg 567 567 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 568 568 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 569 569 | – | – | – | Not in dollars (25 plans) | |
| Skin Debridement with Mcc 570 | – | – | – | $51,170$30,949–$65,977 · 19 plans | |
| Skin Debridement with Cc 571 | – | – | – | $31,949$24,259–$47,846 · 19 plans | |
| Ms-Drg 572 572 | – | – | – | $21,792$15,864–$27,858 · 19 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $94,854$44,085–$134,957 · 19 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $54,607$31,453–$75,934 · 19 plans | |
| Ms-Drg 575 575 | – | – | – | $30,852$17,150–$43,756 · 19 plans | |
| Ms-Drg 576 576 | – | – | – | $82,435$35,994–$118,237 · 19 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $41,965$25,414–$58,355 · 19 plans | |
| Ms-Drg 578 578 | – | – | – | $26,037$13,499–$37,045 · 19 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $50,203$27,549–$71,428 · 19 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $31,990$22,842–$44,147 · 19 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $27,452$18,608–$34,528 · 19 plans | |
| Ms-Drg 582 582 | – | – | – | $27,599$14,006–$38,378 · 19 plans | |
| Ms-Drg 583 583 | – | – | – | $25,887$12,733–$35,998 · 19 plans | |
| Ms-Drg 584 584 | – | – | – | $32,126$16,051–$44,869 · 19 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $30,577$15,501–$43,504 · 19 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $31,674$16,462–$45,065 · 19 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $23,322$15,595–$29,016 · 19 plans | |
| Ms-Drg 594 594 | – | – | – | $16,308$12,691–$24,109 · 19 plans | |
| Ms-Drg 595 595 | – | – | – | $32,579$16,803–$46,353 · 19 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $17,038$8,832–$23,692 · 19 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $29,670$17,945–$38,496 · 19 plans | |
| Ms-Drg 598 598 | – | – | – | $20,581$15,640–$27,742 · 19 plans | |
| Ms-Drg 599 599 | – | – | – | $15,257$10,001–$18,951 · 19 plans | |
| Ms-Drg 600 600 | – | – | – | $17,495$10,582–$21,502 · 19 plans | |
| Ms-Drg 601 601 | – | – | – | $11,781$8,790–$16,359 · 19 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $23,269$11,722–$32,561 · 19 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $24,802$12,587–$35,288 · 19 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $40,667$28,236–$55,854 · 19 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $27,464$20,743–$51,970 · 19 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $59,535$33,010–$84,705 · 19 plans | |
| Ms-Drg 618 618 | – | – | – | $25,326$19,008–$49,537 · 19 plans | |
| Ms-Drg 619 619 | – | – | – | $49,346$32,483–$61,312 · 19 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $28,499$21,333–$50,218 · 19 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $57,672$30,641–$82,055 · 19 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $34,157$24,016–$48,002 · 19 plans | |
| Ms-Drg 624 624 | – | – | – | $20,405$15,315–$45,518 · 19 plans | |
| Ms-Drg 625 625 | – | – | – | $44,162$20,516–$62,832 · 19 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $23,814$14,472–$33,076 · 19 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $22,045$13,333–$27,764 · 19 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $63,766$40,461–$86,489 · 19 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $42,312$31,761–$62,551 · 19 plans | |
| Ms-Drg 630 630 | – | – | – | $26,729$19,228–$34,169 · 19 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $11,996$9,214–$17,345 · 19 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $22,606$13,877–$27,717 · 19 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $13,945$9,145–$17,316 · 19 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $87,128$51,060–$122,166 · 19 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $52,641$39,761–$77,821 · 19 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $41,125$29,979–$77,821 · 19 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $30,194$21,930–$57,880 · 19 plans | |
| Ms-Drg 662 662 | – | – | – | $48,051$26,274–$68,366 · 19 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $28,687$20,759–$39,300 · 19 plans | |
| Ms-Drg 664 664 | – | – | – | $20,424$13,445–$25,141 · 19 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $52,888$26,130–$75,248 · 19 plans | |
| Ms-Drg 666 666 | – | – | – | $29,685$19,541–$36,918 · 19 plans | |
| Ms-Drg 667 667 | – | – | – | $16,847$9,265–$22,665 · 19 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $44,919$22,298–$63,910 · 19 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $27,617$17,101–$33,916 · 19 plans | |
| Ms-Drg 670 670 | – | – | – | $16,588$9,032–$20,943 · 19 plans | |
| Ms-Drg 671 671 | – | – | – | $27,546$16,338–$37,775 · 19 plans | |
| Ms-Drg 672 672 | – | – | – | $18,067$10,044–$23,983 · 19 plans | |
| Ms-Drg 675 675 | – | – | – | $30,614$22,858–$50,125 · 19 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $12,358$9,275–$31,971 · 19 plans | |
| Ms-Drg 685 685 | – | – | – | Not in dollars (25 plans) | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $29,719$17,782–$41,326 · 19 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $20,079$15,118–$27,268 · 19 plans | |
| Ms-Drg 688 688 | – | – | – | $13,815$8,805–$17,177 · 19 plans | |
| Ms-Drg 691 691 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 692 692 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 693 693 | – | – | – | $22,648$9,477–$32,224 · 19 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $12,316$6,820–$17,345 · 19 plans | |
| Ms-Drg 695 695 | – | – | – | $17,774$9,785–$24,715 · 19 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $11,473$6,296–$15,731 · 19 plans | |
| Ms-Drg 697 697 | – | – | – | $18,045$10,935–$22,179 · 19 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $13,241$10,119–$18,392 · 19 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $34,689$22,835–$43,216 · 19 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $26,455$16,621–$32,489 · 19 plans | |
| Ms-Drg 709 709 | – | – | – | $34,613$17,984–$49,246 · 19 plans | |
| Ms-Drg 710 710 | – | – | – | $26,792$17,011–$32,903 · 19 plans | |
| Ms-Drg 711 711 | – | – | – | $31,372$18,412–$41,873 · 19 plans | |
| Ms-Drg 712 712 | – | – | – | $20,404$15,439–$27,133 · 19 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $23,683$13,183–$31,689 · 19 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $16,321$8,885–$21,618 · 19 plans | |
| Ms-Drg 715 715 | – | – | – | $34,785$18,403–$49,492 · 19 plans | |
| Ms-Drg 716 716 | – | – | – | $26,835$17,665–$33,035 · 19 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $28,811$14,791–$40,664 · 19 plans | |
| Ms-Drg 718 718 | – | – | – | $21,983$13,765–$26,997 · 19 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $27,741$15,745–$37,889 · 19 plans | |
| Ms-Drg 723 723 | – | – | – | $21,420$15,503–$27,382 · 19 plans | |
| Ms-Drg 724 724 | – | – | – | $13,003$8,516–$16,141 · 19 plans | |
| Ms-Drg 725 725 | – | – | – | $19,487$10,836–$27,683 · 19 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $11,731$6,391–$16,406 · 19 plans | |
| Ms-Drg 727 727 | – | – | – | $23,158$11,687–$32,202 · 19 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $15,587$10,779–$19,831 · 19 plans | |
| Ms-Drg 729 729 | – | – | – | $17,792$10,412–$24,126 · 19 plans | |
| Ms-Drg 730 730 | – | – | – | $10,831$4,639–$14,800 · 19 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $38,381$26,722–$51,065 · 19 plans | |
| Ms-Drg 735 735 | – | – | – | $24,369$18,532–$43,015 · 19 plans | |
| Ms-Drg 736 736 | – | – | – | $61,345$37,007–$86,291 · 19 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $38,120$28,921–$56,708 · 19 plans | |
| Ms-Drg 738 738 | – | – | – | $29,968$21,890–$56,708 · 19 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $61,318$30,376–$87,243 · 19 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $33,288$22,998–$42,935 · 19 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $22,659$13,591–$30,102 · 19 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $29,607$17,913–$40,032 · 19 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $20,311$12,285–$26,269 · 19 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $30,795$16,937–$42,822 · 19 plans | |
| Ms-Drg 745 745 | – | – | – | $18,836$12,292–$23,168 · 19 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $26,392$13,431–$36,699 · 19 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $18,187$12,602–$23,262 · 19 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $21,470$11,551–$29,855 · 19 plans | |
| Ms-Drg 749 749 | – | – | – | $45,730$30,103–$57,118 · 19 plans | |
| Ms-Drg 750 750 | – | – | – | $25,889$19,688–$46,539 · 19 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $31,590$19,106–$39,651 · 19 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $21,176$15,725–$29,538 · 19 plans | |
| Ms-Drg 756 756 | – | – | – | $16,059$8,792–$20,928 · 19 plans | |
| Ms-Drg 757 757 | – | – | – | $25,953$17,084–$32,155 · 19 plans | |
| Ms-Drg 758 758 | – | – | – | $19,444$14,395–$26,412 · 19 plans | |
| Ms-Drg 759 759 | – | – | – | $13,017$9,770–$26,412 · 19 plans | |
| Ms-Drg 760 760 | – | – | – | $15,541$8,607–$21,599 · 19 plans | |
| Ms-Drg 761 761 | – | – | – | $12,092$8,397–$15,398 · 19 plans | |
| Ms-Drg 765 765 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 766 766 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 767 767 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 768 768 | – | – | – | $20,913$15,650–$29,654 · 19 plans | |
| Ms-Drg 769 769 | – | – | – | $22,666$10,734–$31,841 · 19 plans | |
| Ms-Drg 770 770 | – | – | – | $16,957$8,039–$23,580 · 19 plans | |
| Ms-Drg 774 774 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 775 775 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 776 776 | – | – | – | $11,821$6,488–$15,635 · 19 plans | |
| Ms-Drg 777 777 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 778 778 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 779 779 | – | – | – | $14,732$7,012–$20,485 · 19 plans | |
| Ms-Drg 780 780 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 781 781 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 782 782 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 783 783 | – | – | – | $31,452$16,571–$43,767 · 19 plans | |
| Ms-Drg 784 784 | – | – | – | $20,659$15,008–$26,938 · 19 plans | |
| Ms-Drg 785 785 | – | – | – | $16,690$11,721–$21,300 · 19 plans | |
| C-section, with major complications 786 | – | – | – | $26,906$16,273–$35,413 · 19 plans | |
| C-section, with complications 787 | – | – | – | $20,255$15,165–$26,610 · 19 plans | |
| C-section 788 | – | – | – | $17,264$11,721–$21,741 · 19 plans | |
| Ms-Drg 789 789 | – | – | – | $33,170$23,537–$44,404 · 19 plans | |
| Ms-Drg 790 790 | – | – | – | $106,094$70,857–$144,971 · 19 plans | |
| Ms-Drg 791 791 | – | – | – | $63,991$37,281–$88,983 · 19 plans | |
| Ms-Drg 792 792 | – | – | – | $37,737$12,222–$53,691 · 19 plans | |
| Ms-Drg 793 793 | – | – | – | $64,244$10,954–$91,405 · 19 plans | |
| Ms-Drg 794 794 | – | – | – | $23,266$4,016–$32,353 · 19 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $3,566$1,830–$5,729 · 19 plans | |
| Ms-Drg 796 796 | – | – | – | $19,665$9,961–$27,978 · 19 plans | |
| Ms-Drg 797 797 | – | – | – | $15,625$8,617–$21,219 · 19 plans | |
| Ms-Drg 798 798 | – | – | – | $15,625$8,617–$21,219 · 19 plans | |
| Ms-Drg 799 799 | – | – | – | $77,464$50,993–$104,202 · 19 plans | |
| Ms-Drg 800 800 | – | – | – | $53,326$39,892–$78,833 · 19 plans | |
| Ms-Drg 801 801 | – | – | – | $30,769$20,254–$37,947 · 19 plans | |
| Ms-Drg 802 802 | – | – | – | $56,497$28,750–$78,562 · 19 plans | |
| Ms-Drg 803 803 | – | – | – | $33,953$24,168–$44,655 · 19 plans | |
| Ms-Drg 804 804 | – | – | – | $22,410$16,878–$42,405 · 19 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $15,728$7,954–$22,178 · 19 plans | |
| Vaginal birth, with complications 806 | – | – | – | $12,912$7,399–$16,712 · 19 plans | |
| Vaginal birth 807 | – | – | – | $11,005$5,200–$15,279 · 19 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $35,360$19,659–$50,197 · 19 plans | |
| Ms-Drg 810 810 | – | – | – | $19,107$14,530–$29,536 · 19 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $32,945$19,822–$45,812 · 19 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $20,400$14,949–$30,429 · 19 plans | |
| Ms-Drg 816 816 | – | – | – | $12,579$9,408–$16,504 · 19 plans | |
| Ms-Drg 817 817 | – | – | – | $39,051$7,428–$55,560 · 19 plans | |
| Ms-Drg 818 818 | – | – | – | $19,840$7,428–$28,228 · 19 plans | |
| Ms-Drg 819 819 | – | – | – | $13,137$6,202–$18,509 · 19 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $91,759$51,947–$127,595 · 19 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $42,581$32,085–$78,726 · 19 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $21,815$16,639–$29,984 · 19 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $74,392$45,152–$102,551 · 19 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $41,954$31,760–$69,559 · 19 plans | |
| Ms-Drg 825 825 | – | – | – | $23,477$17,346–$30,011 · 19 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $75,262$45,349–$104,655 · 19 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $45,014$33,468–$69,638 · 19 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $28,604$18,696–$35,451 · 19 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $54,755$33,317–$67,581 · 19 plans | |
| Ms-Drg 830 830 | – | – | – | $28,445$21,333–$51,507 · 19 plans | |
| Ms-Drg 831 831 | – | – | – | $18,139$7,428–$25,224 · 19 plans | |
| Ms-Drg 832 832 | – | – | – | $11,778$5,888–$16,415 · 19 plans | |
| Ms-Drg 833 833 | – | – | – | $9,268$4,673–$12,644 · 19 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $42,880$30,561–$91,468 · 19 plans | |
| Ms-Drg 836 836 | – | – | – | $24,240$18,420–$44,394 · 19 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $89,351$59,757–$122,312 · 19 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $40,718$29,334–$113,709 · 19 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $27,512$20,108–$113,709 · 19 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $19,926$13,117–$24,519 · 19 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $33,784$20,904–$41,490 · 19 plans | |
| Ms-Drg 844 844 | – | – | – | $22,798$17,209–$32,317 · 19 plans | |
| Ms-Drg 845 845 | – | – | – | $15,961$11,161–$20,353 · 19 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $39,335$19,538–$55,966 · 19 plans | |
| Ms-Drg 848 848 | – | – | – | $15,720$12,236–$23,239 · 19 plans | |
| Radiotherapy 849 | – | – | – | $41,142$20,790–$58,537 · 19 plans | |
| Ms-Drg 850 850 | – | – | – | $164,385$111,118–$229,352 · 19 plans | |
| Ms-Drg 855 855 | – | – | – | $32,635$22,972–$90,870 · 19 plans | |
| Ms-Drg 858 858 | – | – | – | $26,209$19,199–$90,870 · 19 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $17,128$12,694–$21,896 · 19 plans | |
| Viral Illness with Mcc 865 | – | – | – | $23,262$11,565–$32,346 · 19 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $38,265$26,353–$51,305 · 19 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $21,081$15,388–$42,717 · 19 plans | |
| Ms-Drg 869 869 | – | – | – | $14,636$10,985–$42,717 · 19 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $61,931$37,168–$86,118 · 19 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $16,888$10,214–$21,009 · 19 plans | |
| Depressive Neuroses 881 | – | – | – | $14,650$8,089–$20,034 · 19 plans | |
| Neuroses Except Depressive 882 | – | – | – | $15,593$8,275–$21,934 · 19 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $29,259$14,197–$40,686 · 19 plans | |
| Psychoses 885 | – | – | – | $22,215$11,924–$30,891 · 19 plans | |
| Ms-Drg 886 886 | – | – | – | $28,313$13,552–$39,371 · 19 plans | |
| Ms-Drg 887 887 | – | – | – | $18,745$10,846–$26,065 · 19 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $10,347$4,916–$14,486 · 19 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $22,520$11,610–$31,733 · 19 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $27,431$8,566–$39,029 · 19 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $13,904$6,922–$19,335 · 19 plans | |
| Ms-Drg 901 901 | – | – | – | $68,242$34,989–$97,094 · 19 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $34,955$25,509–$48,395 · 19 plans | |
| Ms-Drg 903 903 | – | – | – | $24,474$17,696–$48,395 · 19 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $59,473$30,870–$84,617 · 19 plans | |
| Ms-Drg 905 905 | – | – | – | $30,417$22,794–$44,966 · 19 plans | |
| Ms-Drg 906 906 | – | – | – | $33,618$16,936–$47,830 · 19 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $22,673$14,925–$28,246 · 19 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $25,421$12,679–$35,465 · 19 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $14,442$7,407–$20,082 · 19 plans | |
| Ms-Drg 915 915 | – | – | – | $26,769$10,341–$38,086 · 19 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $10,914$2,085–$15,308 · 19 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $13,939$6,980–$19,383 · 19 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $12,388$7,493–$15,704 · 19 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $26,623$13,652–$37,021 · 19 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $16,073$8,004–$22,350 · 19 plans | |
| Ms-Drg 927 927 | – | – | – | $365,424$216,472–$519,918 · 19 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $118,546$74,074–$146,369 · 19 plans | |
| Ms-Drg 929 929 | – | – | – | $50,123$28,495–$69,699 · 19 plans | |
| Ms-Drg 933 933 | – | – | – | $66,427$32,135–$94,826 · 19 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $33,818$19,766–$47,026 · 19 plans | |
| Non-Extensive Burns 935 | – | – | – | $34,616$20,746–$48,135 · 19 plans | |
| Ms-Drg 939 939 | – | – | – | $50,022$24,140–$69,558 · 19 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $33,313$18,447–$46,272 · 19 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $30,800$18,195–$42,829 · 19 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $27,713$18,243–$34,410 · 19 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $21,296$16,126–$28,352 · 19 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $20,270$10,623–$28,187 · 19 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $17,867$9,808–$23,975 · 19 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $11,767$8,192–$14,528 · 19 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $10,814$6,898–$13,435 · 19 plans | |
| Ms-Drg 955 955 | – | – | – | $121,052$77,458–$151,082 · 19 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $68,211$44,974–$89,199 · 19 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $125,655$79,573–$163,577 · 19 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $78,393$58,002–$123,017 · 19 plans | |
| Ms-Drg 959 959 | – | – | – | $53,078$38,552–$123,017 · 19 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $47,980$29,467–$59,538 · 19 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $28,884$21,842–$45,555 · 19 plans | |
| Ms-Drg 965 965 | – | – | – | $18,562$13,932–$45,555 · 19 plans | |
| Ms-Drg 969 969 | – | – | – | $112,856$71,611–$146,416 · 19 plans | |
| Ms-Drg 970 970 | – | – | – | $53,268$37,674–$120,871 · 19 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $47,135$28,643–$65,442 · 19 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $27,113$20,364–$44,073 · 19 plans | |
| Ms-Drg 976 976 | – | – | – | $20,135$14,538–$44,073 · 19 plans | |
| Ms-Drg 977 977 | – | – | – | $25,150$15,924–$31,599 · 19 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $33,490$24,236–$90,146 · 19 plans | |
| Ms-Drg 984 984 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 985 985 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 986 986 | – | – | – | Not in dollars (25 plans) | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $30,788$23,669–$45,515 · 19 plans | |
| Ms-Drg 989 989 | – | – | – | $23,503$17,028–$45,515 · 19 plans | |
| Ms-Drg 998 998 | – | – | – | Not in dollars (25 plans) | |
| Ms-Drg 999 999 | – | – | – | Not in dollars (25 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 | – | – | $3,939only 2 plans |
| Cataract surgery CPT 66984 | – | – | $4,313$3,635–$4,933 · 8 plans |
| Colonoscopy CPT 45378 | $3,266 | $1,143 | $1,971$1,583–$2,201 · 10 plans |
| Colonoscopy with biopsy CPT 45380 | $3,411 | $1,194 | $2,090$1,583–$2,542 · 10 plans |
| Complete blood count (CBC) CPT 85025 | $351 | $123 | $13only 2 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $375 | $131 | $18only 2 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $8,097 | $2,834 | $710only 2 plans |
| Emergency room visit, highest level CPT 99285 | $5,045 | $1,766 | $1,213only 2 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $11,070$5,282–$13,321 · 6 plans |
| Hip replacement CPT 27130 | – | – | $12,911$3,939–$26,144 · 6 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $5,102$2,237–$6,526 · 10 plans |
| Knee replacement CPT 27447 | – | – | $12,911$3,939–$26,144 · 6 plans |
| MRI of the brain, with and without contrast CPT 70553 | $5,830 | $2,041 | $710only 2 plans |
| MRI of the knee, without contrast CPT 73721 | $1,802 | $631 | $486only 2 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $3,939only 2 plans |
Price file: Tampa General Hospital, read November 9, 2026.