UF Health Shands Hospital
1600 SW Archer Rd, Gainesville, FL 32610 · (352) 265-8000
The money
$24what care cost the hospital for every $100 it billed
$169.1Mnet income, all sources
17.5%margin on patient care alone
$63.2Mcost of charity care (2.9% of costs)
$147.0Munpaid bills written off (bad debt)
993beds
From the hospital's Medicare cost report for the year ending June 2025. 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 | 661 | $94,227 | $22,121 | $26,161$17,349–$32,424 · 18 plans | |
| Heart failure, with major complications 291 | 327 | $54,456 | $14,466 | $16,288$11,443–$22,433 · 18 plans | |
| Lung infection, with major complications 177 | 183 | $72,124 | $18,640 | $23,934$14,427–$36,569 · 18 plans | |
| Respiratory failure 189 | 182 | $62,154 | $14,628 | $15,674$11,012–$21,408 · 18 plans | |
| Urinary tract infection 690 | 154 | $35,936 | $9,852 | $10,650$7,215–$14,839 · 18 plans | |
| Pneumonia, with major complications 193 | 138 | $55,276 | $14,438 | $18,996$12,038–$23,685 · 18 plans | |
| Other kidney and urinary problems, with major complications 698 | 132 | $68,120 | $17,972 | $20,990$13,114–$28,150 · 18 plans | |
| Fainting 312 | 125 | $36,081 | $10,216 | $11,467$7,769–$15,843 · 18 plans | |
| Urinary tract infection, with major complications 689 | 124 | $42,878 | $13,043 | $14,824$10,342–$20,388 · 18 plans | |
| Sepsis 872 | 119 | $45,499 | $12,043 | $13,463$9,121–$18,271 · 18 plans | |
| Other kidney and urinary problems, with complications 699 | 107 | $67,333 | $14,559 | $13,353$9,047–$18,102 · 18 plans | |
| Stomach and digestive disorders 392 | 103 | $36,445 | $9,586 | $11,171$7,589–$14,460 · 18 plans | |
| Stroke, with major complications 064 | 94 | $78,561 | $20,970 | $26,683$17,645–$32,836 · 18 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | 94 | $342,284 | $76,989 | $92,873$40,498–$122,460 · 18 plans | |
| Skin infection (cellulitis) 603 | 88 | $36,302 | $10,546 | $11,458$7,763–$15,988 · 18 plans | |
| Irregular heartbeat, with complications 309 | 87 | $31,475 | $9,056 | $9,679$6,558–$14,345 · 18 plans | |
| Heart catheterization, with major complications 286 | 86 | $119,448 | $26,096 | $28,850$19,464–$36,243 · 18 plans | |
| Kidney failure, with complications 683 | 85 | $35,103 | $10,434 | $11,522$7,806–$16,111 · 18 plans | |
| Dehydration and electrolyte problems 641 | 80 | $33,998 | $9,542 | $11,184$7,594–$14,477 · 18 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | 79 | $74,479 | $24,438 | $38,416$21,668–$56,517 · 18 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | 76 | $142,511 | $40,287 | $54,581$38,311–$72,329 · 18 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | 75 | $881,122 | $195,508 | $253,689$111,948–$337,074 · 18 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 75 | $58,670 | $14,908 | $16,945$11,905–$22,785 · 18 plans | |
| Infection needing surgery, with major complications 853 | 75 | $266,979 | $60,861 | $60,740$26,048–$79,166 · 18 plans | |
| COPD, with major complications 190 | 73 | $51,014 | $12,061 | $14,485$9,873–$19,669 · 18 plans | |
| Stomach or intestinal bleeding, with complications 378 | 72 | $53,236 | $11,789 | $12,902$8,741–$17,585 · 18 plans | |
| Irregular heartbeat, with major complications 308 | 69 | $56,929 | $14,309 | $15,276$10,732–$20,929 · 18 plans | |
| Kidney failure, with major complications 682 | 64 | $48,584 | $16,152 | $18,790$12,817–$25,429 · 18 plans | |
| Stroke, with complications or clot-busting drug 065 | 60 | $41,482 | $11,934 | $15,474$9,539–$30,558 · 18 plans | |
| Other circulation problems, with major complications 314 | 60 | $94,117 | $23,576 | $27,643$17,969–$35,334 · 18 plans | |
| Bowel surgery, with complications 330 | 60 | $117,581 | $23,528 | $29,766$14,384–$38,540 · 18 plans | |
| Diabetes, with complications 638 | 59 | $38,679 | $10,647 | $11,790$7,988–$16,541 · 18 plans | |
| Other digestive problems, with complications 394 | 58 | $40,264 | $10,882 | $12,310$8,340–$16,907 · 18 plans | |
| Heart attack, with major complications 280 | 55 | $70,546 | $18,169 | $20,352$13,028–$27,549 · 18 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | 54 | $92,910 | $20,275 | $23,231$13,416–$31,295 · 18 plans | |
| Bowel surgery, with major complications 329 | 54 | $245,569 | $56,406 | $55,933$24,243–$73,443 · 18 plans | |
| Seizures with Mcc 100 | 53 | $87,109 | $23,011 | $24,573$13,596–$32,777 · 18 plans | |
| Stomach and digestive disorders, with major complications 391 | 53 | $50,262 | $14,308 | $16,092$11,305–$22,124 · 18 plans | |
| Other Disorders of Nervous System with Mcc 091 | 52 | $90,568 | $20,606 | $22,282$13,288–$30,308 · 18 plans | |
| Stomach or intestinal bleeding, with major complications 377 | 52 | $59,374 | $19,200 | $23,091$13,410–$30,237 · 18 plans | |
| Other Disorders of Nervous System with Cc 092 | 50 | $46,586 | $11,944 | $13,459$9,118–$18,692 · 18 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | 50 | $115,938 | $21,778 | $28,784$18,351–$34,427 · 18 plans | |
| Hip replacement after a hip fracture 522 | 50 | $109,167 | $22,646 | $29,777$18,609–$36,055 · 18 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | 47 | $213,307 | $48,145 | $62,287$27,829–$83,070 · 18 plans | |
| Heart catheterization 287 | 46 | $59,597 | $12,319 | $14,805$10,103–$19,163 · 18 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | 45 | $141,748 | $28,939 | $25,323$16,207–$32,002 · 18 plans | |
| Diabetes, with major complications 637 | 45 | $92,069 | $20,066 | $18,228$12,741–$24,736 · 18 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | 44 | $56,782 | $14,982 | $17,428$12,243–$24,018 · 18 plans | |
| Other Vascular Procedures with Mcc 252 | 44 | $140,090 | $34,781 | $42,293$18,398–$55,674 · 18 plans | |
| Other Vascular Procedures with Cc 253 | 44 | $108,933 | $25,638 | $31,989$14,764–$41,633 · 18 plans | |
| Spinal fusion (lower or mid back) 460 | 44 | $131,954 | $36,379 | – | |
| Back problems (no surgery) 552 | 44 | $35,939 | $11,172 | $12,647$8,568–$17,249 · 18 plans | |
| Anemia and blood disorders 812 | 44 | $45,302 | $11,099 | $12,080$8,184–$16,628 · 18 plans | |
| Peripheral Vascular Disorders with Cc 300 | 42 | $35,117 | $11,773 | $14,044$9,515–$18,873 · 18 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 42 | $273,546 | $67,267 | $83,701$36,455–$110,275 · 18 plans | |
| Major Chest Procedures with Mcc 163 | 41 | $177,012 | $46,179 | $56,046$23,638–$72,662 · 18 plans | |
| Lung infection, with complications 178 | 40 | $57,244 | $12,207 | $12,840$8,699–$17,679 · 18 plans | |
| Irregular heartbeat 310 | 40 | $22,447 | $7,123 | $7,574$5,046–$11,768 · 18 plans | |
| Other Digestive System Diagnoses with Mcc 393 | 40 | $63,353 | $17,824 | $20,291$13,019–$27,771 · 18 plans | |
| High blood pressure 305 | 39 | $34,830 | $9,389 | $9,934$6,730–$14,469 · 18 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | 39 | $247,110 | $54,488 | $57,835$24,746–$75,261 · 18 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | 38 | $183,490 | $56,891 | $72,361$32,323–$96,499 · 18 plans | |
| Heart attack, with complications 281 | 38 | $41,697 | $10,379 | $12,092$8,192–$16,611 · 18 plans | |
| Pneumonia, with complications 194 | 37 | $33,498 | $11,342 | $10,602$7,183–$15,063 · 18 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | 37 | $197,318 | $39,799 | $50,869$22,274–$67,270 · 18 plans | |
| Hip or knee replacement 470 | 37 | $105,264 | $19,702 | $28,152$16,822–$36,055 · 18 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | 37 | $132,715 | $24,740 | $31,296$21,251–$40,175 · 18 plans | |
| Signs and Symptoms Without Mcc 948 | 36 | $35,125 | $9,227 | $10,531$7,135–$14,802 · 18 plans | |
| Seizures 101 | 35 | $33,899 | $10,580 | $11,846$8,063–$16,609 · 18 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | 35 | $250,548 | $54,142 | $64,209$28,127–$84,935 · 18 plans | |
| Peripheral Vascular Disorders with Mcc 299 | 35 | $55,980 | $17,158 | $20,694$13,076–$27,188 · 18 plans | |
| Hypertension with Mcc 304 | 35 | $65,867 | $12,186 | $15,098$10,607–$20,457 · 18 plans | |
| Other Circulatory System Diagnoses with Cc 315 | 35 | $40,945 | $11,184 | $12,673$8,586–$17,226 · 18 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | 35 | $162,652 | $28,961 | $36,453$16,028–$47,304 · 18 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | 34 | $80,055 | $25,482 | $29,474$14,257–$40,663 · 18 plans | |
| Pulmonary Embolism Without Mcc 176 | 34 | $48,917 | $9,976 | $10,591$7,175–$14,980 · 18 plans | |
| Bowel obstruction, with complications 389 | 34 | $33,560 | $9,797 | $10,391$7,040–$14,835 · 18 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | 34 | $134,660 | $28,071 | $27,706$17,374–$35,123 · 18 plans | |
| Complications of Treatment with Mcc 919 | 33 | $86,876 | $20,434 | $23,141$13,415–$30,319 · 18 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | 32 | $100,026 | $28,273 | $45,299$26,555–$56,948 · 18 plans | |
| Major Chest Trauma with Cc 184 | 32 | $48,293 | $11,641 | $13,999$9,485–$18,835 · 18 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | 32 | $102,984 | $24,186 | $33,516$22,622–$42,906 · 18 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | 31 | $59,283 | $15,198 | $16,438$11,548–$22,883 · 18 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | 31 | $169,554 | $45,199 | $57,257$25,110–$75,799 · 18 plans | |
| Heart stent 322 | 31 | $103,732 | $19,144 | $26,819$16,037–$38,409 · 18 plans | |
| Combined Anterior and Posterior Spinal Fusion with Cc 454 | 31 | $168,519 | $57,276 | – | |
| Kidney Transplant 652 | 31 | $225,803 | $32,566 | $38,077$17,293–$50,801 · 18 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 30 | $157,537 | $34,270 | $33,525$15,375–$43,949 · 18 plans | |
| Other Cerebrovascular Disorders with Cc 071 | 29 | $38,594 | $11,799 | $13,498$9,145–$18,619 · 18 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | 29 | $109,781 | $24,756 | $28,896$14,193–$37,868 · 18 plans | |
| Major Chest Procedures with Cc 164 | 29 | $118,242 | $25,138 | $31,540$14,601–$40,859 · 18 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | 29 | $203,613 | $48,250 | $46,945$19,714–$61,126 · 18 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | 29 | $150,840 | $32,815 | $43,751$29,680–$56,076 · 18 plans | |
| Anemia and blood disorders, with major complications 811 | 27 | $66,362 | $14,503 | $17,817$12,517–$23,985 · 18 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | 27 | $70,570 | $17,961 | $19,899$12,966–$27,523 · 18 plans | |
| Complications of Treatment with Cc 920 | 27 | $46,049 | $11,822 | $13,186$8,934–$18,041 · 18 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | 26 | $63,111 | $18,225 | $21,122$13,131–$29,030 · 18 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | 26 | $299,721 | $58,754 | $61,653$26,305–$80,072 · 18 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | 25 | $149,266 | $48,728 | $69,005$30,223–$91,270 · 18 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | 25 | $60,017 | $15,113 | $16,528$11,611–$22,536 · 18 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | 25 | $287,750 | $69,586 | $80,309$36,276–$107,462 · 18 plans | |
| Chest pain 313 | 25 | $35,146 | $8,815 | $9,472$6,418–$14,062 · 18 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | 25 | $52,151 | $12,056 | $12,699$8,604–$17,286 · 18 plans | |
| Cellulitis with Mcc 602 | 25 | $60,286 | $14,800 | $18,033$12,669–$24,932 · 18 plans | |
| Endocrine Disorders with Cc 644 | 25 | $42,425 | $11,948 | $13,485$9,136–$18,307 · 18 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 24 | $82,611 | $31,175 | $38,659$17,542–$51,639 · 18 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | 24 | $45,095 | $12,085 | $13,895$9,414–$18,861 · 18 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | 24 | $101,656 | $21,499 | $23,138$13,403–$30,548 · 18 plans | |
| Nervous System Neoplasms with Mcc 054 | 23 | $57,441 | $16,105 | $19,338$12,896–$25,386 · 18 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | 23 | $31,208 | $10,359 | $12,884$8,220–$18,382 · 18 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | 23 | $108,882 | $25,867 | $37,060$23,075–$43,612 · 18 plans | |
| Endocrine Disorders with Mcc 643 | 22 | $93,770 | $19,787 | $20,885$13,099–$27,791 · 18 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | 22 | $46,371 | $11,306 | $12,368$6,004–$16,306 · 13 plans | |
| Non-Extensive Burns 935 | 22 | $95,196 | $24,539 | $26,136$13,807–$35,986 · 18 plans | |
| Respiratory Neoplasms with Mcc 180 | 21 | $85,469 | $19,814 | $27,048$15,638–$40,860 · 18 plans | |
| Fracture or sprain (not hip or thigh) 563 | 21 | $37,961 | $10,456 | $11,781$7,982–$16,185 · 18 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | 21 | $96,306 | $26,227 | $30,727$14,489–$39,815 · 18 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | 20 | $666,643 | $164,571 | $167,943$73,056–$221,075 · 18 plans | |
| Other Circulatory System O.r. Procedures 264 | 20 | $153,207 | $37,982 | $42,380$17,737–$55,727 · 18 plans | |
| Heart stent, with major complications or 4+ stents 321 | 20 | $167,733 | $30,066 | $37,868$24,498–$45,969 · 18 plans | |
| Digestive Malignancy with Cc 375 | 20 | $54,093 | $13,938 | $15,347$10,782–$21,276 · 18 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | 20 | $60,189 | $18,947 | $23,183$13,425–$30,334 · 18 plans | |
| Disorders of the Biliary Tract with Cc 445 | 20 | $70,350 | $12,669 | $14,398$9,755–$19,084 · 18 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | 20 | $77,395 | $13,197 | $16,769$11,781–$22,968 · 18 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | 20 | $58,052 | $14,872 | $17,245$11,718–$21,914 · 18 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | 19 | $1,142,364 | $294,203 | $332,802$147,806–$443,046 · 18 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | 19 | $221,817 | $38,942 | $50,199$22,236–$66,776 · 18 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | 19 | $140,908 | $33,629 | $42,457$18,757–$56,432 · 18 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | 19 | $203,173 | $40,603 | $52,102$23,169–$69,388 · 18 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | 19 | $102,817 | $22,428 | $27,809$14,032–$37,241 · 18 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | 19 | $97,138 | $23,007 | $27,166$13,946–$35,720 · 18 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | 19 | $32,721 | $11,338 | $13,128$8,895–$17,798 · 18 plans | |
| Delirium and other mental confusion 884 | 19 | $55,415 | $17,618 | $21,622$10,796–$28,506 · 13 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | 18 | $48,029 | $11,268 | $12,777$8,657–$17,293 · 18 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | 18 | $40,929 | $11,977 | $13,432$9,101–$18,245 · 18 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | 18 | $40,718 | $11,172 | $12,051$8,165–$16,640 · 18 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | 18 | $72,066 | $11,342 | $13,622$9,229–$18,204 · 18 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | 17 | $248,996 | $47,744 | $60,529$26,094–$79,179 · 18 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | 17 | $74,449 | $17,418 | $21,204$13,162–$27,695 · 18 plans | |
| Digestive Malignancy with Mcc 374 | 17 | $77,260 | $20,788 | $26,753$13,942–$34,694 · 18 plans | |
| Combined Anterior and Posterior Spinal Fusion Without Cc/Mcc 455 | 17 | $166,968 | $44,369 | – | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | 17 | $44,582 | $11,846 | $13,524$9,163–$18,725 · 18 plans | |
| Major Bladder Procedures with Cc 654 | 17 | $148,374 | $27,412 | $35,050$15,577–$45,497 · 18 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | 17 | $86,777 | $18,723 | $23,162$13,414–$30,387 · 18 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | 17 | $101,798 | $18,607 | $25,303$13,696–$33,260 · 18 plans | |
| Extracranial Procedures with Cc 038 | 16 | $69,994 | $16,675 | $20,587$13,059–$27,092 · 18 plans | |
| Mini-stroke (TIA) 069 | 16 | $31,414 | $8,880 | $10,509$7,120–$14,828 · 18 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | 16 | $104,529 | $25,501 | $28,492$14,169–$37,044 · 18 plans | |
| Atherosclerosis Without Mcc 303 | 16 | $42,484 | $8,234 | $8,876$6,000–$13,614 · 18 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | 16 | $114,038 | $27,353 | $30,519$14,464–$39,508 · 18 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | 16 | $51,952 | $18,677 | $26,546$15,652–$34,291 · 18 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | 16 | $139,717 | $30,242 | $34,988$15,979–$46,218 · 18 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | 16 | $84,947 | $17,176 | $21,302$13,177–$27,808 · 18 plans | |
| Cervical Spinal Fusion with Cc 472 | 16 | $104,149 | $28,425 | $39,611$25,215–$47,145 · 18 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | 16 | $65,048 | $16,342 | $19,362$12,912–$25,289 · 18 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | 16 | $141,316 | $28,567 | $36,036$15,860–$46,904 · 18 plans | |
| Medical Back Problems with Mcc 551 | 16 | $71,963 | $18,385 | $21,266$13,151–$28,537 · 18 plans | |
| Heart Failure and Shock with Cc 292 | 15 | $33,129 | $10,206 | $11,169$7,567–$15,690 · 18 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | 15 | $30,080 | $7,726 | $7,362$4,849–$11,485 · 18 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | 15 | $273,651 | $64,341 | $65,760$28,853–$87,085 · 18 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | 15 | $172,849 | $35,482 | $43,711$19,365–$58,147 · 18 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | 15 | $140,048 | $37,768 | $28,013$14,060–$37,413 · 18 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | 15 | $163,872 | $39,295 | $54,990$23,991–$72,535 · 18 plans | |
| Other Disorders of the Eye Without Mcc 125 | 14 | $29,694 | $9,453 | $10,303$6,844–$15,150 · 18 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | 14 | $38,188 | $10,185 | $11,091$7,514–$15,658 · 18 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | 14 | $450,950 | $115,477 | $115,345$51,597–$153,889 · 18 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | 14 | $109,520 | $27,842 | $35,898$15,781–$46,866 · 18 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | 14 | $93,581 | $23,370 | $27,036$13,928–$36,843 · 18 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | 14 | $67,582 | $18,798 | $20,683$13,072–$27,888 · 18 plans | |
| Disorders of the Biliary Tract with Mcc 444 | 14 | $65,518 | $18,641 | $23,707$15,059–$31,101 · 18 plans | |
| Other Multiple Significant Trauma with Mcc 963 | 14 | $97,116 | $28,116 | $33,911$15,316–$43,937 · 18 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | 13 | $753,092 | $143,435 | $127,069$54,381–$165,380 · 18 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | 13 | $47,032 | $11,858 | $13,561$9,188–$18,444 · 18 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | 13 | $64,006 | $15,162 | $17,709$12,441–$23,734 · 18 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | 13 | $177,403 | $44,022 | $51,208$22,161–$67,165 · 18 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | 13 | $47,267 | $13,968 | $16,061$11,283–$21,425 · 18 plans | |
| Coagulation Disorders 813 | 13 | $169,850 | $37,515 | $19,352$12,893–$26,130 · 18 plans | |
| Wound Debridements for Injuries with Cc 902 | 13 | $105,934 | $23,365 | $24,098$13,558–$31,444 · 18 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | 13 | $240,570 | $53,383 | $48,363$20,250–$63,154 · 18 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | 13 | $60,397 | $11,534 | $11,276$7,640–$16,045 · 18 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | 13 | $292,431 | $71,370 | $89,663$40,190–$119,698 · 18 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | 13 | $135,100 | $34,868 | $42,973$18,087–$55,843 · 18 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | 12 | $58,458 | $16,964 | $20,094$13,028–$26,093 · 18 plans | |
| Pneumothorax with Cc 200 | 12 | $55,707 | $12,822 | $14,431$9,798–$19,434 · 18 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | 12 | $22,821 | $8,019 | $9,468$6,415–$14,062 · 18 plans | |
| Gastrointestinal Obstruction with Mcc 388 | 12 | $109,079 | $25,519 | $18,737$12,810–$24,942 · 18 plans | |
| Combined Anterior and Posterior Spinal Fusion with Mcc 453 | 12 | $284,802 | $75,654 | – | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | 12 | $127,137 | $25,356 | $36,635$16,835–$48,913 · 18 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | 12 | $83,876 | $21,617 | $23,730$13,483–$31,961 · 18 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | 12 | $126,526 | $23,322 | $25,210$13,701–$32,971 · 18 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | 12 | $71,730 | $19,812 | $22,921$11,625–$30,218 · 13 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | 11 | $67,133 | $18,857 | $22,295$13,289–$29,670 · 18 plans | |
| Major Head and Neck Procedures with Cc 141 | 11 | $154,860 | $22,924 | $27,235$14,014–$35,258 · 18 plans | |
| Interstitial Lung Disease with Mcc 196 | 11 | $82,428 | $18,881 | $23,848$13,512–$31,239 · 18 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | 11 | $226,535 | $59,395 | $77,955$33,939–$102,676 · 18 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | 11 | $243,360 | $53,335 | $71,109$30,953–$93,647 · 18 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | 11 | $25,871 | $7,280 | $8,404$5,619–$13,041 · 18 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | 11 | $36,972 | $8,445 | $8,538$5,785–$13,163 · 18 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | 11 | $198,570 | $49,990 | $61,836$27,455–$82,313 · 18 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | 11 | $59,193 | $14,455 | $16,265$11,427–$22,814 · 18 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | 11 | $29,037 | $9,702 | $10,625$7,198–$14,925 · 18 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | 11 | $66,649 | $17,772 | $21,924$13,239–$29,550 · 18 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | 11 | $134,298 | $24,454 | $32,040$14,629–$41,882 · 18 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | 11 | $219,287 | $58,946 | $80,522$37,831–$108,992 · 18 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | 11 | $222,171 | $48,767 | $46,896$19,847–$60,702 · 18 plans | |
| Ms-Drg 002 002 | – | – | – | $131,417$59,767–$176,218 · 18 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $58,424$24,457–$76,310 · 18 plans | |
| Lung Transplant 007 | – | – | – | $155,481$68,303–$206,079 · 18 plans | |
| Ms-Drg 008 008 | – | – | – | $65,905$29,560–$87,999 · 18 plans | |
| Ms-Drg 010 010 | – | – | – | $91,042$37,847–$123,794 · 18 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $65,374$28,767–$86,749 · 18 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $33,128$15,906–$44,542 · 18 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $152,478$63,386–$201,756 · 18 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $72,890$31,275–$95,037 · 18 plans | |
| Ms-Drg 017 017 | – | – | – | $68,923$28,652–$94,349 · 18 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $465,074$227,759–$651,288 · 18 plans | |
| Ms-Drg 019 019 | – | – | – | $90,521$37,630–$123,100 · 18 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $96,673$41,502–$126,094 · 18 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $66,506$27,921–$86,618 · 18 plans | |
| Ms-Drg 022 022 | – | – | – | $40,313$17,085–$56,264 · 18 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $46,653$20,633–$62,028 · 18 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $73,402$31,690–$96,116 · 18 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $41,427$18,020–$54,476 · 18 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $27,775$14,038–$36,427 · 18 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $51,220$23,632–$68,986 · 18 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $26,847$13,929–$35,062 · 18 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $20,744$13,128–$26,852 · 18 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $47,675$20,415–$62,074 · 18 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $28,722$14,372–$38,049 · 18 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $23,535$13,607–$31,000 · 18 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $41,007$17,543–$53,079 · 18 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $14,922$10,478–$19,900 · 18 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $46,305$20,365–$61,423 · 18 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $27,896$14,044–$36,925 · 18 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $21,920$13,239–$29,316 · 18 plans | |
| Ms-Drg 052 052 | – | – | – | $22,981$13,382–$33,190 · 18 plans | |
| Ms-Drg 053 053 | – | – | – | $12,725$8,728–$16,605 · 18 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $13,414$9,088–$19,183 · 18 plans | |
| Ms-Drg 058 058 | – | – | – | $21,689$13,208–$30,658 · 18 plans | |
| Ms-Drg 059 059 | – | – | – | $15,744$11,061–$21,198 · 18 plans | |
| Ms-Drg 060 060 | – | – | – | $12,101$8,198–$16,164 · 18 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $33,755$15,408–$44,135 · 18 plans | |
| Ms-Drg 063 063 | – | – | – | $17,811$12,513–$23,953 · 18 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $10,486$6,821–$30,558 · 18 plans | |
| Ms-Drg 067 067 | – | – | – | $18,634$12,796–$24,714 · 18 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $11,372$7,705–$15,998 · 18 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $9,949$6,740–$14,464 · 18 plans | |
| Ms-Drg 075 075 | – | – | – | $22,235$13,563–$29,816 · 18 plans | |
| Ms-Drg 076 076 | – | – | – | $11,159$7,355–$16,536 · 18 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $22,964$13,380–$32,815 · 18 plans | |
| Ms-Drg 081 081 | – | – | – | $11,783$7,983–$16,352 · 18 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $12,575$8,519–$17,132 · 18 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $12,034$8,153–$16,036 · 18 plans | |
| Concussion with Mcc 088 | – | – | – | $17,151$12,049–$24,043 · 18 plans | |
| Concussion with Cc 089 | – | – | – | $14,379$9,792–$18,896 · 18 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $10,838$7,337–$15,630 · 18 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $10,476$7,098–$14,777 · 18 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $44,399$18,562–$58,062 · 18 plans | |
| Ms-Drg 095 095 | – | – | – | $30,159$14,699–$40,339 · 18 plans | |
| Ms-Drg 096 096 | – | – | – | $30,159$14,699–$40,339 · 18 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $44,103$19,050–$57,770 · 18 plans | |
| Ms-Drg 098 098 | – | – | – | $27,483$14,209–$36,491 · 18 plans | |
| Ms-Drg 099 099 | – | – | – | $17,286$12,144–$23,778 · 18 plans | |
| Headaches with Mcc 102 | – | – | – | $14,570$9,991–$20,224 · 18 plans | |
| Headaches Without Mcc 103 | – | – | – | $11,002$7,454–$15,522 · 18 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $28,508$14,305–$37,525 · 18 plans | |
| Ms-Drg 114 114 | – | – | – | $15,890$11,212–$21,225 · 18 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $19,474$12,909–$25,871 · 18 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $21,603$13,376–$28,707 · 18 plans | |
| Ms-Drg 117 117 | – | – | – | $14,273$9,670–$18,994 · 18 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $14,843$10,369–$20,280 · 18 plans | |
| Ms-Drg 122 122 | – | – | – | $9,973$6,929–$13,679 · 18 plans | |
| Neurological Eye Disorders 123 | – | – | – | $10,506$7,118–$14,842 · 18 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $16,787$11,793–$22,419 · 18 plans | |
| Ms-Drg 135 135 | – | – | – | $27,532$13,995–$39,249 · 18 plans | |
| Ms-Drg 136 136 | – | – | – | $13,291$9,050–$17,468 · 18 plans | |
| Ms-Drg 137 137 | – | – | – | $18,432$12,838–$23,963 · 18 plans | |
| Ms-Drg 138 138 | – | – | – | $11,492$7,899–$14,965 · 18 plans | |
| Ms-Drg 139 139 | – | – | – | $15,942$11,014–$23,469 · 18 plans | |
| Ms-Drg 140 140 | – | – | – | $51,673$22,496–$68,059 · 18 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $20,202$13,014–$26,500 · 18 plans | |
| Ms-Drg 143 143 | – | – | – | $41,443$19,761–$56,507 · 18 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $21,986$13,248–$29,302 · 18 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $15,254$10,717–$20,609 · 18 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $26,865$13,905–$37,471 · 18 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $16,132$11,333–$21,521 · 18 plans | |
| Ms-Drg 148 148 | – | – | – | $10,487$7,105–$14,831 · 18 plans | |
| Dysequilibrium 149 | – | – | – | $9,888$6,699–$14,434 · 18 plans | |
| Ms-Drg 150 150 | – | – | – | $16,893$11,868–$23,609 · 18 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $9,726$6,542–$14,549 · 18 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $14,999$10,537–$19,849 · 18 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $9,712$6,580–$14,043 · 18 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $19,837$12,958–$27,320 · 18 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $12,057$8,169–$16,790 · 18 plans | |
| Ms-Drg 156 156 | – | – | – | $9,092$6,160–$13,614 · 18 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $21,238$13,220–$27,569 · 18 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $11,969$8,109–$16,897 · 18 plans | |
| Ms-Drg 159 159 | – | – | – | $9,321$6,315–$13,475 · 18 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $23,898$13,558–$30,933 · 18 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $22,881$13,368–$30,374 · 18 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $17,336$12,179–$23,179 · 18 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $37,603$16,283–$49,244 · 18 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $9,933$6,730–$14,677 · 18 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $14,090$9,546–$19,476 · 18 plans | |
| Ms-Drg 182 182 | – | – | – | $10,270$6,719–$15,329 · 18 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $19,411$12,901–$26,727 · 18 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $10,347$7,010–$14,723 · 18 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $19,774$12,950–$26,616 · 18 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $13,013$8,816–$17,860 · 18 plans | |
| Ms-Drg 188 188 | – | – | – | $9,490$6,393–$14,289 · 18 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $8,536$5,722–$13,234 · 18 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $8,319$5,602–$12,876 · 18 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $12,486$8,460–$17,648 · 18 plans | |
| Ms-Drg 198 198 | – | – | – | $9,422$6,384–$13,920 · 18 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $22,382$13,301–$29,433 · 18 plans | |
| Ms-Drg 201 201 | – | – | – | $9,408$6,374–$13,666 · 18 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $8,979$5,972–$13,879 · 18 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $10,622$7,197–$14,927 · 18 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $12,381$8,388–$16,368 · 18 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $129,940$57,353–$172,662 · 18 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $125,372$52,516–$163,648 · 18 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $77,846$34,680–$103,730 · 18 plans | |
| Ms-Drg 218 218 | – | – | – | $72,881$34,680–$99,169 · 18 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $56,290$26,584–$76,044 · 18 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $38,487$16,974–$50,387 · 18 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $101,521$44,462–$134,271 · 18 plans | |
| Ms-Drg 232 232 | – | – | – | $73,745$31,976–$96,857 · 18 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | – | – | – | $93,799$40,323–$122,461 · 18 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $64,485$28,812–$86,003 · 18 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $50,298$22,093–$66,660 · 18 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $61,158$25,959–$79,164 · 18 plans | |
| Ms-Drg 241 241 | – | – | – | $17,608$12,340–$25,550 · 18 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | – | – | – | $40,509$17,147–$54,160 · 18 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $22,884$13,375–$30,032 · 18 plans | |
| Ms-Drg 245 245 | – | – | – | $57,886$24,063–$76,882 · 18 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $27,691$14,017–$37,752 · 18 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $18,962$12,840–$26,352 · 18 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $22,398$13,331–$29,191 · 18 plans | |
| Ms-Drg 255 255 | – | – | – | $32,735$15,170–$43,064 · 18 plans | |
| Ms-Drg 256 256 | – | – | – | $21,542$13,188–$28,344 · 18 plans | |
| Ms-Drg 257 257 | – | – | – | $13,059$8,857–$16,813 · 18 plans | |
| Ms-Drg 258 258 | – | – | – | $35,131$16,945–$47,481 · 18 plans | |
| Ms-Drg 259 259 | – | – | – | $22,686$13,742–$30,700 · 18 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $41,270$17,386–$54,376 · 18 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $23,948$13,517–$31,444 · 18 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $19,832$13,072–$26,042 · 18 plans | |
| Ms-Drg 263 263 | – | – | – | $33,931$16,607–$46,112 · 18 plans | |
| Ms-Drg 265 265 | – | – | – | $43,899$19,083–$57,760 · 18 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $31,392$14,650–$40,922 · 18 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $47,928$21,759–$64,233 · 18 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $84,999$37,608–$113,027 · 18 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $74,752$31,681–$96,758 · 18 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $56,637$24,359–$73,968 · 18 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $61,657$29,358–$83,950 · 18 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $40,082$19,021–$54,392 · 18 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $9,513$6,445–$14,190 · 18 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $24,851$13,672–$32,322 · 18 plans | |
| Ms-Drg 284 284 | – | – | – | $9,358$6,170–$14,363 · 18 plans | |
| Ms-Drg 285 285 | – | – | – | $7,879$5,338–$12,008 · 18 plans | |
| Ms-Drg 288 288 | – | – | – | $33,936$15,205–$44,120 · 18 plans | |
| Ms-Drg 289 289 | – | – | – | $20,524$13,203–$27,174 · 18 plans | |
| Ms-Drg 290 290 | – | – | – | $12,231$8,287–$17,480 · 18 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $7,517$5,045–$11,649 · 18 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $19,817$12,955–$27,504 · 18 plans | |
| Ms-Drg 297 297 | – | – | – | $8,778$5,651–$13,804 · 18 plans | |
| Ms-Drg 298 298 | – | – | – | $6,220$4,056–$9,738 · 18 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $15,182$10,666–$20,282 · 18 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $19,592$12,979–$25,360 · 18 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $12,014$8,140–$16,681 · 18 plans | |
| Angina Pectoris 311 | – | – | – | $9,234$6,256–$13,897 · 18 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $8,989$6,080–$13,727 · 18 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $74,898$35,267–$101,296 · 18 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $53,594$23,539–$71,024 · 18 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $29,192$14,398–$38,401 · 18 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $52,028$22,824–$68,892 · 18 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $39,435$16,980–$51,167 · 18 plans | |
| Ms-Drg 325 325 | – | – | – | $35,848$17,217–$48,425 · 18 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $20,329$13,024–$26,821 · 18 plans | |
| Ms-Drg 332 332 | – | – | – | $42,742$19,097–$57,004 · 18 plans | |
| Ms-Drg 333 333 | – | – | – | $26,966$14,290–$36,240 · 18 plans | |
| Ms-Drg 334 334 | – | – | – | $20,781$13,085–$27,811 · 18 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $44,559$18,834–$57,677 · 18 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $26,571$13,890–$34,707 · 18 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $19,475$12,909–$25,933 · 18 plans | |
| Ms-Drg 344 344 | – | – | – | $32,769$14,713–$43,557 · 18 plans | |
| Ms-Drg 345 345 | – | – | – | $19,091$12,858–$25,228 · 18 plans | |
| Ms-Drg 346 346 | – | – | – | $15,050$10,573–$21,528 · 18 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $29,126$14,210–$38,576 · 18 plans | |
| Ms-Drg 348 348 | – | – | – | $16,566$11,641–$21,735 · 18 plans | |
| Ms-Drg 349 349 | – | – | – | $11,454$7,760–$15,989 · 18 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $30,412$14,546–$39,851 · 18 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $19,342$12,891–$25,468 · 18 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $14,824$10,372–$19,359 · 18 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $36,342$15,987–$47,183 · 18 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $21,346$13,161–$28,457 · 18 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $17,065$11,988–$22,864 · 18 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $28,454$14,261–$37,219 · 18 plans | |
| Ms-Drg 358 358 | – | – | – | $17,687$12,426–$23,197 · 18 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $20,197$13,007–$27,984 · 18 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $13,159$8,915–$18,067 · 18 plans | |
| Ms-Drg 370 370 | – | – | – | $9,220$6,246–$13,894 · 18 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $9,570$6,484–$14,193 · 18 plans | |
| Ms-Drg 376 376 | – | – | – | $12,146$8,239–$16,021 · 18 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $24,552$13,640–$31,850 · 18 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $14,255$9,658–$19,154 · 18 plans | |
| Ms-Drg 382 382 | – | – | – | $10,533$7,136–$14,454 · 18 plans | |
| Ms-Drg 383 383 | – | – | – | $16,854$11,799–$22,082 · 18 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $11,246$7,619–$15,817 · 18 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $20,076$12,990–$27,297 · 18 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $12,844$8,702–$17,686 · 18 plans | |
| Ms-Drg 387 387 | – | – | – | $8,963$6,073–$13,592 · 18 plans | |
| Ms-Drg 397 397 | – | – | – | $30,385$14,380–$40,263 · 18 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $19,204$12,873–$25,601 · 18 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $14,724$10,203–$19,681 · 18 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $47,951$21,205–$63,753 · 18 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $27,089$14,080–$35,497 · 18 plans | |
| Ms-Drg 408 408 | – | – | – | $43,125$18,806–$56,866 · 18 plans | |
| Ms-Drg 409 409 | – | – | – | $26,628$14,008–$34,842 · 18 plans | |
| Ms-Drg 410 410 | – | – | – | $20,023$12,999–$26,177 · 18 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $35,631$17,588–$49,821 · 18 plans | |
| Ms-Drg 412 412 | – | – | – | $26,645$13,880–$35,001 · 18 plans | |
| Ms-Drg 413 413 | – | – | – | $21,068$13,124–$27,870 · 18 plans | |
| Ms-Drg 414 414 | – | – | – | $43,155$18,790–$56,845 · 18 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $25,238$13,819–$33,057 · 18 plans | |
| Ms-Drg 416 416 | – | – | – | $17,297$12,152–$23,427 · 18 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $29,856$14,365–$38,723 · 18 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $17,267$12,125–$22,627 · 18 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $42,998$18,002–$56,250 · 18 plans | |
| Ms-Drg 421 421 | – | – | – | $21,239$13,256–$27,800 · 18 plans | |
| Ms-Drg 422 422 | – | – | – | $17,756$12,474–$24,935 · 18 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $49,773$21,904–$66,053 · 18 plans | |
| Ms-Drg 424 424 | – | – | – | $27,759$14,026–$37,307 · 18 plans | |
| Ms-Drg 425 425 | – | – | – | $19,035$12,850–$26,096 · 18 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $125,025$58,129–$168,795 · 18 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $85,418$38,073–$113,837 · 18 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $66,645$29,652–$88,770 · 18 plans | |
| Ms-Drg 429 429 | – | – | – | $100,600$47,519–$135,894 · 18 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $66,250$30,417–$89,095 · 18 plans | |
| Ms-Drg 434 434 | – | – | – | $9,374$6,351–$13,878 · 18 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $14,636$10,082–$19,741 · 18 plans | |
| Ms-Drg 437 437 | – | – | – | $11,114$7,606–$14,758 · 18 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $8,232$5,539–$12,745 · 18 plans | |
| Ms-Drg 443 443 | – | – | – | $9,210$6,237–$13,945 · 18 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $10,884$7,374–$14,815 · 18 plans | |
| Ms-Drg 447 447 | – | – | – | $80,744$35,241–$106,535 · 18 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $49,962$22,367–$66,674 · 18 plans | |
| Ms-Drg 450 450 | – | – | – | $62,488$28,110–$83,511 · 18 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $38,248$17,297–$50,964 · 18 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $101,466$44,322–$133,954 · 18 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $85,908$49,066–$106,755 · 18 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $63,907$36,656–$103,693 · 18 plans | |
| Ms-Drg 461 461 | – | – | – | $70,073$29,130–$95,881 · 18 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $33,749$15,021–$46,131 · 18 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $65,434$30,061–$88,014 · 18 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $22,396$13,403–$29,220 · 18 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $38,484$16,510–$52,286 · 18 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $59,049$25,468–$77,269 · 18 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $31,721$20,868–$39,048 · 18 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $54,136$22,642–$70,770 · 18 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $27,342$14,176–$36,222 · 18 plans | |
| Ms-Drg 476 476 | – | – | – | $14,974$10,520–$20,279 · 18 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $42,394$18,221–$55,339 · 18 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $29,471$14,490–$39,112 · 18 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $22,862$13,463–$29,798 · 18 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $24,980$14,346–$33,405 · 18 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $39,814$17,284–$51,779 · 18 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $26,511$13,860–$34,838 · 18 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $19,871$12,963–$26,619 · 18 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $22,443$13,309–$32,474 · 18 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $14,628$9,954–$21,423 · 18 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $25,338$16,954–$31,953 · 18 plans | |
| Ms-Drg 495 495 | – | – | – | $43,352$19,123–$57,594 · 18 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $22,887$13,369–$32,590 · 18 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $15,608$10,770–$23,007 · 18 plans | |
| Ms-Drg 498 498 | – | – | – | $32,780$16,445–$45,500 · 18 plans | |
| Ms-Drg 499 499 | – | – | – | $20,376$12,203–$30,387 · 18 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $39,219$17,035–$50,849 · 18 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $22,179$13,274–$29,728 · 18 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $17,076$11,996–$23,837 · 18 plans | |
| Ms-Drg 503 503 | – | – | – | $33,088$15,544–$44,072 · 18 plans | |
| Foot Procedures with Cc 504 | – | – | – | $22,618$13,481–$29,815 · 18 plans | |
| Ms-Drg 505 505 | – | – | – | $22,501$13,350–$29,276 · 18 plans | |
| Ms-Drg 506 506 | – | – | – | $17,325$12,026–$25,386 · 18 plans | |
| Ms-Drg 507 507 | – | – | – | $22,919$13,373–$32,061 · 18 plans | |
| Ms-Drg 508 508 | – | – | – | $17,164$12,201–$23,179 · 18 plans | |
| Ms-Drg 510 510 | – | – | – | $35,572$16,459–$47,475 · 18 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $25,039$13,840–$33,119 · 18 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $20,779$13,115–$27,039 · 18 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $19,672$12,977–$25,485 · 18 plans | |
| Ms-Drg 514 514 | – | – | – | $13,449$9,112–$18,097 · 18 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $38,323$17,123–$50,738 · 18 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $25,632$13,838–$33,341 · 18 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $44,096$19,712–$58,819 · 18 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $25,069$13,705–$32,573 · 18 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $18,745$12,839–$24,385 · 18 plans | |
| Ms-Drg 533 533 | – | – | – | $19,744$12,965–$25,778 · 18 plans | |
| Ms-Drg 534 534 | – | – | – | $10,605$7,185–$14,972 · 18 plans | |
| Ms-Drg 537 537 | – | – | – | $12,550$8,506–$16,568 · 18 plans | |
| Ms-Drg 538 538 | – | – | – | $9,476$6,420–$13,605 · 18 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $24,991$13,653–$33,341 · 18 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $16,447$11,554–$22,270 · 18 plans | |
| Ms-Drg 541 541 | – | – | – | $10,688$7,018–$15,898 · 18 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $22,413$13,305–$30,950 · 18 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $9,928$6,726–$14,524 · 18 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $31,334$14,528–$41,010 · 18 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $14,780$10,281–$20,197 · 18 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $10,771$7,453–$14,420 · 18 plans | |
| Ms-Drg 548 548 | – | – | – | $24,498$13,586–$33,222 · 18 plans | |
| Ms-Drg 549 549 | – | – | – | $15,316$10,760–$20,917 · 18 plans | |
| Ms-Drg 550 550 | – | – | – | $11,500$7,791–$15,703 · 18 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $16,447$11,554–$22,451 · 18 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $10,921$7,399–$15,285 · 18 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $16,770$11,782–$23,068 · 18 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $10,927$7,403–$15,010 · 18 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $18,865$12,827–$26,155 · 18 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $11,751$7,961–$15,729 · 18 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $23,546$13,473–$30,816 · 18 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $14,604$10,037–$19,908 · 18 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $10,576$7,165–$15,027 · 18 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $18,077$12,700–$24,845 · 18 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $19,584$12,924–$26,452 · 18 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $12,819$8,685–$18,099 · 18 plans | |
| Ms-Drg 566 566 | – | – | – | $9,858$6,679–$14,441 · 18 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $37,039$16,143–$48,356 · 18 plans | |
| Skin Debridement with Cc 571 | – | – | – | $21,382$13,174–$28,049 · 18 plans | |
| Ms-Drg 572 572 | – | – | – | $14,734$10,217–$19,964 · 18 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $74,326$34,554–$100,344 · 18 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $42,698$18,309–$55,647 · 18 plans | |
| Ms-Drg 575 575 | – | – | – | $22,800$13,357–$32,950 · 18 plans | |
| Ms-Drg 576 576 | – | – | – | $62,184$25,850–$84,611 · 18 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $33,187$14,984–$43,075 · 18 plans | |
| Ms-Drg 578 578 | – | – | – | $20,381$13,031–$28,294 · 18 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $40,284$17,329–$52,144 · 18 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $18,309$12,752–$24,476 · 18 plans | |
| Ms-Drg 582 582 | – | – | – | $22,573$13,579–$30,174 · 18 plans | |
| Ms-Drg 583 583 | – | – | – | $21,299$13,233–$27,678 · 18 plans | |
| Ms-Drg 584 584 | – | – | – | $26,051$13,945–$34,205 · 18 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $24,476$13,583–$32,774 · 18 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $24,554$13,594–$33,856 · 18 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $15,051$10,574–$21,185 · 18 plans | |
| Ms-Drg 594 594 | – | – | – | $11,404$7,726–$15,500 · 18 plans | |
| Ms-Drg 595 595 | – | – | – | $26,662$13,911–$34,750 · 18 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $14,241$9,649–$19,032 · 18 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $21,151$13,135–$29,302 · 18 plans | |
| Ms-Drg 598 598 | – | – | – | $14,630$10,084–$18,999 · 18 plans | |
| Ms-Drg 599 599 | – | – | – | $10,464$6,858–$15,594 · 18 plans | |
| Ms-Drg 600 600 | – | – | – | $13,242$9,196–$17,140 · 18 plans | |
| Ms-Drg 601 601 | – | – | – | $8,041$5,393–$12,465 · 18 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $18,677$12,802–$25,183 · 18 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $19,199$12,872–$27,077 · 18 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $11,920$8,079–$15,735 · 18 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $17,754$12,472–$24,381 · 18 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $44,247$18,394–$61,350 · 18 plans | |
| Ms-Drg 618 618 | – | – | – | $16,630$11,738–$22,224 · 18 plans | |
| Ms-Drg 619 619 | – | – | – | $34,026$15,928–$45,404 · 18 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $20,304$13,021–$26,874 · 18 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $19,004$12,864–$24,819 · 18 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $45,157$18,772–$59,480 · 18 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $22,760$13,352–$31,675 · 18 plans | |
| Ms-Drg 624 624 | – | – | – | $14,380$9,862–$18,881 · 18 plans | |
| Ms-Drg 625 625 | – | – | – | $35,677$16,458–$47,572 · 18 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $19,024$12,848–$25,541 · 18 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $16,735$11,727–$21,857 · 18 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $47,284$19,656–$62,576 · 18 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $27,644$14,010–$36,787 · 18 plans | |
| Ms-Drg 630 630 | – | – | – | $18,343$12,780–$23,900 · 18 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $8,290$5,537–$12,869 · 18 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $16,583$11,718–$22,199 · 18 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $10,108$6,848–$14,728 · 18 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $56,113$24,797–$74,589 · 18 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $42,787$19,546–$57,451 · 18 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $65,930$27,407–$87,337 · 18 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $26,402$13,904–$34,175 · 18 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $40,009$17,111–$52,123 · 18 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $19,522$12,938–$25,461 · 18 plans | |
| Ms-Drg 662 662 | – | – | – | $38,433$16,623–$50,019 · 18 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $19,288$12,884–$25,816 · 18 plans | |
| Ms-Drg 664 664 | – | – | – | $13,773$9,331–$19,013 · 18 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $39,600$16,861–$54,792 · 18 plans | |
| Ms-Drg 666 666 | – | – | – | $21,353$13,276–$27,977 · 18 plans | |
| Ms-Drg 667 667 | – | – | – | $14,078$9,775–$18,222 · 18 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $36,255$16,058–$46,944 · 18 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $19,691$12,938–$26,122 · 18 plans | |
| Ms-Drg 670 670 | – | – | – | $12,857$8,711–$17,126 · 18 plans | |
| Ms-Drg 671 671 | – | – | – | $22,250$13,354–$28,843 · 18 plans | |
| Ms-Drg 672 672 | – | – | – | $14,202$9,622–$19,235 · 18 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $29,116$14,284–$37,688 · 18 plans | |
| Ms-Drg 675 675 | – | – | – | $20,390$13,091–$26,393 · 18 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $8,051$5,351–$12,520 · 18 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $22,885$13,369–$31,263 · 18 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $13,785$9,339–$18,601 · 18 plans | |
| Ms-Drg 688 688 | – | – | – | $10,350$7,044–$14,180 · 18 plans | |
| Ms-Drg 693 693 | – | – | – | $17,146$11,984–$24,950 · 18 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $10,284$6,968–$14,740 · 18 plans | |
| Ms-Drg 695 695 | – | – | – | $14,718$10,195–$19,742 · 18 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $9,082$6,141–$13,826 · 18 plans | |
| Ms-Drg 697 697 | – | – | – | $13,772$9,556–$17,827 · 18 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $9,100$6,149–$13,852 · 18 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $27,007$17,307–$32,143 · 18 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $23,498$13,497–$31,433 · 18 plans | |
| Ms-Drg 709 709 | – | – | – | $28,397$14,264–$37,214 · 18 plans | |
| Ms-Drg 710 710 | – | – | – | $17,778$12,489–$25,421 · 18 plans | |
| Ms-Drg 711 711 | – | – | – | $24,445$13,848–$32,664 · 18 plans | |
| Ms-Drg 712 712 | – | – | – | $14,372$9,802–$18,858 · 18 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $18,880$12,855–$24,579 · 18 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $13,123$9,112–$16,965 · 18 plans | |
| Ms-Drg 715 715 | – | – | – | $28,231$14,110–$36,927 · 18 plans | |
| Ms-Drg 716 716 | – | – | – | $18,521$12,800–$24,173 · 18 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $23,701$13,517–$30,804 · 18 plans | |
| Ms-Drg 718 718 | – | – | – | $16,475$11,522–$21,512 · 18 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $22,311$13,379–$29,031 · 18 plans | |
| Ms-Drg 723 723 | – | – | – | $14,711$10,185–$19,668 · 18 plans | |
| Ms-Drg 724 724 | – | – | – | $9,049$5,844–$14,214 · 18 plans | |
| Ms-Drg 725 725 | – | – | – | $14,949$10,430–$21,791 · 18 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $9,575$6,435–$14,400 · 18 plans | |
| Ms-Drg 727 727 | – | – | – | $18,814$12,820–$24,935 · 18 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $10,672$7,231–$15,019 · 18 plans | |
| Ms-Drg 729 729 | – | – | – | $13,928$9,437–$19,333 · 18 plans | |
| Ms-Drg 730 730 | – | – | – | $8,841$5,990–$12,899 · 18 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $26,648$13,927–$34,563 · 18 plans | |
| Ms-Drg 735 735 | – | – | – | $16,263$11,408–$21,455 · 18 plans | |
| Ms-Drg 736 736 | – | – | – | $45,352$18,853–$62,453 · 18 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $25,476$13,808–$33,084 · 18 plans | |
| Ms-Drg 738 738 | – | – | – | $18,632$12,796–$25,657 · 18 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $45,457$18,897–$63,112 · 18 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $22,959$13,379–$30,238 · 18 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $17,972$12,596–$23,479 · 18 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $24,043$16,275–$30,366 · 18 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $19,002$11,129–$25,704 · 18 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $24,954$13,788–$32,748 · 18 plans | |
| Ms-Drg 745 745 | – | – | – | $14,122$9,809–$18,255 · 18 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $21,673$13,255–$28,054 · 18 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $11,589$7,663–$17,119 · 18 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $17,601$12,365–$23,307 · 18 plans | |
| Ms-Drg 749 749 | – | – | – | $32,232$14,675–$41,947 · 18 plans | |
| Ms-Drg 750 750 | – | – | – | $17,151$12,128–$22,983 · 18 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $23,125$13,434–$30,102 · 18 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $14,311$9,696–$19,473 · 18 plans | |
| Ms-Drg 756 756 | – | – | – | $12,636$8,561–$17,116 · 18 plans | |
| Ms-Drg 757 757 | – | – | – | $18,167$12,733–$24,112 · 18 plans | |
| Ms-Drg 758 758 | – | – | – | $12,880$8,726–$18,093 · 18 plans | |
| Ms-Drg 759 759 | – | – | – | $8,730$5,915–$13,261 · 18 plans | |
| Ms-Drg 760 760 | – | – | – | $13,255$8,980–$17,581 · 18 plans | |
| Ms-Drg 761 761 | – | – | – | $7,988$5,085–$12,609 · 18 plans | |
| Ms-Drg 768 768 | – | – | – | $14,098$9,552–$19,263 · 18 plans | |
| Ms-Drg 769 769 | – | – | – | $18,657$13,152–$25,486 · 18 plans | |
| Ms-Drg 770 770 | – | – | – | $13,192$8,937–$18,955 · 18 plans | |
| Ms-Drg 776 776 | – | – | – | $8,964$5,836–$14,042 · 18 plans | |
| Ms-Drg 779 779 | – | – | – | $11,360$7,499–$16,808 · 18 plans | |
| Ms-Drg 783 783 | – | – | – | $19,236$12,830–$33,687 · 18 plans | |
| Ms-Drg 784 784 | – | – | – | $15,061$10,059–$19,573 · 18 plans | |
| Ms-Drg 785 785 | – | – | – | $14,205$8,507–$19,573 · 18 plans | |
| C-section, with major complications 786 | – | – | – | $18,621$11,228–$27,162 · 18 plans | |
| C-section, with complications 787 | – | – | – | $14,936$10,017–$19,573 · 18 plans | |
| C-section 788 | – | – | – | $14,213$8,714–$19,573 · 18 plans | |
| Ms-Drg 789 789 | – | – | – | $23,177$11,926–$30,556 · 13 plans | |
| Ms-Drg 790 790 | – | – | – | $71,820$38,594–$95,202 · 13 plans | |
| Ms-Drg 791 791 | – | – | – | $49,685$26,459–$65,693 · 13 plans | |
| Ms-Drg 792 792 | – | – | – | $30,776$16,092–$40,575 · 13 plans | |
| Ms-Drg 793 793 | – | – | – | $50,984$27,171–$67,425 · 13 plans | |
| Ms-Drg 794 794 | – | – | – | $19,343$9,825–$25,502 · 13 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $3,330$1,781–$5,636 · 18 plans | |
| Ms-Drg 796 796 | – | – | – | $14,631$7,887–$22,004 · 18 plans | |
| Ms-Drg 797 797 | – | – | – | $12,131$7,602–$17,316 · 18 plans | |
| Ms-Drg 798 798 | – | – | – | $11,861$7,528–$17,316 · 18 plans | |
| Ms-Drg 799 799 | – | – | – | $57,195$23,887–$74,875 · 18 plans | |
| Ms-Drg 800 800 | – | – | – | $35,644$15,617–$46,891 · 18 plans | |
| Ms-Drg 801 801 | – | – | – | $21,369$13,549–$28,894 · 18 plans | |
| Ms-Drg 802 802 | – | – | – | $44,438$21,013–$60,089 · 18 plans | |
| Ms-Drg 803 803 | – | – | – | $22,911$13,463–$29,817 · 18 plans | |
| Ms-Drg 804 804 | – | – | – | $15,115$10,714–$20,451 · 18 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $12,134$7,736–$17,769 · 18 plans | |
| Vaginal birth, with complications 806 | – | – | – | $10,505$7,172–$13,598 · 18 plans | |
| Vaginal birth 807 | – | – | – | $8,725$6,058–$12,286 · 18 plans | |
| Ms-Drg 810 810 | – | – | – | $13,185$9,173–$17,067 · 18 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $26,555$13,921–$34,376 · 18 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $13,340$9,038–$18,044 · 18 plans | |
| Ms-Drg 816 816 | – | – | – | $8,532$5,633–$13,300 · 18 plans | |
| Ms-Drg 817 817 | – | – | – | $26,694$11,881–$41,134 · 18 plans | |
| Ms-Drg 818 818 | – | – | – | $15,010$10,332–$22,177 · 18 plans | |
| Ms-Drg 819 819 | – | – | – | $11,596$6,867–$15,010 · 18 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $70,382$30,933–$93,315 · 18 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $28,087$14,113–$36,533 · 18 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $15,236$10,705–$19,984 · 18 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $56,961$24,182–$73,731 · 18 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $27,836$14,159–$36,306 · 18 plans | |
| Ms-Drg 825 825 | – | – | – | $16,462$11,526–$21,577 · 18 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $58,089$24,672–$75,206 · 18 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $29,289$14,237–$38,471 · 18 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $20,831$13,198–$27,263 · 18 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $38,222$17,016–$50,399 · 18 plans | |
| Ms-Drg 830 830 | – | – | – | $18,987$12,858–$24,830 · 18 plans | |
| Ms-Drg 831 831 | – | – | – | $14,144$9,839–$20,095 · 18 plans | |
| Ms-Drg 832 832 | – | – | – | $10,952$7,273–$14,209 · 18 plans | |
| Ms-Drg 833 833 | – | – | – | $8,112$5,437–$12,105 · 18 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $66,917$28,955–$87,763 · 18 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $26,464$13,851–$35,066 · 18 plans | |
| Ms-Drg 836 836 | – | – | – | $15,472$10,870–$21,914 · 18 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $60,397$25,339–$78,712 · 18 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $25,826$13,854–$33,522 · 18 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $18,064$12,606–$23,430 · 18 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $39,458$17,315–$51,724 · 18 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $24,668$14,226–$34,552 · 18 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $13,293$9,006–$18,588 · 18 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $24,242$13,696–$31,860 · 18 plans | |
| Ms-Drg 844 844 | – | – | – | $15,446$10,851–$20,767 · 18 plans | |
| Ms-Drg 845 845 | – | – | – | $11,204$7,591–$15,319 · 18 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $35,722$22,352–$42,500 · 18 plans | |
| Ms-Drg 848 848 | – | – | – | $13,009$7,962–$18,431 · 18 plans | |
| Radiotherapy 849 | – | – | – | $33,376$15,219–$43,454 · 18 plans | |
| Ms-Drg 850 850 | – | – | – | $109,152$45,673–$142,627 · 18 plans | |
| Ms-Drg 855 855 | – | – | – | $18,996$12,845–$27,309 · 18 plans | |
| Ms-Drg 858 858 | – | – | – | $17,138$11,979–$22,331 · 18 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $11,679$7,912–$16,249 · 18 plans | |
| Viral Illness with Mcc 865 | – | – | – | $19,010$12,847–$25,034 · 18 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $11,440$7,751–$16,048 · 18 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $26,558$13,864–$35,194 · 18 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $13,565$9,191–$18,561 · 18 plans | |
| Ms-Drg 869 869 | – | – | – | $9,600$6,504–$14,130 · 18 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $48,155$20,385–$62,332 · 18 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $13,265$6,501–$17,489 · 13 plans | |
| Depressive Neuroses 881 | – | – | – | $12,742$6,329–$16,800 · 13 plans | |
| Neuroses Except Depressive 882 | – | – | – | $13,305$7,025–$17,550 · 13 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $23,779$12,771–$31,516 · 13 plans | |
| Psychoses 885 | – | – | – | $18,561$9,339–$24,471 · 13 plans | |
| Ms-Drg 886 886 | – | – | – | $24,508$13,826–$32,303 · 14 plans | |
| Ms-Drg 887 887 | – | – | – | $15,776$7,439–$21,062 · 13 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $9,088$4,307–$12,310 · 13 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $19,011$9,497–$25,064 · 13 plans | |
| Ms-Drg 901 901 | – | – | – | $53,217$22,134–$69,946 · 18 plans | |
| Ms-Drg 903 903 | – | – | – | $14,884$10,425–$21,130 · 18 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $46,603$19,373–$61,290 · 18 plans | |
| Ms-Drg 905 905 | – | – | – | $18,960$12,821–$27,653 · 18 plans | |
| Ms-Drg 906 906 | – | – | – | $24,922$13,643–$35,774 · 18 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $16,646$11,701–$21,878 · 18 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $20,710$13,080–$27,198 · 18 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $11,650$7,893–$16,529 · 18 plans | |
| Ms-Drg 915 915 | – | – | – | $21,335$13,160–$29,016 · 18 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $8,787$5,939–$13,524 · 18 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $9,057$6,136–$13,781 · 18 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $21,845$13,276–$28,279 · 18 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $13,389$9,071–$18,102 · 18 plans | |
| Ms-Drg 927 927 | – | – | – | $270,885$112,609–$363,203 · 18 plans | |
| Ms-Drg 929 929 | – | – | – | $39,357$17,259–$51,527 · 18 plans | |
| Ms-Drg 933 933 | – | – | – | $49,408$20,539–$68,371 · 18 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $27,207$14,065–$35,443 · 18 plans | |
| Ms-Drg 939 939 | – | – | – | $40,028$19,138–$54,725 · 18 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $26,803$14,281–$36,063 · 18 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $24,958$13,752–$32,512 · 18 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $19,634$12,933–$25,803 · 18 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $14,737$10,222–$19,570 · 18 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $16,106$11,315–$22,150 · 18 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $14,686$10,255–$19,089 · 18 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $8,258$5,595–$12,471 · 18 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $7,545$4,956–$11,782 · 18 plans | |
| Ms-Drg 955 955 | – | – | – | $82,196$35,502–$107,664 · 18 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $50,271$22,225–$66,832 · 18 plans | |
| Ms-Drg 959 959 | – | – | – | $33,070$16,155–$44,773 · 18 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $19,380$12,905–$25,401 · 18 plans | |
| Ms-Drg 965 965 | – | – | – | $12,373$8,383–$16,471 · 18 plans | |
| Ms-Drg 969 969 | – | – | – | $76,277$32,286–$98,733 · 18 plans | |
| Ms-Drg 970 970 | – | – | – | $33,048$14,931–$42,931 · 18 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $36,554$15,923–$47,991 · 18 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $16,574$11,543–$24,205 · 18 plans | |
| Ms-Drg 976 976 | – | – | – | $12,124$8,046–$17,845 · 18 plans | |
| Ms-Drg 977 977 | – | – | – | $16,697$11,567–$24,517 · 18 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $21,499$13,215–$27,957 · 18 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $20,853$13,095–$28,683 · 18 plans | |
| Ms-Drg 989 989 | – | – | – | $15,215$10,689–$20,163 · 18 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 | – | – | $1,957only 1 plan |
| Cataract surgery CPT 66984 | – | – | $3,398$2,289–$4,320 · 14 plans |
| Colonoscopy CPT 45378 | $4,515 | $2,483 | $1,987$915–$3,386 · 27 plans |
| Colonoscopy with biopsy CPT 45380 | $4,219 | $2,320 | $2,110$1,184–$3,280 · 27 plans |
| Complete blood count (CBC) CPT 85025 | $62 | $34 | $24$8–$48 · 27 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $174 | $96 | $66$11–$136 · 27 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,375 | $1,306 | $946$380–$1,852 · 27 plans |
| Emergency room visit, highest level CPT 99285 | $4,542 | $2,498 | $1,817$732–$3,541 · 27 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $6,958$5,266–$10,296 · 14 plans |
| Hip replacement CPT 27130 | – | – | $12,915$6,270–$21,285 · 13 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $4,629$3,257–$5,448 · 14 plans |
| Knee replacement CPT 27447 | – | – | $12,915$6,270–$21,285 · 13 plans |
| MRI of the brain, with and without contrast CPT 70553 | $2,995 | $1,647 | $1,318$380–$2,446 · 27 plans |
| MRI of the knee, without contrast CPT 73721 | $2,874 | $1,581 | $1,312$257–$2,394 · 27 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $1,770only 1 plan |
Price file: UF Health Shands Hospital, read November 8, 2026.