HCA Houston Healthcare West
12141 Richmond Ave, Houston, TX 77082 · (281) 588-8080
The money
$7what care cost the hospital for every $100 it billed
$21.3Mnet income, all sources
7.1%margin on patient care alone
$33.2Mcost of charity care (16.2% of costs)
$26.9Munpaid bills written off (bad debt)
223beds
From the hospital's Medicare cost report for the year ending December 2024.
Hospital stays
Medicare figures are 2024 averages for this hospital; the bars show how much of the bill was actually paid. Cash and insurer prices are from the hospital's own price file; insurer prices are commercial plans only.
Billed (list price)Actually paid (Medicare + patient)
| Stay | Medicare stays | Billed | Paid | Insurers (median) | |
|---|---|---|---|---|---|
| Sepsis, with major complications 871 | 134 | $172,734 | $19,753 | $20,542$10,861–$29,222 · 59 plans | |
| Heart failure, with major complications 291 | 48 | $100,961 | $13,391 | $15,257$10,859–$20,470 · 59 plans | |
| Dehydration and electrolyte problems, with major complications 640 | 40 | $89,608 | $13,541 | $15,647$10,944–$20,111 · 59 plans | |
| Pneumonia, with major complications 193 | 33 | $124,020 | $14,373 | $15,504$8,734–$21,097 · 59 plans | |
| Lung infection, with major complications 177 | 28 | $114,366 | $17,001 | $17,479$12,487–$22,425 · 59 plans | |
| Kidney failure, with major complications 682 | 27 | $125,029 | $15,445 | $16,988$12,066–$23,525 · 59 plans | |
| Kidney failure, with complications 683 | 22 | $83,372 | $10,359 | $11,939$6,774–$14,583 · 59 plans | |
| Infection needing surgery, with major complications 853 | 20 | $388,392 | $37,993 | $45,598$38,744–$68,906 · 59 plans | |
| Septicemia or Severe Sepsis with Mv >96 Hours 870 | 20 | $344,561 | $52,551 | $61,829$53,968–$91,604 · 59 plans | |
| Heart attack, with major complications 280 | 18 | $139,604 | $16,263 | $17,991$13,016–$25,292 · 59 plans | |
| Sepsis 872 | 17 | $104,249 | $11,967 | $13,129$6,074–$16,592 · 59 plans | |
| Dehydration and electrolyte problems 641 | 16 | $93,510 | $9,361 | $11,152$6,644–$12,972 · 59 plans | |
| Urinary tract infection 690 | 16 | $64,255 | $9,975 | $11,405$6,549–$13,345 · 59 plans | |
| Other kidney and urinary problems, with major complications 698 | 15 | $155,327 | $16,522 | $18,218$7,636–$23,660 · 59 plans | |
| Breathing problem needing a ventilator (up to 4 days) 208 | 14 | $175,885 | $24,673 | $27,584$21,847–$38,582 · 59 plans | |
| Seizures 101 | 13 | $67,161 | $11,102 | $12,155$7,604–$14,760 · 59 plans | |
| Respiratory failure 189 | 12 | $107,343 | $12,725 | $14,865$10,171–$19,822 · 59 plans | |
| Diabetes, with major complications 637 | 12 | $104,715 | $14,939 | $16,627$11,724–$22,199 · 59 plans | |
| Stroke, with major complications 064 | 11 | $178,036 | $19,153 | $21,305$16,156–$30,002 · 59 plans | |
| Heart procedure through a catheter (e.g. ablation, valve clip) 274 | 11 | $336,286 | $29,178 | $31,422$17,134–$46,015 · 71 plans | |
| Heart Transplant or Implant of Heart Assist System with Mcc 001 | – | – | – | $233,184$99,987–$253,788 · 42 plans | |
| Ms-Drg 002 002 | – | – | – | $97,391$70,954–$105,792 · 42 plans | |
| Ecmo or Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Nec 003 | – | – | – | $179,568$142,918–$272,873 · 58 plans | |
| Tracheostomy with Mv >96 Hours or Principal Diagnosis Except Face, Mouth and Neck Withou 004 | – | – | – | $118,913$101,319–$175,747 · 58 plans | |
| Liver Transplant with Mcc or Intestinal Transplant 005 | – | – | – | $89,786$82,323–$120,939 · 40 plans | |
| Liver Transplant Without Mcc 006 | – | – | – | $42,906$39,566–$54,428 · 40 plans | |
| Lung Transplant 007 | – | – | – | $111,499$102,217–$151,725 · 40 plans | |
| Ms-Drg 008 008 | – | – | – | $50,826$46,859–$65,785 · 40 plans | |
| Ms-Drg 010 010 | – | – | – | $64,000$58,699–$84,226 · 40 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Mcc 011 | – | – | – | $49,838$41,665–$73,579 · 59 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with Cc 012 | – | – | – | $39,654$31,999–$57,128 · 59 plans | |
| Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy Without Cc/Mcc 013 | – | – | – | $28,679$22,828–$40,333 · 59 plans | |
| Allogeneic Bone Marrow Transplant 014 | – | – | – | $103,831$99,759–$140,489 · 41 plans | |
| Autologous Bone Marrow Transplant with Cc/Mcc 016 | – | – | – | $53,367$46,975–$69,884 · 39 plans | |
| Ms-Drg 017 017 | – | – | – | $49,415$45,560–$63,763 · 40 plans | |
| Chimeric Antigen Receptor (car) T-Cell and Other Immunotherapies 018 | – | – | – | $360,186$347,474–$540,491 · 45 plans | |
| Ms-Drg 019 019 | – | – | – | $63,662$61,477–$95,227 · 46 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Mcc 020 | – | – | – | $71,751$67,538–$107,914 · 59 plans | |
| Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with Cc 021 | – | – | – | $49,243$46,883–$76,282 · 59 plans | |
| Ms-Drg 022 022 | – | – | – | $31,111$29,364–$48,786 · 59 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with Mcc O 023 | – | – | – | $52,110$49,893–$78,746 · 59 plans | |
| Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis Without Mc 024 | – | – | – | $37,152$35,598–$54,686 · 59 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Mcc 025 | – | – | – | $42,374$37,956–$64,392 · 59 plans | |
| Craniotomy and Endovascular Intracranial Procedures with Cc 026 | – | – | – | $30,550$28,734–$46,423 · 59 plans | |
| Craniotomy and Endovascular Intracranial Procedures Without Cc/Mcc 027 | – | – | – | $25,727$23,316–$39,095 · 59 plans | |
| Spinal Procedures with Mcc 028 | – | – | – | $54,397$46,997–$82,133 · 59 plans | |
| Spinal Procedures with Cc or Spinal Neurostimulators 029 | – | – | – | $33,037$26,962–$50,203 · 59 plans | |
| Spinal Procedures Without Cc/Mcc 030 | – | – | – | $23,031$18,060–$32,966 · 59 plans | |
| Ventricular Shunt Procedures with Mcc 031 | – | – | – | $41,830$35,209–$61,787 · 59 plans | |
| Ventricular Shunt Procedures with Cc 032 | – | – | – | $22,503$17,933–$31,881 · 59 plans | |
| Ventricular Shunt Procedures Without Cc/Mcc 033 | – | – | – | $18,470$13,470–$25,676 · 59 plans | |
| Carotid Artery Stent Procedures with Mcc 034 | – | – | – | $36,814$30,504–$54,384 · 59 plans | |
| Carotid Artery Stent Procedures with Cc 035 | – | – | – | $24,638$19,923–$34,319 · 59 plans | |
| Carotid Artery Stent Procedures Without Cc/Mcc 036 | – | – | – | $20,955$16,766–$27,864 · 59 plans | |
| Extracranial Procedures with Mcc 037 | – | – | – | $32,054$26,040–$46,237 · 59 plans | |
| Extracranial Procedures with Cc 038 | – | – | – | $18,142$13,193–$24,829 · 59 plans | |
| Extracranial Procedures Without Cc/Mcc 039 | – | – | – | $14,356$9,842–$17,623 · 59 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Mcc 040 | – | – | – | $36,735$30,431–$55,823 · 59 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures with Cc or Peripheral Neur 041 | – | – | – | $23,060$18,606–$35,042 · 59 plans | |
| Peripheral, Cranial Nerve and Other Nervous System Procedures Without Cc/Mcc 042 | – | – | – | $19,186$15,406–$29,155 · 59 plans | |
| Ms-Drg 052 052 | – | – | – | $19,873$14,615–$27,717 · 59 plans | |
| Ms-Drg 053 053 | – | – | – | $12,773$8,195–$18,086 · 59 plans | |
| Nervous System Neoplasms with Mcc 054 | – | – | – | $17,222$12,420–$23,351 · 59 plans | |
| Nervous System Neoplasms Without Mcc 055 | – | – | – | $13,099$8,506–$17,820 · 59 plans | |
| Degenerative Nervous System Disorders with Mcc 056 | – | – | – | $24,083$18,564–$33,588 · 59 plans | |
| Degenerative nerve disorders (e.g. Parkinson's, dementia) 057 | – | – | – | $15,352$10,636–$20,487 · 59 plans | |
| Ms-Drg 058 058 | – | – | – | $18,907$13,829–$26,549 · 59 plans | |
| Ms-Drg 059 059 | – | – | – | $14,884$10,214–$18,576 · 59 plans | |
| Ms-Drg 060 060 | – | – | – | $12,294$7,736–$15,172 · 59 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 061 | – | – | – | $27,653$21,912–$39,590 · 59 plans | |
| Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit 062 | – | – | – | $19,428$14,197–$27,716 · 59 plans | |
| Ms-Drg 063 063 | – | – | – | $16,370$11,471–$23,622 · 59 plans | |
| Stroke, with complications or clot-busting drug 065 | – | – | – | $13,024$8,435–$16,682 · 59 plans | |
| Intracranial Hemorrhage or Cerebral Infarction Without Cc/Mcc 066 | – | – | – | $10,396$6,147–$12,092 · 59 plans | |
| Ms-Drg 067 067 | – | – | – | $16,888$11,971–$22,899 · 59 plans | |
| Precerebral Occlusion Without Infarction Without Mcc 068 | – | – | – | $11,847$7,309–$14,679 · 59 plans | |
| Mini-stroke (TIA) 069 | – | – | – | $11,318$6,803–$13,232 · 59 plans | |
| Other Cerebrovascular Disorders with Mcc 070 | – | – | – | $18,485$13,484–$26,036 · 59 plans | |
| Other Cerebrovascular Disorders with Cc 071 | – | – | – | $13,151$8,556–$16,614 · 59 plans | |
| Other Cerebrovascular Disorders Without Cc/Mcc 072 | – | – | – | $10,975$6,474–$12,939 · 59 plans | |
| Cranial and Peripheral Nerve Disorders with Mcc 073 | – | – | – | $17,935$13,018–$23,554 · 59 plans | |
| Cranial and Peripheral Nerve Disorders Without Mcc 074 | – | – | – | $13,189$8,593–$16,716 · 59 plans | |
| Ms-Drg 075 075 | – | – | – | $20,544$14,726–$27,203 · 59 plans | |
| Ms-Drg 076 076 | – | – | – | $11,531$7,006–$15,813 · 59 plans | |
| Hypertensive Encephalopathy with Mcc 077 | – | – | – | $18,922$15,607–$23,314 · 5 plans | |
| Hypertensive Encephalopathy with Cc 078 | – | – | – | $11,726$9,671–$14,447 · 5 plans | |
| Ms-Drg 079 079 | – | – | – | $8,996$7,420–$11,084 · 5 plans | |
| Nontraumatic Stupor and Coma with Mcc 080 | – | – | – | $19,863$14,605–$28,437 · 59 plans | |
| Ms-Drg 081 081 | – | – | – | $12,099$7,321–$14,073 · 59 plans | |
| Traumatic Stupor and Coma >1 Hour with Mcc 082 | – | – | – | $23,775$18,274–$33,158 · 59 plans | |
| Traumatic Stupor and Coma >1 Hour with Cc 083 | – | – | – | $16,294$11,409–$21,690 · 59 plans | |
| Traumatic Stupor and Coma >1 Hour Without Cc/Mcc 084 | – | – | – | $12,585$8,014–$15,101 · 59 plans | |
| Traumatic Stupor and Coma <1 Hour with Mcc 085 | – | – | – | $23,662$18,169–$33,001 · 59 plans | |
| Traumatic Stupor and Coma <1 Hour with Cc 086 | – | – | – | $15,410$10,691–$20,592 · 59 plans | |
| Traumatic Stupor and Coma <1 Hour Without Cc/Mcc 087 | – | – | – | $12,253$7,697–$14,472 · 59 plans | |
| Concussion with Mcc 088 | – | – | – | $15,936$11,069–$22,445 · 59 plans | |
| Concussion with Cc 089 | – | – | – | $13,736$9,116–$17,438 · 59 plans | |
| Concussion Without Cc/Mcc 090 | – | – | – | $11,515$6,991–$14,148 · 59 plans | |
| Other Disorders of Nervous System with Mcc 091 | – | – | – | $19,230$14,190–$26,422 · 59 plans | |
| Other Disorders of Nervous System with Cc 092 | – | – | – | $13,126$8,533–$16,315 · 59 plans | |
| Other Disorders of Nervous System Without Cc/Mcc 093 | – | – | – | $11,298$6,783–$13,164 · 59 plans | |
| Bacterial and Tuberculous Infections of Nervous System with Mcc 094 | – | – | – | $33,924$27,794–$49,346 · 59 plans | |
| Ms-Drg 095 095 | – | – | – | $26,190$20,540–$36,526 · 59 plans | |
| Ms-Drg 096 096 | – | – | – | $25,933$20,540–$36,510 · 59 plans | |
| Non-Bacterial Infection of Nervous System Except Viral Meningitis with Mcc 097 | – | – | – | $34,684$28,507–$50,603 · 59 plans | |
| Ms-Drg 098 098 | – | – | – | $23,618$18,346–$33,212 · 59 plans | |
| Ms-Drg 099 099 | – | – | – | $15,926$11,151–$22,352 · 59 plans | |
| Seizures with Mcc 100 | – | – | – | $20,811$15,583–$29,156 · 59 plans | |
| Headaches with Mcc 102 | – | – | – | $13,916$9,288–$18,631 · 59 plans | |
| Headaches Without Mcc 103 | – | – | – | $11,621$7,092–$13,858 · 59 plans | |
| Orbital Procedures with Cc/Mcc 113 | – | – | – | $24,314$18,541–$33,042 · 59 plans | |
| Ms-Drg 114 114 | – | – | – | $15,946$11,134–$21,700 · 59 plans | |
| Extraocular Procedures Except Orbit 115 | – | – | – | $17,427$12,482–$22,223 · 59 plans | |
| Intraocular Procedures with Cc/Mcc 116 | – | – | – | $19,847$14,590–$27,639 · 59 plans | |
| Ms-Drg 117 117 | – | – | – | $13,626$9,293–$16,251 · 59 plans | |
| Acute Major Eye Infections with Cc/Mcc 121 | – | – | – | $14,258$9,615–$19,205 · 59 plans | |
| Ms-Drg 122 122 | – | – | – | $11,214$6,469–$13,043 · 59 plans | |
| Neurological Eye Disorders 123 | – | – | – | $11,317$6,801–$13,163 · 59 plans | |
| Other Disorders of the Eye with Mcc or Thrombolytic Agent 124 | – | – | – | $15,574$10,848–$22,073 · 59 plans | |
| Other Disorders of the Eye Without Mcc 125 | – | – | – | $11,068$6,564–$13,797 · 59 plans | |
| Ms-Drg 135 135 | – | – | – | $22,824$17,382–$31,721 · 59 plans | |
| Ms-Drg 136 136 | – | – | – | $13,086$9,054–$18,532 · 59 plans | |
| Ms-Drg 137 137 | – | – | – | $17,088$12,160–$22,759 · 59 plans | |
| Ms-Drg 138 138 | – | – | – | $12,023$7,732–$13,985 · 59 plans | |
| Ms-Drg 139 139 | – | – | – | $14,868$10,328–$18,891 · 59 plans | |
| Ms-Drg 140 140 | – | – | – | $40,059$33,093–$58,364 · 59 plans | |
| Major Head and Neck Procedures with Cc 141 | – | – | – | $22,915$17,468–$31,959 · 59 plans | |
| Major Head and Neck Procedures Without Cc/Mcc 142 | – | – | – | $18,106$12,957–$26,401 · 59 plans | |
| Ms-Drg 143 143 | – | – | – | $35,793$25,417–$50,932 · 59 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures with Cc 144 | – | – | – | $19,166$14,010–$26,304 · 59 plans | |
| Other Ear, Nose, Mouth and Throat O.r. Procedures Without Cc/Mcc 145 | – | – | – | $14,598$10,099–$18,702 · 59 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Mcc 146 | – | – | – | $22,391$16,976–$31,228 · 59 plans | |
| Ear, Nose, Mouth and Throat Malignancy with Cc 147 | – | – | – | $15,157$10,450–$21,524 · 59 plans | |
| Ms-Drg 148 148 | – | – | – | $11,305$6,790–$13,832 · 59 plans | |
| Dysequilibrium 149 | – | – | – | $10,938$6,439–$12,722 · 59 plans | |
| Ms-Drg 150 150 | – | – | – | $15,642$10,913–$21,333 · 59 plans | |
| Epistaxis Without Mcc 151 | – | – | – | $10,796$6,305–$12,557 · 59 plans | |
| Otitis Media and Uri with Mcc 152 | – | – | – | $14,410$9,761–$17,846 · 59 plans | |
| Otitis Media and Uri Without Mcc 153 | – | – | – | $10,830$6,335–$12,596 · 59 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Mcc 154 | – | – | – | $17,660$12,703–$24,657 · 59 plans | |
| Other Ear, Nose, Mouth and Throat Diagnoses with Cc 155 | – | – | – | $12,268$7,711–$15,060 · 59 plans | |
| Ms-Drg 156 156 | – | – | – | $10,450$6,201–$12,155 · 59 plans | |
| Dental and Oral Diseases with Mcc 157 | – | – | – | $18,909$13,886–$25,382 · 59 plans | |
| Dental and Oral Diseases with Cc 158 | – | – | – | $12,214$7,659–$14,927 · 59 plans | |
| Ms-Drg 159 159 | – | – | – | $10,590$6,237–$12,318 · 59 plans | |
| Major Chest Procedures with Mcc 163 | – | – | – | $41,840$35,219–$62,837 · 59 plans | |
| Major Chest Procedures with Cc 164 | – | – | – | $25,736$20,114–$37,031 · 59 plans | |
| Major Chest Procedures Without Cc/Mcc 165 | – | – | – | $20,720$15,409–$28,564 · 59 plans | |
| Other Respiratory System O.r. Procedures with Mcc 166 | – | – | – | $35,719$29,478–$52,316 · 59 plans | |
| Other Respiratory System O.r. Procedures with Cc 167 | – | – | – | $19,808$14,554–$27,145 · 59 plans | |
| Other Respiratory System O.r. Procedures Without Cc/Mcc 168 | – | – | – | $15,973$11,226–$20,621 · 59 plans | |
| Ultrasound Accelerated and Other Thrombolysis with Principal Diagnosis Pulmonary Embolis 173 | – | – | – | $29,313$18,726–$41,390 · 54 plans | |
| Pulmonary Embolism with Mcc or Acute Cor Pulmonale 175 | – | – | – | $16,113$11,238–$22,695 · 59 plans | |
| Pulmonary Embolism Without Mcc 176 | – | – | – | $11,368$6,851–$14,529 · 59 plans | |
| Lung infection, with complications 178 | – | – | – | $12,768$8,170–$18,134 · 59 plans | |
| Respiratory Infections and Inflammations Without Cc/Mcc 179 | – | – | – | $10,965$6,465–$14,223 · 59 plans | |
| Respiratory Neoplasms with Mcc 180 | – | – | – | $19,501$14,265–$27,197 · 59 plans | |
| Respiratory Neoplasms with Cc 181 | – | – | – | $13,514$8,903–$18,957 · 59 plans | |
| Ms-Drg 182 182 | – | – | – | $10,955$6,456–$13,801 · 59 plans | |
| Major Chest Trauma with Mcc 183 | – | – | – | $17,386$12,444–$24,461 · 59 plans | |
| Major Chest Trauma with Cc 184 | – | – | – | $13,458$8,850–$17,072 · 59 plans | |
| Major Chest Trauma Without Cc/Mcc 185 | – | – | – | $11,219$6,708–$13,049 · 59 plans | |
| Pleural Effusion with Mcc 186 | – | – | – | $17,619$12,664–$24,607 · 59 plans | |
| Pleural Effusion with Cc 187 | – | – | – | $12,853$8,271–$16,798 · 59 plans | |
| Ms-Drg 188 188 | – | – | – | $10,660$6,244–$12,399 · 59 plans | |
| COPD, with major complications 190 | – | – | – | $13,810$9,186–$18,244 · 59 plans | |
| Chronic Obstructive Pulmonary Disease with Cc 191 | – | – | – | $11,675$7,144–$14,572 · 59 plans | |
| Chronic Obstructive Pulmonary Disease Without Cc/Mcc 192 | – | – | – | $10,054$5,888–$11,709 · 59 plans | |
| Pneumonia, with complications 194 | – | – | – | $11,376$6,858–$16,094 · 59 plans | |
| Simple Pneumonia and Pleurisy Without Cc/Mcc 195 | – | – | – | $9,945$5,808–$14,147 · 59 plans | |
| Interstitial Lung Disease with Mcc 196 | – | – | – | $20,297$15,200–$27,840 · 59 plans | |
| Interstitial Lung Disease with Cc 197 | – | – | – | $12,530$7,962–$16,377 · 59 plans | |
| Ms-Drg 198 198 | – | – | – | $10,652$6,243–$12,487 · 59 plans | |
| Pneumothorax with Mcc 199 | – | – | – | $19,485$14,251–$27,175 · 59 plans | |
| Pneumothorax with Cc 200 | – | – | – | $13,742$9,121–$17,605 · 59 plans | |
| Ms-Drg 201 201 | – | – | – | $10,643$6,242–$12,380 · 59 plans | |
| Bronchitis and Asthma with Cc/Mcc 202 | – | – | – | $12,709$8,133–$15,918 · 59 plans | |
| Bronchitis and Asthma Without Cc/Mcc 203 | – | – | – | $10,280$6,033–$11,957 · 59 plans | |
| Respiratory Signs and Symptoms 204 | – | – | – | $11,388$6,869–$13,335 · 59 plans | |
| Other Respiratory System Diagnoses with Mcc 205 | – | – | – | $19,839$14,767–$27,026 · 59 plans | |
| Other Respiratory System Diagnoses Without Mcc 206 | – | – | – | $12,466$7,901–$14,817 · 59 plans | |
| Respiratory System Diagnosis with Ventilator Support >96 Hours 207 | – | – | – | $57,904$50,027–$85,755 · 59 plans | |
| Ms-Drg 209 209 | – | – | – | $96,157$70,550–$139,085 · 63 plans | |
| Concomitant Aortic and Mitral Valve Procedures 212 | – | – | – | $93,496$70,550–$133,266 · 66 plans | |
| Ms-Drg 213 213 | – | – | – | $50,900$23,880–$73,455 · 63 plans | |
| Other Heart Assist System Implant 215 | – | – | – | $86,878$70,550–$132,021 · 71 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 216 | – | – | – | $85,445$70,550–$129,843 · 71 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit 217 | – | – | – | $60,798$56,745–$89,749 · 71 plans | |
| Ms-Drg 218 218 | – | – | – | $60,798$56,745–$89,749 · 71 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 219 | – | – | – | $70,138$65,926–$103,537 · 71 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 220 | – | – | – | $50,277$46,925–$87,387 · 71 plans | |
| Cardiac Valve and Other Major Cardiothoracic Procedures Without Cardiac Catheterization 221 | – | – | – | $47,799$44,613–$74,969 · 71 plans | |
| Other Cardiothoracic Procedures with Mcc 228 | – | – | – | $47,013$44,193–$86,175 · 71 plans | |
| Other Cardiothoracic Procedures Without Mcc 229 | – | – | – | $31,789$29,670–$74,969 · 71 plans | |
| Coronary Bypass with Ptca with Mcc 231 | – | – | – | $75,869$70,550–$112,932 · 71 plans | |
| Ms-Drg 232 232 | – | – | – | $56,457$53,231–$88,202 · 71 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation with Mcc 233 | – | – | – | $69,858$65,642–$103,123 · 71 plans | |
| Coronary Bypass with Cardiac Catheterization or Open Ablation Without Mcc 234 | – | – | – | $51,377$47,952–$76,684 · 71 plans | |
| Coronary Bypass Without Cardiac Catheterization with Mcc 235 | – | – | – | $54,814$51,160–$87,722 · 71 plans | |
| Coronary Bypass Without Cardiac Catheterization Without Mcc 236 | – | – | – | $40,590$37,131–$74,969 · 71 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Mcc 239 | – | – | – | $45,459$38,613–$67,497 · 59 plans | |
| Amputation for Circulatory System Disorders Except Upper Limb and Toe with Cc 240 | – | – | – | $28,422$22,633–$40,143 · 59 plans | |
| Ms-Drg 241 241 | – | – | – | $16,201$11,350–$22,959 · 59 plans | |
| Permanent Cardiac Pacemaker Implant with Mcc 242 | – | – | – | $30,625$17,554–$45,983 · 71 plans | |
| Permanent Cardiac Pacemaker Implant with Cc 243 | – | – | – | $22,282$17,554–$33,125 · 71 plans | |
| Permanent Cardiac Pacemaker Implant Without Cc/Mcc 244 | – | – | – | $19,842$16,521–$29,209 · 71 plans | |
| Ms-Drg 245 245 | – | – | – | $41,766$17,554–$63,778 · 71 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device with Mcc 250 | – | – | – | $22,477$16,521–$32,592 · 71 plans | |
| Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 251 | – | – | – | $17,267$13,902–$23,833 · 71 plans | |
| Other Vascular Procedures with Mcc 252 | – | – | – | $33,668$27,554–$48,042 · 59 plans | |
| Other Vascular Procedures with Cc 253 | – | – | – | $26,325$20,916–$37,565 · 59 plans | |
| Other Vascular Procedures Without Cc/Mcc 254 | – | – | – | $19,630$15,410–$27,063 · 59 plans | |
| Ms-Drg 255 255 | – | – | – | $27,162$21,306–$37,710 · 59 plans | |
| Ms-Drg 256 256 | – | – | – | $18,755$13,740–$24,828 · 59 plans | |
| Ms-Drg 257 257 | – | – | – | $13,685$9,343–$17,743 · 59 plans | |
| Ms-Drg 258 258 | – | – | – | $30,820$24,883–$45,443 · 59 plans | |
| Ms-Drg 259 259 | – | – | – | $21,607$16,405–$30,935 · 59 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Mcc 260 | – | – | – | $31,731$25,737–$48,171 · 59 plans | |
| Cardiac Pacemaker Revision Except Device Replacement with Cc 261 | – | – | – | $20,525$15,917–$29,385 · 59 plans | |
| Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 262 | – | – | – | $18,201$14,525–$26,316 · 59 plans | |
| Ms-Drg 263 263 | – | – | – | $30,123$25,143–$41,996 · 59 plans | |
| Other Circulatory System O.r. Procedures 264 | – | – | – | $32,453$27,782–$46,710 · 59 plans | |
| Ms-Drg 265 265 | – | – | – | $34,737$30,191–$49,519 · 59 plans | |
| Heart valve replacement through a catheter (TAVR), with major complications 266 | – | – | – | $55,385$53,094–$84,163 · 59 plans | |
| Heart valve replacement through a catheter (TAVR) 267 | – | – | – | $44,135$42,099–$66,655 · 59 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon with Mcc 268 | – | – | – | $60,947$26,220–$93,532 · 71 plans | |
| Aortic and Heart Assist Procedures Except Pulsation Balloon Without Mcc 269 | – | – | – | $39,023$23,686–$58,460 · 71 plans | |
| Other Major Cardiovascular Procedures with Mcc 270 | – | – | – | $47,538$25,537–$72,011 · 71 plans | |
| Other Major Cardiovascular Procedures with Cc 271 | – | – | – | $33,892$23,686–$49,714 · 71 plans | |
| Other Major Cardiovascular Procedures Without Cc/Mcc 272 | – | – | – | $26,220$22,977–$36,924 · 71 plans | |
| Percutaneous and Other Intracardiac Procedures with Mcc 273 | – | – | – | $38,147$17,554–$55,312 · 71 plans | |
| Cardiac Defibrillator Implant with Cardiac Catheterization and Mcc 275 | – | – | – | $65,498$61,177–$95,291 · 66 plans | |
| Cardiac Defibrillator Implant with Mcc or Carotid Sinus Neurostimulator 276 | – | – | – | $55,982$51,911–$83,304 · 66 plans | |
| Cardiac Defibrillator Implant Without Mcc 277 | – | – | – | $44,228$40,467–$74,969 · 66 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with Mcc 278 | – | – | – | $50,760$33,072–$73,953 · 54 plans | |
| Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures Without 279 | – | – | – | $34,470$22,216–$49,236 · 54 plans | |
| Heart attack, with complications 281 | – | – | – | $12,289$8,098–$15,335 · 59 plans | |
| Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc 282 | – | – | – | $10,708$6,458–$12,455 · 59 plans | |
| Acute Myocardial Infarction, Expired with Mcc 283 | – | – | – | $21,059$15,923–$29,554 · 59 plans | |
| Ms-Drg 284 284 | – | – | – | $10,459$6,210–$12,177 · 59 plans | |
| Ms-Drg 285 285 | – | – | – | $9,706$5,467–$11,290 · 59 plans | |
| Heart catheterization, with major complications 286 | – | – | – | $22,722$13,379–$30,933 · 71 plans | |
| Heart catheterization 287 | – | – | – | $13,641$9,631–$18,074 · 71 plans | |
| Ms-Drg 288 288 | – | – | – | $27,235$21,519–$38,110 · 59 plans | |
| Ms-Drg 289 289 | – | – | – | $18,828$14,395–$26,218 · 59 plans | |
| Ms-Drg 290 290 | – | – | – | $12,394$8,592–$16,586 · 59 plans | |
| Heart Failure and Shock with Cc 292 | – | – | – | $11,723$7,571–$14,320 · 59 plans | |
| Heart Failure and Shock Without Cc/Mcc 293 | – | – | – | $9,441$5,528–$10,981 · 59 plans | |
| Ms-Drg 294 294 | – | – | – | $15,835$13,061–$19,510 · 5 plans | |
| Ms-Drg 295 295 | – | – | – | $12,148$10,020–$14,967 · 5 plans | |
| Cardiac Arrest, Unexplained with Mcc 296 | – | – | – | $17,647$12,690–$24,856 · 59 plans | |
| Ms-Drg 297 297 | – | – | – | $9,989$5,847–$11,836 · 59 plans | |
| Ms-Drg 298 298 | – | – | – | $8,547$4,348–$9,941 · 59 plans | |
| Peripheral Vascular Disorders with Mcc 299 | – | – | – | $18,224$13,237–$24,634 · 59 plans | |
| Peripheral Vascular Disorders with Cc 300 | – | – | – | $13,485$9,124–$17,116 · 59 plans | |
| Peripheral Vascular Disorders Without Cc/Mcc 301 | – | – | – | $10,680$6,437–$12,491 · 59 plans | |
| Atherosclerosis with Mcc 302 | – | – | – | $14,526$9,872–$18,061 · 59 plans | |
| Atherosclerosis Without Mcc 303 | – | – | – | $10,305$6,057–$11,987 · 59 plans | |
| Hypertension with Mcc 304 | – | – | – | $14,473$9,821–$18,074 · 59 plans | |
| High blood pressure 305 | – | – | – | $10,966$6,466–$12,755 · 59 plans | |
| Cardiac Congenital and Valvular Disorders with Mcc 306 | – | – | – | $17,760$12,798–$24,183 · 59 plans | |
| Cardiac Congenital and Valvular Disorders Without Mcc 307 | – | – | – | $12,241$7,685–$14,555 · 59 plans | |
| Irregular heartbeat, with major complications 308 | – | – | – | $14,611$9,929–$19,429 · 59 plans | |
| Irregular heartbeat, with complications 309 | – | – | – | $10,810$6,316–$12,622 · 59 plans | |
| Irregular heartbeat 310 | – | – | – | $9,442$5,232–$10,982 · 59 plans | |
| Angina Pectoris 311 | – | – | – | $10,537$6,231–$12,256 · 59 plans | |
| Fainting 312 | – | – | – | $11,905$7,364–$14,056 · 59 plans | |
| Chest pain 313 | – | – | – | $10,683$6,233–$12,426 · 59 plans | |
| Other circulation problems, with major complications 314 | – | – | – | $22,126$16,728–$30,859 · 59 plans | |
| Other Circulatory System Diagnoses with Cc 315 | – | – | – | $12,645$8,072–$15,981 · 59 plans | |
| Other Circulatory System Diagnoses Without Cc/Mcc 316 | – | – | – | $10,377$6,128–$12,154 · 59 plans | |
| Concomitant Left Atrial Appendage Closure and Cardiac Ablation 317 | – | – | – | $59,976$42,582–$87,379 · 54 plans | |
| Ms-Drg 318 318 | – | – | – | $24,410$16,521–$33,700 · 63 plans | |
| Other Endovascular Cardiac Valve Procedures with Mcc 319 | – | – | – | $41,685$36,757–$61,501 · 59 plans | |
| Other Endovascular Cardiac Valve Procedures Without Mcc 320 | – | – | – | $24,759$20,233–$34,696 · 59 plans | |
| Heart stent, with major complications or 4+ stents 321 | – | – | – | $26,818$16,521–$37,550 · 66 plans | |
| Heart stent 322 | – | – | – | $19,381$16,157–$24,353 · 66 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device with Mcc 323 | – | – | – | $39,775$16,521–$56,991 · 66 plans | |
| Coronary Intravascular Lithotripsy with Intraluminal Device Without Mcc 324 | – | – | – | $30,288$16,521–$42,942 · 66 plans | |
| Ms-Drg 325 325 | – | – | – | $30,767$16,521–$43,686 · 66 plans | |
| Stomach, Esophageal and Duodenal Procedures with Mcc 326 | – | – | – | $45,999$39,120–$69,755 · 59 plans | |
| Stomach, Esophageal and Duodenal Procedures with Cc 327 | – | – | – | $25,079$19,498–$35,893 · 59 plans | |
| Stomach, Esophageal and Duodenal Procedures Without Cc/Mcc 328 | – | – | – | $17,976$13,002–$24,879 · 59 plans | |
| Bowel surgery, with major complications 329 | – | – | – | $42,784$36,104–$64,406 · 59 plans | |
| Bowel surgery, with complications 330 | – | – | – | $24,693$19,135–$35,545 · 59 plans | |
| Major Small and Large Bowel Procedures Without Cc/Mcc 331 | – | – | – | $18,633$13,624–$25,582 · 59 plans | |
| Ms-Drg 332 332 | – | – | – | $34,757$28,575–$50,724 · 59 plans | |
| Ms-Drg 333 333 | – | – | – | $24,017$18,711–$33,807 · 59 plans | |
| Ms-Drg 334 334 | – | – | – | $18,266$13,277–$25,727 · 59 plans | |
| Peritoneal Adhesiolysis with Mcc 335 | – | – | – | $34,347$28,191–$50,888 · 59 plans | |
| Peritoneal Adhesiolysis with Cc 336 | – | – | – | $22,320$16,909–$31,984 · 59 plans | |
| Peritoneal Adhesiolysis Without Cc/Mcc 337 | – | – | – | $17,428$12,483–$24,374 · 59 plans | |
| Ms-Drg 338 338 | – | – | – | $38,782$27,878–$41,051 · 5 plans | |
| Ms-Drg 339 339 | – | – | – | $23,533$16,917–$24,910 · 5 plans | |
| Ms-Drg 340 340 | – | – | – | $17,029$12,241–$18,026 · 5 plans | |
| Ms-Drg 341 341 | – | – | – | $32,198$23,146–$34,082 · 5 plans | |
| Ms-Drg 342 342 | – | – | – | $19,866$14,281–$21,028 · 5 plans | |
| Ms-Drg 343 343 | – | – | – | $15,370$11,049–$16,269 · 5 plans | |
| Ms-Drg 344 344 | – | – | – | $26,220$20,567–$38,692 · 59 plans | |
| Ms-Drg 345 345 | – | – | – | $17,181$12,249–$23,608 · 59 plans | |
| Ms-Drg 346 346 | – | – | – | $14,443$9,988–$19,270 · 59 plans | |
| Anal and Stomal Procedures with Mcc 347 | – | – | – | $23,857$18,351–$34,360 · 59 plans | |
| Ms-Drg 348 348 | – | – | – | $15,459$10,830–$20,415 · 59 plans | |
| Ms-Drg 349 349 | – | – | – | $11,897$7,763–$15,025 · 59 plans | |
| Inguinal and Femoral Hernia Procedures with Mcc 350 | – | – | – | $25,472$19,866–$35,525 · 59 plans | |
| Inguinal and Femoral Hernia Procedures with Cc 351 | – | – | – | $17,342$12,402–$22,628 · 59 plans | |
| Inguinal and Femoral Hernia Procedures Without Cc/Mcc 352 | – | – | – | $14,294$9,848–$17,192 · 59 plans | |
| Hernia Procedures Except Inguinal and Femoral with Mcc 353 | – | – | – | $28,845$23,030–$42,042 · 59 plans | |
| Hernia Procedures Except Inguinal and Femoral with Cc 354 | – | – | – | $18,629$13,620–$26,200 · 59 plans | |
| Hernia Procedures Except Inguinal and Femoral Without Cc/Mcc 355 | – | – | – | $15,752$11,079–$20,642 · 59 plans | |
| Other Digestive System O.r. Procedures with Mcc 356 | – | – | – | $41,108$34,532–$60,692 · 59 plans | |
| Other Digestive System O.r. Procedures with Cc 357 | – | – | – | $24,103$18,582–$33,513 · 59 plans | |
| Ms-Drg 358 358 | – | – | – | $16,311$11,443–$20,630 · 59 plans | |
| Ms-Drg 359 359 | – | – | – | $32,607$16,728–$46,776 · 63 plans | |
| Ms-Drg 360 360 | – | – | – | $24,347$16,521–$33,590 · 63 plans | |
| Major Esophageal Disorders with Mcc 368 | – | – | – | $18,069$12,922–$25,868 · 59 plans | |
| Major Esophageal Disorders with Cc 369 | – | – | – | $12,943$8,357–$17,388 · 59 plans | |
| Ms-Drg 370 370 | – | – | – | $10,528$6,230–$12,512 · 59 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Mcc 371 | – | – | – | $19,367$14,320–$27,231 · 59 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections with Cc 372 | – | – | – | $13,110$8,517–$16,825 · 59 plans | |
| Major Gastrointestinal Disorders and Peritoneal Infections Without Cc/Mcc 373 | – | – | – | $10,743$6,271–$12,528 · 59 plans | |
| Digestive Malignancy with Mcc 374 | – | – | – | $22,566$17,141–$31,473 · 59 plans | |
| Digestive Malignancy with Cc 375 | – | – | – | $14,657$9,972–$20,456 · 59 plans | |
| Ms-Drg 376 376 | – | – | – | $12,330$7,771–$15,634 · 59 plans | |
| Stomach or intestinal bleeding, with major complications 377 | – | – | – | $19,977$14,744–$27,908 · 59 plans | |
| Stomach or intestinal bleeding, with complications 378 | – | – | – | $12,785$8,206–$16,277 · 59 plans | |
| Gastrointestinal Hemorrhage Without Cc/Mcc 379 | – | – | – | $9,960$5,826–$11,585 · 59 plans | |
| Complicated Peptic Ulcer with Mcc 380 | – | – | – | $20,924$15,779–$29,448 · 59 plans | |
| Complicated Peptic Ulcer with Cc 381 | – | – | – | $13,614$8,999–$17,350 · 59 plans | |
| Ms-Drg 382 382 | – | – | – | $11,333$6,817–$13,182 · 59 plans | |
| Ms-Drg 383 383 | – | – | – | $16,140$11,292–$21,256 · 59 plans | |
| Uncomplicated Peptic Ulcer Without Mcc 384 | – | – | – | $11,770$7,235–$14,707 · 59 plans | |
| Inflammatory Bowel Disease with Mcc 385 | – | – | – | $17,813$12,848–$25,090 · 59 plans | |
| Inflammatory Bowel Disease with Cc 386 | – | – | – | $12,750$8,172–$16,288 · 59 plans | |
| Ms-Drg 387 387 | – | – | – | $10,371$6,122–$12,063 · 59 plans | |
| Gastrointestinal Obstruction with Mcc 388 | – | – | – | $16,954$12,034–$23,835 · 59 plans | |
| Bowel obstruction, with complications 389 | – | – | – | $11,246$6,733–$13,672 · 59 plans | |
| Gastrointestinal Obstruction Without Cc/Mcc 390 | – | – | – | $9,264$5,027–$10,775 · 59 plans | |
| Stomach and digestive disorders, with major complications 391 | – | – | – | $15,131$10,425–$20,192 · 59 plans | |
| Stomach and digestive disorders 392 | – | – | – | $11,164$6,448–$12,985 · 59 plans | |
| Other Digestive System Diagnoses with Mcc 393 | – | – | – | $17,952$12,979–$25,285 · 59 plans | |
| Other digestive problems, with complications 394 | – | – | – | $12,422$7,859–$15,504 · 59 plans | |
| Other Digestive System Diagnoses Without Cc/Mcc 395 | – | – | – | $10,110$5,925–$11,760 · 59 plans | |
| Ms-Drg 397 397 | – | – | – | $24,432$15,505–$34,016 · 54 plans | |
| Appendix Procedures with Cc 398 | – | – | – | $17,184$10,623–$23,277 · 54 plans | |
| Appendix Procedures Without Cc/Mcc 399 | – | – | – | $14,108$9,391–$18,781 · 54 plans | |
| Single Level Combined Anterior and Posterior Spinal Fusion Except Cervical 402 | – | – | – | $38,046$33,434–$54,478 · 66 plans | |
| Pancreas, Liver and Shunt Procedures with Mcc 405 | – | – | – | $49,973$42,848–$75,940 · 59 plans | |
| Pancreas, Liver and Shunt Procedures with Cc 406 | – | – | – | $28,830$23,016–$41,068 · 59 plans | |
| Pancreas, Liver and Shunt Procedures Without Cc/Mcc 407 | – | – | – | $23,232$17,765–$31,658 · 59 plans | |
| Ms-Drg 408 408 | – | – | – | $34,304$28,150–$50,804 · 59 plans | |
| Ms-Drg 409 409 | – | – | – | $22,884$17,439–$31,543 · 59 plans | |
| Ms-Drg 410 410 | – | – | – | $17,857$12,890–$23,673 · 59 plans | |
| Cholecystectomy with C.d.e. with Mcc 411 | – | – | – | $32,146$26,126–$47,627 · 59 plans | |
| Ms-Drg 412 412 | – | – | – | $22,269$16,862–$31,871 · 59 plans | |
| Ms-Drg 413 413 | – | – | – | $18,450$13,451–$25,774 · 59 plans | |
| Ms-Drg 414 414 | – | – | – | $34,279$28,127–$50,334 · 59 plans | |
| Cholecystectomy Except by Laparoscope Without C.d.e. with Cc 415 | – | – | – | $21,974$16,585–$30,282 · 59 plans | |
| Ms-Drg 416 416 | – | – | – | $16,029$11,205–$21,422 · 59 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Mcc 417 | – | – | – | $24,604$19,052–$34,867 · 59 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. with Cc 418 | – | – | – | $18,709$13,691–$25,346 · 59 plans | |
| Laparoscopic Cholecystectomy Without C.d.e. Without Cc/Mcc 419 | – | – | – | $15,966$11,222–$20,155 · 59 plans | |
| Hepatobiliary Diagnostic Procedures with Mcc 420 | – | – | – | $33,000$26,927–$48,613 · 59 plans | |
| Ms-Drg 421 421 | – | – | – | $19,217$14,045–$27,393 · 59 plans | |
| Ms-Drg 422 422 | – | – | – | $16,324$11,453–$21,878 · 59 plans | |
| Other Hepatobiliary or Pancreas O.r. Procedures with Mcc 423 | – | – | – | $39,136$32,682–$58,038 · 59 plans | |
| Ms-Drg 424 424 | – | – | – | $22,971$17,520–$32,689 · 59 plans | |
| Ms-Drg 425 425 | – | – | – | $17,145$12,215–$23,168 · 59 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Mcc or 426 | – | – | – | $93,757$37,431–$135,021 · 66 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical with Cc 427 | – | – | – | $63,091$34,644–$90,400 · 66 plans | |
| Multiple Level Combined Anterior and Posterior Spinal Fusion Except Cervical Without Cc/ 428 | – | – | – | $50,274$34,481–$71,951 · 66 plans | |
| Ms-Drg 429 429 | – | – | – | $77,534$36,283–$111,095 · 66 plans | |
| Combined Anterior and Posterior Cervical Spinal Fusion Without Mcc 430 | – | – | – | $51,446$34,311–$73,627 · 66 plans | |
| Cirrhosis and Alcoholic Hepatitis with Mcc 432 | – | – | – | $20,956$15,825–$29,490 · 59 plans | |
| Cirrhosis and Alcoholic Hepatitis with Cc 433 | – | – | – | $13,394$8,789–$16,913 · 59 plans | |
| Ms-Drg 434 434 | – | – | – | $10,622$6,195–$12,355 · 59 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Mcc 435 | – | – | – | $19,885$14,811–$28,008 · 59 plans | |
| Malignancy of Hepatobiliary System or Pancreas with Cc 436 | – | – | – | $13,998$9,367–$19,114 · 59 plans | |
| Ms-Drg 437 437 | – | – | – | $11,758$7,223–$15,432 · 59 plans | |
| Disorders of Pancreas Except Malignancy with Mcc 438 | – | – | – | $18,203$13,217–$25,459 · 59 plans | |
| Disorders of Pancreas Except Malignancy with Cc 439 | – | – | – | $11,660$7,130–$14,069 · 59 plans | |
| Disorders of Pancreas Except Malignancy Without Cc/Mcc 440 | – | – | – | $9,888$5,743–$11,501 · 59 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Mcc 441 | – | – | – | $19,737$14,487–$27,526 · 59 plans | |
| Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Cc 442 | – | – | – | $12,661$8,087–$15,433 · 59 plans | |
| Ms-Drg 443 443 | – | – | – | $10,519$6,229–$12,235 · 59 plans | |
| Disorders of the Biliary Tract with Mcc 444 | – | – | – | $18,535$13,531–$26,106 · 59 plans | |
| Disorders of the Biliary Tract with Cc 445 | – | – | – | $13,702$9,083–$17,607 · 59 plans | |
| Disorders of the Biliary Tract Without Cc/Mcc 446 | – | – | – | $11,548$7,023–$13,673 · 59 plans | |
| Ms-Drg 447 447 | – | – | – | $58,760$25,712–$84,194 · 66 plans | |
| Multiple Level Spinal Fusion Except Cervical Without Mcc 448 | – | – | – | $39,076$23,663–$55,991 · 66 plans | |
| Ms-Drg 450 450 | – | – | – | $47,857$24,381–$68,572 · 66 plans | |
| Single Level Spinal Fusion Except Cervical Without Mcc 451 | – | – | – | $30,989$22,945–$43,937 · 66 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 456 | – | – | – | $72,823$39,007–$112,601 · 71 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 457 | – | – | – | $53,668$39,007–$82,097 · 71 plans | |
| Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive 458 | – | – | – | $40,453$37,553–$59,716 · 71 plans | |
| Ms-Drg 461 461 | – | – | – | $49,707$24,381–$75,378 · 71 plans | |
| Bilateral or Multiple Major Joint Procedures of Lower Extremity Without Mcc 462 | – | – | – | $26,855$22,945–$40,808 · 71 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 463 | – | – | – | $51,857$48,157–$77,299 · 59 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 464 | – | – | – | $30,595$27,820–$43,511 · 59 plans | |
| Wound Debridement and Skin Graft Except Hand for Musculoskeletal and Connective Tissue D 465 | – | – | – | $19,975$16,653–$28,598 · 59 plans | |
| Revision of Hip or Knee Replacement with Mcc 466 | – | – | – | $46,965$24,381–$71,264 · 71 plans | |
| Revision of Hip or Knee Replacement with Cc 467 | – | – | – | $33,650$24,381–$49,298 · 71 plans | |
| Revision of Hip or Knee Replacement Without Cc/Mcc 468 | – | – | – | $27,578$23,594–$41,908 · 71 plans | |
| Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with Mcc or Tota 469 | – | – | – | $29,338$19,505–$42,540 · 71 plans | |
| Hip or knee replacement 470 | – | – | – | $20,841$17,943–$30,679 · 71 plans | |
| Cervical Spinal Fusion with Mcc 471 | – | – | – | $43,817$9,752–$67,500 · 71 plans | |
| Cervical Spinal Fusion with Cc 472 | – | – | – | $28,635$9,752–$42,996 · 71 plans | |
| Cervical Spinal Fusion Without Cc/Mcc 473 | – | – | – | $24,564$9,752–$36,883 · 71 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Mcc 474 | – | – | – | $40,286$33,762–$58,732 · 59 plans | |
| Amputation for Musculoskeletal System and Connective Tissue Disorders with Cc 475 | – | – | – | $23,693$18,198–$32,718 · 59 plans | |
| Ms-Drg 476 476 | – | – | – | $14,394$9,947–$17,886 · 59 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Mcc 477 | – | – | – | $33,391$27,294–$48,275 · 59 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue with Cc 478 | – | – | – | $25,203$19,614–$35,002 · 59 plans | |
| Biopsies of Musculoskeletal System and Connective Tissue Without Cc/Mcc 479 | – | – | – | $20,265$14,982–$27,163 · 59 plans | |
| Hip or thigh bone surgery (not replacement), with major complications 480 | – | – | – | $28,930$23,110–$42,077 · 59 plans | |
| Hip or thigh bone surgery (not replacement), with complications 481 | – | – | – | $22,203$16,907–$33,740 · 59 plans | |
| Hip and Femur Procedures Except Major Joint Without Cc/Mcc 482 | – | – | – | $18,390$13,724–$27,290 · 59 plans | |
| Major Joint or Limb Reattachment Procedures of Upper Extremities 483 | – | – | – | $27,775$22,026–$39,982 · 59 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Mcc 485 | – | – | – | $31,519$25,538–$46,573 · 59 plans | |
| Knee Procedures with Principal Diagnosis of Infection with Cc 486 | – | – | – | $22,175$17,659–$31,016 · 59 plans | |
| Knee Procedures with Principal Diagnosis of Infection Without Cc/Mcc 487 | – | – | – | $17,682$13,966–$24,479 · 59 plans | |
| Knee Procedures Without Principal Diagnosis of Infection with Cc/Mcc 488 | – | – | – | $19,525$14,614–$27,883 · 59 plans | |
| Knee Procedures Without Principal Diagnosis of Infection Without Cc/Mcc 489 | – | – | – | $13,906$9,959–$19,382 · 59 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Mcc 492 | – | – | – | $34,486$18,743–$50,005 · 71 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur with Cc 493 | – | – | – | $25,329$18,353–$34,613 · 71 plans | |
| Lower Extremity and Humerus Procedures Except Hip, Foot and Femur Without Cc/Mcc 494 | – | – | – | $21,479$17,228–$28,049 · 71 plans | |
| Ms-Drg 495 495 | – | – | – | $34,798$28,614–$50,792 · 59 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur with Cc 496 | – | – | – | $19,812$15,062–$28,241 · 59 plans | |
| Local Excision and Removal of Internal Fixation Devices Except Hip and Femur Without Cc/ 497 | – | – | – | $14,701$10,980–$20,928 · 59 plans | |
| Ms-Drg 498 498 | – | – | – | $29,790$21,927–$41,511 · 59 plans | |
| Ms-Drg 499 499 | – | – | – | $21,125$12,538–$28,513 · 59 plans | |
| Soft Tissue Procedures with Mcc 500 | – | – | – | $31,007$25,058–$44,521 · 59 plans | |
| Soft Tissue Procedures with Cc 501 | – | – | – | $19,334$14,127–$26,250 · 59 plans | |
| Soft Tissue Procedures Without Cc/Mcc 502 | – | – | – | $15,759$11,085–$20,317 · 59 plans | |
| Ms-Drg 503 503 | – | – | – | $27,933$22,148–$39,071 · 59 plans | |
| Foot Procedures with Cc 504 | – | – | – | $20,150$15,511–$26,776 · 59 plans | |
| Ms-Drg 505 505 | – | – | – | $19,721$14,472–$26,601 · 59 plans | |
| Ms-Drg 506 506 | – | – | – | $15,915$11,108–$22,120 · 59 plans | |
| Ms-Drg 507 507 | – | – | – | $19,833$14,577–$28,697 · 59 plans | |
| Ms-Drg 508 508 | – | – | – | $17,260$12,373–$21,775 · 59 plans | |
| Ms-Drg 509 509 | – | – | – | $23,382$16,808–$24,750 · 5 plans | |
| Ms-Drg 510 510 | – | – | – | $29,820$23,090–$41,555 · 59 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures with Cc 511 | – | – | – | $22,079$16,665–$29,546 · 59 plans | |
| Shoulder, Elbow or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc 512 | – | – | – | $18,409$13,631–$23,673 · 59 plans | |
| Hand or Wrist Procedures, Except Major Thumb or Joint Procedures with Cc/Mcc 513 | – | – | – | $17,748$12,786–$23,686 · 59 plans | |
| Ms-Drg 514 514 | – | – | – | $13,121$8,999–$15,607 · 59 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Mcc 515 | – | – | – | $31,189$26,121–$44,666 · 59 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures with Cc 516 | – | – | – | $22,068$17,832–$29,488 · 59 plans | |
| Other Musculoskeletal System and Connective Tissue O.r. Procedures Without Cc/Mcc 517 | – | – | – | $17,442$13,703–$22,075 · 59 plans | |
| Back and Neck Procedures Except Spinal Fusion with Mcc or Disc Device or Neurostimulator 518 | – | – | – | $35,016$15,187–$52,576 · 71 plans | |
| Back and Neck Procedures Except Spinal Fusion with Cc 519 | – | – | – | $21,007$13,766–$28,167 · 71 plans | |
| Back and Neck Procedures Except Spinal Fusion Without Cc/Mcc 520 | – | – | – | $17,093$12,854–$21,101 · 71 plans | |
| Hip Replacement with Principal Diagnosis of Hip Fracture with Mcc 521 | – | – | – | $28,584$23,530–$42,163 · 59 plans | |
| Hip replacement after a hip fracture 522 | – | – | – | $22,394$18,481–$34,030 · 59 plans | |
| Ms-Drg 533 533 | – | – | – | $17,552$12,735–$23,003 · 59 plans | |
| Ms-Drg 534 534 | – | – | – | $11,377$6,859–$13,289 · 59 plans | |
| Fractures of Hip and Pelvis with Mcc 535 | – | – | – | $15,218$10,531–$20,014 · 59 plans | |
| Fractures of Hip and Pelvis Without Mcc 536 | – | – | – | $11,389$6,871–$13,247 · 59 plans | |
| Ms-Drg 537 537 | – | – | – | $12,572$8,003–$15,477 · 59 plans | |
| Ms-Drg 538 538 | – | – | – | $10,685$6,247–$12,429 · 59 plans | |
| Osteomyelitis with Mcc 539 | – | – | – | $21,176$15,837–$29,534 · 59 plans | |
| Osteomyelitis with Cc 540 | – | – | – | $15,358$10,641–$20,923 · 59 plans | |
| Ms-Drg 541 541 | – | – | – | $11,226$6,715–$13,921 · 59 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Mcc 542 | – | – | – | $19,505$14,269–$27,203 · 59 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with Cc 543 | – | – | – | $13,167$8,571–$17,044 · 59 plans | |
| Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy Without Cc/M 544 | – | – | – | $10,962$6,462–$13,012 · 59 plans | |
| Connective Tissue Disorders with Mcc 545 | – | – | – | $25,388$19,787–$35,523 · 59 plans | |
| Connective Tissue Disorders with Cc 546 | – | – | – | $14,178$9,539–$19,404 · 59 plans | |
| Connective Tissue Disorders Without Cc/Mcc 547 | – | – | – | $11,620$7,091–$13,910 · 59 plans | |
| Ms-Drg 548 548 | – | – | – | $20,857$15,538–$29,120 · 59 plans | |
| Ms-Drg 549 549 | – | – | – | $14,637$9,954–$20,061 · 59 plans | |
| Ms-Drg 550 550 | – | – | – | $11,926$7,384–$14,574 · 59 plans | |
| Medical Back Problems with Mcc 551 | – | – | – | $18,577$13,572–$25,941 · 59 plans | |
| Back problems (no surgery) 552 | – | – | – | $12,629$8,057–$15,595 · 59 plans | |
| Bone Diseases and Arthropathies with Mcc 553 | – | – | – | $15,358$10,641–$20,540 · 59 plans | |
| Bone Diseases and Arthropathies Without Mcc 554 | – | – | – | $11,571$7,044–$13,458 · 59 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue with Mcc 555 | – | – | – | $15,564$10,838–$21,834 · 59 plans | |
| Signs and Symptoms of Musculoskeletal System and Connective Tissue Without Mcc 556 | – | – | – | $11,575$7,048–$13,580 · 59 plans | |
| Tendonitis, Myositis and Bursitis with Mcc 557 | – | – | – | $17,036$12,112–$22,600 · 59 plans | |
| Tendonitis, Myositis and Bursitis Without Mcc 558 | – | – | – | $12,080$7,531–$14,394 · 59 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Mcc 559 | – | – | – | $20,314$15,028–$28,332 · 59 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue with Cc 560 | – | – | – | $13,958$9,328–$17,660 · 59 plans | |
| Aftercare, Musculoskeletal System and Connective Tissue Without Cc/Mcc 561 | – | – | – | $11,360$6,842–$13,312 · 59 plans | |
| Fracture, Sprain, Strain and Dislocation Except Femur, Hip, Pelvis and Thigh with Mcc 562 | – | – | – | $16,530$11,633–$22,620 · 59 plans | |
| Fracture or sprain (not hip or thigh) 563 | – | – | – | $12,098$7,549–$14,537 · 59 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Mcc 564 | – | – | – | $17,498$12,549–$24,316 · 59 plans | |
| Other Musculoskeletal System and Connective Tissue Diagnoses with Cc 565 | – | – | – | $12,735$8,158–$16,464 · 59 plans | |
| Ms-Drg 566 566 | – | – | – | $10,919$6,421–$12,701 · 59 plans | |
| Skin Debridement with Mcc 570 | – | – | – | $29,167$23,332–$41,183 · 59 plans | |
| Skin Debridement with Cc 571 | – | – | – | $18,686$13,675–$24,704 · 59 plans | |
| Ms-Drg 572 572 | – | – | – | $14,121$9,714–$17,143 · 59 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Mcc 573 | – | – | – | $58,864$46,348–$84,274 · 59 plans | |
| Skin Graft for Skin Ulcer or Cellulitis with Cc 574 | – | – | – | $33,529$27,117–$47,791 · 59 plans | |
| Ms-Drg 575 575 | – | – | – | $19,756$14,504–$26,470 · 59 plans | |
| Ms-Drg 576 576 | – | – | – | $45,290$38,455–$68,576 · 59 plans | |
| Skin Graft Except for Skin Ulcer or Cellulitis with Cc 577 | – | – | – | $26,778$21,091–$37,320 · 59 plans | |
| Ms-Drg 578 578 | – | – | – | $18,010$13,034–$24,035 · 59 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Mcc 579 | – | – | – | $31,613$25,626–$45,210 · 59 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures with Cc 580 | – | – | – | $19,112$13,972–$25,903 · 59 plans | |
| Other Skin, Subcutaneous Tissue and Breast Procedures Without Cc/Mcc 581 | – | – | – | $16,679$11,774–$21,063 · 59 plans | |
| Ms-Drg 582 582 | – | – | – | $20,618$15,504–$27,976 · 59 plans | |
| Ms-Drg 583 583 | – | – | – | $18,971$13,944–$26,142 · 59 plans | |
| Ms-Drg 584 584 | – | – | – | $22,362$15,769–$30,209 · 59 plans | |
| Breast Biopsy, Local Excision and Other Breast Procedures Without Cc/Mcc 585 | – | – | – | $20,638$14,886–$27,359 · 59 plans | |
| Skin Ulcers with Mcc 592 | – | – | – | $20,689$15,257–$27,443 · 59 plans | |
| Skin Ulcers with Cc 593 | – | – | – | $14,443$9,793–$18,621 · 59 plans | |
| Ms-Drg 594 594 | – | – | – | $11,867$7,327–$13,803 · 59 plans | |
| Ms-Drg 595 595 | – | – | – | $22,365$17,002–$31,266 · 59 plans | |
| Major Skin Disorders Without Mcc 596 | – | – | – | $13,606$8,992–$16,525 · 59 plans | |
| Malignant Breast Disorders with Mcc 597 | – | – | – | $18,504$13,502–$26,062 · 59 plans | |
| Ms-Drg 598 598 | – | – | – | $14,000$9,368–$18,998 · 59 plans | |
| Ms-Drg 599 599 | – | – | – | $11,081$6,576–$12,889 · 59 plans | |
| Ms-Drg 600 600 | – | – | – | $13,276$8,676–$16,460 · 59 plans | |
| Ms-Drg 601 601 | – | – | – | $9,755$5,591–$11,512 · 59 plans | |
| Cellulitis with Mcc 602 | – | – | – | $16,502$11,606–$23,099 · 59 plans | |
| Skin infection (cellulitis) 603 | – | – | – | $11,900$6,757–$14,244 · 59 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast with Mcc 604 | – | – | – | $16,916$11,998–$23,571 · 59 plans | |
| Trauma to the Skin, Subcutaneous Tissue and Breast Without Mcc 605 | – | – | – | $12,264$7,707–$14,988 · 59 plans | |
| Minor Skin Disorders with Mcc 606 | – | – | – | $17,250$12,315–$24,100 · 59 plans | |
| Minor Skin Disorders Without Mcc 607 | – | – | – | $12,186$7,633–$14,174 · 59 plans | |
| Adrenal and Pituitary Procedures with Cc/Mcc 614 | – | – | – | $23,003$17,551–$33,277 · 59 plans | |
| Adrenal and Pituitary Procedures Without Cc/Mcc 615 | – | – | – | $16,323$11,452–$22,990 · 59 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Mcc 616 | – | – | – | $33,661$27,547–$49,870 · 59 plans | |
| Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with Cc 617 | – | – | – | $20,359$15,070–$28,987 · 59 plans | |
| Ms-Drg 618 618 | – | – | – | $16,477$11,289–$20,480 · 59 plans | |
| Ms-Drg 619 619 | – | – | – | $28,162$13,250–$33,754 · 71 plans | |
| O.r. Procedures for Obesity with Cc 620 | – | – | – | $17,960$13,250–$27,331 · 71 plans | |
| O.r. Procedures for Obesity Without Cc/Mcc 621 | – | – | – | $17,211$13,250–$26,443 · 71 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 622 | – | – | – | $34,251$28,101–$50,178 · 59 plans | |
| Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit 623 | – | – | – | $19,730$14,481–$27,476 · 59 plans | |
| Ms-Drg 624 624 | – | – | – | $14,999$9,808–$18,240 · 59 plans | |
| Ms-Drg 625 625 | – | – | – | $29,817$23,789–$42,226 · 59 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures with Cc 626 | – | – | – | $17,138$12,208–$24,136 · 59 plans | |
| Thyroid, Parathyroid and Thyroglossal Procedures Without Cc/Mcc 627 | – | – | – | $15,616$10,416–$19,268 · 59 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Mcc 628 | – | – | – | $35,630$29,394–$52,167 · 59 plans | |
| Other Endocrine, Nutritional and Metabolic O.r. Procedures with Cc 629 | – | – | – | $22,896$17,450–$32,780 · 59 plans | |
| Ms-Drg 630 630 | – | – | – | $16,813$11,900–$21,487 · 59 plans | |
| Diabetes, with complications 638 | – | – | – | $12,104$7,554–$14,631 · 59 plans | |
| Diabetes Without Cc/Mcc 639 | – | – | – | $9,886$5,741–$11,499 · 59 plans | |
| Inborn and Other Disorders of Metabolism 642 | – | – | – | $16,375$11,612–$21,060 · 59 plans | |
| Endocrine Disorders with Mcc 643 | – | – | – | $18,333$13,340–$25,821 · 59 plans | |
| Endocrine Disorders with Cc 644 | – | – | – | $13,143$8,548–$16,713 · 59 plans | |
| Endocrine Disorders Without Cc/Mcc 645 | – | – | – | $11,072$6,567–$12,927 · 59 plans | |
| Kidney Transplant with Hemodialysis with Mcc 650 | – | – | – | $44,930$42,313–$66,326 · 51 plans | |
| Kidney Transplant with Hemodialysis Without Mcc 651 | – | – | – | $36,500$34,067–$53,881 · 51 plans | |
| Kidney Transplant 652 | – | – | – | $31,539$29,560–$72,193 · 45 plans | |
| Major Bladder Procedures with Mcc 653 | – | – | – | $47,718$40,733–$72,513 · 59 plans | |
| Major Bladder Procedures with Cc 654 | – | – | – | $28,000$22,238–$40,439 · 59 plans | |
| Major Bladder Procedures Without Cc/Mcc 655 | – | – | – | $22,385$16,970–$30,974 · 59 plans | |
| Kidney and Ureter Procedures for Neoplasm with Mcc 656 | – | – | – | $31,163$25,204–$44,780 · 59 plans | |
| Kidney and Ureter Procedures for Neoplasm with Cc 657 | – | – | – | $20,027$14,759–$28,161 · 59 plans | |
| Kidney and Ureter Procedures for Neoplasm Without Cc/Mcc 658 | – | – | – | $17,565$13,123–$24,740 · 59 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Mcc 659 | – | – | – | $25,875$22,658–$37,191 · 59 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm with Cc 660 | – | – | – | $15,691$11,786–$21,575 · 59 plans | |
| Kidney and Ureter Procedures for Non-Neoplasm Without Cc/Mcc 661 | – | – | – | $13,226$9,233–$16,406 · 59 plans | |
| Ms-Drg 662 662 | – | – | – | $30,157$24,261–$42,811 · 59 plans | |
| Minor Bladder Procedures with Cc 663 | – | – | – | $17,307$12,369–$23,890 · 59 plans | |
| Ms-Drg 664 664 | – | – | – | $13,341$9,160–$17,861 · 59 plans | |
| Prostatectomy with Mcc 665 | – | – | – | $30,648$24,721–$43,647 · 59 plans | |
| Ms-Drg 666 666 | – | – | – | $19,347$14,136–$26,082 · 59 plans | |
| Ms-Drg 667 667 | – | – | – | $13,797$9,170–$16,277 · 59 plans | |
| Transurethral Procedures with Mcc 668 | – | – | – | $28,993$23,169–$40,898 · 59 plans | |
| Transurethral Procedures with Cc 669 | – | – | – | $17,566$12,614–$23,534 · 59 plans | |
| Ms-Drg 670 670 | – | – | – | $12,758$8,715–$15,259 · 59 plans | |
| Ms-Drg 671 671 | – | – | – | $19,739$14,489–$26,681 · 59 plans | |
| Ms-Drg 672 672 | – | – | – | $13,582$9,255–$17,538 · 59 plans | |
| Other Kidney and Urinary Tract Procedures with Mcc 673 | – | – | – | $39,535$29,344–$56,431 · 59 plans | |
| Other Kidney and Urinary Tract Procedures with Cc 674 | – | – | – | $24,211$18,683–$34,283 · 59 plans | |
| Ms-Drg 675 675 | – | – | – | $18,295$13,304–$25,736 · 59 plans | |
| Renal Failure Without Cc/Mcc 684 | – | – | – | $9,718$5,548–$11,303 · 59 plans | |
| Kidney and Urinary Tract Neoplasms with Mcc 686 | – | – | – | $19,811$14,556–$27,630 · 59 plans | |
| Kidney and Urinary Tract Neoplasms with Cc 687 | – | – | – | $13,326$8,724–$17,959 · 59 plans | |
| Ms-Drg 688 688 | – | – | – | $11,250$6,737–$13,085 · 59 plans | |
| Urinary tract infection, with major complications 689 | – | – | – | $14,234$8,516–$18,225 · 59 plans | |
| Ms-Drg 693 693 | – | – | – | $15,747$11,013–$21,465 · 59 plans | |
| Urinary Stones Without Mcc 694 | – | – | – | $11,180$6,971–$13,004 · 59 plans | |
| Ms-Drg 695 695 | – | – | – | $14,101$9,465–$18,487 · 59 plans | |
| Kidney and Urinary Tract Signs and Symptoms Without Mcc 696 | – | – | – | $10,433$6,184–$12,135 · 59 plans | |
| Ms-Drg 697 697 | – | – | – | $13,568$8,955–$16,573 · 59 plans | |
| Other kidney and urinary problems, with complications 699 | – | – | – | $13,062$8,471–$16,782 · 59 plans | |
| Other Kidney and Urinary Tract Diagnoses Without Cc/Mcc 700 | – | – | – | $10,440$6,191–$12,466 · 59 plans | |
| Major Male Pelvic Procedures with Cc/Mcc 707 | – | – | – | $21,428$16,619–$28,827 · 59 plans | |
| Major Male Pelvic Procedures Without Cc/Mcc 708 | – | – | – | $17,421$12,690–$22,633 · 59 plans | |
| Ms-Drg 709 709 | – | – | – | $24,116$18,594–$33,634 · 59 plans | |
| Ms-Drg 710 710 | – | – | – | $16,338$11,465–$23,104 · 59 plans | |
| Ms-Drg 711 711 | – | – | – | $22,115$16,717–$30,843 · 59 plans | |
| Ms-Drg 712 712 | – | – | – | $13,745$9,394–$16,508 · 59 plans | |
| Transurethral Prostatectomy with Cc/Mcc 713 | – | – | – | $17,171$12,239–$22,589 · 59 plans | |
| Transurethral Prostatectomy Without Cc/Mcc 714 | – | – | – | $13,404$8,947–$15,620 · 59 plans | |
| Ms-Drg 715 715 | – | – | – | $23,148$17,902–$32,604 · 59 plans | |
| Ms-Drg 716 716 | – | – | – | $16,770$11,989–$21,974 · 59 plans | |
| Other Male Reproductive System O.r. Procedures Except Malignancy with Cc/Mcc 717 | – | – | – | $20,385$15,226–$27,129 · 59 plans | |
| Ms-Drg 718 718 | – | – | – | $15,736$10,792–$19,468 · 59 plans | |
| Malignancy, Male Reproductive System with Mcc 722 | – | – | – | $19,665$14,602–$27,698 · 59 plans | |
| Ms-Drg 723 723 | – | – | – | $14,092$9,456–$18,740 · 59 plans | |
| Ms-Drg 724 724 | – | – | – | $10,164$5,959–$11,823 · 59 plans | |
| Ms-Drg 725 725 | – | – | – | $14,314$9,668–$20,305 · 59 plans | |
| Benign Prostatic Hypertrophy Without Mcc 726 | – | – | – | $10,699$6,253–$12,517 · 59 plans | |
| Ms-Drg 727 727 | – | – | – | $17,004$12,081–$22,870 · 59 plans | |
| Inflammation of the Male Reproductive System Without Mcc 728 | – | – | – | $11,418$6,898–$13,498 · 59 plans | |
| Ms-Drg 729 729 | – | – | – | $13,414$8,808–$16,634 · 59 plans | |
| Ms-Drg 730 730 | – | – | – | $10,296$5,988–$11,975 · 59 plans | |
| Pelvic Evisceration, Radical Hysterectomy and Radical Vulvectomy with Cc/Mcc 734 | – | – | – | $22,495$17,074–$31,968 · 59 plans | |
| Ms-Drg 735 735 | – | – | – | $15,885$11,083–$21,278 · 59 plans | |
| Ms-Drg 736 736 | – | – | – | $34,377$28,219–$50,932 · 59 plans | |
| Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with Cc 737 | – | – | – | $21,924$16,538–$30,468 · 59 plans | |
| Ms-Drg 738 738 | – | – | – | $16,886$11,970–$22,301 · 59 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Mcc 739 | – | – | – | $34,445$29,360–$51,033 · 59 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy with Cc 740 | – | – | – | $19,859$15,309–$26,956 · 59 plans | |
| Uterine and Adnexa Procedures for Non-Ovarian and Non-Adnexal Malignancy Without Cc/Mcc 741 | – | – | – | $16,541$11,328–$20,585 · 59 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy with Cc/Mcc 742 | – | – | – | $19,870$14,921–$26,089 · 59 plans | |
| Uterine and Adnexa Procedures for Non-Malignancy Without Cc/Mcc 743 | – | – | – | $14,908$10,199–$18,089 · 59 plans | |
| D&c, Conization, Laparoscopy and Tubal Interruption with Cc/Mcc 744 | – | – | – | $21,615$15,392–$28,975 · 59 plans | |
| Ms-Drg 745 745 | – | – | – | $14,050$9,654–$17,904 · 59 plans | |
| Vagina, Cervix and Vulva Procedures with Cc/Mcc 746 | – | – | – | $19,074$13,794–$24,774 · 59 plans | |
| Vagina, Cervix and Vulva Procedures Without Cc/Mcc 747 | – | – | – | $11,810$7,666–$14,521 · 59 plans | |
| Female Reproductive System Reconstructive Procedures 748 | – | – | – | $16,218$12,153–$20,588 · 59 plans | |
| Ms-Drg 749 749 | – | – | – | $26,095$20,450–$37,782 · 59 plans | |
| Ms-Drg 750 750 | – | – | – | $16,946$12,026–$22,173 · 59 plans | |
| Malignancy, Female Reproductive System with Mcc 754 | – | – | – | $20,123$14,849–$28,065 · 59 plans | |
| Malignancy, Female Reproductive System with Cc 755 | – | – | – | $13,649$9,033–$19,120 · 59 plans | |
| Ms-Drg 756 756 | – | – | – | $12,622$8,050–$15,274 · 59 plans | |
| Ms-Drg 757 757 | – | – | – | $16,588$11,687–$23,364 · 59 plans | |
| Ms-Drg 758 758 | – | – | – | $12,772$8,193–$15,970 · 59 plans | |
| Ms-Drg 759 759 | – | – | – | $10,228$6,000–$11,897 · 59 plans | |
| Ms-Drg 760 760 | – | – | – | $13,001$8,413–$15,403 · 59 plans | |
| Ms-Drg 761 761 | – | – | – | $9,477$5,272–$11,023 · 59 plans | |
| Ms-Drg 768 768 | – | – | – | $10,498$3,500–$14,194 · 71 plans | |
| Ms-Drg 769 769 | – | – | – | $18,689$13,677–$24,492 · 59 plans | |
| Ms-Drg 770 770 | – | – | – | $12,963$8,500–$15,077 · 59 plans | |
| Ms-Drg 776 776 | – | – | – | $10,156$5,954–$12,743 · 59 plans | |
| Ms-Drg 779 779 | – | – | – | $11,661$7,131–$16,580 · 59 plans | |
| Ms-Drg 783 783 | – | – | – | $24,355$5,228–$25,909 · 71 plans | |
| Ms-Drg 784 784 | – | – | – | $13,157$5,228–$14,097 · 71 plans | |
| Ms-Drg 785 785 | – | – | – | $12,349$5,228–$13,231 · 71 plans | |
| C-section, with major complications 786 | – | – | – | $17,815$5,228–$19,088 · 71 plans | |
| C-section, with complications 787 | – | – | – | $13,605$5,228–$14,577 · 71 plans | |
| C-section 788 | – | – | – | $12,357$5,228–$13,239 · 71 plans | |
| Ms-Drg 789 789 | – | – | – | $19,410$4,000–$21,293 · 54 plans | |
| Ms-Drg 790 790 | – | – | – | $52,306$4,000–$56,187 · 54 plans | |
| Ms-Drg 791 791 | – | – | – | $37,441$4,000–$40,017 · 54 plans | |
| Ms-Drg 792 792 | – | – | – | $24,394$3,357–$26,204 · 54 plans | |
| Ms-Drg 793 793 | – | – | – | $38,136$4,000–$40,966 · 54 plans | |
| Ms-Drg 794 794 | – | – | – | $16,619$2,953–$17,853 · 54 plans | |
| Newborn care (healthy baby) 795 | – | – | – | $6,488$1,389–$6,942 · 51 plans | |
| Ms-Drg 796 796 | – | – | – | $14,002$4,246–$15,002 · 71 plans | |
| Ms-Drg 797 797 | – | – | – | $12,685$4,246–$13,591 · 71 plans | |
| Ms-Drg 798 798 | – | – | – | $12,343$4,246–$13,225 · 71 plans | |
| Ms-Drg 799 799 | – | – | – | $42,228$35,583–$63,482 · 59 plans | |
| Ms-Drg 800 800 | – | – | – | $28,084$22,316–$41,030 · 59 plans | |
| Ms-Drg 801 801 | – | – | – | $20,473$14,466–$27,087 · 59 plans | |
| Ms-Drg 802 802 | – | – | – | $37,746$30,924–$54,545 · 59 plans | |
| Ms-Drg 803 803 | – | – | – | $20,265$14,982–$28,079 · 59 plans | |
| Ms-Drg 804 804 | – | – | – | $15,852$11,155–$20,734 · 59 plans | |
| Vaginal birth, with major complications 805 | – | – | – | $13,308$4,246–$14,259 · 71 plans | |
| Vaginal birth, with complications 806 | – | – | – | $10,738$4,246–$11,505 · 71 plans | |
| Vaginal birth 807 | – | – | – | $10,107$4,246–$10,829 · 71 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 808 | – | – | – | $23,136$17,675–$32,267 · 59 plans | |
| Major Hematological and Immunological Diagnoses Except Sickle Cell Crisis and Coagulatio 809 | – | – | – | $15,102$10,407–$19,857 · 59 plans | |
| Ms-Drg 810 810 | – | – | – | $13,317$8,715–$16,023 · 59 plans | |
| Anemia and blood disorders, with major complications 811 | – | – | – | $16,363$11,475–$22,160 · 59 plans | |
| Anemia and blood disorders 812 | – | – | – | $12,281$7,724–$14,692 · 59 plans | |
| Coagulation Disorders 813 | – | – | – | $17,349$12,408–$24,375 · 59 plans | |
| Reticuloendothelial and Immunity Disorders with Mcc 814 | – | – | – | $22,247$16,931–$30,337 · 59 plans | |
| Reticuloendothelial and Immunity Disorders with Cc 815 | – | – | – | $13,054$8,463–$16,352 · 59 plans | |
| Ms-Drg 816 816 | – | – | – | $9,973$5,836–$11,600 · 59 plans | |
| Ms-Drg 817 817 | – | – | – | $23,742$18,243–$33,271 · 59 plans | |
| Ms-Drg 818 818 | – | – | – | $14,249$9,583–$20,157 · 59 plans | |
| Ms-Drg 819 819 | – | – | – | $11,811$7,274–$15,094 · 59 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Mcc 820 | – | – | – | $53,217$45,890–$80,208 · 59 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures with Cc 821 | – | – | – | $23,388$17,912–$32,619 · 59 plans | |
| Lymphoma and Leukemia with Major O.r. Procedures Without Cc/Mcc 822 | – | – | – | $14,611$10,111–$20,746 · 59 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Mcc 823 | – | – | – | $42,688$36,014–$63,089 · 59 plans | |
| Lymphoma and Non-Acute Leukemia with Other Procedures with Cc 824 | – | – | – | $23,610$18,120–$33,715 · 59 plans | |
| Ms-Drg 825 825 | – | – | – | $15,787$11,109–$22,418 · 59 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 826 | – | – | – | $43,453$36,731–$64,250 · 59 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 827 | – | – | – | $23,985$18,472–$34,339 · 59 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.r. Procedur 828 | – | – | – | $18,803$13,785–$26,483 · 59 plans | |
| Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures Wi 829 | – | – | – | $30,967$25,021–$44,456 · 59 plans | |
| Ms-Drg 830 830 | – | – | – | $17,184$12,251–$24,203 · 59 plans | |
| Ms-Drg 831 831 | – | – | – | $14,574$9,918–$18,418 · 59 plans | |
| Ms-Drg 832 832 | – | – | – | $10,696$6,241–$12,944 · 59 plans | |
| Ms-Drg 833 833 | – | – | – | $9,093$4,663–$10,577 · 59 plans | |
| Acute Leukemia with Mcc 834 | – | – | – | $50,133$42,997–$75,177 · 59 plans | |
| Acute Leukemia with Cc 835 | – | – | – | $22,131$16,733–$30,866 · 59 plans | |
| Ms-Drg 836 836 | – | – | – | $14,711$10,049–$20,018 · 59 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy a 837 | – | – | – | $44,493$37,707–$67,250 · 59 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis with Cc or High Dose Chemotherap 838 | – | – | – | $22,144$16,745–$31,704 · 59 plans | |
| Chemotherapy with Acute Leukemia As Secondary Diagnosis Without Cc/Mcc 839 | – | – | – | $16,686$11,780–$23,502 · 59 plans | |
| Lymphoma and Non-Acute Leukemia with Mcc 840 | – | – | – | $31,584$25,599–$45,475 · 59 plans | |
| Lymphoma and Non-Acute Leukemia with Cc 841 | – | – | – | $18,213$13,227–$25,653 · 59 plans | |
| Lymphoma and Non-Acute Leukemia Without Cc/Mcc 842 | – | – | – | $13,025$8,435–$18,456 · 59 plans | |
| Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with Mc 843 | – | – | – | $21,383$16,031–$29,822 · 59 plans | |
| Ms-Drg 844 844 | – | – | – | $14,694$10,032–$19,247 · 59 plans | |
| Ms-Drg 845 845 | – | – | – | $11,744$7,210–$14,140 · 59 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Mcc 846 | – | – | – | $26,299$20,642–$37,465 · 59 plans | |
| Chemotherapy Without Acute Leukemia As Secondary Diagnosis with Cc 847 | – | – | – | $15,454$10,733–$21,390 · 59 plans | |
| Ms-Drg 848 848 | – | – | – | $11,726$7,193–$16,472 · 59 plans | |
| Radiotherapy 849 | – | – | – | $27,262$21,545–$38,052 · 59 plans | |
| Ms-Drg 850 850 | – | – | – | $76,205$49,868–$111,024 · 54 plans | |
| Infectious and Parasitic Diseases with O.r. Procedures with Cc 854 | – | – | – | $20,990$12,855–$28,288 · 59 plans | |
| Ms-Drg 855 855 | – | – | – | $17,120$12,191–$22,889 · 59 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Mcc 856 | – | – | – | $42,391$35,735–$63,752 · 59 plans | |
| Postoperative or Post-Traumatic Infections with O.r. Procedures with Cc 857 | – | – | – | $22,589$17,162–$31,294 · 59 plans | |
| Ms-Drg 858 858 | – | – | – | $16,271$11,408–$20,744 · 59 plans | |
| Postoperative and Post-Traumatic Infections with Mcc 862 | – | – | – | $19,975$14,710–$27,859 · 59 plans | |
| Postoperative and Post-Traumatic Infections Without Mcc 863 | – | – | – | $12,924$8,339–$16,545 · 59 plans | |
| Fever and Inflammatory Conditions 864 | – | – | – | $12,035$7,489–$14,574 · 59 plans | |
| Viral Illness with Mcc 865 | – | – | – | $17,129$12,200–$23,629 · 59 plans | |
| Viral Illness Without Mcc 866 | – | – | – | $11,889$7,349–$14,055 · 59 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Mcc 867 | – | – | – | $22,192$16,790–$31,562 · 59 plans | |
| Other Infectious and Parasitic Diseases Diagnoses with Cc 868 | – | – | – | $13,192$8,595–$17,316 · 59 plans | |
| Ms-Drg 869 869 | – | – | – | $10,761$6,283–$12,517 · 59 plans | |
| O.r. Procedures with Principal Diagnosis of Mental Illness 876 | – | – | – | $36,045$2,498–$46,287 · 55 plans | |
| Acute Adjustment Reaction and Psychosocial Dysfunction 880 | – | – | – | $12,620$2,467–$13,592 · 54 plans | |
| Depressive Neuroses 881 | – | – | – | $12,464$2,467–$13,424 · 54 plans | |
| Neuroses Except Depressive 882 | – | – | – | $13,536$2,467–$14,714 · 54 plans | |
| Disorders of Personality and Impulse Control 883 | – | – | – | $20,734$2,467–$22,932 · 54 plans | |
| Delirium and other mental confusion 884 | – | – | – | $17,851$2,467–$19,540 · 54 plans | |
| Psychoses 885 | – | – | – | $16,141$2,467–$17,545 · 54 plans | |
| Ms-Drg 886 886 | – | – | – | $21,613$2,467–$24,114 · 54 plans | |
| Ms-Drg 887 887 | – | – | – | $13,513$2,467–$14,688 · 54 plans | |
| Alcohol, Drug Abuse or Dependence, Left Ama 894 | – | – | – | $9,763$2,265–$10,600 · 55 plans | |
| Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy 895 | – | – | – | $16,293$2,265–$17,694 · 55 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy with Mcc 896 | – | – | – | $18,950$2,265–$20,769 · 55 plans | |
| Alcohol, Drug Abuse or Dependence Without Rehabilitation Therapy Without Mcc 897 | – | – | – | $11,996$2,265–$12,907 · 55 plans | |
| Ms-Drg 901 901 | – | – | – | $39,494$33,019–$58,768 · 59 plans | |
| Wound Debridements for Injuries with Cc 902 | – | – | – | $20,722$15,411–$28,854 · 59 plans | |
| Ms-Drg 903 903 | – | – | – | $14,309$9,874–$17,564 · 59 plans | |
| Skin Grafts for Injuries with Cc/Mcc 904 | – | – | – | $35,188$28,980–$51,697 · 59 plans | |
| Ms-Drg 905 905 | – | – | – | $17,008$12,085–$23,955 · 59 plans | |
| Ms-Drg 906 906 | – | – | – | $21,132$15,795–$30,584 · 59 plans | |
| Other O.r. Procedures for Injuries with Mcc 907 | – | – | – | $36,555$30,262–$53,997 · 59 plans | |
| Other O.r. Procedures for Injuries with Cc 908 | – | – | – | $21,386$16,034–$29,826 · 59 plans | |
| Other O.r. Procedures for Injuries Without Cc/Mcc 909 | – | – | – | $15,521$10,857–$20,696 · 59 plans | |
| Traumatic Injury with Mcc 913 | – | – | – | $18,239$13,251–$25,671 · 59 plans | |
| Traumatic Injury Without Mcc 914 | – | – | – | $12,018$7,472–$14,702 · 59 plans | |
| Ms-Drg 915 915 | – | – | – | $18,622$13,614–$26,229 · 59 plans | |
| Allergic Reactions Without Mcc 916 | – | – | – | $10,250$6,014–$11,922 · 59 plans | |
| Poisoning and Toxic Effects of Drugs with Mcc 917 | – | – | – | $17,700$12,741–$23,798 · 59 plans | |
| Poisoning and Toxic Effects of Drugs Without Mcc 918 | – | – | – | $11,789$7,253–$13,712 · 59 plans | |
| Complications of Treatment with Mcc 919 | – | – | – | $20,034$14,765–$27,940 · 59 plans | |
| Complications of Treatment with Cc 920 | – | – | – | $12,960$8,373–$16,723 · 59 plans | |
| Complications of Treatment Without Cc/Mcc 921 | – | – | – | $10,428$6,179–$12,129 · 59 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses with Mcc 922 | – | – | – | $19,174$14,137–$25,609 · 59 plans | |
| Other Injury, Poisoning and Toxic Effect Diagnoses Without Mcc 923 | – | – | – | $13,084$8,492–$15,678 · 59 plans | |
| Ms-Drg 927 927 | – | – | – | $180,598$93,593–$256,733 · 51 plans | |
| Full Thickness Burn with Skin Graft or Inhalation Injury with Cc/Mcc 928 | – | – | – | $63,975$33,566–$88,794 · 51 plans | |
| Ms-Drg 929 929 | – | – | – | $31,159$16,834–$43,675 · 51 plans | |
| Ms-Drg 933 933 | – | – | – | $36,644$19,685–$51,363 · 51 plans | |
| Full Thickness Burn Without Skin Graft or Inhalation Injury 934 | – | – | – | $22,750$12,557–$32,142 · 51 plans | |
| Non-Extensive Burns 935 | – | – | – | $21,533$11,919–$30,422 · 51 plans | |
| Ms-Drg 939 939 | – | – | – | $34,821$28,179–$49,659 · 59 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services with Cc 940 | – | – | – | $24,197$18,670–$33,151 · 59 plans | |
| O.r. Procedures with Diagnoses of Other Contact with Health Services Without Cc/Mcc 941 | – | – | – | $21,653$16,284–$28,900 · 59 plans | |
| Rehabilitation with Cc/Mcc 945 | – | – | – | $17,191$1,253–$18,372 · 57 plans | |
| Rehabilitation Without Cc/Mcc 946 | – | – | – | $13,984$1,253–$14,944 · 57 plans | |
| Signs and Symptoms with Mcc 947 | – | – | – | $15,114$10,434–$19,491 · 59 plans | |
| Signs and Symptoms Without Mcc 948 | – | – | – | $11,332$6,816–$13,236 · 59 plans | |
| Aftercare with Cc/Mcc 949 | – | – | – | $14,471$9,819–$18,237 · 59 plans | |
| Aftercare Without Cc/Mcc 950 | – | – | – | $9,939$5,801–$12,244 · 59 plans | |
| Other Factors Influencing Health Status 951 | – | – | – | $9,360$5,138–$10,887 · 59 plans | |
| Ms-Drg 955 955 | – | – | – | $60,343$51,939–$90,646 · 59 plans | |
| Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma 956 | – | – | – | $35,928$29,673–$53,229 · 59 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Mcc 957 | – | – | – | $67,654$59,092–$102,807 · 59 plans | |
| Other O.r. Procedures for Multiple Significant Trauma with Cc 958 | – | – | – | $39,637$33,152–$58,459 · 59 plans | |
| Ms-Drg 959 959 | – | – | – | $29,192$22,970–$40,797 · 59 plans | |
| Other Multiple Significant Trauma with Mcc 963 | – | – | – | $27,462$21,732–$38,677 · 59 plans | |
| Other Multiple Significant Trauma with Cc 964 | – | – | – | $17,408$12,464–$23,886 · 59 plans | |
| Ms-Drg 965 965 | – | – | – | $12,461$7,896–$15,153 · 59 plans | |
| Ms-Drg 969 969 | – | – | – | $55,326$47,869–$83,650 · 59 plans | |
| Ms-Drg 970 970 | – | – | – | $26,669$20,989–$39,511 · 59 plans | |
| Hiv with Major Related Condition with Mcc 974 | – | – | – | $28,714$22,907–$40,438 · 59 plans | |
| Hiv with Major Related Condition with Cc 975 | – | – | – | $15,347$10,631–$20,672 · 59 plans | |
| Ms-Drg 976 976 | – | – | – | $12,156$7,604–$15,540 · 59 plans | |
| Ms-Drg 977 977 | – | – | – | $15,369$10,652–$21,215 · 59 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 981 | – | – | – | $43,568$36,839–$64,425 · 59 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 982 | – | – | – | $25,197$19,608–$35,946 · 59 plans | |
| Extensive O.r. Procedures Unrelated to Principal Diagnosis Without Cc/Mcc 983 | – | – | – | $18,886$13,864–$24,961 · 59 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Mcc 987 | – | – | – | $33,175$27,092–$47,314 · 59 plans | |
| Non-Extensive O.r. Procedures Unrelated to Principal Diagnosis with Cc 988 | – | – | – | $18,313$13,321–$25,444 · 59 plans | |
| Ms-Drg 989 989 | – | – | – | $14,573$9,987–$17,530 · 59 plans | |
| Ms-Drg 998 998 | – | – | – | $4,974$4,828–$7,096 · 40 plans | |
| Ms-Drg 999 999 | – | – | – | $4,974$4,828–$7,096 · 40 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 | – | – | $4,616$948–$27,971 · 12 plans |
| Cataract surgery CPT 66984 | – | – | $3,531$948–$4,790 · 40 plans |
| Colonoscopy CPT 45378 | – | – | $2,005$368–$2,982 · 40 plans |
| Colonoscopy with biopsy CPT 45380 | – | – | $2,211$481–$2,982 · 40 plans |
| Complete blood count (CBC) CPT 85025 | – | – | $8$7–$42 · 73 plans |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,097 | $2,097 | $22$11–$1,258 · 103 plans |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $34,566 | $34,566 | $1,703$323–$26,443 · 58 plans |
| Emergency room visit, highest level CPT 99285 | $7,151 | $7,151 | $4,407$1,407–$6,271 · 55 plans |
| Gallbladder removal (laparoscopic) CPT 47562 | – | – | $6,303$2,116–$10,868 · 40 plans |
| Hip replacement CPT 27130 | – | – | $12,000$1,415–$41,830 · 35 plans |
| Knee arthroscopy (meniscus) CPT 29881 | – | – | $5,527$1,219–$7,026 · 41 plans |
| Knee replacement CPT 27447 | – | – | $12,000$1,415–$41,830 · 35 plans |
| MRI of the brain, with and without contrast CPT 70553 | $25,098 | $25,098 | $2,099$337–$19,200 · 58 plans |
| MRI of the knee, without contrast CPT 73721 | $20,844 | $20,844 | $2,099$214–$15,946 · 58 plans |
| Vaginal delivery, with prenatal and postpartum care CPT 59400 | – | – | $4,616$948–$25,228 · 12 plans |
Price file: HCA Houston Healthcare Kingwood, read November 9, 2026.