A DRG, or diagnostic related grouping, is how Medicare and other health insurance companies categorize hospitalization acuity and determine payment for a patient’s hospital stay. The charges are almost always not the price paid. The assignment of the DRG, based on patient diagnoses, procedures and other factors, determines the fixed amount the insurer will pay.
| Inpatient Charges by Diagnostic Related Grouping (DRG) | |
| Fiscal MS DRG | Avg Charge per Case |
| 003-ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R. | $1,600,960 |
| 004-TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. | $335,168 |
| 023-CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR | $222,610 |
| 025-CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC | $150,081 |
| 026-CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC | $195,610 |
| 027-CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC | $49,512 |
| 029-SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS | $84,496 |
| 030-SPINAL PROCEDURES W/O CC/MCC | $52,579 |
| 037-EXTRACRANIAL PROCEDURES W MCC | $356,313 |
| 038-EXTRACRANIAL PROCEDURES W CC | $76,865 |
| 039-EXTRACRANIAL PROCEDURES W/O CC/MCC | $41,839 |
| 040-PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC | $91,790 |
| 041-PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM | $88,863 |
| 042-PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC | $65,941 |
| 054-NERVOUS SYSTEM NEOPLASMS W MCC | $44,163 |
| 055-NERVOUS SYSTEM NEOPLASMS W/O MCC | $30,339 |
| 056-DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC | $94,577 |
| 057-DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC | $40,081 |
| 058-MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC | $42,757 |
| 059-MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC | $27,488 |
| 060-MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC | $35,205 |
| 061-ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC | $82,317 |
| 062-ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC | $64,099 |
| 063-ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC | $63,125 |
| 064-INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC | $81,560 |
| 065-INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS | $51,931 |
| 066-INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC | $44,585 |
| 067-NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC | $81,890 |
| 068-NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC | $43,607 |
| 069-TRANSIENT ISCHEMIA W/O THROMBOLYTIC | $41,520 |
| 070-NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC | $32,505 |
| 071-NONSPECIFIC CEREBROVASCULAR DISORDERS W CC | $49,843 |
| 072-NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC | $35,274 |
| 073-CRANIAL & PERIPHERAL NERVE DISORDERS W MCC | $44,026 |
| 074-CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC | $43,134 |
| 082-TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC | $98,171 |
| 083-TRAUMATIC STUPOR & COMA, COMA >1 HR W CC | $51,000 |
| 084-TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC | $30,814 |
| 085-TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC | $81,031 |
| 086-TRAUMATIC STUPOR & COMA, COMA <1 HR W CC | $60,488 |
| 087-TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC | $25,018 |
| 089-CONCUSSION W CC | $55,833 |
| 090-CONCUSSION W/O CC/MCC | $42,061 |
| 091-OTHER DISORDERS OF NERVOUS SYSTEM W MCC | $96,423 |
| 092-OTHER DISORDERS OF NERVOUS SYSTEM W CC | $45,159 |
| 093-OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC | $41,235 |
| 094-BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC | $95,948 |
| 097-NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC | $75,548 |
| 098-NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC | $54,917 |
| 099-NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC | $63,015 |
| 100-SEIZURES W MCC | $74,350 |
| 101-SEIZURES W/O MCC | $32,267 |
| 102-HEADACHES W MCC | $72,017 |
| 103-HEADACHES W/O MCC | $37,203 |
| 121-ACUTE MAJOR EYE INFECTIONS W CC/MCC | $41,239 |
| 125-OTHER DISORDERS OF THE EYE W/O MCC | $27,454 |
| 146-EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC | $55,207 |
| 149-DYSEQUILIBRIUM | $34,534 |
| 152-OTITIS MEDIA & URI W MCC | $41,897 |
| 153-OTITIS MEDIA & URI W/O MCC | $35,763 |
| 154-OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC | $306,498 |
| 155-OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC | $37,945 |
| 156-OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC | $32,944 |
| 157-DENTAL & ORAL DISEASES W MCC | $45,974 |
| 158-DENTAL & ORAL DISEASES W CC | $23,194 |
| 159-DENTAL & ORAL DISEASES W/O CC/MCC | $34,466 |
| 163-MAJOR CHEST PROCEDURES W MCC | $179,920 |
| 164-MAJOR CHEST PROCEDURES W CC | $90,496 |
| 165-MAJOR CHEST PROCEDURES W/O CC/MCC | $31,427 |
| 166-OTHER RESP SYSTEM O.R. PROCEDURES W MCC | $137,701 |
| 167-OTHER RESP SYSTEM O.R. PROCEDURES W CC | $77,609 |
| 168-OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC | $17,315 |
| 176-PULMONARY EMBOLISM W/O MCC | $37,305 |
| 177-RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC | $67,773 |
| 178-RESPIRATORY INFECTIONS & INFLAMMATIONS W CC | $48,179 |
| 179-RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC | $36,286 |
| 180-RESPIRATORY NEOPLASMS W MCC | $69,143 |
| 181-RESPIRATORY NEOPLASMS W CC | $85,697 |
| 184-MAJOR CHEST TRAUMA W CC | $60,585 |
| 186-PLEURAL EFFUSION W MCC | $87,751 |
| 187-PLEURAL EFFUSION W CC | $47,673 |
| 189-PULMONARY EDEMA & RESPIRATORY FAILURE | $63,075 |
| 190-CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC | $67,168 |
| 191-CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC | $41,233 |
| 192-CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC | $36,341 |
| 193-SIMPLE PNEUMONIA & PLEURISY W MCC | $76,671 |
| 194-SIMPLE PNEUMONIA & PLEURISY W CC | $44,291 |
| 195-SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC | $33,475 |
| 196-INTERSTITIAL LUNG DISEASE W MCC | $34,780 |
| 199-PNEUMOTHORAX W MCC | $68,849 |
| 200-PNEUMOTHORAX W CC | $62,954 |
| 201-PNEUMOTHORAX W/O CC/MCC | $14,740 |
| 202-BRONCHITIS & ASTHMA W CC/MCC | $47,934 |
| 203-BRONCHITIS & ASTHMA W/O CC/MCC | $30,972 |
| 204-RESPIRATORY SIGNS & SYMPTOMS | $43,546 |
| 205-OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC | $41,344 |
| 206-OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC | $35,367 |
| 208-RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS | $138,036 |
| 239-AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC | $240,865 |
| 240-AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC | $141,869 |
| 242-PERMANENT CARDIAC PACEMAKER IMPLANT W MCC | $99,648 |
| 243-PERMANENT CARDIAC PACEMAKER IMPLANT W CC | $91,310 |
| 244-PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC | $46,239 |
| 248-PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS | $64,574 |
| 252-OTHER VASCULAR PROCEDURES W MCC | $146,337 |
| 253-OTHER VASCULAR PROCEDURES W CC | $131,574 |
| 254-OTHER VASCULAR PROCEDURES W/O CC/MCC | $86,095 |
| 260-CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC | $84,678 |
| 261-CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC | $64,823 |
| 264-OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $324,471 |
| 268-AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC | $123,850 |
| 269-AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC | $143,521 |
| 270-OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC | $196,291 |
| 271-OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC | $118,988 |
| 272-OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC | $91,025 |
| 280-ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC | $48,396 |
| 281-ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC | $37,389 |
| 282-ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC | $26,395 |
| 286-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC | $97,917 |
| 287-CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC | $41,481 |
| 288-ACUTE & SUBACUTE ENDOCARDITIS W MCC | $77,557 |
| 292-HEART FAILURE & SHOCK W CC | $52,364 |
| 293-HEART FAILURE & SHOCK W/O CC/MCC | $26,014 |
| 299-PERIPHERAL VASCULAR DISORDERS W MCC | $60,710 |
| 300-PERIPHERAL VASCULAR DISORDERS W CC | $46,627 |
| 301-PERIPHERAL VASCULAR DISORDERS W/O CC/MCC | $33,533 |
| 302-ATHEROSCLEROSIS W MCC | $41,020 |
| 303-ATHEROSCLEROSIS W/O MCC | $28,039 |
| 304-HYPERTENSION W MCC | $65,572 |
| 305-HYPERTENSION W/O MCC | $37,694 |
| 306-CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC | $25,181 |
| 307-CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC | $75,930 |
| 308-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC | $76,119 |
| 309-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC | $35,961 |
| 310-CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC | $26,579 |
| 311-ANGINA PECTORIS | $31,586 |
| 312-SYNCOPE & COLLAPSE | $45,296 |
| 313-CHEST PAIN | $37,600 |
| 314-OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC | $72,432 |
| 315-OTHER CIRCULATORY SYSTEM DIAGNOSES W CC | $49,731 |
| 316-OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC | $47,016 |
| 326-STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC | $148,987 |
| 327-STOMACH, ESOPHAGEAL & DUODENAL PROC W CC | $155,737 |
| 328-STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC | $58,282 |
| 329-MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC | $151,923 |
| 330-MAJOR SMALL & LARGE BOWEL PROCEDURES W CC | $98,963 |
| 331-MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC | $55,887 |
| 333-RECTAL RESECTION W CC | $75,886 |
| 335-PERITONEAL ADHESIOLYSIS W MCC | $113,837 |
| 336-PERITONEAL ADHESIOLYSIS W CC | $65,201 |
| 337-PERITONEAL ADHESIOLYSIS W/O CC/MCC | $47,161 |
| 338-APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC | $46,985 |
| 339-APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC | $52,159 |
| 340-APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $47,934 |
| 342-APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC | $45,667 |
| 343-APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC | $38,933 |
| 345-MINOR SMALL & LARGE BOWEL PROCEDURES W CC | $52,631 |
| 346-MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC | $40,559 |
| 348-ANAL & STOMAL PROCEDURES W CC | $53,955 |
| 349-ANAL & STOMAL PROCEDURES W/O CC/MCC | $33,904 |
| 350-INGUINAL & FEMORAL HERNIA PROCEDURES W MCC | $97,931 |
| 351-INGUINAL & FEMORAL HERNIA PROCEDURES W CC | $53,342 |
| 352-INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC | $36,362 |
| 353-HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC | $63,270 |
| 354-HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC | $64,635 |
| 355-HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC | $61,324 |
| 356-OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC | $203,242 |
| 357-OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC | $124,556 |
| 358-OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC | $82,977 |
| 368-MAJOR ESOPHAGEAL DISORDERS W MCC | $67,533 |
| 369-MAJOR ESOPHAGEAL DISORDERS W CC | $39,673 |
| 371-MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC | $85,589 |
| 372-MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC | $66,522 |
| 373-MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC | $42,041 |
| 374-DIGESTIVE MALIGNANCY W MCC | $117,759 |
| 375-DIGESTIVE MALIGNANCY W CC | $47,708 |
| 376-DIGESTIVE MALIGNANCY W/O CC/MCC | $79,698 |
| 377-G.I. HEMORRHAGE W MCC | $89,668 |
| 378-G.I. HEMORRHAGE W CC | $49,638 |
| 379-G.I. HEMORRHAGE W/O CC/MCC | $31,763 |
| 380-COMPLICATED PEPTIC ULCER W MCC | $71,063 |
| 381-COMPLICATED PEPTIC ULCER W CC | $55,387 |
| 382-COMPLICATED PEPTIC ULCER W/O CC/MCC | $28,050 |
| 384-UNCOMPLICATED PEPTIC ULCER W/O MCC | $36,297 |
| 385-INFLAMMATORY BOWEL DISEASE W MCC | $31,512 |
| 386-INFLAMMATORY BOWEL DISEASE W CC | $45,782 |
| 387-INFLAMMATORY BOWEL DISEASE W/O CC/MCC | $28,515 |
| 388-G.I. OBSTRUCTION W MCC | $103,278 |
| 389-G.I. OBSTRUCTION W CC | $43,882 |
| 390-G.I. OBSTRUCTION W/O CC/MCC | $31,686 |
| 391-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC | $72,213 |
| 392-ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC | $37,442 |
| 393-OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC | $76,699 |
| 394-OTHER DIGESTIVE SYSTEM DIAGNOSES W CC | $43,001 |
| 395-OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC | $31,260 |
| 405-PANCREAS, LIVER & SHUNT PROCEDURES W MCC | $150,415 |
| 406-PANCREAS, LIVER & SHUNT PROCEDURES W CC | $178,952 |
| 416-CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC | $33,589 |
| 417-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC | $86,064 |
| 418-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC | $64,704 |
| 419-LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC | $48,274 |
| 432-CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC | $64,890 |
| 433-CIRRHOSIS & ALCOHOLIC HEPATITIS W CC | $55,171 |
| 434-CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC | $40,338 |
| 435-MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC | $161,211 |
| 436-MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC | $66,794 |
| 438-DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC | $70,392 |
| 439-DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC | $44,137 |
| 440-DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC | $28,241 |
| 444-DISORDERS OF THE BILIARY TRACT W MCC | $77,611 |
| 445-DISORDERS OF THE BILIARY TRACT W CC | $41,774 |
| 446-DISORDERS OF THE BILIARY TRACT W/O CC/MCC | $42,453 |
| 454-COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC | $80,554 |
| 455-COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC | $70,549 |
| 460-SPINAL FUSION EXCEPT CERVICAL W/O MCC | $66,962 |
| 462-BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC | $53,984 |
| 464-WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC | $64,321 |
| 466-REVISION OF HIP OR KNEE REPLACEMENT W MCC | $105,997 |
| 467-REVISION OF HIP OR KNEE REPLACEMENT W CC | $96,204 |
| 468-REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC | $48,114 |
| 469-MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT | $263,259 |
| 470-MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC | $53,411 |
| 472-CERVICAL SPINAL FUSION W CC | $35,620 |
| 473-CERVICAL SPINAL FUSION W/O CC/MCC | $57,928 |
| 475-AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC | $67,323 |
| 477-BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC | $144,910 |
| 478-BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC | $81,886 |
| 480-HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC | $88,424 |
| 481-HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC | $66,071 |
| 482-HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC | $52,578 |
| 483-MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $53,928 |
| 486-KNEE PROCEDURES W PDX OF INFECTION W CC | $59,007 |
| 488-KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC | $54,122 |
| 489-KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC | $21,371 |
| 496-LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC | $20,928 |
| 500-SOFT TISSUE PROCEDURES W MCC | $69,630 |
| 501-SOFT TISSUE PROCEDURES W CC | $71,725 |
| 502-SOFT TISSUE PROCEDURES W/O CC/MCC | $60,649 |
| 503-FOOT PROCEDURES W MCC | $103,749 |
| 515-OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC | $177,652 |
| 516-OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC | $115,253 |
| 517-OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC | $45,098 |
| 518-BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM | $64,088 |
| 519-BACK & NECK PROC EXC SPINAL FUSION W CC | $45,233 |
| 520-BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC | $52,110 |
| 533-FRACTURES OF FEMUR W MCC | $97,214 |
| 534-FRACTURES OF FEMUR W/O MCC | $28,261 |
| 535-FRACTURES OF HIP & PELVIS W MCC | $78,693 |
| 536-FRACTURES OF HIP & PELVIS W/O MCC | $41,307 |
| 539-OSTEOMYELITIS W MCC | $82,059 |
| 540-OSTEOMYELITIS W CC | $39,917 |
| 542-PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC | $59,470 |
| 543-PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC | $36,023 |
| 544-PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC | $39,236 |
| 545-CONNECTIVE TISSUE DISORDERS W MCC | $95,079 |
| 546-CONNECTIVE TISSUE DISORDERS W CC | $65,142 |
| 549-SEPTIC ARTHRITIS W CC | $57,471 |
| 550-SEPTIC ARTHRITIS W/O CC/MCC | $37,441 |
| 551-MEDICAL BACK PROBLEMS W MCC | $70,375 |
| 552-MEDICAL BACK PROBLEMS W/O MCC | $47,609 |
| 554-BONE DISEASES & ARTHROPATHIES W/O MCC | $32,885 |
| 556-SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC | $34,004 |
| 557-TENDONITIS, MYOSITIS & BURSITIS W MCC | $52,208 |
| 558-TENDONITIS, MYOSITIS & BURSITIS W/O MCC | $40,031 |
| 560-AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC | $49,451 |
| 562-FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC | $321,112 |
| 563-FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC | $41,461 |
| 565-OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC | $55,799 |
| 566-OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC | $28,600 |
| 570-SKIN DEBRIDEMENT W MCC | $99,683 |
| 571-SKIN DEBRIDEMENT W CC | $73,415 |
| 572-SKIN DEBRIDEMENT W/O CC/MCC | $46,408 |
| 577-SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC | $100,875 |
| 579-OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC | $102,931 |
| 580-OTHER SKIN, SUBCUT TISS & BREAST PROC W CC | $75,783 |
| 581-OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC | $43,755 |
| 593-SKIN ULCERS W CC | $36,587 |
| 596-MAJOR SKIN DISORDERS W/O MCC | $36,926 |
| 597-MALIGNANT BREAST DISORDERS W MCC | $54,486 |
| 598-MALIGNANT BREAST DISORDERS W CC | $144,465 |
| 600-NON-MALIGNANT BREAST DISORDERS W CC/MCC | $18,186 |
| 601-NON-MALIGNANT BREAST DISORDERS W/O CC/MCC | $31,100 |
| 602-CELLULITIS W MCC | $70,376 |
| 603-CELLULITIS W/O MCC | $38,200 |
| 604-TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC | $24,466 |
| 605-TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC | $32,631 |
| 606-MINOR SKIN DISORDERS W MCC | $45,752 |
| 607-MINOR SKIN DISORDERS W/O MCC | $47,253 |
| 619-O.R. PROCEDURES FOR OBESITY W MCC | $75,112 |
| 620-O.R. PROCEDURES FOR OBESITY W CC | $41,170 |
| 621-O.R. PROCEDURES FOR OBESITY W/O CC/MCC | $29,386 |
| 622-SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC | $32,970 |
| 623-SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC | $87,264 |
| 628-OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC | $126,333 |
| 629-OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC | $62,185 |
| 637-DIABETES W MCC | $73,266 |
| 638-DIABETES W CC | $45,186 |
| 639-DIABETES W/O CC/MCC | $34,038 |
| 643-ENDOCRINE DISORDERS W MCC | $85,014 |
| 644-ENDOCRINE DISORDERS W CC | $48,999 |
| 645-ENDOCRINE DISORDERS W/O CC/MCC | $36,058 |
| 654-MAJOR BLADDER PROCEDURES W CC | $113,553 |
| 655-MAJOR BLADDER PROCEDURES W/O CC/MCC | $53,142 |
| 656-KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC | $49,997 |
| 657-KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC | $53,110 |
| 658-KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC | $30,173 |
| 659-KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC | $89,537 |
| 660-KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC | $49,873 |
| 661-KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC | $38,371 |
| 668-TRANSURETHRAL PROCEDURES W MCC | $178,981 |
| 669-TRANSURETHRAL PROCEDURES W CC | $82,739 |
| 670-TRANSURETHRAL PROCEDURES W/O CC/MCC | $18,949 |
| 671-URETHRAL PROCEDURES W CC/MCC | $38,037 |
| 673-OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC | $203,429 |
| 674-OTHER KIDNEY & URINARY TRACT PROCEDURES W CC | $127,675 |
| 682-RENAL FAILURE W MCC | $82,980 |
| 683-RENAL FAILURE W CC | $48,303 |
| 684-RENAL FAILURE W/O CC/MCC | $25,654 |
| 686-KIDNEY & URINARY TRACT NEOPLASMS W MCC | $135,975 |
| 689-KIDNEY & URINARY TRACT INFECTIONS W MCC | $62,210 |
| 690-KIDNEY & URINARY TRACT INFECTIONS W/O MCC | $38,969 |
| 696-KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC | $28,841 |
| 697-URETHRAL STRICTURE | $14,309 |
| 698-OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC | $75,678 |
| 699-OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC | $43,650 |
| 700-OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC | $23,834 |
| 707-MAJOR MALE PELVIC PROCEDURES W CC/MCC | $23,829 |
| 708-MAJOR MALE PELVIC PROCEDURES W/O CC/MCC | $26,540 |
| 713-TRANSURETHRAL PROSTATECTOMY W CC/MCC | $44,088 |
| 717-OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC | $30,258 |
| 718-OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC | $27,146 |
| 722-MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC | $32,845 |
| 725-BENIGN PROSTATIC HYPERTROPHY W MCC | $43,526 |
| 726-BENIGN PROSTATIC HYPERTROPHY W/O MCC | $42,900 |
| 728-INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC | $28,186 |
| 742-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC | $45,285 |
| 743-UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC | $21,419 |
| 754-MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC | $192,788 |
| 755-MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC | $23,940 |
| 757-INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC | $118,963 |
| 758-INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC | $15,673 |
| 759-INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC | $17,218 |
| 760-MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC | $36,915 |
| 761-MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC | $20,403 |
| 768-VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C | $30,298 |
| 769-POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE | $61,342 |
| 770-ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $49,097 |
| 776-POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE | $25,990 |
| 784-CESAREAN SECTION W STERILIZATION W CC | $27,727 |
| 785-CESAREAN SECTION W STERILIZATION W/O CC/MCC | $27,752 |
| 787-CESAREAN SECTION W/O STERILIZATION W CC | $35,223 |
| 788-CESAREAN SECTION W/O STERILIZATION W/O CC/MCC | $32,742 |
| 790-EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $38,133 |
| 791-PREMATURITY W MAJOR PROBLEMS | $38,491 |
| 792-PREMATURITY W/O MAJOR PROBLEMS | $21,078 |
| 793-FULL TERM NEONATE W MAJOR PROBLEMS | $18,035 |
| 794-NEONATE W OTHER SIGNIFICANT PROBLEMS | $7,183 |
| 795-NORMAL NEWBORN | $5,370 |
| 803-OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC | $55,121 |
| 805-VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC | $30,538 |
| 806-VAGINAL DELIVERY W/O STERILIZATION/D&C W CC | $30,713 |
| 807-VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC | $26,135 |
| 808-MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC | $161,759 |
| 809-MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC | $41,887 |
| 810-MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC | $26,292 |
| 811-RED BLOOD CELL DISORDERS W MCC | $129,761 |
| 812-RED BLOOD CELL DISORDERS W/O MCC | $37,277 |
| 813-COAGULATION DISORDERS | $53,403 |
| 814-RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC | $29,470 |
| 815-RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC | $50,946 |
| 816-RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC | $31,821 |
| 820-LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC | $266,388 |
| 824-LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC | $105,608 |
| 825-LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC | $66,883 |
| 828-MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC | $23,774 |
| 829-MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC | $115,123 |
| 830-MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC | $24,149 |
| 832-OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC | $26,537 |
| 833-OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC | $33,626 |
| 834-ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC | $161,771 |
| 835-ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC | $51,929 |
| 840-LYMPHOMA & NON-ACUTE LEUKEMIA W MCC | $88,081 |
| 841-LYMPHOMA & NON-ACUTE LEUKEMIA W CC | $61,330 |
| 843-OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC | $59,213 |
| 847-CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC | $26,739 |
| 853-INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC | $183,171 |
| 854-INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC | $88,941 |
| 856-POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC | $169,645 |
| 857-POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC | $74,981 |
| 862-POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC | $54,031 |
| 863-POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC | $54,575 |
| 864-FEVER AND INFLAMMATORY CONDITIONS | $43,805 |
| 865-VIRAL ILLNESS W MCC | $44,213 |
| 866-VIRAL ILLNESS W/O MCC | $39,145 |
| 867-OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC | $120,898 |
| 868-OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC | $89,910 |
| 871-SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC | $98,257 |
| 872-SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC | $44,002 |
| 876-O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS | $345,682 |
| 880-ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION | $64,225 |
| 881-DEPRESSIVE NEUROSES | $17,792 |
| 882-NEUROSES EXCEPT DEPRESSIVE | $23,198 |
| 883-DISORDERS OF PERSONALITY & IMPULSE CONTROL | $60,246 |
| 884-ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $109,769 |
| 885-PSYCHOSES | $43,182 |
| 896-ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC | $59,094 |
| 897-ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC | $33,063 |
| 902-WOUND DEBRIDEMENTS FOR INJURIES W CC | $44,931 |
| 904-SKIN GRAFTS FOR INJURIES W CC/MCC | $34,612 |
| 907-OTHER O.R. PROCEDURES FOR INJURIES W MCC | $185,950 |
| 908-OTHER O.R. PROCEDURES FOR INJURIES W CC | $58,932 |
| 916-ALLERGIC REACTIONS W/O MCC | $20,775 |
| 917-POISONING & TOXIC EFFECTS OF DRUGS W MCC | $61,739 |
| 918-POISONING & TOXIC EFFECTS OF DRUGS W/O MCC | $56,180 |
| 919-COMPLICATIONS OF TREATMENT W MCC | $51,857 |
| 920-COMPLICATIONS OF TREATMENT W CC | $43,352 |
| 921-COMPLICATIONS OF TREATMENT W/O CC/MCC | $30,703 |
| 922-OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC | $60,516 |
| 935-NON-EXTENSIVE BURNS | $20,439 |
| 940-O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC | $41,602 |
| 947-SIGNS & SYMPTOMS W MCC | $78,558 |
| 948-SIGNS & SYMPTOMS W/O MCC | $37,979 |
| 951-OTHER FACTORS INFLUENCING HEALTH STATUS | $33,861 |
| 956-LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA | $92,233 |
| 963-OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC | $98,393 |
| 964-OTHER MULTIPLE SIGNIFICANT TRAUMA W CC | $47,166 |
| 965-OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC | $46,038 |
| 974-HIV W MAJOR RELATED CONDITION W MCC | $62,918 |
| 981-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $187,469 |
| 982-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $86,214 |
| 983-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC | $33,653 |
| 987-NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC | $150,745 |
| 988-NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC | $89,504 |