Home / Inpatient stays
MS-DRGs · CMS data year 2024
Inpatient stays by DRG
A diagnosis-related group (DRG) is how Medicare classifies and pays for a hospital stay. 347 DRGs had at least 20 reporting hospitals in 2024; each page compares what hospitals charged with what Medicare paid, state by state and hospital by hospital.
- 1DRGs with a page 347
- 2Most common: avg charge $90,297
- 3…and avg paid $18,228
- 4Most common stay DRG 871
| DRG | Description | Stays | Avg charge | Avg paid |
|---|---|---|---|---|
| 001 | Heart Transplant or Implant of Heart Assist System with MCC | 2,726 | $1,466,967 | $321,958 |
| 003 | ECMO or Tracheostomy with MV >96 Hours or Principal Diagnosis except Face, Mouth and NEC | 9,991 | $1,053,024 | $223,606 |
| 004 | Tracheostomy with MV >96 Hours or Principal Diagnosis except Face, Mouth and Neck Withou | 8,390 | $613,613 | $125,491 |
| 005 | Liver Transplant with MCC or Intestinal Transplant | 1,302 | $822,216 | $152,447 |
| 007 | Lung Transplant | 639 | $1,053,162 | $186,440 |
| 011 | Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC | 1,560 | $289,227 | $60,265 |
| 012 | Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC | 1,437 | $239,304 | $49,992 |
| 014 | Allogeneic Bone Marrow Transplant | 1,178 | $579,837 | $150,978 |
| 016 | Autologous Bone Marrow Transplant with CC/MCC | 1,567 | $273,743 | $72,541 |
| 018 | Chimeric Antigen Receptor (Car) T-Cell and Other Immunotherapies | 1,675 | $2,203,276 | $464,910 |
| 020 | Intracranial Vascular Procedures with Principal Diagnosis Hemorrhage with MCC | 2,660 | $406,537 | $89,830 |
| 023 | Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis with MCC O | 13,507 | $280,968 | $56,108 |
| 024 | Craniotomy with Major Device Implant or Acute Complex Cns Principal Diagnosis without Mc | 5,034 | $192,536 | $36,289 |
| 025 | Craniotomy and Endovascular Intracranial Procedures with MCC | 23,134 | $231,508 | $45,131 |
| 026 | Craniotomy and Endovascular Intracranial Procedures with CC | 6,331 | $165,029 | $31,688 |
| 027 | Craniotomy and Endovascular Intracranial Procedures without CC/MCC | 7,621 | $139,743 | $26,108 |
| 029 | Spinal Procedures with CC or Spinal Neurostimulators | 3,162 | $171,291 | $34,381 |
| 032 | Ventricular Shunt Procedures with CC | 1,938 | $105,099 | $21,644 |
| 033 | Ventricular Shunt Procedures without CC/MCC | 2,209 | $86,578 | $16,253 |
| 035 | Carotid Artery Stent Procedures with CC | 6,125 | $113,494 | $20,360 |
| 036 | Carotid Artery Stent Procedures without CC/MCC | 8,131 | $88,422 | $16,037 |
| 038 | Extracranial Procedures with CC | 7,623 | $87,494 | $14,971 |
| 039 | Extracranial Procedures without CC/MCC | 11,752 | $63,845 | $10,599 |
| 040 | Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC | 3,663 | $187,848 | $38,178 |
| 041 | Peripheral, Cranial Nerve and Other Nervous System Procedures with CC or Peripheral Neur | 4,701 | $115,360 | $21,822 |
| 054 | Nervous System Neoplasms with MCC | 10,181 | $77,466 | $15,333 |
| 056 | Degenerative Nervous System Disorders with MCC | 15,060 | $96,021 | $22,853 |
| 057 | Degenerative Nervous System Disorders without MCC | 27,735 | $56,625 | $13,911 |
| 061 | Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit | 4,067 | $148,180 | $25,973 |
| 062 | Ischemic Stroke, Precerebral Occlusion or Transient Ischemia with Thrombolytic Agent Wit | 7,337 | $101,244 | $17,633 |
| 064 | Intracranial Hemorrhage or Cerebral Infarction with MCC | 67,329 | $99,864 | $18,832 |
| 065 | Intracranial Hemorrhage or Cerebral Infarction with CC or Tpa in 24 Hours | 72,656 | $55,724 | $9,914 |
| 066 | Intracranial Hemorrhage or Cerebral Infarction without CC/MCC | 17,728 | $42,334 | $7,189 |
| 068 | Precerebral Occlusion without Infarction without MCC | 4,825 | $52,806 | $8,505 |
| 069 | Transient Ischemia without Thrombolytic | 27,082 | $50,445 | $7,688 |
| 070 | Other Cerebrovascular Disorders with MCC | 18,128 | $76,029 | $16,466 |
| 071 | Other Cerebrovascular Disorders with CC | 17,905 | $50,470 | $10,161 |
| 073 | Cranial and Peripheral Nerve Disorders with MCC | 5,128 | $78,653 | $16,061 |
| 074 | Cranial and Peripheral Nerve Disorders without MCC | 11,955 | $53,593 | $10,555 |
| 082 | Traumatic Stupor and Coma >1 Hour with MCC | 11,012 | $115,279 | $23,139 |
| 083 | Traumatic Stupor and Coma >1 Hour with CC | 11,217 | $73,302 | $13,928 |
| 084 | Traumatic Stupor and Coma >1 Hour without CC/MCC | 3,573 | $53,346 | $9,788 |
| 085 | Traumatic Stupor and Coma <1 Hour with MCC | 8,456 | $108,443 | $21,461 |
| 086 | Traumatic Stupor and Coma <1 Hour with CC | 12,049 | $68,314 | $12,685 |
| 087 | Traumatic Stupor and Coma <1 Hour without CC/MCC | 4,249 | $51,658 | $9,031 |
| 091 | Other Disorders of Nervous System with MCC | 16,666 | $82,750 | $17,445 |
| 092 | Other Disorders of Nervous System with CC | 21,703 | $51,562 | $10,433 |
| 093 | Other Disorders of Nervous System without CC/MCC | 5,250 | $44,661 | $8,173 |
| 100 | Seizures with MCC | 23,517 | $94,373 | $19,293 |
| 101 | Seizures without MCC | 27,636 | $48,759 | $9,598 |
| 103 | Headaches without MCC | 6,956 | $48,935 | $9,063 |
| 125 | Other Disorders of The Eye without MCC | 3,809 | $43,825 | $8,907 |
| 141 | Major Head and Neck Procedures with CC | 2,337 | $128,642 | $24,714 |
| 149 | Dysequilibrium | 14,417 | $44,396 | $7,342 |
| 153 | Otitis Media and Uri without MCC | 3,811 | $37,757 | $7,823 |
| 158 | Dental and Oral Diseases with CC | 2,948 | $46,994 | $9,903 |
| 163 | Major Chest Procedures with MCC | 13,996 | $210,509 | $43,876 |
| 164 | Major Chest Procedures with CC | 15,154 | $127,372 | $25,176 |
| 165 | Major Chest Procedures without CC/MCC | 6,966 | $103,335 | $19,019 |
| 166 | Other Respiratory System O.R. Procedures with MCC | 7,823 | $179,865 | $38,990 |
| 167 | Other Respiratory System O.R. Procedures with CC | 3,956 | $95,286 | $18,372 |
| 175 | Pulmonary Embolism with MCC or Acute Cor Pulmonale | 28,627 | $65,154 | $13,354 |
| 176 | Pulmonary Embolism without MCC | 17,180 | $41,475 | $8,242 |
| 177 | Respiratory Infections and Inflammations with MCC | 144,162 | $70,592 | $14,972 |
| 178 | Respiratory Infections and Inflammations with CC | 34,201 | $45,313 | $9,493 |
| 179 | Respiratory Infections and Inflammations without CC/MCC | 6,038 | $35,282 | $7,350 |
| 180 | Respiratory Neoplasms with MCC | 14,748 | $87,788 | $17,254 |
| 181 | Respiratory Neoplasms with CC | 4,984 | $56,337 | $11,278 |
| 183 | Major Chest Trauma with MCC | 7,325 | $74,535 | $15,596 |
| 184 | Major Chest Trauma with CC | 11,288 | $55,456 | $10,943 |
| 186 | Pleural Effusion with MCC | 8,187 | $71,573 | $14,264 |
| 189 | Pulmonary Edema and Respiratory Failure | 93,765 | $57,570 | $12,198 |
| 190 | Chronic Obstructive Pulmonary Disease with MCC | 55,536 | $50,592 | $10,597 |
| 191 | Chronic Obstructive Pulmonary Disease with CC | 19,442 | $39,617 | $8,274 |
| 192 | Chronic Obstructive Pulmonary Disease without CC/MCC | 4,287 | $31,109 | $6,575 |
| 193 | Simple Pneumonia and Pleurisy with MCC | 139,034 | $59,757 | $12,050 |
| 194 | Simple Pneumonia and Pleurisy with CC | 48,668 | $38,379 | $8,028 |
| 195 | Simple Pneumonia and Pleurisy without CC/MCC | 8,023 | $30,173 | $6,244 |
| 196 | Interstitial Lung Disease with MCC | 9,541 | $86,178 | $18,762 |
| 199 | Pneumothorax with MCC | 6,684 | $80,926 | $16,777 |
| 200 | Pneumothorax with CC | 6,975 | $53,144 | $11,054 |
| 202 | Bronchitis and Asthma with CC/MCC | 18,440 | $46,151 | $9,505 |
| 204 | Respiratory Signs and Symptoms | 4,134 | $42,809 | $8,184 |
| 205 | Other Respiratory System Diagnoses with MCC | 10,485 | $88,362 | $19,109 |
| 206 | Other Respiratory System Diagnoses without MCC | 6,731 | $49,308 | $9,642 |
| 207 | Respiratory System Diagnosis with Ventilator Support >96 Hours | 10,834 | $292,571 | $61,451 |
| 208 | Respiratory System Diagnosis with Ventilator Support <=96 Hours | 28,681 | $135,710 | $25,293 |
| 215 | Other Heart Assist System Implant | 3,645 | $469,574 | $93,740 |
| 216 | Cardiac Valve and Other Major Cardiothoracic Procedures with Cardiac Catheterization Wit | 5,483 | $492,416 | $98,495 |
| 219 | Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization | 14,553 | $398,710 | $82,051 |
| 220 | Cardiac Valve and Other Major Cardiothoracic Procedures without Cardiac Catheterization | 10,409 | $276,025 | $54,391 |
| 228 | Other Cardiothoracic Procedures with MCC | 5,606 | $250,730 | $49,266 |
| 229 | Other Cardiothoracic Procedures without MCC | 7,210 | $165,159 | $29,206 |
| 233 | Coronary Bypass with Cardiac Catheterization or Open Ablation with MCC | 9,801 | $385,245 | $70,178 |
| 234 | Coronary Bypass with Cardiac Catheterization or Open Ablation without MCC | 8,403 | $268,844 | $47,494 |
| 235 | Coronary Bypass without Cardiac Catheterization with MCC | 11,468 | $292,820 | $55,512 |
| 236 | Coronary Bypass without Cardiac Catheterization without MCC | 14,605 | $210,757 | $37,974 |
| 239 | Amputation for Circulatory System Disorders except Upper Limb and Toe with MCC | 6,368 | $214,912 | $44,938 |
| 240 | Amputation for Circulatory System Disorders except Upper Limb and Toe with CC | 5,356 | $127,976 | $25,921 |
| 242 | Permanent Cardiac Pacemaker Implant with MCC | 14,951 | $160,613 | $30,388 |
| 243 | Permanent Cardiac Pacemaker Implant with CC | 19,621 | $111,073 | $20,395 |
| 244 | Permanent Cardiac Pacemaker Implant without CC/MCC | 9,050 | $93,150 | $16,690 |
| 252 | Other Vascular Procedures with MCC | 19,236 | $170,864 | $33,351 |
| 253 | Other Vascular Procedures with CC | 15,677 | $131,847 | $24,853 |
| 254 | Other Vascular Procedures without CC/MCC | 5,435 | $91,212 | $16,686 |
| 264 | Other Circulatory System O.R. Procedures | 8,623 | $149,288 | $31,694 |
| 266 | Endovascular Cardiac Valve Replacement and Supplement Procedures with MCC | 25,095 | $284,878 | $57,046 |
| 267 | Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC | 40,307 | $221,241 | $44,064 |
| 268 | Aortic and Heart Assist Procedures except Pulsation Balloon with MCC | 2,719 | $348,594 | $71,204 |
| 269 | Aortic and Heart Assist Procedures except Pulsation Balloon without MCC | 10,628 | $192,553 | $38,630 |
| 270 | Other Major Cardiovascular Procedures with MCC | 16,565 | $259,138 | $49,908 |
| 271 | Other Major Cardiovascular Procedures with CC | 12,442 | $173,893 | $32,775 |
| 272 | Other Major Cardiovascular Procedures without CC/MCC | 3,737 | $125,298 | $23,235 |
| 273 | Percutaneous and Other Intracardiac Procedures with MCC | 8,366 | $214,406 | $37,052 |
| 274 | Percutaneous and Other Intracardiac Procedures without MCC | 59,108 | $156,757 | $27,537 |
| 275 | Cardiac Defibrillator Implant with Cardiac Catheterization and MCC | 3,429 | $359,929 | $67,446 |
| 276 | Cardiac Defibrillator Implant with MCC or Carotid Sinus Neurostimulator | 3,424 | $293,922 | $58,187 |
| 277 | Cardiac Defibrillator Implant without MCC | 3,922 | $234,317 | $44,788 |
| 280 | Acute Myocardial Infarction, Discharged Alive with MCC | 87,661 | $75,821 | $14,782 |
| 281 | Acute Myocardial Infarction, Discharged Alive with CC | 36,210 | $50,494 | $8,869 |
| 282 | Acute Myocardial Infarction, Discharged Alive without CC/MCC | 13,535 | $43,381 | $7,211 |
| 283 | Acute Myocardial Infarction, Expired with MCC | 8,136 | $103,029 | $19,774 |
| 286 | Circulatory Disorders except AMI, with Cardiac Catheterization with MCC | 38,232 | $112,267 | $21,752 |
| 287 | Circulatory Disorders except AMI, with Cardiac Catheterization without MCC | 32,841 | $63,889 | $10,451 |
| 291 | Heart Failure and Shock with MCC | 306,135 | $56,380 | $12,053 |
| 292 | Heart Failure and Shock with CC | 12,912 | $38,952 | $8,859 |
| 299 | Peripheral Vascular Disorders with MCC | 15,558 | $75,125 | $15,571 |
| 300 | Peripheral Vascular Disorders with CC | 19,506 | $49,396 | $10,493 |
| 301 | Peripheral Vascular Disorders without CC/MCC | 3,898 | $37,098 | $7,396 |
| 303 | Atherosclerosis without MCC | 7,330 | $35,273 | $6,864 |
| 304 | Hypertension with MCC | 12,055 | $57,197 | $11,496 |
| 305 | Hypertension without MCC | 24,415 | $40,100 | $7,334 |
| 306 | Cardiac Congenital and Valvular Disorders with MCC | 3,472 | $72,644 | $15,565 |
| 308 | Cardiac Arrhythmia and Conduction Disorders with MCC | 48,428 | $56,635 | $11,419 |
| 309 | Cardiac Arrhythmia and Conduction Disorders with CC | 65,484 | $36,115 | $7,304 |
| 310 | Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 31,241 | $28,728 | $5,627 |
| 312 | Syncope and Collapse | 57,077 | $45,536 | $8,563 |
| 313 | Chest Pain | 19,985 | $39,935 | $7,113 |
| 314 | Other Circulatory System Diagnoses with MCC | 31,656 | $94,829 | $20,716 |
| 315 | Other Circulatory System Diagnoses with CC | 15,846 | $47,937 | $9,799 |
| 317 | Concomitant Left Atrial Appendage Closure and Cardiac Ablation | 1,435 | $361,833 | $57,086 |
| 321 | Percutaneous Cardiovascular Procedures with Intraluminal Device with MCC or 4+ Arteries/ | 34,517 | $163,668 | $26,715 |
| 322 | Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC | 49,040 | $114,560 | $17,280 |
| 323 | Coronary Intravascular Lithotripsy with Intraluminal Device with MCC | 4,984 | $231,573 | $38,298 |
| 324 | Coronary Intravascular Lithotripsy with Intraluminal Device without MCC | 5,549 | $174,059 | $27,571 |
| 326 | Stomach, Esophageal and Duodenal Procedures with MCC | 8,703 | $239,966 | $50,970 |
| 327 | Stomach, Esophageal and Duodenal Procedures with CC | 8,027 | $126,536 | $25,157 |
| 328 | Stomach, Esophageal and Duodenal Procedures without CC/MCC | 5,675 | $86,485 | $15,935 |
| 329 | Major Small and Large Bowel Procedures with MCC | 31,031 | $214,982 | $43,388 |
| 330 | Major Small and Large Bowel Procedures with CC | 39,273 | $119,020 | $22,815 |
| 331 | Major Small and Large Bowel Procedures without CC/MCC | 17,788 | $85,825 | $15,961 |
| 335 | Peritoneal Adhesiolysis with MCC | 4,546 | $170,858 | $33,979 |
| 336 | Peritoneal Adhesiolysis with CC | 7,463 | $103,373 | $20,335 |
| 354 | Hernia Procedures except Inguinal and Femoral with CC | 5,623 | $88,606 | $17,030 |
| 355 | Hernia Procedures except Inguinal and Femoral without CC/MCC | 4,347 | $72,213 | $13,071 |
| 356 | Other Digestive System O.R. Procedures with MCC | 6,780 | $209,071 | $40,861 |
| 357 | Other Digestive System O.R. Procedures with CC | 4,542 | $116,964 | $20,988 |
| 368 | Major Esophageal Disorders with MCC | 4,816 | $78,609 | $16,130 |
| 371 | Major Gastrointestinal Disorders and Peritoneal Infections with MCC | 12,683 | $78,404 | $16,558 |
| 372 | Major Gastrointestinal Disorders and Peritoneal Infections with CC | 17,034 | $47,479 | $9,981 |
| 374 | Digestive Malignancy with MCC | 11,431 | $100,406 | $21,124 |
| 375 | Digestive Malignancy with CC | 9,654 | $60,967 | $12,091 |
| 377 | Gastrointestinal Hemorrhage with MCC | 55,344 | $85,391 | $16,677 |
| 378 | Gastrointestinal Hemorrhage with CC | 79,720 | $48,550 | $9,389 |
| 379 | Gastrointestinal Hemorrhage without CC/MCC | 6,378 | $34,171 | $6,507 |
| 380 | Complicated Peptic Ulcer with MCC | 5,198 | $92,717 | $18,745 |
| 381 | Complicated Peptic Ulcer with CC | 5,213 | $55,717 | $10,152 |
| 386 | Inflammatory Bowel Disease with CC | 5,807 | $48,553 | $9,913 |
| 388 | Gastrointestinal Obstruction with MCC | 17,080 | $68,423 | $13,978 |
| 389 | Gastrointestinal Obstruction with CC | 38,697 | $38,925 | $7,916 |
| 390 | Gastrointestinal Obstruction without CC/MCC | 17,605 | $27,938 | $5,847 |
| 391 | Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC | 36,455 | $61,028 | $12,634 |
| 392 | Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC | 90,637 | $40,165 | $7,830 |
| 393 | Other Digestive System Diagnoses with MCC | 24,018 | $76,783 | $16,562 |
| 394 | Other Digestive System Diagnoses with CC | 30,272 | $47,064 | $9,479 |
| 395 | Other Digestive System Diagnoses without CC/MCC | 5,211 | $34,600 | $6,874 |
| 402 | Single Level Combined Anterior and Posterior Spinal Fusion except Cervical | 4,457 | $187,959 | $36,441 |
| 405 | Pancreas, Liver and Shunt Procedures with MCC | 3,492 | $288,397 | $63,019 |
| 406 | Pancreas, Liver and Shunt Procedures with CC | 4,671 | $161,923 | $31,740 |
| 417 | Laparoscopic Cholecystectomy without C.D.E. with MCC | 10,845 | $124,948 | $21,530 |
| 418 | Laparoscopic Cholecystectomy without C.D.E. with CC | 18,353 | $93,210 | $15,160 |
| 419 | Laparoscopic Cholecystectomy without C.D.E. without CC/MCC | 9,035 | $77,870 | $12,488 |
| 427 | Multiple Level Combined Anterior and Posterior Spinal Fusion except Cervical with CC | 3,618 | $341,611 | $68,981 |
| 432 | Cirrhosis and Alcoholic Hepatitis with MCC | 17,109 | $95,676 | $19,651 |
| 433 | Cirrhosis and Alcoholic Hepatitis with CC | 9,013 | $52,599 | $10,459 |
| 435 | Malignancy of Hepatobiliary System or Pancreas with MCC | 13,345 | $94,481 | $18,294 |
| 436 | Malignancy of Hepatobiliary System or Pancreas with CC | 5,670 | $60,432 | $11,406 |
| 438 | Disorders of Pancreas except Malignancy with MCC | 9,283 | $79,250 | $16,600 |
| 439 | Disorders of Pancreas except Malignancy with CC | 14,417 | $43,637 | $8,765 |
| 441 | Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with MCC | 14,551 | $86,228 | $18,915 |
| 442 | Disorders of Liver except Malignancy, Cirrhosis or Alcoholic Hepatitis with CC | 10,624 | $47,638 | $10,049 |
| 444 | Disorders of The Biliary Tract with MCC | 12,530 | $83,243 | $16,233 |
| 445 | Disorders of The Biliary Tract with CC | 16,645 | $58,184 | $10,692 |
| 446 | Disorders of The Biliary Tract without CC/MCC | 5,020 | $45,756 | $7,988 |
| 448 | Multiple Level Spinal Fusion except Cervical without MCC | 3,839 | $200,125 | $38,755 |
| 451 | Single Level Spinal Fusion except Cervical without MCC | 3,535 | $150,069 | $29,699 |
| 453 | Combined Anterior and Posterior Spinal Fusion with MCC | 3,340 | $453,497 | $90,485 |
| 454 | Combined Anterior and Posterior Spinal Fusion with CC | 17,266 | $279,744 | $58,323 |
| 455 | Combined Anterior and Posterior Spinal Fusion without CC/MCC | 14,432 | $202,979 | $41,067 |
| 457 | Spinal Fusion except Cervical with Spinal Curvature, Malignancy, Infection or Extensive | 3,980 | $289,269 | $60,307 |
| 459 | Spinal Fusion except Cervical with MCC | 2,694 | $289,773 | $59,155 |
| 460 | Spinal Fusion except Cervical without MCC | 22,238 | $170,331 | $34,044 |
| 462 | Bilateral or Multiple Major Joint Procedures of Lower Extremity without MCC | 1,467 | $138,303 | $29,222 |
| 463 | Wound Debridement and Skin Graft except Hand for Musculoskeletal and Connective Tissue D | 4,363 | $237,937 | $52,235 |
| 464 | Wound Debridement and Skin Graft except Hand for Musculoskeletal and Connective Tissue D | 6,342 | $145,513 | $28,947 |
| 466 | Revision of Hip or Knee Replacement with MCC | 4,635 | $240,992 | $49,984 |
| 467 | Revision of Hip or Knee Replacement with CC | 19,510 | $157,758 | $30,483 |
| 468 | Revision of Hip or Knee Replacement without CC/MCC | 14,300 | $123,873 | $23,778 |
| 469 | Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity with MCC or Tota | 5,530 | $149,677 | $29,663 |
| 470 | Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC | 64,419 | $93,184 | $17,364 |
| 471 | Cervical Spinal Fusion with MCC | 3,300 | $238,955 | $47,770 |
| 472 | Cervical Spinal Fusion with CC | 15,373 | $143,016 | $27,872 |
| 473 | Cervical Spinal Fusion without CC/MCC | 6,286 | $115,049 | $22,040 |
| 477 | Biopsies of Musculoskeletal System and Connective Tissue with MCC | 3,238 | $157,901 | $31,810 |
| 478 | Biopsies of Musculoskeletal System and Connective Tissue with CC | 5,543 | $118,089 | $21,917 |
| 480 | Hip and Femur Procedures except Major Joint with MCC | 28,008 | $138,737 | $26,010 |
| 481 | Hip and Femur Procedures except Major Joint with CC | 66,798 | $100,756 | $18,493 |
| 482 | Hip and Femur Procedures except Major Joint without CC/MCC | 14,682 | $77,908 | $14,442 |
| 483 | Major Joint or Limb Reattachment Procedures of Upper Extremities | 14,370 | $126,247 | $22,296 |
| 492 | Lower Extremity and Humerus Procedures except Hip, Foot and Femur with MCC | 5,717 | $164,409 | $31,824 |
| 493 | Lower Extremity and Humerus Procedures except Hip, Foot and Femur with CC | 16,774 | $119,061 | $22,375 |
| 494 | Lower Extremity and Humerus Procedures except Hip, Foot and Femur without CC/MCC | 7,345 | $95,089 | $17,608 |
| 501 | Soft Tissue Procedures with CC | 4,329 | $89,456 | $17,229 |
| 515 | Other Musculoskeletal System and Connective Tissue O.R. Procedures with MCC | 4,525 | $150,074 | $28,460 |
| 516 | Other Musculoskeletal System and Connective Tissue O.R. Procedures with CC | 11,361 | $101,552 | $18,613 |
| 517 | Other Musculoskeletal System and Connective Tissue O.R. Procedures without CC/MCC | 6,423 | $78,157 | $14,001 |
| 519 | Back and Neck Procedures except Spinal Fusion with CC | 7,489 | $104,607 | $19,512 |
| 520 | Back and Neck Procedures except Spinal Fusion without CC/MCC | 3,832 | $78,814 | $14,004 |
| 521 | Hip Replacement with Principal Diagnosis of Hip Fracture with MCC | 15,258 | $135,201 | $25,460 |
| 522 | Hip Replacement with Principal Diagnosis of Hip Fracture without MCC | 42,552 | $102,323 | $18,379 |
| 535 | Fractures of Hip and Pelvis with MCC | 7,267 | $58,462 | $11,993 |
| 536 | Fractures of Hip and Pelvis without MCC | 18,597 | $37,688 | $7,513 |
| 542 | Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC | 8,720 | $79,949 | $17,385 |
| 543 | Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC | 15,259 | $49,038 | $10,286 |
| 544 | Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/M | 3,420 | $35,883 | $7,257 |
| 545 | Connective Tissue Disorders with MCC | 3,396 | $116,295 | $27,689 |
| 546 | Connective Tissue Disorders with CC | 3,072 | $57,695 | $12,918 |
| 551 | Medical Back Problems with MCC | 15,219 | $78,715 | $15,739 |
| 552 | Medical Back Problems without MCC | 49,460 | $48,855 | $9,347 |
| 554 | Bone Diseases and Arthropathies without MCC | 9,573 | $37,968 | $8,478 |
| 556 | Signs and Symptoms of Musculoskeletal System and Connective Tissue without MCC | 8,604 | $40,348 | $8,233 |
| 558 | Tendonitis, Myositis and Bursitis without MCC | 7,456 | $41,521 | $8,690 |
| 560 | Aftercare, Musculoskeletal System and Connective Tissue with CC | 5,129 | $46,938 | $13,132 |
| 562 | Fracture, Sprain, Strain and Dislocation except Femur, Hip, Pelvis and Thigh with MCC | 6,860 | $66,136 | $13,815 |
| 563 | Fracture, Sprain, Strain and Dislocation except Femur, Hip, Pelvis and Thigh without MCC | 22,971 | $42,606 | $8,686 |
| 564 | Other Musculoskeletal System and Connective Tissue Diagnoses with MCC | 5,600 | $73,797 | $14,864 |
| 565 | Other Musculoskeletal System and Connective Tissue Diagnoses with CC | 7,519 | $47,869 | $10,035 |
| 580 | Other Skin, Subcutaneous Tissue and Breast Procedures with CC | 6,526 | $83,431 | $17,114 |
| 602 | Cellulitis with MCC | 19,341 | $60,149 | $13,660 |
| 603 | Cellulitis without MCC | 60,330 | $37,289 | $8,681 |
| 604 | Trauma To The Skin, Subcutaneous Tissue and Breast with MCC | 3,653 | $72,676 | $14,668 |
| 605 | Trauma To The Skin, Subcutaneous Tissue and Breast without MCC | 11,683 | $46,377 | $9,066 |
| 607 | Minor Skin Disorders without MCC | 4,470 | $41,278 | $9,514 |
| 614 | Adrenal and Pituitary Procedures with CC/MCC | 2,175 | $124,899 | $26,246 |
| 617 | Amputation of Lower Limb for Endocrine, Nutritional and Metabolic Disorders with CC | 11,603 | $86,883 | $18,583 |
| 621 | O.R. Procedures for Obesity without CC/MCC | 4,100 | $74,857 | $14,603 |
| 623 | Skin Grafts and Wound Debridement for Endocrine, Nutritional and Metabolic Disorders Wit | 4,211 | $82,559 | $17,980 |
| 629 | Other Endocrine, Nutritional and Metabolic O.R. Procedures with CC | 4,008 | $102,526 | $21,414 |
| 637 | Diabetes with MCC | 27,980 | $66,501 | $13,857 |
| 638 | Diabetes with CC | 33,758 | $41,674 | $9,138 |
| 640 | Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes with MCC | 77,795 | $60,293 | $12,791 |
| 641 | Miscellaneous Disorders of Nutrition, Metabolism, Fluids and Electrolytes without MCC | 66,811 | $37,058 | $7,789 |
| 643 | Endocrine Disorders with MCC | 13,869 | $74,096 | $15,593 |
| 644 | Endocrine Disorders with CC | 13,253 | $48,036 | $10,303 |
| 650 | Kidney Transplant with Hemodialysis with MCC | 2,578 | $419,556 | $57,737 |
| 651 | Kidney Transplant with Hemodialysis without MCC | 917 | $373,716 | $49,724 |
| 652 | Kidney Transplant | 6,347 | $336,427 | $45,545 |
| 654 | Major Bladder Procedures with CC | 3,178 | $154,790 | $29,790 |
| 656 | Kidney and Ureter Procedures for Neoplasm with MCC | 2,125 | $170,906 | $33,795 |
| 657 | Kidney and Ureter Procedures for Neoplasm with CC | 5,963 | $100,021 | $18,444 |
| 658 | Kidney and Ureter Procedures for Neoplasm without CC/MCC | 4,372 | $85,026 | $15,012 |
| 659 | Kidney and Ureter Procedures for Non-Neoplasm with MCC | 10,416 | $119,700 | $23,913 |
| 660 | Kidney and Ureter Procedures for Non-Neoplasm with CC | 18,954 | $67,483 | $12,804 |
| 661 | Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC | 10,001 | $56,664 | $9,898 |
| 669 | Transurethral Procedures with CC | 3,847 | $77,613 | $14,174 |
| 673 | Other Kidney and Urinary Tract Procedures with MCC | 12,883 | $173,196 | $37,323 |
| 674 | Other Kidney and Urinary Tract Procedures with CC | 6,312 | $108,584 | $23,041 |
| 682 | Renal Failure with MCC | 77,544 | $65,939 | $13,729 |
| 683 | Renal Failure with CC | 82,248 | $40,705 | $8,658 |
| 684 | Renal Failure without CC/MCC | 6,869 | $29,653 | $6,136 |
| 689 | Kidney and Urinary Tract Infections with MCC | 84,058 | $51,326 | $10,743 |
| 690 | Kidney and Urinary Tract Infections without MCC | 95,596 | $37,821 | $7,851 |
| 694 | Urinary Stones without MCC | 5,395 | $41,258 | $7,860 |
| 696 | Kidney and Urinary Tract Signs and Symptoms without MCC | 4,584 | $32,909 | $6,956 |
| 698 | Other Kidney and Urinary Tract Diagnoses with MCC | 78,368 | $73,427 | $15,441 |
| 699 | Other Kidney and Urinary Tract Diagnoses with CC | 37,891 | $47,479 | $10,420 |
| 707 | Major Male Pelvic Procedures with CC/MCC | 1,910 | $111,374 | $20,747 |
| 708 | Major Male Pelvic Procedures without CC/MCC | 2,119 | $89,001 | $15,507 |
| 713 | Transurethral Prostatectomy with CC/MCC | 4,014 | $76,459 | $13,816 |
| 737 | Uterine and Adnexa Procedures for Ovarian or Adnexal Malignancy with CC | 1,905 | $116,218 | $21,372 |
| 742 | Uterine and Adnexa Procedures for Non-Malignancy with CC/MCC | 2,639 | $101,252 | $18,630 |
| 743 | Uterine and Adnexa Procedures for Non-Malignancy without CC/MCC | 2,567 | $69,785 | $12,084 |
| 808 | Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulatio | 7,580 | $108,836 | $23,219 |
| 809 | Major Hematological and Immunological Diagnoses except Sickle Cell Crisis and Coagulatio | 9,404 | $62,801 | $13,282 |
| 811 | Red Blood Cell Disorders with MCC | 28,512 | $68,165 | $13,767 |
| 812 | Red Blood Cell Disorders without MCC | 34,204 | $44,387 | $9,315 |
| 813 | Coagulation Disorders | 16,452 | $80,085 | $17,095 |
| 814 | Reticuloendothelial and Immunity Disorders with MCC | 2,080 | $118,948 | $27,115 |
| 823 | Lymphoma and Non-Acute Leukemia with Other Procedures with MCC | 2,474 | $245,686 | $49,976 |
| 827 | Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedur | 1,653 | $129,358 | $26,045 |
| 834 | Acute Leukemia with MCC | 4,255 | $286,735 | $65,972 |
| 837 | Chemotherapy with Acute Leukemia As Secondary Diagnosis or with High Dose Chemotherapy A | 1,776 | $234,123 | $61,690 |
| 838 | Chemotherapy with Acute Leukemia As Secondary Diagnosis with CC or High Dose Chemotherap | 1,240 | $100,434 | $26,127 |
| 840 | Lymphoma and Non-Acute Leukemia with MCC | 8,191 | $155,957 | $34,735 |
| 841 | Lymphoma and Non-Acute Leukemia with CC | 5,419 | $83,307 | $16,550 |
| 846 | Chemotherapy without Acute Leukemia As Secondary Diagnosis with MCC | 3,445 | $134,446 | $32,291 |
| 847 | Chemotherapy without Acute Leukemia As Secondary Diagnosis with CC | 8,352 | $67,678 | $15,515 |
| 853 | Infectious and Parasitic Diseases with O.R. Procedures with MCC | 83,117 | $228,948 | $46,478 |
| 854 | Infectious and Parasitic Diseases with O.R. Procedures with CC | 20,758 | $98,272 | $19,069 |
| 856 | Postoperative or Post-Traumatic Infections with O.R. Procedures with MCC | 7,219 | $203,495 | $43,456 |
| 857 | Postoperative or Post-Traumatic Infections with O.R. Procedures with CC | 7,257 | $100,198 | $20,726 |
| 862 | Postoperative and Post-Traumatic Infections with MCC | 10,974 | $83,228 | $18,317 |
| 863 | Postoperative and Post-Traumatic Infections without MCC | 7,652 | $45,194 | $10,173 |
| 864 | Fever and Inflammatory Conditions | 4,312 | $46,536 | $8,985 |
| 866 | Viral Illness without MCC | 3,607 | $42,399 | $9,637 |
| 870 | Septicemia or Severe Sepsis with MV >96 Hours | 26,834 | $323,293 | $64,425 |
| 871 | Septicemia or Severe Sepsis without MV >96 Hours with MCC | 578,073 | $90,297 | $18,228 |
| 872 | Septicemia or Severe Sepsis without MV >96 Hours without MCC | 107,314 | $49,049 | $10,091 |
| 880 | Acute Adjustment Reaction and Psychosocial Dysfunction | 4,906 | $46,037 | $9,825 |
| 881 | Depressive Neuroses | 1,974 | $31,924 | $9,572 |
| 884 | Organic Disturbances and Intellectual Disability | 23,315 | $62,403 | $16,059 |
| 885 | Psychoses | 41,876 | $44,040 | $14,279 |
| 894 | Alcohol, Drug Abuse or Dependence, Left Ama | 2,671 | $28,188 | $6,823 |
| 895 | Alcohol, Drug Abuse or Dependence with Rehabilitation Therapy | 3,598 | $34,206 | $13,997 |
| 896 | Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy with MCC | 9,158 | $77,866 | $17,500 |
| 897 | Alcohol, Drug Abuse or Dependence without Rehabilitation Therapy without MCC | 18,582 | $37,079 | $9,102 |
| 907 | Other O.R. Procedures for Injuries with MCC | 8,619 | $183,657 | $38,069 |
| 908 | Other O.R. Procedures for Injuries with CC | 7,262 | $97,248 | $19,650 |
| 917 | Poisoning and Toxic Effects of Drugs with MCC | 16,864 | $74,877 | $15,930 |
| 918 | Poisoning and Toxic Effects of Drugs without MCC | 6,852 | $40,272 | $9,135 |
| 919 | Complications of Treatment with MCC | 14,211 | $88,493 | $19,308 |
| 920 | Complications of Treatment with CC | 11,294 | $49,578 | $10,653 |
| 928 | Full Thickness Burn with Skin Graft or Inhalation Injury with CC/MCC | 980 | $344,467 | $82,671 |
| 935 | Non-Extensive Burns | 1,194 | $102,372 | $24,888 |
| 945 | Rehabilitation with CC/MCC | 1,848 | $55,504 | $17,888 |
| 947 | Signs and Symptoms with MCC | 6,637 | $56,390 | $12,568 |
| 948 | Signs and Symptoms without MCC | 19,166 | $38,083 | $8,083 |
| 951 | Other Factors Influencing Health Status | 7,034 | $25,572 | $6,055 |
| 956 | Limb Reattachment, Hip and Femur Procedures for Multiple Significant Trauma | 6,550 | $176,346 | $35,170 |
| 957 | Other O.R. Procedures for Multiple Significant Trauma with MCC | 2,559 | $394,521 | $80,059 |
| 963 | Other Multiple Significant Trauma with MCC | 3,543 | $138,428 | $29,517 |
| 964 | Other Multiple Significant Trauma with CC | 4,307 | $78,196 | $15,945 |
| 974 | HIV with Major Related Condition with MCC | 2,609 | $149,750 | $33,402 |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis with MCC | 20,868 | $216,247 | $44,974 |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis with CC | 10,229 | $117,854 | $23,369 |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis with MCC | 7,044 | $159,102 | $34,579 |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis with CC | 5,159 | $81,275 | $16,773 |
Source: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024. Checked 2026-10-24.