Hendrick Medical Center

DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

003 ECMO or trach w MV 96+ hrs or PDX exc face, mouth & neck w maj O.R. 697,671.26
004 Trach w MV 96+ hrs or PDX exc face, mouth & neck w/o maj O.R. 374,976.88
011 Tracheostomy for face,mouth & neck diagnoses w MCC 110,892.25
012 Tracheostomy for face,mouth & neck diagnoses w CC 71,719.98
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC 64,011.18
020 Intracranial vascular procedures w PDX hemorrhage w MCC 559,227.37
021 Intracranial vascular procedures w PDX hemorrhage w CC 602,269.11
023 Cranio w major dev impl/acute complex CNS PDX w MCC or chemo implant 301,893.03
024 Cranio w major dev impl/acute complex CNS PDX w/o MCC 165,825.65
025 Craniotomy & endovascular intracranial procedures w MCC 223,587.87
026 Craniotomy & endovascular intracranial procedures w CC 136,105.34
027 Craniotomy & endovascular intracranial procedures w/o CC/MCC 128,612.73
028 Spinal procedures w MCC 245,317.71
029 Spinal procedures w CC or spinal neurostimulators 130,970.46
030 Spinal procedures w/o CC/MCC 178,633.96
031 Ventricular shunt procedures w MCC 113,731.47
032 Ventricular shunt procedures w CC 102,594.08
033 Ventricular shunt procedures w/o CC/MCC 109,160.54
034 Carotid artery stent procedure w MCC 148,644.45
035 Carotid artery stent procedure w CC 127,270.62
036 Carotid artery stent procedure w/o CC/MCC 85,662.82
037 Extracranial procedures w MCC 178,988.01
038 Extracranial procedures w CC 91,026.67
039 Extracranial procedures w/o CC/MCC 59,272.55
040 Periph/cranial nerve & other nerv syst proc w MCC 154,817.08
041 Periph/cranial nerve & other nerv syst proc w CC or periph neurostim 130,135.23
042 Periph/cranial nerve & other nerv syst proc w/o CC/MCC 76,451.50
052 Spinal disorders & injuries w CC/MCC 38,004.54
054 Nervous system neoplasms w MCC 88,480.94
055 Nervous system neoplasms w/o MCC 44,357.08
056 Degenerative nervous system disorders w MCC 76,861.96
057 Degenerative nervous system disorders w/o MCC 62,214.52
059 Multiple sclerosis & cerebellar ataxia w CC 48,556.92
060 Multiple sclerosis & cerebellar ataxia w/o CC/MCC 34,185.44
061 Acute ischemic stroke w use of thrombolytic agent w MCC 104,060.19
062 Acute ischemic stroke w use of thrombolytic agent w CC 76,034.32
063 Acute ischemic stroke w use of thrombolytic agent w/o CC/MCC 64,898.49
064 Intracranial hemorrhage or cerebral infarction w MCC 96,216.26
065 Intracranial hemorrhage or cerebral infarction w CC 49,651.08
066 Intracranial hemorrhage or cerebral infarction w/o CC/MCC 47,709.94
068 Nonspecific cva & precerebral occlusion w/o infarct w/o MCC 31,973.01
069 Transient ischemia 38,779.32
070 Nonspecific cerebrovascular disorders w MCC 62,574.62
071 Nonspecific cerebrovascular disorders w CC 43,694.53
072 Nonspecific cerebrovascular disorders w/o CC/MCC 31,805.47
073 Cranial & peripheral nerve disorders w MCC 35,115.40
074 Cranial & peripheral nerve disorders w/o MCC 49,370.53
075 Viral meningitis w CC/MCC 22,621.94
076 Viral meningitis w/o CC/MCC 20,195.85
077 Hypertensive encephalopathy w MCC 57,238.48
078 Hypertensive encephalopathy w CC 43,205.22
079 Hypertensive encephalopathy w/o CC/MCC 25,835.41
080 Nontraumatic stupor & coma w MCC 56,549.81
081 Nontraumatic stupor & coma w/o MCC 35,767.28
082 Traumatic stupor & coma, coma >1 hr w MCC 91,877.12
083 Traumatic stupor & coma, coma >1 hr w CC 59,089.55
084 Traumatic stupor & coma, coma >1 hr w/o CC/MCC 43,983.89
085 Traumatic stupor & coma, coma <1 hr w MCC 167,937.89
086 Traumatic stupor & coma, coma <1 hr w CC 43,717.50
087 Traumatic stupor & coma, coma <1 hr w/o CC/MCC 33,073.04
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

088 Concussion w MCC 46,754.99
089 Concussion w CC 40,960.22
090 Concussion w/o CC/MCC 49,146.28
091 Other disorders of nervous system w MCC 51,535.03
092 Other disorders of nervous system w CC 41,301.81
093 Other disorders of nervous system w/o CC/MCC 52,627.96
094 Bacterial & tuberculous infections of nervous system w MCC 175,877.92
095 Bacterial & tuberculous infections of nervous system w CC 93,054.49
096 Bacterial & tuberculous infections of nervous system w/o CC/MCC 117,112.57
097 Non-bacterial infect of nervous sys exc viral meningitis w MCC 127,882.42
098 Non-bacterial infect of nervous sys exc viral meningitis w CC 67,325.55
099 Non-bacterial infect of nervous sys exc viral meningitis w/o CC/MCC 70,823.08
100 Seizures w MCC 72,080.47
101 Seizures w/o MCC 41,474.27
102 Headaches w MCC 54,032.82
103 Headaches w/o MCC 32,337.68
122 Acute major eye infections w/o CC/MCC 6,529.18
123 Neurological eye disorders 45,039.22
124 Other disorders of the eye w MCC 39,244.66
125 Other disorders of the eye w/o MCC 35,828.34
129 Major head & neck procedures w CC/MCC or major device 60,901.03
131 Cranial/facial procedures w CC/MCC 60,885.31
133 Other ear, nose, mouth & throat O.R. procedures w CC/MCC 112,736.39
134 Other ear, nose, mouth & throat O.R. procedures w/o CC/MCC 42,859.02
135 Sinus & mastoid procedures w CC/MCC 52,778.65
137 Mouth procedures w CC/MCC 59,130.87
138 Mouth procedures w/o CC/MCC 56,923.04
139 Salivary gland procedures 149,907.64
146 Ear, nose, mouth & throat malignancy w MCC 54,036.86
147 Ear, nose, mouth & throat malignancy w CC 63,971.21
148 Ear, nose, mouth & throat malignancy w/o CC/MCC 34,376.84
149 Dysequilibrium 36,724.80
150 Epistaxis w MCC 41,880.77
151 Epistaxis w/o MCC 42,752.32
152 Otitis media & URI w MCC 19,455.09
153 Otitis media & URI w/o MCC 17,667.39
154 Nasal trauma & deformity w MCC 53,844.17
155 Nasal trauma & deformity w CC 36,795.55
156 Nasal trauma & deformity w/o CC/MCC 21,876.94
157 Dental & Oral Diseases w MCC 77,164.58
158 Dental & Oral Diseases w CC 36,648.83
159 Dental & Oral Diseases w/o CC/MCC 9,189.01
163 Major chest procedures w MCC 262,868.58
164 Major chest procedures w CC 208,585.35
165 Major chest procedures w/o CC/MCC 150,527.04
166 Other resp system O.R. procedures w MCC 189,860.43
167 Other resp system O.R. procedures w CC 147,456.40
168 Other resp system O.R. procedures w/o CC/MCC 83,434.79
175 Pulmonary embolism w MCC 87,647.35
176 Pulmonary embolism w/o MCC 50,454.14
177 Respiratory infections & inflammations w MCC 67,994.66
178 Respiratory infections & inflammations w CC 42,421.94
179 Respiratory infections & inflammations w/o CC/MCC 30,699.92
180 Respiratory neoplasms w MCC 102,737.84
181 Respiratory neoplasms w CC 54,160.66
182 Respiratory neoplasms w/o CC/MCC 11,604.29
183 Major chest trauma w MCC 52,608.81
184 Major chest trauma w CC 39,234.66
185 Major chest trauma w/o CC/MCC 32,620.15
186 Pleural effusion w MCC 71,175.40
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

187 Pleural effusion w CC 39,514.02
188 Pleural effusion w/o CC/MCC 33,661.79
189 Pulmonary edema & respiratory failure 58,153.73
190 Chronic obstructive pulmonary disease w MCC 49,724.18
191 Chronic obstructive pulmonary disease w CC 35,878.98
192 Chronic obstructive pulmonary disease w/o CC/MCC 28,536.63
193 Simple pneumonia & pleurisy w MCC 55,488.94
194 Simple pneumonia & pleurisy w CC 37,113.02
195 Simple pneumonia & pleurisy w/o CC/MCC 21,534.15
196 Interstitial lung disease w MCC 46,181.96
197 Interstitial lung disease w CC 55,297.04
198 Interstitial lung disease w/o CC/MCC 62,034.55
199 Pneumothorax w MCC 73,552.19
200 Pneumothorax w CC 44,922.55
201 Pneumothorax w/o CC/MCC 37,791.38
202 Bronchitis & asthma w CC/MCC 27,513.12
203 Bronchitis & asthma w/o CC/MCC 19,337.60
204 Respiratory signs & symptoms 35,982.97
205 Other respiratory system diagnoses w MCC 54,736.14
206 Other respiratory system diagnoses w/o MCC 36,688.59
207 Respiratory system diagnosis w ventilator support 96+ hours 204,067.57
208 Respiratory system diagnosis w ventilator support <96 hours 104,201.71
215 Other heart assist system implant 547,099.08
216 Cardiac valve & oth maj cardiothoracic proc w card cath w MCC 528,024.75
217 Cardiac valve & oth maj cardiothoracic proc w card cath w CC 382,824.72
219 Cardiac valve & oth maj cardiothoracic proc w/o card cath w MCC 523,526.86
220 Cardiac valve & oth maj cardiothoracic proc w/o card cath w CC 285,744.71
221 Cardiac valve & oth maj cardiothoracic proc w/o card cath w/o CC/MCC 290,689.32
222 Cardiac defib implant w cardiac cath w AMI/HF/shock w MCC 491,771.44
223 Cardiac defib implant w cardiac cath w AMI/HF/shock w/o MCC 429,455.42
224 Cardiac defib implant w cardiac cath w/o AMI/HF/shock w MCC 450,592.55
225 Cardiac defib implant w cardiac cath w/o AMI/HF/shock w/o MCC 344,642.90
226 Cardiac defibrillator implant w/o cardiac cath w MCC 417,677.57
227 Cardiac defibrillator implant w/o cardiac cath w/o MCC 319,214.03
228 Other cardiothoracic procedures w MCC 504,026.55
229 Other cardiothoracic procedures w CC 287,676.30
231 Coronary bypass w PTCA w MCC 357,927.55
232 Coronary bypass w PTCA w/o MCC 366,225.18
233 Coronary bypass w cardiac cath w MCC 325,674.19
234 Coronary bypass w cardiac cath w/o MCC 270,167.72
235 Coronary bypass w/o cardiac cath w MCC 249,202.69
236 Coronary bypass w/o cardiac cath w/o MCC 211,471.12
239 Amputation for circ sys disorders exc upper limb & toe w MCC 361,294.99
240 Amputation for circ sys disorders exc upper limb & toe w CC 126,429.03
241 Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC 59,918.15
242 Permanent cardiac pacemaker implant w MCC 188,099.90
243 Permanent cardiac pacemaker implant w CC 146,544.52
244 Permanent cardiac pacemaker implant w/o CC/MCC 125,332.30
246 Perc cardiovasc proc w drug-eluting stent w MCC or 4+ vessels/stents 213,563.14
247 Perc cardiovasc proc w drug-eluting stent w/o MCC 144,118.17
248 Perc cardiovasc proc w non-drug-eluting stent w MCC or 4+ ves/stents 162,608.89
249 Perc cardiovasc proc w non-drug-eluting stent w/o MCC 135,216.84
250 Perc cardiovasc proc w/o coronary artery stent or AMI w MCC 228,476.22
251 Perc cardiovasc proc w/o coronary artery stent or AMI w/o MCC 96,791.75
252 Other vascular procedures w MCC 173,340.28
253 Other vascular procedures w CC 156,586.67
254 Other vascular procedures w/o CC/MCC 106,950.18
255 Upper limb & toe amputation for circ system disorders w MCC 61,677.18
256 Upper limb & toe amputation for circ system disorders w CC 82,747.72
258 Cardiac pacemaker device replacement w MCC 95,858.82
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

259 Cardiac pacemaker device replacement w/o MCC 84,765.50
260 Cardiac pacemaker revision except device replacement w MCC 115,562.77
261 Cardiac pacemaker revision except device replacement w CC 110,747.60
262 Cardiac pacemaker revision except device replacement w/o CC/MCC 100,897.30
264 Other circulatory system O.R. procedures 144,801.99
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT &amp; SUPPLEMENT PROCEDURES W MCC 391,129.10
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT &amp; SUPPLEMENT PROCEDURES W/O MCC 380,353.16
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC 375,855.27
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC 311,000.24
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC 345,216.71
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC 297,145.11
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC 222,435.64
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC 208,321.34
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC 110,606.62
280 Acute myocardial infarction, discharged alive w MCC 75,075.43
281 Acute myocardial infarction, discharged alive w CC 50,940.38
282 Acute myocardia infarction, discharged alive w/o CC/MCC 40,976.58
283 Acute myocardial infarction, expired w MCC 83,587.16
284 Acute myocardial infarction, expired w CC 35,616.76
285 Acute myocardial infarction, expired w/o CC/MCC 28,258.60
286 Circulatory disorders except AMI, w card cath w MCC 90,365.29
287 Circulatory disorders except AMI, w card cath w/o MCC 56,262.66
288 Acute & subacute endocarditis w MCC 62,165.91
289 Acute & subacute endocarditis w CC 105,307.47
290 Acute & subacute endocarditis w/o CC/MCC 25,793.18
291 Heart failure & shock w MCC 49,749.68
292 Heart failure & shock w CC 40,035.88
293 Heart failure & shock w/o CC/MCC 34,245.58
294 Deep vein thrombophlebitis w CC/MCC 106,193.84
296 Cardiac arrest, unexplained w MCC 63,652.75
298 Cardiac arrest, unexplained w/o CC/MCC 56,541.91
299 Peripheral vascular disorders w MCC 52,405.41
300 Peripheral vascular disorders w CC 49,296.27
301 Peripheral vascular disorders w/o CC/MCC 24,149.78
302 Atherosclerosis w MCC 34,431.05
303 Atherosclerosis w/o MCC 38,974.09
304 Hypertension w MCC 46,070.43
305 Hypertension w/o MCC 30,199.09
306 Cardiac congenital & valvular disorders w MCC 43,835.95
307 Cardiac congenital & valvular disorders w/o MCC 21,724.91
308 Cardiac arrhythmia & conduction disorders w MCC 58,806.21
309 Cardiac arrhythmia & conduction disorders w CC 31,656.92
310 Cardiac arrhythmia & conduction disorders w/o CC/MCC 23,098.30
311 Angina pectoris 34,430.35
312 Syncope & collapse 37,980.66
313 Chest pain 33,512.00
314 Other circulatory system diagnoses w MCC 74,058.98
315 Other circulatory system diagnoses w CC 43,638.09
316 Other circulatory system diagnoses w/o CC/MCC 41,919.24
326 Stomach, esophageal & duodenal proc w MCC 286,849.94
327 Stomach, esophageal & duodenal proc w CC 105,617.11
328 Stomach, esophageal & duodenal proc w/o CC/MCC 106,355.21
329 Major small & large bowel procedures w MCC 238,445.21
330 Major small & large bowel procedures w CC 142,933.85
331 Major small & large bowel procedures w/o CC/MCC 108,483.41
332 Rectal resection w MCC 175,018.34
334 Rectal resection w/o CC/MCC 146,235.31
335 Peritoneal adhesiolysis w MCC 240,937.70
336 Peritoneal adhesiolysis w CC 127,000.83
337 Peritoneal adhesiolysis w/o CC/MCC 73,301.20
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

338 Appendectomy w complicated principal diag w MCC 113,895.39
339 Appendectomy w complicated principal diag w CC 87,646.12
340 Appendectomy w complicated principal diag w/o CC/MCC 71,332.49
341 Appendectomy w/o complicated principal diag w MCC 63,583.97
342 Appendectomy w/o complicated principal diag w CC 69,993.31
343 Appendectomy w/o complicated principal diag w/o CC/MCC 53,226.56
344 Minor small & large bowel procedures w MCC 154,543.56
345 Minor small & large bowel procedures w CC 66,221.52
346 Minor small & large bowel procedures w/o CC/MCC 100,295.63
347 Anal & stomal procedures w MCC 42,266.14
348 Anal & stomal procedures w CC 57,036.96
350 Inguinal & femoral hernia procedures w MCC 114,659.56
351 Inguinal & femoral hernia procedures w CC 90,882.88
352 Inguinal & femoral hernia procedures w/o CC/MCC 98,097.98
353 Hernia procedures except inguinal & femoral w MCC 162,761.80
354 Hernia procedures except inguinal & femoral w CC 129,696.60
355 Hernia procedures except inguinal & femoral w/o CC/MCC 90,769.72
356 Other digestive system O.R. procedures w MCC 157,400.61
357 Other digestive system O.R. procedures w CC 121,707.80
358 Other digestive system O.R. procedures w/o CC/MCC 106,376.87
368 Major esophageal disorders w MCC 64,918.11
369 Major esophageal disorders w CC 43,963.18
370 Major esophageal disorders w/o CC/MCC 20,808.95
371 Major gastrointestinal disorders & peritoneal infections w MCC 81,266.03
372 Major gastrointestinal disorders & peritoneal infections w CC 38,118.72
373 Major gastrointestinal disorders & peritoneal infections w/o CC/MCC 43,444.54
374 Digestive malignancy w MCC 73,966.98
375 Digestive malignancy w CC 52,044.05
376 Digestive malignancy w/o CC/MCC 25,811.83
377 G.I. hemorrhage w MCC 71,067.44
378 G.I. hemorrhage w CC 43,487.04
379 G.I. hemorrhage w/o CC/MCC 32,479.02
380 Complicated peptic ulcer w MCC 64,700.14
381 Complicated peptic ulcer w CC 53,173.33
382 Complicated peptic ulcer w/o CC/MCC 27,998.02
383 Uncomplicated peptic ulcer w MCC 87,834.49
384 Uncomplicated peptic ulcer w/o MCC 41,504.71
385 Inflammatory bowel disease w MCC 82,430.98
386 Inflammatory bowel disease w CC 28,803.58
387 Inflammatory bowel disease w/o CC/MCC 23,116.53
388 G.I. obstruction w MCC 51,875.58
389 G.I. obstruction w CC 31,837.87
390 G.I. obstruction w/o CC/MCC 25,397.19
391 Esophagitis, gastroent & misc digest disorders w MCC 56,888.22
392 Esophagitis, gastroent & misc digest disorders w/o MCC 30,937.18
393 Other digestive system diagnoses w MCC 100,228.25
394 Other digestive system diagnoses w CC 36,402.36
395 Other digestive system diagnoses w/o CC/MCC 31,943.33
405 Pancreas, liver & shunt procedures w MCC 396,798.97
406 Pancreas, liver & shunt procedures w CC 137,175.60
407 Pancreas, liver & shunt procedures w/o CC/MCC 134,298.04
408 Biliary tract proc except only cholecyst w or w/o c.d.e. w MCC 77,637.92
412 Cholecystectomy w c.d.e. w CC 86,812.84
413 Cholecystectomy w c.d.e. w/o CC/MCC 117,538.51
414 Cholecystectomy except by laparoscope w/o c.d.e. w MCC 337,151.35
415 Cholecystectomy except by laparoscope w/o c.d.e. w CC 93,489.76
417 Laparoscopic cholecystectomy w/o c.d.e. w MCC 113,606.92
418 Laparoscopic cholecystectomy w/o c.d.e. w CC 85,639.39
419 Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC 70,549.73
420 Hepatobiliary diagnostic procedures w MCC 123,814.13
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

422 Hepatobiliary diagnostic procedures w/o CC/MCC 190,256.05
424 Other hepatobiliary or pancreas O.R. procedures w CC 85,658.42
432 Cirrhosis & alcoholic hepatitis w MCC 65,141.77
433 Cirrhosis & alcoholic hepatitis w CC 42,844.95
434 Cirrhosis & alcoholic hepatitis w/o CC/MCC 22,093.90
435 Malignancy of hepatobiliary system or pancreas w MCC 83,897.20
436 Malignancy of hepatobiliary system or pancreas w CC 53,016.69
437 Malignancy of hepatobiliary system or pancreas w/o CC/MCC 76,824.87
438 Disorders of pancreas except malignancy w MCC 102,271.94
439 Disorders of pancreas except malignancy w CC 35,818.33
440 Disorders of pancreas except malignancy w/o CC/MCC 32,756.22
441 Disorders of liver except malig,cirr,alc hepa w MCC 70,877.14
442 Disorders of liver except malig,cirr,alc hepa w CC 45,100.64
443 Disorders of liver except malig,cirr,alc hepa w/o CC/MCC 27,103.26
444 Disorders of the biliary tract w MCC 88,214.49
445 Disorders of the biliary tract w CC 59,916.21
446 Disorders of the biliary tract w/o CC/MCC 50,630.21
454 Combined anterior/posterior spinal fusion w CC 282,035.56
455 Combined anterior/posterior spinal fusion w/o CC/MCC 292,154.29
456 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w MCC 326,558.64
457 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w CC 237,967.74
458 Spinal fus exc cerv w spinal curv/malig/infec or 9+ fus w/o CC/MCC 221,150.85
459 Spinal fusion except cervical w MCC 323,242.76
460 Spinal fusion except cervical w/o MCC 216,523.13
462 Bilateral or multiple major joint procs of lower extremity w/o MCC 255,374.01
463 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w MCC 177,678.77
464 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC 122,298.57
465 Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w/o CC/MCC 29,187.64
466 Revision of hip or knee replacement w MCC 240,925.26
467 Revision of hip or knee replacement w CC 219,939.32
468 Revision of hip or knee replacement w/o CC/MCC 210,616.50
469 Major joint replacement or reattachment of lower extremity w MCC 168,943.54
470 Major joint replacement or reattachment of lower extremity w/o MCC 138,167.63
471 Cervical spinal fusion w MCC 275,053.40
472 Cervical spinal fusion w CC 249,767.40
473 Cervical spinal fusion w/o CC/MCC 245,432.35
474 Amputation for musculoskeletal sys & conn tissue dis w MCC 170,825.89
475 Amputation for musculoskeletal sys & conn tissue dis w CC 105,604.51
476 Amputation for musculoskeletal sys & conn tissue dis w/o CC/MCC 88,081.13
477 Biopsies of musculoskeletal system & connective tissue w MCC 180,060.26
478 Biopsies of musculoskeletal system & connective tissue w CC 96,093.25
479 Biopsies of musculoskeletal system & connective tissue w/o CC/MCC 83,189.89
480 Hip & femur procedures except major joint w MCC 142,773.05
481 Hip & femur procedures except major joint w CC 120,410.50
482 Hip & femur procedures except major joint w/o CC/MCC 92,644.23
483 Major joint & limb reattachment proc of upper extremity w CC/MCC 158,516.56
485 Knee procedures w pdx of infection w MCC 123,956.13
486 Knee procedures w pdx of infection w CC 137,784.26
487 Knee procedures w pdx of infection w/o CC/MCC 160,701.66
488 Knee procedures w/o pdx of infection w CC/MCC 89,654.91
489 Knee procedures w/o pdx of infection w/o CC/MCC 71,880.91
492 Lower extrem & humer proc except hip,foot,femur w MCC 158,642.35
493 Lower extrem & humer proc except hip,foot,femur w CC 126,023.16
494 Lower extrem & humer proc except hip,foot,femur w/o CC/MCC 99,067.98
496 Local excision & removal int fix devices exc hip & femur w CC 64,706.00
497 Local excision & removal int fix devices exc hip & femur w/o CC/MCC 71,874.21
498 Local excision & removal int fix devices of hip & femur w CC/MCC 64,839.89
499 Local excision & removal int fix devices of hip & femur w/o CC/MCC 63,715.68
500 Soft tissue procedures w MCC 107,319.78
501 Soft tissue procedures w CC 72,732.42
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

502 Soft tissue procedures w/o CC/MCC 51,153.12
503 Foot procedures w MCC 281,337.68
504 Foot procedures w CC 84,975.60
505 Foot procedures w/o CC/MCC 86,323.41
506 Major thumb or joint procedures 84,006.20
507 Major shoulder or elbow joint procedures w CC/MCC 59,026.53
508 Major shoulder or elbow joint procedures w/o CC/MCC 84,506.37
511 Shoulder,elbow or forearm proc,exc major joint proc w CC 126,165.70
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC 77,985.87
513 Hand or wrist proc, except major thumb or joint proc w CC/MCC 78,876.88
514 Hand or wrist proc, except major thumb or joint proc w/o CC/MCC 52,717.62
515 Other musculoskelet sys & conn tiss O.R. proc w MCC 131,585.49
516 Other musculoskelet sys & conn tiss O.R. proc w CC 98,081.33
517 Other musculoskelet sys & conn tiss O.R. proc w/o CC/MCC 73,030.64
518 BACK &amp; NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM 204,646.09
519 BACK &amp; NECK PROC EXC SPINAL FUSION W CC 101,748.87
520 BACK &amp; NECK PROC EXC SPINAL FUSION W/O CC/MCC 73,575.38
534 Fractures of femur w/o MCC 21,691.94
535 Fractures of hip & pelvis w MCC 83,744.51
536 Fractures of hip & pelvis w/o MCC 27,999.60
537 Sprains, strains, & dislocations of hip, pelvis & thigh w CC/MCC 28,762.22
539 Osteomyelitis w MCC 115,250.11
540 Osteomyelitis w CC 65,687.78
541 Osteomyelitis w/o CC/MCC 52,100.30
542 Pathological fractures & musculoskelet & conn tiss malig w MCC 97,016.98
543 Pathological fractures & musculoskelet & conn tiss malig w CC 51,348.39
544 Pathological fractures & musculoskelet & conn tiss malig w/o CC/MCC 31,641.27
545 Connective tissue disorders w MCC 428,784.11
546 Connective tissue disorders w CC 63,796.82
547 Connective tissue disorders w/o CC/MCC 22,191.95
548 Septic arthritis w MCC 49,487.66
549 Septic arthritis w CC 60,374.40
550 Septic arthritis w/o CC/MCC 49,053.59
551 Medical back problems w MCC 58,631.11
552 Medical back problems w/o MCC 48,217.74
554 Bone diseases & arthropathies w/o MCC 39,158.75
555 Signs & symptoms of musculoskeletal system & conn tissue w MCC 20,415.00
556 Signs & symptoms of musculoskeletal system & conn tissue w/o MCC 43,503.60
557 Tendonitis, myositis & bursitis w MCC 53,672.41
558 Tendonitis, myositis & bursitis w/o MCC 31,466.32
559 Aftercare, musculoskeletal system & connective tissue w MCC 85,868.01
560 Aftercare, musculoskeletal system & connective tissue w CC 57,036.61
561 Aftercare, musculoskeletal system & connective tissue w/o CC/MCC 41,445.87
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC 46,715.41
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC 37,677.62
564 Other musculoskeletal sys & connective tissue diagnoses w MCC 65,979.80
565 Other musculoskeletal sys & connective tissue diagnoses w CC 28,595.42
566 Other musculoskeletal sys & connective tissue diagnoses w/o CC/MCC 39,233.85
571 SKIN DEBRIDEMENT W CC 70,736.84
572 SKIN DEBRIDEMENT W/O CC/MCC 85,500.03
577 Skin graft &/or debrid exc for skin ulcer or cellulitis w CC 110,641.64
579 Other skin, subcut tiss & breast proc w MCC 92,320.79
580 Other skin, subcut tiss & breast proc w CC 72,065.54
581 Other skin, subcut tiss & breast proc w/o CC/MCC 54,984.08
582 Mastectomy for malignancy w CC/MCC 46,381.12
583 Mastectomy for malignancy w/o CC/MCC 103,019.88
585 Breast biopsy, local excision & other breast procedures w/o CC/MCC 72,296.95
592 Skin ulcers w MCC 60,833.01
593 Skin ulcers w CC 41,378.24
594 Skin ulcers w/o CC/MCC 29,045.49
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

595 Major skin disorders w MCC 33,090.55
596 Major skin disorders w/o MCC 16,437.27
598 Malignant breast disorders w CC 17,875.69
600 Non-malignant breast disorders w CC/MCC 39,743.92
601 Non-malignant breast disorders w/o CC/MCC 9,653.96
602 Cellulitis w MCC 57,550.57
603 Cellulitis w/o MCC 33,693.04
604 Trauma to the skin, subcut tiss & breast w MCC 83,720.11
605 Trauma to the skin, subcut tiss & breast w/o MCC 45,817.88
606 Minor skin disorders w MCC 17,609.12
607 Minor skin disorders w/o MCC 32,464.46
614 Adrenal & pituitary procedures w CC/MCC 100,210.22
615 Adrenal & pituitary procedures w/o CC/MCC 68,673.56
616 Amputat of lower limb for endocrine,nutrit,& metabol dis w MCC 226,980.02
617 Amputat of lower limb for endocrine,nutrit,& metabol dis w CC 110,700.24
622 Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC 171,400.00
623 Skin grafts & wound debrid for endoc, nutrit & metab dis w CC 117,228.63
628 Other endocrine, nutrit & metab O.R. proc w MCC 149,761.96
629 Other endocrine, nutrit & metab O.R. proc w CC 107,145.15
637 Diabetes w MCC 80,138.19
638 Diabetes w CC 39,150.94
639 Diabetes w/o CC/MCC 23,837.75
640 Nutritional & misc metabolic disorders w MCC 42,208.27
641 Nutritional & misc metabolic disorders w/o MCC 24,897.12
642 Inborn errors of metabolism 66,380.41
643 Endocrine disorders w MCC 55,649.62
644 Endocrine disorders w CC 42,518.84
645 Endocrine disorders w/o CC/MCC 22,341.55
654 Major bladder procedures w CC 95,398.61
656 Kidney & ureter procedures for neoplasm w MCC 186,178.18
657 Kidney & ureter procedures for neoplasm w CC 121,713.74
658 Kidney & ureter procedures for neoplasm w/o CC/MCC 95,405.61
659 Kidney & ureter procedures for non-neoplasm w MCC 112,329.00
660 Kidney & ureter procedures for non-neoplasm w CC 61,559.98
661 Kidney & ureter procedures for non-neoplasm w/o CC/MCC 54,467.43
662 Minor bladder procedures w MCC 380,139.39
663 Minor bladder procedures w CC 61,750.00
668 Transurethral procedures w MCC 104,243.83
669 Transurethral procedures w CC 67,728.83
670 Transurethral procedures w/o CC/MCC 46,069.90
673 Other kidney & urinary tract procedures w MCC 122,443.66
674 Other kidney & urinary tract procedures w CC 128,309.96
682 Renal failure w MCC 63,984.53
683 Renal failure w CC 35,699.06
684 Renal failure w/o CC/MCC 30,067.86
686 Kidney & urinary tract neoplasms w MCC 186,291.43
687 Kidney & urinary tract neoplasms w CC 50,900.69
689 Kidney & urinary tract infections w MCC 41,444.66
690 Kidney & urinary tract infections w/o MCC 30,076.83
691 Urinary stones w esw lithotripsy w CC/MCC 41,725.40
693 Urinary stones w/o esw lithotripsy w MCC 91,977.92
694 Urinary stones w/o esw lithotripsy w/o MCC 36,004.50
696 Kidney & urinary tract signs & symptoms w/o MCC 31,717.69
698 Other kidney & urinary tract diagnoses w MCC 51,295.21
699 Other kidney & urinary tract diagnoses w CC 56,714.49
700 Other kidney & urinary tract diagnoses w/o CC/MCC 15,202.51
707 Major male pelvic procedures w CC/MCC 115,930.19
708 Major male pelvic procedures w/o CC/MCC 113,923.52
709 Penis procedures w CC/MCC 77,951.31
710 Penis procedures w/o CC/MCC 36,782.66
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

711 Testes procedures w CC/MCC 123,635.66
713 Transurethral prostatectomy w CC/MCC 117,865.98
715 Other male reproductive system O.R. proc for malignancy w CC/MCC 145,763.41
717 Other male reproductive system O.R. proc exc malignancy w CC/MCC 67,146.51
722 Malignancy, male reproductive system w MCC 342,553.75
723 Malignancy, male reproductive system w CC 50,829.68
725 Benign prostatic hypertrophy w MCC 38,124.73
726 Benign prostatic hypertrophy w/o MCC 27,223.37
727 Inflammation of the male reproductive system w MCC 36,392.79
728 Inflammation of the male reproductive system w/o MCC 28,168.46
729 Other male reproductive system diagnoses w CC/MCC 15,008.16
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC 43,042.68
742 Uterine & adnexa proc for non-malignancy w CC/MCC 100,196.45
743 Uterine & adnexa proc for non-malignancy w/o CC/MCC 65,556.07
744 D&C, conization, laparascopy & tubal interruption w CC/MCC 33,885.71
745 D&C, conization, laparascopy & tubal interruption w/o CC/MCC 86,098.97
746 Vagina, cervix & vulva procedures w CC/MCC 31,914.97
747 Vagina, cervix & vulva procedures w/o CC/MCC 33,258.93
749 Other female reproductive system O.R. procedures w CC/MCC 117,920.83
750 Other female reproductive system O.R. procedures w/o CC/MCC 72,054.65
754 Malignancy, female reproductive system w MCC 62,449.24
755 Malignancy, female reproductive system w CC 20,246.30
757 Infections, female reproductive system w MCC 61,864.72
758 Infections, female reproductive system w CC 52,096.18
759 Infections, female reproductive system w/o CC/MCC 18,189.28
760 Menstrual & other female reproductive system disorders w CC/MCC 29,650.71
761 Menstrual & other female reproductive system disorders w/o CC/MCC 19,470.01
765 Cesarean section w CC/MCC 33,901.33
766 Cesarean section w/o CC/MCC 24,907.25
767 Vaginal delivery w sterilization &/or D&C 25,032.90
768 Vaginal delivery w O.R. proc except steril &/or D&C 18,314.87
769 Postpartum & post abortion diagnoses w O.R. procedure 55,519.98
770 Abortion w D&C, aspiration curettage or hysterotomy 20,650.80
774 Vaginal delivery w complicating diagnoses 16,047.83
775 Vaginal delivery w/o complicating diagnoses 12,658.44
776 Postpartum & post abortion diagnoses w/o O.R. procedure 29,917.85
779 Abortion w/o D&C 13,766.83
781 Other antepartum diagnoses w medical complications 33,842.88
783 CESAREAN SECTION W STERILIZATION W MCC 44,739.03
784 CESAREAN SECTION W STERILIZATION W CC 32,306.62
785 CESAREAN SECTION W STERILIZATION W/O CC/MCC 28,601.67
786 CESAREAN SECTION W/O STERILIZATION W MCC 41,888.09
787 CESAREAN SECTION W/O STERILIZATION W CC 36,952.64
788 CESAREAN SECTION W/O STERILIZATION W/O CC/MCC 28,239.24
789 Neonates, died or transferred to another acute care facility 265,576.59
790 Extreme immaturity or respiratory distress syndrome, neonate 298,504.73
791 Prematurity w major problems 135,892.60
792 Prematurity w/o major problems 55,042.60
793 Full term neonate w major problems 33,281.85
794 Neonate w other significant problems 20,830.93
795 Normal newborn 9,079.79
796 VAGINAL DELIVERY W STERILIZATION/D&amp;C W MCC 38,059.52
797 VAGINAL DELIVERY W STERILIZATION/D&amp;C W CC 24,477.74
798 VAGINAL DELIVERY W STERILIZATION/D&amp;C W/O CC/MCC 23,504.24
799 Splenectomy w MCC 187,957.74
801 Splenectomy w/o CC/MCC 86,841.77
803 Other O.R. proc of the blood & blood forming organs w CC 113,005.86
804 Other O.R. proc of the blood & blood forming organs w/o CC/MCC 56,774.71
805 VAGINAL DELIVERY W/O STERILIZATION/D&amp;C W MCC 21,883.94
806 VAGINAL DELIVERY W/O STERILIZATION/D&amp;C W CC 17,487.10
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

807 VAGINAL DELIVERY W/O STERILIZATION/D&amp;C W/O CC/MCC 13,525.05
808 Major hematol/immun diag exc sickle cell crisis & coagul w MCC 53,262.23
809 Major hematol/immun diag exc sickle cell crisis & coagul w CC 41,069.47
810 Major hematol/immun diag exc sickle cell crisis & coagul w/o CC/MCC 188,102.79
811 Red blood cell disorders w MCC 68,454.24
812 Red blood cell disorders w/o MCC 38,138.51
813 Coagulation disorders 95,713.93
814 Reticuloendothelial & immunity disorders w MCC 52,782.52
815 Reticuloendothelial & immunity disorders w CC 52,311.67
816 Reticuloendothelial & immunity disorders w/o CC/MCC 18,796.84
817 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC 43,302.32
818 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC 143,795.61
819 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC 52,956.59
823 Lymphoma & non-acute leukemia w other O.R. proc w MCC 101,402.36
824 Lymphoma & non-acute leukemia w other O.R. proc w CC 117,658.00
825 Lymphoma & non-acute leukemia w other O.R. proc w/o CC/MCC 157,431.09
826 Myeloprolif disord or poorly diff neopl w maj O.R. proc w MCC 143,751.99
827 Myeloprolif disord or poorly diff neopl w maj O.R. proc w CC 52,342.89
829 Myeloprolif disord or poorly diff neopl w other O.R. proc w CC/MCC 213,313.14
830 Myeloprolif disord or poorly diff neopl w other O.R. proc w/o CC/MCC 49,864.97
831 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC 35,315.68
832 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC 35,439.39
833 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC 21,927.42
834 Acute leukemia w/o major O.R. procedure w MCC 424,105.05
835 Acute leukemia w/o major O.R. procedure w CC 123,605.59
836 Acute leukemia w/o major O.R. procedure w/o CC/MCC 49,979.48
838 Chemo w acute leukemia as sdx w CC or high dose chemo agent 99,360.44
839 Chemo w acute leukemia as sdx w/o CC/MCC 33,201.62
840 Lymphoma & non-acute leukemia w MCC 173,352.82
841 Lymphoma & non-acute leukemia w CC 57,990.05
842 Lymphoma & non-acute leukemia w/o CC/MCC 89,210.88
843 Other myeloprolif dis or poorly diff neopl diag w MCC 50,316.16
844 Other myeloprolif dis or poorly diff neopl diag w CC 52,391.38
845 Other myeloprolif dis or poorly diff neopl diag w/o CC/MCC 53,606.13
846 Chemotherapy w/o acute leukemia as secondary diagnosis w MCC 64,772.81
847 Chemotherapy w/o acute leukemia as secondary diagnosis w CC 80,769.39
848 Chemotherapy w/o acute leukemia as secondary diagnosis w/o CC/MCC 44,272.00
853 Infectious & parasitic diseases w O.R. procedure w MCC 224,404.65
854 Infectious & parasitic diseases w O.R. procedure w CC 110,122.78
855 Infectious & parasitic diseases w O.R. procedure w/o CC/MCC 64,240.77
856 Postoperative or post-traumatic infections w O.R. proc w MCC 263,476.17
857 Postoperative or post-traumatic infections w O.R. proc w CC 102,791.14
858 Postoperative or post-traumatic infections w O.R. proc w/o CC/MCC 92,211.64
862 Postoperative & post-traumatic infections w MCC 92,340.12
863 Postoperative & post-traumatic infections w/o MCC 60,258.20
864 Fever of unknown origin 17,439.26
865 Viral illness w MCC 33,555.57
866 Viral illness w/o MCC 16,309.71
867 Other infectious & parasitic diseases diagnoses w MCC 68,134.20
868 Other infectious & parasitic diseases diagnoses w CC 39,168.16
869 Other infectious & parasitic diseases diagnoses w/o CC/MCC 22,791.88
870 Septicemia w MV 96+ hours 234,660.12
871 Septicemia w/o MV 96+ hours w MCC 81,674.75
872 Septicemia w/o MV 96+ hours w/o MCC 47,275.85
880 Acute adjustment reaction & psychosocial dysfunction 42,496.79
881 Depressive neuroses 15,040.75
882 Neuroses except depressive 65,581.07
884 Organic disturbances & mental retardation 39,562.53
885 Psychoses 69,669.23
886 Behavioral & developmental disorders 43,225.10
Hendrick Medical Center
DRG Listing with Average Charge

DRG Number DRG Description Avg Charge

887 Other mental disorder diagnoses 17,831.89
894 Alcohol/drug abuse or dependence, left ama 32,094.73
896 Alcohol/drug abuse or dependence w/o rehabilitation therapy w MCC 57,698.81
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC 30,094.68
901 Wound debridements for injuries w MCC 102,214.73
902 Wound debridements for injuries w CC 87,001.49
903 Wound debridements for injuries w/o CC/MCC 27,533.88
904 Skin grafts for injuries w CC/MCC 91,723.35
905 Skin grafts for injuries w/o CC/MCC 73,312.15
906 Hand procedures for injuries 82,953.72
907 Other O.R. procedures for injuries w MCC 200,015.54
908 Other O.R. procedures for injuries w CC 94,433.20
909 Other O.R. procedures for injuries w/o CC/MCC 82,001.00
913 Traumatic injury w MCC 91,080.47
914 Traumatic injury w/o MCC 33,467.96
915 Allergic reactions w MCC 97,601.01
916 Allergic reactions w/o MCC 21,703.22
917 Poisoning & toxic effects of drugs w MCC 59,828.21
918 Poisoning & toxic effects of drugs w/o MCC 35,367.93
919 Complications of treatment w MCC 73,744.96
920 Complications of treatment w CC 49,771.74
921 Complications of treatment w/o CC/MCC 49,806.59
922 Other injury, poisoning & toxic effect diag w MCC 74,242.35
923 Other injury, poisoning & toxic effect diag w/o MCC 31,240.79
928 Full thickness burn w skin graft or inhal inj w CC/MCC 49,635.25
929 Full thickness burn w skin graft or inhal inj w/o CC/MCC 32,733.88
935 Non-extensive burns 9,005.57
939 O.R. proc w diagnoses of other contact w health services w MCC 223,027.46
940 O.R. proc w diagnoses of other contact w health services w CC 111,205.62
941 O.R. proc w diagnoses of other contact w health services w/o CC/MCC 130,555.54
947 Signs & symptoms w MCC 49,590.92
948 Signs & symptoms w/o MCC 44,907.35
949 Aftercare w CC/MCC 53,915.67
950 Aftercare w/o CC/MCC 37,352.45
951 Other factors influencing health status 2,634.78
955 Craniotomy for multiple significant trauma 305,519.94
956 Limb reattachment, hip & femur proc for multiple significant trauma 208,479.41
957 Other O.R. procedures for multiple significant trauma w MCC 262,919.94
958 Other O.R. procedures for multiple significant trauma w CC 197,937.99
959 Other O.R. procedures for multiple significant trauma w/o CC/MCC 369,864.50
963 Other multiple significant trauma w MCC 194,352.00
964 Other multiple significant trauma w CC 69,331.28
965 Other multiple significant trauma w/o CC/MCC 42,240.22
969 HIV w extensive O.R. procedure w MCC 495,484.15
974 HIV w major related condition w MCC 87,224.99
975 HIV w major related condition w CC 37,324.45
976 HIV w major related condition w/o CC/MCC 34,714.40
977 HIV w or w/o other related condition 44,647.83
981 Extensive O.R. procedure unrelated to principal diagnosis w MCC 252,267.73
982 Extensive O.R. procedure unrelated to principal diagnosis w CC 128,452.85
983 Extensive O.R. procedure unrelated to principal diagnosis w/o CC/MCC 131,939.27
987 Non-extensive O.R. proc unrelated to principal diagnosis w MCC 232,451.88
988 Non-extensive O.R. proc unrelated to principal diagnosis w CC 101,819.51
989 Non-extensive O.R. proc unrelated to principal diagnosis w/o CC/MCC 26,667.37
998 Principal diagnosis invalid as discharge diagnosis 13,725.31
999 Ungroupable 65,058.13