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HRG4+ 2022/23 National Costs Grouper

Download the latest Costing Grouper and documentation suite, to be used in conjunction with the National Costs Collection

HRG4+ 2022/23 National Costs Grouper

Download the HRG4+ 2022/23 National Costs Grouper Application

Please read the Summary of Changes provided with this release to understand the changes made since the HRG4+ 2021/22 National Costs Grouper and the update to the Grouper software application.


Download documents

Summary of Changes - this document summarises the updates to both the product and underlying design from the last Costing Grouper release. Users are advised to read before using the latest Grouper.

Grouper User Manual - this document explains how data should be sorted and presented for processing by the Grouper. 

Chapter Summaries - this document provides an overview of the scope, composition and grouping logic of individual subchapters, including the update to the HRG design.

Code to Group - this workbook provides details of constituent elements that contribute to HRG grouping. It contains reference data, such as the ICD-10 and OPCS-4 codes used in the design, procedure and diagnosis hierarchies relevant to a specific design, and the Complication and Comorbidities lists for HRG subchapters. It also includes information on Programme Budgeting Category (PBC) mapping and a comprehensive list of HRG codes and labels.

Test data and expected results - this folder contains sample data that can be used to test the Grouper installation (running the sample data should result in 90% grouped, 10% ungrouped). The file format is representative of that in the sample RDFs, provided within the Grouper application. These files can be used as example patient data, or as a template to understand the required input to the Grouper to enable successful grouping.

The Casemix Companion - this document can now be found on our new web page The why, what and how of Casemix. This document is a starting point and general reference guide for anyone interested in learning about Casemix. It gives an introduction to HRGs, groupers, HRG4+ design concepts and grouping logic.


Further information

The National Costs collection is carried out and supported by NHS England. This section will be refreshed when the link is available.


Archive material

Visit our archive to view and download historical versions of Groupers and documentation. 

Last edited: 14 March 2023 9:14 am