University of Arkansas Medical Sciences — Pricing

773 procedures published in this hospital's Machine-Readable File (MRF) — 356 with a comparable price, 417 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 773
Lowest published price $888
Average published price $21,656
Highest published price $196,812

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 773 procedures

Published charges

Showing all 356 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above. Cash-pay prices not published for this hospital.

Across 96 procedures, this hospital's negotiated rates average ≈126% of what Medicare pays.

DRG Description Published price vs. AR median vs. National median vs Medicare
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION/COMORBITY OR T-CELL IMMUNOTHERAPY $196,812 $72,150 +173% $98,260 +100% ≈95% of Medicare
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY $155,620 $75,899 +105% $113,855 +37% —
005 LIVER TRANSPLANT WITH COMORBITY OR INTESTINAL TRANSPLANT $124,000 $116,605 +6% $164,641 −25% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY $115,460 $69,695 +66% $99,423 +16% ≈128% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH COMORBITY $107,050 $35,990 +197% $40,362 +165% —
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY $100,433 $50,550 +99% $68,639 +46% —
003 ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. $100,400 $204,317 −51% $371,366 −73% ≈139% of Medicare
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY $97,991 $113,706 −14% $188,171 −48% —
456 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY $95,668 $95,668 +0% $153,282 −38% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE $89,795 $58,478 +54% $80,018 +12% —
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY $84,432 $84,432 +0% $143,242 −41% ≈100% of Medicare
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $75,736 $75,736 +0% $88,566 −14% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY $75,317 $80,565 −7% $125,242 −40% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $62,254 $60,315 +3% $106,778 −42% ≈126% of Medicare
653 MAJOR BLADDER PROCEDURES WITH COMORBITY $60,830 $57,164 +6% $104,583 −42% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY $60,314 $58,863 +2% $85,566 −30% ≈84% of Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $60,061 $70,521 −15% $132,794 −55% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $60,061 $60,061 +0% $105,899 −43% —
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION $59,832 $71,776 −17% $111,320 −46% —
463 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY $59,752 $68,035 −12% $89,207 −33% ≈145% of Medicare
235 CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY $59,744 $70,078 −15% $112,062 −47% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY $56,038 $62,762 −11% $96,905 −42% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $52,903 $72,066 −27% $120,573 −56% ≈114% of Medicare
326 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $51,569 $59,451 −13% $80,793 −36% ≈124% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $50,004 $66,101 −24% $102,600 −51% —
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY $48,802 $48,802 +0% $88,307 −45% ≈134% of Medicare
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $47,387 $55,101 −14% $90,775 −48% ≈132% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $46,965 $44,525 +5% $60,098 −22% —
163 MAJOR CHEST PROCEDURES WITH COMORBITY $46,799 $55,604 −16% $90,195 −48% ≈116% of Medicare
273 PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY $46,728 $46,995 −1% $78,852 −41% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $45,662 $48,826 −6% $73,120 −38% —
012 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION $44,780 $43,161 +4% $79,836 −44% ≈128% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY $44,642 $53,021 −16% $84,692 −47% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $42,690 $42,088 +1% $79,116 −46% —
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY $42,539 $53,805 −21% $77,990 −45% ≈110% of Medicare
011 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY $42,300 $49,960 −15% $101,576 −58% —
004 TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. $41,984 $184,103 −77% $248,521 −83% ≈179% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY $41,752 $49,302 −15% $82,247 −49% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $41,461 $42,382 −2% $81,998 −49% —
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $40,930 $45,576 −10% $71,755 −43% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMORBITY $39,579 $44,124 −10% $69,743 −43% —
956 LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $38,810 $39,605 −2% $75,103 −48% ≈118% of Medicare
024 CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY $38,600 $39,362 −2% $74,755 −48% —
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY $38,299 $44,565 −14% $74,257 −48% —
739 UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMORBITY $37,816 $38,154 −1% $62,300 −39% —
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY $35,878 $40,019 −10% $61,832 −42% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION $34,972 $47,899 −27% $71,014 −51% ≈118% of Medicare
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $34,932 $39,131 −11% $62,821 −44% —
252 OTHER VASCULAR PROCEDURES WITH COMORBITY $34,830 $47,717 −27% $68,508 −49% ≈110% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY $34,440 $47,218 −27% $70,132 −51% —
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY $34,170 $34,170 +0% $49,423 −31% —
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $33,957 $62,607 −46% $88,050 −61% ≈146% of Medicare
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY $33,650 $33,650 +0% $53,864 −38% —
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $33,131 $39,092 −15% $60,170 −45% —
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $32,987 $43,263 −24% $65,653 −50% ≈124% of Medicare
840 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY $32,379 $32,812 −1% $49,710 −35% ≈104% of Medicare
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION $32,027 $35,925 −11% $58,274 −45% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $31,333 $38,481 −19% $65,216 −52% —
974 HIV WITH MAJOR RELATED CONDITION WITH COMORBITY $30,320 $28,157 +8% $46,402 −35% —
013 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT COMPLICATION/COMORBITY $29,934 $28,844 +4% $48,687 −39% —
472 CERVICAL SPINAL FUSION WITH COMPLICATION $29,416 $31,445 −6% $59,537 −51% ≈120% of Medicare
907 OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY $29,309 $40,269 −27% $77,817 −62% —
904 SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY $29,075 $37,661 −23% $59,594 −51% —
321 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION $28,905 $40,142 −28% $81,706 −65% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $28,785 $28,785 +0% $58,707 −51% ≈134% of Medicare
406 PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION $28,515 $28,910 −1% $58,043 −51% ≈120% of Medicare
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION $28,353 $40,991 −31% $59,790 −53% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $28,265 $31,967 −12% $55,162 −49% —
029 SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS $27,916 $32,307 −14% $67,268 −58% —
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION $27,858 $35,283 −21% $57,454 −52% ≈122% of Medicare
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY $27,344 $30,522 −10% $58,975 −54% —
143 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC $27,289 $34,324 −20% $52,908 −48% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $27,250 $31,088 −12% $52,405 −48% ≈114% of Medicare
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION $27,079 $30,693 −12% $47,583 −43% —
503 FOOT PROCEDURES WITH COMORBITY $26,872 $27,033 −1% $47,540 −43% —
405 PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY $26,850 $54,264 −51% $102,128 −74% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $26,635 $30,010 −11% $54,929 −52% ≈125% of Medicare
837 CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY $26,448 $49,836 −47% $77,055 −66% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $26,184 $35,029 −25% $51,953 −50% —
082 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY $26,134 $24,815 +5% $36,489 −28% ≈125% of Medicare
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY $25,740 $25,740 +0% $39,173 −34% —
164 MAJOR CHEST PROCEDURES WITH COMPLICATION $25,543 $35,862 −29% $56,755 −55% ≈124% of Medicare
849 RADIOTHERAPY $25,493 $25,201 +1% $37,862 −33% —
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY $25,246 $27,708 −9% $52,178 −52% —
166 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY $25,114 $38,661 −35% $75,573 −67% ≈101% of Medicare
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $25,056 $25,424 −1% $54,583 −54% ≈136% of Medicare
250 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY $24,970 $33,209 −25% $59,629 −58% —
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $24,653 $45,422 −46% $59,421 −59% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION $24,574 $31,389 −22% $48,682 −50% —
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $24,378 $32,697 −25% $59,651 −59% ≈136% of Medicare
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $24,212 $39,077 −38% $59,500 −59% ≈139% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY $24,152 $31,311 −23% $46,283 −48% ≈99% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $24,129 $34,039 −29% $53,451 −55% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $24,062 $22,660 +6% $37,267 −35% ≈139% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $24,037 $27,518 −13% $50,624 −53% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $23,813 $32,590 −27% $58,280 −59% ≈126% of Medicare
511 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION $23,791 $23,791 +0% $43,538 −45% —
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY $23,709 $27,367 −13% $38,070 −38% —
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION $23,438 $33,155 −29% $50,394 −53% ≈106% of Medicare
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION $23,340 $21,981 +6% $44,363 −47% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION $23,183 $23,131 +0% $42,415 −45% —
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $23,143 $30,721 −25% $49,351 −53% —
614 ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY $23,140 $23,331 −1% $48,349 −52% —
035 CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION $23,097 $28,082 −18% $49,066 −53% —
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM $22,925 $23,114 −1% $49,418 −54% —
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $22,821 $14,639 +56% $21,230 +7% —
821 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION $22,666 $22,666 +0% $47,789 −53% —
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $22,641 $32,716 −31% $52,751 −57% ≈129% of Medicare
030 SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $22,595 $24,139 −6% $45,866 −51% —
579 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY $22,560 $30,373 −26% $58,745 −62% —
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION $22,026 $25,003 −12% $42,901 −49% —
711 TESTES PROCEDURES WITH COMPLICATION/COMORBITY $21,582 $21,886 −1% $38,343 −44% —
539 OSTEOMYELITIS WITH COMORBITY $21,493 $22,641 −5% $37,609 −43% —
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY $21,480 $20,062 +7% $33,851 −37% —
374 DIGESTIVE MALIGNANCY WITH COMORBITY $21,438 $23,633 −9% $39,958 −46% —
465 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY $20,656 $22,910 −10% $32,443 −36% —
377 G.I. HEMORRHAGE WITH COMORBITY $20,538 $24,718 −17% $37,842 −46% ≈120% of Medicare
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $20,484 $29,530 −31% $45,333 −55% ≈118% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $20,480 $28,782 −29% $42,914 −52% ≈130% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY $20,446 $26,047 −22% $38,878 −47% ≈114% of Medicare
052 SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY $20,434 $20,069 +2% $32,031 −36% —
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $20,426 $25,991 −21% $46,090 −56% ≈142% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY $20,197 $20,207 −0% $39,106 −48% ≈131% of Medicare
471 CERVICAL SPINAL FUSION WITH COMORBITY $20,080 $50,596 −60% $92,515 −78% —
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $20,021 $21,733 −8% $44,139 −55% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY $19,910 $19,910 +0% $37,950 −48% ≈126% of Medicare
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY $19,891 $27,416 −27% $40,213 −51% ≈116% of Medicare
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION $19,612 $28,264 −31% $42,881 −54% —
075 VIRAL MENINGITIS WITH COMPLICATION/COMORBITY $19,354 $18,184 +6% $30,447 −36% —
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION $19,249 $25,272 −24% $43,477 −56% —
441 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY $19,194 $27,729 −31% $33,985 −44% ≈126% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $19,144 $27,666 −31% $50,607 −62% —
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY $19,130 $18,629 +3% $32,637 −41% —
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $19,089 $25,899 −26% $38,836 −51% —
180 RESPIRATORY NEOPLASMS WITH COMORBITY $19,072 $20,359 −6% $36,658 −48% —
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,926 $25,404 −26% $46,340 −59% —
444 DISORDERS OF THE BILIARY TRACT WITH COMORBITY $18,926 $18,202 +4% $34,273 −45% —
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY $18,853 $26,006 −28% $39,018 −52% —
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $18,725 $32,476 −42% $66,068 −72% —
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $18,669 $27,058 −31% $32,859 −43% ≈85% of Medicare
643 ENDOCRINE DISORDERS WITH COMORBITY $18,645 $24,704 −25% $33,563 −44% —
167 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION $18,552 $18,914 −2% $40,642 −54% —
334 RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY $18,552 $17,339 +7% $36,820 −50% —
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $18,539 $36,295 −49% $58,228 −68% —
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMPLICATION $18,527 $20,049 −8% $32,944 −44% —
919 COMPLICATIONS OF TREATMENT WITH COMORBITY $18,516 $18,910 −2% $31,105 −40% ≈114% of Medicare
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY $18,446 $19,211 −4% $29,079 −37% —
754 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $18,370 $18,370 +0% $32,433 −43% —
322 SHOULDER AND ELBOW JOINT REPLACEMENT $18,369 $26,676 −31% $58,809 −69% ≈139% of Medicare
740 UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION $18,277 $18,446 −1% $40,365 −55% —
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $18,203 $24,846 −27% $34,607 −47% —
073 CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY $18,171 $15,909 +14% $30,010 −39% —
501 SOFT TISSUE PROCEDURES WITH COMPLICATION $18,121 $25,949 −30% $39,619 −54% —
062 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION $18,082 $22,562 −20% $52,075 −65% —
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $18,081 $18,389 −2% $31,159 −42% —
032 VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION $18,042 $21,546 −16% $46,724 −61% —
328 STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY $18,000 $20,938 −14% $39,006 −54% —
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $17,907 $27,664 −35% $47,711 −62% —
144 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC $17,836 $20,275 −12% $30,553 −42% —
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY $17,824 $18,895 −6% $36,431 −51% —
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION $17,802 $16,277 +9% $33,633 −47% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY $17,655 $25,761 −31% $31,951 −45% —
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION $17,491 $28,971 −40% $50,498 −65% —
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $17,245 $25,466 −32% $38,094 −55% —
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $17,201 $21,961 −22% $32,100 −46% —
251 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY $17,099 $23,475 −27% $46,295 −63% —
398 APPENDIX PROCEDURES WITH CC $17,093 $22,834 −25% $40,162 −57% —
571 SKIN DEBRIDEMENT WITH COMPLICATION $17,000 $24,925 −32% $37,169 −54% —
116 INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY $16,942 $17,352 −2% $29,126 −42% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $16,920 $89,864 −81% $148,832 −89% ≈112% of Medicare
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $16,755 $30,983 −46% $43,491 −61% —
280 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY $16,666 $21,438 −22% $30,828 −46% ≈123% of Medicare
504 FOOT PROCEDURES WITH COMPLICATION $16,648 $25,972 −36% $38,960 −57% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $16,638 $17,204 −3% $32,628 −49% —
913 TRAUMATIC INJURY WITH COMORBITY $16,431 $16,256 +1% $24,198 −32% —
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY $16,424 $16,296 +1% $27,316 −40% ≈131% of Medicare
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $16,413 $17,449 −6% $33,707 −51% ≈129% of Medicare
602 CELLULITIS WITH COMORBITY $16,261 $22,262 −27% $30,598 −47% —
741 UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITHOUT COMPLICATION/COMORBITY $16,153 $15,052 +7% $30,493 −47% —
637 DIABETES WITH COMORBITY $16,011 $16,549 −3% $30,100 −47% —
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $15,917 $17,000 −6% $30,959 −49% —
813 COAGULATION DISORDERS $15,717 $23,285 −33% $33,296 −53% —
085 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY $15,674 $21,991 −29% $41,892 −63% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $15,545 $15,402 +1% $25,703 −40% —
663 MINOR BLADDER PROCEDURES WITH COMPLICATION $15,508 $23,018 −33% $33,103 −53% —
915 ALLERGIC REACTIONS WITH COMORBITY $15,496 $21,793 −29% $32,645 −53% —
811 RED BLOOD CELL DISORDERS WITH COMORBITY $15,352 $20,051 −23% $28,226 −46% ≈131% of Medicare
626 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION $15,324 $17,884 −14% $33,454 −54% —
513 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY $15,287 $21,535 −29% $33,424 −54% —
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY $15,271 $22,714 −33% $36,253 −58% —
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,245 $18,286 −17% $31,017 −51% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $15,231 $15,504 −2% $27,394 −44% —
769 POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE $15,162 $17,141 −12% $25,094 −40% —
083 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION $15,128 $17,756 −15% $27,285 −45% ≈139% of Medicare
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $15,048 $21,087 −29% $30,235 −50% ≈121% of Medicare
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $14,869 $19,003 −22% $28,156 −47% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITHOUT COMPLICATION/COMORBITY $14,849 $14,849 +0% $31,170 −52% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION $14,669 $23,717 −38% $42,126 −65% —
581 OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY $14,613 $20,575 −29% $26,932 −46% —
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION $14,432 $18,037 −20% $27,808 −48% —
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY $14,157 $18,557 −24% $40,552 −65% —
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION $14,055 $16,440 −15% $27,163 −48% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION $13,866 $13,866 +0% $23,498 −41% ≈99% of Medicare
580 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION $13,819 $21,963 −37% $38,101 −64% ≈134% of Medicare
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,757 $17,053 −19% $30,083 −54% —
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION $13,606 $17,836 −24% $31,264 −56% —
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,432 $24,873 −46% $44,117 −70% ≈130% of Medicare
145 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $13,384 $15,978 −16% $25,712 −48% —
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $13,379 $16,450 −19% $27,275 −51% ≈132% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $13,257 $20,857 −36% $34,192 −61% ≈126% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH COMPLICATION $13,077 $12,165 +8% $25,700 −49% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY $13,065 $18,130 −28% $37,387 −65% —
391 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY $13,042 $19,865 −34% $28,050 −54% ≈119% of Medicare
183 MAJOR CHEST TRAUMA WITH COMORBITY $12,929 $16,130 −20% $29,933 −57% —
627 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $12,863 $12,863 +0% $28,125 −54% —
304 HYPERTENSION WITH COMORBITY $12,819 $15,366 −17% $26,080 −51% —
999 UNGROUPABLE $12,769 $37,016 −66% $29,674 −57% —
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY $12,692 $16,431 −23% $23,443 −46% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $12,601 $16,149 −22% $20,727 −39% —
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $12,574 $19,267 −35% $28,320 −56% —
189 PULMONARY EDEMA & RESPIRATORY FAILURE $12,564 $13,395 −6% $26,580 −53% ≈125% of Medicare
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY $12,560 $8,798 +43% $18,133 −31% —
825 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITHOUT COMPLICATION/COMORBITY $12,497 $12,996 −4% $27,323 −54% —
822 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $12,480 $12,304 +1% $25,390 −51% —
375 DIGESTIVE MALIGNANCY WITH COMPLICATION $12,475 $12,620 −1% $27,277 −54% —
755 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $12,446 $17,602 −29% $18,459 −33% —
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $12,372 $18,499 −33% $32,496 −62% ≈128% of Medicare
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION $12,272 $16,951 −28% $24,177 −49% —
181 RESPIRATORY NEOPLASMS WITH COMPLICATION $12,253 $17,604 −30% $23,573 −48% —
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $12,244 $16,377 −25% $26,770 −54% ≈116% of Medicare
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY $12,171 $17,231 −29% $30,784 −60% —
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION $12,135 $12,189 −0% $21,847 −44% —
940 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION $12,118 $30,294 −60% $43,650 −72% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,960 $13,378 −11% $22,525 −47% —
186 PLEURAL EFFUSION WITH COMORBITY $11,940 $21,046 −43% $33,834 −65% —
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION $11,834 $11,834 +0% $23,319 −49% —
682 RENAL FAILURE WITH COMORBITY $11,567 $18,878 −39% $29,064 −60% ≈112% of Medicare
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION $11,528 $31,193 −63% $45,877 −75% —
758 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $11,514 $11,514 +0% $20,901 −45% —
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY $11,451 $11,451 +0% $24,566 −53% —
593 SKIN ULCERS WITH COMPLICATION $11,280 $12,350 −9% $22,886 −51% —
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $11,280 $64,242 −82% $93,172 −88% ≈110% of Medicare
168 OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,242 $17,400 −35% $29,949 −62% —
369 MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION $11,104 $13,753 −19% $25,303 −56% —
287 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY $11,064 $17,337 −36% $32,021 −65% ≈157% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $10,887 $13,725 −21% $21,396 −49% ≈141% of Medicare
562 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY $10,873 $22,189 −51% $29,743 −63% —
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION $10,862 $17,079 −36% $23,749 −54% —
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION $10,830 $12,418 −13% $22,033 −51% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY $10,774 $10,774 +0% $20,259 −47% —
158 DENTAL & ORAL DISEASES WITH COMPLICATION $10,625 $10,625 +0% $18,466 −42% —
074 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY $10,584 $10,738 −1% $23,141 −54% —
640 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY $10,554 $12,682 −17% $25,463 −59% ≈122% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION $10,543 $15,734 −33% $21,449 −51% —
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $10,451 $16,553 −37% $22,850 −54% —
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $10,423 $16,518 −37% $25,970 −60% —
291 HEART FAILURE & SHOCK WITH COMORBITY $10,374 $16,124 −36% $26,776 −61% ≈127% of Medicare
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $10,355 $16,431 −37% $21,275 −51% ≈136% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY $10,354 $11,690 −11% $19,412 −47% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $10,325 $16,392 −37% $23,940 −57% ≈138% of Medicare
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION $10,317 $10,418 −1% $19,264 −46% —
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $10,315 $16,379 −37% $22,468 −54% ≈117% of Medicare
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $10,152 $10,246 −1% $20,957 −52% —
378 G.I. HEMORRHAGE WITH COMPLICATION $10,010 $15,990 −37% $22,098 −55% ≈137% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY $9,927 $27,694 −64% $38,666 −74% ≈136% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION $9,771 $14,428 −32% $21,363 −54% —
756 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $9,696 $9,471 +2% $15,589 −38% —
292 HEART FAILURE & SHOCK WITH COMPLICATION $9,616 $13,521 −29% $16,371 −41% —
603 CELLULITIS WITHOUT COMORBITY $9,611 $10,745 −11% $18,530 −48% —
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $9,428 $8,901 +6% $18,528 −49% —
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $9,381 $14,359 −35% $23,617 −60% ≈140% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $9,371 $13,749 −32% $20,488 −54% ≈135% of Medicare
281 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION $9,359 $15,158 −38% $20,463 −54% —
638 DIABETES WITH COMPLICATION $9,313 $13,558 −31% $19,661 −53% ≈144% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY $9,230 $11,437 −19% $17,118 −46% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION $9,221 $14,012 −34% $26,870 −66% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $9,179 $12,908 −29% $19,096 −52% —
864 FEVER AND INFLAMMATORY CONDITIONS $9,118 $14,548 −37% $18,640 −51% —
563 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY $9,075 $14,554 −38% $19,842 −54% —
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY $9,061 $9,751 −7% $22,148 −59% —
866 VIRAL ILLNESS WITHOUT COMORBITY $8,984 $9,770 −8% $17,081 −47% —
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $8,833 $10,874 −19% $17,674 −50% ≈133% of Medicare
558 TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY $8,770 $12,355 −29% $18,602 −53% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $8,689 $8,689 +0% $17,620 −51% —
103 HEADACHES WITHOUT COMORBITY $8,632 $9,808 −12% $21,280 −59% —
199 PNEUMOTHORAX WITH COMORBITY $8,464 $22,220 −62% $33,787 −75% —
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION $8,460 $37,094 −77% $64,523 −87% ≈135% of Medicare
101 SEIZURES WITHOUT COMORBITY $8,460 $10,815 −22% $20,461 −59% ≈144% of Medicare
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION $8,460 $26,921 −69% $43,298 −80% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $8,460 $24,488 −65% $35,628 −76% ≈118% of Medicare
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $8,460 $6,225 +36% $15,215 −44% —
125 OTHER DISORDERS OF THE EYE WITHOUT COMORBITY $8,384 $8,450 −1% $17,298 −52% —
204 RESPIRATORY SIGNS & SYMPTOMS $8,234 $8,249 −0% $18,004 −54% —
123 NEUROLOGICAL EYE DISORDERS $8,155 $8,157 −0% $19,745 −59% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $8,152 $12,453 −35% $15,837 −49% —
389 G.I. OBSTRUCTION WITH COMPLICATION $8,139 $11,211 −27% $17,578 −54% —
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $8,067 $12,789 −37% $17,303 −53% ≈136% of Medicare
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $8,067 $12,284 −34% $17,921 −55% —
789 NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $7,979 $13,100 −39% $16,351 −51% —
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $7,934 $11,112 −29% $17,038 −53% ≈136% of Medicare
392 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $7,923 $11,593 −32% $17,322 −54% ≈139% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $7,804 $7,606 +3% $13,651 −43% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $7,775 $13,500 −42% $20,781 −63% —
303 ATHEROSCLEROSIS WITHOUT COMORBITY $7,595 $7,255 +5% $14,927 −49% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY $7,572 $11,894 −36% $16,288 −54% —
155 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION $7,550 $9,513 −21% $16,968 −56% —
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $7,512 $8,677 −13% $14,415 −48% —
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $7,244 $7,644 −5% $12,454 −42% —
759 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $7,229 $7,229 +0% $14,250 −49% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $7,189 $10,309 −30% $14,128 −49% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $6,948 $9,449 −26% $15,183 −54% —
201 PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY $6,875 $11,982 −43% $14,053 −51% —
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $6,783 $8,784 −23% $15,452 −56% —
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY $6,698 $7,347 −9% $12,559 −47% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $6,435 $17,152 −62% $24,914 −74% ≈146% of Medicare
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA $6,337 $5,914 +7% $12,324 −49% —
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $6,167 $11,077 −44% $13,642 −55% —
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $6,162 $9,773 −37% $13,361 −54% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY $6,057 $6,533 −7% $11,997 −50% —
492 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY $5,725 $42,794 −87% $70,564 −92% —
054 NERVOUS SYSTEM NEOPLASMS WITH COMORBITY $5,640 $14,391 −61% $30,502 −82% —
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $5,640 $13,837 −59% $18,204 −69% ≈139% of Medicare
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $5,640 $23,784 −76% $41,955 −87% ≈133% of Medicare
683 RENAL FAILURE WITH COMPLICATION $5,640 $14,731 −62% $19,130 −71% ≈126% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $5,640 $15,263 −63% $22,888 −75% ≈128% of Medicare
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $5,640 $19,761 −71% $26,682 −79% —
305 HYPERTENSION WITHOUT COMORBITY $5,638 $12,937 −56% $18,086 −69% —
293 HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY $5,571 $8,506 −35% $12,999 −57% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY $5,525 $13,884 −60% $19,846 −72% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY $5,525 $18,634 −70% $27,152 −80% —
644 ENDOCRINE DISORDERS WITH COMPLICATION $5,429 $16,431 −67% $23,198 −77% —
783 CESAREAN SECTION WITH STERILIZATION WITH COMORBITY $5,060 $19,927 −75% $29,221 −83% —
784 CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION $5,060 $15,808 −68% $23,283 −78% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY $5,060 $14,304 −65% $20,084 −75% —
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $4,845 $10,042 −52% $16,699 −71% ≈137% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,438 $19,142 −77% $12,229 −64% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY $4,401 $13,876 −68% $15,370 −71% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION $4,051 $9,984 −59% $12,895 −69% —
881 DEPRESSIVE NEUROSES $3,876 $9,689 −60% $15,058 −74% —
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $3,876 $14,657 −74% $23,206 −83% —
797 VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION $3,730 $13,602 −73% $19,962 −81% —
885 PSYCHOSES $3,500 $17,655 −80% $21,729 −84% ≈128% of Medicare
100 SEIZURES WITH COMORBITY $3,201 $18,515 −83% $35,481 −91% ≈122% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $2,907 $9,868 −71% $15,680 −81% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION $2,820 $16,074 −82% $23,571 −88% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $2,820 $5,902 −52% $9,940 −72% —
768 VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C $2,368 $13,160 −82% $16,846 −86% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION $2,368 $10,644 −78% $13,275 −82% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $2,368 $9,890 −76% $12,078 −80% —
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY $2,200 $13,209 −83% $20,895 −89% —
798 VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $2,169 $13,602 −84% $18,452 −88% —
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $2,116 $10,053 −79% $17,733 −88% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $1,854 $17,384 −89% $24,386 −92% ≈126% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $1,534 $38,919 −96% $42,679 −96% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,534 $10,055 −85% $8,445 −82% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $888 $16,601 −95% $18,649 −95% —

Procedures with negotiated rates only

These 417 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY $243,959 – $510,322 · median $261,384 22 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $90,518 – $207,851 · median $104,432 22 plans
006 LIVER TRANSPLANT WITHOUT COMORBITY $41,369 – $86,537 · median $44,324 22 plans
007 LUNG TRANSPLANT $113,382 – $237,177 · median $121,481 22 plans
008 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT $49,751 – $104,070 · median $52,797 22 plans
010 PANCREAS TRANSPLANT $63,360 – $132,539 · median $67,886 22 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $105,306 – $220,283 · median $112,828 22 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $48,258 – $100,948 · median $51,705 22 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $362,986 – $785,011 · median $394,420 22 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $63,004 – $131,795 · median $67,505 22 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY $69,364 – $145,099 · median $74,319 22 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION $47,058 – $98,438 · median $50,420 22 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $26,584 – $60,088 · median $30,190 22 plans
028 SPINAL PROCEDURES WITH COMORBITY $53,248 – $111,385 · median $57,051 22 plans
031 VENTRICULAR SHUNT PROCEDURES WITH COMORBITY $40,013 – $83,701 · median $42,325 22 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,357 – $32,644 · median $16,402 22 plans
034 CAROTID ARTERY STENT PROCEDURE WITH COMORBITY $34,731 – $72,651 · median $37,211 22 plans
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY $17,644 – $37,716 · median $18,950 22 plans
037 EXTRACRANIAL PROCEDURES WITH COMORBITY $29,718 – $62,166 · median $31,841 22 plans
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION $15,256 – $31,914 · median $16,190 22 plans
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $10,955 – $23,812 · median $11,964 22 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $8,868 – $20,255 · median $10,177 22 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY $10,033 – $20,987 · median $10,647 22 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY $21,324 – $44,607 · median $22,848 22 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY $12,424 – $25,988 · median $13,184 22 plans
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMORBITY $16,009 – $33,488 · median $17,153 22 plans
061 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY $25,084 – $52,472 · median $26,620 22 plans
063 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY $13,361 – $27,949 · median $14,179 22 plans
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $13,923 – $29,125 · median $14,694 22 plans
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY $8,484 – $18,175 · median $9,132 22 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $7,701 – $16,986 · median $8,534 22 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION $10,088 – $21,103 · median $10,644 22 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $7,221 – $16,214 · median $8,147 22 plans
076 VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY $8,349 – $17,464 · median $8,860 22 plans
080 NONTRAUMATIC STUPOR & COMA WITH COMORBITY $16,880 – $35,310 · median $18,085 22 plans
081 NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY $8,709 – $18,740 · median $9,416 22 plans
084 TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY $9,202 – $19,831 · median $9,964 22 plans
086 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION $12,485 – $26,117 · median $13,247 22 plans
087 TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY $8,509 – $19,086 · median $9,590 22 plans
088 CONCUSSION WITH MCC $12,911 – $27,007 · median $13,701 22 plans
089 CONCUSSION WITH COMPLICATION $10,319 – $22,419 · median $11,264 22 plans
090 CONCUSSION WITHOUT COMPLICATION/COMORBITY $8,252 – $17,428 · median $8,757 22 plans
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $23,073 – $49,248 · median $24,744 22 plans
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY $32,488 – $67,959 · median $34,502 22 plans
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY $13,002 – $27,199 · median $13,798 22 plans
102 HEADACHES WITH COMORBITY $10,910 – $22,823 · median $11,578 22 plans
113 ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY $21,533 – $45,115 · median $22,667 22 plans
114 ORBITAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,378 – $27,028 · median $13,580 22 plans
117 INTRAOCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $9,742 – $22,170 · median $11,139 22 plans
124 OTHER DISORDERS OF THE EYE WITH COMORBITY $12,550 – $26,487 · median $13,308 22 plans
135 SINUS & MASTOID PROCEDURES WITH COMPLICATION/COMORBITY $19,998 – $41,833 · median $21,427 22 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,415 – $20,909 · median $10,506 22 plans
137 MOUTH PROCEDURES WITH COMPLICATION/COMORBITY $13,462 – $29,569 · median $14,857 22 plans
138 MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY $7,830 – $18,570 · median $9,330 22 plans
139 SALIVARY GLAND PROCEDURES $11,905 – $24,903 · median $12,755 22 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $15,029 – $31,439 · median $15,881 22 plans
146 EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY $19,543 – $40,880 · median $20,938 22 plans
147 EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION $11,981 – $25,552 · median $12,838 22 plans
148 EAR; NOSE; MOUTH & THROAT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $7,347 – $16,955 · median $8,519 22 plans
149 DYSEQUILIBRIUM $7,195 – $16,131 · median $8,105 22 plans
150 EPISTAXIS WITH COMORBITY $12,735 – $26,639 · median $13,514 22 plans
151 EPISTAXIS WITHOUT COMORBITY $7,296 – $15,812 · median $7,944 22 plans
152 OTITIS MEDIA & URI WITH COMORBITY $10,922 – $23,933 · median $12,025 22 plans
153 OTITIS MEDIA & URI WITHOUT COMORBITY $6,850 – $15,888 · median $7,983 22 plans
154 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY $14,744 – $30,843 · median $15,653 22 plans
156 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $6,472 – $15,034 · median $7,554 22 plans
157 DENTAL & ORAL DISEASES WITH COMORBITY $15,761 – $33,621 · median $16,892 22 plans
159 DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY $6,349 – $15,350 · median $7,712 22 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $26,984 – $56,445 · median $28,911 22 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $7,840 – $17,098 · median $8,591 22 plans
178 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION $9,549 – $20,197 · median $10,148 22 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY $7,408 – $16,192 · median $8,136 22 plans
182 RESPIRATORY NEOPLASMS WITHOUT COMPLICATION/COMORBITY $7,730 – $16,171 · median $8,204 22 plans
184 MAJOR CHEST TRAUMA WITH COMPLICATION $10,280 – $21,793 · median $10,950 22 plans
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY $7,485 – $16,763 · median $8,422 22 plans
187 PLEURAL EFFUSION WITH COMPLICATION $9,664 – $20,434 · median $10,267 22 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $7,067 – $15,507 · median $7,792 22 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $8,269 – $17,787 · median $8,937 22 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $6,229 – $14,145 · median $7,107 22 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $5,993 – $13,900 · median $6,984 22 plans
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION $9,422 – $19,710 · median $9,999 22 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY $6,478 – $15,489 · median $7,782 22 plans
200 PNEUMOTHORAX WITH COMPLICATION $10,660 – $22,431 · median $11,270 22 plans
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $9,304 – $20,110 · median $10,104 22 plans
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,705 – $14,652 · median $7,362 22 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY $17,062 – $35,690 · median $18,170 22 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $8,718 – $19,565 · median $9,830 22 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $56,941 – $119,112 · median $61,009 22 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $95,398 – $199,557 · median $102,212 22 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $87,453 – $182,938 · median $93,700 22 plans
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION $58,159 – $121,660 · median $62,157 22 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $57,262 – $121,660 · median $61,127 22 plans
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY $44,204 – $93,843 · median $47,150 22 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY $28,483 – $59,582 · median $30,227 22 plans
231 CORONARY BYPASS WITH PTCA WITH COMORBITY $74,225 – $155,266 · median $79,527 22 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $53,718 – $112,369 · median $57,555 22 plans
233 CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY $67,427 – $141,047 · median $72,244 22 plans
234 CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY $48,521 – $101,499 · median $51,492 22 plans
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY $43,835 – $91,696 · median $46,966 22 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $13,193 – $27,597 · median $14,135 22 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION $19,660 – $41,124 · median $21,064 22 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY $16,858 – $35,264 · median $17,890 22 plans
245 AICD GENERATOR PROCEDURES $40,722 – $85,185 · median $43,631 22 plans
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY $24,567 – $51,390 · median $26,071 22 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $7,629 – $22,303 · median $11,206 22 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH COMORBITY $27,003 – $59,448 · median $29,869 22 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $16,918 – $39,153 · median $19,672 22 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY $29,378 – $61,454 · median $31,476 22 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $14,609 – $32,046 · median $16,101 22 plans
263 VEIN LIGATION & STRIPPING $25,815 – $57,913 · median $29,098 22 plans
265 AICD LEAD PROCEDURES $32,543 – $68,075 · median $34,536 22 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY $42,441 – $88,780 · median $45,283 22 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY $37,784 – $79,038 · median $40,097 22 plans
274 PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY $29,715 – $62,159 · median $31,522 22 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $62,968 – $131,719 · median $67,466 22 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $53,233 – $111,355 · median $57,035 22 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $41,208 – $86,201 · median $44,152 22 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $48,157 – $103,374 · median $51,939 22 plans
279 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS $30,842 – $67,862 · median $34,096 22 plans
282 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $6,979 – $15,614 · median $7,845 22 plans
283 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY $18,359 – $38,405 · median $19,483 22 plans
284 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMPLICATION $7,132 – $15,054 · median $7,564 22 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,403 – $13,364 · median $6,714 22 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $24,643 – $51,549 · median $26,291 22 plans
289 ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION $15,176 – $33,441 · median $16,802 22 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $9,254 – $19,358 · median $9,821 22 plans
296 CARDIAC ARREST; UNEXPLAINED WITH COMORBITY $14,731 – $30,814 · median $15,770 22 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,693 – $14,000 · median $7,102 22 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,251 – $10,758 · median $5,405 22 plans
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION $10,305 – $21,855 · median $10,981 22 plans
302 ATHEROSCLEROSIS WITH COMORBITY $11,197 – $24,194 · median $12,156 22 plans
306 CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY $14,412 – $31,066 · median $15,609 22 plans
307 CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY $8,917 – $19,059 · median $9,576 22 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $5,385 – $12,769 · median $6,416 22 plans
311 ANGINA PECTORIS $6,721 – $15,230 · median $7,652 22 plans
312 SYNCOPE & COLLAPSE $8,386 – $18,305 · median $9,197 22 plans
313 CHEST PAIN $6,866 – $15,558 · median $7,817 22 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $39,861 – $83,382 · median $42,301 22 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY $22,037 – $46,097 · median $23,379 22 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $38,687 – $80,926 · median $41,055 22 plans
324 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT $28,496 – $59,609 · median $30,532 22 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $27,548 – $60,686 · median $30,491 22 plans
332 RECTAL RESECTION WITH COMORBITY $32,565 – $68,121 · median $34,559 22 plans
333 RECTAL RESECTION WITH COMPLICATION $20,456 – $44,953 · median $22,586 22 plans
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION $19,467 – $40,722 · median $20,659 22 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY $14,497 – $30,326 · median $15,385 22 plans
344 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $23,574 – $49,313 · median $25,258 22 plans
345 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $14,235 – $29,777 · median $15,036 22 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,476 – $24,006 · median $12,179 22 plans
347 ANAL & STOMAL PROCEDURES WITH COMORBITY $21,086 – $44,109 · median $22,592 22 plans
348 ANAL & STOMAL PROCEDURES WITH COMPLICATION $12,117 – $26,228 · median $13,178 22 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $8,479 – $18,287 · median $9,188 22 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $22,787 – $47,666 · median $24,182 22 plans
351 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION $14,407 – $30,136 · median $15,195 22 plans
352 INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY $10,613 – $23,673 · median $11,894 22 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY $12,832 – $26,884 · median $13,507 22 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY $39,253 – $82,112 · median $41,657 22 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY $14,990 – $31,358 · median $16,061 22 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,718 – $15,210 · median $7,642 22 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY $16,560 – $34,641 · median $17,574 22 plans
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY $6,982 – $15,692 · median $7,884 22 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $8,499 – $19,260 · median $9,677 22 plans
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $6,128 – $13,935 · median $7,001 22 plans
380 COMPLICATED PEPTIC ULCER WITH COMORBITY $18,198 – $38,068 · median $19,312 22 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $7,212 – $17,019 · median $8,551 22 plans
383 UNCOMPLICATED PEPTIC ULCER WITH COMORBITY $12,168 – $27,530 · median $13,832 22 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $8,370 – $18,001 · median $9,044 22 plans
385 INFLAMMATORY BOWEL DISEASE WITH COMORBITY $14,907 – $31,184 · median $15,820 22 plans
388 G.I. OBSTRUCTION WITH COMORBITY $13,993 – $29,272 · median $14,846 22 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $9,060 – $19,467 · median $9,781 22 plans
397 APPENDIX PROCEDURES WITH MCC $21,946 – $45,908 · median $23,514 22 plans
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,817 – $23,254 · median $11,684 22 plans
407 PANCREAS; LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY $20,428 – $42,732 · median $21,572 22 plans
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY $32,088 – $67,122 · median $34,052 22 plans
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION $20,061 – $41,965 · median $21,175 22 plans
410 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $14,929 – $31,281 · median $15,717 22 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $26,116 – $62,369 · median $31,337 22 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $19,414 – $40,610 · median $20,602 22 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $15,585 – $32,601 · median $16,539 22 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION $19,039 – $39,961 · median $20,078 22 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $13,010 – $27,215 · median $13,807 22 plans
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $15,854 – $33,164 · median $16,750 22 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $12,682 – $27,260 · median $13,697 22 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY $30,715 – $64,250 · median $32,909 22 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION $15,762 – $33,996 · median $17,081 22 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,324 – $27,871 · median $14,143 22 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY $37,176 – $77,766 · median $39,452 22 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $14,197 – $29,698 · median $15,066 22 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS $96,672 – $202,222 · median $102,591 22 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $79,247 – $165,771 · median $84,098 22 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $51,158 – $107,015 · median $54,290 22 plans
434 CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY $6,704 – $15,422 · median $7,749 22 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION $10,854 – $23,008 · median $11,560 22 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY $7,558 – $17,974 · median $9,031 22 plans
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,763 – $15,190 · median $7,632 22 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY $7,674 – $17,502 · median $8,794 22 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $59,080 – $123,586 · median $63,300 22 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $47,368 – $99,087 · median $50,269 22 plans
457 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION $52,856 – $110,566 · median $56,092 22 plans
458 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY $37,346 – $78,121 · median $40,013 22 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY $49,044 – $102,591 · median $52,547 22 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $46,293 – $96,836 · median $49,127 22 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $31,750 – $66,415 · median $33,694 22 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT $27,476 – $57,475 · median $29,438 22 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $31,126 – $65,111 · median $33,100 22 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $22,503 – $47,073 · median $23,652 22 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $17,092 – $36,196 · median $18,186 22 plans
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $29,155 – $60,988 · median $30,986 22 plans
487 KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $14,768 – $30,892 · median $15,672 22 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $16,524 – $34,565 · median $17,704 22 plans
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY $32,608 – $68,211 · median $34,605 22 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $16,827 – $35,199 · median $18,029 22 plans
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $11,667 – $24,406 · median $12,501 22 plans
500 SOFT TISSUE PROCEDURES WITH COMORBITY $28,616 – $59,859 · median $30,499 22 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $16,731 – $34,998 · median $17,726 22 plans
506 MAJOR THUMB OR JOINT PROCEDURES $12,888 – $26,960 · median $13,809 22 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $16,849 – $35,244 · median $18,052 22 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,949 – $29,953 · median $15,050 22 plans
510 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY $27,366 – $57,245 · median $28,867 22 plans
512 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY $15,475 – $32,508 · median $16,333 22 plans
514 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY $9,814 – $21,036 · median $10,569 22 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $14,367 – $30,357 · median $15,253 22 plans
518 BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM $33,575 – $70,233 · median $35,631 22 plans
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $13,795 – $29,582 · median $14,863 22 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $26,064 – $54,521 · median $27,925 22 plans
533 FRACTURES OF FEMUR WITH COMORBITY $14,677 – $30,919 · median $15,535 22 plans
534 FRACTURES OF FEMUR WITHOUT COMORBITY $7,835 – $17,118 · median $8,601 22 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $12,306 – $25,742 · median $13,059 22 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $7,805 – $17,145 · median $8,615 22 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $8,845 – $19,804 · median $9,950 22 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,463 – $15,564 · median $7,820 22 plans
540 OSTEOMYELITIS WITH COMPLICATION $12,430 – $26,001 · median $13,070 22 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $8,021 – $16,779 · median $8,512 22 plans
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY $16,503 – $34,521 · median $17,682 22 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION $10,106 – $21,139 · median $10,715 22 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $7,274 – $16,185 · median $8,132 22 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY $7,182 – $17,664 · median $8,875 22 plans
548 SEPTIC ARTHRITIS WITH MCC $17,927 – $37,500 · median $19,208 22 plans
549 SEPTIC ARTHRITIS WITH CC $11,599 – $24,387 · median $12,253 22 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $8,298 – $18,351 · median $9,220 22 plans
551 MEDICAL BACK PROBLEMS WITH COMORBITY $15,720 – $32,883 · median $16,682 22 plans
553 BONE DISEASES & ARTHROPATHIES WITH COMORBITY $12,430 – $26,001 · median $13,191 22 plans
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY $12,651 – $26,463 · median $13,425 22 plans
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY $7,859 – $17,562 · median $8,824 22 plans
557 TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY $14,081 – $29,455 · median $14,943 22 plans
559 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $17,355 – $36,304 · median $18,418 22 plans
560 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $10,955 – $22,917 · median $11,514 22 plans
561 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $7,869 – $17,078 · median $8,581 22 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY $14,572 – $30,482 · median $15,464 22 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION $9,641 – $20,168 · median $10,232 22 plans
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY $7,200 – $16,089 · median $8,084 22 plans
570 SKIN DEBRIDEMENT WITH COMORBITY $26,678 – $55,806 · median $28,583 22 plans
572 SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY $10,996 – $23,283 · median $11,698 22 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMORBITY $57,952 – $121,227 · median $61,500 22 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $31,272 – $65,415 · median $33,350 22 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $16,767 – $35,074 · median $17,965 22 plans
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY $43,657 – $91,324 · median $46,776 22 plans
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $24,162 – $50,544 · median $25,642 22 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $16,855 – $37,422 · median $18,803 22 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $15,811 – $33,758 · median $16,962 22 plans
584 BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY $19,706 – $41,302 · median $20,752 22 plans
585 BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY $17,911 – $37,468 · median $19,107 22 plans
592 SKIN ULCERS WITH COMORBITY $17,965 – $37,580 · median $19,248 22 plans
594 SKIN ULCERS WITHOUT COMPLICATION/COMORBITY $8,169 – $18,218 · median $9,154 22 plans
595 MAJOR SKIN DISORDERS WITH COMORBITY $19,571 – $40,940 · median $20,769 22 plans
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY $10,406 – $22,127 · median $11,117 22 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $15,642 – $32,720 · median $16,759 22 plans
598 MALIGNANT BREAST DISORDERS WITH COMPLICATION $10,210 – $23,011 · median $11,562 22 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,865 – $16,453 · median $8,347 22 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,207 – $21,386 · median $10,745 22 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY $5,770 – $13,474 · median $6,770 22 plans
604 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY $13,953 – $29,187 · median $14,807 22 plans
605 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY $8,891 – $19,110 · median $9,601 22 plans
606 MINOR SKIN DISORDERS WITH COMORBITY $14,309 – $29,931 · median $15,331 22 plans
607 MINOR SKIN DISORDERS WITHOUT COMORBITY $8,318 – $18,936 · median $9,514 22 plans
615 ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,322 – $27,868 · median $14,138 22 plans
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY $31,410 – $65,705 · median $33,654 22 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,984 – $28,212 · median $14,175 22 plans
619 O.R. PROCEDURES FOR OBESITY WITH COMORBITY $26,213 – $54,833 · median $27,550 22 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $15,063 – $31,510 · median $15,985 22 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY $14,070 – $29,844 · median $14,995 22 plans
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY $32,032 – $67,006 · median $34,320 22 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION $16,740 – $35,018 · median $17,936 22 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,586 – $25,196 · median $12,660 22 plans
625 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY $27,362 – $57,237 · median $28,958 22 plans
628 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY $33,484 – $70,043 · median $35,876 22 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION $20,074 – $41,992 · median $21,508 22 plans
630 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITHOUT COMPLICATION/COMORBITY $13,488 – $28,958 · median $14,550 22 plans
639 DIABETES WITHOUT COMPLICATION/COMORBITY $6,031 – $13,768 · median $6,917 22 plans
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $7,495 – $16,433 · median $8,257 22 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $41,927 – $87,704 · median $44,494 22 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $33,302 – $69,663 · median $35,072 22 plans
652 KIDNEY TRANSPLANT $29,176 – $61,032 · median $30,962 22 plans
655 MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY $19,536 – $40,865 · median $20,732 22 plans
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY $28,780 – $60,204 · median $30,836 22 plans
662 MINOR BLADDER PROCEDURES WITH COMORBITY $27,721 – $57,988 · median $29,701 22 plans
664 MINOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY $10,269 – $21,482 · median $10,898 22 plans
665 PROSTATECTOMY WITH COMORBITY $28,238 – $59,069 · median $30,255 22 plans
666 PROSTATECTOMY WITH COMPLICATION $15,855 – $34,210 · median $17,188 22 plans
667 PROSTATECTOMY WITHOUT CC/MCC $9,893 – $22,556 · median $11,333 22 plans
668 TRANSURETHRAL PROCEDURES WITH COMORBITY $26,495 – $55,423 · median $28,117 22 plans
669 TRANSURETHRAL PROCEDURES WITH CC $14,645 – $30,634 · median $15,541 22 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $9,199 – $20,221 · median $10,160 22 plans
671 URETHRAL PROCEDURES WITH COMPLICATION/COMORBITY $16,591 – $35,038 · median $17,604 22 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,534 – $22,072 · median $11,090 22 plans
675 OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,066 – $32,254 · median $16,206 22 plans
686 KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY $16,825 – $35,195 · median $18,027 22 plans
687 KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION $10,132 – $21,498 · median $10,801 22 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,970 – $16,832 · median $8,457 22 plans
693 URINARY STONES WITH COMORBITY $12,847 – $26,874 · median $13,765 22 plans
694 URINARY STONES WITHOUT COMORBITY $7,521 – $16,676 · median $8,379 22 plans
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY $6,659 – $14,996 · median $7,535 22 plans
697 URETHRAL STRICTURE $9,363 – $22,042 · median $11,075 22 plans
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $6,682 – $15,013 · median $7,543 22 plans
707 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY $18,528 – $38,758 · median $19,600 22 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $14,269 – $30,312 · median $15,230 22 plans
709 PENIS PROCEDURES WITH COMPLICATION/COMORBITY $21,359 – $44,680 · median $22,667 22 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $13,338 – $27,902 · median $14,291 22 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,529 – $22,439 · median $11,274 22 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $9,045 – $21,672 · median $10,889 22 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $20,581 – $43,053 · median $21,841 22 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $13,661 – $29,167 · median $14,655 22 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY $17,577 – $36,768 · median $18,653 22 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITHOUT COMPLICATION/COMORBITY $11,857 – $26,849 · median $13,490 22 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $16,641 – $35,304 · median $17,738 22 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $10,808 – $23,218 · median $11,665 22 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,323 – $14,393 · median $7,232 22 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,337 – $23,716 · median $12,147 22 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $7,165 – $15,594 · median $7,835 22 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $14,046 – $29,382 · median $14,841 22 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $10,372 – $21,696 · median $11,007 22 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,841 – $14,688 · median $7,380 22 plans
734 PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITH COMPLICATION/COMORBITY $19,652 – $41,108 · median $20,855 22 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,684 – $26,893 · median $13,512 22 plans
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY $13,921 – $29,121 · median $14,774 22 plans
744 D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY $18,807 – $39,642 · median $19,918 22 plans
745 D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITHOUT COMPLICATION/COMORBITY $9,864 – $23,123 · median $11,618 22 plans
746 VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY $16,118 – $33,989 · median $17,077 22 plans
747 VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY $8,648 – $18,090 · median $9,194 22 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $13,112 – $27,650 · median $13,892 22 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY $23,442 – $49,038 · median $24,915 22 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $12,411 – $29,254 · median $14,698 22 plans
757 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $13,604 – $28,458 · median $14,299 22 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,101 – $12,849 · median $6,456 22 plans
770 ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY $9,886 – $20,681 · median $10,492 22 plans
779 ABORTION WITHOUT D&C $8,488 – $17,756 · median $9,008 22 plans
795 NORMAL NEWBORN $1,923 – $5,773 · median $3,066 22 plans
799 SPLENECTOMY WITH COMORBITY $40,432 – $84,578 · median $43,320 22 plans
800 SPLENECTOMY WITH COMPLICATION $25,537 – $53,419 · median $27,361 22 plans
801 SPLENECTOMY WITHOUT COMPLICATION/COMORBITY $15,801 – $37,102 · median $18,641 22 plans
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY $34,504 – $74,706 · median $37,535 22 plans
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION $17,133 – $36,196 · median $18,186 22 plans
804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITHOUT COMPLICATION/COMORBITY $10,641 – $27,083 · median $13,607 22 plans
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY $20,327 – $42,520 · median $21,778 22 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION $11,921 – $25,450 · median $12,787 22 plans
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY $9,161 – $21,476 · median $10,791 22 plans
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY $6,347 – $13,964 · median $7,016 22 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $6,501 – $18,093 · median $9,091 22 plans
820 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY $52,005 – $108,785 · median $55,719 22 plans
823 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY $40,917 – $85,591 · median $43,839 22 plans
824 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION $20,826 – $43,565 · median $22,101 22 plans
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY $41,722 – $87,276 · median $44,702 22 plans
828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY $15,428 – $33,385 · median $16,774 22 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION $19,269 – $40,307 · median $20,558 22 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $11,764 – $24,609 · median $12,485 22 plans
838 CHEMO WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR HIGH DOSE CHEMO AGENT $19,283 – $40,336 · median $20,463 22 plans
839 CHEMO WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION/COMORBITY $13,190 – $28,676 · median $14,408 22 plans
842 LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY $9,953 – $20,820 · median $10,563 22 plans
845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITHOUT COMPLICATION/COMORBITY $8,054 – $17,943 · median $9,015 22 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $7,882 – $17,903 · median $8,995 22 plans
850 PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES $76,214 – $159,427 · median $81,658 22 plans
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION $18,509 – $38,718 · median $19,642 22 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,170 – $29,641 · median $15,182 22 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY $40,604 – $84,937 · median $43,424 22 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY $12,401 – $27,751 · median $13,943 22 plans
865 VIRAL ILLNESS WITH COMORBITY $13,961 – $29,661 · median $14,903 22 plans
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION $10,107 – $21,195 · median $10,649 22 plans
876 O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $34,680 – $72,546 · median $37,158 22 plans
886 BEHAVIORAL & DEVELOPMENTAL DISORDERS $17,291 – $40,117 · median $20,156 22 plans
887 OTHER MENTAL DISORDER DIAGNOSES $10,477 – $21,917 · median $11,226 22 plans
895 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $13,463 – $28,163 · median $14,173 22 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY $37,554 – $78,556 · median $40,236 22 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION $17,785 – $37,203 · median $18,874 22 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY $11,332 – $23,705 · median $12,026 22 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY $14,051 – $29,391 · median $15,054 22 plans
906 HAND PROCEDURES FOR INJURIES $18,216 – $38,106 · median $19,517 22 plans
914 TRAUMATIC INJURY WITHOUT COMORBITY $8,820 – $18,557 · median $9,324 22 plans
916 ALLERGIC REACTIONS WITHOUT COMORBITY $6,392 – $14,585 · median $7,328 22 plans
922 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY $16,260 – $34,211 · median $17,189 22 plans
923 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY $9,817 – $20,953 · median $10,527 22 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $186,150 – $389,396 · median $197,547 22 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHAL INJ WITH COMPLICATION/COMORBITY $63,334 – $132,485 · median $67,212 22 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $29,101 – $60,874 · median $30,883 22 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HRS WITHOUT SKIN GRAFT $34,934 – $73,077 · median $37,430 22 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $20,350 – $42,569 · median $21,596 22 plans
935 NON-EXTENSIVE BURNS $19,045 – $39,840 · median $20,406 22 plans
939 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY $30,550 – $68,262 · median $34,297 22 plans
941 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY $18,766 – $39,254 · median $19,738 22 plans
945 REHABILITATION WITH CC/MCC $14,615 – $30,573 · median $15,418 22 plans
946 REHABILITATION WITHOUT COMPLICATION/COMORBITY $10,746 – $23,292 · median $11,703 22 plans
947 SIGNS & SYMPTOMS WITH COMORBITY $12,197 – $25,514 · median $12,943 22 plans
949 AFTERCARE WITH COMPLICATION/COMORBITY $10,385 – $24,069 · median $12,093 22 plans
950 AFTERCARE WITHOUT CC/MCC $5,641 – $13,886 · median $6,977 22 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,457 – $12,586 · median $6,324 22 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY $25,448 – $55,860 · median $28,066 22 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURE WITH COMORBITY $54,227 – $113,433 · median $58,100 22 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURE WITHOUT COMORBITY $24,047 – $50,303 · median $25,538 22 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $9,020 – $18,869 · median $9,654 22 plans
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $22,497 – $47,061 · median $23,875 22 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,122 – $24,242 · median $12,180 22 plans
796 VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY $10,212 – $20,080 · median $11,771 21 plans
209 COMPLEX AORTIC ARCH PROCEDURES $99,250 – $207,615 · median $105,327 20 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $50,637 – $105,924 · median $53,737 20 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $22,183 – $46,403 · median $23,541 20 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $30,988 – $64,821 · median $32,885 20 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $22,114 – $46,260 · median $23,468 20 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY $14,883 – $15,618 · median $15,250 2 plans
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