Banner Thunderbird Medical Center — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 749 with a comparable price, 22 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 771
Lowest published price $3,213
Average published price $36,355
Highest published price $586,074

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 771 procedures

Published charges

Showing all 749 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.

Across 76 procedures, this hospital's negotiated rates average ≈154% of what Medicare pays.

DRG Description Published price Cash price vs. AZ median vs. National median vs Medicare
018 MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $586,074 $586,074 $586,074 +0% $498,715 +18% —
001 MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $431,073 $431,073 $431,073 +0% $431,073 +0% —
927 MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $419,301 $419,301 $419,301 +0% $306,087 +37% —
003 MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $339,144 $339,144 $339,144 +0% $371,366 −9% —
004 MS-DRG 42.00: TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $233,838 $233,838 $233,838 +0% $245,241 −5% —
007 MS-DRG 42.00: LUNG TRANSPLANT $195,119 $195,119 $195,119 +0% $170,608 +14% —
002 MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $194,769 $194,769 $194,769 +0% $169,977 +15% —
014 MS-DRG 42.00: ALLOGENEIC BONE MARROW TRANSPLANT $182,314 $182,314 $182,314 +0% $182,314 +0% —
212 MS-DRG 42.00: CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $171,338 $171,338 $171,338 +0% $171,338 +0% —
005 MS-DRG 42.00: LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $164,641 $164,641 $164,641 +0% $159,181 +3% —
215 MS-DRG 42.00: OTHER HEART ASSIST SYSTEM IMPLANT $162,493 $162,493 $162,493 +0% $191,314 −15% —
216 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $154,381 $154,381 $154,381 +0% $175,437 −12% —
020 MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $134,449 $134,449 $134,449 +0% $134,914 −0% —
456 MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $134,083 $134,083 $134,083 +0% $151,029 −11% —
231 MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITH MCC $129,088 $129,088 $129,088 +0% $146,474 −12% —
019 MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $127,163 $127,163 $127,163 +0% $105,228 +21% —
233 MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $124,077 $124,077 $124,077 +0% $138,868 −11% —
219 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $122,661 $122,661 $122,661 +0% $143,242 −14% —
957 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $115,058 $115,058 $115,058 +0% $120,587 −5% —
275 MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $111,924 $111,924 $111,924 +0% $131,961 −15% —
870 MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $110,795 $110,795 $110,795 +0% $138,008 −20% ≈144% of Medicare
928 MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $110,079 $110,079 $110,079 +0% $89,353 +23% —
207 MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $109,888 $109,888 $109,888 +0% $116,058 −5% —
969 MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $109,331 $109,331 $109,331 +0% $109,331 +0% —
268 MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $109,045 $109,045 $109,045 +0% $118,589 −8% —
461 MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $108,472 $108,472 $108,472 +0% $108,472 +0% —
217 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $101,250 $101,250 $101,250 +0% $121,714 −17% —
266 MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $99,357 $99,357 $99,357 +0% $113,855 −13% —
573 MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $98,912 $98,912 $98,912 +0% $98,912 +0% —
276 MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $98,784 $98,784 $98,784 +0% $117,280 −16% —
016 MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $98,260 $98,260 $98,260 +0% $98,260 +0% —
017 MS-DRG 42.00: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $98,260 $98,260 $98,260 +0% $81,176 +21% —
021 MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $97,687 $97,687 $97,687 +0% $101,235 −4% —
955 MS-DRG 42.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $96,876 $96,876 $96,876 +0% $105,612 −8% —
457 MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $96,637 $96,637 $96,637 +0% $107,355 −10% —
820 MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $96,192 $96,192 $96,192 +0% $96,192 +0% —
028 MS-DRG 42.00: SPINAL PROCEDURES WITH MCC $95,858 $95,858 $95,858 +0% $95,858 +0% —
790 MS-DRG 42.00: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $95,444 $95,444 $95,444 +0% $80,018 +19% —
232 MS-DRG 42.00: CORONARY BYPASS WITH PTCA WITHOUT MCC $94,633 $94,633 $94,633 +0% $106,238 −11% —
235 MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $93,551 $93,551 $93,551 +0% $112,062 −17% —
218 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $90,624 $90,624 $90,624 +0% $92,238 −2% —
576 MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $90,401 $90,401 $90,401 +0% $82,527 +10% —
023 MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $90,179 $90,179 $90,179 +0% $106,778 −16% —
463 MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $90,099 $90,099 $90,099 +0% $78,582 +15% —
834 MS-DRG 42.00: ACUTE LEUKEMIA WITH MCC $89,065 $89,065 $89,065 +0% $76,583 +16% —
405 MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $87,570 $87,570 $87,570 +0% $94,927 −8% —
653 MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC $86,122 $86,122 $86,122 +0% $97,046 −11% —
008 MS-DRG 42.00: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $83,704 $83,704 $83,704 +0% $86,459 −3% —
220 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $83,434 $83,434 $83,434 +0% $102,177 −18% —
234 MS-DRG 42.00: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $82,686 $82,686 $82,686 +0% $102,573 −19% —
466 MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $82,511 $82,511 $82,511 +0% $96,222 −14% —
011 MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $82,018 $82,018 $82,018 +0% $86,953 −6% —
326 MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $80,793 $80,793 $80,793 +0% $80,747 +0% —
270 MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $80,443 $80,443 $80,443 +0% $99,423 −19% —
228 MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC $80,157 $80,157 $80,157 +0% $96,905 −17% —
853 MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $79,521 $79,521 $79,521 +0% $87,018 −9% ≈137% of Medicare
799 MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC $78,821 $78,821 $78,821 +0% $78,821 +0% —
471 MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC $78,248 $78,248 $78,248 +0% $92,515 −15% —
267 MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $77,628 $77,628 $77,628 +0% $92,217 −16% ≈123% of Medicare
837 MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $77,055 $77,055 $77,055 +0% $70,735 +9% —
006 MS-DRG 42.00: LIVER TRANSPLANT WITHOUT MCC $76,944 $76,944 $76,944 +0% $84,407 −9% —
239 MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $76,467 $76,467 $76,467 +0% $87,565 −13% —
277 MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $76,069 $76,069 $76,069 +0% $91,329 −17% —
981 MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $75,210 $75,210 $75,210 +0% $86,390 −13% —
163 MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC $74,987 $74,987 $74,987 +0% $88,341 −15% —
221 MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $73,953 $73,953 $73,953 +0% $90,331 −18% —
826 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $73,619 $73,619 $73,619 +0% $88,691 −17% —
245 MS-DRG 42.00: AICD GENERATOR PROCEDURES $72,076 $72,076 $72,076 +0% $72,076 +0% —
458 MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $72,076 $72,076 $72,076 +0% $83,441 −14% —
329 MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $71,853 $71,853 $71,853 +0% $88,050 −18% ≈138% of Medicare
823 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $71,615 $71,615 $71,615 +0% $80,885 −11% —
650 MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $71,551 $71,551 $71,551 +0% $71,551 +0% —
278 MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $70,947 $70,947 $70,947 +0% $84,861 −16% —
856 MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $70,438 $70,438 $70,438 +0% $72,859 −3% —
025 MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $70,247 $70,247 $70,247 +0% $88,307 −20% ≈152% of Medicare
319 MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $69,388 $69,388 $69,388 +0% $75,585 −8% —
901 MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $68,847 $68,847 $68,847 +0% $68,847 +0% —
474 MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $68,449 $68,449 $68,449 +0% $76,954 −11% —
356 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $68,067 $68,067 $68,067 +0% $82,561 −18% —
793 MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS $66,954 $66,954 $66,954 +0% $16,719 +300% —
269 MS-DRG 42.00: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $66,159 $66,159 $66,159 +0% $83,065 −20% —
323 MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $65,856 $65,856 $65,856 +0% $88,049 −25% —
031 MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH MCC $65,490 $65,490 $65,490 +0% $68,659 −5% —
791 MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS $65,188 $65,188 $65,188 +0% $39,563 +65% —
166 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $64,552 $64,552 $64,552 +0% $72,782 −11% —
958 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $64,345 $64,345 $64,345 +0% $66,853 −4% —
236 MS-DRG 42.00: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $64,281 $64,281 $64,281 +0% $82,247 −22% ≈174% of Medicare
628 MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $63,868 $63,868 $63,868 +0% $68,006 −6% —
012 MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $63,709 $63,709 $63,709 +0% $73,029 −13% —
616 MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $62,961 $62,961 $62,961 +0% $62,961 +0% —
022 MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $62,404 $62,404 $62,404 +0% $62,404 +0% —
423 MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $62,214 $62,214 $62,214 +0% $72,011 −14% —
034 MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC $62,054 $62,054 $62,054 +0% $72,908 −15% —
273 MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $61,991 $61,991 $61,991 +0% $78,852 −21% —
736 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $61,832 $61,832 $61,832 +0% $61,832 +0% —
956 MS-DRG 42.00: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $61,689 $61,689 $61,689 +0% $75,103 −18% —
040 MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $61,259 $61,259 $61,259 +0% $74,257 −18% —
622 MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $60,861 $60,861 $60,861 +0% $60,861 +0% —
024 MS-DRG 42.00: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $60,273 $60,273 $60,273 +0% $74,755 −19% —
140 MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC $60,098 $60,098 $60,098 +0% $60,098 +0% —
876 MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $59,366 $59,366 $59,366 +0% $54,196 +10% —
408 MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $59,207 $59,207 $59,207 +0% $59,207 +0% —
907 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $59,175 $59,175 $59,175 +0% $71,701 −17% —
673 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $58,825 $58,825 $58,825 +0% $72,945 −19% ≈149% of Medicare
332 MS-DRG 42.00: RECTAL RESECTION WITH MCC $58,125 $58,125 $58,125 +0% $58,125 +0% —
518 MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $58,094 $58,094 $58,094 +0% $64,776 −10% —
097 MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $57,855 $57,855 $57,855 +0% $57,855 +0% —
094 MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $57,632 $57,632 $57,632 +0% $62,524 −8% —
739 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $57,521 $57,521 $57,521 +0% $57,521 +0% —
495 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $56,964 $56,964 $56,964 +0% $56,964 +0% —
335 MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC $56,869 $56,869 $56,869 +0% $71,755 −21% —
265 MS-DRG 42.00: AICD LEAD PROCEDURES $56,216 $56,216 $56,216 +0% $56,695 −1% —
414 MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $56,073 $56,073 $56,073 +0% $68,399 −18% —
467 MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITH CC $55,453 $55,453 $55,453 +0% $68,880 −19% —
492 MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $55,071 $55,071 $55,071 +0% $70,540 −22% —
651 MS-DRG 42.00: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $55,008 $55,008 $55,008 +0% $56,242 −2% —
271 MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $54,976 $54,976 $54,976 +0% $71,014 −23% —
242 MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $54,960 $54,960 $54,960 +0% $70,132 −22% ≈145% of Medicare
802 MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $54,578 $54,578 $54,578 +0% $59,425 −8% —
029 MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $54,530 $54,530 $54,530 +0% $64,152 −15% —
574 MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $54,180 $54,180 $54,180 +0% $49,065 +10% —
987 MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $53,719 $53,719 $53,719 +0% $65,383 −18% —
037 MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH MCC $53,703 $53,703 $53,703 +0% $64,749 −17% —
477 MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $53,592 $53,592 $53,592 +0% $62,269 −14% —
252 MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH MCC $53,353 $53,353 $53,353 +0% $68,508 −22% ≈125% of Medicare
579 MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $53,162 $53,162 $53,162 +0% $54,129 −2% —
469 MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $52,971 $52,971 $52,971 +0% $65,254 −19% —
143 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $52,908 $52,908 $52,908 +0% $52,908 +0% —
260 MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $52,733 $52,733 $52,733 +0% $67,901 −22% —
485 MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $52,399 $52,399 $52,399 +0% $64,956 −19% —
264 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $51,953 $51,953 $51,953 +0% $51,953 +0% —
904 MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITH CC/MCC $51,794 $51,794 $51,794 +0% $55,097 −6% —
500 MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH MCC $51,587 $51,587 $51,587 +0% $57,479 −10% —
274 MS-DRG 42.00: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $51,556 $51,556 $51,556 +0% $65,573 −21% ≈137% of Medicare
929 MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $51,158 $51,158 $51,158 +0% $44,472 +15% —
939 MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $51,142 $51,142 $51,142 +0% $51,142 +0% —
279 MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $50,919 $50,919 $50,919 +0% $57,277 −11% —
420 MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $50,919 $50,919 $50,919 +0% $50,919 +0% —
229 MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $50,585 $50,585 $50,585 +0% $65,325 −23% —
515 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $50,299 $50,299 $50,299 +0% $62,821 −20% —
829 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $50,172 $50,172 $50,172 +0% $53,817 −7% —
656 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $49,917 $49,917 $49,917 +0% $64,465 −23% —
840 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $49,710 $49,710 $49,710 +0% $49,710 +0% —
665 MS-DRG 42.00: PROSTATECTOMY WITH MCC $49,138 $49,138 $49,138 +0% $54,072 −9% —
173 MS-DRG 42.00: ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $48,915 $48,915 $48,915 +0% $53,555 −9% —
411 MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC $48,358 $48,358 $48,358 +0% $48,358 +0% —
652 MS-DRG 42.00: KIDNEY TRANSPLANT $47,786 $47,786 $47,786 +0% $54,720 −13% —
464 MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $47,738 $47,738 $47,738 +0% $54,313 −12% —
662 MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC $47,674 $47,674 $47,674 +0% $54,483 −12% —
521 MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $47,627 $47,627 $47,627 +0% $67,764 −30% —
324 MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $47,229 $47,229 $47,229 +0% $66,819 −29% —
472 MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC $47,006 $47,006 $47,006 +0% $59,537 −21% —
026 MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $46,974 $46,974 $46,974 +0% $63,475 −26% —
480 MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $46,911 $46,911 $46,911 +0% $63,984 −27% ≈160% of Medicare
353 MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $46,513 $46,513 $46,513 +0% $60,140 −23% —
570 MS-DRG 42.00: SKIN DEBRIDEMENT WITH MCC $46,481 $46,481 $46,481 +0% $52,435 −11% —
974 MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC $46,402 $46,402 $46,402 +0% $46,402 +0% —
406 MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $45,924 $45,924 $45,924 +0% $58,043 −21% —
321 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $45,734 $45,734 $45,734 +0% $74,274 −38% ≈140% of Medicare
462 MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $45,272 $45,272 $45,272 +0% $56,758 −20% —
263 MS-DRG 42.00: VEIN LIGATION AND STRIPPING $44,938 $44,938 $44,938 +0% $44,938 +0% —
668 MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH MCC $44,827 $44,827 $44,827 +0% $47,277 −5% —
800 MS-DRG 42.00: SPLENIC PROCEDURES WITH CC $44,827 $44,827 $44,827 +0% $49,184 −9% —
817 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $44,811 $44,811 $44,811 +0% $36,097 +24% —
240 MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $44,684 $44,684 $44,684 +0% $54,475 −18% —
061 MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $44,588 $44,588 $44,588 +0% $57,963 −23% —
970 MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $44,222 $44,222 $44,222 +0% $40,947 +8% —
255 MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $43,697 $43,697 $43,697 +0% $43,697 +0% —
344 MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $43,586 $43,586 $43,586 +0% $44,839 −3% —
654 MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC $43,554 $43,554 $43,554 +0% $53,868 −19% —
963 MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $43,491 $43,491 $43,491 +0% $43,491 +0% —
510 MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $43,284 $43,284 $43,284 +0% $49,055 −12% —
258 MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $43,093 $43,093 $43,093 +0% $48,907 −12% —
208 MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $42,934 $42,934 $42,934 +0% $52,405 −18% ≈141% of Medicare
849 MS-DRG 42.00: RADIOTHERAPY $42,807 $42,807 $42,807 +0% $37,862 +13% —
013 MS-DRG 42.00: TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $42,727 $42,727 $42,727 +0% $45,290 −6% —
503 MS-DRG 42.00: FOOT PROCEDURES WITH MCC $42,663 $42,663 $42,663 +0% $43,901 −3% —
468 MS-DRG 42.00: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $42,473 $42,473 $42,473 +0% $54,929 −23% —
135 MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITH CC/MCC $42,186 $42,186 $42,186 +0% $40,065 +5% —
577 MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $42,139 $42,139 $42,139 +0% $45,432 −7% —
325 MS-DRG 42.00: CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $42,059 $42,059 $42,059 +0% $53,551 −21% —
498 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $41,534 $41,534 $41,534 +0% $46,659 −11% —
619 MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC $41,407 $41,407 $41,407 +0% $44,973 −8% —
288 MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $41,248 $41,248 $41,248 +0% $45,497 −9% —
659 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $41,184 $41,184 $41,184 +0% $48,094 −14% —
253 MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITH CC $40,580 $40,580 $40,580 +0% $53,746 −24% ≈155% of Medicare
164 MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC $40,564 $40,564 $40,564 +0% $53,141 −24% —
347 MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH MCC $40,548 $40,548 $40,548 +0% $40,548 +0% —
959 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $40,277 $40,277 $40,277 +0% $40,277 +0% —
749 MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $40,039 $40,039 $40,039 +0% $41,703 −4% —
113 MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC $39,880 $39,880 $39,880 +0% $35,642 +12% —
327 MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $39,721 $39,721 $39,721 +0% $54,824 −28% —
545 MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH MCC $39,657 $39,657 $39,657 +0% $39,657 +0% —
982 MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,546 $39,546 $39,546 +0% $51,985 −24% —
483 MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $39,514 $39,514 $39,514 +0% $57,149 −31% —
792 MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS $39,339 $39,339 $39,339 +0% $11,633 +238% —
473 MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC $39,148 $39,148 $39,148 +0% $50,624 −23% —
846 MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $38,878 $38,878 $38,878 +0% $38,878 +0% —
272 MS-DRG 42.00: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $38,814 $38,814 $38,814 +0% $55,162 −30% —
027 MS-DRG 42.00: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $38,703 $38,703 $38,703 +0% $52,332 −26% —
493 MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $38,209 $38,209 $38,209 +0% $56,394 −32% —
350 MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $38,178 $38,178 $38,178 +0% $46,591 −18% —
056 MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $38,082 $38,082 $38,082 +0% $39,409 −3% —
095 MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $37,923 $37,923 $37,923 +0% $47,583 −20% —
478 MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $37,923 $37,923 $37,923 +0% $50,139 −24% —
674 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $37,891 $37,891 $37,891 +0% $49,631 −24% —
330 MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $37,732 $37,732 $37,732 +0% $58,832 −36% —
250 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $37,398 $37,398 $37,398 +0% $51,339 −27% —
030 MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC $36,889 $36,889 $36,889 +0% $45,818 −19% —
417 MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $36,873 $36,873 $36,873 +0% $52,313 −30% —
827 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $36,857 $36,857 $36,857 +0% $47,546 −22% —
035 MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC $36,587 $36,587 $36,587 +0% $46,430 −21% —
082 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $36,237 $36,237 $36,237 +0% $36,237 +0% ≈144% of Medicare
243 MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $36,237 $36,237 $36,237 +0% $50,011 −28% —
085 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $36,157 $36,157 $36,157 +0% $37,064 −2% ≈161% of Medicare
629 MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $35,998 $35,998 $35,998 +0% $45,059 −20% —
614 MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $35,823 $35,823 $35,823 +0% $43,586 −18% —
397 MS-DRG 42.00: APPENDIX PROCEDURES WITH MCC $35,744 $35,744 $35,744 +0% $52,319 −32% —
835 MS-DRG 42.00: ACUTE LEUKEMIA WITH CC $35,569 $35,569 $35,569 +0% $35,569 +0% —
824 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $35,521 $35,521 $35,521 +0% $38,382 −7% —
821 MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $35,505 $35,505 $35,505 +0% $44,053 −19% —
041 MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $35,489 $35,489 $35,489 +0% $44,989 −21% —
320 MS-DRG 42.00: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $35,410 $35,410 $35,410 +0% $36,080 −2% —
080 MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC $35,139 $35,139 $35,139 +0% $35,139 +0% —
715 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $35,123 $35,123 $35,123 +0% $38,998 −10% —
357 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $34,948 $34,948 $34,948 +0% $48,682 −28% —
808 MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $34,837 $34,837 $34,837 +0% $36,334 −4% —
096 MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $34,678 $34,678 $34,678 +0% $39,093 −11% —
595 MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC $34,598 $34,598 $34,598 +0% $31,785 +9% —
734 MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $34,583 $34,583 $34,583 +0% $35,686 −3% —
709 MS-DRG 42.00: PENIS PROCEDURES WITH CC/MCC $34,535 $34,535 $34,535 +0% $34,535 +0% —
940 MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $34,471 $34,471 $34,471 +0% $38,420 −10% —
286 MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $34,296 $34,296 $34,296 +0% $44,600 −23% ≈161% of Medicare
098 MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $34,280 $34,280 $34,280 +0% $37,902 −10% —
032 MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITH CC $34,264 $34,264 $34,264 +0% $45,622 −25% —
407 MS-DRG 42.00: PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $34,217 $34,217 $34,217 +0% $40,232 −15% —
475 MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $34,121 $34,121 $34,121 +0% $44,553 −23% —
857 MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $33,978 $33,978 $33,978 +0% $41,900 −19% —
424 MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $33,914 $33,914 $33,914 +0% $39,253 −14% —
507 MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $33,914 $33,914 $33,914 +0% $36,202 −6% —
814 MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $33,851 $33,851 $33,851 +0% $32,483 +4% —
711 MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC $33,771 $33,771 $33,771 +0% $34,852 −3% —
522 MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $33,596 $33,596 $33,596 +0% $56,519 −41% ≈147% of Medicare
146 MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $33,580 $33,580 $33,580 +0% $37,080 −9% —
655 MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $33,533 $33,533 $33,533 +0% $41,651 −19% —
488 MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $33,517 $33,517 $33,517 +0% $41,520 −19% —
336 MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH CC $33,485 $33,485 $33,485 +0% $49,470 −32% —
374 MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC $33,389 $33,389 $33,389 +0% $38,885 −14% —
314 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $33,310 $33,310 $33,310 +0% $38,357 −13% ≈150% of Medicare
934 MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $33,294 $33,294 $33,294 +0% $31,044 +7% —
867 MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $33,278 $33,278 $33,278 +0% $36,850 −10% —
592 MS-DRG 42.00: SKIN ULCERS WITH MCC $33,246 $33,246 $33,246 +0% $32,662 +2% —
333 MS-DRG 42.00: RECTAL RESECTION WITH CC $33,087 $33,087 $33,087 +0% $34,352 −4% —
481 MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $33,008 $33,008 $33,008 +0% $51,172 −35% ≈149% of Medicare
141 MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC $32,960 $32,960 $32,960 +0% $34,900 −6% —
412 MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC $32,865 $32,865 $32,865 +0% $37,654 −13% —
575 MS-DRG 42.00: SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $32,546 $32,546 $32,546 +0% $29,109 +12% —
516 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $32,467 $32,467 $32,467 +0% $45,817 −29% —
935 MS-DRG 42.00: NON-EXTENSIVE BURNS $32,467 $32,467 $32,467 +0% $29,458 +10% —
854 MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $32,419 $32,419 $32,419 +0% $43,524 −26% —
486 MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $31,942 $31,942 $31,942 +0% $46,477 −31% —
908 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITH CC $31,878 $31,878 $31,878 +0% $41,660 −23% —
064 MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $31,862 $31,862 $31,862 +0% $35,714 −11% ≈154% of Medicare
838 MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $31,846 $31,846 $31,846 +0% $30,661 +4% —
511 MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $31,719 $31,719 $31,719 +0% $43,538 −27% —
496 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $31,624 $31,624 $31,624 +0% $43,800 −28% —
617 MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $31,576 $31,576 $31,576 +0% $42,881 −26% —
539 MS-DRG 42.00: OSTEOMYELITIS WITH MCC $31,560 $31,560 $31,560 +0% $33,746 −6% —
100 MS-DRG 42.00: SEIZURES WITH MCC $31,544 $31,544 $31,544 +0% $35,194 −10% —
871 MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $31,544 $31,544 $31,544 +0% $35,237 −10% ≈147% of Medicare
415 MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $31,433 $31,433 $31,433 +0% $43,398 −28% —
737 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $31,401 $31,401 $31,401 +0% $44,363 −29% —
283 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $31,353 $31,353 $31,353 +0% $35,014 −10% —
519 MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $31,322 $31,322 $31,322 +0% $43,775 −28% —
707 MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $31,210 $31,210 $31,210 +0% $43,080 −28% —
584 MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $31,162 $31,162 $31,162 +0% $34,089 −9% —
409 MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $31,131 $31,131 $31,131 +0% $46,066 −32% —
548 MS-DRG 42.00: SEPTIC ARTHRITIS WITH MCC $31,019 $31,019 $31,019 +0% $31,019 +0% —
380 MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH MCC $31,003 $31,003 $31,003 +0% $36,641 −15% —
052 MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC $30,940 $30,940 $30,940 +0% $30,940 +0% —
432 MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $30,478 $30,478 $30,478 +0% $36,933 −17% —
075 MS-DRG 42.00: VIRAL MENINGITIS WITH CC/MCC $30,447 $30,447 $30,447 +0% $29,853 +2% —
196 MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC $30,144 $30,144 $30,144 +0% $30,766 −2% —
902 MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITH CC $29,985 $29,985 $29,985 +0% $35,459 −15% —
261 MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $29,938 $29,938 $29,938 +0% $42,126 −29% —
470 MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $29,938 $29,938 $29,938 +0% $49,197 −39% —
744 MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $29,938 $29,938 $29,938 +0% $33,050 −9% —
906 MS-DRG 42.00: HAND PROCEDURES FOR INJURIES $29,938 $29,938 $29,938 +0% $31,520 −5% —
165 MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC $29,842 $29,842 $29,842 +0% $41,380 −28% —
722 MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $29,826 $29,826 $29,826 +0% $29,826 +0% —
883 MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL $29,826 $29,826 $29,826 +0% $22,698 +31% —
062 MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $29,779 $29,779 $29,779 +0% $48,680 −39% —
465 MS-DRG 42.00: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $29,763 $29,763 $29,763 +0% $32,839 −9% —
494 MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $29,731 $29,731 $29,731 +0% $45,963 −35% —
259 MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $29,699 $29,699 $29,699 +0% $35,673 −17% —
479 MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $29,651 $29,651 $29,651 +0% $31,909 −7% —
623 MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $29,604 $29,604 $29,604 +0% $33,165 −11% —
843 MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $29,604 $29,604 $29,604 +0% $36,280 −18% —
803 MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $29,556 $29,556 $29,556 +0% $33,564 −12% —
941 MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $29,524 $29,524 $29,524 +0% $29,524 +0% —
754 MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $29,476 $29,476 $29,476 +0% $29,476 +0% —
559 MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,444 $29,444 $29,444 +0% $30,974 −5% —
657 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $29,333 $29,333 $29,333 +0% $40,583 −28% —
862 MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $29,301 $29,301 $29,301 +0% $30,394 −4% —
686 MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $29,254 $29,254 $29,254 +0% $32,981 −11% —
116 MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC $29,126 $29,126 $29,126 +0% $28,103 +4% —
244 MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $29,110 $29,110 $29,110 +0% $40,063 −27% —
441 MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $29,079 $29,079 $29,079 +0% $32,399 −10% —
919 MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH MCC $29,031 $29,031 $29,031 +0% $29,031 +0% —
542 MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $29,015 $29,015 $29,015 +0% $35,114 −17% —
322 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $28,999 $28,999 $28,999 +0% $54,772 −47% ≈149% of Medicare
167 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $28,951 $28,951 $28,951 +0% $40,563 −29% —
789 MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $28,935 $28,935 $28,935 +0% $14,284 +103% —
717 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $28,856 $28,856 $28,856 +0% $32,538 −11% —
205 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $28,792 $28,792 $28,792 +0% $32,204 −11% —
036 MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $28,760 $28,760 $28,760 +0% $40,694 −29% —
070 MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $28,474 $28,474 $28,474 +0% $30,814 −8% —
377 MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC $28,474 $28,474 $28,474 +0% $37,842 −25% ≈160% of Medicare
801 MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC $28,474 $28,474 $28,474 +0% $28,634 −1% —
091 MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $28,458 $28,458 $28,458 +0% $36,375 −22% —
740 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $28,426 $28,426 $28,426 +0% $36,597 −22% —
742 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $28,347 $28,347 $28,347 +0% $40,552 −30% —
896 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $28,283 $28,283 $28,283 +0% $30,275 −7% —
199 MS-DRG 42.00: PNEUMOTHORAX WITH MCC $28,220 $28,220 $28,220 +0% $31,491 −10% —
915 MS-DRG 42.00: ALLERGIC REACTIONS WITH MCC $28,220 $28,220 $28,220 +0% $30,944 −9% —
783 MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC $28,188 $28,188 $28,188 +0% $28,375 −1% —
435 MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $27,997 $27,997 $27,997 +0% $37,950 −26% —
884 MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $27,949 $27,949 $27,949 +0% $25,208 +11% —
786 MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $27,838 $27,838 $27,838 +0% $27,118 +3% —
371 MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $27,806 $27,806 $27,806 +0% $31,758 −12% —
580 MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $27,790 $27,790 $27,790 +0% $36,242 −23% —
922 MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $27,758 $27,758 $27,758 +0% $29,409 −6% —
582 MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC $27,695 $27,695 $27,695 +0% $34,264 −19% —
042 MS-DRG 42.00: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $27,679 $27,679 $27,679 +0% $39,018 −29% —
180 MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC $27,647 $27,647 $27,647 +0% $36,658 −25% —
501 MS-DRG 42.00: SOFT TISSUE PROCEDURES WITH CC $27,615 $27,615 $27,615 +0% $37,975 −27% —
254 MS-DRG 42.00: OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $27,599 $27,599 $27,599 +0% $38,836 −29% —
144 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $27,536 $27,536 $27,536 +0% $29,558 −7% —
058 MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $27,488 $27,488 $27,488 +0% $29,609 −7% —
504 MS-DRG 42.00: FOOT PROCEDURES WITH CC $27,472 $27,472 $27,472 +0% $36,598 −25% —
354 MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $27,329 $27,329 $27,329 +0% $43,266 −37% —
666 MS-DRG 42.00: PROSTATECTOMY WITH CC $27,313 $27,313 $27,313 +0% $30,016 −9% —
671 MS-DRG 42.00: URETHRAL PROCEDURES WITH CC/MCC $27,233 $27,233 $27,233 +0% $27,233 +0% —
421 MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $27,202 $27,202 $27,202 +0% $36,333 −25% —
157 MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH MCC $27,154 $27,154 $27,154 +0% $27,457 −1% —
505 MS-DRG 42.00: FOOT PROCEDURES WITHOUT CC/MCC $27,138 $27,138 $27,138 +0% $31,716 −14% —
551 MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC $27,074 $27,074 $27,074 +0% $31,086 −13% ≈155% of Medicare
855 MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $27,074 $27,074 $27,074 +0% $27,168 −0% —
988 MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $26,995 $26,995 $26,995 +0% $38,094 −29% —
177 MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $26,979 $26,979 $26,979 +0% $31,840 −15% ≈139% of Medicare
571 MS-DRG 42.00: SKIN DEBRIDEMENT WITH CC $26,915 $26,915 $26,915 +0% $34,901 −23% —
585 MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $26,788 $26,788 $26,788 +0% $29,633 −10% —
886 MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS $26,756 $26,756 $26,756 +0% $24,836 +8% —
746 MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $26,661 $26,661 $26,661 +0% $29,916 −11% —
331 MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $26,597 $26,597 $26,597 +0% $44,117 −40% —
438 MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $26,549 $26,549 $26,549 +0% $32,502 −18% —
698 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $26,311 $26,311 $26,311 +0% $30,058 −12% ≈153% of Medicare
368 MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC $26,279 $26,279 $26,279 +0% $33,607 −22% —
262 MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $26,168 $26,168 $26,168 +0% $33,694 −22% —
643 MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC $26,168 $26,168 $26,168 +0% $32,996 −21% ≈147% of Medicare
256 MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $26,088 $26,088 $26,088 +0% $29,729 −12% —
828 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $26,088 $26,088 $26,088 +0% $35,584 −27% —
865 MS-DRG 42.00: VIRAL ILLNESS WITH MCC $26,088 $26,088 $26,088 +0% $26,088 +0% —
418 MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $26,008 $26,008 $26,008 +0% $42,119 −38% ≈197% of Medicare
983 MS-DRG 42.00: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $26,008 $26,008 $26,008 +0% $30,930 −16% —
444 MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC $25,977 $25,977 $25,977 +0% $31,128 −17% ≈146% of Medicare
533 MS-DRG 42.00: FRACTURES OF FEMUR WITH MCC $25,945 $25,945 $25,945 +0% $25,945 +0% —
033 MS-DRG 42.00: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $25,818 $25,818 $25,818 +0% $33,984 −24% —
620 MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC $25,802 $25,802 $25,802 +0% $35,453 −27% —
513 MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $25,786 $25,786 $25,786 +0% $33,424 −23% —
727 MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $25,786 $25,786 $25,786 +0% $25,786 +0% —
393 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $25,770 $25,770 $25,770 +0% $32,689 −21% —
512 MS-DRG 42.00: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $25,674 $25,674 $25,674 +0% $35,692 −28% —
578 MS-DRG 42.00: SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $25,627 $25,627 $25,627 +0% $28,578 −10% —
895 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $25,595 $25,595 $25,595 +0% $21,986 +16% —
334 MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC $25,531 $25,531 $25,531 +0% $32,213 −21% —
296 MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC $25,499 $25,499 $25,499 +0% $30,910 −18% —
425 MS-DRG 42.00: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $25,484 $25,484 $25,484 +0% $25,484 +0% —
597 MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC $25,468 $25,468 $25,468 +0% $31,846 −20% —
038 MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITH CC $25,452 $25,452 $25,452 +0% $35,770 −29% —
328 MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $25,404 $25,404 $25,404 +0% $35,375 −28% —
917 MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $25,388 $25,388 $25,388 +0% $28,134 −10% ≈154% of Medicare
482 MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $25,261 $25,261 $25,261 +0% $39,747 −36% ≈163% of Medicare
251 MS-DRG 42.00: PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $25,245 $25,245 $25,245 +0% $41,380 −39% —
280 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $25,245 $25,245 $25,245 +0% $28,967 −13% ≈160% of Medicare
675 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $25,245 $25,245 $25,245 +0% $32,490 −22% —
606 MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC $25,229 $25,229 $25,229 +0% $25,434 −1% —
905 MS-DRG 42.00: SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $25,197 $25,197 $25,197 +0% $25,197 +0% —
830 MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $25,149 $25,149 $25,149 +0% $25,149 +0% —
299 MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH MCC $25,070 $25,070 $25,070 +0% $25,731 −3% ≈166% of Medicare
183 MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC $25,054 $25,054 $25,054 +0% $28,924 −13% —
841 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $25,038 $25,038 $25,038 +0% $31,059 −19% —
385 MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC $24,927 $24,927 $24,927 +0% $26,020 −4% —
410 MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $24,895 $24,895 $24,895 +0% $34,434 −28% —
115 MS-DRG 42.00: EXTRAOCULAR PROCEDURES EXCEPT ORBIT $24,879 $24,879 $24,879 +0% $24,879 +0% —
564 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $24,847 $24,847 $24,847 +0% $32,936 −25% —
813 MS-DRG 42.00: COAGULATION DISORDERS $24,815 $24,815 $24,815 +0% $30,128 −18% —
557 MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $24,768 $24,768 $24,768 +0% $28,646 −14% —
186 MS-DRG 42.00: PLEURAL EFFUSION WITH MCC $24,688 $24,688 $24,688 +0% $32,468 −24% —
142 MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $24,577 $24,577 $24,577 +0% $34,906 −30% —
487 MS-DRG 42.00: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $24,577 $24,577 $24,577 +0% $33,490 −27% —
769 MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $24,561 $24,561 $24,561 +0% $24,561 +0% —
345 MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $24,513 $24,513 $24,513 +0% $31,062 −21% —
154 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $24,465 $24,465 $24,465 +0% $24,465 +0% —
306 MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $24,450 $24,450 $24,450 +0% $24,450 +0% —
669 MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITH CC $24,418 $24,418 $24,418 +0% $34,354 −29% —
088 MS-DRG 42.00: CONCUSSION WITH MCC $24,402 $24,402 $24,402 +0% $24,402 +0% —
583 MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $24,211 $24,211 $24,211 +0% $31,566 −23% —
562 MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $24,195 $24,195 $24,195 +0% $29,211 −17% —
621 MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $24,131 $24,131 $24,131 +0% $32,451 −26% —
073 MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $24,068 $24,068 $24,068 +0% $28,252 −15% —
398 MS-DRG 42.00: APPENDIX PROCEDURES WITH CC $24,068 $24,068 $24,068 +0% $39,107 −38% —
077 MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC $24,036 $24,036 $24,036 +0% $24,036 +0% —
413 MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $24,020 $24,020 $24,020 +0% $27,548 −13% —
604 MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $23,956 $23,956 $23,956 +0% $28,140 −15% —
137 MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC $23,941 $23,941 $23,941 +0% $24,348 −2% —
682 MS-DRG 42.00: RENAL FAILURE WITH MCC $23,877 $23,877 $23,877 +0% $27,854 −14% ≈151% of Medicare
964 MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $23,877 $23,877 $23,877 +0% $25,854 −8% —
337 MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $23,797 $23,797 $23,797 +0% $36,239 −34% —
913 MS-DRG 42.00: TRAUMATIC INJURY WITH MCC $23,781 $23,781 $23,781 +0% $24,198 −2% —
517 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $23,766 $23,766 $23,766 +0% $33,137 −28% —
626 MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $23,734 $23,734 $23,734 +0% $27,279 −13% —
757 MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $23,734 $23,734 $23,734 +0% $23,734 +0% —
794 MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS $23,702 $23,702 $23,702 +0% $7,961 +198% —
602 MS-DRG 42.00: CELLULITIS WITH MCC $23,670 $23,670 $23,670 +0% $29,347 −19% ≈152% of Medicare
063 MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $23,654 $23,654 $23,654 +0% $35,542 −33% —
658 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $23,543 $23,543 $23,543 +0% $35,528 −34% —
289 MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $23,511 $23,511 $23,511 +0% $29,371 −20% —
054 MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC $23,447 $23,447 $23,447 +0% $29,484 −20% ≈162% of Medicare
615 MS-DRG 42.00: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $23,400 $23,400 $23,400 +0% $31,812 −26% —
506 MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES $23,272 $23,272 $23,272 +0% $28,983 −20% —
663 MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC $23,209 $23,209 $23,209 +0% $29,924 −22% —
708 MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $23,209 $23,209 $23,209 +0% $32,911 −29% —
351 MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $23,161 $23,161 $23,161 +0% $33,792 −31% —
388 MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC $23,129 $23,129 $23,129 +0% $28,780 −20% ≈150% of Medicare
713 MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $23,082 $23,082 $23,082 +0% $29,663 −22% —
637 MS-DRG 42.00: DIABETES WITH MCC $23,050 $23,050 $23,050 +0% $28,819 −20% ≈154% of Medicare
508 MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $22,811 $22,811 $22,811 +0% $22,811 +0% —
520 MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $22,779 $22,779 $22,779 +0% $31,816 −28% —
818 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $22,763 $22,763 $22,763 +0% $24,316 −6% —
497 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $22,700 $22,700 $22,700 +0% $29,805 −24% —
716 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $22,620 $22,620 $22,620 +0% $21,615 +5% —
796 MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $22,557 $22,557 $22,557 +0% $22,557 +0% —
067 MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $22,541 $22,541 $22,541 +0% $24,941 −10% —
693 MS-DRG 42.00: URINARY STONES WITH MCC $22,525 $22,525 $22,525 +0% $22,525 +0% —
977 MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION $22,525 $22,525 $22,525 +0% $22,525 +0% —
836 MS-DRG 42.00: ACUTE LEUKEMIA WITHOUT CC/MCC $22,461 $22,461 $22,461 +0% $19,686 +14% —
422 MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $22,445 $22,445 $22,445 +0% $25,152 −11% —
748 MS-DRG 42.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $22,350 $22,350 $22,350 +0% $24,980 −11% —
811 MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC $22,334 $22,334 $22,334 +0% $27,934 −20% —
175 MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $22,318 $22,318 $22,318 +0% $29,757 −25% —
555 MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $22,254 $22,254 $22,254 +0% $23,723 −6% —
383 MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITH MCC $22,238 $22,238 $22,238 +0% $26,634 −17% —
630 MS-DRG 42.00: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $22,207 $22,207 $22,207 +0% $24,452 −9% —
241 MS-DRG 42.00: AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $22,175 $22,175 $22,175 +0% $24,229 −8% —
502 MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC $22,000 $22,000 $22,000 +0% $30,006 −27% —
885 MS-DRG 42.00: PSYCHOSES $21,729 $21,729 $21,729 +0% $21,489 +1% —
738 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $21,714 $21,714 $21,714 +0% $30,972 −30% —
057 MS-DRG 42.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $21,682 $21,682 $21,682 +0% $25,426 −15% —
355 MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $21,682 $21,682 $21,682 +0% $31,978 −32% —
975 MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC $21,682 $21,682 $21,682 +0% $25,010 −13% —
750 MS-DRG 42.00: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,634 $21,634 $21,634 +0% $23,920 −10% —
083 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,570 $21,570 $21,570 +0% $24,118 −11% —
168 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $21,570 $21,570 $21,570 +0% $28,527 −24% —
909 MS-DRG 42.00: OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $21,570 $21,570 $21,570 +0% $28,156 −23% —
553 MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC $21,507 $21,507 $21,507 +0% $23,956 −10% —
581 MS-DRG 42.00: OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $21,427 $21,427 $21,427 +0% $25,243 −15% —
660 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $21,411 $21,411 $21,411 +0% $30,358 −29% ≈165% of Medicare
416 MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $21,300 $21,300 $21,300 +0% $30,418 −30% —
193 MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH MCC $21,109 $21,109 $21,109 +0% $26,158 −19% ≈154% of Medicare
124 MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $21,029 $21,029 $21,029 +0% $21,029 +0% —
099 MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $20,998 $20,998 $20,998 +0% $25,666 −18% —
086 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,950 $20,950 $20,950 +0% $23,115 −9% ≈149% of Medicare
150 MS-DRG 42.00: EPISTAXIS WITH MCC $20,918 $20,918 $20,918 +0% $21,133 −1% —
640 MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $20,918 $20,918 $20,918 +0% $24,480 −15% ≈152% of Medicare
419 MS-DRG 42.00: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $20,886 $20,886 $20,886 +0% $34,887 −40% —
642 MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM $20,727 $20,727 $20,727 +0% $20,727 +0% —
839 MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $20,727 $20,727 $20,727 +0% $20,980 −1% —
348 MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITH CC $20,695 $20,695 $20,695 +0% $27,947 −26% —
741 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $20,664 $20,664 $20,664 +0% $29,050 −29% —
540 MS-DRG 42.00: OSTEOMYELITIS WITH CC $20,648 $20,648 $20,648 +0% $23,494 −12% —
535 MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITH MCC $20,632 $20,632 $20,632 +0% $23,350 −12% —
710 MS-DRG 42.00: PENIS PROCEDURES WITHOUT CC/MCC $20,632 $20,632 $20,632 +0% $23,814 −13% —
887 MS-DRG 42.00: OTHER MENTAL DISORDER DIAGNOSES $20,616 $20,616 $20,616 +0% $20,602 +0% —
825 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $20,536 $20,536 $20,536 +0% $27,321 −25% —
499 MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $20,520 $20,520 $20,520 +0% $22,532 −9% —
346 MS-DRG 42.00: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $20,489 $20,489 $20,489 +0% $26,146 −22% —
291 MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC $20,425 $20,425 $20,425 +0% $25,020 −18% ≈154% of Medicare
858 MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $20,409 $20,409 $20,409 +0% $23,924 −15% —
121 MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $20,377 $20,377 $20,377 +0% $18,291 +11% —
358 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,377 $20,377 $20,377 +0% $29,374 −31% —
391 MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $20,298 $20,298 $20,298 +0% $27,244 −25% ≈164% of Medicare
947 MS-DRG 42.00: SIGNS AND SYMPTOMS WITH MCC $19,916 $19,916 $19,916 +0% $25,474 −22% —
903 MS-DRG 42.00: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $19,757 $19,757 $19,757 +0% $23,588 −16% —
725 MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC $19,741 $19,741 $19,741 +0% $19,894 −1% —
822 MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $19,709 $19,709 $19,709 +0% $25,390 −22% —
489 MS-DRG 42.00: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $19,693 $19,693 $19,693 +0% $27,492 −28% —
147 MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $19,661 $19,661 $19,661 +0% $21,860 −10% —
627 MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $19,661 $19,661 $19,661 +0% $25,623 −23% —
114 MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC $19,598 $19,598 $19,598 +0% $19,598 +0% —
189 MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE $19,598 $19,598 $19,598 +0% $25,704 −24% ≈151% of Medicare
145 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $19,423 $19,423 $19,423 +0% $20,842 −7% —
768 MS-DRG 42.00: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $19,375 $19,375 $19,375 +0% $17,103 +13% —
847 MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $19,296 $19,296 $19,296 +0% $22,275 −13% —
593 MS-DRG 42.00: SKIN ULCERS WITH CC $19,248 $19,248 $19,248 +0% $20,470 −6% —
804 MS-DRG 42.00: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $19,248 $19,248 $19,248 +0% $24,544 −22% —
102 MS-DRG 42.00: HEADACHES WITH MCC $19,200 $19,200 $19,200 +0% $22,544 −15% —
549 MS-DRG 42.00: SEPTIC ARTHRITIS WITH CC $19,184 $19,184 $19,184 +0% $20,938 −8% —
809 MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,152 $19,152 $19,152 +0% $22,032 −13% —
308 MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $19,121 $19,121 $19,121 +0% $26,488 −28% ≈146% of Medicare
546 MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITH CC $19,073 $19,073 $19,073 +0% $24,202 −21% —
598 MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC $19,073 $19,073 $19,073 +0% $19,073 +0% —
117 MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC $19,057 $19,057 $19,057 +0% $17,193 +11% —
375 MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC $19,057 $19,057 $19,057 +0% $27,219 −30% —
695 MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $19,025 $19,025 $19,025 +0% $20,741 −8% —
139 MS-DRG 42.00: SALIVARY GLAND PROCEDURES $18,898 $18,898 $18,898 +0% $21,014 −10% —
152 MS-DRG 42.00: OTITIS MEDIA AND URI WITH MCC $18,898 $18,898 $18,898 +0% $19,795 −5% —
712 MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC $18,898 $18,898 $18,898 +0% $18,898 +0% —
059 MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $18,882 $18,882 $18,882 +0% $26,322 −28% —
476 MS-DRG 42.00: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,723 $18,723 $18,723 +0% $21,062 −11% —
718 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $18,707 $18,707 $18,707 +0% $20,147 −7% —
689 MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $18,675 $18,675 $18,675 +0% $22,982 −19% ≈157% of Medicare
618 MS-DRG 42.00: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $18,484 $18,484 $18,484 +0% $19,354 −4% —
743 MS-DRG 42.00: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,484 $18,484 $18,484 +0% $27,369 −32% —
844 MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $18,405 $18,405 $18,405 +0% $20,421 −10% —
089 MS-DRG 42.00: CONCUSSION WITH CC $18,293 $18,293 $18,293 +0% $18,293 +0% —
304 MS-DRG 42.00: HYPERTENSION WITH MCC $18,278 $18,278 $18,278 +0% $24,185 −24% ≈159% of Medicare
039 MS-DRG 42.00: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $18,150 $18,150 $18,150 +0% $25,267 −28% ≈156% of Medicare
572 MS-DRG 42.00: SKIN DEBRIDEMENT WITHOUT CC/MCC $18,134 $18,134 $18,134 +0% $24,432 −26% —
560 MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,007 $18,007 $18,007 +0% $24,452 −26% —
302 MS-DRG 42.00: ATHEROSCLEROSIS WITH MCC $17,832 $17,832 $17,832 +0% $20,844 −14% —
624 MS-DRG 42.00: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $17,737 $17,737 $17,737 +0% $17,078 +4% —
723 MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $17,721 $17,721 $17,721 +0% $19,317 −8% —
399 MS-DRG 42.00: APPENDIX PROCEDURES WITHOUT CC/MCC $17,705 $17,705 $17,705 +0% $30,314 −42% —
697 MS-DRG 42.00: URETHRAL STRICTURE $17,705 $17,705 $17,705 +0% $17,705 +0% —
352 MS-DRG 42.00: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $17,641 $17,641 $17,641 +0% $25,162 −30% —
190 MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $17,530 $17,530 $17,530 +0% $24,190 −28% ≈163% of Medicare
181 MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC $17,514 $17,514 $17,514 +0% $22,431 −22% —
436 MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $17,514 $17,514 $17,514 +0% $24,017 −27% —
294 MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $17,403 $17,403 $17,403 +0% $19,132 −9% —
543 MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $17,355 $17,355 $17,355 +0% $23,496 −26% —
445 MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC $17,291 $17,291 $17,291 +0% $21,806 −21% —
868 MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $17,275 $17,275 $17,275 +0% $22,231 −22% —
290 MS-DRG 42.00: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $17,259 $17,259 $17,259 +0% $15,901 +9% —
755 MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $17,259 $17,259 $17,259 +0% $18,459 −7% —
287 MS-DRG 42.00: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $17,212 $17,212 $17,212 +0% $31,190 −45% ≈150% of Medicare
989 MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $17,180 $17,180 $17,180 +0% $25,307 −32% —
200 MS-DRG 42.00: PNEUMOTHORAX WITH CC $17,132 $17,132 $17,132 +0% $20,573 −17% —
831 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $17,100 $17,100 $17,100 +0% $18,133 −6% —
055 MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $17,069 $17,069 $17,069 +0% $19,868 −14% —
381 MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITH CC $17,069 $17,069 $17,069 +0% $24,177 −29% —
949 MS-DRG 42.00: AFTERCARE WITH CC/MCC $17,069 $17,069 $17,069 +0% $23,953 −29% —
300 MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITH CC $16,973 $16,973 $16,973 +0% $19,579 −13% ≈152% of Medicare
842 MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $16,957 $16,957 $16,957 +0% $17,550 −3% —
071 MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $16,894 $16,894 $16,894 +0% $23,396 −28% —
644 MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC $16,894 $16,894 $16,894 +0% $22,941 −26% ≈143% of Medicare
664 MS-DRG 42.00: MINOR BLADDER PROCEDURES WITHOUT CC/MCC $16,894 $16,894 $16,894 +0% $18,126 −7% —
184 MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC $16,735 $16,735 $16,735 +0% $20,842 −20% —
787 MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC $16,719 $16,719 $16,719 +0% $23,571 −29% —
667 MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC $16,703 $16,703 $16,703 +0% $16,703 +0% —
661 MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $16,671 $16,671 $16,671 +0% $24,022 −31% —
687 MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $16,623 $16,623 $16,623 +0% $18,478 −10% —
372 MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $16,575 $16,575 $16,575 +0% $22,850 −27% —
514 MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $16,575 $16,575 $16,575 +0% $20,080 −17% —
745 MS-DRG 42.00: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $16,480 $16,480 $16,480 +0% $16,495 −0% —
920 MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITH CC $16,448 $16,448 $16,448 +0% $21,181 −22% —
433 MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $16,400 $16,400 $16,400 +0% $23,749 −31% —
872 MS-DRG 42.00: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $16,385 $16,385 $16,385 +0% $22,781 −28% ≈159% of Medicare
074 MS-DRG 42.00: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $16,321 $16,321 $16,321 +0% $23,141 −29% —
092 MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $16,321 $16,321 $16,321 +0% $24,136 −32% —
600 MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $16,321 $16,321 $16,321 +0% $16,418 −1% —
784 MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC $16,289 $16,289 $16,289 +0% $22,560 −28% —
699 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $16,241 $16,241 $16,241 +0% $20,732 −22% ≈163% of Medicare
078 MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC $16,178 $16,178 $16,178 +0% $17,434 −7% —
065 MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,162 $16,162 $16,162 +0% $23,469 −31% ≈172% of Medicare
923 MS-DRG 42.00: OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $16,082 $16,082 $16,082 +0% $16,571 −3% —
596 MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC $16,050 $16,050 $16,050 +0% $17,226 −7% —
805 MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $16,035 $16,035 $16,035 +0% $15,370 +4% —
863 MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $16,003 $16,003 $16,003 +0% $20,007 −20% —
810 MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $15,987 $15,987 $15,987 +0% $18,428 −13% —
729 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $15,971 $15,971 $15,971 +0% $17,483 −9% —
565 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $15,891 $15,891 $15,891 +0% $21,545 −26% —
197 MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC $15,876 $15,876 $15,876 +0% $20,106 −21% —
187 MS-DRG 42.00: PLEURAL EFFUSION WITH CC $15,844 $15,844 $15,844 +0% $21,467 −26% —
797 MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $15,844 $15,844 $15,844 +0% $19,001 −17% —
760 MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $15,828 $15,828 $15,828 +0% $18,282 −13% —
815 MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $15,812 $15,812 $15,812 +0% $18,017 −12% —
758 MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $15,796 $15,796 $15,796 +0% $19,091 −17% —
257 MS-DRG 42.00: UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $15,764 $15,764 $15,764 +0% $15,764 +0% —
779 MS-DRG 42.00: ABORTION WITHOUT D&C $15,732 $15,732 $15,732 +0% $15,327 +3% —
369 MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC $15,716 $15,716 $15,716 +0% $22,713 −31% —
178 MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $15,701 $15,701 $15,701 +0% $22,024 −29% ≈157% of Medicare
053 MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $15,653 $15,653 $15,653 +0% $20,309 −23% —
378 MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC $15,653 $15,653 $15,653 +0% $21,886 −28% ≈152% of Medicare
349 MS-DRG 42.00: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $15,526 $15,526 $15,526 +0% $19,854 −22% —
386 MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC $15,462 $15,462 $15,462 +0% $20,968 −26% —
315 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $15,382 $15,382 $15,382 +0% $20,777 −26% —
537 MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $15,382 $15,382 $15,382 +0% $16,352 −6% —
552 MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC $15,366 $15,366 $15,366 +0% $21,213 −28% ≈169% of Medicare
670 MS-DRG 42.00: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $15,319 $15,319 $15,319 +0% $20,371 −25% —
714 MS-DRG 42.00: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $15,255 $15,255 $15,255 +0% $17,108 −11% —
202 MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC $15,239 $15,239 $15,239 +0% $17,273 −12% —
965 MS-DRG 42.00: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $15,207 $15,207 $15,207 +0% $17,585 −14% —
880 MS-DRG 42.00: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $15,191 $15,191 $15,191 +0% $15,636 −3% —
442 MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $15,144 $15,144 $15,144 +0% $21,449 −29% —
155 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $15,064 $15,064 $15,064 +0% $16,642 −9% —
550 MS-DRG 42.00: SEPTIC ARTHRITIS WITHOUT CC/MCC $15,017 $15,017 $15,017 +0% $16,156 −7% —
307 MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $15,001 $15,001 $15,001 +0% $18,608 −19% —
158 MS-DRG 42.00: DENTAL AND ORAL DISEASES WITH CC $14,937 $14,937 $14,937 +0% $17,700 −16% —
882 MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE $14,937 $14,937 $14,937 +0% $15,680 −5% —
672 MS-DRG 42.00: URETHRAL PROCEDURES WITHOUT CC/MCC $14,921 $14,921 $14,921 +0% $17,398 −14% —
394 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $14,905 $14,905 $14,905 +0% $18,918 −21% ≈165% of Medicare
090 MS-DRG 42.00: CONCUSSION WITHOUT CC/MCC $14,873 $14,873 $14,873 +0% $14,873 +0% —
076 MS-DRG 42.00: VIRAL MENINGITIS WITHOUT CC/MCC $14,682 $14,682 $14,682 +0% $15,474 −5% —
084 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $14,635 $14,635 $14,635 +0% $18,191 −20% —
866 MS-DRG 42.00: VIRAL ILLNESS WITHOUT MCC $14,603 $14,603 $14,603 +0% $16,391 −11% —
206 MS-DRG 42.00: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $14,539 $14,539 $14,539 +0% $17,731 −18% —
281 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $14,523 $14,523 $14,523 +0% $20,463 −29% —
081 MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $14,476 $14,476 $14,476 +0% $15,077 −4% —
101 MS-DRG 42.00: SEIZURES WITHOUT MCC $14,476 $14,476 $14,476 +0% $19,954 −27% —
605 MS-DRG 42.00: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $14,460 $14,460 $14,460 +0% $19,287 −25% —
914 MS-DRG 42.00: TRAUMATIC INJURY WITHOUT MCC $14,444 $14,444 $14,444 +0% $15,593 −7% —
819 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $14,428 $14,428 $14,428 +0% $17,928 −20% —
881 MS-DRG 42.00: DEPRESSIVE NEUROSES $14,428 $14,428 $14,428 +0% $15,058 −4% —
683 MS-DRG 42.00: RENAL FAILURE WITH CC $14,333 $14,333 $14,333 +0% $18,620 −23% ≈168% of Medicare
812 MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC $14,333 $14,333 $14,333 +0% $20,488 −30% ≈166% of Medicare
638 MS-DRG 42.00: DIABETES WITH CC $14,301 $14,301 $14,301 +0% $18,821 −24% ≈165% of Medicare
060 MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $14,269 $14,269 $14,269 +0% $21,261 −33% —
563 MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $14,253 $14,253 $14,253 +0% $18,803 −24% —
607 MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC $14,221 $14,221 $14,221 +0% $15,284 −7% —
376 MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC $14,173 $14,173 $14,173 +0% $15,608 −9% —
747 MS-DRG 42.00: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $14,110 $14,110 $14,110 +0% $19,326 −27% —
087 MS-DRG 42.00: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $14,094 $14,094 $14,094 +0% $15,869 −11% ≈170% of Medicare
603 MS-DRG 42.00: CELLULITIS WITHOUT MCC $14,078 $14,078 $14,078 +0% $18,530 −24% ≈171% of Medicare
864 MS-DRG 42.00: FEVER AND INFLAMMATORY CONDITIONS $14,046 $14,046 $14,046 +0% $17,412 −19% —
558 MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $13,967 $13,967 $13,967 +0% $17,367 −20% —
384 MS-DRG 42.00: UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $13,935 $13,935 $13,935 +0% $19,305 −28% —
068 MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $13,855 $13,855 $13,855 +0% $19,569 −29% —
138 MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC $13,776 $13,776 $13,776 +0% $17,383 −21% —
785 MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,776 $13,776 $13,776 +0% $19,815 −30% —
845 MS-DRG 42.00: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $13,760 $13,760 $13,760 +0% $14,055 −2% —
312 MS-DRG 42.00: SYNCOPE AND COLLAPSE $13,744 $13,744 $13,744 +0% $19,342 −29% ≈164% of Medicare
918 MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $13,696 $13,696 $13,696 +0% $15,045 −9% —
541 MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC $13,648 $13,648 $13,648 +0% $14,549 −6% —
292 MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC $13,633 $13,633 $13,633 +0% $16,212 −16% —
897 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $13,617 $13,617 $13,617 +0% $16,049 −15% —
439 MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $13,601 $13,601 $13,601 +0% $19,096 −29% —
788 MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $13,601 $13,601 $13,601 +0% $20,084 −32% —
191 MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $13,505 $13,505 $13,505 +0% $18,278 −26% —
976 MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $13,442 $13,442 $13,442 +0% $16,212 −17% —
103 MS-DRG 42.00: HEADACHES WITHOUT MCC $13,394 $13,394 $13,394 +0% $20,111 −33% —
848 MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $13,299 $13,299 $13,299 +0% $13,822 −4% —
798 MS-DRG 42.00: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $13,283 $13,283 $13,283 +0% $18,238 −27% —
437 MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $13,219 $13,219 $13,219 +0% $13,385 −1% —
556 MS-DRG 42.00: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $13,108 $13,108 $13,108 +0% $17,715 −26% —
204 MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS $13,092 $13,092 $13,092 +0% $16,866 −22% —
547 MS-DRG 42.00: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,092 $13,092 $13,092 +0% $14,861 −12% —
194 MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITH CC $13,076 $13,076 $13,076 +0% $18,204 −28% ≈168% of Medicare
554 MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $13,076 $13,076 $13,076 +0% $18,253 −28% —
176 MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC $12,980 $12,980 $12,980 +0% $18,081 −28% —
534 MS-DRG 42.00: FRACTURES OF FEMUR WITHOUT MCC $12,885 $12,885 $12,885 +0% $17,195 −25% —
724 MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,885 $12,885 $12,885 +0% $12,650 +2% —
690 MS-DRG 42.00: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $12,837 $12,837 $12,837 +0% $17,466 −27% ≈172% of Medicare
123 MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS $12,789 $12,789 $12,789 +0% $17,831 −28% —
446 MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $12,758 $12,758 $12,758 +0% $17,700 −28% —
948 MS-DRG 42.00: SIGNS AND SYMPTOMS WITHOUT MCC $12,742 $12,742 $12,742 +0% $17,727 −28% —
728 MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $12,726 $12,726 $12,726 +0% $16,837 −24% —
069 MS-DRG 42.00: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $12,710 $12,710 $12,710 +0% $20,278 −37% ≈175% of Medicare
182 MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC $12,710 $12,710 $12,710 +0% $14,064 −10% —
770 MS-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $12,710 $12,710 $12,710 +0% $17,943 −29% —
125 MS-DRG 42.00: OTHER DISORDERS OF THE EYE WITHOUT MCC $12,694 $12,694 $12,694 +0% $15,876 −20% —
295 MS-DRG 42.00: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $12,678 $12,678 $12,678 +0% $13,445 −6% —
389 MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC $12,662 $12,662 $12,662 +0% $17,388 −27% ≈151% of Medicare
536 MS-DRG 42.00: FRACTURES OF HIP AND PELVIS WITHOUT MCC $12,519 $12,519 $12,519 +0% $18,002 −30% —
594 MS-DRG 42.00: SKIN ULCERS WITHOUT CC/MCC $12,519 $12,519 $12,519 +0% $14,209 −12% —
392 MS-DRG 42.00: ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $12,503 $12,503 $12,503 +0% $17,322 −28% ≈164% of Medicare
072 MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $12,455 $12,455 $12,455 +0% $16,654 −25% —
694 MS-DRG 42.00: URINARY STONES WITHOUT MCC $12,455 $12,455 $12,455 +0% $16,531 −25% —
641 MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $12,424 $12,424 $12,424 +0% $16,745 −26% ≈159% of Medicare
688 MS-DRG 42.00: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $12,424 $12,424 $12,424 +0% $12,593 −1% —
561 MS-DRG 42.00: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,408 $12,408 $12,408 +0% $18,150 −32% —
198 MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $12,376 $12,376 $12,376 +0% $13,654 −9% —
093 MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $12,312 $12,312 $12,312 +0% $17,522 −30% —
151 MS-DRG 42.00: EPISTAXIS WITHOUT MCC $12,265 $12,265 $12,265 +0% $13,032 −6% —
544 MS-DRG 42.00: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $12,217 $12,217 $12,217 +0% $16,776 −27% —
179 MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $12,137 $12,137 $12,137 +0% $14,444 −16% —
645 MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC $12,105 $12,105 $12,105 +0% $14,166 −15% —
382 MS-DRG 42.00: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $12,042 $12,042 $12,042 +0% $16,634 −28% —
185 MS-DRG 42.00: MAJOR CHEST TRAUMA WITHOUT CC/MCC $12,026 $12,026 $12,026 +0% $15,858 −24% —
305 MS-DRG 42.00: HYPERTENSION WITHOUT MCC $11,994 $11,994 $11,994 +0% $17,144 −30% ≈176% of Medicare
566 MS-DRG 42.00: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,946 $11,946 $11,946 +0% $14,337 −17% —
188 MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC $11,883 $11,883 $11,883 +0% $14,110 −16% —
806 MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,883 $11,883 $11,883 +0% $13,090 −9% —
122 MS-DRG 42.00: ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,851 $11,851 $11,851 +0% $11,997 −1% —
149 MS-DRG 42.00: DYSEQUILIBRIUM $11,851 $11,851 $11,851 +0% $17,203 −31% —
309 MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,851 $11,851 $11,851 +0% $16,865 −30% ≈180% of Medicare
370 MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $11,835 $11,835 $11,835 +0% $15,072 −21% —
079 MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,787 $11,787 $11,787 +0% $11,847 −1% —
284 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $11,771 $11,771 $11,771 +0% $13,282 −11% —
832 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $11,740 $11,740 $11,740 +0% $12,895 −9% —
153 MS-DRG 42.00: OTITIS MEDIA AND URI WITHOUT MCC $11,692 $11,692 $11,692 +0% $14,473 −19% —
726 MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,628 $11,628 $11,628 +0% $13,892 −16% —
297 MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC $11,596 $11,596 $11,596 +0% $12,336 −6% —
313 MS-DRG 42.00: CHEST PAIN $11,517 $11,517 $11,517 +0% $15,962 −28% —
282 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $11,421 $11,421 $11,421 +0% $18,623 −39% —
373 MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $11,406 $11,406 $11,406 +0% $16,104 −29% —
776 MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,406 $11,406 $11,406 +0% $12,381 −8% —
443 MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,374 $11,374 $11,374 +0% $15,600 −27% —
301 MS-DRG 42.00: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,294 $11,294 $11,294 +0% $15,607 −28% —
816 MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,294 $11,294 $11,294 +0% $13,485 −16% —
538 MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $11,278 $11,278 $11,278 +0% $11,909 −5% —
700 MS-DRG 42.00: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $11,262 $11,262 $11,262 +0% $13,303 −15% —
201 MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC $11,231 $11,231 $11,231 +0% $13,081 −14% —
311 MS-DRG 42.00: ANGINA PECTORIS $11,103 $11,103 $11,103 +0% $15,165 −27% —
921 MS-DRG 42.00: COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,103 $11,103 $11,103 +0% $14,012 −21% —
203 MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,056 $11,056 $11,056 +0% $12,279 −10% —
316 MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $11,024 $11,024 $11,024 +0% $12,797 −14% —
696 MS-DRG 42.00: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,008 $11,008 $11,008 +0% $14,441 −24% —
869 MS-DRG 42.00: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $10,992 $10,992 $10,992 +0% $12,537 −12% —
066 MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $10,944 $10,944 $10,944 +0% $19,483 −44% —
387 MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $10,881 $10,881 $10,881 +0% $14,880 −27% —
159 MS-DRG 42.00: DENTAL AND ORAL DISEASES WITHOUT CC/MCC $10,737 $10,737 $10,737 +0% $13,368 −20% —
599 MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,706 $10,706 $10,706 +0% $14,290 −25% —
434 MS-DRG 42.00: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $10,658 $10,658 $10,658 +0% $12,405 −14% —
916 MS-DRG 42.00: ALLERGIC REACTIONS WITHOUT MCC $10,483 $10,483 $10,483 +0% $13,890 −25% —
303 MS-DRG 42.00: ATHEROSCLEROSIS WITHOUT MCC $10,467 $10,467 $10,467 +0% $14,927 −30% —
156 MS-DRG 42.00: OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $10,435 $10,435 $10,435 +0% $13,198 −21% —
807 MS-DRG 42.00: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,403 $10,403 $10,403 +0% $12,044 −14% —
395 MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $10,308 $10,308 $10,308 +0% $14,128 −27% —
759 MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $10,276 $10,276 $10,276 +0% $14,208 −28% —
192 MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $10,213 $10,213 $10,213 +0% $14,368 −29% —
950 MS-DRG 42.00: AFTERCARE WITHOUT CC/MCC $10,165 $10,165 $10,165 +0% $13,527 −25% —
601 MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,085 $10,085 $10,085 +0% $10,975 −8% —
379 MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $10,069 $10,069 $10,069 +0% $14,134 −29% —
195 MS-DRG 42.00: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $9,958 $9,958 $9,958 +0% $13,824 −28% —
639 MS-DRG 42.00: DIABETES WITHOUT CC/MCC $9,910 $9,910 $9,910 +0% $13,910 −29% —
730 MS-DRG 42.00: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,894 $9,894 $9,894 +0% $11,071 −11% —
440 MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $9,799 $9,799 $9,799 +0% $15,070 −35% —
684 MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC $9,688 $9,688 $9,688 +0% $13,623 −29% —
761 MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $9,640 $9,640 $9,640 +0% $11,421 −16% —
951 MS-DRG 42.00: OTHER FACTORS INFLUENCING HEALTH STATUS $9,385 $9,385 $9,385 +0% $9,385 +0% —
894 MS-DRG 42.00: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $9,147 $9,147 $9,147 +0% $12,013 −24% —
293 MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC $8,940 $8,940 $8,940 +0% $11,955 −25% —
390 MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $8,892 $8,892 $8,892 +0% $13,318 −33% —
310 MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $8,797 $8,797 $8,797 +0% $13,384 −34% ≈152% of Medicare
833 MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $8,145 $8,145 $8,145 +0% $9,076 −10% —
285 MS-DRG 42.00: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $7,779 $7,779 $7,779 +0% $10,039 −23% —
298 MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,999 $6,999 $6,999 +0% $8,927 −22% —
795 MS-DRG 42.00: NORMAL NEWBORN $3,213 $3,213 $3,213 +0% $4,530 −29% —

Procedures with negotiated rates only

These 22 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
136 MS-DRG 42.00: SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $9,986 – $31,144 · median $10,985 46 plans
148 MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $8,335 – $25,129 · median $9,169 46 plans
317 MS-DRG 42.00: CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $58,432 – $187,231 · median $64,276 46 plans
402 MS-DRG 42.00: SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $37,278 – $170,301 · median $41,006 46 plans
426 MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $98,328 – $317,038 · median $108,161 46 plans
427 MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $66,956 – $229,302 · median $73,651 46 plans
428 MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $52,086 – $198,682 · median $57,294 46 plans
429 MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $78,470 – $252,428 · median $86,317 46 plans
430 MS-DRG 42.00: COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $51,773 – $198,682 · median $56,950 46 plans
447 MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $63,254 – $202,918 · median $69,579 46 plans
448 MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $38,871 – $123,587 · median $42,759 46 plans
509 MS-DRG 42.00: ARTHROSCOPY $17,228 – $53,167 · median $18,951 46 plans
625 MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $27,557 – $86,773 · median $30,312 46 plans
735 MS-DRG 42.00: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $12,179 – $43,942 · median $13,397 46 plans
756 MS-DRG 42.00: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $9,771 – $28,903 · median $10,748 46 plans
850 MS-DRG 42.00: ACUTE LEUKEMIA WITH OTHER PROCEDURES $86,575 – $278,798 · median $95,233 46 plans
933 MS-DRG 42.00: EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $41,136 – $130,954 · median $45,249 46 plans
945 MS-DRG 42.00: REHABILITATION WITH CC/MCC $15,087 – $49,461 · median $16,595 46 plans
946 MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC $11,273 – $45,590 · median $12,400 46 plans
010 MS-DRG 42.00: PANCREAS TRANSPLANT $75,051 – $241,303 · median $82,556 45 plans
450 MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $48,793 – $155,868 · median $50,745 40 plans
451 MS-DRG 42.00: SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,593 – $93,398 · median $30,777 40 plans
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