HonorHealth Deer Valley Medical Center — Pricing

781 procedures published in this hospital's Machine-Readable File (MRF) — 506 with a comparable price, 275 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 781
Lowest published price $755
Average published price $14,100
Highest published price $213,329

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 781 procedures

Published charges

Showing all 506 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 57 procedures, this hospital's negotiated rates average ≈177% of what Medicare pays.

DRG Description Published price vs. AZ median vs. National median vs Medicare
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $213,329 $431,073 −51% $431,073 −51% —
209 Complex Aortic Arch Procedures $123,822 $123,822 — $183,292 −32% —
232 Coronary Bypass With Ptca Without Mcc $106,767 $94,633 +13% $106,238 +0% —
212 Concomitant Aortic And Mitral Valve Procedures $82,891 $171,338 −52% $171,338 −52% —
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $81,517 $189,537 −57% $142,326 −43% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $72,374 $154,381 −53% $175,437 −59% —
332 Rectal Resection With Mcc $67,310 $58,125 +16% $58,125 +16% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $65,908 $61,832 +7% $61,832 +7% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $64,096 $233,838 −73% $245,241 −74% —
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $59,846 $59,846 — $110,732 −46% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $58,369 $132,794 −56% $121,728 −52% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $56,753 $122,661 −54% $143,242 −60% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $56,009 $36,857 +52% $47,546 +18% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $55,165 $110,079 −50% $89,353 −38% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $54,244 $111,924 −52% $131,961 −59% —
032 Ventricular Shunt Procedures With Cc $51,302 $34,264 +50% $45,622 +12% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $49,953 $109,045 −54% $118,589 −58% —
215 Other Heart Assist System Implant $49,564 $162,493 −69% $191,314 −74% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $46,501 $33,517 +39% $41,520 +12% —
466 Revision Of Hip Or Knee Replacement With Mcc $45,337 $82,511 −45% $96,222 −53% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $45,287 $124,077 −64% $138,868 −67% —
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $42,814 $44,811 −4% $36,097 +19% —
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $42,442 $115,058 −63% $120,587 −65% —
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $42,085 $126,098 −67% $114,914 −63% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $41,574 $43,697 −5% $43,697 −5% —
834 Acute Leukemia With Mcc $40,910 $89,065 −54% $76,583 −47% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $40,797 $105,899 −61% $105,899 −61% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $38,529 $70,947 −46% $84,861 −55% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $38,133 $37,923 +1% $47,583 −20% —
799 Splenic Procedures With Mcc $37,901 $78,821 −52% $78,821 −52% —
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $37,575 $96,192 −61% $96,192 −61% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $37,283 $73,619 −49% $88,691 −58% —
277 Cardiac Defibrillator Implant Without Mcc $37,075 $76,069 −51% $91,329 −59% —
245 Aicd Generator Procedures $36,685 $72,076 −49% $72,076 −49% —
615 Adrenal And Pituitary Procedures Without Cc/Mcc $35,868 $23,400 +53% $31,812 +13% —
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $35,661 $35,661 — $93,769 −62% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $35,592 $29,556 +20% $33,564 +6% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $35,520 $90,401 −61% $82,527 −57% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $35,294 $31,401 +12% $44,363 −20% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $34,437 $57,855 −40% $57,855 −40% —
539 Osteomyelitis With Mcc $33,413 $31,560 +6% $33,746 −1% —
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $33,276 $33,278 −0% $36,850 −10% —
397 Appendix Procedures With Mcc $33,142 $35,744 −7% $52,319 −37% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $32,448 $90,179 −64% $106,778 −70% —
334 Rectal Resection Without Cc/Mcc $32,363 $25,531 +27% $32,213 +0% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $32,201 $65,856 −51% $88,049 −63% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $31,992 $72,076 −56% $83,441 −62% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $31,944 $109,888 −71% $116,058 −72% —
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $31,814 $57,521 −45% $57,521 −45% —
965 Other Multiple Significant Trauma Without Cc/Mcc $30,945 $15,207 +103% $17,585 +76% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $30,043 $99,357 −70% $113,855 −74% ≈173% of Medicare
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $30,043 $77,628 −61% $92,217 −67% ≈156% of Medicare
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $30,009 $81,998 −63% $81,998 −63% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $29,957 $28,856 +4% $32,538 −8% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $29,414 $134,083 −78% $151,029 −81% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $29,414 $96,637 −70% $107,355 −73% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $29,198 $54,578 −47% $59,425 −51% —
582 Mastectomy For Malignancy With Cc/Mcc $29,149 $27,695 +5% $34,264 −15% —
140 Major Head And Neck Procedures With Mcc $28,536 $60,098 −53% $60,098 −53% —
034 Carotid Artery Stent Procedures With Mcc $28,384 $62,054 −54% $72,908 −61% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $27,636 $25,627 +8% $28,578 −3% —
903 Wound Debridements For Injuries Without Cc/Mcc $26,500 $19,757 +34% $23,588 +12% —
405 Pancreas, Liver And Shunt Procedures With Mcc $26,324 $87,570 −70% $94,927 −72% —
583 Mastectomy For Malignancy Without Cc/Mcc $26,146 $24,211 +8% $31,566 −17% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $26,029 $29,938 −13% $33,050 −21% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $25,835 $24,577 +5% $33,490 −23% —
915 Allergic Reactions With Mcc $25,597 $28,220 −9% $30,944 −17% —
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $25,344 $52,399 −52% $64,956 −61% —
907 Other O.R. Procedures For Injuries With Mcc $25,297 $59,175 −57% $71,701 −65% —
231 Coronary Bypass With Ptca With Mcc $25,065 $129,088 −81% $146,474 −83% —
273 Percutaneous And Other Intracardiac Procedures With Mcc $25,004 $61,991 −60% $78,852 −68% —
235 Coronary Bypass Without Cardiac Catheterization With Mcc $24,989 $93,551 −73% $112,062 −78% —
467 Revision Of Hip Or Knee Replacement With Cc $24,913 $55,453 −55% $68,880 −64% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $24,425 $52,971 −54% $65,254 −63% —
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $24,184 $58,094 −58% $64,776 −63% —
274 Percutaneous And Other Intracardiac Procedures Without Mcc $24,003 $51,556 −53% $65,573 −63% —
656 Kidney And Ureter Procedures For Neoplasm With Mcc $24,003 $49,917 −52% $64,465 −63% —
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $23,991 $57,632 −58% $62,524 −62% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $23,441 $83,434 −72% $102,177 −77% ≈185% of Medicare
955 Craniotomy For Multiple Significant Trauma $23,305 $96,876 −76% $105,612 −78% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $23,182 $76,467 −70% $87,565 −74% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $23,008 $50,919 −55% $57,277 −60% —
258 Cardiac Pacemaker Device Replacement With Mcc $22,554 $43,093 −48% $48,907 −54% —
353 Hernia Procedures Except Inguinal And Femoral With Mcc $22,309 $46,513 −52% $60,140 −63% —
263 Vein Ligation And Stripping $22,117 $44,938 −51% $44,938 −51% —
729 Other Male Reproductive System Diagnoses With Cc/Mcc $21,822 $15,971 +37% $17,483 +25% —
228 Other Cardiothoracic Procedures With Mcc $21,616 $80,157 −73% $96,905 −78% —
654 Major Bladder Procedures With Cc $21,547 $43,554 −51% $53,868 −60% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $21,519 $43,284 −50% $49,055 −56% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $21,446 $61,689 −65% $75,103 −71% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $21,208 $18,405 +15% $20,421 +4% —
348 Anal And Stomal Procedures With Cc $20,428 $20,695 −1% $27,947 −27% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $20,230 $82,686 −76% $102,573 −80% —
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $20,209 $42,473 −52% $54,929 −63% —
970 Hiv With Extensive O.R. Procedures Without Mcc $20,132 $44,222 −54% $40,947 −51% —
344 Minor Small And Large Bowel Procedures With Mcc $20,122 $43,586 −54% $44,839 −55% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $20,109 $50,299 −60% $62,821 −68% —
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $20,028 $64,281 −69% $82,247 −76% ≈176% of Medicare
026 Craniotomy And Endovascular Intracranial Procedures With Cc $19,668 $46,974 −58% $63,475 −69% —
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $19,509 $70,247 −72% $88,307 −78% —
887 Other Mental Disorder Diagnoses $19,498 $20,616 −5% $20,602 −5% —
451 Single Level Spinal Fusion Except Cervical Without Mcc $19,285 $65,216 −70% $65,216 −70% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $19,043 $41,534 −54% $46,659 −59% —
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $19,014 $19,014 — $58,739 −68% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $19,006 $47,627 −60% $67,764 −72% ≈162% of Medicare
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $19,000 $38,703 −51% $52,332 −64% —
326 Stomach, Esophageal And Duodenal Procedures With Mcc $18,854 $80,793 −77% $80,747 −77% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $18,783 $20,409 −8% $23,924 −21% —
473 Cervical Spinal Fusion Without Cc/Mcc $18,727 $39,148 −52% $50,624 −63% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $18,080 $26,788 −33% $29,633 −39% —
075 Viral Meningitis With Cc/Mcc $17,915 $30,447 −41% $29,853 −40% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $17,808 $35,521 −50% $38,382 −54% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $17,722 $62,961 −72% $62,961 −72% —
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $17,503 $117,146 −85% $94,988 −82% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $17,328 $73,953 −77% $90,331 −81% —
229 Other Cardiothoracic Procedures Without Mcc $17,328 $50,585 −66% $65,325 −73% —
333 Rectal Resection With Cc $17,300 $33,087 −48% $34,352 −50% —
800 Splenic Procedures With Cc $17,181 $44,827 −62% $49,184 −65% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $16,972 $33,914 −50% $39,253 −57% —
243 Permanent Cardiac Pacemaker Implant With Cc $16,936 $36,237 −53% $50,011 −66% ≈154% of Medicare
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $16,527 $53,719 −69% $65,383 −75% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $16,493 $31,942 −48% $46,477 −65% —
471 Cervical Spinal Fusion With Mcc $16,252 $78,248 −79% $92,515 −82% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $16,217 $37,398 −57% $51,339 −68% —
035 Carotid Artery Stent Procedures With Cc $16,159 $36,587 −56% $46,430 −65% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $16,134 $66,159 −76% $83,065 −81% ≈185% of Medicare
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $15,836 $35,505 −55% $44,053 −64% —
329 Major Small And Large Bowel Procedures With Mcc $15,736 $71,853 −78% $88,050 −82% ≈125% of Medicare
271 Other Major Cardiovascular Procedures With Cc $15,694 $54,976 −71% $71,014 −78% ≈182% of Medicare
935 Non-Extensive Burns $15,547 $32,467 −52% $29,458 −47% —
252 Other Vascular Procedures With Mcc $15,537 $53,353 −71% $68,508 −77% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $15,393 $31,131 −51% $46,066 −67% —
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $15,359 $79,521 −81% $87,018 −82% ≈179% of Medicare
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $15,325 $79,116 −81% $75,492 −80% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $15,276 $101,250 −85% $121,714 −87% —
080 Nontraumatic Stupor And Coma With Mcc $15,110 $35,139 −57% $35,139 −57% —
053 Spinal Disorders And Injuries Without Cc/Mcc $15,013 $15,653 −4% $20,309 −26% —
052 Spinal Disorders And Injuries With Cc/Mcc $14,608 $30,940 −53% $30,940 −53% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $14,434 $63,868 −77% $68,006 −79% —
272 Other Major Cardiovascular Procedures Without Cc/Mcc $14,404 $38,814 −63% $55,162 −74% —
036 Carotid Artery Stent Procedures Without Cc/Mcc $14,318 $28,760 −50% $40,694 −65% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $14,145 $28,426 −50% $36,597 −61% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $14,115 $29,938 −53% $42,126 −66% —
314 Other Circulatory System Diagnoses With Mcc $13,887 $33,310 −58% $38,357 −64% —
253 Other Vascular Procedures With Cc $13,871 $40,580 −66% $53,746 −74% —
358 Other Digestive System O.R. Procedures Without Cc/Mcc $13,692 $20,377 −33% $29,374 −53% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $13,685 $29,938 −54% $49,197 −72% ≈175% of Medicare
850 Acute Leukemia With Other Procedures $13,628 $168,048 −92% $121,563 −89% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $13,617 $29,524 −54% $29,524 −54% —
406 Pancreas, Liver And Shunt Procedures With Cc $13,583 $45,924 −70% $58,043 −77% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $13,470 $27,679 −51% $39,018 −65% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $13,386 $45,734 −71% $74,274 −82% ≈161% of Medicare
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $13,355 $68,449 −80% $76,954 −83% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $13,355 $34,121 −61% $44,553 −70% —
157 Dental And Oral Diseases With Mcc $13,345 $27,154 −51% $27,457 −51% —
242 Permanent Cardiac Pacemaker Implant With Mcc $13,323 $54,960 −76% $70,132 −81% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $13,252 $47,229 −72% $66,819 −80% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $13,226 $90,099 −85% $78,582 −83% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $13,103 $40,277 −67% $40,277 −67% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $13,098 $110,795 −88% $138,008 −91% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $13,083 $29,604 −56% $36,280 −64% —
165 Major Chest Procedures Without Cc/Mcc $13,016 $29,842 −56% $41,380 −69% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $12,923 $29,651 −56% $31,909 −60% —
921 Complications Of Treatment Without Cc/Mcc $12,905 $11,103 +16% $14,012 −8% —
541 Osteomyelitis Without Cc/Mcc $12,873 $13,648 −6% $14,549 −12% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $12,872 $54,530 −76% $64,152 −80% —
076 Viral Meningitis Without Cc/Mcc $12,848 $14,682 −12% $15,474 −17% —
270 Other Major Cardiovascular Procedures With Mcc $12,845 $80,443 −84% $99,423 −87% —
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $12,845 $98,784 −87% $117,280 −89% —
028 Spinal Procedures With Mcc $12,806 $95,858 −87% $95,858 −87% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $12,758 $56,964 −78% $56,964 −78% —
500 Soft Tissue Procedures With Mcc $12,758 $51,587 −75% $57,479 −78% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $12,743 $29,333 −57% $40,583 −69% —
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $12,646 $15,828 −20% $18,282 −31% —
335 Peritoneal Adhesiolysis With Mcc $12,513 $56,869 −78% $71,755 −83% —
115 Extraocular Procedures Except Orbit $12,510 $24,879 −50% $24,879 −50% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $12,500 $31,162 −60% $34,089 −63% —
030 Spinal Procedures Without Cc/Mcc $12,493 $36,889 −66% $45,818 −73% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $12,478 $75,210 −83% $86,390 −86% —
259 Cardiac Pacemaker Device Replacement Without Mcc $12,474 $29,699 −58% $35,673 −65% —
037 Extracranial Procedures With Mcc $12,395 $53,703 −77% $64,749 −81% —
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $12,349 $29,110 −58% $40,063 −69% —
356 Other Digestive System O.R. Procedures With Mcc $12,309 $68,067 −82% $82,561 −85% —
199 Pneumothorax With Mcc $12,264 $28,220 −57% $31,491 −61% —
472 Cervical Spinal Fusion With Cc $12,243 $47,006 −74% $59,537 −79% ≈173% of Medicare
708 Major Male Pelvic Procedures Without Cc/Mcc $12,212 $23,209 −47% $32,911 −63% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $12,103 $39,721 −70% $54,824 −78% —
506 Major Thumb Or Joint Procedures $12,086 $23,272 −48% $28,983 −58% —
865 Viral Illness With Mcc $12,084 $26,088 −54% $26,088 −54% —
757 Infections, Female Reproductive System With Mcc $12,025 $23,734 −49% $23,734 −49% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $11,937 $26,008 −54% $30,930 −61% —
707 Major Male Pelvic Procedures With Cc/Mcc $11,855 $31,210 −62% $43,080 −72% —
345 Minor Small And Large Bowel Procedures With Cc $11,840 $24,513 −52% $31,062 −62% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $11,829 $23,956 −51% $28,140 −58% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $11,776 $23,734 −50% $27,279 −57% —
669 Transurethral Procedures With Cc $11,722 $24,418 −52% $34,354 −66% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $11,655 $34,280 −66% $37,902 −69% —
337 Peritoneal Adhesiolysis Without Cc/Mcc $11,645 $23,797 −51% $36,239 −68% —
727 Inflammation Of The Male Reproductive System With Mcc $11,619 $25,786 −55% $25,786 −55% —
712 Testes Procedures Without Cc/Mcc $11,552 $18,898 −39% $18,898 −39% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $11,538 $21,714 −47% $30,972 −63% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $11,504 $26,088 −56% $29,729 −61% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $11,483 $23,543 −51% $35,528 −68% —
150 Epistaxis With Mcc $11,335 $20,918 −46% $21,133 −46% —
662 Minor Bladder Procedures With Mcc $11,292 $47,674 −76% $54,483 −79% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $11,223 $25,149 −55% $25,149 −55% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $11,197 $42,139 −73% $45,432 −75% —
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $11,197 $98,912 −89% $98,912 −89% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $11,102 $42,934 −74% $52,405 −79% ≈180% of Medicare
666 Prostatectomy With Cc $11,062 $27,313 −59% $30,016 −63% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $10,986 $25,404 −57% $35,375 −69% —
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $10,974 $71,615 −85% $80,885 −86% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $10,869 $53,162 −80% $54,129 −80% —
673 Other Kidney And Urinary Tract Procedures With Mcc $10,666 $58,825 −82% $72,945 −85% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $10,650 $59,207 −82% $59,207 −82% —
502 Soft Tissue Procedures Without Cc/Mcc $10,628 $22,000 −52% $30,006 −65% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $10,622 $60,861 −83% $60,861 −83% —
963 Other Multiple Significant Trauma With Mcc $10,549 $43,491 −76% $43,491 −76% —
056 Degenerative Nervous System Disorders With Mcc $10,377 $38,082 −73% $39,409 −74% —
540 Osteomyelitis With Cc $10,284 $20,648 −50% $23,494 −56% —
296 Cardiac Arrest, Unexplained With Mcc $10,262 $25,499 −60% $30,910 −67% —
142 Major Head And Neck Procedures Without Cc/Mcc $10,223 $24,577 −58% $34,906 −71% —
351 Inguinal And Femoral Hernia Procedures With Cc $10,201 $23,161 −56% $33,792 −70% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $10,195 $19,693 −48% $27,492 −63% —
288 Acute And Subacute Endocarditis With Mcc $10,167 $41,248 −75% $45,497 −78% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $10,019 $13,760 −27% $14,055 −29% —
350 Inguinal And Femoral Hernia Procedures With Mcc $10,003 $38,178 −74% $46,591 −79% —
330 Major Small And Large Bowel Procedures With Cc $9,966 $37,732 −74% $58,832 −83% ≈187% of Medicare
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $9,930 $19,661 −49% $25,623 −61% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $9,914 $50,172 −80% $53,817 −82% —
504 Foot Procedures With Cc $9,877 $27,472 −64% $36,598 −73% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $9,877 $31,576 −69% $42,881 −77% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $9,877 $35,998 −73% $45,059 −78% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $9,839 $38,209 −74% $56,394 −83% ≈208% of Medicare
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $9,741 $55,071 −82% $70,540 −86% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $9,723 $20,664 −53% $29,050 −67% —
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $9,643 $11,294 −15% $13,485 −28% —
536 Fractures Of Hip And Pelvis Without Mcc $9,603 $12,519 −23% $18,002 −47% —
811 Red Blood Cell Disorders With Mcc $9,535 $22,334 −57% $27,934 −66% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $9,503 $24,895 −62% $34,434 −72% —
975 Hiv With Major Related Condition With Cc $9,477 $21,682 −56% $25,010 −62% —
725 Benign Prostatic Hypertrophy With Mcc $9,431 $19,741 −52% $19,894 −53% —
549 Septic Arthritis With Cc $9,410 $19,184 −51% $20,938 −55% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $9,388 $18,723 −50% $21,062 −55% —
964 Other Multiple Significant Trauma With Cc $9,358 $23,877 −61% $25,854 −64% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $9,311 $18,484 −50% $27,369 −66% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $9,280 $32,419 −71% $43,524 −79% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $9,256 $21,300 −57% $30,418 −70% —
553 Bone Diseases And Arthropathies With Mcc $9,237 $21,507 −57% $23,956 −61% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $9,236 $25,245 −63% $41,380 −78% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $9,133 $19,423 −53% $20,842 −56% —
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $9,072 $32,546 −72% $29,109 −69% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $9,009 $62,214 −86% $72,011 −87% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $8,993 $25,674 −65% $35,692 −75% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $8,935 $39,514 −77% $57,149 −84% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $8,904 $31,719 −72% $43,538 −80% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $8,902 $39,546 −77% $51,985 −83% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $8,866 $61,259 −86% $74,257 −88% —
085 Traumatic Stupor And Coma <1 Hour With Mcc $8,866 $36,157 −75% $37,064 −76% ≈169% of Medicare
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $8,837 $33,596 −74% $56,519 −84% ≈175% of Medicare
949 Aftercare With Cc/Mcc $8,819 $17,069 −48% $23,953 −63% —
947 Signs And Symptoms With Mcc $8,812 $19,916 −56% $25,474 −65% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $8,809 $32,467 −73% $45,817 −81% —
204 Respiratory Signs And Symptoms $8,801 $13,092 −33% $16,866 −48% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $8,758 $19,152 −54% $22,032 −60% —
480 Hip And Femur Procedures Except Major Joint With Mcc $8,732 $46,911 −81% $63,984 −86% ≈172% of Medicare
545 Connective Tissue Disorders With Mcc $8,633 $39,657 −78% $39,657 −78% —
159 Dental And Oral Diseases Without Cc/Mcc $8,627 $10,737 −20% $13,368 −35% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $8,552 $70,438 −88% $72,859 −88% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $8,552 $33,978 −75% $41,900 −80% —
336 Peritoneal Adhesiolysis With Cc $8,486 $33,485 −75% $49,470 −83% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $8,475 $16,575 −49% $20,080 −58% —
254 Other Vascular Procedures Without Cc/Mcc $8,383 $27,599 −70% $38,836 −78% —
546 Connective Tissue Disorders With Cc $8,352 $19,073 −56% $24,202 −65% —
078 Hypertensive Encephalopathy With Cc $8,189 $16,178 −49% $17,434 −53% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $8,172 $44,684 −82% $54,475 −85% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $8,077 $17,180 −53% $25,307 −68% —
141 Major Head And Neck Procedures With Cc $8,024 $32,960 −76% $34,900 −77% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $7,997 $34,837 −77% $36,334 −78% —
572 Skin Debridement Without Cc/Mcc $7,973 $18,134 −56% $24,432 −67% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $7,950 $44,588 −82% $57,963 −86% —
113 Orbital Procedures With Cc/Mcc $7,873 $39,880 −80% $35,642 −78% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $7,866 $31,624 −75% $43,800 −82% —
180 Respiratory Neoplasms With Mcc $7,830 $27,647 −72% $36,658 −79% —
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $7,792 $36,873 −79% $52,313 −85% —
501 Soft Tissue Procedures With Cc $7,787 $27,615 −72% $37,975 −79% —
304 Hypertension With Mcc $7,769 $18,278 −57% $24,185 −68% —
187 Pleural Effusion With Cc $7,765 $15,844 −51% $21,467 −64% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $7,754 $26,008 −70% $42,119 −82% ≈185% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/Mcc $7,722 $26,597 −71% $44,117 −82% —
841 Lymphoma And Non-Acute Leukemia With Cc $7,657 $25,038 −69% $31,059 −75% —
307 Cardiac Congenital And Valvular Disorders Without Mcc $7,590 $15,001 −49% $18,608 −59% —
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $7,589 $21,570 −65% $28,527 −73% —
357 Other Digestive System O.R. Procedures With Cc $7,551 $34,948 −78% $48,682 −84% —
840 Lymphoma And Non-Acute Leukemia With Mcc $7,540 $49,710 −85% $49,710 −85% —
398 Appendix Procedures With Cc $7,510 $24,068 −69% $39,107 −81% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $7,474 $14,269 −48% $21,261 −65% —
081 Nontraumatic Stupor And Coma Without Mcc $7,466 $14,476 −48% $15,077 −50% —
197 Interstitial Lung Disease With Cc $7,454 $15,876 −53% $20,106 −63% —
481 Hip And Femur Procedures Except Major Joint With Cc $7,419 $33,008 −78% $51,172 −86% ≈176% of Medicare
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $7,399 $29,731 −75% $45,963 −84% ≈183% of Medicare
082 Traumatic Stupor And Coma >1 Hour With Mcc $7,382 $36,237 −80% $36,237 −80% ≈158% of Medicare
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $7,303 $17,737 −59% $17,078 −57% —
908 Other O.R. Procedures For Injuries With Cc $7,280 $31,878 −77% $41,660 −83% —
444 Disorders Of The Biliary Tract With Mcc $7,264 $25,977 −72% $31,128 −77% —
421 Hepatobiliary Diagnostic Procedures With Cc $7,220 $27,202 −73% $36,333 −80% —
714 Transurethral Prostatectomy Without Cc/Mcc $7,198 $15,255 −53% $17,108 −58% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $7,175 $24,561 −71% $24,561 −71% —
974 Hiv With Major Related Condition With Mcc $7,166 $46,402 −85% $46,402 −85% —
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $7,056 $27,997 −75% $37,950 −81% —
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $6,994 $14,110 −50% $19,326 −64% —
088 Concussion With Mcc $6,986 $24,402 −71% $24,402 −71% —
054 Nervous System Neoplasms With Mcc $6,959 $23,447 −70% $29,484 −76% —
125 Other Disorders Of The Eye Without Mcc $6,956 $12,694 −45% $15,876 −56% —
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $6,924 $40,039 −83% $41,703 −83% —
505 Foot Procedures Without Cc/Mcc $6,841 $27,138 −75% $31,716 −78% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $6,833 $17,275 −60% $22,231 −69% —
438 Disorders Of Pancreas Except Malignancy With Mcc $6,707 $26,549 −75% $32,502 −79% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $6,679 $25,786 −74% $33,424 −80% —
164 Major Chest Procedures With Cc $6,660 $40,564 −84% $53,141 −87% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $6,626 $31,322 −79% $43,775 −85% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $6,626 $22,779 −71% $31,816 −79% —
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $6,609 $31,862 −79% $35,714 −81% ≈193% of Medicare
687 Kidney And Urinary Tract Neoplasms With Cc $6,608 $16,623 −60% $18,478 −64% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $6,593 $12,408 −47% $18,150 −64% —
166 Other Respiratory System O.R. Procedures With Mcc $6,584 $64,552 −90% $72,782 −91% —
177 Respiratory Infections And Inflammations With Mcc $6,584 $26,979 −76% $31,840 −79% ≈158% of Medicare
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $6,554 $27,790 −76% $36,242 −82% —
385 Inflammatory Bowel Disease With Mcc $6,470 $24,927 −74% $26,020 −75% —
077 Hypertensive Encephalopathy With Mcc $6,431 $24,036 −73% $24,036 −73% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $6,400 $31,544 −80% $35,237 −82% ≈169% of Medicare
813 Coagulation Disorders $6,398 $24,815 −74% $30,128 −79% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $6,393 $28,347 −77% $40,552 −84% —
909 Other O.R. Procedures For Injuries Without Cc/Mcc $6,390 $21,570 −70% $28,156 −77% —
815 Reticuloendothelial And Immunity Disorders With Cc $6,381 $15,812 −60% $18,017 −65% —
919 Complications Of Treatment With Mcc $6,319 $29,031 −78% $29,031 −78% —
432 Cirrhosis And Alcoholic Hepatitis With Mcc $6,312 $30,478 −79% $36,933 −83% —
710 Penis Procedures Without Cc/Mcc $6,272 $20,632 −70% $23,814 −74% —
551 Medical Back Problems With Mcc $6,266 $27,074 −77% $31,086 −80% —
376 Digestive Malignancy Without Cc/Mcc $6,231 $14,173 −56% $15,608 −60% —
185 Major Chest Trauma Without Cc/Mcc $6,209 $12,026 −48% $15,858 −61% —
380 Complicated Peptic Ulcer With Mcc $6,205 $31,003 −80% $36,641 −83% —
377 Gastrointestinal Hemorrhage With Mcc $6,185 $28,474 −78% $37,842 −84% ≈165% of Medicare
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $6,184 $29,015 −79% $35,114 −82% ≈189% of Medicare
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $6,149 $20,886 −71% $34,887 −82% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $6,140 $23,766 −74% $33,137 −81% —
205 Other Respiratory System Diagnoses With Mcc $6,131 $28,792 −79% $32,204 −81% —
600 Non-Malignant Breast Disorders With Cc/Mcc $6,117 $16,321 −63% $16,418 −63% —
315 Other Circulatory System Diagnoses With Cc $6,101 $15,382 −60% $20,777 −71% —
393 Other Digestive System Diagnoses With Mcc $6,043 $25,770 −77% $32,689 −82% —
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $6,002 $20,489 −71% $26,146 −77% —
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $5,980 $26,661 −78% $29,916 −80% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $5,957 $16,671 −64% $24,022 −75% —
368 Major Esophageal Disorders With Mcc $5,950 $26,279 −77% $33,607 −82% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $5,907 $33,914 −83% $36,202 −84% —
388 Gastrointestinal Obstruction With Mcc $5,906 $23,129 −74% $28,780 −79% —
557 Tendonitis, Myositis And Bursitis With Mcc $5,811 $24,768 −77% $28,646 −80% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $5,803 $14,635 −60% $18,191 −68% —
698 Other Kidney And Urinary Tract Diagnoses With Mcc $5,790 $26,311 −78% $30,058 −81% ≈172% of Medicare
399 Appendix Procedures Without Cc/Mcc $5,777 $17,705 −67% $30,314 −81% —
083 Traumatic Stupor And Coma >1 Hour With Cc $5,774 $21,570 −73% $24,118 −76% ≈176% of Medicare
645 Endocrine Disorders Without Cc/Mcc $5,698 $12,105 −53% $14,166 −60% —
264 Other Circulatory System O.R. Procedures $5,680 $51,953 −89% $51,953 −89% —
754 Malignancy, Female Reproductive System With Mcc $5,669 $29,476 −81% $29,476 −81% —
206 Other Respiratory System Diagnoses Without Mcc $5,656 $14,539 −61% $17,731 −68% —
280 Acute Myocardial Infarction, Discharged Alive With Mcc $5,623 $25,245 −78% $28,967 −81% ≈177% of Medicare
292 Heart Failure And Shock With Cc $5,623 $13,633 −59% $16,212 −65% —
814 Reticuloendothelial And Immunity Disorders With Mcc $5,589 $33,851 −83% $32,483 −83% —
188 Pleural Effusion Without Cc/Mcc $5,585 $11,883 −53% $14,110 −60% —
726 Benign Prostatic Hypertrophy Without Mcc $5,520 $11,628 −53% $13,892 −60% —
181 Respiratory Neoplasms With Cc $5,507 $17,514 −69% $22,431 −75% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $5,488 $29,079 −81% $32,399 −83% —
038 Extracranial Procedures With Cc $5,479 $25,452 −78% $35,770 −85% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $5,476 $10,944 −50% $19,483 −72% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $5,475 $35,489 −85% $44,989 −88% —
643 Endocrine Disorders With Mcc $5,464 $26,168 −79% $32,996 −83% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $5,461 $47,738 −89% $54,313 −90% —
039 Extracranial Procedures Without Cc/Mcc $5,424 $18,150 −70% $25,267 −79% —
606 Minor Skin Disorders With Mcc $5,416 $25,229 −79% $25,434 −79% —
598 Malignant Breast Disorders With Cc $5,408 $19,073 −72% $19,073 −72% —
198 Interstitial Lung Disease Without Cc/Mcc $5,381 $12,376 −57% $13,654 −61% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $5,368 $16,162 −67% $23,469 −77% ≈202% of Medicare
089 Concussion With Cc $5,367 $18,293 −71% $18,293 −71% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $5,366 $13,219 −59% $13,385 −60% —
090 Concussion Without Cc/Mcc $5,365 $14,873 −64% $14,873 −64% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $5,348 $26,995 −80% $38,094 −86% —
100 Seizures With Mcc $5,324 $31,544 −83% $35,194 −85% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $5,258 $14,460 −64% $19,287 −73% —
201 Pneumothorax Without Cc/Mcc $5,242 $11,231 −53% $13,081 −60% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $5,231 $27,329 −81% $43,266 −88% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $5,231 $21,682 −76% $31,978 −84% —
446 Disorders Of The Biliary Tract Without Cc/Mcc $5,224 $12,758 −59% $17,700 −70% —
091 Other Disorders Of Nervous System With Mcc $5,213 $28,458 −82% $36,375 −86% ≈197% of Medicare
070 Other Cerebrovascular Disorders With Mcc $5,213 $28,474 −82% $30,814 −83% —
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $5,179 $17,641 −71% $25,162 −79% —
102 Headaches With Mcc $5,156 $19,200 −73% $22,544 −77% —
193 Simple Pneumonia And Pleurisy With Mcc $5,131 $21,109 −76% $26,158 −80% ≈177% of Medicare
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $5,129 $19,121 −73% $26,488 −81% ≈174% of Medicare
303 Atherosclerosis Without Mcc $5,109 $10,467 −51% $14,927 −66% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $5,100 $15,191 −66% $15,636 −67% —
642 Inborn And Other Disorders Of Metabolism $5,096 $20,727 −75% $20,727 −75% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $5,093 $18,882 −73% $26,322 −81% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $5,091 $10,992 −54% $12,537 −59% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $5,069 $11,262 −55% $13,303 −62% —
200 Pneumothorax With Cc $5,052 $17,132 −71% $20,573 −75% ≈178% of Medicare
184 Major Chest Trauma With Cc $5,052 $16,735 −70% $20,842 −76% —
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $5,025 $22,318 −77% $29,757 −83% ≈167% of Medicare
445 Disorders Of The Biliary Tract With Cc $4,996 $17,291 −71% $21,806 −77% —
123 Neurological Eye Disorders $4,949 $12,789 −61% $17,831 −72% —
203 Bronchitis And Asthma Without Cc/Mcc $4,945 $11,056 −55% $12,279 −60% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $4,933 $27,536 −82% $29,558 −83% —
637 Diabetes With Mcc $4,924 $23,050 −79% $28,819 −83% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $4,853 $18,007 −73% $24,452 −80% —
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $4,804 $29,444 −84% $30,974 −84% —
293 Heart Failure And Shock Without Cc/Mcc $4,771 $8,940 −47% $11,955 −60% —
689 Kidney And Urinary Tract Infections With Mcc $4,757 $18,675 −75% $22,982 −79% ≈177% of Medicare
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $4,734 $37,923 −88% $50,139 −91% —
552 Medical Back Problems Without Mcc $4,729 $15,366 −69% $21,213 −78% ≈192% of Medicare
863 Postoperative And Post-Traumatic Infections Without Mcc $4,724 $16,003 −70% $20,007 −76% —
862 Postoperative And Post-Traumatic Infections With Mcc $4,724 $29,301 −84% $30,394 −84% ≈172% of Medicare
906 Hand Procedures For Injuries $4,724 $29,938 −84% $31,520 −85% —
149 Dysequilibrium $4,710 $11,851 −60% $17,203 −73% —
178 Respiratory Infections And Inflammations With Cc $4,670 $15,701 −70% $22,024 −79% ≈173% of Medicare
917 Poisoning And Toxic Effects Of Drugs With Mcc $4,607 $25,388 −82% $28,134 −84% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $4,607 $27,758 −83% $29,409 −84% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $4,573 $12,710 −64% $17,943 −75% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $4,555 $14,523 −69% $20,463 −78% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $4,533 $11,421 −60% $18,623 −76% —
378 Gastrointestinal Hemorrhage With Cc $4,469 $15,653 −71% $21,886 −80% ≈178% of Medicare
167 Other Respiratory System O.R. Procedures With Cc $4,468 $28,951 −85% $40,563 −89% —
073 Cranial And Peripheral Nerve Disorders With Mcc $4,418 $24,068 −82% $28,252 −84% —
386 Inflammatory Bowel Disease With Cc $4,273 $15,462 −72% $20,968 −80% —
153 Otitis Media And Uri Without Mcc $4,256 $11,692 −64% $14,473 −71% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $4,248 $10,658 −60% $12,405 −66% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $4,214 $29,779 −86% $48,680 −91% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $4,184 $11,406 −63% $16,104 −74% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $4,180 $29,604 −86% $33,165 −87% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $4,174 $11,374 −63% $15,600 −73% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $4,162 $27,806 −85% $31,758 −87% —
300 Peripheral Vascular Disorders With Cc $4,099 $16,973 −76% $19,579 −79% —
369 Major Esophageal Disorders With Cc $4,075 $15,716 −74% $22,713 −82% —
920 Complications Of Treatment With Cc $4,071 $16,448 −75% $21,181 −81% —
381 Complicated Peptic Ulcer With Cc $4,055 $17,069 −76% $24,177 −83% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $4,053 $34,471 −88% $38,420 −89% —
103 Headaches Without Mcc $4,038 $13,394 −70% $20,111 −80% —
158 Dental And Oral Diseases With Cc $4,037 $14,937 −73% $17,700 −77% —
057 Degenerative Nervous System Disorders Without Mcc $4,029 $21,682 −81% $25,426 −84% ≈173% of Medicare
433 Cirrhosis And Alcoholic Hepatitis With Cc $4,011 $16,400 −76% $23,749 −83% —
644 Endocrine Disorders With Cc $4,008 $16,894 −76% $22,941 −83% —
291 Heart Failure And Shock With Mcc $3,983 $20,425 −81% $25,020 −84% ≈174% of Medicare
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $3,982 $20,298 −80% $27,244 −85% ≈173% of Medicare
316 Other Circulatory System Diagnoses Without Cc/Mcc $3,960 $11,024 −64% $12,797 −69% —
074 Cranial And Peripheral Nerve Disorders Without Mcc $3,952 $16,321 −76% $23,141 −83% ≈174% of Medicare
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $3,848 $14,094 −73% $15,869 −76% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $3,822 $21,411 −82% $30,358 −87% —
694 Urinary Stones Without Mcc $3,822 $12,455 −69% $16,531 −77% —
196 Interstitial Lung Disease With Mcc $3,806 $30,144 −87% $30,766 −88% —
728 Inflammation Of The Male Reproductive System Without Mcc $3,794 $12,726 −70% $16,837 −77% —
055 Nervous System Neoplasms Without Mcc $3,763 $17,069 −78% $19,868 −81% —
554 Bone Diseases And Arthropathies Without Mcc $3,727 $13,076 −71% $18,253 −80% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $3,727 $13,108 −72% $17,715 −79% —
914 Traumatic Injury Without Mcc $3,727 $14,444 −74% $15,593 −76% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $3,695 $24,847 −85% $32,936 −89% —
313 Chest Pain $3,626 $11,517 −69% $15,962 −77% —
379 Gastrointestinal Hemorrhage Without Cc/Mcc $3,622 $10,069 −64% $14,134 −74% —
779 Abortion Without D&C $3,613 $15,732 −77% $15,327 −76% —
683 Renal Failure With Cc $3,601 $14,333 −75% $18,620 −81% ≈191% of Medicare
179 Respiratory Infections And Inflammations Without Cc/Mcc $3,565 $12,137 −71% $14,444 −75% —
202 Bronchitis And Asthma With Cc/Mcc $3,531 $15,239 −77% $17,273 −80% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $3,460 $27,074 −87% $27,168 −87% —
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $3,458 $17,100 −80% $18,133 −81% —
690 Kidney And Urinary Tract Infections Without Mcc $3,451 $12,837 −73% $17,466 −80% ≈200% of Medicare
534 Fractures Of Femur Without Mcc $3,427 $12,885 −73% $17,195 −80% —
176 Pulmonary Embolism Without Mcc $3,367 $12,980 −74% $18,081 −81% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $3,254 $14,253 −77% $18,803 −83% ≈178% of Medicare
639 Diabetes Without Cc/Mcc $3,210 $9,910 −68% $13,910 −77% —
382 Complicated Peptic Ulcer Without Cc/Mcc $3,197 $12,042 −73% $16,634 −81% —
301 Peripheral Vascular Disorders Without Cc/Mcc $3,188 $11,294 −72% $15,607 −80% —
395 Other Digestive System Diagnoses Without Cc/Mcc $3,165 $10,308 −69% $14,128 −78% —
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $3,113 $11,008 −72% $14,441 −78% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $3,019 $12,503 −76% $17,322 −83% ≈191% of Medicare
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $3,012 $9,799 −69% $15,070 −80% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $3,006 $17,212 −83% $31,190 −90% —
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $3,001 $9,958 −70% $13,824 −78% —
884 Organic Disturbances And Intellectual Disability $2,984 $27,949 −89% $25,208 −88% —
948 Signs And Symptoms Without Mcc $2,954 $12,742 −77% $17,727 −83% —
758 Infections, Female Reproductive System With Cc $2,905 $15,796 −82% $19,091 −85% —
601 Non-Malignant Breast Disorders Without Cc/Mcc $2,796 $10,085 −72% $10,975 −75% —
638 Diabetes With Cc $2,702 $14,301 −81% $18,821 −86% ≈183% of Medicare
603 Cellulitis Without Mcc $2,676 $14,078 −81% $18,530 −86% ≈185% of Medicare
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $2,588 $12,424 −79% $16,745 −85% ≈182% of Medicare
101 Seizures Without Mcc $2,452 $14,476 −83% $19,954 −88% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $2,075 $20,918 −90% $24,480 −92% ≈173% of Medicare
916 Allergic Reactions Without Mcc $2,064 $10,483 −80% $13,890 −85% —
607 Minor Skin Disorders Without Mcc $1,997 $14,221 −86% $15,284 −87% —
092 Other Disorders Of Nervous System With Cc $1,972 $16,321 −88% $24,136 −92% ≈181% of Medicare
190 Chronic Obstructive Pulmonary Disease With Mcc $1,867 $17,530 −89% $24,190 −92% —
864 Fever And Inflammatory Conditions $1,718 $14,046 −88% $17,412 −90% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $1,657 $13,617 −88% $16,049 −90% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $1,604 $16,385 −90% $22,781 −93% ≈189% of Medicare
309 Cardiac Arrhythmia And Conduction Disorders With Cc $1,510 $11,851 −87% $16,865 −91% ≈197% of Medicare
885 Psychoses $1,391 $21,729 −94% $21,489 −94% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $1,148 $8,797 −87% $13,384 −91% —
069 Transient Ischemia Without Thrombolytic $972 $12,710 −92% $20,278 −95% —
093 Other Disorders Of Nervous System Without Cc/Mcc $928 $12,312 −92% $17,522 −95% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $755 $11,740 −94% $12,895 −94% —

Procedures with negotiated rates only

These 275 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
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $89,402 – $349,768 · median $130,799 20 plans
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $166,949 – $398,291 · median $234,747 20 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $81,396 – $211,361 · median $119,087 20 plans
006 Liver Transplant Without Mcc $36,926 – $144,522 · median $54,024 20 plans
007 Lung Transplant $102,087 – $243,011 · median $149,359 20 plans
008 Simultaneous Pancreas And Kidney Transplant $44,510 – $170,062 · median $65,121 20 plans
010 Pancreas Transplant $56,825 – $134,652 · median $83,138 20 plans
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $43,331 – $102,346 · median $63,395 20 plans
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $33,626 – $79,113 · median $49,196 20 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $23,168 – $54,077 · median $33,896 20 plans
014 Allogeneic Bone Marrow Transplant $94,780 – $225,516 · median $124,572 20 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $47,058 – $204,271 · median $65,882 20 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $43,160 – $153,599 · median $60,424 20 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $205,247 – $810,325 · median $446,562 20 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $56,503 – $201,674 · median $82,666 20 plans
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $62,258 – $219,923 · median $91,086 20 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $42,074 – $191,237 · median $61,556 20 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $25,485 – $160,035 · median $37,286 20 plans
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $31,242 – $95,593 · median $45,709 20 plans
031 Ventricular Shunt Procedures With Mcc $35,699 – $84,077 · median $52,230 20 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $13,614 – $35,191 · median $19,766 20 plans
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $13,979 – $32,079 · median $20,308 20 plans
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $11,583 – $42,676 · median $16,749 20 plans
067 Precerebral Occlusion Without Infarction With Mcc $12,092 – $27,560 · median $17,505 20 plans
068 Precerebral Occlusion Without Infarction Without Mcc $7,355 – $16,220 · median $10,470 20 plans
071 Other Cerebrovascular Disorders With Cc $8,622 – $22,986 · median $12,351 20 plans
072 Other Cerebrovascular Disorders Without Cc/Mcc $6,507 – $17,596 · median $9,211 20 plans
086 Traumatic Stupor And Coma <1 Hour With Cc $10,791 – $25,417 · median $15,573 20 plans
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $20,796 – $48,399 · median $30,426 20 plans
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $11,259 – $29,375 · median $16,268 20 plans
114 Orbital Procedures Without Cc/Mcc $11,185 – $25,389 · median $16,158 20 plans
116 Intraocular Procedures With Cc/Mcc $14,752 – $33,929 · median $20,698 20 plans
117 Intraocular Procedures Without Cc/Mcc $9,083 – $20,358 · median $13,037 20 plans
121 Acute Major Eye Infections With Cc/Mcc $9,698 – $21,829 · median $13,950 20 plans
122 Acute Major Eye Infections Without Cc/Mcc $6,739 – $14,746 · median $9,555 20 plans
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $10,951 – $24,828 · median $15,364 20 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $17,589 – $40,720 · median $25,669 20 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $8,538 – $20,341 · median $12,227 20 plans
137 Mouth Procedures With Cc/Mcc $12,284 – $28,020 · median $17,790 20 plans
138 Mouth Procedures Without Cc/Mcc $7,526 – $16,630 · median $10,724 20 plans
139 Salivary Gland Procedures $10,265 – $23,188 · median $14,793 20 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $29,947 – $70,305 · median $43,813 20 plans
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $17,176 – $39,733 · median $25,057 20 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $10,546 – $23,860 · median $15,209 20 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $6,828 – $16,412 · median $9,687 20 plans
151 Epistaxis Without Mcc $6,333 – $13,774 · median $8,952 20 plans
152 Otitis Media And Uri With Mcc $9,846 – $22,184 · median $13,815 20 plans
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $12,835 – $29,339 · median $18,609 20 plans
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $7,763 – $17,198 · median $11,077 20 plans
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $5,997 – $12,968 · median $8,453 20 plans
163 Major Chest Procedures With Mcc $35,709 – $84,101 · median $52,245 20 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $23,910 – $55,852 · median $34,981 20 plans
182 Respiratory Neoplasms Without Cc/Mcc $6,488 – $26,914 · median $9,183 20 plans
183 Major Chest Trauma With Mcc $12,571 – $28,709 · median $18,217 20 plans
186 Pleural Effusion With Mcc $12,796 – $29,245 · median $18,550 20 plans
189 Pulmonary Edema And Respiratory Failure $10,263 – $27,347 · median $14,789 20 plans
191 Chronic Obstructive Pulmonary Disease With Cc $7,187 – $18,440 · median $10,221 20 plans
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $5,612 – $15,969 · median $7,881 20 plans
194 Simple Pneumonia And Pleurisy With Cc $6,897 – $17,602 · median $9,789 20 plans
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $45,312 – $107,090 · median $63,713 20 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $52,119 – $134,576 · median $76,252 20 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $11,431 – $43,242 · median $16,524 20 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $9,141 – $28,424 · median $13,122 20 plans
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $26,076 – $61,039 · median $37,941 20 plans
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $13,355 – $30,585 · median $19,382 20 plans
265 Aicd Lead Procedures $28,940 – $71,760 · median $42,341 20 plans
283 Acute Myocardial Infarction, Expired With Mcc $16,106 – $37,170 · median $23,466 20 plans
284 Acute Myocardial Infarction, Expired With Cc $6,005 – $25,963 · median $8,466 20 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $5,274 – $22,407 · median $7,400 20 plans
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $17,924 – $41,523 · median $26,167 20 plans
289 Acute And Subacute Endocarditis With Cc $13,959 – $35,049 · median $20,278 20 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $7,867 – $29,973 · median $11,230 20 plans
297 Cardiac Arrest, Unexplained With Cc $5,549 – $19,316 · median $7,788 20 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $4,147 – $14,906 · median $5,818 20 plans
299 Peripheral Vascular Disorders With Mcc $13,377 – $30,638 · median $19,414 20 plans
302 Atherosclerosis With Mcc $9,959 – $22,454 · median $14,337 20 plans
305 Hypertension Without Mcc $6,498 – $14,169 · median $9,198 20 plans
306 Cardiac Congenital And Valvular Disorders With Mcc $12,931 – $29,570 · median $18,752 20 plans
311 Angina Pectoris $6,081 – $13,171 · median $8,579 20 plans
312 Syncope And Collapse $7,412 – $16,356 · median $10,554 20 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $35,561 – $116,192 · median $52,028 20 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $19,433 – $67,311 · median $28,408 20 plans
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $14,399 – $60,450 · median $20,931 20 plans
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $25,744 – $60,243 · median $37,664 20 plans
347 Anal And Stomal Procedures With Mcc $18,573 – $43,077 · median $27,131 20 plans
349 Anal And Stomal Procedures Without Cc/Mcc $7,404 – $16,337 · median $10,542 20 plans
370 Major Esophageal Disorders Without Cc/Mcc $6,073 – $17,848 · median $8,566 20 plans
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $8,583 – $24,993 · median $12,293 20 plans
374 Digestive Malignancy With Mcc $17,343 – $40,133 · median $25,305 20 plans
375 Digestive Malignancy With Cc $10,061 – $24,023 · median $14,489 20 plans
383 Uncomplicated Peptic Ulcer With Mcc $11,402 – $25,909 · median $16,481 20 plans
384 Uncomplicated Peptic Ulcer Without Mcc $7,280 – $16,040 · median $10,358 20 plans
387 Inflammatory Bowel Disease Without Cc/Mcc $5,920 – $18,058 · median $8,339 20 plans
389 Gastrointestinal Obstruction With Cc $6,770 – $18,142 · median $9,602 20 plans
390 Gastrointestinal Obstruction Without Cc/Mcc $4,844 – $13,816 · median $6,796 20 plans
394 Other Digestive System Diagnoses With Cc $7,914 – $20,609 · median $11,300 20 plans
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $17,978 – $45,237 · median $26,246 20 plans
411 Cholecystectomy With C.D.E. With Mcc $26,472 – $71,867 · median $38,730 20 plans
412 Cholecystectomy With C.D.E. With Cc $17,060 – $55,555 · median $24,883 20 plans
413 Cholecystectomy With C.D.E. Without Cc/Mcc $13,595 – $42,692 · median $19,738 20 plans
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $28,504 – $66,852 · median $41,703 20 plans
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $16,779 – $43,737 · median $24,466 20 plans
420 Hepatobiliary Diagnostic Procedures With Mcc $27,286 – $69,367 · median $39,920 20 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $11,549 – $38,677 · median $16,699 20 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $12,339 – $48,729 · median $17,873 20 plans
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $71,200 – $169,065 · median $100,114 20 plans
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $45,784 – $129,762 · median $64,377 20 plans
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $9,446 – $24,483 · median $13,575 20 plans
439 Disorders Of Pancreas Except Malignancy With Cc $7,173 – $22,158 · median $10,200 20 plans
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $8,146 – $22,258 · median $11,645 20 plans
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $42,355 – $100,010 · median $59,555 20 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $43,871 – $111,782 · median $64,185 20 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $21,430 – $90,348 · median $31,352 20 plans
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $14,874 – $42,482 · median $21,638 20 plans
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $27,658 – $64,826 · median $40,465 20 plans
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $13,364 – $35,178 · median $19,394 20 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $10,051 – $23,480 · median $14,474 20 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $16,372 – $37,808 · median $22,971 20 plans
503 Foot Procedures With Mcc $22,457 – $52,375 · median $32,856 20 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $12,450 – $28,418 · median $18,037 20 plans
533 Fractures Of Femur With Mcc $12,868 – $29,418 · median $18,657 20 plans
535 Fractures Of Hip And Pelvis With Mcc $10,628 – $24,057 · median $15,332 20 plans
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $8,060 – $17,907 · median $11,517 20 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $6,226 – $13,516 · median $8,793 20 plans
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $8,637 – $21,628 · median $12,375 20 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $6,494 – $18,223 · median $9,192 20 plans
547 Connective Tissue Disorders Without Cc/Mcc $7,134 – $18,456 · median $10,142 20 plans
548 Septic Arthritis With Mcc $15,715 – $36,233 · median $22,886 20 plans
550 Septic Arthritis Without Cc/Mcc $7,431 – $16,438 · median $10,583 20 plans
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $10,940 – $24,804 · median $15,350 20 plans
558 Tendonitis, Myositis And Bursitis Without Mcc $7,581 – $16,761 · median $10,805 20 plans
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $11,748 – $26,736 · median $16,994 20 plans
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $8,217 – $18,285 · median $11,751 20 plans
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $6,453 – $14,061 · median $9,130 20 plans
570 Skin Debridement With Mcc $23,633 – $55,190 · median $34,576 20 plans
571 Skin Debridement With Cc $13,822 – $31,703 · median $20,075 20 plans
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $27,790 – $65,141 · median $40,657 20 plans
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $11,891 – $27,080 · median $17,207 20 plans
592 Skin Ulcers With Mcc $15,749 – $36,316 · median $22,130 20 plans
593 Skin Ulcers With Cc $9,878 – $22,261 · median $14,218 20 plans
594 Skin Ulcers Without Cc/Mcc $7,374 – $16,266 · median $10,498 20 plans
595 Major Skin Disorders With Mcc $17,202 – $39,795 · median $25,095 20 plans
596 Major Skin Disorders Without Mcc $9,065 – $20,313 · median $13,009 20 plans
597 Malignant Breast Disorders With Mcc $13,647 – $31,283 · median $19,815 20 plans
599 Malignant Breast Disorders Without Cc/Mcc $6,610 – $14,438 · median $9,364 20 plans
602 Cellulitis With Mcc $11,720 – $26,671 · median $16,953 20 plans
614 Adrenal And Pituitary Procedures With Cc/Mcc $17,760 – $59,415 · median $25,923 20 plans
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $11,697 – $32,162 · median $16,918 20 plans
619 O.R. Procedures For Obesity With Mcc $23,212 – $58,267 · median $32,638 20 plans
620 O.R. Procedures For Obesity With Cc $13,123 – $40,694 · median $18,453 20 plans
621 O.R. Procedures For Obesity Without Cc/Mcc $12,403 – $35,595 · median $17,440 20 plans
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $24,252 – $56,672 · median $34,665 20 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $12,020 – $27,768 · median $17,398 20 plans
650 Kidney Transplant With Hemodialysis With Mcc $37,431 – $102,056 · median $54,763 20 plans
651 Kidney Transplant With Hemodialysis Without Mcc $29,627 – $83,785 · median $43,346 20 plans
652 Kidney Transplant $25,893 – $72,225 · median $37,883 20 plans
653 Major Bladder Procedures With Mcc $41,311 – $97,510 · median $60,439 20 plans
655 Major Bladder Procedures Without Cc/Mcc $17,170 – $55,545 · median $25,047 20 plans
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $20,496 – $51,144 · median $29,987 20 plans
663 Minor Bladder Procedures With Cc $12,495 – $28,527 · median $18,105 20 plans
664 Minor Bladder Procedures Without Cc/Mcc $8,786 – $20,677 · median $12,595 20 plans
665 Prostatectomy With Mcc $25,045 – $58,569 · median $36,641 20 plans
667 Prostatectomy Without Cc/Mcc $9,250 – $20,758 · median $13,285 20 plans
668 Transurethral Procedures With Mcc $23,468 – $54,794 · median $33,694 20 plans
670 Transurethral Procedures Without Cc/Mcc $8,240 – $18,339 · median $11,784 20 plans
671 Urethral Procedures With Cc/Mcc $14,649 – $33,683 · median $21,304 20 plans
672 Urethral Procedures Without Cc/Mcc $9,041 – $20,257 · median $12,974 20 plans
674 Other Kidney And Urinary Tract Procedures With Cc $18,910 – $43,884 · median $27,632 20 plans
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $13,445 – $30,801 · median $19,515 20 plans
682 Renal Failure With Mcc $12,188 – $28,456 · median $17,648 20 plans
684 Renal Failure Without Cc/Mcc $5,285 – $17,893 · median $7,415 20 plans
686 Kidney And Urinary Tract Neoplasms With Mcc $14,718 – $33,846 · median $21,405 20 plans
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $6,774 – $14,830 · median $9,608 20 plans
693 Urinary Stones With Mcc $11,118 – $25,230 · median $16,059 20 plans
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $9,545 – $21,463 · median $13,723 20 plans
697 Urethral Stricture $9,028 – $20,225 · median $12,954 20 plans
699 Other Kidney And Urinary Tract Diagnoses With Cc $8,536 – $20,583 · median $12,223 20 plans
709 Penis Procedures With Cc/Mcc $18,820 – $43,668 · median $27,498 20 plans
711 Testes Procedures With Cc/Mcc $16,913 – $39,103 · median $24,666 20 plans
713 Transurethral Prostatectomy With Cc/Mcc $12,364 – $28,211 · median $17,909 20 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $18,116 – $41,983 · median $26,452 20 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $12,110 – $27,603 · median $17,532 20 plans
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $11,107 – $25,203 · median $16,043 20 plans
722 Malignancy, Male Reproductive System With Mcc $14,765 – $33,959 · median $21,275 20 plans
723 Malignancy, Male Reproductive System With Cc $9,536 – $21,443 · median $13,710 20 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $5,719 – $12,319 · median $8,041 20 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $5,847 – $16,144 · median $8,230 20 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $17,275 – $39,969 · median $25,203 20 plans
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $11,126 – $28,699 · median $16,071 20 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $9,496 – $21,345 · median $13,649 20 plans
748 Female Reproductive System Reconstructive Procedures $11,454 – $26,033 · median $16,557 20 plans
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $12,147 – $27,693 · median $17,588 20 plans
755 Malignancy, Female Reproductive System With Cc $9,106 – $23,147 · median $13,071 20 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $8,108 – $18,024 · median $11,589 20 plans
759 Infections, Female Reproductive System Without Cc/Mcc $5,781 – $12,493 · median $8,133 20 plans
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $5,051 – $13,535 · median $7,087 20 plans
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $8,979 – $20,109 · median $12,571 20 plans
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $5,711 – $12,285 · median $8,029 20 plans
783 Cesarean Section With Sterilization With Mcc $19,823 – $46,070 · median $25,197 20 plans
784 Cesarean Section With Sterilization With Cc $8,889 – $19,893 · median $12,445 20 plans
785 Cesarean Section With Sterilization Without Cc/Mcc $8,087 – $17,973 · median $11,322 20 plans
786 Cesarean Section Without Sterilization With Mcc $13,509 – $30,953 · median $18,913 20 plans
787 Cesarean Section Without Sterilization With Cc $9,333 – $20,957 · median $13,067 20 plans
788 Cesarean Section Without Sterilization Without Cc/Mcc $8,095 – $17,992 · median $11,333 20 plans
789 Neonates, Died Or Transferred To Another Acute Care Facility $14,706 – $33,818 · median $20,678 20 plans
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $47,167 – $127,224 · median $66,321 20 plans
791 Prematurity With Major Problems $32,395 – $76,167 · median $45,551 20 plans
792 Prematurity Without Major Problems $19,777 – $45,959 · median $27,688 20 plans
793 Full Term Neonate With Major Problems $17,695 – $78,243 · median $46,567 20 plans
794 Neonate With Other Significant Problems $6,807 – $27,695 · median $17,007 20 plans
795 Normal Newborn $1,875 – $3,749 · median $2,450 20 plans
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $9,727 – $21,899 · median $13,618 20 plans
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $8,421 – $18,773 · median $11,000 20 plans
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $8,082 – $17,960 · median $10,119 20 plans
801 Splenic Procedures Without Cc/Mcc $15,542 – $38,948 · median $22,629 20 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $11,208 – $28,760 · median $16,193 20 plans
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $9,039 – $20,251 · median $12,654 20 plans
806 Vaginal Delivery Without Sterilization Or D&C With Cc $6,490 – $14,149 · median $8,099 20 plans
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $5,864 – $12,651 · median $7,100 20 plans
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $8,783 – $24,298 · median $12,591 20 plans
812 Red Blood Cell Disorders Without Mcc $7,777 – $17,230 · median $11,096 20 plans
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $9,666 – $22,164 · median $13,902 20 plans
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $7,320 – $16,136 · median $10,418 20 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $10,017 – $37,254 · median $14,424 20 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $11,157 – $32,947 · median $16,116 20 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $13,935 – $36,672 · median $20,242 20 plans
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $4,678 – $9,812 · median $6,564 20 plans
835 Acute Leukemia With Cc $16,929 – $69,186 · median $24,689 20 plans
836 Acute Leukemia Without Cc/Mcc $10,138 – $58,817 · median $14,604 20 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $38,237 – $90,153 · median $55,943 20 plans
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $16,941 – $52,919 · median $24,707 20 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $11,897 – $35,702 · median $17,216 20 plans
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $8,499 – $27,641 · median $12,170 20 plans
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $20,900 – $48,648 · median $30,578 20 plans
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $10,834 – $24,548 · median $15,637 20 plans
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $7,238 – $18,488 · median $10,296 20 plans
849 Radiotherapy $21,818 – $50,844 · median $30,611 20 plans
866 Viral Illness Without Mcc $7,396 – $16,318 · median $10,531 20 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $30,874 – $72,525 · median $45,170 20 plans
881 Depressive Neuroses $7,955 – $17,656 · median $11,361 20 plans
882 Neuroses Except Depressive $8,996 – $20,150 · median $12,630 20 plans
883 Disorders Of Personality And Impulse Control $15,992 – $36,898 · median $23,258 20 plans
886 Behavioral And Developmental Disorders $16,846 – $38,943 · median $23,636 20 plans
894 Alcohol, Drug Abuse Or Dependence, Left Ama $5,415 – $11,576 · median $7,598 20 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $11,676 – $26,564 · median $16,887 20 plans
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $14,258 – $32,747 · median $20,723 20 plans
901 Wound Debridements For Injuries With Mcc $33,474 – $78,749 · median $48,974 20 plans
902 Wound Debridements For Injuries With Cc $15,586 – $35,926 · median $22,695 20 plans
904 Skin Grafts For Injuries With Cc/Mcc $29,371 – $68,926 · median $42,971 20 plans
905 Skin Grafts For Injuries Without Cc/Mcc $12,207 – $28,246 · median $17,676 20 plans
913 Traumatic Injury With Mcc $13,392 – $30,673 · median $19,436 20 plans
918 Poisoning And Toxic Effects Of Drugs Without Mcc $7,298 – $16,083 · median $10,385 20 plans
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $8,557 – $19,097 · median $12,077 20 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $167,931 – $400,642 · median $245,692 20 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $25,825 – $62,532 · median $37,784 20 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $31,104 – $73,075 · median $45,506 20 plans
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $17,907 – $41,482 · median $26,142 20 plans
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $29,021 – $68,089 · median $42,459 20 plans
945 Rehabilitation With Cc/Mcc $12,718 – $32,304 · median $18,435 20 plans
946 Rehabilitation Without Cc/Mcc $9,569 – $29,775 · median $13,758 20 plans
950 Aftercare Without Cc/Mcc $5,500 – $11,779 · median $7,698 20 plans
951 Other Factors Influencing Health Status $4,938 – $10,433 · median $6,928 20 plans
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $33,609 – $89,200 · median $49,172 20 plans
969 Hiv With Extensive O.R. Procedures With Mcc $48,560 – $114,866 · median $71,046 20 plans
976 Hiv With Major Related Condition Without Cc/Mcc $7,655 – $34,124 · median $10,916 20 plans
977 Hiv With Or Without Other Related Condition $10,751 – $24,351 · median $15,514 20 plans
454 Combined Anterior And Posterior Spinal Fusion With Cc $99,995 – $135,834 · median $108,289 4 plans
455 Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc $75,297 – $117,697 · median $81,542 4 plans
459 Spinal Fusion Except Cervical With Mcc $92,296 – $124,455 · median $109,413 4 plans
460 Spinal Fusion Except Cervical Without Mcc $59,803 – $68,640 · median $63,499 4 plans
453 Combined Anterior And Posterior Spinal Fusion With Mcc $144,875 – $166,284 · median $147,498 3 plans
079 Hypertensive Encephalopathy Without Cc/Mcc $12,511 – $18,139 · median $15,325 2 plans
294 Deep Vein Thrombophlebitis With Cc/Mcc $16,797 – $23,042 · median $19,919 2 plans
295 Deep Vein Thrombophlebitis Without Cc/Mcc $13,473 – $14,821 · median $14,147 2 plans
509 Arthroscopy $19,542 – $32,961 · median $26,251 2 plans
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