Keck Hospital of USC — Pricing
797 procedures published in this hospital's Machine-Readable File (MRF) — 531 with a comparable price, 266 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 797 procedures
Published charges
Showing all 531 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 103 procedures, this hospital's negotiated rates average ≈187% of what Medicare pays.
| DRG | Description | Published price | vs. CA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|
| 007 | Lung Transplant | $270,853 | $230,667 | +17% | $170,608 | +59% | — |
| 232 | Coronary Bypass With Ptca Without Mcc | $260,206 | $115,839 | +125% | $115,839 | +125% | — |
| 218 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc | $188,917 | $113,157 | +67% | $103,455 | +83% | — |
| 094 | Bacterial And Tuberculous Infections Of Nervous System With Mcc | $162,922 | $68,639 | +137% | $68,639 | +137% | — |
| 573 | Skin Graft For Skin Ulcer Or Cellulitis With Mcc | $152,562 | $114,401 | +33% | $98,912 | +54% | — |
| 276 | Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator | $146,286 | $117,280 | +25% | $117,280 | +25% | — |
| 031 | Ventricular Shunt Procedures With Mcc | $144,079 | $81,298 | +77% | $72,962 | +97% | — |
| 495 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc | $138,235 | $70,026 | +97% | $56,964 | +143% | — |
| 179 | Respiratory Infections And Inflammations Without Cc/Mcc | $137,837 | $17,087 | +707% | $14,648 | +841% | — |
| 939 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc | $131,407 | $64,194 | +105% | $55,289 | +138% | — |
| 754 | Malignancy, Female Reproductive System With Mcc | $127,767 | $37,692 | +239% | $32,433 | +294% | — |
| 498 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc | $126,826 | $53,274 | +138% | $49,423 | +157% | — |
| 215 | Other Heart Assist System Implant | $124,261 | $191,314 | −35% | $208,939 | −41% | — |
| 800 | Splenic Procedures With Cc | $124,241 | $59,817 | +108% | $49,184 | +153% | — |
| 430 | Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc | $118,849 | $105,333 | +13% | $101,618 | +17% | — |
| 576 | Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc | $117,530 | $101,566 | +16% | $90,401 | +30% | — |
| 619 | O.R. Procedures For Obesity With Mcc | $113,347 | $58,935 | +92% | $51,746 | +119% | — |
| 456 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $112,021 | $153,282 | −27% | $153,282 | −27% | — |
| 325 | Coronary Intravascular Lithotripsy Without Intraluminal Device | $107,588 | $61,217 | +76% | $61,217 | +76% | — |
| 593 | Skin Ulcers With Cc | $103,182 | $27,143 | +280% | $22,886 | +351% | — |
| 221 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M | $102,856 | $90,331 | +14% | $90,331 | +14% | — |
| 958 | Other O.R. Procedures For Multiple Significant Trauma With Cc | $100,648 | $79,939 | +26% | $73,120 | +38% | — |
| 574 | Skin Graft For Skin Ulcer Or Cellulitis With Cc | $100,430 | $69,089 | +45% | $52,036 | +93% | — |
| 001 | Heart Transplant Or Implant Of Heart Assist System With Mcc | $100,324 | $486,976 | −79% | $461,389 | −78% | ≈150% of Medicare |
| 548 | Septic Arthritis With Mcc | $98,851 | $41,146 | +140% | $31,346 | +215% | — |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With Mcc | $98,389 | $50,777 | +94% | $53,451 | +84% | — |
| 940 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc | $96,376 | $46,317 | +108% | $43,650 | +121% | — |
| 736 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc | $93,740 | $77,041 | +22% | $61,832 | +52% | — |
| 233 | Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc | $93,056 | $144,569 | −36% | $144,569 | −36% | — |
| 097 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc | $92,201 | $67,560 | +36% | $59,533 | +55% | — |
| 734 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc | $91,856 | $46,172 | +99% | $42,795 | +115% | — |
| 739 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc | $91,633 | $77,770 | +18% | $62,300 | +47% | — |
| 412 | Cholecystectomy With C.D.E. With Cc | $90,798 | $46,657 | +95% | $42,906 | +112% | — |
| 020 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc | $89,340 | $148,686 | −40% | $148,686 | −40% | — |
| 622 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc | $88,774 | $73,751 | +20% | $61,470 | +44% | — |
| 277 | Cardiac Defibrillator Implant Without Mcc | $88,142 | $91,329 | −3% | $91,329 | −3% | — |
| 629 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc | $84,731 | $48,634 | +74% | $47,737 | +77% | — |
| 427 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc | $83,261 | $132,794 | −37% | $132,794 | −37% | — |
| 242 | Permanent Cardiac Pacemaker Implant With Mcc | $80,106 | $70,132 | +14% | $70,132 | +14% | — |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc | $79,446 | $38,631 | +106% | $36,792 | +116% | — |
| 268 | Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc | $79,170 | $125,242 | −37% | $125,242 | −37% | ≈142% of Medicare |
| 304 | Hypertension With Mcc | $78,448 | $26,080 | +201% | $26,080 | +201% | — |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc | $78,439 | $89,523 | −12% | $87,761 | −11% | — |
| 492 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc | $76,881 | $70,540 | +9% | $70,564 | +9% | — |
| 883 | Disorders Of Personality And Impulse Control | $76,649 | $38,443 | +99% | $23,206 | +230% | — |
| 499 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc | $75,595 | $25,769 | +193% | $21,230 | +256% | — |
| 013 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc | $75,340 | $55,378 | +36% | $48,687 | +55% | — |
| 957 | Other O.R. Procedures For Multiple Significant Trauma With Mcc | $74,555 | $136,374 | −45% | $120,573 | −38% | — |
| 353 | Hernia Procedures Except Inguinal And Femoral With Mcc | $73,926 | $60,140 | +23% | $60,170 | +23% | — |
| 288 | Acute And Subacute Endocarditis With Mcc | $73,669 | $53,208 | +38% | $50,618 | +46% | — |
| 671 | Urethral Procedures With Cc/Mcc | $73,173 | $38,265 | +91% | $27,233 | +169% | — |
| 306 | Cardiac Congenital And Valvular Disorders With Mcc | $71,415 | $32,445 | +120% | $24,586 | +190% | — |
| 666 | Prostatectomy With Cc | $71,164 | $36,569 | +95% | $31,906 | +123% | — |
| 266 | Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc | $71,097 | $113,855 | −38% | $113,855 | −38% | ≈129% of Medicare |
| 835 | Acute Leukemia With Cc | $69,686 | $43,187 | +61% | $35,569 | +96% | — |
| 792 | Prematurity Without Major Problems | $69,483 | $34,988 | +99% | $12,229 | +468% | — |
| 182 | Respiratory Neoplasms Without Cc/Mcc | $69,401 | $18,592 | +273% | $14,064 | +393% | — |
| 521 | Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc | $69,152 | $62,334 | +11% | $70,467 | −2% | — |
| 420 | Hepatobiliary Diagnostic Procedures With Mcc | $68,837 | $70,175 | −2% | $50,919 | +35% | — |
| 428 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc | $65,550 | $105,899 | −38% | $105,899 | −38% | — |
| 512 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc | $65,529 | $35,692 | +84% | $35,692 | +84% | — |
| 360 | Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc | $65,220 | $92,069 | −29% | $98,737 | −34% | — |
| 884 | Organic Disturbances And Intellectual Disability | $64,050 | $35,352 | +81% | $26,682 | +140% | — |
| 231 | Coronary Bypass With Ptca With Mcc | $63,943 | $155,631 | −59% | $147,227 | −57% | — |
| 760 | Menstrual And Other Female Reproductive System Disorders With Cc/Mcc | $62,799 | $21,880 | +187% | $20,895 | +201% | — |
| 450 | Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F | $62,382 | $99,943 | −38% | $99,943 | −38% | — |
| 746 | Vagina, Cervix And Vulva Procedures With Cc/Mcc | $62,268 | $37,175 | +67% | $29,916 | +108% | — |
| 228 | Other Cardiothoracic Procedures With Mcc | $61,995 | $96,905 | −36% | $96,905 | −36% | — |
| 345 | Minor Small And Large Bowel Procedures With Cc | $61,891 | $33,048 | +87% | $33,048 | +87% | — |
| 643 | Endocrine Disorders With Mcc | $60,335 | $35,135 | +72% | $33,563 | +80% | — |
| 089 | Concussion With Cc | $60,096 | $23,800 | +153% | $18,821 | +219% | — |
| 326 | Stomach, Esophageal And Duodenal Procedures With Mcc | $58,864 | $96,245 | −39% | $80,793 | −27% | ≈140% of Medicare |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $58,720 | $69,724 | −16% | $66,068 | −11% | — |
| 272 | Other Major Cardiovascular Procedures Without Cc/Mcc | $58,594 | $55,162 | +6% | $55,162 | +6% | — |
| 235 | Coronary Bypass Without Cardiac Catheterization With Mcc | $58,076 | $112,062 | −48% | $112,062 | −48% | ≈176% of Medicare |
| 471 | Cervical Spinal Fusion With Mcc | $57,757 | $92,515 | −38% | $92,515 | −38% | — |
| 557 | Tendonitis, Myositis And Bursitis With Mcc | $57,624 | $33,325 | +73% | $32,877 | +75% | — |
| 447 | Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody | $57,357 | $126,098 | −55% | $126,098 | −55% | — |
| 513 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc | $56,226 | $33,424 | +68% | $33,424 | +68% | — |
| 028 | Spinal Procedures With Mcc | $54,720 | $113,077 | −52% | $113,077 | −52% | — |
| 974 | Hiv With Major Related Condition With Mcc | $54,705 | $57,493 | −5% | $46,402 | +18% | — |
| 397 | Appendix Procedures With Mcc | $54,529 | $54,751 | −0% | $53,257 | +2% | — |
| 625 | Thyroid, Parathyroid And Thyroglossal Procedures With Mcc | $54,091 | $59,031 | −8% | $59,031 | −8% | — |
| 709 | Penis Procedures With Cc/Mcc | $53,765 | $48,600 | +11% | $34,535 | +56% | — |
| 650 | Kidney Transplant With Hemodialysis With Mcc | $53,416 | $90,579 | −41% | $71,551 | −25% | ≈190% of Medicare |
| 653 | Major Bladder Procedures With Mcc | $52,565 | $104,583 | −50% | $104,583 | −50% | — |
| 333 | Rectal Resection With Cc | $52,154 | $46,551 | +12% | $37,154 | +40% | — |
| 824 | Lymphoma And Non-Acute Leukemia With Other Procedures With Cc | $52,110 | $47,797 | +9% | $41,608 | +25% | — |
| 183 | Major Chest Trauma With Mcc | $50,935 | $33,957 | +50% | $29,933 | +70% | — |
| 374 | Digestive Malignancy With Mcc | $50,849 | $42,775 | +19% | $39,958 | +27% | ≈192% of Medicare |
| 820 | Lymphoma And Leukemia With Major O.R. Procedures With Mcc | $50,312 | $108,750 | −54% | $96,192 | −48% | — |
| 236 | Coronary Bypass Without Cardiac Catheterization Without Mcc | $49,871 | $82,247 | −39% | $82,247 | −39% | — |
| 323 | Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc | $49,727 | $84,725 | −41% | $101,510 | −51% | ≈186% of Medicare |
| 876 | O.R. Procedures With Principal Diagnosis Of Mental Illness | $49,690 | $76,907 | −35% | $54,196 | −8% | — |
| 715 | Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc | $49,238 | $48,788 | +1% | $38,998 | +26% | — |
| 012 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc | $48,947 | $79,836 | −39% | $79,836 | −39% | ≈185% of Medicare |
| 475 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc | $48,577 | $47,089 | +3% | $45,877 | +6% | — |
| 356 | Other Digestive System O.R. Procedures With Mcc | $48,136 | $82,561 | −42% | $82,561 | −42% | — |
| 415 | Cholecystectomy Except By Laparoscope Without C.D.E. With Cc | $48,077 | $43,913 | +9% | $43,913 | +9% | — |
| 755 | Malignancy, Female Reproductive System With Cc | $47,591 | $24,644 | +93% | $18,459 | +158% | — |
| 572 | Skin Debridement Without Cc/Mcc | $47,297 | $25,361 | +86% | $24,944 | +90% | — |
| 269 | Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc | $46,827 | $83,065 | −44% | $85,159 | −45% | ≈175% of Medicare |
| 659 | Kidney And Ureter Procedures For Non-Neoplasm With Mcc | $46,758 | $54,273 | −14% | $52,178 | −10% | — |
| 582 | Mastectomy For Malignancy With Cc/Mcc | $46,738 | $38,876 | +20% | $35,849 | +30% | — |
| 217 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc | $46,136 | $121,714 | −62% | $123,995 | −63% | — |
| 052 | Spinal Disorders And Injuries With Cc/Mcc | $45,556 | $41,111 | +11% | $32,031 | +42% | — |
| 969 | Hiv With Extensive O.R. Procedures With Mcc | $45,489 | $117,196 | −61% | $109,331 | −58% | — |
| 163 | Major Chest Procedures With Mcc | $45,217 | $88,341 | −49% | $90,195 | −50% | ≈149% of Medicare |
| 381 | Complicated Peptic Ulcer With Cc | $45,090 | $24,177 | +86% | $24,177 | +86% | — |
| 402 | Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical | $44,688 | $79,116 | −44% | $79,116 | −44% | ≈204% of Medicare |
| 673 | Other Kidney And Urinary Tract Procedures With Mcc | $43,916 | $81,281 | −46% | $77,990 | −44% | — |
| 250 | Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc | $43,818 | $51,339 | −15% | $59,629 | −27% | — |
| 741 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc | $43,597 | $30,493 | +43% | $30,493 | +43% | — |
| 585 | Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc | $43,574 | $44,068 | −1% | $32,574 | +34% | — |
| 505 | Foot Procedures Without Cc/Mcc | $42,764 | $38,960 | +10% | $34,937 | +22% | — |
| 273 | Percutaneous And Other Intracardiac Procedures With Mcc | $42,689 | $78,852 | −46% | $78,852 | −46% | — |
| 271 | Other Major Cardiovascular Procedures With Cc | $42,521 | $71,014 | −40% | $71,014 | −40% | ≈201% of Medicare |
| 711 | Testes Procedures With Cc/Mcc | $42,294 | $42,414 | −0% | $38,343 | +10% | — |
| 870 | Septicemia Or Severe Sepsis With Mv >96 Hours | $41,946 | $124,290 | −66% | $148,832 | −72% | — |
| 202 | Bronchitis And Asthma With Cc/Mcc | $41,533 | $21,460 | +94% | $17,724 | +134% | — |
| 023 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla | $41,454 | $106,778 | −61% | $106,778 | −61% | ≈143% of Medicare |
| 808 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $41,429 | $45,785 | −10% | $39,181 | +6% | — |
| 479 | Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc | $41,391 | $39,422 | +5% | $34,276 | +21% | — |
| 003 | Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major | $41,379 | $371,366 | −89% | $371,366 | −89% | ≈123% of Medicare |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $41,198 | $51,985 | −21% | $51,985 | −21% | ≈196% of Medicare |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $40,173 | $37,599 | +7% | $32,944 | +22% | — |
| 146 | Ear, Nose, Mouth And Throat Malignancy With Mcc | $40,136 | $45,849 | −12% | $40,108 | +0% | — |
| 336 | Peritoneal Adhesiolysis With Cc | $40,023 | $46,332 | −14% | $50,463 | −21% | ≈187% of Medicare |
| 571 | Skin Debridement With Cc | $39,832 | $37,169 | +7% | $37,169 | +7% | — |
| 357 | Other Digestive System O.R. Procedures With Cc | $39,780 | $48,682 | −18% | $48,682 | −18% | — |
| 140 | Major Head And Neck Procedures With Mcc | $39,510 | $84,217 | −53% | $60,098 | −34% | — |
| 477 | Biopsies Of Musculoskeletal System And Connective Tissue With Mcc | $39,129 | $68,653 | −43% | $68,653 | −43% | — |
| 628 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc | $38,761 | $77,178 | −50% | $71,795 | −46% | — |
| 829 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc | $38,116 | $62,677 | −39% | $53,864 | −29% | — |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/Mcc | $37,786 | $14,368 | +163% | $14,368 | +163% | — |
| 135 | Sinus And Mastoid Procedures With Cc/Mcc | $37,588 | $51,359 | −27% | $42,186 | −11% | — |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $37,267 | $38,094 | −2% | $38,094 | −2% | — |
| 274 | Percutaneous And Other Intracardiac Procedures Without Mcc | $37,203 | $65,573 | −43% | $65,573 | −43% | ≈190% of Medicare |
| 407 | Pancreas, Liver And Shunt Procedures Without Cc/Mcc | $37,141 | $46,727 | −21% | $46,727 | −21% | — |
| 069 | Transient Ischemia Without Thrombolytic | $37,090 | $17,762 | +109% | $21,056 | +76% | — |
| 804 | Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc | $36,972 | $24,544 | +51% | $24,544 | +51% | — |
| 451 | Single Level Spinal Fusion Except Cervical Without Mcc | $36,891 | $65,216 | −43% | $65,216 | −43% | — |
| 410 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc | $36,374 | $34,434 | +6% | $34,434 | +6% | — |
| 011 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc | $36,373 | $101,576 | −64% | $101,576 | −64% | ≈149% of Medicare |
| 674 | Other Kidney And Urinary Tract Procedures With Cc | $36,120 | $49,631 | −27% | $50,394 | −28% | ≈183% of Medicare |
| 136 | Sinus And Mastoid Procedures Without Cc/Mcc | $35,718 | $21,716 | +64% | $17,404 | +105% | — |
| 024 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc | $35,716 | $74,755 | −52% | $74,755 | −52% | — |
| 843 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc | $35,623 | $39,105 | −9% | $36,431 | −2% | — |
| 918 | Poisoning And Toxic Effects Of Drugs Without Mcc | $35,473 | $19,638 | +81% | $15,452 | +130% | — |
| 904 | Skin Grafts For Injuries With Cc/Mcc | $35,461 | $75,754 | −53% | $59,594 | −40% | — |
| 584 | Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc | $35,381 | $45,240 | −22% | $35,030 | +1% | — |
| 480 | Hip And Femur Procedures Except Major Joint With Mcc | $35,164 | $60,274 | −42% | $65,653 | −46% | — |
| 655 | Major Bladder Procedures Without Cc/Mcc | $34,978 | $45,743 | −24% | $43,174 | −19% | — |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $34,914 | $33,633 | +4% | $33,633 | +4% | — |
| 983 | Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $34,912 | $37,033 | −6% | $34,607 | +1% | — |
| 029 | Spinal Procedures With Cc Or Spinal Neurostimulators | $34,854 | $67,268 | −48% | $67,268 | −48% | — |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C | $34,415 | $35,584 | −3% | $35,584 | −3% | — |
| 740 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc | $34,392 | $40,365 | −15% | $40,365 | −15% | — |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $34,316 | $68,421 | −50% | $70,847 | −52% | ≈200% of Medicare |
| 461 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc | $34,298 | $114,040 | −70% | $108,472 | −68% | — |
| 854 | Infectious And Parasitic Diseases With O.R. Procedures With Cc | $34,202 | $44,357 | −23% | $43,943 | −22% | — |
| 376 | Digestive Malignancy Without Cc/Mcc | $34,198 | $19,602 | +74% | $16,998 | +101% | — |
| 332 | Rectal Resection With Mcc | $34,105 | $69,152 | −51% | $58,125 | −41% | — |
| 096 | Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc | $33,956 | $47,583 | −29% | $41,620 | −18% | — |
| 099 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc | $33,895 | $30,693 | +10% | $27,119 | +25% | — |
| 486 | Knee Procedures With Principal Diagnosis Of Infection With Cc | $33,330 | $46,477 | −28% | $49,351 | −32% | — |
| 100 | Seizures With Mcc | $32,905 | $40,653 | −19% | $35,481 | −7% | — |
| 551 | Medical Back Problems With Mcc | $32,734 | $35,961 | −9% | $34,017 | −4% | — |
| 347 | Anal And Stomal Procedures With Mcc | $32,650 | $50,614 | −35% | $40,548 | −19% | — |
| 496 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc | $32,629 | $43,800 | −26% | $43,800 | −26% | — |
| 040 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc | $32,574 | $74,257 | −56% | $74,257 | −56% | — |
| 335 | Peritoneal Adhesiolysis With Mcc | $32,390 | $71,755 | −55% | $71,755 | −55% | — |
| 414 | Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc | $32,009 | $69,743 | −54% | $69,743 | −54% | — |
| 261 | Cardiac Pacemaker Revision Except Device Replacement With Cc | $31,822 | $42,126 | −24% | $42,126 | −24% | — |
| 867 | Other Infectious And Parasitic Diseases Diagnoses With Mcc | $31,698 | $43,328 | −27% | $38,070 | −17% | — |
| 245 | Aicd Generator Procedures | $31,538 | $95,281 | −67% | $72,076 | −56% | — |
| 180 | Respiratory Neoplasms With Mcc | $31,524 | $36,658 | −14% | $36,658 | −14% | — |
| 468 | Revision Of Hip Or Knee Replacement Without Cc/Mcc | $31,348 | $54,929 | −43% | $54,929 | −43% | ≈193% of Medicare |
| 240 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc | $30,789 | $59,790 | −49% | $59,790 | −49% | — |
| 346 | Minor Small And Large Bowel Procedures Without Cc/Mcc | $30,604 | $27,645 | +11% | $27,297 | +12% | — |
| 514 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc | $30,309 | $22,635 | +34% | $22,635 | +34% | — |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $30,258 | $43,749 | −31% | $42,901 | −29% | — |
| 073 | Cranial And Peripheral Nerve Disorders With Mcc | $29,854 | $33,256 | −10% | $30,010 | −1% | — |
| 181 | Respiratory Neoplasms With Cc | $29,721 | $24,648 | +21% | $23,573 | +26% | — |
| 260 | Cardiac Pacemaker Revision Except Device Replacement With Mcc | $29,639 | $70,371 | −58% | $70,371 | −58% | — |
| 675 | Other Kidney And Urinary Tract Procedures Without Cc/Mcc | $29,607 | $34,749 | −15% | $34,749 | −15% | — |
| 515 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc | $29,348 | $62,821 | −53% | $62,821 | −53% | — |
| 728 | Inflammation Of The Male Reproductive System Without Mcc | $29,031 | $18,139 | +60% | $17,118 | +70% | — |
| 091 | Other Disorders Of Nervous System With Mcc | $28,948 | $37,921 | −24% | $37,387 | −23% | — |
| 493 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc | $28,690 | $51,189 | −44% | $59,651 | −52% | — |
| 757 | Infections, Female Reproductive System With Mcc | $28,354 | $31,063 | −9% | $26,280 | +8% | — |
| 264 | Other Circulatory System O.R. Procedures | $28,209 | $69,597 | −59% | $51,953 | −46% | — |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc | $28,150 | $20,506 | +37% | $20,506 | +37% | — |
| 478 | Biopsies Of Musculoskeletal System And Connective Tissue With Cc | $27,999 | $50,139 | −44% | $50,139 | −44% | ≈198% of Medicare |
| 578 | Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc | $27,973 | $37,526 | −25% | $29,079 | −4% | — |
| 842 | Lymphoma And Non-Acute Leukemia Without Cc/Mcc | $27,724 | $23,352 | +19% | $19,657 | +41% | — |
| 320 | Other Endovascular Cardiac Valve Procedures Without Mcc | $27,668 | $51,387 | −46% | $40,060 | −31% | — |
| 352 | Inguinal And Femoral Hernia Procedures Without Cc/Mcc | $27,596 | $24,477 | +13% | $27,843 | −1% | — |
| 941 | O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc | $27,469 | $43,384 | −37% | $29,524 | −7% | — |
| 989 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $27,452 | $25,652 | +7% | $25,652 | +7% | — |
| 035 | Carotid Artery Stent Procedures With Cc | $27,325 | $49,066 | −44% | $49,066 | −44% | — |
| 614 | Adrenal And Pituitary Procedures With Cc/Mcc | $27,316 | $49,137 | −44% | $48,349 | −44% | — |
| 102 | Headaches With Mcc | $26,994 | $25,740 | +5% | $25,740 | +5% | — |
| 329 | Major Small And Large Bowel Procedures With Mcc | $26,989 | $88,050 | −69% | $88,050 | −69% | ≈121% of Medicare |
| 147 | Ear, Nose, Mouth And Throat Malignancy With Cc | $26,983 | $27,634 | −2% | $22,851 | +18% | — |
| 058 | Multiple Sclerosis And Cerebellar Ataxia With Mcc | $26,975 | $38,308 | −30% | $30,243 | −11% | — |
| 039 | Extracranial Procedures Without Cc/Mcc | $26,717 | $25,267 | +6% | $26,618 | +0% | — |
| 030 | Spinal Procedures Without Cc/Mcc | $26,626 | $48,235 | −45% | $45,866 | −42% | — |
| 672 | Urethral Procedures Without Cc/Mcc | $26,516 | $24,295 | +9% | $17,398 | +52% | — |
| 208 | Respiratory System Diagnosis With Ventilator Support <=96 Hours | $26,215 | $52,405 | −50% | $52,405 | −50% | — |
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $26,176 | $33,399 | −22% | $36,505 | −28% | — |
| 663 | Minor Bladder Procedures With Cc | $26,160 | $33,907 | −23% | $33,103 | −21% | — |
| 263 | Vein Ligation And Stripping | $26,008 | $55,918 | −53% | $51,253 | −49% | — |
| 949 | Aftercare With Cc/Mcc | $25,993 | $23,953 | +9% | $23,953 | +9% | — |
| 137 | Mouth Procedures With Cc/Mcc | $25,844 | $31,048 | −17% | $27,861 | −7% | — |
| 301 | Peripheral Vascular Disorders Without Cc/Mcc | $25,429 | $15,837 | +61% | $15,837 | +61% | — |
| 750 | Other Female Reproductive System O.R. Procedures Without Cc/Mcc | $25,410 | $28,626 | −11% | $27,989 | −9% | — |
| 758 | Infections, Female Reproductive System With Cc | $25,260 | $22,628 | +12% | $20,901 | +21% | — |
| 409 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc | $25,153 | $46,066 | −45% | $46,066 | −45% | — |
| 229 | Other Cardiothoracic Procedures Without Mcc | $25,064 | $65,325 | −62% | $65,325 | −62% | — |
| 022 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc | $24,962 | $72,461 | −66% | $66,848 | −63% | — |
| 419 | Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc | $24,922 | $29,250 | −15% | $36,937 | −33% | — |
| 141 | Major Head And Neck Procedures With Cc | $24,845 | $47,696 | −48% | $37,267 | −33% | ≈160% of Medicare |
| 330 | Major Small And Large Bowel Procedures With Cc | $24,836 | $50,562 | −51% | $59,500 | −58% | ≈193% of Medicare |
| 682 | Renal Failure With Mcc | $24,833 | $32,520 | −24% | $29,064 | −15% | ≈189% of Medicare |
| 902 | Wound Debridements For Injuries With Cc | $24,627 | $42,126 | −42% | $40,562 | −39% | — |
| 286 | Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | $24,610 | $44,489 | −45% | $46,283 | −47% | ≈121% of Medicare |
| 539 | Osteomyelitis With Mcc | $24,275 | $41,277 | −41% | $37,609 | −35% | — |
| 398 | Appendix Procedures With Cc | $24,162 | $33,592 | −28% | $40,162 | −40% | — |
| 545 | Connective Tissue Disorders With Mcc | $24,116 | $49,765 | −52% | $40,362 | −40% | — |
| 209 | Complex Aortic Arch Procedures | $23,964 | $23,964 | +0% | $250,946 | −90% | — |
| 856 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc | $23,951 | $86,699 | −72% | $76,001 | −68% | ≈152% of Medicare |
| 748 | Female Reproductive System Reconstructive Procedures | $23,836 | $30,242 | −21% | $30,242 | −21% | — |
| 348 | Anal And Stomal Procedures With Cc | $23,640 | $27,947 | −15% | $27,947 | −15% | — |
| 324 | Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc | $23,542 | $66,819 | −65% | $71,464 | −67% | — |
| 194 | Simple Pneumonia And Pleurisy With Cc | $23,534 | $18,204 | +29% | $18,204 | +29% | — |
| 212 | Concomitant Aortic And Mitral Valve Procedures | $23,022 | $196,346 | −88% | $196,346 | −88% | — |
| 577 | Skin Graft Except For Skin Ulcer Or Cellulitis With Cc | $22,943 | $55,594 | −59% | $47,945 | −52% | — |
| 882 | Neuroses Except Depressive | $22,860 | $21,356 | +7% | $15,680 | +46% | — |
| 840 | Lymphoma And Non-Acute Leukemia With Mcc | $22,820 | $60,905 | −63% | $49,710 | −54% | — |
| 085 | Traumatic Stupor And Coma <1 Hour With Mcc | $22,706 | $45,376 | −50% | $41,892 | −46% | — |
| 154 | Other Ear, Nose, Mouth And Throat Diagnoses With Mcc | $22,671 | $34,613 | −35% | $27,633 | −18% | — |
| 196 | Interstitial Lung Disease With Mcc | $22,637 | $38,951 | −42% | $32,637 | −31% | — |
| 794 | Neonate With Other Significant Problems | $22,579 | $17,665 | +28% | $8,445 | +167% | — |
| 145 | Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc | $22,410 | $26,302 | −15% | $25,712 | −13% | — |
| 082 | Traumatic Stupor And Coma >1 Hour With Mcc | $22,359 | $46,288 | −52% | $36,489 | −39% | — |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With Mcc | $22,306 | $38,483 | −42% | $33,047 | −33% | — |
| 423 | Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc | $22,301 | $79,225 | −72% | $79,225 | −72% | — |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/Mcc | $22,281 | $13,683 | +63% | $15,183 | +47% | — |
| 251 | Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc | $22,250 | $34,689 | −36% | $46,295 | −52% | — |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | $22,138 | $40,263 | −45% | $35,628 | −38% | ≈168% of Medicare |
| 036 | Carotid Artery Stent Procedures Without Cc/Mcc | $22,030 | $40,694 | −46% | $40,694 | −46% | — |
| 369 | Major Esophageal Disorders With Cc | $21,991 | $22,590 | −3% | $25,303 | −13% | — |
| 021 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc | $21,934 | $106,057 | −79% | $106,057 | −79% | — |
| 158 | Dental And Oral Diseases With Cc | $21,925 | $20,881 | +5% | $18,466 | +19% | — |
| 549 | Septic Arthritis With Cc | $21,918 | $26,753 | −18% | $24,056 | −9% | — |
| 688 | Kidney And Urinary Tract Neoplasms Without Cc/Mcc | $21,883 | $16,077 | +36% | $12,593 | +74% | — |
| 848 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $21,856 | $18,179 | +20% | $14,501 | +51% | — |
| 005 | Liver Transplant With Mcc Or Intestinal Transplant | $21,829 | $189,963 | −89% | $164,641 | −87% | ≈139% of Medicare |
| 377 | Gastrointestinal Hemorrhage With Mcc | $21,807 | $37,842 | −42% | $37,842 | −42% | ≈181% of Medicare |
| 322 | Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | $21,701 | $40,163 | −46% | $58,809 | −63% | — |
| 511 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc | $21,644 | $43,538 | −50% | $43,538 | −50% | — |
| 187 | Pleural Effusion With Cc | $21,467 | $22,288 | −4% | $21,789 | −1% | — |
| 809 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $21,454 | $27,494 | −22% | $22,458 | −4% | — |
| 199 | Pneumothorax With Mcc | $21,427 | $36,952 | −42% | $33,787 | −37% | — |
| 864 | Fever And Inflammatory Conditions | $21,348 | $19,935 | +7% | $18,640 | +15% | — |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $21,276 | $39,360 | −46% | $38,101 | −44% | — |
| 307 | Cardiac Congenital And Valvular Disorders Without Mcc | $21,199 | $20,566 | +3% | $20,566 | +3% | — |
| 597 | Malignant Breast Disorders With Mcc | $21,080 | $36,807 | −43% | $33,386 | −37% | — |
| 371 | Major Gastrointestinal Disorders And Peritoneal Infections With Mcc | $21,022 | $36,661 | −43% | $33,555 | −37% | — |
| 607 | Minor Skin Disorders Without Mcc | $20,899 | $19,185 | +9% | $15,889 | +32% | — |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc | $20,858 | $15,600 | +34% | $15,600 | +34% | — |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $20,803 | $47,452 | −56% | $45,333 | −54% | ≈178% of Medicare |
| 370 | Major Esophageal Disorders Without Cc/Mcc | $20,740 | $15,495 | +34% | $15,495 | +34% | — |
| 216 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | $20,712 | $175,437 | −88% | $188,171 | −89% | ≈128% of Medicare |
| 621 | O.R. Procedures For Obesity Without Cc/Mcc | $20,541 | $32,451 | −37% | $32,451 | −37% | — |
| 518 | Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator | $20,331 | $71,092 | −71% | $71,092 | −71% | — |
| 444 | Disorders Of The Biliary Tract With Mcc | $20,225 | $35,591 | −43% | $34,273 | −41% | — |
| 207 | Respiratory System Diagnosis With Ventilator Support >96 Hours | $20,154 | $116,058 | −83% | $116,058 | −83% | — |
| 669 | Transurethral Procedures With Cc | $20,076 | $34,354 | −42% | $34,354 | −42% | — |
| 032 | Ventricular Shunt Procedures With Cc | $20,052 | $46,724 | −57% | $46,724 | −57% | — |
| 425 | Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc | $20,023 | $34,316 | −42% | $26,598 | −25% | — |
| 657 | Kidney And Ureter Procedures For Neoplasm With Cc | $20,018 | $40,583 | −51% | $43,298 | −54% | ≈195% of Medicare |
| 334 | Rectal Resection Without Cc/Mcc | $19,963 | $36,820 | −46% | $36,820 | −46% | — |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/Mcc | $19,891 | $19,624 | +1% | $16,520 | +20% | — |
| 393 | Other Digestive System Diagnoses With Mcc | $19,881 | $35,113 | −43% | $34,192 | −42% | ≈180% of Medicare |
| 583 | Mastectomy For Malignancy Without Cc/Mcc | $19,734 | $36,467 | −46% | $35,831 | −45% | — |
| 299 | Peripheral Vascular Disorders With Mcc | $19,478 | $34,467 | −43% | $27,316 | −29% | ≈129% of Medicare |
| 041 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator | $19,456 | $50,131 | −61% | $49,418 | −61% | — |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With Mcc | $19,276 | $40,719 | −53% | $39,106 | −51% | ≈173% of Medicare |
| 707 | Major Male Pelvic Procedures With Cc/Mcc | $19,247 | $43,080 | −55% | $43,080 | −55% | ≈197% of Medicare |
| 033 | Ventricular Shunt Procedures Without Cc/Mcc | $19,214 | $35,419 | −46% | $35,419 | −46% | — |
| 698 | Other Kidney And Urinary Tract Diagnoses With Mcc | $19,201 | $35,532 | −46% | $32,496 | −41% | ≈191% of Medicare |
| 850 | Acute Leukemia With Other Procedures | $19,129 | $168,048 | −89% | $121,563 | −84% | — |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc | $19,076 | $46,799 | −59% | $58,280 | −67% | — |
| 905 | Skin Grafts For Injuries Without Cc/Mcc | $19,023 | $36,589 | −48% | $25,197 | −25% | — |
| 314 | Other Circulatory System Diagnoses With Mcc | $18,866 | $43,483 | −57% | $38,666 | −51% | ≈167% of Medicare |
| 426 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made | $18,858 | $189,537 | −90% | $142,326 | −87% | — |
| 615 | Adrenal And Pituitary Procedures Without Cc/Mcc | $18,858 | $31,812 | −41% | $32,833 | −43% | — |
| 121 | Acute Major Eye Infections With Cc/Mcc | $18,818 | $25,822 | −27% | $19,412 | −3% | — |
| 074 | Cranial And Peripheral Nerve Disorders Without Mcc | $18,760 | $23,141 | −19% | $23,141 | −19% | — |
| 645 | Endocrine Disorders Without Cc/Mcc | $18,490 | $17,287 | +7% | $15,428 | +20% | — |
| 193 | Simple Pneumonia And Pleurisy With Mcc | $18,470 | $29,252 | −37% | $27,275 | −32% | ≈200% of Medicare |
| 919 | Complications Of Treatment With Mcc | $18,440 | $37,933 | −51% | $31,105 | −41% | ≈159% of Medicare |
| 042 | Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc | $18,414 | $39,018 | −53% | $39,018 | −53% | — |
| 602 | Cellulitis With Mcc | $18,409 | $31,970 | −42% | $30,598 | −40% | — |
| 717 | Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc | $18,183 | $41,191 | −56% | $36,670 | −50% | ≈196% of Medicare |
| 408 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc | $18,072 | $69,701 | −74% | $62,583 | −71% | — |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $18,053 | $45,703 | −60% | $52,751 | −66% | ≈191% of Medicare |
| 406 | Pancreas, Liver And Shunt Procedures With Cc | $17,902 | $58,043 | −69% | $58,043 | −69% | ≈183% of Medicare |
| 708 | Major Male Pelvic Procedures Without Cc/Mcc | $17,780 | $32,911 | −46% | $36,988 | −52% | ≈218% of Medicare |
| 038 | Extracranial Procedures With Cc | $17,759 | $35,770 | −50% | $35,770 | −50% | — |
| 446 | Disorders Of The Biliary Tract Without Cc/Mcc | $17,734 | $17,700 | +0% | $17,700 | +0% | — |
| 186 | Pleural Effusion With Mcc | $17,648 | $33,834 | −48% | $33,834 | −48% | — |
| 388 | Gastrointestinal Obstruction With Mcc | $17,627 | $31,982 | −45% | $30,571 | −42% | — |
| 830 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc | $17,612 | $32,467 | −46% | $31,170 | −43% | — |
| 516 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc | $17,582 | $44,639 | −61% | $46,090 | −62% | — |
| 581 | Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc | $17,364 | $31,950 | −46% | $26,932 | −36% | — |
| 429 | Combined Anterior And Posterior Cervical Spinal Fusion With Mcc | $17,320 | $153,621 | −89% | $144,774 | −88% | — |
| 204 | Respiratory Signs And Symptoms | $17,304 | $18,004 | −4% | $18,004 | −4% | — |
| 810 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $17,179 | $21,129 | −19% | $18,316 | −6% | — |
| 282 | Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc | $17,068 | $16,097 | +6% | $19,227 | −11% | — |
| 620 | O.R. Procedures For Obesity With Cc | $17,006 | $35,453 | −52% | $35,453 | −52% | — |
| 201 | Pneumothorax Without Cc/Mcc | $16,769 | $15,031 | +12% | $14,053 | +19% | — |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $16,747 | $30,645 | −45% | $27,285 | −39% | — |
| 472 | Cervical Spinal Fusion With Cc | $16,710 | $59,537 | −72% | $59,537 | −72% | ≈196% of Medicare |
| 383 | Uncomplicated Peptic Ulcer With Mcc | $16,638 | $28,065 | −41% | $27,426 | −39% | — |
| 907 | Other O.R. Procedures For Injuries With Mcc | $16,609 | $77,817 | −79% | $77,817 | −79% | — |
| 168 | Other Respiratory System O.R. Procedures Without Cc/Mcc | $16,574 | $30,056 | −45% | $29,949 | −45% | — |
| 747 | Vagina, Cervix And Vulva Procedures Without Cc/Mcc | $16,468 | $21,205 | −22% | $19,594 | −16% | — |
| 660 | Kidney And Ureter Procedures For Non-Neoplasm With Cc | $16,458 | $29,747 | −45% | $31,264 | −47% | ≈196% of Medicare |
| 497 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc | $16,448 | $29,805 | −45% | $29,805 | −45% | — |
| 331 | Major Small And Large Bowel Procedures Without Cc/Mcc | $16,442 | $36,651 | −55% | $44,117 | −63% | ≈192% of Medicare |
| 735 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc | $16,427 | $26,948 | −39% | $26,948 | −39% | — |
| 349 | Anal And Stomal Procedures Without Cc/Mcc | $16,407 | $19,854 | −17% | $19,854 | −17% | — |
| 488 | Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc | $16,375 | $43,631 | −62% | $43,631 | −62% | — |
| 067 | Precerebral Occlusion Without Infarction With Mcc | $16,345 | $31,730 | −48% | $24,941 | −34% | — |
| 599 | Malignant Breast Disorders Without Cc/Mcc | $16,327 | $18,978 | −14% | $14,290 | +14% | — |
| 627 | Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc | $16,216 | $28,125 | −42% | $28,125 | −42% | — |
| 358 | Other Digestive System O.R. Procedures Without Cc/Mcc | $16,205 | $30,083 | −46% | $30,083 | −46% | — |
| 947 | Signs And Symptoms With Mcc | $16,183 | $28,553 | −43% | $27,401 | −41% | — |
| 710 | Penis Procedures Without Cc/Mcc | $16,167 | $33,330 | −51% | $26,436 | −39% | — |
| 103 | Headaches Without Mcc | $16,145 | $18,874 | −14% | $21,280 | −24% | — |
| 060 | Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc | $16,093 | $19,811 | −19% | $22,148 | −27% | — |
| 165 | Major Chest Procedures Without Cc/Mcc | $16,044 | $41,380 | −61% | $46,340 | −65% | — |
| 086 | Traumatic Stupor And Coma <1 Hour With Cc | $15,809 | $29,117 | −46% | $27,043 | −42% | — |
| 254 | Other Vascular Procedures Without Cc/Mcc | $15,702 | $38,836 | −60% | $38,836 | −60% | — |
| 379 | Gastrointestinal Hemorrhage Without Cc/Mcc | $15,650 | $14,134 | +11% | $15,038 | +4% | — |
| 844 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc | $15,634 | $26,533 | −41% | $21,847 | −28% | — |
| 464 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $15,545 | $60,402 | −74% | $58,228 | −73% | ≈205% of Medicare |
| 482 | Hip And Femur Procedures Except Major Joint Without Cc/Mcc | $15,479 | $35,217 | −56% | $41,955 | −63% | — |
| 909 | Other O.R. Procedures For Injuries Without Cc/Mcc | $15,337 | $28,156 | −46% | $28,156 | −46% | — |
| 565 | Other Musculoskeletal System And Connective Tissue Diagnoses With Cc | $15,294 | $22,637 | −32% | $22,506 | −32% | — |
| 279 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc | $15,171 | $66,976 | −77% | $63,928 | −76% | — |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc | $15,150 | $35,375 | −57% | $39,006 | −61% | — |
| 305 | Hypertension Without Mcc | $15,077 | $16,665 | −10% | $18,086 | −17% | — |
| 546 | Connective Tissue Disorders With Cc | $14,953 | $25,700 | −42% | $25,700 | −42% | — |
| 275 | Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc | $14,908 | $131,961 | −89% | $131,961 | −89% | — |
| 595 | Major Skin Disorders With Mcc | $14,892 | $42,837 | −65% | $34,598 | −57% | — |
| 825 | Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc | $14,859 | $27,323 | −46% | $27,323 | −46% | — |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc | $14,823 | $29,481 | −50% | $25,463 | −42% | ≈139% of Medicare |
| 738 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc | $14,792 | $33,674 | −56% | $33,674 | −56% | — |
| 822 | Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc | $14,589 | $25,390 | −43% | $25,390 | −43% | — |
| 053 | Spinal Disorders And Injuries Without Cc/Mcc | $14,482 | $20,455 | −29% | $20,455 | −29% | — |
| 321 | Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal | $14,464 | $60,959 | −76% | $81,706 | −82% | ≈172% of Medicare |
| 055 | Nervous System Neoplasms Without Mcc | $14,352 | $24,220 | −41% | $20,926 | −31% | — |
| 723 | Malignancy, Male Reproductive System With Cc | $14,230 | $24,928 | −43% | $19,815 | −28% | — |
| 689 | Kidney And Urinary Tract Infections With Mcc | $14,179 | $25,980 | −45% | $23,617 | −40% | — |
| 317 | Concomitant Left Atrial Appendage Closure And Cardiac Ablation | $14,157 | $117,146 | −88% | $88,566 | −84% | — |
| 664 | Minor Bladder Procedures Without Cc/Mcc | $14,156 | $23,971 | −41% | $22,314 | −37% | — |
| 466 | Revision Of Hip Or Knee Replacement With Mcc | $14,012 | $96,507 | −85% | $96,507 | −85% | — |
| 950 | Aftercare Without Cc/Mcc | $13,964 | $13,527 | +3% | $13,527 | +3% | — |
| 115 | Extraocular Procedures Except Orbit | $13,922 | $33,987 | −59% | $25,703 | −46% | — |
| 054 | Nervous System Neoplasms With Mcc | $13,858 | $32,473 | −57% | $30,502 | −55% | — |
| 175 | Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | $13,850 | $30,959 | −55% | $30,959 | −55% | — |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl | $13,832 | $65,788 | −79% | $65,788 | −79% | — |
| 489 | Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc | $13,689 | $27,492 | −50% | $28,320 | −52% | — |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc | $13,520 | $17,322 | −22% | $17,322 | −22% | ≈192% of Medicare |
| 554 | Bone Diseases And Arthropathies Without Mcc | $13,486 | $18,528 | −27% | $18,528 | −27% | — |
| 866 | Viral Illness Without Mcc | $13,457 | $19,642 | −31% | $17,081 | −21% | — |
| 093 | Other Disorders Of Nervous System Without Cc/Mcc | $13,262 | $17,522 | −24% | $17,620 | −25% | — |
| 436 | Malignancy Of Hepatobiliary System Or Pancreas With Cc | $13,260 | $25,034 | −47% | $25,034 | −47% | — |
| 056 | Degenerative Nervous System Disorders With Mcc | $13,069 | $49,382 | −74% | $39,973 | −67% | — |
| 558 | Tendonitis, Myositis And Bursitis Without Mcc | $12,930 | $19,176 | −33% | $18,602 | −30% | — |
| 092 | Other Disorders Of Nervous System With Cc | $12,867 | $23,503 | −45% | $24,914 | −48% | — |
| 253 | Other Vascular Procedures With Cc | $12,829 | $53,746 | −76% | $57,454 | −78% | ≈192% of Medicare |
| 847 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc | $12,678 | $28,209 | −55% | $23,498 | −46% | — |
| 071 | Other Cerebrovascular Disorders With Cc | $12,654 | $23,396 | −46% | $23,488 | −46% | — |
| 457 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $12,625 | $107,355 | −88% | $107,355 | −88% | ≈173% of Medicare |
| 718 | Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc | $12,589 | $27,348 | −54% | $19,270 | −35% | — |
| 501 | Soft Tissue Procedures With Cc | $12,552 | $39,619 | −68% | $39,619 | −68% | — |
| 793 | Full Term Neonate With Major Problems | $12,546 | $57,323 | −78% | $18,649 | −33% | — |
| 153 | Otitis Media And Uri Without Mcc | $12,507 | $15,799 | −21% | $14,583 | −14% | — |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $12,465 | $23,749 | −48% | $23,749 | −48% | ≈194% of Medicare |
| 661 | Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc | $12,444 | $22,790 | −45% | $25,970 | −52% | — |
| 189 | Pulmonary Edema And Respiratory Failure | $12,415 | $27,470 | −55% | $26,580 | −53% | — |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $12,355 | $22,575 | −45% | $23,940 | −48% | — |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $12,266 | $22,641 | −46% | $21,275 | −42% | ≈194% of Medicare |
| 951 | Other Factors Influencing Health Status | $12,245 | $13,425 | −9% | $10,160 | +21% | — |
| 213 | Endovascular Abdominal Aorta With Iliac Branch Procedures | $12,083 | $37,703 | −68% | $139,857 | −91% | — |
| 386 | Inflammatory Bowel Disease With Cc | $12,066 | $22,033 | −45% | $22,033 | −45% | — |
| 178 | Respiratory Infections And Inflammations With Cc | $12,004 | $22,024 | −45% | $22,024 | −45% | — |
| 380 | Complicated Peptic Ulcer With Mcc | $11,961 | $39,627 | −70% | $39,627 | −70% | — |
| 670 | Transurethral Procedures Without Cc/Mcc | $11,955 | $21,216 | −44% | $20,911 | −43% | — |
| 696 | Kidney And Urinary Tract Signs And Symptoms Without Mcc | $11,924 | $15,358 | −22% | $14,689 | −19% | — |
| 658 | Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc | $11,891 | $33,388 | −64% | $36,253 | −67% | — |
| 084 | Traumatic Stupor And Coma >1 Hour Without Cc/Mcc | $11,621 | $21,225 | −45% | $19,924 | −42% | — |
| 303 | Atherosclerosis Without Mcc | $11,457 | $14,927 | −23% | $14,927 | −23% | — |
| 405 | Pancreas, Liver And Shunt Procedures With Mcc | $11,452 | $102,128 | −89% | $102,128 | −89% | ≈167% of Medicare |
| 473 | Cervical Spinal Fusion Without Cc/Mcc | $11,349 | $50,624 | −78% | $50,624 | −78% | — |
| 220 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc | $11,291 | $102,177 | −89% | $111,320 | −90% | ≈170% of Medicare |
| 059 | Multiple Sclerosis And Cerebellar Ataxia With Cc | $11,235 | $27,163 | −59% | $27,163 | −59% | — |
| 390 | Gastrointestinal Obstruction Without Cc/Mcc | $11,190 | $13,318 | −16% | $13,361 | −16% | — |
| 270 | Other Major Cardiovascular Procedures With Mcc | $11,171 | $99,423 | −89% | $99,423 | −89% | ≈150% of Medicare |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $11,056 | $23,551 | −53% | $23,551 | −53% | — |
| 287 | Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | $10,954 | $24,191 | −55% | $32,021 | −66% | ≈174% of Medicare |
| 378 | Gastrointestinal Hemorrhage With Cc | $10,939 | $21,886 | −50% | $22,098 | −51% | ≈193% of Medicare |
| 815 | Reticuloendothelial And Immunity Disorders With Cc | $10,880 | $22,557 | −52% | $19,264 | −44% | — |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc | $10,868 | $19,842 | −45% | $19,842 | −45% | — |
| 312 | Syncope And Collapse | $10,808 | $19,342 | −44% | $19,342 | −44% | — |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $10,781 | $16,412 | −34% | $17,303 | −38% | ≈197% of Medicare |
| 603 | Cellulitis Without Mcc | $10,741 | $19,553 | −45% | $18,530 | −42% | ≈203% of Medicare |
| 384 | Uncomplicated Peptic Ulcer Without Mcc | $10,724 | $19,305 | −44% | $19,305 | −44% | — |
| 465 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $10,658 | $38,541 | −72% | $32,443 | −67% | — |
| 327 | Stomach, Esophageal And Duodenal Procedures With Cc | $10,640 | $51,645 | −79% | $59,421 | −82% | ≈189% of Medicare |
| 385 | Inflammatory Bowel Disease With Mcc | $10,616 | $34,588 | −69% | $27,617 | −62% | — |
| 068 | Precerebral Occlusion Without Infarction Without Mcc | $10,458 | $19,569 | −47% | $19,569 | −47% | — |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With Mcc | $10,456 | $94,937 | −89% | $93,172 | −89% | ≈120% of Medicare |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $10,371 | $20,463 | −49% | $20,463 | −49% | — |
| 006 | Liver Transplant Without Mcc | $10,229 | $92,378 | −89% | $84,407 | −88% | — |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $10,192 | $25,279 | −60% | $25,279 | −60% | — |
| 283 | Acute Myocardial Infarction, Expired With Mcc | $10,118 | $40,150 | −75% | $39,955 | −75% | — |
| 143 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc | $10,101 | $68,616 | −85% | $52,908 | −81% | — |
| 267 | Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc | $10,080 | $92,217 | −89% | $92,217 | −89% | ≈178% of Medicare |
| 197 | Interstitial Lung Disease With Cc | $9,976 | $21,977 | −55% | $21,941 | −55% | — |
| 826 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc | $9,916 | $91,138 | −89% | $90,724 | −89% | — |
| 234 | Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc | $9,874 | $102,573 | −90% | $102,573 | −90% | — |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $9,872 | $90,775 | −89% | $90,775 | −89% | ≈150% of Medicare |
| 694 | Urinary Stones Without Mcc | $9,681 | $17,347 | −44% | $17,345 | −44% | — |
| 025 | Craniotomy And Endovascular Intracranial Procedures With Mcc | $9,626 | $88,307 | −89% | $88,307 | −89% | ≈202% of Medicare |
| 205 | Other Respiratory System Diagnoses With Mcc | $9,352 | $39,013 | −76% | $33,255 | −72% | ≈190% of Medicare |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc | $9,298 | $17,347 | −46% | $17,038 | −45% | ≈199% of Medicare |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc | $9,195 | $18,150 | −49% | $18,150 | −49% | — |
| 438 | Disorders Of Pancreas Except Malignancy With Mcc | $8,795 | $35,243 | −75% | $32,628 | −73% | — |
| 500 | Soft Tissue Procedures With Mcc | $8,617 | $64,105 | −87% | $61,872 | −86% | — |
| 448 | Multiple Level Spinal Fusion Except Cervical Without Mcc | $8,614 | $81,998 | −89% | $81,998 | −89% | — |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | $8,603 | $15,280 | −44% | $20,781 | −59% | — |
| 291 | Heart Failure And Shock With Mcc | $8,602 | $28,966 | −70% | $26,776 | −68% | ≈167% of Medicare |
| 241 | Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc | $8,548 | $33,519 | −74% | $30,770 | −72% | — |
| 742 | Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc | $8,516 | $40,552 | −79% | $40,552 | −79% | — |
| 280 | Acute Myocardial Infarction, Discharged Alive With Mcc | $8,485 | $34,867 | −76% | $30,828 | −72% | — |
| 206 | Other Respiratory System Diagnoses Without Mcc | $8,415 | $20,108 | −58% | $18,488 | −54% | ≈264% of Medicare |
| 394 | Other Digestive System Diagnoses With Cc | $8,395 | $20,896 | −60% | $20,181 | −58% | ≈124% of Medicare |
| 244 | Permanent Cardiac Pacemaker Implant Without Cc/Mcc | $8,083 | $40,063 | −80% | $41,591 | −81% | — |
| 026 | Craniotomy And Endovascular Intracranial Procedures With Cc | $8,082 | $64,523 | −87% | $64,523 | −87% | — |
| 166 | Other Respiratory System O.R. Procedures With Mcc | $7,995 | $75,573 | −89% | $75,573 | −89% | ≈176% of Medicare |
| 156 | Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc | $7,902 | $14,927 | −47% | $14,549 | −46% | — |
| 313 | Chest Pain | $7,895 | $15,837 | −50% | $16,440 | −52% | — |
| 644 | Endocrine Disorders With Cc | $7,641 | $22,941 | −67% | $23,198 | −67% | — |
| 756 | Malignancy, Female Reproductive System Without Cc/Mcc | $7,638 | $21,201 | −64% | $15,589 | −51% | — |
| 462 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc | $7,623 | $58,975 | −87% | $58,975 | −87% | — |
| 200 | Pneumothorax With Cc | $7,424 | $24,586 | −70% | $21,368 | −65% | — |
| 252 | Other Vascular Procedures With Mcc | $7,236 | $68,508 | −89% | $68,508 | −89% | ≈157% of Medicare |
| 316 | Other Circulatory System Diagnoses Without Cc/Mcc | $6,987 | $15,156 | −54% | $13,651 | −49% | — |
| 164 | Major Chest Procedures With Cc | $6,974 | $53,141 | −87% | $56,755 | −88% | ≈187% of Medicare |
| 037 | Extracranial Procedures With Mcc | $6,970 | $66,666 | −90% | $66,666 | −90% | — |
| 284 | Acute Myocardial Infarction, Expired With Cc | $6,944 | $16,450 | −58% | $16,450 | −58% | — |
| 310 | Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc | $6,932 | $13,384 | −48% | $13,384 | −48% | — |
| 656 | Kidney And Ureter Procedures For Neoplasm With Mcc | $6,873 | $65,608 | −90% | $65,608 | −90% | ≈181% of Medicare |
| 652 | Kidney Transplant | $6,837 | $62,468 | −89% | $54,720 | −88% | ≈198% of Medicare |
| 485 | Knee Procedures With Principal Diagnosis Of Infection With Mcc | $6,785 | $64,956 | −90% | $72,424 | −91% | — |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $6,747 | $22,850 | −70% | $22,850 | −70% | — |
| 424 | Other Hepatobiliary Or Pancreas O.R. Procedures With Cc | $6,652 | $49,209 | −86% | $42,415 | −84% | — |
| 463 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $6,491 | $101,662 | −94% | $89,207 | −93% | — |
| 395 | Other Digestive System Diagnoses Without Cc/Mcc | $5,961 | $14,128 | −58% | $14,128 | −58% | — |
| 654 | Major Bladder Procedures With Cc | $5,927 | $58,274 | −90% | $58,274 | −90% | ≈201% of Medicare |
| 803 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc | $5,687 | $39,515 | −86% | $39,515 | −86% | — |
| 389 | Gastrointestinal Obstruction With Cc | $5,519 | $17,795 | −69% | $17,578 | −69% | — |
| 027 | Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc | $5,341 | $54,583 | −90% | $54,583 | −90% | ≈193% of Medicare |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $5,291 | $53,666 | −90% | $58,707 | −91% | ≈204% of Medicare |
| 827 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc | $4,893 | $50,498 | −90% | $50,498 | −90% | ≈170% of Medicare |
| 243 | Permanent Cardiac Pacemaker Implant With Cc | $4,891 | $50,011 | −90% | $50,011 | −90% | — |
| 821 | Lymphoma And Leukemia With Major O.R. Procedures With Cc | $4,740 | $48,353 | −90% | $47,789 | −90% | — |
| 737 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc | $4,363 | $44,363 | −90% | $44,363 | −90% | — |
| 519 | Back And Neck Procedures Except Spinal Fusion With Cc | $4,235 | $43,775 | −90% | $44,139 | −90% | ≈194% of Medicare |
| 908 | Other O.R. Procedures For Injuries With Cc | $4,189 | $44,730 | −91% | $42,914 | −90% | ≈187% of Medicare |
| 432 | Cirrhosis And Alcoholic Hepatitis With Mcc | $4,167 | $40,213 | −90% | $40,213 | −90% | ≈122% of Medicare |
| 441 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc | $3,988 | $39,057 | −90% | $33,985 | −88% | ≈176% of Medicare |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc | $3,977 | $41,857 | −90% | $50,607 | −92% | ≈196% of Medicare |
| 167 | Other Respiratory System O.R. Procedures With Cc | $3,818 | $40,563 | −91% | $40,642 | −91% | ≈183% of Medicare |
| 862 | Postoperative And Post-Traumatic Infections With Mcc | $3,818 | $38,187 | −90% | $32,859 | −88% | ≈125% of Medicare |
| 502 | Soft Tissue Procedures Without Cc/Mcc | $3,701 | $31,017 | −88% | $31,017 | −88% | — |
| 144 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc | $3,669 | $38,998 | −91% | $30,553 | −88% | — |
| 142 | Major Head And Neck Procedures Without Cc/Mcc | $3,640 | $34,906 | −90% | $34,906 | −90% | — |
| 626 | Thyroid, Parathyroid And Thyroglossal Procedures With Cc | $3,634 | $33,506 | −89% | $33,454 | −89% | — |
| 070 | Other Cerebrovascular Disorders With Mcc | $3,611 | $36,506 | −90% | $31,951 | −89% | — |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $3,581 | $36,816 | −90% | $44,606 | −92% | — |
| 354 | Hernia Procedures Except Inguinal And Femoral With Cc | $3,532 | $37,764 | −91% | $43,477 | −92% | — |
| 368 | Major Esophageal Disorders With Mcc | $3,523 | $35,349 | −90% | $33,876 | −90% | — |
| 289 | Acute And Subacute Endocarditis With Cc | $3,475 | $33,779 | −90% | $32,697 | −89% | — |
| 494 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc | $3,462 | $41,855 | −92% | $47,711 | −93% | — |
| 517 | Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc | $3,394 | $33,137 | −90% | $33,393 | −90% | — |
| 917 | Poisoning And Toxic Effects Of Drugs With Mcc | $3,321 | $34,839 | −90% | $30,235 | −89% | — |
| 177 | Respiratory Infections And Inflammations With Mcc | $3,309 | $34,448 | −90% | $33,707 | −90% | ≈189% of Medicare |
| 337 | Peritoneal Adhesiolysis Without Cc/Mcc | $3,250 | $34,078 | −90% | $39,211 | −92% | — |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $3,146 | $19,072 | −84% | $18,807 | −83% | — |
| 355 | Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc | $2,848 | $29,596 | −90% | $32,841 | −91% | — |
| 057 | Degenerative Nervous System Disorders Without Mcc | $2,815 | $29,623 | −90% | $27,543 | −90% | ≈193% of Medicare |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc | $2,710 | $28,515 | −90% | $28,050 | −90% | ≈173% of Medicare |
| 813 | Coagulation Disorders | $2,668 | $33,296 | −92% | $33,296 | −92% | — |
| 139 | Salivary Gland Procedures | $2,616 | $30,480 | −91% | $23,612 | −89% | — |
| 743 | Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc | $2,529 | $26,611 | −90% | $30,784 | −92% | — |
| 308 | Cardiac Arrhythmia And Conduction Disorders With Mcc | $2,504 | $26,770 | −91% | $26,770 | −91% | — |
| 435 | Malignancy Of Hepatobiliary System Or Pancreas With Mcc | $2,368 | $37,950 | −94% | $37,950 | −94% | ≈183% of Medicare |
| 190 | Chronic Obstructive Pulmonary Disease With Mcc | $2,345 | $24,930 | −91% | $24,386 | −90% | — |
| 445 | Disorders Of The Biliary Tract With Cc | $2,317 | $24,075 | −90% | $23,319 | −90% | — |
| 300 | Peripheral Vascular Disorders With Cc | $2,258 | $23,767 | −90% | $20,422 | −89% | ≈199% of Medicare |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $2,186 | $23,369 | −91% | $20,232 | −89% | — |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | $2,141 | $22,888 | −91% | $22,888 | −91% | — |
| 863 | Postoperative And Post-Traumatic Infections Without Mcc | $2,113 | $22,197 | −90% | $20,957 | −90% | — |
| 920 | Complications Of Treatment With Cc | $2,110 | $22,552 | −91% | $22,468 | −91% | ≈189% of Medicare |
| 442 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc | $2,044 | $21,449 | −90% | $21,449 | −90% | ≈196% of Medicare |
| 315 | Other Circulatory System Diagnoses With Cc | $2,039 | $21,363 | −90% | $21,363 | −90% | ≈217% of Medicare |
| 552 | Medical Back Problems Without Mcc | $2,001 | $21,396 | −91% | $21,396 | −91% | ≈201% of Medicare |
| 812 | Red Blood Cell Disorders Without Mcc | $1,947 | $20,488 | −90% | $20,488 | −90% | — |
| 101 | Seizures Without Mcc | $1,911 | $20,461 | −91% | $20,461 | −91% | ≈200% of Medicare |
| 683 | Renal Failure With Cc | $1,875 | $19,733 | −90% | $19,130 | −90% | ≈187% of Medicare |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $1,786 | $19,096 | −91% | $19,096 | −91% | — |
| 948 | Signs And Symptoms Without Mcc | $1,676 | $17,638 | −90% | $17,921 | −91% | — |
| 690 | Kidney And Urinary Tract Infections Without Mcc | $1,667 | $17,817 | −91% | $17,674 | −91% | ≈206% of Medicare |
| 921 | Complications Of Treatment Without Cc/Mcc | $1,451 | $15,267 | −90% | $14,415 | −90% | — |
Procedures with negotiated rates only
These 266 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 | $137,723 – $501,375 · median $246,036 | 35 plans |
| 004 | Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. | $168,270 – $612,855 · median $293,379 | 35 plans |
| 008 | Simultaneous Pancreas And Kidney Transplant | $68,289 – $247,976 · median $119,510 | 35 plans |
| 010 | Pancreas Transplant | $65,804 – $317,489 · median $151,313 | 35 plans |
| 014 | Allogeneic Bone Marrow Transplant | $146,041 – $531,732 · median $256,264 | 35 plans |
| 016 | Autologous Bone Marrow Transplant With Cc/Mcc | $72,231 – $262,360 · median $126,442 | 35 plans |
| 017 | Autologous Bone Marrow Transplant Without Cc/Mcc | $66,200 – $240,352 · median $115,836 | 35 plans |
| 018 | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies | $523,870 – $1,910,623 · median $914,001 | 35 plans |
| 019 | Simultaneous Pancreas And Kidney Transplant With Hemodialysis | $86,838 – $315,670 · median $152,135 | 35 plans |
| 034 | Carotid Artery Stent Procedures With Mcc | $47,268 – $171,259 · median $82,586 | 35 plans |
| 061 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc | $33,767 – $121,988 · median $58,912 | 35 plans |
| 062 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc | $21,645 – $77,747 · median $37,654 | 35 plans |
| 063 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc | $17,361 – $62,111 · median $30,546 | 35 plans |
| 072 | Other Cerebrovascular Disorders Without Cc/Mcc | $9,509 – $33,458 · median $16,374 | 35 plans |
| 075 | Viral Meningitis With Cc/Mcc | $23,588 – $84,840 · median $40,870 | 35 plans |
| 076 | Viral Meningitis Without Cc/Mcc | $10,346 – $36,511 · median $17,953 | 35 plans |
| 080 | Nontraumatic Stupor And Coma With Mcc | $22,285 – $80,083 · median $38,777 | 35 plans |
| 081 | Nontraumatic Stupor And Coma Without Mcc | $11,199 – $39,626 · median $19,097 | 35 plans |
| 088 | Concussion With Mcc | $16,730 – $59,810 · median $29,036 | 35 plans |
| 090 | Concussion Without Cc/Mcc | $10,322 – $36,422 · median $17,798 | 35 plans |
| 095 | Bacterial And Tuberculous Infections Of Nervous System With Cc | $31,611 – $114,117 · median $55,130 | 35 plans |
| 113 | Orbital Procedures With Cc/Mcc | $28,845 – $104,024 · median $50,280 | 35 plans |
| 114 | Orbital Procedures Without Cc/Mcc | $16,745 – $59,863 · median $29,061 | 35 plans |
| 116 | Intraocular Procedures With Cc/Mcc | $22,262 – $79,999 · median $38,736 | 35 plans |
| 117 | Intraocular Procedures Without Cc/Mcc | $13,494 – $48,001 · median $23,362 | 35 plans |
| 122 | Acute Major Eye Infections Without Cc/Mcc | $9,868 – $34,768 · median $16,588 | 35 plans |
| 123 | Neurological Eye Disorders | $10,023 – $35,334 · median $17,275 | 35 plans |
| 124 | Other Disorders Of The Eye With Mcc Or Thrombolytic Agent | $16,382 – $58,541 · median $28,426 | 35 plans |
| 125 | Other Disorders Of The Eye Without Mcc | $9,650 – $33,971 · median $16,620 | 35 plans |
| 138 | Mouth Procedures Without Cc/Mcc | $11,085 – $39,210 · median $19,137 | 35 plans |
| 148 | Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc | $10,005 – $35,268 · median $17,243 | 35 plans |
| 149 | Dysequilibrium | $9,454 – $33,255 · median $16,276 | 35 plans |
| 150 | Epistaxis With Mcc | $16,484 – $58,912 · median $28,604 | 35 plans |
| 151 | Epistaxis Without Mcc | $9,240 – $32,476 · median $15,902 | 35 plans |
| 152 | Otitis Media And Uri With Mcc | $14,674 – $52,306 · median $25,430 | 35 plans |
| 155 | Other Ear, Nose, Mouth And Throat Diagnoses With Cc | $11,453 – $40,551 · median $19,781 | 35 plans |
| 157 | Dental And Oral Diseases With Mcc | $21,155 – $75,960 · median $36,795 | 35 plans |
| 159 | Dental And Oral Diseases Without Cc/Mcc | $8,931 – $31,348 · median $15,360 | 35 plans |
| 173 | Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism | $36,426 – $131,691 · median $63,381 | 35 plans |
| 176 | Pulmonary Embolism Without Mcc | $10,101 – $35,617 · median $17,411 | 35 plans |
| 184 | Major Chest Trauma With Cc | $13,242 – $47,081 · median $22,919 | 35 plans |
| 185 | Major Chest Trauma Without Cc/Mcc | $9,877 – $34,799 · median $17,018 | 35 plans |
| 188 | Pleural Effusion Without Cc/Mcc | $9,037 – $31,733 · median $15,544 | 35 plans |
| 195 | Simple Pneumonia And Pleurisy Without Cc/Mcc | $7,961 – $27,808 · median $13,646 | 35 plans |
| 198 | Interstitial Lung Disease Without Cc/Mcc | $9,024 – $31,688 · median $15,523 | 35 plans |
| 203 | Bronchitis And Asthma Without Cc/Mcc | $8,464 – $29,644 · median $14,541 | 35 plans |
| 219 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc | $93,430 – $339,726 · median $163,728 | 35 plans |
| 239 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc | $60,010 – $217,761 · median $104,948 | 35 plans |
| 255 | Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc | $33,044 – $119,346 · median $57,643 | 35 plans |
| 257 | Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc | $13,583 – $48,324 · median $23,517 | 35 plans |
| 258 | Cardiac Pacemaker Device Replacement With Mcc | $38,435 – $139,022 · median $67,097 | 35 plans |
| 259 | Cardiac Pacemaker Device Replacement Without Mcc | $24,857 – $89,468 · median $43,286 | 35 plans |
| 262 | Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc | $20,102 – $72,115 · median $34,948 | 35 plans |
| 265 | Aicd Lead Procedures | $44,207 – $160,087 · median $77,218 | 35 plans |
| 278 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc | $67,824 – $246,277 · median $118,131 | 35 plans |
| 285 | Acute Myocardial Infarction, Expired Without Cc/Mcc | $7,602 – $26,498 · median $12,642 | 35 plans |
| 290 | Acute And Subacute Endocarditis Without Cc/Mcc | $11,613 – $41,135 · median $20,062 | 35 plans |
| 292 | Heart Failure And Shock With Cc | $10,634 – $37,564 · median $18,346 | 35 plans |
| 293 | Heart Failure And Shock Without Cc/Mcc | $7,204 – $25,043 · median $12,289 | 35 plans |
| 296 | Cardiac Arrest, Unexplained With Mcc | $19,277 – $69,106 · median $33,502 | 35 plans |
| 297 | Cardiac Arrest, Unexplained With Cc | $8,028 – $28,051 · median $13,765 | 35 plans |
| 298 | Cardiac Arrest, Unexplained Without Cc/Mcc | $5,859 – $20,136 · median $9,881 | 35 plans |
| 302 | Atherosclerosis With Mcc | $14,849 – $52,944 · median $25,736 | 35 plans |
| 311 | Angina Pectoris | $8,851 – $31,056 · median $15,219 | 35 plans |
| 318 | Percutaneous Coronary Atherectomy Without Intraluminal Device | $29,707 – $107,170 · median $51,691 | 35 plans |
| 319 | Other Endovascular Cardiac Valve Procedures With Mcc | $54,448 – $197,461 · median $95,176 | 35 plans |
| 344 | Minor Small And Large Bowel Procedures With Mcc | $31,654 – $114,276 · median $55,206 | 35 plans |
| 350 | Inguinal And Femoral Hernia Procedures With Mcc | $30,552 – $110,254 · median $53,274 | 35 plans |
| 359 | Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc | $42,030 – $152,141 · median $73,132 | 35 plans |
| 373 | Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc | $9,160 – $32,184 · median $15,761 | 35 plans |
| 375 | Digestive Malignancy With Cc | $15,006 – $53,519 · median $26,013 | 35 plans |
| 382 | Complicated Peptic Ulcer Without Cc/Mcc | $10,048 – $35,423 · median $17,318 | 35 plans |
| 387 | Inflammatory Bowel Disease Without Cc/Mcc | $8,601 – $30,144 · median $14,781 | 35 plans |
| 399 | Appendix Procedures Without Cc/Mcc | $14,219 – $50,647 · median $24,524 | 35 plans |
| 411 | Cholecystectomy With C.D.E. With Mcc | $40,389 – $146,155 · median $70,524 | 35 plans |
| 413 | Cholecystectomy With C.D.E. Without Cc/Mcc | $20,473 – $73,469 · median $35,599 | 35 plans |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc | $16,870 – $60,319 · median $29,280 | 35 plans |
| 421 | Hepatobiliary Diagnostic Procedures With Cc | $21,406 – $76,876 · median $37,236 | 35 plans |
| 422 | Hepatobiliary Diagnostic Procedures Without Cc/Mcc | $17,308 – $61,921 · median $30,050 | 35 plans |
| 434 | Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc | $8,980 – $31,525 · median $15,193 | 35 plans |
| 437 | Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc | $10,687 – $37,754 · median $18,438 | 35 plans |
| 458 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $50,928 – $184,617 · median $90,211 | 35 plans |
| 474 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc | $52,387 – $189,939 · median $91,562 | 35 plans |
| 476 | Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc | $14,650 – $52,218 · median $25,388 | 35 plans |
| 487 | Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc | $19,329 – $69,297 · median $33,594 | 35 plans |
| 503 | Foot Procedures With Mcc | $34,180 – $123,492 · median $59,635 | 35 plans |
| 504 | Foot Procedures With Cc | $23,003 – $82,703 · median $40,035 | 35 plans |
| 506 | Major Thumb Or Joint Procedures | $16,699 – $59,695 · median $28,980 | 35 plans |
| 507 | Major Shoulder Or Elbow Joint Procedures With Cc/Mcc | $22,242 – $79,924 · median $38,700 | 35 plans |
| 508 | Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc | $18,701 – $67,005 · median $32,493 | 35 plans |
| 510 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc | $36,961 – $133,642 · median $64,511 | 35 plans |
| 520 | Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc | $18,453 – $66,098 · median $32,057 | 35 plans |
| 533 | Fractures Of Femur With Mcc | $19,348 – $69,363 · median $33,626 | 35 plans |
| 534 | Fractures Of Femur Without Mcc | $10,114 – $35,666 · median $17,434 | 35 plans |
| 535 | Fractures Of Hip And Pelvis With Mcc | $15,884 – $56,722 · median $27,552 | 35 plans |
| 536 | Fractures Of Hip And Pelvis Without Mcc | $10,133 – $35,732 · median $17,466 | 35 plans |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc | $11,911 – $42,223 · median $20,585 | 35 plans |
| 538 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc | $9,074 – $31,870 · median $15,610 | 35 plans |
| 540 | Osteomyelitis With Cc | $16,057 – $57,355 · median $27,856 | 35 plans |
| 541 | Osteomyelitis Without Cc/Mcc | $9,888 – $34,839 · median $17,037 | 35 plans |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc | $9,490 – $33,387 · median $16,340 | 35 plans |
| 547 | Connective Tissue Disorders Without Cc/Mcc | $10,479 – $36,998 · median $18,074 | 35 plans |
| 550 | Septic Arthritis Without Cc/Mcc | $10,939 – $38,675 · median $18,880 | 35 plans |
| 553 | Bone Diseases And Arthropathies With Mcc | $16,057 – $57,355 · median $27,856 | 35 plans |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc | $16,366 – $58,483 · median $28,398 | 35 plans |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc | $10,411 – $36,750 · median $17,955 | 35 plans |
| 562 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc | $17,615 – $63,040 · median $30,588 | 35 plans |
| 564 | Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc | $19,055 – $68,297 · median $33,113 | 35 plans |
| 566 | Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc | $9,426 – $33,153 · median $16,227 | 35 plans |
| 570 | Skin Debridement With Mcc | $35,998 – $130,129 · median $62,823 | 35 plans |
| 575 | Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc | $22,128 – $79,508 · median $38,500 | 35 plans |
| 579 | Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc | $39,604 – $143,287 · median $69,146 | 35 plans |
| 592 | Skin Ulcers With Mcc | $23,804 – $85,627 · median $41,246 | 35 plans |
| 594 | Skin Ulcers Without Cc/Mcc | $10,850 – $38,352 · median $18,725 | 35 plans |
| 596 | Major Skin Disorders Without Mcc | $13,465 – $47,895 · median $23,311 | 35 plans |
| 598 | Malignant Breast Disorders With Cc | $14,057 – $50,054 · median $24,348 | 35 plans |
| 600 | Non-Malignant Breast Disorders With Cc/Mcc | $12,969 – $46,086 · median $22,441 | 35 plans |
| 601 | Non-Malignant Breast Disorders Without Cc/Mcc | $7,676 – $26,768 · median $13,136 | 35 plans |
| 604 | Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc | $18,189 – $65,133 · median $31,593 | 35 plans |
| 606 | Minor Skin Disorders With Mcc | $18,687 – $66,952 · median $32,467 | 35 plans |
| 616 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc | $42,621 – $154,300 · median $74,437 | 35 plans |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $23,016 – $82,751 · median $40,059 | 35 plans |
| 618 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $17,536 – $62,753 · median $30,450 | 35 plans |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $22,090 – $79,371 · median $38,435 | 35 plans |
| 624 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $15,519 – $55,390 · median $26,727 | 35 plans |
| 630 | Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc | $18,036 – $64,576 · median $31,325 | 35 plans |
| 637 | Diabetes With Mcc | $17,759 – $63,567 · median $30,841 | 35 plans |
| 638 | Diabetes With Cc | $11,207 – $39,652 · median $19,350 | 35 plans |
| 639 | Diabetes Without Cc/Mcc | $7,873 – $27,485 · median $13,487 | 35 plans |
| 642 | Inborn And Other Disorders Of Metabolism | $17,582 – $62,921 · median $30,530 | 35 plans |
| 651 | Kidney Transplant With Hemodialysis Without Mcc | $45,269 – $163,963 · median $79,081 | 35 plans |
| 662 | Minor Bladder Procedures With Mcc | $37,458 – $135,456 · median $65,383 | 35 plans |
| 665 | Prostatectomy With Mcc | $38,182 – $138,097 · median $66,652 | 35 plans |
| 667 | Prostatectomy Without Cc/Mcc | $13,753 – $48,944 · median $23,814 | 35 plans |
| 668 | Transurethral Procedures With Mcc | $35,742 – $129,195 · median $62,375 | 35 plans |
| 684 | Renal Failure Without Cc/Mcc | $7,619 – $26,560 · median $13,034 | 35 plans |
| 686 | Kidney And Urinary Tract Neoplasms With Mcc | $22,209 – $79,805 · median $38,643 | 35 plans |
| 693 | Urinary Stones With Mcc | $16,642 – $59,487 · median $28,881 | 35 plans |
| 695 | Kidney And Urinary Tract Signs And Symptoms With Mcc | $14,209 – $50,607 · median $24,614 | 35 plans |
| 697 | Urethral Stricture | $13,408 – $47,687 · median $23,211 | 35 plans |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc | $8,706 – $30,525 · median $14,964 | 35 plans |
| 712 | Testes Procedures Without Cc/Mcc | $13,674 – $48,656 · median $23,676 | 35 plans |
| 713 | Transurethral Prostatectomy With Cc/Mcc | $18,568 – $66,518 · median $32,259 | 35 plans |
| 714 | Transurethral Prostatectomy Without Cc/Mcc | $13,161 – $46,785 · median $22,582 | 35 plans |
| 716 | Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc | $18,175 – $65,084 · median $31,367 | 35 plans |
| 722 | Malignancy, Male Reproductive System With Mcc | $22,282 – $80,070 · median $38,770 | 35 plans |
| 724 | Malignancy, Male Reproductive System Without Cc/Mcc | $8,291 – $29,011 · median $14,237 | 35 plans |
| 725 | Benign Prostatic Hypertrophy With Mcc | $14,529 – $51,776 · median $25,175 | 35 plans |
| 726 | Benign Prostatic Hypertrophy Without Mcc | $9,095 – $31,945 · median $15,647 | 35 plans |
| 727 | Inflammation Of The Male Reproductive System With Mcc | $18,320 – $65,611 · median $31,823 | 35 plans |
| 729 | Other Male Reproductive System Diagnoses With Cc/Mcc | $13,177 – $46,842 · median $22,805 | 35 plans |
| 730 | Other Male Reproductive System Diagnoses Without Cc/Mcc | $8,489 – $29,733 · median $14,312 | 35 plans |
| 744 | D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc | $25,184 – $90,662 · median $43,667 | 35 plans |
| 745 | D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc | $14,132 – $50,329 · median $24,480 | 35 plans |
| 749 | Other Female Reproductive System O.R. Procedures With Cc/Mcc | $31,470 – $113,603 · median $54,883 | 35 plans |
| 759 | Infections, Female Reproductive System Without Cc/Mcc | $8,387 – $29,361 · median $14,405 | 35 plans |
| 761 | Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc | $7,258 – $25,242 · median $12,387 | 35 plans |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $13,333 – $47,413 · median $23,079 | 35 plans |
| 769 | Postpartum And Post Abortion Diagnoses With O.R. Procedures | $20,828 – $74,765 · median $36,221 | 35 plans |
| 770 | Abortion With D&C, Aspiration Curettage Or Hysterotomy | $12,498 – $44,364 · median $21,524 | 35 plans |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $8,279 – $28,967 · median $14,241 | 35 plans |
| 779 | Abortion Without D&C | $10,541 – $37,223 · median $18,425 | 35 plans |
| 783 | Cesarean Section With Sterilization With Mcc | $30,106 – $108,626 · median $51,826 | 35 plans |
| 784 | Cesarean Section With Sterilization With Cc | $13,194 – $46,904 · median $22,834 | 35 plans |
| 785 | Cesarean Section With Sterilization Without Cc/Mcc | $11,954 – $42,378 · median $20,660 | 35 plans |
| 786 | Cesarean Section Without Sterilization With Mcc | $20,339 – $72,982 · median $35,365 | 35 plans |
| 787 | Cesarean Section Without Sterilization With Cc | $13,881 – $49,413 · median $24,040 | 35 plans |
| 788 | Cesarean Section Without Sterilization Without Cc/Mcc | $11,966 – $42,422 · median $20,681 | 35 plans |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $22,191 – $79,738 · median $38,611 | 35 plans |
| 790 | Extreme Immaturity Or Respiratory Distress Syndrome, Neonate | $72,398 – $262,970 · median $126,736 | 35 plans |
| 791 | Prematurity With Major Problems | $49,551 – $179,590 · median $86,589 | 35 plans |
| 795 | Normal Newborn | $2,764 – $8,840 · median $4,338 | 35 plans |
| 796 | Vaginal Delivery With Sterilization And/Or D&C With Mcc | $14,490 – $51,634 · median $25,107 | 35 plans |
| 797 | Vaginal Delivery With Sterilization And/Or D&C With Cc | $12,470 – $44,263 · median $21,565 | 35 plans |
| 798 | Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc | $11,945 – $42,347 · median $20,409 | 35 plans |
| 799 | Splenic Procedures With Mcc | $55,248 – $200,381 · median $96,579 | 35 plans |
| 801 | Splenic Procedures Without Cc/Mcc | $23,484 – $84,459 · median $40,838 | 35 plans |
| 802 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc | $48,643 – $176,277 · median $84,997 | 35 plans |
| 805 | Vaginal Delivery Without Sterilization Or D&C With Mcc | $13,425 – $47,749 · median $23,240 | 35 plans |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $9,483 – $33,361 · median $16,327 | 35 plans |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc | $8,515 – $29,830 · median $14,630 | 35 plans |
| 811 | Red Blood Cell Disorders With Mcc | $17,367 – $62,133 · median $30,152 | 35 plans |
| 814 | Reticuloendothelial And Immunity Disorders With Mcc | $26,125 – $94,096 · median $45,510 | 35 plans |
| 816 | Reticuloendothelial And Immunity Disorders Without Cc/Mcc | $8,004 – $27,963 · median $13,722 | 35 plans |
| 817 | Other Antepartum Diagnoses With O.R. Procedures With Mcc | $28,003 – $100,949 · median $48,803 | 35 plans |
| 818 | Other Antepartum Diagnoses With O.R. Procedures With Cc | $14,395 – $51,289 · median $24,941 | 35 plans |
| 819 | Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc | $10,767 – $38,046 · median $18,578 | 35 plans |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With Mcc | $14,920 – $53,205 · median $25,862 | 35 plans |
| 832 | Other Antepartum Diagnoses Without O.R. Procedures With Cc | $9,090 – $31,927 · median $15,638 | 35 plans |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc | $6,681 – $23,136 · median $11,353 | 35 plans |
| 834 | Acute Leukemia With Mcc | $66,899 – $242,901 · median $117,064 | 35 plans |
| 836 | Acute Leukemia Without Cc/Mcc | $15,126 – $53,957 · median $26,223 | 35 plans |
| 837 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc | $58,587 – $212,566 · median $103,265 | 35 plans |
| 838 | Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent | $25,648 – $92,357 · median $44,674 | 35 plans |
| 839 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $17,847 – $63,885 · median $30,994 | 35 plans |
| 845 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc | $10,666 – $37,679 · median $18,402 | 35 plans |
| 846 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc | $31,772 – $114,705 · median $55,412 | 35 plans |
| 849 | Radiotherapy | $33,190 – $119,882 · median $57,900 | 35 plans |
| 855 | Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc | $18,493 – $66,244 · median $32,127 | 35 plans |
| 858 | Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc | $17,228 – $61,629 · median $29,910 | 35 plans |
| 865 | Viral Illness With Mcc | $18,506 – $66,292 · median $32,150 | 35 plans |
| 868 | Other Infectious And Parasitic Diseases Diagnoses With Cc | $12,842 – $45,621 · median $22,218 | 35 plans |
| 869 | Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc | $9,188 – $32,286 · median $15,810 | 35 plans |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $11,983 – $42,484 · median $20,711 | 35 plans |
| 881 | Depressive Neuroses | $11,749 – $41,630 · median $20,063 | 35 plans |
| 885 | Psychoses | $17,276 – $61,801 · median $29,982 | 35 plans |
| 886 | Behavioral And Developmental Disorders | $22,244 – $91,822 · median $43,809 | 35 plans |
| 887 | Other Mental Disorder Diagnoses | $13,325 – $47,382 · median $23,064 | 35 plans |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $7,821 – $27,295 · median $13,261 | 35 plans |
| 895 | Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy | $17,504 – $62,633 · median $30,392 | 35 plans |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc | $21,498 – $77,212 · median $37,397 | 35 plans |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | $11,044 – $39,059 · median $19,065 | 35 plans |
| 901 | Wound Debridements For Injuries With Mcc | $51,219 – $185,679 · median $89,515 | 35 plans |
| 903 | Wound Debridements For Injuries Without Cc/Mcc | $14,521 – $51,749 · median $25,162 | 35 plans |
| 906 | Hand Procedures For Injuries | $24,156 – $86,910 · median $42,057 | 35 plans |
| 913 | Traumatic Injury With Mcc | $20,159 – $72,323 · median $35,048 | 35 plans |
| 914 | Traumatic Injury Without Mcc | $11,077 – $39,179 · median $19,122 | 35 plans |
| 915 | Allergic Reactions With Mcc | $20,729 – $74,402 · median $36,047 | 35 plans |
| 916 | Allergic Reactions Without Mcc | $8,420 – $29,480 · median $14,462 | 35 plans |
| 922 | Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc | $21,551 – $77,402 · median $37,489 | 35 plans |
| 923 | Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc | $12,680 – $45,028 · median $21,933 | 35 plans |
| 927 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft | $259,185 – $944,653 · median $455,267 | 35 plans |
| 928 | Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc | $87,300 – $317,356 · median $152,947 | 35 plans |
| 929 | Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc | $39,389 – $142,504 · median $68,770 | 35 plans |
| 933 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft | $41,135 – $172,299 · median $82,205 | 35 plans |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $27,142 – $97,808 · median $47,133 | 35 plans |
| 935 | Non-Extensive Burns | $25,316 – $91,145 · median $44,092 | 35 plans |
| 945 | Rehabilitation With Cc/Mcc | $19,116 – $68,518 · median $33,220 | 35 plans |
| 946 | Rehabilitation Without Cc/Mcc | $14,245 – $50,740 · median $24,678 | 35 plans |
| 955 | Craniotomy For Multiple Significant Trauma | $81,946 – $297,818 · median $143,531 | 35 plans |
| 956 | Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma | $45,962 – $166,494 · median $80,297 | 35 plans |
| 959 | Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc | $36,035 – $130,262 · median $62,887 | 35 plans |
| 963 | Other Multiple Significant Trauma With Mcc | $33,485 – $120,957 · median $58,416 | 35 plans |
| 964 | Other Multiple Significant Trauma With Cc | $18,922 – $67,810 · median $32,879 | 35 plans |
| 965 | Other Multiple Significant Trauma Without Cc/Mcc | $11,744 – $41,612 · median $20,292 | 35 plans |
| 970 | Hiv With Extensive O.R. Procedures Without Mcc | $32,316 – $116,692 · median $56,367 | 35 plans |
| 975 | Hiv With Major Related Condition With Cc | $16,042 – $57,297 · median $27,828 | 35 plans |
| 976 | Hiv With Major Related Condition Without Cc/Mcc | $11,286 – $39,940 · median $19,488 | 35 plans |
| 977 | Hiv With Or Without Other Related Condition | $16,074 – $57,417 · median $27,886 | 35 plans |
| 077 | Hypertensive Encephalopathy With Mcc | $27,865 – $38,698 · median $37,151 | 1 plans |
| 078 | Hypertensive Encephalopathy With Cc | $17,267 – $23,980 · median $23,022 | 1 plans |
| 079 | Hypertensive Encephalopathy Without Cc/Mcc | $13,248 – $18,399 · median $17,663 | 1 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc | $144,533 – $200,723 · median $192,700 | 1 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc | $105,407 – $146,386 · median $140,535 | 1 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc | $136,682 – $189,820 · median $182,233 | 1 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc | $102,120 – $141,821 · median $136,153 | 1 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc | $119,339 – $165,733 · median $159,109 | 1 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc | $94,746 – $131,579 · median $126,320 | 1 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $56,794 – $78,873 · median $75,721 | 1 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc | $35,869 – $49,813 · median $47,822 | 1 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $57,482 – $79,830 · median $76,639 | 1 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc | $34,060 – $47,302 · median $45,411 | 1 plans |
| 294 | Deep Vein Thrombophlebitis With Cc/Mcc | $23,319 – $32,384 · median $31,090 | 1 plans |
| 295 | Deep Vein Thrombophlebitis Without Cc/Mcc | $17,889 – $24,844 · median $23,851 | 1 plans |
| 338 | Appendectomy With Complicated Principal Diagnosis With Mcc | $50,849 – $70,618 · median $67,795 | 1 plans |
| 339 | Appendectomy With Complicated Principal Diagnosis With Cc | $30,855 – $42,851 · median $41,138 | 1 plans |
| 340 | Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc | $22,328 – $31,008 · median $29,769 | 1 plans |
| 341 | Appendectomy Without Complicated Principal Diagnosis With Mcc | $42,217 – $58,629 · median $56,286 | 1 plans |
| 342 | Appendectomy Without Complicated Principal Diagnosis With Cc | $26,047 – $36,174 · median $34,728 | 1 plans |
| 343 | Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc | $20,152 – $27,987 · median $26,868 | 1 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With Mcc | $167,019 – $231,951 · median $222,680 | 1 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With Cc | $110,760 – $153,820 · median $147,672 | 1 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc | $86,914 – $120,704 · median $115,880 | 1 plans |
| 459 | Spinal Fusion Except Cervical With Mcc | $122,402 – $169,987 · median $163,193 | 1 plans |
| 460 | Spinal Fusion Except Cervical Without Mcc | $71,452 – $99,231 · median $95,264 | 1 plans |
| 509 | Arthroscopy | $30,657 – $42,576 · median $40,874 | 1 plans |
No procedures match that keyword.