Procedures published 797
Lowest published price $1,451
Average published price $31,506
Highest published price $270,853

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 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