Northbay Medical Center — Pricing

777 procedures published in this hospital's Machine-Readable File (MRF) — 340 with a comparable price, 437 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 777
Lowest published price $1,124
Average published price $39,503
Highest published price $420,708

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 777 procedures

Published charges

Showing all 340 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 69 procedures, this hospital's negotiated rates average ≈82% of what Medicare pays.

DRG Description Published price vs. CA median vs. National median vs Medicare
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $420,708 $31,816 +1222% $35,465 +1086% —
326 Stomach, Esophageal And Duodenal Procedures With Mcc $362,389 $96,245 +277% $80,793 +349% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $338,561 $175,437 +93% $188,171 +80% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $327,588 $105,899 +209% $105,899 +209% —
036 Carotid Artery Stent Procedures Without Cc/Mcc $312,266 $40,694 +667% $40,694 +667% —
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $309,088 $82,247 +276% $82,247 +276% —
405 Pancreas, Liver And Shunt Procedures With Mcc $284,626 $102,128 +179% $102,128 +179% —
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $257,279 $126,098 +104% $126,098 +104% —
274 Percutaneous And Other Intracardiac Procedures Without Mcc $256,134 $65,573 +291% $65,573 +291% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $245,692 $35,080 +600% $35,074 +600% —
674 Other Kidney And Urinary Tract Procedures With Cc $245,242 $49,631 +394% $50,394 +387% —
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $241,441 $56,278 +329% $39,173 +516% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $232,063 $43,538 +433% $43,538 +433% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $207,402 $54,583 +280% $54,583 +280% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $178,883 $101,566 +76% $90,401 +98% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $173,433 $43,378 +300% $38,861 +346% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $153,700 $28,593 +438% $26,870 +472% —
348 Anal And Stomal Procedures With Cc $143,817 $27,947 +415% $27,947 +415% —
467 Revision Of Hip Or Knee Replacement With Cc $143,508 $68,421 +110% $70,847 +103% —
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $134,022 $189,537 −29% $142,326 −6% —
245 Aicd Generator Procedures $127,970 $95,281 +34% $72,076 +78% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $114,992 $23,887 +381% $18,956 +507% —
728 Inflammation Of The Male Reproductive System Without Mcc $111,686 $18,139 +516% $17,118 +552% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $107,999 $44,639 +142% $46,090 +134% ≈81% of Medicare
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $106,400 $371,366 −71% $371,366 −71% —
187 Pleural Effusion With Cc $100,606 $22,288 +351% $21,789 +362% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $99,913 $106,778 −6% $106,778 −6% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $97,485 $153,282 −36% $153,282 −36% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $95,331 $107,355 −11% $107,355 −11% —
815 Reticuloendothelial And Immunity Disorders With Cc $90,497 $22,557 +301% $19,264 +370% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $89,600 $248,521 −64% $248,521 −64% —
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $86,656 $54,345 +59% $45,167 +92% —
215 Other Heart Assist System Implant $85,730 $191,314 −55% $208,939 −59% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $81,697 $132,794 −38% $132,794 −38% —
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $81,126 $136,374 −41% $120,573 −33% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $75,791 $116,058 −35% $116,058 −35% —
969 Hiv With Extensive O.R. Procedures With Mcc $73,926 $117,196 −37% $109,331 −32% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $73,844 $144,569 −49% $144,569 −49% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $72,691 $143,242 −49% $143,242 −49% —
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $72,473 $117,280 −38% $117,280 −38% —
535 Fractures Of Hip And Pelvis With Mcc $71,912 $29,523 +144% $24,552 +193% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $68,691 $79,939 −14% $73,120 −6% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $67,358 $17,431 +286% $14,014 +381% —
834 Acute Leukemia With Mcc $64,666 $100,245 −35% $85,566 −24% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $64,317 $58,880 +9% $49,839 +29% —
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $63,986 $105,333 −39% $101,618 −37% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $62,226 $102,573 −39% $102,573 −39% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $62,062 $75,103 −17% $75,103 −17% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $61,600 $124,290 −50% $148,832 −59% ≈72% of Medicare
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $60,249 $99,943 −40% $99,943 −40% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $57,600 $131,961 −56% $131,961 −56% —
335 Peritoneal Adhesiolysis With Mcc $57,600 $71,755 −20% $71,755 −20% —
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $57,000 $94,937 −40% $93,172 −39% ≈77% of Medicare
920 Complications Of Treatment With Cc $57,000 $22,552 +153% $22,468 +154% —
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $55,545 $153,621 −64% $144,774 −62% —
471 Cervical Spinal Fusion With Mcc $55,497 $92,515 −40% $92,515 −40% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $54,596 $92,217 −41% $92,217 −41% ≈76% of Medicare
446 Disorders Of The Biliary Tract Without Cc/Mcc $54,576 $17,700 +208% $17,700 +208% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $53,151 $91,495 −42% $77,055 −31% —
329 Major Small And Large Bowel Procedures With Mcc $52,229 $88,050 −41% $88,050 −41% ≈56% of Medicare
199 Pneumothorax With Mcc $51,206 $36,952 +39% $33,787 +52% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $50,998 $70,026 −27% $56,964 −10% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $50,978 $43,631 +17% $43,631 +17% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $49,894 $84,725 −41% $101,510 −51% —
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $49,586 $71,092 −30% $71,092 −30% —
673 Other Kidney And Urinary Tract Procedures With Mcc $49,083 $81,281 −40% $77,990 −37% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $48,502 $67,268 −28% $67,268 −28% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $47,161 $83,065 −43% $85,159 −45% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $45,600 $107,269 −57% $80,018 −43% —
386 Inflammatory Bowel Disease With Cc $45,235 $22,033 +105% $22,033 +105% —
644 Endocrine Disorders With Cc $44,970 $22,941 +96% $23,198 +94% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $44,941 $79,116 −43% $79,116 −43% —
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $44,767 $27,645 +62% $27,297 +64% —
792 Prematurity Without Major Problems $43,784 $34,988 +25% $12,229 +258% —
270 Other Major Cardiovascular Procedures With Mcc $43,200 $99,423 −57% $99,423 −57% —
153 Otitis Media And Uri Without Mcc $42,878 $15,799 +171% $14,583 +194% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $42,336 $102,177 −59% $111,320 −62% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $42,272 $90,775 −53% $90,775 −53% ≈77% of Medicare
519 Back And Neck Procedures Except Spinal Fusion With Cc $42,267 $43,775 −3% $44,139 −4% —
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $41,623 $81,998 −49% $81,998 −49% —
779 Abortion Without D&C $40,899 $20,752 +97% $15,327 +167% —
301 Peripheral Vascular Disorders Without Cc/Mcc $40,846 $15,837 +158% $15,837 +158% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $39,750 $69,724 −43% $66,068 −40% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $39,344 $21,225 +85% $19,924 +97% —
387 Inflammatory Bowel Disease Without Cc/Mcc $39,091 $14,880 +163% $16,288 +140% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $38,359 $23,551 +63% $23,551 +63% ≈83% of Medicare
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $38,155 $65,631 −42% $58,745 −35% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $37,789 $70,540 −46% $70,564 −46% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $37,630 $66,976 −44% $63,928 −41% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $37,600 $67,560 −44% $59,533 −37% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $37,566 $66,819 −44% $71,464 −47% —
393 Other Digestive System Diagnoses With Mcc $37,495 $35,113 +7% $34,192 +10% ≈84% of Medicare
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $37,078 $46,317 −20% $43,650 −15% —
451 Single Level Spinal Fusion Except Cervical Without Mcc $36,281 $65,216 −44% $65,216 −44% —
252 Other Vascular Procedures With Mcc $36,000 $68,508 −47% $68,508 −47% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $35,989 $64,523 −44% $64,523 −44% —
570 Skin Debridement With Mcc $35,414 $63,709 −44% $52,435 −32% —
974 Hiv With Major Related Condition With Mcc $35,121 $57,493 −39% $46,402 −24% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $34,863 $15,600 +123% $15,600 +123% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $34,778 $62,821 −45% $62,821 −45% —
480 Hip And Femur Procedures Except Major Joint With Mcc $34,568 $60,274 −43% $65,653 −47% ≈81% of Medicare
164 Major Chest Procedures With Cc $34,200 $53,141 −36% $56,755 −40% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $34,200 $33,137 +3% $33,393 +2% —
607 Minor Skin Disorders Without Mcc $34,200 $19,185 +78% $15,889 +115% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $33,698 $62,334 −46% $70,467 −52% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $33,600 $59,790 −44% $59,790 −44% —
264 Other Circulatory System O.R. Procedures $33,600 $69,597 −52% $51,953 −35% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $33,347 $21,449 +55% $21,449 +55% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $33,275 $60,402 −45% $58,228 −43% —
272 Other Major Cardiovascular Procedures Without Cc/Mcc $32,611 $55,162 −41% $55,162 −41% —
503 Foot Procedures With Mcc $32,021 $55,321 −42% $47,540 −33% —
975 Hiv With Major Related Condition With Cc $32,000 $31,166 +3% $27,808 +15% —
073 Cranial And Peripheral Nerve Disorders With Mcc $31,818 $33,256 −4% $30,010 +6% —
201 Pneumothorax Without Cc/Mcc $31,461 $15,031 +109% $14,053 +124% —
163 Major Chest Procedures With Mcc $31,128 $88,341 −65% $90,195 −65% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $30,964 $54,815 −44% $46,453 −33% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $30,724 $51,339 −40% $59,629 −48% —
315 Other Circulatory System Diagnoses With Cc $30,509 $21,363 +43% $21,363 +43% —
271 Other Major Cardiovascular Procedures With Cc $30,239 $71,014 −57% $71,014 −57% —
091 Other Disorders Of Nervous System With Mcc $30,000 $37,921 −21% $37,387 −20% —
253 Other Vascular Procedures With Cc $29,823 $53,746 −45% $57,454 −48% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $29,756 $41,855 −29% $47,711 −38% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $29,668 $44,068 −33% $32,574 −9% —
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $29,501 $54,273 −46% $52,178 −43% —
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $29,051 $88,307 −67% $88,307 −67% ≈93% of Medicare
397 Appendix Procedures With Mcc $28,914 $54,751 −47% $53,257 −46% —
840 Lymphoma And Non-Acute Leukemia With Mcc $28,800 $60,905 −53% $49,710 −42% —
500 Soft Tissue Procedures With Mcc $28,512 $64,105 −56% $61,872 −54% —
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $28,038 $50,777 −45% $53,451 −48% —
350 Inguinal And Femoral Hernia Procedures With Mcc $27,325 $51,487 −47% $50,046 −45% —
347 Anal And Stomal Procedures With Mcc $27,085 $50,614 −46% $40,548 −33% —
473 Cervical Spinal Fusion Without Cc/Mcc $26,726 $50,624 −47% $50,624 −47% —
357 Other Digestive System O.R. Procedures With Cc $26,412 $48,682 −46% $48,682 −46% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $26,400 $52,405 −50% $52,405 −50% ≈79% of Medicare
235 Coronary Bypass Without Cardiac Catheterization With Mcc $26,163 $112,062 −77% $112,062 −77% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $25,544 $95,536 −73% $93,390 −73% —
243 Permanent Cardiac Pacemaker Implant With Cc $25,521 $50,011 −49% $50,011 −49% —
336 Peritoneal Adhesiolysis With Cc $24,983 $46,332 −46% $50,463 −50% —
374 Digestive Malignancy With Mcc $24,930 $42,775 −42% $39,958 −38% —
092 Other Disorders Of Nervous System With Cc $24,000 $23,503 +2% $24,914 −4% —
558 Tendonitis, Myositis And Bursitis Without Mcc $24,000 $19,176 +25% $18,602 +29% —
759 Infections, Female Reproductive System Without Cc/Mcc $24,000 $14,208 +69% $14,250 +68% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $23,832 $47,452 −50% $45,333 −47% —
314 Other Circulatory System Diagnoses With Mcc $23,821 $43,483 −45% $38,666 −38% ≈80% of Medicare
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $23,634 $44,357 −47% $43,943 −46% ≈79% of Medicare
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $23,342 $86,699 −73% $76,001 −69% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $22,925 $60,959 −62% $81,706 −72% ≈72% of Medicare
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $22,828 $46,799 −51% $58,280 −61% ≈80% of Medicare
316 Other Circulatory System Diagnoses Without Cc/Mcc $22,800 $15,156 +50% $13,651 +67% —
481 Hip And Femur Procedures Except Major Joint With Cc $22,800 $45,703 −50% $52,751 −57% ≈82% of Medicare
082 Traumatic Stupor And Coma >1 Hour With Mcc $22,400 $46,288 −52% $36,489 −39% —
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $21,984 $38,483 −43% $33,047 −33% —
070 Other Cerebrovascular Disorders With Mcc $21,843 $36,506 −40% $31,951 −32% ≈78% of Medicare
196 Interstitial Lung Disease With Mcc $21,819 $38,951 −44% $32,637 −33% —
862 Postoperative And Post-Traumatic Infections With Mcc $21,807 $38,187 −43% $32,859 −34% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $21,445 $29,747 −28% $31,264 −31% —
501 Soft Tissue Procedures With Cc $21,286 $39,619 −46% $39,619 −46% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $21,222 $51,985 −59% $51,985 −59% —
167 Other Respiratory System O.R. Procedures With Cc $21,158 $40,563 −48% $40,642 −48% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $21,035 $39,360 −47% $38,101 −45% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $20,955 $53,274 −61% $49,423 −58% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $20,800 $23,749 −12% $23,749 −12% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $20,800 $37,213 −44% $31,159 −33% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $20,567 $37,214 −45% $52,075 −61% ≈87% of Medicare
722 Malignancy, Male Reproductive System With Mcc $20,136 $36,340 −45% $29,826 −32% —
643 Endocrine Disorders With Mcc $20,000 $35,135 −43% $33,563 −40% ≈82% of Medicare
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $19,982 $40,719 −51% $39,106 −49% ≈90% of Medicare
368 Major Esophageal Disorders With Mcc $19,793 $35,349 −44% $33,876 −42% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $19,479 $35,675 −45% $31,563 −38% —
551 Medical Back Problems With Mcc $19,437 $35,961 −46% $34,017 −43% —
907 Other O.R. Procedures For Injuries With Mcc $19,369 $77,817 −75% $77,817 −75% ≈74% of Medicare
726 Benign Prostatic Hypertrophy Without Mcc $19,200 $16,525 +16% $15,019 +28% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $19,200 $40,552 −53% $40,552 −53% —
787 Cesarean Section Without Sterilization With Cc $19,200 $23,571 −19% $23,571 −19% —
811 Red Blood Cell Disorders With Mcc $19,200 $30,922 −38% $28,226 −32% —
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $19,200 $23,352 −18% $19,657 −2% —
698 Other Kidney And Urinary Tract Diagnoses With Mcc $19,111 $35,532 −46% $32,496 −41% ≈82% of Medicare
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $18,923 $38,094 −50% $38,094 −50% —
571 Skin Debridement With Cc $18,780 $37,169 −49% $37,169 −49% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $18,713 $39,057 −52% $33,985 −45% ≈91% of Medicare
186 Pleural Effusion With Mcc $18,615 $33,834 −45% $33,834 −45% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $18,561 $30,418 −39% $30,418 −39% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $18,444 $19,811 −7% $22,148 −17% —
388 Gastrointestinal Obstruction With Mcc $18,257 $31,982 −43% $30,571 −40% ≈86% of Medicare
183 Major Chest Trauma With Mcc $18,150 $33,957 −47% $29,933 −39% —
177 Respiratory Infections And Inflammations With Mcc $17,927 $34,448 −48% $33,707 −47% ≈78% of Medicare
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $17,622 $35,217 −50% $41,955 −58% —
693 Urinary Stones With Mcc $17,487 $31,990 −45% $23,892 −27% —
539 Osteomyelitis With Mcc $17,419 $41,277 −58% $37,609 −54% —
123 Neurological Eye Disorders $16,800 $17,831 −6% $19,745 −15% —
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $16,800 $25,552 −34% $18,133 −7% —
963 Other Multiple Significant Trauma With Mcc $16,800 $52,959 −68% $43,491 −61% —
472 Cervical Spinal Fusion With Cc $16,110 $59,537 −73% $59,537 −73% ≈75% of Medicare
057 Degenerative Nervous System Disorders Without Mcc $15,745 $29,623 −47% $27,543 −43% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $15,736 $36,661 −57% $33,555 −53% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $15,701 $40,263 −61% $35,628 −56% ≈80% of Medicare
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $15,694 $21,494 −27% $18,452 −15% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $15,458 $51,189 −70% $59,651 −74% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $15,175 $29,250 −48% $36,937 −59% —
682 Renal Failure With Mcc $15,002 $32,520 −54% $29,064 −48% ≈79% of Medicare
502 Soft Tissue Procedures Without Cc/Mcc $14,849 $31,017 −52% $31,017 −52% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $14,807 $27,494 −46% $22,458 −34% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $14,764 $32,248 −54% $28,140 −48% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $14,721 $52,735 −72% $62,264 −76% —
189 Pulmonary Edema And Respiratory Failure $14,463 $27,470 −47% $26,580 −46% ≈81% of Medicare
054 Nervous System Neoplasms With Mcc $14,400 $32,473 −56% $30,502 −53% —
205 Other Respiratory System Diagnoses With Mcc $14,400 $39,013 −63% $33,255 −57% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $14,400 $44,489 −68% $46,283 −69% ≈79% of Medicare
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $14,400 $36,816 −61% $44,606 −68% ≈82% of Medicare
432 Cirrhosis And Alcoholic Hepatitis With Mcc $14,400 $40,213 −64% $40,213 −64% ≈86% of Medicare
505 Foot Procedures Without Cc/Mcc $14,400 $38,960 −63% $34,937 −59% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $14,400 $42,881 −66% $42,881 −66% —
687 Kidney And Urinary Tract Neoplasms With Cc $14,400 $23,369 −38% $20,232 −29% —
784 Cesarean Section With Sterilization With Cc $14,400 $24,042 −40% $23,283 −38% —
786 Cesarean Section Without Sterilization With Mcc $14,400 $35,872 −60% $27,152 −47% —
788 Cesarean Section Without Sterilization Without Cc/Mcc $14,400 $20,084 −28% $20,084 −28% —
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $14,400 $22,155 −35% $15,370 −6% —
947 Signs And Symptoms With Mcc $14,400 $28,553 −50% $27,401 −47% —
964 Other Multiple Significant Trauma With Cc $14,400 $32,490 −56% $27,394 −47% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $14,400 $37,033 −61% $34,607 −58% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $14,400 $17,953 −20% $15,215 −5% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $14,140 $28,515 −50% $28,050 −50% ≈80% of Medicare
399 Appendix Procedures Without Cc/Mcc $13,140 $24,948 −47% $31,321 −58% —
445 Disorders Of The Biliary Tract With Cc $12,997 $24,075 −46% $23,319 −44% —
444 Disorders Of The Biliary Tract With Mcc $12,904 $35,591 −64% $34,273 −62% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $12,867 $25,034 −49% $25,034 −49% —
184 Major Chest Trauma With Cc $12,551 $23,711 −47% $22,432 −44% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $12,345 $22,850 −46% $22,850 −46% —
758 Infections, Female Reproductive System With Cc $12,251 $22,628 −46% $20,901 −41% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $11,910 $29,481 −60% $25,463 −53% ≈81% of Medicare
193 Simple Pneumonia And Pleurisy With Mcc $11,897 $29,252 −59% $27,275 −56% ≈84% of Medicare
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $11,884 $22,888 −48% $22,888 −48% ≈84% of Medicare
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $11,876 $24,191 −51% $32,021 −63% —
074 Cranial And Peripheral Nerve Disorders Without Mcc $11,556 $23,141 −50% $23,141 −50% ≈82% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $11,499 $22,641 −49% $21,275 −46% ≈85% of Medicare
180 Respiratory Neoplasms With Mcc $11,400 $36,658 −69% $36,658 −69% —
280 Acute Myocardial Infarction, Discharged Alive With Mcc $11,400 $34,867 −67% $30,828 −63% ≈82% of Medicare
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $11,400 $47,089 −76% $45,877 −75% —
547 Connective Tissue Disorders Without Cc/Mcc $11,400 $16,565 −31% $16,565 −31% —
085 Traumatic Stupor And Coma <1 Hour With Mcc $11,350 $45,376 −75% $41,892 −73% ≈72% of Medicare
378 Gastrointestinal Hemorrhage With Cc $11,208 $21,886 −49% $22,098 −49% ≈86% of Medicare
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $11,200 $22,575 −50% $23,940 −53% ≈85% of Medicare
100 Seizures With Mcc $11,200 $40,653 −72% $35,481 −68% ≈80% of Medicare
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $11,200 $30,959 −64% $30,959 −64% ≈85% of Medicare
190 Chronic Obstructive Pulmonary Disease With Mcc $11,200 $24,930 −55% $24,386 −54% ≈83% of Medicare
300 Peripheral Vascular Disorders With Cc $11,200 $23,767 −53% $20,422 −45% —
304 Hypertension With Mcc $11,200 $26,080 −57% $26,080 −57% —
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $11,200 $26,770 −58% $26,770 −58% ≈70% of Medicare
377 Gastrointestinal Hemorrhage With Mcc $11,200 $37,842 −70% $37,842 −70% ≈83% of Medicare
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $11,200 $31,874 −65% $29,743 −62% —
637 Diabetes With Mcc $11,200 $31,753 −65% $30,100 −63% ≈85% of Medicare
689 Kidney And Urinary Tract Infections With Mcc $11,200 $25,980 −57% $23,617 −53% ≈84% of Medicare
178 Respiratory Infections And Inflammations With Cc $10,970 $22,024 −50% $22,024 −50% —
812 Red Blood Cell Disorders Without Mcc $10,893 $20,488 −47% $20,488 −47% ≈82% of Medicare
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $10,886 $22,637 −52% $22,506 −52% —
158 Dental And Oral Diseases With Cc $10,788 $20,881 −48% $18,466 −42% —
863 Postoperative And Post-Traumatic Infections Without Mcc $10,518 $22,197 −53% $20,957 −50% —
638 Diabetes With Cc $10,417 $20,361 −49% $19,661 −47% ≈88% of Medicare
101 Seizures Without Mcc $10,400 $20,461 −49% $20,461 −49% ≈86% of Medicare
103 Headaches Without Mcc $10,400 $18,874 −45% $21,280 −51% —
200 Pneumothorax With Cc $10,400 $24,586 −58% $21,368 −51% —
202 Bronchitis And Asthma With Cc/Mcc $10,400 $21,460 −52% $17,724 −41% —
546 Connective Tissue Disorders With Cc $10,400 $25,700 −60% $25,700 −60% —
813 Coagulation Disorders $10,400 $33,296 −69% $33,296 −69% —
917 Poisoning And Toxic Effects Of Drugs With Mcc $10,400 $34,839 −70% $30,235 −66% —
918 Poisoning And Toxic Effects Of Drugs Without Mcc $10,400 $19,638 −47% $15,452 −33% —
191 Chronic Obstructive Pulmonary Disease With Cc $10,377 $19,072 −46% $18,807 −45% —
086 Traumatic Stupor And Coma <1 Hour With Cc $10,153 $29,117 −65% $27,043 −62% —
791 Prematurity With Major Problems $10,043 $70,373 −86% $42,679 −76% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $9,853 $20,506 −52% $20,506 −52% —
552 Medical Back Problems Without Mcc $9,812 $21,396 −54% $21,396 −54% ≈85% of Medicare
176 Pulmonary Embolism Without Mcc $9,770 $18,081 −46% $18,081 −46% —
908 Other O.R. Procedures For Injuries With Cc $9,613 $44,730 −79% $42,914 −78% —
152 Otitis Media And Uri With Mcc $9,600 $25,192 −62% $20,247 −53% —
337 Peritoneal Adhesiolysis Without Cc/Mcc $9,600 $34,078 −72% $39,211 −76% —
380 Complicated Peptic Ulcer With Mcc $9,600 $39,627 −76% $39,627 −76% —
394 Other Digestive System Diagnoses With Cc $9,600 $20,896 −54% $20,181 −52% ≈83% of Medicare
540 Osteomyelitis With Cc $9,600 $28,728 −67% $26,676 −64% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $9,600 $33,653 −71% $33,653 −71% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $9,600 $31,950 −70% $26,932 −64% —
600 Non-Malignant Breast Disorders With Cc/Mcc $9,600 $21,236 −55% $16,700 −43% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $9,600 $15,839 −39% $12,454 −23% —
785 Cesarean Section With Sterilization Without Cc/Mcc $9,600 $19,815 −52% $19,846 −52% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $9,600 $21,494 −55% $19,962 −52% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $9,600 $16,064 −40% $13,275 −28% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $9,600 $16,592 −42% $12,895 −26% —
439 Disorders Of Pancreas Except Malignancy With Cc $9,571 $19,096 −50% $19,096 −50% ≈82% of Medicare
916 Allergic Reactions Without Mcc $9,500 $14,743 −36% $13,942 −32% —
389 Gastrointestinal Obstruction With Cc $9,434 $17,795 −47% $17,578 −46% ≈83% of Medicare
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $9,425 $19,584 −52% $16,699 −44% —
194 Simple Pneumonia And Pleurisy With Cc $9,384 $18,204 −48% $18,204 −48% ≈82% of Medicare
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $9,323 $17,322 −46% $17,322 −46% ≈87% of Medicare
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $9,308 $17,347 −46% $17,038 −45% ≈86% of Medicare
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $9,201 $19,624 −53% $16,520 −44% —
866 Viral Illness Without Mcc $9,163 $19,642 −53% $17,081 −46% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $9,120 $20,463 −55% $20,463 −55% ≈88% of Medicare
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $8,928 $18,150 −51% $18,150 −51% —
299 Peripheral Vascular Disorders With Mcc $8,611 $34,467 −75% $27,316 −68% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $8,495 $38,631 −78% $36,792 −77% ≈85% of Medicare
203 Bronchitis And Asthma Without Cc/Mcc $8,487 $15,464 −45% $12,252 −31% —
303 Atherosclerosis Without Mcc $8,205 $14,927 −45% $14,927 −45% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $8,199 $15,280 −46% $20,781 −61% —
242 Permanent Cardiac Pacemaker Implant With Mcc $8,108 $70,132 −88% $70,132 −88% ≈78% of Medicare
313 Chest Pain $8,107 $15,837 −49% $16,440 −51% —
305 Hypertension Without Mcc $7,935 $16,665 −52% $18,086 −56% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $7,871 $26,611 −70% $30,784 −74% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $7,802 $27,163 −71% $27,163 −71% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $7,652 $16,412 −53% $17,303 −56% ≈86% of Medicare
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $7,263 $13,683 −47% $15,183 −52% —
690 Kidney And Urinary Tract Infections Without Mcc $7,251 $17,817 −59% $17,674 −59% ≈86% of Medicare
921 Complications Of Treatment Without Cc/Mcc $6,916 $15,267 −55% $14,415 −52% —
951 Other Factors Influencing Health Status $6,760 $13,425 −50% $10,160 −33% —
793 Full Term Neonate With Major Problems $6,519 $57,323 −89% $18,649 −65% —
639 Diabetes Without Cc/Mcc $6,501 $13,910 −53% $13,910 −53% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $6,277 $13,384 −53% $13,384 −53% —
684 Renal Failure Without Cc/Mcc $6,269 $13,642 −54% $13,642 −54% —
601 Non-Malignant Breast Disorders Without Cc/Mcc $6,177 $13,599 −55% $10,975 −44% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $5,747 $16,097 −64% $19,227 −70% —
069 Transient Ischemia Without Thrombolytic $5,600 $17,762 −68% $21,056 −73% ≈87% of Medicare
089 Concussion With Cc $5,600 $23,800 −76% $18,821 −70% —
292 Heart Failure And Shock With Cc $5,600 $19,118 −71% $16,371 −66% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $5,600 $51,645 −89% $59,421 −91% —
330 Major Small And Large Bowel Procedures With Cc $5,600 $50,562 −89% $59,500 −91% ≈82% of Medicare
557 Tendonitis, Myositis And Bursitis With Mcc $5,600 $33,325 −83% $32,877 −83% —
683 Renal Failure With Cc $5,600 $19,733 −72% $19,130 −71% ≈81% of Medicare
919 Complications Of Treatment With Mcc $5,600 $37,933 −85% $31,105 −82% —
948 Signs And Symptoms Without Mcc $5,600 $17,638 −68% $17,921 −69% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $5,234 $37,764 −86% $43,477 −88% —
081 Nontraumatic Stupor And Coma Without Mcc $4,800 $20,086 −76% $16,552 −71% —
138 Mouth Procedures Without Cc/Mcc $4,800 $19,492 −75% $19,119 −75% —
395 Other Digestive System Diagnoses Without Cc/Mcc $4,800 $14,128 −66% $14,128 −66% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $4,800 $30,846 −84% $25,094 −81% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $4,800 $11,539 −58% $9,940 −52% —
935 Non-Extensive Burns $4,800 $43,274 −89% $31,701 −85% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $4,013 $19,842 −80% $19,842 −80% ≈87% of Medicare
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $3,210 $24,337 −87% $16,846 −81% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $2,665 $14,148 −81% $12,078 −78% —
603 Cellulitis Without Mcc $2,334 $19,553 −88% $18,530 −87% ≈86% of Medicare
794 Neonate With Other Significant Problems $1,197 $17,665 −93% $8,445 −86% —
390 Gastrointestinal Obstruction Without Cc/Mcc $1,124 $13,318 −92% $13,361 −92% —

Procedures with negotiated rates only

These 437 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $178,575 – $323,752 · median $251,163 6 plans
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $69,865 – $131,229 · median $100,547 6 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $67,512 – $119,449 · median $93,481 6 plans
006 Liver Transplant Without Mcc $30,742 – $54,012 · median $42,377 6 plans
007 Lung Transplant $82,850 – $149,895 · median $116,373 6 plans
008 Simultaneous Pancreas And Kidney Transplant $34,495 – $65,172 · median $49,833 6 plans
010 Pancreas Transplant $50,546 – $83,293 · median $66,920 6 plans
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $34,208 – $63,436 · median $48,822 6 plans
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $26,016 – $49,157 · median $37,586 6 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $16,800 – $33,768 · median $25,284 6 plans
014 Allogeneic Bone Marrow Transplant $83,060 – $139,142 · median $111,101 6 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $38,265 – $68,922 · median $53,594 6 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $38,265 – $63,185 · median $50,725 6 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $239,083 – $498,591 · median $368,837 6 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $50,255 – $82,819 · median $66,537 6 plans
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $51,104 – $91,287 · median $71,195 6 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $35,043 – $61,588 · median $48,315 6 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $22,383 – $37,178 · median $29,780 6 plans
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $24,101 – $45,649 · median $34,875 6 plans
028 Spinal Procedures With Mcc $38,541 – $69,829 · median $54,185 6 plans
030 Spinal Procedures Without Cc/Mcc $14,108 – $25,849 · median $19,978 6 plans
031 Ventricular Shunt Procedures With Mcc $26,567 – $52,207 · median $39,387 6 plans
032 Ventricular Shunt Procedures With Cc $13,539 – $25,109 · median $19,324 6 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $10,115 – $19,710 · median $14,912 6 plans
034 Carotid Artery Stent Procedures With Mcc $24,653 – $45,174 · median $34,913 6 plans
035 Carotid Artery Stent Procedures With Cc $14,421 – $28,102 · median $21,261 6 plans
037 Extracranial Procedures With Mcc $21,053 – $38,500 · median $29,777 6 plans
038 Extracranial Procedures With Cc $10,214 – $19,245 · median $14,730 6 plans
039 Extracranial Procedures Without Cc/Mcc $7,216 – $14,088 · median $10,652 6 plans
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $23,913 – $45,064 · median $34,489 6 plans
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $14,320 – $25,889 · median $20,104 6 plans
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $11,143 – $20,457 · median $15,800 6 plans
052 Spinal Disorders And Injuries With Cc/Mcc $12,759 – $21,421 · median $17,090 6 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $5,841 – $11,824 · median $8,833 6 plans
055 Nervous System Neoplasms Without Mcc $6,916 – $12,290 · median $9,603 6 plans
056 Degenerative Nervous System Disorders With Mcc $15,875 – $27,324 · median $21,600 6 plans
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $11,702 – $20,247 · median $15,974 6 plans
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $8,906 – $16,721 · median $12,814 6 plans
067 Precerebral Occlusion Without Infarction With Mcc $9,230 – $17,470 · median $13,350 6 plans
068 Precerebral Occlusion Without Infarction Without Mcc $5,589 – $10,500 · median $8,045 6 plans
071 Other Cerebrovascular Disorders With Cc $6,681 – $12,364 · median $9,522 6 plans
072 Other Cerebrovascular Disorders Without Cc/Mcc $4,756 – $9,252 · median $7,004 6 plans
075 Viral Meningitis With Cc/Mcc $10,920 – $22,646 · median $16,783 6 plans
076 Viral Meningitis Without Cc/Mcc $5,813 – $10,048 · median $7,930 6 plans
080 Nontraumatic Stupor And Coma With Mcc $12,603 – $21,406 · median $17,004 6 plans
083 Traumatic Stupor And Coma >1 Hour With Cc $8,815 – $16,629 · median $12,722 6 plans
088 Concussion With Mcc $8,943 – $16,121 · median $12,532 6 plans
090 Concussion Without Cc/Mcc $5,435 – $10,025 · median $7,730 6 plans
093 Other Disorders Of Nervous System Without Cc/Mcc $5,004 – $9,714 · median $7,359 6 plans
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $23,131 – $41,122 · median $32,126 6 plans
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $15,197 – $30,278 · median $22,737 6 plans
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $15,197 – $30,278 · median $22,737 6 plans
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $13,752 – $26,999 · median $20,376 6 plans
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $8,833 – $16,244 · median $12,538 6 plans
102 Headaches With Mcc $7,351 – $13,458 · median $10,404 6 plans
113 Orbital Procedures With Cc/Mcc $14,307 – $27,647 · median $20,977 6 plans
114 Orbital Procedures Without Cc/Mcc $7,495 – $16,135 · median $11,815 6 plans
115 Extraocular Procedures Except Orbit $9,706 – $18,233 · median $13,970 6 plans
116 Intraocular Procedures With Cc/Mcc $10,578 – $21,384 · median $15,981 6 plans
117 Intraocular Procedures Without Cc/Mcc $6,838 – $13,043 · median $9,941 6 plans
121 Acute Major Eye Infections With Cc/Mcc $7,374 – $13,947 · median $10,661 6 plans
122 Acute Major Eye Infections Without Cc/Mcc $4,300 – $9,593 · median $6,947 6 plans
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $8,266 – $15,790 · median $12,028 6 plans
125 Other Disorders Of The Eye Without Mcc $5,235 – $9,386 · median $7,310 6 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $15,285 – $25,558 · median $20,422 6 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $6,202 – $12,240 · median $9,221 6 plans
137 Mouth Procedures With Cc/Mcc $8,866 – $17,752 · median $13,309 6 plans
139 Salivary Gland Procedures $8,704 – $14,782 · median $11,743 6 plans
140 Major Head And Neck Procedures With Mcc $26,812 – $49,725 · median $38,268 6 plans
141 Major Head And Neck Procedures With Cc $13,620 – $25,686 · median $19,653 6 plans
142 Major Head And Neck Procedures Without Cc/Mcc $9,968 – $18,943 · median $14,455 6 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $20,933 – $43,743 · median $32,338 6 plans
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $11,137 – $20,517 · median $15,827 6 plans
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $7,511 – $14,397 · median $10,954 6 plans
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $14,543 – $24,952 · median $19,748 6 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $7,891 – $15,195 · median $11,543 6 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $5,076 – $9,724 · median $7,400 6 plans
149 Dysequilibrium $4,739 – $9,199 · median $6,969 6 plans
150 Epistaxis With Mcc $8,763 – $15,887 · median $12,325 6 plans
151 Epistaxis Without Mcc $4,806 – $8,996 · median $6,901 6 plans
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $10,310 – $18,563 · median $14,437 6 plans
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $5,919 – $11,101 · median $8,510 6 plans
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $4,263 – $8,501 · median $6,382 6 plans
157 Dental And Oral Diseases With Mcc $10,381 – $20,331 · median $15,356 6 plans
159 Dental And Oral Diseases Without Cc/Mcc $4,182 – $8,702 · median $6,442 6 plans
165 Major Chest Procedures Without Cc/Mcc $11,817 – $22,608 · median $17,213 6 plans
166 Other Respiratory System O.R. Procedures With Mcc $24,415 – $43,640 · median $34,028 6 plans
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $8,583 – $16,290 · median $12,436 6 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $19,454 – $34,859 · median $27,156 6 plans
179 Respiratory Infections And Inflammations Without Cc/Mcc $4,880 – $9,238 · median $7,059 6 plans
181 Respiratory Neoplasms With Cc $7,039 – $12,883 · median $9,961 6 plans
182 Respiratory Neoplasms Without Cc/Mcc $5,310 – $9,224 · median $7,267 6 plans
185 Major Chest Trauma Without Cc/Mcc $4,930 – $9,601 · median $7,266 6 plans
188 Pleural Effusion Without Cc/Mcc $4,654 – $8,802 · median $6,728 6 plans
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $4,103 – $7,935 · median $6,019 6 plans
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $3,949 – $7,779 · median $5,864 6 plans
197 Interstitial Lung Disease With Cc $6,276 – $11,477 · median $8,876 6 plans
198 Interstitial Lung Disease Without Cc/Mcc $4,441 – $8,791 · median $6,616 6 plans
204 Respiratory Signs And Symptoms $5,141 – $9,842 · median $7,492 6 plans
206 Other Respiratory System Diagnoses Without Mcc $5,743 – $11,385 · median $8,564 6 plans
209 Complex Aortic Arch Procedures $131,079 – $131,079 · median $131,079 6 plans
212 Concomitant Aortic And Mitral Valve Procedures $69,062 – $125,950 · median $97,506 6 plans
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $66,352 – $66,352 · median $66,352 6 plans
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $40,940 – $76,368 · median $58,654 6 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $37,717 – $76,368 · median $57,043 6 plans
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $29,115 – $58,663 · median $43,889 6 plans
228 Other Cardiothoracic Procedures With Mcc $31,592 – $57,592 · median $44,592 6 plans
229 Other Cardiothoracic Procedures Without Mcc $19,693 – $36,856 · median $28,274 6 plans
231 Coronary Bypass With Ptca With Mcc $53,721 – $97,759 · median $75,740 6 plans
232 Coronary Bypass With Ptca Without Mcc $38,727 – $70,455 · median $54,591 6 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $9,572 – $16,497 · median $13,035 6 plans
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $11,442 – $21,377 · median $16,410 6 plans
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $9,906 – $17,767 · median $13,837 6 plans
254 Other Vascular Procedures Without Cc/Mcc $11,091 – $21,080 · median $16,085 6 plans
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $10,737 – $20,113 · median $15,425 6 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $5,655 – $13,127 · median $9,391 6 plans
258 Cardiac Pacemaker Device Replacement With Mcc $17,786 – $36,770 · median $27,278 6 plans
259 Cardiac Pacemaker Device Replacement Without Mcc $11,143 – $23,853 · median $17,498 6 plans
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $21,599 – $38,047 · median $29,823 6 plans
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $12,030 – $22,335 · median $17,182 6 plans
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $9,622 – $19,329 · median $14,476 6 plans
263 Vein Ligation And Stripping $17,003 – $35,793 · median $26,398 6 plans
265 Aicd Lead Procedures $22,614 – $42,262 · median $32,438 6 plans
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $37,979 – $71,214 · median $54,596 6 plans
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $42,270 – $79,858 · median $61,064 6 plans
273 Percutaneous And Other Intracardiac Procedures With Mcc $24,789 – $48,113 · median $36,451 6 plans
277 Cardiac Defibrillator Implant Without Mcc $29,495 – $53,799 · median $41,647 6 plans
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $31,718 – $64,729 · median $48,224 6 plans
283 Acute Myocardial Infarction, Expired With Mcc $12,397 – $23,376 · median $17,887 6 plans
284 Acute Myocardial Infarction, Expired With Cc $4,697 – $8,514 · median $6,606 6 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $3,559 – $7,438 · median $5,498 6 plans
288 Acute And Subacute Endocarditis With Mcc $17,316 – $31,743 · median $24,530 6 plans
289 Acute And Subacute Endocarditis With Cc $9,996 – $20,217 · median $15,106 6 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $6,207 – $11,253 · median $8,730 6 plans
291 Heart Failure And Shock With Mcc $8,273 – $15,337 · median $11,805 6 plans
293 Heart Failure And Shock Without Cc/Mcc $3,481 – $7,058 · median $5,269 6 plans
296 Cardiac Arrest, Unexplained With Mcc $10,387 – $18,545 · median $14,466 6 plans
297 Cardiac Arrest, Unexplained With Cc $4,466 – $7,842 · median $6,154 6 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $2,800 – $5,779 · median $4,289 6 plans
302 Atherosclerosis With Mcc $7,375 – $14,331 · median $10,853 6 plans
306 Cardiac Congenital And Valvular Disorders With Mcc $9,494 – $18,705 · median $14,099 6 plans
307 Cardiac Congenital And Valvular Disorders Without Mcc $5,873 – $11,063 · median $8,468 6 plans
311 Angina Pectoris $4,428 – $8,626 · median $6,527 6 plans
312 Syncope And Collapse $5,524 – $10,583 · median $8,053 6 plans
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $39,219 – $77,651 · median $58,435 6 plans
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $28,467 – $28,467 · median $28,467 6 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $27,848 – $52,004 · median $39,926 6 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $14,675 – $28,272 · median $21,473 6 plans
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $11,470 – $20,864 · median $16,167 6 plans
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $18,145 – $37,558 · median $27,852 6 plans
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $10,102 – $19,011 · median $14,556 6 plans
331 Major Small And Large Bowel Procedures Without Cc/Mcc $10,467 – $19,940 · median $15,204 6 plans
332 Rectal Resection With Mcc $21,990 – $42,290 · median $32,140 6 plans
333 Rectal Resection With Cc $13,473 – $27,545 · median $20,509 6 plans
334 Rectal Resection Without Cc/Mcc $10,514 – $19,421 · median $14,968 6 plans
344 Minor Small And Large Bowel Procedures With Mcc $17,083 – $30,320 · median $23,701 6 plans
345 Minor Small And Large Bowel Procedures With Cc $9,442 – $17,885 · median $13,663 6 plans
349 Anal And Stomal Procedures Without Cc/Mcc $5,585 – $10,571 · median $8,078 6 plans
351 Inguinal And Femoral Hernia Procedures With Cc $9,540 – $18,113 · median $13,827 6 plans
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $6,990 – $13,999 · median $10,495 6 plans
353 Hernia Procedures Except Inguinal And Femoral With Mcc $18,594 – $34,001 · median $26,298 6 plans
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $8,452 – $16,043 · median $12,247 6 plans
356 Other Digestive System O.R. Procedures With Mcc $27,043 – $51,196 · median $39,119 6 plans
358 Other Digestive System O.R. Procedures Without Cc/Mcc $8,591 – $16,653 · median $12,622 6 plans
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $40,190 – $40,190 · median $40,190 6 plans
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $28,376 – $28,376 · median $28,376 6 plans
369 Major Esophageal Disorders With Cc $6,452 – $12,066 · median $9,259 6 plans
370 Major Esophageal Disorders Without Cc/Mcc $4,425 – $8,613 · median $6,519 6 plans
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $4,598 – $8,920 · median $6,759 6 plans
375 Digestive Malignancy With Cc $7,790 – $14,481 · median $11,136 6 plans
376 Digestive Malignancy Without Cc/Mcc $5,598 – $11,191 · median $8,394 6 plans
379 Gastrointestinal Hemorrhage Without Cc/Mcc $4,036 – $7,801 · median $5,919 6 plans
381 Complicated Peptic Ulcer With Cc $6,905 – $13,027 · median $9,966 6 plans
382 Complicated Peptic Ulcer Without Cc/Mcc $4,751 – $9,764 · median $7,257 6 plans
383 Uncomplicated Peptic Ulcer With Mcc $8,015 – $16,455 · median $12,235 6 plans
384 Uncomplicated Peptic Ulcer Without Mcc $5,513 – $10,389 · median $7,951 6 plans
385 Inflammatory Bowel Disease With Mcc $10,301 – $18,780 · median $14,540 6 plans
398 Appendix Procedures With Cc $9,594 – $17,988 · median $13,791 6 plans
406 Pancreas, Liver And Shunt Procedures With Cc $17,804 – $33,980 · median $25,892 6 plans
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $13,540 – $26,130 · median $19,835 6 plans
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $22,197 – $41,655 · median $31,926 6 plans
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $13,291 – $25,643 · median $19,467 6 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $9,833 – $18,842 · median $14,338 6 plans
411 Cholecystectomy With C.D.E. With Mcc $17,349 – $38,630 · median $27,989 6 plans
412 Cholecystectomy With C.D.E. With Cc $13,514 – $24,780 · median $19,147 6 plans
413 Cholecystectomy With C.D.E. Without Cc/Mcc $10,540 – $19,682 · median $15,111 6 plans
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $22,213 – $41,620 · median $31,917 6 plans
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $12,541 – $24,367 · median $18,454 6 plans
420 Hepatobiliary Diagnostic Procedures With Mcc $22,375 – $39,827 · median $31,101 6 plans
421 Hepatobiliary Diagnostic Procedures With Cc $10,382 – $20,570 · median $15,476 6 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $9,315 – $16,672 · median $12,993 6 plans
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $25,785 – $48,430 · median $37,108 6 plans
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $14,475 – $25,765 · median $20,120 6 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $9,800 – $17,834 · median $13,817 6 plans
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $4,415 – $8,748 · median $6,582 6 plans
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $11,567 – $21,714 · median $16,641 6 plans
438 Disorders Of Pancreas Except Malignancy With Mcc $10,548 – $19,332 · median $14,940 6 plans
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $27,374 – $48,656 · median $38,015 6 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $38,907 – $64,231 · median $51,569 6 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $18,155 – $31,210 · median $24,683 6 plans
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $34,240 – $66,267 · median $50,254 6 plans
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $11,006 – $21,564 · median $16,285 6 plans
466 Revision Of Hip Or Knee Replacement With Mcc $32,298 – $60,568 · median $46,433 6 plans
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $16,631 – $32,225 · median $24,428 6 plans
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $20,722 – $35,514 · median $28,118 6 plans
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $11,954 – $22,778 · median $17,366 6 plans
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $28,431 – $50,043 · median $39,237 6 plans
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $7,373 – $14,142 · median $10,758 6 plans
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $21,802 – $40,375 · median $31,088 6 plans
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $14,825 – $28,894 · median $21,860 6 plans
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $11,258 – $21,970 · median $16,614 6 plans
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $16,155 – $32,501 · median $24,328 6 plans
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $20,438 – $37,751 · median $29,094 6 plans
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $13,445 – $24,648 · median $19,047 6 plans
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $7,853 – $13,411 · median $10,632 6 plans
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $12,508 – $21,336 · median $16,922 6 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $8,515 – $14,466 · median $11,490 6 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $7,359 – $23,768 · median $15,564 6 plans
504 Foot Procedures With Cc $11,131 – $22,089 · median $16,610 6 plans
506 Major Thumb Or Joint Procedures $9,504 – $16,091 · median $12,798 6 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $12,288 – $21,365 · median $16,826 6 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $8,182 – $17,997 · median $13,090 6 plans
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $10,193 – $19,623 · median $14,908 6 plans
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $9,545 – $18,688 · median $14,116 6 plans
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $6,464 – $12,321 · median $9,393 6 plans
533 Fractures Of Femur With Mcc $9,667 – $18,612 · median $14,139 6 plans
534 Fractures Of Femur Without Mcc $5,160 – $9,827 · median $7,494 6 plans
536 Fractures Of Hip And Pelvis Without Mcc $5,141 – $9,845 · median $7,493 6 plans
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $5,826 – $11,537 · median $8,681 6 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $4,257 – $8,838 · median $6,548 6 plans
541 Osteomyelitis Without Cc/Mcc $5,546 – $9,612 · median $7,579 6 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $4,791 – $9,233 · median $7,012 6 plans
545 Connective Tissue Disorders With Mcc $16,019 – $29,153 · median $22,586 6 plans
548 Septic Arthritis With Mcc $12,772 – $22,801 · median $17,786 6 plans
549 Septic Arthritis With Cc $7,640 – $14,454 · median $11,047 6 plans
550 Septic Arthritis Without Cc/Mcc $5,466 – $10,612 · median $8,039 6 plans
553 Bone Diseases And Arthropathies With Mcc $8,282 – $15,481 · median $11,882 6 plans
554 Bone Diseases And Arthropathies Without Mcc $5,291 – $10,104 · median $7,698 6 plans
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $8,537 – $15,775 · median $12,156 6 plans
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $5,177 – $10,110 · median $7,643 6 plans
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $7,220 – $13,518 · median $10,369 6 plans
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $4,742 – $9,172 · median $6,957 6 plans
572 Skin Debridement Without Cc/Mcc $7,243 – $13,751 · median $10,497 6 plans
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $39,040 – $76,093 · median $57,566 6 plans
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $21,966 – $40,568 · median $31,267 6 plans
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $12,658 – $21,256 · median $16,957 6 plans
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $16,881 – $31,103 · median $23,992 6 plans
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $10,717 – $19,058 · median $14,887 6 plans
582 Mastectomy For Malignancy With Cc/Mcc $11,102 – $22,751 · median $16,927 6 plans
583 Mastectomy For Malignancy Without Cc/Mcc $10,413 – $20,419 · median $15,416 6 plans
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $12,980 – $25,220 · median $19,100 6 plans
592 Skin Ulcers With Mcc $13,036 – $22,851 · median $17,944 6 plans
593 Skin Ulcers With Cc $7,751 – $14,213 · median $10,982 6 plans
594 Skin Ulcers Without Cc/Mcc $5,380 – $10,528 · median $7,954 6 plans
595 Major Skin Disorders With Mcc $13,409 – $24,990 · median $19,199 6 plans
596 Major Skin Disorders Without Mcc $6,854 – $13,015 · median $9,934 6 plans
597 Malignant Breast Disorders With Mcc $11,136 – $19,758 · median $15,447 6 plans
598 Malignant Breast Disorders With Cc $6,840 – $13,578 · median $10,209 6 plans
599 Malignant Breast Disorders Without Cc/Mcc $5,420 – $9,404 · median $7,412 6 plans
602 Cellulitis With Mcc $9,316 – $16,923 · median $13,120 6 plans
606 Minor Skin Disorders With Mcc $10,208 – $17,983 · median $14,096 6 plans
614 Adrenal And Pituitary Procedures With Cc/Mcc $14,448 – $25,810 · median $20,129 6 plans
615 Adrenal And Pituitary Procedures Without Cc/Mcc $9,085 – $16,669 · median $12,877 6 plans
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $24,503 – $40,753 · median $32,628 6 plans
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $7,893 – $16,888 · median $12,391 6 plans
619 O.R. Procedures For Obesity With Mcc $17,285 – $33,833 · median $25,559 6 plans
620 O.R. Procedures For Obesity With Cc $10,124 – $18,988 · median $14,556 6 plans
621 O.R. Procedures For Obesity Without Cc/Mcc $9,267 – $17,928 · median $13,597 6 plans
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $23,737 – $41,581 · median $32,659 6 plans
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $12,135 – $21,221 · median $16,678 6 plans
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $6,360 – $14,969 · median $10,664 6 plans
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $18,176 – $35,363 · median $26,770 6 plans
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $9,568 – $17,824 · median $13,696 6 plans
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $8,032 – $15,850 · median $11,941 6 plans
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $25,020 – $43,514 · median $34,267 6 plans
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $14,266 – $25,660 · median $19,963 6 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $8,884 – $17,364 · median $13,124 6 plans
642 Inborn And Other Disorders Of Metabolism $7,869 – $16,932 · median $12,400 6 plans
645 Endocrine Disorders Without Cc/Mcc $4,939 – $9,391 · median $7,165 6 plans
650 Kidney Transplant With Hemodialysis With Mcc $29,208 – $54,755 · median $41,982 6 plans
651 Kidney Transplant With Hemodialysis Without Mcc $22,014 – $43,272 · median $32,643 6 plans
652 Kidney Transplant $19,471 – $37,778 · median $28,625 6 plans
653 Major Bladder Procedures With Mcc $35,340 – $60,464 · median $47,902 6 plans
654 Major Bladder Procedures With Cc $17,891 – $32,817 · median $25,354 6 plans
655 Major Bladder Procedures Without Cc/Mcc $13,169 – $24,942 · median $19,056 6 plans
656 Kidney And Ureter Procedures For Neoplasm With Mcc $20,654 – $37,251 · median $28,953 6 plans
657 Kidney And Ureter Procedures For Neoplasm With Cc $11,590 – $21,637 · median $16,613 6 plans
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $9,535 – $18,428 · median $13,981 6 plans
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $6,509 – $12,472 · median $9,490 6 plans
662 Minor Bladder Procedures With Mcc $19,777 – $35,841 · median $27,809 6 plans
663 Minor Bladder Procedures With Cc $9,683 – $18,064 · median $13,873 6 plans
664 Minor Bladder Procedures Without Cc/Mcc $6,846 – $12,605 · median $9,725 6 plans
665 Prostatectomy With Mcc $21,768 – $36,529 · median $29,149 6 plans
666 Prostatectomy With Cc $10,443 – $20,706 · median $15,575 6 plans
667 Prostatectomy Without Cc/Mcc $6,516 – $13,289 · median $9,902 6 plans
668 Transurethral Procedures With Mcc $18,488 – $34,209 · median $26,348 6 plans
669 Transurethral Procedures With Cc $9,811 – $18,431 · median $14,121 6 plans
670 Transurethral Procedures Without Cc/Mcc $6,059 – $11,802 · median $8,930 6 plans
671 Urethral Procedures With Cc/Mcc $10,928 – $21,233 · median $16,080 6 plans
672 Urethral Procedures Without Cc/Mcc $6,938 – $12,981 · median $9,959 6 plans
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $9,923 – $19,462 · median $14,693 6 plans
686 Kidney And Urinary Tract Neoplasms With Mcc $11,955 – $21,334 · median $16,644 6 plans
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $4,591 – $9,645 · median $7,118 6 plans
694 Urinary Stones Without Mcc $4,954 – $9,546 · median $7,250 6 plans
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $7,150 – $13,722 · median $10,436 6 plans
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $4,385 – $8,477 · median $6,431 6 plans
697 Urethral Stricture $6,351 – $12,961 · median $9,656 6 plans
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $4,401 – $8,487 · median $6,444 6 plans
707 Major Male Pelvic Procedures With Cc/Mcc $12,303 – $23,601 · median $17,952 6 plans
708 Major Male Pelvic Procedures Without Cc/Mcc $9,398 – $18,225 · median $13,812 6 plans
709 Penis Procedures With Cc/Mcc $14,246 – $27,370 · median $20,808 6 plans
710 Penis Procedures Without Cc/Mcc $9,518 – $16,691 · median $13,105 6 plans
711 Testes Procedures With Cc/Mcc $12,113 – $24,564 · median $18,339 6 plans
712 Testes Procedures Without Cc/Mcc $6,781 – $13,214 · median $9,998 6 plans
713 Transurethral Prostatectomy With Cc/Mcc $9,167 – $17,870 · median $13,518 6 plans
714 Transurethral Prostatectomy Without Cc/Mcc $5,957 – $12,726 · median $9,341 6 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $14,317 – $26,335 · median $20,326 6 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $8,998 – $17,496 · median $13,247 6 plans
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $11,763 – $22,335 · median $17,049 6 plans
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $7,810 – $16,021 · median $11,915 6 plans
723 Malignancy, Male Reproductive System With Cc $7,119 – $13,710 · median $10,414 6 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $4,619 – $8,093 · median $6,356 6 plans
725 Benign Prostatic Hypertrophy With Mcc $8,008 – $14,027 · median $11,017 6 plans
727 Inflammation Of The Male Reproductive System With Mcc $9,315 – $17,634 · median $13,474 6 plans
729 Other Male Reproductive System Diagnoses With Cc/Mcc $6,979 – $12,741 · median $9,860 6 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $3,848 – $8,281 · median $6,064 6 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $13,331 – $25,097 · median $19,214 6 plans
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $7,695 – $16,049 · median $11,872 6 plans
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $24,962 – $41,758 · median $33,360 6 plans
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $12,669 – $24,297 · median $18,483 6 plans
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $9,617 – $17,467 · median $13,542 6 plans
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $25,238 – $41,853 · median $33,545 6 plans
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $11,527 – $21,402 · median $16,465 6 plans
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $8,708 – $16,978 · median $12,843 6 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $6,497 – $13,650 · median $10,073 6 plans
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $10,616 – $20,565 · median $15,591 6 plans
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $6,055 – $10,446 · median $8,251 6 plans
748 Female Reproductive System Reconstructive Procedures $8,636 – $16,531 · median $12,584 6 plans
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $8,175 – $17,552 · median $12,864 6 plans
754 Malignancy, Female Reproductive System With Mcc $11,470 – $21,772 · median $16,621 6 plans
755 Malignancy, Female Reproductive System With Cc $7,038 – $13,077 · median $10,057 6 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $6,054 – $11,608 · median $8,831 6 plans
757 Infections, Female Reproductive System With Mcc $8,972 – $17,045 · median $13,009 6 plans
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $6,248 – $12,150 · median $9,199 6 plans
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $4,019 – $7,110 · median $5,565 6 plans
783 Cesarean Section With Sterilization With Mcc $11,678 – $28,847 · median $20,262 6 plans
789 Neonates, Died Or Transferred To Another Acute Care Facility $11,429 – $21,316 · median $16,373 6 plans
795 Normal Newborn $1,267 – $2,835 · median $2,051 6 plans
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $8,094 – $13,990 · median $11,042 6 plans
799 Splenic Procedures With Mcc $30,144 – $52,765 · median $41,454 6 plans
800 Splenic Procedures With Cc $18,472 – $32,933 · median $25,703 6 plans
801 Splenic Procedures Without Cc/Mcc $10,408 – $22,547 · median $16,478 6 plans
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $22,726 – $46,482 · median $34,604 6 plans
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $11,285 – $21,970 · median $16,627 6 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $7,009 – $16,170 · median $11,589 6 plans
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $14,521 – $25,996 · median $20,258 6 plans
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $6,034 – $12,601 · median $9,318 6 plans
814 Reticuloendothelial And Immunity Disorders With Mcc $13,253 – $25,059 · median $19,156 6 plans
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $4,181 – $7,819 · median $6,000 6 plans
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $5,177 – $10,448 · median $7,812 6 plans
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $36,911 – $68,173 · median $52,542 6 plans
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $14,152 – $26,350 · median $20,251 6 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $7,250 – $14,417 · median $10,834 6 plans
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $29,666 – $53,410 · median $41,538 6 plans
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $13,944 – $26,661 · median $20,302 6 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $7,803 – $16,094 · median $11,948 6 plans
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $30,275 – $54,483 · median $42,379 6 plans
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $14,961 – $27,187 · median $21,074 6 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $10,162 – $20,181 · median $15,172 6 plans
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $19,550 – $36,977 · median $28,263 6 plans
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $9,272 – $17,888 · median $13,580 6 plans
835 Acute Leukemia With Cc $13,541 – $24,587 · median $19,064 6 plans
836 Acute Leukemia Without Cc/Mcc $8,056 – $14,596 · median $11,326 6 plans
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $12,858 – $24,606 · median $18,732 6 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $8,688 – $17,184 · median $12,936 6 plans
841 Lymphoma And Non-Acute Leukemia With Cc $9,940 – $19,346 · median $14,643 6 plans
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $12,002 – $23,538 · median $17,770 6 plans
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $7,577 – $14,571 · median $11,074 6 plans
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $5,305 – $10,352 · median $7,828 6 plans
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $16,190 – $30,431 · median $23,311 6 plans
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $8,056 – $15,619 · median $11,837 6 plans
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $5,192 – $10,327 · median $7,759 6 plans
849 Radiotherapy $16,934 – $31,781 · median $24,357 6 plans
850 Acute Leukemia With Other Procedures $58,400 – $100,407 · median $79,403 6 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $10,306 – $17,798 · median $14,052 6 plans
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $8,168 – $16,595 · median $12,382 6 plans
864 Fever And Inflammatory Conditions $5,693 – $10,769 · median $8,231 6 plans
865 Viral Illness With Mcc $9,357 – $17,811 · median $13,584 6 plans
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $13,594 – $24,673 · median $19,133 6 plans
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $6,657 – $12,423 · median $9,540 6 plans
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $4,562 – $8,946 · median $6,754 6 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $24,912 – $45,107 · median $35,010 6 plans
880 Acute Adjustment Reaction And Psychosocial Dysfunction $6,078 – $11,605 · median $8,841 6 plans
881 Depressive Neuroses $5,795 – $11,382 · median $8,589 6 plans
882 Neuroses Except Depressive $6,098 – $12,915 · median $9,507 6 plans
883 Disorders Of Personality And Impulse Control $11,770 – $23,209 · median $17,489 6 plans
884 Organic Disturbances And Intellectual Disability $10,588 – $19,087 · median $14,838 6 plans
885 Psychoses $8,936 – $16,640 · median $12,788 6 plans
886 Behavioral And Developmental Disorders $11,389 – $24,466 · median $17,928 6 plans
887 Other Mental Disorder Diagnoses $7,540 – $12,882 · median $10,211 6 plans
894 Alcohol, Drug Abuse Or Dependence, Left Ama $3,957 – $7,645 · median $5,801 6 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $9,180 – $16,857 · median $13,018 6 plans
901 Wound Debridements For Injuries With Mcc $28,087 – $48,933 · median $38,510 6 plans
902 Wound Debridements For Injuries With Cc $12,030 – $22,612 · median $17,321 6 plans
903 Wound Debridements For Injuries Without Cc/Mcc $7,728 – $14,020 · median $10,874 6 plans
904 Skin Grafts For Injuries With Cc/Mcc $24,478 – $42,895 · median $33,686 6 plans
905 Skin Grafts For Injuries Without Cc/Mcc $10,449 – $17,639 · median $14,044 6 plans
906 Hand Procedures For Injuries $13,836 – $23,186 · median $18,511 6 plans
909 Other O.R. Procedures For Injuries Without Cc/Mcc $8,040 – $15,670 · median $11,855 6 plans
913 Traumatic Injury With Mcc $10,259 – $19,383 · median $14,821 6 plans
914 Traumatic Injury Without Mcc $5,809 – $10,743 · median $8,276 6 plans
915 Allergic Reactions With Mcc $11,018 – $19,925 · median $15,471 6 plans
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $6,466 – $12,268 · median $9,367 6 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $150,403 – $246,782 · median $198,592 6 plans
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $42,342 – $83,258 · median $62,800 6 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $20,162 – $37,678 · median $28,920 6 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $27,431 – $45,445 · median $36,438 6 plans
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $13,604 – $26,027 · median $19,815 6 plans
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $20,122 – $42,380 · median $31,251 6 plans
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $12,390 – $23,917 · median $18,153 6 plans
945 Rehabilitation With Cc/Mcc $9,677 – $18,391 · median $14,034 6 plans
946 Rehabilitation Without Cc/Mcc $7,078 – $13,757 · median $10,418 6 plans
949 Aftercare With Cc/Mcc $6,840 – $14,252 · median $10,546 6 plans
950 Aftercare Without Cc/Mcc $3,716 – $7,770 · median $5,743 6 plans
955 Craniotomy For Multiple Significant Trauma $43,289 – $78,165 · median $60,727 6 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $16,761 – $34,487 · median $25,624 6 plans
965 Other Multiple Significant Trauma Without Cc/Mcc $5,785 – $11,378 · median $8,581 6 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $16,821 – $30,949 · median $23,885 6 plans
976 Hiv With Major Related Condition Without Cc/Mcc $6,358 – $10,942 · median $8,650 6 plans
977 Hiv With Or Without Other Related Condition $9,141 – $15,497 · median $12,319 6 plans
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $7,325 – $14,361 · median $10,843 6 plans
077 Hypertensive Encephalopathy With Mcc $9,803 – $9,803 · median $9,803 1 plans
078 Hypertensive Encephalopathy With Cc $6,326 – $6,326 · median $6,326 1 plans
079 Hypertensive Encephalopathy Without Cc/Mcc $4,227 – $4,227 · median $4,227 1 plans
294 Deep Vein Thrombophlebitis With Cc/Mcc $7,785 – $7,785 · median $7,785 1 plans
295 Deep Vein Thrombophlebitis Without Cc/Mcc $5,007 – $5,007 · median $5,007 1 plans
509 Arthroscopy $11,136 – $11,136 · median $11,136 1 plans
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