Uf Health Shands Hospital — Pricing

776 procedures published in this hospital's Machine-Readable File (MRF) — 594 with a comparable price, 182 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 776
Lowest published price $1,739
Average published price $27,231
Highest published price $1,400,152

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 776 procedures

Published charges

Showing all 594 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 192 procedures, this hospital's negotiated rates average ≈122% of what Medicare pays.

DRG Description Published price vs. FL median vs. National median vs Medicare
007 LUNG TRANSPLANT $1,400,152 $50,064 +2697% $170,608 +721% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $736,925 $60,634 +1115% $306,087 +141% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $538,839 $551,188 −2% $461,389 +17% ≈102% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $207,651 $207,509 +0% $96,192 +116% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $202,777 $416,323 −51% $248,521 −18% ≈94% of Medicare
799 SPLENIC PROCEDURES WITH MCC $196,636 $177,369 +11% $82,218 +139% —
215 Other heart assist system implant $190,602 $190,319 +0% $208,939 −9% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $185,979 $360,137 −48% $188,171 −1% ≈103% of Medicare
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $179,582 $118,876 +51% $164,641 +9% ≈81% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $142,407 $189,954 −25% $120,573 +18% ≈112% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $132,123 $252,151 −48% $131,961 +0% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $132,075 $100,016 +32% $85,566 +54% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $120,949 $67,776 +78% $29,826 +306% —
955 Craniotomy for multiple significant trauma $109,871 $236,096 −53% $102,600 +7% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $103,297 $200,833 −49% $106,778 −3% ≈126% of Medicare
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITH MCC $100,028 $191,844 −48% $144,569 −31% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $93,281 $244,465 −62% $148,832 −37% ≈116% of Medicare
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $92,891 $190,120 −51% $153,282 −39% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $89,751 $134,019 −33% $74,257 +21% —
028 SPINAL PROCEDURES WITH MCC $83,938 $123,606 −32% $113,077 −26% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $83,167 $96,239 −14% $83,441 −0% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $79,611 $92,774 −14% $70,467 +13% ≈118% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $76,233 $127,939 −40% $104,583 −27% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $74,417 $203,654 −63% $99,423 −25% ≈117% of Medicare
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $74,242 $135,879 −45% $73,120 +2% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $70,335 $204,784 −66% $112,062 −37% ≈122% of Medicare
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $69,826 $106,612 −35% $75,103 −7% ≈86% of Medicare
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $68,794 $136,983 −50% $125,242 −45% ≈108% of Medicare
790 Extreme immaturity or respiratory distress syndrome, neonate $63,952 $174,763 −63% $80,018 −20% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $63,050 $94,030 −33% $49,710 +27% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $62,863 $66,416 −5% $39,020 +61% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $61,862 $184,196 −66% $113,855 −46% ≈110% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $61,394 $102,071 −40% $102,128 −40% ≈101% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $60,461 $65,293 −7% $72,424 −17% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION WITHOUT MCC $60,427 $210,532 −71% $102,573 −41% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $60,411 $37,402 +62% $32,433 +86% —
500 SOFT TISSUE PROCEDURES WITH MCC $59,522 $97,778 −39% $61,872 −4% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $59,341 $103,317 −43% $111,320 −47% ≈108% of Medicare
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $57,028 $143,922 −60% $78,852 −28% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $56,641 $120,531 −53% $80,793 −30% ≈96% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $56,530 $157,552 −64% $90,724 −38% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $56,314 $76,167 −26% $58,745 −4% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $55,336 $86,214 −36% $93,390 −41% —
011 Tracheostomy for face,mouth & neck diagnoses w MCC $55,009 $135,442 −59% $101,576 −46% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $53,454 $61,960 −14% $51,625 +4% ≈210% of Medicare
397 Appendix Procedures with MCC $52,392 $32,112 +63% $53,257 −2% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $52,208 $113,067 −54% $50,919 +3% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $51,904 $38,127 +36% $22,525 +130% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $51,824 $125,799 −59% $87,761 −41% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $51,429 $58,594 −12% $85,159 −40% ≈112% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $50,249 $50,249 +0% $26,436 +90% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $49,829 $159,548 −69% $116,058 −57% ≈118% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $48,924 $63,011 −22% $79,225 −38% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $47,959 $154,667 −69% $93,172 −49% ≈93% of Medicare
455 Combined anterior/posterior spinal fusion w/o CC/MCC $47,377 $103,492 −54% $56,836 −17% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $47,034 $233,892 −80% $148,686 −68% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $46,845 $110,939 −58% $70,177 −33% —
471 CERVICAL SPINAL FUSION WITH MCC $46,101 $160,789 −71% $92,515 −50% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $45,694 $60,577 −25% $60,098 −24% —
277 Cardiac Defibrillator Implant without MCC $44,821 $140,608 −68% $91,329 −51% —
163 MAJOR CHEST PROCEDURES WITH MCC $44,786 $181,307 −75% $90,195 −50% ≈117% of Medicare
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $44,770 $124,795 −64% $71,795 −38% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $44,427 $164,137 −73% $90,775 −51% ≈98% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $44,136 $114,641 −62% $66,685 −34% —
252 OTHER VASCULAR PROCEDURES WITH MCC $43,716 $92,106 −53% $68,508 −36% ≈115% of Medicare
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $43,508 $150,995 −71% $76,219 −43% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $43,145 $66,777 −35% $40,562 +6% ≈122% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $42,667 $111,748 −62% $58,228 −27% ≈135% of Medicare
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $42,571 $111,887 −62% $62,821 −32% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $42,208 $52,499 −20% $69,743 −39% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $41,813 $100,372 −58% $59,594 −30% —
739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $41,631 $98,179 −58% $62,300 −33% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $41,589 $124,879 −67% $70,564 −41% ≈119% of Medicare
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $41,496 $88,195 −53% $52,036 −20% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $41,155 $133,724 −69% $71,755 −43% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $40,853 $67,515 −39% $46,727 −13% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $40,797 $58,395 −30% $54,583 −25% ≈128% of Medicare
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $39,848 $72,602 −45% $30,418 +31% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $39,500 $178,804 −78% $72,962 −46% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $39,465 $121,638 −68% $67,268 −41% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $39,368 $60,442 −35% $66,848 −41% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $39,220 $102,833 −62% $70,371 −44% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $39,108 $121,038 −68% $75,573 −48% ≈94% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $38,845 $133,926 −71% $66,666 −42% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $38,694 $128,607 −70% $76,001 −49% ≈133% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $38,531 $130,750 −71% $70,132 −45% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $38,292 $116,268 −67% $68,653 −44% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $38,214 $198,447 −81% $107,355 −64% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $37,874 $158,503 −76% $82,247 −54% —
333 RECTAL RESECTION WITH CC $37,677 $69,779 −46% $37,154 +1% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $37,308 $86,907 −57% $65,573 −43% ≈115% of Medicare
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $36,696 $36,696 +0% $89,353 −59% ≈141% of Medicare
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $36,120 $71,371 −49% $65,608 −45% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $35,693 $117,133 −70% $96,905 −63% ≈118% of Medicare
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $35,544 $110,988 −68% $77,817 −54% ≈84% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $35,533 $53,904 −34% $40,060 −11% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $35,532 $58,911 −40% $55,289 −36% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $35,509 $138,390 −74% $74,755 −52% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $35,058 $86,669 −60% $68,639 −49% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $34,880 $93,398 −63% $52,908 −34% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $34,820 $127,874 −73% $70,847 −51% ≈118% of Medicare
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $34,589 $121,966 −72% $71,092 −51% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $34,233 $312,891 −89% $143,242 −76% ≈112% of Medicare
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $34,085 $76,502 −55% $59,533 −43% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $33,846 $65,773 −49% $43,491 −22% ≈113% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $33,587 $89,872 −63% $52,751 −36% ≈122% of Medicare
789 Neonates, died or transferred to another acute care facility $33,527 $21,937 +53% $16,351 +105% —
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $33,449 $81,935 −59% $33,983 −2% —
472 CERVICAL SPINAL FUSION WITH CC $32,922 $114,191 −71% $59,537 −45% ≈119% of Medicare
321 Percutaneous Cardiovascular Procedures with Intraluminal Device with MMC or 4+ Arteries/Intraluminal Devices $32,540 $130,536 −75% $81,706 −60% ≈115% of Medicare
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $32,032 $75,523 −58% $46,402 −31% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $31,716 $31,716 +0% $30,243 +5% —
709 PENIS PROCEDURES WITH CC/MCC $31,648 $47,632 −34% $34,535 −8% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $31,632 $152,746 −79% $59,031 −46% —
180 RESPIRATORY NEOPLASMS WITH MCC $31,485 $50,903 −38% $36,658 −14% ≈118% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $31,454 $99,946 −69% $88,307 −64% ≈126% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $31,246 $69,407 −55% $59,790 −48% ≈122% of Medicare
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $31,187 $32,974 −5% $35,569 −12% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $30,896 $86,593 −64% $54,929 −44% ≈120% of Medicare
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $30,578 $103,890 −71% $49,423 −38% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $30,334 $75,637 −60% $53,864 −44% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,302 $115,121 −74% $77,990 −61% ≈108% of Medicare
302 ATHEROSCLEROSIS WITH MCC $29,944 $34,324 −13% $22,446 +33% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $29,890 $53,454 −44% $55,162 −46% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $29,799 $97,618 −69% $65,325 −54% —
800 SPLENIC PROCEDURES WITH CC $29,648 $69,314 −57% $49,184 −40% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $29,468 $65,282 −55% $47,945 −39% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $28,936 $60,769 −52% $58,707 −51% ≈126% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $28,865 $28,865 +0% $38,878 −26% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $28,732 $71,740 −60% $42,126 −32% —
264 Other circulatory system O.R. procedures $28,574 $96,199 −70% $51,953 −45% ≈107% of Medicare
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $28,265 $193,020 −85% $123,995 −77% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $28,248 $54,864 −49% $47,789 −41% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $28,206 $82,361 −66% $46,453 −39% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $28,109 $118,604 −76% $62,264 −55% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $28,037 $101,650 −72% $50,139 −44% —
462 Bilateral or multiple major joint procs of lower extremity w/o MCC $27,703 $67,854 −59% $58,975 −53% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $27,629 $99,225 −72% $50,046 −45% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $27,564 $89,754 −69% $59,421 −54% ≈120% of Medicare
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $27,514 $72,969 −62% $36,988 −26% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $27,395 $52,262 −48% $50,624 −46% —
183 MAJOR CHEST TRAUMA WITH MCC $27,074 $27,074 +0% $29,933 −10% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $27,061 $87,533 −69% $58,043 −53% ≈107% of Medicare
263 VEIN LIGATION AND STRIPPING $26,478 $108,786 −76% $51,253 −48% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $26,395 $69,421 −62% $27,394 −4% —
654 MAJOR BLADDER PROCEDURES WITH CC $26,376 $112,622 −77% $58,274 −55% ≈117% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $25,930 $124,187 −79% $50,498 −49% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $25,831 $58,728 −56% $50,607 −49% ≈134% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $25,831 $93,523 −72% $58,280 −56% ≈128% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $25,759 $65,442 −61% $41,955 −39% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $25,669 $37,862 −32% $27,119 −5% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $25,656 $65,611 −61% $50,394 −49% —
164 MAJOR CHEST PROCEDURES WITH CC $25,596 $122,337 −79% $56,755 −55% ≈117% of Medicare
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $25,457 $139,861 −82% $82,561 −69% ≈118% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $25,292 $60,423 −58% $40,362 −37% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $25,263 $53,112 −52% $36,489 −31% ≈110% of Medicare
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $25,263 $79,725 −68% $45,167 −44% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $25,235 $90,905 −72% $47,737 −47% —
849 RADIOTHERAPY $25,224 $40,661 −38% $37,862 −33% —
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $25,197 $79,623 −68% $58,809 −57% ≈121% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $25,180 $75,201 −67% $41,608 −39% —
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $24,948 $49,679 −50% $21,663 +15% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $24,878 $40,754 −39% $39,973 −38% ≈120% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $24,863 $68,614 −64% $59,651 −58% ≈121% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $24,775 $60,382 −59% $40,213 −38% ≈84% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $24,700 $77,531 −68% $52,178 −53% ≈122% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $24,586 $26,998 −9% $33,985 −28% ≈89% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $24,449 $89,673 −73% $42,906 −43% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $24,424 $71,647 −66% $39,181 −38% ≈72% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $24,162 $58,474 −59% $43,650 −45% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $23,983 $40,839 −41% $34,273 −30% ≈135% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $23,928 $62,257 −62% $47,583 −50% —
253 OTHER VASCULAR PROCEDURES WITH CC $23,855 $76,062 −69% $57,454 −58% ≈115% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $23,803 $45,414 −48% $38,070 −37% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $23,792 $87,042 −73% $66,068 −64% ≈128% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $23,741 $68,753 −65% $43,800 −46% —
336 PERITONEAL ADHESIOLYSIS WITH CC $23,599 $65,594 −64% $50,463 −53% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $23,182 $84,547 −73% $40,108 −42% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $23,120 $94,328 −75% $49,351 −53% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $22,858 $76,373 −70% $39,106 −42% ≈124% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $22,826 $66,916 −66% $39,958 −43% ≈128% of Medicare
511 Shoulder,elbow or forearm proc,exc major joint proc w CC $22,782 $75,995 −70% $43,538 −48% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $22,748 $64,202 −65% $36,249 −37% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $22,521 $74,820 −70% $43,943 −49% ≈121% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $22,387 $53,976 −59% $49,418 −55% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,154 $79,506 −72% $59,500 −63% ≈125% of Medicare
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $22,059 $45,325 −51% $27,285 −19% ≈132% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $22,034 $69,589 −68% $43,913 −50% —
075 VIRAL MENINGITIS WITH CC/MCC $22,032 $25,373 −13% $30,447 −28% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $22,003 $91,177 −76% $53,451 −59% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $21,985 $76,702 −71% $39,955 −45% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $21,853 $61,930 −65% $38,861 −44% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $21,814 $73,114 −70% $42,795 −49% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $21,734 $61,350 −65% $45,866 −53% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $21,664 $42,840 −49% $33,555 −35% ≈122% of Medicare
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $21,543 $66,172 −67% $32,443 −34% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $21,524 $60,291 −64% $45,877 −53% —
949 AFTERCARE WITH CC/MCC $21,483 $37,103 −42% $23,953 −10% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $21,323 $79,537 −73% $47,711 −55% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $21,295 $113,802 −81% $92,217 −77% ≈109% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $21,247 $59,663 −64% $33,707 −37% ≈119% of Medicare
116 INTRAOCULAR PROCEDURES WITH CC/MCC $21,076 $29,577 −29% $29,126 −28% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $21,048 $23,507 −10% $29,524 −29% —
113 ORBITAL PROCEDURES WITH CC/MCC $20,834 $50,685 −59% $36,167 −42% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $20,747 $46,014 −55% $31,170 −33% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $20,715 $75,572 −73% $48,682 −57% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $20,607 $36,930 −44% $39,515 −48% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $20,446 $71,764 −72% $46,090 −56% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $20,254 $46,504 −56% $34,276 −41% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $20,016 $75,816 −74% $45,333 −56% ≈130% of Medicare
906 HAND PROCEDURES FOR INJURIES $19,938 $26,263 −24% $32,065 −38% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $19,869 $25,206 −21% $25,652 −23% —
666 PROSTATECTOMY WITH CC $19,771 $45,559 −57% $31,906 −38% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $19,757 $70,922 −72% $44,139 −55% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,754 $25,735 −23% $43,174 −54% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $19,692 $75,584 −74% $46,724 −58% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $19,591 $42,698 −54% $28,202 −31% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $19,496 $67,081 −71% $37,950 −49% ≈120% of Medicare
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $19,486 $19,486 +0% $22,314 −13% —
571 SKIN DEBRIDEMENT WITH CC $19,477 $65,831 −70% $37,169 −48% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $19,416 $92,159 −79% $37,267 −48% ≈109% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $19,405 $44,766 −57% $35,453 −45% —
199 PNEUMOTHORAX WITH MCC $19,334 $47,278 −59% $33,787 −43% —
334 RECTAL RESECTION WITHOUT CC/MCC $19,293 $49,488 −61% $36,820 −48% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $19,168 $19,168 +0% $17,404 +10% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $19,018 $48,013 −60% $33,876 −44% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,982 $27,899 −32% $42,914 −56% ≈137% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $18,964 $78,123 −76% $44,363 −57% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $18,941 $68,344 −72% $33,694 −44% —
184 MAJOR CHEST TRAUMA WITH CC $18,838 $37,484 −50% $22,432 −16% ≈166% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,456 $42,137 −56% $33,661 −45% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,414 $46,508 −60% $30,784 −40% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $18,403 $39,518 −53% $23,940 −23% ≈144% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $18,369 $58,414 −69% $40,552 −55% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $18,356 $45,890 −60% $35,030 −48% —
643 ENDOCRINE DISORDERS WITH MCC $18,346 $45,419 −60% $33,563 −45% ≈113% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,322 $63,349 −71% $51,985 −65% ≈129% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $18,284 $36,608 −50% $48,349 −62% ≈119% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $18,268 $64,370 −72% $46,295 −61% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $18,255 $80,341 −77% $43,298 −58% ≈115% of Medicare
887 OTHER MENTAL DISORDER DIAGNOSES $18,030 $15,760 +14% $20,616 −13% —
512 Shoulder,elbow or forearm proc,exc major joint proc w/o CC/MCC $17,997 $46,812 −62% $35,692 −50% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $17,968 $66,293 −73% $52,075 −65% ≈115% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,959 $42,676 −58% $31,951 −44% ≈120% of Medicare
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,907 $120,604 −85% $59,629 −70% —
915 ALLERGIC REACTIONS WITH MCC $17,804 $33,057 −46% $32,645 −45% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $17,661 $55,709 −68% $25,197 −30% —
865 VIRAL ILLNESS WITH MCC $17,560 $34,511 −49% $26,910 −35% —
663 MINOR BLADDER PROCEDURES WITH CC $17,556 $50,967 −66% $33,103 −47% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $17,383 $40,810 −57% $32,944 −47% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $17,379 $14,861 +17% $29,316 −41% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $17,367 $54,298 −68% $30,553 −43% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,361 $74,921 −77% $46,340 −63% —
504 FOOT PROCEDURES WITH CC $17,212 $94,231 −82% $38,960 −56% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $17,126 $50,709 −66% $32,859 −48% ≈116% of Medicare
669 TRANSURETHRAL PROCEDURES WITH CC $17,114 $70,704 −76% $34,354 −50% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $17,103 $50,993 −66% $77,055 −78% —
919 COMPLICATIONS OF TREATMENT WITH MCC $17,101 $41,881 −59% $31,105 −45% ≈126% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $17,055 $39,171 −56% $40,642 −58% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,978 $37,889 −55% $36,354 −53% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,966 $27,354 −38% $33,255 −49% ≈122% of Medicare
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $16,950 $17,061 −1% $30,010 −44% ≈136% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $16,920 $20,156 −16% $18,316 −8% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $16,901 $52,760 −68% $32,574 −48% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $16,821 $30,449 −45% $29,916 −44% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $16,813 $39,991 −58% $30,571 −45% ≈79% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $16,794 $47,486 −65% $34,017 −51% ≈119% of Medicare
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $16,748 $38,973 −57% $40,365 −59% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $16,740 $59,034 −72% $37,842 −56% ≈125% of Medicare
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $16,734 $54,418 −69% $39,018 −57% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $16,730 $71,079 −76% $29,805 −44% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $16,411 $28,447 −42% $34,607 −53% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $16,369 $71,606 −77% $38,101 −57% ≈120% of Medicare
012 Tracheostomy for face,mouth & neck diagnoses w CC $16,362 $130,168 −87% $79,836 −80% ≈115% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,319 $41,407 −61% $29,949 −46% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $16,299 $63,604 −74% $35,584 −54% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $16,280 $56,023 −71% $35,419 −54% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $16,268 $46,593 −65% $26,463 −39% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $16,261 $69,905 −77% $38,836 −58% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $16,225 $42,059 −61% $24,586 −34% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $16,178 $68,024 −76% $32,100 −50% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $16,099 $56,043 −71% $43,477 −63% —
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $16,082 $48,581 −67% $29,743 −46% —
157 DENTAL AND ORAL DISEASES WITH MCC $16,024 $44,674 −64% $31,300 −49% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $15,984 $46,206 −65% $33,633 −52% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $15,899 $46,693 −66% $38,094 −58% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $15,842 $58,067 −73% $44,117 −64% ≈116% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $15,784 $30,195 −48% $27,152 −42% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,431 $40,704 −62% $27,275 −43% ≈129% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,388 $66,824 −77% $44,606 −66% ≈125% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $15,379 $31,576 −51% $32,628 −53% ≈124% of Medicare
100 SEIZURES WITH MCC $15,359 $55,589 −72% $35,481 −57% ≈107% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $15,350 $53,056 −71% $27,808 −45% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $15,280 $49,639 −69% $27,316 −44% ≈120% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,262 $36,072 −58% $32,496 −53% ≈129% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $15,167 $30,608 −50% $27,426 −45% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,164 $61,714 −75% $38,666 −61% ≈116% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,162 $42,644 −64% $27,043 −44% ≈120% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $15,162 $60,018 −75% $35,831 −58% —
501 SOFT TISSUE PROCEDURES WITH CC $15,094 $70,805 −79% $39,619 −62% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $15,093 $38,373 −61% $29,221 −48% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,052 $24,791 −39% $39,006 −61% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,021 $34,902 −57% $19,073 −21% —
534 FRACTURES OF FEMUR WITHOUT MCC $14,868 $27,341 −46% $17,559 −15% —
606 MINOR SKIN DISORDERS WITH MCC $14,862 $44,210 −66% $27,975 −47% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $14,851 $76,863 −81% $35,465 −58% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,766 $46,841 −68% $39,211 −62% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $14,755 $46,830 −68% $26,870 −45% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $14,700 $65,576 −78% $36,253 −59% —
935 Non-extensive burns $14,633 $12,401 +18% $31,701 −54% ≈143% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $14,608 $35,607 −59% $36,505 −60% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,558 $37,031 −61% $33,653 −57% —
186 PLEURAL EFFUSION WITH MCC $14,546 $40,621 −64% $33,834 −57% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $14,507 $37,590 −61% $26,948 −46% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,493 $63,386 −77% $28,320 −49% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $14,480 $88,880 −84% $34,906 −59% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $14,461 $21,357 −32% $24,552 −41% ≈130% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $14,371 $31,833 −55% $32,877 −56% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $14,320 $31,658 −55% $32,451 −56% —
693 URINARY STONES WITH MCC $14,214 $39,855 −64% $23,892 −41% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $14,203 $24,580 −42% $25,094 −43% —
398 Appendix Procedures without MCC/CC $14,183 $39,406 −64% $40,162 −65% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,116 $30,282 −53% $42,901 −67% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $14,008 $58,005 −76% $33,393 −58% ≈129% of Medicare
682 RENAL FAILURE WITH MCC $13,999 $48,136 −71% $29,064 −52% ≈121% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,996 $26,312 −47% $23,571 −41% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $13,982 $13,982 +0% $59,352 −76% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $13,953 $26,715 −48% $23,283 −40% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $13,943 $14,753 −5% $16,520 −16% —
602 CELLULITIS WITH MCC $13,941 $42,228 −67% $30,598 −54% ≈131% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $13,925 $30,428 −54% $19,412 −28% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $13,796 $13,796 +0% $17,193 −20% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $13,787 $56,732 −76% $32,833 −58% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $13,784 $56,609 −76% $28,125 −51% —
637 DIABETES WITH MCC $13,583 $38,920 −65% $30,100 −55% ≈100% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $13,547 $10,147 +34% $15,855 −15% —
947 SIGNS AND SYMPTOMS WITH MCC $13,482 $40,771 −67% $27,401 −51% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $13,331 $36,493 −63% $23,617 −44% ≈121% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $13,299 $37,413 −64% $66,711 −80% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,296 $38,935 −66% $30,083 −56% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $13,240 $46,699 −72% $25,712 −49% —
506 Major thumb or joint procedures $13,213 $31,650 −58% $30,557 −57% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $13,175 $49,488 −73% $31,017 −58% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,156 $70,685 −81% $33,674 −61% —
811 RED BLOOD CELL DISORDERS WITH MCC $13,155 $51,703 −75% $28,226 −53% ≈126% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $13,149 $40,668 −68% $30,959 −58% ≈122% of Medicare
913 TRAUMATIC INJURY WITH MCC $13,120 $34,309 −62% $24,198 −46% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $13,097 $43,378 −70% $26,932 −51% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $13,042 $20,107 −35% $23,498 −44% ≈106% of Medicare
348 ANAL AND STOMAL PROCEDURES WITH CC $12,943 $50,118 −74% $27,947 −54% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $12,920 $60,046 −78% $31,264 −59% ≈127% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,810 $39,755 −68% $41,892 −69% ≈107% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,776 $43,603 −71% $27,543 −54% ≈121% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,770 $46,930 −73% $32,841 −61% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,758 $33,385 −62% $19,096 −33% ≈132% of Medicare
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $12,754 $23,243 −45% $19,846 −36% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,727 $61,996 −79% $37,387 −66% ≈114% of Medicare
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,620 $31,615 −60% $27,323 −54% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,619 $64,785 −81% $39,887 −68% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,619 $34,174 −63% $20,781 −39% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $12,560 $115,896 −89% $65,653 −81% ≈121% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $12,550 $47,503 −74% $27,843 −55% —
304 HYPERTENSION WITH MCC $12,395 $47,999 −74% $26,080 −52% ≈138% of Medicare
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $12,380 $17,959 −31% $20,980 −41% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $12,359 $38,675 −68% $21,230 −42% —
181 RESPIRATORY NEOPLASMS WITH CC $12,279 $27,597 −56% $23,573 −48% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $12,272 $35,076 −65% $25,034 −51% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,219 $55,988 −78% $36,937 −67% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,187 $22,843 −47% $20,084 −39% —
741 Uterine,adnexa proc for non-ovarian/adnexal malig w/o CC/MCC $12,177 $75,275 −84% $30,493 −60% —
540 OSTEOMYELITIS WITH CC $12,167 $35,008 −65% $26,676 −54% —
813 Coagulation disorders $12,137 $50,736 −76% $33,296 −64% ≈47% of Medicare
375 DIGESTIVE MALIGNANCY WITH CC $12,089 $52,392 −77% $27,277 −56% ≈121% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,085 $64,761 −81% $30,828 −61% ≈119% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,051 $25,599 −53% $22,763 −47% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,028 $26,569 −55% $25,748 −53% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,016 $41,965 −71% $24,386 −51% ≈129% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,974 $37,251 −68% $28,050 −57% ≈122% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $11,970 $38,408 −69% $20,232 −41% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $11,895 $18,649 −36% $18,649 −36% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $11,806 $18,819 −37% $16,700 −29% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,722 $47,290 −75% $27,297 −57% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,610 $53,554 −78% $25,390 −54% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $11,576 $34,304 −66% $37,240 −69% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $11,557 $30,075 −62% $17,483 −34% —
102 HEADACHES WITH MCC $11,540 $29,516 −61% $25,740 −55% —
187 PLEURAL EFFUSION WITH CC $11,469 $48,849 −77% $21,789 −47% —
642 Inborn errors of metabolism $11,454 $24,356 −53% $20,727 −45% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,427 $10,917 +5% $20,901 −45% —
593 SKIN ULCERS WITH CC $11,384 $32,139 −65% $22,886 −50% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $11,284 $41,685 −73% $22,458 −50% ≈141% of Medicare
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,237 $24,335 −54% $27,633 −59% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $11,233 $46,815 −76% $19,854 −43% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,211 $27,792 −60% $28,156 −60% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,171 $43,755 −74% $31,321 −64% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,151 $18,005 −38% $18,126 −38% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $11,135 $17,162 −35% $16,846 −34% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,110 $30,693 −64% $20,259 −45% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $11,052 $25,639 −57% $19,657 −44% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,044 $43,842 −75% $30,502 −64% ≈126% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,036 $31,429 −65% $30,235 −63% ≈116% of Medicare
779 ABORTION WITHOUT D&C $10,934 $13,558 −19% $15,327 −29% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $10,886 $30,444 −64% $18,459 −41% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,855 $29,170 −63% $22,506 −52% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,793 $44,117 −76% $17,398 −38% —
381 COMPLICATED PEPTIC ULCER WITH CC $10,769 $36,968 −71% $24,177 −55% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,737 $31,798 −66% $32,021 −66% ≈132% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,717 $28,653 −63% $27,163 −61% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,696 $58,778 −82% $26,618 −60% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,690 $34,687 −69% $21,847 −51% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $10,527 $104,012 −90% $64,523 −84% ≈124% of Medicare
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $10,428 $21,364 −51% $16,552 −37% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,379 $37,293 −72% $19,305 −46% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,330 $34,103 −70% $22,888 −55% ≈124% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,306 $27,096 −62% $12,999 −21% —
158 DENTAL AND ORAL DISEASES WITH CC $10,263 $16,694 −39% $18,466 −44% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $10,222 $43,125 −76% $23,551 −57% ≈124% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,185 $47,804 −79% $23,319 −56% ≈130% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,174 $43,521 −77% $27,617 −63% —
152 OTITIS MEDIA AND URI WITH MCC $10,154 $28,331 −64% $20,247 −50% —
200 PNEUMOTHORAX WITH CC $10,094 $24,177 −58% $21,368 −53% ≈133% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,057 $32,275 −69% $16,565 −39% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,000 $34,293 −71% $20,422 −51% ≈122% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,941 $30,445 −67% $16,998 −42% —
090 CONCUSSION WITHOUT CC/MCC $9,931 $37,092 −73% $15,412 −36% —
541 OSTEOMYELITIS WITHOUT CC/MCC $9,876 $26,161 −62% $15,215 −35% —
197 INTERSTITIAL LUNG DISEASE WITH CC $9,820 $40,745 −76% $21,941 −55% —
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $9,790 $39,350 −75% $31,159 −69% ≈115% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $9,774 $22,801 −57% $31,563 −69% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $9,761 $50,701 −81% $22,635 −57% —
920 COMPLICATIONS OF TREATMENT WITH CC $9,689 $32,703 −70% $22,468 −57% ≈116% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,663 $33,347 −71% $23,749 −59% ≈134% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,589 $44,329 −78% $23,141 −59% ≈136% of Medicare
895 Alcohol/drug abuse or dependence w rehabilitation therapy $9,578 $14,256 −33% $21,986 −56% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $9,541 $33,096 −71% $22,850 −58% ≈120% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $9,536 $23,913 −60% $19,119 −50% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $9,429 $16,114 −41% $14,055 −33% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,424 $22,509 −58% $20,957 −55% ≈116% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $9,412 $11,120 −15% $13,586 −31% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $9,401 $56,539 −83% $42,186 −78% —
292 HEART FAILURE AND SHOCK WITH CC $9,388 $30,014 −69% $16,371 −43% ≈115% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $9,364 $14,335 −35% $19,924 −53% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,350 $11,510 −19% $13,275 −30% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,318 $33,593 −72% $19,264 −52% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,312 $32,521 −71% $20,181 −54% ≈126% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,272 $23,972 −61% $24,914 −63% ≈127% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,262 $17,396 −47% $25,303 −63% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,238 $11,701 −21% $26,510 −65% —
312 SYNCOPE AND COLLAPSE $9,224 $23,207 −60% $19,342 −52% ≈127% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $9,211 $26,473 −65% $17,118 −46% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,193 $28,801 −68% $22,098 −58% ≈120% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,158 $29,865 −69% $26,770 −66% ≈118% of Medicare
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $9,147 $9,613 −5% $44,472 −79% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $9,106 $37,075 −75% $22,033 −59% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,090 $14,619 −38% $15,370 −41% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $9,066 $29,612 −69% $21,363 −58% ≈133% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $9,061 $24,481 −63% $18,002 −50% ≈139% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,969 $27,341 −67% $20,895 −57% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,931 $37,010 −76% $22,024 −59% ≈123% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,922 $37,258 −76% $26,580 −66% ≈116% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $8,917 $39,039 −77% $21,449 −58% ≈113% of Medicare
644 ENDOCRINE DISORDERS WITH CC $8,896 $35,344 −75% $23,198 −62% ≈121% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,880 $28,804 −69% $19,962 −56% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,868 $25,257 −65% $17,724 −50% ≈156% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,837 $83,905 −89% $52,405 −83% ≈93% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $8,772 $55,905 −84% $27,861 −69% —
607 MINOR SKIN DISORDERS WITHOUT MCC $8,740 $30,316 −71% $15,889 −45% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,716 $36,417 −76% $16,634 −48% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $8,696 $26,492 −67% $18,452 −53% —
864 FEVER AND INFLAMMATORY CONDITIONS $8,686 $24,207 −64% $18,640 −53% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,646 $26,235 −67% $17,135 −50% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $8,606 $26,127 −67% $14,648 −41% —
885 Psychoses $8,602 $26,024 −67% $21,729 −60% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,596 $25,373 −66% $17,124 −50% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,566 $27,043 −68% $18,126 −53% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,562 $69,215 −88% $35,628 −76% ≈122% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,557 $47,860 −82% $20,463 −58% ≈129% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,517 $25,841 −67% $20,506 −58% ≈137% of Medicare
683 RENAL FAILURE WITH CC $8,483 $27,364 −69% $19,130 −56% ≈127% of Medicare
101 SEIZURES WITHOUT MCC $8,462 $31,557 −73% $20,461 −59% ≈123% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $8,460 $21,438 −61% $17,081 −50% —
149 Dysequilibrium $8,420 $12,109 −30% $18,096 −53% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,410 $41,351 −80% $22,148 −62% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,387 $30,131 −72% $20,488 −59% ≈133% of Medicare
603 CELLULITIS WITHOUT MCC $8,273 $24,682 −66% $18,530 −55% ≈128% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,256 $37,105 −78% $20,926 −61% —
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $8,255 $29,525 −72% $19,842 −58% ≈138% of Medicare
638 DIABETES WITH CC $8,237 $24,363 −66% $19,661 −58% ≈139% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,230 $34,923 −76% $21,275 −61% ≈101% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $8,205 $31,966 −74% $18,081 −55% ≈138% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,176 $25,323 −68% $14,638 −44% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,163 $8,163 +0% $11,909 −31% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,114 $31,944 −75% $18,956 −57% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,080 $32,461 −75% $17,298 −53% ≈129% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,008 $37,994 −79% $19,227 −58% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,987 $18,420 −57% $15,452 −48% ≈107% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,960 $22,003 −64% $29,079 −73% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $7,952 $15,641 −49% $11,997 −34% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $7,890 $13,717 −42% $17,226 −54% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $7,890 $29,056 −73% $14,797 −47% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,862 $31,296 −75% $18,528 −58% —
103 HEADACHES WITHOUT MCC $7,836 $33,850 −77% $21,280 −63% —
694 URINARY STONES WITHOUT MCC $7,832 $28,782 −73% $17,345 −55% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $7,713 $18,896 −59% $16,288 −53% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,712 $20,707 −63% $14,501 −47% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,668 $39,473 −81% $32,637 −77% ≈128% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,645 $23,760 −68% $14,689 −48% —
123 Neurological eye disorders $7,609 $36,044 −79% $19,745 −61% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $7,593 $13,863 −45% $16,699 −55% ≈135% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,512 $8,915 −16% $17,700 −58% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,510 $23,724 −68% $18,004 −58% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,464 $29,899 −75% $17,578 −58% ≈120% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $7,407 $87,122 −91% $89,207 −92% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,397 $29,369 −75% $17,921 −59% ≈128% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $7,388 $32,802 −77% $14,368 −49% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,388 $25,672 −71% $18,602 −60% —
038 EXTRACRANIAL PROCEDURES WITH CC $7,261 $57,945 −87% $35,770 −80% ≈133% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $7,258 $12,483 −42% $17,620 −59% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,131 $30,713 −77% $15,428 −54% —
950 AFTERCARE WITHOUT CC/MCC $7,122 $7,421 −4% $13,527 −47% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $7,108 $24,705 −71% $18,133 −61% —
639 DIABETES WITHOUT CC/MCC $7,034 $24,779 −72% $13,910 −49% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $7,019 $12,101 −42% $31,044 −77% —
305 HYPERTENSION WITHOUT MCC $6,988 $31,871 −78% $18,086 −61% ≈136% of Medicare
311 Angina pectoris $6,957 $35,326 −80% $15,502 −55% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $6,947 $83,057 −92% $71,014 −90% ≈122% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,946 $32,487 −79% $17,303 −60% ≈127% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,943 $6,943 +0% $12,559 −45% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,935 $79,520 −91% $41,422 −83% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,782 $26,661 −75% $16,767 −60% —
313 Chest pain $6,780 $26,595 −75% $16,440 −59% ≈135% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,776 $17,175 −61% $13,633 −50% —
684 RENAL FAILURE WITHOUT CC/MCC $6,765 $26,277 −74% $13,642 −50% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $6,754 $23,335 −71% $11,421 −41% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $6,741 $11,107 −39% $9,940 −32% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,646 $26,840 −75% $15,837 −58% ≈149% of Medicare
201 PNEUMOTHORAX WITHOUT CC/MCC $6,618 $23,084 −71% $14,053 −53% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,540 $15,477 −58% $14,415 −55% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,505 $18,281 −64% $12,895 −50% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $6,480 $21,625 −70% $17,601 −63% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,467 $18,605 −65% $12,454 −48% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,452 $20,204 −68% $14,583 −56% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,411 $11,284 −43% $12,252 −48% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,328 $23,613 −73% $13,651 −54% —
291 HEART FAILURE AND SHOCK WITH MCC $6,309 $29,310 −78% $26,776 −76% ≈123% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,300 $23,223 −73% $18,204 −65% ≈135% of Medicare
641 Nutritional & misc metabolic disorders w/o MCC $6,287 $28,392 −78% $17,038 −63% ≈128% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,204 $25,270 −75% $26,682 −77% ≈123% of Medicare
916 ALLERGIC REACTIONS WITHOUT MCC $6,191 $12,384 −50% $13,942 −56% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,143 $20,393 −70% $14,549 −58% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,110 $30,373 −80% $15,600 −61% —
882 NEUROSES EXCEPT DEPRESSIVE $6,050 $10,261 −41% $15,680 −61% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,026 $27,558 −78% $14,128 −57% ≈128% of Medicare
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,976 $21,534 −72% $14,250 −58% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,937 $18,290 −68% $10,975 −46% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,936 $33,249 −82% $15,038 −61% ≈136% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,863 $17,115 −66% $13,824 −58% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,858 $29,460 −80% $16,968 −65% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,769 $22,569 −74% $15,183 −62% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,763 $37,486 −85% $20,455 −72% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,701 $22,219 −74% $12,460 −54% —
881 Depressive neuroses $5,385 $12,838 −58% $15,058 −64% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,329 $29,833 −82% $17,733 −70% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,259 $26,598 −80% $13,361 −61% ≈117% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,177 $9,556 −46% $12,078 −57% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,155 $28,818 −82% $31,134 −83% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,053 $49,527 −90% $25,970 −81% ≈131% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $4,900 $34,277 −86% $38,343 −87% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,878 $47,377 −90% $36,431 −87% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,849 $11,841 −59% $23,206 −79% —
894 Alcohol/drug abuse or dependence, left AMA $4,719 $19,065 −75% $12,324 −62% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $4,695 $62,558 −92% $50,011 −91% ≈125% of Medicare
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $4,687 $28,665 −84% $32,031 −85% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,589 $39,751 −88% $21,396 −79% ≈129% of Medicare
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC $4,572 $89,760 −95% $65,788 −93% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,565 $35,345 −87% $18,488 −75% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,207 $41,089 −90% $21,056 −80% ≈131% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,169 $43,859 −90% $25,700 −84% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,082 $18,608 −78% $20,566 −80% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,847 $37,338 −90% $19,569 −80% —
791 PREMATURITY WITH MAJOR PROBLEMS $3,802 $53,686 −93% $42,679 −91% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,791 $23,464 −84% $13,384 −72% ≈138% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,777 $10,700 −65% $12,229 −69% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,714 $92,122 −96% $49,066 −92% —
951 Other factors influencing health status $3,516 $6,799 −48% $10,160 −65% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,482 $83,218 −96% $46,283 −92% ≈107% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $3,443 $26,306 −87% $14,927 −77% ≈145% of Medicare
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,323 $6,944 −52% $8,445 −61% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,244 $87,879 −96% $33,454 −90% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,021 $24,390 −88% $18,150 −83% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,669 $31,594 −92% $17,322 −85% ≈132% of Medicare
115 Extraocular procedures except orbit $2,417 $42,560 −94% $25,703 −91% —
795 NORMAL NEWBORN $1,950 $3,269 −40% $4,720 −59% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,739 $14,905 −88% $14,716 −88% —

Procedures with negotiated rates only

These 182 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $91,743 – $434,154 · median $215,040 25 plans
013 Tracheostomy for face,mouth & neck diagnoses w/o CC/MCC $11,344 – $53,682 · median $27,032 25 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $161,437 – $763,971 · median $378,401 25 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $23,662 – $111,978 · median $55,463 25 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $7,847 – $37,135 · median $19,048 25 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $6,232 – $29,493 · median $15,351 25 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $4,511 – $21,349 · median $11,565 25 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,211 – $15,196 · median $8,500 25 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $6,619 – $31,324 · median $16,214 25 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,272 – $20,214 · median $11,036 25 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,854 – $13,507 · median $7,555 25 plans
088 CONCUSSION WITH MCC $6,039 – $28,577 · median $14,934 25 plans
089 CONCUSSION WITH CC $4,590 – $21,720 · median $11,737 25 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $10,262 – $48,561 · median $24,610 25 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,061 – $23,948 · median $12,775 25 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $5,582 – $26,414 · median $13,925 25 plans
139 Salivary gland procedures $5,877 – $27,814 · median $14,578 25 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,329 – $25,216 · median $13,367 25 plans
150 EPISTAXIS WITH MCC $5,917 – $28,000 · median $14,665 25 plans
151 EPISTAXIS WITHOUT MCC $3,245 – $15,356 · median $8,590 25 plans
173 Ultrasound Accelerated and other Thrombolysis with Principal Diagnosis Pulmonary Embolism $13,136 – $62,163 · median $31,071 25 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,585 – $16,967 · median $9,407 25 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,143 – $14,872 · median $8,319 25 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,678 – $17,405 · median $9,629 25 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,998 – $14,189 · median $7,937 25 plans
212 Concomitant Aortic and Mitral Valve Procedures $46,633 – $220,683 · median $109,306 25 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $25,468 – $120,523 · median $59,696 25 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $19,660 – $93,035 · median $46,092 25 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $36,275 – $171,663 · median $85,026 25 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $26,150 – $123,748 · median $61,293 25 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $6,463 – $30,587 · median $15,870 25 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $7,726 – $36,561 · median $18,766 25 plans
245 AICD GENERATOR PROCEDURES $20,919 – $98,996 · median $49,033 25 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,818 – $18,069 · median $9,966 25 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $12,010 – $56,835 · median $28,523 25 plans
265 AICD lead procedures $15,270 – $72,262 · median $35,985 25 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $26,517 – $125,484 · median $62,153 25 plans
278 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures with MCC $21,417 – $101,354 · median $50,201 25 plans
279 Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures without MCC $13,717 – $64,914 · median $32,410 25 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,172 – $15,010 · median $8,396 25 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,403 – $11,371 · median $6,361 25 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $11,693 – $55,333 · median $27,813 25 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $6,749 – $31,940 · median $16,501 25 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,191 – $19,834 · median $10,858 25 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,257 – $24,876 · median $13,209 25 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,381 – $16,001 · median $8,917 25 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,016 – $14,270 · median $7,982 25 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $1,890 – $8,946 · median $5,004 25 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $26,482 – $125,322 · median $62,083 25 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $18,804 – $88,988 · median $44,123 25 plans
323 Coronary Intravascular Lithotripsy with Intraluminal Device with MCC $18,234 – $86,287 · median $42,808 25 plans
324 Coronary Intravascular Lithotripsy with Intraluminal Device without MCC $13,678 – $64,728 · median $32,319 25 plans
325 Coronary Intravascular Lithotripsy without Intraluminal Device $12,252 – $57,981 · median $29,065 25 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,657 – $93,023 · median $46,085 25 plans
332 RECTAL RESECTION WITH MCC $14,849 – $70,268 · median $35,015 25 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $11,535 – $54,586 · median $27,459 25 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $6,375 – $30,170 · median $15,670 25 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $10,131 – $47,945 · median $24,319 25 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $12,555 – $59,416 · median $29,744 25 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,988 – $14,139 · median $7,909 25 plans
380 COMPLICATED PEPTIC ULCER WITH MCC $8,238 – $38,984 · median $19,956 25 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $7,089 – $33,547 · median $17,286 25 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $16,821 – $79,602 · median $39,511 25 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $14,988 – $70,929 · median $35,336 25 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $8,974 – $42,469 · median $21,668 25 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $6,640 – $31,422 · median $16,259 25 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $11,715 – $55,437 · median $27,860 25 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $6,290 – $29,767 · median $15,488 25 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $9,774 – $46,253 · median $23,518 25 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $6,617 – $31,314 · median $16,209 25 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $44,872 – $212,347 · median $105,193 25 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $30,390 – $143,813 · median $71,243 25 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $23,568 – $111,530 · median $55,250 25 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $35,704 – $168,960 · median $83,700 25 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $23,418 – $110,819 · median $54,898 25 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,361 – $15,905 · median $8,869 25 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $28,701 – $135,820 · median $67,283 25 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $17,480 – $82,722 · median $41,169 25 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $22,046 – $104,328 · median $51,682 25 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $13,210 – $62,515 · median $31,516 25 plans
461 Bilateral or multiple major joint procs of lower extremity w MCC $26,271 – $124,323 · median $61,578 25 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $21,809 – $103,205 · median $49,716 25 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $19,198 – $90,849 · median $45,028 25 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,979 – $23,561 · median $12,596 25 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $6,764 – $32,011 · median $16,534 25 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $8,413 – $39,815 · median $20,364 25 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $15,070 – $71,318 · median $35,526 25 plans
503 FOOT PROCEDURES WITH MCC $11,330 – $53,615 · median $27,000 25 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $7,516 – $35,567 · median $18,275 25 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $5,525 – $26,146 · median $13,800 25 plans
509 Arthroscopy $7,520 – $35,585 · median $18,287 25 plans
510 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC $12,235 – $57,900 · median $29,027 25 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $6,445 – $30,500 · median $15,830 25 plans
533 FRACTURES OF FEMUR WITH MCC $6,528 – $30,891 · median $16,012 25 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,934 – $18,616 · median $10,244 25 plans
539 OSTEOMYELITIS WITH MCC $8,659 – $40,978 · median $20,933 25 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $7,984 – $37,781 · median $19,366 25 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,235 – $15,310 · median $8,564 25 plans
548 SEPTIC ARTHRITIS WITH MCC $8,624 – $40,812 · median $20,854 25 plans
549 SEPTIC ARTHRITIS WITH CC $5,159 – $24,412 · median $12,992 25 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,691 – $17,465 · median $9,660 25 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,592 – $26,464 · median $13,945 25 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,764 – $27,279 · median $14,328 25 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $7,946 – $37,603 · median $19,278 25 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,875 – $23,071 · median $12,366 25 plans
570 SKIN DEBRIDEMENT WITH MCC $12,888 – $60,988 · median $30,498 25 plans
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $4,891 – $23,144 · median $12,400 25 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $26,362 – $124,751 · median $61,790 25 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $8,547 – $40,447 · median $20,675 25 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $23,096 – $109,295 · median $54,135 25 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $7,496 – $35,476 · median $18,233 25 plans
592 SKIN ULCERS WITH MCC $8,803 – $41,657 · median $21,269 25 plans
594 SKIN ULCERS WITHOUT CC/MCC $3,633 – $17,192 · median $9,522 25 plans
595 MAJOR SKIN DISORDERS WITH MCC $9,054 – $42,848 · median $21,854 25 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $7,520 – $35,585 · median $18,287 25 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,660 – $17,319 · median $9,586 25 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $6,360 – $30,099 · median $15,642 25 plans
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $8,272 – $39,144 · median $20,032 25 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,330 – $25,222 · median $13,370 25 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $11,672 – $55,234 · median $27,765 25 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $16,028 – $75,850 · median $37,720 25 plans
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $8,194 – $38,776 · median $19,848 25 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,294 – $20,322 · median $11,085 25 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $5,999 – $28,387 · median $14,845 25 plans
640 Nutritional & misc metabolic disorders w MCC $5,686 – $26,906 · median $14,153 25 plans
662 MINOR BLADDER PROCEDURES WITH MCC $13,354 – $63,196 · median $31,574 25 plans
665 PROSTATECTOMY WITH MCC $14,698 – $69,557 · median $34,669 25 plans
667 PROSTATECTOMY WITHOUT CC/MCC $4,400 – $20,820 · median $11,318 25 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $12,484 – $59,077 · median $29,584 25 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,091 – $19,360 · median $10,621 25 plans
671 URETHRAL PROCEDURES WITH CC/MCC $7,379 – $34,918 · median $17,960 25 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $6,701 – $31,709 · median $16,393 25 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $8,072 – $38,200 · median $19,571 25 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,100 – $14,672 · median $8,207 25 plans
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,436 – $16,260 · median $9,049 25 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,828 – $22,846 · median $12,263 25 plans
697 Urethral stricture $4,289 – $20,295 · median $11,073 25 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $8,307 – $39,313 · median $21,127 25 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $4,579 – $21,669 · median $11,713 25 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,022 – $19,035 · median $10,456 25 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $9,667 – $45,749 · median $23,278 25 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,076 – $28,752 · median $15,015 25 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $7,943 – $37,589 · median $19,271 25 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,273 – $24,955 · median $13,246 25 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,807 – $22,749 · median $12,216 25 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,119 – $14,761 · median $8,256 25 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,407 – $25,589 · median $13,535 25 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,186 – $15,079 · median $8,434 25 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,598 – $12,295 · median $6,877 25 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $16,856 – $79,766 · median $39,636 25 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $4,387 – $20,761 · median $11,290 25 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,089 – $19,349 · median $10,616 25 plans
748 Female reproductive system reconstructive procedures $5,832 – $27,597 · median $14,477 25 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,520 – $26,124 · median $13,789 25 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,088 – $19,345 · median $10,614 25 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $6,058 – $28,671 · median $14,977 25 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,465 – $25,863 · median $12,812 25 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $7,028 – $33,259 · median $17,144 25 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $4,733 – $22,396 · median $12,053 25 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $8,949 – $42,347 · median $21,608 25 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $10,127 – $51,359 · median $22,647 25 plans
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,440 – $25,743 · median $13,612 25 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $39,434 – $186,612 · median $92,445 25 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $16,822 – $79,606 · median $39,558 25 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $5,219 – $24,696 · median $13,125 25 plans
945 REHABILITATION WITH CC/MCC $6,535 – $30,923 · median $16,027 25 plans
946 REHABILITATION WITHOUT CC/MCC $4,779 – $22,617 · median $12,156 25 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $27,073 – $128,116 · median $63,457 25 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $11,358 – $53,751 · median $27,064 25 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,293 – $20,318 · median $11,084 25 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $47,175 – $223,248 · median $109,424 23 plans
006 LIVER TRANSPLANT WITHOUT MCC $20,758 – $98,234 · median $48,613 23 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $23,292 – $110,225 · median $54,446 23 plans
010 PANCREAS TRANSPLANT $34,131 – $161,517 · median $79,397 23 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $56,085 – $265,411 · median $129,938 23 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $25,838 – $122,273 · median $60,308 23 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $25,838 – $122,273 · median $60,308 23 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $33,934 – $160,587 · median $78,946 23 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $19,723 – $93,333 · median $46,229 23 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $14,864 – $70,343 · median $34,842 23 plans
652 KIDNEY TRANSPLANT $13,148 – $62,219 · median $30,818 23 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $19,879 – $27,108 · median $25,959 1 plans
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