Uf Health Shands Hospital — Pricing

776 procedures published in this hospital's Machine-Readable File (MRF) — 598 with a comparable price, 178 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 $1,591
Average published price $27,063
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 598 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 194 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% $431,073 +25% ≈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 $431,250 −53% $245,241 −17% ≈94% of Medicare
799 SPLENIC PROCEDURES WITH MCC $196,636 $177,369 +11% $78,821 +149% —
215 Other heart assist system implant $190,602 $190,319 +0% $191,314 −0% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $185,979 $360,137 −48% $175,437 +6% ≈103% of Medicare
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $179,582 $118,876 +51% $159,181 +13% ≈81% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $142,407 $189,954 −25% $120,587 +18% ≈112% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $132,123 $284,008 −53% $131,961 +0% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $132,075 $100,016 +32% $76,583 +72% —
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% $105,612 +4% —
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% $138,868 −28% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $93,281 $259,383 −64% $138,008 −32% ≈116% of Medicare
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $92,891 $190,120 −51% $151,029 −38% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $89,751 $137,651 −35% $74,257 +21% —
028 SPINAL PROCEDURES WITH MCC $83,938 $123,606 −32% $95,858 −12% —
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% $67,764 +17% ≈118% of Medicare
653 MAJOR BLADDER PROCEDURES WITH MCC $76,233 $127,939 −40% $97,046 −21% —
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% $66,853 +11% —
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% $118,589 −42% ≈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 $97,310 −35% $49,710 +27% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $62,863 $66,416 −5% $35,673 +76% —
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% $94,927 −35% ≈101% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $60,461 $65,293 −7% $64,956 −7% —
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% $29,476 +105% —
500 SOFT TISSUE PROCEDURES WITH MCC $59,522 $97,778 −39% $57,479 +4% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $59,341 $103,317 −43% $102,177 −42% ≈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% $80,747 −30% ≈96% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $56,530 $157,552 −64% $88,691 −36% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $56,314 $76,167 −26% $54,129 +4% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $55,336 $70,199 −21% $87,565 −37% —
011 Tracheostomy for face,mouth & neck diagnoses w MCC $55,009 $135,442 −59% $86,953 −37% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $53,454 $61,960 −14% $50,815 +5% ≈210% of Medicare
397 Appendix Procedures with MCC $52,392 $42,252 +24% $52,319 +0% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $52,208 $114,701 −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% $80,885 −36% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $51,429 $58,594 −12% $83,065 −38% ≈112% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $50,249 $43,584 +15% $23,814 +111% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $49,829 $160,421 −69% $116,058 −57% ≈118% of Medicare
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $48,924 $87,372 −44% $72,011 −32% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $47,959 $166,045 −71% $87,018 −45% ≈93% of Medicare
455 Combined anterior/posterior spinal fusion w/o CC/MCC $47,377 $103,492 −54% $54,320 −13% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $47,034 $233,892 −80% $134,914 −65% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $46,845 $110,939 −58% $68,847 −32% —
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% $88,341 −49% ≈117% of Medicare
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $44,770 $125,567 −64% $68,006 −34% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $44,427 $173,119 −74% $86,390 −49% ≈98% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $44,136 $114,641 −62% $62,961 −30% —
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% $72,908 −40% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $43,145 $66,777 −35% $35,459 +22% ≈122% of Medicare
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $42,667 $120,183 −64% $54,313 −21% ≈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% $68,399 −38% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $41,813 $100,372 −58% $55,097 −24% —
739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $41,631 $98,179 −58% $57,521 −28% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $41,589 $124,879 −67% $70,540 −41% ≈119% of Medicare
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $41,496 $88,195 −53% $49,065 −15% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $41,155 $151,718 −73% $71,755 −43% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $40,853 $67,515 −39% $40,232 +2% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $40,797 $58,395 −30% $52,332 −22% ≈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% $68,659 −42% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $39,465 $121,638 −68% $64,152 −38% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $39,368 $60,442 −35% $62,404 −37% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $39,220 $102,833 −62% $67,901 −42% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $39,108 $128,484 −70% $72,782 −46% ≈94% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $38,845 $133,926 −71% $64,749 −40% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $38,694 $128,607 −70% $72,859 −47% ≈133% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $38,531 $136,522 −72% $70,132 −45% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $38,292 $133,523 −71% $62,269 −39% —
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% $34,352 +10% —
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% $64,465 −44% —
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 $121,700 −71% $71,701 −50% ≈84% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $35,533 $53,904 −34% $36,080 −2% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $35,532 $58,911 −40% $51,142 −31% —
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 $93,249 −62% $62,524 −44% —
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 $139,177 −75% $68,880 −49% ≈118% of Medicare
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $34,589 $121,966 −72% $64,776 −47% —
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% $57,855 −41% —
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 $90,046 −63% $51,172 −34% ≈122% of Medicare
789 Neonates, died or transferred to another acute care facility $33,527 $21,937 +53% $14,284 +135% —
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 $134,679 −76% $74,274 −56% ≈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 $36,603 −13% $29,609 +7% —
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% $58,968 −46% —
180 RESPIRATORY NEOPLASMS WITH MCC $31,485 $61,687 −49% $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 $62,523 −50% $54,475 −43% ≈122% of Medicare
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $31,187 $34,761 −10% $35,569 −12% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $30,896 $96,763 −68% $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% $46,659 −34% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $30,334 $75,637 −60% $53,817 −44% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,302 $125,583 −76% $72,945 −58% ≈108% of Medicare
302 ATHEROSCLEROSIS WITH MCC $29,944 $38,705 −23% $20,844 +44% —
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% $45,432 −35% —
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $28,936 $68,370 −58% $57,149 −49% ≈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 $97,244 −71% $51,953 −45% ≈107% of Medicare
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $28,265 $193,020 −85% $121,714 −77% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $28,248 $54,864 −49% $44,053 −36% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $28,206 $82,361 −66% $43,697 −35% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $28,109 $118,604 −76% $57,963 −52% —
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% $56,758 −51% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $27,629 $99,225 −72% $46,591 −41% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $27,564 $89,754 −69% $54,824 −50% ≈120% of Medicare
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $27,514 $72,969 −62% $32,911 −16% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $27,395 $52,262 −48% $50,624 −46% —
183 MAJOR CHEST TRAUMA WITH MCC $27,074 $51,702 −48% $28,924 −6% —
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% $44,938 −41% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $26,395 $69,421 −62% $25,854 +2% —
654 MAJOR BLADDER PROCEDURES WITH CC $26,376 $112,622 −77% $53,868 −51% ≈117% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $25,930 $124,187 −79% $47,546 −45% —
470 Major joint replacement or reattachment of lower extremity w/o MCC $25,831 $66,028 −61% $49,197 −47% ≈134% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $25,831 $98,223 −74% $56,519 −54% ≈128% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $25,759 $69,305 −63% $39,747 −35% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $25,669 $37,862 −32% $25,666 +0% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $25,656 $73,258 −65% $49,631 −48% —
164 MAJOR CHEST PROCEDURES WITH CC $25,596 $122,337 −79% $53,141 −52% ≈117% of Medicare
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $25,457 $151,465 −83% $82,561 −69% ≈118% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $25,292 $62,611 −60% $39,657 −36% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $25,263 $53,112 −52% $36,237 −30% ≈110% of Medicare
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $25,263 $79,725 −68% $41,703 −39% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $25,235 $90,905 −72% $45,059 −44% —
849 RADIOTHERAPY $25,224 $40,661 −38% $37,862 −33% —
322 Percutaneous Cardiovascular Procedures with Intraluminal Device without MCC $25,197 $95,949 −74% $54,772 −54% ≈121% of Medicare
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $25,180 $75,201 −67% $38,382 −34% —
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 $41,153 −40% $39,409 −37% ≈120% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $24,863 $86,826 −71% $56,394 −56% ≈121% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $24,775 $60,382 −59% $36,933 −33% ≈84% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $24,700 $83,283 −70% $48,094 −49% ≈122% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $24,586 $29,410 −16% $32,399 −24% ≈89% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $24,449 $89,673 −73% $37,654 −35% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $24,424 $81,805 −70% $36,334 −33% ≈72% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $24,162 $58,474 −59% $38,420 −37% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $23,983 $40,839 −41% $31,128 −23% ≈135% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $23,928 $88,057 −73% $47,583 −50% —
253 OTHER VASCULAR PROCEDURES WITH CC $23,855 $76,062 −69% $53,746 −56% ≈115% of Medicare
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $23,803 $45,414 −48% $36,850 −35% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $23,792 $90,633 −74% $65,383 −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% $49,470 −52% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $23,182 $84,547 −73% $37,080 −37% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $23,120 $94,328 −75% $46,477 −50% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $22,858 $76,373 −70% $35,714 −36% ≈124% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $22,826 $71,363 −68% $38,885 −41% ≈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% $35,139 −35% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $22,521 $83,227 −73% $43,524 −48% ≈121% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $22,387 $53,976 −59% $44,989 −50% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $22,154 $79,506 −72% $58,832 −62% ≈125% of Medicare
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $22,059 $45,325 −51% $24,118 −9% ≈132% of Medicare
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $22,034 $69,589 −68% $43,398 −49% —
075 VIRAL MENINGITIS WITH CC/MCC $22,032 $25,373 −13% $29,853 −26% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $22,003 $101,332 −78% $52,313 −58% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $21,985 $76,702 −71% $35,014 −37% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $21,853 $61,930 −65% $33,050 −34% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $21,814 $73,114 −70% $35,686 −39% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $21,734 $61,350 −65% $45,818 −53% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $21,664 $48,162 −55% $31,758 −32% ≈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% $32,839 −34% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $21,524 $60,291 −64% $44,553 −52% —
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 $80,050 −73% $45,963 −54% —
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 $61,259 −65% $31,840 −33% ≈119% of Medicare
116 INTRAOCULAR PROCEDURES WITH CC/MCC $21,076 $29,577 −29% $28,103 −25% —
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% $35,642 −42% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $20,747 $46,014 −55% $25,149 −18% —
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% $33,564 −39% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $20,446 $71,764 −72% $45,817 −55% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $20,254 $46,504 −56% $31,909 −37% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $20,016 $75,816 −74% $41,900 −52% ≈130% of Medicare
906 HAND PROCEDURES FOR INJURIES $19,938 $26,263 −24% $31,520 −37% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $19,869 $25,206 −21% $25,307 −21% —
666 PROSTATECTOMY WITH CC $19,771 $45,559 −57% $30,016 −34% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $19,757 $70,922 −72% $43,775 −55% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,754 $25,735 −23% $41,651 −53% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $19,692 $75,584 −74% $45,622 −57% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $19,591 $42,698 −54% $27,168 −28% —
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% $18,126 +8% —
571 SKIN DEBRIDEMENT WITH CC $19,477 $66,373 −71% $34,901 −44% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $19,416 $92,159 −79% $34,900 −44% ≈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 $58,991 −67% $31,491 −39% —
334 RECTAL RESECTION WITHOUT CC/MCC $19,293 $49,488 −61% $32,213 −40% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $19,168 $19,168 +0% $15,890 +21% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $19,018 $50,008 −62% $33,607 −43% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,982 $27,899 −32% $41,660 −54% ≈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 $40,238 −53% $20,842 −10% ≈166% of Medicare
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $18,456 $48,576 −62% $30,910 −40% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $18,414 $46,508 −60% $27,369 −33% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $18,403 $39,518 −53% $23,469 −22% ≈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% $34,089 −46% —
643 ENDOCRINE DISORDERS WITH MCC $18,346 $45,419 −60% $32,996 −44% ≈113% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,322 $86,852 −79% $51,985 −65% ≈129% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $18,284 $36,608 −50% $43,586 −58% ≈119% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $18,268 $64,911 −72% $41,380 −56% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $18,255 $80,341 −77% $40,583 −55% ≈115% of Medicare
887 OTHER MENTAL DISORDER DIAGNOSES $18,030 $15,760 +14% $20,602 −12% —
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 $76,058 −76% $48,680 −63% ≈115% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $17,959 $52,201 −66% $30,814 −42% ≈120% of Medicare
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $17,907 $120,604 −85% $51,339 −65% —
915 ALLERGIC REACTIONS WITH MCC $17,804 $33,057 −46% $30,944 −42% —
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% $26,088 −33% —
663 MINOR BLADDER PROCEDURES WITH CC $17,556 $50,967 −66% $29,924 −41% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $17,383 $43,253 −60% $29,729 −42% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $17,379 $14,861 +17% $27,548 −37% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $17,367 $54,298 −68% $29,558 −41% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,361 $74,921 −77% $41,380 −58% —
504 FOOT PROCEDURES WITH CC $17,212 $94,231 −82% $36,598 −53% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $17,126 $57,459 −70% $30,394 −44% ≈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% $70,735 −76% —
919 COMPLICATIONS OF TREATMENT WITH MCC $17,101 $43,844 −61% $29,031 −41% ≈126% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $17,055 $39,171 −56% $40,563 −58% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $16,978 $37,889 −55% $36,333 −53% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,966 $27,354 −38% $32,204 −47% ≈122% of Medicare
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $16,950 $17,172 −1% $28,252 −40% ≈136% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $16,920 $20,156 −16% $18,428 −8% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $16,901 $52,760 −68% $29,633 −43% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $16,821 $30,449 −45% $29,916 −44% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $16,813 $42,744 −61% $28,780 −42% ≈79% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $16,794 $65,707 −74% $31,086 −46% ≈119% of Medicare
740 Uterine,adnexa proc for non-ovarian/adnexal malig w CC $16,748 $38,973 −57% $36,597 −54% —
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 $29,745 −45% $30,930 −47% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $16,369 $71,606 −77% $36,242 −55% ≈120% of Medicare
012 Tracheostomy for face,mouth & neck diagnoses w CC $16,362 $130,168 −87% $73,029 −78% ≈115% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $16,319 $41,407 −61% $28,527 −43% —
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% $33,984 −52% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $16,268 $47,577 −66% $25,786 −37% —
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% $24,450 −34% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $16,178 $68,024 −76% $29,663 −45% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $16,099 $56,043 −71% $43,266 −63% —
562 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w MCC $16,082 $53,910 −70% $29,211 −45% —
157 DENTAL AND ORAL DISEASES WITH MCC $16,024 $44,674 −64% $27,457 −42% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $15,984 $46,206 −65% $31,059 −49% —
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 $60,769 −74% $44,117 −64% ≈116% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $15,784 $30,195 −48% $27,118 −42% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,431 $41,884 −63% $26,158 −41% ≈129% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $15,388 $68,871 −78% $42,119 −63% ≈125% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $15,379 $31,576 −51% $32,502 −53% ≈124% of Medicare
100 SEIZURES WITH MCC $15,359 $55,589 −72% $35,194 −56% ≈107% of Medicare
975 HIV WITH MAJOR RELATED CONDITION WITH CC $15,350 $53,056 −71% $25,010 −39% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $15,280 $49,639 −69% $25,731 −41% ≈120% of Medicare
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $15,262 $45,994 −67% $30,058 −49% ≈129% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $15,167 $31,151 −51% $26,634 −43% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,164 $66,180 −77% $38,357 −60% ≈116% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $15,162 $42,644 −64% $23,115 −34% ≈120% of Medicare
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $15,162 $60,018 −75% $31,566 −52% —
501 SOFT TISSUE PROCEDURES WITH CC $15,094 $70,805 −79% $37,975 −60% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $15,093 $38,373 −61% $28,375 −47% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $15,052 $24,791 −39% $35,375 −57% —
598 MALIGNANT BREAST DISORDERS WITH CC $15,021 $37,708 −60% $19,073 −21% —
534 FRACTURES OF FEMUR WITHOUT MCC $14,868 $31,675 −53% $17,195 −14% —
606 MINOR SKIN DISORDERS WITH MCC $14,862 $44,210 −66% $25,434 −42% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $14,851 $76,863 −81% $31,816 −53% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $14,766 $46,841 −68% $36,239 −59% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $14,755 $46,830 −68% $24,316 −39% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $14,700 $65,576 −78% $35,528 −59% —
935 Non-extensive burns $14,633 $12,401 +18% $29,458 −50% ≈143% of Medicare
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $14,608 $41,003 −64% $33,792 −57% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $14,558 $48,960 −70% $32,936 −56% —
186 PLEURAL EFFUSION WITH MCC $14,546 $45,257 −68% $32,468 −55% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $14,507 $37,590 −61% $23,297 −38% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $14,493 $63,386 −77% $27,492 −47% —
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 $21,994 −34% $23,350 −38% ≈130% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $14,371 $38,668 −63% $28,646 −50% —
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% $22,525 −37% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $14,203 $24,580 −42% $24,561 −42% —
398 Appendix Procedures without MCC/CC $14,183 $55,798 −75% $39,107 −64% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,116 $30,282 −53% $37,902 −63% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $14,008 $58,005 −76% $33,137 −58% ≈129% of Medicare
682 RENAL FAILURE WITH MCC $13,999 $49,666 −72% $27,854 −50% ≈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% $22,560 −38% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $13,943 $14,753 −5% $15,869 −12% —
602 CELLULITIS WITH MCC $13,941 $42,228 −67% $29,347 −52% ≈131% of Medicare
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $13,925 $30,428 −54% $18,291 −24% —
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% $31,812 −57% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $13,784 $56,609 −76% $25,623 −46% —
637 DIABETES WITH MCC $13,583 $43,715 −69% $28,819 −53% ≈100% of Medicare
914 TRAUMATIC INJURY WITHOUT MCC $13,547 $11,847 +14% $15,593 −13% —
947 SIGNS AND SYMPTOMS WITH MCC $13,482 $40,771 −67% $25,474 −47% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $13,331 $38,199 −65% $22,982 −42% ≈121% of Medicare
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $13,299 $37,413 −64% $59,425 −78% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $13,296 $56,231 −76% $29,374 −55% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $13,240 $46,699 −72% $20,842 −36% —
506 Major thumb or joint procedures $13,213 $31,650 −58% $28,983 −54% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $13,175 $50,927 −74% $30,006 −56% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $13,156 $70,685 −81% $30,972 −58% —
811 RED BLOOD CELL DISORDERS WITH MCC $13,155 $52,759 −75% $27,934 −53% ≈126% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $13,149 $40,668 −68% $29,757 −56% ≈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% $25,243 −48% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $13,042 $20,107 −35% $22,275 −41% ≈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 $60,152 −79% $30,358 −57% ≈127% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $12,810 $39,755 −68% $37,064 −65% ≈107% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $12,776 $44,822 −71% $25,426 −50% ≈121% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $12,770 $53,936 −76% $31,978 −60% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $12,758 $35,716 −64% $19,096 −33% ≈132% of Medicare
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $12,754 $23,243 −45% $19,815 −36% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,727 $64,265 −80% $36,375 −65% ≈114% of Medicare
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $12,620 $31,615 −60% $27,321 −54% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $12,619 $64,785 −81% $35,542 −64% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $12,619 $37,612 −66% $19,483 −35% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $12,560 $117,322 −89% $63,984 −80% ≈121% of Medicare
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $12,550 $47,503 −74% $25,162 −50% —
304 HYPERTENSION WITH MCC $12,395 $50,674 −76% $24,185 −49% ≈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% $22,532 −45% —
181 RESPIRATORY NEOPLASMS WITH CC $12,279 $27,597 −56% $22,431 −45% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $12,272 $46,755 −74% $24,017 −49% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $12,219 $58,136 −79% $34,887 −65% —
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% $29,050 −58% —
540 OSTEOMYELITIS WITH CC $12,167 $35,008 −65% $23,494 −48% —
813 Coagulation disorders $12,137 $50,736 −76% $30,128 −60% ≈47% of Medicare
375 DIGESTIVE MALIGNANCY WITH CC $12,089 $52,531 −77% $27,219 −56% ≈121% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $12,085 $66,229 −82% $28,967 −58% ≈119% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $12,051 $25,599 −53% $22,231 −46% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $12,028 $26,569 −55% $23,924 −50% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $12,016 $41,965 −71% $24,190 −50% ≈129% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,974 $39,295 −70% $27,244 −56% ≈122% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $11,970 $38,408 −69% $18,478 −35% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $11,895 $18,649 −36% $16,719 −29% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $11,806 $21,723 −46% $16,418 −28% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,722 $47,290 −75% $26,146 −55% —
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% $36,202 −68% —
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% $22,544 −49% —
187 PLEURAL EFFUSION WITH CC $11,469 $48,849 −77% $21,467 −47% —
642 Inborn errors of metabolism $11,454 $21,093 −46% $20,727 −45% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,427 $11,427 +0% $19,091 −40% —
593 SKIN ULCERS WITH CC $11,384 $34,336 −67% $20,470 −44% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $11,284 $41,766 −73% $22,032 −49% ≈141% of Medicare
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,237 $24,335 −54% $24,465 −54% —
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 $48,414 −77% $30,314 −63% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,151 $18,005 −38% $17,928 −38% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $11,135 $17,162 −35% $17,103 −35% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,110 $30,693 −64% $17,585 −37% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $11,052 $25,639 −57% $17,550 −37% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,044 $43,842 −75% $29,484 −63% ≈126% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,036 $31,429 −65% $28,134 −61% ≈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 $35,171 −69% $18,459 −41% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $10,855 $29,170 −63% $21,545 −50% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $10,793 $44,117 −76% $17,398 −38% —
381 COMPLICATED PEPTIC ULCER WITH CC $10,769 $43,640 −75% $24,177 −55% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $10,737 $46,643 −77% $31,190 −66% ≈132% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $10,717 $33,490 −68% $26,322 −59% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $10,696 $58,778 −82% $25,267 −58% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $10,690 $34,687 −69% $20,421 −48% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $10,527 $104,012 −90% $63,475 −83% ≈124% of Medicare
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $10,428 $21,364 −51% $15,077 −31% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $10,379 $42,454 −76% $19,305 −46% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,330 $38,647 −73% $22,781 −55% ≈124% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $10,306 $27,096 −62% $11,955 −14% —
158 DENTAL AND ORAL DISEASES WITH CC $10,263 $16,694 −39% $17,700 −42% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $10,222 $43,125 −76% $23,496 −56% ≈124% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $10,185 $48,878 −79% $21,806 −53% ≈130% of Medicare
385 INFLAMMATORY BOWEL DISEASE WITH MCC $10,174 $44,858 −77% $26,020 −61% —
152 OTITIS MEDIA AND URI WITH MCC $10,154 $29,004 −65% $19,795 −49% —
200 PNEUMOTHORAX WITH CC $10,094 $24,434 −59% $20,573 −51% ≈133% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $10,057 $32,275 −69% $14,861 −32% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,000 $34,765 −71% $19,579 −49% ≈122% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $9,941 $32,092 −69% $15,608 −36% —
090 CONCUSSION WITHOUT CC/MCC $9,931 $37,092 −73% $14,873 −33% —
541 OSTEOMYELITIS WITHOUT CC/MCC $9,876 $26,161 −62% $14,549 −32% —
197 INTERSTITIAL LUNG DISEASE WITH CC $9,820 $40,939 −76% $20,106 −51% —
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $9,790 $40,174 −76% $30,275 −68% ≈115% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $9,774 $22,801 −57% $29,409 −67% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $9,761 $50,701 −81% $20,080 −51% —
920 COMPLICATIONS OF TREATMENT WITH CC $9,689 $32,703 −70% $21,181 −54% ≈116% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $9,663 $39,276 −75% $23,749 −59% ≈134% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $9,589 $45,621 −79% $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 $39,744 −76% $22,850 −58% ≈120% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $9,536 $23,913 −60% $17,383 −45% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $9,429 $9,429 +0% $14,055 −33% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $9,424 $22,567 −58% $20,007 −53% ≈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% $40,065 −77% —
292 HEART FAILURE AND SHOCK WITH CC $9,388 $31,569 −70% $16,212 −42% ≈115% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $9,364 $14,335 −35% $18,191 −49% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,350 $11,510 −19% $13,090 −29% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $9,318 $40,027 −77% $18,017 −48% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $9,312 $34,777 −73% $18,918 −51% ≈126% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $9,272 $23,972 −61% $24,136 −62% ≈127% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $9,262 $19,516 −53% $22,713 −59% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $9,238 $11,701 −21% $24,836 −63% —
312 SYNCOPE AND COLLAPSE $9,224 $32,300 −71% $19,342 −52% ≈127% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $9,211 $26,747 −66% $16,837 −45% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,193 $34,026 −73% $21,886 −58% ≈120% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,158 $38,986 −77% $26,488 −65% ≈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% $20,968 −57% —
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 $34,454 −74% $20,777 −56% ≈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% $18,282 −51% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $8,931 $40,034 −78% $22,024 −59% ≈123% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $8,922 $38,003 −77% $25,704 −65% ≈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 $42,169 −79% $22,941 −61% ≈121% of Medicare
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,880 $28,804 −69% $19,001 −53% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $8,868 $25,257 −65% $17,273 −49% ≈156% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $8,837 $85,965 −90% $52,405 −83% ≈93% of Medicare
137 MOUTH PROCEDURES WITH CC/MCC $8,772 $55,905 −84% $24,348 −64% —
607 MINOR SKIN DISORDERS WITHOUT MCC $8,740 $31,522 −72% $15,284 −43% —
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% $18,238 −52% —
864 FEVER AND INFLAMMATORY CONDITIONS $8,686 $25,278 −66% $17,412 −50% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $8,646 $26,235 −67% $15,474 −44% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $8,606 $26,127 −67% $14,444 −40% —
885 Psychoses $8,602 $27,679 −69% $21,489 −60% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $8,596 $25,373 −66% $15,858 −46% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $8,566 $27,043 −68% $17,715 −52% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $8,562 $71,902 −88% $35,237 −76% ≈122% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $8,557 $52,843 −84% $20,463 −58% ≈129% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $8,517 $29,788 −71% $19,287 −56% ≈137% of Medicare
683 RENAL FAILURE WITH CC $8,483 $29,498 −71% $18,620 −54% ≈127% of Medicare
101 SEIZURES WITHOUT MCC $8,462 $32,396 −74% $19,954 −58% ≈123% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $8,460 $23,326 −64% $16,391 −48% —
149 Dysequilibrium $8,420 $19,507 −57% $17,203 −51% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $8,410 $41,351 −80% $21,261 −60% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $8,387 $30,698 −73% $20,488 −59% ≈133% of Medicare
603 CELLULITIS WITHOUT MCC $8,273 $26,898 −69% $18,530 −55% ≈128% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,256 $37,105 −78% $19,868 −58% —
563 Fx, sprn, strn & disl except femur, hip, pelvis & thigh w/o MCC $8,255 $30,792 −73% $18,803 −56% ≈138% of Medicare
638 DIABETES WITH CC $8,237 $27,201 −70% $18,821 −56% ≈139% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,230 $37,222 −78% $20,732 −60% ≈101% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $8,205 $33,261 −75% $18,081 −55% ≈138% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $8,176 $25,323 −68% $13,485 −39% —
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 $33,267 −76% $17,943 −55% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $8,080 $32,461 −75% $15,876 −49% ≈129% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $8,008 $42,886 −81% $18,623 −57% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,987 $19,223 −58% $15,045 −47% ≈107% of Medicare
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,960 $22,003 −64% $28,578 −72% —
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% $13,303 −41% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,862 $31,333 −75% $18,253 −57% —
103 HEADACHES WITHOUT MCC $7,836 $34,826 −78% $20,111 −61% —
694 URINARY STONES WITHOUT MCC $7,832 $32,413 −76% $16,531 −53% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $7,713 $21,752 −65% $14,880 −48% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $7,712 $20,707 −63% $13,822 −44% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $7,668 $39,473 −81% $30,766 −75% ≈128% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $7,645 $23,773 −68% $14,441 −47% —
123 Neurological eye disorders $7,609 $36,044 −79% $17,831 −57% —
897 Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o MCC $7,593 $14,601 −48% $16,049 −53% ≈135% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $7,512 $8,824 −15% $17,700 −58% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,510 $23,724 −68% $16,866 −55% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,464 $32,009 −77% $17,388 −57% ≈120% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $7,407 $87,122 −91% $78,582 −91% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $7,397 $29,369 −75% $17,727 −58% ≈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% $17,367 −57% —
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 $12,686 −43% $17,522 −59% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $7,131 $30,713 −77% $14,166 −50% —
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 $24,899 −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 $34,076 −79% $17,144 −59% ≈136% of Medicare
311 Angina pectoris $6,957 $35,326 −80% $15,165 −54% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $6,947 $110,803 −94% $71,014 −90% ≈122% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,946 $32,487 −79% $16,865 −59% ≈127% of Medicare
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,943 $6,943 +0% $12,537 −45% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,935 $79,520 −91% $40,277 −83% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,782 $26,942 −75% $16,104 −58% —
313 Chest pain $6,780 $26,595 −75% $15,962 −58% ≈135% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,776 $17,175 −61% $13,368 −49% —
684 RENAL FAILURE WITHOUT CC/MCC $6,765 $26,277 −74% $13,623 −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% $9,076 −26% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,646 $30,460 −78% $15,607 −57% ≈149% of Medicare
201 PNEUMOTHORAX WITHOUT CC/MCC $6,618 $23,527 −72% $13,081 −49% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,540 $15,477 −58% $14,012 −53% —
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% $16,571 −61% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,467 $18,605 −65% $12,381 −48% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,452 $20,204 −68% $14,473 −55% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,411 $13,151 −51% $12,279 −48% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,328 $24,347 −74% $12,797 −51% —
291 HEART FAILURE AND SHOCK WITH MCC $6,309 $36,772 −83% $25,020 −75% ≈123% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $6,300 $30,794 −80% $18,204 −65% ≈135% of Medicare
641 Nutritional & misc metabolic disorders w/o MCC $6,287 $30,385 −79% $16,745 −62% ≈128% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $6,204 $26,559 −77% $25,208 −75% ≈123% of Medicare
916 ALLERGIC REACTIONS WITHOUT MCC $6,191 $14,077 −56% $13,890 −55% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,143 $20,393 −70% $13,198 −53% —
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% $14,208 −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 $33,334 −82% $14,134 −58% ≈136% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,863 $19,543 −70% $13,824 −58% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,858 $31,416 −81% $16,642 −65% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,769 $24,386 −76% $15,070 −62% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,763 $37,486 −85% $20,309 −72% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,701 $22,219 −74% $12,405 −54% —
881 Depressive neuroses $5,385 $12,838 −58% $15,058 −64% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,329 $30,240 −82% $15,636 −66% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,259 $27,173 −81% $13,318 −61% ≈117% of Medicare
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,177 $9,556 −46% $12,044 −57% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,155 $28,818 −82% $30,661 −83% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,053 $51,523 −90% $24,022 −79% ≈131% of Medicare
711 TESTES PROCEDURES WITH CC/MCC $4,900 $34,277 −86% $34,852 −86% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,878 $53,362 −91% $36,280 −87% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,849 $11,841 −59% $22,698 −79% —
894 Alcohol/drug abuse or dependence, left AMA $4,719 $22,566 −79% $12,013 −61% —
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 $36,153 −87% $30,940 −85% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,589 $43,289 −89% $21,213 −78% ≈129% of Medicare
469 MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC $4,572 $89,760 −95% $65,254 −93% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,565 $36,664 −88% $17,731 −74% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,207 $43,318 −90% $20,278 −79% ≈131% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,169 $43,859 −90% $24,202 −83% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,082 $18,608 −78% $18,608 −78% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,847 $38,832 −90% $19,569 −80% —
791 PREMATURITY WITH MAJOR PROBLEMS $3,802 $53,686 −93% $39,563 −90% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,791 $24,717 −85% $13,384 −72% ≈138% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,777 $10,700 −65% $11,633 −68% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,714 $92,122 −96% $46,430 −92% —
951 Other factors influencing health status $3,516 $6,799 −48% $9,385 −63% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,482 $85,619 −96% $44,600 −92% ≈107% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $3,443 $30,782 −89% $14,927 −77% ≈145% of Medicare
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $3,323 $6,944 −52% $7,961 −58% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,244 $87,879 −96% $27,279 −88% —
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 $32,105 −92% $17,322 −85% ≈132% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $2,616 $58,148 −96% $32,689 −92% ≈127% of Medicare
539 OSTEOMYELITIS WITH MCC $2,567 $39,569 −94% $33,746 −92% —
115 Extraocular procedures except orbit $2,417 $42,560 −94% $24,879 −90% —
795 NORMAL NEWBORN $1,950 $3,269 −40% $4,530 −57% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $1,788 $41,798 −96% $24,452 −93% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $1,739 $13,163 −87% $14,337 −88% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $1,591 $42,771 −96% $23,396 −93% ≈124% of Medicare

Procedures with negotiated rates only

These 178 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
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
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
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
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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