Leonard J. Chabert Medical Center — Pricing
757 procedures published in this hospital's Machine-Readable File (MRF) — 262 with a comparable price, 495 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 757
Lowest published price $2,107
Average published price $26,917
Highest published price $552,400
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 757 procedures
Published charges
Showing all 262 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.
| DRG | Description | Published price | Cash price | vs. LA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $552,400 | $259,628 | $20,308 | +2620% | $18,428 | +2898% | — |
| 808 | MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Moderate | $548,746 | $257,910 | $37,162 | +1377% | $36,334 | +1410% | — |
| 245 | MS DRG -AICD GENERATOR PROCEDURES;APR DRG -DEFIBRILLATOR IMPLANTS;SOI -Moderate | $169,199 | $79,524 | $146,998 | +15% | $72,076 | +135% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $146,594 | $68,899 | $154,961 | −5% | $91,329 | +61% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $138,495 | $65,093 | $138,495 | +0% | $65,573 | +111% | — |
| 327 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Moderate | $137,076 | $64,426 | $54,417 | +152% | $54,824 | +150% | — |
| 228 | MS DRG -OTHER CARDIOTHORACIC PROCEDURES WITH MCC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Major | $125,919 | $59,182 | $125,919 | +0% | $96,905 | +30% | — |
| 273 | MS DRG -PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Major | $121,638 | $57,170 | $107,876 | +13% | $78,852 | +54% | — |
| 870 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme | $106,015 | $49,827 | $126,146 | −16% | $138,008 | −23% | — |
| 166 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Extreme | $95,264 | $44,774 | $93,180 | +2% | $72,782 | +31% | — |
| 853 | MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme | $92,904 | $43,665 | $102,538 | −9% | $87,018 | +7% | — |
| 470 | MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Minor | $90,921 | $42,733 | $77,962 | +17% | $49,197 | +85% | — |
| 326 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG -OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Extreme | $85,564 | $40,215 | $85,356 | +0% | $80,747 | +6% | — |
| 180 | MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Extreme | $84,614 | $39,769 | $43,392 | +95% | $36,658 | +131% | — |
| 485 | MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate | $79,951 | $37,577 | $68,179 | +17% | $64,956 | +23% | — |
| 393 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Extreme | $79,854 | $37,532 | $40,098 | +99% | $32,689 | +144% | — |
| 974 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Extreme | $75,444 | $35,459 | $56,055 | +35% | $46,402 | +63% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $69,128 | $32,490 | $49,470 | +40% | $31,128 | +122% | — |
| 915 | MS DRG -ALLERGIC REACTIONS WITH MCC;APR DRG -ALLERGIC REACTIONS;SOI -Extreme | $67,090 | $31,532 | $59,689 | +12% | $30,944 | +117% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $64,460 | $30,296 | $46,767 | +38% | $41,703 | +55% | — |
| 847 | MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC;APR DRG -OTHER CHEMOTHERAPY;SOI -Moderate | $63,373 | $29,786 | $23,881 | +165% | $22,275 | +185% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $63,012 | $29,616 | $26,624 | +137% | $38,878 | +62% | — |
| 207 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Major | $62,195 | $29,231 | $160,739 | −61% | $116,058 | −46% | — |
| 264 | MS DRG -OTHER CIRCULATORY SYSTEM O.R. PROCEDURES;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme | $61,662 | $28,981 | $59,308 | +4% | $51,953 | +19% | — |
| 242 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Major | $59,243 | $27,844 | $88,237 | −33% | $70,132 | −16% | — |
| 322 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Minor | $55,631 | $26,147 | $96,624 | −42% | $54,772 | +2% | — |
| 438 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major | $52,085 | $24,480 | $31,731 | +64% | $32,502 | +60% | — |
| 243 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Moderate | $51,002 | $23,971 | $58,293 | −13% | $50,011 | +2% | — |
| 177 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme | $50,531 | $23,749 | $40,636 | +24% | $31,840 | +59% | — |
| 480 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Major | $49,288 | $23,166 | $92,273 | −47% | $63,984 | −23% | — |
| 813 | MS DRG -COAGULATION DISORDERS;APR DRG -COAGULATION AND PLATELET DISORDERS;SOI -Moderate | $44,951 | $21,127 | $47,828 | −6% | $30,128 | +49% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $44,714 | $21,015 | $77,970 | −43% | $57,479 | −22% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $44,541 | $20,934 | $44,541 | +0% | $71,755 | −38% | — |
| 558 | MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Minor | $43,807 | $20,589 | $16,479 | +166% | $17,367 | +152% | — |
| 329 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Extreme | $43,065 | $20,241 | $147,076 | −71% | $88,050 | −51% | — |
| 186 | MS DRG -PLEURAL EFFUSION WITH MCC;APR DRG -HEART FAILURE;SOI -Major | $42,550 | $19,999 | $39,683 | +7% | $32,468 | +31% | — |
| 981 | MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major | $40,676 | $19,118 | $93,631 | −57% | $86,390 | −53% | — |
| 854 | MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Minor | $40,097 | $18,845 | $61,736 | −35% | $43,524 | −8% | — |
| 070 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Extreme | $39,611 | $18,617 | $25,907 | +53% | $30,814 | +29% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $38,478 | $18,084 | $45,283 | −15% | $43,398 | −11% | — |
| 570 | MS DRG -SKIN DEBRIDEMENT WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major | $37,677 | $17,708 | $60,240 | −37% | $52,435 | −28% | — |
| 917 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI -Extreme | $37,282 | $17,523 | $35,324 | +6% | $28,134 | +33% | — |
| 098 | MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Major | $35,833 | $16,842 | $47,716 | −25% | $37,902 | −5% | — |
| 669 | MS DRG -TRANSURETHRAL PROCEDURES WITH CC;APR DRG -KIDNEY AND URINARY TRACT MALIGNANCY;SOI -Major | $35,716 | $16,787 | $35,716 | +0% | $34,354 | +4% | — |
| 377 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Major | $35,480 | $16,676 | $46,940 | −24% | $37,842 | −6% | — |
| 871 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme | $34,406 | $16,171 | $47,280 | −27% | $35,237 | −2% | ≈123% of Medicare |
| 398 | MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate | $34,271 | $16,107 | $52,201 | −34% | $39,107 | −12% | — |
| 670 | MS DRG -TRANSURETHRAL PROCEDURES WITHOUT CC/MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Minor | $34,023 | $15,991 | $15,214 | +124% | $20,371 | +67% | — |
| 100 | MS DRG -SEIZURES WITH MCC;APR DRG -SEIZURE;SOI -Extreme | $33,441 | $15,717 | $37,366 | −11% | $35,194 | −5% | — |
| 371 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Extreme | $32,764 | $15,399 | $34,208 | −4% | $31,758 | +3% | — |
| 240 | MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate | $32,679 | $15,359 | $63,977 | −49% | $54,475 | −40% | — |
| 280 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -HYPERTENSION;SOI -Extreme | $32,560 | $15,303 | $30,357 | +7% | $28,967 | +12% | ≈120% of Medicare |
| 330 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Major | $31,024 | $14,581 | $75,804 | −59% | $58,832 | −47% | — |
| 064 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Extreme | $30,788 | $14,470 | $36,919 | −17% | $35,714 | −14% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $30,496 | $14,333 | $47,448 | −36% | $31,059 | −2% | — |
| 674 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -CHRONIC KIDNEY DISEASE;SOI -Major | $29,195 | $13,722 | $51,964 | −44% | $49,631 | −41% | — |
| 253 | MS DRG -OTHER VASCULAR PROCEDURES WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate | $29,065 | $13,661 | $80,670 | −64% | $53,746 | −46% | — |
| 091 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Extreme | $28,730 | $13,503 | $34,501 | −17% | $36,375 | −21% | — |
| 698 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Extreme | $28,616 | $13,449 | $28,616 | +0% | $30,058 | −5% | — |
| 809 | MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Major | $28,378 | $13,338 | $22,779 | +25% | $22,032 | +29% | — |
| 178 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Major | $28,242 | $13,274 | $23,848 | +18% | $22,024 | +28% | — |
| 482 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Moderate | $27,856 | $13,092 | $60,104 | −54% | $39,747 | −30% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $27,669 | $13,005 | $67,960 | −59% | $55,162 | −50% | — |
| 292 | MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -HEART FAILURE;SOI -Major | $27,590 | $12,967 | $19,922 | +38% | $16,212 | +70% | — |
| 643 | MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Major | $27,514 | $12,932 | $39,492 | −30% | $32,996 | −17% | — |
| 158 | MS DRG -DENTAL AND ORAL DISEASES WITH CC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Moderate | $26,896 | $12,641 | $18,032 | +49% | $17,700 | +52% | — |
| 603 | MS DRG -CELLULITIS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate | $26,845 | $12,617 | $19,952 | +35% | $18,530 | +45% | — |
| 493 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate | $26,246 | $12,336 | $68,944 | −62% | $56,394 | −53% | — |
| 254 | MS DRG -OTHER VASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Minor | $26,221 | $12,324 | $34,944 | −25% | $38,836 | −32% | — |
| 481 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Major | $25,816 | $12,134 | $74,029 | −65% | $51,172 | −50% | — |
| 656 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI -Extreme | $25,132 | $11,812 | $33,487 | −25% | $64,465 | −61% | — |
| 193 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -OTHER PNEUMONIA;SOI -Extreme | $24,517 | $11,523 | $31,866 | −23% | $26,158 | −6% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $24,412 | $11,473 | $22,592 | +8% | $29,371 | −17% | — |
| 862 | MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major | $23,841 | $11,205 | $30,606 | −22% | $30,394 | −22% | — |
| 548 | MS DRG -SEPTIC ARTHRITIS WITH MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Moderate | $23,529 | $11,059 | $21,229 | +11% | $31,019 | −24% | — |
| 682 | MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme | $23,265 | $10,935 | $27,953 | −17% | $27,854 | −16% | — |
| 475 | MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Minor | $22,413 | $10,534 | $65,618 | −66% | $44,553 | −50% | — |
| 948 | MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Moderate | $22,228 | $10,447 | $19,901 | +12% | $17,727 | +25% | — |
| 988 | MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major | $22,220 | $10,443 | $47,723 | −53% | $38,094 | −42% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $21,808 | $10,250 | $26,079 | −16% | $41,900 | −48% | — |
| 742 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Major | $21,076 | $9,906 | $43,855 | −52% | $40,552 | −48% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $20,834 | $9,792 | $35,757 | −42% | $36,933 | −44% | — |
| 872 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Major | $20,651 | $9,706 | $28,123 | −27% | $22,781 | −9% | — |
| 811 | MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -SICKLE CELL ANEMIA CRISIS;SOI -Major | $20,216 | $9,501 | $23,654 | −15% | $27,934 | −28% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $20,099 | $9,446 | $20,050 | +0% | $24,229 | −17% | — |
| 522 | MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Minor | $20,036 | $9,417 | $50,240 | −60% | $56,519 | −65% | — |
| 356 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Major | $19,816 | $9,313 | $58,115 | −66% | $82,561 | −76% | — |
| 175 | MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Major | $19,539 | $9,183 | $21,442 | −9% | $29,757 | −34% | — |
| 617 | MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate | $19,361 | $9,100 | $37,649 | −49% | $42,881 | −55% | — |
| 355 | MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Minor | $19,214 | $9,031 | $37,878 | −49% | $31,978 | −40% | — |
| 286 | MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Major | $19,195 | $9,022 | $47,632 | −60% | $44,600 | −57% | — |
| 331 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Minor | $19,159 | $9,005 | $51,631 | −63% | $44,117 | −57% | — |
| 640 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Extreme | $18,832 | $8,851 | $35,544 | −47% | $24,480 | −23% | — |
| 641 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS;SOI -Major | $18,471 | $8,681 | $16,702 | +11% | $16,745 | +10% | — |
| 189 | MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Moderate | $18,422 | $8,659 | $34,870 | −47% | $25,704 | −28% | — |
| 092 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor | $18,126 | $8,519 | $25,748 | −30% | $24,136 | −25% | — |
| 549 | MS DRG -SEPTIC ARTHRITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate | $17,914 | $8,420 | $21,289 | −16% | $20,938 | −14% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $17,892 | $8,409 | $29,842 | −40% | $40,548 | −56% | — |
| 315 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Major | $17,775 | $8,354 | $20,942 | −15% | $20,777 | −14% | — |
| 308 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Major | $17,759 | $8,347 | $19,824 | −10% | $26,488 | −33% | — |
| 375 | MS DRG -DIGESTIVE MALIGNANCY WITH CC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major | $17,545 | $8,246 | $17,545 | +0% | $27,219 | −36% | — |
| 374 | MS DRG -DIGESTIVE MALIGNANCY WITH MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major | $17,366 | $8,162 | $42,166 | −59% | $38,885 | −55% | — |
| 304 | MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Major | $17,337 | $8,148 | $26,659 | −35% | $24,185 | −28% | — |
| 673 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -CHRONIC KIDNEY DISEASE;SOI -Major | $16,624 | $7,813 | $88,662 | −81% | $72,945 | −77% | — |
| 464 | MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Moderate | $16,604 | $7,804 | $36,687 | −55% | $54,313 | −69% | — |
| 300 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI -Moderate | $16,594 | $7,799 | $23,860 | −30% | $19,579 | −15% | — |
| 683 | MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major | $16,230 | $7,628 | $16,875 | −4% | $18,620 | −13% | — |
| 081 | MS DRG -NONTRAUMATIC STUPOR AND COMA WITHOUT MCC;APR DRG -ANOXIC AND OTHER SEVERE BRAIN DAMAGE;SOI -Major | $16,157 | $7,594 | $16,725 | −3% | $15,077 | +7% | — |
| 828 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Minor | $16,128 | $7,580 | $28,212 | −43% | $35,584 | −55% | — |
| 666 | MS DRG -PROSTATECTOMY WITH CC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate | $16,110 | $7,572 | $24,495 | −34% | $30,016 | −46% | — |
| 309 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate | $16,083 | $7,559 | $22,998 | −30% | $16,865 | −5% | — |
| 239 | MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major | $15,825 | $7,438 | $104,080 | −85% | $87,565 | −82% | — |
| 394 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Moderate | $15,662 | $7,361 | $15,999 | −2% | $18,918 | −17% | — |
| 623 | MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major | $15,577 | $7,321 | $43,775 | −64% | $33,165 | −53% | — |
| 885 | MS DRG -PSYCHOSES;APR DRG -BIPOLAR DISORDERS;SOI -Moderate | $15,267 | $7,175 | $16,075 | −5% | $21,489 | −29% | — |
| 513 | MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Moderate | $15,070 | $7,083 | $32,614 | −54% | $33,424 | −55% | — |
| 190 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major | $14,982 | $7,042 | $21,887 | −32% | $24,190 | −38% | — |
| 661 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI -Minor | $14,933 | $7,019 | $27,285 | −45% | $24,022 | −38% | — |
| 418 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Minor | $14,871 | $6,989 | $46,416 | −68% | $42,119 | −65% | — |
| 196 | MS DRG -INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Moderate | $14,640 | $6,881 | $22,869 | −36% | $30,766 | −52% | — |
| 073 | MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Major | $14,634 | $6,878 | $35,519 | −59% | $28,252 | −48% | — |
| 071 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Major | $14,468 | $6,800 | $22,186 | −35% | $23,396 | −38% | — |
| 399 | MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor | $14,463 | $6,798 | $28,191 | −49% | $30,314 | −52% | — |
| 167 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Extreme | $14,289 | $6,716 | $51,057 | −72% | $40,563 | −65% | — |
| 194 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Moderate | $14,275 | $6,709 | $19,357 | −26% | $18,204 | −22% | — |
| 282 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Minor | $14,258 | $6,701 | $13,973 | +2% | $18,623 | −23% | — |
| 543 | MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG -FRACTURE OF FEMUR;SOI -Moderate | $13,931 | $6,548 | $25,592 | −46% | $23,496 | −41% | — |
| 346 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Minor | $13,875 | $6,521 | $20,366 | −32% | $26,146 | −47% | — |
| 445 | MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Moderate | $13,532 | $6,360 | $18,217 | −26% | $21,806 | −38% | — |
| 639 | MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -DIABETES;SOI -Minor | $13,464 | $6,328 | $15,755 | −15% | $13,910 | −3% | — |
| 303 | MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate | $13,302 | $6,252 | $14,621 | −9% | $14,927 | −11% | — |
| 743 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI -Moderate | $13,153 | $6,182 | $30,778 | −57% | $27,369 | −52% | — |
| 191 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Minor | $13,142 | $6,177 | $18,365 | −28% | $18,278 | −28% | — |
| 728 | MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Major | $13,061 | $6,139 | $13,061 | +0% | $16,837 | −22% | — |
| 580 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate | $13,032 | $6,125 | $59,184 | −78% | $36,242 | −64% | — |
| 066 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Minor | $12,990 | $6,105 | $20,913 | −38% | $19,483 | −33% | — |
| 281 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Moderate | $12,976 | $6,099 | $24,038 | −46% | $20,463 | −37% | — |
| 881 | MS DRG -DEPRESSIVE NEUROSES;APR DRG -DEPRESSIVE DISORDERS;SOI -Minor | $12,923 | $6,074 | $8,250 | +57% | $15,058 | −14% | — |
| 637 | MS DRG -DIABETES WITH MCC;APR DRG -DIABETES;SOI -Moderate | $12,877 | $6,052 | $39,314 | −67% | $28,819 | −55% | — |
| 299 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major | $12,649 | $5,945 | $21,036 | −40% | $25,731 | −51% | — |
| 351 | MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Moderate | $12,613 | $5,928 | $35,407 | −64% | $33,792 | −63% | — |
| 372 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major | $12,546 | $5,897 | $25,271 | −50% | $22,850 | −45% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $12,245 | $5,755 | $40,539 | −70% | $31,190 | −61% | — |
| 896 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major | $12,228 | $5,747 | $20,366 | −40% | $30,275 | −60% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $12,186 | $5,727 | $16,577 | −26% | $20,968 | −42% | — |
| 065 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate | $11,987 | $5,634 | $25,712 | −53% | $23,469 | −49% | — |
| 208 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -OTHER PNEUMONIA;SOI -Extreme | $11,852 | $5,570 | $55,384 | −79% | $52,405 | −77% | — |
| 192 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate | $11,776 | $5,535 | $14,790 | −20% | $14,368 | −18% | — |
| 699 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Major | $11,678 | $5,489 | $24,373 | −52% | $20,732 | −44% | — |
| 093 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor | $11,632 | $5,467 | $15,799 | −26% | $17,522 | −34% | — |
| 291 | MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Major | $11,487 | $5,399 | $27,049 | −58% | $25,020 | −54% | — |
| 311 | MS DRG -ANGINA PECTORIS;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate | $11,421 | $5,368 | $11,421 | +0% | $15,165 | −25% | — |
| 442 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Moderate | $11,338 | $5,329 | $24,957 | −55% | $21,449 | −47% | — |
| 256 | MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Minor | $11,250 | $5,287 | $30,683 | −63% | $29,729 | −62% | — |
| 344 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -ABDOMINAL PAIN;SOI -Major | $11,194 | $5,261 | $46,424 | −76% | $44,839 | −75% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $11,085 | $5,210 | $35,001 | −68% | $45,059 | −75% | — |
| 572 | MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate | $11,076 | $5,206 | $28,378 | −61% | $24,432 | −55% | — |
| 392 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Moderate | $11,046 | $5,191 | $22,535 | −51% | $17,322 | −36% | — |
| 840 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Moderate | $10,993 | $5,167 | $37,712 | −71% | $49,710 | −78% | — |
| 074 | MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Major | $10,932 | $5,138 | $20,035 | −45% | $23,141 | −53% | — |
| 419 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor | $10,821 | $5,086 | $36,340 | −70% | $34,887 | −69% | — |
| 487 | MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor | $10,640 | $5,001 | $29,148 | −63% | $33,490 | −68% | — |
| 600 | MS DRG -NON-MALIGNANT BREAST DISORDERS WITH CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate | $10,623 | $4,993 | $13,684 | −22% | $16,418 | −35% | — |
| 801 | MS DRG -SPLENIC PROCEDURES WITHOUT CC/MCC;APR DRG -SPLENIC PROCEDURES;SOI -Moderate | $10,578 | $4,972 | $14,038 | −25% | $28,634 | −63% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $10,416 | $4,896 | $19,973 | −48% | $13,890 | −25% | — |
| 626 | MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Minor | $10,258 | $4,821 | $22,809 | −55% | $27,279 | −62% | — |
| 328 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Minor | $10,197 | $4,793 | $34,509 | −70% | $35,375 | −71% | — |
| 897 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major | $10,177 | $4,783 | $13,087 | −22% | $16,049 | −37% | — |
| 139 | MS DRG -SALIVARY GLAND PROCEDURES;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor | $10,097 | $4,746 | $14,655 | −31% | $21,014 | −52% | — |
| 831 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Major | $10,092 | $4,743 | $16,000 | −37% | $18,133 | −44% | — |
| 689 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Major | $10,090 | $4,742 | $24,198 | −58% | $22,982 | −56% | — |
| 976 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Moderate | $10,032 | $4,715 | $14,958 | −33% | $16,212 | −38% | — |
| 690 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Major | $10,024 | $4,711 | $18,582 | −46% | $17,466 | −43% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $10,010 | $4,705 | $27,050 | −63% | $31,716 | −68% | — |
| 149 | MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Moderate | $10,004 | $4,702 | $16,577 | −40% | $17,203 | −42% | — |
| 824 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Moderate | $9,797 | $4,604 | $29,534 | −67% | $38,382 | −74% | — |
| 357 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Major | $9,789 | $4,601 | $56,437 | −83% | $48,682 | −80% | — |
| 489 | MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Minor | $9,703 | $4,560 | $29,734 | −67% | $27,492 | −65% | — |
| 638 | MS DRG -DIABETES WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate | $9,692 | $4,555 | $21,692 | −55% | $18,821 | −49% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $9,679 | $4,549 | $38,026 | −75% | $48,094 | −80% | — |
| 312 | MS DRG -SYNCOPE AND COLLAPSE;APR DRG -SYNCOPE AND COLLAPSE;SOI -Major | $9,561 | $4,494 | $20,728 | −54% | $19,342 | −51% | — |
| 038 | MS DRG -EXTRACRANIAL PROCEDURES WITH CC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate | $9,523 | $4,476 | $23,998 | −60% | $35,770 | −73% | — |
| 675 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor | $9,511 | $4,470 | $13,398 | −29% | $32,490 | −71% | — |
| 101 | MS DRG -SEIZURES WITHOUT MCC;APR DRG -SEIZURE;SOI -Moderate | $9,396 | $4,416 | $24,986 | −62% | $19,954 | −53% | — |
| 176 | MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Moderate | $9,369 | $4,403 | $18,538 | −49% | $18,081 | −48% | — |
| 717 | MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate | $9,243 | $4,344 | $25,434 | −64% | $32,538 | −72% | — |
| 316 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Moderate | $9,141 | $4,296 | $12,331 | −26% | $12,797 | −29% | — |
| 388 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major | $9,102 | $4,278 | $20,298 | −55% | $28,780 | −68% | — |
| 435 | MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Moderate | $8,904 | $4,185 | $33,073 | −73% | $37,950 | −77% | — |
| 059 | MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Major | $8,855 | $4,162 | $28,290 | −69% | $26,322 | −66% | — |
| 349 | MS DRG -ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor | $8,600 | $4,042 | $27,972 | −69% | $19,854 | −57% | — |
| 305 | MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Minor | $8,592 | $4,038 | $15,455 | −44% | $17,144 | −50% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $8,587 | $4,036 | $11,440 | −25% | $12,013 | −29% | — |
| 566 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $8,571 | $4,028 | $10,263 | −16% | $14,337 | −40% | — |
| 565 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Minor | $8,426 | $3,960 | $23,859 | −65% | $21,545 | −61% | — |
| 313 | CHEST PAIN | $8,403 | $3,950 | $11,202 | −25% | $15,962 | −47% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $8,393 | $3,945 | $24,757 | −66% | $19,287 | −56% | — |
| 863 | MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate | $8,214 | $3,861 | $28,888 | −72% | $20,007 | −59% | — |
| 378 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Moderate | $8,170 | $3,840 | $21,582 | −62% | $21,886 | −63% | — |
| 310 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor | $8,124 | $3,818 | $11,589 | −30% | $13,384 | −39% | — |
| 039 | MS DRG -EXTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Minor | $8,076 | $3,796 | $23,726 | −66% | $25,267 | −68% | — |
| 391 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate | $8,027 | $3,772 | $26,767 | −70% | $27,244 | −71% | — |
| 103 | MS DRG -HEADACHES WITHOUT MCC;APR DRG -MIGRAINE AND OTHER HEADACHES;SOI -Minor | $7,947 | $3,735 | $8,786 | −10% | $20,111 | −60% | — |
| 919 | MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Major | $7,942 | $3,733 | $31,482 | −75% | $29,031 | −73% | — |
| 748 | MS DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;APR DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;SOI -Minor | $7,899 | $3,713 | $14,545 | −46% | $24,980 | −68% | — |
| 541 | MS DRG -OSTEOMYELITIS WITHOUT CC/MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Minor | $7,881 | $3,704 | $12,684 | −38% | $14,549 | −46% | — |
| 918 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI -Minor | $7,869 | $3,698 | $11,452 | −31% | $15,045 | −48% | — |
| 684 | MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate | $7,786 | $3,659 | $15,085 | −48% | $13,623 | −43% | — |
| 441 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Moderate | $7,722 | $3,629 | $28,244 | −73% | $32,399 | −76% | — |
| 920 | MS DRG -COMPLICATIONS OF TREATMENT WITH CC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Major | $7,635 | $3,588 | $21,587 | −65% | $21,181 | −64% | — |
| 201 | MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Minor | $7,601 | $3,573 | $11,438 | −34% | $13,081 | −42% | — |
| 982 | MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -OTHER DRUG ABUSE AND DEPENDENCE;SOI -Moderate | $7,579 | $3,562 | $48,375 | −84% | $51,985 | −85% | — |
| 951 | MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Minor | $7,508 | $3,529 | $10,551 | −29% | $9,385 | −20% | — |
| 812 | MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor | $7,487 | $3,519 | $21,472 | −65% | $20,488 | −63% | — |
| 446 | MS DRG -DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Minor | $7,466 | $3,509 | $10,130 | −26% | $17,700 | −58% | — |
| 314 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Moderate | $7,401 | $3,478 | $66,687 | −89% | $38,357 | −81% | — |
| 439 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate | $7,356 | $3,457 | $19,517 | −62% | $19,096 | −61% | — |
| 506 | MS DRG -MAJOR THUMB OR JOINT PROCEDURES;APR DRG -HAND AND WRIST PROCEDURES;SOI -Moderate | $7,351 | $3,455 | $19,915 | −63% | $28,983 | −75% | — |
| 602 | MS DRG -CELLULITIS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major | $7,264 | $3,414 | $25,010 | −71% | $29,347 | −75% | — |
| 758 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Moderate | $7,253 | $3,409 | $12,451 | −42% | $19,091 | −62% | — |
| 660 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Moderate | $7,177 | $3,373 | $36,171 | −80% | $30,358 | −76% | — |
| 776 | MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Minor | $7,113 | $3,343 | $9,052 | −21% | $12,381 | −43% | — |
| 206 | MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor | $6,917 | $3,251 | $10,667 | −35% | $17,731 | −61% | — |
| 858 | MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Minor | $6,882 | $3,235 | $14,439 | −52% | $23,924 | −71% | — |
| 755 | MS DRG -MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI -Moderate | $6,835 | $3,212 | $19,028 | −64% | $18,459 | −63% | — |
| 759 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Minor | $6,723 | $3,160 | $11,815 | −43% | $14,208 | −53% | — |
| 376 | MS DRG -DIGESTIVE MALIGNANCY WITHOUT CC/MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Moderate | $6,719 | $3,158 | $6,719 | +0% | $15,608 | −57% | — |
| 644 | MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -THYROID DISORDERS;SOI -Moderate | $6,680 | $3,139 | $19,297 | −65% | $22,941 | −71% | — |
| 389 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate | $6,677 | $3,138 | $17,413 | −62% | $17,388 | −62% | — |
| 696 | MS DRG -KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Moderate | $6,613 | $3,108 | $9,118 | −27% | $14,441 | −54% | — |
| 301 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Minor | $6,503 | $3,057 | $11,377 | −43% | $15,607 | −58% | — |
| 947 | MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Major | $6,453 | $3,033 | $26,617 | −76% | $25,474 | −75% | — |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $6,338 | $2,979 | $15,494 | −59% | $24,941 | −75% | — |
| 390 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Minor | $6,307 | $2,964 | $12,107 | −48% | $13,318 | −53% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,135 | $2,884 | $9,320 | −34% | $15,680 | −61% | — |
| 843 | MS DRG -OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC;APR DRG -LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR;SOI -Major | $6,064 | $2,850 | $29,910 | −80% | $36,280 | −83% | — |
| 726 | MS DRG -BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Minor | $5,976 | $2,809 | $13,637 | −56% | $13,892 | −57% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $5,972 | $2,807 | $14,778 | −60% | $15,284 | −61% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $5,803 | $2,727 | $9,171 | −37% | $14,166 | −59% | — |
| 700 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Minor | $5,743 | $2,699 | $13,149 | −56% | $13,303 | −57% | — |
| 560 | MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Minor | $5,586 | $2,625 | $26,439 | −79% | $24,452 | −77% | — |
| 195 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -OTHER PNEUMONIA;SOI -Minor | $5,563 | $2,615 | $18,452 | −70% | $13,824 | −60% | — |
| 387 | MS DRG -INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Minor | $5,458 | $2,565 | $16,402 | −67% | $14,880 | −63% | — |
| 188 | MS DRG -PLEURAL EFFUSION WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor | $5,361 | $2,520 | $8,110 | −34% | $14,110 | −62% | — |
| 202 | MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -ASTHMA;SOI -Moderate | $5,351 | $2,515 | $23,318 | −77% | $17,273 | −69% | — |
| 514 | MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor | $5,234 | $2,460 | $29,605 | −82% | $20,080 | −74% | — |
| 373 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Moderate | $5,208 | $2,448 | $10,879 | −52% | $16,104 | −68% | — |
| 536 | MS DRG -FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG -FRACTURE OF PELVIS OR DISLOCATION OF HIP;SOI -Minor | $5,189 | $2,439 | $20,702 | −75% | $18,002 | −71% | — |
| 975 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITH CC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Major | $5,179 | $2,434 | $26,939 | −81% | $25,010 | −79% | — |
| 395 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Minor | $5,094 | $2,394 | $10,099 | −50% | $14,128 | −64% | — |
| 884 | MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Moderate | $4,923 | $2,314 | $28,404 | −83% | $25,208 | −80% | — |
| 122 | MS DRG -ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Minor | $4,826 | $2,268 | $7,537 | −36% | $11,997 | −60% | — |
| 864 | MS DRG -FEVER AND INFLAMMATORY CONDITIONS;APR DRG -FEVER AND INFLAMMATORY CONDITIONS;SOI -Moderate | $4,745 | $2,230 | $14,916 | −68% | $17,412 | −73% | — |
| 443 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Minor | $4,700 | $2,209 | $16,983 | −72% | $15,600 | −70% | — |
| 694 | MS DRG -URINARY STONES WITHOUT MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Minor | $4,651 | $2,186 | $10,566 | −56% | $16,531 | −72% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,615 | $2,169 | $7,966 | −42% | $15,593 | −70% | — |
| 440 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Minor | $4,605 | $2,165 | $16,162 | −72% | $15,070 | −69% | — |
| 204 | MS DRG -RESPIRATORY SIGNS AND SYMPTOMS;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate | $4,563 | $2,145 | $9,981 | −54% | $16,866 | −73% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $4,465 | $2,098 | $13,078 | −66% | $23,588 | −81% | — |
| 571 | MS DRG -SKIN DEBRIDEMENT WITH CC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Minor | $4,193 | $1,971 | $37,596 | −89% | $34,901 | −88% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $2,363 | $1,111 | $7,082 | −67% | $11,421 | −79% | — |
| 816 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Moderate | $2,107 | $990 | $7,343 | −71% | $13,485 | −84% | — |
Procedures with negotiated rates only
These 495 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 |
|---|---|---|---|
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $2,271 – $13,302 · median $13,302 | 13 plans |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $3,677 – $18,465 · median $18,465 | 13 plans |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $3,677 – $13,210 · median $13,210 | 13 plans |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $3,677 – $11,760 · median $11,760 | 13 plans |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $3,677 – $16,899 · median $16,899 | 13 plans |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $3,677 – $13,063 · median $13,063 | 13 plans |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $3,677 – $11,976 · median $11,976 | 13 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $2,271 – $14,550 · median $14,550 | 13 plans |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $2,271 – $12,415 · median $12,415 | 13 plans |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $2,271 – $12,415 · median $12,415 | 13 plans |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $2,271 – $12,622 · median $12,622 | 13 plans |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $2,271 – $10,722 · median $10,722 | 13 plans |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $2,271 – $10,125 · median $10,125 | 13 plans |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $135,512 – $216,395 · median $154,074 | 12 plans |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $82,301 – $142,671 · median $103,529 | 12 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $29,923 – $54,482 · median $43,066 | 12 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $23,424 – $41,435 · median $34,121 | 12 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $19,303 – $26,757 · median $24,058 | 12 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $266,699 – $380,786 · median $266,782 | 12 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $55,658 – $81,393 · median $61,516 | 12 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $43,893 – $55,809 · median $43,976 | 12 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $30,069 – $40,502 · median $30,152 | 12 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $33,960 – $57,604 · median $45,207 | 12 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $28,142 – $38,386 · median $32,030 | 12 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $30,560 – $45,157 · median $36,673 | 12 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $22,793 – $30,883 · median $26,886 | 12 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $16,816 – $24,917 · median $22,797 | 12 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $30,501 – $61,385 · median $47,799 | 12 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,465 – $33,893 · median $28,950 | 12 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $12,714 – $22,470 · median $21,118 | 12 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $23,222 – $42,312 · median $34,723 | 12 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $13,972 – $21,563 · median $20,497 | 12 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $10,316 – $16,758 · median $16,758 | 12 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $18,376 – $39,264 · median $32,633 | 12 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $18,376 – $22,969 · median $21,460 | 12 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $15,935 – $18,509 · median $18,403 | 12 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $16,367 – $33,531 · median $28,702 | 12 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $23,548 – $38,087 · median $31,826 | 12 plans |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $17,038 – $22,801 · median $21,346 | 12 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $13,519 – $17,880 · median $17,880 | 12 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,339 – $20,320 · median $19,645 | 12 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $8,010 – $12,091 · median $12,091 | 12 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,277 – $16,091 · median $16,091 | 12 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $8,093 – $13,266 · median $13,266 | 12 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $9,162 – $18,638 · median $18,491 | 12 plans |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $5,901 – $11,891 · median $11,891 | 12 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $18,457 – $27,296 · median $24,427 | 12 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $15,481 – $18,457 · median $18,041 | 12 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $12,212 – $18,457 · median $15,438 | 12 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $6,604 – $11,815 · median $11,815 | 12 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,305 – $11,252 · median $11,252 | 12 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $6,521 – $10,906 · median $10,906 | 12 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $11,112 – $17,636 · median $17,636 | 12 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $7,971 – $12,060 · median $12,060 | 12 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $10,551 – $16,417 · median $16,417 | 12 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $7,941 – $12,621 · median $12,621 | 12 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $5,796 – $10,328 · median $10,328 | 12 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $6,481 – $20,071 · median $19,474 | 12 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $12,084 – $23,427 · median $21,775 | 12 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,630 – $15,338 · median $15,338 | 12 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $8,025 – $12,332 · median $12,332 | 12 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $12,239 – $22,880 · median $21,400 | 12 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,913 – $14,793 · median $14,793 | 12 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,677 – $11,833 · median $11,833 | 12 plans |
| 088 | CONCUSSION WITH MCC | $9,372 – $15,479 · median $15,479 | 12 plans |
| 089 | CONCUSSION WITH CC | $6,830 – $13,135 · median $13,135 | 12 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,354 – $11,648 · median $11,648 | 12 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $22,746 – $36,841 · median $30,971 | 12 plans |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $20,839 – $24,205 · median $22,308 | 12 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,839 – $24,205 · median $22,308 | 12 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $19,269 – $36,194 · median $30,528 | 12 plans |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $12,112 – $19,269 · median $15,358 | 12 plans |
| 102 | HEADACHES WITH MCC | $6,299 – $13,740 · median $13,740 | 12 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $10,193 – $22,785 · median $21,334 | 12 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $7,419 – $13,896 · median $13,896 | 12 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,074 – $16,311 · median $16,311 | 12 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $6,417 – $17,264 · median $17,264 | 12 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $5,107 – $13,180 · median $13,180 | 12 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $6,343 – $13,765 · median $13,765 | 12 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,226 – $11,273 · median $11,273 | 12 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $6,704 – $14,739 · median $14,739 | 12 plans |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $4,907 – $11,429 · median $11,429 | 12 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $11,069 – $24,345 · median $22,404 | 12 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $8,021 – $12,485 · median $12,485 | 12 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,167 – $15,395 · median $15,395 | 12 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $6,129 – $11,345 · median $11,345 | 12 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $29,138 – $42,702 · median $34,990 | 12 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $16,159 – $21,693 · median $20,586 | 12 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,776 – $16,598 · median $16,598 | 12 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $21,695 – $33,339 · median $28,571 | 12 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,814 – $17,874 · median $17,874 | 12 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,883 – $13,915 · median $13,915 | 12 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $12,820 – $23,164 · median $21,594 | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,806 – $14,330 · median $14,330 | 12 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $6,960 – $11,256 · median $11,256 | 12 plans |
| 150 | EPISTAXIS WITH MCC | $7,168 – $15,281 · median $15,281 | 12 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,501 – $10,960 · median $10,960 | 12 plans |
| 152 | OTITIS MEDIA AND URI WITH MCC | $5,901 – $13,569 · median $13,569 | 12 plans |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $4,484 – $10,640 · median $10,640 | 12 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $8,129 – $16,971 · median $16,971 | 12 plans |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $6,241 – $12,176 · median $12,176 | 12 plans |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,359 – $10,368 · median $10,368 | 12 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $8,608 – $17,049 · median $17,049 | 12 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $5,324 – $10,279 · median $10,279 | 12 plans |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $29,237 – $46,539 · median $37,620 | 12 plans |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $20,296 – $25,414 · median $23,137 | 12 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $16,204 – $18,821 · median $18,617 | 12 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,769 – $15,085 · median $15,085 | 12 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $22,462 – $30,984 · median $26,956 | 12 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $6,691 – $11,041 · median $11,041 | 12 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $9,486 – $13,399 · median $13,399 | 12 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $7,280 – $11,511 · median $11,511 | 12 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $9,154 – $16,701 · median $16,701 | 12 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,949 – $13,107 · median $13,107 | 12 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $5,277 – $11,097 · median $11,097 | 12 plans |
| 187 | PLEURAL EFFUSION WITH CC | $8,628 – $12,663 · median $12,663 | 12 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $8,293 – $12,566 · median $12,566 | 12 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $6,089 – $10,562 · median $10,562 | 12 plans |
| 199 | PNEUMOTHORAX WITH MCC | $10,627 – $17,933 · median $17,933 | 12 plans |
| 200 | PNEUMOTHORAX WITH CC | $7,787 – $13,380 · median $13,380 | 12 plans |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $4,508 – $10,535 · median $10,535 | 12 plans |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $7,690 – $19,061 · median $18,781 | 12 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $79,743 – $109,996 · median $81,127 | 12 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $78,973 – $106,976 · median $79,056 | 12 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $67,172 – $97,447 · median $72,523 | 12 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $50,335 – $65,205 · median $50,418 | 12 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $46,814 – $60,070 · median $46,897 | 12 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $52,058 – $78,126 · median $59,276 | 12 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $41,372 – $53,481 · median $42,380 | 12 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $37,422 – $46,371 · median $37,506 | 12 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $27,003 – $38,453 · median $27,217 | 12 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $52,814 – $85,561 · median $64,374 | 12 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $44,822 – $61,680 · median $48,001 | 12 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $46,605 – $78,922 · median $59,822 | 12 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $35,583 – $53,718 · median $42,542 | 12 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $37,144 – $59,413 · median $46,447 | 12 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $26,991 – $41,520 · median $34,179 | 12 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $15,688 – $18,434 · median $18,206 | 12 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $17,958 – $23,350 · median $21,722 | 12 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,622 – $16,530 · median $16,530 | 12 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $19,931 – $34,637 · median $29,460 | 12 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $15,530 – $26,419 · median $23,826 | 12 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $7,753 – $11,887 · median $11,887 | 12 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $16,578 – $28,327 · median $25,134 | 12 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,969 – $17,881 · median $17,881 | 12 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $15,612 – $34,392 · median $29,293 | 12 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $9,538 – $19,160 · median $18,849 | 12 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,119 – $16,220 · median $16,220 | 12 plans |
| 263 | VEIN LIGATION AND STRIPPING | $10,797 – $27,081 · median $24,280 | 12 plans |
| 265 | AICD LEAD PROCEDURES | $22,814 – $36,018 · median $30,407 | 12 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $47,102 – $60,489 · median $47,185 | 12 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $38,198 – $47,503 · median $38,282 | 12 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $49,071 – $67,323 · median $51,870 | 12 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $30,385 – $42,011 · median $34,516 | 12 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,052 – $51,828 · median $41,246 | 12 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $25,575 – $34,778 · median $29,557 | 12 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $51,730 – $71,356 · median $54,635 | 12 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $45,343 – $62,545 · median $48,594 | 12 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $36,624 – $50,518 · median $40,349 | 12 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $23,456 – $32,355 · median $27,896 | 12 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $11,400 – $19,744 · median $19,249 | 12 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $6,442 – $10,843 · median $10,843 | 12 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,880 – $9,599 · median $9,599 | 12 plans |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $21,046 – $27,580 · median $24,622 | 12 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $8,510 – $14,250 · median $12,490 | 12 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $4,770 – $9,511 · median $9,511 | 12 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $6,265 – $14,214 · median $14,214 | 12 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,025 – $11,180 · median $11,180 | 12 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $8,045 – $17,055 · median $17,055 | 12 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $6,123 – $10,589 · median $10,589 | 12 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,840 – $8,771 · median $8,771 | 12 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $5,955 – $13,766 · median $13,766 | 12 plans |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,680 – $16,079 · median $16,079 | 12 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,942 – $12,126 · median $12,126 | 12 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $45,284 – $62,464 · median $48,539 | 12 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $30,017 – $44,354 · median $36,122 | 12 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $17,185 – $23,373 · median $21,737 | 12 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $20,839 – $28,744 · median $25,420 | 12 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $31,179 – $43,007 · median $35,199 | 12 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $23,388 – $32,261 · median $27,831 | 12 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $20,951 – $28,899 · median $25,526 | 12 plans |
| 332 | RECTAL RESECTION WITH MCC | $26,813 – $35,023 · median $29,725 | 12 plans |
| 333 | RECTAL RESECTION WITH CC | $18,475 – $21,459 · median $20,426 | 12 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $12,908 – $17,195 · median $17,195 | 12 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $17,919 – $21,328 · median $20,336 | 12 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $12,283 – $16,340 · median $16,340 | 12 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $12,300 – $16,019 · median $16,019 | 12 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $9,256 – $14,428 · median $14,428 | 12 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $13,255 – $24,422 · median $22,457 | 12 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $6,483 – $13,346 · median $13,346 | 12 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $14,634 – $29,615 · median $26,017 | 12 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,190 – $17,489 · median $17,489 | 12 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $11,780 – $15,094 · median $15,094 | 12 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $9,984 – $17,274 · median $17,274 | 12 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $8,846 – $12,757 · median $12,757 | 12 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,068 – $10,545 · median $10,545 | 12 plans |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $5,535 – $10,121 · median $10,121 | 12 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $10,358 – $19,430 · median $19,034 | 12 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $8,167 – $13,252 · median $13,252 | 12 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $6,514 – $10,900 · median $10,900 | 12 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $7,982 – $14,465 · median $14,465 | 12 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $6,082 – $11,733 · median $11,733 | 12 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,809 – $16,961 · median $16,961 | 12 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $18,137 – $25,018 · median $22,866 | 12 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $28,637 – $39,501 · median $32,795 | 12 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,854 – $54,814 · median $43,293 | 12 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $23,977 – $28,356 · median $25,154 | 12 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $16,233 – $21,565 · median $20,498 | 12 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $27,850 – $35,353 · median $29,951 | 12 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $18,225 – $21,168 · median $20,226 | 12 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $13,484 – $16,451 · median $16,451 | 12 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $23,788 – $27,629 · median $24,656 | 12 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $18,530 – $21,523 · median $20,469 | 12 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $14,077 – $17,222 · median $17,222 | 12 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,358 – $35,378 · median $29,968 | 12 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $11,144 – $15,198 · median $15,198 | 12 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $15,453 – $23,996 · median $22,164 | 12 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,178 – $35,637 · median $30,146 | 12 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $14,236 – $17,049 · median $17,049 | 12 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $12,773 – $15,885 · median $15,885 | 12 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $28,566 – $41,069 · median $33,870 | 12 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $19,849 – $23,054 · median $21,519 | 12 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $13,438 – $18,623 · median $16,414 | 12 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $76,680 – $105,770 · median $78,230 | 12 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $51,992 – $71,716 · median $54,882 | 12 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $40,290 – $55,575 · median $43,815 | 12 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $61,053 – $84,215 · median $63,451 | 12 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $40,044 – $55,236 · median $43,583 | 12 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $8,256 – $13,119 · median $13,119 | 12 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $6,055 – $10,535 · median $10,535 | 12 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $9,304 – $13,520 · median $13,520 | 12 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,826 – $11,149 · median $11,149 | 12 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $49,078 – $67,697 · median $52,127 | 12 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $29,891 – $41,231 · median $33,981 | 12 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $37,699 – $52,001 · median $41,365 | 12 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $22,590 – $31,159 · median $27,076 | 12 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $48,932 – $85,514 · median $64,341 | 12 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $45,361 – $57,951 · median $45,444 | 12 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $35,521 – $48,932 · median $35,605 | 12 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $27,680 – $61,962 · median $48,195 | 12 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $22,373 – $28,916 · median $25,538 | 12 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,623 – $54,534 · median $43,102 | 12 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,092 – $17,731 · median $17,731 | 12 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $25,569 – $51,440 · median $40,981 | 12 plans |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $25,569 – $34,584 · median $29,424 | 12 plans |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $22,804 – $26,487 · median $23,873 | 12 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $19,273 – $33,004 · median $28,341 | 12 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $25,087 – $49,044 · median $39,338 | 12 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $17,943 – $29,253 · median $25,769 | 12 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,058 – $23,904 · median $22,101 | 12 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $20,549 – $45,282 · median $36,759 | 12 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $10,111 – $13,765 · median $13,765 | 12 plans |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $19,232 – $34,724 · median $29,520 | 12 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,366 – $23,613 · median $21,902 | 12 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,156 – $18,006 · median $18,006 | 12 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $14,393 – $25,729 · median $23,353 | 12 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $16,913 – $21,415 · median $20,395 | 12 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,981 – $19,845 · median $19,319 | 12 plans |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $16,208 – $35,856 · median $30,296 | 12 plans |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $9,220 – $19,037 · median $18,765 | 12 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $18,619 – $35,548 · median $30,085 | 12 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $12,866 – $19,921 · median $19,371 | 12 plans |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $8,896 – $15,007 · median $15,007 | 12 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $12,688 – $25,494 · median $23,192 | 12 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,588 – $13,749 · median $13,749 | 12 plans |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $11,273 – $18,068 · median $18,068 | 12 plans |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $7,475 – $15,394 · median $15,385 | 12 plans |
| 503 | FOOT PROCEDURES WITH MCC | $12,680 – $26,723 · median $24,034 | 12 plans |
| 504 | FOOT PROCEDURES WITH CC | $10,164 – $17,862 · median $17,862 | 12 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $10,337 – $19,570 · median $19,130 | 12 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,192 – $14,647 · median $14,647 | 12 plans |
| 509 | ARTHROSCOPY | $7,777 – $17,874 · median $17,874 | 12 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $12,025 – $28,858 · median $25,498 | 12 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $9,054 – $19,802 · median $19,290 | 12 plans |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $6,948 – $16,843 · median $16,843 | 12 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $17,967 – $31,224 · median $27,120 | 12 plans |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $13,252 – $20,312 · median $19,639 | 12 plans |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $10,273 – $16,046 · median $16,046 | 12 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $22,693 – $36,188 · median $30,523 | 12 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $13,630 – $19,910 · median $19,364 | 12 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,619 – $15,634 · median $15,634 | 12 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $22,424 – $29,430 · median $25,890 | 12 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $8,154 – $16,269 · median $16,269 | 12 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,458 – $11,348 · median $11,348 | 12 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $7,832 – $14,919 · median $14,919 | 12 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,440 – $12,075 · median $12,075 | 12 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,325 – $10,362 · median $10,362 | 12 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,742 – $20,420 · median $19,713 | 12 plans |
| 540 | OSTEOMYELITIS WITH CC | $10,127 – $14,672 · median $14,672 | 12 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $10,747 – $18,832 · median $18,624 | 12 plans |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $6,569 – $10,944 · median $10,944 | 12 plans |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,229 – $25,514 · median $23,206 | 12 plans |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $8,743 – $13,727 · median $13,727 | 12 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $6,487 – $10,879 · median $10,879 | 12 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,893 – $11,681 · median $11,681 | 12 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $8,407 – $17,526 · median $17,526 | 12 plans |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $5,666 – $12,385 · median $12,385 | 12 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $6,647 – $14,754 · median $14,754 | 12 plans |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $4,680 – $11,491 · median $11,491 | 12 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $5,700 – $15,035 · median $15,035 | 12 plans |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $4,306 – $11,365 · median $11,365 | 12 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $8,797 – $16,441 · median $16,441 | 12 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,746 – $18,743 · median $18,563 | 12 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $4,879 – $11,373 · median $11,373 | 12 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $8,063 – $15,844 · median $15,844 | 12 plans |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $5,045 – $11,900 · median $11,900 | 12 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $8,392 – $16,576 · median $16,576 | 12 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $19,848 – $62,179 · median $48,343 | 12 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $14,602 – $34,985 · median $29,699 | 12 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $10,288 – $20,161 · median $19,535 | 12 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $17,905 – $54,476 · median $43,062 | 12 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $11,764 – $26,886 · median $24,146 | 12 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,771 – $17,415 · median $17,415 | 12 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $16,696 – $32,910 · median $28,276 | 12 plans |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $6,598 – $15,676 · median $15,676 | 12 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $6,819 – $17,836 · median $17,836 | 12 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $5,445 – $17,085 · median $17,085 | 12 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $9,023 – $20,673 · median $19,886 | 12 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $6,556 – $20,044 · median $19,455 | 12 plans |
| 592 | SKIN ULCERS WITH MCC | $10,512 – $20,762 · median $19,948 | 12 plans |
| 593 | SKIN ULCERS WITH CC | $7,988 – $14,177 · median $14,177 | 12 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,742 – $11,588 · median $11,588 | 12 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $10,077 – $21,356 · median $20,355 | 12 plans |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $6,346 – $13,197 · median $13,197 | 12 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $10,157 – $17,874 · median $17,874 | 12 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,695 – $13,182 · median $13,182 | 12 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,203 – $11,631 · median $11,631 | 12 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,850 – $9,863 · median $9,863 | 12 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $6,999 – $15,998 · median $15,998 | 12 plans |
| 606 | MINOR SKIN DISORDERS WITH MCC | $6,666 – $16,860 · median $16,860 | 12 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $15,870 – $23,011 · median $21,490 | 12 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $11,916 – $15,633 · median $15,633 | 12 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $22,736 – $39,025 · median $32,469 | 12 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,824 – $14,332 · median $14,332 | 12 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,979 – $27,529 · median $24,587 | 12 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $13,883 – $16,768 · median $16,768 | 12 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $12,205 – $15,832 · median $15,832 | 12 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $19,709 – $37,783 · median $31,617 | 12 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,720 – $12,657 · median $12,657 | 12 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $11,500 – $28,949 · median $25,561 | 12 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $5,894 – $14,483 · median $14,483 | 12 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $22,067 – $39,840 · median $33,027 | 12 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $12,182 – $15,414 · median $15,414 | 12 plans |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $7,668 – $14,305 · median $14,305 | 12 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $33,017 – $56,287 · median $44,303 | 12 plans |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $24,533 – $33,017 · median $25,249 | 12 plans |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $18,058 – $33,017 · median $20,093 | 12 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $13,721 – $18,458 · median $18,368 | 12 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $11,957 – $16,125 · median $16,125 | 12 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $14,707 – $31,499 · median $27,309 | 12 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $10,301 – $16,287 · median $16,287 | 12 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,507 – $13,188 · median $13,188 | 12 plans |
| 665 | PROSTATECTOMY WITH MCC | $15,433 – $34,669 · median $29,482 | 12 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,752 – $12,828 · median $12,828 | 12 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $12,440 – $29,446 · median $25,901 | 12 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $9,260 – $17,645 · median $17,645 | 12 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,084 – $13,289 · median $13,289 | 12 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $10,469 – $19,040 · median $18,767 | 12 plans |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $8,035 – $13,000 · median $13,000 | 12 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $6,182 – $10,726 · median $10,726 | 12 plans |
| 693 | URINARY STONES WITH MCC | $7,577 – $15,892 · median $15,892 | 12 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $6,809 – $13,520 · median $13,520 | 12 plans |
| 697 | URETHRAL STRICTURE | $5,229 – $12,648 · median $12,648 | 12 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $11,201 – $19,594 · median $19,147 | 12 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $8,547 – $15,976 · median $15,976 | 12 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $11,643 – $22,689 · median $21,269 | 12 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,371 – $16,107 · median $16,107 | 12 plans |
| 711 | TESTES PROCEDURES WITH CC/MCC | $11,595 – $19,291 · median $18,939 | 12 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $7,838 – $13,117 · median $13,117 | 12 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $7,117 – $15,723 · median $15,723 | 12 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,845 – $12,218 · median $12,218 | 12 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $11,057 – $22,802 · median $21,346 | 12 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $8,174 – $15,538 · median $15,538 | 12 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $7,482 – $14,241 · median $14,241 | 12 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $9,277 – $17,681 · median $17,681 | 12 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,686 – $13,486 · median $13,486 | 12 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,565 – $10,757 · median $10,757 | 12 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $6,563 – $14,453 · median $14,453 | 12 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $7,303 – $15,885 · median $15,885 | 12 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,899 – $13,334 · median $13,334 | 12 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $5,105 – $9,914 · median $9,914 | 12 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,546 – $21,232 · median $20,270 | 12 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $9,943 – $14,116 · median $14,116 | 12 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $23,208 – $39,758 · median $32,971 | 12 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $15,195 – $20,178 · median $19,547 | 12 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $12,110 – $16,214 · median $16,214 | 12 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $15,944 – $40,195 · median $33,271 | 12 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $10,520 – $18,359 · median $18,300 | 12 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $7,440 – $15,222 · median $15,222 | 12 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $8,610 – $19,730 · median $19,240 | 12 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $6,249 – $12,807 · median $12,807 | 12 plans |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $7,581 – $17,306 · median $17,306 | 12 plans |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $6,142 – $12,325 · median $12,325 | 12 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $10,844 – $14,640 · median $14,640 | 12 plans |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $11,272 – $18,269 · median $18,238 | 12 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,579 – $12,324 · median $12,324 | 12 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,308 – $15,511 · median $15,511 | 12 plans |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $4,980 – $12,536 · median $12,536 | 12 plans |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $12,079 – $15,332 · median $15,332 | 12 plans |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $5,320 – $13,162 · median $13,162 | 12 plans |
| 779 | ABORTION WITHOUT D&C | $4,326 – $12,184 · median $12,184 | 12 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $28,597 – $48,009 · median $38,628 | 12 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $19,967 – $29,421 · median $25,884 | 12 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $20,204 – $36,196 · median $30,529 | 12 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $13,203 – $18,035 · median $18,035 | 12 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $9,611 – $13,367 · median $13,367 | 12 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $9,549 – $21,108 · median $20,185 | 12 plans |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $7,398 – $12,747 · median $12,747 | 12 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,532 – $25,597 · median $23,262 | 12 plans |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $9,944 – $14,629 · median $14,629 | 12 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $6,141 – $11,365 · median $11,365 | 12 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $32,468 – $58,788 · median $46,018 | 12 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $19,406 – $22,541 · median $21,167 | 12 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $9,942 – $13,630 · median $13,630 | 12 plans |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $25,446 – $47,249 · median $38,107 | 12 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $10,699 – $14,233 · median $14,233 | 12 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $28,723 – $48,218 · median $38,772 | 12 plans |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $17,494 – $23,828 · median $22,050 | 12 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $17,952 – $31,137 · median $27,061 | 12 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $11,824 – $15,837 · median $15,837 | 12 plans |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,262 – $10,887 · median $10,887 | 12 plans |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,516 – $9,311 · median $9,311 | 12 plans |
| 834 | ACUTE LEUKEMIA WITH MCC | $26,289 – $55,809 · median $43,976 | 12 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $18,514 – $21,566 · median $20,499 | 12 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,046 – $15,740 · median $14,510 | 12 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $34,528 – $50,558 · median $40,376 | 12 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $17,631 – $21,617 · median $19,753 | 12 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $11,913 – $17,326 · median $15,200 | 12 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,817 – $12,995 · median $12,995 | 12 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,967 – $13,987 · median $13,987 | 12 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,983 – $11,506 · median $11,506 | 12 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $6,586 – $11,382 · median $11,382 | 12 plans |
| 849 | RADIOTHERAPY | $9,080 – $26,970 · median $24,204 | 12 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $67,431 – $93,013 · median $69,483 | 12 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,131 – $37,359 · median $16,966 | 12 plans |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $28,361 – $45,554 · median $36,945 | 12 plans |
| 865 | VIRAL ILLNESS WITH MCC | $8,731 – $15,930 · median $15,930 | 12 plans |
| 866 | VIRAL ILLNESS WITHOUT MCC | $5,419 – $11,838 · median $11,838 | 12 plans |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $15,877 – $21,651 · median $20,557 | 12 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $9,129 – $12,982 · median $12,982 | 12 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $6,255 – $10,695 · median $10,695 | 12 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $20,632 – $44,735 · median $36,383 | 12 plans |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $13,457 – $19,160 · median $18,849 | 12 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $18,259 – $38,986 · median $32,442 | 12 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,519 – $17,123 · median $17,123 | 12 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $7,112 – $22,037 · median $20,821 | 12 plans |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $22,419 – $40,223 · median $33,290 | 12 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $15,808 – $20,367 · median $19,677 | 12 plans |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $10,203 – $14,493 · median $14,493 | 12 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $7,668 – $16,916 · median $16,916 | 12 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $15,605 – $32,048 · median $27,685 | 12 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $12,114 – $21,319 · median $20,329 | 12 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $9,743 – $19,733 · median $19,242 | 12 plans |
| 949 | AFTERCARE WITH CC/MCC | $5,286 – $13,182 · median $13,182 | 12 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,301 – $9,770 · median $9,770 | 12 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $36,881 – $68,945 · median $52,982 | 12 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $25,203 – $38,595 · median $32,174 | 12 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $41,877 – $75,366 · median $57,384 | 12 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,358 – $41,497 · median $34,163 | 12 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $22,983 – $26,724 · median $24,016 | 12 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $16,616 – $27,431 · median $24,520 | 12 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $12,300 – $16,098 · median $16,098 | 12 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $7,933 – $12,031 · median $12,031 | 12 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $37,124 – $63,856 · median $49,493 | 12 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $23,065 – $26,790 · median $24,081 | 12 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,496 – $15,695 · median $15,695 | 12 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $14,502 – $21,475 · median $17,261 | 12 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $20,591 – $35,367 · median $29,961 | 12 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $10,045 – $13,712 · median $13,712 | 12 plans |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,303 – $18,192 · median $18,192 | 11 plans |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $33,974 – $52,909 · median $46,866 | 11 plans |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $23,203 – $36,133 · median $33,818 | 11 plans |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $14,000 – $22,671 · median $22,671 | 11 plans |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $23,835 – $37,117 · median $34,584 | 11 plans |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $8,436 – $15,932 · median $15,932 | 11 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,978 – $10,474 · median $10,474 | 11 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $14,686 – $17,408 · median $17,408 | 11 plans |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $8,866 – $12,773 · median $12,773 | 11 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $169,852 – $239,529 · median $169,935 | 11 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $51,865 – $67,437 · median $51,948 | 11 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $27,646 – $32,113 · median $27,730 | 11 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $35,583 – $43,689 · median $35,666 | 11 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $18,653 – $21,666 · median $20,567 | 11 plans |
| 935 | NON-EXTENSIVE BURNS | $19,093 – $22,177 · median $20,918 | 11 plans |
| 945 | REHABILITATION WITH CC/MCC | $7,941 – $16,280 · median $16,280 | 11 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,320 – $13,442 · median $13,442 | 11 plans |
| 795 | NORMAL NEWBORN | $1,737 – $7,096 · median $7,096 | 10 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $9,271 – $25,284 · median $22,027 | 4 plans |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $6,473 – $13,473 · median $11,738 | 4 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $17,781 – $39,677 · median $34,567 | 4 plans |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $4,403 – $9,679 · median $8,433 | 4 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,501 – $18,719 · median $16,308 | 4 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $5,054 – $18,139 · median $15,803 | 4 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $6,022 – $12,009 · median $10,463 | 4 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $5,471 – $14,619 · median $12,737 | 4 plans |
No procedures match that keyword.