Ochsner Lafayette General Medical Center — Pricing
760 procedures published in this hospital's Machine-Readable File (MRF) — 671 with a comparable price, 89 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 760
Lowest published price $2,511
Average published price $127,898
Highest published price $1,797,226
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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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
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 760 procedures
Published charges
Showing all 671 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.
Across 127 procedures, this hospital's negotiated rates average ≈126% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. LA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 790 | MS DRG -EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE;APR DRG -NEONATE BIRTH WEIGHT 750-999 GRAMS WITHOUT MAJOR PROCEDURE;SOI -Extreme | $1,797,226 | $377,418 | $61,499 | +2822% | $80,018 | +2146% | — |
| 789 | MS DRG -NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY;APR DRG -NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY;SOI -Major | $1,222,640 | $256,754 | $9,865 | +12294% | $14,121 | +8558% | — |
| 001 | MS DRG -HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme | $999,336 | $209,860 | $289,205 | +246% | $431,073 | +132% | — |
| 545 | MS DRG -CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Major | $950,356 | $199,575 | $45,200 | +2003% | $39,657 | +2296% | — |
| 216 | MS DRG -CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -EXTERNAL HEART ASSIST DEVICES;SOI -Extreme | $699,179 | $146,828 | $157,878 | +343% | $175,437 | +299% | — |
| 003 | MS DRG -ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES;APR DRG -TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE;SOI -Extreme | $635,481 | $133,451 | $462,770 | +37% | $371,366 | +71% | ≈123% of Medicare |
| 799 | MS DRG -SPLENIC PROCEDURES WITH MCC;APR DRG -SPLENIC PROCEDURES;SOI -Major | $618,369 | $129,857 | $86,439 | +615% | $78,821 | +685% | — |
| 163 | MS DRG -MAJOR CHEST PROCEDURES WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme | $613,233 | $128,779 | $165,068 | +272% | $88,341 | +594% | ≈110% of Medicare |
| 215 | MS DRG -OTHER HEART ASSIST SYSTEM IMPLANT;APR DRG -CARDIAC VALVE PROCEDURES WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme | $580,432 | $121,891 | $179,884 | +223% | $191,314 | +203% | ≈109% of Medicare |
| 264 | MS DRG -OTHER CIRCULATORY SYSTEM O.R. PROCEDURES;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Extreme | $556,656 | $116,898 | $59,308 | +839% | $51,953 | +971% | — |
| 020 | MS DRG -INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Extreme | $551,868 | $115,892 | $83,183 | +563% | $135,380 | +308% | — |
| 217 | MS DRG -CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC;APR DRG -EXTERNAL HEART ASSIST DEVICES;SOI -Minor | $538,196 | $113,021 | $236,851 | +127% | $121,714 | +342% | — |
| 471 | MS DRG -CERVICAL SPINAL FUSION WITH MCC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $536,384 | $112,641 | $117,238 | +358% | $92,515 | +480% | — |
| 956 | MS DRG -LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $492,525 | $103,430 | $78,808 | +525% | $75,103 | +556% | — |
| 166 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme | $481,761 | $101,170 | $93,180 | +417% | $72,274 | +567% | — |
| 793 | MS DRG -FULL TERM NEONATE WITH MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY;SOI -Major | $475,378 | $99,829 | $22,925 | +1974% | $16,708 | +2745% | — |
| 981 | MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $470,954 | $98,900 | $93,631 | +403% | $84,825 | +455% | ≈113% of Medicare |
| 219 | MS DRG -CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme | $460,974 | $96,804 | $215,747 | +114% | $143,242 | +222% | — |
| 464 | MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $459,602 | $96,517 | $36,687 | +1153% | $54,313 | +746% | — |
| 791 | MS DRG -PREMATURITY WITH MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY;SOI -Moderate | $454,150 | $95,371 | $39,169 | +1059% | $39,254 | +1057% | — |
| 028 | MS DRG -SPINAL PROCEDURES WITH MCC;APR DRG -SPINAL PROCEDURES;SOI -Extreme | $451,126 | $94,737 | $153,674 | +194% | $95,858 | +371% | — |
| 218 | MS DRG -CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC;APR DRG -EXTERNAL HEART ASSIST DEVICES;SOI -Minor | $447,441 | $93,963 | $113,337 | +295% | $92,238 | +385% | — |
| 326 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Extreme | $444,327 | $93,309 | $85,356 | +421% | $80,747 | +450% | — |
| 902 | MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $442,986 | $93,027 | $43,774 | +912% | $35,029 | +1165% | — |
| 037 | MS DRG -EXTRACRANIAL PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Extreme | $433,909 | $91,121 | $49,605 | +775% | $64,749 | +570% | — |
| 004 | MS DRG -TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG -TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE;SOI -Extreme | $426,674 | $89,601 | $292,218 | +46% | $245,189 | +74% | — |
| 275 | MS DRG -CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC;APR DRG -DEFIBRILLATOR IMPLANTS;SOI -Extreme | $425,068 | $89,264 | $136,357 | +212% | $131,961 | +222% | — |
| 614 | MS DRG -ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC;APR DRG -OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Extreme | $422,725 | $88,772 | $82,051 | +415% | $43,313 | +876% | — |
| 957 | MS DRG -OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG -EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $422,545 | $88,734 | $85,573 | +394% | $120,573 | +250% | — |
| 276 | MS DRG -CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR;APR DRG -DEFIBRILLATOR IMPLANTS;SOI -Extreme | $405,611 | $85,178 | $148,704 | +173% | $117,280 | +246% | — |
| 021 | MS DRG -INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC;APR DRG -OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Major | $405,383 | $85,130 | $57,221 | +608% | $101,280 | +300% | — |
| 212 | MS DRG -CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES;APR DRG -CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme | $405,354 | $85,124 | $91,497 | +343% | $171,338 | +137% | — |
| 963 | MS DRG -OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Extreme | $404,690 | $84,985 | $89,571 | +352% | $43,491 | +831% | — |
| 231 | MS DRG -CORONARY BYPASS WITH PTCA WITH MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme | $404,016 | $84,843 | $319,687 | +26% | $145,864 | +177% | — |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $403,009 | $84,632 | $94,922 | +325% | $169,977 | +137% | — |
| 817 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Extreme | $402,260 | $84,475 | $36,606 | +999% | $36,097 | +1014% | — |
| 208 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major | $382,645 | $80,356 | $55,384 | +591% | $52,405 | +630% | ≈120% of Medicare |
| 233 | MS DRG -CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme | $381,266 | $80,066 | $242,380 | +57% | $138,868 | +175% | ≈123% of Medicare |
| 270 | MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Extreme | $380,892 | $79,987 | $136,083 | +180% | $99,423 | +283% | ≈105% of Medicare |
| 232 | MS DRG -CORONARY BYPASS WITH PTCA WITHOUT MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Major | $378,178 | $79,417 | $149,666 | +153% | $106,219 | +256% | — |
| 228 | MS DRG -OTHER CARDIOTHORACIC PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Extreme | $373,310 | $78,395 | $125,919 | +196% | $96,905 | +285% | — |
| 266 | MS DRG -ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES;SOI -Extreme | $364,063 | $76,453 | $187,889 | +94% | $113,855 | +220% | ≈102% of Medicare |
| 207 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Major | $358,043 | $75,189 | $160,739 | +123% | $116,058 | +209% | — |
| 792 | MS DRG -PREMATURITY WITHOUT MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH MAJOR ANOMALY;SOI -Moderate | $352,078 | $73,936 | $13,310 | +2545% | $11,633 | +2927% | — |
| 082 | MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC;APR DRG -MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI -Extreme | $350,555 | $73,617 | $24,360 | +1339% | $36,237 | +867% | ≈116% of Medicare |
| 025 | MS DRG -CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC;APR DRG -CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $346,145 | $72,690 | $110,608 | +213% | $88,307 | +292% | ≈123% of Medicare |
| 447 | MS DRG -MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Extreme | $344,505 | $72,346 | $117,363 | +194% | $114,665 | +200% | — |
| 474 | MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Extreme | $340,561 | $71,518 | $64,647 | +427% | $76,954 | +343% | — |
| 987 | MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme | $337,372 | $70,848 | $71,549 | +372% | $65,383 | +416% | — |
| 032 | MS DRG -VENTRICULAR SHUNT PROCEDURES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Major | $332,268 | $69,776 | $49,303 | +574% | $44,719 | +643% | — |
| 356 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme | $328,608 | $69,008 | $58,115 | +465% | $82,561 | +298% | — |
| 656 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI -Extreme | $327,597 | $68,795 | $33,487 | +878% | $64,465 | +408% | — |
| 189 | MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme | $327,292 | $68,731 | $34,870 | +839% | $24,603 | +1230% | ≈119% of Medicare |
| 457 | MS DRG -SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Moderate | $327,001 | $68,670 | $104,685 | +212% | $107,355 | +205% | — |
| 235 | MS DRG -CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme | $326,968 | $68,663 | $177,119 | +85% | $112,062 | +192% | — |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $325,144 | $68,280 | $26,775 | +1114% | $25,197 | +1190% | — |
| 323 | MS DRG -CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Extreme | $324,245 | $68,092 | $171,608 | +89% | $87,495 | +271% | — |
| 472 | MS DRG -CERVICAL SPINAL FUSION WITH CC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Major | $318,054 | $66,791 | $84,790 | +275% | $59,537 | +434% | ≈123% of Medicare |
| 272 | MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate | $315,385 | $66,231 | $67,960 | +364% | $55,162 | +472% | — |
| 820 | MS DRG -LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Extreme | $313,820 | $65,902 | $96,540 | +225% | $96,192 | +226% | — |
| 628 | MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major | $313,057 | $65,742 | $70,566 | +344% | $68,331 | +358% | — |
| 023 | MS DRG -CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR;APR DRG -OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Extreme | $312,726 | $65,672 | $185,245 | +69% | $106,778 | +193% | ≈126% of Medicare |
| 267 | MS DRG -ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC;APR DRG -PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES;SOI -Major | $308,722 | $64,832 | $157,538 | +96% | $92,217 | +235% | ≈106% of Medicare |
| 319 | MS DRG -OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Major | $302,962 | $63,622 | $45,597 | +564% | $75,585 | +301% | — |
| 448 | MS DRG -MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $302,114 | $63,444 | $129,588 | +133% | $81,998 | +268% | — |
| 958 | MS DRG -OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $301,974 | $63,415 | $83,988 | +260% | $66,853 | +352% | — |
| 901 | MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Extreme | $301,661 | $63,349 | $40,710 | +641% | $68,847 | +338% | — |
| 277 | MS DRG -CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC;APR DRG -DEFIBRILLATOR IMPLANTS;SOI -Minor | $300,603 | $63,127 | $154,961 | +94% | $91,329 | +229% | — |
| 796 | MS DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC;APR DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C;SOI -Extreme | $298,725 | $62,732 | $21,405 | +1296% | $22,557 | +1224% | — |
| 430 | MS DRG -COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Major | $294,617 | $61,870 | $219,723 | +34% | $93,783 | +214% | — |
| 955 | MS DRG -CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG -CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Extreme | $284,470 | $59,739 | $126,896 | +124% | $104,881 | +171% | — |
| 653 | MS DRG -MAJOR BLADDER PROCEDURES WITH MCC;APR DRG -MAJOR BLADDER PROCEDURES;SOI -Major | $283,637 | $59,564 | $133,101 | +113% | $97,028 | +192% | — |
| 097 | MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Major | $281,330 | $59,079 | $55,801 | +404% | $57,855 | +386% | — |
| 221 | MS DRG -CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC;APR DRG -OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES;SOI -Moderate | $278,693 | $58,525 | $113,397 | +146% | $90,331 | +209% | — |
| 317 | MS DRG -CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Major | $278,602 | $58,506 | $278,602 | +0% | $93,934 | +197% | — |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $277,686 | $58,314 | $144,151 | +93% | $105,899 | +162% | — |
| 919 | MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Extreme | $271,212 | $56,954 | $31,482 | +761% | $29,031 | +834% | ≈120% of Medicare |
| 456 | MS DRG -SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Major | $269,867 | $56,672 | $71,198 | +279% | $151,029 | +79% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $268,319 | $56,347 | $26,866 | +899% | $51,142 | +425% | — |
| 441 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Extreme | $267,193 | $56,111 | $28,244 | +846% | $31,913 | +737% | — |
| 229 | MS DRG -OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Moderate | $264,943 | $55,638 | $71,782 | +269% | $65,325 | +306% | — |
| 252 | MS DRG -OTHER VASCULAR PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Extreme | $264,712 | $55,589 | $79,687 | +232% | $68,508 | +286% | ≈113% of Medicare |
| 481 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Extreme | $261,448 | $54,904 | $74,029 | +253% | $50,998 | +413% | ≈122% of Medicare |
| 199 | MS DRG -PNEUMOTHORAX WITH MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Extreme | $261,037 | $54,818 | $23,280 | +1021% | $31,085 | +740% | — |
| 673 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES;SOI -Extreme | $258,483 | $54,282 | $88,662 | +192% | $72,879 | +255% | ≈155% of Medicare |
| 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 | $257,351 | $54,044 | $102,538 | +151% | $86,938 | +196% | ≈119% of Medicare |
| 286 | MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme | $255,166 | $53,585 | $47,632 | +436% | $44,600 | +472% | ≈116% of Medicare |
| 451 | MS DRG -SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Moderate | $254,668 | $53,480 | $96,629 | +164% | $65,216 | +291% | — |
| 840 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Extreme | $254,097 | $53,360 | $37,712 | +574% | $49,710 | +411% | — |
| 480 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG -OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Major | $252,530 | $53,031 | $92,273 | +174% | $63,984 | +295% | ≈112% of Medicare |
| 466 | MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Extreme | $251,639 | $52,844 | $116,776 | +115% | $94,320 | +167% | — |
| 245 | MS DRG -AICD GENERATOR PROCEDURES;APR DRG -DEFIBRILLATOR IMPLANTS;SOI -Major | $249,073 | $52,305 | $146,998 | +69% | $72,076 | +246% | — |
| 273 | MS DRG -PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate | $245,560 | $51,568 | $107,876 | +128% | $78,852 | +211% | — |
| 427 | MS DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC;APR DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI -Minor | $243,939 | $51,227 | $208,044 | +17% | $121,728 | +100% | — |
| 654 | MS DRG -MAJOR BLADDER PROCEDURES WITH CC;APR DRG -MAJOR BLADDER PROCEDURES;SOI -Major | $236,883 | $49,745 | $51,569 | +359% | $53,868 | +340% | — |
| 467 | MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITH CC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate | $236,596 | $49,685 | $78,622 | +201% | $68,421 | +246% | ≈115% of Medicare |
| 450 | MS DRG -SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Major | $236,182 | $49,598 | $120,339 | +96% | $79,944 | +195% | — |
| 271 | MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate | $235,488 | $49,452 | $139,299 | +69% | $71,014 | +232% | ≈111% of Medicare |
| 059 | MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Major | $234,669 | $49,281 | $28,290 | +730% | $26,158 | +797% | — |
| 629 | MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC;APR DRG -DIABETES;SOI -Moderate | $234,660 | $49,279 | $35,001 | +570% | $44,927 | +422% | — |
| 321 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Extreme | $233,211 | $48,974 | $71,631 | +226% | $74,274 | +214% | ≈116% of Medicare |
| 026 | MS DRG -CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate | $232,114 | $48,744 | $94,208 | +146% | $63,310 | +267% | — |
| 022 | MS DRG -INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate | $230,077 | $48,316 | $36,760 | +526% | $62,404 | +269% | — |
| 220 | MS DRG -CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC;APR DRG -CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor | $229,671 | $48,231 | $175,384 | +31% | $102,177 | +125% | ≈121% of Medicare |
| 236 | MS DRG -CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Major | $227,800 | $47,838 | $115,972 | +96% | $82,247 | +177% | ≈123% of Medicare |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $226,375 | $47,539 | $50,039 | +352% | $40,065 | +465% | — |
| 329 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Extreme | $226,299 | $47,523 | $147,076 | +54% | $88,050 | +157% | ≈141% of Medicare |
| 061 | MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC;APR DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI -Major | $225,258 | $47,304 | $65,981 | +241% | $57,030 | +295% | — |
| 542 | MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Extreme | $224,416 | $47,127 | $64,579 | +248% | $34,886 | +543% | — |
| 665 | MS DRG -PROSTATECTOMY WITH MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Major | $220,846 | $46,378 | $29,040 | +661% | $54,072 | +308% | — |
| 324 | MS DRG -CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Major | $220,438 | $46,292 | $133,566 | +65% | $66,819 | +230% | — |
| 116 | MS DRG -INTRAOCULAR PROCEDURES WITH CC/MCC;APR DRG -ORBIT AND EYE PROCEDURES;SOI -Moderate | $219,191 | $46,030 | $16,441 | +1233% | $28,103 | +680% | — |
| 029 | MS DRG -SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS;APR DRG -SPINAL PROCEDURES;SOI -Major | $218,706 | $45,928 | $75,174 | +191% | $62,790 | +248% | — |
| 141 | MS DRG -MAJOR HEAD AND NECK PROCEDURES WITH CC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Major | $214,269 | $44,996 | $34,369 | +523% | $34,900 | +514% | — |
| 234 | MS DRG -CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor | $213,273 | $44,787 | $213,273 | +0% | $102,573 | +108% | — |
| 239 | MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Extreme | $213,224 | $44,777 | $104,080 | +105% | $87,575 | +143% | — |
| 260 | MS DRG -CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC;APR DRG -CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT;SOI -Extreme | $212,161 | $44,554 | $51,394 | +313% | $67,215 | +216% | — |
| 040 | MS DRG -PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC;APR DRG -SEIZURE;SOI -Major | $209,613 | $44,019 | $85,520 | +145% | $74,257 | +182% | — |
| 268 | MS DRG -AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC;APR DRG -MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI -Major | $209,109 | $43,913 | $167,931 | +25% | $115,937 | +80% | — |
| 091 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Extreme | $207,386 | $43,551 | $34,501 | +501% | $35,990 | +476% | ≈121% of Medicare |
| 492 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Extreme | $205,857 | $43,230 | $78,830 | +161% | $70,540 | +192% | — |
| 402 | MS DRG -SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;APR DRG -SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI -Moderate | $203,489 | $42,733 | $125,971 | +62% | $75,492 | +170% | — |
| 707 | MS DRG -MAJOR MALE PELVIC PROCEDURES WITH CC/MCC;APR DRG -PROSTATECTOMY PROCEDURES;SOI -Major | $201,813 | $42,381 | $103,925 | +94% | $43,080 | +368% | — |
| 325 | MS DRG -CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Major | $200,350 | $42,074 | $64,163 | +212% | $53,787 | +272% | — |
| 811 | MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme | $199,841 | $41,967 | $23,654 | +745% | $27,674 | +622% | ≈119% of Medicare |
| 041 | MS DRG -PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Major | $199,070 | $41,805 | $41,256 | +383% | $44,989 | +342% | — |
| 299 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Extreme | $198,106 | $41,602 | $21,036 | +842% | $25,596 | +674% | — |
| 463 | MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $197,948 | $41,569 | $66,425 | +198% | $78,327 | +153% | — |
| 371 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Extreme | $197,827 | $41,544 | $34,208 | +478% | $31,627 | +526% | — |
| 274 | MS DRG -PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate | $196,241 | $41,211 | $138,495 | +42% | $65,573 | +199% | ≈109% of Medicare |
| 250 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Extreme | $194,095 | $40,760 | $67,602 | +187% | $51,339 | +278% | — |
| 269 | MS DRG -AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC;APR DRG -MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI -Major | $193,751 | $40,688 | $153,747 | +26% | $83,065 | +133% | — |
| 539 | MS DRG -OSTEOMYELITIS WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Extreme | $193,262 | $40,585 | $27,935 | +592% | $33,614 | +475% | — |
| 240 | MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major | $192,710 | $40,469 | $63,977 | +201% | $54,475 | +254% | — |
| 886 | MS DRG -BEHAVIORAL AND DEVELOPMENTAL DISORDERS;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Major | $191,824 | $40,283 | $14,677 | +1207% | $24,447 | +685% | — |
| 870 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme | $191,805 | $40,279 | $126,146 | +52% | $137,160 | +40% | ≈106% of Medicare |
| 278 | MS DRG -ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Extreme | $191,070 | $40,125 | $130,728 | +46% | $84,861 | +125% | — |
| 243 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Minor | $190,641 | $40,035 | $58,293 | +227% | $50,011 | +281% | — |
| 094 | MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Major | $190,016 | $39,903 | $38,370 | +395% | $61,206 | +210% | — |
| 906 | MS DRG -HAND PROCEDURES FOR INJURIES;APR DRG -SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major | $188,687 | $39,624 | $28,715 | +557% | $31,520 | +499% | — |
| 907 | MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Extreme | $187,226 | $39,317 | $62,830 | +198% | $71,519 | +162% | — |
| 113 | MS DRG -ORBITAL PROCEDURES WITH CC/MCC;APR DRG -ORBIT AND EYE PROCEDURES;SOI -Extreme | $186,491 | $39,163 | $26,052 | +616% | $35,642 | +423% | — |
| 030 | MS DRG -SPINAL PROCEDURES WITHOUT CC/MCC;APR DRG -SPINAL PROCEDURES;SOI -Major | $185,728 | $39,003 | $68,218 | +172% | $45,842 | +305% | — |
| 483 | MS DRG -MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES;APR DRG -SHOULDER AND ELBOW JOINT REPLACEMENT;SOI -Major | $185,308 | $38,915 | $83,829 | +121% | $56,197 | +230% | ≈128% of Medicare |
| 974 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Extreme | $181,875 | $38,194 | $56,055 | +224% | $46,402 | +292% | — |
| 242 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Extreme | $181,237 | $38,060 | $88,237 | +105% | $70,132 | +158% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $180,941 | $37,998 | $55,139 | +228% | $83,441 | +117% | — |
| 982 | MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate | $180,444 | $37,893 | $48,375 | +273% | $51,985 | +247% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $178,587 | $37,503 | $83,900 | +113% | $60,098 | +197% | — |
| 856 | MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Extreme | $176,862 | $37,141 | $54,047 | +227% | $72,843 | +143% | — |
| 516 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Major | $176,686 | $37,104 | $50,042 | +253% | $45,594 | +288% | ≈130% of Medicare |
| 056 | MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Extreme | $176,657 | $37,098 | $62,652 | +182% | $39,409 | +348% | ≈232% of Medicare |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $176,057 | $36,972 | $36,462 | +383% | $59,207 | +197% | — |
| 254 | MS DRG -OTHER VASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI -Moderate | $174,649 | $36,676 | $34,944 | +400% | $38,836 | +350% | ≈119% of Medicare |
| 283 | MS DRG -ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Extreme | $174,398 | $36,624 | $75,916 | +130% | $35,108 | +397% | — |
| 391 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Extreme | $174,174 | $36,577 | $26,767 | +551% | $27,041 | +544% | ≈118% of Medicare |
| 031 | MS DRG -VENTRICULAR SHUNT PROCEDURES WITH MCC;APR DRG -VENTRICULAR SHUNT PROCEDURES;SOI -Major | $172,947 | $36,319 | $43,525 | +297% | $68,590 | +152% | — |
| 602 | MS DRG -CELLULITIS WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Major | $172,650 | $36,256 | $25,010 | +590% | $29,347 | +488% | ≈119% of Medicare |
| 493 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Major | $171,867 | $36,092 | $68,944 | +149% | $56,394 | +205% | ≈123% of Medicare |
| 662 | MS DRG -MINOR BLADDER PROCEDURES WITH MCC;APR DRG -OTHER BLADDER PROCEDURES;SOI -Major | $170,053 | $35,711 | $62,814 | +171% | $54,483 | +212% | — |
| 517 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI -Minor | $167,747 | $35,227 | $53,017 | +216% | $33,137 | +406% | — |
| 559 | MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Extreme | $167,500 | $35,175 | $37,740 | +344% | $30,681 | +446% | — |
| 478 | MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI -Moderate | $167,328 | $35,139 | $72,984 | +129% | $50,139 | +234% | — |
| 034 | MS DRG -CAROTID ARTERY STENT PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Major | $167,224 | $35,117 | $46,821 | +257% | $72,908 | +129% | — |
| 432 | MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Extreme | $166,218 | $34,906 | $35,757 | +365% | $36,880 | +351% | — |
| 521 | MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Extreme | $166,120 | $34,885 | $64,282 | +158% | $66,765 | +149% | — |
| 515 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Major | $164,939 | $34,637 | $54,848 | +201% | $62,266 | +165% | — |
| 522 | MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Major | $162,949 | $34,219 | $50,240 | +224% | $55,147 | +195% | ≈122% of Medicare |
| 353 | MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Extreme | $162,817 | $34,192 | $54,505 | +199% | $60,140 | +171% | — |
| 867 | MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Extreme | $162,411 | $34,106 | $31,559 | +415% | $36,850 | +341% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $161,318 | $161,318 | $24,497 | +559% | $24,450 | +560% | — |
| 501 | MS DRG -SOFT TISSUE PROCEDURES WITH CC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Minor | $160,705 | $33,748 | $49,159 | +227% | $37,975 | +323% | — |
| 327 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Major | $159,813 | $33,561 | $54,417 | +194% | $54,681 | +192% | ≈113% of Medicare |
| 904 | MS DRG -SKIN GRAFTS FOR INJURIES WITH CC/MCC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Major | $159,033 | $33,397 | $42,504 | +274% | $55,002 | +189% | — |
| 660 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major | $158,692 | $33,325 | $36,171 | +339% | $29,957 | +430% | — |
| 988 | MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate | $158,580 | $33,302 | $47,723 | +232% | $38,094 | +316% | — |
| 279 | MS DRG -ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Minor | $157,766 | $33,131 | $87,704 | +80% | $57,277 | +175% | — |
| 423 | MS DRG -OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC;APR DRG -OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI -Major | $157,668 | $33,110 | $42,262 | +273% | $71,873 | +119% | — |
| 322 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate | $156,531 | $32,871 | $96,624 | +62% | $54,772 | +186% | ≈133% of Medicare |
| 504 | MS DRG -FOOT PROCEDURES WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Extreme | $155,848 | $32,728 | $48,796 | +219% | $36,519 | +327% | — |
| 438 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Extreme | $155,131 | $32,578 | $31,731 | +389% | $32,417 | +379% | — |
| 871 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme | $154,157 | $32,373 | $47,280 | +226% | $34,876 | +342% | ≈114% of Medicare |
| 073 | MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Extreme | $154,122 | $32,366 | $35,519 | +334% | $28,252 | +446% | — |
| 265 | AICD LEAD PROCEDURES | $152,531 | $32,032 | $37,137 | +311% | $56,216 | +171% | — |
| 941 | MS DRG -O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC;APR DRG -PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI -Minor | $152,455 | $32,015 | $17,945 | +750% | $29,524 | +416% | — |
| 857 | MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Major | $150,442 | $31,593 | $26,079 | +477% | $41,114 | +266% | — |
| 357 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Major | $149,542 | $31,404 | $56,437 | +165% | $48,682 | +207% | — |
| 310 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Moderate | $149,230 | $31,338 | $11,589 | +1188% | $13,384 | +1015% | ≈180% of Medicare |
| 664 | MS DRG -MINOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER BLADDER PROCEDURES;SOI -Moderate | $148,144 | $31,110 | $11,651 | +1172% | $18,126 | +717% | — |
| 406 | MS DRG -PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC;APR DRG -MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI -Major | $147,929 | $31,065 | $29,362 | +404% | $58,043 | +155% | — |
| 622 | MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -SKIN ULCERS;SOI -Extreme | $146,153 | $30,692 | $77,820 | +88% | $60,861 | +140% | — |
| 196 | MS DRG -INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Extreme | $146,085 | $30,678 | $22,869 | +539% | $30,362 | +381% | — |
| 027 | MS DRG -CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate | $146,078 | $30,676 | $118,597 | +23% | $52,332 | +179% | — |
| 496 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Moderate | $144,599 | $30,366 | $75,709 | +91% | $43,252 | +234% | — |
| 024 | MS DRG -CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC;APR DRG -OTHER OPEN CRANIOTOMY;SOI -Moderate | $143,740 | $30,185 | $91,640 | +57% | $74,755 | +92% | — |
| 377 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Extreme | $143,374 | $30,109 | $46,940 | +205% | $37,842 | +279% | ≈118% of Medicare |
| 465 | MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Minor | $143,124 | $30,056 | $36,675 | +290% | $32,839 | +336% | — |
| 444 | MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Extreme | $142,996 | $30,029 | $49,470 | +189% | $31,029 | +361% | — |
| 918 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI -Major | $142,898 | $30,009 | $11,452 | +1148% | $15,045 | +850% | — |
| 244 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Moderate | $142,692 | $29,965 | $70,333 | +103% | $40,063 | +256% | — |
| 659 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Extreme | $142,570 | $29,940 | $38,026 | +275% | $47,574 | +200% | — |
| 065 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Extreme | $141,202 | $29,652 | $25,712 | +449% | $22,610 | +525% | ≈145% of Medicare |
| 280 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Extreme | $141,112 | $29,634 | $30,357 | +365% | $28,802 | +390% | ≈129% of Medicare |
| 518 | MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR;APR DRG -VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI -Extreme | $140,967 | $29,603 | $51,471 | +174% | $64,488 | +119% | — |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $139,519 | $29,299 | $18,139 | +669% | $37,654 | +271% | — |
| 473 | MS DRG -CERVICAL SPINAL FUSION WITHOUT CC/MCC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate | $139,298 | $29,253 | $64,026 | +118% | $50,624 | +175% | — |
| 579 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major | $138,884 | $29,166 | $61,592 | +125% | $53,763 | +158% | — |
| 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 -Major | $138,507 | $29,086 | $77,962 | +78% | $48,801 | +184% | ≈130% of Medicare |
| 164 | MS DRG -MAJOR CHEST PROCEDURES WITH CC;APR DRG -MAJOR RESPIRATORY AND CHEST PROCEDURES;SOI -Major | $138,077 | $28,996 | $109,748 | +26% | $53,141 | +160% | ≈115% of Medicare |
| 251 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Minor | $137,126 | $28,796 | $62,279 | +120% | $40,801 | +236% | — |
| 786 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Extreme | $136,135 | $28,588 | $22,942 | +493% | $27,118 | +402% | — |
| 576 | MS DRG -SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC;APR DRG -SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES;SOI -Extreme | $134,770 | $28,302 | $55,868 | +141% | $82,527 | +63% | — |
| 253 | MS DRG -OTHER VASCULAR PROCEDURES WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major | $134,362 | $28,216 | $80,670 | +67% | $53,746 | +150% | ≈122% of Medicare |
| 862 | MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme | $132,946 | $27,919 | $30,606 | +334% | $29,867 | +345% | — |
| 086 | MS DRG -TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Extreme | $132,811 | $27,890 | $18,282 | +626% | $23,039 | +476% | ≈127% of Medicare |
| 969 | MS DRG -HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme | $130,961 | $27,502 | $98,174 | +33% | $109,331 | +20% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $130,576 | $27,421 | $45,280 | +188% | $36,202 | +261% | — |
| 494 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate | $130,224 | $27,347 | $61,521 | +112% | $45,916 | +184% | ≈135% of Medicare |
| 964 | MS DRG -OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major | $129,529 | $27,201 | $30,411 | +326% | $25,854 | +401% | — |
| 374 | MS DRG -DIGESTIVE MALIGNANCY WITH MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Extreme | $129,369 | $27,168 | $42,166 | +207% | $38,885 | +233% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $128,618 | $27,010 | $60,535 | +112% | $56,758 | +127% | — |
| 415 | MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate | $126,826 | $26,633 | $45,283 | +180% | $41,847 | +203% | — |
| 385 | MS DRG -INFLAMMATORY BOWEL DISEASE WITH MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Extreme | $126,803 | $26,629 | $22,792 | +456% | $25,998 | +388% | — |
| 394 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Major | $126,739 | $26,615 | $15,999 | +692% | $18,815 | +574% | ≈126% of Medicare |
| 477 | MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate | $126,423 | $26,549 | $62,783 | +101% | $61,353 | +106% | — |
| 095 | MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Major | $126,421 | $26,549 | $54,420 | +132% | $47,583 | +166% | — |
| 577 | MS DRG -SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC;APR DRG -SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI -Moderate | $125,821 | $26,422 | $47,063 | +167% | $45,271 | +178% | — |
| 668 | MS DRG -TRANSURETHRAL PROCEDURES WITH MCC;APR DRG -RENAL DIALYSIS ACCESS DEVICE PROCEDURES;SOI -Major | $125,633 | $26,383 | $33,851 | +271% | $47,126 | +167% | — |
| 983 | MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor | $125,210 | $26,294 | $30,033 | +317% | $30,930 | +305% | — |
| 098 | MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Moderate | $124,504 | $26,146 | $47,716 | +161% | $37,681 | +230% | — |
| 173 | MS DRG -ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Extreme | $123,566 | $25,949 | $36,914 | +235% | $53,555 | +131% | — |
| 485 | MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $123,216 | $25,875 | $68,179 | +81% | $64,956 | +90% | — |
| 510 | MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Major | $121,049 | $25,420 | $46,226 | +162% | $49,055 | +147% | — |
| 336 | MS DRG -PERITONEAL ADHESIOLYSIS WITH CC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Major | $120,375 | $25,279 | $54,942 | +119% | $49,071 | +145% | — |
| 398 | MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate | $120,360 | $25,276 | $52,201 | +131% | $38,574 | +212% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $119,708 | $25,139 | $17,716 | +576% | $44,973 | +166% | — |
| 498 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC;APR DRG -OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Moderate | $119,114 | $25,014 | $51,021 | +133% | $46,659 | +155% | — |
| 035 | MS DRG -CAROTID ARTERY STENT PROCEDURES WITH CC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate | $118,589 | $24,904 | $57,688 | +106% | $46,306 | +156% | ≈116% of Medicare |
| 623 | MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major | $117,892 | $24,757 | $43,775 | +169% | $33,236 | +255% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $117,301 | $24,633 | $46,767 | +151% | $41,596 | +182% | — |
| 500 | MS DRG -SOFT TISSUE PROCEDURES WITH MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Major | $117,243 | $24,621 | $77,970 | +50% | $57,181 | +105% | — |
| 535 | MS DRG -FRACTURES OF HIP AND PELVIS WITH MCC;APR DRG -FRACTURE OF PELVIS OR DISLOCATION OF HIP;SOI -Extreme | $117,165 | $24,605 | $29,423 | +298% | $22,874 | +412% | ≈139% of Medicare |
| 183 | MS DRG -MAJOR CHEST TRAUMA WITH MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Extreme | $116,537 | $24,473 | $26,970 | +332% | $28,924 | +303% | — |
| 744 | MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI -Major | $114,200 | $23,982 | $29,511 | +287% | $32,901 | +247% | — |
| 468 | MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate | $113,999 | $23,940 | $108,088 | +5% | $54,929 | +108% | ≈135% of Medicare |
| 064 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Extreme | $113,597 | $23,855 | $36,919 | +208% | $35,714 | +218% | ≈129% of Medicare |
| 165 | MS DRG -MAJOR CHEST PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY AND CHEST PROCEDURES;SOI -Moderate | $111,060 | $23,323 | $92,143 | +21% | $41,380 | +168% | ≈119% of Medicare |
| 330 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Major | $109,970 | $23,094 | $75,804 | +45% | $58,713 | +87% | ≈120% of Medicare |
| 067 | MS DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC;APR DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI -Major | $109,667 | $23,030 | $15,494 | +608% | $24,874 | +341% | — |
| 038 | MS DRG -EXTRACRANIAL PROCEDURES WITH CC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Major | $109,418 | $22,978 | $23,998 | +356% | $35,770 | +206% | — |
| 070 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Extreme | $109,061 | $22,903 | $25,907 | +321% | $30,814 | +254% | — |
| 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 | $108,687 | $22,824 | $28,212 | +285% | $35,584 | +205% | — |
| 813 | MS DRG -COAGULATION DISORDERS;APR DRG -COAGULATION AND PLATELET DISORDERS;SOI -Major | $108,642 | $22,815 | $47,828 | +127% | $30,128 | +261% | — |
| 508 | MS DRG -MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate | $108,437 | $22,772 | $13,811 | +685% | $22,811 | +375% | — |
| 827 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Major | $108,106 | $22,702 | $64,043 | +69% | $47,546 | +127% | — |
| 837 | MS DRG -CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC;APR DRG -CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI -Moderate | $107,504 | $22,576 | $42,214 | +155% | $70,779 | +52% | — |
| 769 | MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Moderate | $107,165 | $22,505 | $30,170 | +255% | $24,561 | +336% | — |
| 482 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG -OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Minor | $106,813 | $22,431 | $60,104 | +78% | $39,675 | +169% | ≈135% of Medicare |
| 671 | MS DRG -URETHRAL PROCEDURES WITH CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Extreme | $106,398 | $22,343 | $14,724 | +623% | $27,233 | +291% | — |
| 908 | MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major | $105,682 | $22,193 | $37,636 | +181% | $41,660 | +154% | — |
| 258 | MS DRG -CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC;APR DRG -INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI -Major | $105,065 | $22,064 | $29,333 | +258% | $48,907 | +115% | — |
| 011 | MS DRG -TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Extreme | $103,785 | $21,795 | $55,874 | +86% | $86,953 | +19% | — |
| 794 | MS DRG -NEONATE WITH OTHER SIGNIFICANT PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY;SOI -Minor | $103,479 | $103,479 | $8,809 | +1075% | $7,896 | +1211% | — |
| 564 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Major | $102,724 | $21,572 | $18,475 | +456% | $32,804 | +213% | — |
| 062 | MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Major | $100,510 | $21,107 | $43,616 | +130% | $47,635 | +111% | — |
| 261 | MS DRG -CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Moderate | $100,095 | $21,020 | $51,947 | +93% | $42,126 | +138% | — |
| 657 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI -Moderate | $100,071 | $21,015 | $61,965 | +61% | $40,583 | +147% | — |
| 354 | MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Major | $99,459 | $20,886 | $41,931 | +137% | $43,266 | +130% | — |
| 839 | MS DRG -CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC;APR DRG -CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI -Minor | $99,204 | $20,833 | $11,766 | +743% | $20,980 | +373% | — |
| 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 -Extreme | $98,393 | $20,663 | $61,736 | +59% | $43,444 | +126% | ≈119% of Medicare |
| 282 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate | $97,760 | $20,530 | $13,973 | +600% | $18,288 | +435% | — |
| 405 | MS DRG -PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC;APR DRG -MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI -Moderate | $96,947 | $20,359 | $56,211 | +72% | $95,375 | +2% | — |
| 335 | MS DRG -PERITONEAL ADHESIOLYSIS WITH MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Major | $96,846 | $20,338 | $44,541 | +117% | $71,755 | +35% | — |
| 713 | MS DRG -TRANSURETHRAL PROSTATECTOMY WITH CC/MCC;APR DRG -TRANSURETHRAL PROSTATECTOMY;SOI -Moderate | $96,461 | $20,257 | $33,716 | +186% | $29,630 | +226% | — |
| 829 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC;APR DRG -OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate | $96,238 | $20,210 | $67,438 | +43% | $53,817 | +79% | — |
| 193 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -OTHER PNEUMONIA;SOI -Extreme | $95,131 | $19,978 | $31,866 | +199% | $25,766 | +269% | ≈123% of Medicare |
| 708 | MS DRG -MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC;APR DRG -PROSTATECTOMY PROCEDURES;SOI -Moderate | $94,864 | $19,921 | $53,000 | +79% | $32,911 | +188% | — |
| 488 | MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $94,644 | $19,875 | $45,073 | +110% | $41,520 | +128% | — |
| 546 | MS DRG -CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Moderate | $94,487 | $19,842 | $36,114 | +162% | $24,146 | +291% | — |
| 417 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major | $94,386 | $19,821 | $60,767 | +55% | $51,950 | +82% | ≈119% of Medicare |
| 663 | MS DRG -MINOR BLADDER PROCEDURES WITH CC;APR DRG -OTHER BLADDER PROCEDURES;SOI -Major | $94,084 | $19,758 | $25,988 | +262% | $29,924 | +214% | — |
| 826 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Major | $93,946 | $19,729 | $82,639 | +14% | $85,882 | +9% | — |
| 959 | MS DRG -OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Major | $93,820 | $19,702 | $27,677 | +239% | $40,277 | +133% | — |
| 846 | MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC;APR DRG -OTHER CHEMOTHERAPY;SOI -Extreme | $93,742 | $19,686 | $26,624 | +252% | $38,878 | +141% | — |
| 042 | MS DRG -PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate | $93,157 | $19,563 | $41,958 | +122% | $39,018 | +139% | — |
| 085 | MS DRG -TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major | $92,983 | $19,526 | $22,931 | +305% | $36,318 | +156% | ≈119% of Medicare |
| 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 -Extreme | $92,717 | $19,470 | $37,162 | +149% | $36,195 | +156% | — |
| 551 | MS DRG -MEDICAL BACK PROBLEMS WITH MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Extreme | $92,353 | $19,394 | $44,103 | +109% | $31,067 | +197% | ≈119% of Medicare |
| 304 | MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Extreme | $91,707 | $19,259 | $26,659 | +244% | $23,945 | +283% | — |
| 167 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Moderate | $91,540 | $19,223 | $51,057 | +79% | $40,563 | +126% | — |
| 565 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Major | $91,519 | $19,219 | $23,859 | +284% | $21,499 | +326% | — |
| 347 | MS DRG -ANAL AND STOMAL PROCEDURES WITH MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Moderate | $91,495 | $19,214 | $29,842 | +207% | $40,548 | +126% | — |
| 142 | MS DRG -MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC;APR DRG -FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI -Minor | $91,337 | $19,181 | $46,585 | +96% | $34,906 | +162% | — |
| 177 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme | $91,158 | $19,143 | $40,636 | +124% | $31,754 | +187% | ≈117% of Medicare |
| 682 | MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme | $91,072 | $19,125 | $27,953 | +226% | $27,640 | +229% | ≈124% of Medicare |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $90,973 | $19,104 | $22,809 | +299% | $26,998 | +237% | — |
| 511 | MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Major | $90,627 | $19,032 | $33,657 | +169% | $43,538 | +108% | — |
| 922 | MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC;APR DRG -INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI -Extreme | $89,964 | $18,892 | $31,839 | +183% | $29,409 | +206% | — |
| 603 | MS DRG -CELLULITIS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Major | $89,607 | $18,817 | $19,952 | +349% | $18,359 | +388% | ≈134% of Medicare |
| 205 | MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Moderate | $89,579 | $18,812 | $18,573 | +382% | $31,743 | +182% | ≈119% of Medicare |
| 674 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -OTHER KIDNEY, URINARY TRACT AND RELATED PERCUTANEOUS PROCEDURES;SOI -Major | $89,536 | $18,803 | $51,964 | +72% | $49,631 | +80% | — |
| 262 | MS DRG -CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC;APR DRG -SYNCOPE AND COLLAPSE;SOI -Minor | $89,533 | $18,802 | $31,686 | +183% | $33,694 | +166% | — |
| 580 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Major | $89,429 | $18,780 | $59,184 | +51% | $36,355 | +146% | — |
| 909 | MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate | $88,582 | $18,602 | $31,959 | +177% | $28,156 | +215% | — |
| 012 | MS DRG -TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Major | $88,189 | $18,520 | $83,658 | +5% | $73,029 | +21% | — |
| 407 | MS DRG -PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI -Moderate | $88,134 | $18,508 | $39,010 | +126% | $39,923 | +121% | — |
| 100 | MS DRG -SEIZURES WITH MCC;APR DRG -SEIZURE;SOI -Extreme | $88,031 | $18,486 | $37,366 | +136% | $35,194 | +150% | ≈114% of Medicare |
| 805 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC;APR DRG -VAGINAL DELIVERY;SOI -Extreme | $87,949 | $18,469 | $14,302 | +515% | $15,370 | +472% | — |
| 397 | MS DRG -APPENDIX PROCEDURES WITH MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Major | $87,757 | $18,429 | $88,532 | −1% | $52,319 | +68% | — |
| 418 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Major | $86,627 | $18,192 | $46,416 | +87% | $42,119 | +106% | ≈124% of Medicare |
| 884 | MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Major | $86,181 | $18,098 | $28,404 | +203% | $25,146 | +243% | ≈238% of Medicare |
| 331 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Moderate | $85,947 | $18,049 | $51,631 | +66% | $44,087 | +95% | ≈128% of Medicare |
| 328 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Moderate | $85,803 | $18,019 | $34,509 | +149% | $35,375 | +143% | ≈136% of Medicare |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $84,993 | $17,849 | $84,993 | +0% | $64,468 | +32% | — |
| 421 | MS DRG -HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC;APR DRG -OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI -Major | $84,491 | $17,743 | $26,303 | +221% | $36,333 | +133% | — |
| 923 | MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Moderate | $84,388 | $17,722 | $17,668 | +378% | $16,431 | +414% | — |
| 643 | MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG -THYROID DISORDERS;SOI -Extreme | $84,342 | $17,712 | $39,492 | +114% | $32,953 | +156% | — |
| 830 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Minor | $84,010 | $17,642 | $21,425 | +292% | $25,149 | +234% | — |
| 479 | MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG -VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI -Minor | $83,726 | $17,583 | $27,358 | +206% | $31,909 | +162% | — |
| 380 | MS DRG -COMPLICATED PEPTIC ULCER WITH MCC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Extreme | $83,618 | $17,560 | $24,670 | +239% | $36,537 | +129% | — |
| 690 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Major | $83,572 | $17,550 | $18,582 | +350% | $17,379 | +381% | ≈133% of Medicare |
| 333 | MS DRG -RECTAL RESECTION WITH CC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Moderate | $83,075 | $17,446 | $22,363 | +271% | $34,352 | +142% | — |
| 604 | MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC;APR DRG -CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI -Extreme | $82,850 | $17,399 | $17,934 | +362% | $27,597 | +200% | — |
| 804 | MS DRG -OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC;APR DRG -OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor | $82,710 | $17,369 | $11,915 | +594% | $24,544 | +237% | — |
| 615 | MS DRG -ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC;APR DRG -OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Minor | $82,534 | $17,332 | $48,469 | +70% | $31,812 | +159% | — |
| 033 | MS DRG -VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC;APR DRG -VENTRICULAR SHUNT PROCEDURES;SOI -Moderate | $82,346 | $17,293 | $71,097 | +16% | $33,962 | +142% | — |
| 570 | MS DRG -SKIN DEBRIDEMENT WITH MCC;APR DRG -SKIN ULCERS;SOI -Extreme | $81,774 | $17,173 | $60,240 | +36% | $51,501 | +59% | — |
| 989 | MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor | $81,659 | $17,148 | $17,190 | +375% | $25,206 | +224% | — |
| 191 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major | $81,650 | $17,147 | $18,365 | +345% | $18,104 | +351% | — |
| 036 | MS DRG -CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Minor | $81,322 | $17,078 | $44,950 | +81% | $40,694 | +100% | ≈123% of Medicare |
| 605 | MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC;APR DRG -MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI -Major | $80,878 | $16,984 | $24,757 | +227% | $19,287 | +319% | — |
| 074 | MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Major | $80,818 | $16,972 | $20,035 | +303% | $23,141 | +249% | ≈145% of Medicare |
| 410 | MS DRG -BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -MAJOR BILIARY TRACT PROCEDURES;SOI -Minor | $80,742 | $16,956 | $16,480 | +390% | $34,434 | +134% | — |
| 206 | MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major | $80,287 | $16,860 | $10,667 | +653% | $17,731 | +353% | ≈162% of Medicare |
| 896 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major | $80,074 | $16,816 | $20,366 | +293% | $30,275 | +164% | — |
| 536 | MS DRG -FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Moderate | $79,983 | $16,796 | $20,702 | +286% | $17,754 | +351% | ≈138% of Medicare |
| 308 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Extreme | $79,894 | $16,778 | $19,824 | +303% | $26,098 | +206% | ≈122% of Medicare |
| 617 | MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major | $79,747 | $16,747 | $37,649 | +112% | $42,881 | +86% | — |
| 977 | MS DRG -HIV WITH OR WITHOUT OTHER RELATED CONDITION;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Major | $79,709 | $16,739 | $29,805 | +167% | $22,525 | +254% | — |
| 917 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Extreme | $79,654 | $16,727 | $35,324 | +125% | $28,001 | +184% | — |
| 143 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Moderate | $78,369 | $16,458 | $63,177 | +24% | $52,908 | +48% | — |
| 784 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Major | $78,331 | $16,449 | $18,030 | +334% | $22,587 | +247% | — |
| 512 | MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate | $77,746 | $16,327 | $32,285 | +141% | $35,692 | +118% | — |
| 658 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI -Moderate | $77,312 | $16,236 | $48,020 | +61% | $35,528 | +118% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $76,820 | $16,132 | $7,104 | +981% | $17,383 | +342% | — |
| 866 | MS DRG -VIRAL ILLNESS WITHOUT MCC;APR DRG -VIRAL ILLNESS;SOI -Major | $76,206 | $16,003 | $18,361 | +315% | $16,348 | +366% | — |
| 818 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Moderate | $75,955 | $15,951 | $27,021 | +181% | $23,646 | +221% | — |
| 823 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Major | $75,633 | $15,883 | $92,884 | −19% | $80,885 | −6% | — |
| 291 | MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme | $75,446 | $15,844 | $27,049 | +179% | $24,932 | +203% | ≈126% of Medicare |
| 312 | MS DRG -SYNCOPE AND COLLAPSE;APR DRG -SYNCOPE AND COLLAPSE;SOI -Extreme | $75,125 | $15,776 | $20,728 | +262% | $19,342 | +288% | ≈134% of Medicare |
| 392 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Major | $75,121 | $15,775 | $22,535 | +233% | $17,322 | +334% | ≈140% of Medicare |
| 640 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -OTHER ENDOCRINE DISORDERS;SOI -Extreme | $74,904 | $15,730 | $35,544 | +111% | $24,244 | +209% | ≈123% of Medicare |
| 083 | MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Extreme | $74,753 | $15,698 | $22,765 | +228% | $24,118 | +210% | ≈122% of Medicare |
| 641 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Major | $74,706 | $15,688 | $16,702 | +347% | $16,718 | +347% | ≈139% of Medicare |
| 435 | MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Extreme | $73,448 | $15,424 | $33,073 | +122% | $37,950 | +94% | — |
| 519 | MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Minor | $73,364 | $15,407 | $55,926 | +31% | $43,775 | +68% | — |
| 621 | MS DRG -O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC;APR DRG -PROCEDURES FOR OBESITY;SOI -Moderate | $73,103 | $15,352 | $15,565 | +370% | $32,451 | +125% | — |
| 717 | MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG -OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Minor | $72,601 | $15,246 | $25,434 | +185% | $32,538 | +123% | — |
| 725 | MS DRG -BENIGN PROSTATIC HYPERTROPHY WITH MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Major | $71,982 | $15,116 | $14,166 | +408% | $19,894 | +262% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $71,470 | $15,009 | $17,365 | +312% | $27,457 | +160% | — |
| 571 | MS DRG -SKIN DEBRIDEMENT WITH CC;APR DRG -SKIN ULCERS;SOI -Moderate | $71,368 | $14,987 | $37,596 | +90% | $34,773 | +105% | — |
| 644 | MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -OTHER ENDOCRINE DISORDERS;SOI -Major | $71,072 | $14,925 | $19,297 | +268% | $22,941 | +210% | — |
| 416 | MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor | $70,851 | $14,879 | $28,539 | +148% | $30,418 | +133% | — |
| 698 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Extreme | $70,806 | $14,869 | $28,616 | +147% | $29,929 | +137% | ≈128% of Medicare |
| 190 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Extreme | $70,798 | $14,868 | $21,887 | +223% | $24,103 | +194% | ≈129% of Medicare |
| 759 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Minor | $70,509 | $14,807 | $11,815 | +497% | $14,208 | +396% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $69,771 | $14,652 | $69,602 | +0% | $46,477 | +50% | — |
| 920 | MS DRG -COMPLICATIONS OF TREATMENT WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Minor | $69,684 | $14,634 | $21,587 | +223% | $20,879 | +234% | — |
| 863 | MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Moderate | $69,390 | $14,572 | $28,888 | +140% | $20,007 | +247% | — |
| 144 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate | $68,896 | $14,468 | $29,134 | +136% | $29,558 | +133% | — |
| 834 | MS DRG -ACUTE LEUKEMIA WITH MCC;APR DRG -ACUTE LEUKEMIA;SOI -Moderate | $67,432 | $14,161 | $40,525 | +66% | $76,004 | −11% | — |
| 748 | MS DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;APR DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;SOI -Minor | $67,115 | $14,094 | $14,545 | +361% | $24,928 | +169% | — |
| 159 | MS DRG -DENTAL AND ORAL DISEASES WITHOUT CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Moderate | $67,068 | $14,084 | $11,962 | +461% | $13,362 | +402% | — |
| 057 | MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Major | $66,985 | $14,067 | $32,819 | +104% | $25,412 | +164% | ≈248% of Medicare |
| 755 | MS DRG -MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI -Major | $66,923 | $14,054 | $19,028 | +252% | $18,459 | +263% | — |
| 475 | MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate | $66,683 | $14,003 | $65,618 | +2% | $44,553 | +50% | — |
| 637 | MS DRG -DIABETES WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major | $66,486 | $13,962 | $39,314 | +69% | $28,772 | +131% | ≈118% of Medicare |
| 445 | MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Major | $66,335 | $13,930 | $18,217 | +264% | $21,666 | +206% | ≈124% of Medicare |
| 334 | MS DRG -RECTAL RESECTION WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Moderate | $66,089 | $13,879 | $66,089 | +0% | $32,213 | +105% | — |
| 620 | MS DRG -O.R. PROCEDURES FOR OBESITY WITH CC;APR DRG -PROCEDURES FOR OBESITY;SOI -Moderate | $65,567 | $13,769 | $16,950 | +287% | $35,453 | +85% | — |
| 655 | MS DRG -MAJOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR BLADDER PROCEDURES;SOI -Minor | $65,265 | $13,706 | $65,265 | +0% | $41,701 | +57% | — |
| 137 | MS DRG -MOUTH PROCEDURES WITH CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor | $64,973 | $13,644 | $13,790 | +371% | $24,348 | +167% | — |
| 742 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Minor | $64,927 | $13,635 | $43,855 | +48% | $40,552 | +60% | — |
| 168 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Moderate | $64,660 | $13,579 | $40,599 | +59% | $28,509 | +127% | — |
| 054 | MS DRG -NERVOUS SYSTEM NEOPLASMS WITH MCC;APR DRG -NERVOUS SYSTEM MALIGNANCY;SOI -Major | $64,458 | $13,536 | $22,729 | +184% | $29,049 | +122% | — |
| 053 | MS DRG -SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC;APR DRG -SPINAL DISORDERS AND INJURIES;SOI -Moderate | $64,309 | $13,505 | $8,007 | +703% | $20,313 | +217% | — |
| 433 | MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Major | $64,308 | $13,505 | $23,582 | +173% | $23,749 | +171% | — |
| 419 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate | $64,109 | $13,463 | $36,340 | +76% | $34,564 | +85% | — |
| 393 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Extreme | $64,055 | $13,452 | $40,098 | +60% | $32,689 | +96% | ≈122% of Medicare |
| 543 | MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG -MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI -Major | $63,905 | $13,420 | $25,592 | +150% | $23,400 | +173% | ≈123% of Medicare |
| 825 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Minor | $63,900 | $13,419 | $46,673 | +37% | $27,319 | +134% | — |
| 872 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Major | $63,813 | $13,401 | $28,123 | +127% | $22,623 | +182% | ≈120% of Medicare |
| 296 | MS DRG -CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Extreme | $63,793 | $13,396 | $46,939 | +36% | $30,768 | +107% | — |
| 368 | MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH MCC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Major | $63,722 | $13,382 | $43,300 | +47% | $33,339 | +91% | — |
| 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 | $63,497 | $13,334 | $29,910 | +112% | $36,241 | +75% | — |
| 783 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Major | $62,952 | $13,220 | $21,730 | +190% | $28,375 | +122% | — |
| 439 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major | $62,118 | $13,045 | $19,517 | +218% | $19,096 | +225% | ≈137% of Medicare |
| 903 | MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate | $61,850 | $12,989 | $13,078 | +373% | $23,588 | +162% | — |
| 689 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Extreme | $61,733 | $12,964 | $24,198 | +155% | $22,870 | +170% | ≈126% of Medicare |
| 503 | MS DRG -FOOT PROCEDURES WITH MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major | $61,650 | $12,947 | $54,196 | +14% | $43,982 | +40% | — |
| 548 | SEPTIC ARTHRITIS WITH MCC | $61,579 | $12,932 | $21,229 | +190% | $31,019 | +99% | — |
| 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 | $61,184 | $12,849 | $27,285 | +124% | $24,008 | +155% | — |
| 638 | MS DRG -DIABETES WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major | $60,487 | $12,702 | $21,692 | +179% | $18,763 | +222% | ≈144% of Medicare |
| 858 | MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate | $60,303 | $12,664 | $14,439 | +318% | $23,474 | +157% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $60,208 | $12,644 | $27,371 | +120% | $28,578 | +111% | — |
| 071 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major | $60,127 | $12,627 | $22,186 | +171% | $23,396 | +157% | — |
| 915 | MS DRG -ALLERGIC REACTIONS WITH MCC;APR DRG -ALLERGIC REACTIONS;SOI -Major | $59,689 | $12,535 | $59,689 | +0% | $30,944 | +93% | — |
| 487 | MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor | $59,650 | $12,526 | $29,148 | +105% | $33,425 | +78% | — |
| 948 | MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Major | $59,530 | $12,501 | $19,901 | +199% | $17,719 | +236% | ≈246% of Medicare |
| 552 | MS DRG -MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Major | $59,365 | $12,467 | $28,929 | +105% | $20,632 | +188% | ≈132% of Medicare |
| 675 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC;APR DRG -RENAL DIALYSIS ACCESS DEVICE PROCEDURES;SOI -Minor | $59,225 | $12,437 | $13,398 | +342% | $32,189 | +84% | — |
| 557 | MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Extreme | $59,158 | $12,423 | $24,871 | +138% | $28,385 | +108% | — |
| 123 | MS DRG -NEUROLOGICAL EYE DISORDERS;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Major | $59,038 | $12,398 | $19,922 | +196% | $17,831 | +231% | — |
| 039 | MS DRG -EXTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Minor | $58,739 | $12,335 | $23,726 | +148% | $25,267 | +132% | ≈131% of Medicare |
| 399 | MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Minor | $58,403 | $12,265 | $28,191 | +107% | $30,259 | +93% | — |
| 115 | MS DRG -EXTRAOCULAR PROCEDURES EXCEPT ORBIT;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate | $58,325 | $12,248 | $16,274 | +258% | $24,879 | +134% | — |
| 055 | MS DRG -NERVOUS SYSTEM NEOPLASMS WITHOUT MCC;APR DRG -NERVOUS SYSTEM MALIGNANCY;SOI -Major | $57,927 | $12,165 | $12,752 | +354% | $19,868 | +192% | — |
| 176 | MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Major | $57,547 | $12,085 | $18,538 | +210% | $17,693 | +225% | ≈136% of Medicare |
| 497 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Minor | $56,934 | $11,956 | $28,222 | +102% | $29,805 | +91% | — |
| 302 | MS DRG -ATHEROSCLEROSIS WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Major | $56,906 | $11,950 | $18,013 | +216% | $20,810 | +173% | — |
| 375 | MS DRG -DIGESTIVE MALIGNANCY WITH CC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major | $56,690 | $11,905 | $17,545 | +223% | $27,125 | +109% | — |
| 180 | MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Extreme | $56,683 | $11,903 | $43,392 | +31% | $36,658 | +55% | ≈121% of Medicare |
| 768 | MS DRG -VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C;APR DRG -VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C;SOI -Major | $56,655 | $11,898 | $17,026 | +233% | $17,006 | +233% | — |
| 102 | MS DRG -HEADACHES WITH MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Major | $56,634 | $11,893 | $25,215 | +125% | $21,983 | +158% | — |
| 505 | MS DRG -FOOT PROCEDURES WITHOUT CC/MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate | $56,010 | $11,762 | $27,050 | +107% | $31,716 | +77% | — |
| 158 | MS DRG -DENTAL AND ORAL DISEASES WITH CC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Moderate | $55,932 | $11,746 | $18,032 | +210% | $17,751 | +215% | — |
| 069 | MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Major | $55,622 | $11,681 | $22,611 | +146% | $20,253 | +175% | ≈145% of Medicare |
| 815 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Moderate | $54,919 | $11,533 | $18,875 | +191% | $18,005 | +205% | — |
| 581 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate | $54,875 | $11,524 | $37,749 | +45% | $25,243 | +117% | — |
| 194 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Major | $54,661 | $11,479 | $19,357 | +182% | $18,204 | +200% | ≈148% of Medicare |
| 595 | MS DRG -MAJOR SKIN DISORDERS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major | $54,556 | $11,457 | $23,318 | +134% | $31,772 | +72% | — |
| 787 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major | $54,421 | $11,428 | $22,755 | +139% | $23,571 | +131% | — |
| 841 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Moderate | $54,293 | $11,401 | $47,448 | +14% | $30,224 | +80% | — |
| 947 | MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Extreme | $54,292 | $11,401 | $26,617 | +104% | $25,474 | +113% | — |
| 052 | MS DRG -SPINAL DISORDERS AND INJURIES WITH CC/MCC;APR DRG -SPINAL DISORDERS AND INJURIES;SOI -Moderate | $54,291 | $11,401 | $24,571 | +121% | $30,940 | +75% | — |
| 669 | MS DRG -TRANSURETHRAL PROCEDURES WITH CC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Major | $54,273 | $11,397 | $35,716 | +52% | $34,354 | +58% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $53,931 | $11,325 | $27,050 | +99% | $25,434 | +112% | — |
| 181 | MS DRG -RESPIRATORY NEOPLASMS WITH CC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Major | $53,686 | $11,274 | $35,809 | +50% | $22,065 | +143% | — |
| 810 | MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Minor | $53,661 | $11,269 | $20,308 | +164% | $18,316 | +193% | — |
| 424 | MS DRG -OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC;APR DRG -OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI -Major | $53,610 | $11,258 | $19,409 | +176% | $39,253 | +37% | — |
| 563 | MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $53,540 | $11,243 | $12,232 | +338% | $18,243 | +193% | ≈140% of Medicare |
| 149 | MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Major | $53,478 | $11,230 | $16,577 | +223% | $17,203 | +211% | — |
| 520 | MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC;APR DRG -VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI -Minor | $52,337 | $10,991 | $33,999 | +54% | $31,816 | +64% | — |
| 718 | MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Moderate | $52,022 | $10,925 | $16,432 | +217% | $20,147 | +158% | — |
| 146 | MS DRG -EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC;APR DRG -EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI -Major | $51,864 | $10,891 | $21,919 | +137% | $37,080 | +40% | — |
| 255 | MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major | $51,685 | $10,854 | $36,325 | +42% | $43,697 | +18% | — |
| 802 | MS DRG -OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major | $51,665 | $10,850 | $30,167 | +71% | $59,425 | −13% | — |
| 093 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor | $51,002 | $10,710 | $15,799 | +223% | $17,522 | +191% | — |
| 186 | MS DRG -PLEURAL EFFUSION WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Extreme | $50,980 | $10,706 | $39,683 | +28% | $32,385 | +57% | — |
| 077 | MS DRG -HYPERTENSIVE ENCEPHALOPATHY WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major | $50,932 | $10,696 | $16,431 | +210% | $24,036 | +112% | — |
| 068 | MS DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC;APR DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI -Minor | $50,197 | $10,541 | $22,001 | +128% | $19,569 | +157% | — |
| 063 | MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC;APR DRG -TRANSIENT ISCHEMIA;SOI -Minor | $49,886 | $10,476 | $36,908 | +35% | $35,693 | +40% | — |
| 864 | MS DRG -FEVER AND INFLAMMATORY CONDITIONS;APR DRG -FEVER AND INFLAMMATORY CONDITIONS;SOI -Major | $49,756 | $10,449 | $14,916 | +234% | $17,412 | +186% | — |
| 616 | MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major | $49,625 | $10,421 | $72,579 | −32% | $62,961 | −21% | — |
| 378 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Major | $49,458 | $10,386 | $21,582 | +129% | $21,886 | +126% | ≈134% of Medicare |
| 381 | MS DRG -COMPLICATED PEPTIC ULCER WITH CC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Major | $49,233 | $10,339 | $29,448 | +67% | $24,177 | +104% | — |
| 369 | MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH CC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Moderate | $49,162 | $10,324 | $24,636 | +100% | $22,590 | +118% | — |
| 847 | MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC;APR DRG -OTHER CHEMOTHERAPY;SOI -Minor | $48,883 | $10,265 | $23,881 | +105% | $22,226 | +120% | — |
| 358 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Minor | $48,681 | $10,223 | $41,902 | +16% | $29,374 | +66% | — |
| 092 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Moderate | $48,499 | $10,185 | $25,748 | +88% | $24,000 | +102% | ≈133% of Medicare |
| 175 | MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Extreme | $48,395 | $10,163 | $21,442 | +126% | $29,521 | +64% | — |
| 495 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Minor | $48,256 | $10,134 | $42,458 | +14% | $56,964 | −15% | — |
| 642 | MS DRG -INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG -INBORN ERRORS OF METABOLISM;SOI -Moderate | $48,167 | $10,115 | $16,969 | +184% | $20,727 | +132% | — |
| 754 | MS DRG -MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM MALIGNANCY;SOI -Major | $47,568 | $9,989 | $24,089 | +97% | $29,476 | +61% | — |
| 388 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Extreme | $47,299 | $9,933 | $20,298 | +133% | $28,403 | +67% | — |
| 178 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Major | $47,249 | $9,922 | $23,848 | +98% | $22,024 | +115% | ≈144% of Medicare |
| 387 | MS DRG -INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Major | $47,236 | $9,920 | $16,402 | +188% | $14,880 | +217% | — |
| 951 | MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Moderate | $47,225 | $9,917 | $10,551 | +348% | $9,385 | +403% | — |
| 287 | MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate | $47,067 | $9,884 | $40,539 | +16% | $31,190 | +51% | ≈129% of Medicare |
| 386 | MS DRG -INFLAMMATORY BOWEL DISEASE WITH CC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Major | $47,036 | $9,878 | $16,577 | +184% | $20,917 | +125% | — |
| 566 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $47,022 | $9,875 | $10,263 | +358% | $14,337 | +228% | — |
| 710 | MS DRG -PENIS PROCEDURES WITHOUT CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Minor | $46,886 | $9,846 | $17,252 | +172% | $23,814 | +97% | — |
| 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 | $46,668 | $9,800 | $30,778 | +52% | $27,369 | +71% | — |
| 202 | MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Major | $46,606 | $9,787 | $23,318 | +100% | $17,183 | +171% | ≈124% of Medicare |
| 256 | MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM PROCEDURES;SOI -Major | $45,747 | $9,607 | $30,683 | +49% | $29,671 | +54% | — |
| 821 | MS DRG -LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Moderate | $45,587 | $9,573 | $34,524 | +32% | $44,022 | +4% | — |
| 346 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Minor | $45,564 | $9,568 | $20,366 | +124% | $26,146 | +74% | — |
| 372 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major | $45,233 | $9,499 | $25,271 | +79% | $22,850 | +98% | ≈128% of Medicare |
| 187 | MS DRG -PLEURAL EFFUSION WITH CC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate | $45,010 | $9,452 | $18,800 | +139% | $21,467 | +110% | — |
| 200 | MS DRG -PNEUMOTHORAX WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Minor | $45,007 | $9,452 | $22,598 | +99% | $20,573 | +119% | — |
| 355 | MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Moderate | $44,818 | $9,412 | $37,878 | +18% | $31,978 | +40% | — |
| 550 | MS DRG -SEPTIC ARTHRITIS WITHOUT CC/MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate | $44,461 | $9,337 | $13,934 | +219% | $16,156 | +175% | — |
| 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 -Extreme | $44,280 | $9,299 | $22,779 | +94% | $22,010 | +101% | ≈124% of Medicare |
| 683 | MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major | $44,234 | $9,289 | $16,875 | +162% | $18,322 | +141% | ≈130% of Medicare |
| 124 | MS DRG -OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate | $44,168 | $9,275 | $8,023 | +451% | $21,029 | +110% | — |
| 125 | MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Major | $43,763 | $9,190 | $18,156 | +141% | $15,876 | +176% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $43,722 | $9,182 | $20,050 | +118% | $24,229 | +80% | — |
| 292 | MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Moderate | $43,455 | $9,125 | $19,922 | +118% | $15,878 | +174% | — |
| 351 | MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Minor | $43,160 | $9,064 | $35,407 | +22% | $33,790 | +28% | — |
| 281 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Major | $42,840 | $8,996 | $24,038 | +78% | $20,463 | +109% | ≈141% of Medicare |
| 101 | MS DRG -SEIZURES WITHOUT MCC;APR DRG -SEIZURE;SOI -Major | $42,822 | $8,993 | $24,986 | +71% | $19,930 | +115% | ≈136% of Medicare |
| 352 | MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Minor | $42,271 | $8,877 | $30,099 | +40% | $25,038 | +69% | — |
| 297 | MS DRG -CARDIAC ARREST, UNEXPLAINED WITH CC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Major | $42,221 | $8,866 | $7,804 | +441% | $12,336 | +242% | — |
| 099 | MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Moderate | $42,160 | $8,854 | $23,471 | +80% | $25,666 | +64% | — |
| 880 | MS DRG -ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION;APR DRG -DEPRESSIVE DISORDERS;SOI -Major | $42,051 | $8,831 | $15,116 | +178% | $15,636 | +169% | — |
| 556 | MS DRG -SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $41,941 | $8,808 | $14,692 | +185% | $17,562 | +139% | — |
| 745 | MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC;APR DRG -DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES;SOI -Moderate | $41,667 | $8,750 | $24,264 | +72% | $16,495 | +153% | — |
| 562 | MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Major | $41,660 | $8,749 | $27,017 | +54% | $29,011 | +44% | — |
| 145 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor | $41,568 | $8,729 | $22,293 | +86% | $20,837 | +99% | — |
| 152 | MS DRG -OTITIS MEDIA AND URI WITH MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Major | $41,473 | $8,709 | $14,444 | +187% | $19,657 | +111% | — |
| 998 | MS DRG -PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Moderate | $41,344 | $8,682 | $5,062 | +717% | $15,594 | +165% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $41,319 | $8,677 | $28,696 | +44% | $27,074 | +53% | — |
| 383 | MS DRG -UNCOMPLICATED PEPTIC ULCER WITH MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Major | $41,028 | $8,616 | $17,371 | +136% | $26,616 | +54% | — |
| 185 | MS DRG -MAJOR CHEST TRAUMA WITHOUT CC/MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Minor | $40,680 | $8,543 | $8,555 | +375% | $15,858 | +157% | — |
| 060 | MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Minor | $40,579 | $8,522 | $26,051 | +56% | $21,323 | +90% | — |
| 560 | MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major | $40,418 | $8,488 | $26,439 | +53% | $24,277 | +66% | — |
| 814 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major | $40,410 | $8,486 | $27,663 | +46% | $32,506 | +24% | — |
| 835 | MS DRG -ACUTE LEUKEMIA WITH CC;APR DRG -ACUTE LEUKEMIA;SOI -Moderate | $40,337 | $8,471 | $26,553 | +52% | $35,569 | +13% | — |
| 476 | MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG -PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI -Minor | $39,929 | $8,385 | $27,469 | +45% | $21,025 | +90% | — |
| 585 | MS DRG -BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -MASTECTOMY PROCEDURES;SOI -Minor | $39,874 | $8,373 | $39,701 | +0% | $29,598 | +35% | — |
| 740 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY;SOI -Moderate | $39,731 | $8,344 | $22,395 | +77% | $35,989 | +10% | — |
| 139 | MS DRG -SALIVARY GLAND PROCEDURES;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor | $39,538 | $8,303 | $14,655 | +170% | $21,014 | +88% | — |
| 300 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major | $39,208 | $8,234 | $23,860 | +64% | $19,448 | +102% | — |
| 155 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Major | $38,961 | $8,182 | $10,785 | +261% | $16,622 | +134% | — |
| 747 | MS DRG -VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Minor | $38,691 | $8,125 | $21,846 | +77% | $19,326 | +100% | — |
| 806 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC;APR DRG -VAGINAL DELIVERY;SOI -Major | $38,657 | $8,118 | $15,247 | +154% | $13,090 | +195% | — |
| 303 | MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Minor | $38,618 | $8,110 | $14,621 | +164% | $14,927 | +159% | — |
| 348 | MS DRG -ANAL AND STOMAL PROCEDURES WITH CC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Moderate | $38,479 | $8,080 | $34,549 | +11% | $27,947 | +38% | — |
| 080 | MS DRG -NONTRAUMATIC STUPOR AND COMA WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major | $38,476 | $8,080 | $23,369 | +65% | $35,139 | +9% | — |
| 592 | MS DRG -SKIN ULCERS WITH MCC;APR DRG -SKIN ULCERS;SOI -Extreme | $38,410 | $8,066 | $34,631 | +11% | $32,662 | +18% | — |
| 075 | MS DRG -VIRAL MENINGITIS WITH CC/MCC;APR DRG -VIRAL MENINGITIS;SOI -Moderate | $37,659 | $7,908 | $26,463 | +42% | $29,751 | +27% | — |
| 824 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC;APR DRG -OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Minor | $37,632 | $7,903 | $29,534 | +27% | $38,382 | −2% | — |
| 197 | MS DRG -INTERSTITIAL LUNG DISEASE WITH CC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Major | $37,543 | $7,884 | $17,819 | +111% | $20,105 | +87% | — |
| 440 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate | $37,480 | $7,871 | $16,162 | +132% | $14,770 | +154% | — |
| 832 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Major | $37,408 | $7,856 | $18,719 | +100% | $12,895 | +190% | — |
| 697 | MS DRG -URETHRAL STRICTURE;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Major | $37,238 | $7,820 | $10,852 | +243% | $17,705 | +110% | — |
| 446 | MS DRG -DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Minor | $37,179 | $7,808 | $10,130 | +267% | $17,700 | +110% | — |
| 103 | MS DRG -HEADACHES WITHOUT MCC;APR DRG -MIGRAINE AND OTHER HEADACHES;SOI -Major | $37,100 | $7,791 | $8,786 | +322% | $20,076 | +85% | ≈143% of Medicare |
| 894 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG -DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI -Major | $37,055 | $7,782 | $11,440 | +224% | $12,013 | +208% | — |
| 737 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY;SOI -Moderate | $37,040 | $7,778 | $29,051 | +27% | $43,320 | −14% | — |
| 184 | MS DRG -MAJOR CHEST TRAUMA WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Moderate | $36,748 | $7,717 | $13,293 | +176% | $20,842 | +76% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $36,729 | $7,713 | $32,278 | +14% | $29,916 | +23% | — |
| 788 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Moderate | $36,670 | $7,701 | $19,083 | +92% | $20,084 | +83% | — |
| 584 | MS DRG -BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate | $36,483 | $7,661 | $36,483 | +0% | $34,089 | +7% | — |
| 865 | MS DRG -VIRAL ILLNESS WITH MCC;APR DRG -VIRAL ILLNESS;SOI -Moderate | $36,414 | $7,647 | $15,709 | +132% | $26,088 | +40% | — |
| 554 | MS DRG -BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major | $36,346 | $7,633 | $24,653 | +47% | $17,579 | +107% | — |
| 541 | MS DRG -OSTEOMYELITIS WITHOUT CC/MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate | $36,112 | $7,584 | $12,684 | +185% | $14,549 | +148% | — |
| 869 | MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Moderate | $35,818 | $7,522 | $9,044 | +296% | $12,536 | +186% | — |
| 797 | MS DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC;APR DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C;SOI -Minor | $35,740 | $7,505 | $20,839 | +72% | $19,001 | +88% | — |
| 785 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate | $35,672 | $7,491 | $18,130 | +97% | $19,815 | +80% | — |
| 337 | MS DRG -PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Minor | $35,245 | $7,401 | $35,118 | +0% | $35,961 | −2% | — |
| 066 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -INTRACRANIAL HEMORRHAGE;SOI -Major | $35,209 | $7,394 | $20,913 | +68% | $19,483 | +81% | ≈161% of Medicare |
| 950 | MS DRG -AFTERCARE WITHOUT CC/MCC;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Minor | $35,129 | $7,377 | $23,839 | +47% | $13,527 | +160% | — |
| 489 | MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor | $34,935 | $7,336 | $29,734 | +17% | $27,492 | +27% | — |
| 822 | MS DRG -LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate | $34,542 | $7,254 | $12,306 | +181% | $25,390 | +36% | — |
| 084 | MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major | $34,424 | $7,229 | $12,504 | +175% | $18,060 | +91% | ≈143% of Medicare |
| 770 | MS DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;APR DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Moderate | $34,410 | $7,226 | $24,714 | +39% | $17,719 | +94% | — |
| 316 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Minor | $34,400 | $7,224 | $12,331 | +179% | $12,794 | +169% | — |
| 876 | MS DRG -O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS;APR DRG -MENTAL ILLNESS DIAGNOSIS WITH O.R. PROCEDURE;SOI -Moderate | $34,346 | $7,213 | $29,940 | +15% | $54,196 | −37% | — |
| 807 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC;APR DRG -VAGINAL DELIVERY;SOI -Major | $34,313 | $7,206 | $15,414 | +123% | $11,957 | +187% | — |
| 513 | MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Moderate | $33,677 | $7,072 | $32,614 | +3% | $33,424 | +1% | — |
| 192 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate | $33,511 | $7,037 | $14,790 | +127% | $14,368 | +133% | — |
| 607 | MS DRG -MINOR SKIN DISORDERS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate | $33,435 | $7,021 | $14,778 | +126% | $15,276 | +119% | — |
| 975 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITH CC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Major | $33,367 | $7,007 | $26,939 | +24% | $25,071 | +33% | — |
| 514 | MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor | $33,313 | $6,996 | $29,605 | +13% | $20,076 | +66% | — |
| 593 | MS DRG -SKIN ULCERS WITH CC;APR DRG -SKIN ULCERS;SOI -Moderate | $33,070 | $6,945 | $17,855 | +85% | $20,470 | +62% | — |
| 558 | MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major | $33,062 | $6,943 | $16,479 | +101% | $17,296 | +91% | — |
| 699 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major | $33,000 | $6,930 | $24,373 | +35% | $20,732 | +59% | ≈128% of Medicare |
| 540 | MS DRG -OSTEOMYELITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate | $32,972 | $6,924 | $23,875 | +38% | $23,494 | +40% | — |
| 293 | MS DRG -HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Minor | $32,967 | $6,923 | $10,349 | +219% | $11,826 | +179% | — |
| 798 | MS DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC;APR DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C;SOI -Minor | $32,894 | $6,908 | $17,559 | +87% | $18,038 | +82% | — |
| 443 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Moderate | $32,705 | $6,868 | $16,983 | +93% | $15,600 | +110% | — |
| 868 | MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC;APR DRG -NEONATE BIRTH WEIGHT > 2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION;SOI -Minor | $32,617 | $6,850 | $17,665 | +85% | $22,231 | +47% | — |
| 561 | MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Moderate | $32,458 | $6,816 | $28,867 | +12% | $18,150 | +79% | — |
| 422 | MS DRG -HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI -Minor | $31,458 | $6,606 | $15,643 | +101% | $25,152 | +25% | — |
| 349 | MS DRG -ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor | $31,012 | $6,512 | $27,972 | +11% | $19,854 | +56% | — |
| 831 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate | $30,977 | $6,505 | $16,000 | +94% | $18,133 | +71% | — |
| 627 | MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Minor | $30,939 | $6,497 | $26,357 | +17% | $25,621 | +21% | — |
| 885 | MS DRG -PSYCHOSES;APR DRG -SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI -Major | $30,417 | $6,388 | $16,075 | +89% | $21,489 | +42% | — |
| 711 | MS DRG -TESTES PROCEDURES WITH CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Minor | $30,201 | $6,342 | $26,421 | +14% | $34,846 | −13% | — |
| 436 | MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Minor | $30,132 | $6,328 | $21,276 | +42% | $24,017 | +25% | — |
| 544 | MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Minor | $29,999 | $6,300 | $14,790 | +103% | $16,776 | +79% | — |
| 727 | MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Major | $29,907 | $6,280 | $20,678 | +45% | $25,786 | +16% | — |
| 150 | MS DRG -EPISTAXIS WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Major | $29,879 | $6,275 | $19,562 | +53% | $21,133 | +41% | — |
| 965 | MS DRG -OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC;APR DRG -MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI -Moderate | $29,786 | $6,255 | $11,744 | +154% | $17,585 | +69% | — |
| 844 | MS DRG -OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC;APR DRG -LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR;SOI -Moderate | $29,577 | $6,211 | $14,637 | +102% | $20,148 | +47% | — |
| 379 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Major | $28,892 | $6,067 | $20,711 | +40% | $14,134 | +104% | — |
| 812 | MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Moderate | $28,260 | $5,935 | $21,472 | +32% | $20,408 | +38% | ≈132% of Medicare |
| 344 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Major | $27,993 | $5,879 | $46,424 | −40% | $44,839 | −38% | — |
| 442 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG -HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS;SOI -Moderate | $27,769 | $5,832 | $24,957 | +11% | $21,449 | +29% | — |
| 389 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major | $27,751 | $5,828 | $17,413 | +59% | $17,345 | +60% | ≈131% of Medicare |
| 188 | MS DRG -PLEURAL EFFUSION WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor | $27,590 | $5,794 | $8,110 | +240% | $14,252 | +94% | — |
| 179 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate | $27,423 | $5,759 | $16,262 | +69% | $14,411 | +90% | — |
| 553 | MS DRG -BONE DISEASES AND ARTHROPATHIES WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $27,414 | $5,757 | $13,969 | +96% | $23,956 | +14% | — |
| 147 | MS DRG -EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC;APR DRG -EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI -Moderate | $27,365 | $5,747 | $19,462 | +41% | $21,860 | +25% | — |
| 976 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Moderate | $27,157 | $5,703 | $14,958 | +82% | $16,212 | +68% | — |
| 838 | MS DRG -CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT;APR DRG -CHEMOTHERAPY FOR ACUTE LEUKEMIA;SOI -Moderate | $26,826 | $5,633 | $17,274 | +55% | $30,661 | −13% | — |
| 506 | MS DRG -MAJOR THUMB OR JOINT PROCEDURES;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor | $26,804 | $5,629 | $19,915 | +35% | $28,983 | −8% | — |
| 819 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Minor | $26,790 | $5,626 | $14,334 | +87% | $17,851 | +50% | — |
| 315 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Major | $26,430 | $5,550 | $20,942 | +26% | $20,716 | +28% | ≈143% of Medicare |
| 434 | MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Minor | $26,346 | $5,533 | $18,554 | +42% | $12,405 | +112% | — |
| 596 | MS DRG -MAJOR SKIN DISORDERS WITHOUT MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate | $26,220 | $5,506 | $11,664 | +125% | $17,226 | +52% | — |
| 087 | MS DRG -TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major | $26,203 | $5,503 | $18,733 | +40% | $15,818 | +66% | ≈157% of Medicare |
| 921 | MS DRG -COMPLICATIONS OF TREATMENT WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Minor | $25,193 | $5,291 | $10,735 | +135% | $14,012 | +80% | — |
| 345 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor | $24,988 | $5,248 | $26,767 | −7% | $31,062 | −20% | — |
| 916 | MS DRG -ALLERGIC REACTIONS WITHOUT MCC;APR DRG -ALLERGIC REACTIONS;SOI -Moderate | $24,911 | $5,231 | $19,973 | +25% | $13,890 | +79% | — |
| 198 | MS DRG -INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Moderate | $24,844 | $5,217 | $6,280 | +296% | $13,654 | +82% | — |
| 309 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate | $24,577 | $5,161 | $22,998 | +7% | $16,645 | +48% | ≈139% of Medicare |
| 203 | MS DRG -BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG -ASTHMA;SOI -Moderate | $24,566 | $5,159 | $14,737 | +67% | $12,275 | +100% | — |
| 572 | MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $24,432 | $5,131 | $28,378 | −14% | $24,426 | +0% | — |
| 395 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -GASTROINTESTINAL VASCULAR INSUFFICIENCY;SOI -Moderate | $24,369 | $5,118 | $10,099 | +141% | $14,128 | +72% | — |
| 156 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor | $24,308 | $5,105 | $11,169 | +118% | $13,198 | +84% | — |
| 305 | MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Minor | $24,285 | $5,100 | $15,455 | +57% | $16,897 | +44% | ≈140% of Medicare |
| 712 | MS DRG -TESTES PROCEDURES WITHOUT CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Minor | $24,254 | $5,093 | $9,248 | +162% | $18,898 | +28% | — |
| 072 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor | $24,112 | $5,064 | $15,984 | +51% | $16,654 | +45% | — |
| 694 | MS DRG -URINARY STONES WITHOUT MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Major | $24,027 | $5,046 | $10,566 | +127% | $16,451 | +46% | — |
| 684 | MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate | $23,787 | $4,995 | $15,085 | +58% | $13,455 | +77% | ≈163% of Medicare |
| 842 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Minor | $23,120 | $4,855 | $14,637 | +58% | $17,308 | +34% | — |
| 597 | MS DRG -MALIGNANT BREAST DISORDERS WITH MCC;APR DRG -MALIGNANT BREAST DISORDERS;SOI -Major | $23,088 | $4,848 | $19,303 | +20% | $31,846 | −28% | — |
| 538 | MS DRG -SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $23,084 | $4,848 | $4,363 | +429% | $11,909 | +94% | — |
| 289 | MS DRG -ACUTE AND SUBACUTE ENDOCARDITIS WITH CC;APR DRG -ACUTE AND SUBACUTE ENDOCARDITIS;SOI -Moderate | $22,592 | $4,744 | $22,592 | +0% | $29,891 | −24% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $22,244 | $4,671 | $18,079 | +23% | $19,317 | +15% | — |
| 153 | MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate | $22,200 | $4,662 | $14,829 | +50% | $14,251 | +56% | — |
| 294 | MS DRG -DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate | $21,802 | $4,579 | $13,169 | +66% | $19,132 | +14% | — |
| 833 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate | $21,381 | $4,490 | $10,165 | +110% | $9,063 | +136% | — |
| 195 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Minor | $21,148 | $4,441 | $18,452 | +15% | $13,747 | +54% | — |
| 709 | MS DRG -PENIS PROCEDURES WITH CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Moderate | $21,136 | $4,438 | $21,136 | +0% | $34,535 | −39% | — |
| 384 | MS DRG -UNCOMPLICATED PEPTIC ULCER WITHOUT MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Minor | $20,988 | $4,407 | $14,636 | +43% | $19,305 | +9% | — |
| 594 | MS DRG -SKIN ULCERS WITHOUT CC/MCC;APR DRG -SKIN ULCERS;SOI -Moderate | $20,845 | $4,377 | $8,987 | +132% | $14,209 | +47% | — |
| 502 | MS DRG -SOFT TISSUE PROCEDURES WITHOUT CC/MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Minor | $20,556 | $4,317 | $28,835 | −29% | $29,777 | −31% | — |
| 729 | MS DRG -OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate | $20,411 | $4,286 | $7,153 | +185% | $17,483 | +17% | — |
| 949 | MS DRG -AFTERCARE WITH CC/MCC;APR DRG -ASTHMA;SOI -Moderate | $20,355 | $4,275 | $26,724 | −24% | $23,953 | −15% | — |
| 722 | MS DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM;SOI -Moderate | $20,218 | $4,246 | $14,768 | +37% | $29,826 | −32% | — |
| 555 | MS DRG -SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major | $20,116 | $4,224 | $48,960 | −59% | $23,646 | −15% | — |
| 935 | MS DRG -NON-EXTENSIVE BURNS;APR DRG -PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT;SOI -Minor | $20,112 | $4,224 | $17,416 | +15% | $29,458 | −32% | — |
| 670 | MS DRG -TRANSURETHRAL PROCEDURES WITHOUT CC/MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Minor | $20,049 | $4,210 | $15,214 | +32% | $20,371 | −2% | — |
| 201 | MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Moderate | $19,791 | $4,156 | $11,438 | +73% | $13,081 | +51% | — |
| 313 | MS DRG -CHEST PAIN;APR DRG -CHEST PAIN;SOI -Major | $19,467 | $4,088 | $11,202 | +74% | $15,837 | +23% | ≈152% of Medicare |
| 897 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Moderate | $18,957 | $3,981 | $13,087 | +45% | $15,923 | +19% | — |
| 700 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC;APR DRG -NEPHRITIS AND NEPHROSIS;SOI -Minor | $18,472 | $3,879 | $13,149 | +40% | $13,303 | +39% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $18,439 | $3,872 | $21,164 | −13% | $18,000 | +2% | — |
| 728 | MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate | $18,341 | $3,852 | $13,061 | +40% | $16,622 | +10% | — |
| 390 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate | $18,283 | $3,840 | $12,107 | +51% | $13,318 | +37% | ≈156% of Medicare |
| 078 | MS DRG -HYPERTENSIVE ENCEPHALOPATHY WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate | $17,993 | $3,779 | $20,059 | −10% | $17,268 | +4% | — |
| 760 | MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC;APR DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Moderate | $17,925 | $3,764 | $17,571 | +2% | $18,199 | −2% | — |
| 373 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Minor | $17,613 | $3,699 | $10,879 | +62% | $16,104 | +9% | — |
| 816 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor | $17,372 | $3,648 | $7,343 | +137% | $13,485 | +29% | — |
| 639 | MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -DIABETES;SOI -Minor | $17,297 | $3,632 | $15,755 | +10% | $13,910 | +24% | — |
| 776 | MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Major | $17,251 | $3,623 | $9,052 | +91% | $12,205 | +41% | — |
| 151 | MS DRG -EPISTAXIS WITHOUT MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor | $16,979 | $3,566 | $8,657 | +96% | $13,032 | +30% | — |
| 121 | MS DRG -ACUTE MAJOR EYE INFECTIONS WITH CC/MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate | $16,800 | $3,528 | $16,800 | +0% | $18,291 | −8% | — |
| 601 | MS DRG -NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Minor | $16,749 | $3,517 | $8,449 | +98% | $10,975 | +53% | — |
| 288 | MS DRG -ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC;APR DRG -ACUTE AND SUBACUTE ENDOCARDITIS;SOI -Major | $15,879 | $3,335 | $29,404 | −46% | $45,497 | −65% | — |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $15,571 | $3,270 | $15,087 | +3% | $17,078 | −9% | — |
| 382 | MS DRG -COMPLICATED PEPTIC ULCER WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate | $15,465 | $3,248 | $9,897 | +56% | $16,634 | −7% | — |
| 914 | MS DRG -TRAUMATIC INJURY WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $15,392 | $3,232 | $7,966 | +93% | $15,586 | −1% | — |
| 913 | MS DRG -TRAUMATIC INJURY WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Moderate | $15,184 | $3,189 | $12,849 | +18% | $24,198 | −37% | — |
| 081 | MS DRG -NONTRAUMATIC STUPOR AND COMA WITHOUT MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate | $15,154 | $3,182 | $16,725 | −9% | $15,007 | +1% | — |
| 726 | MS DRG -BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Minor | $15,133 | $3,178 | $13,637 | +11% | $13,892 | +9% | — |
| 761 | MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC;APR DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Minor | $14,686 | $3,084 | $7,082 | +107% | $11,421 | +29% | — |
| 881 | MS DRG -DEPRESSIVE NEUROSES;APR DRG -ADJUSTMENT DISORDERS;SOI -Minor | $14,269 | $2,996 | $8,250 | +73% | $15,058 | −5% | — |
| 301 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Minor | $14,033 | $2,947 | $11,377 | +23% | $15,598 | −10% | — |
| 848 | MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC;APR DRG -OTHER CHEMOTHERAPY;SOI -Minor | $14,019 | $2,944 | $11,499 | +22% | $13,822 | +1% | — |
| 076 | MS DRG -VIRAL MENINGITIS WITHOUT CC/MCC;APR DRG -VIRAL MENINGITIS;SOI -Minor | $13,932 | $2,926 | $9,982 | +40% | $15,474 | −10% | — |
| 696 | MS DRG -KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Minor | $13,748 | $2,887 | $9,118 | +51% | $14,210 | −3% | — |
| 645 | MS DRG -ENDOCRINE DISORDERS WITHOUT CC/MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Minor | $13,702 | $2,877 | $9,171 | +49% | $14,166 | −3% | — |
| 089 | MS DRG -CONCUSSION WITH CC;APR DRG -CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI -Moderate | $13,262 | $2,785 | $13,262 | +0% | $18,293 | −28% | — |
| 204 | MS DRG -RESPIRATORY SIGNS AND SYMPTOMS;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Extreme | $13,074 | $2,746 | $9,981 | +31% | $16,804 | −22% | — |
| 779 | MS DRG -ABORTION WITHOUT D&C;APR DRG -ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Minor | $12,616 | $2,649 | $8,337 | +51% | $15,327 | −18% | — |
| 537 | MS DRG -SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $12,205 | $2,563 | $10,003 | +22% | $16,352 | −25% | — |
| 370 | MS DRG -MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Minor | $11,764 | $2,471 | $17,816 | −34% | $15,072 | −22% | — |
| 758 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Moderate | $9,855 | $2,070 | $12,451 | −21% | $19,091 | −48% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $9,660 | $2,029 | $13,684 | −29% | $16,418 | −41% | — |
| 882 | MS DRG -NEUROSES EXCEPT DEPRESSIVE;APR DRG -ADJUSTMENT DISORDERS;SOI -Minor | $9,320 | $1,957 | $9,320 | +0% | $15,680 | −41% | — |
| 311 | MS DRG -ANGINA PECTORIS;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Minor | $8,918 | $1,873 | $11,421 | −22% | $15,165 | −41% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $8,344 | $1,752 | $13,652 | −39% | $23,734 | −65% | — |
| 307 | MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC;APR DRG -CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Minor | $7,296 | $1,532 | $11,238 | −35% | $18,323 | −60% | — |
| 284 | MS DRG -ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Moderate | $6,690 | $1,405 | $5,752 | +16% | $13,278 | −50% | — |
| 547 | MS DRG -CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Minor | $5,917 | $1,242 | $10,853 | −45% | $14,861 | −60% | — |
| 795 | MS DRG -NORMAL NEWBORN;APR DRG -NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE;SOI -Minor | $5,678 | $1,192 | $2,778 | +104% | $4,521 | +26% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,511 | $527 | $12,046 | −79% | $22,698 | −89% | — |
Procedures with negotiated rates only
These 89 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 |
|---|---|---|---|
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,938 – $27,408 · median $12,427 | 18 plans |
| 314 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Extreme | $14,571 – $33,580 · median $15,168 | 18 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $17,875 – $41,321 · median $18,428 | 17 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $251,200 – $588,056 · median $258,971 | 17 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $12,524 – $28,783 · median $12,912 | 17 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,678 – $10,396 · median $4,822 | 17 plans |
| 088 | CONCUSSION WITH MCC | $9,628 – $21,997 · median $9,926 | 17 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $5,946 – $13,368 · median $6,130 | 17 plans |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,193 – $37,380 · median $16,694 | 17 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,107 – $18,432 · median $8,358 | 17 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,418 – $16,819 · median $7,499 | 17 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,755 – $10,577 · median $4,902 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,750 – $15,253 · median $6,959 | 17 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,569 – $12,485 · median $5,741 | 17 plans |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $11,063 – $25,359 · median $11,405 | 17 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,814 – $13,059 · median $5,994 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,176 – $13,907 · median $6,367 | 17 plans |
| 263 | VEIN LIGATION AND STRIPPING | $16,988 – $41,822 · median $18,106 | 17 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,977 – $8,754 · median $4,100 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,756 – $15,266 · median $6,964 | 17 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,497 – $12,315 · median $5,667 | 17 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,180 – $6,887 · median $3,278 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $15,645 – $36,095 · median $16,129 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $23,323 – $54,087 · median $24,045 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,336 – $37,715 · median $16,841 | 17 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $6,117 – $13,769 · median $6,306 | 17 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,192 – $32,691 · median $14,631 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $18,450 – $42,669 · median $19,021 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $11,304 – $25,923 · median $11,654 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,557 – $54,635 · median $24,285 | 17 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $23,728 – $55,035 · median $24,462 | 17 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $10,527 – $24,104 · median $10,853 | 17 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $69,949 – $163,343 · median $72,113 | 17 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $55,743 – $130,055 · median $57,468 | 17 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,466 – $12,244 · median $5,635 | 17 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $41,077 – $95,690 · median $42,348 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $7,965 – $18,100 · median $8,212 | 17 plans |
| 509 | ARTHROSCOPY | $11,931 – $27,392 · median $12,300 | 17 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,388 – $23,778 · median $10,710 | 17 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,658 – $12,693 · median $5,833 | 17 plans |
| 549 | SEPTIC ARTHRITIS WITH CC | $8,260 – $18,791 · median $8,516 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $33,745 – $96,025 · median $41,259 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $23,298 – $54,028 · median $23,936 | 17 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $13,528 – $31,135 · median $13,586 | 17 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $11,835 – $27,306 · median $11,906 | 17 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $9,950 – $25,615 · median $11,183 | 17 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $7,420 – $16,823 · median $7,650 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $5,930 – $13,330 · median $6,113 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,526 – $19,415 · median $8,790 | 17 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $19,320 – $44,707 · median $19,918 | 17 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $9,566 – $21,850 · median $9,862 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $11,203 – $25,686 · median $11,549 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $7,080 – $16,026 · median $7,299 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,524 – $17,065 · median $7,733 | 17 plans |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $12,789 – $29,404 · median $13,185 | 17 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,060 – $11,292 · median $5,216 | 17 plans |
| 693 | URINARY STONES WITH MCC | $10,026 – $22,928 · median $10,336 | 17 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,746 – $17,586 · median $7,985 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,494 – $14,653 · median $6,695 | 17 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $15,269 – $35,214 · median $15,741 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $9,686 – $22,131 · median $9,985 | 17 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,089 – $11,361 · median $5,247 | 17 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,280 – $9,463 · median $4,412 | 17 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $14,234 – $32,789 · median $14,674 | 17 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,319 – $18,928 · median $8,576 | 17 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $26,444 – $61,399 · median $27,261 | 17 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,335 – $23,653 · median $10,655 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $26,732 – $62,074 · median $27,559 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,382 – $21,419 · median $9,672 | 17 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,822 – $20,107 · median $9,095 | 17 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,055 – $15,275 · median $6,603 | 17 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $14,253 – $45,435 · median $19,648 | 17 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $11,166 – $25,599 · median $11,511 | 17 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,086 – $27,756 · median $12,460 | 17 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $8,697 – $19,814 · median $8,966 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,809 – $13,048 · median $5,989 | 17 plans |
| 849 | RADIOTHERAPY | $13,341 – $41,650 · median $18,033 | 17 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $61,541 – $143,641 · median $63,445 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $141,535 – $369,910 · median $158,248 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $44,686 – $104,144 · median $46,068 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $21,248 – $49,592 · median $21,425 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $25,082 – $67,469 · median $29,061 | 17 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $14,334 – $33,459 · median $14,534 | 17 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $14,291 – $32,923 · median $14,733 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,897 – $41,373 · median $18,451 | 17 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,399 – $23,317 · median $10,565 | 16 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,671 – $17,055 · median $7,793 | 16 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $1,110 – $18,546 · median $16,953 | 9 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $1,447 – $22,577 · median $20,637 | 9 plans |
No procedures match that keyword.