Ochsner LSU Health Monroe — Pricing

757 procedures published in this hospital's Machine-Readable File (MRF) — 356 with a comparable price, 401 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 757
Lowest published price $2,062
Average published price $68,737
Highest published price $720,479

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 757 procedures

Published charges

Showing all 356 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

DRG Description Published price Cash price vs. LA median vs. National median vs Medicare
330 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Major $720,479 $165,710 $75,804 +850% $58,832 +1125% —
004 MS DRG -TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Extreme $501,797 $115,413 $292,218 +72% $245,241 +105% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $488,056 $112,253 $462,770 +5% $371,366 +31% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $409,273 $94,133 $92,884 +341% $80,885 +406% —
329 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Extreme $322,945 $74,277 $147,076 +120% $88,050 +267% —
853 MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $271,006 $62,331 $102,538 +164% $87,018 +211% —
480 MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Extreme $255,490 $58,763 $92,273 +177% $63,984 +299% —
856 MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme $248,747 $57,212 $54,047 +360% $72,859 +241% —
255 MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM PROCEDURES;SOI -Extreme $248,148 $57,074 $36,325 +583% $43,697 +468% —
207 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Extreme $230,333 $52,977 $160,739 +43% $116,058 +98% —
205 MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Extreme $223,212 $51,339 $18,573 +1102% $32,204 +593% —
177 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -CYSTIC FIBROSIS - PULMONARY DISEASE;SOI -Major $211,671 $48,684 $40,636 +421% $31,840 +565% —
790 MS DRG -EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE;APR DRG -NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION;SOI -Major $203,401 $46,782 $61,499 +231% $80,018 +154% —
791 MS DRG -PREMATURITY WITH MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION;SOI -Moderate $197,840 $45,503 $39,169 +405% $39,563 +400% —
166 MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Major $194,958 $44,840 $93,180 +109% $72,782 +168% —
239 MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Extreme $193,737 $44,560 $104,080 +86% $87,565 +121% —
870 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $193,396 $44,481 $126,146 +53% $138,008 +40% —
163 MS DRG -MAJOR CHEST PROCEDURES WITH MCC;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Extreme $190,778 $43,879 $165,068 +16% $88,341 +116% —
314 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme $184,996 $42,549 $66,687 +177% $38,357 +382% —
969 MS DRG -HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Moderate $180,962 $41,621 $98,174 +84% $109,331 +66% —
521 MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Major $180,489 $41,512 $64,282 +181% $67,764 +166% —
388 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate $171,932 $39,544 $20,298 +747% $28,780 +497% —
056 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Extreme $171,468 $39,438 $62,652 +174% $39,409 +335% —
344 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Major $169,224 $38,921 $46,424 +265% $44,839 +277% —
208 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -PULMONARY EMBOLISM;SOI -Extreme $166,561 $38,309 $55,384 +201% $52,405 +218% —
641 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS;SOI -Major $166,367 $38,264 $16,702 +896% $16,745 +894% —
956 MS DRG -LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG -EXTENSIVE ABDOMINAL OR THORACIC PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Major $166,245 $38,236 $78,808 +111% $75,103 +121% —
640 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS;SOI -Extreme $164,863 $37,919 $35,544 +364% $24,480 +573% —
813 MS DRG -COAGULATION DISORDERS;APR DRG -COAGULATION AND PLATELET DISORDERS;SOI -Major $163,060 $37,504 $47,828 +241% $30,128 +441% —
467 MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITH CC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate $158,856 $36,537 $78,622 +102% $68,880 +131% —
698 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Extreme $151,353 $34,811 $28,616 +429% $30,058 +404% —
468 MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate $142,431 $32,759 $108,088 +32% $54,929 +159% —
464 MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $139,048 $31,981 $36,687 +279% $54,313 +156% —
673 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme $135,635 $31,196 $88,662 +53% $72,945 +86% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $132,277 $30,424 $72,579 +82% $62,961 +110% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $131,808 $30,316 $78,830 +67% $70,540 +87% —
597 MS DRG -MALIGNANT BREAST DISORDERS WITH MCC;APR DRG -MALIGNANT BREAST DISORDERS;SOI -Extreme $131,378 $30,217 $19,303 +581% $31,846 +313% —
682 MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme $130,624 $30,044 $27,953 +367% $27,854 +369% ≈141% of Medicare
040 MS DRG -PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Major $129,699 $29,831 $85,520 +52% $74,257 +75% —
793 MS DRG -FULL TERM NEONATE WITH MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION;SOI -Minor $129,689 $29,829 $22,925 +466% $16,719 +676% —
908 MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Major $128,779 $29,619 $37,636 +242% $41,660 +209% —
322 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate $128,521 $29,560 $96,624 +33% $54,772 +135% —
438 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Extreme $128,285 $29,506 $31,731 +304% $32,502 +295% —
465 MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate $127,832 $29,401 $36,675 +249% $32,839 +289% —
854 MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Minor $125,784 $28,930 $61,736 +104% $43,524 +189% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $124,423 $28,617 $83,988 +48% $66,853 +86% —
199 MS DRG -PNEUMOTHORAX WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $124,353 $28,601 $23,280 +434% $31,491 +295% —
397 APPENDIX PROCEDURES WITH MCC $124,107 $28,545 $88,532 +40% $52,319 +137% —
070 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Extreme $118,968 $27,363 $25,907 +359% $30,814 +286% —
469 MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT;APR DRG -ELECTIVE HIP JOINT REPLACEMENT;SOI -Major $118,515 $27,259 $84,993 +39% $65,254 +82% —
470 MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG -ELECTIVE HIP JOINT REPLACEMENT;SOI -Moderate $117,683 $27,067 $77,962 +51% $49,197 +139% —
334 MS DRG -RECTAL RESECTION WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Minor $117,182 $26,952 $66,089 +77% $32,213 +264% —
792 MS DRG -PREMATURITY WITHOUT MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION;SOI -Moderate $117,119 $26,937 $13,310 +780% $11,633 +907% —
175 MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Major $116,571 $26,811 $21,442 +444% $29,757 +292% —
522 MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Moderate $114,611 $26,360 $50,240 +128% $56,519 +103% —
580 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Moderate $114,582 $26,354 $59,184 +94% $36,242 +216% —
331 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Moderate $113,497 $26,104 $51,631 +120% $44,117 +157% —
481 MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG -OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Moderate $111,226 $25,582 $74,029 +50% $51,172 +117% ≈115% of Medicare
982 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $110,857 $25,497 $48,375 +129% $51,985 +113% —
617 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $108,898 $25,047 $37,649 +189% $42,881 +154% —
336 MS DRG -PERITONEAL ADHESIOLYSIS WITH CC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Major $108,325 $24,915 $54,942 +97% $49,470 +119% —
280 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Major $108,020 $24,845 $30,357 +256% $28,967 +273% —
326 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Moderate $107,355 $24,692 $85,356 +26% $80,747 +33% —
064 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Major $107,141 $24,642 $36,919 +190% $35,714 +200% —
296 MS DRG -CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Extreme $107,021 $24,615 $46,939 +128% $30,910 +246% —
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 -Moderate $105,977 $24,375 $46,226 +129% $49,055 +116% —
097 MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Extreme $101,000 $23,230 $55,801 +81% $57,855 +75% —
475 MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $100,897 $23,206 $65,618 +54% $44,553 +126% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $100,516 $23,119 $45,771 +120% $68,399 +47% —
963 MS DRG -OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Major $98,974 $22,764 $89,571 +10% $43,491 +128% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $95,607 $21,990 $33,657 +184% $43,538 +120% —
345 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Moderate $94,836 $21,812 $26,767 +254% $31,062 +205% —
432 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Extreme $94,714 $21,784 $35,757 +165% $36,933 +156% —
486 MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate $94,162 $21,657 $69,602 +35% $46,477 +103% —
393 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -GASTROINTESTINAL VASCULAR INSUFFICIENCY;SOI -Extreme $92,916 $21,371 $40,098 +132% $32,689 +184% —
251 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Minor $91,205 $20,977 $62,279 +46% $41,380 +120% —
884 MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES;SOI -Moderate $90,562 $20,829 $28,404 +219% $25,208 +259% —
377 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Major $89,905 $20,678 $46,940 +92% $37,842 +138% —
180 MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Extreme $89,074 $20,487 $43,392 +105% $36,658 +143% —
291 MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme $88,823 $20,429 $27,049 +228% $25,020 +255% ≈124% of Medicare
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $88,070 $20,256 $32,285 +173% $35,692 +147% —
494 MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate $87,607 $20,150 $61,521 +42% $45,963 +91% —
957 MS DRG -OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Major $85,573 $19,682 $85,573 +0% $120,587 −29% —
482 MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Moderate $85,425 $19,648 $60,104 +42% $39,747 +115% —
862 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major $85,257 $19,609 $30,606 +179% $30,394 +181% —
240 MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Minor $84,313 $19,392 $63,977 +32% $54,475 +55% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $83,609 $19,230 $47,723 +75% $38,094 +119% —
392 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Major $82,685 $19,018 $22,535 +267% $17,322 +377% —
786 MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Extreme $82,273 $18,923 $22,942 +259% $27,118 +203% —
915 MS DRG -ALLERGIC REACTIONS WITH MCC;APR DRG -ALLERGIC REACTIONS;SOI -Extreme $82,138 $18,892 $59,689 +38% $30,944 +165% —
353 MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Major $82,120 $18,888 $54,505 +51% $60,140 +37% —
417 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major $82,063 $18,874 $60,767 +35% $52,313 +57% —
502 MS DRG -SOFT TISSUE PROCEDURES WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate $81,868 $18,830 $28,835 +184% $30,006 +173% —
283 MS DRG -ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Extreme $81,281 $18,695 $75,916 +7% $35,014 +132% —
643 MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Major $80,552 $18,527 $39,492 +104% $32,996 +144% —
501 MS DRG -SOFT TISSUE PROCEDURES WITH CC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Moderate $80,429 $18,499 $49,159 +64% $37,975 +112% —
498 MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Major $80,353 $18,481 $51,021 +57% $46,659 +72% —
061 MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Major $79,419 $18,266 $65,981 +20% $57,963 +37% —
419 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor $79,025 $18,176 $36,340 +117% $34,887 +127% —
637 MS DRG -DIABETES WITH MCC;APR DRG -DIABETES;SOI -Extreme $78,773 $18,118 $39,314 +100% $28,819 +173% —
493 MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate $77,328 $17,785 $68,944 +12% $56,394 +37% —
264 MS DRG -OTHER CIRCULATORY SYSTEM O.R. PROCEDURES;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate $76,870 $17,680 $59,308 +30% $51,953 +48% —
548 SEPTIC ARTHRITIS WITH MCC $74,580 $17,153 $21,229 +251% $31,019 +140% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $72,614 $16,701 $47,341 +53% $46,066 +58% —
885 MS DRG -PSYCHOSES;APR DRG -SCHIZOAFFECTIVE DISORDERS;SOI -Major $72,600 $16,698 $16,075 +352% $21,489 +238% —
389 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major $72,500 $16,675 $17,413 +316% $17,388 +317% —
398 MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate $72,193 $16,604 $52,201 +38% $39,107 +85% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $71,724 $16,496 $36,606 +96% $36,097 +99% —
987 MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $71,549 $16,456 $71,549 +0% $65,383 +9% —
964 MS DRG -OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC;APR DRG -MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI -Moderate $71,241 $16,385 $30,411 +134% $25,854 +176% —
871 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $71,042 $16,340 $47,280 +50% $35,237 +102% ≈125% of Medicare
812 MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major $70,740 $16,270 $21,472 +229% $20,488 +245% ≈116% of Medicare
355 MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Moderate $68,733 $15,808 $37,878 +81% $31,978 +115% —
811 MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Extreme $68,587 $15,775 $23,654 +190% $27,934 +146% —
477 MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $68,449 $15,743 $62,783 +9% $62,269 +10% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $68,179 $15,681 $68,179 +0% $64,956 +5% —
974 MS DRG -HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Major $67,134 $15,441 $56,055 +20% $46,402 +45% —
513 MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Moderate $66,678 $15,336 $32,614 +104% $33,424 +99% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $66,611 $15,320 $75,709 −12% $43,800 +52% —
503 MS DRG -FOOT PROCEDURES WITH MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major $66,322 $15,254 $54,196 +22% $43,901 +51% —
570 MS DRG -SKIN DEBRIDEMENT WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Major $66,289 $15,246 $60,240 +10% $52,435 +26% —
622 MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major $66,214 $15,229 $77,820 −15% $60,861 +9% —
543 MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Major $66,072 $15,197 $25,592 +158% $23,496 +181% —
308 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Extreme $65,847 $15,145 $19,824 +232% $26,488 +149% —
418 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Minor $64,897 $14,926 $46,416 +40% $42,119 +54% —
354 MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Minor $64,347 $14,800 $41,931 +53% $43,266 +49% —
347 MS DRG -ANAL AND STOMAL PROCEDURES WITH MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Major $64,132 $14,750 $29,842 +115% $40,548 +58% —
488 MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate $63,764 $14,666 $45,073 +41% $41,520 +54% —
062 MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate $63,588 $14,625 $43,616 +46% $48,680 +31% —
549 MS DRG -SEPTIC ARTHRITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate $62,129 $14,290 $21,289 +192% $20,938 +197% —
535 MS DRG -FRACTURES OF HIP AND PELVIS WITH MCC;APR DRG -FRACTURE OF FEMUR;SOI -Extreme $61,976 $14,254 $29,423 +111% $23,350 +165% —
579 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate $61,592 $14,166 $61,592 +0% $54,129 +14% —
742 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Moderate $61,290 $14,097 $43,855 +40% $40,552 +51% —
896 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major $60,657 $13,951 $20,366 +198% $30,275 +100% —
690 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Major $60,635 $13,946 $18,582 +226% $17,466 +247% ≈116% of Medicare
674 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -CHRONIC KIDNEY DISEASE;SOI -Moderate $60,286 $13,866 $51,964 +16% $49,631 +21% —
443 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Minor $59,369 $13,655 $16,983 +250% $15,600 +281% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $58,720 $13,506 $29,805 +97% $22,525 +161% —
190 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Extreme $58,700 $13,501 $21,887 +168% $24,190 +143% —
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 -Major $58,695 $13,500 $47,716 +23% $37,902 +55% —
286 MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate $58,613 $13,481 $47,632 +23% $44,600 +31% —
241 MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Minor $57,048 $13,121 $20,050 +185% $24,229 +135% —
101 MS DRG -SEIZURES WITHOUT MCC;APR DRG -SEIZURE;SOI -Major $55,519 $12,769 $24,986 +122% $19,954 +178% —
063 MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Minor $55,343 $12,729 $36,908 +50% $35,542 +56% —
981 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate $55,207 $12,698 $93,631 −41% $86,390 −36% —
623 MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $55,200 $12,696 $43,775 +26% $33,165 +66% —
840 MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Major $55,077 $12,668 $37,712 +46% $49,710 +11% —
337 MS DRG -PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Moderate $55,061 $12,664 $35,118 +57% $36,239 +52% —
638 MS DRG -DIABETES WITH CC;APR DRG -OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS;SOI -Minor $54,856 $12,617 $21,692 +153% $18,821 +191% —
184 MS DRG -MAJOR CHEST TRAUMA WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Major $54,676 $12,576 $13,293 +311% $20,842 +162% —
191 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate $54,053 $12,432 $18,365 +194% $18,278 +196% —
399 MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor $53,667 $12,343 $28,191 +90% $30,314 +77% —
327 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Moderate $53,207 $12,238 $54,417 −2% $54,824 −3% —
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 -Moderate $53,013 $12,193 $10,785 +392% $16,642 +219% —
378 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Major $52,952 $12,179 $21,582 +145% $21,886 +142% —
545 MS DRG -CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Major $52,623 $12,103 $45,200 +16% $39,657 +33% —
717 MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Major $52,071 $11,976 $25,434 +105% $32,538 +60% —
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 $52,008 $11,962 $48,960 +6% $23,723 +119% —
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 -Major $50,768 $11,677 $37,162 +37% $36,334 +40% —
872 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Moderate $50,682 $11,657 $28,123 +80% $22,781 +122% —
372 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major $50,521 $11,620 $25,271 +100% $22,850 +121% —
351 MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Major $50,499 $11,615 $35,407 +43% $33,792 +49% —
602 MS DRG -CELLULITIS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major $50,488 $11,612 $25,010 +102% $29,347 +72% —
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 -Moderate $50,243 $11,556 $22,779 +121% $22,032 +128% —
546 MS DRG -CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Major $50,061 $11,514 $36,114 +39% $24,202 +107% —
444 MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Extreme $49,503 $11,386 $49,470 +0% $31,128 +59% —
770 MS DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;APR DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Major $49,482 $11,381 $24,714 +100% $17,943 +176% —
603 MS DRG -CELLULITIS WITHOUT MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major $49,396 $11,361 $19,952 +148% $18,530 +167% —
196 MS DRG -INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Major $49,382 $11,358 $22,869 +116% $30,766 +61% —
794 MS DRG -NEONATE WITH OTHER SIGNIFICANT PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH OTHER SIGNIFICANT CONDITION;SOI -Minor $49,164 $11,308 $8,809 +458% $7,961 +518% —
073 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Major $48,913 $11,250 $35,519 +38% $28,252 +73% —
504 MS DRG -FOOT PROCEDURES WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate $48,796 $11,223 $48,796 +0% $36,598 +33% —
299 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major $48,619 $11,182 $21,036 +131% $25,731 +89% —
189 MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Major $48,611 $11,181 $34,870 +39% $25,704 +89% ≈123% of Medicare
718 MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate $48,013 $11,043 $16,432 +192% $20,147 +138% —
187 MS DRG -PLEURAL EFFUSION WITH CC;APR DRG -HEART FAILURE;SOI -Moderate $47,909 $11,019 $18,800 +155% $21,467 +123% —
841 MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Moderate $47,448 $10,913 $47,448 +0% $31,059 +53% —
644 MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -OTHER ENDOCRINE DISORDERS;SOI -Minor $47,286 $10,876 $19,297 +145% $22,941 +106% —
281 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate $46,716 $10,745 $24,038 +94% $20,463 +128% —
441 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS;SOI -Major $46,098 $10,602 $28,244 +63% $32,399 +42% —
776 MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Extreme $45,973 $10,574 $9,052 +408% $12,381 +271% —
743 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Minor $45,637 $10,496 $30,778 +48% $27,369 +67% —
200 MS DRG -PNEUMOTHORAX WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Major $45,578 $10,483 $22,598 +102% $20,573 +122% —
916 MS DRG -ALLERGIC REACTIONS WITHOUT MCC;APR DRG -ALLERGIC REACTIONS;SOI -Moderate $45,535 $10,473 $19,973 +128% $13,890 +228% —
065 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Major $45,489 $10,462 $25,712 +77% $23,469 +94% —
565 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Minor $45,387 $10,439 $23,859 +90% $21,545 +111% —
346 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Minor $45,200 $10,396 $20,366 +122% $26,146 +73% —
864 MS DRG -FEVER AND INFLAMMATORY CONDITIONS;APR DRG -FEVER AND INFLAMMATORY CONDITIONS;SOI -Major $45,146 $10,384 $14,916 +203% $17,412 +159% —
071 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Moderate $44,922 $10,332 $22,186 +102% $23,396 +92% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $44,863 $10,319 $24,089 +86% $29,476 +52% —
381 MS DRG -COMPLICATED PEPTIC ULCER WITH CC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Extreme $44,741 $10,290 $29,448 +52% $24,177 +85% —
100 MS DRG -SEIZURES WITH MCC;APR DRG -SEIZURE;SOI -Extreme $44,607 $10,260 $37,366 +19% $35,194 +27% —
282 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate $44,457 $10,225 $13,973 +218% $18,623 +139% —
918 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Major $44,369 $10,205 $11,452 +287% $15,045 +195% —
514 MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor $44,280 $10,184 $29,605 +50% $20,080 +121% —
206 MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate $43,818 $10,078 $10,667 +311% $17,731 +147% —
445 MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Moderate $43,364 $9,974 $18,217 +138% $21,806 +99% —
287 MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG -CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE;SOI -Minor $43,211 $9,939 $40,539 +7% $31,190 +39% —
394 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Minor $43,094 $9,912 $15,999 +169% $18,918 +128% —
917 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Extreme $42,911 $9,870 $35,324 +21% $28,134 +53% —
181 MS DRG -RESPIRATORY NEOPLASMS WITH CC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Major $42,805 $9,845 $35,809 +20% $22,431 +91% —
689 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Extreme $42,738 $9,830 $24,198 +77% $22,982 +86% —
358 MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Minor $41,902 $9,637 $41,902 +0% $29,374 +43% —
321 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Minor $41,886 $9,634 $71,631 −42% $74,274 −44% —
304 MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Major $41,562 $9,559 $26,659 +56% $24,185 +72% —
552 MS DRG -MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Minor $41,409 $9,524 $28,929 +43% $21,213 +95% —
909 MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Minor $41,386 $9,519 $31,959 +29% $28,156 +47% —
193 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Major $41,287 $9,496 $31,866 +30% $26,158 +58% —
194 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate $41,043 $9,440 $19,357 +112% $18,204 +125% —
788 MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major $40,597 $9,337 $19,083 +113% $20,084 +102% —
744 MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC;APR DRG -DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES;SOI -Moderate $40,277 $9,264 $29,511 +36% $33,050 +22% —
186 MS DRG -PLEURAL EFFUSION WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate $39,683 $9,127 $39,683 +0% $32,468 +22% —
571 MS DRG -SKIN DEBRIDEMENT WITH CC;APR DRG -SKIN ULCERS;SOI -Moderate $39,562 $9,099 $37,596 +5% $34,901 +13% —
585 MS DRG -BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Minor $39,529 $9,092 $39,701 −0% $29,633 +33% —
176 MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Major $39,346 $9,050 $18,538 +112% $18,081 +118% —
883 MS DRG -DISORDERS OF PERSONALITY AND IMPULSE CONTROL;APR DRG -DISORDERS OF IMPULSE CONTROL & DEVELOPMENT;SOI -Moderate $39,048 $8,981 $12,046 +224% $22,698 +72% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,429 $8,839 $66,425 −42% $78,582 −51% —
201 MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor $38,139 $8,772 $11,438 +233% $13,081 +192% —
178 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Major $37,843 $8,704 $23,848 +59% $22,024 +72% —
581 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -MASTECTOMY PROCEDURES;SOI -Minor $37,749 $8,682 $37,749 +0% $25,243 +50% —
202 MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate $37,540 $8,634 $23,318 +61% $17,273 +117% —
436 MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Major $37,227 $8,562 $21,276 +75% $24,017 +55% —
374 MS DRG -DIGESTIVE MALIGNANCY WITH MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major $37,158 $8,546 $42,166 −12% $38,885 −4% —
554 MS DRG -BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $36,690 $8,439 $24,653 +49% $18,253 +101% —
371 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major $36,635 $8,426 $34,208 +7% $31,758 +15% —
745 MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC;APR DRG -PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI -Minor $36,546 $8,406 $24,264 +51% $16,495 +122% —
563 MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Moderate $36,504 $8,396 $12,232 +198% $18,803 +94% —
391 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Major $36,370 $8,365 $26,767 +36% $27,244 +33% —
094 MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC;APR DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI -Major $36,263 $8,340 $38,370 −5% $62,524 −42% —
540 MS DRG -OSTEOMYELITIS WITH CC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor $36,235 $8,334 $23,875 +52% $23,494 +54% —
057 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor $35,667 $8,203 $32,819 +9% $25,426 +40% —
092 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -SPINAL DISORDERS AND INJURIES;SOI -Moderate $35,308 $8,121 $25,748 +37% $24,136 +46% —
787 MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major $35,027 $8,056 $22,755 +54% $23,571 +49% —
922 MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC;APR DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Major $34,602 $7,958 $31,839 +9% $29,409 +18% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $34,566 $7,950 $27,972 +24% $19,854 +74% —
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 $34,312 $7,892 $28,888 +19% $20,007 +72% —
923 MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG -INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI -Moderate $34,151 $7,855 $17,668 +93% $16,571 +106% —
423 MS DRG -OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Moderate $33,923 $7,802 $42,262 −20% $72,011 −53% —
440 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Minor $33,660 $7,742 $16,162 +108% $15,070 +123% —
348 MS DRG -ANAL AND STOMAL PROCEDURES WITH CC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor $33,604 $7,729 $34,549 −3% $27,947 +20% —
303 MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Moderate $33,479 $7,700 $14,621 +129% $14,927 +124% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $33,359 $7,673 $26,939 +24% $25,010 +33% —
328 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Minor $32,791 $7,542 $34,509 −5% $35,375 −7% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $32,472 $7,469 $15,494 +110% $24,941 +30% —
785 MS DRG -CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate $32,446 $7,463 $18,130 +79% $19,815 +64% —
192 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate $32,267 $7,421 $14,790 +118% $14,368 +125% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $31,750 $7,302 $62,830 −49% $71,701 −56% —
919 MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor $31,750 $7,302 $31,482 +1% $29,031 +9% —
725 MS DRG -BENIGN PROSTATIC HYPERTROPHY WITH MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Major $31,490 $7,243 $14,166 +122% $19,894 +58% —
539 MS DRG -OSTEOMYELITIS WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate $31,330 $7,206 $27,935 +12% $33,746 −7% —
784 MS DRG -CESAREAN SECTION WITH STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Major $31,245 $7,186 $18,030 +73% $22,560 +38% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $31,054 $7,142 $14,677 +112% $24,836 +25% —
309 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate $30,908 $7,109 $22,998 +34% $16,865 +83% —
066 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate $30,877 $7,102 $20,913 +48% $19,483 +58% —
542 MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC;APR DRG -MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI -Major $30,308 $6,971 $64,579 −53% $35,114 −14% —
380 MS DRG -COMPLICATED PEPTIC ULCER WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate $29,791 $6,852 $24,670 +21% $36,641 −19% —
079 MS DRG -HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor $29,732 $6,838 $5,963 +399% $11,847 +151% —
831 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Extreme $29,707 $6,833 $16,000 +86% $18,133 +64% —
699 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $29,602 $6,808 $24,373 +21% $20,732 +43% —
074 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Minor $29,463 $6,776 $20,035 +47% $23,141 +27% —
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 -Minor $29,389 $6,759 $14,439 +104% $23,924 +23% —
948 MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Moderate $29,226 $6,722 $19,901 +47% $17,727 +65% —
352 MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Minor $29,016 $6,674 $30,099 −4% $25,162 +15% —
639 MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -SKIN ULCERS;SOI -Moderate $28,821 $6,629 $15,755 +83% $13,910 +107% —
906 MS DRG -HAND PROCEDURES FOR INJURIES;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate $28,706 $6,602 $28,715 −0% $31,520 −9% —
783 MS DRG -CESAREAN SECTION WITH STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate $28,646 $6,589 $21,730 +32% $28,375 +1% —
572 MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Minor $28,378 $6,527 $28,378 +0% $24,432 +16% —
289 MS DRG -ACUTE AND SUBACUTE ENDOCARDITIS WITH CC;APR DRG -ACUTE AND SUBACUTE ENDOCARDITIS;SOI -Moderate $28,038 $6,449 $22,592 +24% $29,371 −5% —
600 MS DRG -NON-MALIGNANT BREAST DISORDERS WITH CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Minor $27,994 $6,439 $13,684 +105% $16,418 +71% —
723 MS DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM;SOI -Major $27,963 $6,432 $18,079 +55% $19,317 +45% —
292 MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -HEART FAILURE;SOI -Moderate $27,880 $6,412 $19,922 +40% $16,212 +72% —
439 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate $27,500 $6,325 $19,517 +41% $19,096 +44% —
683 MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $27,482 $6,321 $16,875 +63% $18,620 +48% ≈120% of Medicare
881 MS DRG -DEPRESSIVE NEUROSES;APR DRG -DEPRESSIVE DISORDERS;SOI -Moderate $27,393 $6,300 $8,250 +232% $15,058 +82% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $27,010 $6,212 $11,962 +126% $13,368 +102% —
153 MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Minor $26,873 $6,181 $14,829 +81% $14,473 +86% —
947 MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major $26,803 $6,165 $26,617 +1% $25,474 +5% —
694 MS DRG -URINARY STONES WITHOUT MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Minor $26,785 $6,161 $10,566 +153% $16,531 +62% —
560 MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Moderate $26,439 $6,081 $26,439 +0% $24,452 +8% —
951 MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Moderate $26,110 $6,005 $10,551 +147% $9,385 +178% —
805 MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC;APR DRG -VAGINAL DELIVERY;SOI -Major $25,883 $5,953 $14,302 +81% $15,370 +68% —
807 MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC;APR DRG -VAGINAL DELIVERY;SOI -Major $25,848 $5,945 $15,414 +68% $12,044 +115% —
315 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Major $25,810 $5,936 $20,942 +23% $20,777 +24% —
072 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor $25,774 $5,928 $15,984 +61% $16,654 +55% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $25,747 $5,922 $12,752 +102% $19,868 +30% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $25,165 $5,788 $30,170 −17% $24,561 +2% —
068 MS DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC;APR DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI -Moderate $25,073 $5,767 $22,001 +14% $19,569 +28% —
305 MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Moderate $24,984 $5,746 $15,455 +62% $17,144 +46% —
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 $24,957 $5,740 $24,957 +0% $21,449 +16% —
060 MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Moderate $24,944 $5,737 $26,051 −4% $21,261 +17% —
390 MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate $24,780 $5,699 $12,107 +105% $13,318 +86% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $24,641 $5,667 $28,290 −13% $26,322 −6% —
093 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Moderate $24,470 $5,628 $15,799 +55% $17,522 +40% —
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 -Minor $24,272 $5,583 $17,026 +43% $17,103 +42% —
083 MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major $23,721 $5,456 $22,765 +4% $24,118 −2% —
091 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate $23,530 $5,412 $34,501 −32% $36,375 −35% —
081 MS DRG -NONTRAUMATIC STUPOR AND COMA WITHOUT MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate $23,442 $5,392 $16,725 +40% $15,077 +55% —
195 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -OTHER PNEUMONIA;SOI -Moderate $23,277 $5,354 $18,452 +26% $13,824 +68% —
300 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate $23,267 $5,352 $23,860 −2% $19,579 +19% —
882 MS DRG -NEUROSES EXCEPT DEPRESSIVE;APR DRG -ACUTE ANXIETY AND STRESS SYNDROMES;SOI -Minor $23,182 $5,332 $9,320 +149% $15,680 +48% —
897 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -OTHER DRUG ABUSE AND DEPENDENCE;SOI -Minor $22,983 $5,286 $13,087 +76% $16,049 +43% —
806 MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC;APR DRG -VAGINAL DELIVERY;SOI -Major $22,862 $5,258 $15,247 +50% $13,090 +75% —
312 MS DRG -SYNCOPE AND COLLAPSE;APR DRG -SYNCOPE AND COLLAPSE;SOI -Moderate $22,710 $5,223 $20,728 +10% $19,342 +17% —
536 MS DRG -FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG -FRACTURE OF FEMUR;SOI -Moderate $22,429 $5,159 $20,702 +8% $18,002 +25% —
311 MS DRG -ANGINA PECTORIS;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $22,353 $5,141 $11,421 +96% $15,165 +47% —
310 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate $22,221 $5,111 $11,589 +92% $13,384 +66% —
149 MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Minor $22,091 $5,081 $16,577 +33% $17,203 +28% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $21,967 $5,052 $14,958 +47% $16,212 +36% —
103 MS DRG -HEADACHES WITHOUT MCC;APR DRG -MIGRAINE AND OTHER HEADACHES;SOI -Moderate $21,861 $5,028 $8,786 +149% $20,111 +9% —
935 MS DRG -NON-EXTENSIVE BURNS;APR DRG -PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT;SOI -Major $21,694 $4,990 $17,416 +25% $29,458 −26% —
158 MS DRG -DENTAL AND ORAL DISEASES WITH CC;APR DRG -DENTAL DISEASES AND DISORDERS;SOI -Moderate $21,678 $4,986 $18,032 +20% $17,700 +22% —
313 MS DRG -CHEST PAIN;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $21,361 $4,913 $11,202 +91% $15,962 +34% —
760 MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC;APR DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Moderate $20,763 $4,775 $17,571 +18% $18,282 +14% —
433 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Major $20,577 $4,733 $23,582 −13% $23,749 −13% —
069 MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Moderate $20,288 $4,666 $22,611 −10% $20,278 +0% —
593 MS DRG -SKIN ULCERS WITH CC;APR DRG -SKIN ULCERS;SOI -Moderate $20,139 $4,632 $17,855 +13% $20,470 −2% —
747 MS DRG -VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Minor $19,896 $4,576 $21,846 −9% $19,326 +3% —
869 MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Moderate $19,584 $4,504 $9,044 +117% $12,537 +56% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $19,553 $4,497 $18,554 +5% $12,405 +58% —
557 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $19,134 $4,401 $24,871 −23% $28,646 −33% —
379 MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Minor $18,983 $4,366 $20,711 −8% $14,134 +34% —
375 MS DRG -DIGESTIVE MALIGNANCY WITH CC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Moderate $18,707 $4,303 $17,545 +7% $27,219 −31% —
605 MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor $18,610 $4,280 $24,757 −25% $19,287 −4% —
833 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate $18,046 $4,150 $10,165 +78% $9,076 +99% —
606 MS DRG -MINOR SKIN DISORDERS WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate $17,915 $4,120 $27,050 −34% $25,434 −30% —
435 MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Major $17,685 $4,068 $33,073 −47% $37,950 −53% —
759 MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Minor $17,545 $4,035 $11,815 +49% $14,208 +23% —
818 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Minor $17,534 $4,033 $27,021 −35% $24,316 −28% —
387 MS DRG -INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Moderate $17,338 $3,988 $16,402 +6% $14,880 +17% —
832 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Minor $17,268 $3,972 $18,719 −8% $12,895 +34% —
989 MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor $17,190 $3,954 $17,190 +0% $25,307 −32% —
558 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $17,097 $3,932 $16,479 +4% $17,367 −2% —
684 MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate $16,937 $3,895 $15,085 +12% $13,623 +24% —
125 MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate $16,885 $3,883 $18,156 −7% $15,876 +6% —
395 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Minor $16,150 $3,715 $10,099 +60% $14,128 +14% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $16,082 $3,699 $12,451 +29% $19,091 −16% —
204 RESPIRATORY SIGNS AND SYMPTOMS $15,830 $3,641 $9,981 +59% $16,866 −6% —
541 MS DRG -OSTEOMYELITIS WITHOUT CC/MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate $15,817 $3,638 $12,684 +25% $14,549 +9% —
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 $15,809 $3,636 $20,308 −22% $18,428 −14% —
700 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC;APR DRG -NEPHRITIS AND NEPHROSIS;SOI -Minor $15,704 $3,612 $13,149 +19% $13,303 +18% —
446 MS DRG -DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Minor $15,636 $3,596 $10,130 +54% $17,700 −12% —
592 SKIN ULCERS WITH MCC $15,596 $3,587 $34,631 −55% $32,662 −52% —
607 MINOR SKIN DISORDERS WITHOUT MCC $15,046 $3,461 $14,778 +2% $15,284 −2% —
894 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG -DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI -Moderate $13,917 $3,201 $11,440 +22% $12,013 +16% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $12,462 $2,866 $15,116 −18% $15,636 −20% —
761 MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC;APR DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Moderate $11,926 $2,743 $7,082 +68% $11,421 +4% —
642 MS DRG -INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG -INBORN ERRORS OF METABOLISM;SOI -Minor $11,874 $2,731 $16,969 −30% $20,727 −43% —
084 MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Minor $11,518 $2,649 $12,504 −8% $18,191 −37% —
601 MS DRG -NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Minor $11,464 $2,637 $8,449 +36% $10,975 +4% —
596 MS DRG -MAJOR SKIN DISORDERS WITHOUT MCC;APR DRG -MAJOR SKIN DISORDERS;SOI -Minor $11,215 $2,579 $11,664 −4% $17,226 −35% —
307 MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC;APR DRG -CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Moderate $11,175 $2,570 $11,238 −1% $18,608 −40% —
645 MS DRG -ENDOCRINE DISORDERS WITHOUT CC/MCC;APR DRG -OTHER ENDOCRINE DISORDERS;SOI -Minor $8,531 $1,962 $9,171 −7% $14,166 −40% —
795 MS DRG -NORMAL NEWBORN;APR DRG -NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI -Minor $8,066 $1,855 $2,778 +190% $4,530 +78% —
779 MS DRG -ABORTION WITHOUT D&C;APR DRG -ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Minor $8,034 $1,848 $8,337 −4% $15,327 −48% —
203 MS DRG -BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Minor $7,018 $1,614 $14,737 −52% $12,279 −43% —
789 MS DRG -NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY;APR DRG NEONATE BIRTH WEIGHT < 500 GR OR BIRTH WEIGHT 500-999 GR AND GESTATIONAL AGE <24 WEEKS, OR BIRTH WEIGHT 500-749 GR W MAJOR ANOMALY OR WO LIFE SUSTAINING INTERVENTION;SOI-Extreme $2,062 $474 $9,865 −79% $14,284 −86% —

Procedures with negotiated rates only

These 401 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
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $9,700 – $118,134 · median $71,596 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $9,700 – $80,360 · median $48,703 18 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $9,700 – $74,343 · median $45,056 18 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $9,700 – $95,497 · median $57,877 18 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $9,700 – $66,623 · median $40,377 18 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $9,700 – $58,294 · median $35,329 18 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $9,700 – $62,915 · median $38,131 18 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $9,700 – $43,082 · median $24,673 18 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $9,700 – $104,208 · median $63,156 18 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $9,700 – $76,229 · median $46,199 18 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $9,700 – $96,430 · median $58,442 18 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $9,700 – $66,901 · median $40,546 18 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $9,700 – $73,573 · median $44,590 18 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $9,700 – $52,609 · median $31,885 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,600 – $12,383 · median $10,315 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,600 – $9,392 · median $8,130 18 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,600 – $9,392 · median $8,130 18 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $76,373 – $132,836 · median $80,507 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $74,280 – $129,298 · median $78,362 16 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,877 – $44,091 · median $26,722 16 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,906 – $30,615 · median $18,554 16 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,770 – $25,314 · median $15,342 16 plans
245 AICD GENERATOR PROCEDURES $29,842 – $61,774 · median $37,439 16 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,324 – $31,322 · median $18,983 16 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,202 – $44,545 · median $26,997 16 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,354 – $34,166 · median $20,707 16 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,651 – $24,659 · median $14,945 16 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,178 – $24,001 · median $14,546 16 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,382 – $14,516 · median $8,797 16 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $18,902 – $37,153 · median $22,517 16 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,441 – $24,758 · median $15,005 16 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,977 – $44,259 · median $26,824 16 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,763 – $26,413 · median $16,008 16 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $8,659 – $21,920 · median $13,285 16 plans
263 VEIN LIGATION AND STRIPPING $13,392 – $35,693 · median $21,632 16 plans
265 AICD LEAD PROCEDURES $17,112 – $46,163 · median $27,978 16 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $42,063 – $74,834 · median $45,354 16 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $33,063 – $59,620 · median $36,133 16 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $46,799 – $82,840 · median $50,206 16 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $29,119 – $53,184 · median $32,233 16 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $35,508 – $64,686 · median $39,204 16 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $24,244 – $44,711 · median $27,097 16 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,651 – $33,565 · median $20,342 16 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $25,622 – $50,222 · median $30,438 16 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $20,893 – $40,885 · median $24,779 16 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $49,575 – $87,565 · median $53,070 16 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $43,454 – $77,242 · median $46,814 16 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $32,633 – $58,995 · median $35,755 16 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $35,098 – $63,152 · median $38,274 16 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $22,479 – $41,872 · median $25,377 16 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,326 – $12,730 · median $7,715 16 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,755 – $10,606 · median $6,428 16 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,255 – $36,277 · median $21,986 16 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $6,992 – $15,546 · median $9,422 16 plans
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,981 – $10,456 · median $6,337 16 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $7,176 – $18,491 · median $11,207 16 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,543 – $13,308 · median $8,065 16 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,528 – $12,297 · median $7,453 16 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,207 – $9,190 · median $5,570 16 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,685 – $12,404 · median $7,518 16 plans
302 ATHEROSCLEROSIS WITH MCC $7,115 – $17,726 · median $10,743 16 plans
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $9,205 – $21,678 · median $13,138 16 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,366 – $12,041 · median $7,297 16 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $43,398 – $77,148 · median $46,756 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $28,766 – $55,930 · median $33,897 16 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,339 – $31,348 · median $18,999 16 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $29,880 – $54,352 · median $32,941 16 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $22,414 – $41,762 · median $25,310 16 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,078 – $37,822 · median $22,923 16 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $4,125 – $27,484 · median $22,021 16 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $4,125 – $21,410 · median $17,685 16 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $4,125 – $16,698 · median $14,322 16 plans
662 MINOR BLADDER PROCEDURES WITH MCC $3,900 – $31,333 · median $24,769 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $5,300 – $238,272 · median $172,483 16 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $5,300 – $67,083 · median $50,287 16 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $5,300 – $31,944 · median $25,205 16 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,300 – $43,459 · median $33,425 16 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,300 – $21,552 · median $17,787 16 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $33,976 – $54,196 · median $41,089 15 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $22,151 – $41,218 · median $31,824 15 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $13,726 – $26,617 · median $21,402 15 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $261,863 – $378,787 · median $272,785 15 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $56,550 – $80,966 · median $60,197 15 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,820 – $55,516 · median $42,031 15 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $24,846 – $35,459 · median $27,714 15 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $36,743 – $57,302 · median $43,306 15 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $24,748 – $38,184 · median $29,659 15 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $31,437 – $44,920 · median $34,467 15 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $20,733 – $30,721 · median $24,331 15 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,174 – $24,787 · median $20,096 15 plans
028 SPINAL PROCEDURES WITH MCC $39,304 – $61,063 · median $45,990 15 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $20,538 – $33,715 · median $26,469 15 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $12,525 – $22,352 · median $18,358 15 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $29,466 – $42,090 · median $32,447 15 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,274 – $21,450 · median $17,714 15 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $10,088 – $16,025 · median $13,842 15 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $25,898 – $39,058 · median $30,283 15 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $15,408 – $22,848 · median $18,712 15 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,652 – $18,412 · median $15,545 15 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $22,357 – $33,355 · median $26,212 15 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,042 – $16,184 · median $13,955 15 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $7,215 – $11,432 · median $10,563 15 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $14,963 – $22,681 · median $18,593 15 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,440 – $17,653 · median $15,004 15 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $10,454 – $20,214 · median $16,831 15 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,346 – $9,255 · median $9,009 15 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $9,794 – $15,057 · median $13,151 15 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,555 – $18,540 · median $15,637 15 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,194 – $17,300 · median $14,752 15 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,276 – $9,209 · median $8,977 15 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $10,962 – $15,531 · median $13,489 15 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $6,868 – $10,023 · median $9,557 15 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $8,850 – $19,965 · median $16,654 15 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $13,503 – $23,304 · median $19,037 15 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $14,301 – $22,760 · median $18,649 15 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $8,330 – $13,174 · median $11,806 15 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,335 – $8,879 · median $8,741 15 plans
088 CONCUSSION WITH MCC $10,013 – $14,169 · median $12,517 15 plans
089 CONCUSSION WITH CC $6,868 – $10,768 · median $10,089 15 plans
090 CONCUSSION WITHOUT CC/MCC $5,063 – $8,611 · median $8,549 15 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $16,925 – $24,077 · median $19,590 15 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $14,141 – $24,077 · median $19,590 15 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $8,718 – $13,994 · median $12,392 15 plans
102 HEADACHES WITH MCC $7,162 – $11,646 · median $10,716 15 plans
113 ORBITAL PROCEDURES WITH CC/MCC $13,039 – $22,665 · median $18,582 15 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $6,727 – $11,873 · median $10,878 15 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $8,704 – $15,377 · median $13,379 15 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $10,538 – $16,759 · median $14,366 15 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,075 – $10,833 · median $10,136 15 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $6,727 – $11,683 · median $10,742 15 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,583 – $7,266 · median $7,266 15 plans
123 NEUROLOGICAL EYE DISORDERS $5,291 – $8,161 · median $8,161 15 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $8,337 – $13,096 · median $11,751 15 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $14,031 – $24,217 · median $19,689 15 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $6,986 – $9,825 · median $9,416 15 plans
137 MOUTH PROCEDURES WITH CC/MCC $9,254 – $14,048 · median $12,430 15 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,183 – $8,235 · median $8,235 15 plans
139 SALIVARY GLAND PROCEDURES $6,259 – $13,790 · median $12,247 15 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $27,924 – $42,478 · median $32,724 15 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,176 – $21,580 · median $17,806 15 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,144 – $15,793 · median $13,676 15 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $20,791 – $33,164 · median $26,076 15 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,280 – $17,644 · median $14,997 15 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,432 – $11,900 · median $10,897 15 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $15,676 – $23,042 · median $18,850 15 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,759 – $12,503 · median $11,327 15 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,253 – $8,143 · median $8,143 15 plans
150 EPISTAXIS WITH MCC $9,744 – $13,883 · median $12,312 15 plans
151 EPISTAXIS WITHOUT MCC $4,530 – $7,837 · median $7,837 15 plans
152 OTITIS MEDIA AND URI WITH MCC $7,131 – $11,398 · median $10,539 15 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $9,918 – $16,335 · median $14,063 15 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,454 – $7,224 · median $7,224 15 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,231 – $16,447 · median $14,143 15 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,754 – $25,281 · median $20,448 15 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $12,572 – $18,722 · median $15,767 15 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,927 – $18,352 · median $15,503 15 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,227 – $13,599 · median $12,110 15 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,526 – $30,821 · median $24,403 15 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,527 – $7,921 · median $7,921 15 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,805 – $8,412 · median $8,407 15 plans
183 MAJOR CHEST TRAUMA WITH MCC $10,385 – $15,943 · median $13,783 15 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,883 – $7,979 · median $7,979 15 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,279 – $7,667 · median $7,667 15 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,069 – $9,944 · median $9,501 15 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,042 – $7,424 · median $7,424 15 plans
332 RECTAL RESECTION WITH MCC $24,414 – $34,840 · median $27,272 15 plans
333 RECTAL RESECTION WITH CC $15,013 – $21,347 · median $17,640 15 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,497 – $36,393 · median $28,381 15 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,066 – $24,293 · median $19,744 15 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $27,683 – $42,845 · median $32,986 15 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,256 – $22,619 · median $18,549 15 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,827 – $16,773 · median $14,376 15 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,262 – $10,221 · median $9,698 15 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,025 – $7,407 · median $7,407 15 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,217 – $7,604 · median $7,604 15 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,180 – $8,869 · median $8,733 15 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,384 – $7,775 · median $7,775 15 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $8,988 – $12,698 · median $11,466 15 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,868 – $8,734 · median $8,637 15 plans
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,511 – $16,319 · median $14,052 15 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,086 – $9,969 · median $9,519 15 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $27,444 – $39,294 · median $30,451 15 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $38,130 – $54,526 · median $41,324 15 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $19,153 – $28,208 · median $22,538 15 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $12,823 – $21,452 · median $17,715 15 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $24,642 – $35,167 · median $27,505 15 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $10,995 – $15,579 · median $13,523 15 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,983 – $19,868 · median $16,585 15 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $9,368 – $13,762 · median $12,226 15 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $24,840 – $35,450 · median $27,708 15 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,601 – $16,448 · median $14,144 15 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $9,124 – $14,759 · median $12,938 15 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,119 – $22,933 · median $18,773 15 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $10,958 – $15,526 · median $13,485 15 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $73,445 – $105,215 · median $77,506 15 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $49,825 – $71,340 · median $53,326 15 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $38,611 – $55,283 · median $41,864 15 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $58,506 – $83,773 · median $62,201 15 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $38,376 – $54,946 · median $41,624 15 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,636 – $8,032 · median $8,032 15 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $47,033 – $67,342 · median $50,472 15 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,646 – $41,015 · median $31,679 15 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $36,128 – $51,728 · median $39,326 15 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $21,648 – $30,996 · median $24,528 15 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $59,406 – $85,065 · median $63,123 15 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $40,304 – $57,647 · median $43,551 15 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,357 – $43,370 · median $33,361 15 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $34,417 – $61,637 · median $46,400 15 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,181 – $28,764 · median $22,935 15 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $35,130 – $51,170 · median $38,929 15 plans
471 CERVICAL SPINAL FUSION WITH MCC $33,023 – $48,787 · median $37,227 15 plans
472 CERVICAL SPINAL FUSION WITH CC $19,671 – $29,099 · median $23,174 15 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $14,910 – $23,778 · median $19,376 15 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $25,027 – $45,044 · median $34,556 15 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $7,135 – $11,682 · median $10,742 15 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,898 – $23,489 · median $19,169 15 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,871 – $17,836 · median $15,134 15 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $17,758 – $25,594 · median $20,672 15 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $10,426 – $15,872 · median $13,732 15 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,759 – $12,438 · median $11,282 15 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $21,029 – $35,361 · median $27,644 15 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $7,858 – $13,485 · median $12,029 15 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $7,089 – $11,659 · median $10,725 15 plans
500 SOFT TISSUE PROCEDURES WITH MCC $22,005 – $31,826 · median $25,121 15 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $8,052 – $17,627 · median $14,985 15 plans
506 MAJOR THUMB OR JOINT PROCEDURES $9,122 – $15,057 · median $13,151 15 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,110 – $19,467 · median $16,299 15 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $8,468 – $12,963 · median $11,656 15 plans
509 ARTHROSCOPY $9,466 – $17,644 · median $14,997 15 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $21,781 – $31,060 · median $24,574 15 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $13,850 – $20,206 · median $16,826 15 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,587 – $14,993 · median $13,105 15 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $21,748 – $35,998 · median $28,098 15 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,062 – $19,806 · median $16,540 15 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $9,218 – $14,395 · median $12,678 15 plans
533 FRACTURES OF FEMUR WITH MCC $10,330 – $15,316 · median $13,336 15 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,167 – $8,239 · median $8,239 15 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,060 – $9,230 · median $8,992 15 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,493 – $7,217 · median $7,217 15 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,429 – $7,821 · median $7,821 15 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,318 – $7,753 · median $7,753 15 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,418 – $8,659 · median $8,584 15 plans
551 MEDICAL BACK PROBLEMS WITH MCC $11,466 – $17,139 · median $14,637 15 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $8,479 – $13,117 · median $11,766 15 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,938 – $8,257 · median $8,257 15 plans
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,131 – $18,645 · median $15,712 15 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,290 – $8,265 · median $8,265 15 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $9,813 – $14,699 · median $12,895 15 plans
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $10,143 – $15,761 · median $13,653 15 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,760 – $7,766 · median $7,766 15 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $24,999 – $61,853 · median $46,554 15 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $17,165 – $34,801 · median $27,244 15 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $9,306 – $20,055 · median $16,718 15 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $29,784 – $54,190 · median $41,084 15 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $13,303 – $26,745 · median $21,494 15 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $7,935 – $16,978 · median $14,522 15 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $7,915 – $17,589 · median $14,958 15 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $6,308 – $16,499 · median $14,180 15 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $11,610 – $20,564 · median $17,082 15 plans
594 SKIN ULCERS WITHOUT CC/MCC $4,758 – $8,524 · median $8,488 15 plans
595 MAJOR SKIN DISORDERS WITH MCC $13,190 – $21,244 · median $17,567 15 plans
598 MALIGNANT BREAST DISORDERS WITH CC $7,691 – $10,836 · median $10,138 15 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,665 – $8,587 · median $8,532 15 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $9,328 – $14,922 · median $13,055 15 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,089 – $22,890 · median $18,742 15 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $9,846 – $14,393 · median $12,677 15 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,918 – $12,506 · median $11,330 15 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,220 – $27,385 · median $21,950 15 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,316 – $16,040 · median $13,852 15 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,370 – $14,682 · median $12,883 15 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $6,778 – $10,075 · median $9,595 15 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $16,560 – $28,797 · median $22,958 15 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $8,532 – $15,159 · median $13,224 15 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,764 – $12,725 · median $11,486 15 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,105 – $39,631 · median $30,692 15 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,040 – $22,590 · median $18,528 15 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $8,605 – $14,075 · median $12,449 15 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $39,151 – $55,991 · median $42,370 15 plans
654 MAJOR BLADDER PROCEDURES WITH CC $19,889 – $28,345 · median $22,636 15 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,670 – $20,864 · median $17,296 15 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $22,940 – $32,723 · median $25,761 15 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,934 – $18,361 · median $15,509 15 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,407 – $15,106 · median $13,186 15 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,225 – $25,957 · median $20,931 15 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,518 – $13,459 · median $12,010 15 plans
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $7,325 – $10,311 · median $9,763 15 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,729 – $15,341 · median $13,353 15 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,697 – $10,846 · median $10,144 15 plans
665 PROSTATECTOMY WITH MCC $21,562 – $34,487 · median $27,020 15 plans
666 PROSTATECTOMY WITH CC $11,646 – $16,545 · median $14,213 15 plans
667 PROSTATECTOMY WITHOUT CC/MCC $6,145 – $10,323 · median $9,772 15 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $17,349 – $29,291 · median $23,311 15 plans
669 TRANSURETHRAL PROCEDURES WITH CC $9,130 – $15,543 · median $13,498 15 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,841 – $9,599 · median $9,255 15 plans
671 URETHRAL PROCEDURES WITH CC/MCC $10,181 – $17,313 · median $14,761 15 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,881 – $10,992 · median $10,249 15 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $9,511 – $15,722 · median $13,625 15 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $11,801 – $18,940 · median $15,922 15 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,365 – $10,573 · median $9,950 15 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,774 – $7,595 · median $7,595 15 plans
693 URINARY STONES WITH MCC $9,940 – $14,769 · median $12,945 15 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,033 – $11,328 · median $10,489 15 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,657 – $7,363 · median $7,363 15 plans
697 URETHRAL STRICTURE $5,785 – $10,062 · median $9,585 15 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $12,721 – $19,491 · median $16,316 15 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $9,075 – $14,890 · median $13,032 15 plans
709 PENIS PROCEDURES WITH CC/MCC $14,091 – $22,570 · median $18,513 15 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $9,113 – $15,080 · median $13,167 15 plans
711 TESTES PROCEDURES WITH CC/MCC $13,511 – $19,190 · median $16,101 15 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $5,905 – $10,743 · median $10,071 15 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $9,284 – $14,524 · median $12,770 15 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,899 – $9,438 · median $9,140 15 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $13,433 – $22,682 · median $18,594 15 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $6,774 – $14,255 · median $12,578 15 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,708 – $17,365 · median $14,798 15 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,566 – $7,627 · median $7,627 15 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,970 – $7,740 · median $7,740 15 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $9,831 – $14,759 · median $12,938 15 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,416 – $8,261 · median $8,261 15 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,265 – $11,057 · median $10,296 15 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,288 – $6,754 · median $6,754 15 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,856 – $21,121 · median $17,479 15 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,195 – $12,192 · median $11,106 15 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $27,695 – $39,549 · median $30,633 15 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,064 – $20,072 · median $16,730 15 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,016 – $15,236 · median $13,278 15 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,303 – $39,984 · median $30,944 15 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,005 – $18,263 · median $15,439 15 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $8,067 – $13,796 · median $12,251 15 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $9,716 – $16,820 · median $14,409 15 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $6,856 – $13,683 · median $12,170 15 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,067 – $26,000 · median $20,962 15 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $7,489 – $12,952 · median $11,648 15 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,709 – $11,150 · median $10,362 15 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,053 – $10,044 · median $9,250 15 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,044 – $14,215 · median $12,550 15 plans
799 SPLENIC PROCEDURES WITH MCC $10,044 – $47,757 · median $36,492 15 plans
800 SPLENIC PROCEDURES WITH CC $10,044 – $29,266 · median $23,293 15 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,044 – $16,489 · median $14,173 15 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,226 – $36,006 · median $28,104 15 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,330 – $17,878 · median $15,165 15 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,865 – $11,105 · median $10,329 15 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $11,781 – $20,997 · median $17,391 15 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,087 – $10,206 · median $9,688 15 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,755 – $7,130 · median $7,130 15 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $40,145 – $58,479 · median $44,146 15 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,763 – $22,422 · median $18,408 15 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,144 – $11,487 · median $10,603 15 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,532 – $22,091 · median $18,171 15 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $8,754 – $12,362 · median $11,227 15 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $10,044 – $47,965 · median $36,641 15 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $10,044 – $23,703 · median $19,322 15 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,406 – $16,100 · median $13,895 15 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $21,280 – $30,974 · median $24,512 15 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $8,281 – $14,689 · median $12,888 15 plans
834 ACUTE LEUKEMIA WITH MCC $36,213 – $55,516 · median $42,031 15 plans
835 ACUTE LEUKEMIA WITH CC $15,087 – $21,453 · median $17,716 15 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $7,711 – $12,763 · median $11,513 15 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $35,180 – $50,292 · median $38,302 15 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,334 – $20,371 · median $16,944 15 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $8,707 – $13,764 · median $12,228 15 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,331 – $10,565 · median $9,944 15 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,131 – $19,016 · median $15,977 15 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,505 – $12,005 · median $10,972 15 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,997 – $8,405 · median $8,402 15 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,098 – $25,650 · median $20,712 15 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,329 – $12,763 · median $11,513 15 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,526 – $8,274 · median $8,274 15 plans
849 RADIOTHERAPY $9,397 – $26,829 · median $21,553 15 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $64,603 – $92,524 · median $68,448 15 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $10,755 – $16,328 · median $14,058 15 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,485 – $21,885 · median $18,024 15 plans
865 VIRAL ILLNESS WITH MCC $10,469 – $14,824 · median $12,984 15 plans
866 VIRAL ILLNESS WITHOUT MCC $5,327 – $8,887 · median $8,746 15 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,146 – $21,537 · median $17,776 15 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,489 – $10,547 · median $9,932 15 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,499 – $44,500 · median $34,167 15 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $11,981 – $19,059 · median $16,008 15 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $6,938 – $12,245 · median $11,143 15 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $20,445 – $38,781 · median $30,085 15 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $8,860 – $16,555 · median $14,220 15 plans
913 TRAUMATIC INJURY WITH MCC $8,610 – $16,254 · median $14,005 15 plans
914 TRAUMATIC INJURY WITHOUT MCC $4,909 – $9,204 · median $8,973 15 plans
920 COMPLICATIONS OF TREATMENT WITH CC $6,800 – $10,204 · median $9,686 15 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,656 – $7,333 · median $7,333 15 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $19,480 – $31,880 · median $25,159 15 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $12,703 – $21,207 · median $17,540 15 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $8,261 – $19,629 · median $16,414 15 plans
945 REHABILITATION WITH CC/MCC $9,263 – $15,332 · median $13,347 15 plans
946 REHABILITATION WITHOUT CC/MCC $7,954 – $11,214 · median $10,408 15 plans
949 AFTERCARE WITH CC/MCC $6,574 – $10,837 · median $10,139 15 plans
950 AFTERCARE WITHOUT CC/MCC $3,994 – $6,605 · median $6,605 15 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $38,000 – $68,583 · median $51,358 15 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,991 – $26,555 · median $21,358 15 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,527 – $9,166 · median $8,946 15 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,682 – $26,650 · median $21,426 15 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,815 – $16,755 · median $14,363 15 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,855 – $8,257 · median $8,257 11 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $19,009 – $39,469 · median $39,469 6 plans
887 OTHER MENTAL DISORDER DIAGNOSES $6,645 – $11,946 · median $11,946 6 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $7,691 – $14,543 · median $14,543 6 plans
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