Ochsner LSU Health Shreveport - Academic Medical Center (St Mary Pl) — Pricing
759 procedures published in this hospital's Machine-Readable File (MRF) — 311 with a comparable price, 448 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 759 procedures
Published charges
Showing all 311 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 | ||
|---|---|---|---|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $2,665,977 | $746,473 | $462,770 | +476% | $371,366 | +618% |
| 789 | MS DRG -NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY;APR DRG- NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE;SOI -Extreme | $2,488,578 | $696,802 | $9,865 | +25127% | $14,121 | +17523% |
| 790 | MS DRGEXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME,NEONATE;APR DRG-NEONATE BIRTH WEIGHT<500g, OR BIRTH WEIGHT 500-999g AND GESTATIONAL AGE<24 WEEKS,OR BIRTH WEIGHT 500-749g WITH MAJOR ANOMALY OR WITHOUT LIFE SUSTAINING INTERVENTION;SOI-Moderate | $1,514,329 | $424,012 | $61,499 | +2362% | $80,018 | +1792% |
| 143 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC;APR DRG- OTHER MAJOR HEAD AND NECK PROCEDURES;SOI -Extreme | $1,056,339 | $295,775 | $63,177 | +1572% | $52,908 | +1897% |
| 793 | MS DRG -FULL TERM NEONATE WITH MAJOR PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY;SOI -Major | $660,754 | $185,011 | $22,925 | +2782% | $16,708 | +3855% |
| 025 | MS DRG -CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC;APR DRG- POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Extreme | $486,612 | $136,251 | $110,608 | +340% | $88,307 | +451% |
| 549 | MS DRG -SEPTIC ARTHRITIS WITH CC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major | $471,466 | $132,010 | $21,289 | +2115% | $20,808 | +2166% |
| 792 | MS DRG -PREMATURITY WITHOUT MAJOR PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY;SOI -Minor | $448,352 | $125,539 | $13,310 | +3269% | $11,633 | +3754% |
| 791 | MS DRG -PREMATURITY WITH MAJOR PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION;SOI -Extreme | $440,266 | $123,274 | $39,169 | +1024% | $39,254 | +1022% |
| 207 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG- RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Extreme | $427,004 | $119,561 | $160,739 | +166% | $116,058 | +268% |
| 163 | MS DRG -MAJOR CHEST PROCEDURES WITH MCC;APR DRG- OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Extreme | $348,427 | $97,560 | $165,068 | +111% | $88,341 | +294% |
| 783 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITH MCC;APR DRG- CESAREAN SECTION WITH STERILIZATION;SOI -Major | $282,684 | $79,152 | $21,730 | +1201% | $28,375 | +896% |
| 870 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG- SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme | $236,709 | $66,278 | $126,146 | +88% | $137,160 | +73% |
| 922 | MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC;APR DRG- OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Extreme | $234,224 | $65,583 | $31,839 | +636% | $29,409 | +696% |
| 682 | MS DRG -RENAL FAILURE WITH MCC;APR DRG- ACUTE KIDNEY INJURY;SOI -Extreme | $223,476 | $62,573 | $27,953 | +699% | $27,640 | +709% |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $221,755 | $62,091 | $51,057 | +334% | $40,563 | +447% |
| 135 | MS DRG -SINUS AND MASTOID PROCEDURES WITH CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Extreme | $214,035 | $59,930 | $50,039 | +328% | $40,065 | +434% |
| 643 | MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG- OTHER ENDOCRINE DISORDERS;SOI -Major | $210,966 | $59,071 | $39,492 | +434% | $32,953 | +540% |
| 091 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI -Extreme | $206,829 | $57,912 | $34,501 | +499% | $35,990 | +475% |
| 004 | MS DRG -TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG- TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE;SOI -Extreme | $204,395 | $57,231 | $292,218 | −30% | $245,189 | −17% |
| 023 | MS DRG -CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR;APR DRG- OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Major | $185,245 | $51,868 | $185,245 | +0% | $106,778 | +73% |
| 033 | MS DRG -VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC;APR DRG- VENTRICULAR SHUNT PROCEDURES;SOI -Moderate | $185,002 | $51,801 | $71,097 | +160% | $33,962 | +445% |
| 853 | MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG- INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme | $173,593 | $48,606 | $102,538 | +69% | $86,938 | +100% |
| 505 | MS DRG -FOOT PROCEDURES WITHOUT CC/MCC;APR DRG- FOOT AND TOE PROCEDURES;SOI -Moderate | $165,185 | $46,252 | $27,050 | +511% | $31,716 | +421% |
| 512 | MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG- SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Minor | $163,197 | $45,695 | $32,285 | +405% | $35,692 | +357% |
| 483 | MS DRG -MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES;APR DRG- SHOULDER AND ELBOW JOINT REPLACEMENT;SOI -Moderate | $157,496 | $44,099 | $83,829 | +88% | $56,197 | +180% |
| 481 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Moderate | $154,372 | $43,224 | $74,029 | +109% | $50,998 | +203% |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $152,698 | $42,755 | $109,748 | +39% | $53,141 | +187% |
| 482 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Moderate | $152,292 | $42,642 | $60,104 | +153% | $39,675 | +284% |
| 817 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC;APR DRG- ANTEPARTUM WITH O.R. PROCEDURE;SOI -Moderate | $150,840 | $42,235 | $36,606 | +312% | $36,097 | +318% |
| 208 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG- RESPIRATORY FAILURE;SOI -Extreme | $145,172 | $40,648 | $55,384 | +162% | $52,405 | +177% |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $145,102 | $40,629 | $23,471 | +518% | $25,666 | +465% |
| 552 | MS DRG -MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG- OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Moderate | $139,456 | $39,048 | $28,929 | +382% | $20,632 | +576% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $139,420 | $139,420 | $40,098 | +248% | $32,689 | +327% |
| 794 | MS DRG -NEONATE WITH OTHER SIGNIFICANT PROBLEMS;APR DRG- NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH CONGENITAL OR PERINATAL INFECTION;SOI -Minor | $138,340 | $38,735 | $8,809 | +1470% | $7,896 | +1652% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $135,281 | $37,879 | $23,859 | +467% | $21,499 | +529% |
| 540 | OSTEOMYELITIS WITH CC | $131,402 | $36,793 | $23,875 | +450% | $23,494 | +459% |
| 177 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG- MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate | $130,770 | $36,616 | $40,636 | +222% | $31,754 | +312% |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $130,060 | $36,417 | $54,420 | +139% | $47,583 | +173% |
| 823 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC;APR DRG- LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Extreme | $129,358 | $36,220 | $92,884 | +39% | $80,885 | +60% |
| 288 | MS DRG -ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC;APR DRG- ACUTE AND SUBACUTE ENDOCARDITIS;SOI -Major | $125,867 | $35,243 | $29,404 | +328% | $45,497 | +177% |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $123,535 | $34,590 | $77,970 | +58% | $57,181 | +116% |
| 315 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG- POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate | $122,615 | $34,332 | $20,942 | +485% | $20,716 | +492% |
| 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 | $121,926 | $34,139 | $68,944 | +77% | $56,394 | +116% |
| 391 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG- OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Extreme | $120,554 | $33,755 | $26,767 | +350% | $27,041 | +346% |
| 814 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC;APR DRG- COAGULATION AND PLATELET DISORDERS;SOI -Extreme | $118,471 | $33,172 | $27,663 | +328% | $32,506 | +264% |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $117,431 | $32,881 | $93,631 | +25% | $84,825 | +38% |
| 805 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC;APR DRG- VAGINAL DELIVERY;SOI -Extreme | $117,190 | $32,813 | $14,302 | +719% | $15,370 | +662% |
| 498 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Major | $116,879 | $32,726 | $51,021 | +129% | $46,659 | +150% |
| 480 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Moderate | $116,424 | $32,599 | $92,273 | +26% | $63,984 | +82% |
| 825 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate | $114,473 | $32,052 | $46,673 | +145% | $27,319 | +319% |
| 545 | MS DRG -CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG- CONNECTIVE TISSUE DISORDERS;SOI -Extreme | $112,446 | $31,485 | $45,200 | +149% | $39,657 | +184% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $111,670 | $31,268 | $43,392 | +157% | $36,658 | +205% |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $107,066 | $29,979 | $28,212 | +280% | $35,584 | +201% |
| 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 -Minor | $104,216 | $29,181 | $61,521 | +69% | $45,916 | +127% |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $103,684 | $29,031 | $28,835 | +260% | $29,777 | +248% |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $101,518 | $28,425 | $22,592 | +349% | $29,891 | +240% |
| 027 | MS DRG -CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG- OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Minor | $99,115 | $27,752 | $118,597 | −16% | $52,332 | +89% |
| 397 | MS DRG -APPENDIX PROCEDURES WITH MCC;APR DRG- APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate | $97,220 | $27,222 | $88,532 | +10% | $52,319 | +86% |
| 314 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG- OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Moderate | $96,564 | $27,038 | $66,687 | +45% | $38,166 | +153% |
| 489 | MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor | $95,390 | $26,709 | $29,734 | +221% | $27,492 | +247% |
| 740 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY;SOI -Major | $94,921 | $26,578 | $22,395 | +324% | $35,989 | +164% |
| 026 | MS DRG -CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC;APR DRG- OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Minor | $94,208 | $26,378 | $94,208 | +0% | $63,310 | +49% |
| 166 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG- OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Major | $93,180 | $26,090 | $93,180 | +0% | $72,274 | +29% |
| 100 | MS DRG -SEIZURES WITH MCC;APR DRG- SEIZURE;SOI -Extreme | $92,727 | $25,963 | $37,366 | +148% | $35,194 | +163% |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $92,103 | $25,789 | $48,375 | +90% | $51,985 | +77% |
| 983 | MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG- EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor | $89,536 | $25,070 | $30,033 | +198% | $30,930 | +189% |
| 193 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG- CYSTIC FIBROSIS - PULMONARY DISEASE;SOI -Moderate | $89,471 | $25,052 | $31,866 | +181% | $25,766 | +247% |
| 543 | MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG- MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI -Moderate | $87,375 | $24,465 | $25,592 | +241% | $23,400 | +273% |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $87,293 | $24,442 | $9,320 | +837% | $15,680 | +457% |
| 517 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Minor | $86,835 | $24,314 | $53,017 | +64% | $33,137 | +162% |
| 503 | FOOT PROCEDURES WITH MCC | $86,629 | $24,256 | $54,196 | +60% | $43,982 | +97% |
| 468 | MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG- ELECTIVE HIP JOINT REPLACEMENT;SOI -Moderate | $86,045 | $24,093 | $108,088 | −20% | $54,929 | +57% |
| 206 | MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG- MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS;SOI -Moderate | $83,115 | $23,272 | $10,667 | +679% | $17,731 | +369% |
| 741 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY;SOI -Minor | $83,113 | $23,272 | $14,722 | +465% | $29,029 | +186% |
| 096 | MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG- MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Minor | $82,717 | $23,161 | $34,861 | +137% | $39,093 | +112% |
| 826 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate | $82,639 | $23,139 | $82,639 | +0% | $85,882 | −4% |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $82,602 | $23,129 | $31,559 | +162% | $36,850 | +124% |
| 477 | MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Major | $82,182 | $23,011 | $62,783 | +31% | $61,353 | +34% |
| 811 | MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG- SICKLE CELL ANEMIA CRISIS;SOI -Major | $82,089 | $22,985 | $23,654 | +247% | $27,674 | +197% |
| 655 | MS DRG -MAJOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER BLADDER PROCEDURES;SOI -Moderate | $81,095 | $22,707 | $65,265 | +24% | $41,701 | +94% |
| 827 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC;APR DRG- MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate | $81,024 | $22,687 | $64,043 | +27% | $47,546 | +70% |
| 470 | MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG- ELECTIVE KNEE JOINT REPLACEMENT;SOI -Minor | $80,345 | $22,497 | $77,962 | +3% | $48,801 | +65% |
| 758 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI -Moderate | $80,197 | $22,455 | $12,451 | +544% | $19,091 | +320% |
| 801 | MS DRG -SPLENIC PROCEDURES WITHOUT CC/MCC;APR DRG- SPLENIC PROCEDURES;SOI -Minor | $79,709 | $22,319 | $14,038 | +468% | $28,554 | +179% |
| 516 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Minor | $79,666 | $22,306 | $50,042 | +59% | $45,594 | +75% |
| 871 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG- SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Major | $78,583 | $22,003 | $47,280 | +66% | $34,876 | +125% |
| 580 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG- MASTECTOMY PROCEDURES;SOI -Moderate | $76,946 | $21,545 | $59,184 | +30% | $36,355 | +112% |
| 988 | MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG- NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate | $76,509 | $21,422 | $47,723 | +60% | $38,094 | +101% |
| 641 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG- MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS;SOI -Major | $73,392 | $20,550 | $16,702 | +339% | $16,718 | +339% |
| 742 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG- FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;SOI -Moderate | $73,036 | $20,450 | $43,855 | +67% | $40,552 | +80% |
| 182 | MS DRG -RESPIRATORY NEOPLASMS WITHOUT CC/MCC;APR DRG- RESPIRATORY MALIGNANCY;SOI -Minor | $70,010 | $19,603 | $21,502 | +226% | $14,064 | +398% |
| 094 | MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC;APR DRG- BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI -Extreme | $69,845 | $19,557 | $38,370 | +82% | $61,206 | +14% |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $69,751 | $19,530 | $26,463 | +164% | $29,751 | +134% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $69,596 | $19,487 | $61,736 | +13% | $43,444 | +60% |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $69,581 | $19,483 | $18,573 | +275% | $31,743 | +119% |
| 566 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $69,185 | $19,372 | $10,263 | +574% | $14,337 | +383% |
| 176 | MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG- PULMONARY EMBOLISM;SOI -Moderate | $68,148 | $19,082 | $18,538 | +268% | $17,693 | +285% |
| 736 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY;SOI -Major | $68,097 | $19,067 | $40,932 | +66% | $61,832 | +10% |
| 398 | MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG- APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate | $67,863 | $19,002 | $52,201 | +30% | $38,574 | +76% |
| 113 | MS DRG -ORBITAL PROCEDURES WITH CC/MCC;APR DRG- ORBIT AND EYE PROCEDURES;SOI -Minor | $67,581 | $18,923 | $26,052 | +159% | $35,642 | +90% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $66,905 | $18,734 | $24,757 | +170% | $19,287 | +247% |
| 546 | MS DRG -CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG- CONNECTIVE TISSUE DISORDERS;SOI -Minor | $66,819 | $18,709 | $36,114 | +85% | $24,146 | +177% |
| 189 | MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG- RESPIRATORY FAILURE;SOI -Major | $65,201 | $18,256 | $34,870 | +87% | $24,603 | +165% |
| 640 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG- MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS;SOI -Major | $65,178 | $18,250 | $35,544 | +83% | $24,244 | +169% |
| 907 | MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH MCC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Major | $62,303 | $17,445 | $62,830 | −1% | $71,519 | −13% |
| 121 | MS DRG -ACUTE MAJOR EYE INFECTIONS WITH CC/MCC;APR DRG- EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate | $61,762 | $17,293 | $16,800 | +268% | $18,291 | +238% |
| 784 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITH CC;APR DRG- CESAREAN SECTION WITH STERILIZATION;SOI -Major | $61,208 | $17,138 | $18,030 | +239% | $22,587 | +171% |
| 737 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR OVARIAN AND ADNEXAL MALIGNANCY;SOI -Moderate | $61,180 | $17,130 | $29,051 | +111% | $43,320 | +41% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $61,005 | $17,081 | $24,373 | +150% | $20,732 | +194% |
| 444 | MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG- DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Major | $60,606 | $16,970 | $49,470 | +23% | $31,029 | +95% |
| 418 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG- CHOLECYSTECTOMY;SOI -Moderate | $60,090 | $16,825 | $46,416 | +29% | $42,119 | +43% |
| 627 | MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC;APR DRG- THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Minor | $59,818 | $16,749 | $26,357 | +127% | $25,621 | +133% |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $59,722 | $16,722 | $44,892 | +33% | $37,839 | +58% |
| 769 | MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES;APR DRG- POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Minor | $59,645 | $16,701 | $30,170 | +98% | $24,561 | +143% |
| 142 | MS DRG -MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC;APR DRG- FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL OR FACIAL BONE PROCEDURES;SOI -Minor | $59,490 | $16,657 | $46,585 | +28% | $34,906 | +70% |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $58,235 | $16,306 | $17,898 | +225% | $35,381 | +65% |
| 637 | MS DRG -DIABETES WITH MCC;APR DRG- DIABETES;SOI -Moderate | $58,150 | $16,282 | $39,314 | +48% | $28,772 | +102% |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $55,549 | $15,554 | $39,010 | +42% | $39,923 | +39% |
| 654 | MS DRG -MAJOR BLADDER PROCEDURES WITH CC;APR DRG- OTHER BLADDER PROCEDURES;SOI -Moderate | $55,302 | $15,485 | $51,569 | +7% | $53,868 | +3% |
| 145 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor | $54,651 | $15,302 | $22,293 | +145% | $20,837 | +162% |
| 419 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG- CHOLECYSTECTOMY;SOI -Minor | $54,324 | $15,211 | $36,340 | +49% | $34,564 | +57% |
| 476 | MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG- AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Minor | $54,238 | $15,187 | $27,469 | +97% | $21,025 | +158% |
| 833 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Major | $54,033 | $15,129 | $10,165 | +432% | $9,063 | +496% |
| 071 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI -Major | $53,964 | $15,110 | $22,186 | +143% | $23,396 | +131% |
| 328 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG- OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Minor | $52,441 | $14,683 | $34,509 | +52% | $35,375 | +48% |
| 399 | MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG- APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor | $52,092 | $14,586 | $28,191 | +85% | $30,259 | +72% |
| 788 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC;APR DRG- CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major | $51,926 | $14,539 | $19,083 | +172% | $20,084 | +159% |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $51,609 | $14,451 | $78,622 | −34% | $68,421 | −25% |
| 743 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG- UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Moderate | $51,063 | $14,298 | $30,778 | +66% | $27,369 | +87% |
| 813 | MS DRG -COAGULATION DISORDERS;APR DRG- COAGULATION AND PLATELET DISORDERS;SOI -Minor | $50,706 | $14,198 | $47,828 | +6% | $30,128 | +68% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $50,187 | $14,052 | $25,271 | +99% | $22,850 | +120% |
| 331 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG- MAJOR SMALL BOWEL PROCEDURES;SOI -Minor | $50,004 | $14,001 | $51,631 | −3% | $44,087 | +13% |
| 032 | MS DRG -VENTRICULAR SHUNT PROCEDURES WITH CC;APR DRG- VENTRICULAR SHUNT PROCEDURES;SOI -Minor | $49,303 | $13,805 | $49,303 | +0% | $44,719 | +10% |
| 030 | MS DRG -SPINAL PROCEDURES WITHOUT CC/MCC;APR DRG- SPINAL PROCEDURES;SOI -Minor | $48,207 | $13,498 | $68,218 | −29% | $45,842 | +5% |
| 787 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH CC;APR DRG- CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major | $47,409 | $13,275 | $22,755 | +108% | $23,571 | +101% |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $46,907 | $13,134 | $49,159 | −5% | $37,975 | +24% |
| 178 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG- MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate | $46,802 | $13,105 | $23,848 | +96% | $22,024 | +113% |
| 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 | $46,187 | $12,932 | $47,716 | −3% | $37,681 | +23% |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $46,111 | $12,911 | $10,785 | +328% | $16,622 | +177% |
| 492 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG- KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $45,154 | $12,643 | $78,830 | −43% | $70,540 | −36% |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $45,113 | $12,632 | $28,222 | +60% | $29,805 | +51% |
| 644 | MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG- OTHER ENDOCRINE DISORDERS;SOI -Moderate | $44,503 | $12,461 | $19,297 | +131% | $22,941 | +94% |
| 786 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH MCC;APR DRG- CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major | $43,946 | $12,305 | $22,942 | +92% | $27,118 | +62% |
| 499 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Minor | $43,835 | $12,274 | $33,727 | +30% | $22,532 | +95% |
| 902 | MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITH CC;APR DRG- OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate | $43,774 | $12,257 | $43,774 | +0% | $35,029 | +25% |
| 916 | MS DRG -ALLERGIC REACTIONS WITHOUT MCC;APR DRG- ALLERGIC REACTIONS;SOI -Moderate | $43,379 | $12,146 | $19,973 | +117% | $13,890 | +212% |
| 581 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG- MASTECTOMY PROCEDURES;SOI -Moderate | $43,321 | $12,130 | $37,749 | +15% | $25,243 | +72% |
| 918 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG- TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI -Moderate | $43,282 | $12,119 | $11,452 | +278% | $15,045 | +188% |
| 819 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG- ANTEPARTUM WITH O.R. PROCEDURE;SOI -Moderate | $42,685 | $11,952 | $14,334 | +198% | $17,851 | +139% |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $42,459 | $11,888 | $10,932 | +288% | $19,686 | +116% |
| 747 | MS DRG -VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC;APR DRG- FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;SOI -Minor | $42,403 | $11,873 | $21,846 | +94% | $19,326 | +119% |
| 797 | MS DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC;APR DRG- VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C;SOI -Moderate | $41,982 | $11,755 | $20,839 | +101% | $19,001 | +121% |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $41,943 | $11,744 | $21,405 | +96% | $22,557 | +86% |
| 785 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC;APR DRG- CESAREAN SECTION WITH STERILIZATION;SOI -Moderate | $40,563 | $11,358 | $18,130 | +124% | $19,815 | +105% |
| 158 | MS DRG -DENTAL AND ORAL DISEASES WITH CC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor | $40,482 | $11,335 | $18,032 | +125% | $17,751 | +128% |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $40,247 | $11,269 | $26,051 | +54% | $21,323 | +89% |
| 352 | MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG- INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Moderate | $39,795 | $11,143 | $30,099 | +32% | $25,038 | +59% |
| 920 | MS DRG -COMPLICATIONS OF TREATMENT WITH CC;APR DRG- OTHER COMPLICATIONS OF TREATMENT;SOI -Minor | $39,670 | $11,108 | $21,587 | +84% | $20,879 | +90% |
| 602 | CELLULITIS WITH MCC | $39,482 | $11,055 | $25,010 | +58% | $29,347 | +35% |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $38,249 | $10,710 | $32,278 | +18% | $29,916 | +28% |
| 464 | MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG- OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Major | $38,111 | $10,671 | $36,687 | +4% | $54,313 | −30% |
| 884 | MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG- ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES;SOI -Moderate | $37,848 | $10,597 | $28,404 | +33% | $25,146 | +51% |
| 908 | MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Minor | $37,636 | $10,538 | $37,636 | +0% | $41,660 | −10% |
| 092 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG- ALTERATION IN CONSCIOUSNESS;SOI -Moderate | $37,273 | $10,437 | $25,748 | +45% | $24,000 | +55% |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $36,349 | $10,178 | $9,324 | +290% | $17,193 | +111% |
| 840 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC;APR DRG- LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Major | $36,128 | $10,116 | $37,712 | −4% | $49,710 | −27% |
| 700 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC;APR DRG- NEPHRITIS AND NEPHROSIS;SOI -Minor | $35,999 | $10,080 | $13,149 | +174% | $13,303 | +171% |
| 848 | MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC;APR DRG- OTHER CHEMOTHERAPY;SOI -Moderate | $35,438 | $9,923 | $11,499 | +208% | $13,822 | +156% |
| 917 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG- TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI -Moderate | $35,324 | $9,891 | $35,324 | +0% | $28,001 | +26% |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $35,276 | $9,877 | $14,790 | +139% | $16,776 | +110% |
| 330 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG- MAJOR SMALL BOWEL PROCEDURES;SOI -Moderate | $35,264 | $9,874 | $75,804 | −53% | $58,713 | −40% |
| 394 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG- OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate | $35,067 | $9,819 | $15,999 | +119% | $18,815 | +86% |
| 776 | MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG- POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Extreme | $34,936 | $9,782 | $9,052 | +286% | $12,205 | +186% |
| 144 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Major | $34,575 | $9,681 | $29,134 | +19% | $29,558 | +17% |
| 689 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG- KIDNEY AND URINARY TRACT INFECTIONS;SOI -Moderate | $34,050 | $9,534 | $24,198 | +41% | $22,870 | +49% |
| 041 | MS DRG -PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR;APR DRG- OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI -Moderate | $33,913 | $9,496 | $41,256 | −18% | $44,989 | −25% |
| 807 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC;APR DRG- VAGINAL DELIVERY;SOI -Major | $33,748 | $9,450 | $15,414 | +119% | $11,957 | +182% |
| 639 | MS DRG -DIABETES WITHOUT CC/MCC;APR DRG- DIABETES;SOI -Moderate | $33,692 | $9,434 | $15,755 | +114% | $13,910 | +142% |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $33,591 | $9,406 | $22,729 | +48% | $29,049 | +16% |
| 770 | MS DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;APR DRG- ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Major | $33,142 | $9,280 | $24,714 | +34% | $17,719 | +87% |
| 558 | MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $32,732 | $9,165 | $16,479 | +99% | $17,296 | +89% |
| 872 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG- SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Minor | $32,495 | $9,098 | $28,123 | +16% | $22,623 | +44% |
| 687 | MS DRG -KIDNEY AND URINARY TRACT NEOPLASMS WITH CC;APR DRG- KIDNEY AND URINARY TRACT MALIGNANCY;SOI -Minor | $31,494 | $8,818 | $21,164 | +49% | $18,000 | +75% |
| 572 | MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG- CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Minor | $30,976 | $8,673 | $28,378 | +9% | $24,426 | +27% |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $30,881 | $8,647 | $18,875 | +64% | $18,005 | +72% |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $30,803 | $8,625 | $17,559 | +75% | $18,038 | +71% |
| 031 | MS DRG -VENTRICULAR SHUNT PROCEDURES WITH MCC;APR DRG- VENTRICULAR SHUNT PROCEDURES;SOI -Extreme | $30,605 | $8,569 | $43,525 | −30% | $68,590 | −55% |
| 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 | $30,536 | $8,550 | $24,264 | +26% | $16,495 | +85% |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $30,414 | $8,516 | $35,519 | −14% | $28,252 | +8% |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $30,378 | $8,506 | $28,290 | +7% | $26,158 | +16% |
| 831 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG- ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Major | $30,084 | $8,424 | $16,000 | +88% | $18,133 | +66% |
| 909 | MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Minor | $29,659 | $8,304 | $31,959 | −7% | $28,156 | +5% |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $29,290 | $8,201 | $19,908 | +47% | $32,976 | −11% |
| 744 | MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC;APR DRG- PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI -Moderate | $29,208 | $8,178 | $29,511 | −1% | $32,901 | −11% |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $29,121 | $8,154 | $54,047 | −46% | $72,843 | −60% |
| 768 | MS DRG -VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C;APR DRG- VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C;SOI -Major | $28,907 | $8,094 | $17,026 | +70% | $17,006 | +70% |
| 606 | MINOR SKIN DISORDERS WITH MCC | $28,710 | $8,039 | $27,050 | +6% | $25,434 | +13% |
| 880 | MS DRG -ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION;APR DRG- ACUTE ANXIETY AND STRESS SYNDROMES;SOI -Moderate | $28,622 | $8,014 | $15,116 | +89% | $15,636 | +83% |
| 868 | MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC;APR DRG- OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Major | $28,172 | $7,888 | $17,665 | +59% | $22,231 | +27% |
| 389 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG- INTESTINAL OBSTRUCTION;SOI -Moderate | $27,969 | $7,831 | $17,413 | +61% | $17,345 | +61% |
| 202 | MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG- ASTHMA;SOI -Moderate | $27,966 | $7,831 | $23,318 | +20% | $17,183 | +63% |
| 948 | MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG- SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Minor | $27,894 | $7,810 | $19,901 | +40% | $17,719 | +57% |
| 806 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC;APR DRG- VAGINAL DELIVERY;SOI -Major | $27,802 | $7,784 | $15,247 | +82% | $13,090 | +112% |
| 812 | MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG- SICKLE CELL ANEMIA CRISIS;SOI -Moderate | $26,827 | $7,512 | $21,472 | +25% | $20,408 | +31% |
| 392 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG- OTHER ESOPHAGEAL DISORDERS;SOI -Moderate | $26,478 | $7,414 | $22,535 | +17% | $17,322 | +53% |
| 711 | MS DRG -TESTES PROCEDURES WITH CC/MCC;APR DRG- PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Minor | $26,421 | $7,398 | $26,421 | +0% | $34,846 | −24% |
| 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 -Moderate | $26,142 | $7,320 | $20,308 | +29% | $18,316 | +43% |
| 439 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG- DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate | $26,096 | $7,307 | $19,517 | +34% | $19,096 | +37% |
| 395 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG- NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY;SOI -Minor | $25,922 | $7,258 | $10,099 | +157% | $14,128 | +83% |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $25,377 | $7,106 | $27,021 | −6% | $23,646 | +7% |
| 834 | ACUTE LEUKEMIA WITH MCC | $25,210 | $7,059 | $40,525 | −38% | $76,004 | −67% |
| 195 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Minor | $24,679 | $6,910 | $18,452 | +34% | $13,747 | +80% |
| 951 | MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG- SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Moderate | $24,586 | $6,884 | $10,551 | +133% | $9,385 | +162% |
| 808 | MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC;APR DRG- MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Moderate | $24,531 | $6,869 | $37,162 | −34% | $36,195 | −32% |
| 159 | MS DRG -DENTAL AND ORAL DISEASES WITHOUT CC/MCC;APR DRG- DENTAL DISEASES AND DISORDERS;SOI -Minor | $24,383 | $6,827 | $11,962 | +104% | $13,362 | +82% |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $24,089 | $6,745 | $24,089 | +0% | $29,476 | −18% |
| 847 | MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC;APR DRG- OTHER CHEMOTHERAPY;SOI -Moderate | $23,881 | $6,687 | $23,881 | +0% | $22,226 | +7% |
| 809 | MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC;APR DRG- MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Major | $23,734 | $6,646 | $22,779 | +4% | $22,010 | +8% |
| 101 | MS DRG -SEIZURES WITHOUT MCC;APR DRG- SEIZURE;SOI -Moderate | $23,357 | $6,540 | $24,986 | −7% | $19,930 | +17% |
| 603 | MS DRG -CELLULITIS WITHOUT MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate | $23,254 | $6,511 | $19,952 | +17% | $18,359 | +27% |
| 204 | MS DRG -RESPIRATORY SIGNS AND SYMPTOMS;APR DRG- RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major | $21,664 | $6,066 | $9,981 | +117% | $16,804 | +29% |
| 541 | MS DRG -OSTEOMYELITIS WITHOUT CC/MCC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Minor | $21,645 | $6,061 | $12,684 | +71% | $14,549 | +49% |
| 504 | MS DRG -FOOT PROCEDURES WITH CC;APR DRG- FOOT AND TOE PROCEDURES;SOI -Moderate | $21,030 | $5,888 | $48,796 | −57% | $36,519 | −42% |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $20,629 | $5,776 | $16,983 | +21% | $15,600 | +32% |
| 866 | MS DRG -VIRAL ILLNESS WITHOUT MCC;APR DRG- VIRAL ILLNESS;SOI -Moderate | $20,449 | $5,726 | $18,361 | +11% | $16,348 | +25% |
| 153 | MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate | $20,195 | $5,655 | $14,829 | +36% | $14,251 | +42% |
| 327 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG- MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Moderate | $20,145 | $5,641 | $54,417 | −63% | $54,681 | −63% |
| 759 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG- FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Minor | $20,080 | $5,622 | $11,815 | +70% | $14,208 | +41% |
| 506 | MS DRG -MAJOR THUMB OR JOINT PROCEDURES;APR DRG- HAND AND WRIST PROCEDURES;SOI -Minor | $19,915 | $5,576 | $19,915 | +0% | $28,983 | −31% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $19,479 | $5,454 | $10,879 | +79% | $16,104 | +21% |
| 556 | MS DRG -SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $19,362 | $5,421 | $14,692 | +32% | $17,562 | +10% |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $19,128 | $5,356 | $28,888 | −34% | $20,007 | −4% |
| 832 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG- ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate | $18,935 | $5,302 | $18,719 | +1% | $12,895 | +47% |
| 919 | MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG- OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate | $18,453 | $5,167 | $31,482 | −41% | $29,031 | −36% |
| 550 | MS DRG -SEPTIC ARTHRITIS WITHOUT CC/MCC;APR DRG- OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Minor | $18,448 | $5,165 | $13,934 | +32% | $16,156 | +14% |
| 661 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC;APR DRG- KIDNEY AND URINARY TRACT INFECTIONS;SOI -Moderate | $17,825 | $4,991 | $27,285 | −35% | $24,008 | −26% |
| 923 | MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG- OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Major | $17,668 | $4,947 | $17,668 | +0% | $16,431 | +8% |
| 316 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG- POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate | $17,466 | $4,890 | $12,331 | +42% | $12,794 | +37% |
| 554 | MS DRG -BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG- OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $17,368 | $4,863 | $24,653 | −30% | $17,579 | −1% |
| 896 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG- OTHER DRUG ABUSE AND DEPENDENCE;SOI -Moderate | $17,262 | $4,833 | $20,366 | −15% | $30,275 | −43% |
| 760 | MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC;APR DRG- MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Major | $17,216 | $4,821 | $17,571 | −2% | $18,199 | −5% |
| 203 | MS DRG -BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG- RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor | $17,166 | $4,807 | $14,737 | +16% | $12,275 | +40% |
| 154 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Major | $17,057 | $4,776 | $35,396 | −52% | $24,465 | −30% |
| 175 | MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG- PULMONARY EMBOLISM;SOI -Major | $16,852 | $4,719 | $21,442 | −21% | $29,521 | −43% |
| 194 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Major | $16,849 | $4,718 | $19,357 | −13% | $18,204 | −7% |
| 779 | MS DRG -ABORTION WITHOUT D&C;APR DRG- ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Minor | $16,668 | $4,667 | $8,337 | +100% | $15,327 | +9% |
| 728 | MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC;APR DRG- MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Minor | $16,622 | $4,654 | $13,061 | +27% | $16,622 | +0% |
| 312 | MS DRG -SYNCOPE AND COLLAPSE;APR DRG- SYNCOPE AND COLLAPSE;SOI -Minor | $16,582 | $4,643 | $20,728 | −20% | $19,342 | −14% |
| 897 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG- OTHER DRUG ABUSE AND DEPENDENCE;SOI -Extreme | $16,556 | $4,636 | $13,087 | +27% | $15,923 | +4% |
| 064 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG- CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Major | $16,342 | $4,576 | $36,919 | −56% | $35,714 | −54% |
| 835 | MS DRG -ACUTE LEUKEMIA WITH CC;APR DRG- ACUTE LEUKEMIA;SOI -Moderate | $15,836 | $4,434 | $26,553 | −40% | $35,569 | −55% |
| 886 | MS DRG -BEHAVIORAL AND DEVELOPMENTAL DISORDERS;APR DRG- DISORDERS OF IMPULSE CONTROL & DEVELOPMENT;SOI -Minor | $15,141 | $4,240 | $14,677 | +3% | $24,447 | −38% |
| 390 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG- INTESTINAL OBSTRUCTION;SOI -Minor | $14,939 | $4,183 | $12,107 | +23% | $13,318 | +12% |
| 638 | MS DRG -DIABETES WITH CC;APR DRG- MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor | $14,779 | $4,138 | $21,692 | −32% | $18,763 | −21% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $14,775 | $4,137 | $19,824 | −25% | $26,098 | −43% |
| 093 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG- OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor | $14,742 | $4,128 | $15,799 | −7% | $17,522 | −16% |
| 310 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG- CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor | $14,734 | $4,126 | $11,589 | +27% | $13,384 | +10% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $14,302 | $4,005 | $19,922 | −28% | $15,878 | −10% |
| 690 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG- KIDNEY AND URINARY TRACT INFECTIONS;SOI -Moderate | $14,102 | $3,949 | $18,582 | −24% | $17,379 | −19% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,057 | $3,936 | $28,616 | −51% | $29,929 | −53% |
| 865 | MS DRG -VIRAL ILLNESS WITH MCC;APR DRG- VIRAL ILLNESS;SOI -Major | $13,992 | $3,918 | $15,709 | −11% | $26,088 | −46% |
| 137 | MS DRG -MOUTH PROCEDURES WITH CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor | $13,790 | $3,861 | $13,790 | +0% | $24,348 | −43% |
| 305 | HYPERTENSION WITHOUT MCC | $13,704 | $3,837 | $15,455 | −11% | $16,897 | −19% |
| 694 | MS DRG -URINARY STONES WITHOUT MCC;APR DRG- URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Minor | $13,576 | $3,801 | $10,566 | +28% | $16,451 | −17% |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,473 | $3,772 | $10,853 | +24% | $14,861 | −9% |
| 887 | MS DRG -OTHER MENTAL DISORDER DIAGNOSES;APR DRG- EATING DISORDERS;SOI -Moderate | $13,246 | $3,709 | $7,728 | +71% | $20,557 | −36% |
| 683 | MS DRG -RENAL FAILURE WITH CC;APR DRG- ACUTE KIDNEY INJURY;SOI -Moderate | $12,879 | $3,606 | $16,875 | −24% | $18,322 | −30% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $12,797 | $3,583 | $10,130 | +26% | $17,700 | −28% |
| 057 | MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG- DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Moderate | $12,589 | $3,525 | $32,819 | −62% | $25,412 | −50% |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,514 | $3,504 | $11,664 | +7% | $17,226 | −27% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,435 | $3,482 | $30,606 | −59% | $29,867 | −58% |
| 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 | $12,232 | $3,425 | $12,232 | +0% | $18,243 | −33% |
| 377 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG- OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate | $12,152 | $3,403 | $46,940 | −74% | $37,842 | −68% |
| 200 | MS DRG -PNEUMOTHORAX WITH CC;APR DRG- OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor | $11,564 | $3,238 | $22,598 | −49% | $20,573 | −44% |
| 313 | MS DRG -CHEST PAIN;APR DRG- CHEST PAIN;SOI -Minor | $11,498 | $3,219 | $11,202 | +3% | $15,837 | −27% |
| 303 | MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG- OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Minor | $11,023 | $3,086 | $14,621 | −25% | $14,927 | −26% |
| 156 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor | $11,006 | $3,082 | $11,169 | −1% | $13,198 | −17% |
| 306 | MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC;APR DRG- CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Moderate | $10,975 | $3,073 | $24,497 | −55% | $24,450 | −55% |
| 947 | MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG- SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major | $10,548 | $2,954 | $26,617 | −60% | $25,474 | −59% |
| 795 | MS DRG -NORMAL NEWBORN;APR DRG- NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI -Moderate | $10,532 | $2,949 | $2,778 | +279% | $4,521 | +133% |
| 152 | MS DRG -OTITIS MEDIA AND URI WITH MCC;APR DRG- INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate | $10,472 | $2,932 | $14,444 | −27% | $19,657 | −47% |
| 816 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC;APR DRG- OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor | $10,426 | $2,919 | $7,343 | +42% | $13,485 | −23% |
| 301 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG- PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Minor | $10,422 | $2,918 | $11,377 | −8% | $15,598 | −33% |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $10,314 | — | $26,624 | −61% | $38,878 | −73% |
| 645 | MS DRG -ENDOCRINE DISORDERS WITHOUT CC/MCC;APR DRG- THYROID DISORDERS;SOI -Minor | $10,263 | $2,874 | $9,171 | +12% | $14,166 | −28% |
| 883 | MS DRG -DISORDERS OF PERSONALITY AND IMPULSE CONTROL;APR DRG- EATING DISORDERS;SOI -Minor | $10,070 | $2,820 | $12,046 | −16% | $22,698 | −56% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $9,720 | $2,722 | $21,582 | −55% | $21,886 | −56% |
| 642 | MS DRG -INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG- INBORN ERRORS OF METABOLISM;SOI -Moderate | $9,652 | $2,703 | $16,969 | −43% | $20,727 | −53% |
| 090 | MS DRG -CONCUSSION WITHOUT CC/MCC;APR DRG- CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI -Moderate | $9,320 | $2,610 | $8,016 | +16% | $14,873 | −37% |
| 864 | MS DRG -FEVER AND INFLAMMATORY CONDITIONS;APR DRG- FEVER AND INFLAMMATORY CONDITIONS;SOI -Moderate | $9,008 | $2,522 | $14,916 | −40% | $17,412 | −48% |
| 122 | MS DRG -ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC;APR DRG- EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Minor | $8,637 | $2,418 | $7,537 | +15% | $11,997 | −28% |
| 551 | MS DRG -MEDICAL BACK PROBLEMS WITH MCC;APR DRG- OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Minor | $8,472 | $2,372 | $44,103 | −81% | $31,067 | −73% |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $8,449 | $2,366 | $8,449 | +0% | $10,975 | −23% |
| 309 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG- CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate | $8,384 | $2,348 | $22,998 | −64% | $16,645 | −50% |
| 103 | MS DRG -HEADACHES WITHOUT MCC;APR DRG- MIGRAINE AND OTHER HEADACHES;SOI -Major | $8,274 | $2,317 | $8,786 | −6% | $20,076 | −59% |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $8,096 | $2,267 | $20,711 | −61% | $14,134 | −43% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,256 | $2,032 | $28,867 | −75% | $18,150 | −60% |
| 299 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG- PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major | $6,568 | $1,839 | $21,036 | −69% | $25,596 | −74% |
| 157 | MS DRG -DENTAL AND ORAL DISEASES WITH MCC;APR DRG- OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Moderate | $6,279 | $1,758 | $17,365 | −64% | $27,457 | −77% |
| 125 | MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG- EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Minor | $4,796 | $1,343 | $18,156 | −74% | $15,876 | −70% |
| 885 | MS DRG -PSYCHOSES;APR DRG- SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI -Major | $4,724 | $1,323 | $16,075 | −71% | $21,489 | −78% |
| 761 | MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC;APR DRG- MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Minor | $4,638 | $1,299 | $7,082 | −35% | $11,421 | −59% |
| 445 | MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG- DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Minor | $4,505 | $1,261 | $18,217 | −75% | $21,666 | −79% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $4,380 | $1,226 | $26,439 | −83% | $24,277 | −82% |
| 607 | MS DRG -MINOR SKIN DISORDERS WITHOUT MCC;APR DRG- OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Minor | $4,348 | $1,217 | $14,778 | −71% | $15,276 | −72% |
| 123 | MS DRG -NEUROLOGICAL EYE DISORDERS;APR DRG- EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Minor | $4,328 | $1,212 | $19,922 | −78% | $17,831 | −76% |
| 730 | MS DRG -OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG- MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Minor | $4,195 | $1,175 | $4,069 | +3% | $11,071 | −62% |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $4,125 | $1,155 | $9,044 | −54% | $12,536 | −67% |
| 055 | MS DRG -NERVOUS SYSTEM NEOPLASMS WITHOUT MCC;APR DRG- NERVOUS SYSTEM MALIGNANCY;SOI -Minor | $4,076 | $1,141 | $12,752 | −68% | $19,868 | −79% |
| 684 | MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG- ACUTE KIDNEY INJURY;SOI -Moderate | $4,058 | $1,136 | $15,085 | −73% | $13,455 | −70% |
Procedures with negotiated rates only
These 448 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 – $134,987 · median $81,810 | 19 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $9,700 – $93,628 · median $56,744 | 19 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $9,700 – $110,201 · median $66,789 | 19 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $9,700 – $78,587 · median $47,629 | 19 plans |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $9,700 – $74,528 · median $46,330 | 19 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $9,700 – $50,217 · median $32,465 | 19 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $9,700 – $119,740 · median $72,569 | 19 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $9,700 – $89,105 · median $54,003 | 19 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $9,700 – $111,223 · median $67,408 | 19 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $9,700 – $78,892 · median $47,813 | 19 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $9,700 – $86,197 · median $52,241 | 19 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $9,700 – $63,244 · median $38,330 | 19 plans |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $67,952 – $147,210 · median $98,937 | 17 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $9,700 – $87,040 · median $52,752 | 17 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $9,700 – $69,468 · median $42,102 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $9,700 – $75,223 · median $45,589 | 17 plans |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $21,755 – $53,917 · median $32,677 | 17 plans |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $14,449 – $39,162 · median $23,735 | 17 plans |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $11,575 – $33,358 · median $20,217 | 17 plans |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $14,832 – $39,937 · median $24,204 | 17 plans |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $10,022 – $30,222 · median $18,317 | 17 plans |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $21,202 – $54,415 · median $32,979 | 17 plans |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $16,374 – $43,050 · median $26,091 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $17,994 – $46,321 · median $28,073 | 17 plans |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $11,273 – $32,749 · median $19,848 | 17 plans |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $21,846 – $54,101 · median $32,789 | 17 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $11,763 – $34,561 · median $20,946 | 17 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $8,659 – $29,642 · median $17,965 | 17 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $38,423 – $87,578 · median $53,077 | 17 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $30,174 – $70,920 · median $42,982 | 17 plans |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $42,764 – $96,344 · median $58,390 | 17 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $26,685 – $63,874 · median $38,711 | 17 plans |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $32,921 – $76,467 · median $46,344 | 17 plans |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $22,091 – $54,596 · median $33,088 | 17 plans |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $16,048 – $42,392 · median $25,692 | 17 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $25,079 – $60,630 · median $36,746 | 17 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $20,017 – $50,407 · median $30,550 | 17 plans |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $45,326 – $101,517 · median $61,525 | 17 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $39,729 – $90,215 · median $54,676 | 17 plans |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $29,836 – $70,236 · median $42,567 | 17 plans |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $32,090 – $74,787 · median $45,326 | 17 plans |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $20,552 – $51,487 · median $31,204 | 17 plans |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $14,195 – $38,650 · median $23,424 | 17 plans |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $6,989 – $24,097 · median $14,604 | 17 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $39,678 – $90,111 · median $54,613 | 17 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $28,174 – $66,880 · median $40,533 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $14,846 – $39,965 · median $24,221 | 17 plans |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $18,259 – $46,856 · median $28,397 | 17 plans |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $11,604 – $33,416 · median $20,252 | 17 plans |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $25,092 – $51,215 · median $36,761 | 16 plans |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $67,186 – $137,133 · median $88,281 | 16 plans |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $45,555 – $92,981 · median $61,806 | 16 plans |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $35,302 – $72,054 · median $49,257 | 16 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $53,494 – $109,187 · median $71,523 | 16 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $35,086 – $71,614 · median $48,993 | 16 plans |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $43,002 – $87,771 · median $58,681 | 16 plans |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $26,190 – $53,457 · median $38,105 | 16 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $33,031 – $67,420 · median $46,478 | 16 plans |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $19,793 – $40,399 · median $30,275 | 16 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $54,319 – $110,870 · median $72,533 | 16 plans |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $36,811 – $75,134 · median $51,104 | 16 plans |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $27,694 – $56,527 · median $39,946 | 16 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $34,417 – $80,336 · median $54,223 | 16 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $18,368 – $37,490 · median $28,531 | 16 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $32,675 – $66,693 · median $46,042 | 16 plans |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $20,964 – $42,791 · median $31,709 | 16 plans |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $31,153 – $63,587 · median $44,180 | 16 plans |
| 472 | CERVICAL SPINAL FUSION WITH CC | $18,582 – $37,927 · median $28,793 | 16 plans |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $14,910 – $31,890 · median $24,634 | 16 plans |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $21,748 – $46,918 · median $34,184 | 16 plans |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $12,647 – $25,814 · median $21,529 | 16 plans |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $9,192 – $18,762 · median $17,301 | 16 plans |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $18,694 – $38,156 · median $28,930 | 16 plans |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $13,521 – $28,598 · median $22,599 | 16 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $69,870 – $151,084 · median $91,566 | 15 plans |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $18,611 – $47,703 · median $28,911 | 15 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $9,684 – $29,540 · median $17,903 | 15 plans |
| 245 | AICD GENERATOR PROCEDURES | $29,842 – $73,278 · median $44,411 | 15 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $11,220 – $32,642 · median $19,783 | 15 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $16,781 – $43,873 · median $26,590 | 15 plans |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $10,863 – $31,920 · median $19,346 | 15 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $5,720 – $21,535 · median $13,052 | 15 plans |
| 263 | VEIN LIGATION AND STRIPPING | $13,392 – $44,722 · median $27,104 | 15 plans |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $18,712 – $55,253 · median $33,486 | 15 plans |
| 265 | AICD LEAD PROCEDURES | $17,112 – $56,186 · median $34,052 | 15 plans |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $10,527 – $31,243 · median $18,935 | 15 plans |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $5,912 – $21,922 · median $13,286 | 15 plans |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $4,651 – $19,375 · median $11,742 | 15 plans |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $12,304 – $35,310 · median $21,400 | 15 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $4,753 – $19,581 · median $11,867 | 15 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $3,601 – $17,254 · median $10,457 | 15 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,279 – $22,663 · median $13,735 | 15 plans |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $8,369 – $26,883 · median $16,293 | 15 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,519 – $17,090 · median $10,358 | 15 plans |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $7,176 – $25,888 · median $15,690 | 15 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $4,543 – $20,213 · median $12,250 | 15 plans |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $9,034 – $31,204 · median $18,912 | 15 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $4,518 – $19,107 · median $11,580 | 15 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $2,833 – $15,704 · median $9,518 | 15 plans |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $6,790 – $23,850 · median $14,454 | 15 plans |
| 302 | ATHEROSCLEROSIS WITH MCC | $7,115 – $25,050 · median $15,182 | 15 plans |
| 304 | HYPERTENSION WITH MCC | $7,368 – $25,199 · median $15,272 | 15 plans |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $5,500 – $21,982 · median $13,322 | 15 plans |
| 311 | ANGINA PECTORIS | $3,653 – $19,028 · median $11,532 | 15 plans |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $27,318 – $65,152 · median $39,486 | 15 plans |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $20,492 – $51,367 · median $31,131 | 15 plans |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $18,357 – $47,054 · median $28,517 | 15 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,125 – $35,822 · median $27,531 | 15 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $4,125 – $27,905 · median $22,783 | 15 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $4,125 – $21,764 · median $19,101 | 15 plans |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $4,125 – $31,111 · median $24,706 | 15 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $12,166 – $40,839 · median $30,539 | 15 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $5,300 – $310,555 · median $192,272 | 15 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $5,300 – $87,433 · median $58,479 | 15 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $5,300 – $41,635 · median $31,016 | 15 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $5,300 – $56,643 · median $40,016 | 15 plans |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $5,300 – $28,091 · median $22,895 | 15 plans |
| 935 | NON-EXTENSIVE BURNS | $5,300 – $28,753 · median $23,292 | 15 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $33,976 – $70,638 · median $48,407 | 14 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $22,151 – $53,722 · median $38,264 | 14 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $13,726 – $34,691 · median $26,852 | 14 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $241,878 – $493,698 · median $302,091 | 14 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $51,701 – $105,528 · median $69,329 | 14 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $35,450 – $72,358 · median $49,439 | 14 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $22,643 – $46,216 · median $33,764 | 14 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $24,383 – $49,768 · median $35,893 | 14 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $38,992 – $79,587 · median $53,774 | 14 plans |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $20,538 – $43,943 · median $32,400 | 14 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $24,941 – $50,907 · median $36,576 | 14 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $14,590 – $29,779 · median $23,907 | 14 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $11,652 – $23,997 · median $20,440 | 14 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $21,299 – $43,474 · median $32,119 | 14 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $10,334 – $21,094 · median $18,699 | 14 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $7,215 – $14,985 · median $14,943 | 14 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $24,193 – $49,381 · median $35,661 | 14 plans |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $11,273 – $23,009 · median $19,847 | 14 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $10,454 – $26,346 · median $21,848 | 14 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $5,910 – $13,283 · median $12,673 | 14 plans |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $12,062 – $32,781 · median $25,707 | 14 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $11,555 – $24,165 · median $20,540 | 14 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $17,339 – $35,390 · median $27,272 | 14 plans |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $11,422 – $23,314 · median $20,030 | 14 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $9,010 – $18,390 · median $17,078 | 14 plans |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $6,522 – $14,033 · median $13,673 | 14 plans |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $4,415 – $11,453 · median $10,232 | 14 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $9,331 – $19,046 · median $17,471 | 14 plans |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $5,654 – $12,970 · median $12,255 | 14 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $5,132 – $12,331 · median $11,403 | 14 plans |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $11,152 – $22,763 · median $19,700 | 14 plans |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $4,812 – $11,939 · median $10,880 | 14 plans |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $6,199 – $14,233 · median $13,940 | 14 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $5,881 – $13,248 · median $12,626 | 14 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $9,917 – $20,243 · median $18,189 | 14 plans |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $6,400 – $13,884 · median $13,474 | 14 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,276 – $11,284 · median $10,006 | 14 plans |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $8,850 – $26,022 · median $21,654 | 14 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $5,202 – $13,153 · median $12,499 | 14 plans |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $13,503 – $30,374 · median $24,264 | 14 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $8,918 – $18,202 · median $16,965 | 14 plans |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $6,100 – $13,556 · median $13,036 | 14 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $14,301 – $29,664 · median $23,838 | 14 plans |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $8,330 – $17,170 · median $16,346 | 14 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $5,335 – $12,990 · median $12,281 | 14 plans |
| 088 | CONCUSSION WITH MCC | $9,048 – $18,467 · median $17,124 | 14 plans |
| 089 | CONCUSSION WITH CC | $6,868 – $14,466 · median $14,250 | 14 plans |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $22,991 – $46,926 · median $34,189 | 14 plans |
| 102 | HEADACHES WITH MCC | $7,162 – $15,179 · median $15,152 | 14 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $6,727 – $15,475 · median $15,330 | 14 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $8,704 – $20,042 · median $18,068 | 14 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $10,538 – $21,844 · median $19,149 | 14 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $8,337 – $17,069 · median $16,286 | 14 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,274 – $13,729 · median $13,267 | 14 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,183 – $12,436 · median $11,543 | 14 plans |
| 139 | SALIVARY GLAND PROCEDURES | $6,259 – $17,974 · median $16,828 | 14 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $27,125 – $55,364 · median $39,249 | 14 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $13,780 – $28,126 · median $22,916 | 14 plans |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $14,714 – $30,032 · median $24,059 | 14 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $7,984 – $16,296 · median $15,822 | 14 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,135 – $12,336 · median $11,409 | 14 plans |
| 149 | DYSEQUILIBRIUM | $4,533 – $11,918 · median $10,852 | 14 plans |
| 150 | EPISTAXIS WITH MCC | $8,865 – $18,094 · median $16,900 | 14 plans |
| 151 | EPISTAXIS WITHOUT MCC | $4,530 – $12,001 · median $10,962 | 14 plans |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $11,955 – $24,402 · median $20,682 | 14 plans |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,684 – $17,724 · median $16,678 | 14 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $19,681 – $40,171 · median $30,138 | 14 plans |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,937 – $12,092 · median $11,084 | 14 plans |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $7,121 – $14,766 · median $14,650 | 14 plans |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $10,180 – $20,779 · median $18,510 | 14 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $6,850 – $14,435 · median $14,209 | 14 plans |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $4,883 – $12,155 · median $11,168 | 14 plans |
| 186 | PLEURAL EFFUSION WITH MCC | $10,134 – $20,684 · median $18,453 | 14 plans |
| 187 | PLEURAL EFFUSION WITH CC | $6,439 – $13,932 · median $13,538 | 14 plans |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $4,709 – $11,814 · median $10,713 | 14 plans |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $7,203 – $14,866 · median $14,784 | 14 plans |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $5,510 – $12,794 · median $12,020 | 14 plans |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $4,151 – $11,131 · median $9,802 | 14 plans |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $11,799 – $24,665 · median $20,840 | 14 plans |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $6,350 – $13,822 · median $13,391 | 14 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $4,492 – $11,548 · median $10,358 | 14 plans |
| 199 | PNEUMOTHORAX WITH MCC | $11,322 – $23,110 · median $19,908 | 14 plans |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $4,343 – $11,365 · median $10,114 | 14 plans |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $32,575 – $66,489 · median $45,920 | 14 plans |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $29,451 – $60,113 · median $42,096 | 14 plans |
| 332 | RECTAL RESECTION WITH MCC | $22,247 – $45,409 · median $33,279 | 14 plans |
| 333 | RECTAL RESECTION WITH CC | $13,631 – $27,822 · median $22,734 | 14 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $10,638 – $21,713 · median $19,070 | 14 plans |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,239 – $47,434 · median $34,494 | 14 plans |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $13,548 – $27,652 · median $22,632 | 14 plans |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $9,846 – $20,096 · median $18,101 | 14 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,282 – $35,274 · median $27,202 | 14 plans |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $9,548 – $19,489 · median $17,736 | 14 plans |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $7,987 – $16,302 · median $15,826 | 14 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $15,180 – $30,984 · median $24,629 | 14 plans |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $8,074 – $16,480 · median $15,933 | 14 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $5,650 – $12,965 · median $12,248 | 14 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $15,513 – $31,663 · median $25,037 | 14 plans |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $9,649 – $19,695 · median $17,860 | 14 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $18,811 – $38,396 · median $29,074 | 14 plans |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $10,910 – $22,269 · median $19,404 | 14 plans |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $7,837 – $17,453 · median $16,516 | 14 plans |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $27,359 – $55,842 · median $39,536 | 14 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $14,444 – $29,481 · median $23,728 | 14 plans |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $8,691 – $17,740 · median $16,688 | 14 plans |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $10,711 – $21,862 · median $19,160 | 14 plans |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $6,527 – $14,038 · median $13,680 | 14 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $4,477 – $11,530 · median $10,334 | 14 plans |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $11,211 – $22,883 · median $19,772 | 14 plans |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $13,542 – $27,640 · median $22,625 | 14 plans |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $7,881 – $16,085 · median $15,695 | 14 plans |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $5,663 – $12,982 · median $12,271 | 14 plans |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $12,342 – $25,191 · median $21,156 | 14 plans |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $6,985 – $14,600 · median $14,429 | 14 plans |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $4,806 – $11,932 · median $10,871 | 14 plans |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $8,108 – $16,550 · median $15,974 | 14 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $5,577 – $12,877 · median $12,130 | 14 plans |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $10,421 – $21,270 · median $18,805 | 14 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $6,366 – $13,841 · median $13,417 | 14 plans |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $4,299 – $11,312 · median $10,043 | 14 plans |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $9,427 – $19,242 · median $17,589 | 14 plans |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $34,818 – $71,067 · median $48,665 | 14 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $18,012 – $36,765 · median $28,096 | 14 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,456 – $45,836 · median $33,535 | 14 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $13,446 – $27,445 · median $22,508 | 14 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $9,948 – $20,305 · median $18,226 | 14 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $22,472 – $45,868 · median $33,555 | 14 plans |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $12,687 – $25,895 · median $21,578 | 14 plans |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $8,788 – $17,937 · median $16,806 | 14 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $22,637 – $46,205 · median $33,756 | 14 plans |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,503 – $21,438 · median $18,905 | 14 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $9,124 – $19,236 · median $17,585 | 14 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $26,087 – $53,246 · median $37,979 | 14 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $14,644 – $29,891 · median $23,974 | 14 plans |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $9,914 – $20,236 · median $18,185 | 14 plans |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $11,780 – $25,647 · median $21,429 | 14 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $6,535 – $14,448 · median $14,226 | 14 plans |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $4,450 – $11,518 · median $10,318 | 14 plans |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $11,702 – $23,886 · median $20,373 | 14 plans |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $7,233 – $14,903 · median $14,833 | 14 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,036 – $12,214 · median $11,247 | 14 plans |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $10,670 – $21,780 · median $19,110 | 14 plans |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $3,945 – $10,879 · median $9,466 | 14 plans |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $12,124 – $24,747 · median $20,890 | 14 plans |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $6,197 – $13,635 · median $13,142 | 14 plans |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $34,640 – $70,704 · median $48,448 | 14 plans |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $11,135 – $22,727 · median $19,678 | 14 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $25,027 – $58,709 · median $41,255 | 14 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $13,836 – $28,241 · median $22,985 | 14 plans |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,999 – $30,615 · median $24,408 | 14 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $11,389 – $23,247 · median $19,990 | 14 plans |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $20,648 – $42,144 · median $31,321 | 14 plans |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $13,603 – $27,765 · median $22,699 | 14 plans |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,135 – $20,686 · median $18,455 | 14 plans |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $11,831 – $25,729 · median $21,478 | 14 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $21,029 – $46,088 · median $33,687 | 14 plans |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $11,439 – $25,829 · median $21,538 | 14 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $12,431 – $25,373 · median $21,265 | 14 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $8,278 – $16,895 · median $16,181 | 14 plans |
| 509 | ARTHROSCOPY | $9,466 – $22,997 · median $19,840 | 14 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $16,109 – $37,415 · median $28,486 | 14 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $10,678 – $25,674 · median $21,445 | 14 plans |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $9,406 – $19,710 · median $17,869 | 14 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $6,071 – $14,054 · median $13,701 | 14 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $19,834 – $40,483 · median $30,325 | 14 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,780 – $19,962 · median $18,021 | 14 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,167 – $12,440 · median $11,548 | 14 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $8,530 – $17,410 · median $16,490 | 14 plans |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $5,013 – $12,416 · median $11,516 | 14 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $5,894 – $13,264 · median $12,647 | 14 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,307 – $11,321 · median $10,056 | 14 plans |
| 539 | OSTEOMYELITIS WITH MCC | $12,971 – $26,475 · median $21,926 | 14 plans |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $11,962 – $24,416 · median $20,691 | 14 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,252 – $26,373 · median $21,865 | 14 plans |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $8,376 – $17,097 · median $16,302 | 14 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $8,637 – $17,628 · median $16,621 | 14 plans |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $9,939 – $20,287 · median $18,215 | 14 plans |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $11,906 – $24,301 · median $20,622 | 14 plans |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $9,386 – $19,159 · median $17,539 | 14 plans |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $10,064 – $20,542 · median $18,368 | 14 plans |
| 570 | SKIN DEBRIDEMENT WITH MCC | $17,319 – $39,407 · median $29,680 | 14 plans |
| 571 | SKIN DEBRIDEMENT WITH CC | $10,501 – $21,918 · median $19,193 | 14 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $24,999 – $80,617 · median $54,391 | 14 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $17,165 – $45,359 · median $33,249 | 14 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $9,306 – $26,139 · median $21,724 | 14 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $29,784 – $70,630 · median $48,403 | 14 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $13,303 – $34,859 · median $26,953 | 14 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $7,935 – $22,129 · median $19,320 | 14 plans |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $19,071 – $42,669 · median $31,636 | 14 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $7,915 – $22,925 · median $19,797 | 14 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $6,308 – $21,505 · median $18,945 | 14 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $11,610 – $26,803 · median $22,122 | 14 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $7,984 – $25,987 · median $21,633 | 14 plans |
| 592 | SKIN ULCERS WITH MCC | $10,264 – $26,919 · median $22,192 | 14 plans |
| 593 | SKIN ULCERS WITH CC | $6,953 – $16,006 · median $15,648 | 14 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $4,758 – $12,712 · median $11,911 | 14 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $13,190 – $27,689 · median $22,654 | 14 plans |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $11,242 – $22,997 · median $19,840 | 14 plans |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $6,920 – $14,520 · median $14,322 | 14 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,665 – $12,761 · median $11,976 | 14 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,135 – $13,560 · median $13,041 | 14 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $9,328 – $19,449 · median $17,713 | 14 plans |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $14,617 – $29,834 · median $23,940 | 14 plans |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $9,191 – $18,759 · median $17,299 | 14 plans |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,789 – $50,597 · median $36,390 | 14 plans |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,389 – $25,287 · median $21,213 | 14 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $7,918 – $16,300 · median $15,824 | 14 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $17,487 – $35,693 · median $27,453 | 14 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $10,243 – $20,906 · median $18,587 | 14 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $9,376 – $19,136 · median $17,525 | 14 plans |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $24,000 – $48,987 · median $35,425 | 14 plans |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $12,268 – $25,040 · median $21,066 | 14 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,434 – $13,925 · median $13,528 | 14 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $16,560 – $37,533 · median $28,557 | 14 plans |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,532 – $19,758 · median $17,898 | 14 plans |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $23,105 – $51,653 · median $37,024 | 14 plans |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $14,425 – $29,443 · median $23,705 | 14 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $8,605 – $18,344 · median $17,050 | 14 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $35,754 – $72,977 · median $49,810 | 14 plans |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $20,896 – $42,650 · median $31,625 | 14 plans |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $11,725 – $23,932 · median $20,401 | 14 plans |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $9,646 – $19,689 · median $17,857 | 14 plans |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $16,575 – $33,831 · median $26,337 | 14 plans |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $8,594 – $17,542 · median $16,569 | 14 plans |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $9,796 – $19,995 · median $18,040 | 14 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,926 – $14,527 · median $14,331 | 14 plans |
| 665 | PROSTATECTOMY WITH MCC | $21,562 – $44,949 · median $33,004 | 14 plans |
| 666 | PROSTATECTOMY WITH CC | $10,565 – $21,565 · median $18,981 | 14 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,145 – $14,118 · median $13,786 | 14 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $17,349 – $38,177 · median $28,943 | 14 plans |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $9,130 – $20,258 · median $18,198 | 14 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $5,841 – $13,552 · median $13,032 | 14 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $10,181 – $22,565 · median $19,581 | 14 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $5,881 – $14,641 · median $14,484 | 14 plans |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $21,460 – $54,846 · median $38,938 | 14 plans |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $14,805 – $30,219 · median $24,171 | 14 plans |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $9,511 – $20,491 · median $18,338 | 14 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $4,645 – $11,735 · median $10,608 | 14 plans |
| 693 | URINARY STONES WITH MCC | $9,431 – $19,249 · median $17,593 | 14 plans |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $7,233 – $14,903 · median $14,834 | 14 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,437 – $11,481 · median $10,269 | 14 plans |
| 697 | URETHRAL STRICTURE | $5,785 – $13,914 · median $13,514 | 14 plans |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $12,446 – $25,404 · median $21,284 | 14 plans |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $9,075 – $19,407 · median $17,688 | 14 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $14,091 – $29,417 · median $23,690 | 14 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $9,113 – $19,655 · median $17,836 | 14 plans |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $5,905 – $14,447 · median $14,225 | 14 plans |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $9,274 – $18,930 · median $17,401 | 14 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $4,899 – $13,427 · median $12,864 | 14 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $13,433 – $29,563 · median $23,778 | 14 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,774 – $18,580 · median $17,192 | 14 plans |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $11,901 – $24,290 · median $20,616 | 14 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $6,073 – $16,127 · median $15,721 | 14 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $11,089 – $22,633 · median $19,622 | 14 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $7,202 – $14,865 · median $14,782 | 14 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,566 – $11,770 · median $10,654 | 14 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,098 – $16,529 · median $15,962 | 14 plans |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $4,774 – $11,894 · median $10,819 | 14 plans |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $9,424 – $19,236 · median $17,585 | 14 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,061 – $14,692 · median $14,552 | 14 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $7,786 – $15,891 · median $15,579 | 14 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,016 – $19,858 · median $17,958 | 14 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $23,303 – $52,114 · median $37,300 | 14 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $6,856 – $17,834 · median $16,744 | 14 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $16,602 – $33,887 · median $26,371 | 14 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $7,489 – $16,881 · median $16,173 | 14 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,120 – $14,764 · median $14,648 | 14 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $4,053 – $13,547 · median $13,319 | 14 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $9,077 – $17,160 · median $15,444 | 14 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $12,379 – $46,122 · median $43,375 | 14 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $12,379 – $28,923 · median $28,593 | 14 plans |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $22,992 – $46,929 · median $34,191 | 14 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $11,416 – $23,302 · median $20,023 | 14 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,091 – $14,729 · median $14,601 | 14 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $37,342 – $76,220 · median $51,755 | 14 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $14,318 – $29,224 · median $23,574 | 14 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $7,335 – $15,028 · median $15,000 | 14 plans |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,106 – $28,792 · median $23,315 | 14 plans |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $19,779 – $40,370 · median $30,258 | 14 plans |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,281 – $19,146 · median $17,531 | 14 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $32,115 – $65,549 · median $45,356 | 14 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $13,008 – $26,551 · median $21,971 | 14 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $8,707 – $17,940 · median $16,808 | 14 plans |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $10,057 – $20,527 · median $18,359 | 14 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $6,747 – $14,308 · median $14,039 | 14 plans |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $12,143 – $24,785 · median $20,912 | 14 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $7,666 – $15,646 · median $15,432 | 14 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,367 – $12,619 · median $11,787 | 14 plans |
| 849 | RADIOTHERAPY | $9,397 – $34,967 · median $27,018 | 14 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $59,082 – $120,593 · median $78,363 | 14 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,426 – $21,281 · median $18,811 | 14 plans |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $13,975 – $28,524 · median $23,154 | 14 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $8,263 – $16,866 · median $16,164 | 14 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $19,009 – $51,442 · median $36,897 | 14 plans |
| 881 | DEPRESSIVE NEUROSES | $4,459 – $13,226 · median $12,596 | 14 plans |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,001 – $10,949 · median $9,560 | 14 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $7,691 – $18,954 · median $17,416 | 14 plans |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $28,416 – $58,000 · median $40,829 | 14 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $6,938 – $15,959 · median $15,620 | 14 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $20,445 – $50,546 · median $36,359 | 14 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $8,860 – $21,577 · median $18,988 | 14 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $8,135 – $28,571 · median $23,183 | 14 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $8,610 – $21,185 · median $18,754 | 14 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $4,909 – $13,244 · median $12,620 | 14 plans |
| 915 | ALLERGIC REACTIONS WITH MCC | $10,640 – $22,751 · median $19,693 | 14 plans |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $4,411 – $11,449 · median $10,226 | 14 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $19,480 – $41,551 · median $30,966 | 14 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $8,261 – $25,584 · median $21,391 | 14 plans |
| 945 | REHABILITATION WITH CC/MCC | $9,263 – $19,983 · median $18,033 | 14 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,161 – $14,815 · median $14,716 | 14 plans |
| 949 | AFTERCARE WITH CC/MCC | $6,574 – $14,520 · median $14,323 | 14 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $3,759 – $10,651 · median $9,162 | 14 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $38,000 – $89,389 · median $59,652 | 14 plans |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $24,516 – $50,039 · median $36,056 | 14 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $45,024 – $97,714 · median $64,643 | 14 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $26,359 – $53,801 · median $38,312 | 14 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $16,957 – $34,611 · median $26,805 | 14 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $17,424 – $35,564 · median $27,376 | 14 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $9,621 – $19,638 · median $17,826 | 14 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $5,853 – $13,214 · median $12,580 | 14 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $38,453 – $82,791 · median $55,695 | 14 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $17,017 – $34,734 · median $26,878 | 14 plans |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $18,199 – $39,092 · median $29,492 | 14 plans |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $9,116 – $18,608 · median $17,208 | 14 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $5,904 – $13,924 · median $13,527 | 14 plans |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $7,378 – $18,876 · median $17,369 | 14 plans |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $22,465 – $45,854 · median $33,546 | 14 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $7,120 – $15,127 · median $15,121 | 14 plans |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $212,886 – $217,907 · median $215,397 | 2 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $118,785 – $121,587 · median $120,186 | 2 plans |
No procedures match that keyword.