Procedures published 757
Lowest published price $2,358
Average published price $66,124
Highest published price $523,702

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

Showing all 757 procedures

Published charges

Showing all 521 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 28 procedures, this hospital's negotiated rates average ≈192% of what Medicare pays.

DRG Description Published price Cash price vs. LA median vs. National median vs Medicare
790 MS DRG -EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE;APR DRG -NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY;SOI -Extreme $523,702 $167,585 $61,499 +752% $80,018 +554% —
326 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Extreme $471,038 $150,732 $85,356 +452% $80,747 +483% —
003 MS DRG -ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES;APR DRG -TRACHEOSTOMY WITH MV >96 HOURS WITH EXTENSIVE PROCEDURE;SOI -Extreme $462,770 $148,086 $462,770 +0% $371,366 +25% —
231 MS DRG -CORONARY BYPASS WITH PTCA WITH MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme $457,158 $146,291 $319,687 +43% $146,474 +212% —
215 MS DRG -OTHER HEART ASSIST SYSTEM IMPLANT;APR DRG -EXTERNAL HEART ASSIST DEVICES;SOI -Extreme $443,319 $141,862 $179,884 +146% $191,314 +132% —
791 MS DRG -PREMATURITY WITH MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 1250-1499 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION;SOI -Moderate $398,880 $127,641 $39,169 +918% $39,563 +908% —
286 MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Extreme $364,883 $116,762 $47,632 +666% $44,600 +718% ≈184% of Medicare
653 MS DRG -MAJOR BLADDER PROCEDURES WITH MCC;APR DRG -MAJOR BLADDER PROCEDURES;SOI -Major $301,396 $96,447 $133,101 +126% $97,046 +211% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $301,396 $96,447 $65,265 +362% $41,651 +624% —
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 -Moderate $300,729 $96,233 $292,218 +3% $245,241 +23% —
234 MS DRG -CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Major $298,066 $95,381 $213,273 +40% $102,573 +191% —
207 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Extreme $261,946 $83,823 $160,739 +63% $116,058 +126% —
232 MS DRG -CORONARY BYPASS WITH PTCA WITHOUT MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor $246,754 $78,961 $149,666 +65% $106,238 +132% —
233 MS DRG -CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC;APR DRG -CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme $242,380 $77,562 $242,380 +0% $138,868 +75% —
242 MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Minor $239,116 $76,517 $88,237 +171% $70,132 +241% —
826 MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Major $234,147 $74,927 $82,639 +183% $88,691 +164% —
628 MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC;APR DRG -DIABETES;SOI -Extreme $233,973 $74,872 $70,566 +232% $68,006 +244% —
219 MS DRG -CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme $226,979 $72,633 $215,747 +5% $143,242 +58% —
862 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme $222,820 $71,303 $30,606 +628% $30,394 +633% —
515 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC;APR DRG -VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI -Extreme $219,922 $70,375 $54,848 +301% $62,821 +250% —
981 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $209,468 $67,030 $93,631 +124% $86,390 +142% —
228 MS DRG -OTHER CARDIOTHORACIC PROCEDURES WITH MCC;APR DRG -OTHER CARDIOTHORACIC AND THORACIC CIRCULATORY PROCEDURES;SOI -Major $201,761 $64,564 $125,919 +60% $96,905 +108% —
789 MS DRG -NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY;APR DRG -NEONATE BIRTH WEIGHT 500-749 GRAMS WITHOUT MAJOR PROCEDURE;SOI -Extreme $196,865 $62,997 $9,865 +1896% $14,284 +1278% —
329 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Extreme $195,536 $62,571 $147,076 +33% $88,050 +122% —
821 MS DRG -LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC;APR DRG -OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate $193,861 $62,036 $34,524 +462% $44,053 +340% —
277 MS DRG -CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC;APR DRG -DEFIBRILLATOR IMPLANTS;SOI -Moderate $192,984 $61,755 $154,961 +25% $91,329 +111% —
871 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme $185,054 $59,217 $47,280 +291% $35,237 +425% ≈200% of Medicare
673 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme $184,466 $59,029 $88,662 +108% $72,945 +153% —
307 MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC;APR DRG -CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Major $183,042 $58,573 $11,238 +1529% $18,608 +884% —
322 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Moderate $182,626 $58,440 $96,624 +89% $54,772 +233% —
270 MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Extreme $181,323 $58,024 $136,083 +33% $99,423 +82% —
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 $179,432 $57,418 $102,538 +75% $87,018 +106% ≈184% of Medicare
271 MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major $178,576 $57,144 $139,299 +28% $71,014 +151% —
792 MS DRG -PREMATURITY WITHOUT MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION;SOI -Moderate $177,680 $56,858 $13,310 +1235% $11,633 +1427% —
235 MS DRG -CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC;APR DRG -CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Major $177,119 $56,678 $177,119 +0% $112,062 +58% —
406 MS DRG -PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC;APR DRG -MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI -Moderate $173,765 $55,605 $29,362 +492% $58,043 +199% —
427 MS DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC;APR DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI -Minor $172,149 $55,088 $208,044 −17% $121,728 +41% —
327 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG -OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Major $165,915 $53,093 $54,417 +205% $54,824 +203% —
472 MS DRG -CERVICAL SPINAL FUSION WITH CC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Major $165,238 $52,876 $84,790 +95% $59,537 +178% —
324 MS DRG -CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Minor $155,754 $49,841 $133,566 +17% $66,819 +133% —
269 MS DRG -AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC;APR DRG -MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI -Moderate $153,747 $49,199 $153,747 +0% $83,065 +85% —
659 MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Extreme $153,201 $49,024 $38,026 +303% $48,094 +219% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $150,863 $48,276 $39,010 +287% $40,232 +275% —
918 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI -Major $150,602 $48,193 $11,452 +1215% $15,045 +901% —
856 MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Extreme $146,156 $46,770 $54,047 +170% $72,859 +101% —
240 MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Extreme $145,624 $46,600 $63,977 +128% $54,475 +167% —
793 MS DRG -FULL TERM NEONATE WITH MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION;SOI -Moderate $145,502 $46,561 $22,925 +535% $16,719 +770% —
278 MS DRG -ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate $142,840 $45,709 $130,728 +9% $84,861 +68% —
783 MS DRG -CESAREAN SECTION WITH STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Extreme $142,639 $45,645 $21,730 +556% $28,375 +403% —
415 MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Major $140,978 $45,113 $45,283 +211% $43,398 +225% —
330 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Major $140,573 $44,983 $75,804 +85% $58,832 +139% —
163 MS DRG -MAJOR CHEST PROCEDURES WITH MCC;APR DRG -MAJOR RESPIRATORY AND CHEST PROCEDURES;SOI -Major $139,358 $44,595 $165,068 −16% $88,341 +58% —
570 MS DRG -SKIN DEBRIDEMENT WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Extreme $139,077 $44,505 $60,240 +131% $52,435 +165% —
402 MS DRG -SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;APR DRG -SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI -Moderate $138,111 $44,196 $125,971 +10% $75,492 +83% —
470 MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Major $137,643 $44,046 $77,962 +77% $49,197 +180% —
448 MS DRG -MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Moderate $137,050 $43,856 $129,588 +6% $81,998 +67% —
662 MS DRG -MINOR BLADDER PROCEDURES WITH MCC;APR DRG -OTHER BLADDER PROCEDURES;SOI -Extreme $136,818 $43,782 $62,814 +118% $54,483 +151% —
321 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate $134,879 $43,161 $71,631 +88% $74,274 +82% —
426 MS DRG-MULTIPLELEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG-PROCEDURE WITH DX OF REHABILITATION,AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI-Major $133,222 $42,631 $193,816 −31% $142,326 −6% —
438 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Extreme $131,180 $41,978 $31,731 +313% $32,502 +304% —
794 MS DRG -NEONATE WITH OTHER SIGNIFICANT PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION;SOI -Moderate $129,082 $41,306 $8,809 +1365% $7,961 +1522% —
813 MS DRG -COAGULATION DISORDERS;APR DRG -COAGULATION AND PLATELET DISORDERS;SOI -Extreme $127,162 $40,692 $47,828 +166% $30,128 +322% —
622 MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Major $123,947 $39,663 $77,820 +59% $60,861 +104% —
428 MS DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC;APR DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI -Minor $123,884 $39,643 $144,151 −14% $105,899 +17% —
250 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Major $121,840 $38,989 $67,602 +80% $51,339 +137% —
332 MS DRG -RECTAL RESECTION WITH MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Major $121,811 $38,979 $29,333 +315% $58,125 +110% —
423 MS DRG -OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme $121,124 $38,760 $42,262 +187% $72,011 +68% —
870 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $120,959 $38,707 $126,146 −4% $138,008 −12% —
471 MS DRG -CERVICAL SPINAL FUSION WITH MCC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate $120,891 $38,685 $117,238 +3% $92,515 +31% —
828 MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate $119,695 $38,303 $28,212 +324% $35,584 +236% —
239 MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major $118,110 $37,795 $104,080 +13% $87,565 +35% —
447 MS DRG -MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Major $117,363 $37,556 $117,363 +0% $114,914 +2% —
908 MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG -EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Minor $117,209 $37,507 $37,636 +211% $41,660 +181% —
236 MS DRG -CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG -CORONARY BYPASS WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate $115,972 $37,111 $115,972 +0% $82,247 +41% —
457 MS DRG -SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Minor $115,293 $36,894 $104,685 +10% $107,355 +7% —
467 MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITH CC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate $114,657 $36,690 $78,622 +46% $68,880 +66% —
668 MS DRG -TRANSURETHRAL PROCEDURES WITH MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Extreme $113,977 $36,473 $33,851 +237% $47,277 +141% —
707 MS DRG -MAJOR MALE PELVIC PROCEDURES WITH CC/MCC;APR DRG -PROSTATECTOMY PROCEDURES;SOI -Moderate $112,509 $36,003 $103,925 +8% $43,080 +161% —
164 MS DRG -MAJOR CHEST PROCEDURES WITH CC;APR DRG -MAJOR RESPIRATORY AND CHEST PROCEDURES;SOI -Minor $112,433 $35,979 $109,748 +2% $53,141 +112% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $112,080 $35,866 $157,878 −29% $175,437 −36% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $111,102 $35,553 $47,341 +135% $46,066 +141% —
165 MS DRG -MAJOR CHEST PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY AND CHEST PROCEDURES;SOI -Minor $110,898 $35,487 $92,143 +20% $41,380 +168% —
468 MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Minor $108,088 $34,588 $108,088 +0% $54,929 +97% —
829 MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC;APR DRG -MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate $106,465 $34,069 $67,438 +58% $53,817 +98% —
331 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Moderate $106,016 $33,925 $51,631 +105% $44,117 +140% —
451 MS DRG -SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Minor $105,557 $33,778 $96,629 +9% $65,216 +62% —
356 MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Major $104,773 $33,527 $58,115 +80% $82,561 +27% —
314 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE;SOI -Extreme $104,479 $33,433 $66,687 +57% $38,357 +172% —
450 MS DRG -SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Minor $104,322 $33,383 $120,339 −13% $79,944 +30% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $104,187 $33,340 $84,993 +23% $65,254 +60% —
614 MS DRG -ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC;APR DRG -ADRENAL PROCEDURES;SOI -Major $104,056 $33,298 $82,051 +27% $43,586 +139% —
100 MS DRG -SEIZURES WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Extreme $103,686 $33,179 $37,366 +177% $35,194 +195% —
357 MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Major $102,513 $32,804 $56,437 +82% $48,682 +111% —
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 -Major $102,500 $32,800 $47,723 +115% $38,094 +169% —
625 MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Major $102,396 $32,767 $38,515 +166% $58,968 +74% —
657 MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI -Minor $99,266 $31,765 $61,965 +60% $40,583 +145% —
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 $98,569 $31,542 $64,043 +54% $47,546 +107% —
253 MS DRG -OTHER VASCULAR PROCEDURES WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate $97,391 $31,165 $80,670 +21% $53,746 +81% —
296 MS DRG -CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Extreme $95,627 $30,601 $46,939 +104% $30,910 +209% —
982 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major $95,606 $30,594 $48,375 +98% $51,985 +84% —
056 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Extreme $94,934 $30,379 $62,652 +52% $39,409 +141% —
280 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Extreme $94,541 $30,253 $30,357 +211% $28,967 +226% ≈186% of Medicare
273 MS DRG -PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Major $94,114 $30,117 $107,876 −13% $78,852 +19% —
264 MS DRG -OTHER CIRCULATORY SYSTEM O.R. PROCEDURES;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate $93,762 $30,004 $59,308 +58% $51,953 +80% —
660 MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI -Minor $93,416 $29,893 $36,171 +158% $30,358 +208% —
480 MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Extreme $92,273 $29,527 $92,273 +0% $63,984 +44% —
516 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Major $91,308 $29,219 $50,042 +82% $45,817 +99% —
483 MS DRG -MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES;APR DRG -SHOULDER AND ELBOW JOINT REPLACEMENT;SOI -Major $89,976 $28,792 $83,829 +7% $57,149 +57% —
073 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Major $89,953 $28,785 $35,519 +153% $28,252 +218% —
640 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Extreme $89,923 $28,775 $35,544 +153% $24,480 +267% ≈175% of Medicare
963 MS DRG -OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Extreme $89,571 $28,663 $89,571 +0% $43,491 +106% —
283 MS DRG -ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Extreme $89,211 $28,547 $75,916 +18% $35,014 +155% —
354 MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Moderate $89,013 $28,484 $41,931 +112% $43,266 +106% —
760 MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC;APR DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Extreme $88,997 $28,479 $17,571 +407% $18,282 +387% —
769 MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE;SOI -Moderate $88,513 $28,324 $30,170 +193% $24,561 +260% —
166 MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Major $88,313 $28,260 $93,180 −5% $72,782 +21% —
616 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major $87,237 $27,916 $72,579 +20% $62,961 +39% —
252 MS DRG -OTHER VASCULAR PROCEDURES WITH MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major $85,129 $27,241 $79,687 +7% $68,508 +24% —
520 MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC;APR DRG -VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI -Minor $84,315 $26,981 $33,999 +148% $31,816 +165% —
464 MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $83,262 $26,644 $36,687 +127% $54,313 +53% —
907 MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH MCC;APR DRG -RENAL DIALYSIS ACCESS DEVICE PROCEDURES;SOI -Extreme $82,994 $26,558 $62,830 +32% $71,701 +16% —
064 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -INTRACRANIAL HEMORRHAGE;SOI -Major $82,498 $26,400 $36,919 +123% $35,714 +131% —
857 MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Major $82,139 $26,284 $26,079 +215% $41,900 +96% —
182 MS DRG -RESPIRATORY NEOPLASMS WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Minor $82,008 $26,242 $21,502 +281% $14,064 +483% —
334 MS DRG -RECTAL RESECTION WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Minor $81,988 $26,236 $66,089 +24% $32,213 +155% —
489 MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate $81,807 $26,178 $29,734 +175% $27,492 +198% —
574 MS DRG -SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC;APR DRG -SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES;SOI -Moderate $81,752 $26,161 $34,534 +137% $49,065 +67% —
039 MS DRG -EXTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Major $81,073 $25,944 $23,726 +242% $25,267 +221% —
493 MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate $80,920 $25,894 $68,944 +17% $56,394 +43% —
473 MS DRG -CERVICAL SPINAL FUSION WITHOUT CC/MCC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate $80,393 $25,726 $64,026 +26% $50,624 +59% —
956 MS DRG -LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG -MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;SOI -Minor $78,808 $25,218 $78,808 +0% $75,103 +5% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $78,808 $25,218 $17,241 +357% $40,947 +92% —
486 MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Major $78,693 $25,182 $69,602 +13% $46,477 +69% —
854 MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Major $78,596 $25,151 $61,736 +27% $43,524 +81% —
718 MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Minor $78,233 $25,035 $16,432 +376% $20,147 +288% —
736 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI -Moderate $78,153 $25,009 $40,932 +91% $61,832 +26% —
025 MS DRG -CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC;APR DRG -OPEN CRANIOTOMY EXCEPT TRAUMA;SOI -Minor $77,913 $24,932 $110,608 −30% $88,307 −12% —
492 MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Extreme $77,499 $24,800 $78,830 −2% $70,540 +10% —
167 MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Minor $76,823 $24,583 $51,057 +50% $40,563 +89% —
094 MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC;APR DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI -Moderate $76,317 $24,421 $38,370 +99% $62,524 +22% —
175 MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Extreme $76,255 $24,402 $21,442 +256% $29,757 +156% —
424 MS DRG -OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC;APR DRG -OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI -Major $76,210 $24,387 $19,409 +293% $39,253 +94% —
272 MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI -Minor $75,935 $24,299 $67,960 +12% $55,162 +38% —
418 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Major $75,910 $24,291 $46,416 +64% $42,119 +80% —
674 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Moderate $75,891 $24,285 $51,964 +46% $49,631 +53% —
417 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major $75,263 $24,084 $60,767 +24% $52,313 +44% —
337 MS DRG -PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Moderate $74,850 $23,952 $35,118 +113% $36,239 +107% —
335 MS DRG -PERITONEAL ADHESIOLYSIS WITH MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Major $74,545 $23,855 $44,541 +67% $71,755 +4% —
748 MS DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;APR DRG -FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES;SOI -Moderate $74,056 $23,698 $14,545 +409% $24,980 +196% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $74,056 $23,698 $19,028 +289% $18,459 +301% —
481 MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Major $74,029 $23,689 $74,029 +0% $51,172 +45% —
841 MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Major $73,594 $23,550 $47,448 +55% $31,059 +137% —
261 MS DRG -CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC;APR DRG -CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT;SOI -Moderate $73,271 $23,447 $51,947 +41% $42,126 +74% —
617 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major $73,049 $23,376 $37,649 +94% $42,881 +70% —
808 MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Major $72,842 $23,309 $37,162 +96% $36,334 +100% —
917 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Extreme $71,722 $22,951 $35,324 +103% $28,134 +155% —
355 MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG -HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL;SOI -Minor $71,561 $22,900 $37,878 +89% $31,978 +124% —
244 MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Minor $71,322 $22,823 $70,333 +1% $40,063 +78% —
579 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Extreme $70,349 $22,512 $61,592 +14% $54,129 +30% —
208 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -RESPIRATORY FAILURE;SOI -Extreme $70,345 $22,510 $55,384 +27% $52,405 +34% —
542 MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Extreme $69,788 $22,332 $64,579 +8% $35,114 +99% —
482 MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Major $69,508 $22,243 $60,104 +16% $39,747 +75% —
915 ALLERGIC REACTIONS WITH MCC $69,230 $22,154 $59,689 +16% $30,944 +124% —
658 MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI -Minor $69,056 $22,098 $48,020 +44% $35,528 +94% —
463 MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $68,926 $22,056 $66,425 +4% $78,582 −12% —
947 MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Extreme $68,593 $21,950 $26,617 +158% $25,474 +169% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $68,441 $21,901 $29,910 +129% $36,280 +89% —
682 MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme $68,305 $21,858 $27,953 +144% $27,854 +145% ≈215% of Medicare
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 $68,291 $21,853 $53,017 +29% $33,137 +106% —
189 MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Extreme $67,490 $21,597 $34,870 +94% $25,704 +163% ≈174% of Medicare
522 MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Major $66,625 $21,320 $50,240 +33% $56,519 +18% ≈196% of Medicare
287 MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Major $66,451 $21,264 $40,539 +64% $31,190 +113% —
519 MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Moderate $66,029 $21,129 $55,926 +18% $43,775 +51% —
091 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -SPINAL DISORDERS AND INJURIES;SOI -Extreme $65,955 $21,106 $34,501 +91% $36,375 +81% —
989 MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $65,772 $21,047 $17,190 +283% $25,307 +160% —
987 MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $65,522 $20,967 $71,549 −8% $65,383 +0% —
475 MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $65,196 $20,863 $65,618 −1% $44,553 +46% —
308 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Extreme $65,057 $20,818 $19,824 +228% $26,488 +146% ≈176% of Medicare
177 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme $64,972 $20,791 $40,636 +60% $31,840 +104% ≈186% of Medicare
351 MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Major $64,972 $20,791 $35,407 +83% $33,792 +92% —
074 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Moderate $64,757 $20,722 $20,035 +223% $23,141 +180% —
474 MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major $64,647 $20,687 $64,647 +0% $76,954 −16% —
534 FRACTURES OF FEMUR WITHOUT MCC $64,433 $20,618 $7,010 +819% $17,195 +275% —
708 MS DRG -MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC;APR DRG -PROSTATECTOMY PROCEDURES;SOI -Minor $64,414 $20,612 $53,000 +22% $32,911 +96% —
205 MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $63,537 $20,332 $18,573 +242% $32,204 +97% —
181 MS DRG -RESPIRATORY NEOPLASMS WITH CC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Major $62,867 $20,117 $35,809 +76% $22,431 +180% —
243 MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Moderate $62,391 $19,965 $58,293 +7% $50,011 +25% —
254 MS DRG -OTHER VASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Minor $61,956 $19,826 $34,944 +77% $38,836 +60% —
521 MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Moderate $61,799 $19,776 $64,282 −4% $67,764 −9% —
358 MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Minor $61,793 $19,774 $41,902 +47% $29,374 +110% —
478 MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate $61,624 $19,720 $72,984 −16% $50,139 +23% —
036 MS DRG -CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Minor $61,561 $19,699 $44,950 +37% $40,694 +51% —
494 MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Minor $61,521 $19,687 $61,521 +0% $45,963 +34% —
115 MS DRG -EXTRAOCULAR PROCEDURES EXCEPT ORBIT;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Extreme $61,117 $19,557 $16,274 +276% $24,879 +146% —
717 MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG -OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Moderate $60,695 $19,422 $25,434 +139% $32,538 +87% —
742 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Moderate $60,662 $19,412 $43,855 +38% $40,552 +50% —
580 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -MASTECTOMY PROCEDURES;SOI -Moderate $59,184 $18,939 $59,184 +0% $36,242 +63% —
328 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Minor $58,822 $18,823 $34,509 +70% $35,375 +66% —
561 MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Minor $58,011 $18,563 $28,867 +101% $18,150 +220% —
061 MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Extreme $57,726 $18,472 $65,981 −13% $57,963 −0% —
501 MS DRG -SOFT TISSUE PROCEDURES WITH CC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Major $57,614 $18,436 $49,159 +17% $37,975 +52% —
098 MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Major $57,132 $18,282 $47,716 +20% $37,902 +51% —
193 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Extreme $56,960 $18,227 $31,866 +79% $26,158 +118% ≈183% of Medicare
811 MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Extreme $56,795 $18,174 $23,654 +140% $27,934 +103% —
377 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Extreme $56,736 $18,155 $46,940 +21% $37,842 +50% —
495 MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Moderate $56,653 $18,129 $42,458 +33% $56,964 −1% —
291 MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme $56,521 $18,087 $27,049 +109% $25,020 +126% ≈187% of Medicare
432 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Extreme $56,490 $18,077 $35,757 +58% $36,933 +53% —
038 MS DRG -EXTRACRANIAL PROCEDURES WITH CC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Major $56,149 $17,968 $23,998 +134% $35,770 +57% —
974 MS DRG -HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Extreme $56,055 $17,938 $56,055 +0% $46,402 +21% —
623 MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -SKIN GRAFT FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $56,033 $17,931 $43,775 +28% $33,165 +69% —
097 MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Major $55,801 $17,856 $55,801 +0% $57,855 −4% —
602 MS DRG -CELLULITIS WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Extreme $55,176 $17,656 $25,010 +121% $29,347 +88% —
414 MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major $55,055 $17,618 $45,771 +20% $68,399 −20% —
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 $54,962 $17,588 $22,779 +141% $22,032 +149% —
669 MS DRG -TRANSURETHRAL PROCEDURES WITH CC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Major $54,959 $17,587 $35,716 +54% $34,354 +60% —
336 MS DRG -PERITONEAL ADHESIOLYSIS WITH CC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Moderate $54,942 $17,581 $54,942 +0% $49,470 +11% —
398 MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate $54,883 $17,562 $52,201 +5% $39,107 +40% —
035 MS DRG -CAROTID ARTERY STENT PROCEDURES WITH CC;APR DRG -PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES;SOI -Minor $54,497 $17,439 $57,688 −6% $46,430 +17% —
103 MS DRG -HEADACHES WITHOUT MCC;APR DRG -MIGRAINE AND OTHER HEADACHES;SOI -Minor $53,577 $17,145 $8,786 +510% $20,111 +166% —
152 MS DRG -OTITIS MEDIA AND URI WITH MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate $53,481 $17,114 $14,444 +270% $19,795 +170% —
786 MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Extreme $52,837 $16,908 $22,942 +130% $27,118 +95% —
487 MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor $51,227 $16,393 $29,148 +76% $33,490 +53% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $51,021 $16,327 $51,021 +0% $46,659 +9% —
419 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $50,795 $16,254 $36,340 +40% $34,887 +46% —
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 -Minor $50,725 $16,232 $46,673 +9% $27,321 +86% —
344 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major $50,499 $16,160 $46,424 +9% $44,839 +13% —
176 MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Major $49,630 $15,882 $18,538 +168% $18,081 +174% —
444 MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Major $49,470 $15,830 $49,470 +0% $31,128 +59% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $49,424 $15,816 $21,846 +126% $19,326 +156% —
698 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Major $49,343 $15,790 $28,616 +72% $30,058 +64% ≈217% of Medicare
555 MS DRG -SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $48,960 $15,667 $48,960 +0% $23,723 +106% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $48,569 $15,542 $68,179 −29% $64,956 −25% —
143 MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Moderate $47,985 $15,355 $63,177 −24% $52,908 −9% —
621 MS DRG -O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC;APR DRG -PROCEDURES FOR OBESITY;SOI -Moderate $47,410 $15,171 $15,565 +205% $32,451 +46% —
288 MS DRG -ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC;APR DRG -ACUTE AND SUBACUTE ENDOCARDITIS;SOI -Major $47,349 $15,152 $29,404 +61% $45,497 +4% —
374 MS DRG -DIGESTIVE MALIGNANCY WITH MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major $47,174 $15,096 $42,166 +12% $38,885 +21% —
405 MS DRG -PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC;APR DRG -MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES;SOI -Major $46,961 $15,027 $56,211 −16% $94,927 −51% —
770 MS DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;APR DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Moderate $46,325 $14,824 $24,714 +87% $17,943 +158% —
168 MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY AND CHEST PROCEDURES;SOI -Minor $46,243 $14,798 $40,599 +14% $28,527 +62% —
510 MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Extreme $46,226 $14,792 $46,226 +0% $49,055 −6% —
386 MS DRG -INFLAMMATORY BOWEL DISEASE WITH CC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Moderate $45,888 $14,684 $16,577 +177% $20,968 +119% —
037 MS DRG -EXTRACRANIAL PROCEDURES WITH MCC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate $45,850 $14,672 $49,605 −8% $64,749 −29% —
251 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate $45,645 $14,606 $62,279 −27% $41,380 +10% —
350 MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Major $45,521 $14,567 $32,099 +42% $46,591 −2% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $45,521 $14,567 $30,099 +51% $25,162 +81% —
368 MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH MCC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Major $45,390 $14,525 $43,300 +5% $33,607 +35% —
507 MS DRG -MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate $45,280 $14,490 $45,280 +0% $36,202 +25% —
558 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $45,005 $14,402 $16,479 +173% $17,367 +159% —
620 MS DRG -O.R. PROCEDURES FOR OBESITY WITH CC;APR DRG -PROCEDURES FOR OBESITY;SOI -Moderate $44,878 $14,361 $16,950 +165% $35,453 +27% —
392 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Major $44,871 $14,359 $22,535 +99% $17,322 +159% ≈202% of Medicare
592 MS DRG -SKIN ULCERS WITH MCC;APR DRG -SKIN ULCERS;SOI -Extreme $44,760 $14,323 $34,631 +29% $32,662 +37% —
511 MS DRG -SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Moderate $44,538 $14,252 $33,657 +32% $43,538 +2% —
299 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Extreme $44,509 $14,243 $21,036 +112% $25,731 +73% —
919 MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $44,403 $14,209 $31,482 +41% $29,031 +53% —
380 MS DRG -COMPLICATED PEPTIC ULCER WITH MCC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Major $44,246 $14,159 $24,670 +79% $36,641 +21% —
689 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Extreme $43,873 $14,039 $24,198 +81% $22,982 +91% ≈184% of Medicare
571 MS DRG -SKIN DEBRIDEMENT WITH CC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate $43,454 $13,905 $37,596 +16% $34,901 +25% —
180 MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Moderate $43,392 $13,885 $43,392 +0% $36,658 +18% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $43,238 $13,836 $17,816 +143% $15,072 +187% —
715 MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC;APR DRG -OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Major $43,054 $13,777 $23,726 +81% $38,998 +10% —
637 MS DRG -DIABETES WITH MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Major $42,956 $13,746 $39,314 +9% $28,819 +49% —
202 MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -ACUTE BRONCHITIS AND RELATED SYMPTOMS;SOI -Major $42,894 $13,726 $23,318 +84% $17,273 +148% —
422 MS DRG -HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI -Minor $42,339 $13,548 $15,643 +171% $25,152 +68% —
583 MS DRG -MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC;APR DRG -BREAST PROCEDURES EXCEPT MASTECTOMY;SOI -Minor $42,199 $13,504 $39,213 +8% $31,566 +34% —
977 MS DRG -HIV WITH OR WITHOUT OTHER RELATED CONDITION;APR DRG -HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS;SOI -Moderate $42,114 $13,477 $29,805 +41% $22,525 +87% —
375 MS DRG -DIGESTIVE MALIGNANCY WITH CC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major $41,881 $13,402 $17,545 +139% $27,219 +54% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $41,800 $13,376 $36,914 +13% $53,555 −22% —
399 MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor $41,722 $13,351 $28,191 +48% $30,314 +38% —
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 -Moderate $41,453 $13,265 $31,959 +30% $28,156 +47% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $41,256 $13,202 $41,256 +0% $44,989 −8% —
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 $41,106 $13,154 $32,285 +27% $35,692 +15% —
598 MS DRG -MALIGNANT BREAST DISORDERS WITH CC;APR DRG -MALIGNANT BREAST DISORDERS;SOI -Moderate $40,885 $13,083 $20,539 +99% $19,073 +114% —
488 MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor $40,766 $13,045 $45,073 −10% $41,520 −2% —
186 MS DRG -PLEURAL EFFUSION WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Extreme $40,597 $12,991 $39,683 +2% $32,468 +25% —
661 MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Minor $40,461 $12,948 $27,285 +48% $24,022 +68% —
543 MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Minor $40,103 $12,833 $25,592 +57% $23,496 +71% —
393 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -GASTROINTESTINAL VASCULAR INSUFFICIENCY;SOI -Major $40,098 $12,831 $40,098 +0% $32,689 +23% —
196 MS DRG -INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Major $39,914 $12,772 $22,869 +75% $30,766 +30% —
433 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Minor $39,755 $12,722 $23,582 +69% $23,749 +67% —
872 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Major $39,624 $12,680 $28,123 +41% $22,781 +74% ≈189% of Medicare
509 MS DRG -ARTHROSCOPY;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Minor $39,562 $12,660 $11,415 +247% $25,994 +52% —
445 MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Major $39,518 $12,646 $18,217 +117% $21,806 +81% —
807 MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC;APR DRG -VAGINAL DELIVERY;SOI -Major $38,896 $12,447 $15,414 +152% $12,044 +223% —
477 MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major $38,761 $12,404 $62,783 −38% $62,269 −38% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $38,761 $12,404 $27,358 +42% $31,909 +21% —
743 MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR LEIOMYOMA;SOI -Minor $38,476 $12,312 $30,778 +25% $27,369 +41% —
102 MS DRG -HEADACHES WITH MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Major $37,962 $12,148 $25,215 +51% $22,544 +68% —
059 MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Minor $37,608 $12,034 $28,290 +33% $26,322 +43% —
643 MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Major $37,426 $11,976 $39,492 −5% $32,996 +13% —
686 MS DRG -KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT MALIGNANCY;SOI -Moderate $37,410 $11,971 $19,908 +88% $32,981 +13% —
666 MS DRG -PROSTATECTOMY WITH CC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $37,041 $11,853 $24,495 +51% $30,016 +23% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $36,796 $11,775 $8,555 +330% $15,858 +132% —
597 MS DRG -MALIGNANT BREAST DISORDERS WITH MCC;APR DRG -MALIGNANT BREAST DISORDERS;SOI -Major $36,531 $11,690 $19,303 +89% $31,846 +15% —
255 MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM PROCEDURES;SOI -Moderate $36,325 $11,624 $36,325 +0% $43,697 −17% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $36,325 $11,624 $51,394 −29% $67,901 −47% —
441 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS;SOI -Major $36,319 $11,622 $28,244 +29% $32,399 +12% —
062 MS DRG -ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate $36,295 $11,614 $43,616 −17% $48,680 −25% —
723 MS DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM;SOI -Major $36,291 $11,613 $18,079 +101% $19,317 +88% —
817 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Major $36,242 $11,597 $36,606 −1% $36,097 +0% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,242 $11,597 $92,884 −61% $80,885 −55% —
906 MS DRG -HAND PROCEDURES FOR INJURIES;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor $36,227 $11,593 $28,715 +26% $31,520 +15% —
435 MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Moderate $36,225 $11,592 $33,073 +10% $37,950 −5% —
606 MS DRG -MINOR SKIN DISORDERS WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Major $36,191 $11,581 $27,050 +34% $25,434 +42% —
546 MS DRG -CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Minor $36,114 $11,556 $36,114 +0% $24,202 +49% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $35,688 $11,420 $41,958 −15% $39,018 −9% —
371 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major $35,582 $11,386 $34,208 +4% $31,758 +12% —
256 MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate $35,521 $11,367 $30,683 +16% $29,729 +19% —
075 MS DRG -VIRAL MENINGITIS WITH CC/MCC;APR DRG -VIRAL MENINGITIS;SOI -Moderate $35,422 $11,335 $26,463 +34% $29,853 +19% —
513 MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Moderate $35,144 $11,246 $32,614 +8% $33,424 +5% —
442 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Minor $34,862 $11,156 $24,957 +40% $21,449 +63% —
699 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $34,808 $11,139 $24,373 +43% $20,732 +68% —
304 MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Extreme $34,493 $11,038 $26,659 +29% $24,185 +43% —
951 MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major $34,475 $11,032 $10,551 +227% $9,385 +267% —
029 MS DRG -SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Moderate $34,309 $10,979 $75,174 −54% $64,152 −47% —
465 MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Minor $33,920 $10,854 $36,675 −8% $32,839 +3% —
535 MS DRG -FRACTURES OF HIP AND PELVIS WITH MCC;APR DRG -FRACTURE OF FEMUR;SOI -Major $33,894 $10,846 $29,423 +15% $23,350 +45% —
391 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Extreme $33,687 $10,780 $26,767 +26% $27,244 +24% —
584 MS DRG -BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC;APR DRG -BREAST PROCEDURES EXCEPT MASTECTOMY;SOI -Minor $33,620 $10,758 $36,483 −8% $34,089 −1% —
309 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Major $33,510 $10,723 $22,998 +46% $16,865 +99% ≈184% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $33,175 $10,616 $26,970 +23% $28,924 +15% —
713 MS DRG -TRANSURETHRAL PROSTATECTOMY WITH CC/MCC;APR DRG -TRANSURETHRAL PROSTATECTOMY;SOI -Moderate $32,996 $10,559 $33,716 −2% $29,663 +11% —
603 MS DRG -CELLULITIS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate $32,957 $10,546 $19,952 +65% $18,530 +78% ≈192% of Medicare
348 MS DRG -ANAL AND STOMAL PROCEDURES WITH CC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor $32,726 $10,472 $34,549 −5% $27,947 +17% —
204 MS DRG -RESPIRATORY SIGNS AND SYMPTOMS;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $32,352 $10,353 $9,981 +224% $16,866 +92% —
812 MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -SICKLE CELL ANEMIA CRISIS;SOI -Moderate $32,034 $10,251 $21,472 +49% $20,488 +56% ≈209% of Medicare
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $31,896 $10,207 $32,278 −1% $29,916 +7% —
818 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Moderate $31,640 $10,125 $27,021 +17% $24,316 +30% —
443 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Minor $31,296 $10,015 $16,983 +84% $15,600 +101% —
071 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major $31,121 $9,959 $22,186 +40% $23,396 +33% —
514 MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Moderate $31,042 $9,934 $29,605 +5% $20,080 +55% —
388 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Extreme $31,011 $9,923 $20,298 +53% $28,780 +8% —
312 MS DRG -SYNCOPE AND COLLAPSE;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Extreme $30,939 $9,900 $20,728 +49% $19,342 +60% —
101 MS DRG -SEIZURES WITHOUT MCC;APR DRG -OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI -Moderate $30,863 $9,876 $24,986 +24% $19,954 +55% —
081 MS DRG -NONTRAUMATIC STUPOR AND COMA WITHOUT MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate $30,817 $9,861 $16,725 +84% $15,077 +104% —
787 MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major $30,797 $9,855 $22,755 +35% $23,571 +31% —
863 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate $30,739 $9,836 $28,888 +6% $20,007 +54% —
206 MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate $30,686 $9,819 $10,667 +188% $17,731 +73% —
849 MS DRG -RADIOTHERAPY;APR DRG -RADIOTHERAPY;SOI -Moderate $30,673 $9,815 $17,356 +77% $37,862 −19% —
835 MS DRG -ACUTE LEUKEMIA WITH CC;APR DRG -ACUTE LEUKEMIA;SOI -Moderate $30,633 $9,803 $26,553 +15% $35,569 −14% —
306 MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC;APR DRG -CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Moderate $30,530 $9,770 $24,497 +25% $24,450 +25% —
060 MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Minor $30,454 $9,745 $26,051 +17% $21,261 +43% —
381 MS DRG -COMPLICATED PEPTIC ULCER WITH CC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Moderate $30,334 $9,707 $29,448 +3% $24,177 +25% —
607 MS DRG -MINOR SKIN DISORDERS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate $30,320 $9,702 $14,778 +105% $15,284 +98% —
057 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Moderate $29,970 $9,591 $32,819 −9% $25,426 +18% —
500 MS DRG -SOFT TISSUE PROCEDURES WITH MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Major $29,899 $9,568 $77,970 −62% $57,479 −48% —
638 MS DRG -DIABETES WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $29,895 $9,566 $21,692 +38% $18,821 +59% —
347 MS DRG -ANAL AND STOMAL PROCEDURES WITH MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Major $29,842 $9,549 $29,842 +0% $40,548 −26% —
744 MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC;APR DRG -DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES;SOI -Major $29,813 $9,540 $29,511 +1% $33,050 −10% —
199 MS DRG -PNEUMOTHORAX WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $29,556 $9,458 $23,280 +27% $31,491 −6% —
824 MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC;APR DRG -OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate $29,534 $9,451 $29,534 +0% $38,382 −23% —
385 MS DRG -INFLAMMATORY BOWEL DISEASE WITH MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Major $29,250 $9,360 $22,792 +28% $26,020 +12% —
078 MS DRG -HYPERTENSIVE ENCEPHALOPATHY WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major $29,170 $9,335 $20,059 +45% $17,434 +67% —
629 MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC;APR DRG -OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS;SOI -Moderate $29,095 $9,310 $35,001 −17% $45,059 −35% —
551 MS DRG -MEDICAL BACK PROBLEMS WITH MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Major $29,059 $9,299 $44,103 −34% $31,086 −7% —
504 MS DRG -FOOT PROCEDURES WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate $28,986 $9,275 $48,796 −41% $36,598 −21% —
315 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major $28,872 $9,239 $20,942 +38% $20,777 +39% —
502 MS DRG -SOFT TISSUE PROCEDURES WITHOUT CC/MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Minor $28,835 $9,227 $28,835 +0% $30,006 −4% —
281 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Minor $28,791 $9,213 $24,038 +20% $20,463 +41% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $28,661 $9,172 $10,735 +167% $14,012 +105% —
641 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS;SOI -Major $28,467 $9,109 $16,702 +70% $16,745 +70% ≈193% of Medicare
200 MS DRG -PNEUMOTHORAX WITH CC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor $28,261 $9,044 $22,598 +25% $20,573 +37% —
711 MS DRG -TESTES PROCEDURES WITH CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Minor $27,991 $8,957 $26,421 +6% $34,852 −20% —
069 MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Major $27,886 $8,923 $22,611 +23% $20,278 +38% —
654 MAJOR BLADDER PROCEDURES WITH CC $27,609 $8,835 $51,569 −46% $53,868 −49% —
190 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major $27,574 $8,824 $21,887 +26% $24,190 +14% ≈183% of Medicare
581 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor $27,563 $8,820 $37,749 −27% $25,243 +9% —
562 MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Extreme $27,504 $8,801 $27,017 +2% $29,211 −6% —
436 MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Minor $27,464 $8,789 $21,276 +29% $24,017 +14% —
394 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate $27,343 $8,750 $15,999 +71% $18,918 +45% —
300 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major $27,269 $8,726 $23,860 +14% $19,579 +39% —
505 FOOT PROCEDURES WITHOUT CC/MCC $27,050 $8,656 $27,050 +0% $31,716 −15% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $27,040 $8,653 $24,089 +12% $29,476 −8% —
179 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Minor $27,033 $8,651 $16,262 +66% $14,444 +87% —
975 MS DRG -HIV WITH MAJOR RELATED CONDITION WITH CC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Minor $26,939 $8,620 $26,939 +0% $25,010 +8% —
693 MS DRG -URINARY STONES WITH MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Major $26,841 $8,589 $12,362 +117% $22,525 +19% —
305 MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Major $26,653 $8,529 $15,455 +72% $17,144 +55% ≈205% of Medicare
846 MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC;APR DRG -OTHER CHEMOTHERAPY;SOI -Major $26,624 $8,520 $26,624 +0% $38,878 −32% —
832 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Major $26,430 $8,458 $18,719 +41% $12,895 +105% —
373 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Moderate $26,411 $8,452 $10,879 +143% $16,104 +64% —
195 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate $26,402 $8,449 $18,452 +43% $13,824 +91% —
506 MS DRG -MAJOR THUMB OR JOINT PROCEDURES;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor $26,286 $8,412 $19,915 +32% $28,983 −9% —
372 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major $26,285 $8,411 $25,271 +4% $22,850 +15% —
560 MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major $26,054 $8,337 $26,439 −1% $24,452 +7% —
378 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Moderate $25,841 $8,269 $21,582 +20% $21,886 +18% ≈206% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $25,825 $8,264 $37,740 −32% $30,974 −17% —
605 MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC;APR DRG -CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI -Moderate $25,495 $8,158 $24,757 +3% $19,287 +32% —
345 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Moderate $25,211 $8,068 $26,767 −6% $31,062 −19% —
834 ACUTE LEUKEMIA WITH MCC $24,926 $7,976 $40,525 −38% $76,583 −67% —
557 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $24,871 $7,959 $24,871 +0% $28,646 −13% —
065 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate $24,852 $7,953 $25,712 −3% $23,469 +6% ≈215% of Medicare
070 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major $24,824 $7,944 $25,907 −4% $30,814 −19% —
194 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Moderate $24,764 $7,924 $19,357 +28% $18,204 +36% ≈200% of Medicare
313 MS DRG -CHEST PAIN;APR DRG -CHEST PAIN;SOI -Major $24,463 $7,828 $11,202 +118% $15,962 +53% —
292 MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -HEART FAILURE;SOI -Major $24,453 $7,825 $19,922 +23% $16,212 +51% —
683 MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $24,378 $7,801 $16,875 +44% $18,620 +31% ≈194% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $24,364 $7,797 $12,504 +95% $18,191 +34% —
552 MS DRG -MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Moderate $24,348 $7,791 $28,929 −16% $21,213 +15% —
728 MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate $24,217 $7,750 $13,061 +85% $16,837 +44% —
092 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major $24,017 $7,685 $25,748 −7% $24,136 −0% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $23,930 $7,658 $36,908 −35% $35,542 −33% —
687 MS DRG -KIDNEY AND URINARY TRACT NEOPLASMS WITH CC;APR DRG -KIDNEY AND URINARY TRACT MALIGNANCY;SOI -Moderate $23,890 $7,645 $21,164 +13% $18,478 +29% —
690 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Major $23,798 $7,615 $18,582 +28% $17,466 +36% ≈197% of Medicare
768 MS DRG -VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C;APR DRG -VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C;SOI -Minor $23,733 $7,595 $17,026 +39% $17,103 +39% —
806 MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC;APR DRG -VAGINAL DELIVERY;SOI -Major $23,729 $7,593 $15,247 +56% $13,090 +81% —
831 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Extreme $23,648 $7,567 $16,000 +48% $18,133 +30% —
554 MS DRG -BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $23,542 $7,533 $24,653 −5% $18,253 +29% —
563 MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $23,490 $7,517 $12,232 +92% $18,803 +25% —
099 MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Minor $23,471 $7,511 $23,471 +0% $25,666 −9% —
949 MS DRG -AFTERCARE WITH CC/MCC;APR DRG -OTHER PNEUMONIA;SOI -Major $23,457 $7,506 $26,724 −12% $23,953 −2% —
282 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Moderate $23,450 $7,504 $13,973 +68% $18,623 +26% —
788 MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major $23,360 $7,475 $19,083 +22% $20,084 +16% —
572 MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Minor $23,329 $7,465 $28,378 −18% $24,432 −5% —
565 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $23,286 $7,452 $23,859 −2% $21,545 +8% —
545 MS DRG -CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Major $23,281 $7,450 $45,200 −48% $39,657 −41% —
847 MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC;APR DRG -OTHER CHEMOTHERAPY;SOI -Moderate $23,176 $7,416 $23,881 −3% $22,275 +4% —
440 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate $22,987 $7,356 $16,162 +42% $15,070 +53% —
916 MS DRG -ALLERGIC REACTIONS WITHOUT MCC;APR DRG -ALLERGIC REACTIONS;SOI -Minor $22,791 $7,293 $19,973 +14% $13,890 +64% —
645 MS DRG -ENDOCRINE DISORDERS WITHOUT CC/MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Minor $22,636 $7,244 $9,171 +147% $14,166 +60% —
550 MS DRG -SEPTIC ARTHRITIS WITHOUT CC/MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate $22,000 $7,040 $13,934 +58% $16,156 +36% —
079 MS DRG -HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor $21,809 $6,979 $5,963 +266% $11,847 +84% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $21,809 $6,979 $22,765 −4% $24,118 −10% —
983 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor $21,761 $6,963 $30,033 −28% $30,930 −30% —
727 MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Major $21,513 $6,884 $20,678 +4% $25,786 −17% —
866 MS DRG -VIRAL ILLNESS WITHOUT MCC;APR DRG -VIRAL ILLNESS;SOI -Moderate $21,274 $6,808 $18,361 +16% $16,391 +30% —
920 MS DRG -COMPLICATIONS OF TREATMENT WITH CC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate $21,214 $6,789 $21,587 −2% $21,181 +0% —
810 MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Minor $21,101 $6,752 $20,308 +4% $18,428 +15% —
066 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Minor $20,948 $6,703 $20,913 +0% $19,483 +8% —
897 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -COCAINE ABUSE AND DEPENDENCE;SOI -Minor $20,815 $6,661 $13,087 +59% $16,049 +30% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $20,798 $6,655 $31,839 −35% $29,409 −29% —
695 MS DRG -KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Moderate $20,683 $6,619 $11,751 +76% $20,741 −0% —
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 $20,653 $6,609 $20,839 −1% $19,001 +9% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $20,547 $6,575 $18,282 +12% $23,115 −11% —
072 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor $20,540 $6,573 $15,984 +29% $16,654 +23% —
178 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Major $20,502 $6,561 $23,848 −14% $22,024 −7% —
346 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor $20,366 $6,517 $20,366 +0% $26,146 −22% —
379 MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Minor $20,309 $6,499 $20,711 −2% $14,134 +44% —
198 MS DRG -INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Minor $20,199 $6,464 $6,280 +222% $13,654 +48% —
191 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate $20,180 $6,458 $18,365 +10% $18,278 +10% —
439 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate $20,128 $6,441 $19,517 +3% $19,096 +5% —
294 MS DRG -DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major $20,109 $6,435 $13,169 +53% $19,132 +5% —
149 MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Moderate $20,083 $6,426 $16,577 +21% $17,203 +17% —
896 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major $19,984 $6,395 $20,366 −2% $30,275 −34% —
369 MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH CC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Major $19,945 $6,382 $24,636 −19% $22,713 −12% —
123 MS DRG -NEUROLOGICAL EYE DISORDERS;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate $19,922 $6,375 $19,922 +0% $17,831 +12% —
644 MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Minor $19,744 $6,318 $19,297 +2% $22,941 −14% —
884 MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Moderate $19,541 $6,253 $28,404 −31% $25,208 −22% —
880 MS DRG -ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION;APR DRG -ACUTE ANXIETY AND STRESS SYNDROMES;SOI -Moderate $19,528 $6,249 $15,116 +29% $15,636 +25% —
087 MS DRG -TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Moderate $19,514 $6,244 $18,733 +4% $15,869 +23% —
147 MS DRG -EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC;APR DRG -EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI -Moderate $19,462 $6,228 $19,462 +0% $21,860 −11% —
798 MS DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC;APR DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C;SOI -Minor $19,307 $6,178 $17,559 +10% $18,238 +6% —
203 MS DRG -BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG -ACUTE BRONCHITIS AND RELATED SYMPTOMS;SOI -Minor $19,302 $6,177 $14,737 +31% $12,279 +57% —
785 MS DRG -CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate $19,282 $6,170 $18,130 +6% $19,815 −3% —
923 MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Moderate $19,213 $6,148 $17,668 +9% $16,571 +16% —
664 MS DRG -MINOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER BLADDER PROCEDURES;SOI -Minor $18,882 $6,042 $11,651 +62% $18,126 +4% —
310 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor $18,506 $5,922 $11,589 +60% $13,384 +38% —
068 MS DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC;APR DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI -Minor $18,487 $5,916 $22,001 −16% $19,569 −6% —
784 MS DRG -CESAREAN SECTION WITH STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate $18,030 $5,769 $18,030 +0% $22,560 −20% —
197 MS DRG -INTERSTITIAL LUNG DISEASE WITH CC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Moderate $17,819 $5,702 $17,819 +0% $20,106 −11% —
833 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate $17,792 $5,694 $10,165 +75% $9,076 +96% —
642 MS DRG -INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG -INBORN ERRORS OF METABOLISM;SOI -Moderate $17,782 $5,690 $16,969 +5% $20,727 −14% —
384 MS DRG -UNCOMPLICATED PEPTIC ULCER WITHOUT MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Minor $17,734 $5,675 $14,636 +21% $19,305 −8% —
389 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major $17,385 $5,563 $17,413 −0% $17,388 −0% ≈191% of Medicare
434 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Moderate $17,290 $5,533 $18,554 −7% $12,405 +39% —
948 MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Moderate $17,066 $5,461 $19,901 −14% $17,727 −4% —
758 MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Minor $17,016 $5,445 $12,451 +37% $19,091 −11% —
390 MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate $16,585 $5,307 $12,107 +37% $13,318 +25% —
311 MS DRG -ANGINA PECTORIS;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $16,581 $5,306 $11,421 +45% $15,165 +9% —
815 MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major $16,575 $5,304 $18,875 −12% $18,017 −8% —
158 DENTAL AND ORAL DISEASES WITH CC $16,037 $5,132 $18,032 −11% $17,700 −9% —
301 MS DRG -PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Minor $15,789 $5,053 $11,377 +39% $15,607 +1% —
864 MS DRG -FEVER AND INFLAMMATORY CONDITIONS;APR DRG -FEVER AND INFLAMMATORY CONDITIONS;SOI -Moderate $15,686 $5,019 $14,916 +5% $17,412 −10% —
684 MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate $15,608 $4,995 $15,085 +3% $13,623 +15% —
639 MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -DIABETES;SOI -Minor $15,470 $4,951 $15,755 −2% $13,910 +11% —
153 MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate $15,420 $4,934 $14,829 +4% $14,473 +7% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $15,278 $4,889 $17,945 −15% $29,524 −48% —
192 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Minor $15,150 $4,848 $14,790 +2% $14,368 +5% —
540 MS DRG -OSTEOMYELITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Minor $14,852 $4,753 $23,875 −38% $23,494 −37% —
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 $14,692 $4,702 $14,692 +0% $17,715 −17% —
842 MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Minor $14,637 $4,684 $14,637 +0% $17,550 −17% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $14,637 $4,684 $14,637 +0% $20,421 −28% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $14,587 $4,668 $37,712 −61% $49,710 −71% —
779 MS DRG -ABORTION WITHOUT D&C;APR DRG -ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Moderate $14,465 $4,629 $8,337 +73% $15,327 −6% —
867 MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Major $14,381 $4,602 $31,559 −54% $36,850 −61% —
776 MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Moderate $14,329 $4,585 $9,052 +58% $12,381 +16% —
303 MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $14,237 $4,556 $14,621 −3% $14,927 −5% —
293 MS DRG -HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG -HEART FAILURE;SOI -Moderate $14,036 $4,491 $10,349 +36% $11,955 +17% —
564 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major $13,998 $4,479 $18,475 −24% $32,936 −57% —
125 MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate $13,827 $4,425 $18,156 −24% $15,876 −13% —
055 MS DRG -NERVOUS SYSTEM NEOPLASMS WITHOUT MCC;APR DRG -NERVOUS SYSTEM MALIGNANCY;SOI -Major $13,739 $4,396 $12,752 +8% $19,868 −31% —
805 MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC;APR DRG -VAGINAL DELIVERY;SOI -Major $13,653 $4,369 $14,302 −5% $15,370 −11% —
536 MS DRG -FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG -FRACTURE OF PELVIS OR DISLOCATION OF HIP;SOI -Moderate $13,606 $4,354 $20,702 −34% $18,002 −24% —
093 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor $13,499 $4,320 $15,799 −15% $17,522 −23% —
759 MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Minor $13,448 $4,303 $11,815 +14% $14,208 −5% —
549 MS DRG -SEPTIC ARTHRITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Minor $12,940 $4,141 $21,289 −39% $20,938 −38% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $12,793 $4,094 $11,169 +15% $13,198 −3% —
604 MS DRG -TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC;APR DRG -CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE;SOI -Major $12,770 $4,086 $17,934 −29% $28,140 −55% —
902 MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITH CC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate $12,625 $4,040 $43,774 −71% $35,459 −64% —
054 MS DRG -NERVOUS SYSTEM NEOPLASMS WITH MCC;APR DRG -NERVOUS SYSTEM MALIGNANCY;SOI -Moderate $12,184 $3,899 $22,729 −46% $29,484 −59% —
201 MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor $12,144 $3,886 $11,438 +6% $13,081 −7% —
885 MS DRG -PSYCHOSES;APR DRG -SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI -Minor $11,802 $3,777 $16,075 −27% $21,489 −45% —
894 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG -DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI -Minor $11,676 $3,736 $11,440 +2% $12,013 −3% —
539 MS DRG -OSTEOMYELITIS WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate $11,056 $3,538 $27,935 −60% $33,746 −67% —
696 MS DRG -KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Minor $11,041 $3,533 $9,118 +21% $14,441 −24% —
446 MS DRG -DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Minor $10,909 $3,491 $10,130 +8% $17,700 −38% —
596 MS DRG -MAJOR SKIN DISORDERS WITHOUT MCC;APR DRG -MAJOR SKIN DISORDERS;SOI -Minor $10,720 $3,430 $11,664 −8% $17,226 −38% —
395 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Minor $10,471 $3,351 $10,099 +4% $14,128 −26% —
544 MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Moderate $10,209 $3,267 $14,790 −31% $16,776 −39% —
869 MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Moderate $10,128 $3,241 $9,044 +12% $12,537 −19% —
382 MS DRG -COMPLICATED PEPTIC ULCER WITHOUT CC/MCC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Minor $9,897 $3,167 $9,897 +0% $16,634 −41% —
387 MS DRG -INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Minor $9,893 $3,166 $16,402 −40% $14,880 −34% —
188 MS DRG -PLEURAL EFFUSION WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate $9,826 $3,144 $8,110 +21% $14,110 −30% —
700 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Moderate $9,462 $3,028 $13,149 −28% $13,303 −29% —
302 MS DRG -ATHEROSCLEROSIS WITH MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $9,291 $2,973 $18,013 −48% $20,844 −55% —
694 MS DRG -URINARY STONES WITHOUT MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Minor $9,155 $2,929 $10,566 −13% $16,531 −45% —
726 MS DRG -BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate $9,147 $2,927 $13,637 −33% $13,892 −34% —
935 NON-EXTENSIVE BURNS $9,017 $2,885 $17,416 −48% $29,458 −69% —
316 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Minor $8,761 $2,804 $12,331 −29% $12,797 −32% —
976 MS DRG -HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC;APR DRG -HIV WITH ONE SIGNIFICANT HIV CONDITION OR WITHOUT SIGNIFICANT RELATED CONDITIONS;SOI -Moderate $8,378 $2,681 $14,958 −44% $16,212 −48% —
155 MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Moderate $7,331 $2,346 $10,785 −32% $16,642 −56% —
795 MS DRG -NORMAL NEWBORN;APR DRG -NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI -Minor $2,358 $755 $2,778 −15% $4,530 −48% —

Procedures with negotiated rates only

These 236 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
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $37,542 – $101,103 · median $63,467 21 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $28,750 – $76,891 · median $48,268 21 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $18,858 – $49,653 · median $31,169 21 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $257,442 – $706,625 · median $443,578 21 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $55,678 – $151,041 · median $94,815 21 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $38,437 – $103,565 · median $65,012 21 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $24,849 – $66,149 · median $41,525 21 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $39,646 – $106,896 · median $67,103 21 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $26,695 – $71,232 · median $44,716 21 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $21,638 – $57,309 · median $35,975 21 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,618 – $46,239 · median $29,026 21 plans
028 SPINAL PROCEDURES WITH MCC $42,194 – $113,912 · median $71,507 21 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,969 – $41,697 · median $26,175 21 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $29,341 – $78,519 · median $49,290 21 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,358 – $40,015 · median $25,119 21 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,683 – $29,895 · median $18,766 21 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $27,287 – $72,863 · median $45,739 21 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $26,493 – $70,678 · median $44,367 21 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,520 – $37,708 · median $23,671 21 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,096 – $17,264 · median $10,838 21 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,387 – $34,587 · median $21,711 21 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,726 – $27,260 · median $17,113 21 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,065 – $17,180 · median $10,785 21 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,348 – $28,973 · median $18,188 21 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,352 – $37,245 · median $23,381 21 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,614 – $43,474 · median $27,290 21 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,245 – $42,458 · median $26,653 21 plans
088 CONCUSSION WITH MCC $10,425 – $26,432 · median $16,593 21 plans
089 CONCUSSION WITH CC $8,121 – $20,088 · median $12,610 21 plans
090 CONCUSSION WITHOUT CC/MCC $6,660 – $16,063 · median $10,084 21 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,138 – $44,916 · median $28,196 21 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,138 – $44,916 · median $28,196 21 plans
113 ORBITAL PROCEDURES WITH CC/MCC $16,181 – $42,282 · median $26,542 21 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,870 – $22,149 · median $13,904 21 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,180 – $31,265 · median $19,626 21 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,165 – $20,210 · median $12,686 21 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,741 – $21,795 · median $13,682 21 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,442 – $12,709 · median $7,978 21 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,699 – $24,431 · median $15,336 21 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,232 – $45,177 · median $28,359 21 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,482 – $18,329 · median $11,506 21 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,343 – $26,206 · median $16,450 21 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,362 – $15,243 · median $9,568 21 plans
139 SALIVARY GLAND PROCEDURES $10,169 – $25,726 · median $16,149 21 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,604 – $79,243 · median $49,744 21 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,446 – $40,256 · median $25,271 21 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,526 – $29,462 · median $18,495 21 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,780 – $32,915 · median $20,662 21 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,888 – $22,200 · median $13,936 21 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,436 – $42,985 · median $26,983 21 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,275 – $15,003 · median $9,418 21 plans
150 EPISTAXIS WITH MCC $10,231 – $25,898 · median $16,257 21 plans
151 EPISTAXIS WITHOUT MCC $5,984 – $14,203 · median $8,916 21 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,892 – $30,472 · median $19,129 21 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,968 – $30,682 · median $19,260 21 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,314 – $12,359 · median $7,758 21 plans
184 MAJOR CHEST TRAUMA WITH CC $8,094 – $20,013 · median $12,563 21 plans
187 PLEURAL EFFUSION WITH CC $7,658 – $18,812 · median $11,809 21 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $74,953 – $204,119 · median $128,134 21 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $44,769 – $121,002 · median $75,958 21 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $41,308 – $111,472 · median $69,976 21 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $36,867 – $99,244 · median $62,300 21 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $32,076 – $86,052 · median $54,018 21 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $21,963 – $58,203 · median $36,536 21 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,100 – $28,291 · median $17,759 21 plans
245 AICD GENERATOR PROCEDURES $34,078 – $91,564 · median $57,479 21 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,895 – $16,712 · median $10,491 21 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,916 – $52,567 · median $32,998 21 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,786 – $32,934 · median $20,674 21 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,154 – $28,439 · median $17,852 21 plans
263 VEIN LIGATION AND STRIPPING $19,076 – $50,255 · median $31,547 21 plans
265 AICD LEAD PROCEDURES $25,099 – $66,839 · median $41,957 21 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $41,590 – $112,250 · median $70,464 21 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $32,839 – $88,152 · median $55,337 21 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $46,196 – $124,931 · median $78,424 21 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $22,063 – $58,478 · median $36,709 21 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $48,913 – $132,414 · median $83,122 21 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $42,976 – $116,064 · median $72,859 21 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $22,630 – $60,041 · median $37,690 21 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,868 – $13,884 · median $8,716 21 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,646 – $10,519 · median $6,603 21 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,555 – $29,543 · median $18,545 21 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,488 – $18,344 · median $11,515 21 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,200 – $14,798 · median $9,290 21 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,619 – $13,198 · median $8,285 21 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,832 – $8,276 · median $5,195 21 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $42,921 – $115,915 · median $72,764 21 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $30,717 – $82,308 · median $51,668 21 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,577 – $43,372 · median $27,227 21 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $29,809 – $79,808 · median $50,099 21 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,301 – $53,627 · median $33,664 21 plans
333 RECTAL RESECTION WITH CC $15,288 – $39,822 · median $24,998 21 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,820 – $16,505 · median $10,361 21 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $20,784 – $54,956 · median $34,498 21 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,835 – $16,545 · median $10,386 21 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,428 – $23,687 · median $14,870 21 plans
397 APPENDIX PROCEDURES WITH MCC $17,686 – $46,427 · median $29,144 21 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $24,651 – $65,604 · median $41,182 21 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,381 – $29,063 · median $18,244 21 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,446 – $51,272 · median $32,186 21 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,331 – $39,940 · median $25,072 21 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,139 – $31,150 · median $19,554 21 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,150 – $25,673 · median $16,116 21 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $24,843 – $66,132 · median $41,514 21 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,969 – $30,684 · median $19,261 21 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,345 – $28,964 · median $18,182 21 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $57,580 – $156,278 · median $98,102 21 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $38,050 – $102,501 · median $64,344 21 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $6,169 – $14,712 · median $9,236 21 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $58,455 – $158,687 · median $99,615 21 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,208 – $80,906 · median $50,788 21 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $42,583 – $114,983 · median $72,180 21 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,313 – $53,659 · median $33,684 21 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $35,492 – $95,458 · median $59,923 21 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,740 – $21,793 · median $13,680 21 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,251 – $36,968 · median $23,206 21 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,962 – $25,156 · median $15,792 21 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,725 – $21,750 · median $13,653 21 plans
503 FOOT PROCEDURES WITH MCC $18,835 – $49,589 · median $31,129 21 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,608 – $24,182 · median $15,180 21 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $25,213 – $67,153 · median $42,155 21 plans
533 FRACTURES OF FEMUR WITH MCC $11,202 – $28,572 · median $17,936 21 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,079 – $17,219 · median $10,809 21 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,395 – $12,582 · median $7,898 21 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,779 – $16,393 · median $10,291 21 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,904 – $13,982 · median $8,777 21 plans
548 SEPTIC ARTHRITIS WITH MCC $14,534 – $37,748 · median $23,696 21 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,713 – $24,471 · median $15,361 21 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,917 – $14,017 · median $8,799 21 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $42,730 – $115,386 · median $72,433 21 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,413 – $37,412 · median $23,485 21 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $37,538 – $101,092 · median $63,460 21 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,945 – $49,893 · median $31,320 21 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,328 – $31,673 · median $19,882 21 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,742 – $32,812 · median $20,598 21 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,334 – $37,195 · median $23,349 21 plans
593 SKIN ULCERS WITH CC $9,146 – $22,910 · median $14,381 21 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,601 – $15,902 · median $9,982 21 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,218 – $39,631 · median $24,878 21 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,643 – $16,018 · median $10,055 21 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $7,335 – $17,924 · median $11,252 21 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,905 – $11,233 · median $7,051 21 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,577 – $26,850 · median $16,855 21 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,298 – $23,329 · median $14,645 21 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,379 – $51,086 · median $32,069 21 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,652 – $18,795 · median $11,798 21 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,096 – $28,280 · median $17,752 21 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,447 – $23,738 · median $14,901 21 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,361 – $26,256 · median $16,482 21 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $22,995 – $61,045 · median $38,321 21 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,219 – $28,619 · median $17,965 21 plans
665 PROSTATECTOMY WITH MCC $24,190 – $64,335 · median $40,386 21 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,820 – $19,258 · median $12,089 21 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,329 – $17,907 · median $11,241 21 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,555 – $32,297 · median $20,274 21 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,273 – $20,506 · median $12,872 21 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,477 – $29,329 · median $18,411 21 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,754 – $13,569 · median $8,518 21 plans
697 URETHRAL STRICTURE $7,643 – $18,771 · median $11,783 21 plans
709 PENIS PROCEDURES WITH CC/MCC $16,117 – $42,104 · median $26,430 21 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $11,042 – $28,132 · median $17,659 21 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,104 – $20,041 · median $12,581 21 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,220 – $17,607 · median $11,053 21 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,484 – $26,593 · median $16,694 21 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,590 – $32,394 · median $20,335 21 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,784 – $13,652 · median $8,570 21 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,418 – $23,657 · median $14,851 21 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,317 – $20,628 · median $12,949 21 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,956 – $11,371 · median $7,138 21 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,135 – $39,400 · median $24,733 21 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,086 – $22,745 · median $14,278 21 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,424 – $37,444 · median $23,505 21 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,148 – $28,422 · median $17,842 21 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $27,914 – $74,590 · median $46,823 21 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,199 – $34,069 · median $21,387 21 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,173 – $25,737 · median $16,156 21 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,799 – $19,202 · median $12,054 21 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,440 – $48,503 · median $30,447 21 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,601 – $24,161 · median $15,167 21 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,324 – $17,894 · median $11,233 21 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,457 – $26,518 · median $12,368 21 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,140 – $14,271 · median $7,775 21 plans
799 SPLENIC PROCEDURES WITH MCC $10,895 – $89,091 · median $33,180 21 plans
800 SPLENIC PROCEDURES WITH CC $10,895 – $54,596 · median $20,653 21 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $10,895 – $30,761 · median $12,368 21 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,219 – $67,168 · median $42,164 21 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,938 – $33,352 · median $20,936 21 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,349 – $20,716 · median $13,004 21 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $15,051 – $39,170 · median $24,588 21 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,313 – $12,355 · median $7,756 21 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $40,444 – $109,092 · median $68,482 21 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,608 – $21,430 · median $13,452 21 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,778 – $27,403 · median $17,202 21 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,473 – $23,809 · median $14,946 21 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $34,898 – $93,820 · median $58,895 21 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,627 – $38,002 · median $23,856 21 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,151 – $25,677 · median $16,119 21 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,520 – $15,679 · median $9,842 21 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,398 – $15,344 · median $9,632 21 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $63,508 – $172,603 · median $108,350 21 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,888 – $30,459 · median $19,120 21 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,593 – $24,141 · median $15,154 21 plans
865 VIRAL ILLNESS WITH MCC $10,869 – $27,654 · median $17,360 21 plans
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $7,972 – $19,676 · median $12,351 21 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $27,565 – $73,629 · median $46,220 21 plans
881 DEPRESSIVE NEUROSES $7,046 – $17,127 · median $10,752 21 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,372 – $18,025 · median $11,315 21 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,441 – $34,737 · median $21,806 21 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $13,050 – $33,661 · median $21,130 21 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,919 – $22,286 · median $13,990 21 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,678 – $27,129 · median $17,030 21 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,973 – $83,014 · median $52,112 21 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,122 – $22,842 · median $14,339 21 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $27,099 – $72,345 · median $45,414 21 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $12,041 – $30,882 · median $19,386 21 plans
913 TRAUMATIC INJURY WITH MCC $11,838 – $30,322 · median $19,034 21 plans
914 TRAUMATIC INJURY WITHOUT MCC $7,062 – $17,171 · median $10,779 21 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $162,247 – $444,494 · median $279,028 21 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $46,273 – $125,143 · median $78,557 21 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $22,467 – $59,591 · median $37,408 21 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $30,268 – $81,073 · median $50,893 21 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,427 – $40,206 · median $25,239 21 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $22,424 – $59,471 · median $37,333 21 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,193 – $39,561 · median $24,834 21 plans
950 AFTERCARE WITHOUT CC/MCC $4,814 – $10,982 · median $6,894 21 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $47,289 – $127,942 · median $80,314 21 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $51,616 – $139,857 · median $87,794 21 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $28,791 – $77,005 · median $48,339 21 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $18,817 – $49,539 · median $31,098 21 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,034 – $28,107 · median $17,644 21 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,036 – $17,099 · median $10,734 21 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $43,860 – $118,498 · median $74,386 21 plans
945 REHABILITATION WITH CC/MCC $11,213 – $21,785 · median $17,028 19 plans
946 REHABILITATION WITHOUT CC/MCC $8,423 – $15,934 · median $12,455 19 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,382 – $15,299 · median $6,382 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,131 – $14,240 · median $9,513 11 plans