Ochsner Medical Center - Baton Rouge — Pricing
757 procedures published in this hospital's Machine-Readable File (MRF) — 521 with a comparable price, 236 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 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 |
No procedures match that keyword.