Ochsner Medical Center-Kenner — Pricing
757 procedures published in this hospital's Machine-Readable File (MRF) — 462 with a comparable price, 295 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 462 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 18 procedures, this hospital's negotiated rates average ≈137% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. LA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 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 | $436,443 | $122,204 | $462,770 | −6% | $371,366 | +18% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $292,712 | — | $92,884 | +215% | $80,885 | +262% | — |
| 867 | MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme | $291,473 | $81,612 | $31,559 | +824% | $36,850 | +691% | — |
| 250 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Extreme | $281,971 | $78,952 | $67,602 | +317% | $51,339 | +449% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $278,534 | — | $66,425 | +319% | $78,582 | +254% | — |
| 004 | MS DRG -TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES;APR DRG -TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE;SOI -Extreme | $267,278 | $74,838 | $292,218 | −9% | $245,241 | +9% | — |
| 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 -Moderate | $256,460 | $71,809 | $208,044 | +23% | $121,728 | +111% | — |
| 426 | MS DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE;APR DRG -MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL;SOI -Extreme | $254,508 | $71,262 | $193,816 | +31% | $142,326 | +79% | — |
| 629 | MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $234,043 | $65,532 | $35,001 | +569% | $45,059 | +419% | — |
| 674 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -RENAL DIALYSIS ACCESS DEVICE PROCEDURES;SOI -Major | $224,326 | $62,811 | $51,964 | +332% | $49,631 | +352% | — |
| 208 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme | $218,578 | $61,202 | $55,384 | +295% | $52,405 | +317% | — |
| 074 | MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Moderate | $213,275 | $59,717 | $20,035 | +965% | $23,141 | +822% | — |
| 095 | MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Moderate | $209,559 | $58,676 | $54,420 | +285% | $47,583 | +340% | — |
| 270 | MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Extreme | $196,740 | $55,087 | $136,083 | +45% | $99,423 | +98% | — |
| 546 | MS DRG -CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Moderate | $193,624 | $54,215 | $36,114 | +436% | $24,202 | +700% | — |
| 163 | MS DRG -MAJOR CHEST PROCEDURES WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme | $192,570 | $53,920 | $165,068 | +17% | $88,341 | +118% | — |
| 682 | MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme | $191,170 | $53,528 | $27,953 | +584% | $27,854 | +586% | ≈137% of Medicare |
| 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 | $190,726 | $53,403 | $61,736 | +209% | $43,524 | +338% | — |
| 981 | MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme | $176,349 | $49,378 | $93,631 | +88% | $86,390 | +104% | — |
| 467 | MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITH CC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Moderate | $174,394 | $48,830 | $78,622 | +122% | $68,880 | +153% | — |
| 097 | MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Extreme | $172,980 | $48,435 | $55,801 | +210% | $57,855 | +199% | — |
| 323 | MS DRG -CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate | $171,711 | $48,079 | $171,608 | +0% | $88,049 | +95% | — |
| 271 | MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC;APR DRG -MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI -Major | $170,092 | $47,626 | $139,299 | +22% | $71,014 | +140% | — |
| 268 | MS DRG -AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC;APR DRG -MAJOR ABDOMINAL VASCULAR PROCEDURES;SOI -Moderate | $167,931 | $47,021 | $167,931 | +0% | $118,589 | +42% | — |
| 277 | MS DRG -CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC;APR DRG -DEFIBRILLATOR IMPLANTS;SOI -Major | $163,329 | $45,732 | $154,961 | +5% | $91,329 | +79% | — |
| 477 | MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT;SOI -Major | $161,815 | $45,308 | $62,783 | +158% | $62,269 | +160% | — |
| 207 | MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Extreme | $160,739 | $45,007 | $160,739 | +0% | $116,058 | +38% | — |
| 564 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Extreme | $157,938 | $44,223 | $18,475 | +755% | $32,936 | +380% | — |
| 329 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Extreme | $155,692 | $43,594 | $147,076 | +6% | $88,050 | +77% | — |
| 330 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Major | $154,672 | $43,308 | $75,804 | +104% | $58,832 | +163% | — |
| 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 -Moderate | $153,624 | $43,015 | $144,151 | +7% | $105,899 | +45% | — |
| 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 | $153,323 | $42,931 | $102,538 | +50% | $87,018 | +76% | — |
| 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 | $150,772 | $42,216 | $50,042 | +201% | $45,817 | +229% | — |
| 478 | MS DRG -BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Major | $147,773 | $41,376 | $72,984 | +102% | $50,139 | +195% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $147,373 | — | $56,211 | +162% | $94,927 | +55% | — |
| 278 | MS DRG -ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major | $144,294 | $40,402 | $130,728 | +10% | $84,861 | +70% | — |
| 673 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme | $142,976 | $40,033 | $88,662 | +61% | $72,945 | +96% | — |
| 987 | MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Extreme | $140,597 | $39,367 | $71,549 | +97% | $65,383 | +115% | — |
| 344 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Major | $138,626 | $38,815 | $46,424 | +199% | $44,839 | +209% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $136,357 | — | $136,357 | +0% | $131,961 | +3% | — |
| 468 | MS DRG -REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC;APR DRG -ELECTIVE KNEE JOINT REPLACEMENT;SOI -Moderate | $135,685 | $37,992 | $108,088 | +26% | $54,929 | +147% | — |
| 438 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Extreme | $135,293 | $37,882 | $31,731 | +326% | $32,502 | +316% | — |
| 617 | MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Extreme | $134,138 | $37,559 | $37,649 | +256% | $42,881 | +213% | — |
| 357 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Major | $131,650 | $36,862 | $56,437 | +133% | $48,682 | +170% | — |
| 492 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG -OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Extreme | $130,251 | $36,470 | $78,830 | +65% | $70,540 | +85% | — |
| 239 | MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major | $128,629 | $36,016 | $104,080 | +24% | $87,565 | +47% | — |
| 279 | MS DRG -ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate | $128,436 | $35,962 | $87,704 | +46% | $57,277 | +124% | — |
| 280 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Extreme | $128,249 | $35,910 | $30,357 | +322% | $28,967 | +343% | ≈134% of Medicare |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $127,471 | — | $179,884 | −29% | $191,314 | −33% | — |
| 870 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme | $126,146 | $35,321 | $126,146 | +0% | $138,008 | −9% | — |
| 356 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Major | $125,865 | $35,242 | $58,115 | +117% | $82,561 | +52% | — |
| 245 | MS DRG -AICD GENERATOR PROCEDURES;APR DRG -INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI -Major | $124,797 | $34,943 | $146,998 | −15% | $72,076 | +73% | — |
| 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 -Moderate | $123,553 | $34,595 | $120,339 | +3% | $79,944 | +55% | — |
| 448 | MS DRG -MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Major | $122,125 | $34,195 | $129,588 | −6% | $81,998 | +49% | — |
| 242 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Major | $118,049 | $33,054 | $88,237 | +34% | $70,132 | +68% | — |
| 811 | MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Extreme | $117,688 | $32,953 | $23,654 | +398% | $27,934 | +321% | — |
| 813 | MS DRG -COAGULATION DISORDERS;APR DRG -COAGULATION AND PLATELET DISORDERS;SOI -Moderate | $117,202 | $32,817 | $47,828 | +145% | $30,128 | +289% | — |
| 623 | MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate | $116,915 | $32,736 | $43,775 | +167% | $33,165 | +253% | — |
| 505 | MS DRG -FOOT PROCEDURES WITHOUT CC/MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate | $116,148 | $32,521 | $27,050 | +329% | $31,716 | +266% | — |
| 321 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Extreme | $114,297 | $32,003 | $71,631 | +60% | $74,274 | +54% | — |
| 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 | $113,637 | $31,818 | $117,363 | −3% | $114,914 | −1% | — |
| 471 | MS DRG -CERVICAL SPINAL FUSION WITH MCC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Major | $113,585 | $31,804 | $117,238 | −3% | $92,515 | +23% | — |
| 794 | MS DRG -NEONATE WITH OTHER SIGNIFICANT PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY;SOI -Moderate | $113,238 | $31,707 | $8,809 | +1185% | $7,961 | +1322% | — |
| 240 | MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major | $112,631 | $31,537 | $63,977 | +76% | $54,475 | +107% | — |
| 165 | MS DRG -MAJOR CHEST PROCEDURES WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor | $111,423 | $31,199 | $92,143 | +21% | $41,380 | +169% | — |
| 324 | MS DRG -CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Minor | $111,378 | $31,186 | $133,566 | −17% | $66,819 | +67% | — |
| 500 | MS DRG -SOFT TISSUE PROCEDURES WITH MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Extreme | $111,227 | $31,143 | $77,970 | +43% | $57,479 | +94% | — |
| 707 | MS DRG -MAJOR MALE PELVIC PROCEDURES WITH CC/MCC;APR DRG -PROSTATECTOMY PROCEDURES;SOI -Major | $109,263 | $30,594 | $103,925 | +5% | $43,080 | +154% | — |
| 622 | MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Major | $107,378 | $30,066 | $77,820 | +38% | $60,861 | +76% | — |
| 164 | MS DRG -MAJOR CHEST PROCEDURES WITH CC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major | $107,063 | $29,978 | $109,748 | −2% | $53,141 | +101% | — |
| 457 | MS DRG -SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Moderate | $104,685 | $29,312 | $104,685 | +0% | $107,355 | −2% | — |
| 628 | MS DRG -OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Extreme | $104,190 | $29,173 | $70,566 | +48% | $68,006 | +53% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $100,753 | — | $47,716 | +111% | $37,902 | +166% | — |
| 469 | MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate | $99,326 | $27,811 | $84,993 | +17% | $65,254 | +52% | — |
| 296 | MS DRG -CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Extreme | $99,230 | $27,784 | $46,939 | +111% | $30,910 | +221% | — |
| 253 | MS DRG -OTHER VASCULAR PROCEDURES WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major | $98,835 | $27,674 | $80,670 | +23% | $53,746 | +84% | — |
| 769 | MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE;SOI -Extreme | $98,741 | $27,647 | $30,170 | +227% | $24,561 | +302% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $98,556 | — | $40,525 | +143% | $76,583 | +29% | — |
| 325 | MS DRG -CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate | $98,414 | $27,556 | $64,163 | +53% | $53,551 | +84% | — |
| 829 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC;APR DRG -OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Moderate | $97,963 | $27,430 | $67,438 | +45% | $53,817 | +82% | — |
| 896 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Extreme | $97,706 | $27,358 | $20,366 | +380% | $30,275 | +223% | — |
| 830 | MS DRG -MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS;SOI -Minor | $97,623 | $27,334 | $21,425 | +356% | $25,149 | +288% | — |
| 513 | MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Extreme | $97,413 | $27,276 | $32,614 | +199% | $33,424 | +191% | — |
| 415 | MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Minor | $97,253 | $27,231 | $45,283 | +115% | $43,398 | +124% | — |
| 902 | MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITH CC;APR DRG -NON-EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate | $96,939 | $27,143 | $43,774 | +121% | $35,459 | +173% | — |
| 255 | MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM PROCEDURES;SOI -Major | $96,936 | $27,142 | $36,325 | +167% | $43,697 | +122% | — |
| 322 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Moderate | $96,624 | $27,055 | $96,624 | +0% | $54,772 | +76% | — |
| 421 | MS DRG -HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC;APR DRG -OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES;SOI -Major | $95,582 | $26,763 | $26,303 | +263% | $36,333 | +163% | — |
| 481 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Major | $95,504 | $26,741 | $74,029 | +29% | $51,172 | +87% | — |
| 485 | MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT;SOI -Extreme | $94,962 | $26,589 | $68,179 | +39% | $64,956 | +46% | — |
| 559 | MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major | $92,693 | $25,954 | $37,740 | +146% | $30,974 | +199% | — |
| 070 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Extreme | $91,953 | $25,747 | $25,907 | +255% | $30,814 | +198% | — |
| 640 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Extreme | $91,009 | $25,483 | $35,544 | +156% | $24,480 | +272% | ≈132% of Medicare |
| 493 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate | $90,324 | $25,291 | $68,944 | +31% | $56,394 | +60% | — |
| 252 | MS DRG -OTHER VASCULAR PROCEDURES WITH MCC;APR DRG -OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI -Extreme | $89,518 | $25,065 | $79,687 | +12% | $68,508 | +31% | — |
| 327 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Major | $88,899 | $24,892 | $54,417 | +63% | $54,824 | +62% | — |
| 451 | MS DRG -SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Major | $87,702 | $24,557 | $96,629 | −9% | $65,216 | +34% | — |
| 501 | MS DRG -SOFT TISSUE PROCEDURES WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major | $87,658 | $24,544 | $49,159 | +78% | $37,975 | +131% | — |
| 480 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Extreme | $86,307 | $24,166 | $92,273 | −6% | $63,984 | +35% | — |
| 193 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Extreme | $85,909 | $24,054 | $31,866 | +170% | $26,158 | +228% | ≈139% of Medicare |
| 286 | MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Extreme | $85,896 | $24,051 | $47,632 | +80% | $44,600 | +93% | — |
| 326 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Minor | $85,356 | $23,900 | $85,356 | +0% | $80,747 | +6% | — |
| 314 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Extreme | $84,484 | $23,656 | $66,687 | +27% | $38,357 | +120% | — |
| 272 | MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate | $84,157 | $23,564 | $67,960 | +24% | $55,162 | +53% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $83,822 | — | $62,830 | +33% | $71,701 | +17% | — |
| 444 | MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Extreme | $83,755 | $23,451 | $49,470 | +69% | $31,128 | +169% | — |
| 956 | MS DRG -LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA;APR DRG -ELECTIVE HIP JOINT REPLACEMENT;SOI -Major | $83,574 | $23,401 | $78,808 | +6% | $75,103 | +11% | — |
| 496 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Minor | $83,514 | $23,384 | $75,709 | +10% | $43,800 | +91% | — |
| 416 | MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor | $83,269 | $23,315 | $28,539 | +192% | $30,418 | +174% | — |
| 189 | MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Extreme | $82,703 | $23,157 | $34,870 | +137% | $25,704 | +222% | ≈148% of Medicare |
| 336 | MS DRG -PERITONEAL ADHESIOLYSIS WITH CC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Major | $81,982 | $22,955 | $54,942 | +49% | $49,470 | +66% | — |
| 521 | MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Moderate | $80,039 | $22,411 | $64,282 | +25% | $67,764 | +18% | — |
| 374 | MS DRG -DIGESTIVE MALIGNANCY WITH MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Extreme | $79,871 | $22,364 | $42,166 | +89% | $38,885 | +105% | — |
| 299 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Extreme | $79,530 | $22,269 | $21,036 | +278% | $25,731 | +209% | — |
| 862 | MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme | $79,358 | $22,220 | $30,606 | +159% | $30,394 | +161% | — |
| 483 | MS DRG -MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES;APR DRG -SHOULDER AND ELBOW JOINT REPLACEMENT;SOI -Major | $78,532 | $21,989 | $83,829 | −6% | $57,149 | +37% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $78,177 | — | $32,099 | +144% | $46,591 | +68% | — |
| 856 | MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major | $78,177 | $21,890 | $54,047 | +45% | $72,859 | +7% | — |
| 291 | MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme | $77,179 | $21,610 | $27,049 | +185% | $25,020 | +208% | ≈137% of Medicare |
| 884 | MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Extreme | $76,950 | $21,546 | $28,404 | +171% | $25,208 | +205% | — |
| 432 | MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Extreme | $76,432 | $21,401 | $35,757 | +114% | $36,933 | +107% | — |
| 659 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Extreme | $76,308 | $21,366 | $38,026 | +101% | $48,094 | +59% | — |
| 626 | MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Moderate | $75,839 | $21,235 | $22,809 | +232% | $27,279 | +178% | — |
| 029 | MS DRG -SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS;APR DRG -SPINAL PROCEDURES;SOI -Moderate | $75,174 | $21,049 | $75,174 | +0% | $64,152 | +17% | — |
| 472 | MS DRG -CERVICAL SPINAL FUSION WITH CC;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Major | $74,785 | $20,940 | $84,790 | −12% | $59,537 | +26% | — |
| 243 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Major | $74,569 | $20,879 | $58,293 | +28% | $50,011 | +49% | — |
| 042 | MS DRG -PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI -Moderate | $74,220 | $20,782 | $41,958 | +77% | $39,018 | +90% | — |
| 502 | MS DRG -SOFT TISSUE PROCEDURES WITHOUT CC/MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Minor | $74,174 | $20,769 | $28,835 | +157% | $30,006 | +147% | — |
| 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 -Minor | $73,714 | $20,640 | $125,971 | −41% | $75,492 | −2% | — |
| 283 | MS DRG -ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme | $73,709 | $20,639 | $75,916 | −3% | $35,014 | +111% | — |
| 258 | MS DRG -CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC;APR DRG -INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI -Moderate | $73,074 | $20,461 | $29,333 | +149% | $48,907 | +49% | — |
| 871 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme | $72,362 | $20,261 | $47,280 | +53% | $35,237 | +105% | ≈122% of Medicare |
| 872 | MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Minor | $71,243 | $19,948 | $28,123 | +153% | $22,781 | +213% | ≈167% of Medicare |
| 313 | MS DRG -CHEST PAIN;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Major | $70,621 | $19,774 | $11,202 | +530% | $15,962 | +342% | — |
| 393 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Extreme | $70,513 | $19,744 | $40,098 | +76% | $32,689 | +116% | — |
| 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 | $69,732 | $19,525 | $48,375 | +44% | $51,985 | +34% | — |
| 244 | MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Moderate | $69,345 | $19,417 | $70,333 | −1% | $40,063 | +73% | — |
| 379 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Moderate | $69,332 | $19,413 | $20,711 | +235% | $14,134 | +391% | — |
| 616 | MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Major | $68,979 | $19,314 | $72,579 | −5% | $62,961 | +10% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $68,010 | — | $19,908 | +242% | $32,981 | +106% | — |
| 488 | MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Moderate | $67,241 | $18,827 | $45,073 | +49% | $41,520 | +62% | — |
| 260 | MS DRG -CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC;APR DRG -CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT;SOI -Extreme | $66,463 | $18,610 | $51,394 | +29% | $67,901 | −2% | — |
| 188 | MS DRG -PLEURAL EFFUSION WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor | $66,138 | $18,519 | $8,110 | +716% | $14,110 | +369% | — |
| 358 | MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Moderate | $65,592 | $18,366 | $41,902 | +57% | $29,374 | +123% | — |
| 458 | MS DRG -SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC;APR DRG -DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK;SOI -Moderate | $65,448 | $18,325 | $55,139 | +19% | $83,441 | −22% | — |
| 522 | MS DRG -HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC;APR DRG -NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT;SOI -Moderate | $64,798 | $18,143 | $50,240 | +29% | $56,519 | +15% | — |
| 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 | $64,579 | $18,082 | $64,579 | +0% | $35,114 | +84% | — |
| 518 | MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR;APR DRG -SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES;SOI -Major | $64,200 | $17,976 | $51,471 | +25% | $64,776 | −1% | — |
| 377 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Extreme | $64,115 | $17,952 | $46,940 | +37% | $37,842 | +69% | ≈127% of Medicare |
| 196 | MS DRG -INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Extreme | $63,883 | $17,887 | $22,869 | +179% | $30,766 | +108% | — |
| 637 | MS DRG -DIABETES WITH MCC;APR DRG -DIABETES;SOI -Extreme | $63,072 | $17,660 | $39,314 | +60% | $28,819 | +119% | — |
| 865 | MS DRG -VIRAL ILLNESS WITH MCC;APR DRG -VIRAL ILLNESS;SOI -Extreme | $63,001 | $17,640 | $15,709 | +301% | $26,088 | +141% | — |
| 228 | MS DRG -OTHER CARDIOTHORACIC PROCEDURES WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Major | $62,921 | $17,618 | $125,919 | −50% | $96,905 | −35% | — |
| 177 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme | $62,737 | $17,566 | $40,636 | +54% | $31,840 | +97% | ≈125% of Medicare |
| 791 | MS DRG -PREMATURITY WITH MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION;SOI -Moderate | $62,318 | $17,449 | $39,169 | +59% | $39,563 | +58% | — |
| 251 | MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Minor | $62,279 | $17,438 | $62,279 | +0% | $41,380 | +51% | — |
| 066 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -INTRACRANIAL HEMORRHAGE;SOI -Major | $62,111 | $17,391 | $20,913 | +197% | $19,483 | +219% | — |
| 380 | MS DRG -COMPLICATED PEPTIC ULCER WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Extreme | $61,522 | $17,226 | $24,670 | +149% | $36,641 | +68% | — |
| 975 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITH CC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Major | $61,460 | $17,209 | $26,939 | +128% | $25,010 | +146% | — |
| 417 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major | $61,146 | $17,121 | $60,767 | +1% | $52,313 | +17% | — |
| 580 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major | $60,803 | $17,025 | $59,184 | +3% | $36,242 | +68% | — |
| 470 | MS DRG -MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC;APR DRG -ELECTIVE KNEE JOINT REPLACEMENT;SOI -Moderate | $60,484 | $16,935 | $77,962 | −22% | $49,197 | +23% | — |
| 482 | MS DRG -HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC;APR DRG -HIP AND FEMUR FRACTURE REPAIR;SOI -Minor | $60,104 | $16,829 | $60,104 | +0% | $39,747 | +51% | — |
| 614 | MS DRG -ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC;APR DRG -ADRENAL PROCEDURES;SOI -Minor | $60,046 | $16,813 | $82,051 | −27% | $43,586 | +38% | — |
| 259 | MS DRG -CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC;APR DRG -INSERTION, REVISION AND REPLACEMENTS OF PACEMAKER AND OTHER CARDIAC DEVICES;SOI -Moderate | $59,326 | $16,611 | $18,597 | +219% | $35,673 | +66% | — |
| 643 | MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Major | $58,566 | $16,398 | $39,492 | +48% | $32,996 | +77% | — |
| 770 | MS DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;APR DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Major | $58,106 | $16,270 | $24,714 | +135% | $17,943 | +224% | — |
| 489 | MS DRG -KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -ELECTIVE KNEE JOINT REPLACEMENT;SOI -Minor | $58,058 | $16,256 | $29,734 | +95% | $27,492 | +111% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $58,018 | — | $53,017 | +9% | $33,137 | +75% | — |
| 917 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Extreme | $57,730 | $16,164 | $35,324 | +63% | $28,134 | +105% | — |
| 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 | $57,508 | $16,102 | $64,026 | −10% | $50,624 | +14% | — |
| 166 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Major | $56,963 | $15,950 | $93,180 | −39% | $72,782 | −22% | — |
| 554 | MS DRG -BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG -ELECTIVE KNEE JOINT REPLACEMENT;SOI -Moderate | $56,853 | $15,919 | $24,653 | +131% | $18,253 | +211% | — |
| 644 | MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Major | $56,836 | $15,914 | $19,297 | +195% | $22,941 | +148% | — |
| 372 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major | $56,679 | $15,870 | $25,271 | +124% | $22,850 | +148% | — |
| 178 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate | $56,285 | $15,760 | $23,848 | +136% | $22,024 | +156% | — |
| 413 | MS DRG -CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor | $55,984 | $15,675 | $14,212 | +294% | $27,548 | +103% | — |
| 519 | MS DRG -BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC;APR DRG -VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES;SOI -Moderate | $55,926 | $15,659 | $55,926 | +0% | $43,775 | +28% | — |
| 947 | MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Extreme | $55,855 | $15,639 | $26,617 | +110% | $25,474 | +119% | — |
| 857 | MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major | $55,728 | $15,604 | $26,079 | +114% | $41,900 | +33% | — |
| 064 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -INTRACRANIAL HEMORRHAGE;SOI -Extreme | $55,642 | $15,580 | $36,919 | +51% | $35,714 | +56% | — |
| 661 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI -Moderate | $55,610 | $15,571 | $27,285 | +104% | $24,022 | +131% | — |
| 100 | MS DRG -SEIZURES WITH MCC;APR DRG -SEIZURE;SOI -Extreme | $55,384 | $15,508 | $37,366 | +48% | $35,194 | +57% | — |
| 579 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC;APR DRG -SKIN ULCERS;SOI -Major | $55,011 | $15,403 | $61,592 | −11% | $54,129 | +2% | — |
| 345 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Moderate | $54,938 | $15,383 | $26,767 | +105% | $31,062 | +77% | — |
| 504 | MS DRG -FOOT PROCEDURES WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate | $54,842 | $15,356 | $48,796 | +12% | $36,598 | +50% | — |
| 041 | MS DRG -PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR;APR DRG -OTHER NERVOUS SYSTEM AND RELATED PROCEDURES;SOI -Moderate | $54,502 | $15,261 | $41,256 | +32% | $44,989 | +21% | — |
| 570 | MS DRG -SKIN DEBRIDEMENT WITH MCC;APR DRG -SKIN ULCERS;SOI -Extreme | $54,191 | $15,173 | $60,240 | −10% | $52,435 | +3% | — |
| 442 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Major | $53,371 | $14,944 | $24,957 | +114% | $21,449 | +149% | — |
| 331 | MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Minor | $53,258 | $14,912 | $51,631 | +3% | $44,117 | +21% | — |
| 708 | MS DRG -MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC;APR DRG -PROSTATECTOMY PROCEDURES;SOI -Minor | $53,000 | $14,840 | $53,000 | +0% | $32,911 | +61% | — |
| 657 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI -Major | $52,609 | $14,731 | $61,965 | −15% | $40,583 | +30% | — |
| 713 | MS DRG -TRANSURETHRAL PROSTATECTOMY WITH CC/MCC;APR DRG -TRANSURETHRAL PROSTATECTOMY;SOI -Minor | $52,597 | $14,727 | $33,716 | +56% | $29,663 | +77% | — |
| 435 | MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Major | $51,761 | $14,493 | $33,073 | +57% | $37,950 | +36% | — |
| 654 | MS DRG -MAJOR BLADDER PROCEDURES WITH CC;APR DRG -MAJOR BLADDER PROCEDURES;SOI -Minor | $51,187 | $14,332 | $51,569 | −1% | $53,868 | −5% | — |
| 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 | $50,937 | $14,262 | $43,616 | +17% | $48,680 | +5% | — |
| 371 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major | $50,864 | $14,242 | $34,208 | +49% | $31,758 | +60% | — |
| 180 | MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Extreme | $50,838 | $14,235 | $43,392 | +17% | $36,658 | +39% | — |
| 186 | MS DRG -PLEURAL EFFUSION WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme | $50,806 | $14,226 | $39,683 | +28% | $32,468 | +56% | — |
| 641 | MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS;SOI -Major | $49,802 | $13,945 | $16,702 | +198% | $16,745 | +197% | ≈131% of Medicare |
| 418 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate | $49,316 | $13,809 | $46,416 | +6% | $42,119 | +17% | — |
| 391 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Extreme | $48,921 | $13,698 | $26,767 | +83% | $27,244 | +80% | — |
| 885 | MS DRG -PSYCHOSES;APR DRG -DEPRESSIVE DISORDERS;SOI -Moderate | $48,796 | $13,663 | $16,075 | +204% | $21,489 | +127% | — |
| 073 | MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Major | $48,749 | $13,650 | $35,519 | +37% | $28,252 | +73% | — |
| 057 | MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Major | $48,591 | $13,606 | $32,819 | +48% | $25,426 | +91% | — |
| 615 | MS DRG -ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC;APR DRG -ADRENAL PROCEDURES;SOI -Minor | $48,469 | $13,571 | $48,469 | +0% | $31,812 | +52% | — |
| 824 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Moderate | $48,226 | $13,503 | $29,534 | +63% | $38,382 | +26% | — |
| 663 | MS DRG -MINOR BLADDER PROCEDURES WITH CC;APR DRG -OTHER BLADDER PROCEDURES;SOI -Major | $48,140 | $13,479 | $25,988 | +85% | $29,924 | +61% | — |
| 287 | MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Major | $47,705 | $13,357 | $40,539 | +18% | $31,190 | +53% | — |
| 551 | MS DRG -MEDICAL BACK PROBLEMS WITH MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Major | $47,566 | $13,318 | $44,103 | +8% | $31,086 | +53% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $47,304 | — | $33,487 | +41% | $64,465 | −27% | — |
| 494 | MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor | $46,889 | $13,129 | $61,521 | −24% | $45,963 | +2% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $46,608 | — | $34,549 | +35% | $27,947 | +67% | — |
| 056 | MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Extreme | $46,545 | $13,033 | $62,652 | −26% | $39,409 | +18% | — |
| 658 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR MALIGNANCY;SOI -Moderate | $46,444 | $13,004 | $48,020 | −3% | $35,528 | +31% | — |
| 562 | MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Major | $46,247 | $12,949 | $27,017 | +71% | $29,211 | +58% | — |
| 256 | MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM PROCEDURES;SOI -Major | $45,875 | $12,845 | $30,683 | +50% | $29,729 | +54% | — |
| 832 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Major | $44,529 | $12,468 | $18,719 | +138% | $12,895 | +245% | — |
| 919 | MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Extreme | $44,064 | $12,338 | $31,482 | +40% | $29,031 | +52% | — |
| 375 | MS DRG -DIGESTIVE MALIGNANCY WITH CC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major | $43,547 | $12,193 | $17,545 | +148% | $27,219 | +60% | — |
| 205 | MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major | $43,428 | $12,160 | $18,573 | +134% | $32,204 | +35% | — |
| 699 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Major | $43,231 | $12,105 | $24,373 | +77% | $20,732 | +109% | — |
| 355 | MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Minor | $43,190 | $12,093 | $37,878 | +14% | $31,978 | +35% | — |
| 082 | MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major | $42,811 | $11,987 | $24,360 | +76% | $36,237 | +18% | — |
| 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 | $42,701 | $11,956 | $64,043 | −33% | $47,546 | −10% | — |
| 638 | MS DRG -DIABETES WITH CC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Moderate | $42,544 | $11,912 | $21,692 | +96% | $18,821 | +126% | — |
| 190 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Extreme | $42,508 | $11,902 | $21,887 | +94% | $24,190 | +76% | — |
| 974 | MS DRG -HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Major | $41,987 | $11,756 | $56,055 | −25% | $46,402 | −10% | — |
| 840 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Major | $41,937 | $11,742 | $37,712 | +11% | $49,710 | −16% | — |
| 669 | MS DRG -TRANSURETHRAL PROCEDURES WITH CC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Major | $41,931 | $11,741 | $35,716 | +17% | $34,354 | +22% | — |
| 624 | MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Moderate | $41,738 | $11,687 | $15,087 | +177% | $17,078 | +144% | — |
| 909 | MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC;APR DRG -EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Minor | $41,497 | $11,619 | $31,959 | +30% | $28,156 | +47% | — |
| 078 | MS DRG -HYPERTENSIVE ENCEPHALOPATHY WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major | $41,420 | $11,597 | $20,059 | +106% | $17,434 | +138% | — |
| 655 | MS DRG -MAJOR BLADDER PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR BLADDER PROCEDURES;SOI -Minor | $41,331 | $11,573 | $65,265 | −37% | $41,651 | −1% | — |
| 368 | MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH MCC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Extreme | $41,211 | $11,539 | $43,300 | −5% | $33,607 | +23% | — |
| 711 | MS DRG -TESTES PROCEDURES WITH CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Major | $41,031 | $11,489 | $26,421 | +55% | $34,852 | +18% | — |
| 948 | MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major | $41,021 | $11,486 | $19,901 | +106% | $17,727 | +131% | — |
| 378 | MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Major | $40,914 | $11,456 | $21,582 | +90% | $21,886 | +87% | ≈140% of Medicare |
| 918 | MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE;SOI -Major | $40,828 | $11,432 | $11,452 | +257% | $15,045 | +171% | — |
| 445 | MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Major | $40,760 | $11,413 | $18,217 | +124% | $21,806 | +87% | — |
| 660 | MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI -Minor | $40,712 | $11,399 | $36,171 | +13% | $30,358 | +34% | — |
| 689 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Extreme | $40,478 | $11,334 | $24,198 | +67% | $22,982 | +76% | — |
| 091 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Extreme | $40,272 | $11,276 | $34,501 | +17% | $36,375 | +11% | — |
| 441 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Major | $40,074 | $11,221 | $28,244 | +42% | $32,399 | +24% | — |
| 168 | MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate | $40,016 | $11,204 | $40,599 | −1% | $28,527 | +40% | — |
| 545 | MS DRG -CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Major | $39,943 | $11,184 | $45,200 | −12% | $39,657 | +1% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $39,933 | — | $69,602 | −43% | $46,477 | −14% | — |
| 556 | MS DRG -SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $39,665 | $11,106 | $14,692 | +170% | $17,715 | +124% | — |
| 742 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI -Minor | $39,469 | $11,051 | $43,855 | −10% | $40,552 | −3% | — |
| 843 | MS DRG -OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC;APR DRG -LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR;SOI -Major | $39,345 | $11,017 | $29,910 | +32% | $36,280 | +8% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $39,293 | — | $10,044 | +291% | $25,484 | +54% | — |
| 419 | MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor | $38,592 | $10,806 | $36,340 | +6% | $34,887 | +11% | — |
| 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 | $38,435 | $10,762 | $33,999 | +13% | $31,816 | +21% | — |
| 346 | MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Moderate | $37,936 | $10,622 | $20,366 | +86% | $26,146 | +45% | — |
| 901 | MS DRG -WOUND DEBRIDEMENTS FOR INJURIES WITH MCC;APR DRG -HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION;SOI -Major | $37,859 | $10,601 | $40,710 | −7% | $68,847 | −45% | — |
| 571 | MS DRG -SKIN DEBRIDEMENT WITH CC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate | $37,812 | $10,587 | $37,596 | +1% | $34,901 | +8% | — |
| 540 | MS DRG -OSTEOMYELITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate | $37,777 | $10,577 | $23,875 | +58% | $23,494 | +61% | — |
| 308 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Extreme | $37,394 | $10,470 | $19,824 | +89% | $26,488 | +41% | — |
| 351 | MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Moderate | $37,022 | $10,366 | $35,407 | +5% | $33,792 | +10% | — |
| 197 | MS DRG -INTERSTITIAL LUNG DISEASE WITH CC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Moderate | $36,989 | $10,357 | $17,819 | +108% | $20,106 | +84% | — |
| 183 | MS DRG -MAJOR CHEST TRAUMA WITH MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Major | $36,811 | $10,307 | $26,970 | +36% | $28,924 | +27% | — |
| 354 | MS DRG -HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Moderate | $36,601 | $10,248 | $41,931 | −13% | $43,266 | −15% | — |
| 602 | MS DRG -CELLULITIS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Extreme | $36,419 | $10,197 | $25,010 | +46% | $29,347 | +24% | — |
| 395 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE;SOI -Moderate | $36,419 | $10,197 | $10,099 | +261% | $14,128 | +158% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $36,278 | — | $27,050 | +34% | $25,434 | +43% | — |
| 698 | MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Extreme | $36,249 | $10,150 | $28,616 | +27% | $30,058 | +21% | ≈137% of Medicare |
| 812 | MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major | $36,227 | $10,144 | $21,472 | +69% | $20,488 | +77% | — |
| 398 | MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate | $36,218 | $10,141 | $52,201 | −31% | $39,107 | −7% | — |
| 539 | MS DRG -OSTEOMYELITIS WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major | $36,211 | $10,139 | $27,935 | +30% | $33,746 | +7% | — |
| 154 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Major | $36,205 | $10,137 | $35,396 | +2% | $24,465 | +48% | — |
| 065 | MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Major | $35,579 | $9,962 | $25,712 | +38% | $23,469 | +52% | ≈159% of Medicare |
| 281 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate | $34,957 | $9,788 | $24,038 | +45% | $20,463 | +71% | ≈150% of Medicare |
| 096 | MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI -Minor | $34,861 | $9,761 | $34,861 | +0% | $39,093 | −11% | — |
| 304 | MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Extreme | $34,854 | $9,759 | $26,659 | +31% | $24,185 | +44% | — |
| 328 | MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Moderate | $34,509 | $9,663 | $34,509 | +0% | $35,375 | −2% | — |
| 092 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Major | $34,182 | $9,571 | $25,748 | +33% | $24,136 | +42% | — |
| 071 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor | $33,738 | $9,447 | $22,186 | +52% | $23,396 | +44% | — |
| 572 | MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate | $33,636 | $9,418 | $28,378 | +19% | $24,432 | +38% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $33,557 | — | $29,404 | +14% | $45,497 | −26% | — |
| 443 | MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Moderate | $33,373 | $9,344 | $16,983 | +97% | $15,600 | +114% | — |
| 369 | MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH CC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Moderate | $33,046 | $9,253 | $24,636 | +34% | $22,713 | +45% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $32,980 | — | $34,534 | −5% | $49,065 | −33% | — |
| 436 | MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Moderate | $32,673 | $9,148 | $21,276 | +54% | $24,017 | +36% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $32,591 | — | $46,767 | −30% | $41,703 | −22% | — |
| 433 | MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Moderate | $32,534 | $9,110 | $23,582 | +38% | $23,749 | +37% | — |
| 667 | MS DRG -PROSTATECTOMY WITHOUT CC/MCC;APR DRG -NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Minor | $32,435 | $9,082 | $8,898 | +265% | $16,703 | +94% | — |
| 202 | MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -BRONCHIOLITIS AND RSV PNEUMONIA;SOI -Major | $32,054 | $8,975 | $23,318 | +37% | $17,273 | +86% | — |
| 389 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major | $32,053 | $8,975 | $17,413 | +84% | $17,388 | +84% | — |
| 951 | MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major | $31,648 | $8,861 | $10,551 | +200% | $9,385 | +237% | — |
| 558 | MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major | $31,591 | $8,846 | $16,479 | +92% | $17,367 | +82% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $31,571 | — | $32,285 | −2% | $35,692 | −12% | — |
| 666 | MS DRG -PROSTATECTOMY WITH CC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Moderate | $31,525 | $8,827 | $24,495 | +29% | $30,016 | +5% | — |
| 988 | MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate | $31,410 | $8,795 | $47,723 | −34% | $38,094 | −18% | — |
| 743 | MS DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC;APR DRG -UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY EXCEPT LEIOMYOMA;SOI -Moderate | $31,380 | $8,786 | $30,778 | +2% | $27,369 | +15% | — |
| 394 | MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Major | $31,088 | $8,705 | $15,999 | +94% | $18,918 | +64% | — |
| 195 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Minor | $31,054 | $8,695 | $18,452 | +68% | $13,824 | +125% | — |
| 392 | MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -ABDOMINAL PAIN;SOI -Major | $31,023 | $8,686 | $22,535 | +38% | $17,322 | +79% | — |
| 337 | MS DRG -PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Minor | $30,884 | $8,648 | $35,118 | −12% | $36,239 | −15% | — |
| 335 | MS DRG -PERITONEAL ADHESIOLYSIS WITH MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Moderate | $30,550 | $8,554 | $44,541 | −31% | $71,755 | −57% | — |
| 487 | MS DRG -KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Minor | $30,532 | $8,549 | $29,148 | +5% | $33,490 | −9% | — |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $30,167 | — | $30,167 | +0% | $59,425 | −49% | — |
| 464 | MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Moderate | $30,021 | $8,406 | $36,687 | −18% | $54,313 | −45% | — |
| 101 | MS DRG -SEIZURES WITHOUT MCC;APR DRG -SEIZURE;SOI -Major | $29,674 | $8,309 | $24,986 | +19% | $19,954 | +49% | — |
| 746 | MS DRG -VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC;APR DRG -OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Minor | $29,655 | $8,303 | $32,278 | −8% | $29,916 | −1% | — |
| 560 | MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Moderate | $29,414 | $8,236 | $26,439 | +11% | $24,452 | +20% | — |
| 552 | MS DRG -MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Major | $29,139 | $8,159 | $28,929 | +1% | $21,213 | +37% | — |
| 603 | MS DRG -CELLULITIS WITHOUT MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major | $29,120 | $8,154 | $19,952 | +46% | $18,530 | +57% | — |
| 760 | MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC;APR DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Moderate | $29,004 | $8,121 | $17,571 | +65% | $18,282 | +59% | — |
| 831 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Extreme | $28,882 | $8,087 | $16,000 | +81% | $18,133 | +59% | — |
| 176 | MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Major | $28,558 | $7,996 | $18,538 | +54% | $18,081 | +58% | — |
| 312 | MS DRG -SYNCOPE AND COLLAPSE;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Moderate | $28,468 | $7,971 | $20,728 | +37% | $19,342 | +47% | — |
| 059 | MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Minor | $28,290 | $7,921 | $28,290 | +0% | $26,322 | +7% | — |
| 175 | MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Major | $28,281 | $7,919 | $21,442 | +32% | $29,757 | −5% | — |
| 776 | MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Extreme | $28,245 | $7,909 | $9,052 | +212% | $12,381 | +128% | — |
| 841 | MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Major | $28,207 | $7,898 | $47,448 | −41% | $31,059 | −9% | — |
| 399 | MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor | $28,191 | $7,894 | $28,191 | +0% | $30,314 | −7% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $28,168 | — | $29,605 | −5% | $20,080 | +40% | — |
| 179 | MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate | $28,156 | $7,884 | $16,262 | +73% | $14,444 | +95% | — |
| 125 | MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Moderate | $28,050 | $7,854 | $18,156 | +54% | $15,876 | +77% | — |
| 921 | MS DRG -COMPLICATIONS OF TREATMENT WITHOUT CC/MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Minor | $27,822 | $7,790 | $10,735 | +159% | $14,012 | +99% | — |
| 264 | MS DRG -OTHER CIRCULATORY SYSTEM O.R. PROCEDURES;APR DRG -HEART FAILURE;SOI -Major | $27,415 | $7,676 | $59,308 | −54% | $51,953 | −47% | — |
| 934 | MS DRG -FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY;APR DRG -EXTENSIVE THIRD DEGREE BURNS WITHOUT SKIN GRAFT;SOI -Moderate | $27,408 | $7,674 | $15,977 | +72% | $31,044 | −12% | — |
| 683 | MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major | $27,265 | $7,634 | $16,875 | +62% | $18,620 | +46% | ≈127% of Medicare |
| 690 | MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $26,842 | $7,516 | $18,582 | +44% | $17,466 | +54% | ≈139% of Medicare |
| 543 | MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Moderate | $26,778 | $7,498 | $25,592 | +5% | $23,496 | +14% | — |
| 386 | MS DRG -INFLAMMATORY BOWEL DISEASE WITH CC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Moderate | $26,699 | $7,476 | $16,577 | +61% | $20,968 | +27% | — |
| 642 | MS DRG -INBORN AND OTHER DISORDERS OF METABOLISM;APR DRG -INBORN ERRORS OF METABOLISM;SOI -Moderate | $26,411 | $7,395 | $16,969 | +56% | $20,727 | +27% | — |
| 818 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Moderate | $26,363 | $7,382 | $27,021 | −2% | $24,316 | +8% | — |
| 158 | MS DRG -DENTAL AND ORAL DISEASES WITH CC;APR DRG -DENTAL DISEASES AND DISORDERS;SOI -Major | $26,303 | $7,365 | $18,032 | +46% | $17,700 | +49% | — |
| 309 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Major | $26,199 | $7,336 | $22,998 | +14% | $16,865 | +55% | — |
| 581 | MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate | $26,168 | $7,327 | $37,749 | −31% | $25,243 | +4% | — |
| 282 | MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor | $26,154 | $7,323 | $13,973 | +87% | $18,623 | +40% | — |
| 069 | MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Major | $26,050 | $7,294 | $22,611 | +15% | $20,278 | +28% | — |
| 300 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major | $25,827 | $7,231 | $23,860 | +8% | $19,579 | +32% | — |
| 920 | MS DRG -COMPLICATIONS OF TREATMENT WITH CC;APR DRG -HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION;SOI -Moderate | $25,662 | $7,185 | $21,587 | +19% | $21,181 | +21% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $25,364 | — | $18,554 | +37% | $12,405 | +104% | — |
| 544 | MS DRG -PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC;APR DRG -MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY;SOI -Minor | $25,286 | $7,080 | $14,790 | +71% | $16,776 | +51% | — |
| 675 | MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER KIDNEY, URINARY TRACT AND RELATED NON-PERCUTANEOUS PROCEDURES;SOI -Minor | $25,232 | $7,065 | $13,398 | +88% | $32,490 | −22% | — |
| 607 | MS DRG -MINOR SKIN DISORDERS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate | $25,232 | $7,065 | $14,778 | +71% | $15,284 | +65% | — |
| 302 | MS DRG -ATHEROSCLEROSIS WITH MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Major | $25,224 | $7,063 | $18,013 | +40% | $20,844 | +21% | — |
| 439 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major | $24,988 | $6,997 | $19,517 | +28% | $19,096 | +31% | — |
| 311 | MS DRG -ANGINA PECTORIS;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate | $24,852 | $6,959 | $11,421 | +118% | $15,165 | +64% | — |
| 597 | MS DRG -MALIGNANT BREAST DISORDERS WITH MCC;APR DRG -MALIGNANT BREAST DISORDERS;SOI -Moderate | $24,791 | $6,941 | $19,303 | +28% | $31,846 | −22% | — |
| 315 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Moderate | $24,753 | $6,931 | $20,942 | +18% | $20,777 | +19% | — |
| 787 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major | $24,436 | $6,842 | $22,755 | +7% | $23,571 | +4% | — |
| 592 | MS DRG -SKIN ULCERS WITH MCC;APR DRG -SKIN ULCERS;SOI -Major | $24,284 | $6,800 | $34,631 | −30% | $32,662 | −26% | — |
| 761 | MS DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC;APR DRG -MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS;SOI -Moderate | $24,253 | $6,791 | $7,082 | +242% | $11,421 | +112% | — |
| 199 | MS DRG -PNEUMOTHORAX WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Extreme | $23,968 | $6,711 | $23,280 | +3% | $31,491 | −24% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $23,968 | — | $20,678 | +16% | $25,786 | −7% | — |
| 194 | MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -OTHER PNEUMONIA;SOI -Moderate | $23,967 | $6,711 | $19,357 | +24% | $18,204 | +32% | ≈132% of Medicare |
| 897 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Major | $23,903 | $6,693 | $13,087 | +83% | $16,049 | +49% | — |
| 565 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate | $23,859 | $6,681 | $23,859 | +0% | $21,545 | +11% | — |
| 153 | MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Major | $23,848 | $6,677 | $14,829 | +61% | $14,473 | +65% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $23,796 | — | $21,846 | +9% | $19,326 | +23% | — |
| 864 | MS DRG -FEVER AND INFLAMMATORY CONDITIONS;APR DRG -FEVER AND INFLAMMATORY CONDITIONS;SOI -Moderate | $23,739 | $6,647 | $14,916 | +59% | $17,412 | +36% | — |
| 816 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor | $23,700 | $6,636 | $7,343 | +223% | $13,485 | +76% | — |
| 060 | MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Minor | $23,587 | $6,604 | $26,051 | −9% | $21,261 | +11% | — |
| 301 | MS DRG -PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate | $23,549 | $6,594 | $11,377 | +107% | $15,607 | +51% | — |
| 203 | MS DRG -BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG -ASTHMA;SOI -Moderate | $23,494 | $6,578 | $14,737 | +59% | $12,279 | +91% | — |
| 080 | MS DRG -NONTRAUMATIC STUPOR AND COMA WITH MCC;APR DRG -ANOXIC AND OTHER SEVERE BRAIN DAMAGE;SOI -Major | $23,369 | $6,543 | $23,369 | +0% | $35,139 | −33% | — |
| 786 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Moderate | $23,362 | $6,541 | $22,942 | +2% | $27,118 | −14% | — |
| 880 | MS DRG -ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION;APR DRG -ACUTE ANXIETY AND STRESS SYNDROMES;SOI -Major | $23,325 | $6,531 | $15,116 | +54% | $15,636 | +49% | — |
| 726 | MS DRG -BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate | $23,302 | $6,525 | $13,637 | +71% | $13,892 | +68% | — |
| 292 | MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -HEART FAILURE;SOI -Major | $23,269 | $6,515 | $19,922 | +17% | $16,212 | +44% | — |
| 788 | MS DRG -CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITHOUT STERILIZATION;SOI -Major | $23,222 | $6,502 | $19,083 | +22% | $20,084 | +16% | — |
| 863 | MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate | $23,096 | $6,467 | $28,888 | −20% | $20,007 | +15% | — |
| 553 | MS DRG -BONE DISEASES AND ARTHROPATHIES WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major | $22,716 | $6,360 | $13,969 | +63% | $23,956 | −5% | — |
| 784 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITH CC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate | $22,648 | $6,342 | $18,030 | +26% | $22,560 | +0% | — |
| 084 | MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Moderate | $22,611 | $6,331 | $12,504 | +81% | $18,191 | +24% | — |
| 200 | MS DRG -PNEUMOTHORAX WITH CC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate | $22,598 | $6,327 | $22,598 | +0% | $20,573 | +10% | — |
| 536 | MS DRG -FRACTURES OF HIP AND PELVIS WITHOUT MCC;APR DRG -FRACTURE OF PELVIS OR DISLOCATION OF HIP;SOI -Moderate | $22,142 | $6,200 | $20,702 | +7% | $18,002 | +23% | — |
| 191 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major | $22,122 | $6,194 | $18,365 | +20% | $18,278 | +21% | — |
| 310 | MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate | $22,011 | $6,163 | $11,589 | +90% | $13,384 | +64% | — |
| 068 | MS DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC;APR DRG -NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION;SOI -Minor | $22,001 | $6,160 | $22,001 | +0% | $19,569 | +12% | — |
| 149 | MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Minor | $21,900 | $6,132 | $16,577 | +32% | $17,203 | +27% | — |
| 549 | MS DRG -SEPTIC ARTHRITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Minor | $21,851 | $6,118 | $21,289 | +3% | $20,938 | +4% | — |
| 072 | MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate | $21,692 | $6,074 | $15,984 | +36% | $16,654 | +30% | — |
| 923 | MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Moderate | $21,644 | $6,060 | $17,668 | +23% | $16,571 | +31% | — |
| 785 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate | $21,585 | $6,044 | $18,130 | +19% | $19,815 | +9% | — |
| 206 | MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Minor | $21,564 | $6,038 | $10,667 | +102% | $17,731 | +22% | — |
| 916 | MS DRG -ALLERGIC REACTIONS WITHOUT MCC;APR DRG -ALLERGIC REACTIONS;SOI -Major | $21,471 | $6,012 | $19,973 | +7% | $13,890 | +55% | — |
| 384 | MS DRG -UNCOMPLICATED PEPTIC ULCER WITHOUT MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Moderate | $21,414 | $5,996 | $14,636 | +46% | $19,305 | +11% | — |
| 935 | MS DRG -NON-EXTENSIVE BURNS;APR DRG -PARTIAL THICKNESS BURNS WITHOUT SKIN GRAFT;SOI -Moderate | $21,386 | $5,988 | $17,416 | +23% | $29,458 | −27% | — |
| 797 | MS DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC;APR DRG -VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C;SOI -Major | $21,350 | $5,978 | $20,839 | +2% | $19,001 | +12% | — |
| 305 | MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Moderate | $21,298 | $5,964 | $15,455 | +38% | $17,144 | +24% | — |
| 103 | MS DRG -HEADACHES WITHOUT MCC;APR DRG -MIGRAINE AND OTHER HEADACHES;SOI -Moderate | $21,277 | $5,958 | $8,786 | +142% | $20,111 | +6% | — |
| 593 | MS DRG -SKIN ULCERS WITH CC;APR DRG -SKIN ULCERS;SOI -Moderate | $21,266 | $5,955 | $17,855 | +19% | $20,470 | +4% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $21,201 | — | $17,371 | +22% | $26,634 | −20% | — |
| 866 | MS DRG -VIRAL ILLNESS WITHOUT MCC;APR DRG -VIRAL ILLNESS;SOI -Moderate | $20,595 | $5,767 | $18,361 | +12% | $16,391 | +26% | — |
| 306 | MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC;APR DRG -CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Moderate | $20,331 | $5,693 | $24,497 | −17% | $24,450 | −17% | — |
| 440 | MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate | $20,210 | $5,659 | $16,162 | +25% | $15,070 | +34% | — |
| 370 | MS DRG -MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Moderate | $19,833 | $5,553 | $17,816 | +11% | $15,072 | +32% | — |
| 563 | MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Minor | $19,759 | $5,533 | $12,232 | +62% | $18,803 | +5% | — |
| 915 | MS DRG -ALLERGIC REACTIONS WITH MCC;APR DRG -ALLERGIC REACTIONS;SOI -Moderate | $19,743 | $5,528 | $59,689 | −67% | $30,944 | −36% | — |
| 712 | MS DRG -TESTES PROCEDURES WITHOUT CC/MCC;APR DRG -PENIS, TESTES AND SCROTAL PROCEDURES;SOI -Minor | $19,553 | $5,475 | $9,248 | +111% | $18,898 | +3% | — |
| 809 | MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Moderate | $19,391 | $5,430 | $22,779 | −15% | $22,032 | −12% | — |
| 977 | MS DRG -HIV WITH OR WITHOUT OTHER RELATED CONDITION;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Major | $19,355 | $5,419 | $29,805 | −35% | $22,525 | −14% | — |
| 808 | MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Extreme | $19,203 | $5,377 | $37,162 | −48% | $36,334 | −47% | — |
| 815 | MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor | $19,151 | $5,362 | $18,875 | +1% | $18,017 | +6% | — |
| 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 | $19,123 | $5,354 | $10,785 | +77% | $16,642 | +15% | — |
| 684 | MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Minor | $19,057 | $5,336 | $15,085 | +26% | $13,623 | +40% | — |
| 204 | MS DRG -RESPIRATORY SIGNS AND SYMPTOMS;APR DRG -ACUTE BRONCHITIS AND RELATED SYMPTOMS;SOI -Minor | $19,053 | $5,335 | $9,981 | +91% | $16,866 | +13% | — |
| 566 | MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Minor | $19,046 | $5,333 | $10,263 | +86% | $14,337 | +33% | — |
| 497 | MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES;SOI -Minor | $19,012 | $5,323 | $28,222 | −33% | $29,805 | −36% | — |
| 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 | $18,821 | $5,270 | $24,757 | −24% | $19,287 | −2% | — |
| 645 | MS DRG -ENDOCRINE DISORDERS WITHOUT CC/MCC;APR DRG -NON-HYPOVOLEMIC SODIUM DISORDERS;SOI -Minor | $18,718 | $5,241 | $9,171 | +104% | $14,166 | +32% | — |
| 385 | MS DRG -INFLAMMATORY BOWEL DISEASE WITH MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Moderate | $18,581 | $5,203 | $22,792 | −18% | $26,020 | −29% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $18,579 | — | $11,664 | +59% | $17,226 | +8% | — |
| 792 | MS DRG -PREMATURITY WITHOUT MAJOR PROBLEMS;APR DRG -NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI -Major | $18,511 | $5,183 | $13,310 | +39% | $11,633 | +59% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $18,371 | — | $11,751 | +56% | $20,741 | −11% | — |
| 086 | MS DRG -TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC;APR DRG -CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI -Moderate | $18,282 | $5,119 | $18,282 | +0% | $23,115 | −21% | — |
| 387 | MS DRG -INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Minor | $18,217 | $5,101 | $16,402 | +11% | $14,880 | +22% | — |
| 192 | MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Minor | $18,158 | $5,084 | $14,790 | +23% | $14,368 | +26% | — |
| 557 | MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major | $18,040 | $5,051 | $24,871 | −27% | $28,646 | −37% | — |
| 381 | MS DRG -COMPLICATED PEPTIC ULCER WITH CC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Moderate | $17,772 | $4,976 | $29,448 | −40% | $24,177 | −26% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $17,624 | — | $13,149 | +34% | $13,303 | +32% | — |
| 388 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major | $17,256 | $4,832 | $20,298 | −15% | $28,780 | −40% | — |
| 639 | MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -DIABETES;SOI -Moderate | $17,232 | $4,825 | $15,755 | +9% | $13,910 | +24% | — |
| 093 | MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor | $17,178 | $4,810 | $15,799 | +9% | $17,522 | −2% | — |
| 807 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC;APR DRG -VAGINAL DELIVERY;SOI -Major | $17,115 | $4,792 | $15,414 | +11% | $12,044 | +42% | — |
| 303 | MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate | $16,937 | $4,742 | $14,621 | +16% | $14,927 | +13% | — |
| 152 | MS DRG -OTITIS MEDIA AND URI WITH MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Moderate | $16,673 | $4,668 | $14,444 | +15% | $19,795 | −16% | — |
| 783 | MS DRG -CESAREAN SECTION WITH STERILIZATION WITH MCC;APR DRG -CESAREAN SECTION WITH STERILIZATION;SOI -Moderate | $16,345 | $4,577 | $21,730 | −25% | $28,375 | −42% | — |
| 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 | $15,913 | $4,456 | $23,471 | −32% | $25,666 | −38% | — |
| 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 -Moderate | $15,811 | $4,427 | $17,559 | −10% | $18,238 | −13% | — |
| 382 | MS DRG -COMPLICATED PEPTIC ULCER WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Minor | $15,753 | $4,411 | $9,897 | +59% | $16,634 | −5% | — |
| 089 | MS DRG -CONCUSSION WITH CC;APR DRG -CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI -Moderate | $15,725 | $4,403 | $13,262 | +19% | $18,293 | −14% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $15,675 | — | $20,539 | −24% | $19,073 | −18% | — |
| 181 | MS DRG -RESPIRATORY NEOPLASMS WITH CC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Moderate | $15,628 | $4,376 | $35,809 | −56% | $22,431 | −30% | — |
| 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 | $15,544 | $4,352 | $17,026 | −9% | $17,103 | −9% | — |
| 717 | MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate | $15,222 | $4,262 | $25,434 | −40% | $32,538 | −53% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $15,016 | — | $21,164 | −29% | $18,478 | −19% | — |
| 294 | MS DRG -DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate | $14,900 | $4,172 | $13,169 | +13% | $19,132 | −22% | — |
| 805 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC;APR DRG -VAGINAL DELIVERY;SOI -Major | $14,699 | $4,116 | $14,302 | +3% | $15,370 | −4% | — |
| 376 | MS DRG -DIGESTIVE MALIGNANCY WITHOUT CC/MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Moderate | $14,400 | $4,032 | $6,719 | +114% | $15,608 | −8% | — |
| 446 | MS DRG -DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Moderate | $14,032 | $3,929 | $10,130 | +39% | $17,700 | −21% | — |
| 758 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Moderate | $13,871 | $3,884 | $12,451 | +11% | $19,091 | −27% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $13,629 | — | $22,592 | −40% | $29,371 | −54% | — |
| 187 | MS DRG -PLEURAL EFFUSION WITH CC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Moderate | $13,263 | $3,714 | $18,800 | −29% | $21,467 | −38% | — |
| 806 | MS DRG -VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC;APR DRG -VAGINAL DELIVERY;SOI -Minor | $13,077 | $3,662 | $15,247 | −14% | $13,090 | −0% | — |
| 373 | MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Moderate | $12,526 | $3,507 | $10,879 | +15% | $16,104 | −22% | — |
| 728 | MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Moderate | $12,291 | $3,442 | $13,061 | −6% | $16,837 | −27% | — |
| 390 | MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate | $12,107 | $3,390 | $12,107 | +0% | $13,318 | −9% | — |
| 316 | MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Moderate | $11,924 | $3,339 | $12,331 | −3% | $12,797 | −7% | — |
| 894 | MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG -DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI -Moderate | $11,440 | $3,203 | $11,440 | +0% | $12,013 | −5% | — |
| 156 | MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor | $11,332 | $3,173 | $11,169 | +1% | $13,198 | −14% | — |
| 307 | MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC;APR DRG -CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Moderate | $11,302 | $3,165 | $11,238 | +1% | $18,608 | −39% | — |
| 793 | MS DRG -FULL TERM NEONATE WITH MAJOR PROBLEMS;APR DRG -NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE;SOI -Extreme | $10,867 | $3,043 | $22,925 | −53% | $16,719 | −35% | — |
| 694 | MS DRG -URINARY STONES WITHOUT MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Minor | $10,566 | $2,959 | $10,566 | +0% | $16,531 | −36% | — |
| 693 | MS DRG -URINARY STONES WITH MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Moderate | $10,557 | $2,956 | $12,362 | −15% | $22,525 | −53% | — |
| 759 | MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Minor | $10,252 | $2,871 | $11,815 | −13% | $14,208 | −28% | — |
| 151 | MS DRG -EPISTAXIS WITHOUT MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor | $8,960 | $2,509 | $8,657 | +4% | $13,032 | −31% | — |
| 146 | MS DRG -EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC;APR DRG -EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI -Major | $8,809 | $2,467 | $21,919 | −60% | $37,080 | −76% | — |
| 201 | MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor | $8,700 | $2,436 | $11,438 | −24% | $13,081 | −33% | — |
| 779 | MS DRG -ABORTION WITHOUT D&C;APR DRG -ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Minor | $8,337 | $2,334 | $8,337 | +0% | $15,327 | −46% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,694 | — | $24,089 | −68% | $29,476 | −74% | — |
| 185 | MS DRG -MAJOR CHEST TRAUMA WITHOUT CC/MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Minor | $7,221 | $2,022 | $8,555 | −16% | $15,858 | −54% | — |
| 819 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -ANTEPARTUM WITH O.R. PROCEDURE;SOI -Minor | $6,393 | $1,790 | $14,334 | −55% | $17,928 | −64% | — |
| 833 | MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate | $5,658 | $1,584 | $10,165 | −44% | $9,076 | −38% | — |
| 795 | MS DRG -NORMAL NEWBORN;APR DRG -NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM;SOI -Moderate | $5,241 | $1,467 | $2,778 | +89% | $4,530 | +16% | — |
| 790 | MS DRG -EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE;APR DRG -NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE;SOI -Moderate | $4,977 | $1,393 | $61,499 | −92% | $80,018 | −94% | — |
| 789 | MS DRG -NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY;APR DRG -NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE;SOI -Minor | $4,232 | $1,185 | $9,865 | −57% | $14,284 | −70% | — |
Procedures with negotiated rates only
These 295 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 |
|---|---|---|---|
| 465 | MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Minor | — | 27 plans |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $27,040 – $169,937 · median $99,107 | 23 plans |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $27,040 – $113,711 · median $66,316 | 23 plans |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $27,040 – $104,755 · median $61,093 | 23 plans |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $27,040 – $136,242 · median $79,456 | 23 plans |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $27,040 – $93,264 · median $54,392 | 23 plans |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $27,040 – $80,867 · median $47,161 | 23 plans |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,210 – $54,696 · median $31,899 | 23 plans |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $27,040 – $149,208 · median $87,018 | 23 plans |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $27,040 – $107,562 · median $62,730 | 23 plans |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $38,581 – $95,011 · median $55,411 | 22 plans |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $29,341 – $72,258 · median $42,141 | 22 plans |
| 013 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $18,948 – $46,661 · median $27,213 | 22 plans |
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $269,647 – $664,047 · median $387,273 | 22 plans |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $57,637 – $141,940 · median $82,779 | 22 plans |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $39,520 – $97,325 · median $56,760 | 22 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $25,242 – $62,163 · median $36,254 | 22 plans |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $40,791 – $100,455 · median $58,586 | 22 plans |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $27,182 – $66,940 · median $39,040 | 22 plans |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $31,977 – $78,748 · median $45,926 | 22 plans |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $21,869 – $53,856 · median $31,409 | 22 plans |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $17,645 – $43,453 · median $25,342 | 22 plans |
| 028 | SPINAL PROCEDURES WITH MCC | $43,468 – $107,048 · median $62,430 | 22 plans |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $15,912 – $39,185 · median $22,853 | 22 plans |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $29,963 – $73,788 · median $43,033 | 22 plans |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $15,270 – $37,604 · median $21,930 | 22 plans |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $11,408 – $28,094 · median $16,384 | 22 plans |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $27,804 – $68,472 · median $39,933 | 22 plans |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $16,265 – $40,055 · median $23,360 | 22 plans |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $13,107 – $32,277 · median $18,824 | 22 plans |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $23,744 – $58,474 · median $34,102 | 22 plans |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $11,521 – $28,372 · median $16,546 | 22 plans |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $8,138 – $20,041 · median $11,688 | 22 plans |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $26,971 – $66,419 · median $38,736 | 22 plans |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,389 – $35,436 · median $20,666 | 22 plans |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $6,588 – $16,224 · median $9,462 | 22 plans |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $10,719 – $26,396 · median $15,394 | 22 plans |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,801 – $19,210 · median $11,203 | 22 plans |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $13,198 – $32,503 · median $18,956 | 22 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $19,329 – $47,601 · median $27,761 | 22 plans |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $10,044 – $24,736 · median $14,426 | 22 plans |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $10,403 – $25,618 · median $14,940 | 22 plans |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $12,315 – $30,328 · median $17,687 | 22 plans |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $6,556 – $16,145 · median $9,416 | 22 plans |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $11,056 – $27,227 · median $15,879 | 22 plans |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $4,767 – $11,739 · median $6,846 | 22 plans |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $6,469 – $15,932 · median $9,291 | 22 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $9,941 – $24,482 · median $14,278 | 22 plans |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $16,202 – $39,900 · median $23,270 | 22 plans |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $6,321 – $15,565 · median $9,078 | 22 plans |
| 088 | CONCUSSION WITH MCC | $10,087 – $24,840 · median $14,486 | 22 plans |
| 090 | CONCUSSION WITHOUT CC/MCC | $6,130 – $15,095 · median $8,804 | 22 plans |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,088 – $64,246 · median $37,469 | 22 plans |
| 102 | HEADACHES WITH MCC | $8,290 – $20,416 · median $11,907 | 22 plans |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $16,135 – $39,734 · median $23,173 | 22 plans |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $8,452 – $20,814 · median $12,139 | 22 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $10,947 – $26,958 · median $15,722 | 22 plans |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $11,930 – $29,381 · median $17,135 | 22 plans |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $7,712 – $18,992 · median $11,076 | 22 plans |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $8,317 – $20,482 · median $11,945 | 22 plans |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $4,850 – $11,944 · median $6,965 | 22 plans |
| 123 | NEUROLOGICAL EYE DISORDERS | $5,743 – $14,143 · median $8,248 | 22 plans |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $9,323 – $22,959 · median $13,390 | 22 plans |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $17,239 – $42,455 · median $24,760 | 22 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,994 – $17,224 · median $10,045 | 22 plans |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $10,000 – $24,627 · median $14,362 | 22 plans |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $5,817 – $14,324 · median $8,354 | 22 plans |
| 139 | SALIVARY GLAND PROCEDURES | $9,817 – $24,176 · median $14,099 | 22 plans |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,239 – $74,468 · median $43,430 | 22 plans |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,362 – $37,831 · median $22,063 | 22 plans |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $11,243 – $27,687 · median $16,147 | 22 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $23,609 – $58,140 · median $33,907 | 22 plans |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $12,560 – $30,932 · median $18,040 | 22 plans |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $8,471 – $20,862 · median $12,167 | 22 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $8,900 – $21,918 · median $12,783 | 22 plans |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,725 – $14,099 · median $8,222 | 22 plans |
| 150 | EPISTAXIS WITH MCC | $9,883 – $24,338 · median $14,194 | 22 plans |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $11,708 – $28,833 · median $16,815 | 22 plans |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $4,716 – $11,614 · median $6,773 | 22 plans |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $13,064 – $32,173 · median $18,764 | 22 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $21,940 – $54,032 · median $31,511 | 22 plans |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $5,988 – $14,747 · median $8,600 | 22 plans |
| 184 | MAJOR CHEST TRAUMA WITH CC | $7,637 – $18,807 · median $10,968 | 22 plans |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $5,008 – $12,333 · median $7,192 | 22 plans |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $77,891 – $191,820 · median $111,869 | 22 plans |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $55,887 – $137,631 · median $80,267 | 22 plans |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $38,039 – $93,678 · median $54,633 | 22 plans |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $42,072 – $103,609 · median $60,425 | 22 plans |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $29,402 – $72,406 · median $42,227 | 22 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $10,796 – $26,586 · median $15,505 | 22 plans |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $12,508 – $30,803 · median $17,965 | 22 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,377 – $15,705 · median $9,159 | 22 plans |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $13,568 – $33,413 · median $19,486 | 22 plans |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $10,852 – $26,725 · median $15,586 | 22 plans |
| 263 | VEIN LIGATION AND STRIPPING | $19,177 – $47,226 · median $27,542 | 22 plans |
| 265 | AICD LEAD PROCEDURES | $25,505 – $62,811 · median $36,632 | 22 plans |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $42,834 – $105,486 · median $61,520 | 22 plans |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $33,639 – $82,840 · median $48,313 | 22 plans |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $29,749 – $73,262 · median $42,726 | 22 plans |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $27,959 – $68,853 · median $40,155 | 22 plans |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $22,315 – $54,955 · median $32,050 | 22 plans |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $44,290 – $109,071 · median $63,610 | 22 plans |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $5,298 – $13,048 · median $7,609 | 22 plans |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $4,014 – $9,885 · median $5,765 | 22 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $7,000 – $17,238 · median $10,053 | 22 plans |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $3,923 – $9,662 · median $5,635 | 22 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $5,647 – $13,907 · median $8,110 | 22 plans |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $5,036 – $12,403 · median $7,233 | 22 plans |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $3,158 – $7,777 · median $4,536 | 22 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $44,233 – $108,930 · median $63,528 | 22 plans |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $31,409 – $77,348 · median $45,110 | 22 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $16,551 – $40,759 · median $23,771 | 22 plans |
| 332 | RECTAL RESECTION WITH MCC | $24,801 – $61,077 · median $35,620 | 22 plans |
| 333 | RECTAL RESECTION WITH CC | $15,196 – $37,422 · median $21,825 | 22 plans |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $11,859 – $29,205 · median $17,032 | 22 plans |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $16,923 – $41,675 · median $24,305 | 22 plans |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $6,298 – $15,511 · median $9,046 | 22 plans |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $7,884 – $19,415 · median $11,323 | 22 plans |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $20,971 – $51,644 · median $30,119 | 22 plans |
| 397 | APPENDIX PROCEDURES WITH MCC | $17,716 – $43,629 · median $25,445 | 22 plans |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $20,080 – $49,450 · median $28,839 | 22 plans |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $15,271 – $37,607 · median $21,933 | 22 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $25,034 – $61,651 · median $35,955 | 22 plans |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $14,990 – $36,915 · median $21,529 | 22 plans |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $11,090 – $27,312 · median $15,928 | 22 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $19,565 – $48,183 · median $28,100 | 22 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $15,241 – $37,533 · median $21,889 | 22 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $25,052 – $61,695 · median $35,981 | 22 plans |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $25,236 – $62,147 · median $36,244 | 22 plans |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $10,506 – $25,873 · median $15,089 | 22 plans |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $29,082 – $71,619 · median $41,768 | 22 plans |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $16,326 – $40,204 · median $23,447 | 22 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $59,635 – $146,861 · median $85,650 | 22 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $39,114 – $96,325 · median $56,177 | 22 plans |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $5,614 – $13,826 · median $8,063 | 22 plans |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $60,555 – $149,126 · median $86,970 | 22 plans |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $43,877 – $108,055 · median $63,018 | 22 plans |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $20,476 – $50,426 · median $29,408 | 22 plans |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $36,426 – $89,706 · median $52,316 | 22 plans |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $32,066 – $78,967 · median $46,053 | 22 plans |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $15,425 – $37,986 · median $22,153 | 22 plans |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $8,316 – $20,480 · median $11,944 | 22 plans |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,697 – $31,268 · median $18,236 | 22 plans |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $25,172 – $61,991 · median $36,153 | 22 plans |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $18,053 – $44,458 · median $25,928 | 22 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $8,300 – $20,439 · median $11,920 | 22 plans |
| 503 | FOOT PROCEDURES WITH MCC | $18,923 – $46,601 · median $27,178 | 22 plans |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $10,719 – $26,396 · median $15,394 | 22 plans |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $13,858 – $34,128 · median $19,903 | 22 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $9,228 – $22,725 · median $13,253 | 22 plans |
| 509 | ARTHROSCOPY | $12,560 – $30,932 · median $18,040 | 22 plans |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $20,435 – $50,325 · median $29,350 | 22 plans |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $14,023 – $34,533 · median $20,140 | 22 plans |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $22,111 – $54,451 · median $31,756 | 22 plans |
| 533 | FRACTURES OF FEMUR WITH MCC | $10,903 – $26,850 · median $15,659 | 22 plans |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $5,820 – $14,333 · median $8,359 | 22 plans |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $9,509 – $23,417 · median $13,657 | 22 plans |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $6,571 – $16,182 · median $9,437 | 22 plans |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $4,801 – $11,824 · median $6,896 | 22 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,256 – $15,405 · median $8,984 | 22 plans |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $5,335 – $13,139 · median $7,663 | 22 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $14,404 – $35,473 · median $20,688 | 22 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,164 – $15,180 · median $8,853 | 22 plans |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $9,628 – $23,711 · median $13,828 | 22 plans |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $5,846 – $14,396 · median $8,396 | 22 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $44,031 – $108,434 · median $63,239 | 22 plans |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $14,276 – $35,158 · median $20,504 | 22 plans |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $38,576 – $95,000 · median $55,404 | 22 plans |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $19,039 – $46,887 · median $27,344 | 22 plans |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $12,086 – $29,765 · median $17,359 | 22 plans |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $12,521 – $30,835 · median $17,983 | 22 plans |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $11,745 – $28,925 · median $16,869 | 22 plans |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $14,639 – $36,051 · median $21,025 | 22 plans |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $14,193 – $34,954 · median $20,385 | 22 plans |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $6,068 – $14,944 · median $8,715 | 22 plans |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $15,123 – $37,243 · median $21,720 | 22 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,113 – $15,053 · median $8,779 | 22 plans |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $6,840 – $16,844 · median $9,823 | 22 plans |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $4,286 – $10,556 · median $6,156 | 22 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $10,623 – $26,160 · median $15,257 | 22 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $8,902 – $21,924 · median $12,786 | 22 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $19,494 – $48,008 · median $27,998 | 22 plans |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $11,419 – $28,120 · median $16,400 | 22 plans |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,452 – $25,739 · median $15,011 | 22 plans |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $20,500 – $50,484 · median $29,442 | 22 plans |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $9,058 – $22,308 · median $13,010 | 22 plans |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $10,019 – $24,674 · median $14,390 | 22 plans |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $39,858 – $98,158 · median $57,246 | 22 plans |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $22,305 – $54,930 · median $32,035 | 22 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $7,721 – $19,013 · median $11,088 | 22 plans |
| 665 | PROSTATECTOMY WITH MCC | $24,550 – $60,459 · median $35,260 | 22 plans |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $20,852 – $51,350 · median $29,947 | 22 plans |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $6,833 – $16,828 · median $9,814 | 22 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $12,324 – $30,351 · median $17,701 | 22 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $7,825 – $19,270 · median $11,238 | 22 plans |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $5,178 – $12,752 · median $7,437 | 22 plans |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $4,946 – $12,181 · median $7,104 | 22 plans |
| 697 | URETHRAL STRICTURE | $7,163 – $17,640 · median $10,287 | 22 plans |
| 709 | PENIS PROCEDURES WITH CC/MCC | $16,067 – $39,567 · median $23,075 | 22 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $10,735 – $26,437 · median $15,418 | 22 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,719 – $16,546 · median $9,650 | 22 plans |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $16,147 – $39,764 · median $23,190 | 22 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $10,148 – $24,991 · median $14,575 | 22 plans |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $8,808 – $21,691 · median $12,650 | 22 plans |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $12,362 – $30,442 · median $17,754 | 22 plans |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $8,029 – $19,772 · median $11,531 | 22 plans |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,209 – $12,829 · median $7,482 | 22 plans |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $9,028 – $22,232 · median $12,966 | 22 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $7,871 – $19,385 · median $11,305 | 22 plans |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,339 – $10,686 · median $6,232 | 22 plans |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $15,035 – $37,026 · median $21,594 | 22 plans |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $8,679 – $21,374 · median $12,466 | 22 plans |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $28,154 – $69,333 · median $40,435 | 22 plans |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $14,289 – $35,188 · median $20,522 | 22 plans |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $10,846 – $26,710 · median $15,577 | 22 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $28,463 – $70,096 · median $40,880 | 22 plans |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $13,001 – $32,017 · median $18,672 | 22 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $9,821 – $24,186 · median $14,106 | 22 plans |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $13,971 – $34,406 · median $20,066 | 22 plans |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $7,327 – $18,045 · median $10,524 | 22 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $9,740 – $23,987 · median $13,989 | 22 plans |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $9,220 – $22,706 · median $13,242 | 22 plans |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $7,937 – $19,547 · median $11,400 | 22 plans |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,828 – $16,816 · median $10,038 | 22 plans |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $10,119 – $24,921 · median $13,368 | 22 plans |
| 799 | SPLENIC PROCEDURES WITH MCC | $10,269 – $83,723 · median $43,897 | 22 plans |
| 800 | SPLENIC PROCEDURES WITH CC | $10,269 – $51,306 · median $27,067 | 22 plans |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $10,269 – $28,907 · median $15,438 | 22 plans |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $12,727 – $31,342 · median $18,279 | 22 plans |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $7,905 – $19,467 · median $11,353 | 22 plans |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $6,805 – $16,759 · median $9,774 | 22 plans |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $14,947 – $36,810 · median $21,467 | 22 plans |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $41,629 – $102,519 · median $59,789 | 22 plans |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $15,962 – $39,308 · median $22,925 | 22 plans |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $8,177 – $20,138 · median $11,745 | 22 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $8,800 – $21,672 · median $11,682 | 22 plans |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $10,269 – $84,087 · median $44,086 | 22 plans |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $11,461 – $28,224 · median $16,460 | 22 plans |
| 835 | ACUTE LEUKEMIA WITH CC | $15,272 – $37,609 · median $21,934 | 22 plans |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $9,086 – $22,374 · median $13,049 | 22 plans |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $35,801 – $88,167 · median $51,419 | 22 plans |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $14,502 – $35,713 · median $20,828 | 22 plans |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $9,798 – $24,130 · median $14,073 | 22 plans |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,521 – $18,522 · median $10,802 | 22 plans |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,546 – $21,045 · median $12,274 | 22 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $5,983 – $14,734 · median $8,593 | 22 plans |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $18,260 – $44,967 · median $26,225 | 22 plans |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $9,086 – $22,374 · median $13,049 | 22 plans |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $5,855 – $14,419 · median $8,409 | 22 plans |
| 849 | RADIOTHERAPY | $19,098 – $47,033 · median $27,430 | 22 plans |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $65,865 – $162,203 · median $94,597 | 22 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $11,623 – $28,624 · median $16,693 | 22 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,212 – $22,686 · median $13,231 | 22 plans |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $7,508 – $18,490 · median $10,783 | 22 plans |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $5,145 – $12,671 · median $7,390 | 22 plans |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $28,097 – $69,192 · median $40,353 | 22 plans |
| 881 | DEPRESSIVE NEUROSES | $6,536 – $16,095 · median $9,387 | 22 plans |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $6,878 – $16,939 · median $9,879 | 22 plans |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $13,255 – $32,643 · median $19,038 | 22 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $12,845 – $31,633 · median $18,448 | 22 plans |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $8,504 – $20,943 · median $12,214 | 22 plans |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $10,352 – $25,495 · median $14,868 | 22 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $8,717 – $21,466 · median $12,519 | 22 plans |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $27,607 – $67,986 · median $39,650 | 22 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $11,785 – $29,022 · median $16,925 | 22 plans |
| 906 | HAND PROCEDURES FOR INJURIES | $15,605 – $38,429 · median $22,412 | 22 plans |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $14,422 – $35,517 · median $20,714 | 22 plans |
| 913 | TRAUMATIC INJURY WITH MCC | $11,571 – $28,495 · median $16,618 | 22 plans |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $6,552 – $16,136 · median $9,411 | 22 plans |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,079 – $29,747 · median $17,348 | 22 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $169,618 – $417,711 · median $243,609 | 22 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $47,754 – $117,602 · median $68,586 | 22 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $22,740 – $56,000 · median $32,660 | 22 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $30,937 – $76,188 · median $44,433 | 22 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $22,694 – $55,888 · median $32,594 | 22 plans |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $15,097 – $37,178 · median $21,682 | 22 plans |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,973 – $34,411 · median $20,069 | 22 plans |
| 949 | AFTERCARE WITH CC/MCC | $7,715 – $18,999 · median $11,080 | 22 plans |
| 950 | AFTERCARE WITHOUT CC/MCC | $4,191 – $10,320 · median $6,019 | 22 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $48,822 – $120,233 · median $70,120 | 22 plans |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $53,369 – $131,430 · median $76,650 | 22 plans |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $29,385 – $72,365 · median $42,204 | 22 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $18,904 – $46,554 · median $27,150 | 22 plans |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,424 – $47,836 · median $27,898 | 22 plans |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $10,726 – $26,414 · median $15,405 | 22 plans |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,525 – $16,069 · median $9,371 | 22 plans |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $45,219 – $111,358 · median $64,944 | 22 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $18,971 – $46,719 · median $27,247 | 22 plans |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $7,171 – $17,661 · median $10,300 | 22 plans |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,928 – $29,374 · median $17,131 | 22 plans |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $8,262 – $20,346 · median $11,866 | 22 plans |
| 945 | REHABILITATION WITH CC/MCC | $10,914 – $22,249 · median $14,384 | 20 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $7,983 – $16,273 · median $10,636 | 20 plans |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $1,976 – $15,087 · median $10,768 | 16 plans |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $18,126 – $44,638 · median $20,560 | 14 plans |
No procedures match that keyword.