Procedures published 757
Lowest published price $4,232
Average published price $60,865
Highest published price $436,443

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

Showing all 757 procedures

Published charges

Showing all 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