Ochsner University Hospital & Clinics — Pricing

759 procedures published in this hospital's Machine-Readable File (MRF) — 305 with a comparable price, 454 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 759
Lowest published price $2,320
Average published price $55,783
Highest published price $847,885

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 759 procedures

Published charges

Showing all 305 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

DRG Description Published price Cash price vs. LA median vs. National median vs Medicare
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 $847,885 $220,450 $292,218 +190% $245,189 +246% —
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 $505,757 $131,497 $462,770 +9% $371,366 +36% —
643 MS DRG -ENDOCRINE DISORDERS WITH MCC;APR DRG -OTHER ENDOCRINE DISORDERS;SOI -Extreme $332,231 $86,380 $39,492 +741% $32,953 +908% —
870 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $241,592 $62,814 $126,146 +92% $137,160 +76% —
963 MS DRG -OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC;APR DRG -MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE;SOI -Major $241,063 $62,676 $89,571 +169% $43,491 +454% —
314 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Extreme $218,023 $56,686 $66,687 +227% $38,166 +471% —
813 MS DRG -COAGULATION DISORDERS;APR DRG -COAGULATION AND PLATELET DISORDERS;SOI -Moderate $217,600 $56,576 $47,828 +355% $30,128 +622% —
012 MS DRG -TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC;APR DRG -OTHER MAJOR HEAD AND NECK PROCEDURES;SOI -Major $214,012 $55,643 $83,658 +156% $73,029 +193% —
853 MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $208,040 $54,090 $102,538 +103% $86,938 +139% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $206,210 $53,615 $59,308 +248% $51,953 +297% —
280 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme $171,801 $44,668 $30,357 +466% $28,802 +496% ≈93% of Medicare
057 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Major $171,787 $44,665 $32,819 +423% $25,412 +576% —
717 MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Extreme $163,328 $42,465 $25,434 +542% $32,538 +402% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $153,082 $39,801 $160,739 −5% $116,058 +32% —
329 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Major $147,076 $38,240 $147,076 +0% $88,050 +67% —
907 MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH MCC;APR DRG -EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Extreme $147,041 $38,231 $62,830 +134% $71,519 +106% —
682 MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme $140,495 $36,529 $27,953 +403% $27,640 +408% —
330 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -MAJOR LARGE BOWEL PROCEDURES;SOI -Major $135,158 $35,141 $75,804 +78% $58,713 +130% —
178 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Major $134,742 $35,033 $23,848 +465% $22,024 +512% —
271 MS DRG -OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major $133,550 $34,723 $139,299 −4% $71,014 +88% —
545 MS DRG -CONNECTIVE TISSUE DISORDERS WITH MCC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Extreme $133,074 $34,599 $45,200 +194% $39,657 +236% —
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 $131,971 $34,312 $61,736 +114% $43,444 +204% —
616 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Extreme $126,179 $32,806 $72,579 +74% $62,961 +100% —
322 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Moderate $123,920 $32,219 $96,624 +28% $54,772 +126% —
140 MS DRG -MAJOR HEAD AND NECK PROCEDURES WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Major $123,879 $32,208 $83,900 +48% $60,098 +106% —
689 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Extreme $121,794 $31,667 $24,198 +403% $22,870 +433% —
598 MS DRG -MALIGNANT BREAST DISORDERS WITH CC;APR DRG -MAJOR SKIN DISORDERS;SOI -Major $118,015 $30,684 $20,539 +475% $19,073 +519% —
091 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Extreme $113,229 $29,439 $34,501 +228% $35,990 +215% —
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 $111,872 $29,087 $93,631 +19% $84,825 +32% —
326 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Major $108,218 $28,137 $85,356 +27% $80,747 +34% —
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 -Moderate $106,195 $27,611 $28,123 +278% $22,623 +369% —
637 MS DRG -DIABETES WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $105,420 $27,409 $39,314 +168% $28,772 +266% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $105,045 $27,312 $77,820 +35% $60,861 +73% —
475 MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $105,026 $27,307 $65,618 +60% $44,553 +136% —
398 MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate $104,528 $27,177 $52,201 +100% $38,574 +171% —
291 MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme $100,639 $26,166 $27,049 +272% $24,932 +304% ≈121% of Medicare
064 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Extreme $99,575 $25,889 $36,919 +170% $35,714 +179% —
917 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI -Major $99,237 $25,802 $35,324 +181% $28,001 +254% —
746 MS DRG -VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC;APR DRG -OTHER FEMALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES;SOI -Moderate $97,880 $25,449 $32,278 +203% $29,916 +227% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $97,616 $25,380 $75,916 +29% $35,108 +178% —
253 MS DRG -OTHER VASCULAR PROCEDURES WITH CC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Major $97,366 $25,315 $80,670 +21% $53,746 +81% —
571 MS DRG -SKIN DEBRIDEMENT WITH CC;APR DRG -SKIN ULCERS;SOI -Major $96,800 $25,168 $37,596 +157% $34,773 +178% —
397 MS DRG -APPENDIX PROCEDURES WITH MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Extreme $95,538 $24,840 $88,532 +8% $52,319 +83% —
435 MS DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC;APR DRG -MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS;SOI -Moderate $94,274 $24,511 $33,073 +185% $37,950 +148% —
974 MS DRG -HIV WITH MAJOR RELATED CONDITION WITH MCC;APR DRG -HIV WITH MULTIPLE MAJOR HIV RELATED CONDITIONS;SOI -Extreme $93,317 $24,262 $56,055 +66% $46,402 +101% —
811 MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -SICKLE CELL ANEMIA CRISIS;SOI -Extreme $91,598 $23,815 $23,654 +287% $27,674 +231% —
177 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme $91,371 $23,756 $40,636 +125% $31,754 +188% —
239 MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Extreme $90,049 $23,413 $104,080 −13% $87,575 +3% —
242 MS DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC;APR DRG -PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK;SOI -Major $88,237 $22,942 $88,237 +0% $70,132 +26% —
871 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $88,066 $22,897 $47,280 +86% $34,876 +153% ≈94% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $87,530 $22,758 $41,256 +112% $44,989 +95% —
559 MS DRG -AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major $86,441 $22,475 $37,740 +129% $30,681 +182% —
638 MS DRG -DIABETES WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $85,728 $22,289 $21,692 +295% $18,763 +357% ≈111% of Medicare
617 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $82,905 $21,555 $37,649 +120% $42,881 +93% —
286 MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Major $82,628 $21,483 $47,632 +73% $44,600 +85% —
606 MS DRG -MINOR SKIN DISORDERS WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Major $81,619 $21,221 $27,050 +202% $25,434 +221% —
915 MS DRG -ALLERGIC REACTIONS WITH MCC;APR DRG -ALLERGIC REACTIONS;SOI -Extreme $80,756 $20,997 $59,689 +35% $30,944 +161% —
498 MS DRG -LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC;APR DRG -OTHER SIGNIFICANT HIP AND FEMUR SURGERY;SOI -Major $79,871 $20,766 $51,021 +57% $46,659 +71% —
252 MS DRG -OTHER VASCULAR PROCEDURES WITH MCC;APR DRG -OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES;SOI -Extreme $79,687 $20,719 $79,687 +0% $68,508 +16% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $77,046 $20,032 $70,566 +9% $68,331 +13% —
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 -Major $76,521 $19,895 $43,855 +74% $40,552 +89% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $75,709 $19,684 $75,709 +0% $43,252 +75% —
673 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $75,312 $19,581 $88,662 −15% $72,879 +3% —
863 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate $75,218 $19,557 $28,888 +160% $20,007 +276% —
013 MS DRG -TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC;APR DRG -OTHER MAJOR HEAD AND NECK PROCEDURES;SOI -Moderate $74,972 $19,493 $27,739 +170% $45,558 +65% —
919 MS DRG -COMPLICATIONS OF TREATMENT WITH MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Major $74,665 $19,413 $31,482 +137% $29,031 +157% —
331 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -MAJOR SMALL BOWEL PROCEDURES;SOI -Moderate $74,519 $19,375 $51,631 +44% $44,087 +69% —
189 MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Minor $74,064 $19,257 $34,870 +112% $24,603 +201% —
336 PERITONEAL ADHESIOLYSIS WITH CC $72,888 $18,951 $54,942 +33% $49,071 +49% —
208 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -RESPIRATORY FAILURE;SOI -Major $71,544 $18,602 $55,384 +29% $52,405 +37% —
492 MS DRG -LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC;APR DRG -KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT;SOI -Extreme $71,306 $18,540 $78,830 −10% $70,540 +1% —
557 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Extreme $71,025 $18,467 $24,871 +186% $28,385 +150% —
056 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG -HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS;SOI -Moderate $70,255 $18,266 $62,652 +12% $39,409 +78% —
357 MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Moderate $70,138 $18,236 $56,437 +24% $48,682 +44% —
618 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate $70,052 $18,214 $8,090 +766% $19,354 +262% —
250 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Minor $67,602 $17,577 $67,602 +0% $51,339 +32% —
166 MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $66,753 $17,356 $93,180 −28% $72,274 −8% —
254 MS DRG -OTHER VASCULAR PROCEDURES WITHOUT CC/MCC;APR DRG -LOWER EXTREMITY VASCULAR PROCEDURES;SOI -Moderate $66,516 $17,294 $34,944 +90% $38,836 +71% —
603 MS DRG -CELLULITIS WITHOUT MCC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Moderate $65,870 $17,126 $19,952 +230% $18,359 +259% —
240 MS DRG -AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $63,977 $16,634 $63,977 +0% $54,475 +17% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $63,924 $16,620 $66,425 −4% $78,327 −18% —
256 MS DRG -UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate $63,686 $16,558 $30,683 +108% $29,671 +115% —
572 MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate $61,652 $16,030 $28,378 +117% $24,426 +152% —
808 MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Major $61,327 $15,945 $37,162 +65% $36,195 +69% —
539 MS DRG -OSTEOMYELITIS WITH MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $60,253 $15,666 $27,935 +116% $33,614 +79% —
356 MS DRG -OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Major $58,115 $15,110 $58,115 +0% $82,561 −30% —
375 MS DRG -DIGESTIVE MALIGNANCY WITH CC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Major $57,333 $14,907 $17,545 +227% $27,125 +111% —
537 MS DRG -SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $57,158 $14,861 $10,003 +471% $16,352 +250% —
144 MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Moderate $57,013 $14,823 $29,134 +96% $29,558 +93% —
812 MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -SICKLE CELL ANEMIA CRISIS;SOI -Major $56,899 $14,794 $21,472 +165% $20,408 +179% ≈98% of Medicare
698 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $56,199 $14,612 $28,616 +96% $29,929 +88% —
975 MS DRG -HIV WITH MAJOR RELATED CONDITION WITH CC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Moderate $55,491 $14,428 $26,939 +106% $25,071 +121% —
674 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $54,715 $14,226 $51,964 +5% $49,631 +10% —
433 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Major $54,621 $14,202 $23,582 +132% $23,749 +130% —
281 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -HYPERTENSION;SOI -Moderate $54,576 $14,190 $24,038 +127% $20,463 +167% —
287 MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Major $54,525 $14,177 $40,539 +35% $31,190 +75% —
037 MS DRG -EXTRACRANIAL PROCEDURES WITH MCC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Major $54,338 $14,128 $49,605 +10% $64,749 −16% —
503 FOOT PROCEDURES WITH MCC $54,196 $14,091 $54,196 +0% $43,982 +23% —
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 $53,636 $13,945 $25,712 +109% $22,610 +137% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $53,336 $13,867 $19,857 +169% $23,920 +123% —
546 MS DRG -CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -CONNECTIVE TISSUE DISORDERS;SOI -Moderate $52,685 $13,698 $36,114 +46% $24,146 +118% —
596 MS DRG -MAJOR SKIN DISORDERS WITHOUT MCC;APR DRG -MAJOR SKIN DISORDERS;SOI -Minor $52,472 $13,643 $11,664 +350% $17,226 +205% —
393 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Major $52,354 $13,612 $40,098 +31% $32,689 +60% —
417 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $52,313 $13,601 $60,767 −14% $51,950 +1% —
415 MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Minor $52,088 $13,543 $45,283 +15% $41,847 +24% —
186 PLEURAL EFFUSION WITH MCC $51,675 $13,436 $39,683 +30% $32,385 +60% —
896 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -OPIOID ABUSE AND DEPENDENCE;SOI -Major $51,584 $13,412 $20,366 +153% $30,275 +70% —
464 MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $51,114 $13,290 $36,687 +39% $54,313 −6% —
296 MS DRG -CARDIAC ARREST, UNEXPLAINED WITH MCC;APR DRG -CARDIAC ARREST AND SHOCK;SOI -Extreme $50,969 $13,252 $46,939 +9% $30,768 +66% —
289 MS DRG -ACUTE AND SUBACUTE ENDOCARDITIS WITH CC;APR DRG -ACUTE AND SUBACUTE ENDOCARDITIS;SOI -Moderate $49,564 $12,887 $22,592 +119% $29,891 +66% —
948 MS DRG -SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Moderate $49,176 $12,786 $19,901 +147% $17,719 +178% —
623 MS DRG -SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Moderate $48,953 $12,728 $43,775 +12% $33,236 +47% —
841 MS DRG -LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC;APR DRG -LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA;SOI -Moderate $48,518 $12,615 $47,448 +2% $30,224 +61% —
348 MS DRG -ANAL AND STOMAL PROCEDURES WITH CC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Minor $48,334 $12,567 $34,549 +40% $27,947 +73% —
081 MS DRG -NONTRAUMATIC STUPOR AND COMA WITHOUT MCC;APR DRG -ANOXIC AND OTHER SEVERE BRAIN DAMAGE;SOI -Major $48,178 $12,526 $16,725 +188% $15,007 +221% —
950 MS DRG -AFTERCARE WITHOUT CC/MCC;APR DRG -OTHER AFTERCARE AND CONVALESCENCE;SOI -Moderate $47,908 $12,456 $23,839 +101% $13,527 +254% —
098 MS DRG -NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC;APR DRG -NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS;SOI -Moderate $47,716 $12,406 $47,716 +0% $37,681 +27% —
175 MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Major $47,488 $12,347 $21,442 +121% $29,521 +61% —
180 MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Major $47,233 $12,281 $43,392 +9% $36,658 +29% —
442 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC;APR DRG -HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS;SOI -Major $47,190 $12,269 $24,957 +89% $21,449 +120% —
625 MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Major $47,067 $12,237 $38,515 +22% $58,968 −20% —
193 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -OTHER PNEUMONIA;SOI -Major $46,812 $12,171 $31,866 +47% $25,766 +82% ≈104% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $46,698 $12,141 $54,417 −14% $54,681 −15% —
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 $45,517 $11,834 $27,285 +67% $24,008 +90% —
694 URINARY STONES WITHOUT MCC $45,220 $11,757 $10,566 +328% $16,451 +175% —
206 MS DRG -OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC;APR DRG -RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $45,125 $11,733 $10,667 +323% $17,731 +154% —
312 MS DRG -SYNCOPE AND COLLAPSE;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Major $44,180 $11,487 $20,728 +113% $19,342 +128% —
377 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Major $43,401 $11,284 $46,940 −8% $37,842 +15% —
392 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Major $42,780 $11,123 $22,535 +90% $17,322 +147% —
540 MS DRG -OSTEOMYELITIS WITH CC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $42,696 $11,101 $23,875 +79% $23,494 +82% —
394 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES;SOI -Moderate $42,523 $11,056 $15,999 +166% $18,815 +126% —
121 MS DRG -ACUTE MAJOR EYE INFECTIONS WITH CC/MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate $42,519 $11,055 $16,800 +153% $18,291 +132% —
305 MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -HYPERTENSION;SOI -Major $42,251 $10,985 $15,455 +173% $16,897 +150% —
640 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS;SOI -Extreme $42,241 $10,983 $35,544 +19% $24,244 +74% —
564 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Moderate $41,992 $10,918 $18,475 +127% $32,804 +28% —
308 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Major $41,921 $10,900 $19,824 +111% $26,098 +61% —
371 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major $41,318 $10,743 $34,208 +21% $31,627 +31% —
100 SEIZURES WITH MCC $40,488 $10,527 $37,366 +8% $35,194 +15% —
101 MS DRG -SEIZURES WITHOUT MCC;APR DRG -SEIZURE;SOI -Major $39,741 $10,333 $24,986 +59% $19,930 +99% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,243 $10,203 $47,723 −18% $38,094 +3% —
011 MS DRG -TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Moderate $38,833 $10,097 $55,874 −30% $86,953 −55% —
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 -Extreme $38,821 $10,093 $35,396 +10% $24,465 +59% —
439 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major $38,724 $10,068 $19,517 +98% $19,096 +103% —
558 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS;SOI -Major $38,658 $10,051 $16,479 +135% $17,296 +124% —
391 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS;SOI -Major $38,572 $10,029 $26,767 +44% $27,041 +43% —
381 MS DRG -COMPLICATED PEPTIC ULCER WITH CC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Moderate $38,555 $10,024 $29,448 +31% $24,177 +59% —
060 MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Minor $38,024 $9,886 $26,051 +46% $21,323 +78% —
758 MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Moderate $37,969 $9,872 $12,451 +205% $19,091 +99% —
345 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC;APR DRG -OTHER SMALL AND LARGE BOWEL PROCEDURES;SOI -Moderate $37,146 $9,658 $26,767 +39% $31,062 +20% —
167 MS DRG -OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $37,123 $9,652 $51,057 −27% $40,563 −8% —
190 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate $36,767 $9,559 $21,887 +68% $24,103 +53% —
579 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Major $36,739 $9,552 $61,592 −40% $53,763 −32% —
444 MS DRG -DISORDERS OF THE BILIARY TRACT WITH MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Major $36,073 $9,379 $49,470 −27% $31,029 +16% —
309 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Major $35,975 $9,353 $22,998 +56% $16,645 +116% —
123 NEUROLOGICAL EYE DISORDERS $35,892 $9,332 $19,922 +80% $17,831 +101% —
191 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Major $35,742 $9,293 $18,365 +95% $18,104 +97% —
073 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Major $35,386 $9,200 $35,519 −0% $28,252 +25% —
122 MS DRG -ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate $35,338 $9,188 $7,537 +369% $11,997 +195% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $35,174 $9,145 $30,170 +17% $24,561 +43% —
337 MS DRG -PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Minor $35,118 $9,131 $35,118 +0% $35,961 −2% —
727 MS DRG -INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Major $34,760 $9,038 $20,678 +68% $25,786 +35% —
565 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major $34,539 $8,980 $23,859 +45% $21,499 +61% —
192 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Minor $34,538 $8,980 $14,790 +134% $14,368 +140% —
723 MS DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC;APR DRG -MALIGNANCY, MALE REPRODUCTIVE SYSTEM;SOI -Moderate $34,421 $8,950 $18,079 +90% $19,317 +78% —
690 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Minor $34,011 $8,843 $18,582 +83% $17,379 +96% ≈118% of Medicare
388 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Major $33,349 $8,671 $20,298 +64% $28,403 +17% —
920 MS DRG -COMPLICATIONS OF TREATMENT WITH CC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate $32,923 $8,560 $21,587 +53% $20,879 +58% —
683 MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $32,567 $8,467 $16,875 +93% $18,322 +78% ≈113% of Medicare
441 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Major $31,913 $8,297 $28,244 +13% $31,913 +0% —
982 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS;SOI -Moderate $31,612 $8,219 $48,375 −35% $51,985 −39% —
304 MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Extreme $31,607 $8,218 $26,659 +19% $23,945 +32% —
066 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate $31,451 $8,177 $20,913 +50% $19,483 +61% —
602 MS DRG -CELLULITIS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Major $31,225 $8,119 $25,010 +25% $29,347 +6% —
607 MS DRG -MINOR SKIN DISORDERS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate $31,163 $8,102 $14,778 +111% $15,276 +104% —
951 MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major $31,161 $8,102 $10,551 +195% $9,385 +232% —
432 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Moderate $30,963 $8,050 $35,757 −13% $36,880 −16% —
302 ATHEROSCLEROSIS WITH MCC $30,579 $7,951 $18,013 +70% $20,810 +47% —
195 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -OTHER PNEUMONIA;SOI -Minor $30,422 $7,910 $18,452 +65% $13,747 +121% —
378 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Major $30,388 $7,901 $21,582 +41% $21,886 +39% —
885 MS DRG -PSYCHOSES;APR DRG -SCHIZOAFFECTIVE DISORDERS;SOI -Major $30,077 $7,820 $16,075 +87% $21,489 +40% —
288 MS DRG -ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC;APR DRG -ACUTE AND SUBACUTE ENDOCARDITIS;SOI -Major $29,940 $7,784 $29,404 +2% $45,497 −34% —
620 MS DRG -O.R. PROCEDURES FOR OBESITY WITH CC;APR DRG -PROCEDURES FOR OBESITY;SOI -Minor $29,909 $7,776 $16,950 +76% $35,453 −16% —
176 MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Moderate $29,804 $7,749 $18,538 +61% $17,693 +68% —
369 MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH CC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Moderate $29,327 $7,625 $24,636 +19% $22,590 +30% —
419 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor $29,217 $7,596 $36,340 −20% $34,564 −15% —
181 MS DRG -RESPIRATORY NEOPLASMS WITH CC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Moderate $28,813 $7,491 $35,809 −20% $22,065 +31% —
194 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -OTHER PNEUMONIA;SOI -Major $28,680 $7,457 $19,357 +48% $18,204 +58% —
113 MS DRG -ORBITAL PROCEDURES WITH CC/MCC;APR DRG -ORBIT AND EYE PROCEDURES;SOI -Moderate $28,395 $7,383 $26,052 +9% $35,642 −20% —
684 MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate $28,182 $7,327 $15,085 +87% $13,455 +109% —
292 MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -HEART FAILURE;SOI -Major $28,021 $7,286 $19,922 +41% $15,878 +76% —
418 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $27,969 $7,272 $46,416 −40% $42,119 −34% —
316 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -CARDIOMYOPATHY;SOI -Minor $27,925 $7,260 $12,331 +126% $12,794 +118% —
987 MS DRG -NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC;APR DRG -OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS;SOI -Major $27,911 $7,257 $71,549 −61% $65,383 −57% —
909 MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Minor $26,779 $6,962 $31,959 −16% $28,156 −5% —
552 MS DRG -MEDICAL BACK PROBLEMS WITHOUT MCC;APR DRG -OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES;SOI -Minor $26,569 $6,908 $28,929 −8% $20,632 +29% —
075 VIRAL MENINGITIS WITH CC/MCC $26,463 $6,880 $26,463 +0% $29,751 −11% —
149 MS DRG -DYSEQUILIBRIUM;APR DRG -VERTIGO AND OTHER LABYRINTH DISORDERS;SOI -Minor $26,355 $6,852 $16,577 +59% $17,203 +53% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $25,997 $6,759 $14,692 +77% $17,562 +48% —
862 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate $25,983 $6,756 $30,606 −15% $29,867 −13% —
563 MS DRG -FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC;APR DRG -FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK;SOI -Moderate $25,969 $6,752 $12,232 +112% $18,243 +42% —
092 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Minor $25,914 $6,738 $25,748 +1% $24,000 +8% —
282 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -HEART FAILURE;SOI -Minor $25,823 $6,714 $13,973 +85% $18,288 +41% —
389 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate $25,716 $6,686 $17,413 +48% $17,345 +48% —
351 MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Moderate $25,418 $6,609 $35,407 −28% $33,790 −25% —
414 MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Major $25,144 $6,538 $45,771 −45% $68,399 −63% —
641 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS;SOI -Major $25,071 $6,518 $16,702 +50% $16,718 +50% —
069 MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Minor $24,934 $6,483 $22,611 +10% $20,253 +23% —
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 -Minor $24,897 $6,473 $30,778 −19% $27,369 −9% —
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 $24,757 $6,437 $24,757 +0% $19,287 +28% —
151 MS DRG -EPISTAXIS WITHOUT MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Minor $24,756 $6,436 $8,657 +186% $13,032 +90% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,731 $6,430 $16,983 +46% $15,600 +59% —
803 MS DRG -OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC;APR DRG -OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor $24,542 $6,381 $23,566 +4% $33,415 −27% —
644 MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -OTHER ENDOCRINE DISORDERS;SOI -Minor $24,465 $6,361 $19,297 +27% $22,941 +7% —
399 MS DRG -APPENDIX PROCEDURES WITHOUT CC/MCC;APR DRG -APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate $24,389 $6,341 $28,191 −13% $30,259 −19% —
699 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $24,373 $6,337 $24,373 +0% $20,732 +18% —
074 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Moderate $24,221 $6,298 $20,035 +21% $23,141 +5% —
125 MS DRG -OTHER DISORDERS OF THE EYE WITHOUT MCC;APR DRG -EYE INFECTIONS AND OTHER EYE DISORDERS;SOI -Moderate $24,050 $6,253 $18,156 +32% $15,876 +51% —
580 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Moderate $24,010 $6,243 $59,184 −59% $36,355 −34% —
639 MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -SKIN ULCERS;SOI -Moderate $23,945 $6,226 $15,755 +52% $13,910 +72% —
372 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major $23,885 $6,210 $25,271 −5% $22,850 +5% —
776 MS DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES;APR DRG -POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE;SOI -Major $23,619 $6,141 $9,052 +161% $12,205 +94% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $23,575 $6,129 $20,308 +16% $18,316 +29% —
376 MS DRG -DIGESTIVE MALIGNANCY WITHOUT CC/MCC;APR DRG -DIGESTIVE MALIGNANCY;SOI -Minor $23,406 $6,085 $6,719 +248% $15,608 +50% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $23,393 $6,082 $10,263 +128% $14,337 +63% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $23,264 $6,049 $37,878 −39% $31,978 −27% —
831 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Moderate $23,004 $5,981 $16,000 +44% $18,133 +27% —
621 MS DRG -O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC;APR DRG -PROCEDURES FOR OBESITY;SOI -Moderate $22,908 $5,956 $15,565 +47% $32,451 −29% —
626 MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Moderate $22,809 $5,930 $22,809 +0% $26,998 −16% —
416 MS DRG -CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Minor $22,778 $5,922 $28,539 −20% $30,418 −25% —
857 MS DRG -POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC;APR DRG -POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE;SOI -Moderate $22,770 $5,920 $26,079 −13% $41,114 −45% —
199 MS DRG -PNEUMOTHORAX WITH MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Major $22,345 $5,810 $23,280 −4% $31,085 −28% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $22,159 $5,761 $20,702 +7% $17,754 +25% —
179 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate $21,698 $5,641 $16,262 +33% $14,411 +51% —
744 MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC;APR DRG -PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES;SOI -Minor $21,528 $5,597 $29,511 −27% $32,901 −35% —
809 MS DRG -MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC;APR DRG -MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION;SOI -Major $21,444 $5,575 $22,779 −6% $22,010 −3% —
202 MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -ASTHMA;SOI -Moderate $21,411 $5,567 $23,318 −8% $17,183 +25% —
947 MS DRG -SIGNS AND SYMPTOMS WITH MCC;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major $21,382 $5,559 $26,617 −20% $25,474 −16% —
884 MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Major $21,367 $5,555 $28,404 −25% $25,146 −15% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $21,354 $5,552 $13,061 +63% $16,622 +28% —
745 MS DRG -D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC;APR DRG -DILATION AND CURETTAGE FOR NON-OBSTETRIC DIAGNOSES;SOI -Moderate $21,109 $5,488 $24,264 −13% $16,495 +28% —
549 SEPTIC ARTHRITIS WITH CC $20,727 $5,389 $21,289 −3% $20,808 −0% —
977 MS DRG -HIV WITH OR WITHOUT OTHER RELATED CONDITION;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Major $20,480 $5,325 $29,805 −31% $22,525 −9% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $19,776 $5,142 $10,190 +94% $19,598 +1% —
146 MS DRG -EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC;APR DRG -EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES;SOI -Moderate $19,745 $5,134 $21,919 −10% $37,080 −47% —
916 MS DRG -ALLERGIC REACTIONS WITHOUT MCC;APR DRG -ALLERGIC REACTIONS;SOI -Minor $19,644 $5,108 $19,973 −2% $13,890 +41% —
897 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -ALCOHOL ABUSE AND DEPENDENCE;SOI -Moderate $19,616 $5,100 $13,087 +50% $15,923 +23% —
770 MS DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;APR DRG -ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY;SOI -Moderate $19,572 $5,089 $24,714 −21% $17,719 +10% —
150 MS DRG -EPISTAXIS WITH MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES;SOI -Major $19,562 $5,086 $19,562 +0% $21,133 −7% —
039 MS DRG -EXTRACRANIAL PROCEDURES WITHOUT CC/MCC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Minor $19,209 $4,994 $23,726 −19% $25,267 −24% —
203 MS DRG -BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG -ASTHMA;SOI -Minor $18,875 $4,908 $14,737 +28% $12,275 +54% —
923 MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Moderate $18,808 $4,890 $17,668 +6% $16,431 +14% —
139 MS DRG -SALIVARY GLAND PROCEDURES;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor $18,503 $4,811 $14,655 +26% $21,014 −12% —
313 MS DRG -CHEST PAIN;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Minor $18,283 $4,753 $11,202 +63% $15,837 +15% —
554 MS DRG -BONE DISEASES AND ARTHROPATHIES WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $18,208 $4,734 $24,653 −26% $17,579 +4% —
759 MS DRG -INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC;APR DRG -FEMALE REPRODUCTIVE SYSTEM INFECTIONS;SOI -Minor $18,046 $4,692 $11,815 +53% $14,208 +27% —
352 MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Minor $17,957 $4,669 $30,099 −40% $25,038 −28% —
918 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Moderate $17,897 $4,653 $11,452 +56% $15,045 +19% —
593 MS DRG -SKIN ULCERS WITH CC;APR DRG -SKIN ULCERS;SOI -Moderate $17,855 $4,642 $17,855 +0% $20,470 −13% —
293 MS DRG -HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG -HEART FAILURE;SOI -Minor $17,823 $4,634 $10,349 +72% $11,826 +51% —
380 COMPLICATED PEPTIC ULCER WITH MCC $17,775 $4,622 $24,670 −28% $36,537 −51% —
868 MS DRG -OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC;APR DRG -OTHER INFECTIOUS AND PARASITIC DISEASES;SOI -Moderate $17,548 $4,563 $17,665 −1% $22,231 −21% —
315 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Major $17,528 $4,557 $20,942 −16% $20,716 −15% —
299 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Major $17,456 $4,539 $21,036 −17% $25,596 −32% —
894 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG -DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI -Minor $17,324 $4,504 $11,440 +51% $12,013 +44% —
513 MS DRG -HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC;APR DRG -HAND AND WRIST PROCEDURES;SOI -Minor $16,900 $4,394 $32,614 −48% $33,424 −49% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $16,860 $4,384 $10,879 +55% $16,104 +5% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $16,443 $4,275 $15,116 +9% $15,636 +5% —
116 MS DRG -INTRAOCULAR PROCEDURES WITH CC/MCC;APR DRG -ORBIT AND EYE PROCEDURES;SOI -Major $16,441 $4,275 $16,441 +0% $28,103 −41% —
440 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Minor $16,389 $4,261 $16,162 +1% $14,770 +11% —
145 MS DRG -OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC;APR DRG -OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES;SOI -Minor $16,141 $4,197 $22,293 −28% $20,837 −23% —
581 MS DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC;APR DRG -MASTECTOMY PROCEDURES;SOI -Minor $16,023 $4,166 $37,749 −58% $25,243 −37% —
582 MS DRG -MASTECTOMY FOR MALIGNANCY WITH CC/MCC;APR DRG -MASTECTOMY PROCEDURES;SOI -Minor $15,994 $4,159 $18,530 −14% $34,158 −53% —
072 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate $15,984 $4,156 $15,984 +0% $16,654 −4% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $15,888 $4,131 $10,165 +56% $9,063 +75% —
438 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major $15,676 $4,076 $31,731 −51% $32,417 −52% —
038 MS DRG -EXTRACRANIAL PROCEDURES WITH CC;APR DRG -OPEN EXTRACRANIAL VASCULAR PROCEDURES;SOI -Moderate $15,657 $4,071 $23,998 −35% $35,770 −56% —
832 MS DRG -OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC;APR DRG -ANTEPARTUM WITHOUT O.R. PROCEDURE;SOI -Major $15,638 $4,066 $18,719 −16% $12,895 +21% —
627 MS DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC;APR DRG -THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES;SOI -Minor $15,357 $3,993 $26,357 −42% $25,621 −40% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $14,772 $3,841 $36,606 −60% $36,097 −59% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $14,763 $3,838 $17,571 −16% $18,199 −19% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,500 $3,770 $16,402 −12% $14,880 −3% —
390 MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Minor $13,602 $3,536 $12,107 +12% $13,318 +2% —
093 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF NERVOUS SYSTEM;SOI -Minor $13,452 $3,497 $15,799 −15% $17,522 −23% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $13,410 $3,487 $24,497 −45% $24,450 −45% —
921 MS DRG -COMPLICATIONS OF TREATMENT WITHOUT CC/MCC;APR DRG -OTHER COMPLICATIONS OF TREATMENT;SOI -Minor $13,265 $3,449 $10,735 +24% $14,012 −5% —
201 MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Minor $13,189 $3,429 $11,438 +15% $13,081 +1% —
300 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate $12,760 $3,318 $23,860 −47% $19,448 −34% —
303 MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Minor $12,737 $3,312 $14,621 −13% $14,927 −15% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,706 $3,304 $18,573 −32% $31,743 −60% —
379 MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Minor $12,524 $3,256 $20,711 −40% $14,134 −11% —
347 MS DRG -ANAL AND STOMAL PROCEDURES WITH MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Major $12,493 $3,248 $29,842 −58% $40,548 −69% —
395 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Minor $12,251 $3,185 $10,099 +21% $14,128 −13% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,462 $2,980 $22,792 −50% $25,998 −56% —
310 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor $11,443 $2,975 $11,589 −1% $13,384 −15% —
071 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate $10,986 $2,856 $22,186 −50% $23,396 −53% —
152 OTITIS MEDIA AND URI WITH MCC $10,933 $2,843 $14,444 −24% $19,657 −44% —
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 -Minor $10,785 $2,804 $10,785 +0% $16,622 −35% —
158 DENTAL AND ORAL DISEASES WITH CC $10,573 $2,749 $18,032 −41% $17,751 −40% —
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 -Moderate $10,290 $2,676 $11,169 −8% $13,198 −22% —
204 RESPIRATORY SIGNS AND SYMPTOMS $9,981 $2,595 $9,981 +0% $16,804 −41% —
153 MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Minor $9,160 $2,381 $14,829 −38% $14,251 −36% —
386 MS DRG -INFLAMMATORY BOWEL DISEASE WITH CC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Moderate $8,864 $2,305 $16,577 −47% $20,917 −58% —
187 MS DRG -PLEURAL EFFUSION WITH CC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor $8,250 $2,145 $18,800 −56% $21,467 −62% —
200 MS DRG -PNEUMOTHORAX WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Moderate $6,212 $1,615 $22,598 −73% $20,573 −70% —
816 MS DRG -RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Minor $2,320 $603 $7,343 −68% $13,485 −83% —

Procedures with negotiated rates only

These 454 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
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $34,915 – $90,044 · median $55,697 18 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $27,220 – $60,002 · median $37,827 18 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $27,743 – $70,586 · median $44,123 18 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $15,642 – $48,274 · median $30,851 18 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $16,140 – $38,949 · median $25,304 18 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $21,334 – $59,535 · median $37,549 18 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,584 – $27,740 · median $18,647 18 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $75,859 – $167,218 · median $100,042 18 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $63,174 – $152,323 · median $91,511 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $46,239 – $101,925 · median $62,647 18 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $42,597 – $93,898 · median $58,049 18 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $45,472 – $122,121 · median $74,214 18 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $37,924 – $83,598 · median $51,862 18 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $32,883 – $72,485 · median $45,629 18 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $35,680 – $78,651 · median $49,317 18 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $22,241 – $49,027 · median $32,350 18 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $58,051 – $133,744 · median $80,870 18 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $43,738 – $96,414 · median $59,485 18 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $43,133 – $123,366 · median $74,927 18 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $38,093 – $83,969 · median $52,083 18 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $31,453 – $92,870 · median $57,378 18 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $29,443 – $64,901 · median $40,741 18 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,130 – $35,556 · median $24,467 18 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,922 – $28,484 · median $20,102 18 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,188 – $24,663 · median $18,396 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $12,940 – $44,279 · median $28,474 18 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,585 – $27,742 · median $19,148 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $11,143 – $53,760 · median $34,577 18 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,143 – $29,950 · median $19,951 18 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $10,867 – $23,955 · median $16,642 18 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $32,261 – $105,235 · median $64,542 18 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,772 – $65,668 · median $41,197 18 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $32,261 – $81,014 · median $50,325 18 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,916 – $39,492 · median $25,627 18 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $14,048 – $61,716 · median $38,847 18 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $14,048 – $49,259 · median $31,436 18 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $50,600 – $111,538 · median $68,153 18 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $42,507 – $97,766 · median $60,265 18 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $33,308 – $73,421 · median $45,954 18 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $20,383 – $44,931 · median $28,862 18 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $23,794 – $67,226 · median $42,124 18 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $20,666 – $50,428 · median $32,132 18 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,522 – $43,032 · median $28,917 18 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,099 – $15,073 · median $11,936 18 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,539 – $10,501 · median $9,251 18 plans
799 SPLENIC PROCEDURES WITH MCC $4,099 – $75,045 · median $46,775 18 plans
800 SPLENIC PROCEDURES WITH CC $4,099 – $45,989 · median $29,491 18 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $4,099 – $25,911 · median $17,678 18 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $270,024 – $595,221 · median $345,173 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $57,717 – $127,228 · median $77,139 17 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $39,575 – $87,237 · median $54,235 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $25,278 – $55,720 · median $36,184 17 plans
028 SPINAL PROCEDURES WITH MCC $43,529 – $95,953 · median $59,226 17 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $24,034 – $52,979 · median $34,614 17 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,934 – $35,123 · median $24,387 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $30,005 – $66,140 · median $42,152 17 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,291 – $33,706 · median $23,576 17 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,424 – $25,182 · median $18,693 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $27,843 – $61,375 · median $39,423 17 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,288 – $35,903 · median $24,834 17 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,125 – $28,932 · median $20,841 17 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,393 – $31,763 · median $22,463 17 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,597 – $14,542 · median $12,600 17 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,734 – $23,660 · median $17,822 17 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $7,812 – $17,219 · median $14,133 17 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,217 – $29,134 · median $20,957 17 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $8,761 – $19,312 · median $15,332 17 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $19,356 – $42,668 · median $28,708 17 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,751 – $28,108 · median $20,369 17 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,058 – $22,172 · median $16,970 17 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,417 – $22,963 · median $17,423 17 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,312 – $13,913 · median $12,239 17 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,450 – $27,443 · median $19,989 17 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,565 – $14,471 · median $12,559 17 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,072 – $24,405 · median $18,249 17 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,145 – $15,750 · median $13,292 17 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,774 – $10,813 · median $10,298 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $11,641 – $31,373 · median $22,240 17 plans
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $16,613 – $36,620 · median $25,244 17 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $9,955 – $21,945 · median $16,840 17 plans
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $6,846 – $15,090 · median $12,914 17 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,225 – $35,764 · median $24,754 17 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,391 – $20,701 · median $16,127 17 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,329 – $13,952 · median $12,262 17 plans
088 CONCUSSION WITH MCC $10,101 – $22,265 · median $17,023 17 plans
089 CONCUSSION WITH CC $7,676 – $16,921 · median $13,962 17 plans
090 CONCUSSION WITHOUT CC/MCC $6,138 – $13,531 · median $12,021 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $26,125 – $57,587 · median $37,253 17 plans
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $17,164 – $37,835 · median $25,940 17 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,164 – $37,835 · median $25,940 17 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $25,666 – $56,576 · median $36,674 17 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,976 – $21,990 · median $16,866 17 plans
102 HEADACHES WITH MCC $8,302 – $18,300 · median $14,752 17 plans
103 HEADACHES WITHOUT MCC $6,087 – $13,419 · median $11,956 17 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $10,962 – $24,164 · median $18,110 17 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $7,499 – $17,024 · median $14,021 17 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,336 – $20,579 · median $16,058 17 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,263 – $38,054 · median $26,066 17 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,004 – $15,439 · median $13,113 17 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,014 – $22,074 · median $16,914 17 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,825 – $12,839 · median $11,625 17 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,383 – $33,910 · median $23,692 17 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,258 – $24,817 · median $18,485 17 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $23,642 – $52,114 · median $34,118 17 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $8,913 – $19,647 · median $15,523 17 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,733 – $12,637 · median $11,509 17 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,725 – $25,845 · median $19,073 17 plans
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,723 – $10,745 · median $10,234 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $33,002 – $72,747 · median $45,936 17 plans
164 MAJOR CHEST PROCEDURES WITH CC $18,022 – $39,726 · median $27,023 17 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,346 – $29,420 · median $21,121 17 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,694 – $21,369 · median $16,510 17 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,971 – $48,432 · median $32,009 17 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,997 – $13,218 · median $11,842 17 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,365 – $25,052 · median $18,619 17 plans
184 MAJOR CHEST TRAUMA WITH CC $7,648 – $16,858 · median $13,926 17 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,568 – $12,274 · median $11,301 17 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,257 – $11,588 · median $10,908 17 plans
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,490 – $29,737 · median $21,302 17 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,088 – $15,625 · median $13,220 17 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,015 – $11,132 · median $10,602 17 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $78,000 – $171,938 · median $102,746 17 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,811 – $23,831 · median $17,920 17 plans
245 AICD GENERATOR PROCEDURES $34,989 – $77,128 · median $48,445 17 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,734 – $41,296 · median $27,923 17 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,386 – $14,077 · median $12,333 17 plans
263 VEIN LIGATION AND STRIPPING $16,988 – $42,332 · median $28,516 17 plans
265 AICD LEAD PROCEDURES $25,541 – $56,301 · median $36,516 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $42,894 – $94,553 · median $58,424 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $33,686 – $74,254 · median $46,799 17 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $35,824 – $78,967 · median $49,498 17 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $22,944 – $50,575 · median $33,237 17 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,306 – $11,695 · median $10,969 17 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,020 – $9,813 · median $8,861 17 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,010 – $15,452 · median $13,121 17 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,792 – $19,382 · median $15,372 17 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,655 – $12,465 · median $11,410 17 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,044 – $11,170 · median $10,638 17 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,163 – $8,677 · median $7,024 17 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,108 – $11,260 · median $10,720 17 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,633 – $14,621 · median $12,645 17 plans
311 ANGINA PECTORIS $5,000 – $11,112 · median $10,583 17 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $44,295 – $97,640 · median $60,193 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $31,452 – $69,332 · median $43,979 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,574 – $36,534 · median $25,196 17 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $20,493 – $45,173 · median $30,143 17 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,409 – $25,150 · median $18,675 17 plans
332 RECTAL RESECTION WITH MCC $24,836 – $54,746 · median $35,626 17 plans
333 RECTAL RESECTION WITH CC $15,217 – $33,544 · median $23,483 17 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,876 – $26,178 · median $19,264 17 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,944 – $57,188 · median $37,025 17 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,293 – $42,527 · median $28,628 17 plans
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $8,916 – $19,655 · median $15,528 17 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,307 – $13,903 · median $12,234 17 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,318 – $38,174 · median $26,135 17 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $21,000 – $46,292 · median $30,784 17 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,180 – $26,848 · median $19,648 17 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,703 – $21,388 · median $16,520 17 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,957 – $26,358 · median $19,367 17 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,998 – $11,110 · median $10,581 17 plans
374 DIGESTIVE MALIGNANCY WITH MCC $15,118 – $33,324 · median $23,357 17 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,365 – $11,826 · median $11,044 17 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $9,052 – $19,953 · median $15,699 17 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,226 – $13,725 · median $12,132 17 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $28,011 – $61,746 · median $39,635 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $38,869 – $85,681 · median $53,343 17 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $20,108 – $44,325 · median $29,657 17 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,292 – $33,709 · median $23,577 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $25,069 – $55,261 · median $35,921 17 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $15,011 – $33,089 · median $23,222 17 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,106 – $24,481 · median $18,292 17 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,593 – $43,189 · median $29,007 17 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,262 – $33,643 · median $23,540 17 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,904 – $26,239 · median $19,299 17 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $25,271 – $55,706 · median $36,176 17 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,725 – $25,846 · median $19,074 17 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,521 – $23,192 · median $17,554 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $29,123 – $64,196 · median $41,038 17 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,348 – $36,037 · median $24,911 17 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,068 – $24,397 · median $18,244 17 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $75,004 – $165,333 · median $98,963 17 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $50,855 – $112,102 · median $68,475 17 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $39,409 – $86,871 · median $54,025 17 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $59,719 – $131,640 · median $79,665 17 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $39,169 – $86,341 · median $53,721 17 plans
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,987 – $11,095 · median $10,567 17 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,074 – $17,798 · median $14,465 17 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,622 – $12,393 · median $11,369 17 plans
445 DISORDERS OF THE BILIARY TRACT WITH CC $7,765 – $17,117 · median $14,074 17 plans
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,709 – $12,584 · median $11,478 17 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $48,006 – $105,820 · median $64,878 17 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $29,238 – $64,450 · median $41,184 17 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $36,875 – $81,284 · median $50,825 17 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $22,096 – $48,706 · median $32,167 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $60,639 – $133,669 · median $80,828 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $41,094 – $90,585 · median $56,152 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,917 – $68,151 · median $43,303 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $43,939 – $96,856 · median $59,743 17 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,505 – $45,199 · median $30,158 17 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,430 – $27,401 · median $19,964 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $36,477 – $80,408 · median $50,323 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $24,524 – $54,060 · median $35,233 17 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,783 – $41,404 · median $27,984 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $23,404 – $51,590 · median $33,818 17 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,500 – $29,759 · median $21,315 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $34,778 – $76,663 · median $48,178 17 plans
472 CERVICAL SPINAL FUSION WITH CC $20,744 – $45,727 · median $30,460 17 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,951 – $37,365 · median $25,671 17 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $32,110 – $70,782 · median $44,810 17 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,328 – $18,357 · median $14,785 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $24,623 – $54,278 · median $35,358 17 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,744 – $36,910 · median $25,411 17 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,715 – $28,027 · median $20,323 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $21,058 – $46,418 · median $30,856 17 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,856 – $32,748 · median $23,027 17 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,359 – $25,038 · median $18,611 17 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $18,245 – $40,218 · median $27,305 17 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $23,050 – $50,810 · median $33,372 17 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,186 – $33,474 · median $23,443 17 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,314 – $24,940 · median $18,555 17 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,072 – $31,020 · median $22,037 17 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $8,867 – $19,546 · median $15,466 17 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $17,191 – $37,895 · median $25,975 17 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,499 – $29,757 · median $21,314 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $25,208 – $55,566 · median $36,095 17 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,613 – $21,190 · median $16,407 17 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,311 – $18,321 · median $14,764 17 plans
500 SOFT TISSUE PROCEDURES WITH MCC $22,688 – $50,012 · median $32,914 17 plans
501 SOFT TISSUE PROCEDURES WITH CC $12,778 – $28,168 · median $20,404 17 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,004 – $22,052 · median $16,901 17 plans
504 FOOT PROCEDURES WITH CC $12,566 – $27,699 · median $20,135 17 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $11,354 – $27,699 · median $20,135 17 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,734 – $23,660 · median $17,822 17 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,878 – $30,591 · median $21,791 17 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,241 – $20,370 · median $15,937 17 plans
509 ARTHROSCOPY $12,578 – $27,726 · median $20,151 17 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $20,464 – $45,109 · median $30,107 17 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $14,042 – $30,954 · median $21,999 17 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,512 – $25,376 · median $18,805 17 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,300 – $16,092 · median $13,488 17 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $22,142 – $48,807 · median $32,225 17 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,404 – $31,751 · median $22,456 17 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,688 – $23,559 · median $17,764 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $25,661 – $56,566 · median $36,668 17 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,119 – $31,123 · median $22,096 17 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,262 – $22,620 · median $17,226 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,869 – $46,003 · median $30,618 17 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $15,094 – $33,272 · median $23,327 17 plans
533 FRACTURES OF FEMUR WITH MCC $10,918 – $24,068 · median $18,055 17 plans
534 FRACTURES OF FEMUR WITHOUT MCC $5,828 – $12,847 · median $11,629 17 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,522 – $20,990 · median $16,293 17 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,808 – $10,858 · median $10,341 17 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,264 – $13,809 · median $12,180 17 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,354 – $29,437 · median $21,131 17 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $7,596 – $16,744 · median $13,861 17 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,411 – $11,927 · median $11,102 17 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,343 – $11,777 · median $11,016 17 plans
548 SEPTIC ARTHRITIS WITH MCC $14,425 – $31,796 · median $22,482 17 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,173 – $13,607 · median $12,064 17 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,218 – $26,932 · median $19,696 17 plans
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $9,351 – $20,613 · median $16,077 17 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,642 – $21,253 · median $16,444 17 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,153 – $17,972 · median $14,564 17 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,854 – $12,904 · median $11,662 17 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,479 – $23,098 · median $17,500 17 plans
570 SKIN DEBRIDEMENT WITH MCC $21,553 – $47,510 · median $31,482 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $33,745 – $97,195 · median $59,938 17 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $23,936 – $54,687 · median $35,592 17 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $13,586 – $31,514 · median $22,320 17 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $37,703 – $85,154 · median $53,041 17 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,033 – $42,027 · median $28,341 17 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,980 – $26,680 · median $19,551 17 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $9,950 – $25,927 · median $19,120 17 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,659 – $32,314 · median $22,778 17 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,517 – $31,331 · median $22,215 17 plans
592 SKIN ULCERS WITH MCC $12,969 – $32,455 · median $22,859 17 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,077 – $13,395 · median $11,943 17 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,144 – $33,383 · median $23,390 17 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,578 – $27,726 · median $20,151 17 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,121 – $13,493 · median $11,999 17 plans
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $6,849 – $15,098 · median $12,918 17 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,292 – $10,175 · median $9,462 17 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,638 – $23,449 · median $17,701 17 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,318 – $35,969 · median $24,872 17 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,260 – $22,617 · median $17,225 17 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,182 – $15,832 · median $13,339 17 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $16,104 – $35,498 · median $24,602 17 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,033 – $22,117 · median $16,938 17 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $8,886 – $19,588 · median $15,490 17 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,575 – $12,290 · median $11,310 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $39,914 – $87,984 · median $54,662 17 plans
654 MAJOR BLADDER PROCEDURES WITH CC $20,206 – $44,541 · median $29,781 17 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,873 – $32,786 · median $23,049 17 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $23,327 – $51,421 · median $33,722 17 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,089 – $28,853 · median $20,796 17 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,769 – $23,738 · median $17,866 17 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $18,504 – $40,788 · median $27,632 17 plans
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $9,594 – $21,149 · median $16,384 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $22,336 – $49,237 · median $32,470 17 plans
663 MINOR BLADDER PROCEDURES WITH CC $10,936 – $24,107 · median $18,078 17 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $7,731 – $17,042 · median $14,032 17 plans
665 PROSTATECTOMY WITH MCC $24,585 – $54,193 · median $35,309 17 plans
666 PROSTATECTOMY WITH CC $11,795 – $25,999 · median $19,162 17 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,359 – $16,222 · median $13,562 17 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $20,881 – $46,028 · median $30,633 17 plans
669 TRANSURETHRAL PROCEDURES WITH CC $11,080 – $24,424 · median $18,260 17 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $6,843 – $15,084 · median $12,910 17 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,342 – $27,205 · median $19,852 17 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,733 – $17,273 · median $14,164 17 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,208 – $24,705 · median $18,420 17 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,502 – $29,762 · median $21,317 17 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,537 – $16,615 · median $13,787 17 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,185 – $11,430 · median $10,817 17 plans
693 URINARY STONES WITH MCC $10,528 – $23,207 · median $17,563 17 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,075 – $17,800 · median $14,466 17 plans
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,953 – $11,051 · median $10,525 17 plans
697 URETHRAL STRICTURE $7,173 – $15,811 · median $13,327 17 plans
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,970 – $11,074 · median $10,546 17 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,895 – $30,628 · median $21,813 17 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,615 – $23,398 · median $17,672 17 plans
709 PENIS PROCEDURES WITH CC/MCC $16,089 – $35,466 · median $24,584 17 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,750 – $23,697 · median $17,843 17 plans
711 TESTES PROCEDURES WITH CC/MCC $13,680 – $30,155 · median $21,542 17 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $7,658 – $16,882 · median $13,940 17 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,353 – $22,822 · median $17,342 17 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $6,728 – $14,831 · median $12,765 17 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $16,169 – $35,643 · median $24,685 17 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,162 – $22,401 · median $17,101 17 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $8,820 – $19,443 · median $15,407 17 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,379 – $27,287 · median $19,899 17 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,217 – $11,499 · median $10,857 17 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,040 – $19,928 · median $15,684 17 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,330 – $11,749 · median $11,000 17 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $7,882 – $17,376 · median $14,223 17 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,345 – $10,245 · median $9,579 17 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $15,056 – $33,188 · median $23,279 17 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $8,692 – $19,159 · median $15,244 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $28,193 – $62,147 · median $39,865 17 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,309 – $31,541 · median $22,335 17 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,861 – $23,941 · median $17,983 17 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $28,503 – $62,831 · median $40,256 17 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,019 – $28,698 · median $20,707 17 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,835 – $21,680 · median $16,688 17 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $6,839 – $15,076 · median $12,906 17 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $9,754 – $21,501 · median $16,585 17 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,534 – $40,856 · median $27,671 17 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,955 – $28,556 · median $20,626 17 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,948 – $17,521 · median $14,306 17 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $7,160 – $22,338 · median $17,065 17 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $4,099 – $60,909 · median $57,885 17 plans
791 PREMATURITY WITH MAJOR PROBLEMS $4,099 – $43,019 · median $39,531 17 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $4,099 – $27,736 · median $23,853 17 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $25,667 – $56,579 · median $36,676 17 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $7,916 – $17,450 · median $14,265 17 plans
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $14,968 – $32,994 · median $23,168 17 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,275 – $16,037 · median $13,456 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $41,688 – $91,893 · median $56,901 17 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,984 – $35,234 · median $24,451 17 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,189 – $18,051 · median $14,609 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $33,505 – $73,857 · median $46,571 17 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,748 – $34,713 · median $24,152 17 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $7,160 – $19,426 · median $15,397 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $7,160 – $75,372 · median $47,439 17 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $7,160 – $37,246 · median $25,603 17 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,477 – $25,299 · median $18,760 17 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $22,080 – $48,672 · median $32,147 17 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,472 – $23,083 · median $17,491 17 plans
834 ACUTE LEUKEMIA WITH MCC $39,575 – $87,237 · median $54,235 17 plans
835 ACUTE LEUKEMIA WITH CC $15,293 – $33,711 · median $23,578 17 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,098 – $20,055 · median $15,757 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $35,852 – $79,029 · median $49,533 17 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,522 – $32,011 · median $22,605 17 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,812 – $21,629 · median $16,659 17 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $22,833 – $50,332 · median $33,098 17 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,532 – $16,602 · median $13,780 17 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,556 – $29,882 · median $21,385 17 plans
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,558 – $18,864 · median $15,075 17 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,991 – $13,207 · median $11,835 17 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $18,285 – $40,307 · median $27,356 17 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,098 – $20,055 · median $15,757 17 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,863 – $12,925 · median $11,673 17 plans
849 RADIOTHERAPY $13,341 – $42,158 · median $28,416 17 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $65,957 – $145,391 · median $87,541 17 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,639 – $25,657 · median $18,966 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $32,303 – $71,207 · median $45,053 17 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,225 – $20,335 · median $15,917 17 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,430 – $14,173 · median $12,389 17 plans
865 VIRAL ILLNESS WITH MCC $10,567 – $23,294 · median $17,612 17 plans
866 VIRAL ILLNESS WITHOUT MCC $6,335 – $13,965 · median $12,269 17 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,353 – $33,843 · median $23,654 17 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,152 – $11,357 · median $10,776 17 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $28,136 – $62,021 · median $39,792 17 plans
881 DEPRESSIVE NEUROSES $5,884 – $14,427 · median $12,534 17 plans
882 NEUROSES EXCEPT DEPRESSIVE $6,312 – $15,183 · median $12,967 17 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,889 – $29,260 · median $21,029 17 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $7,544 – $28,354 · median $20,510 17 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,491 – $18,772 · median $15,023 17 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,367 – $22,852 · median $17,359 17 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $31,722 – $69,927 · median $44,320 17 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,587 – $29,950 · median $21,424 17 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $8,729 – $19,241 · median $15,291 17 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $27,645 – $60,940 · median $39,173 17 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,801 – $26,014 · median $19,170 17 plans
906 HAND PROCEDURES FOR INJURIES $10,730 – $34,446 · median $24,000 17 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $14,442 – $31,836 · median $22,505 17 plans
913 TRAUMATIC INJURY WITH MCC $10,385 – $25,542 · median $18,900 17 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,380 – $14,464 · median $12,555 17 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,096 – $26,664 · median $19,542 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $141,535 – $374,417 · median $218,711 17 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $47,821 – $105,413 · median $64,644 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $21,248 – $50,196 · median $33,020 17 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $25,082 – $68,291 · median $43,384 17 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $14,334 – $33,867 · median $23,668 17 plans
935 NON-EXTENSIVE BURNS $13,395 – $34,666 · median $24,125 17 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $22,726 – $50,095 · median $32,962 17 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $15,118 – $33,324 · median $23,357 17 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $12,316 – $30,845 · median $21,937 17 plans
949 AFTERCARE WITH CC/MCC $7,726 – $17,030 · median $14,025 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $48,891 – $107,771 · median $65,995 17 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $27,368 – $60,329 · median $38,823 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $53,444 – $117,807 · median $71,743 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $29,426 – $64,865 · median $41,421 17 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $18,930 – $41,729 · median $28,170 17 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,741 – $23,676 · median $17,831 17 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,534 – $14,404 · median $12,520 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $45,282 – $99,816 · median $61,439 17 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,998 – $41,877 · median $28,255 17 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,181 – $15,830 · median $13,338 17 plans
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,944 – $26,329 · median $19,351 17 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,273 – $18,237 · median $14,716 17 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,907 – $21,594 · median $19,059 16 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $29,861 – $44,068 · median $41,289 16 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,570 – $18,496 · median $16,294 16 plans
945 REHABILITATION WITH CC/MCC $10,930 – $18,973 · median $16,715 16 plans
946 REHABILITATION WITHOUT CC/MCC $7,994 – $15,082 · median $13,287 16 plans
795 NORMAL NEWBORN $1,431 – $6,381 · median $6,077 15 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,802 – $14,890 · median $14,181 14 plans
779 ABORTION WITHOUT D&C $5,815 – $14,754 · median $12,721 14 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,802 – $21,969 · median $20,923 14 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,802 – $14,764 · median $14,061 14 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,802 – $12,775 · median $12,167 14 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,802 – $19,822 · median $18,878 14 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,802 – $14,563 · median $13,869 14 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,802 – $13,072 · median $12,449 14 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,691 – $16,601 · median $15,811 14 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,691 – $13,674 · median $13,023 14 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,691 – $13,674 · median $13,023 14 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,691 – $13,957 · median $13,292 14 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,691 – $11,353 · median $10,812 14 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,691 – $10,534 · median $10,032 14 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $12,365 – $20,329 · median $15,914 13 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,838 – $12,887 · median $11,652 13 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $3,546 – $3,546 · median $3,546 1 plans
999 UNGROUPABLE $3,546 – $3,546 · median $3,546 1 plans
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