Procedures published 759
Lowest published price $2,692
Average published price $26,383
Highest published price $225,471

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 193 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
207 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS;APR DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS;SOI -Major $225,471 $72,151 $160,739 +40% $116,058 +94% —
870 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $98,304 $31,457 $126,146 −22% $138,008 −29% —
280 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC;APR DRG -HEART FAILURE;SOI -Extreme $93,269 $29,846 $30,357 +207% $28,967 +222% —
417 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $91,340 $29,229 $60,767 +50% $52,313 +75% —
475 MS DRG -AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Moderate $91,242 $29,198 $65,618 +39% $44,553 +105% —
917 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC;APR DRG -TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES;SOI -Extreme $79,727 $25,512 $35,324 +126% $28,134 +183% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $77,948 $24,943 $77,820 +0% $60,861 +28% —
557 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $76,515 $24,485 $24,871 +208% $28,646 +167% —
322 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Minor $68,342 $21,869 $96,624 −29% $54,772 +25% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $66,413 $21,252 $71,549 −7% $65,383 +2% —
321 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITH AMI;SOI -Minor $63,112 $20,196 $71,631 −12% $74,274 −15% —
208 MS DRG -RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme $62,687 $20,060 $55,384 +13% $52,405 +20% —
314 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Major $61,242 $19,597 $66,687 −8% $38,357 +60% —
698 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Extreme $57,768 $18,486 $28,616 +102% $30,058 +92% —
853 MS DRG -INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC;APR DRG -INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE;SOI -Extreme $57,667 $18,453 $102,538 −44% $87,018 −34% —
327 MS DRG -STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC;APR DRG -MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES;SOI -Minor $54,572 $17,463 $54,417 +0% $54,824 −0% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $53,135 $17,003 $49,470 +7% $31,128 +71% —
056 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Extreme $50,212 $16,068 $62,652 −20% $39,409 +27% —
336 MS DRG -PERITONEAL ADHESIOLYSIS WITH CC;APR DRG -PERITONEAL ADHESIOLYSIS;SOI -Moderate $49,044 $15,694 $54,942 −11% $49,470 −1% —
872 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Major $48,705 $15,586 $28,123 +73% $22,781 +114% —
871 MS DRG -SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC;APR DRG -SEPTICEMIA AND DISSEMINATED INFECTIONS;SOI -Extreme $46,857 $14,994 $47,280 −1% $35,237 +33% ≈126% of Medicare
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $46,424 $14,856 $46,424 +0% $44,839 +4% —
391 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Extreme $46,151 $14,768 $26,767 +72% $27,244 +69% —
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 $44,858 $14,354 $43,775 +2% $33,165 +35% —
250 MS DRG -PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC;APR DRG -PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI;SOI -Minor $43,533 $13,931 $67,602 −36% $51,339 −15% —
418 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $43,515 $13,925 $46,416 −6% $42,119 +3% —
637 MS DRG -DIABETES WITH MCC;APR DRG -DIABETES;SOI -Extreme $43,205 $13,826 $39,314 +10% $28,819 +50% —
951 MS DRG -OTHER FACTORS INFLUENCING HEALTH STATUS;APR DRG -SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS;SOI -Major $41,455 $13,266 $10,551 +293% $9,385 +342% —
377 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH MCC;APR DRG -OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE;SOI -Major $41,209 $13,187 $46,940 −12% $37,842 +9% —
682 MS DRG -RENAL FAILURE WITH MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Extreme $41,185 $13,179 $27,953 +47% $27,854 +48% —
378 MS DRG -GASTROINTESTINAL HEMORRHAGE WITH CC;APR DRG -PEPTIC ULCER AND GASTRITIS;SOI -Major $40,011 $12,804 $21,582 +85% $21,886 +83% —
057 MS DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Major $39,841 $12,749 $32,819 +21% $25,426 +57% —
660 MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC;APR DRG -KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY;SOI -Moderate $39,004 $12,481 $36,171 +8% $30,358 +28% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $37,442 $11,981 $34,208 +9% $31,758 +18% —
398 MS DRG -APPENDIX PROCEDURES WITH CC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Minor $37,072 $11,863 $52,201 −29% $39,107 −5% —
464 MS DRG -WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC;APR DRG -AMPUTATION OF LOWER LIMB EXCEPT TOES;SOI -Major $36,687 $11,740 $36,687 +0% $54,313 −32% —
811 MS DRG -RED BLOOD CELL DISORDERS WITH MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Major $36,360 $11,635 $23,654 +54% $27,934 +30% —
189 MS DRG -PULMONARY EDEMA AND RESPIRATORY FAILURE;APR DRG -RESPIRATORY FAILURE;SOI -Major $35,818 $11,462 $34,870 +3% $25,704 +39% —
640 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC;APR DRG -HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS;SOI -Major $35,544 $11,374 $35,544 +0% $24,480 +45% —
312 MS DRG -SYNCOPE AND COLLAPSE;APR DRG -SYNCOPE AND COLLAPSE;SOI -Major $34,433 $11,018 $20,728 +66% $19,342 +78% —
419 MS DRG -LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC;APR DRG -CHOLECYSTECTOMY;SOI -Moderate $34,088 $10,908 $36,340 −6% $34,887 −2% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $32,404 $10,369 $14,637 +121% $20,421 +59% —
393 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC;APR DRG -HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS;SOI -Major $32,017 $10,245 $40,098 −20% $32,689 −2% —
896 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC;APR DRG -OPIOID ABUSE AND DEPENDENCE;SOI -Moderate $31,808 $10,179 $20,366 +56% $30,275 +5% —
690 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Minor $31,355 $10,034 $18,582 +69% $17,466 +80% —
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 -Moderate $31,259 $10,003 $61,736 −49% $43,524 −28% —
352 MS DRG -INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC;APR DRG -INGUINAL, FEMORAL AND UMBILICAL HERNIA PROCEDURES;SOI -Minor $31,181 $9,978 $30,099 +4% $25,162 +24% —
659 MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Major $29,567 $9,462 $38,026 −22% $48,094 −39% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $29,542 $9,453 $75,916 −61% $35,014 −16% —
617 MS DRG -AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC;APR DRG -FOOT AND TOE PROCEDURES;SOI -Moderate $29,456 $9,426 $37,649 −22% $42,881 −31% —
674 MS DRG -OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Moderate $29,453 $9,425 $51,964 −43% $49,631 −41% —
177 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Extreme $29,372 $9,399 $40,636 −28% $31,840 −8% —
397 MS DRG -APPENDIX PROCEDURES WITH MCC;APR DRG -APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS;SOI -Moderate $29,273 $9,367 $88,532 −67% $52,319 −44% —
501 MS DRG -SOFT TISSUE PROCEDURES WITH CC;APR DRG -TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES;SOI -Moderate $29,023 $9,287 $49,159 −41% $37,975 −24% —
306 MS DRG -CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC;APR DRG -CARDIAC STRUCTURAL AND VALVULAR DISORDERS;SOI -Extreme $28,663 $9,172 $24,497 +17% $24,450 +17% —
884 MS DRG -ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY;APR DRG -DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS;SOI -Major $28,140 $9,005 $28,404 −1% $25,208 +12% —
564 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $27,783 $8,890 $18,475 +50% $32,936 −16% —
069 MS DRG -TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC;APR DRG -TRANSIENT ISCHEMIA;SOI -Major $27,396 $8,767 $22,611 +21% $20,278 +35% —
203 MS DRG -BRONCHITIS AND ASTHMA WITHOUT CC/MCC;APR DRG -ASTHMA;SOI -Moderate $27,217 $8,710 $14,737 +85% $12,279 +122% —
060 MS DRG -MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC;APR DRG -MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES;SOI -Moderate $27,157 $8,690 $26,051 +4% $21,261 +28% —
865 MS DRG -VIRAL ILLNESS WITH MCC;APR DRG -VIRAL ILLNESS;SOI -Major $26,552 $8,497 $15,709 +69% $26,088 +2% —
669 MS DRG -TRANSURETHRAL PROCEDURES WITH CC;APR DRG -URETHRAL AND TRANSURETHRAL PROCEDURES;SOI -Minor $26,056 $8,338 $35,716 −27% $34,354 −24% —
175 MS DRG -PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE;APR DRG -PULMONARY EMBOLISM;SOI -Moderate $25,979 $8,313 $21,442 +21% $29,757 −13% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $25,846 $8,271 $30,683 −16% $29,729 −13% —
064 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Extreme $25,831 $8,266 $36,919 −30% $35,714 −28% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $25,764 $8,245 $24,653 +5% $18,253 +41% —
696 MS DRG -KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC;APR DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS;SOI -Moderate $25,581 $8,186 $9,118 +181% $14,441 +77% —
092 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate $25,581 $8,186 $25,748 −1% $24,136 +6% —
202 MS DRG -BRONCHITIS AND ASTHMA WITH CC/MCC;APR DRG -ACUTE BRONCHITIS AND RELATED SYMPTOMS;SOI -Major $25,473 $8,151 $23,318 +9% $17,273 +47% —
286 MS DRG -CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC;APR DRG -CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS;SOI -Moderate $24,535 $7,851 $47,632 −48% $44,600 −45% —
368 MS DRG -MAJOR ESOPHAGEAL DISORDERS WITH MCC;APR DRG -OTHER ESOPHAGEAL DISORDERS;SOI -Moderate $24,458 $7,827 $43,300 −44% $33,607 −27% —
385 MS DRG -INFLAMMATORY BOWEL DISEASE WITH MCC;APR DRG -INFLAMMATORY BOWEL DISEASE;SOI -Moderate $24,250 $7,760 $22,792 +6% $26,020 −7% —
193 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH MCC;APR DRG -OTHER PNEUMONIA;SOI -Moderate $24,137 $7,724 $31,866 −24% $26,158 −8% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $24,061 $7,699 $28,191 −15% $30,314 −21% —
641 MS DRG -MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC;APR DRG -OTHER ENDOCRINE DISORDERS;SOI -Major $23,926 $7,656 $16,702 +43% $16,745 +43% —
331 MS DRG -MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Moderate $23,865 $7,637 $51,631 −54% $44,117 −46% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $23,271 $7,447 $17,665 +32% $22,231 +5% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $23,212 $7,428 $17,371 +34% $26,634 −13% —
094 MS DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC;APR DRG -BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM;SOI -Moderate $22,647 $7,247 $38,370 −41% $62,524 −64% —
291 MS DRG -HEART FAILURE AND SHOCK WITH MCC;APR DRG -HEART FAILURE;SOI -Major $22,579 $7,225 $27,049 −17% $25,020 −10% ≈139% of Medicare
689 MS DRG -KIDNEY AND URINARY TRACT INFECTIONS WITH MCC;APR DRG -KIDNEY AND URINARY TRACT INFECTIONS;SOI -Major $22,371 $7,159 $24,198 −8% $22,982 −3% —
908 MS DRG -OTHER O.R. PROCEDURES FOR INJURIES WITH CC;APR DRG -MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT;SOI -Moderate $22,294 $7,134 $37,636 −41% $41,660 −46% —
308 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Major $21,944 $7,022 $19,824 +11% $26,488 −17% —
717 MS DRG -OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC;APR DRG -MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY;SOI -Minor $21,845 $6,991 $25,434 −14% $32,538 −33% —
661 MS DRG -KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC;APR DRG -URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION;SOI -Minor $21,727 $6,953 $27,285 −20% $24,022 −10% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $21,365 $6,837 $35,757 −40% $36,933 −42% —
866 MS DRG -VIRAL ILLNESS WITHOUT MCC;APR DRG -VIRAL ILLNESS;SOI -Moderate $21,251 $6,800 $18,361 +16% $16,391 +30% —
292 MS DRG -HEART FAILURE AND SHOCK WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate $21,211 $6,787 $19,922 +6% $16,212 +31% —
379 MS DRG -GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC;APR DRG -DIVERTICULITIS AND DIVERTICULOSIS;SOI -Minor $21,112 $6,756 $20,711 +2% $14,134 +49% —
558 MS DRG -TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Moderate $21,086 $6,748 $16,479 +28% $17,367 +21% —
372 MS DRG -MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC;APR DRG -MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS;SOI -Major $20,710 $6,627 $25,271 −18% $22,850 −9% —
082 MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Major $20,607 $6,594 $24,360 −15% $36,237 −43% —
389 MS DRG -GASTROINTESTINAL OBSTRUCTION WITH CC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Moderate $20,454 $6,545 $17,413 +17% $17,388 +18% —
983 MS DRG -EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Minor $20,068 $6,422 $30,033 −33% $30,930 −35% —
916 ALLERGIC REACTIONS WITHOUT MCC $19,996 $6,399 $19,973 +0% $13,890 +44% —
603 MS DRG -CELLULITIS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Minor $19,952 $6,385 $19,952 +0% $18,530 +8% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $19,901 $6,368 $19,901 +0% $17,727 +12% —
191 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Minor $19,815 $6,341 $18,365 +8% $18,278 +8% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $19,673 $6,295 $24,636 −20% $22,713 −13% —
392 MS DRG -ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC;APR DRG -OTHER GASTROENTERITIS, NAUSEA AND VOMITING;SOI -Moderate $19,085 $6,107 $22,535 −15% $17,322 +10% —
976 MS DRG -HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC;APR DRG -HIV WITH MAJOR HIV RELATED CONDITION;SOI -Moderate $19,053 $6,097 $14,958 +27% $16,212 +18% —
101 MS DRG -SEIZURES WITHOUT MCC;APR DRG -SEIZURE;SOI -Moderate $18,990 $6,077 $24,986 −24% $19,954 −5% —
380 MS DRG -COMPLICATED PEPTIC ULCER WITH MCC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Major $18,964 $6,068 $24,670 −23% $36,641 −48% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $18,928 $6,057 $22,779 −17% $22,032 −14% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $18,722 $5,991 $54,420 −66% $47,583 −61% —
812 MS DRG -RED BLOOD CELL DISORDERS WITHOUT MCC;APR DRG -OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS;SOI -Moderate $18,641 $5,965 $21,472 −13% $20,488 −9% —
434 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Moderate $18,554 $5,937 $18,554 +0% $12,405 +50% —
281 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Minor $18,529 $5,929 $24,038 −23% $20,463 −9% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $18,523 $5,927 $16,402 +13% $14,880 +24% —
593 MS DRG -SKIN ULCERS WITH CC;APR DRG -SKIN ULCERS;SOI -Moderate $18,371 $5,879 $17,855 +3% $20,470 −10% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $18,310 $5,859 $59,184 −69% $36,242 −49% —
433 MS DRG -CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC;APR DRG -ALCOHOLIC LIVER DISEASE;SOI -Moderate $18,276 $5,848 $23,582 −23% $23,749 −23% —
178 MS DRG -RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC;APR DRG -MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS;SOI -Moderate $18,249 $5,840 $23,848 −23% $22,024 −17% —
065 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Moderate $18,161 $5,811 $25,712 −29% $23,469 −23% —
346 MS DRG -MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC;APR DRG -ANAL AND PERINEAL PROCEDURES;SOI -Minor $18,158 $5,811 $20,366 −11% $26,146 −31% —
862 MS DRG -POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC;APR DRG -POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS;SOI -Moderate $18,013 $5,764 $30,606 −41% $30,394 −41% —
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 -Minor $17,885 $5,723 $26,079 −31% $41,900 −57% —
194 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITH CC;APR DRG -OTHER PNEUMONIA;SOI -Minor $17,695 $5,662 $19,357 −9% $18,204 −3% —
190 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Moderate $17,566 $5,621 $21,887 −20% $24,190 −27% —
055 MS DRG -NERVOUS SYSTEM NEOPLASMS WITHOUT MCC;APR DRG -NERVOUS SYSTEM MALIGNANCY;SOI -Minor $17,537 $5,612 $12,752 +38% $19,868 −12% —
438 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Major $17,528 $5,609 $31,731 −45% $32,502 −46% —
439 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate $17,451 $5,584 $19,517 −11% $19,096 −9% —
303 MS DRG -ATHEROSCLEROSIS WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $17,265 $5,525 $14,621 +18% $14,927 +16% —
192 MS DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC;APR DRG -CHRONIC OBSTRUCTIVE PULMONARY DISEASE;SOI -Minor $16,895 $5,406 $14,790 +14% $14,368 +18% —
683 MS DRG -RENAL FAILURE WITH CC;APR DRG -ACUTE KIDNEY INJURY;SOI -Major $16,875 $5,400 $16,875 +0% $18,620 −9% —
600 MS DRG -NON-MALIGNANT BREAST DISORDERS WITH CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate $16,744 $5,358 $13,684 +22% $16,418 +2% —
089 MS DRG -CONCUSSION WITH CC;APR DRG -CONCUSSION, CLOSED SKULL FRACTURE NOS, AND UNCOMPLICATED INTRACRANIAL INJURY, COMA < 1 HOUR OR NO COMA;SOI -Moderate $16,726 $5,352 $13,262 +26% $18,293 −9% —
918 MS DRG -POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC;APR DRG -POISONING OF MEDICINAL AGENTS;SOI -Moderate $16,599 $5,312 $11,452 +45% $15,045 +10% —
100 MS DRG -SEIZURES WITH MCC;APR DRG -SEIZURE;SOI -Extreme $16,051 $5,136 $37,366 −57% $35,194 −54% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $16,018 $5,126 $12,232 +31% $18,803 −15% —
440 MS DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC;APR DRG -DISORDERS OF PANCREAS EXCEPT MALIGNANCY;SOI -Moderate $15,935 $5,099 $16,162 −1% $15,070 +6% —
565 MS DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE;SOI -Major $15,803 $5,057 $23,859 −34% $21,545 −27% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $15,799 $5,056 $17,816 −11% $15,072 +5% —
093 MS DRG -OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Minor $15,799 $5,056 $15,799 +0% $17,522 −10% —
381 MS DRG -COMPLICATED PEPTIC ULCER WITH CC;APR DRG -MAJOR ESOPHAGEAL DISORDERS;SOI -Minor $15,703 $5,025 $29,448 −47% $24,177 −35% —
572 MS DRG -SKIN DEBRIDEMENT WITHOUT CC/MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES;SOI -Minor $15,652 $5,009 $28,378 −45% $24,432 −36% —
305 MS DRG -HYPERTENSION WITHOUT MCC;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $15,455 $4,946 $15,455 +0% $17,144 −10% —
066 MS DRG -INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC;APR DRG -CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION;SOI -Minor $14,905 $4,770 $20,913 −29% $19,483 −23% —
196 MS DRG -INTERSTITIAL LUNG DISEASE WITH MCC;APR DRG -INTERSTITIAL AND ALVEOLAR LUNG DISEASES;SOI -Moderate $14,718 $4,710 $22,869 −36% $30,766 −52% —
176 MS DRG -PULMONARY EMBOLISM WITHOUT MCC;APR DRG -PULMONARY EMBOLISM;SOI -Moderate $14,511 $4,644 $18,538 −22% $18,081 −20% —
549 SEPTIC ARTHRITIS WITH CC $14,338 $4,588 $21,289 −33% $20,938 −32% —
846 MS DRG -CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC;APR DRG -OTHER CHEMOTHERAPY;SOI -Major $14,267 $4,566 $26,624 −46% $38,878 −63% —
299 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH MCC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Moderate $13,660 $4,371 $21,036 −35% $25,731 −47% —
923 MS DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC;APR DRG -OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES;SOI -Moderate $13,591 $4,349 $17,668 −23% $16,571 −18% —
084 MS DRG -TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC;APR DRG -HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE;SOI -Minor $13,491 $4,317 $12,504 +8% $18,191 −26% —
263 VEIN LIGATION AND STRIPPING $13,454 $4,305 $17,428 −23% $44,938 −70% —
310 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Minor $13,337 $4,268 $11,589 +15% $13,384 −0% —
553 MS DRG -BONE DISEASES AND ARTHROPATHIES WITH MCC;APR DRG -OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES;SOI -Major $13,316 $4,261 $13,969 −5% $23,956 −44% —
184 MS DRG -MAJOR CHEST TRAUMA WITH CC;APR DRG -MAJOR CHEST AND RESPIRATORY TRAUMA;SOI -Moderate $13,293 $4,254 $13,293 +0% $20,842 −36% —
897 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC;APR DRG -OPIOID ABUSE AND DEPENDENCE;SOI -Moderate $13,266 $4,245 $13,087 +1% $16,049 −17% —
394 MS DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER DIGESTIVE SYSTEM DIAGNOSES;SOI -Moderate $13,156 $4,210 $15,999 −18% $18,918 −30% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $13,149 $4,208 $13,149 +0% $13,303 −1% —
309 MS DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC;APR DRG -CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS;SOI -Moderate $12,969 $4,150 $22,998 −44% $16,865 −23% —
638 MS DRG -DIABETES WITH CC;APR DRG -DIABETES;SOI -Moderate $12,883 $4,123 $21,692 −41% $18,821 −32% —
699 MS DRG -OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC;APR DRG -MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE;SOI -Moderate $12,847 $4,111 $24,373 −47% $20,732 −38% —
315 MS DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC;APR DRG -OTHER CIRCULATORY SYSTEM DIAGNOSES;SOI -Minor $12,457 $3,986 $20,942 −41% $20,777 −40% —
304 MS DRG -HYPERTENSION WITH MCC;APR DRG -HYPERTENSION;SOI -Moderate $12,311 $3,940 $26,659 −54% $24,185 −49% —
074 MS DRG -CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC;APR DRG -PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS;SOI -Minor $12,241 $3,917 $20,035 −39% $23,141 −47% —
445 MS DRG -DISORDERS OF THE BILIARY TRACT WITH CC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Minor $11,791 $3,773 $18,217 −35% $21,806 −46% —
311 MS DRG -ANGINA PECTORIS;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Minor $11,691 $3,741 $11,421 +2% $15,165 −23% —
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 $11,631 $3,722 $10,785 +8% $16,642 −30% —
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 $11,596 $3,711 $37,162 −69% $36,334 −68% —
684 MS DRG -RENAL FAILURE WITHOUT CC/MCC;APR DRG -ACUTE KIDNEY INJURY;SOI -Minor $11,358 $3,635 $15,085 −25% $13,623 −17% —
195 MS DRG -SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC;APR DRG -OTHER PNEUMONIA;SOI -Moderate $11,311 $3,620 $18,452 −39% $13,824 −18% —
607 MS DRG -MINOR SKIN DISORDERS WITHOUT MCC;APR DRG -OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS;SOI -Moderate $11,099 $3,552 $14,778 −25% $15,284 −27% —
071 MS DRG -NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC;APR DRG -ALTERATION IN CONSCIOUSNESS;SOI -Moderate $11,089 $3,548 $22,186 −50% $23,396 −53% —
602 MS DRG -CELLULITIS WITH MCC;APR DRG -CELLULITIS AND OTHER SKIN INFECTIONS;SOI -Moderate $11,000 $3,520 $25,010 −56% $29,347 −63% —
313 MS DRG -CHEST PAIN;APR DRG -ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS;SOI -Moderate $10,907 $3,490 $11,202 −3% $15,962 −32% —
201 MS DRG -PNEUMOTHORAX WITHOUT CC/MCC;APR DRG -OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES;SOI -Minor $10,732 $3,434 $11,438 −6% $13,081 −18% —
443 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Minor $10,646 $3,407 $16,983 −37% $15,600 −32% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $10,530 $3,370 $18,573 −43% $32,204 −67% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $10,292 $3,293 $27,663 −63% $32,483 −68% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,118 $3,238 $20,298 −50% $28,780 −65% —
300 MS DRG -PERIPHERAL VASCULAR DISORDERS WITH CC;APR DRG -PERIPHERAL AND OTHER VASCULAR DISORDERS;SOI -Minor $9,831 $3,146 $23,860 −59% $19,579 −50% —
159 MS DRG -DENTAL AND ORAL DISEASES WITHOUT CC/MCC;APR DRG -DENTAL DISEASES AND DISORDERS;SOI -Moderate $9,673 $3,095 $11,962 −19% $13,368 −28% —
639 MS DRG -DIABETES WITHOUT CC/MCC;APR DRG -DIABETES;SOI -Minor $9,611 $3,076 $15,755 −39% $13,910 −31% —
548 SEPTIC ARTHRITIS WITH MCC $9,593 $3,070 $21,229 −55% $31,019 −69% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,398 $3,007 $10,099 −7% $14,128 −33% —
885 MS DRG -PSYCHOSES;APR DRG -SCHIZOPHRENIA AND OTHER SEVERE PSYCHOTIC DISORDERS;SOI -Moderate $9,164 $2,933 $16,075 −43% $21,489 −57% —
644 MS DRG -ENDOCRINE DISORDERS WITH CC;APR DRG -THYROID DISORDERS;SOI -Moderate $8,845 $2,830 $19,297 −54% $22,941 −61% —
282 MS DRG -ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC;APR DRG -ACUTE MYOCARDIAL INFARCTION;SOI -Minor $8,644 $2,766 $13,973 −38% $18,623 −54% —
441 MS DRG -DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC;APR DRG -OTHER DISORDERS OF THE LIVER;SOI -Moderate $8,181 $2,618 $28,244 −71% $32,399 −75% —
390 MS DRG -GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC;APR DRG -INTESTINAL OBSTRUCTION;SOI -Minor $8,162 $2,612 $12,107 −33% $13,318 −39% —
919 COMPLICATIONS OF TREATMENT WITH MCC $8,118 $2,598 $31,482 −74% $29,031 −72% —
920 COMPLICATIONS OF TREATMENT WITH CC $7,842 $2,510 $21,587 −64% $21,181 −63% —
446 MS DRG -DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC;APR DRG -DISORDERS OF GALLBLADDER AND BILIARY TRACT;SOI -Minor $7,624 $2,440 $10,130 −25% $17,700 −57% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $7,553 $2,417 $13,061 −42% $16,837 −55% —
894 MS DRG -ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA;APR DRG -DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE;SOI -Major $7,228 $2,313 $11,440 −37% $12,013 −40% —
293 MS DRG -HEART FAILURE AND SHOCK WITHOUT CC/MCC;APR DRG -HEART FAILURE;SOI -Moderate $7,131 $2,282 $10,349 −31% $11,955 −40% —
180 MS DRG -RESPIRATORY NEOPLASMS WITH MCC;APR DRG -RESPIRATORY MALIGNANCY;SOI -Major $6,690 $2,141 $43,392 −85% $36,658 −82% —
153 MS DRG -OTITIS MEDIA AND URI WITHOUT MCC;APR DRG -INFECTIONS OF UPPER RESPIRATORY TRACT;SOI -Minor $4,860 $1,555 $14,829 −67% $14,473 −66% —
813 COAGULATION DISORDERS $4,113 $1,316 $47,828 −91% $30,128 −86% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,692 — $37,740 −93% $30,974 −91% —

Procedures with negotiated rates only

These 566 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $143,142 – $273,830 · median $143,142 19 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $94,711 – $181,181 · median $94,711 19 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $36,778 – $70,356 · median $36,778 19 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $28,207 – $53,959 · median $28,207 19 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $18,564 – $35,514 · median $18,564 19 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $251,134 – $480,420 · median $251,134 19 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $54,456 – $104,174 · median $54,456 19 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $37,649 – $72,023 · median $37,649 19 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $24,404 – $46,685 · median $24,404 19 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $38,829 – $74,279 · median $38,829 19 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $26,203 – $50,127 · median $26,203 19 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $30,652 – $58,636 · median $30,652 19 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $21,275 – $40,698 · median $21,275 19 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $17,356 – $33,202 · median $17,356 19 plans
028 SPINAL PROCEDURES WITH MCC $41,312 – $79,030 · median $41,312 19 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $23,252 – $44,481 · median $23,252 19 plans
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,748 – $30,126 · median $15,748 19 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $28,783 – $55,062 · median $28,783 19 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $15,152 – $28,986 · median $15,152 19 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,570 – $22,133 · median $11,570 19 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $26,781 – $51,231 · median $26,781 19 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $16,076 – $30,753 · median $16,076 19 plans
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $13,146 – $25,148 · median $13,146 19 plans
037 EXTRACRANIAL PROCEDURES WITH MCC $23,014 – $44,026 · median $23,014 19 plans
038 EXTRACRANIAL PROCEDURES WITH CC $11,675 – $22,334 · median $11,675 19 plans
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,537 – $16,331 · median $8,537 19 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $26,007 – $49,752 · median $26,007 19 plans
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,966 – $30,542 · median $15,966 19 plans
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,645 – $24,190 · median $12,645 19 plans
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $14,336 – $27,424 · median $14,336 19 plans
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $6,957 – $13,580 · median $7,099 19 plans
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,930 – $20,910 · median $10,930 19 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $13,231 – $25,310 · median $13,231 19 plans
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,103 – $17,414 · median $9,103 19 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,919 – $36,191 · median $18,919 19 plans
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $12,800 – $24,486 · median $12,800 19 plans
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,305 – $19,713 · median $10,305 19 plans
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,637 – $20,349 · median $10,637 19 plans
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $6,655 – $13,073 · median $6,834 19 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,520 – $23,951 · median $12,520 19 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,664 – $11,407 · median $5,963 19 plans
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,239 – $21,500 · median $11,239 19 plans
075 VIRAL MENINGITIS WITH CC/MCC $12,412 – $23,743 · median $12,412 19 plans
076 VIRAL MENINGITIS WITHOUT CC/MCC $6,923 – $13,523 · median $7,069 19 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,244 – $21,509 · median $11,244 19 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $7,534 – $14,550 · median $7,606 19 plans
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,034 – $10,348 · median $5,409 19 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $14,172 – $27,111 · median $14,172 19 plans
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $6,831 – $13,369 · median $6,988 19 plans
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,209 – $19,531 · median $10,209 19 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $16,017 – $30,641 · median $16,017 19 plans
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,687 – $18,531 · median $9,687 19 plans
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $6,674 – $13,105 · median $6,851 19 plans
088 CONCUSSION WITH MCC $10,344 – $19,788 · median $10,344 19 plans
090 CONCUSSION WITHOUT CC/MCC $6,473 – $12,766 · median $6,673 19 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $13,078 – $25,019 · median $13,078 19 plans
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $16,888 – $32,306 · median $16,888 19 plans
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $24,763 – $47,373 · median $24,763 19 plans
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $15,376 – $29,414 · median $15,376 19 plans
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $10,229 – $19,567 · median $10,229 19 plans
102 HEADACHES WITH MCC $8,678 – $16,601 · median $8,678 19 plans
103 HEADACHES WITHOUT MCC $6,419 – $12,676 · median $6,626 19 plans
113 ORBITAL PROCEDURES WITH CC/MCC $15,955 – $30,522 · median $15,955 19 plans
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,828 – $16,888 · median $8,828 19 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,142 – $21,315 · median $11,142 19 plans
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,055 – $23,061 · median $12,055 19 plans
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $8,141 – $15,574 · median $8,141 19 plans
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $8,702 – $16,648 · median $8,702 19 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,121 – $10,495 · median $5,486 19 plans
123 NEUROLOGICAL EYE DISORDERS $6,064 – $12,080 · median $6,315 19 plans
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $9,636 – $18,433 · median $9,636 19 plans
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,234 – $12,365 · median $6,464 19 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $16,980 – $32,482 · median $16,980 19 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,385 – $14,300 · median $7,475 19 plans
137 MOUTH PROCEDURES WITH CC/MCC $10,264 – $19,635 · median $10,264 19 plans
138 MOUTH PROCEDURES WITHOUT CC/MCC $6,142 – $12,210 · median $6,383 19 plans
139 SALIVARY GLAND PROCEDURES $10,094 – $19,310 · median $10,094 19 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $29,039 – $55,552 · median $29,039 19 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $15,238 – $29,150 · median $15,238 19 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,417 – $21,840 · median $11,417 19 plans
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $22,888 – $43,785 · median $22,888 19 plans
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,639 – $24,179 · median $12,639 19 plans
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $8,846 – $16,922 · median $8,846 19 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $16,204 – $30,998 · median $16,204 19 plans
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,244 – $17,683 · median $9,244 19 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $6,045 – $12,048 · median $6,298 19 plans
149 DYSEQUILIBRIUM $5,644 – $11,373 · median $5,945 19 plans
150 EPISTAXIS WITH MCC $10,155 – $19,427 · median $10,155 19 plans
151 EPISTAXIS WITHOUT MCC $5,723 – $11,506 · median $6,015 19 plans
152 OTITIS MEDIA AND URI WITH MCC $8,514 – $16,287 · median $8,514 19 plans
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,774 – $22,524 · median $11,774 19 plans
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,077 – $10,420 · median $5,447 19 plans
157 DENTAL AND ORAL DISEASES WITH MCC $11,848 – $22,666 · median $11,848 19 plans
158 DENTAL AND ORAL DISEASES WITH CC $7,102 – $13,823 · median $7,226 19 plans
163 MAJOR CHEST PROCEDURES WITH MCC $31,560 – $60,373 · median $31,560 19 plans
164 MAJOR CHEST PROCEDURES WITH CC $17,682 – $33,826 · median $17,682 19 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,351 – $25,540 · median $13,351 19 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $26,526 – $50,744 · median $26,526 19 plans
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $13,107 – $25,073 · median $13,107 19 plans
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,967 – $19,068 · median $9,967 19 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $21,341 – $40,825 · median $21,341 19 plans
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,811 – $11,655 · median $6,092 19 plans
181 RESPIRATORY NEOPLASMS WITH CC $8,352 – $15,977 · median $8,352 19 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,323 – $12,515 · median $6,542 19 plans
183 MAJOR CHEST TRAUMA WITH MCC $11,515 – $22,029 · median $11,515 19 plans
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,872 – $11,756 · median $6,145 19 plans
186 PLEURAL EFFUSION WITH MCC $11,467 – $21,936 · median $11,467 19 plans
187 PLEURAL EFFUSION WITH CC $7,580 – $14,628 · median $7,646 19 plans
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,543 – $11,204 · median $5,857 19 plans
197 INTERSTITIAL LUNG DISEASE WITH CC $7,475 – $14,450 · median $7,554 19 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,288 – $10,775 · median $5,633 19 plans
199 PNEUMOTHORAX WITH MCC $12,696 – $24,288 · median $12,696 19 plans
200 PNEUMOTHORAX WITH CC $8,333 – $15,941 · median $8,333 19 plans
204 RESPIRATORY SIGNS AND SYMPTOMS $6,123 – $12,179 · median $6,366 19 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $6,839 – $13,382 · median $6,995 19 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $73,246 – $140,119 · median $73,246 19 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $71,262 – $136,324 · median $71,262 19 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $65,002 – $124,349 · median $65,002 19 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,822 – $83,831 · median $43,822 19 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $40,448 – $77,378 · median $40,448 19 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $52,309 – $100,068 · median $52,309 19 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $36,120 – $69,097 · median $36,120 19 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $31,449 – $60,163 · median $31,449 19 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $34,041 – $65,120 · median $34,041 19 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $21,591 – $41,303 · median $21,591 19 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $57,194 – $109,412 · median $57,194 19 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $41,506 – $79,400 · median $41,506 19 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $52,833 – $101,069 · median $52,833 19 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $36,276 – $69,395 · median $36,276 19 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $40,017 – $76,552 · median $40,017 19 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $28,262 – $54,066 · median $28,262 19 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $34,397 – $65,801 · median $34,397 19 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $20,303 – $38,841 · median $20,303 19 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,002 – $21,047 · median $11,002 19 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,486 – $44,929 · median $23,486 19 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,930 – $30,474 · median $15,930 19 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,957 – $24,788 · median $12,957 19 plans
245 AICD GENERATOR PROCEDURES $33,401 – $63,896 · median $33,401 19 plans
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,352 – $21,716 · median $11,352 19 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $23,741 – $45,416 · median $23,741 19 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,921 – $34,283 · median $17,921 19 plans
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,591 – $24,086 · median $12,591 19 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,342 – $35,088 · median $18,342 19 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $6,734 – $13,205 · median $6,903 19 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,596 – $37,487 · median $19,596 19 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $12,646 – $24,191 · median $12,646 19 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,580 – $45,109 · median $23,580 19 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,574 – $25,966 · median $13,574 19 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,054 – $21,147 · median $11,054 19 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $24,170 – $46,237 · median $24,170 19 plans
265 AICD LEAD PROCEDURES $24,648 – $47,152 · median $24,648 19 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $40,724 – $77,904 · median $40,724 19 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $32,193 – $61,585 · median $32,193 19 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $45,213 – $86,492 · median $45,213 19 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $28,585 – $54,683 · median $28,585 19 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $35,034 – $67,020 · median $35,034 19 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $23,834 – $45,594 · median $23,834 19 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $17,584 – $33,638 · median $17,584 19 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $26,924 – $51,505 · median $26,924 19 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $21,688 – $41,490 · median $21,688 19 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $47,862 – $91,560 · median $47,862 19 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $42,074 – $80,488 · median $42,074 19 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $31,843 – $60,915 · median $31,843 19 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $34,174 – $65,374 · median $34,174 19 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $22,242 – $42,548 · median $22,242 19 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,595 – $11,291 · median $5,902 19 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,239 – $9,012 · median $4,711 19 plans
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,215 – $15,715 · median $8,215 19 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $19,105 – $36,548 · median $19,105 19 plans
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,445 – $21,895 · median $11,445 19 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $7,391 – $14,310 · median $7,481 19 plans
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $9,132 – $17,470 · median $9,132 19 plans
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,963 – $11,910 · median $6,226 19 plans
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,854 – $22,678 · median $11,854 19 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,318 – $10,826 · median $5,659 19 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,335 – $7,493 · median $3,917 19 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,386 – $10,940 · median $5,719 19 plans
302 ATHEROSCLEROSIS WITH MCC $8,703 – $16,649 · median $8,703 19 plans
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $6,994 – $13,643 · median $7,132 19 plans
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,154 – $10,551 · median $5,515 19 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $42,021 – $80,386 · median $42,021 19 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $30,124 – $57,628 · median $30,124 19 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $16,341 – $31,260 · median $16,341 19 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $29,239 – $55,935 · median $29,239 19 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $22,180 – $42,430 · median $22,180 19 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $19,971 – $38,205 · median $19,971 19 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,676 – $66,335 · median $34,676 19 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,557 – $22,108 · median $11,557 19 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,445 – $60,154 · median $31,445 19 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,665 – $31,881 · median $16,665 19 plans
332 RECTAL RESECTION WITH MCC $23,995 – $45,902 · median $23,995 19 plans
333 RECTAL RESECTION WITH CC $15,084 – $28,856 · median $15,084 19 plans
334 RECTAL RESECTION WITHOUT CC/MCC $11,988 – $22,934 · median $11,988 19 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,021 – $47,865 · median $25,021 19 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,169 – $21,367 · median $11,169 19 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $10,861 – $20,778 · median $10,861 19 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $16,686 – $31,920 · median $16,686 19 plans
348 ANAL AND STOMAL PROCEDURES WITH CC $9,337 – $17,862 · median $9,337 19 plans
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $6,651 – $13,066 · median $6,830 19 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $17,030 – $32,579 · median $17,030 19 plans
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,966 – $20,978 · median $10,966 19 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $20,441 – $39,104 · median $20,441 19 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,270 – $23,473 · median $12,270 19 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $9,830 – $18,805 · median $9,830 19 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $29,281 – $56,015 · median $29,281 19 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,924 – $30,463 · median $15,924 19 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,975 – $19,083 · median $9,975 19 plans
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,477 – $11,093 · median $5,799 19 plans
374 DIGESTIVE MALIGNANCY WITH MCC $14,992 – $28,679 · median $14,992 19 plans
375 DIGESTIVE MALIGNANCY WITH CC $9,137 – $17,479 · median $9,137 19 plans
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $6,667 – $13,092 · median $6,844 19 plans
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,657 – $11,396 · median $5,957 19 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $6,565 – $12,922 · median $6,755 19 plans
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,493 – $14,482 · median $7,570 19 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $26,936 – $51,529 · median $26,936 19 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $36,995 – $70,772 · median $36,995 19 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $19,615 – $37,523 · median $19,615 19 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $15,154 – $28,989 · median $15,154 19 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $24,211 – $46,316 · median $24,211 19 plans
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $14,893 – $28,490 · median $14,893 19 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,275 – $21,570 · median $11,275 19 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $19,137 – $36,610 · median $19,137 19 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,126 – $28,936 · median $15,126 19 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $12,014 – $22,983 · median $12,014 19 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $24,228 – $46,347 · median $24,228 19 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $14,108 – $26,988 · median $14,108 19 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,075 – $19,274 · median $10,075 19 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $24,398 – $46,673 · median $24,398 19 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,849 – $22,667 · median $11,849 19 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,733 – $20,533 · median $10,733 19 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $27,966 – $53,499 · median $27,966 19 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $16,132 – $30,861 · median $16,132 19 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,240 – $21,503 · median $11,240 19 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $70,470 – $134,809 · median $70,470 19 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $48,099 – $92,013 · median $48,099 19 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $37,495 – $71,729 · median $37,495 19 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $56,310 – $107,721 · median $56,310 19 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $37,273 – $71,302 · median $37,273 19 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $13,089 – $25,040 · median $13,089 19 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,467 – $16,197 · median $8,467 19 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,928 – $11,851 · median $6,195 19 plans
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,295 – $14,148 · median $7,396 19 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $45,459 – $86,963 · median $45,459 19 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,073 – $53,703 · median $28,073 19 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $35,147 – $67,237 · median $35,147 19 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $21,456 – $41,046 · median $21,456 19 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $57,163 – $109,352 · median $57,163 19 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $39,056 – $74,714 · median $39,056 19 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $29,628 – $56,679 · median $29,628 19 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $41,691 – $79,756 · median $41,691 19 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $19,982 – $38,226 · median $19,982 19 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $36,812 – $70,421 · median $36,812 19 plans
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $12,502 – $23,917 · median $12,502 19 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $34,779 – $66,533 · median $34,779 19 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $23,706 – $45,350 · median $23,706 19 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $18,387 – $35,175 · median $18,387 19 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $22,668 – $43,364 · median $22,668 19 plans
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,493 – $25,813 · median $13,493 19 plans
471 CERVICAL SPINAL FUSION WITH MCC $33,205 – $63,522 · median $33,205 19 plans
472 CERVICAL SPINAL FUSION WITH CC $20,204 – $38,650 · median $20,204 19 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,690 – $31,928 · median $16,690 19 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $30,734 – $58,794 · median $30,734 19 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $8,702 – $16,647 · median $8,702 19 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $23,798 – $45,525 · median $23,798 19 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,499 – $31,562 · median $16,499 19 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $12,766 – $24,421 · median $12,766 19 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $20,495 – $39,206 · median $20,495 19 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,750 – $28,216 · median $14,750 19 plans
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,510 – $22,018 · median $11,510 19 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $17,889 – $34,222 · median $17,889 19 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $22,340 – $42,737 · median $22,340 19 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $15,055 – $28,800 · median $15,055 19 plans
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,468 – $21,939 · median $11,468 19 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,023 – $26,827 · median $14,023 19 plans
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,201 – $17,602 · median $9,201 19 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $24,542 – $46,949 · median $24,542 19 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $16,913 – $32,354 · median $16,913 19 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,493 – $25,812 · median $13,493 19 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $24,339 – $46,560 · median $24,339 19 plans
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $14,074 – $26,923 · median $14,074 19 plans
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $9,892 – $18,924 · median $9,892 19 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $17,735 – $33,926 · median $17,735 19 plans
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $8,687 – $16,617 · median $8,687 19 plans
500 SOFT TISSUE PROCEDURES WITH MCC $22,005 – $42,095 · median $22,005 19 plans
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,255 – $19,617 · median $10,255 19 plans
503 FOOT PROCEDURES WITH MCC $18,542 – $35,470 · median $18,542 19 plans
504 FOOT PROCEDURES WITH CC $12,628 – $24,157 · median $12,628 19 plans
505 FOOT PROCEDURES WITHOUT CC/MCC $12,628 – $24,157 · median $12,628 19 plans
506 MAJOR THUMB OR JOINT PROCEDURES $10,930 – $20,910 · median $10,930 19 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,843 – $26,482 · median $13,843 19 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $9,547 – $18,264 · median $9,547 19 plans
509 ARTHROSCOPY $12,639 – $24,179 · median $12,639 19 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $19,945 – $38,154 · median $19,945 19 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,996 – $26,773 · median $13,996 19 plans
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,651 – $22,289 · median $11,651 19 plans
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $10,974 – $20,992 · median $10,974 19 plans
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $7,698 – $14,826 · median $7,750 19 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $21,499 – $41,127 · median $21,499 19 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,331 – $27,414 · median $14,331 19 plans
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,888 – $20,829 · median $10,888 19 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $24,759 – $47,365 · median $24,759 19 plans
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $14,067 – $26,909 · median $14,067 19 plans
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,493 – $20,074 · median $10,493 19 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $20,320 – $38,872 · median $20,320 19 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,970 – $28,637 · median $14,970 19 plans
533 FRACTURES OF FEMUR WITH MCC $11,102 – $21,237 · median $11,102 19 plans
534 FRACTURES OF FEMUR WITHOUT MCC $6,146 – $12,217 · median $6,386 19 plans
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,808 – $18,763 · median $9,808 19 plans
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,122 – $12,178 · median $6,366 19 plans
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $6,938 – $13,549 · median $7,083 19 plans
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,070 – $10,409 · median $5,441 19 plans
539 OSTEOMYELITIS WITH MCC $14,401 – $27,550 · median $14,401 19 plans
540 OSTEOMYELITIS WITH CC $9,571 – $18,309 · median $9,571 19 plans
541 OSTEOMYELITIS WITHOUT CC/MCC $6,606 – $12,990 · median $6,790 19 plans
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $13,358 – $25,554 · median $13,358 19 plans
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,010 – $15,350 · median $8,024 19 plans
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,706 – $11,477 · median $6,000 19 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC $17,748 – $33,952 · median $17,748 19 plans
546 CONNECTIVE TISSUE DISORDERS WITH CC $8,666 – $16,578 · median $8,666 19 plans
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,634 – $11,357 · median $5,937 19 plans
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $6,509 – $12,827 · median $6,705 19 plans
551 MEDICAL BACK PROBLEMS WITH MCC $12,305 – $23,540 · median $12,305 19 plans
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,277 – $14,118 · median $7,380 19 plans
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $9,919 – $18,975 · median $9,919 19 plans
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $6,165 – $12,249 · median $6,403 19 plans
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,540 – $16,337 · median $8,540 19 plans
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,173 – $12,263 · median $6,410 19 plans
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $10,694 – $20,458 · median $10,694 19 plans
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,648 – $11,381 · median $5,949 19 plans
570 SKIN DEBRIDEMENT WITH MCC $20,954 – $40,084 · median $20,954 19 plans
571 SKIN DEBRIDEMENT WITH CC $12,093 – $23,133 · median $12,093 19 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $41,834 – $80,029 · median $41,834 19 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $23,970 – $45,854 · median $23,970 19 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,231 – $27,224 · median $14,231 19 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $36,774 – $70,348 · median $36,774 19 plans
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $18,649 – $35,676 · median $18,649 19 plans
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $12,199 – $23,337 · median $12,199 19 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $22,606 – $43,246 · median $22,606 19 plans
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,533 – $20,150 · median $10,533 19 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $12,603 – $24,109 · median $12,603 19 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,883 – $22,732 · median $11,883 19 plans
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $14,567 – $27,867 · median $14,567 19 plans
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $14,154 – $27,077 · median $14,154 19 plans
592 SKIN ULCERS WITH MCC $14,626 – $27,980 · median $14,626 19 plans
594 SKIN ULCERS WITHOUT CC/MCC $6,408 – $12,657 · median $6,616 19 plans
595 MAJOR SKIN DISORDERS WITH MCC $15,016 – $28,726 · median $15,016 19 plans
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,158 – $15,606 · median $8,158 19 plans
597 MALIGNANT BREAST DISORDERS WITH MCC $12,639 – $24,179 · median $12,639 19 plans
598 MALIGNANT BREAST DISORDERS WITH CC $8,143 – $15,578 · median $8,143 19 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $6,455 – $12,736 · median $6,658 19 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,526 – $9,495 · median $4,963 19 plans
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $10,842 – $20,740 · median $10,842 19 plans
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $6,974 – $13,609 · median $7,114 19 plans
606 MINOR SKIN DISORDERS WITH MCC $11,668 – $22,321 · median $11,668 19 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $16,103 – $30,806 · median $16,103 19 plans
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,492 – $20,071 · median $10,492 19 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,623 – $50,930 · median $26,623 19 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,246 – $17,687 · median $9,246 19 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $19,072 – $36,484 · median $19,072 19 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,580 – $22,152 · median $11,580 19 plans
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $10,683 – $20,437 · median $10,683 19 plans
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $7,573 – $14,616 · median $7,641 19 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $20,004 – $38,268 · median $20,004 19 plans
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,998 – $21,039 · median $10,998 19 plans
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,390 – $17,964 · median $9,390 19 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $27,159 – $51,954 · median $27,159 19 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,905 – $30,427 · median $15,905 19 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,282 – $19,669 · median $10,282 19 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,219 – $17,636 · median $9,219 19 plans
643 ENDOCRINE DISORDERS WITH MCC $11,980 – $22,917 · median $11,980 19 plans
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,879 – $11,769 · median $6,152 19 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $37,963 – $72,623 · median $37,963 19 plans
654 MAJOR BLADDER PROCEDURES WITH CC $19,706 – $37,697 · median $19,706 19 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,766 – $28,247 · median $14,766 19 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $22,597 – $43,228 · median $22,597 19 plans
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $13,113 – $25,085 · median $13,113 19 plans
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,963 – $20,972 · median $10,963 19 plans
662 MINOR BLADDER PROCEDURES WITH MCC $21,679 – $41,472 · median $21,679 19 plans
663 MINOR BLADDER PROCEDURES WITH CC $11,118 – $21,269 · median $11,118 19 plans
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,149 – $15,590 · median $8,149 19 plans
665 PROSTATECTOMY WITH MCC $23,762 – $45,457 · median $23,762 19 plans
666 PROSTATECTOMY WITH CC $11,913 – $22,790 · median $11,913 19 plans
667 PROSTATECTOMY WITHOUT CC/MCC $7,760 – $14,930 · median $7,804 19 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $20,331 – $38,893 · median $20,331 19 plans
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,216 – $14,015 · median $7,326 19 plans
671 URETHRAL PROCEDURES WITH CC/MCC $12,420 – $23,760 · median $12,420 19 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $8,246 – $15,775 · median $8,246 19 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $28,776 – $55,049 · median $28,776 19 plans
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,370 – $21,750 · median $11,370 19 plans
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $13,495 – $25,815 · median $13,495 19 plans
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $7,948 – $15,246 · median $7,970 19 plans
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,468 – $11,077 · median $5,791 19 plans
693 URINARY STONES WITH MCC $10,740 – $20,546 · median $10,740 19 plans
694 URINARY STONES WITHOUT MCC $5,900 – $11,803 · median $6,170 19 plans
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $8,468 – $16,199 · median $8,468 19 plans
697 URETHRAL STRICTURE $7,564 – $14,600 · median $7,632 19 plans
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,859 – $26,512 · median $13,859 19 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,820 – $20,699 · median $10,820 19 plans
709 PENIS PROCEDURES WITH CC/MCC $15,892 – $30,401 · median $15,892 19 plans
710 PENIS PROCEDURES WITHOUT CC/MCC $10,946 – $20,939 · median $10,946 19 plans
711 TESTES PROCEDURES WITH CC/MCC $13,660 – $26,131 · median $13,660 19 plans
712 TESTES PROCEDURES WITHOUT CC/MCC $8,075 – $15,460 · median $8,082 19 plans
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,578 – $20,236 · median $10,578 19 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,095 – $13,812 · median $7,220 19 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,966 – $30,543 · median $15,966 19 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,401 – $19,897 · median $10,401 19 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,158 – $17,520 · median $9,158 19 plans
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $12,455 – $23,826 · median $12,455 19 plans
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,435 – $16,136 · median $8,435 19 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,501 – $11,133 · median $5,820 19 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,362 – $17,909 · median $9,362 19 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,620 – $11,334 · median $5,925 19 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,733 – $20,533 · median $10,733 19 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,289 – $15,857 · median $8,289 19 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,582 – $9,589 · median $5,013 19 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,935 – $28,570 · median $14,935 19 plans
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,039 – $17,291 · median $9,039 19 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $27,105 – $51,852 · median $27,105 19 plans
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $14,242 – $27,245 · median $14,242 19 plans
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,049 – $21,136 · median $11,049 19 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $27,392 – $52,401 · median $27,392 19 plans
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $13,048 – $24,960 · median $13,048 19 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,098 – $19,318 · median $10,098 19 plans
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $13,103 – $25,067 · median $13,103 19 plans
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $8,938 – $17,098 · median $8,938 19 plans
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $13,948 – $26,682 · median $13,948 19 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $7,737 – $14,892 · median $7,784 19 plans
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $12,095 – $23,137 · median $12,095 19 plans
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,212 – $14,009 · median $7,323 19 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,023 – $19,174 · median $10,023 19 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $18,157 – $34,734 · median $18,157 19 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,540 – $18,250 · median $9,540 19 plans
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,988 – $24,846 · median $12,988 19 plans
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,350 – $15,974 · median $8,350 19 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $7,210 – $14,006 · median $7,321 19 plans
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,375 – $19,847 · median $10,375 19 plans
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $7,696 – $14,822 · median $7,748 19 plans
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,832 – $10,009 · median $5,232 19 plans
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $7,441 – $14,394 · median $7,524 19 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,786 – $9,932 · median $5,192 19 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,494 – $15,799 · median $8,259 19 plans
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $10,203 – $19,519 · median $10,203 19 plans
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $8,124 – $15,541 · median $8,124 19 plans
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,387 – $10,942 · median $5,720 19 plans
779 ABORTION WITHOUT D&C $7,058 – $13,750 · median $7,187 19 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,401 – $25,262 · median $13,206 19 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $3,401 – $15,630 · median $8,170 19 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,401 – $12,972 · median $6,781 19 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $3,401 – $22,392 · median $11,705 19 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,401 – $15,361 · median $8,030 19 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,401 – $13,368 · median $6,988 19 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,494 – $18,087 · median $9,455 19 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,494 – $14,173 · median $7,409 19 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,494 – $14,173 · median $7,409 19 plans
799 SPLENIC PROCEDURES WITH MCC $32,525 – $62,221 · median $32,525 19 plans
800 SPLENIC PROCEDURES WITH CC $20,314 – $38,861 · median $20,314 19 plans
801 SPLENIC PROCEDURES WITHOUT CC/MCC $11,876 – $22,719 · median $11,876 19 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $24,765 – $47,375 · median $24,765 19 plans
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $12,794 – $24,474 · median $12,794 19 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $8,320 – $15,917 · median $8,320 19 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,494 – $14,552 · median $7,607 19 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,494 – $11,070 · median $5,787 19 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,494 – $9,975 · median $5,214 19 plans
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $7,186 – $13,965 · median $7,300 19 plans
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $7,672 – $14,781 · median $7,727 19 plans
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,978 – $10,255 · median $5,361 19 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $17,802 – $34,056 · median $17,802 19 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,530 – $18,231 · median $9,530 19 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $6,165 – $12,249 · median $6,403 19 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $39,606 – $75,766 · median $39,606 19 plans
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,794 – $30,215 · median $15,794 19 plans
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $8,573 – $16,400 · median $8,573 19 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $32,026 – $61,266 · median $32,026 19 plans
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,576 – $29,796 · median $15,576 19 plans
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,151 – $17,506 · median $9,151 19 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $32,663 – $62,484 · median $32,663 19 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $16,640 – $31,833 · median $16,640 19 plans
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,619 – $22,227 · median $11,619 19 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $21,442 – $41,018 · median $21,442 19 plans
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $10,688 – $20,446 · median $10,688 19 plans
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,622 – $16,493 · median $8,622 19 plans
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,643 – $11,372 · median $5,944 19 plans
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,924 – $8,484 · median $4,435 19 plans
834 ACUTE LEUKEMIA WITH MCC $37,649 – $72,023 · median $37,649 19 plans
835 ACUTE LEUKEMIA WITH CC $15,154 – $28,990 · median $15,154 19 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $9,415 – $18,012 · median $9,415 19 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $34,200 – $65,424 · median $34,200 19 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $14,440 – $27,624 · median $14,440 19 plans
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $10,077 – $19,277 · median $10,077 19 plans
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $22,139 – $42,353 · median $22,139 19 plans
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,387 – $21,784 · median $11,387 19 plans
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $7,942 – $15,236 · median $7,964 19 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,545 – $25,912 · median $13,545 19 plans
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $6,318 – $12,506 · median $6,537 19 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,415 – $18,012 · median $9,415 19 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,183 – $12,279 · median $6,419 19 plans
849 RADIOTHERAPY $18,704 – $35,781 · median $18,704 19 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $62,089 – $118,776 · median $62,089 19 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,770 – $22,515 · median $11,770 19 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $30,912 – $59,135 · median $30,912 19 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,533 – $18,236 · median $9,533 19 plans
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $7,549 – $14,576 · median $7,619 19 plans
864 FEVER AND INFLAMMATORY CONDITIONS $6,780 – $13,283 · median $6,943 19 plans
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $15,210 – $29,097 · median $15,210 19 plans
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,433 – $11,019 · median $5,760 19 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $27,052 – $51,750 · median $27,052 19 plans
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,237 – $14,052 · median $7,345 19 plans
881 DEPRESSIVE NEUROSES $6,901 – $13,487 · median $7,050 19 plans
882 NEUROSES EXCEPT DEPRESSIVE $7,263 – $14,095 · median $7,368 19 plans
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,284 – $25,412 · median $13,284 19 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $12,903 – $24,684 · median $12,903 19 plans
887 OTHER MENTAL DISORDER DIAGNOSES $8,876 – $16,980 · median $8,876 19 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $10,591 – $20,260 · median $10,591 19 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $30,374 – $58,106 · median $30,374 19 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,574 – $25,966 · median $13,574 19 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,073 – $17,357 · median $9,073 19 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $26,597 – $50,881 · median $26,597 19 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,919 – $22,802 · median $11,919 19 plans
906 HAND PROCEDURES FOR INJURIES $15,463 – $29,582 · median $15,463 19 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $27,411 – $52,437 · median $27,411 19 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,400 – $17,981 · median $9,400 19 plans
913 TRAUMATIC INJURY WITH MCC $11,721 – $22,422 · median $11,721 19 plans
914 TRAUMATIC INJURY WITHOUT MCC $6,919 – $13,516 · median $7,065 19 plans
915 ALLERGIC REACTIONS WITH MCC $12,514 – $23,940 · median $12,514 19 plans
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,192 – $10,614 · median $5,548 19 plans
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,193 – $23,325 · median $12,193 19 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $158,339 – $302,903 · median $158,339 19 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $45,288 – $86,636 · median $45,288 19 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $22,082 – $42,244 · median $22,082 19 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $29,687 – $56,791 · median $29,687 19 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $15,220 – $29,116 · median $15,220 19 plans
935 NON-EXTENSIVE BURNS $15,556 – $29,758 · median $15,556 19 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $22,040 – $42,162 · median $22,040 19 plans
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,992 – $28,679 · median $14,992 19 plans
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,950 – $26,686 · median $13,950 19 plans
947 SIGNS AND SYMPTOMS WITH MCC $9,518 – $18,209 · median $9,518 19 plans
949 AFTERCARE WITH CC/MCC $8,144 – $15,579 · median $8,144 19 plans
950 AFTERCARE WITHOUT CC/MCC $4,425 – $9,325 · median $4,875 19 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $46,279 – $88,531 · median $46,279 19 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $26,341 – $50,390 · median $26,341 19 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $50,497 – $96,600 · median $50,497 19 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $28,247 – $54,037 · median $28,247 19 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $18,524 – $35,436 · median $18,524 19 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $19,007 – $36,360 · median $19,007 19 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,937 – $20,923 · median $10,937 19 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $6,890 – $13,468 · median $7,040 19 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $42,936 – $82,136 · median $42,936 19 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $18,586 – $35,555 · median $18,586 19 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $20,794 – $39,780 · median $20,794 19 plans
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,415 – $19,924 · median $10,415 19 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,551 – $20,184 · median $10,551 19 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,519 – $62,210 · median $32,519 19 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $17,226 – $32,954 · median $17,226 19 plans
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,369 – $23,662 · median $12,369 19 plans
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,651 – $16,550 · median $8,651 19 plans
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,944 – $24,761 · median $12,944 18 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $40,419 – $77,321 · median $40,419 18 plans
791 PREMATURITY WITH MAJOR PROBLEMS $27,916 – $53,404 · median $27,916 18 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $17,236 – $32,972 · median $17,236 18 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $28,650 – $54,807 · median $28,650 18 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,779 – $20,619 · median $10,779 18 plans
795 NORMAL NEWBORN $1,508 – $4,423 · median $2,312 18 plans
945 REHABILITATION WITH CC/MCC $11,112 – $21,258 · median $11,112 18 plans
946 REHABILITATION WITHOUT CC/MCC $8,393 – $16,055 · median $8,393 18 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $987 – $987 · median $987 1 plans
999 UNGROUPABLE $987 – $987 · median $987 1 plans