Athol Hospital — Pricing

745 procedures published in this hospital's Machine-Readable File (MRF) — 563 with a comparable price, 182 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 745
Lowest published price $2,365
Average published price $3,083
Highest published price $5,326

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 745 procedures

Published charges

Showing all 563 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. Cash-pay prices not published for this hospital.

DRG Description Published price vs. MA median vs. National median
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $5,326 $46,199 −88% $28,375 −81%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $5,326 $44,275 −88% $22,560 −76%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,326 $38,808 −86% $19,815 −73%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $5,326 $44,672 −88% $27,118 −80%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,326 $37,365 −86% $23,571 −77%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,326 $39,319 −86% $20,084 −73%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,008 $25,199 −80% $13,090 −62%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,008 $23,775 −79% $12,044 −58%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $4,854 $21,175 −77% $17,103 −72%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,854 $15,529 −69% $22,557 −78%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,854 $24,299 −80% $19,001 −74%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,854 $30,320 −84% $18,238 −73%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $4,854 $25,601 −81% $15,370 −68%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,060 $103,110 −97% $52,332 −94%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,060 $113,914 −97% $64,152 −95%
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,060 $65,735 −95% $45,818 −93%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,060 $74,306 −96% $45,622 −93%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,060 $62,193 −95% $33,984 −91%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,060 $61,151 −95% $40,694 −92%
037 EXTRACRANIAL PROCEDURES WITH MCC $3,060 $145,721 −98% $64,749 −95%
038 EXTRACRANIAL PROCEDURES WITH CC $3,060 $56,455 −95% $35,770 −91%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,060 $42,638 −93% $25,267 −88%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,060 $55,121 −94% $44,989 −93%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,060 $58,283 −95% $39,018 −92%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,060 $62,877 −95% $30,940 −90%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,060 $40,756 −92% $20,309 −85%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,060 $29,723 −90% $29,484 −90%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,060 $46,998 −93% $19,868 −85%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,060 $50,817 −94% $39,409 −92%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,060 $30,200 −90% $25,426 −88%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,060 $40,742 −92% $26,322 −88%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,060 $35,824 −91% $21,261 −86%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,060 $86,737 −96% $48,680 −94%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,060 $48,043 −94% $35,542 −91%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,060 $49,074 −94% $35,714 −91%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,060 $33,830 −91% $23,469 −87%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,060 $26,127 −88% $19,483 −84%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,060 $33,770 −91% $24,941 −88%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,060 $28,548 −89% $19,569 −84%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,060 $26,630 −89% $20,278 −85%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,060 $30,222 −90% $30,814 −90%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,060 $27,569 −89% $23,396 −87%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,060 $18,155 −83% $16,654 −82%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,060 $31,038 −90% $28,252 −89%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,060 $30,058 −90% $23,141 −87%
075 VIRAL MENINGITIS WITH CC/MCC $3,060 $16,679 −82% $29,853 −90%
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,060 $16,201 −81% $15,474 −80%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,060 $49,835 −94% $24,036 −87%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,060 $16,868 −82% $17,434 −82%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,060 $17,040 −82% $11,847 −74%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,060 $25,219 −88% $15,077 −80%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,060 $24,039 −87% $36,237 −92%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,060 $44,298 −93% $24,118 −87%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,060 $22,264 −86% $18,191 −83%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,060 $45,245 −93% $37,064 −92%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,060 $24,991 −88% $23,115 −87%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,060 $15,766 −81% $15,869 −81%
088 CONCUSSION WITH MCC $3,060 $35,805 −91% $24,402 −87%
089 CONCUSSION WITH CC $3,060 $23,825 −87% $18,293 −83%
090 CONCUSSION WITHOUT CC/MCC $3,060 $13,026 −77% $14,873 −79%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,060 $42,957 −93% $36,375 −92%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,060 $28,389 −89% $24,136 −87%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,060 $26,380 −88% $17,522 −83%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,060 $47,440 −94% $47,583 −94%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,060 $38,439 −92% $39,093 −92%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,060 $80,121 −96% $57,855 −95%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,060 $57,222 −95% $37,902 −92%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,060 $34,309 −91% $25,666 −88%
101 SEIZURES WITHOUT MCC $3,060 $25,967 −88% $19,954 −85%
102 HEADACHES WITH MCC $3,060 $26,994 −89% $22,544 −86%
103 HEADACHES WITHOUT MCC $3,060 $26,347 −88% $20,111 −85%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,060 $32,560 −91% $19,598 −84%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,060 $33,359 −91% $24,879 −88%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,060 $24,851 −88% $28,103 −89%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,060 $20,088 −85% $17,193 −82%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,060 $33,924 −91% $18,291 −83%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,060 $10,558 −71% $11,997 −74%
123 NEUROLOGICAL EYE DISORDERS $3,060 $29,012 −89% $17,831 −83%
124 OTHER DISORDERS OF THE EYE WITH MCC $3,060 $33,065 −91% $21,029 −85%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,060 $21,703 −86% $15,876 −81%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,060 $36,453 −92% $15,890 −81%
137 MOUTH PROCEDURES WITH CC/MCC $3,060 $41,302 −93% $24,348 −87%
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,060 $25,835 −88% $17,383 −82%
139 SALIVARY GLAND PROCEDURES $3,060 $33,798 −91% $21,014 −85%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,060 $58,085 −95% $60,098 −95%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,060 $62,274 −95% $34,900 −91%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,060 $43,415 −93% $34,906 −91%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,060 $41,842 −93% $52,908 −94%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,060 $45,483 −93% $29,558 −90%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,060 $22,742 −87% $20,842 −85%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,060 $26,496 −88% $21,860 −86%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,060 $12,079 −75% $13,586 −77%
149 DYSEQUILIBRIUM $3,060 $27,384 −89% $17,203 −82%
150 EPISTAXIS WITH MCC $3,060 $30,050 −90% $21,133 −86%
151 EPISTAXIS WITHOUT MCC $3,060 $15,523 −80% $13,032 −77%
152 OTITIS MEDIA AND URI WITH MCC $3,060 $21,877 −86% $19,795 −85%
153 OTITIS MEDIA AND URI WITHOUT MCC $3,060 $15,085 −80% $14,473 −79%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,060 $30,616 −90% $24,465 −87%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,060 $24,441 −87% $16,642 −82%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,060 $18,257 −83% $13,198 −77%
157 DENTAL AND ORAL DISEASES WITH MCC $3,060 $31,090 −90% $27,457 −89%
158 DENTAL AND ORAL DISEASES WITH CC $3,060 $25,343 −88% $17,700 −83%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,060 $18,805 −84% $13,368 −77%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,060 $99,425 −97% $41,380 −93%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,060 $45,038 −93% $40,563 −92%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,060 $41,434 −93% $28,527 −89%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,060 $32,595 −91% $29,757 −90%
176 PULMONARY EMBOLISM WITHOUT MCC $3,060 $23,201 −87% $18,081 −83%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,060 $44,001 −93% $31,840 −90%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,060 $30,232 −90% $22,024 −86%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,060 $19,357 −84% $14,444 −79%
180 RESPIRATORY NEOPLASMS WITH MCC $3,060 $62,915 −95% $36,658 −92%
181 RESPIRATORY NEOPLASMS WITH CC $3,060 $43,236 −93% $22,431 −86%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,060 $55,165 −94% $14,064 −78%
183 MAJOR CHEST TRAUMA WITH MCC $3,060 $38,398 −92% $28,924 −89%
184 MAJOR CHEST TRAUMA WITH CC $3,060 $38,785 −92% $20,842 −85%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,060 $23,266 −87% $15,858 −81%
186 PLEURAL EFFUSION WITH MCC $3,060 $50,379 −94% $32,468 −91%
187 PLEURAL EFFUSION WITH CC $3,060 $29,485 −90% $21,467 −86%
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,060 $23,124 −87% $14,110 −78%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,060 $30,023 −90% $25,704 −88%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,060 $28,215 −89% $24,190 −87%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,060 $24,337 −87% $18,278 −83%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,060 $17,312 −82% $14,368 −79%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,060 $30,935 −90% $26,158 −88%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,060 $22,854 −87% $18,204 −83%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,060 $12,412 −75% $13,824 −78%
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,060 $74,833 −96% $30,766 −90%
197 INTERSTITIAL LUNG DISEASE WITH CC $3,060 $28,997 −89% $20,106 −85%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,060 $13,931 −78% $13,654 −78%
199 PNEUMOTHORAX WITH MCC $3,060 $50,186 −94% $31,491 −90%
200 PNEUMOTHORAX WITH CC $3,060 $28,821 −89% $20,573 −85%
201 PNEUMOTHORAX WITHOUT CC/MCC $3,060 $22,393 −86% $13,081 −77%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,060 $22,179 −86% $17,273 −82%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,060 $12,571 −76% $12,279 −75%
204 RESPIRATORY SIGNS AND SYMPTOMS $3,060 $25,544 −88% $16,866 −82%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,060 $34,161 −91% $32,204 −90%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,060 $23,694 −87% $17,731 −83%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,060 $86,333 −96% $52,405 −94%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,060 $39,587 −92% $24,229 −87%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,060 $50,543 −94% $50,011 −94%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,060 $53,946 −94% $40,063 −92%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $3,060 $88,671 −97% $51,339 −94%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $3,060 $29,506 −90% $41,380 −93%
253 OTHER VASCULAR PROCEDURES WITH CC $3,060 $96,027 −97% $53,746 −94%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,060 $66,690 −95% $38,836 −92%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,060 $26,536 −88% $29,729 −90%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,060 $20,759 −85% $15,764 −81%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,060 $57,308 −95% $35,673 −91%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,060 $31,882 −90% $42,126 −93%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,060 $47,766 −94% $33,694 −91%
263 VEIN LIGATION AND STRIPPING $3,060 $79,784 −96% $44,938 −93%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,060 $126,573 −98% $51,953 −94%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,060 $99,774 −97% $55,162 −94%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,060 $61,087 −95% $28,967 −89%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,060 $28,630 −89% $20,463 −85%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,060 $50,418 −94% $18,623 −84%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,060 $38,833 −92% $35,014 −91%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,060 $18,718 −84% $13,282 −77%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,060 $8,798 −65% $10,039 −70%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,060 $58,123 −95% $31,190 −90%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,060 $31,558 −90% $29,371 −90%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,060 $50,188 −94% $15,901 −81%
291 HEART FAILURE AND SHOCK WITH MCC $3,060 $38,049 −92% $25,020 −88%
292 HEART FAILURE AND SHOCK WITH CC $3,060 $32,219 −91% $16,212 −81%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,060 $11,263 −73% $11,955 −74%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,060 $39,300 −92% $19,132 −84%
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,060 $19,344 −84% $13,445 −77%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,060 $53,528 −94% $30,910 −90%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,060 $9,799 −69% $12,336 −75%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,060 $6,350 −52% $8,927 −66%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,060 $34,674 −91% $25,731 −88%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,060 $26,309 −88% $19,579 −84%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,060 $25,165 −88% $15,607 −80%
302 ATHEROSCLEROSIS WITH MCC $3,060 $18,292 −83% $20,844 −85%
303 ATHEROSCLEROSIS WITHOUT MCC $3,060 $19,555 −84% $14,927 −79%
304 HYPERTENSION WITH MCC $3,060 $54,990 −94% $24,185 −87%
305 HYPERTENSION WITHOUT MCC $3,060 $27,277 −89% $17,144 −82%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,060 $37,396 −92% $24,450 −87%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,060 $18,880 −84% $18,608 −84%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,060 $38,221 −92% $26,488 −88%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,060 $20,762 −85% $16,865 −82%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,060 $20,474 −85% $13,384 −77%
311 ANGINA PECTORIS $3,060 $23,332 −87% $15,165 −80%
312 SYNCOPE AND COLLAPSE $3,060 $30,210 −90% $19,342 −84%
313 CHEST PAIN $3,060 $23,897 −87% $15,962 −81%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,060 $56,626 −95% $38,357 −92%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,060 $33,234 −91% $20,777 −85%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,060 $29,952 −90% $12,797 −76%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,060 $34,848 −91% $36,080 −92%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $3,060 $101,032 −97% $74,274 −96%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,060 $80,488 −96% $54,772 −94%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,060 $109,195 −97% $66,819 −95%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,060 $73,605 −96% $54,824 −94%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,060 $47,659 −94% $35,375 −91%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,060 $52,286 −94% $58,832 −95%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,060 $46,541 −93% $44,117 −93%
334 RECTAL RESECTION WITHOUT CC/MCC $3,060 $39,094 −92% $32,213 −91%
336 PERITONEAL ADHESIOLYSIS WITH CC $3,060 $49,470 −94% $49,470 −94%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,060 $42,284 −93% $36,239 −92%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,060 $31,108 −90% $31,062 −90%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,060 $38,741 −92% $26,146 −88%
348 ANAL AND STOMAL PROCEDURES WITH CC $3,060 $27,156 −89% $27,947 −89%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,060 $31,173 −90% $19,854 −85%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,060 $47,899 −94% $33,792 −91%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,060 $31,565 −90% $25,162 −88%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,060 $45,209 −93% $43,266 −93%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,060 $39,987 −92% $31,978 −90%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,060 $39,612 −92% $29,374 −90%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,060 $30,937 −90% $33,607 −91%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,060 $30,164 −90% $22,713 −87%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,060 $14,193 −78% $15,072 −80%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,060 $53,452 −94% $31,758 −90%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,060 $27,141 −89% $22,850 −87%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,060 $19,064 −84% $16,104 −81%
374 DIGESTIVE MALIGNANCY WITH MCC $3,060 $48,871 −94% $38,885 −92%
375 DIGESTIVE MALIGNANCY WITH CC $3,060 $34,560 −91% $27,219 −89%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,060 $30,386 −90% $15,608 −80%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,060 $73,848 −96% $37,842 −92%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,060 $28,960 −89% $21,886 −86%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,060 $17,819 −83% $14,134 −78%
380 COMPLICATED PEPTIC ULCER WITH MCC $3,060 $31,769 −90% $36,641 −92%
381 COMPLICATED PEPTIC ULCER WITH CC $3,060 $26,583 −88% $24,177 −87%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,060 $24,386 −87% $16,634 −82%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,060 $30,085 −90% $26,634 −89%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,060 $26,571 −88% $19,305 −84%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,060 $42,912 −93% $26,020 −88%
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,060 $30,103 −90% $20,968 −85%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,060 $22,284 −86% $14,880 −79%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,060 $33,244 −91% $28,780 −89%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,060 $21,314 −86% $17,388 −82%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,060 $15,214 −80% $13,318 −77%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,060 $36,902 −92% $27,244 −89%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,060 $22,699 −87% $17,322 −82%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,060 $55,926 −95% $32,689 −91%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,060 $20,933 −85% $18,918 −84%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,060 $19,448 −84% $14,128 −78%
398 APPENDIX PROCEDURES WITH CC $3,060 $58,925 −95% $39,107 −92%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,060 $34,274 −91% $30,314 −90%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,060 $115,031 −97% $58,043 −95%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,060 $72,578 −96% $40,232 −92%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,060 $72,793 −96% $46,066 −93%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,060 $72,568 −96% $34,434 −91%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,060 $54,636 −94% $37,654 −92%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,060 $24,771 −88% $27,548 −89%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,060 $51,707 −94% $43,398 −93%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,060 $40,133 −92% $30,418 −90%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,060 $53,437 −94% $42,119 −93%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,060 $47,424 −94% $34,887 −91%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,060 $35,770 −91% $36,333 −92%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,060 $41,154 −93% $25,152 −88%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,060 $46,100 −93% $39,253 −92%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,060 $43,240 −93% $25,484 −88%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,060 $61,002 −95% $36,933 −92%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,060 $31,678 −90% $23,749 −87%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,060 $13,591 −77% $12,405 −75%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,060 $49,413 −94% $37,950 −92%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,060 $32,069 −90% $24,017 −87%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,060 $21,092 −85% $13,385 −77%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,060 $39,766 −92% $32,502 −91%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,060 $24,615 −88% $19,096 −84%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,060 $15,989 −81% $15,070 −80%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,060 $66,702 −95% $32,399 −91%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,060 $35,117 −91% $21,449 −86%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,060 $26,893 −89% $15,600 −80%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,060 $45,187 −93% $31,128 −90%
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,060 $25,888 −88% $21,806 −86%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,060 $26,105 −88% $17,700 −83%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,060 $46,966 −93% $56,758 −95%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,060 $88,458 −97% $54,313 −94%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,060 $48,955 −94% $32,839 −91%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,060 $47,123 −94% $49,197 −94%
472 CERVICAL SPINAL FUSION WITH CC $3,060 $68,993 −96% $59,537 −95%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,060 $51,574 −94% $50,624 −94%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,060 $79,107 −96% $44,553 −93%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,060 $23,974 −87% $21,062 −85%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,060 $77,209 −96% $50,139 −94%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,060 $42,842 −93% $31,909 −90%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,060 $85,905 −96% $51,172 −94%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,060 $44,490 −93% $39,747 −92%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,060 $110,657 −97% $57,149 −95%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,060 $46,908 −93% $33,490 −91%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,060 $59,507 −95% $41,520 −93%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,060 $37,346 −92% $27,492 −89%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,060 $61,552 −95% $43,800 −93%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,060 $43,359 −93% $29,805 −90%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,060 $46,659 −93% $46,659 −93%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,060 $14,197 −78% $22,532 −86%
501 SOFT TISSUE PROCEDURES WITH CC $3,060 $60,388 −95% $37,975 −92%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,060 $29,234 −90% $30,006 −90%
504 FOOT PROCEDURES WITH CC $3,060 $47,340 −94% $36,598 −92%
505 FOOT PROCEDURES WITHOUT CC/MCC $3,060 $31,716 −90% $31,716 −90%
506 MAJOR THUMB OR JOINT PROCEDURES $3,060 $30,545 −90% $28,983 −89%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,060 $25,427 −88% $22,811 −87%
509 ARTHROSCOPY $3,060 $11,434 −73% $25,994 −88%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,060 $49,929 −94% $43,538 −93%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,060 $39,065 −92% $35,692 −91%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,060 $51,582 −94% $33,424 −91%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,060 $29,856 −90% $20,080 −85%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,060 $53,090 −94% $45,817 −93%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,060 $39,644 −92% $33,137 −91%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,060 $47,463 −94% $43,775 −93%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,060 $35,465 −91% $31,816 −90%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,060 $67,622 −95% $56,519 −95%
533 FRACTURES OF FEMUR WITH MCC $3,060 $37,488 −92% $25,945 −88%
534 FRACTURES OF FEMUR WITHOUT MCC $3,060 $19,835 −85% $17,195 −82%
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,060 $27,850 −89% $23,350 −87%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,060 $19,228 −84% $18,002 −83%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,060 $30,879 −90% $16,352 −81%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,060 $34,323 −91% $11,909 −74%
539 OSTEOMYELITIS WITH MCC $3,060 $34,487 −91% $33,746 −91%
540 OSTEOMYELITIS WITH CC $3,060 $33,331 −91% $23,494 −87%
541 OSTEOMYELITIS WITHOUT CC/MCC $3,060 $22,109 −86% $14,549 −79%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,060 $45,373 −93% $35,114 −91%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,060 $28,509 −89% $23,496 −87%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,060 $29,524 −90% $16,776 −82%
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,060 $34,947 −91% $24,202 −87%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,060 $26,755 −89% $14,861 −79%
548 SEPTIC ARTHRITIS WITH MCC $3,060 $44,494 −93% $31,019 −90%
549 SEPTIC ARTHRITIS WITH CC $3,060 $21,668 −86% $20,938 −85%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,060 $16,502 −81% $16,156 −81%
551 MEDICAL BACK PROBLEMS WITH MCC $3,060 $47,497 −94% $31,086 −90%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,060 $28,869 −89% $21,213 −86%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,060 $33,365 −91% $23,956 −87%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,060 $21,371 −86% $18,253 −83%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,060 $40,558 −92% $23,723 −87%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,060 $20,835 −85% $17,715 −83%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,060 $37,596 −92% $28,646 −89%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,060 $20,722 −85% $17,367 −82%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,060 $39,309 −92% $30,974 −90%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,060 $25,662 −88% $24,452 −87%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,060 $16,648 −82% $18,150 −83%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,060 $30,328 −90% $29,211 −90%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,060 $20,446 −85% $18,803 −84%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,060 $39,421 −92% $32,936 −91%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,060 $27,359 −89% $21,545 −86%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,060 $23,784 −87% $14,337 −79%
571 SKIN DEBRIDEMENT WITH CC $3,060 $42,097 −93% $34,901 −91%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,060 $33,093 −91% $24,432 −87%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,060 $61,067 −95% $45,432 −93%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,060 $35,498 −91% $28,578 −89%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,060 $45,891 −93% $36,242 −92%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,060 $21,873 −86% $25,243 −88%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,060 $34,264 −91% $34,264 −91%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,060 $113,780 −97% $31,566 −90%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,060 $49,178 −94% $34,089 −91%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,060 $65,734 −95% $29,633 −90%
593 SKIN ULCERS WITH CC $3,060 $24,443 −87% $20,470 −85%
594 SKIN ULCERS WITHOUT CC/MCC $3,060 $14,080 −78% $14,209 −78%
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,060 $16,618 −82% $17,226 −82%
597 MALIGNANT BREAST DISORDERS WITH MCC $3,060 $33,763 −91% $31,846 −90%
598 MALIGNANT BREAST DISORDERS WITH CC $3,060 $21,820 −86% $19,073 −84%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,060 $10,235 −70% $14,290 −79%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,060 $13,799 −78% $16,418 −81%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,060 $17,892 −83% $10,975 −72%
602 CELLULITIS WITH MCC $3,060 $26,545 −88% $29,347 −90%
603 CELLULITIS WITHOUT MCC $3,060 $22,028 −86% $18,530 −83%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,060 $44,787 −93% $28,140 −89%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,060 $27,552 −89% $19,287 −84%
606 MINOR SKIN DISORDERS WITH MCC $3,060 $36,596 −92% $25,434 −88%
607 MINOR SKIN DISORDERS WITHOUT MCC $3,060 $17,326 −82% $15,284 −80%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,060 $42,740 −93% $31,812 −90%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,060 $66,392 −95% $42,881 −93%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,060 $15,863 −81% $19,354 −84%
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,060 $49,374 −94% $35,453 −91%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,060 $36,546 −92% $32,451 −91%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,060 $33,563 −91% $33,165 −91%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,060 $16,583 −82% $17,078 −82%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,060 $27,279 −89% $27,279 −89%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,060 $41,211 −93% $25,623 −88%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,060 $28,438 −89% $24,452 −87%
637 DIABETES WITH MCC $3,060 $34,925 −91% $28,819 −89%
638 DIABETES WITH CC $3,060 $25,396 −88% $18,821 −84%
639 DIABETES WITHOUT CC/MCC $3,060 $17,217 −82% $13,910 −78%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,060 $16,271 −81% $24,480 −87%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,060 $19,426 −84% $16,745 −82%
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,060 $32,388 −91% $20,727 −85%
643 ENDOCRINE DISORDERS WITH MCC $3,060 $38,745 −92% $32,996 −91%
644 ENDOCRINE DISORDERS WITH CC $3,060 $23,795 −87% $22,941 −87%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,060 $17,001 −82% $14,166 −78%
654 MAJOR BLADDER PROCEDURES WITH CC $3,060 $63,842 −95% $53,868 −94%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,060 $62,368 −95% $41,651 −93%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,060 $52,575 −94% $40,583 −92%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,060 $46,637 −93% $35,528 −91%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,060 $55,905 −95% $48,094 −94%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,060 $36,861 −92% $30,358 −90%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,060 $27,493 −89% $24,022 −87%
663 MINOR BLADDER PROCEDURES WITH CC $3,060 $33,704 −91% $29,924 −90%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,060 $17,541 −83% $18,126 −83%
666 PROSTATECTOMY WITH CC $3,060 $57,243 −95% $30,016 −90%
667 PROSTATECTOMY WITHOUT CC/MCC $3,060 $16,738 −82% $16,703 −82%
669 TRANSURETHRAL PROCEDURES WITH CC $3,060 $47,142 −94% $34,354 −91%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,060 $27,462 −89% $20,371 −85%
671 URETHRAL PROCEDURES WITH CC/MCC $3,060 $39,060 −92% $27,233 −89%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,060 $14,579 −79% $17,398 −82%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,060 $63,124 −95% $32,490 −91%
682 RENAL FAILURE WITH MCC $3,060 $33,856 −91% $27,854 −89%
683 RENAL FAILURE WITH CC $3,060 $22,859 −87% $18,620 −84%
684 RENAL FAILURE WITHOUT CC/MCC $3,060 $14,411 −79% $13,623 −78%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,060 $36,025 −92% $32,981 −91%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,060 $17,794 −83% $18,478 −83%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,060 $3,060 +0% $12,593 −76%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,060 $29,341 −90% $22,982 −87%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,060 $20,057 −85% $17,466 −82%
693 URINARY STONES WITH MCC $3,060 $21,079 −85% $22,525 −86%
694 URINARY STONES WITHOUT MCC $3,060 $21,826 −86% $16,531 −81%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,060 $35,752 −91% $20,741 −85%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,060 $13,092 −77% $14,441 −79%
697 URETHRAL STRICTURE $3,060 $22,523 −86% $17,705 −83%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,060 $38,521 −92% $30,058 −90%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,060 $24,613 −88% $20,732 −85%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,060 $19,640 −84% $13,303 −77%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,060 $57,424 −95% $43,080 −93%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,060 $50,857 −94% $32,911 −91%
710 PENIS PROCEDURES WITHOUT CC/MCC $3,060 $54,233 −94% $23,814 −87%
712 TESTES PROCEDURES WITHOUT CC/MCC $3,060 $14,395 −79% $18,898 −84%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,060 $45,543 −93% $29,663 −90%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,060 $18,363 −83% $17,108 −82%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,060 $42,566 −93% $21,615 −86%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,060 $30,984 −90% $32,538 −91%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,060 $19,183 −84% $20,147 −85%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,060 $59,282 −95% $29,826 −90%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,060 $25,356 −88% $19,317 −84%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,060 $30,437 −90% $12,650 −76%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,060 $30,086 −90% $19,894 −85%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,060 $17,878 −83% $13,892 −78%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,060 $24,331 −87% $25,786 −88%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,060 $22,607 −86% $16,837 −82%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,060 $21,229 −86% $17,483 −82%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,060 $7,027 −56% $11,071 −72%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,060 $44,042 −93% $23,297 −87%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,060 $67,429 −95% $44,363 −93%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,060 $53,546 −94% $30,972 −90%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,060 $91,616 −97% $36,597 −92%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,060 $54,587 −94% $29,050 −89%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,060 $57,016 −95% $40,552 −92%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,060 $39,705 −92% $27,369 −89%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,060 $49,804 −94% $33,050 −91%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,060 $19,726 −84% $16,495 −81%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,060 $49,269 −94% $29,916 −90%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,060 $20,614 −85% $19,326 −84%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,060 $34,985 −91% $24,980 −88%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,060 $35,305 −91% $23,920 −87%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,060 $37,407 −92% $29,476 −90%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,060 $32,616 −91% $18,459 −83%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,060 $30,078 −90% $15,589 −80%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,060 $37,853 −92% $23,734 −87%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,060 $27,094 −89% $19,091 −84%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,060 $20,286 −85% $14,208 −78%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,060 $24,176 −87% $18,282 −83%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,060 $17,424 −82% $11,421 −73%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,060 $26,808 −89% $24,561 −88%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,060 $30,874 −90% $17,943 −83%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,060 $14,426 −79% $12,381 −75%
779 ABORTION WITHOUT D&C $3,060 $11,964 −74% $15,327 −80%
801 SPLENECTOMY WITHOUT CC/MCC $3,060 $10,764 −72% $28,634 −89%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,060 $37,745 −92% $36,334 −92%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,060 $30,396 −90% $22,032 −86%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,060 $15,595 −80% $18,428 −83%
811 RED BLOOD CELL DISORDERS WITH MCC $3,060 $40,425 −92% $27,934 −89%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,060 $30,969 −90% $20,488 −85%
813 COAGULATION DISORDERS $3,060 $39,854 −92% $30,128 −90%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,060 $30,026 −90% $32,483 −91%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,060 $19,264 −84% $18,017 −83%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,060 $17,592 −83% $13,485 −77%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,060 $26,403 −88% $44,053 −93%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,060 $29,874 −90% $25,390 −88%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,060 $41,608 −93% $38,382 −92%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,060 $44,056 −93% $27,321 −89%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,060 $37,110 −92% $35,584 −91%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,060 $126,391 −98% $53,817 −94%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,060 $71,319 −96% $25,149 −88%
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,060 $15,971 −81% $19,686 −84%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,060 $19,361 −84% $20,980 −85%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,060 $110,870 −97% $49,710 −94%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,060 $33,157 −91% $31,059 −90%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,060 $23,534 −87% $17,550 −83%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,060 $56,578 −95% $36,280 −92%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,060 $40,214 −92% $20,421 −85%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,060 $19,507 −84% $14,055 −78%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,060 $27,522 −89% $22,275 −86%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,060 $15,367 −80% $13,822 −78%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,060 $40,736 −92% $41,900 −93%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,060 $64,821 −95% $23,924 −87%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,060 $49,084 −94% $30,394 −90%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,060 $22,026 −86% $20,007 −85%
864 FEVER AND INFLAMMATORY CONDITIONS $3,060 $19,050 −84% $17,412 −82%
865 VIRAL ILLNESS WITH MCC $3,060 $25,367 −88% $26,088 −88%
866 VIRAL ILLNESS WITHOUT MCC $3,060 $16,391 −81% $16,391 −81%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,060 $28,422 −89% $36,850 −92%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,060 $22,318 −86% $22,231 −86%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,060 $12,537 −76% $12,537 −76%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,060 $45,490 −93% $35,237 −91%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,060 $31,432 −90% $22,781 −87%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,060 $40,449 −92% $35,459 −91%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,060 $52,574 −94% $23,588 −87%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,060 $31,810 −90% $25,197 −88%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,060 $41,660 −93% $41,660 −93%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,060 $30,779 −90% $28,156 −89%
913 TRAUMATIC INJURY WITH MCC $3,060 $52,236 −94% $24,198 −87%
914 TRAUMATIC INJURY WITHOUT MCC $3,060 $15,088 −80% $15,593 −80%
915 ALLERGIC REACTIONS WITH MCC $3,060 $48,588 −94% $30,944 −90%
916 ALLERGIC REACTIONS WITHOUT MCC $3,060 $19,120 −84% $13,890 −78%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,060 $37,942 −92% $28,134 −89%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,060 $25,057 −88% $15,045 −80%
919 COMPLICATIONS OF TREATMENT WITH MCC $3,060 $30,988 −90% $29,031 −89%
920 COMPLICATIONS OF TREATMENT WITH CC $3,060 $24,464 −87% $21,181 −86%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,060 $13,895 −78% $14,012 −78%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,060 $41,036 −93% $29,409 −90%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,060 $14,632 −79% $16,571 −82%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,060 $43,086 −93% $31,044 −90%
935 NON-EXTENSIVE BURNS $3,060 $26,773 −89% $29,458 −90%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,060 $54,657 −94% $38,420 −92%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,060 $29,422 −90% $29,524 −90%
947 SIGNS AND SYMPTOMS WITH MCC $3,060 $23,334 −87% $25,474 −88%
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,060 $22,745 −87% $17,727 −83%
949 AFTERCARE WITH CC/MCC $3,060 $23,784 −87% $23,953 −87%
950 AFTERCARE WITHOUT CC/MCC $3,060 $18,592 −84% $13,527 −77%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,060 $11,477 −73% $9,385 −67%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,060 $55,818 −95% $43,491 −93%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,060 $36,898 −92% $25,854 −88%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,060 $27,993 −89% $17,585 −83%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,060 $27,957 −89% $25,010 −88%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,060 $10,026 −69% $16,212 −81%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,060 $25,592 −88% $22,525 −86%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,060 $55,535 −94% $51,985 −94%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,060 $30,299 −90% $30,930 −90%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,060 $53,347 −94% $38,094 −92%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,060 $28,445 −89% $25,307 −88%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $3,060 $10,630 −71% $15,655 −80%
999 UNGROUPABLE $3,060 $46,384 −93% $28,822 −89%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,906 $33,303 −91% $33,564 −91%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,906 $29,454 −90% $24,544 −88%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,783 $57,720 −95% $36,097 −92%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,783 $19,359 −86% $24,316 −89%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,783 $15,891 −82% $17,928 −84%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,783 $15,422 −82% $18,133 −85%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,783 $15,105 −82% $12,895 −78%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,783 $12,856 −78% $9,076 −69%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,634 $23,198 −89% $15,636 −83%
881 DEPRESSIVE NEUROSES $2,634 $27,265 −90% $15,058 −83%
882 NEUROSES EXCEPT DEPRESSIVE $2,634 $28,253 −91% $15,680 −83%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,634 $25,909 −90% $22,698 −88%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,634 $35,058 −92% $25,208 −90%
885 PSYCHOSES $2,634 $37,862 −93% $21,489 −88%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,634 $20,529 −87% $24,836 −89%
887 OTHER MENTAL DISORDER DIAGNOSES $2,634 $22,486 −88% $20,602 −87%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,634 $15,166 −83% $12,013 −78%
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,634 $17,878 −85% $21,986 −88%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,634 $27,067 −90% $30,275 −91%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,634 $18,223 −86% $16,049 −84%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,630 $52,207 −95% $14,284 −82%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $2,630 $100,048 −97% $80,018 −97%
791 PREMATURITY WITH MAJOR PROBLEMS $2,630 $41,495 −94% $39,563 −93%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $2,630 $23,523 −89% $11,633 −77%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $2,630 $27,143 −90% $16,719 −84%
795 NORMAL NEWBORN $2,630 $5,663 −54% $4,530 −42%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $2,577 $10,882 −76% $7,961 −68%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $2,434 $102,414 −98% $54,320 −96%
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $2,434 $151,014 −98% $75,251 −97%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $2,434 $42,725 −94% $50,815 −95%
945 REHABILITATION WITH CC/MCC $2,365 $18,208 −87% $23,834 −90%
946 REHABILITATION WITHOUT CC/MCC $2,365 $11,537 −79% $17,685 −87%

Procedures with negotiated rates only

These 182 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 — 8 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES — 8 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC — 8 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC — 8 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,053 – $3,653 · median $2,167 8 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC — 8 plans
113 ORBITAL PROCEDURES WITH CC/MCC — 8 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS — 8 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT — 8 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC — 8 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC — 8 plans
245 AICD GENERATOR PROCEDURES — 8 plans
252 OTHER VASCULAR PROCEDURES WITH MCC — 8 plans
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC — 8 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC — 8 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC — 8 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC — 8 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE — 8 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC — 8 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 8 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC — 8 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC — 8 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC — 8 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC — 8 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC — 8 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC — 8 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC — 8 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC — 8 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC — 8 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC — 8 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC — 8 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC — 8 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC — 8 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC — 8 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $2,053 – $3,653 · median $2,167 8 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC — 8 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC — 8 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR — 8 plans
545 CONNECTIVE TISSUE DISORDERS WITH MCC — 8 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC — 8 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC — 8 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC — 8 plans
592 SKIN ULCERS WITH MCC $2,053 – $3,653 · median $2,167 8 plans
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC — 8 plans
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC — 8 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC — 8 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC — 8 plans
665 PROSTATECTOMY WITH MCC — 8 plans
668 TRANSURETHRAL PROCEDURES WITH MCC — 8 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC — 8 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC — 8 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC — 8 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC — 8 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC — 8 plans
799 SPLENECTOMY WITH MCC — 8 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC — 8 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC — 8 plans
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT — 8 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC — 8 plans
849 RADIOTHERAPY — 8 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC — 8 plans
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,053 – $3,653 · median $2,167 8 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS — 8 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC — 8 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC — 8 plans
906 HAND PROCEDURES FOR INJURIES — 8 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC — 8 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT — 8 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA — 8 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC — 8 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 8 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC — 8 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC — 7 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC — 7 plans
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC — 7 plans
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC — 7 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT — 1 plans
007 LUNG TRANSPLANT — 1 plans
010 PANCREAS TRANSPLANT — 1 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC — 1 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC — 1 plans
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC — 1 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT — 1 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC — 1 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC — 1 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC — 1 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC — 1 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC — 1 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC — 1 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC — 1 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC — 1 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,067 – $4,067 · median $4,067 1 plans
100 SEIZURES WITH MCC $4,067 – $4,067 · median $4,067 1 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC — 1 plans
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,067 – $4,067 · median $4,067 1 plans
163 MAJOR CHEST PROCEDURES WITH MCC — 1 plans
164 MAJOR CHEST PROCEDURES WITH CC — 1 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC — 1 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM — 1 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES — 1 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC — 1 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC — 1 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC — 1 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC — 1 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC — 1 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC — 1 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC — 1 plans
231 CORONARY BYPASS WITH PTCA WITH MCC — 1 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC — 1 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC — 1 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC — 1 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC — 1 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC — 1 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC — 1 plans
265 AICD LEAD PROCEDURES — 1 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC — 1 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC — 1 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC — 1 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC — 1 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC — 1 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC — 1 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC — 1 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC — 1 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC — 1 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC — 1 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC — 1 plans
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC — 1 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC — 1 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC — 1 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC — 1 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC — 1 plans
332 RECTAL RESECTION WITH MCC — 1 plans
333 RECTAL RESECTION WITH CC — 1 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC — 1 plans
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC — 1 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC — 1 plans
397 APPENDIX PROCEDURES WITH MCC — 1 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC — 1 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC — 1 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC — 1 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC — 1 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC — 1 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT — 1 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC — 1 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $4,067 – $4,067 · median $4,067 1 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC — 1 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC — 1 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $4,067 – $4,067 · median $4,067 1 plans
500 SOFT TISSUE PROCEDURES WITH MCC — 1 plans
503 FOOT PROCEDURES WITH MCC — 1 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC — 1 plans
570 SKIN DEBRIDEMENT WITH MCC — 1 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC — 1 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,067 – $4,067 · median $4,067 1 plans
595 MAJOR SKIN DISORDERS WITH MCC $4,067 – $4,067 · median $4,067 1 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 1 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC — 1 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC — 1 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC — 1 plans
653 MAJOR BLADDER PROCEDURES WITH MCC — 1 plans
662 MINOR BLADDER PROCEDURES WITH MCC — 1 plans
709 PENIS PROCEDURES WITH CC/MCC — 1 plans
711 TESTES PROCEDURES WITH CC/MCC $4,067 – $4,067 · median $4,067 1 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC — 1 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC — 1 plans
800 SPLENECTOMY WITH CC — 1 plans
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC — 1 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC — 1 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC — 1 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC — 1 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC — 1 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC — 1 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC — 1 plans
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS — 1 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT — 1 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC — 1 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC — 1 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC — 1 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC — 1 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC — 1 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC — 1 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC — 1 plans
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