FirstHealth Montgomery Memorial Hospital — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 472 with a comparable price, 306 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 778
Lowest published price $429
Average published price $15,101
Highest published price $127,648

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 778 procedures

Published charges

Showing all 472 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. NC median vs. National median
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $127,648 $678,931 −81% $371,366 −66%
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $96,593 $355,728 −73% $248,521 −61%
231 Coronary Bypass With Ptca With Mcc $89,998 $179,995 −50% $147,227 −39%
212 Concomitant Aortic And Mitral Valve Procedures $77,217 $268,712 −71% $196,346 −61%
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $73,802 $163,664 −55% $80,018 −8%
215 Other Heart Assist System Implant $72,321 $227,466 −68% $208,939 −65%
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $67,378 $205,851 −67% $120,573 −44%
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $65,956 $245,968 −73% $188,171 −65%
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $59,293 $59,206 +0% $44,363 +34%
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $58,302 $265,632 −78% $153,282 −62%
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $56,394 $281,448 −80% $148,686 −62%
453 Combined Anterior And Posterior Spinal Fusion With Mcc $55,918 $538,381 −90% $103,861 −46%
870 Septicemia Or Severe Sepsis With Mv >96 Hours $46,923 $170,734 −73% $148,832 −68%
055 Nervous System Neoplasms Without Mcc $46,897 $33,527 +40% $20,926 +124%
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $45,573 $187,980 −76% $123,995 −63%
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $44,538 $169,372 −74% $116,058 −62%
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $44,106 $194,967 −77% $125,242 −65%
028 Spinal Procedures With Mcc $44,031 $210,482 −79% $113,077 −61%
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $43,901 $114,140 −62% $108,472 −60%
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $42,239 $223,645 −81% $107,355 −61%
232 Coronary Bypass With Ptca Without Mcc $41,836 $147,356 −72% $115,839 −64%
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $37,598 $223,939 −83% $106,778 −65%
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $37,504 $95,645 −61% $89,207 −58%
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $37,160 $36,054 +3% $27,297 +36%
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $36,702 $56,325 −35% $47,945 −23%
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $36,657 $286,862 −87% $143,242 −74%
270 Other Major Cardiovascular Procedures With Mcc $35,615 $168,543 −79% $99,423 −64%
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $34,815 $109,948 −68% $93,238 −63%
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $34,731 $164,594 −79% $111,320 −69%
347 Anal And Stomal Procedures With Mcc $34,534 $52,597 −34% $40,548 −15%
228 Other Cardiothoracic Procedures With Mcc $34,509 $129,200 −73% $96,905 −64%
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $33,974 $106,135 −68% $90,724 −63%
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $33,544 $167,196 −80% $117,280 −71%
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $33,441 $201,810 −83% $113,855 −71%
471 Cervical Spinal Fusion With Mcc $33,035 $113,322 −71% $92,515 −64%
799 Splenic Procedures With Mcc $33,008 $67,322 −51% $82,218 −60%
454 Combined Anterior And Posterior Spinal Fusion With Cc $32,580 $315,644 −90% $69,101 −53%
455 Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc $31,941 $187,375 −83% $56,836 −44%
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $31,898 $62,199 −49% $50,498 −37%
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $31,302 $145,265 −78% $87,761 −64%
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $30,968 $141,583 −78% $92,217 −66%
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $30,968 $77,910 −60% $68,639 −55%
277 Cardiac Defibrillator Implant Without Mcc $30,963 $116,842 −74% $91,329 −66%
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $30,884 $105,834 −71% $88,307 −65%
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $30,501 $395,416 −92% $66,711 −54%
235 Coronary Bypass Without Cardiac Catheterization With Mcc $30,472 $189,145 −84% $112,062 −73%
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $30,056 $160,364 −81% $83,441 −64%
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $29,693 $115,634 −74% $76,001 −61%
459 Spinal Fusion Except Cervical With Mcc $29,581 $293,456 −90% $75,251 −61%
031 Ventricular Shunt Procedures With Mcc $29,199 $92,897 −69% $72,962 −60%
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $29,093 $85,866 −66% $71,092 −59%
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $28,995 $113,027 −74% $79,225 −63%
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $28,575 $148,324 −81% $85,159 −66%
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $28,523 $83,640 −66% $61,832 −54%
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $28,507 $133,868 −79% $101,510 −72%
034 Carotid Artery Stent Procedures With Mcc $27,815 $70,126 −60% $76,219 −64%
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $27,623 $155,053 −82% $93,390 −70%
326 Stomach, Esophageal And Duodenal Procedures With Mcc $27,302 $68,265 −60% $80,793 −66%
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $27,221 $54,862 −50% $62,300 −56%
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $27,104 $107,849 −75% $74,755 −64%
356 Other Digestive System O.R. Procedures With Mcc $27,094 $121,712 −78% $82,561 −67%
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $26,757 $125,538 −79% $75,103 −64%
332 Rectal Resection With Mcc $26,158 $100,020 −74% $58,125 −55%
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $26,148 $73,760 −65% $43,913 −40%
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $25,469 $82,004 −69% $69,743 −63%
335 Peritoneal Adhesiolysis With Mcc $25,377 $121,663 −79% $71,755 −65%
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $24,777 $59,345 −58% $56,964 −57%
665 Prostatectomy With Mcc $24,614 $102,095 −76% $54,072 −54%
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $24,585 $116,549 −79% $70,564 −65%
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $24,531 $106,659 −77% $74,257 −67%
907 Other O.R. Procedures For Injuries With Mcc $24,307 $106,316 −77% $77,817 −69%
271 Other Major Cardiovascular Procedures With Cc $24,161 $119,957 −80% $71,014 −66%
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $23,933 $111,341 −79% $70,371 −66%
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $23,783 $57,277 −58% $63,928 −63%
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $23,779 $86,974 −73% $72,424 −67%
252 Other Vascular Procedures With Mcc $23,655 $120,467 −80% $68,508 −65%
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $23,545 $154,205 −85% $102,573 −77%
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $22,980 $78,013 −71% $65,788 −65%
791 Prematurity With Major Problems $22,912 $30,459 −25% $42,679 −46%
656 Kidney And Ureter Procedures For Neoplasm With Mcc $22,885 $62,977 −64% $65,608 −65%
662 Minor Bladder Procedures With Mcc $22,542 $54,483 −59% $54,562 −59%
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $22,467 $125,956 −82% $71,464 −69%
909 Other O.R. Procedures For Injuries Without Cc/Mcc $22,451 $46,449 −52% $28,156 −20%
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $21,902 $72,392 −70% $47,583 −54%
229 Other Cardiothoracic Procedures Without Mcc $21,875 $93,180 −77% $65,325 −67%
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $21,790 $93,172 −77% $93,172 −77%
274 Percutaneous And Other Intracardiac Procedures Without Mcc $21,634 $117,171 −82% $65,573 −67%
037 Extracranial Procedures With Mcc $21,349 $103,899 −79% $66,666 −68%
570 Skin Debridement With Mcc $21,248 $101,088 −79% $52,435 −59%
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $21,082 $93,464 −77% $84,692 −75%
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $21,065 $117,955 −82% $82,247 −74%
974 Hiv With Major Related Condition With Mcc $21,054 $43,588 −52% $46,402 −55%
977 Hiv With Or Without Other Related Condition $21,033 $21,908 −4% $22,525 −7%
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $21,004 $112,625 −81% $58,975 −64%
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $20,801 $70,144 −70% $58,228 −64%
353 Hernia Procedures Except Inguinal And Femoral With Mcc $20,791 $85,423 −76% $60,170 −65%
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $20,629 $94,235 −78% $61,217 −66%
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $20,605 $83,323 −75% $70,467 −71%
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $20,594 $58,596 −65% $61,470 −66%
460 Spinal Fusion Except Cervical Without Mcc $20,463 $156,877 −87% $51,625 −60%
709 Penis Procedures With Cc/Mcc $20,033 $38,553 −48% $34,535 −42%
500 Soft Tissue Procedures With Mcc $19,622 $70,494 −72% $61,872 −68%
789 Neonates, Died Or Transferred To Another Acute Care Facility $19,558 $4,889 +300% $16,351 +20%
935 Non-Extensive Burns $19,549 $29,361 −33% $31,701 −38%
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $19,241 $49,303 −61% $54,196 −64%
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $19,199 $58,687 −67% $66,685 −71%
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $19,181 $76,865 −75% $62,264 −69%
344 Minor Small And Large Bowel Procedures With Mcc $19,177 $59,187 −68% $44,546 −57%
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $19,150 $219,702 −91% $144,569 −87%
329 Major Small And Large Bowel Procedures With Mcc $19,070 $119,451 −84% $88,050 −78%
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $18,939 $108,418 −83% $81,706 −77%
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $18,776 $39,014 −52% $52,405 −64%
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $18,726 $51,830 −64% $45,167 −59%
163 Major Chest Procedures With Mcc $18,722 $133,292 −86% $90,195 −79%
467 Revision Of Hip Or Knee Replacement With Cc $18,627 $95,410 −80% $70,847 −74%
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $18,497 $24,822 −25% $23,498 −21%
949 Aftercare With Cc/Mcc $18,451 $36,227 −49% $23,953 −23%
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $18,284 $82,225 −78% $59,031 −69%
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $18,217 $85,697 −79% $54,929 −67%
242 Permanent Cardiac Pacemaker Implant With Mcc $18,130 $91,781 −80% $70,132 −74%
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $17,959 $31,469 −43% $27,323 −34%
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $17,955 $65,373 −73% $58,707 −69%
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $17,921 $64,694 −72% $54,583 −67%
272 Other Major Cardiovascular Procedures Without Cc/Mcc $17,890 $62,875 −72% $55,162 −68%
397 Appendix Procedures With Mcc $17,660 $52,855 −67% $53,257 −67%
026 Craniotomy And Endovascular Intracranial Procedures With Cc $17,567 $66,260 −73% $64,523 −73%
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $17,396 $63,680 −73% $46,453 −63%
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $17,385 $76,658 −77% $46,066 −62%
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $17,219 $88,387 −81% $59,651 −71%
473 Cervical Spinal Fusion Without Cc/Mcc $17,210 $70,578 −76% $50,624 −66%
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $17,135 $88,155 −81% $68,653 −75%
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $17,124 $45,133 −62% $41,620 −59%
614 Adrenal And Pituitary Procedures With Cc/Mcc $16,689 $61,165 −73% $48,349 −65%
082 Traumatic Stupor And Coma >1 Hour With Mcc $16,585 $35,666 −53% $36,489 −55%
674 Other Kidney And Urinary Tract Procedures With Cc $16,462 $80,027 −79% $50,394 −67%
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $16,391 $53,246 −69% $40,108 −59%
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $16,211 $54,215 −70% $49,423 −67%
330 Major Small And Large Bowel Procedures With Cc $16,076 $74,617 −78% $59,500 −73%
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $16,034 $47,881 −67% $35,030 −54%
030 Spinal Procedures Without Cc/Mcc $16,013 $47,889 −67% $45,866 −65%
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $15,659 $42,277 −63% $19,657 −20%
089 Concussion With Cc $15,643 $27,042 −42% $18,821 −17%
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $15,571 $53,121 −71% $45,877 −66%
814 Reticuloendothelial And Immunity Disorders With Mcc $15,359 $48,039 −68% $33,851 −55%
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $15,342 $60,571 −75% $49,418 −69%
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $15,280 $68,009 −78% $49,351 −69%
121 Acute Major Eye Infections With Cc/Mcc $15,183 $16,366 −7% $19,412 −22%
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $15,123 $70,940 −79% $46,283 −67%
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $14,891 $76,409 −81% $50,139 −70%
592 Skin Ulcers With Mcc $14,789 $40,195 −63% $33,246 −56%
357 Other Digestive System O.R. Procedures With Cc $14,769 $60,207 −75% $48,682 −70%
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $14,740 $79,477 −81% $58,280 −75%
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $14,696 $52,403 −72% $38,070 −61%
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $14,637 $38,164 −62% $29,611 −51%
548 Septic Arthritis With Mcc $14,566 $32,344 −55% $31,346 −54%
673 Other Kidney And Urinary Tract Procedures With Mcc $14,563 $76,824 −81% $77,990 −81%
908 Other O.R. Procedures For Injuries With Cc $14,560 $42,974 −66% $42,914 −66%
539 Osteomyelitis With Mcc $14,559 $42,316 −66% $37,609 −61%
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $14,465 $53,881 −73% $19,354 −25%
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $14,358 $65,143 −78% $42,415 −66%
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $14,196 $65,842 −78% $52,178 −73%
711 Testes Procedures With Cc/Mcc $14,137 $53,392 −74% $38,343 −63%
283 Acute Myocardial Infarction, Expired With Mcc $14,116 $34,204 −59% $39,955 −65%
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $14,001 $71,679 −80% $31,563 −56%
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $13,780 $44,609 −69% $30,243 −54%
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $13,644 $57,719 −76% $50,607 −73%
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $13,632 $36,795 −63% $33,985 −60%
167 Other Respiratory System O.R. Procedures With Cc $13,582 $61,102 −78% $40,642 −67%
164 Major Chest Procedures With Cc $13,555 $71,945 −81% $56,755 −76%
165 Major Chest Procedures Without Cc/Mcc $13,528 $56,867 −76% $46,340 −71%
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $13,525 $81,168 −83% $59,629 −77%
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $13,483 $37,257 −64% $36,670 −63%
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $13,478 $28,567 −53% $33,047 −59%
754 Malignancy, Female Reproductive System With Mcc $13,464 $34,177 −61% $32,433 −58%
289 Acute And Subacute Endocarditis With Cc $13,434 $42,250 −68% $32,697 −59%
035 Carotid Artery Stent Procedures With Cc $13,345 $71,884 −81% $49,066 −73%
657 Kidney And Ureter Procedures For Neoplasm With Cc $13,344 $50,370 −74% $43,298 −69%
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $13,302 $50,414 −74% $40,552 −67%
091 Other Disorders Of Nervous System With Mcc $13,225 $43,586 −70% $37,387 −65%
501 Soft Tissue Procedures With Cc $12,978 $47,828 −73% $39,619 −67%
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $12,923 $84,140 −85% $43,538 −70%
377 Gastrointestinal Hemorrhage With Mcc $12,853 $49,956 −74% $37,842 −66%
505 Foot Procedures Without Cc/Mcc $12,835 $50,640 −75% $34,937 −63%
199 Pneumothorax With Mcc $12,829 $42,335 −70% $33,787 −62%
503 Foot Procedures With Mcc $12,823 $54,558 −76% $47,540 −73%
254 Other Vascular Procedures Without Cc/Mcc $12,810 $60,105 −79% $38,836 −67%
597 Malignant Breast Disorders With Mcc $12,800 $57,714 −78% $33,386 −62%
504 Foot Procedures With Cc $12,791 $43,650 −71% $38,960 −67%
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $12,760 $54,949 −77% $35,465 −64%
205 Other Respiratory System Diagnoses With Mcc $12,731 $33,894 −62% $33,255 −62%
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $12,702 $66,680 −81% $41,591 −69%
073 Cranial And Peripheral Nerve Disorders With Mcc $12,581 $30,555 −59% $30,010 −58%
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $12,575 $50,054 −75% $35,692 −65%
052 Spinal Disorders And Injuries With Cc/Mcc $12,534 $46,252 −73% $32,031 −61%
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $12,527 $82,669 −85% $42,126 −70%
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $12,526 $44,349 −72% $32,443 −61%
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $12,410 $54,690 −77% $43,800 −72%
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $12,340 $79,373 −84% $58,809 −79%
374 Digestive Malignancy With Mcc $12,326 $45,291 −73% $39,958 −69%
919 Complications Of Treatment With Mcc $12,296 $31,120 −60% $31,105 −60%
444 Disorders Of The Biliary Tract With Mcc $12,288 $34,273 −64% $34,273 −64%
421 Hepatobiliary Diagnostic Procedures With Cc $12,278 $62,731 −80% $36,354 −66%
698 Other Kidney And Urinary Tract Diagnoses With Mcc $12,260 $39,789 −69% $32,496 −62%
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $12,242 $46,342 −74% $34,607 −65%
345 Minor Small And Large Bowel Procedures With Cc $12,238 $36,216 −66% $33,048 −63%
182 Respiratory Neoplasms Without Cc/Mcc $12,220 $25,464 −52% $14,064 −13%
642 Inborn And Other Disorders Of Metabolism $12,218 $26,597 −54% $20,727 −41%
913 Traumatic Injury With Mcc $12,122 $24,198 −50% $24,198 −50%
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $12,112 $54,859 −78% $37,950 −68%
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $12,078 $42,652 −72% $35,628 −66%
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $12,034 $45,810 −74% $39,018 −69%
296 Cardiac Arrest, Unexplained With Mcc $12,025 $71,743 −83% $33,661 −64%
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $11,820 $58,569 −80% $49,839 −76%
038 Extracranial Procedures With Cc $11,799 $60,827 −81% $35,770 −67%
620 O.R. Procedures For Obesity With Cc $11,726 $48,590 −76% $35,453 −67%
975 Hiv With Major Related Condition With Cc $11,709 $27,741 −58% $27,808 −58%
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $11,703 $46,870 −75% $39,006 −70%
606 Minor Skin Disorders With Mcc $11,702 $36,265 −68% $27,975 −58%
183 Major Chest Trauma With Mcc $11,689 $48,610 −76% $29,933 −61%
331 Major Small And Large Bowel Procedures Without Cc/Mcc $11,592 $66,342 −83% $44,117 −74%
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $11,582 $44,105 −74% $35,074 −67%
841 Lymphoma And Non-Acute Leukemia With Cc $11,551 $42,360 −73% $33,633 −66%
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $11,546 $44,770 −74% $39,173 −71%
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $11,541 $38,570 −70% $36,792 −69%
337 Peritoneal Adhesiolysis Without Cc/Mcc $11,539 $56,127 −79% $39,211 −71%
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $11,523 $42,273 −73% $33,424 −66%
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $11,469 $62,317 −82% $46,295 −75%
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $11,455 $35,147 −67% $58,745 −81%
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $11,452 $57,547 −80% $44,606 −74%
080 Nontraumatic Stupor And Coma With Mcc $11,447 $35,762 −68% $36,249 −68%
067 Precerebral Occlusion Without Infarction With Mcc $11,421 $37,645 −70% $24,941 −54%
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $11,351 $71,229 −84% $52,075 −78%
336 Peritoneal Adhesiolysis With Cc $11,346 $70,773 −84% $50,463 −78%
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $11,322 $45,562 −75% $33,694 −66%
306 Cardiac Congenital And Valvular Disorders With Mcc $11,297 $30,731 −63% $24,586 −54%
964 Other Multiple Significant Trauma With Cc $11,263 $35,742 −68% $27,394 −59%
380 Complicated Peptic Ulcer With Mcc $11,232 $44,130 −75% $39,627 −72%
663 Minor Bladder Procedures With Cc $11,232 $37,661 −70% $33,103 −66%
669 Transurethral Procedures With Cc $11,194 $34,700 −68% $34,354 −67%
264 Other Circulatory System O.R. Procedures $11,186 $51,289 −78% $51,953 −78%
571 Skin Debridement With Cc $11,135 $25,326 −56% $37,169 −70%
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $11,120 $50,739 −78% $40,365 −72%
693 Urinary Stones With Mcc $11,116 $28,415 −61% $23,892 −53%
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $11,116 $40,124 −72% $38,861 −71%
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $11,094 $42,812 −74% $36,253 −69%
177 Respiratory Infections And Inflammations With Mcc $11,015 $45,521 −76% $33,707 −67%
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $11,000 $90,442 −88% $62,821 −82%
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $10,992 $38,458 −71% $33,393 −67%
707 Major Male Pelvic Procedures With Cc/Mcc $10,984 $57,229 −81% $43,080 −75%
865 Viral Illness With Mcc $10,975 $30,489 −64% $26,910 −59%
708 Major Male Pelvic Procedures Without Cc/Mcc $10,946 $39,617 −72% $36,988 −70%
327 Stomach, Esophageal And Duodenal Procedures With Cc $10,908 $100,691 −89% $59,421 −82%
070 Other Cerebrovascular Disorders With Mcc $10,901 $49,551 −78% $31,951 −66%
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $10,891 $56,307 −81% $41,955 −74%
621 O.R. Procedures For Obesity Without Cc/Mcc $10,863 $45,696 −76% $32,451 −67%
713 Transurethral Prostatectomy With Cc/Mcc $10,832 $27,155 −60% $32,100 −66%
519 Back And Neck Procedures Except Spinal Fusion With Cc $10,829 $59,686 −82% $44,139 −75%
180 Respiratory Neoplasms With Mcc $10,751 $38,001 −72% $36,658 −71%
840 Lymphoma And Non-Acute Leukemia With Mcc $10,744 $60,052 −82% $49,710 −78%
201 Pneumothorax Without Cc/Mcc $10,701 $16,175 −34% $14,053 −24%
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $10,641 $53,878 −80% $39,887 −73%
786 Cesarean Section Without Sterilization With Mcc $10,635 $30,293 −65% $27,152 −61%
551 Medical Back Problems With Mcc $10,614 $37,053 −71% $34,017 −69%
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $10,609 $46,206 −77% $29,916 −65%
615 Adrenal And Pituitary Procedures Without Cc/Mcc $10,596 $43,524 −76% $32,833 −68%
596 Major Skin Disorders Without Mcc $10,534 $21,959 −52% $17,226 −39%
398 Appendix Procedures With Cc $10,523 $53,293 −80% $40,162 −74%
438 Disorders Of Pancreas Except Malignancy With Mcc $10,523 $29,518 −64% $32,628 −68%
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $10,515 $52,557 −80% $38,101 −72%
506 Major Thumb Or Joint Procedures $10,505 $34,520 −70% $30,557 −66%
150 Epistaxis With Mcc $10,502 $25,823 −59% $23,171 −55%
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $10,499 $39,801 −74% $25,094 −58%
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $10,464 $40,015 −74% $30,959 −66%
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $10,402 $48,553 −79% $30,493 −66%
358 Other Digestive System O.R. Procedures Without Cc/Mcc $10,353 $40,964 −75% $30,083 −66%
666 Prostatectomy With Cc $10,234 $47,721 −79% $31,906 −68%
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $10,080 $38,654 −74% $28,140 −64%
385 Inflammatory Bowel Disease With Mcc $10,064 $43,821 −77% $27,617 −64%
783 Cesarean Section With Sterilization With Mcc $10,021 $30,719 −67% $29,221 −66%
727 Inflammation Of The Male Reproductive System With Mcc $10,016 $20,998 −52% $26,463 −62%
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $9,924 $39,391 −75% $32,841 −70%
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $9,864 $31,314 −69% $27,989 −65%
602 Cellulitis With Mcc $9,820 $37,206 −74% $30,598 −68%
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $9,763 $38,606 −75% $21,894 −55%
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $9,756 $50,832 −81% $51,985 −81%
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $9,751 $46,920 −79% $27,633 −65%
540 Osteomyelitis With Cc $9,659 $29,401 −67% $26,676 −64%
193 Simple Pneumonia And Pleurisy With Mcc $9,650 $32,566 −70% $27,275 −65%
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $9,528 $43,425 −78% $26,870 −65%
553 Bone Diseases And Arthropathies With Mcc $9,490 $38,165 −75% $26,051 −64%
102 Headaches With Mcc $9,462 $25,874 −63% $25,740 −63%
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $9,364 $37,100 −75% $27,163 −66%
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $9,363 $51,019 −82% $36,937 −75%
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $9,346 $38,798 −76% $26,948 −65%
123 Neurological Eye Disorders $9,333 $20,417 −54% $19,745 −53%
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $9,320 $39,181 −76% $39,181 −76%
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $9,280 $27,707 −67% $22,458 −59%
549 Septic Arthritis With Cc $9,254 $24,261 −62% $24,056 −62%
593 Skin Ulcers With Cc $9,213 $27,448 −66% $22,886 −60%
793 Full Term Neonate With Major Problems $9,188 $8,962 +3% $18,649 −51%
637 Diabetes With Mcc $9,153 $34,484 −73% $30,100 −70%
557 Tendonitis, Myositis And Bursitis With Mcc $9,084 $44,595 −80% $32,877 −72%
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $9,082 $43,597 −79% $30,784 −70%
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $9,031 $37,440 −76% $22,635 −60%
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $9,027 $23,954 −62% $21,847 −59%
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $9,001 $45,522 −80% $28,320 −68%
572 Skin Debridement Without Cc/Mcc $8,989 $36,258 −75% $24,944 −64%
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $8,935 $29,362 −70% $32,944 −73%
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $8,886 $36,344 −76% $28,050 −68%
152 Otitis Media And Uri With Mcc $8,796 $27,012 −67% $20,247 −57%
787 Cesarean Section Without Sterilization With Cc $8,794 $27,710 −68% $23,571 −63%
546 Connective Tissue Disorders With Cc $8,765 $19,745 −56% $25,700 −66%
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $8,705 $26,297 −67% $24,566 −65%
547 Connective Tissue Disorders Without Cc/Mcc $8,704 $24,877 −65% $16,565 −47%
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $8,701 $30,263 −71% $25,652 −66%
947 Signs And Symptoms With Mcc $8,675 $33,290 −74% $27,401 −68%
811 Red Blood Cell Disorders With Mcc $8,642 $32,589 −73% $28,226 −69%
541 Osteomyelitis Without Cc/Mcc $8,565 $14,549 −41% $15,215 −44%
291 Heart Failure And Shock With Mcc $8,550 $31,308 −73% $26,776 −68%
723 Malignancy, Male Reproductive System With Cc $8,538 $36,370 −77% $19,815 −57%
502 Soft Tissue Procedures Without Cc/Mcc $8,537 $44,319 −81% $31,017 −72%
729 Other Male Reproductive System Diagnoses With Cc/Mcc $8,510 $17,530 −51% $17,483 −51%
186 Pleural Effusion With Mcc $8,505 $43,109 −80% $33,834 −75%
432 Cirrhosis And Alcoholic Hepatitis With Mcc $8,212 $44,870 −82% $40,213 −80%
184 Major Chest Trauma With Cc $8,198 $28,391 −71% $22,432 −63%
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $8,080 $27,554 −71% $18,452 −56%
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $8,072 $36,875 −78% $27,843 −71%
075 Viral Meningitis With Cc/Mcc $8,029 $26,570 −70% $30,447 −74%
784 Cesarean Section With Sterilization With Cc $8,020 $28,585 −72% $23,283 −66%
535 Fractures Of Hip And Pelvis With Mcc $7,935 $21,957 −64% $24,552 −68%
300 Peripheral Vascular Disorders With Cc $7,928 $19,416 −59% $20,422 −61%
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $7,910 $47,114 −83% $31,264 −75%
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $7,907 $31,888 −75% $25,034 −68%
187 Pleural Effusion With Cc $7,867 $21,390 −63% $21,789 −64%
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $7,863 $46,222 −83% $32,021 −75%
682 Renal Failure With Mcc $7,846 $32,167 −76% $29,064 −73%
369 Major Esophageal Disorders With Cc $7,843 $35,392 −78% $25,303 −69%
039 Extracranial Procedures Without Cc/Mcc $7,814 $41,370 −81% $26,618 −71%
086 Traumatic Stupor And Coma <1 Hour With Cc $7,812 $35,459 −78% $27,043 −71%
181 Respiratory Neoplasms With Cc $7,805 $27,133 −71% $23,573 −67%
758 Infections, Female Reproductive System With Cc $7,803 $30,330 −74% $20,901 −63%
920 Complications Of Treatment With Cc $7,796 $17,295 −55% $22,468 −65%
882 Neuroses Except Depressive $7,795 $14,798 −47% $15,680 −50%
393 Other Digestive System Diagnoses With Mcc $7,774 $40,598 −81% $34,192 −77%
085 Traumatic Stupor And Coma <1 Hour With Mcc $7,728 $35,133 −78% $41,892 −82%
815 Reticuloendothelial And Immunity Disorders With Cc $7,679 $29,165 −74% $19,264 −60%
386 Inflammatory Bowel Disease With Cc $7,645 $21,795 −65% $22,033 −65%
643 Endocrine Disorders With Mcc $7,635 $38,587 −80% $33,563 −77%
178 Respiratory Infections And Inflammations With Cc $7,620 $31,191 −76% $22,024 −65%
074 Cranial And Peripheral Nerve Disorders Without Mcc $7,566 $31,306 −76% $23,141 −67%
756 Malignancy, Female Reproductive System Without Cc/Mcc $7,557 $7,557 +0% $15,589 −52%
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $7,514 $25,509 −71% $18,316 −59%
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $7,505 $21,114 −64% $16,846 −55%
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $7,445 $28,889 −74% $21,449 −65%
699 Other Kidney And Urinary Tract Diagnoses With Cc $7,422 $25,679 −71% $21,275 −65%
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $7,389 $24,675 −70% $19,924 −63%
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $7,387 $24,707 −70% $22,763 −68%
307 Cardiac Congenital And Valvular Disorders Without Mcc $7,367 $21,011 −65% $20,566 −64%
399 Appendix Procedures Without Cc/Mcc $7,331 $46,028 −84% $31,321 −77%
158 Dental And Oral Diseases With Cc $7,325 $19,746 −63% $18,466 −60%
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $7,302 $24,490 −70% $18,956 −61%
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $7,260 $26,438 −73% $16,968 −57%
950 Aftercare Without Cc/Mcc $7,209 $22,706 −68% $13,527 −47%
812 Red Blood Cell Disorders Without Mcc $7,191 $30,125 −76% $20,488 −65%
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $7,176 $20,849 −66% $15,370 −53%
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $7,165 $56,403 −87% $38,094 −81%
785 Cesarean Section With Sterilization Without Cc/Mcc $7,110 $25,718 −72% $19,846 −64%
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $7,082 $17,734 −60% $18,133 −61%
788 Cesarean Section Without Sterilization Without Cc/Mcc $7,065 $27,554 −74% $20,084 −65%
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $7,057 $26,253 −73% $22,148 −68%
607 Minor Skin Disorders Without Mcc $6,937 $13,589 −49% $15,889 −56%
202 Bronchitis And Asthma With Cc/Mcc $6,910 $23,775 −71% $17,724 −61%
550 Septic Arthritis Without Cc/Mcc $6,907 $29,079 −76% $19,138 −64%
190 Chronic Obstructive Pulmonary Disease With Mcc $6,890 $30,661 −78% $24,386 −72%
603 Cellulitis Without Mcc $6,870 $24,429 −72% $18,530 −63%
863 Postoperative And Post-Traumatic Infections Without Mcc $6,801 $28,762 −76% $20,957 −68%
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $6,767 $34,148 −80% $20,506 −67%
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $6,765 $23,838 −72% $18,126 −63%
864 Fever And Inflammatory Conditions $6,752 $20,117 −66% $18,640 −64%
273 Percutaneous And Other Intracardiac Procedures With Mcc $6,652 $131,675 −95% $78,852 −92%
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $6,614 $16,940 −61% $20,895 −68%
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $6,587 $24,144 −73% $19,594 −66%
176 Pulmonary Embolism Without Mcc $6,450 $27,128 −76% $18,081 −64%
536 Fractures Of Hip And Pelvis Without Mcc $6,430 $22,742 −72% $18,002 −64%
294 Deep Vein Thrombophlebitis With Cc/Mcc $6,418 $17,446 −63% $19,132 −66%
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $6,402 $25,566 −75% $18,072 −65%
806 Vaginal Delivery Without Sterilization Or D&C With Cc $6,370 $18,498 −66% $13,275 −52%
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $6,355 $28,476 −78% $22,850 −72%
191 Chronic Obstructive Pulmonary Disease With Cc $6,332 $23,872 −73% $18,807 −66%
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $6,282 $42,273 −85% $29,949 −79%
645 Endocrine Disorders Without Cc/Mcc $6,277 $12,844 −51% $15,428 −59%
558 Tendonitis, Myositis And Bursitis Without Mcc $6,239 $13,756 −55% $18,602 −66%
304 Hypertension With Mcc $6,232 $28,318 −78% $26,080 −76%
284 Acute Myocardial Infarction, Expired With Cc $6,230 $24,922 −75% $16,450 −62%
189 Pulmonary Edema And Respiratory Failure $6,204 $31,521 −80% $26,580 −77%
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $6,200 $21,355 −71% $17,038 −64%
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $6,111 $14,716 −58% $14,716 −58%
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $6,068 $23,545 −74% $17,322 −65%
149 Dysequilibrium $6,020 $27,340 −78% $18,096 −67%
690 Kidney And Urinary Tract Infections Without Mcc $5,951 $24,350 −76% $17,674 −66%
726 Benign Prostatic Hypertrophy Without Mcc $5,944 $15,705 −62% $15,019 −60%
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $5,922 $19,272 −69% $16,767 −65%
728 Inflammation Of The Male Reproductive System Without Mcc $5,921 $18,978 −69% $17,118 −65%
093 Other Disorders Of Nervous System Without Cc/Mcc $5,825 $25,314 −77% $17,620 −67%
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $5,821 $30,314 −81% $19,227 −70%
394 Other Digestive System Diagnoses With Cc $5,813 $27,628 −79% $20,181 −71%
194 Simple Pneumonia And Pleurisy With Cc $5,804 $27,087 −79% $18,204 −68%
309 Cardiac Arrhythmia And Conduction Disorders With Cc $5,716 $25,748 −78% $17,303 −67%
792 Prematurity Without Major Problems $5,706 $5,399 +6% $12,229 −53%
057 Degenerative Nervous System Disorders Without Mcc $5,695 $33,673 −83% $27,543 −79%
387 Inflammatory Bowel Disease Without Cc/Mcc $5,656 $22,581 −75% $16,288 −65%
921 Complications Of Treatment Without Cc/Mcc $5,623 $13,947 −60% $14,415 −61%
054 Nervous System Neoplasms With Mcc $5,618 $30,650 −82% $30,502 −82%
081 Nontraumatic Stupor And Coma Without Mcc $5,582 $17,425 −68% $16,552 −66%
389 Gastrointestinal Obstruction With Cc $5,578 $26,993 −79% $17,578 −68%
316 Other Circulatory System Diagnoses Without Cc/Mcc $5,549 $27,750 −80% $13,651 −59%
916 Allergic Reactions Without Mcc $5,510 $13,510 −59% $13,942 −60%
480 Hip And Femur Procedures Except Major Joint With Mcc $5,401 $90,438 −94% $65,653 −92%
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $5,378 $16,757 −68% $12,078 −55%
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $5,332 $18,396 −71% $14,368 −63%
918 Poisoning And Toxic Effects Of Drugs Without Mcc $5,319 $18,908 −72% $15,452 −66%
179 Respiratory Infections And Inflammations Without Cc/Mcc $5,269 $22,043 −76% $14,648 −64%
079 Hypertensive Encephalopathy Without Cc/Mcc $5,156 $31,778 −84% $11,847 −56%
600 Non-Malignant Breast Disorders With Cc/Mcc $5,143 $17,061 −70% $16,700 −69%
759 Infections, Female Reproductive System Without Cc/Mcc $5,093 $20,648 −75% $14,250 −64%
354 Hernia Procedures Except Inguinal And Femoral With Cc $5,040 $59,374 −92% $43,477 −88%
684 Renal Failure Without Cc/Mcc $4,951 $21,444 −77% $13,642 −64%
439 Disorders Of Pancreas Except Malignancy With Cc $4,941 $29,363 −83% $19,096 −74%
779 Abortion Without D&C $4,926 $14,464 −66% $15,327 −68%
866 Viral Illness Without Mcc $4,818 $21,238 −77% $17,081 −72%
292 Heart Failure And Shock With Cc $4,810 $27,360 −82% $16,371 −71%
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $4,787 $34,030 −86% $23,443 −80%
683 Renal Failure With Cc $4,699 $26,395 −82% $19,130 −75%
384 Uncomplicated Peptic Ulcer Without Mcc $4,653 $24,507 −81% $19,305 −76%
390 Gastrointestinal Obstruction Without Cc/Mcc $4,642 $15,036 −69% $13,361 −65%
203 Bronchitis And Asthma Without Cc/Mcc $4,586 $13,528 −66% $12,252 −63%
153 Otitis Media And Uri Without Mcc $4,565 $18,842 −76% $14,583 −69%
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $4,555 $22,600 −80% $13,824 −67%
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $4,491 $13,413 −67% $14,549 −69%
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $4,447 $61,626 −93% $47,737 −91%
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $4,414 $12,640 −65% $12,454 −65%
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $4,395 $15,445 −72% $13,384 −67%
378 Gastrointestinal Hemorrhage With Cc $4,088 $33,652 −88% $22,098 −82%
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $4,040 $20,313 −80% $14,689 −72%
036 Carotid Artery Stent Procedures Without Cc/Mcc $4,028 $74,218 −95% $40,694 −90%
072 Other Cerebrovascular Disorders Without Cc/Mcc $3,713 $30,617 −88% $19,037 −80%
159 Dental And Oral Diseases Without Cc/Mcc $3,562 $22,093 −84% $13,633 −74%
639 Diabetes Without Cc/Mcc $3,339 $19,853 −83% $13,910 −76%
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $3,224 $30,275 −89% $31,159 −90%
813 Coagulation Disorders $3,173 $34,947 −91% $33,296 −90%
644 Endocrine Disorders With Cc $2,860 $29,273 −90% $23,198 −88%
280 Acute Myocardial Infarction, Discharged Alive With Mcc $2,818 $28,348 −90% $30,828 −91%
884 Organic Disturbances And Intellectual Disability $2,522 $27,174 −91% $26,682 −91%
885 Psychoses $2,330 $18,408 −87% $21,729 −89%
881 Depressive Neuroses $2,085 $15,058 −86% $15,058 −86%
902 Wound Debridements For Injuries With Cc $2,000 $43,163 −95% $40,562 −95%
313 Chest Pain $1,882 $21,293 −91% $16,440 −89%
794 Neonate With Other Significant Problems $1,880 $4,134 −55% $8,445 −78%
083 Traumatic Stupor And Coma >1 Hour With Cc $1,875 $24,118 −92% $27,285 −93%
103 Headaches Without Mcc $1,797 $29,265 −94% $21,280 −92%
689 Kidney And Urinary Tract Infections With Mcc $1,770 $35,833 −95% $23,617 −93%
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $1,697 $9,715 −83% $9,940 −83%
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $1,679 $23,003 −93% $19,270 −91%
197 Interstitial Lung Disease With Cc $1,610 $22,530 −93% $21,941 −93%
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $1,602 $21,806 −93% $16,699 −90%
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $1,600 $38,993 −96% $26,932 −94%
894 Alcohol, Drug Abuse Or Dependence, Left Ama $1,565 $15,550 −90% $12,324 −87%
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $1,543 $30,132 −95% $23,551 −93%
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $1,185 $32,902 −96% $25,463 −95%
293 Heart Failure And Shock Without Cc/Mcc $1,129 $15,157 −93% $12,999 −91%
795 Normal Newborn $1,072 $3,473 −69% $4,720 −77%
999 Ungroupable $429 $14,162 −97% $29,674 −99%

Procedures with negotiated rates only

These 306 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
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $204,098 – $539,040 · median $387,787 12 plans
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $83,337 – $217,967 · median $158,341 12 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $75,949 – $198,322 · median $144,302 12 plans
006 Liver Transplant Without Mcc $34,903 – $89,193 · median $66,316 12 plans
007 Lung Transplant $95,046 – $249,097 · median $180,587 12 plans
008 Simultaneous Pancreas And Kidney Transplant $41,903 – $107,804 · median $79,616 12 plans
010 Pancreas Transplant $53,270 – $138,025 · median $101,212 12 plans
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $40,814 – $104,910 · median $77,547 12 plans
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $31,857 – $81,095 · median $60,529 12 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $22,205 – $55,431 · median $42,189 12 plans
014 Allogeneic Bone Marrow Transplant $88,301 – $231,164 · median $167,772 12 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $44,255 – $114,058 · median $84,085 12 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $40,657 – $104,490 · median $77,248 12 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $313,767 – $830,621 · median $596,157 12 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $52,972 – $137,234 · median $100,647 12 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $39,655 – $101,826 · median $75,344 12 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $24,343 – $61,117 · median $46,252 12 plans
029 Spinal Procedures With Cc Or Spinal Neurostimulators $26,038 – $65,622 · median $49,472 12 plans
032 Ventricular Shunt Procedures With Cc $16,773 – $40,990 · median $31,869 12 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $13,387 – $31,986 · median $24,870 12 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $8,440 – $18,835 · median $14,645 12 plans
056 Degenerative Nervous System Disorders With Mcc $18,163 – $44,685 · median $34,509 12 plans
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $15,905 – $38,682 · median $30,077 12 plans
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $8,665 – $19,433 · median $15,110 12 plans
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $6,308 – $13,164 · median $10,236 12 plans
068 Precerebral Occlusion Without Infarction Without Mcc $7,610 – $16,627 · median $12,928 12 plans
069 Transient Ischemia Without Thrombolytic $7,135 – $15,365 · median $11,947 12 plans
071 Other Cerebrovascular Disorders With Cc $8,779 – $19,735 · median $15,345 12 plans
076 Viral Meningitis Without Cc/Mcc $7,326 – $15,873 · median $12,342 12 plans
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $7,974 – $17,594 · median $13,680 12 plans
088 Concussion With Mcc $11,136 – $26,002 · median $20,218 12 plans
090 Concussion Without Cc/Mcc $7,312 – $15,834 · median $12,312 12 plans
092 Other Disorders Of Nervous System With Cc $8,757 – $19,677 · median $15,300 12 plans
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $27,486 – $69,473 · median $52,224 12 plans
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $17,959 – $44,142 · median $34,122 12 plans
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $11,213 – $26,206 · median $20,376 12 plans
100 Seizures With Mcc $15,368 – $37,254 · median $28,967 12 plans
101 Seizures Without Mcc $7,886 – $17,362 · median $13,499 12 plans
113 Orbital Procedures With Cc/Mcc $18,365 – $45,223 · median $34,894 12 plans
114 Orbital Procedures Without Cc/Mcc $11,145 – $26,025 · median $20,235 12 plans
115 Extraocular Procedures Except Orbit $12,461 – $29,524 · median $22,956 12 plans
116 Intraocular Procedures With Cc/Mcc $14,437 – $34,779 · median $27,042 12 plans
117 Intraocular Procedures Without Cc/Mcc $9,205 – $20,868 · median $16,226 12 plans
122 Acute Major Eye Infections Without Cc/Mcc $7,041 – $15,115 · median $11,752 12 plans
125 Other Disorders Of The Eye Without Mcc $6,911 – $14,769 · median $11,483 12 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $17,055 – $41,740 · median $32,405 12 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $8,701 – $19,529 · median $15,185 12 plans
137 Mouth Procedures With Cc/Mcc $12,159 – $28,722 · median $22,332 12 plans
138 Mouth Procedures Without Cc/Mcc $7,767 – $17,046 · median $13,254 12 plans
139 Salivary Gland Procedures $10,296 – $23,769 · median $18,481 12 plans
140 Major Head And Neck Procedures With Mcc $32,214 – $82,043 · median $61,206 12 plans
141 Major Head And Neck Procedures With Cc $17,136 – $41,953 · median $32,558 12 plans
142 Major Head And Neck Procedures Without Cc/Mcc $12,905 – $30,707 · median $23,876 12 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $28,461 – $72,066 · median $54,077 12 plans
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $13,893 – $33,332 · median $25,917 12 plans
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $10,054 – $23,126 · median $17,982 12 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $10,555 – $24,457 · median $19,017 12 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $7,123 – $15,332 · median $11,921 12 plans
151 Epistaxis Without Mcc $6,666 – $14,118 · median $10,978 12 plans
157 Dental And Oral Diseases With Mcc $13,777 – $33,023 · median $25,676 12 plans
166 Other Respiratory System O.R. Procedures With Mcc $28,397 – $71,895 · median $53,954 12 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $22,889 – $57,251 · median $43,490 12 plans
185 Major Chest Trauma Without Cc/Mcc $7,046 – $15,128 · median $11,763 12 plans
188 Pleural Effusion Without Cc/Mcc $6,545 – $13,795 · median $10,726 12 plans
196 Interstitial Lung Disease With Mcc $15,009 – $36,300 · median $28,225 12 plans
198 Interstitial Lung Disease Without Cc/Mcc $6,538 – $13,776 · median $10,711 12 plans
200 Pneumothorax With Cc $9,309 – $21,145 · median $16,441 12 plans
204 Respiratory Signs And Symptoms $7,197 – $15,530 · median $12,075 12 plans
206 Other Respiratory System Diagnoses Without Mcc $8,165 – $18,102 · median $14,075 12 plans
209 Complex Aortic Arch Procedures $83,243 – $217,717 · median $158,162 12 plans
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $42,643 – $109,772 · median $81,022 12 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $48,926 – $126,476 · median $92,959 12 plans
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $37,820 – $96,948 · median $71,858 12 plans
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $21,978 – $54,829 · median $41,759 12 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $11,372 – $26,629 · median $20,705 12 plans
243 Permanent Cardiac Pacemaker Implant With Cc $16,772 – $40,988 · median $31,868 12 plans
245 Aicd Generator Procedures $34,363 – $87,758 · median $65,290 12 plans
253 Other Vascular Procedures With Cc $20,134 – $49,926 · median $38,255 12 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $9,258 – $21,008 · median $16,335 12 plans
258 Cardiac Pacemaker Device Replacement With Mcc $24,088 – $60,438 · median $45,767 12 plans
259 Cardiac Pacemaker Device Replacement Without Mcc $15,985 – $38,895 · median $30,243 12 plans
263 Vein Ligation And Stripping $23,475 – $58,809 · median $44,603 12 plans
265 Aicd Lead Procedures $27,532 – $69,596 · median $52,312 12 plans
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $52,942 – $137,153 · median $100,589 12 plans
281 Acute Myocardial Infarction, Discharged Alive With Cc $8,005 – $17,679 · median $13,746 12 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $5,689 – $11,520 · median $8,957 12 plans
288 Acute And Subacute Endocarditis With Mcc $20,934 – $52,054 · median $39,775 12 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $8,082 – $17,883 · median $13,905 12 plans
297 Cardiac Arrest, Unexplained With Cc $5,943 – $12,195 · median $9,482 12 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $4,649 – $8,832 · median $6,806 12 plans
299 Peripheral Vascular Disorders With Mcc $13,168 – $31,405 · median $24,419 12 plans
301 Peripheral Vascular Disorders Without Cc/Mcc $6,563 – $13,843 · median $10,764 12 plans
302 Atherosclerosis With Mcc $10,013 – $23,017 · median $17,896 12 plans
303 Atherosclerosis Without Mcc $6,226 – $12,949 · median $10,068 12 plans
305 Hypertension Without Mcc $6,819 – $14,524 · median $11,293 12 plans
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $10,067 – $23,159 · median $18,007 12 plans
311 Angina Pectoris $6,434 – $13,501 · median $10,498 12 plans
312 Syncope And Collapse $7,662 – $16,765 · median $13,036 12 plans
314 Other Circulatory System Diagnoses With Mcc $16,442 – $40,109 · median $31,186 12 plans
315 Other Circulatory System Diagnoses With Cc $8,325 – $18,529 · median $14,407 12 plans
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $49,730 – $128,615 · median $94,488 12 plans
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $18,880 – $46,591 · median $35,872 12 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $33,643 – $85,844 · median $63,923 12 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $18,758 – $46,266 · median $35,639 12 plans
333 Rectal Resection With Cc $18,301 – $45,052 · median $34,772 12 plans
334 Rectal Resection Without Cc/Mcc $13,206 – $31,505 · median $24,496 12 plans
348 Anal And Stomal Procedures With Cc $10,825 – $25,175 · median $19,574 12 plans
349 Anal And Stomal Procedures Without Cc/Mcc $7,655 – $16,746 · median $13,021 12 plans
350 Inguinal And Femoral Hernia Procedures With Mcc $19,384 – $47,932 · median $36,830 12 plans
351 Inguinal And Femoral Hernia Procedures With Cc $12,385 – $29,324 · median $22,800 12 plans
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $26,233 – $66,141 · median $49,843 12 plans
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $18,823 – $46,439 · median $35,763 12 plans
368 Major Esophageal Disorders With Mcc $12,873 – $30,620 · median $23,808 12 plans
370 Major Esophageal Disorders Without Cc/Mcc $6,426 – $13,480 · median $10,481 12 plans
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $14,184 – $34,106 · median $26,518 12 plans
375 Digestive Malignancy With Cc $10,107 – $23,267 · median $18,091 12 plans
376 Digestive Malignancy Without Cc/Mcc $8,043 – $17,779 · median $13,824 12 plans
379 Gastrointestinal Hemorrhage Without Cc/Mcc $5,917 – $12,126 · median $9,428 12 plans
381 Complicated Peptic Ulcer With Cc $9,195 – $20,841 · median $16,205 12 plans
382 Complicated Peptic Ulcer Without Cc/Mcc $7,148 – $15,400 · median $11,974 12 plans
383 Uncomplicated Peptic Ulcer With Mcc $11,345 – $26,558 · median $20,650 12 plans
388 Gastrointestinal Obstruction With Mcc $12,040 – $28,406 · median $22,087 12 plans
395 Other Digestive System Diagnoses Without Cc/Mcc $6,051 – $12,484 · median $9,706 12 plans
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $30,443 – $77,334 · median $57,841 12 plans
405 Pancreas, Liver And Shunt Procedures With Mcc $40,933 – $105,225 · median $77,773 12 plans
406 Pancreas, Liver And Shunt Procedures With Cc $22,338 – $55,785 · median $42,442 12 plans
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $17,414 – $42,694 · median $33,087 12 plans
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $27,152 – $68,584 · median $51,589 12 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $12,843 – $30,539 · median $23,746 12 plans
411 Cholecystectomy With C.D.E. With Mcc $25,254 – $63,539 · median $47,983 12 plans
412 Cholecystectomy With C.D.E. With Cc $16,567 – $40,442 · median $31,445 12 plans
413 Cholecystectomy With C.D.E. Without Cc/Mcc $13,369 – $31,940 · median $24,834 12 plans
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $11,219 – $26,223 · median $20,390 12 plans
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $18,621 – $45,902 · median $35,380 12 plans
420 Hepatobiliary Diagnostic Procedures With Mcc $26,005 – $65,536 · median $49,410 12 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $11,481 – $26,919 · median $20,931 12 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $12,210 – $28,858 · median $22,438 12 plans
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $81,090 – $211,993 · median $154,071 12 plans
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $53,580 – $138,850 · median $101,802 12 plans
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $42,029 – $108,139 · median $79,855 12 plans
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $66,537 – $173,300 · median $126,420 12 plans
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $43,079 – $110,930 · median $81,850 12 plans
433 Cirrhosis And Alcoholic Hepatitis With Cc $8,997 – $20,316 · median $15,797 12 plans
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $6,511 – $13,705 · median $10,656 12 plans
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $7,529 – $16,413 · median $12,762 12 plans
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $5,852 – $11,953 · median $9,294 12 plans
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $6,418 – $13,459 · median $10,465 12 plans
445 Disorders Of The Biliary Tract With Cc $9,274 – $21,051 · median $16,368 12 plans
446 Disorders Of The Biliary Tract Without Cc/Mcc $7,341 – $15,913 · median $12,373 12 plans
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $49,695 – $128,521 · median $94,420 12 plans
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $32,037 – $81,572 · median $60,870 12 plans
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $39,914 – $102,515 · median $75,836 12 plans
451 Single Level Spinal Fusion Except Cervical Without Mcc $24,727 – $62,137 · median $46,981 12 plans
466 Revision Of Hip Or Knee Replacement With Mcc $39,015 – $100,126 · median $74,129 12 plans
472 Cervical Spinal Fusion With Cc $22,670 – $56,668 · median $43,073 12 plans
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $14,805 – $35,756 · median $27,802 12 plans
481 Hip And Femur Procedures Except Major Joint With Cc $16,509 – $40,288 · median $31,325 12 plans
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $14,153 – $34,025 · median $26,456 12 plans
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $15,872 – $38,595 · median $30,009 12 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $10,098 – $23,242 · median $18,071 12 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $15,932 – $38,755 · median $30,133 12 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $14,425 – $34,746 · median $27,017 12 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $12,312 – $29,129 · median $22,649 12 plans
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $16,390 – $39,972 · median $31,080 12 plans
533 Fractures Of Femur With Mcc $12,698 – $30,155 · median $23,447 12 plans
534 Fractures Of Femur Without Mcc $7,188 – $15,505 · median $12,056 12 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $6,567 – $13,855 · median $10,773 12 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $6,815 – $14,515 · median $11,286 12 plans
545 Connective Tissue Disorders With Mcc $19,310 – $47,736 · median $36,690 12 plans
552 Medical Back Problems Without Mcc $8,311 – $18,491 · median $14,377 12 plans
554 Bone Diseases And Arthropathies Without Mcc $7,362 – $15,967 · median $12,415 12 plans
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $10,919 – $25,425 · median $19,769 12 plans
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $9,503 – $21,661 · median $16,842 12 plans
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $7,172 – $15,463 · median $12,023 12 plans
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $11,664 – $27,406 · median $21,309 12 plans
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $7,835 – $17,225 · median $13,393 12 plans
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $12,523 – $29,691 · median $23,086 12 plans
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $8,406 – $18,743 · median $14,573 12 plans
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $48,753 – $126,016 · median $92,631 12 plans
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $26,470 – $66,772 · median $50,294 12 plans
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $36,814 – $94,275 · median $69,947 12 plans
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $12,978 – $30,899 · median $24,025 12 plans
582 Mastectomy For Malignancy With Cc/Mcc $15,294 – $37,058 · median $28,814 12 plans
583 Mastectomy For Malignancy Without Cc/Mcc $13,832 – $33,169 · median $25,790 12 plans
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $15,312 – $37,106 · median $28,852 12 plans
594 Skin Ulcers Without Cc/Mcc $7,627 – $16,673 · median $12,964 12 plans
595 Major Skin Disorders With Mcc $16,699 – $40,792 · median $31,717 12 plans
598 Malignant Breast Disorders With Cc $9,541 – $21,761 · median $16,920 12 plans
599 Malignant Breast Disorders Without Cc/Mcc $6,922 – $14,799 · median $11,507 12 plans
601 Non-Malignant Breast Disorders Without Cc/Mcc $5,733 – $11,637 · median $9,048 12 plans
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $14,887 – $35,975 · median $27,972 12 plans
619 O.R. Procedures For Obesity With Mcc $22,245 – $55,539 · median $42,266 12 plans
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $14,334 – $34,506 · median $26,830 12 plans
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $10,413 – $24,080 · median $18,723 12 plans
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $12,204 – $28,841 · median $22,425 12 plans
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $10,966 – $25,550 · median $19,866 12 plans
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $28,318 – $71,685 · median $53,804 12 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $11,915 – $28,073 · median $21,828 12 plans
638 Diabetes With Cc $7,840 – $17,238 · median $13,404 12 plans
650 Kidney Transplant With Hemodialysis With Mcc $35,369 – $90,431 · median $67,201 12 plans
651 Kidney Transplant With Hemodialysis Without Mcc $28,166 – $71,281 · median $53,516 12 plans
652 Kidney Transplant $24,720 – $62,119 · median $46,969 12 plans
653 Major Bladder Procedures With Mcc $38,950 – $99,953 · median $74,005 12 plans
654 Major Bladder Procedures With Cc $21,608 – $53,845 · median $41,055 12 plans
655 Major Bladder Procedures Without Cc/Mcc $16,669 – $40,713 · median $31,656 12 plans
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $8,847 – $19,916 · median $15,485 12 plans
664 Minor Bladder Procedures Without Cc/Mcc $8,930 – $20,137 · median $15,657 12 plans
667 Prostatectomy Without Cc/Mcc $9,359 – $21,278 · median $16,544 12 plans
668 Transurethral Procedures With Mcc $22,481 – $56,166 · median $42,714 12 plans
670 Transurethral Procedures Without Cc/Mcc $8,427 – $18,798 · median $14,617 12 plans
671 Urethral Procedures With Cc/Mcc $14,342 – $34,527 · median $26,846 12 plans
672 Urethral Procedures Without Cc/Mcc $9,166 – $20,764 · median $16,145 12 plans
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $13,231 – $31,572 · median $24,549 12 plans
686 Kidney And Urinary Tract Neoplasms With Mcc $14,405 – $34,694 · median $26,976 12 plans
687 Kidney And Urinary Tract Neoplasms With Cc $8,937 – $20,154 · median $15,671 12 plans
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $7,074 – $15,201 · median $11,820 12 plans
694 Urinary Stones Without Mcc $7,011 – $15,036 · median $11,691 12 plans
697 Urethral Stricture $9,154 – $20,731 · median $16,120 12 plans
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $6,347 – $13,270 · median $10,318 12 plans
710 Penis Procedures Without Cc/Mcc $11,493 – $26,952 · median $20,956 12 plans
712 Testes Procedures Without Cc/Mcc $9,312 – $21,153 · median $16,447 12 plans
714 Transurethral Prostatectomy Without Cc/Mcc $9,006 – $20,339 · median $15,814 12 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $17,542 – $43,034 · median $33,330 12 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $11,998 – $28,295 · median $22,000 12 plans
722 Malignancy, Male Reproductive System With Mcc $14,449 – $34,810 · median $27,066 12 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $6,100 – $12,612 · median $9,807 12 plans
725 Benign Prostatic Hypertrophy With Mcc $9,822 – $22,509 · median $17,502 12 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $6,218 – $12,926 · median $10,050 12 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $16,766 – $40,971 · median $31,855 12 plans
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $11,980 – $28,247 · median $21,963 12 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $9,586 – $21,880 · median $17,012 12 plans
748 Female Reproductive System Reconstructive Procedures $11,393 – $26,685 · median $20,748 12 plans
755 Malignancy, Female Reproductive System With Cc $9,226 – $20,924 · median $16,269 12 plans
757 Infections, Female Reproductive System With Mcc $11,715 – $27,543 · median $21,416 12 plans
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $5,483 – $10,974 · median $8,532 12 plans
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $9,799 – $18,618 · median $10,607 12 plans
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $8,594 – $16,328 · median $12,240 12 plans
800 Splenic Procedures With Cc $21,681 – $54,039 · median $41,194 12 plans
801 Splenic Procedures Without Cc/Mcc $15,166 – $36,718 · median $28,550 12 plans
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $14,805 – $35,756 · median $27,802 12 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $11,166 – $26,083 · median $20,280 12 plans
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $5,928 – $12,157 · median $9,452 12 plans
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $7,577 – $16,540 · median $12,861 12 plans
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $43,786 – $112,809 · median $83,193 12 plans
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $17,552 – $43,059 · median $33,348 12 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $10,067 – $23,159 · median $18,007 12 plans
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $17,747 – $43,579 · median $33,719 12 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $13,682 – $32,773 · median $25,482 12 plans
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $24,218 – $60,783 · median $46,013 12 plans
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $12,244 – $28,949 · median $22,509 12 plans
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $6,577 – $13,880 · median $10,792 12 plans
834 Acute Leukemia With Mcc $41,073 – $105,598 · median $78,040 12 plans
835 Acute Leukemia With Cc $16,446 – $40,120 · median $31,195 12 plans
836 Acute Leukemia Without Cc/Mcc $10,179 – $23,457 · median $18,239 12 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $36,113 – $92,411 · median $68,615 12 plans
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $16,458 – $40,151 · median $31,219 12 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $11,802 – $27,773 · median $21,595 12 plans
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $15,788 – $38,370 · median $29,834 12 plans
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $7,517 – $16,381 · median $12,737 12 plans
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $20,112 – $49,867 · median $38,213 12 plans
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $7,501 – $16,338 · median $12,704 12 plans
849 Radiotherapy $20,958 – $52,117 · median $39,821 12 plans
850 Acute Leukemia With Other Procedures $64,004 – $166,565 · median $121,608 12 plans
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $15,812 – $38,433 · median $29,884 12 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $12,188 – $28,799 · median $22,392 12 plans
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $16,849 – $41,192 · median $32,013 12 plans
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $11,433 – $26,792 · median $20,832 12 plans
862 Postoperative And Post-Traumatic Infections With Mcc $14,550 – $35,079 · median $27,275 12 plans
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $6,635 – $14,036 · median $10,913 12 plans
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $8,759 – $19,683 · median $15,304 12 plans
880 Acute Adjustment Reaction And Psychosocial Dysfunction $8,303 – $18,469 · median $14,361 12 plans
883 Disorders Of Personality And Impulse Control $15,582 – $37,822 · median $29,408 12 plans
886 Behavioral And Developmental Disorders $16,370 – $39,918 · median $31,038 12 plans
887 Other Mental Disorder Diagnoses $9,104 – $20,599 · median $16,016 12 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $11,597 – $27,229 · median $21,172 12 plans
901 Wound Debridements For Injuries With Mcc $31,717 – $80,722 · median $60,262 12 plans
903 Wound Debridements For Injuries Without Cc/Mcc $9,818 – $22,497 · median $17,493 12 plans
904 Skin Grafts For Injuries With Cc/Mcc $27,930 – $70,652 · median $53,066 12 plans
905 Skin Grafts For Injuries Without Cc/Mcc $12,088 – $28,533 · median $22,186 12 plans
906 Hand Procedures For Injuries $15,567 – $37,783 · median $29,378 12 plans
914 Traumatic Injury Without Mcc $7,762 – $17,033 · median $13,244 12 plans
915 Allergic Reactions With Mcc $13,522 – $32,346 · median $25,150 12 plans
917 Poisoning And Toxic Effects Of Drugs With Mcc $12,703 – $30,168 · median $23,457 12 plans
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $8,719 – $19,575 · median $15,221 12 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $155,819 – $410,677 · median $296,056 12 plans
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $53,248 – $137,967 · median $101,171 12 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $24,657 – $61,952 · median $46,849 12 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $29,529 – $74,905 · median $56,105 12 plans
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $17,349 – $42,521 · median $32,963 12 plans
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $27,607 – $69,794 · median $52,453 12 plans
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $18,263 – $44,950 · median $34,699 12 plans
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $16,026 – $39,003 · median $30,326 12 plans
945 Rehabilitation With Cc/Mcc $12,560 – $29,787 · median $23,161 12 plans
946 Rehabilitation Without Cc/Mcc $9,653 – $22,059 · median $17,152 12 plans
948 Signs And Symptoms Without Mcc $7,147 – $15,398 · median $11,972 12 plans
951 Other Factors Influencing Health Status $5,379 – $10,695 · median $8,316 12 plans
955 Craniotomy For Multiple Significant Trauma $50,053 – $129,473 · median $95,101 12 plans
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $31,842 – $81,054 · median $60,500 12 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $22,656 – $56,630 · median $43,046 12 plans
963 Other Multiple Significant Trauma With Mcc $21,134 – $52,585 · median $40,155 12 plans
965 Other Multiple Significant Trauma Without Cc/Mcc $8,160 – $18,091 · median $14,066 12 plans
969 Hiv With Extensive O.R. Procedures With Mcc $45,641 – $117,743 · median $86,719 12 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $20,437 – $50,730 · median $38,830 12 plans
976 Hiv With Major Related Condition Without Cc/Mcc $7,887 – $17,363 · median $13,501 12 plans
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $35,299 – $90,247 · median $67,069 12 plans
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $26,159 – $65,945 · median $49,703 12 plans
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