Chilton Medical Center — Pricing
393 procedures published in this hospital's Machine-Readable File (MRF) — 392 with a comparable price, 1 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 393
Lowest published price $5,823
Average published price $103,346
Highest published price $1,729,175
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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 393 procedures
Published charges
Showing all 392 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.
Across 40 procedures, this hospital's negotiated rates average ≈340% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. NJ median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 161 | IMPLANTABLE HEART ASSIST SYSTEMS,EXTREME | $1,729,175 | — | $1,729,175 | +0% | $1,181,300 | +46% | — |
| 588 | NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,MAJOR | $1,196,961 | — | $1,196,961 | +0% | $1,196,961 | +0% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,063,584 | — | $19,063 | +5479% | $34,535 | +2980% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $558,634 | $25,841 | $18,403 | +2936% | $42,901 | +1202% | — |
| 483 | PENIS, TESTES AND SCROTAL PROCEDURES,EXTREME | $438,132 | — | $21,618 | +1927% | $58,707 | +646% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $414,976 | $92,198 | $99,484 | +317% | $144,569 | +187% | — |
| 110 | EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES,EXTREME | $381,874 | — | $381,874 | +0% | $126,895 | +201% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $352,506 | $89,607 | $96,002 | +267% | $120,573 | +192% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $346,884 | — | $48,003 | +623% | $61,832 | +461% | — |
| 530 | FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR | $333,949 | — | $333,949 | +0% | $40,040 | +734% | — |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $326,499 | $41,780 | $48,538 | +573% | $66,848 | +388% | — |
| 304 | DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,MODERATE | $315,546 | — | $9,966 | +3066% | $26,080 | +1110% | — |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $314,071 | — | $70,773 | +344% | $103,455 | +204% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $299,351 | — | $63,765 | +369% | $102,573 | +192% | — |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $291,744 | $55,614 | $56,990 | +412% | $92,217 | +216% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $284,665 | $30,814 | $33,961 | +738% | $41,422 | +587% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $276,414 | $68,754 | $73,617 | +275% | $96,192 | +187% | — |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $270,181 | — | $270,181 | +0% | $57,380 | +371% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $266,047 | $12,443 | $10,560 | +2419% | $22,851 | +1064% | — |
| 181 | LOWER VASCULAR PROCEDURES,MAJOR | $264,939 | — | $9,419 | +2713% | $23,573 | +1024% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $264,843 | — | $59,237 | +347% | $83,441 | +217% | — |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME | $261,633 | — | $261,633 | +0% | $77,914 | +236% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $257,266 | $50,341 | $56,745 | +353% | $101,510 | +153% | — |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $255,487 | $25,529 | $18,204 | +1303% | $31,044 | +723% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $253,847 | — | $76,220 | +233% | $98,912 | +157% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $253,749 | — | $53,402 | +375% | $90,331 | +181% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $249,826 | $60,547 | $58,029 | +331% | $99,423 | +151% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $249,253 | $50,391 | $54,189 | +360% | $82,561 | +202% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $239,874 | $56,203 | $63,003 | +281% | $82,218 | +192% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $230,622 | — | $75,626 | +205% | $113,077 | +104% | — |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $225,710 | $64,893 | $66,247 | +241% | $105,899 | +113% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $225,142 | $55,318 | $59,849 | +276% | $87,761 | +157% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $214,436 | $72,083 | $68,716 | +212% | $80,018 | +168% | — |
| 320 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MAJOR | $209,186 | — | $19,638 | +965% | $40,060 | +422% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $206,135 | $59,005 | $66,300 | +211% | $93,172 | +121% | ≈319% of Medicare |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $203,048 | $44,957 | $49,588 | +309% | $74,755 | +172% | — |
| 665 | PROSTATECTOMY WITH MCC | $199,539 | $40,639 | $43,765 | +356% | $54,072 | +269% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $196,708 | $28,612 | $23,047 | +754% | $43,491 | +352% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $193,830 | — | $18,659 | +939% | $41,608 | +366% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $193,096 | $48,941 | $52,205 | +270% | $79,225 | +144% | — |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR | $192,564 | — | $192,564 | +0% | $45,364 | +324% | — |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $192,321 | — | $192,321 | +0% | $33,983 | +466% | — |
| 026 | OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,MAJOR | $190,989 | — | $25,948 | +636% | $64,523 | +196% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $188,106 | $27,176 | $19,370 | +871% | $42,415 | +343% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $186,574 | $64,010 | $69,661 | +168% | $102,128 | +83% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $179,547 | $40,548 | $46,123 | +289% | $70,847 | +153% | — |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MAJOR | $179,426 | — | $179,426 | +0% | $74,377 | +141% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $178,537 | — | $17,073 | +946% | $32,031 | +457% | — |
| 175 | PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE | $173,161 | — | $11,954 | +1349% | $30,959 | +459% | ≈254% of Medicare |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $172,693 | — | $54,021 | +220% | $72,962 | +137% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $172,441 | $41,714 | $45,480 | +279% | $56,964 | +203% | — |
| 021 | OPEN CRANIOTOMY EXCEPT TRAUMA,EXTREME | $171,613 | — | $74,709 | +130% | $106,057 | +62% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $168,743 | $33,315 | $23,825 | +608% | $58,043 | +191% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $168,417 | — | $21,420 | +686% | $49,423 | +241% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $167,515 | — | $52,219 | +221% | $77,990 | +115% | ≈269% of Medicare |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $163,020 | $37,665 | $30,412 | +436% | $66,711 | +144% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $162,011 | $36,729 | $48,637 | +233% | $62,583 | +159% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $160,424 | — | $111,108 | +44% | $153,282 | +5% | — |
| 325 | NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MODERATE | $159,139 | — | $40,065 | +297% | $61,217 | +160% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $158,149 | $45,685 | $32,789 | +382% | $66,685 | +137% | — |
| 137 | MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MODERATE | $157,112 | — | $11,865 | +1224% | $27,861 | +464% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $156,448 | — | $15,108 | +936% | $52,075 | +200% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $154,289 | $30,712 | $10,939 | +1310% | $27,989 | +451% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $153,268 | $27,470 | $19,619 | +681% | $59,629 | +157% | — |
| 509 | ARTHROSCOPY | $150,322 | $20,955 | $14,903 | +909% | $25,994 | +478% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $147,563 | $28,554 | $20,369 | +624% | $59,651 | +147% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $145,296 | $41,766 | $29,942 | +385% | $50,919 | +185% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $143,367 | — | $62,792 | +128% | $88,050 | +63% | ≈349% of Medicare |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $143,222 | — | $18,301 | +683% | $45,877 | +212% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $141,689 | $20,532 | $14,558 | +873% | $38,094 | +272% | — |
| 135 | MAJOR CHEST AND RESPIRATORY TRAUMA,MAJOR | $141,116 | — | $20,455 | +590% | $42,186 | +235% | — |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR | $139,112 | — | $139,112 | +0% | $30,000 | +364% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $135,989 | $16,263 | $11,062 | +1129% | $21,894 | +521% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $133,328 | — | $11,918 | +1019% | $39,887 | +234% | — |
| 949 | AFTERCARE WITH CC/MCC | $133,243 | — | $9,154 | +1356% | $23,953 | +456% | — |
| 773 | OPIOID ABUSE AND DEPENDENCE,EXTREME | $130,556 | — | $130,556 | +0% | $87,384 | +49% | — |
| 661 | COAGULATION AND PLATELET DISORDERS,MAJOR | $128,165 | — | $8,709 | +1372% | $25,970 | +394% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $127,165 | $53,960 | $45,819 | +178% | $89,207 | +43% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $126,340 | — | $24,727 | +411% | $70,467 | +79% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $125,210 | — | $39,757 | +215% | $58,745 | +113% | — |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM,EXTREME | $123,919 | — | $15,660 | +691% | $30,243 | +310% | — |
| 231 | MAJOR LARGE BOWEL PROCEDURES,EXTREME | $120,412 | — | $100,406 | +20% | $147,227 | −18% | — |
| 314 | FOOT AND TOE PROCEDURES,MAJOR | $118,901 | — | $18,269 | +551% | $38,666 | +208% | ≈117% of Medicare |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $118,766 | $25,953 | $18,485 | +543% | $45,333 | +162% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $118,308 | — | $17,920 | +560% | $50,463 | +134% | — |
| 055 | HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,MODERATE | $117,416 | — | $9,255 | +1169% | $20,926 | +461% | — |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE | $117,403 | — | $12,737 | +822% | $26,436 | +344% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $116,327 | — | $17,786 | +554% | $46,066 | +153% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $115,726 | $22,501 | $15,984 | +624% | $32,637 | +255% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $115,460 | — | $16,620 | +595% | $40,213 | +187% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $114,880 | $31,314 | $39,985 | +187% | $65,653 | +75% | ≈329% of Medicare |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $114,486 | — | $20,770 | +451% | $51,985 | +120% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $114,215 | — | $15,997 | +614% | $37,844 | +202% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $114,147 | $21,792 | $15,470 | +638% | $31,105 | +267% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $113,859 | — | $24,882 | +358% | $60,170 | +89% | — |
| 100 | SEIZURES WITH MCC | $112,285 | $23,058 | $16,842 | +567% | $35,481 | +216% | ≈313% of Medicare |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $111,110 | — | $14,114 | +687% | $32,628 | +241% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $110,503 | $45,526 | $50,951 | +117% | $75,573 | +46% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $109,845 | — | $16,738 | +556% | $43,800 | +151% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $109,590 | — | $17,066 | +542% | $46,090 | +138% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $109,517 | $33,945 | $40,277 | +172% | $58,975 | +86% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $108,936 | $21,804 | $15,479 | +604% | $37,950 | +187% | — |
| 503 | FOOT PROCEDURES WITH MCC | $108,872 | $27,763 | $22,452 | +385% | $47,540 | +129% | — |
| 206 | MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE,EXTREME | $106,398 | — | $7,684 | +1285% | $18,488 | +475% | — |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $106,352 | $26,852 | $19,158 | +455% | $38,998 | +173% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $105,802 | $16,443 | $13,147 | +705% | $32,877 | +222% | — |
| 023 | SPINAL PROCEDURES,MODERATE | $105,734 | — | $74,760 | +41% | $106,778 | −1% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $104,455 | $21,200 | $15,041 | +594% | $38,101 | +174% | — |
| 136 | RESPIRATORY MALIGNANCY,MODERATE | $104,327 | — | $8,299 | +1157% | $17,404 | +499% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $104,050 | — | $26,161 | +298% | $53,864 | +93% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $102,565 | $20,044 | $14,204 | +622% | $37,169 | +176% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $102,512 | — | $18,191 | +464% | $38,070 | +169% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $101,966 | $22,972 | $16,325 | +525% | $39,627 | +157% | — |
| 592 | SKIN ULCERS WITH MCC | $101,467 | $24,477 | $17,445 | +482% | $33,246 | +205% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $101,458 | — | $49,404 | +105% | $71,755 | +41% | — |
| 324 | ELECTIVE HIP JOINT REPLACEMENT,MODERATE | $101,113 | — | $27,106 | +273% | $71,464 | +41% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $99,544 | $27,117 | $19,334 | +415% | $48,349 | +106% | — |
| 445 | OTHER BLADDER PROCEDURES,MAJOR | $99,338 | — | $9,200 | +980% | $23,319 | +326% | ≈257% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MCC | $98,774 | $19,839 | $14,060 | +603% | $33,563 | +194% | — |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MAJOR | $98,651 | — | $19,144 | +415% | $36,167 | +173% | — |
| 043 | MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE | $98,362 | — | $98,362 | +0% | $46,703 | +111% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $96,780 | $23,556 | $16,729 | +479% | $44,139 | +119% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $96,587 | $18,524 | $13,159 | +634% | $34,434 | +181% | — |
| 951 | MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MINOR | $96,536 | — | $4,810 | +1907% | $10,160 | +850% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $96,450 | $21,787 | $15,425 | +525% | $37,842 | +155% | ≈322% of Medicare |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $95,882 | $22,511 | $15,996 | +499% | $50,607 | +89% | — |
| 622 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR | $95,695 | — | $31,745 | +201% | $61,470 | +56% | — |
| 204 | SYNCOPE AND COLLAPSE,MODERATE | $95,005 | — | $6,880 | +1281% | $18,004 | +428% | — |
| 282 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MAJOR | $94,411 | — | $6,151 | +1435% | $19,227 | +391% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $94,284 | — | $18,227 | +417% | $37,267 | +153% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $94,281 | — | $20,161 | +368% | $53,451 | +76% | — |
| 666 | PROSTATECTOMY WITH CC | $93,573 | — | $13,975 | +570% | $31,906 | +193% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $93,349 | — | $31,742 | +194% | $50,394 | +85% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $92,549 | $14,931 | $10,564 | +776% | $27,297 | +239% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $92,303 | — | $14,667 | +529% | $29,826 | +209% | — |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $90,904 | — | $18,119 | +402% | $46,727 | +95% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $90,873 | $27,914 | $25,537 | +256% | $52,435 | +73% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $90,731 | — | $14,206 | +539% | $29,916 | +203% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $89,947 | $21,845 | $15,509 | +480% | $43,298 | +108% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $89,818 | $21,291 | $15,107 | +495% | $31,159 | +188% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $89,347 | $27,608 | $19,683 | +354% | $36,489 | +145% | — |
| 540 | OSTEOMYELITIS WITH CC | $89,304 | $15,494 | $10,978 | +713% | $26,676 | +235% | — |
| 201 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MINOR | $89,228 | — | $5,744 | +1453% | $14,053 | +535% | — |
| 308 | HIP AND FEMUR FRACTURE REPAIR,MINOR | $88,742 | — | $10,230 | +767% | $26,770 | +231% | ≈188% of Medicare |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $88,342 | — | $45,999 | +92% | $62,300 | +42% | — |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $87,371 | — | $18,083 | +383% | $42,906 | +104% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $86,845 | — | $14,827 | +486% | $36,658 | +137% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $86,610 | — | $13,925 | +522% | $30,828 | +181% | ≈358% of Medicare |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $86,464 | $17,900 | $14,332 | +503% | $31,563 | +174% | — |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $85,836 | $63,337 | $77,989 | +10% | $108,472 | −21% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $85,815 | — | $15,748 | +445% | $33,047 | +160% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $85,648 | $9,774 | $6,764 | +1166% | $17,700 | +384% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $85,621 | $23,274 | $16,577 | +417% | $38,861 | +120% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $85,568 | $24,406 | $17,369 | +393% | $35,030 | +144% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $85,394 | $21,337 | $15,140 | +464% | $39,619 | +116% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $85,019 | $18,414 | $13,023 | +553% | $39,211 | +117% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $84,441 | $18,539 | $13,376 | +531% | $32,697 | +158% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $84,394 | — | $14,476 | +483% | $34,017 | +148% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $83,309 | $13,902 | $11,079 | +652% | $26,051 | +220% | — |
| 539 | OSTEOMYELITIS WITH MCC | $82,920 | $12,845 | $17,157 | +383% | $37,609 | +120% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $81,622 | — | $15,465 | +428% | $37,387 | +118% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $81,206 | — | $12,804 | +534% | $33,454 | +143% | — |
| 150 | EPISTAXIS WITH MCC | $80,876 | — | $11,726 | +590% | $23,171 | +249% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $80,544 | $19,549 | $13,899 | +479% | $33,661 | +139% | — |
| 252 | MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MAJOR | $80,422 | — | $45,852 | +75% | $68,508 | +17% | ≈46% of Medicare |
| 637 | DIABETES WITH MCC | $80,265 | — | $12,354 | +550% | $30,100 | +167% | ≈311% of Medicare |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $79,351 | $12,285 | $8,647 | +818% | $20,901 | +280% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $78,420 | — | $8,627 | +809% | $23,940 | +228% | ≈343% of Medicare |
| 775 | ALCOHOL ABUSE AND DEPENDENCE,MAJOR | $78,113 | — | $31,569 | +147% | $3,032 | +2476% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $77,362 | $17,900 | $12,958 | +497% | $33,103 | +134% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $77,354 | — | $7,836 | +887% | $20,506 | +277% | — |
| 245 | INFLAMMATORY BOWEL DISEASE,MODERATE | $77,149 | — | $57,711 | +34% | $72,076 | +7% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $76,411 | — | $12,577 | +508% | $36,988 | +107% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $76,305 | $17,221 | $12,159 | +528% | $35,465 | +115% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $76,109 | $9,680 | $6,696 | +1037% | $17,620 | +332% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $75,776 | $28,265 | $22,859 | +231% | $44,546 | +70% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $75,080 | $18,961 | $18,117 | +314% | $46,724 | +61% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $74,534 | — | $11,935 | +524% | $28,226 | +164% | ≈299% of Medicare |
| 466 | MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MAJOR | $74,484 | — | $67,426 | +10% | $96,507 | −23% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $74,338 | $27,258 | $19,430 | +283% | $39,181 | +90% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $74,173 | $24,957 | $16,939 | +338% | $29,611 | +150% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $73,966 | $20,907 | $14,829 | +399% | $33,555 | +120% | ≈388% of Medicare |
| 443 | KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,MINOR | $73,812 | — | $5,961 | +1138% | $15,600 | +373% | — |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $73,727 | $14,772 | $10,441 | +606% | $27,323 | +170% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $73,507 | — | $9,076 | +710% | $23,749 | +210% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $73,313 | — | $9,244 | +693% | $32,021 | +129% | ≈365% of Medicare |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $73,280 | — | $8,941 | +720% | $23,488 | +212% | — |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $72,613 | $12,347 | $10,563 | +587% | $19,354 | +275% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $72,517 | — | $8,197 | +785% | $21,449 | +238% | — |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $72,247 | $29,538 | $23,800 | +204% | $52,986 | +36% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $72,053 | $18,934 | $13,404 | +438% | $33,834 | +113% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $71,868 | — | $12,267 | +486% | $32,100 | +124% | — |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $71,262 | $34,012 | $24,323 | +193% | $59,031 | +21% | — |
| 120 | MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR | $71,194 | — | $71,194 | +0% | $71,194 | +0% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $71,164 | $17,301 | $14,743 | +383% | $32,645 | +118% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $71,059 | — | $12,759 | +457% | $36,253 | +96% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $70,308 | $11,134 | $7,817 | +799% | $20,455 | +244% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $69,616 | — | $13,669 | +409% | $35,770 | +95% | — |
| 660 | MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,MODERATE | $68,771 | — | $11,368 | +505% | $31,264 | +120% | ≈118% of Medicare |
| 593 | SKIN ULCERS WITH CC | $68,616 | $14,756 | $10,373 | +562% | $22,886 | +200% | — |
| 042 | DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MINOR | $68,513 | — | $14,911 | +359% | $39,018 | +76% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $68,247 | $12,641 | $8,843 | +672% | $23,141 | +195% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $67,793 | $14,826 | $10,424 | +550% | $27,277 | +149% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $67,634 | $40,159 | $47,020 | +44% | $70,132 | −4% | — |
| 253 | OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE | $67,394 | — | $21,658 | +211% | $57,454 | +17% | — |
| 816 | TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MAJOR | $67,194 | — | $5,594 | +1101% | $14,638 | +359% | — |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $67,127 | $26,494 | $17,839 | +276% | $42,795 | +57% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $66,774 | — | $16,098 | +315% | $42,126 | +59% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $66,770 | $11,075 | $7,774 | +759% | $15,855 | +321% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $66,645 | $16,073 | $11,282 | +491% | $24,552 | +171% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $66,585 | $10,510 | $7,297 | +812% | $19,096 | +249% | ≈374% of Medicare |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $66,115 | $12,350 | $8,694 | +660% | $18,348 | +260% | — |
| 638 | DIABETES WITH CC | $66,060 | $11,178 | $7,781 | +749% | $19,661 | +236% | ≈397% of Medicare |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $65,673 | $21,577 | $16,863 | +289% | $36,249 | +81% | — |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $65,171 | — | $13,927 | +368% | $36,445 | +79% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $65,051 | — | $10,911 | +496% | $27,401 | +137% | — |
| 057 | CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA,MODERATE | $65,017 | — | $11,320 | +474% | $27,543 | +136% | ≈103% of Medicare |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $64,896 | $15,431 | $11,069 | +486% | $26,776 | +142% | ≈336% of Medicare |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $64,697 | — | $11,557 | +460% | $30,242 | +114% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $64,656 | — | $10,680 | +505% | $27,947 | +131% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $64,457 | $11,663 | $8,132 | +693% | $17,733 | +263% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $64,230 | — | $16,841 | +281% | $32,574 | +97% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $64,200 | $16,495 | $13,339 | +381% | $34,906 | +84% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $63,833 | — | $11,653 | +448% | $30,493 | +109% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $63,635 | $14,231 | $10,051 | +533% | $25,712 | +147% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $63,057 | — | $13,112 | +381% | $30,010 | +110% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $62,898 | — | $12,663 | +397% | $33,393 | +88% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $62,807 | — | $12,629 | +397% | $33,048 | +90% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $62,658 | — | $9,339 | +571% | $17,483 | +258% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $62,630 | $14,056 | $9,869 | +535% | $22,446 | +179% | — |
| 187 | PLEURAL EFFUSION WITH CC | $62,197 | — | $8,517 | +630% | $21,789 | +185% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $62,067 | — | $15,501 | +300% | $40,642 | +53% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $61,679 | $12,511 | $8,746 | +605% | $22,888 | +169% | ≈371% of Medicare |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $61,570 | $9,451 | $6,530 | +843% | $14,648 | +320% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $61,334 | $13,535 | $11,496 | +434% | $30,083 | +104% | — |
| 341 | FRACTURE OF PELVIS OR DISLOCATION OF HIP,EXTREME | $60,576 | — | $60,576 | +0% | $25,628 | +136% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $60,475 | $21,547 | $15,599 | +288% | $32,859 | +84% | — |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $60,248 | $20,019 | $14,156 | +326% | $29,126 | +107% | — |
| 102 | HEADACHES WITH MCC | $60,029 | $13,934 | $9,837 | +510% | $25,740 | +133% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $59,995 | — | $11,310 | +430% | $32,841 | +83% | — |
| 143 | OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MINOR | $59,715 | — | $28,012 | +113% | $52,908 | +13% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $59,674 | $14,713 | $10,342 | +477% | $25,581 | +133% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $59,659 | — | $8,981 | +564% | $24,914 | +139% | ≈335% of Medicare |
| 385 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE | $59,574 | — | $13,784 | +332% | $27,617 | +116% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $59,325 | $22,009 | $15,627 | +280% | $29,221 | +103% | — |
| 263 | CHOLECYSTECTOMY,MAJOR | $58,891 | — | $22,754 | +159% | $51,253 | +15% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $58,801 | — | $12,157 | +384% | $32,833 | +79% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $58,522 | $13,374 | $9,527 | +514% | $24,386 | +140% | ≈358% of Medicare |
| 251 | ABDOMINAL PAIN,MODERATE | $58,415 | — | $13,256 | +341% | $46,295 | +26% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $58,356 | — | $58,356 | +0% | $13,613 | +329% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $58,329 | — | $6,814 | +756% | $19,745 | +195% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $58,035 | $17,235 | $13,791 | +321% | $28,202 | +106% | — |
| 312 | SYNCOPE AND COLLAPSE | $58,027 | $10,637 | $7,392 | +685% | $19,342 | +200% | ≈363% of Medicare |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $57,815 | — | $10,090 | +473% | $20,616 | +180% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $57,628 | — | $6,740 | +755% | $17,921 | +222% | — |
| 088 | CONCUSSION WITH MCC | $57,593 | — | $11,968 | +381% | $24,402 | +136% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $57,386 | $12,334 | $8,618 | +566% | $22,468 | +155% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $57,380 | — | $12,470 | +360% | $30,571 | +88% | ≈349% of Medicare |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $57,359 | $9,404 | $7,005 | +719% | $17,298 | +232% | — |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $57,285 | — | $12,407 | +362% | $31,170 | +84% | — |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $56,701 | $11,558 | $8,305 | +583% | $15,901 | +257% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $56,419 | $12,905 | $9,082 | +521% | $20,422 | +176% | ≈366% of Medicare |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $56,387 | $11,245 | $7,829 | +620% | $20,488 | +175% | ≈358% of Medicare |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $56,263 | — | $8,909 | +532% | $22,763 | +147% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $56,145 | $20,071 | $16,098 | +249% | $40,562 | +38% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $56,009 | $6,661 | $5,596 | +901% | $13,633 | +311% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $55,992 | — | $7,796 | +618% | $18,072 | +210% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $55,545 | — | $6,272 | +786% | $17,303 | +221% | ≈359% of Medicare |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $55,510 | — | $6,910 | +703% | $18,081 | +207% | ≈366% of Medicare |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $54,636 | $19,139 | $13,548 | +303% | $35,453 | +54% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $54,179 | — | $8,652 | +526% | $21,275 | +155% | ≈326% of Medicare |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $53,976 | $11,542 | $8,111 | +565% | $19,924 | +171% | — |
| 054 | MIGRAINE AND OTHER HEADACHES,MINOR | $53,927 | — | $12,718 | +324% | $30,502 | +77% | — |
| 224 | PERITONEAL ADHESIOLYSIS,MINOR | $53,680 | — | $53,680 | +0% | $80,427 | −33% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $53,390 | $14,126 | $11,424 | +367% | $24,127 | +121% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $53,154 | — | $8,650 | +515% | $22,635 | +135% | — |
| 513 | GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MODERATE | $52,283 | — | $12,773 | +309% | $33,424 | +56% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $51,992 | $8,016 | $5,491 | +847% | $14,368 | +262% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $51,886 | $11,370 | $7,920 | +555% | $16,968 | +206% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $51,367 | $12,571 | $9,160 | +461% | $22,314 | +130% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $51,227 | — | $8,115 | +531% | $16,700 | +207% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $50,984 | $8,393 | $6,598 | +673% | $17,124 | +198% | — |
| 683 | RENAL FAILURE WITH CC | $50,693 | — | $7,541 | +572% | $19,130 | +165% | ≈343% of Medicare |
| 403 | PROCEDURES FOR OBESITY,MINOR | $50,645 | — | $50,645 | +0% | $50,645 | +0% | — |
| 254 | OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR | $50,632 | — | $14,841 | +241% | $38,836 | +30% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $50,518 | — | $7,288 | +593% | $18,807 | +169% | ≈188% of Medicare |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $50,322 | — | $14,623 | +244% | $27,233 | +85% | — |
| 248 | MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MODERATE | $50,291 | — | $45,105 | +11% | $34,146 | +47% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $50,284 | — | $8,767 | +474% | $23,198 | +117% | — |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,MINOR | $50,140 | — | $27,184 | +84% | $63,928 | −22% | — |
| 305 | HYPERTENSION WITHOUT MCC | $49,862 | — | $6,369 | +683% | $18,086 | +176% | ≈348% of Medicare |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $49,836 | — | $6,956 | +616% | $18,204 | +174% | ≈220% of Medicare |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $49,734 | $13,748 | $9,703 | +413% | $25,390 | +96% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $48,885 | — | $12,718 | +284% | $30,557 | +60% | — |
| 999 | UNGROUPABLE | $48,800 | $11,129 | $48,800 | +0% | $29,674 | +64% | — |
| 244 | DIVERTICULITIS AND DIVERTICULOSIS,MINOR | $48,780 | — | $15,310 | +219% | $41,591 | +17% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $48,450 | $9,575 | $6,620 | +632% | $17,322 | +180% | ≈376% of Medicare |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $48,296 | — | $9,660 | +400% | $25,279 | +91% | — |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $47,828 | — | $7,099 | +574% | $14,055 | +240% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $47,478 | — | $5,834 | +714% | $14,415 | +229% | — |
| 241 | PEPTIC ULCER AND GASTRITIS,MODERATE | $47,463 | — | $12,809 | +271% | $30,770 | +54% | — |
| 313 | KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MINOR | $47,049 | — | $6,052 | +677% | $16,440 | +186% | — |
| 696 | OTHER CHEMOTHERAPY,MODERATE | $46,671 | — | $5,869 | +695% | $14,689 | +218% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $46,663 | $10,297 | $7,080 | +559% | $18,528 | +152% | ≈379% of Medicare |
| 468 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS,MINOR | $46,639 | — | $22,255 | +110% | $54,929 | −15% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $46,505 | $18,301 | $12,988 | +258% | $25,703 | +81% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $45,820 | $7,754 | $5,378 | +752% | $11,421 | +301% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $45,297 | $7,192 | $4,972 | +811% | $13,527 | +235% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $45,228 | $7,695 | $5,218 | +767% | $15,183 | +198% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $45,159 | — | $45,159 | +0% | $42,679 | +6% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $45,123 | $7,820 | $5,429 | +731% | $14,250 | +217% | — |
| 200 | PNEUMOTHORAX WITH CC | $45,033 | — | $9,395 | +379% | $21,368 | +111% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $44,982 | — | $44,982 | +0% | $16,487 | +173% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $44,735 | — | $44,735 | +0% | $12,397 | +261% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $44,706 | — | $5,686 | +686% | $16,288 | +174% | — |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $44,654 | $8,399 | $6,793 | +557% | $13,586 | +229% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $44,482 | $8,791 | $6,052 | +635% | $15,837 | +181% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $43,833 | — | $5,792 | +657% | $13,651 | +221% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $43,597 | $9,186 | $6,411 | +580% | $16,776 | +160% | — |
| 349 | MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE,MODERATE | $43,372 | — | $7,473 | +480% | $19,854 | +118% | — |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR | $43,321 | — | $8,102 | +435% | $15,589 | +178% | — |
| 199 | HYPERTENSION,MODERATE | $42,999 | — | $14,976 | +187% | $33,787 | +27% | — |
| 695 | CHEMOTHERAPY FOR ACUTE LEUKEMIA,MODERATE | $42,344 | — | $9,568 | +343% | $24,566 | +72% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $41,982 | — | $9,171 | +358% | $17,226 | +144% | — |
| 041 | NERVOUS SYSTEM MALIGNANCY,MAJOR | $41,406 | — | $19,157 | +116% | $49,418 | −16% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $41,365 | $7,539 | $5,942 | +596% | $15,549 | +166% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $41,311 | $11,073 | $7,779 | +431% | $17,135 | +141% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $40,907 | — | $8,201 | +399% | $17,724 | +131% | ≈350% of Medicare |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $40,875 | — | $5,401 | +657% | $15,038 | +172% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $40,865 | — | $4,655 | +778% | $12,999 | +214% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $40,583 | — | $5,704 | +611% | $14,549 | +179% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $40,141 | — | $6,606 | +508% | $15,428 | +160% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $39,614 | — | $8,161 | +385% | $15,680 | +153% | — |
| 541 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,MODERATE | $39,425 | — | $7,422 | +431% | $15,215 | +159% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $39,425 | — | $8,598 | +359% | $18,452 | +114% | — |
| 230 | MAJOR SMALL BOWEL PROCEDURES,MINOR | $38,975 | — | $38,975 | +0% | $58,096 | −33% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $38,577 | $7,746 | $5,295 | +629% | $12,324 | +213% | — |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $38,438 | $15,500 | $10,298 | +273% | $26,948 | +43% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $38,329 | $12,470 | $8,719 | +340% | $16,703 | +129% | — |
| 229 | OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MINOR | $38,140 | — | $38,140 | +0% | $65,325 | −42% | — |
| 111 | VERTIGO AND OTHER LABYRINTH DISORDERS,MINOR | $37,981 | — | $37,981 | +0% | $32,376 | +17% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $37,439 | $12,871 | $12,517 | +199% | $23,571 | +59% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $37,435 | $13,437 | $9,418 | +298% | $18,459 | +103% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $37,232 | $9,164 | $7,273 | +412% | $15,412 | +142% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $36,964 | — | $5,149 | +618% | $11,071 | +234% | — |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $35,930 | — | $6,144 | +485% | $12,593 | +185% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $35,816 | — | $9,803 | +265% | $25,652 | +40% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $35,661 | $6,535 | $5,086 | +601% | $10,975 | +225% | — |
| 760 | OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,MODERATE | $35,376 | — | $8,361 | +323% | $20,895 | +69% | — |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MINOR | $35,306 | — | $35,306 | +0% | $45,066 | −22% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $35,043 | $10,557 | $7,331 | +378% | $15,889 | +121% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $34,865 | $13,275 | $9,300 | +275% | $16,846 | +107% | — |
| 243 | OTHER ESOPHAGEAL DISORDERS,MINOR | $33,796 | — | $19,112 | +77% | $50,011 | −32% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $33,666 | $8,911 | $8,598 | +292% | $13,275 | +154% | — |
| 770 | DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MODERATE | $33,469 | — | $9,128 | +267% | $18,956 | +77% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $33,437 | $12,124 | $8,598 | +289% | $15,370 | +118% | — |
| 724 | OTHER INFECTIOUS AND PARASITIC DISEASES,MINOR | $33,433 | — | $6,181 | +441% | $12,768 | +162% | — |
| 247 | INTESTINAL OBSTRUCTION,MAJOR | $32,933 | — | $31,429 | +5% | $21,663 | +52% | — |
| 151 | EPISTAXIS WITHOUT MCC | $32,401 | $8,188 | $6,430 | +404% | $13,032 | +149% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $31,987 | $9,293 | $6,341 | +404% | $12,895 | +148% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $30,983 | $8,791 | $7,200 | +330% | $14,209 | +118% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $29,643 | — | $8,598 | +245% | $12,078 | +145% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $29,575 | — | $7,410 | +299% | $19,846 | +49% | — |
| 754 | DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,MODERATE | $29,481 | — | $15,349 | +92% | $32,433 | −9% | — |
| 881 | DEPRESSIVE NEUROSES | $28,985 | — | $7,755 | +274% | $15,058 | +92% | — |
| 542 | VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MINOR | $28,114 | — | $15,823 | +78% | $36,792 | −24% | — |
| 566 | ANTEPARTUM WITHOUT O.R. PROCEDURE,MODERATE | $27,729 | — | $6,346 | +337% | $14,716 | +88% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $27,652 | — | $7,972 | +247% | $17,934 | +54% | — |
| 144 | RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR | $27,515 | — | $14,903 | +85% | $30,553 | −10% | — |
| 621 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,MODERATE | $26,664 | — | $12,401 | +115% | $32,451 | −18% | — |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $26,006 | — | $6,947 | +274% | $14,501 | +79% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $25,075 | $16,638 | $11,788 | +113% | $25,094 | −0% | — |
| 753 | BIPOLAR DISORDERS,MODERATE | $24,612 | — | $24,612 | +0% | $14,949 | +65% | — |
| 138 | BRONCHIOLITIS AND RSV PNEUMONIA,MINOR | $23,503 | — | $6,901 | +241% | $19,119 | +23% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $23,503 | $8,595 | $5,910 | +298% | $12,252 | +92% | — |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE | $21,927 | — | $21,927 | +0% | $26,085 | −16% | — |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MINOR | $21,270 | — | $21,270 | +0% | $46,852 | −55% | — |
| 634 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR | $20,469 | — | $20,469 | +0% | $37,527 | −45% | — |
| 581 | NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE,MAJOR | $20,109 | — | $12,209 | +65% | $26,932 | −25% | — |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MAJOR | $20,082 | — | $20,346 | −1% | $20,610 | −3% | — |
| 226 | ANAL AND PERINEAL PROCEDURES,MINOR | $19,012 | — | $19,012 | +0% | $72,618 | −74% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $18,632 | — | $35,380 | −47% | $18,649 | −0% | — |
| 817 | INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,MINOR | $17,794 | — | $17,794 | +0% | $39,173 | −55% | — |
| 139 | OTHER PNEUMONIA,MINOR | $16,308 | — | $11,648 | +40% | $23,612 | −31% | — |
| 751 | DEPRESSIVE DISORDERS,MINOR | $15,939 | — | $15,939 | +0% | $15,939 | +0% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $14,954 | — | $4,410 | +239% | $9,940 | +50% | — |
| 427 | THYROID DISORDERS,MODERATE | $13,601 | — | $60,256 | −77% | $132,794 | −90% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $13,335 | $10,245 | $7,105 | +88% | $14,064 | −5% | — |
| 640 | NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MAJOR | $13,260 | — | $11,266 | +18% | $25,463 | −48% | ≈32% of Medicare |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $12,341 | — | $3,747 | +229% | $8,927 | +38% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $11,633 | $11,633 | $20,782 | −44% | $12,229 | −5% | — |
| 795 | NORMAL NEWBORN | $5,823 | $2,771 | $3,492 | +67% | $4,720 | +23% | — |
Procedures with negotiated rates only
These 1 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 |
|---|---|---|---|
| 602 | NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,MAJOR | — | 8 plans |
No procedures match that keyword.