Clara Maass Medical Center — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 538 with a comparable price, 240 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 $2,335
Average published price $2,404
Highest published price $12,556

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 538 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 47 procedures, this hospital's negotiated rates average ≈242% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,556 $12,556 $16,156 −22% $28,375 −56% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,556 $12,556 $14,108 −11% $27,118 −54% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,556 $12,556 $8,017 +57% $20,084 −37% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,990 $8,990 $8,897 +1% $12,044 −25% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,335 $2,335 $22,177 −89% $45,290 −95% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $18,879 −88% $45,818 −95% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $13,535 −83% $33,984 −93% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $2,335 — $15,340 −85% $40,694 −94% —
037 EXTRACRANIAL PROCEDURES WITH MCC $2,335 $2,335 $28,173 −92% $64,749 −96% —
038 EXTRACRANIAL PROCEDURES WITH CC $2,335 $2,335 $13,669 −83% $35,770 −93% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $9,394 −75% $25,267 −91% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $2,335 $2,335 $19,533 −88% $44,989 −95% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,335 — $15,203 −85% $39,018 −94% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $2,335 $2,335 $17,073 −86% $30,940 −92% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $2,335 $2,335 $7,893 −70% $20,309 −89% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,335 $2,335 $12,842 −82% $29,484 −92% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $2,335 $2,335 $9,255 −75% $19,868 −88% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,335 $2,335 $20,668 −89% $39,409 −94% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,335 $2,335 $11,320 −79% $25,426 −91% ≈167% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,335 $2,335 $15,813 −85% $29,609 −92% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,335 $2,335 $10,380 −78% $26,322 −91% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,335 $2,335 $7,571 −69% $21,261 −89% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $2,335 — $15,108 −85% $48,680 −95% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $2,335 $2,335 $11,918 −80% $35,542 −93% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $2,335 — $16,875 −86% $35,714 −93% ≈244% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,335 $2,335 $8,711 −73% $23,469 −90% ≈257% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,335 $2,335 $5,839 −60% $19,483 −88% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $2,335 $2,335 $12,175 −81% $24,941 −91% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,335 $2,335 $7,478 −69% $19,569 −88% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,335 $2,335 $6,696 −65% $20,278 −88% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $2,335 $2,335 $14,751 −84% $30,814 −92% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $2,335 $2,335 $8,941 −74% $23,396 −90% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,335 $2,335 $6,364 −63% $16,654 −86% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $2,335 $2,335 $13,241 −82% $28,252 −92% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,335 $2,335 $8,843 −74% $23,141 −90% —
075 VIRAL MENINGITIS WITH CC/MCC $2,335 $2,335 $14,216 −84% $29,853 −92% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,335 $2,335 $7,779 −70% $15,474 −85% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $2,335 $2,335 $13,118 −82% $24,036 −90% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,335 $2,335 $8,351 −72% $17,434 −87% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,335 $2,335 $5,589 −58% $11,847 −80% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,335 $2,335 $7,676 −70% $15,077 −85% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $2,335 $2,335 $19,683 −88% $36,237 −94% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $2,335 $2,335 $11,795 −80% $24,118 −90% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,335 $2,335 $8,111 −71% $18,191 −87% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $2,335 $2,335 $10,976 −79% $23,115 −90% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,335 $2,335 $7,499 −69% $15,869 −85% —
088 CONCUSSION WITH MCC $2,335 $2,335 $11,968 −80% $24,402 −90% —
089 CONCUSSION WITH CC $2,335 $2,335 $8,849 −74% $18,293 −87% —
090 CONCUSSION WITHOUT CC/MCC $2,335 $2,335 $7,344 −68% $14,873 −84% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $2,335 $2,335 $15,616 −85% $36,375 −94% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,335 $2,335 $9,069 −74% $24,136 −90% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,335 $2,335 $6,762 −65% $17,522 −87% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $2,335 $2,335 $20,337 −89% $47,583 −95% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,335 $2,335 $20,337 −89% $39,093 −94% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $2,335 $2,335 $29,586 −92% $57,855 −96% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $2,335 $2,335 $18,584 −87% $37,902 −94% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,335 $2,335 $11,500 −80% $25,666 −91% —
100 SEIZURES WITH MCC $2,335 $2,335 $17,172 −86% $35,194 −93% —
101 SEIZURES WITHOUT MCC $2,335 $2,335 $7,819 −70% $19,954 −88% ≈267% of Medicare
102 HEADACHES WITH MCC $2,335 $2,335 $10,029 −77% $22,544 −90% —
103 HEADACHES WITHOUT MCC $2,335 $2,335 $7,213 −68% $20,111 −88% —
113 ORBITAL PROCEDURES WITH CC/MCC $2,335 $2,335 $19,331 −88% $35,642 −93% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $10,028 −77% $19,598 −88% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,335 $2,335 $13,243 −82% $24,879 −91% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,335 — $14,294 −84% $28,103 −92% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $9,026 −74% $17,193 −86% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,335 $2,335 $9,868 −76% $18,291 −87% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,335 $2,335 $5,754 −59% $11,997 −81% —
123 NEUROLOGICAL EYE DISORDERS $2,335 $2,335 $6,881 −66% $17,831 −87% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $2,335 $2,335 $11,062 −79% $21,029 −89% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,335 $2,335 $7,073 −67% $15,876 −85% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,335 $2,335 $20,655 −89% $40,065 −94% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $8,380 −72% $15,890 −85% —
137 MOUTH PROCEDURES WITH CC/MCC $2,335 $2,335 $11,981 −81% $24,348 −90% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $6,969 −66% $17,383 −87% —
139 SALIVARY GLAND PROCEDURES $2,335 $2,335 $11,648 −80% $21,014 −89% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,335 — $34,907 −93% $60,098 −96% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,335 $2,335 $18,227 −87% $34,900 −93% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $13,339 −82% $34,906 −93% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,335 $2,335 $28,012 −92% $52,908 −96% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,335 $2,335 $15,049 −84% $29,558 −92% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $10,150 −77% $20,842 −89% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $2,335 $2,335 $19,273 −88% $37,080 −94% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $2,335 $2,335 $10,664 −78% $21,860 −89% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $6,793 −66% $13,586 −83% —
149 DYSEQUILIBRIUM $2,335 $2,335 $6,256 −63% $17,203 −86% —
150 EPISTAXIS WITH MCC $2,335 $2,335 $11,841 −80% $21,133 −89% —
151 EPISTAXIS WITHOUT MCC $2,335 $2,335 $6,494 −64% $13,032 −82% —
152 OTITIS MEDIA AND URI WITH MCC $2,335 $2,335 $9,627 −76% $19,795 −88% —
153 OTITIS MEDIA AND URI WITHOUT MCC $2,335 $2,335 $6,038 −61% $14,473 −84% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $2,335 $2,335 $13,610 −83% $24,465 −90% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $2,335 $2,335 $7,998 −71% $16,642 −86% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $5,760 −59% $13,198 −82% —
157 DENTAL AND ORAL DISEASES WITH MCC $2,335 $2,335 $13,892 −83% $27,457 −91% —
158 DENTAL AND ORAL DISEASES WITH CC $2,335 $2,335 $7,980 −71% $17,700 −87% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,335 $2,335 $5,651 −59% $13,368 −83% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,335 — $15,813 −85% $41,380 −94% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,335 — $15,653 −85% $40,563 −94% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $11,330 −79% $28,527 −92% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $2,335 $2,335 $12,188 −81% $29,757 −92% —
176 PULMONARY EMBOLISM WITHOUT MCC $2,335 $2,335 $7,045 −67% $18,081 −87% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $2,335 $2,335 $13,714 −83% $31,840 −93% ≈213% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $2,335 $2,335 $8,416 −72% $22,024 −89% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,335 $2,335 $6,594 −65% $14,444 −84% —
180 RESPIRATORY NEOPLASMS WITH MCC $2,335 $2,335 $14,973 −84% $36,658 −94% —
181 RESPIRATORY NEOPLASMS WITH CC $2,335 $2,335 $9,512 −75% $22,431 −90% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,335 $2,335 $7,131 −67% $14,064 −83% —
183 MAJOR CHEST TRAUMA WITH MCC $2,335 $2,335 $13,466 −83% $28,924 −92% —
184 MAJOR CHEST TRAUMA WITH CC $2,335 $2,335 $9,061 −74% $20,842 −89% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,335 $2,335 $6,727 −65% $15,858 −85% —
186 PLEURAL EFFUSION WITH MCC $2,335 $2,335 $13,404 −83% $32,468 −93% —
187 PLEURAL EFFUSION WITH CC $2,335 $2,335 $8,517 −73% $21,467 −89% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $2,335 $2,335 $6,229 −63% $14,110 −83% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,335 $2,335 $10,497 −78% $25,704 −91% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,335 $2,335 $9,714 −76% $24,190 −90% ≈296% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,335 $2,335 $7,431 −69% $18,278 −87% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,335 $2,335 $5,598 −58% $14,368 −84% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $2,335 $2,335 $11,179 −79% $26,158 −91% ≈274% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,335 $2,335 $7,093 −67% $18,204 −87% ≈252% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,335 $2,335 $5,283 −56% $13,824 −83% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $2,335 $2,335 $16,297 −86% $30,766 −92% —
197 INTERSTITIAL LUNG DISEASE WITH CC $2,335 $2,335 $8,399 −72% $20,106 −88% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,335 $2,335 $6,058 −61% $13,654 −83% —
199 PNEUMOTHORAX WITH MCC $2,335 $2,335 $15,123 −85% $31,491 −93% —
200 PNEUMOTHORAX WITH CC $2,335 $2,335 $9,580 −76% $20,573 −89% —
201 PNEUMOTHORAX WITHOUT CC/MCC $2,335 $2,335 $5,857 −60% $13,081 −82% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $2,335 $2,335 $8,281 −72% $17,273 −86% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,335 $2,335 $6,025 −61% $12,279 −81% —
204 RESPIRATORY SIGNS AND SYMPTOMS $2,335 $2,335 $7,015 −67% $16,866 −86% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $2,335 $2,335 $16,015 −85% $32,204 −93% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,335 $2,335 $7,835 −70% $17,731 −87% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $2,335 $2,335 $22,768 −90% $52,405 −96% ≈244% of Medicare
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,335 $2,335 $12,810 −82% $24,229 −90% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,335 — $15,683 −85% $40,063 −94% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $2,335 — $19,811 −88% $51,339 −95% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $2,335 — $13,256 −82% $41,380 −94% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $14,950 −84% $38,836 −94% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,335 $2,335 $21,896 −89% $43,697 −95% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,335 $2,335 $14,368 −84% $29,729 −92% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,335 $2,335 $7,566 −69% $15,764 −85% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,335 $2,335 $14,911 −84% $35,673 −93% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,335 $2,335 $12,876 −82% $33,694 −93% —
263 VEIN LIGATION AND STRIPPING $2,335 $2,335 $23,200 −90% $44,938 −95% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,335 $2,335 $29,651 −92% $51,953 −96% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,335 $2,335 $14,198 −84% $28,967 −92% ≈241% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $2,335 $2,335 $7,820 −70% $20,463 −89% ≈249% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,335 $2,335 $6,272 −63% $18,623 −87% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,335 $2,335 $16,589 −86% $35,014 −93% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $2,335 $2,335 $6,286 −63% $13,282 −82% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,335 $2,335 $4,763 −51% $10,039 −77% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,335 $2,335 $9,426 −75% $31,190 −93% ≈235% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,335 $2,335 $22,859 −90% $45,497 −95% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,335 $2,335 $13,487 −83% $29,371 −92% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,335 $2,335 $8,305 −72% $15,901 −85% —
291 HEART FAILURE AND SHOCK WITH MCC $2,335 $2,335 $11,286 −79% $25,020 −91% ≈239% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $2,335 $2,335 $7,306 −68% $16,212 −86% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,335 $2,335 $4,790 −51% $11,955 −80% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $2,335 $2,335 $10,418 −78% $19,132 −88% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,335 $2,335 $6,267 −63% $13,445 −83% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $2,335 $2,335 $14,036 −83% $30,910 −92% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $2,335 $2,335 $5,976 −61% $12,336 −81% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,335 $2,335 $3,989 −41% $8,927 −74% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $2,335 $2,335 $13,351 −83% $25,731 −91% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $2,335 $2,335 $9,260 −75% $19,579 −88% ≈267% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,335 $2,335 $6,171 −62% $15,607 −85% —
302 ATHEROSCLEROSIS WITH MCC $2,335 $2,335 $10,062 −77% $20,844 −89% —
303 ATHEROSCLEROSIS WITHOUT MCC $2,335 $2,335 $5,704 −59% $14,927 −84% —
304 HYPERTENSION WITH MCC $2,335 $2,335 $10,162 −77% $24,185 −90% —
305 HYPERTENSION WITHOUT MCC $2,335 $2,335 $6,493 −64% $17,144 −86% ≈242% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $2,335 $2,335 $12,703 −82% $24,450 −90% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,335 $2,335 $7,859 −70% $18,608 −87% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,335 $2,335 $10,431 −78% $26,488 −91% ≈266% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,335 $2,335 $6,333 −63% $16,865 −86% ≈281% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,335 $2,335 $4,793 −51% $13,384 −83% —
311 ANGINA PECTORIS $2,335 $2,335 $5,924 −61% $15,165 −85% —
312 SYNCOPE AND COLLAPSE $2,335 $2,335 $7,537 −69% $19,342 −88% ≈232% of Medicare
313 CHEST PAIN $2,335 $2,335 $6,171 −62% $15,962 −85% ≈222% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $2,335 $2,335 $18,627 −87% $38,357 −94% ≈252% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,335 $2,335 $8,164 −71% $20,777 −89% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $5,792 −60% $12,797 −82% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $2,335 — $15,140 −85% $54,772 −96% ≈343% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,335 — $14,006 −83% $44,117 −95% —
334 RECTAL RESECTION WITHOUT CC/MCC $2,335 $2,335 $14,071 −83% $32,213 −93% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,335 — $13,340 −82% $36,239 −94% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,335 $2,335 $12,753 −82% $31,062 −92% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $10,668 −78% $26,146 −91% —
348 ANAL AND STOMAL PROCEDURES WITH CC $2,335 $2,335 $10,889 −79% $27,947 −92% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $7,620 −69% $19,854 −88% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,335 $2,335 $20,519 −89% $46,591 −95% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,335 $2,335 $12,763 −82% $33,792 −93% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $9,354 −75% $25,162 −91% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,335 $2,335 $11,310 −79% $31,978 −93% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $11,609 −80% $29,374 −92% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $2,335 $2,335 $14,167 −84% $33,607 −93% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,335 $2,335 $8,633 −73% $22,713 −90% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,335 $2,335 $5,921 −61% $15,072 −85% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $2,335 $2,335 $15,120 −85% $31,758 −93% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $2,335 $2,335 $8,732 −73% $22,850 −90% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,335 $2,335 $6,154 −62% $16,104 −86% —
375 DIGESTIVE MALIGNANCY WITH CC $2,335 $2,335 $10,526 −78% $27,219 −91% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $7,491 −69% $15,608 −85% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,335 $2,335 $15,800 −85% $37,842 −94% ≈263% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,335 $2,335 $8,364 −72% $21,886 −89% ≈259% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,335 $2,335 $5,559 −58% $14,134 −83% —
380 COMPLICATED PEPTIC ULCER WITH MCC $2,335 $2,335 $16,722 −86% $36,641 −94% —
381 COMPLICATED PEPTIC ULCER WITH CC $2,335 $2,335 $9,239 −75% $24,177 −90% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,335 $2,335 $6,357 −63% $16,634 −86% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,335 $2,335 $10,725 −78% $26,634 −91% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,335 $2,335 $7,377 −68% $19,305 −88% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,335 $2,335 $14,054 −83% $26,020 −91% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,335 $2,335 $8,420 −72% $20,968 −89% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,335 $2,335 $5,798 −60% $14,880 −84% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,335 $2,335 $12,592 −81% $28,780 −92% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,335 $2,335 $6,800 −66% $17,388 −87% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,335 $2,335 $4,642 −50% $13,318 −82% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,335 $2,335 $10,897 −79% $27,244 −91% ≈236% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,335 $2,335 $6,685 −65% $17,322 −87% ≈228% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $2,335 $2,335 $14,049 −83% $32,689 −93% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,335 $2,335 $7,986 −71% $18,918 −88% ≈270% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $5,399 −57% $14,128 −83% —
398 APPENDIX PROCEDURES WITH CC $2,335 $2,335 $12,663 −82% $39,107 −94% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $9,534 −76% $30,314 −92% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,335 — $24,059 −90% $58,043 −96% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,335 $2,335 $17,896 −87% $46,066 −95% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,335 $2,335 $13,417 −83% $34,434 −93% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,335 $2,335 $13,994 −83% $27,548 −92% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,335 $2,335 $11,624 −80% $30,418 −92% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,335 — $14,069 −83% $42,119 −94% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,335 — $11,178 −79% $34,887 −93% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,335 $2,335 $13,893 −83% $36,333 −94% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $12,466 −81% $25,152 −91% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $13,114 −82% $25,484 −91% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,335 $2,335 $16,783 −86% $36,933 −94% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,335 $2,335 $9,254 −75% $23,749 −90% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,335 $2,335 $5,829 −60% $12,405 −81% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,335 $2,335 $15,782 −85% $37,950 −94% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,335 $2,335 $9,567 −76% $24,017 −90% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,335 $2,335 $6,661 −65% $13,385 −83% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $2,335 $2,335 $14,391 −84% $32,502 −93% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,335 $2,335 $7,369 −68% $19,096 −88% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $5,370 −57% $15,070 −85% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $2,335 $2,335 $16,037 −85% $32,399 −93% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,335 $2,335 $8,357 −72% $21,449 −89% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,335 $2,335 $6,020 −61% $15,600 −85% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $2,335 $2,335 $14,290 −84% $31,128 −92% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,335 $2,335 $9,291 −75% $21,806 −89% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,335 $2,335 $6,896 −66% $17,700 −87% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,335 $2,335 $46,936 −95% $78,582 −97% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,335 $2,335 $14,728 −84% $32,839 −93% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,335 — $16,152 −86% $49,197 −95% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,335 $2,335 $9,867 −76% $21,062 −89% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,335 $2,335 $15,065 −85% $31,909 −93% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,335 — $13,458 −83% $39,747 −94% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,335 $2,335 $13,406 −83% $33,490 −93% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,335 $2,335 $10,506 −78% $27,492 −92% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $2,335 $2,335 $17,146 −86% $43,800 −95% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $2,335 $2,335 $11,390 −79% $29,805 −92% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,335 $2,335 $9,848 −76% $22,532 −90% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $11,853 −80% $30,006 −92% —
504 FOOT PROCEDURES WITH CC $2,335 $2,335 $14,889 −84% $36,598 −94% —
505 FOOT PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $14,889 −84% $31,716 −93% —
506 MAJOR THUMB OR JOINT PROCEDURES $2,335 $2,335 $12,842 −82% $28,983 −92% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $10,801 −78% $22,811 −90% —
509 ARTHROSCOPY $2,335 $2,335 $14,903 −84% $25,994 −91% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $13,640 −83% $35,692 −93% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,335 $2,335 $13,023 −82% $33,424 −93% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $8,819 −74% $20,080 −88% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $12,912 −82% $33,137 −93% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,335 — $17,136 −86% $43,775 −95% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,335 $2,335 $12,397 −81% $31,816 −93% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,335 — $17,642 −87% $56,519 −96% ≈265% of Medicare
533 FRACTURES OF FEMUR WITH MCC $2,335 $2,335 $12,936 −82% $25,945 −91% —
534 FRACTURES OF FEMUR WITHOUT MCC $2,335 $2,335 $6,906 −66% $17,195 −86% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $2,335 $2,335 $11,503 −80% $23,350 −90% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,335 $2,335 $6,879 −66% $18,002 −87% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,335 $2,335 $7,873 −70% $16,352 −86% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,335 $2,335 $5,697 −59% $11,909 −80% —
539 OSTEOMYELITIS WITH MCC $2,335 $2,335 $17,157 −86% $33,746 −93% —
540 OSTEOMYELITIS WITH CC $2,335 $2,335 $11,086 −79% $23,494 −90% —
541 OSTEOMYELITIS WITHOUT CC/MCC $2,335 $2,335 $7,495 −69% $14,549 −84% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $2,335 $2,335 $15,978 −85% $35,114 −93% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,335 $2,335 $9,000 −74% $23,496 −90% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $6,537 −64% $16,776 −86% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $2,335 $2,335 $21,147 −89% $39,657 −94% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,335 $2,335 $9,688 −76% $24,202 −90% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,335 $2,335 $6,330 −63% $14,861 −84% —
548 SEPTIC ARTHRITIS WITH MCC $2,335 $2,335 $17,091 −86% $31,019 −92% —
549 SEPTIC ARTHRITIS WITH CC $2,335 $2,335 $10,085 −77% $20,938 −89% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,335 $2,335 $7,314 −68% $16,156 −86% —
551 MEDICAL BACK PROBLEMS WITH MCC $2,335 $2,335 $14,618 −84% $31,086 −92% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $2,335 $2,335 $8,176 −71% $21,213 −89% ≈220% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,335 $2,335 $11,297 −79% $23,956 −90% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,335 $2,335 $7,219 −68% $18,253 −87% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,335 $2,335 $11,648 −80% $23,723 −90% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,335 $2,335 $6,927 −66% $17,715 −87% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,335 $2,335 $13,276 −82% $28,646 −92% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,335 $2,335 $7,328 −68% $17,367 −87% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,335 $2,335 $15,902 −85% $30,974 −92% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,335 $2,335 $9,755 −76% $24,452 −90% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,335 $2,335 $6,936 −66% $18,150 −87% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $2,335 $2,335 $12,416 −81% $29,211 −92% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $2,335 $2,335 $7,583 −69% $18,803 −88% ≈240% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,335 $2,335 $13,312 −82% $32,936 −93% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $2,335 $2,335 $8,651 −73% $21,545 −89% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $6,409 −64% $14,337 −84% —
570 SKIN DEBRIDEMENT WITH MCC $2,335 $2,335 $26,159 −91% $52,435 −96% —
571 SKIN DEBRIDEMENT WITH CC $2,335 $2,335 $14,343 −84% $34,901 −93% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,335 $2,335 $9,692 −76% $24,432 −90% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,335 $2,335 $17,271 −86% $29,109 −92% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,335 $2,335 $22,590 −90% $45,432 −95% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,335 $2,335 $14,340 −84% $28,578 −92% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,335 $2,335 $15,336 −85% $36,242 −94% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $12,424 −81% $25,243 −91% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,335 $2,335 $14,856 −84% $34,264 −93% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $13,936 −83% $31,566 −93% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,335 $2,335 $17,710 −87% $34,089 −93% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $16,841 −86% $29,633 −92% —
592 SKIN ULCERS WITH MCC $2,335 $2,335 $17,616 −87% $32,662 −93% —
593 SKIN ULCERS WITH CC $2,335 $2,335 $10,474 −78% $20,470 −89% —
594 SKIN ULCERS WITHOUT CC/MCC $2,335 $2,335 $7,271 −68% $14,209 −84% —
595 MAJOR SKIN DISORDERS WITH MCC $2,335 $2,335 $17,943 −87% $31,785 −93% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,335 $2,335 $9,261 −75% $17,226 −86% —
597 MALIGNANT BREAST DISORDERS WITH MCC $2,335 $2,335 $14,903 −84% $31,846 −93% —
598 MALIGNANT BREAST DISORDERS WITH CC $2,335 $2,335 $9,153 −74% $19,073 −88% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,335 $2,335 $7,253 −68% $14,290 −84% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,335 $2,335 $8,195 −72% $16,418 −86% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,335 $2,335 $5,186 −55% $10,975 −79% —
602 CELLULITIS WITH MCC $2,335 $2,335 $12,464 −81% $29,347 −92% ≈217% of Medicare
603 CELLULITIS WITHOUT MCC $2,335 $2,335 $7,472 −69% $18,530 −87% ≈249% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $2,335 $2,335 $12,604 −81% $28,140 −92% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,335 $2,335 $7,990 −71% $19,287 −88% —
606 MINOR SKIN DISORDERS WITH MCC $2,335 $2,335 $13,661 −83% $25,434 −91% —
607 MINOR SKIN DISORDERS WITHOUT MCC $2,335 $2,335 $7,475 −69% $15,284 −85% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,335 $2,335 $19,713 −88% $43,586 −95% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $12,276 −81% $31,812 −93% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,335 $2,335 $16,387 −86% $42,881 −95% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,335 $2,335 $10,663 −78% $19,354 −88% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,335 — $12,523 −81% $32,451 −93% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,335 $2,335 $16,227 −86% $33,165 −93% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,335 $2,335 $8,510 −73% $17,078 −86% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,335 $2,335 $24,323 −90% $58,968 −96% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,335 $2,335 $12,930 −82% $27,279 −91% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $10,748 −78% $25,623 −91% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $11,888 −80% $24,452 −90% —
637 DIABETES WITH MCC $2,335 $2,335 $12,597 −81% $28,819 −92% ≈221% of Medicare
638 DIABETES WITH CC $2,335 $2,335 $7,934 −71% $18,821 −88% ≈255% of Medicare
639 DIABETES WITHOUT CC/MCC $2,335 $2,335 $5,316 −56% $13,910 −83% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,335 $2,335 $11,487 −80% $24,480 −90% ≈246% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $2,335 $2,335 $6,629 −65% $16,745 −86% ≈211% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $2,335 $2,335 $10,529 −78% $20,727 −89% —
643 ENDOCRINE DISORDERS WITH MCC $2,335 $2,335 $14,060 −83% $32,996 −93% —
644 ENDOCRINE DISORDERS WITH CC $2,335 $2,335 $8,939 −74% $22,941 −90% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,335 $2,335 $6,671 −65% $14,166 −84% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,335 — $15,661 −85% $40,583 −94% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,335 $2,335 $12,884 −82% $35,528 −93% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,335 $2,335 $11,645 −80% $30,358 −92% ≈276% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,335 $2,335 $8,880 −74% $24,022 −90% —
663 MINOR BLADDER PROCEDURES WITH CC $2,335 $2,335 $13,212 −82% $29,924 −92% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $9,250 −75% $18,126 −87% —
666 PROSTATECTOMY WITH CC $2,335 $2,335 $14,112 −83% $30,016 −92% —
667 PROSTATECTOMY WITHOUT CC/MCC $2,335 $2,335 $8,805 −73% $16,703 −86% —
669 TRANSURETHRAL PROCEDURES WITH CC $2,335 $2,335 $13,128 −82% $34,354 −93% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $8,108 −71% $20,371 −89% —
671 URETHRAL PROCEDURES WITH CC/MCC $2,335 $2,335 $14,623 −84% $27,233 −91% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $8,828 −74% $17,398 −87% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $13,279 −82% $32,490 −93% —
682 RENAL FAILURE WITH MCC $2,335 $2,335 $12,741 −82% $27,854 −92% ≈233% of Medicare
683 RENAL FAILURE WITH CC $2,335 $2,335 $7,689 −70% $18,620 −87% ≈265% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $2,335 $2,335 $5,153 −55% $13,623 −83% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $2,335 $2,335 $15,997 −85% $32,981 −93% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,335 $2,335 $8,689 −73% $18,478 −87% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,335 $2,335 $6,144 −62% $12,593 −81% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,335 $2,335 $9,928 −76% $22,982 −90% ≈201% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,335 $2,335 $6,809 −66% $17,466 −87% ≈245% of Medicare
693 URINARY STONES WITH MCC $2,335 $2,335 $12,474 −81% $22,525 −90% —
694 URINARY STONES WITHOUT MCC $2,335 $2,335 $6,629 −65% $16,531 −86% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $2,335 $2,335 $9,661 −76% $20,741 −89% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,335 $2,335 $5,984 −61% $14,441 −84% —
697 URETHRAL STRICTURE $2,335 $2,335 $8,499 −73% $17,705 −87% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,335 $2,335 $14,260 −84% $30,058 −92% ≈240% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,335 $2,335 $8,737 −73% $20,732 −89% ≈212% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $5,889 −60% $13,303 −82% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,335 — $16,240 −86% $43,080 −95% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,335 — $12,700 −82% $32,911 −93% —
710 PENIS PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $12,737 −82% $23,814 −90% —
711 TESTES PROCEDURES WITH CC/MCC $2,335 $2,335 $16,209 −86% $34,852 −93% —
712 TESTES PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $8,951 −74% $18,898 −88% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,335 $2,335 $12,387 −81% $29,663 −92% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $2,335 $2,335 $8,050 −71% $17,108 −86% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,335 $2,335 $19,158 −88% $38,998 −94% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $12,041 −81% $21,615 −89% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,335 $2,335 $15,528 −85% $32,538 −93% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $10,451 −78% $20,147 −88% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $2,335 $2,335 $14,811 −84% $29,826 −92% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $2,335 $2,335 $9,526 −75% $19,317 −88% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,335 $2,335 $6,242 −63% $12,650 −82% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,335 $2,335 $10,566 −78% $19,894 −88% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,335 $2,335 $6,315 −63% $13,892 −83% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,335 $2,335 $12,466 −81% $25,786 −91% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,335 $2,335 $6,744 −65% $16,837 −86% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,335 $2,335 $9,346 −75% $17,483 −87% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $5,274 −56% $11,071 −79% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,335 $2,335 $10,399 −78% $23,297 −90% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,335 $2,335 $16,953 −86% $44,363 −95% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $12,869 −82% $30,972 −92% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,335 — $15,426 −85% $36,597 −94% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $11,881 −80% $29,050 −92% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,335 $2,335 $15,497 −85% $40,552 −94% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,335 $2,335 $10,169 −77% $27,369 −91% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,335 $2,335 $16,902 −86% $33,050 −93% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,335 $2,335 $8,779 −73% $16,495 −86% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,335 $2,335 $14,485 −84% $29,916 −92% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $8,103 −71% $19,326 −88% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,335 $2,335 $11,784 −80% $24,980 −91% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $11,047 −79% $23,920 −90% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,335 $2,335 $15,500 −85% $29,476 −92% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,335 $2,335 $9,602 −76% $18,459 −87% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,335 $2,335 $8,181 −71% $15,589 −85% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,335 $2,335 $12,007 −81% $23,734 −90% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,335 $2,335 $8,732 −73% $19,091 −88% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,335 $2,335 $5,562 −58% $14,208 −84% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,335 $2,335 $8,361 −72% $18,282 −87% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,335 $2,335 $5,483 −57% $11,421 −80% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,335 $2,335 $11,271 −79% $17,103 −86% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,335 $2,335 $11,903 −80% $24,561 −90% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,335 $2,335 $9,128 −74% $17,943 −87% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,335 $2,335 $6,053 −61% $12,381 −81% —
779 ABORTION WITHOUT D&C $2,335 $2,335 $7,930 −71% $15,327 −85% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $2,335 $2,335 $12,774 −82% $22,560 −90% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $2,335 $2,335 $10,545 −78% $19,815 −88% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,335 $2,335 $9,775 −76% $23,571 −90% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,335 $2,335 $15,085 −85% $14,284 −84% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $2,335 $2,335 $11,094 −79% $22,557 −90% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,335 $2,335 $8,598 −73% $19,001 −88% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $2,335 $2,335 $10,124 −77% $18,238 −87% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $14,064 −83% $28,634 −92% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,335 $2,335 $30,575 −92% $59,425 −96% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,335 $2,335 $15,101 −85% $33,564 −93% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,335 $2,335 $9,379 −75% $24,544 −90% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,335 $2,335 $10,576 −78% $15,370 −85% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,335 $2,335 $9,343 −75% $13,090 −82% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $2,335 $2,335 $19,811 −88% $36,334 −94% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $2,335 $2,335 $10,507 −78% $22,032 −89% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,335 $2,335 $8,075 −71% $18,428 −87% —
811 RED BLOOD CELL DISORDERS WITH MCC $2,335 $2,335 $12,169 −81% $27,934 −92% ≈234% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,335 $2,335 $7,983 −71% $20,488 −89% —
813 COAGULATION DISORDERS $2,335 $2,335 $13,132 −82% $30,128 −92% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $2,335 $2,335 $17,735 −87% $32,483 −93% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,335 $2,335 $8,620 −73% $18,017 −87% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,335 $2,335 $5,704 −59% $13,485 −83% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,335 $2,335 $18,088 −87% $36,097 −94% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,335 $2,335 $10,927 −79% $24,316 −90% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $6,927 −66% $17,928 −87% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,335 $2,335 $18,682 −88% $44,053 −95% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $9,798 −76% $25,390 −91% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,335 $2,335 $18,841 −88% $38,382 −94% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $10,441 −78% $27,321 −91% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $13,598 −83% $35,584 −93% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $12,529 −81% $25,149 −91% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,335 $2,335 $9,405 −75% $18,133 −87% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,335 $2,335 $6,341 −63% $12,895 −82% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $4,496 −48% $9,076 −74% —
834 ACUTE LEUKEMIA WITH MCC $2,335 $2,335 $46,891 −95% $76,583 −97% —
835 ACUTE LEUKEMIA WITH CC $2,335 $2,335 $17,874 −87% $35,569 −93% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $2,335 $2,335 $10,780 −78% $19,686 −88% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $2,335 $2,335 $17,206 −86% $30,661 −92% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,335 $2,335 $11,626 −80% $20,980 −89% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $2,335 $2,335 $27,054 −91% $49,710 −95% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,335 $2,335 $13,302 −82% $31,059 −92% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,335 $2,335 $8,924 −74% $17,550 −87% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,335 $2,335 $10,139 −77% $20,421 −89% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $7,169 −67% $14,055 −83% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,335 $2,335 $10,780 −78% $22,275 −90% ≈213% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,335 $2,335 $7,015 −67% $13,822 −83% —
849 RADIOTHERAPY $2,335 $2,335 $22,353 −90% $37,862 −94% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $2,335 $2,335 $77,091 −97% $121,563 −98% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $13,926 −83% $27,168 −91% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,335 $2,335 $10,930 −79% $23,924 −90% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $2,335 $2,335 $15,904 −85% $30,394 −92% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,335 $2,335 $8,483 −72% $20,007 −88% —
864 FEVER AND INFLAMMATORY CONDITIONS $2,335 $2,335 $7,618 −69% $17,412 −87% —
865 VIRAL ILLNESS WITH MCC $2,335 $2,335 $12,521 −81% $26,088 −91% —
866 VIRAL ILLNESS WITHOUT MCC $2,335 $2,335 $7,506 −69% $16,391 −86% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $2,335 $2,335 $18,191 −87% $36,850 −94% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,335 $2,335 $9,083 −74% $22,231 −89% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,335 $2,335 $6,105 −62% $12,537 −81% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,335 $2,335 $16,645 −86% $35,237 −93% ≈233% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,335 $2,335 $8,918 −74% $22,781 −90% ≈241% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,335 $2,335 $33,337 −93% $54,196 −96% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,335 $2,335 $8,292 −72% $15,636 −85% —
881 DEPRESSIVE NEUROSES $2,335 $2,335 $7,831 −70% $15,058 −84% —
882 NEUROSES EXCEPT DEPRESSIVE $2,335 $2,335 $8,241 −72% $15,680 −85% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,335 $2,335 $15,515 −85% $22,698 −90% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,335 $2,335 $14,169 −84% $25,208 −91% ≈225% of Medicare
885 PSYCHOSES $2,335 $2,335 $11,958 −80% $21,489 −89% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,335 $2,335 $15,241 −85% $24,836 −91% —
887 OTHER MENTAL DISORDER DIAGNOSES $2,335 $2,335 $10,090 −77% $20,602 −89% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,335 $2,335 $5,424 −57% $12,013 −81% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,335 $2,335 $12,117 −81% $21,986 −89% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,335 $2,335 $15,107 −85% $30,275 −92% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,335 $2,335 $7,484 −69% $16,049 −85% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $2,335 $2,335 $37,586 −94% $68,847 −97% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,335 $2,335 $16,098 −85% $35,459 −93% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,335 $2,335 $10,444 −78% $23,588 −90% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,335 $2,335 $13,793 −83% $25,197 −91% —
906 HAND PROCEDURES FOR INJURIES $2,335 $2,335 $18,264 −87% $31,520 −93% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,335 $2,335 $10,760 −78% $28,156 −92% —
913 TRAUMATIC INJURY WITH MCC $2,335 $2,335 $13,729 −83% $24,198 −90% —
914 TRAUMATIC INJURY WITHOUT MCC $2,335 $2,335 $7,850 −70% $15,593 −85% —
915 ALLERGIC REACTIONS WITH MCC $2,335 $2,335 $14,888 −84% $30,944 −92% —
916 ALLERGIC REACTIONS WITHOUT MCC $2,335 $2,335 $5,634 −59% $13,890 −83% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $2,335 $2,335 $13,910 −83% $28,134 −92% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,335 $2,335 $7,504 −69% $15,045 −84% —
919 COMPLICATIONS OF TREATMENT WITH MCC $2,335 $2,335 $15,622 −85% $29,031 −92% —
920 COMPLICATIONS OF TREATMENT WITH CC $2,335 $2,335 $8,787 −73% $21,181 −89% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,335 $2,335 $5,948 −61% $14,012 −83% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,335 $2,335 $14,613 −84% $29,409 −92% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,335 $2,335 $8,652 −73% $16,571 −86% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $2,335 $2,335 $33,230 −93% $59,352 −96% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,335 $2,335 $18,382 −87% $31,044 −92% —
935 NON-EXTENSIVE BURNS $2,335 $2,335 $18,633 −87% $29,458 −92% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,335 $2,335 $17,669 −87% $38,420 −94% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $2,335 $2,335 $16,579 −86% $29,524 −92% —
945 REHABILITATION WITH CC/MCC $2,335 $2,335 $12,775 −82% $23,834 −90% —
946 REHABILITATION WITHOUT CC/MCC $2,335 $2,335 $9,323 −75% $17,685 −87% —
947 SIGNS AND SYMPTOMS WITH MCC $2,335 $2,335 $11,018 −79% $25,474 −91% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,335 $2,335 $6,872 −66% $17,727 −87% —
949 AFTERCARE WITH CC/MCC $2,335 $2,335 $9,243 −75% $23,953 −90% —
950 AFTERCARE WITHOUT CC/MCC $2,335 $2,335 $5,117 −54% $13,527 −83% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,335 $2,335 $4,950 −53% $9,385 −75% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,335 $2,335 $12,726 −82% $25,854 −91% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,335 $2,335 $7,742 −70% $17,585 −87% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $2,335 $2,335 $11,895 −80% $25,010 −91% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,335 $2,335 $8,278 −72% $16,212 −86% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $2,335 $2,335 $12,232 −81% $22,525 −90% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,335 $2,335 $14,152 −84% $30,930 −92% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,335 — $14,843 −84% $38,094 −94% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,335 $2,335 $9,899 −76% $25,307 −91% —

Procedures with negotiated rates only

These 240 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
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $16,823 – $98,860 · median $78,913 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,823 – $84,643 · median $65,035 20 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $7,356 – $57,043 · median $39,552 20 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $4,226 – $54,330 · median $35,150 20 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $4,226 – $40,935 · median $31,259 20 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $31,786 – $95,905 · median $69,931 19 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $21,665 – $65,249 · median $47,901 19 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,956 – $62,438 · median $48,386 19 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $17,956 – $84,548 · median $65,501 19 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,956 – $68,655 · median $53,012 19 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $64,859 – $539,583 · median $435,574 18 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,702 – $287,467 · median $215,288 18 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $58,158 – $268,716 · median $200,290 18 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $56,971 – $167,277 · median $132,677 18 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $46,263 – $149,786 · median $117,113 18 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $207,528 · median $159,849 18 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $45,446 – $139,120 · median $109,069 18 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $39,367 – $117,283 · median $94,148 18 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $49,843 – $218,737 · median $171,619 18 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $49,843 – $153,799 · median $122,770 18 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $49,843 – $200,767 · median $160,336 18 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $44,592 – $136,995 · median $108,822 18 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $155,359 · median $121,733 18 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $34,509 – $105,136 · median $84,157 18 plans
245 AICD GENERATOR PROCEDURES $26,530 – $139,484 · median $97,420 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,463 – $82,477 · median $57,047 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,463 – $92,342 · median $69,540 18 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $4,463 – $51,303 · median $39,105 18 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $31,049 – $179,175 · median $140,713 18 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,976 – $111,159 · median $86,081 18 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,049 – $133,496 · median $105,430 18 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $19,976 – $91,837 · median $71,403 18 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,976 – $69,273 · median $51,128 18 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,611 – $124,961 · median $94,243 18 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,660 – $65,414 · median $49,003 18 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $9,453 – $100,227 · median $77,063 18 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $98,873 – $355,751 · median $297,528 17 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $42,344 – $135,853 · median $107,643 17 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $32,325 – $103,319 · median $83,606 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $92,683 – $265,882 · median $172,508 17 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $70,865 – $194,040 · median $118,555 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $39,687 – $125,200 · median $64,805 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $48,111 – $145,881 · median $117,029 17 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $34,402 – $101,315 · median $79,095 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $37,639 – $115,722 · median $92,188 17 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $26,087 – $78,785 · median $62,741 17 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $20,528 – $64,713 · median $50,789 17 plans
028 SPINAL PROCEDURES WITH MCC $47,883 – $153,064 · median $124,709 17 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $27,468 – $84,891 · median $69,387 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $37,468 – $112,486 · median $85,962 17 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $18,775 – $56,994 · median $44,963 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $32,151 – $102,400 · median $81,446 17 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $19,718 – $60,212 · median $48,004 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $33,750 – $101,967 · median $80,383 17 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $23,927 – $74,410 · median $55,455 17 plans
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $16,414 – $53,897 · median $40,390 17 plans
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $19,235 – $59,421 · median $46,482 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $30,704 – $93,601 · median $74,751 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $41,743 – $127,815 · median $98,401 17 plans
164 MAJOR CHEST PROCEDURES WITH CC $21,683 – $67,995 · median $53,242 17 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $31,954 – $97,677 · median $82,130 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $49,126 – $162,825 · median $124,185 17 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $53,843 – $160,128 · median $105,188 17 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $35,159 – $102,745 · median $66,377 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $39,996 – $126,814 · median $100,347 17 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $23,639 – $73,320 · median $58,645 17 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $28,097 – $86,367 · median $70,014 17 plans
253 OTHER VASCULAR PROCEDURES WITH CC $22,326 – $68,369 · median $53,257 17 plans
265 AICD LEAD PROCEDURES $26,734 – $89,811 · median $73,174 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $60,995 – $182,849 · median $128,203 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $48,612 – $144,299 · median $100,681 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $35,123 – $111,190 · median $90,110 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $20,108 – $62,958 · median $47,483 17 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $45,142 – $138,548 · median $106,029 17 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $22,037 – $67,232 · median $51,961 17 plans
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $13,490 – $42,909 · median $33,345 17 plans
332 RECTAL RESECTION WITH MCC $29,908 – $107,168 · median $74,230 17 plans
333 RECTAL RESECTION WITH CC $19,385 – $55,160 · median $43,596 17 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $34,647 – $100,230 · median $74,632 17 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $19,410 – $58,816 · median $43,950 17 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $25,653 – $72,161 · median $57,209 17 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $22,581 – $63,419 · median $50,714 17 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $25,412 – $77,504 · median $61,048 17 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $14,750 – $45,936 · median $35,861 17 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $34,921 – $110,562 · median $88,296 17 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $19,275 – $58,063 · median $46,195 17 plans
374 DIGESTIVE MALIGNANCY WITH MCC $17,109 – $53,276 · median $42,547 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $46,485 – $147,638 · median $114,927 17 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $17,869 – $54,516 · median $43,812 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $30,523 – $96,600 · median $75,099 17 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $32,808 – $96,675 · median $58,693 17 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $20,360 – $58,630 · median $43,726 17 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $29,262 – $93,406 · median $73,592 17 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $17,573 – $52,349 · median $41,247 17 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $29,419 – $90,536 · median $72,303 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $36,300 – $107,666 · median $83,435 17 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $19,283 – $58,782 · median $46,837 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $77,781 – $221,517 · median $175,972 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $55,787 – $167,514 · median $122,964 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $40,204 – $129,266 · median $92,405 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $46,070 – $156,544 · median $131,325 17 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $26,864 – $81,006 · median $59,419 17 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $25,290 – $76,634 · median $61,200 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $43,674 – $137,706 · median $108,275 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $30,081 – $92,135 · median $72,780 17 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $24,086 – $72,241 · median $55,731 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $26,893 – $82,296 · median $67,395 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $42,777 – $129,250 · median $102,689 17 plans
472 CERVICAL SPINAL FUSION WITH CC $26,051 – $78,661 · median $61,697 17 plans
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $21,519 – $65,444 · median $50,662 17 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $33,189 – $112,911 · median $89,825 17 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $17,995 – $56,515 · median $44,773 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $27,882 – $86,584 · median $70,331 17 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $19,846 – $60,722 · median $48,493 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $25,854 – $77,922 · median $61,561 17 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $17,882 – $53,987 · median $43,115 17 plans
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $20,489 – $64,156 · median $51,860 17 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $28,085 – $87,792 · median $68,766 17 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $18,420 – $55,350 · median $43,506 17 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $16,866 – $50,873 · median $42,060 17 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $29,510 – $89,409 · median $72,275 17 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $19,717 – $60,450 · median $49,252 17 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,514 – $47,711 · median $38,675 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $29,400 – $93,630 · median $74,761 17 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $20,968 – $66,581 · median $53,172 17 plans
500 SOFT TISSUE PROCEDURES WITH MCC $25,826 – $81,256 · median $65,634 17 plans
501 SOFT TISSUE PROCEDURES WITH CC $14,372 – $44,957 · median $36,234 17 plans
503 FOOT PROCEDURES WITH MCC $23,268 – $67,725 · median $54,290 17 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $17,986 – $52,102 · median $41,609 17 plans
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $23,880 – $71,958 · median $56,795 17 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $16,138 – $50,715 · median $40,502 17 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $27,015 – $80,820 · median $64,544 17 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $16,608 – $50,649 · median $41,306 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $29,195 – $92,344 · median $73,912 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $45,526 – $155,045 · median $126,323 17 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $26,738 – $87,236 · median $71,075 17 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $41,534 – $135,837 · median $115,026 17 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $25,577 – $82,062 · median $67,646 17 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $34,268 – $102,765 · median $82,070 17 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $32,338 – $94,212 · median $77,430 17 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $31,599 – $99,341 · median $81,253 17 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $19,895 – $60,462 · median $47,238 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $47,420 – $140,391 · median $113,014 17 plans
654 MAJOR BLADDER PROCEDURES WITH CC $24,087 – $74,719 · median $57,890 17 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $17,665 – $53,591 · median $42,798 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $27,105 – $78,542 · median $62,559 17 plans
665 PROSTATECTOMY WITH MCC $25,426 – $86,448 · median $64,488 17 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $23,882 – $73,424 · median $58,829 17 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $30,617 – $105,482 · median $77,199 17 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $20,935 – $61,327 · median $48,977 17 plans
709 PENIS PROCEDURES WITH CC/MCC $20,605 – $59,563 · median $46,095 17 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $18,774 – $57,267 · median $45,000 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $37,009 – $109,706 · median $81,149 17 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $22,202 – $69,752 · median $53,100 17 plans
799 SPLENIC PROCEDURES WITH MCC $9,784 – $132,525 · median $101,753 17 plans
800 SPLENIC PROCEDURES WITH CC $24,342 – $76,038 · median $59,771 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $48,965 – $146,588 · median $122,385 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $36,232 – $117,816 · median $93,982 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $42,954 – $129,766 · median $97,960 17 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $19,838 – $64,347 · median $48,409 17 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $26,893 – $82,590 · median $65,839 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $51,312 – $146,829 · median $102,713 17 plans
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $16,340 – $49,025 · median $38,837 17 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $22,497 – $68,786 · median $52,386 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $43,670 – $127,390 · median $102,592 17 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $18,511 – $53,959 · median $42,549 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $37,907 – $117,113 · median $92,546 17 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $17,416 – $54,858 · median $44,585 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $54,168 – $175,144 · median $132,190 17 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $30,299 – $97,211 · median $76,568 17 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $34,171 – $101,949 · median $81,417 17 plans
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $17,670 – $52,568 · median $41,838 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $170,818 – $597,269 · median $471,895 17 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $53,060 – $168,155 · median $140,055 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $25,194 – $80,073 · median $65,240 17 plans
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $31,301 – $87,240 · median $67,123 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $52,080 – $171,916 · median $129,376 17 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $33,603 – $99,159 · median $79,189 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $64,527 – $191,186 · median $152,683 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $35,896 – $108,346 · median $84,439 17 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $23,987 – $70,443 · median $54,234 17 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $23,341 – $70,185 · median $55,728 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $49,701 – $159,227 · median $135,650 17 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $24,984 – $75,876 · median $56,781 17 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $22,903 – $75,184 · median $55,258 17 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $38,463 – $119,689 · median $97,517 17 plans
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,882 – $65,470 · median $51,898 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $28,553 – $88,187 · median $70,492 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $41,881 – $78,924 · median $62,441 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $44,093 – $77,258 · median $63,570 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $156,534 – $274,276 · median $224,158 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $101,546 – $177,926 · median $145,922 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $89,007 – $155,956 · median $128,355 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $66,843 – $117,121 · median $98,173 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $70,042 – $125,968 · median $97,874 14 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $46,044 – $80,677 · median $66,274 14 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $40,906 – $71,674 · median $59,204 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $61,203 – $107,239 · median $86,900 14 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $45,910 – $80,443 · median $63,757 14 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $41,126 – $72,059 · median $56,956 14 plans
397 APPENDIX PROCEDURES WITH MCC $35,278 – $62,384 · median $48,864 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $501,650 – $961,726 · median $715,183 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $88,892 – $155,755 · median $132,541 10 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $56,214 – $98,497 · median $83,817 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $150,521 – $263,739 · median $224,430 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $102,059 – $178,825 · median $152,172 10 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $79,088 – $138,577 · median $117,923 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $119,846 – $209,991 · median $178,693 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $78,606 – $137,731 · median $117,203 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $96,340 – $168,804 · median $143,645 10 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $58,676 – $102,810 · median $87,487 10 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $74,002 – $129,664 · median $110,338 10 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $44,343 – $77,696 · median $66,116 10 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $80,572 – $236,859 · median $179,355 7 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $52,461 – $157,108 · median $123,794 7 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $41,226 – $123,433 · median $93,217 7 plans
459 Spinal Fusion Except Cervical With MCC $58,688 – $173,435 · median $134,238 7 plans
460 Spinal Fusion Except Cervical Without MCC $33,921 – $101,320 · median $74,036 7 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $27,175 – $80,529 · median $49,781 5 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $17,428 – $51,223 · median $49,781 5 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $26,522 – $81,771 · median $49,781 5 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $16,416 – $49,781 · median $48,417 5 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $71,473 – $216,957 · median $173,264 3 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $51,416 – $160,046 · median $127,814 3 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $63,349 – $189,676 · median $151,477 3 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $48,382 – $144,966 · median $115,772 3 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $57,281 – $170,343 · median $136,038 3 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $44,789 – $135,307 · median $108,058 3 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $24,925 – $72,107 · median $57,585 3 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $14,699 – $43,669 · median $34,875 3 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $10,599 – $31,648 · median $25,274 3 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $21,910 – $59,673 · median $47,656 3 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $13,792 – $36,922 · median $29,486 3 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $9,863 – $28,582 · median $22,826 3 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $33,487 – $90,104 · median $61,796 2 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $47,733 – $47,733 · median $47,733 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS $32,600 – $32,600 · median $32,600 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $19,670 – $19,670 · median $19,670 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,852 – $11,852 · median $11,852 1 plans
795 NORMAL NEWBORN $1,604 – $1,604 · median $1,604 1 plans
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