Procedures published 778
Lowest published price $3,319
Average published price $3,451
Highest published price $12,517

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 626 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 133 procedures, this hospital's negotiated rates average ≈329% 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 $12,517 $12,517 $16,156 −23% $28,375 −56% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,517 $12,517 $12,774 −2% $22,560 −45% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,517 $12,517 $14,108 −11% $27,118 −54% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $12,517 $12,517 $9,775 +28% $23,571 −47% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,517 $12,517 $8,017 +56% $20,084 −38% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,598 $8,598 $11,271 −24% $17,103 −50% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,598 $8,598 $11,094 −22% $22,557 −62% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,598 $8,598 $8,598 +0% $19,001 −55% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $8,598 $8,598 $10,124 −15% $18,238 −53% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,598 $8,598 $10,576 −19% $15,370 −44% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $8,598 $8,598 $9,343 −8% $13,090 −34% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,598 $8,598 $8,897 −3% $12,044 −29% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,319 $3,319 $46,225 −93% $86,953 −96% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,319 $3,319 $22,177 −85% $45,290 −93% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,319 $3,319 $57,383 −94% $101,235 −97% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,319 — $34,191 −90% $63,475 −95% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $20,936 −84% $52,332 −94% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,319 — $28,756 −88% $64,152 −95% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $18,879 −82% $45,818 −93% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,319 $3,319 $18,559 −82% $45,622 −93% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,535 −75% $33,984 −90% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,319 — $19,487 −83% $46,430 −93% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $15,340 −78% $40,694 −92% —
037 EXTRACRANIAL PROCEDURES WITH MCC $3,319 $3,319 $28,173 −88% $64,749 −95% —
038 EXTRACRANIAL PROCEDURES WITH CC $3,319 $3,319 $13,669 −76% $35,770 −91% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,394 −65% $25,267 −87% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,319 $3,319 $19,533 −83% $44,989 −93% ≈300% of Medicare
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $15,203 −78% $39,018 −91% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,319 $3,319 $17,073 −81% $30,940 −89% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,319 $3,319 $7,893 −58% $20,309 −84% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,319 $3,319 $12,842 −74% $29,484 −89% ≈331% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,319 $3,319 $9,255 −64% $19,868 −83% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,319 $3,319 $20,668 −84% $39,409 −92% ≈357% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,319 $3,319 $11,320 −71% $25,426 −87% ≈321% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,319 $3,319 $15,813 −79% $29,609 −89% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,319 $3,319 $10,380 −68% $26,322 −87% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,319 $3,319 $7,571 −56% $21,261 −84% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,319 $3,319 $15,108 −78% $48,680 −93% ≈360% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,319 $3,319 $11,918 −72% $35,542 −91% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,319 $3,319 $16,875 −80% $35,714 −91% ≈306% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,319 $3,319 $8,711 −62% $23,469 −86% ≈345% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,319 $3,319 $5,839 −43% $19,483 −83% ≈369% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,319 $3,319 $12,175 −73% $24,941 −87% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,319 $3,319 $7,478 −56% $19,569 −83% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,319 $3,319 $6,696 −50% $20,278 −84% ≈346% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,319 $3,319 $14,751 −77% $30,814 −89% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,319 $3,319 $8,941 −63% $23,396 −86% ≈371% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,364 −48% $16,654 −80% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,319 $3,319 $13,241 −75% $28,252 −88% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,319 $3,319 $8,843 −62% $23,141 −86% ≈326% of Medicare
075 VIRAL MENINGITIS WITH CC/MCC $3,319 $3,319 $14,216 −77% $29,853 −89% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,319 $3,319 $7,779 −57% $15,474 −79% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,319 $3,319 $13,118 −75% $24,036 −86% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,319 $3,319 $8,351 −60% $17,434 −81% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,319 $3,319 $5,589 −41% $11,847 −72% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,319 $3,319 $17,194 −81% $35,139 −91% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,319 $3,319 $7,676 −57% $15,077 −78% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,319 $3,319 $19,683 −83% $36,237 −91% ≈289% of Medicare
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,319 $3,319 $11,795 −72% $24,118 −86% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,319 $3,319 $8,111 −59% $18,191 −82% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,319 $3,319 $19,224 −83% $37,064 −91% ≈293% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,319 $3,319 $10,976 −70% $23,115 −86% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,319 $3,319 $7,499 −56% $15,869 −79% —
088 CONCUSSION WITH MCC $3,319 $3,319 $11,968 −72% $24,402 −86% —
089 CONCUSSION WITH CC $3,319 $3,319 $8,849 −62% $18,293 −82% —
090 CONCUSSION WITHOUT CC/MCC $3,319 $3,319 $7,344 −55% $14,873 −78% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,319 $3,319 $15,616 −79% $36,375 −91% ≈325% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,319 $3,319 $9,069 −63% $24,136 −86% ≈341% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,319 $3,319 $6,762 −51% $17,522 −81% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,319 $3,319 $20,337 −84% $47,583 −93% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,319 $3,319 $20,337 −84% $39,093 −92% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,319 $3,319 $29,586 −89% $57,855 −94% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,319 $3,319 $18,584 −82% $37,902 −91% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,319 $3,319 $11,500 −71% $25,666 −87% —
100 SEIZURES WITH MCC $3,319 $3,319 $17,172 −81% $35,194 −91% ≈283% of Medicare
101 SEIZURES WITHOUT MCC $3,319 $3,319 $7,819 −58% $19,954 −83% ≈334% of Medicare
102 HEADACHES WITH MCC $3,319 $3,319 $10,029 −67% $22,544 −85% —
103 HEADACHES WITHOUT MCC $3,319 $3,319 $7,213 −54% $20,111 −83% —
113 ORBITAL PROCEDURES WITH CC/MCC $3,319 $3,319 $19,331 −83% $35,642 −91% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,028 −67% $19,598 −83% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,319 $3,319 $13,243 −75% $24,879 −87% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,319 $3,319 $14,294 −77% $28,103 −88% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,026 −63% $17,193 −81% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,319 $3,319 $9,868 −66% $18,291 −82% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,319 $3,319 $5,754 −42% $11,997 −72% —
123 NEUROLOGICAL EYE DISORDERS $3,319 $3,319 $6,881 −52% $17,831 −81% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,319 $3,319 $11,062 −70% $21,029 −84% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,319 $3,319 $7,073 −53% $15,876 −79% ≈354% of Medicare
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,319 $3,319 $20,655 −84% $40,065 −92% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,380 −60% $15,890 −79% —
137 MOUTH PROCEDURES WITH CC/MCC $3,319 $3,319 $11,981 −72% $24,348 −86% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $6,969 −52% $17,383 −81% —
139 SALIVARY GLAND PROCEDURES $3,319 $3,319 $11,648 −72% $21,014 −84% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,319 $3,319 $34,907 −90% $60,098 −94% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,319 $3,319 $18,227 −82% $34,900 −90% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,339 −75% $34,906 −90% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,319 $3,319 $28,012 −88% $52,908 −94% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,319 $3,319 $15,049 −78% $29,558 −89% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,150 −67% $20,842 −84% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,319 $3,319 $19,273 −83% $37,080 −91% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,319 $3,319 $10,664 −69% $21,860 −85% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $6,793 −51% $13,586 −76% —
149 DYSEQUILIBRIUM $3,319 $3,319 $6,256 −47% $17,203 −81% ≈356% of Medicare
150 EPISTAXIS WITH MCC $3,319 $3,319 $11,841 −72% $21,133 −84% —
151 EPISTAXIS WITHOUT MCC $3,319 $3,319 $6,494 −49% $13,032 −75% —
152 OTITIS MEDIA AND URI WITH MCC $3,319 $3,319 $9,627 −66% $19,795 −83% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,319 $3,319 $6,038 −45% $14,473 −77% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,319 $3,319 $13,610 −76% $24,465 −86% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,319 $3,319 $7,998 −59% $16,642 −80% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,760 −42% $13,198 −75% —
157 DENTAL AND ORAL DISEASES WITH MCC $3,319 $3,319 $13,892 −76% $27,457 −88% —
158 DENTAL AND ORAL DISEASES WITH CC $3,319 $3,319 $7,980 −58% $17,700 −81% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,319 $3,319 $5,651 −41% $13,368 −75% —
164 MAJOR CHEST PROCEDURES WITH CC $3,319 — $21,353 −84% $53,141 −94% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $15,813 −79% $41,380 −92% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,319 $3,319 $15,653 −79% $40,563 −92% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,330 −71% $28,527 −88% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,319 $3,319 $12,188 −73% $29,757 −89% ≈315% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $3,319 $3,319 $7,045 −53% $18,081 −82% ≈348% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,319 $3,319 $13,714 −76% $31,840 −90% ≈302% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,319 $3,319 $8,416 −61% $22,024 −85% ≈338% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,319 $3,319 $6,594 −50% $14,444 −77% ≈429% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $3,319 $3,319 $14,973 −78% $36,658 −91% ≈293% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $3,319 $3,319 $9,512 −65% $22,431 −85% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,319 $3,319 $7,131 −53% $14,064 −76% —
183 MAJOR CHEST TRAUMA WITH MCC $3,319 $3,319 $13,466 −75% $28,924 −89% —
184 MAJOR CHEST TRAUMA WITH CC $3,319 $3,319 $9,061 −63% $20,842 −84% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,319 $3,319 $6,727 −51% $15,858 −79% —
186 PLEURAL EFFUSION WITH MCC $3,319 $3,319 $13,404 −75% $32,468 −90% —
187 PLEURAL EFFUSION WITH CC $3,319 $3,319 $8,517 −61% $21,467 −85% ≈333% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,319 $3,319 $6,229 −47% $14,110 −76% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,319 $3,319 $10,497 −68% $25,704 −87% ≈307% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,319 $3,319 $9,714 −66% $24,190 −86% ≈340% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,319 $3,319 $7,431 −55% $18,278 −82% ≈324% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,319 $3,319 $5,598 −41% $14,368 −77% ≈369% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,319 $3,319 $11,179 −70% $26,158 −87% ≈318% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,319 $3,319 $7,093 −53% $18,204 −82% ≈350% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,319 $3,319 $5,283 −37% $13,824 −76% ≈394% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,319 $3,319 $16,297 −80% $30,766 −89% —
197 INTERSTITIAL LUNG DISEASE WITH CC $3,319 $3,319 $8,399 −60% $20,106 −83% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,319 $3,319 $6,058 −45% $13,654 −76% —
199 PNEUMOTHORAX WITH MCC $3,319 $3,319 $15,123 −78% $31,491 −89% —
200 PNEUMOTHORAX WITH CC $3,319 $3,319 $9,580 −65% $20,573 −84% —
201 PNEUMOTHORAX WITHOUT CC/MCC $3,319 $3,319 $5,857 −43% $13,081 −75% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,319 $3,319 $8,281 −60% $17,273 −81% ≈347% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,319 $3,319 $6,025 −45% $12,279 −73% —
204 RESPIRATORY SIGNS AND SYMPTOMS $3,319 $3,319 $7,015 −53% $16,866 −80% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,319 $3,319 $16,015 −79% $32,204 −90% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,319 $3,319 $7,835 −58% $17,731 −81% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,319 $3,319 $22,768 −85% $52,405 −94% ≈300% of Medicare
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,319 $3,319 $12,810 −74% $24,229 −86% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,319 $3,319 $19,668 −83% $50,011 −93% ≈293% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,319 $3,319 $15,683 −79% $40,063 −92% ≈306% of Medicare
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $3,319 — $19,811 −83% $51,339 −94% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $3,319 $3,319 $13,256 −75% $41,380 −92% —
253 OTHER VASCULAR PROCEDURES WITH CC $3,319 — $22,753 −85% $53,746 −94% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,950 −78% $38,836 −91% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,319 $3,319 $21,896 −85% $43,697 −92% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,319 $3,319 $14,368 −77% $29,729 −89% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,319 $3,319 $7,566 −56% $15,764 −79% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,319 $3,319 $14,911 −78% $35,673 −91% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,319 $3,319 $16,567 −80% $42,126 −92% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,319 $3,319 $12,876 −74% $33,694 −90% —
263 VEIN LIGATION AND STRIPPING $3,319 $3,319 $23,200 −86% $44,938 −93% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,319 $3,319 $29,651 −89% $51,953 −94% ≈330% of Medicare
265 AICD LEAD PROCEDURES $3,319 $3,319 $31,144 −89% $56,695 −94% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,319 — $30,072 −89% $71,014 −95% ≈328% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,319 — $21,745 −85% $55,162 −94% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,319 $3,319 $14,198 −77% $28,967 −89% ≈312% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,319 $3,319 $7,820 −58% $20,463 −84% ≈326% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,319 $3,319 $6,272 −47% $18,623 −82% ≈357% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,319 $3,319 $16,589 −80% $35,014 −91% ≈292% of Medicare
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,319 $3,319 $6,286 −47% $13,282 −75% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,319 $3,319 $4,763 −30% $10,039 −67% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,319 — $19,498 −83% $44,600 −93% ≈303% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,319 $3,319 $9,426 −65% $31,190 −89% ≈340% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,319 $3,319 $22,859 −85% $45,497 −93% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,319 $3,319 $13,487 −75% $29,371 −89% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,319 $3,319 $8,305 −60% $15,901 −79% —
291 HEART FAILURE AND SHOCK WITH MCC $3,319 $3,319 $11,286 −71% $25,020 −87% ≈318% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $3,319 $3,319 $7,306 −55% $16,212 −80% ≈354% of Medicare
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,319 $3,319 $4,790 −31% $11,955 −72% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,319 $3,319 $10,418 −68% $19,132 −83% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,319 $3,319 $6,267 −47% $13,445 −75% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,319 $3,319 $14,036 −76% $30,910 −89% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,319 $3,319 $5,976 −44% $12,336 −73% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,319 $3,319 $3,989 −17% $8,927 −63% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,319 $3,319 $13,351 −75% $25,731 −87% ≈327% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,319 $3,319 $9,260 −64% $19,579 −83% ≈322% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,171 −46% $15,607 −79% —
302 ATHEROSCLEROSIS WITH MCC $3,319 $3,319 $10,062 −67% $20,844 −84% —
303 ATHEROSCLEROSIS WITHOUT MCC $3,319 $3,319 $5,704 −42% $14,927 −78% —
304 HYPERTENSION WITH MCC $3,319 $3,319 $10,162 −67% $24,185 −86% ≈312% of Medicare
305 HYPERTENSION WITHOUT MCC $3,319 $3,319 $6,493 −49% $17,144 −81% ≈349% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,319 $3,319 $12,703 −74% $24,450 −86% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,319 $3,319 $7,859 −58% $18,608 −82% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,319 $3,319 $10,431 −68% $26,488 −87% ≈331% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,319 $3,319 $6,333 −48% $16,865 −80% ≈350% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,319 $3,319 $4,793 −31% $13,384 −75% ≈422% of Medicare
311 ANGINA PECTORIS $3,319 $3,319 $5,924 −44% $15,165 −78% —
312 SYNCOPE AND COLLAPSE $3,319 $3,319 $7,537 −56% $19,342 −83% ≈335% of Medicare
313 CHEST PAIN $3,319 $3,319 $6,171 −46% $15,962 −79% ≈344% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,319 $3,319 $18,627 −82% $38,357 −91% ≈311% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,319 $3,319 $8,164 −59% $20,777 −84% ≈314% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,792 −43% $12,797 −74% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,319 — $20,257 −84% $36,080 −91% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $3,319 — $24,151 −86% $74,274 −96% ≈304% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,319 — $15,140 −78% $54,772 −94% ≈339% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,319 — $27,766 −88% $66,819 −95% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,319 $3,319 $24,988 −87% $53,551 −94% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,319 — $20,599 −84% $54,824 −94% ≈304% of Medicare
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,518 −75% $35,375 −91% ≈315% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,319 — $20,052 −83% $58,832 −94% ≈315% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,006 −76% $44,117 −92% ≈340% of Medicare
332 RECTAL RESECTION WITH MCC $3,319 $3,319 $29,427 −89% $58,125 −94% —
333 RECTAL RESECTION WITH CC $3,319 $3,319 $18,469 −82% $34,352 −90% —
334 RECTAL RESECTION WITHOUT CC/MCC $3,319 $3,319 $14,071 −76% $32,213 −90% —
336 PERITONEAL ADHESIOLYSIS WITH CC $3,319 — $21,904 −85% $49,470 −93% ≈336% of Medicare
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,319 $3,319 $13,340 −75% $36,239 −91% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,319 $3,319 $24,914 −87% $44,839 −93% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,319 $3,319 $12,753 −74% $31,062 −89% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,668 −69% $26,146 −87% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,319 $3,319 $20,663 −84% $40,548 −92% —
348 ANAL AND STOMAL PROCEDURES WITH CC $3,319 $3,319 $10,889 −70% $27,947 −88% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $7,620 −56% $19,854 −83% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,319 $3,319 $20,519 −84% $46,591 −93% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,319 $3,319 $12,763 −74% $33,792 −90% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,354 −65% $25,162 −87% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,319 $3,319 $26,562 −88% $60,140 −94% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,319 $3,319 $14,431 −77% $43,266 −92% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,319 $3,319 $11,310 −71% $31,978 −90% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,319 $3,319 $19,570 −83% $48,682 −93% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,609 −71% $29,374 −89% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,319 $3,319 $14,167 −77% $33,607 −90% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,319 $3,319 $8,633 −62% $22,713 −85% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,921 −44% $15,072 −78% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,319 $3,319 $15,120 −78% $31,758 −90% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,319 $3,319 $8,732 −62% $22,850 −85% ≈297% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,319 $3,319 $6,154 −46% $16,104 −79% —
374 DIGESTIVE MALIGNANCY WITH MCC $3,319 $3,319 $18,263 −82% $38,885 −91% —
375 DIGESTIVE MALIGNANCY WITH CC $3,319 $3,319 $10,526 −68% $27,219 −88% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $7,491 −56% $15,608 −79% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,319 $3,319 $15,800 −79% $37,842 −91% ≈313% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,319 $3,319 $8,364 −60% $21,886 −85% ≈337% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,319 $3,319 $5,559 −40% $14,134 −77% —
380 COMPLICATED PEPTIC ULCER WITH MCC $3,319 $3,319 $16,722 −80% $36,641 −91% —
381 COMPLICATED PEPTIC ULCER WITH CC $3,319 $3,319 $9,239 −64% $24,177 −86% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,319 $3,319 $6,357 −48% $16,634 −80% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,319 $3,319 $10,725 −69% $26,634 −88% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,319 $3,319 $7,377 −55% $19,305 −83% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,319 $3,319 $14,054 −76% $26,020 −87% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,319 $3,319 $8,420 −61% $20,968 −84% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,319 $3,319 $5,798 −43% $14,880 −78% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,319 $3,319 $12,592 −74% $28,780 −88% ≈347% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,319 $3,319 $6,800 −51% $17,388 −81% ≈361% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,319 $3,319 $4,642 −29% $13,318 −75% ≈386% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,319 $3,319 $10,897 −70% $27,244 −88% ≈318% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,319 $3,319 $6,685 −50% $17,322 −81% ≈345% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,319 $3,319 $14,049 −76% $32,689 −90% ≈306% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,319 $3,319 $7,986 −58% $18,918 −82% ≈357% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,399 −39% $14,128 −77% —
398 APPENDIX PROCEDURES WITH CC $3,319 $3,319 $12,663 −74% $39,107 −92% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,534 −65% $30,314 −89% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $3,319 $3,319 $33,189 −90% $75,492 −96% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,319 $3,319 $24,059 −86% $58,043 −94% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $18,560 −82% $40,232 −92% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,319 $3,319 $17,896 −81% $46,066 −93% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,319 $3,319 $13,417 −75% $34,434 −90% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,319 $3,319 $23,780 −86% $48,358 −93% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,319 — $18,686 −82% $37,654 −91% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,319 $3,319 $13,994 −76% $27,548 −88% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,319 $3,319 $17,190 −81% $43,398 −92% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,319 $3,319 $11,624 −71% $30,418 −89% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,319 $3,319 $14,069 −76% $42,119 −92% ≈326% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,319 $3,319 $11,178 −70% $34,887 −90% ≈323% of Medicare
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,319 $3,319 $29,942 −89% $50,919 −93% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,319 $3,319 $13,893 −76% $36,333 −91% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,466 −73% $25,152 −87% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,319 $3,319 $19,842 −83% $39,253 −92% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,114 −75% $25,484 −87% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,319 $3,319 $16,783 −80% $36,933 −91% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,319 $3,319 $9,254 −64% $23,749 −86% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,319 $3,319 $5,829 −43% $12,405 −73% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,319 $3,319 $15,782 −79% $37,950 −91% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,319 $3,319 $9,567 −65% $24,017 −86% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,319 $3,319 $6,661 −50% $13,385 −75% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,319 $3,319 $14,391 −77% $32,502 −90% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,319 $3,319 $7,369 −55% $19,096 −83% ≈356% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $5,370 −38% $15,070 −78% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,319 $3,319 $16,037 −79% $32,399 −90% ≈305% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,319 $3,319 $8,357 −60% $21,449 −85% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,319 $3,319 $6,020 −45% $15,600 −79% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,319 $3,319 $14,290 −77% $31,128 −89% ≈381% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,319 $3,319 $9,291 −64% $21,806 −85% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,319 $3,319 $6,896 −52% $17,700 −81% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,319 $3,319 $26,180 −87% $65,216 −95% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,319 — $29,422 −89% $56,758 −94% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,319 $3,319 $46,936 −93% $78,582 −96% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,319 $3,319 $25,014 −87% $54,313 −94% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $14,728 −77% $32,839 −90% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,319 $3,319 $22,797 −85% $54,929 −94% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,319 $3,319 $16,152 −79% $49,197 −93% ≈266% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $3,319 — $25,060 −87% $59,537 −94% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,319 $3,319 $20,281 −84% $50,624 −93% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,319 $3,319 $19,205 −83% $44,553 −93% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $9,867 −66% $21,062 −84% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,319 $3,319 $20,417 −84% $50,139 −93% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,319 $3,319 $15,065 −78% $31,909 −90% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,319 — $17,775 −81% $51,172 −94% ≈315% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,319 $3,319 $13,458 −75% $39,747 −92% ≈335% of Medicare
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,319 $3,319 $22,247 −85% $57,149 −94% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,319 $3,319 $27,579 −88% $64,956 −95% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,319 — $18,345 −82% $46,477 −93% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,319 $3,319 $13,406 −75% $33,490 −90% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,319 $3,319 $16,673 −80% $41,520 −92% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,319 $3,319 $10,506 −68% $27,492 −88% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,319 $3,319 $16,152 −79% $45,963 −93% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,319 $3,319 $17,146 −81% $43,800 −92% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,319 $3,319 $11,390 −71% $29,805 −89% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,319 $3,319 $22,044 −85% $46,659 −93% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,319 $3,319 $9,848 −66% $22,532 −85% —
500 SOFT TISSUE PROCEDURES WITH MCC $3,319 $3,319 $27,145 −88% $57,479 −94% —
501 SOFT TISSUE PROCEDURES WITH CC $3,319 $3,319 $15,581 −79% $37,975 −91% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,853 −72% $30,006 −89% —
503 FOOT PROCEDURES WITH MCC $3,319 $3,319 $23,106 −86% $43,901 −92% —
504 FOOT PROCEDURES WITH CC $3,319 $3,319 $14,889 −78% $36,598 −91% —
505 FOOT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,889 −78% $31,716 −90% —
506 MAJOR THUMB OR JOINT PROCEDURES $3,319 $3,319 $12,842 −74% $28,983 −89% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,319 $3,319 $16,604 −80% $36,202 −91% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,801 −69% $22,811 −85% —
509 ARTHROSCOPY $3,319 $3,319 $14,903 −78% $25,994 −87% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,319 $3,319 $24,247 −86% $49,055 −93% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,319 $3,319 $16,964 −80% $43,538 −92% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,640 −76% $35,692 −91% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,319 $3,319 $13,023 −75% $33,424 −90% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,819 −62% $20,080 −83% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,319 $3,319 $26,998 −88% $62,821 −95% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,319 $3,319 $18,104 −82% $45,817 −93% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,912 −74% $33,137 −90% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,319 $3,319 $17,136 −81% $43,775 −92% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,319 $3,319 $12,397 −73% $31,816 −90% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,319 — $17,642 −81% $56,519 −94% ≈328% of Medicare
533 FRACTURES OF FEMUR WITH MCC $3,319 $3,319 $12,936 −74% $25,945 −87% —
534 FRACTURES OF FEMUR WITHOUT MCC $3,319 $3,319 $6,906 −52% $17,195 −81% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,319 $3,319 $11,503 −71% $23,350 −86% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,319 $3,319 $6,879 −52% $18,002 −82% ≈404% of Medicare
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,319 $3,319 $7,873 −58% $16,352 −80% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,319 $3,319 $5,697 −42% $11,909 −72% —
539 OSTEOMYELITIS WITH MCC $3,319 $3,319 $17,157 −81% $33,746 −90% —
540 OSTEOMYELITIS WITH CC $3,319 $3,319 $11,086 −70% $23,494 −86% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,319 $3,319 $7,495 −56% $14,549 −77% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,319 $3,319 $15,978 −79% $35,114 −91% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,319 $3,319 $9,000 −63% $23,496 −86% ≈336% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $6,537 −49% $16,776 −80% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,319 $3,319 $21,147 −84% $39,657 −92% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,319 $3,319 $9,688 −66% $24,202 −86% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,330 −48% $14,861 −78% —
548 SEPTIC ARTHRITIS WITH MCC $3,319 $3,319 $17,091 −81% $31,019 −89% —
549 SEPTIC ARTHRITIS WITH CC $3,319 $3,319 $10,085 −67% $20,938 −84% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,319 $3,319 $7,314 −55% $16,156 −79% —
551 MEDICAL BACK PROBLEMS WITH MCC $3,319 $3,319 $14,618 −77% $31,086 −89% ≈310% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,319 $3,319 $8,176 −59% $21,213 −84% ≈333% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,319 $3,319 $11,297 −71% $23,956 −86% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,319 $3,319 $7,219 −54% $18,253 −82% ≈365% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,319 $3,319 $11,648 −72% $23,723 −86% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,319 $3,319 $6,927 −52% $17,715 −81% ≈329% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,319 $3,319 $13,276 −75% $28,646 −88% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,319 $3,319 $7,328 −55% $17,367 −81% ≈332% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,319 $3,319 $15,902 −79% $30,974 −89% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,319 $3,319 $9,755 −66% $24,452 −86% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,319 $3,319 $6,936 −52% $18,150 −82% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,319 $3,319 $12,416 −73% $29,211 −89% ≈334% of Medicare
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,319 $3,319 $7,583 −56% $18,803 −82% ≈353% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,319 $3,319 $13,312 −75% $32,936 −90% ≈307% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,319 $3,319 $8,651 −62% $21,545 −85% ≈340% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $6,409 −48% $14,337 −77% —
570 SKIN DEBRIDEMENT WITH MCC $3,319 $3,319 $26,159 −87% $52,435 −94% —
571 SKIN DEBRIDEMENT WITH CC $3,319 $3,319 $14,343 −77% $34,901 −90% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,319 $3,319 $9,692 −66% $24,432 −86% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,319 $3,319 $17,271 −81% $29,109 −89% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,319 $3,319 $46,886 −93% $82,527 −96% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,319 $3,319 $22,590 −85% $45,432 −93% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,319 $3,319 $14,340 −77% $28,578 −88% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,319 $3,319 $15,336 −78% $36,242 −91% ≈327% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,424 −73% $25,243 −87% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,319 $3,319 $14,856 −78% $34,264 −90% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $13,936 −76% $31,566 −89% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,319 $3,319 $17,710 −81% $34,089 −90% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $16,841 −80% $29,633 −89% —
592 SKIN ULCERS WITH MCC $3,319 $3,319 $17,616 −81% $32,662 −90% —
593 SKIN ULCERS WITH CC $3,319 $3,319 $10,474 −68% $20,470 −84% —
594 SKIN ULCERS WITHOUT CC/MCC $3,319 $3,319 $7,271 −54% $14,209 −77% —
595 MAJOR SKIN DISORDERS WITH MCC $3,319 $3,319 $17,943 −82% $31,785 −90% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,319 $3,319 $9,261 −64% $17,226 −81% —
597 MALIGNANT BREAST DISORDERS WITH MCC $3,319 $3,319 $14,903 −78% $31,846 −90% —
598 MALIGNANT BREAST DISORDERS WITH CC $3,319 $3,319 $9,153 −64% $19,073 −83% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,319 $3,319 $7,253 −54% $14,290 −77% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,319 $3,319 $8,195 −59% $16,418 −80% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,186 −36% $10,975 −70% —
602 CELLULITIS WITH MCC $3,319 $3,319 $12,464 −73% $29,347 −89% ≈336% of Medicare
603 CELLULITIS WITHOUT MCC $3,319 $3,319 $7,472 −56% $18,530 −82% ≈348% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,319 $3,319 $12,604 −74% $28,140 −88% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,319 $3,319 $7,990 −58% $19,287 −83% ≈409% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $3,319 $3,319 $13,661 −76% $25,434 −87% —
607 MINOR SKIN DISORDERS WITHOUT MCC $3,319 $3,319 $7,475 −56% $15,284 −78% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,319 $3,319 $19,713 −83% $43,586 −92% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,276 −73% $31,812 −90% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,319 $3,319 $34,783 −90% $62,961 −95% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,319 $3,319 $16,387 −80% $42,881 −92% ≈301% of Medicare
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,319 $3,319 $10,663 −69% $19,354 −83% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,319 $3,319 $14,418 −77% $35,453 −91% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,319 $3,319 $12,523 −73% $32,451 −90% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,319 $3,319 $16,227 −80% $33,165 −90% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,319 $3,319 $8,510 −61% $17,078 −81% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,319 $3,319 $24,323 −86% $58,968 −94% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,319 $3,319 $12,930 −74% $27,279 −88% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,748 −69% $25,623 −87% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,319 $3,319 $19,545 −83% $45,059 −93% ≈344% of Medicare
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,888 −72% $24,452 −86% —
637 DIABETES WITH MCC $3,319 $3,319 $12,597 −74% $28,819 −88% ≈326% of Medicare
638 DIABETES WITH CC $3,319 $3,319 $7,934 −58% $18,821 −82% ≈352% of Medicare
639 DIABETES WITHOUT CC/MCC $3,319 $3,319 $5,316 −38% $13,910 −76% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,319 $3,319 $11,487 −71% $24,480 −86% ≈307% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,319 $3,319 $6,629 −50% $16,745 −80% ≈341% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,319 $3,319 $10,529 −68% $20,727 −84% —
643 ENDOCRINE DISORDERS WITH MCC $3,319 $3,319 $14,060 −76% $32,996 −90% ≈267% of Medicare
644 ENDOCRINE DISORDERS WITH CC $3,319 $3,319 $8,939 −63% $22,941 −86% ≈350% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,671 −50% $14,166 −77% —
654 MAJOR BLADDER PROCEDURES WITH CC $3,319 — $24,176 −86% $53,868 −94% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $17,623 −81% $41,651 −92% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,319 $3,319 $15,661 −79% $40,583 −92% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,319 $3,319 $12,884 −74% $35,528 −91% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,319 $3,319 $22,354 −85% $48,094 −93% ≈309% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,319 $3,319 $11,645 −71% $30,358 −89% ≈317% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,319 $3,319 $8,880 −63% $24,022 −86% —
663 MINOR BLADDER PROCEDURES WITH CC $3,319 $3,319 $13,212 −75% $29,924 −89% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,250 −64% $18,126 −82% —
666 PROSTATECTOMY WITH CC $3,319 $3,319 $14,112 −76% $30,016 −89% —
667 PROSTATECTOMY WITHOUT CC/MCC $3,319 $3,319 $8,805 −62% $16,703 −80% —
668 TRANSURETHRAL PROCEDURES WITH MCC $3,319 $3,319 $25,343 −87% $47,277 −93% —
669 TRANSURETHRAL PROCEDURES WITH CC $3,319 $3,319 $13,128 −75% $34,354 −90% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,108 −59% $20,371 −84% —
671 URETHRAL PROCEDURES WITH CC/MCC $3,319 $3,319 $14,623 −77% $27,233 −88% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,828 −62% $17,398 −81% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,279 −75% $32,490 −90% —
682 RENAL FAILURE WITH MCC $3,319 $3,319 $12,741 −74% $27,854 −88% ≈327% of Medicare
683 RENAL FAILURE WITH CC $3,319 $3,319 $7,689 −57% $18,620 −82% ≈340% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $3,319 $3,319 $5,153 −36% $13,623 −76% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,319 $3,319 $15,997 −79% $32,981 −90% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,319 $3,319 $8,689 −62% $18,478 −82% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,319 $3,319 $6,144 −46% $12,593 −74% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,319 $3,319 $9,928 −67% $22,982 −86% ≈317% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,319 $3,319 $6,809 −51% $17,466 −81% ≈343% of Medicare
693 URINARY STONES WITH MCC $3,319 $3,319 $12,474 −73% $22,525 −85% —
694 URINARY STONES WITHOUT MCC $3,319 $3,319 $6,629 −50% $16,531 −80% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,319 $3,319 $9,661 −66% $20,741 −84% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,319 $3,319 $5,984 −45% $14,441 −77% —
697 URETHRAL STRICTURE $3,319 $3,319 $8,499 −61% $17,705 −81% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,319 $3,319 $14,260 −77% $30,058 −89% ≈301% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,319 $3,319 $8,737 −62% $20,732 −84% ≈331% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,889 −44% $13,303 −75% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,319 $3,319 $16,240 −80% $43,080 −92% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,700 −74% $32,911 −90% —
709 PENIS PROCEDURES WITH CC/MCC $3,319 $3,319 $19,437 −83% $34,535 −90% —
710 PENIS PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,737 −74% $23,814 −86% —
711 TESTES PROCEDURES WITH CC/MCC $3,319 $3,319 $16,209 −80% $34,852 −90% —
712 TESTES PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,951 −63% $18,898 −82% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,319 $3,319 $12,387 −73% $29,663 −89% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,319 $3,319 $8,050 −59% $17,108 −81% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,319 $3,319 $19,158 −83% $38,998 −91% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $12,041 −72% $21,615 −85% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,319 $3,319 $15,528 −79% $32,538 −90% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $10,451 −68% $20,147 −84% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $14,811 −78% $29,826 −89% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,319 $3,319 $9,526 −65% $19,317 −83% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,319 $3,319 $6,242 −47% $12,650 −74% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,319 $3,319 $10,566 −69% $19,894 −83% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,319 $3,319 $6,315 −47% $13,892 −76% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $12,466 −73% $25,786 −87% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,319 $3,319 $6,744 −51% $16,837 −80% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,319 $3,319 $9,346 −64% $17,483 −81% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,274 −37% $11,071 −70% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,319 $3,319 $19,834 −83% $35,686 −91% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,319 $3,319 $10,399 −68% $23,297 −86% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,319 $3,319 $16,953 −80% $44,363 −93% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $12,869 −74% $30,972 −89% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,319 $3,319 $15,426 −78% $36,597 −91% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $11,881 −72% $29,050 −89% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,319 $3,319 $15,497 −79% $40,552 −92% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $10,169 −67% $27,369 −88% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,319 $3,319 $16,902 −80% $33,050 −90% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,319 $3,319 $8,779 −62% $16,495 −80% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,319 $3,319 $14,485 −77% $29,916 −89% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,103 −59% $19,326 −83% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,319 $3,319 $11,784 −72% $24,980 −87% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,319 $3,319 $21,960 −85% $41,703 −92% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,047 −70% $23,920 −86% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $15,500 −79% $29,476 −89% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,319 $3,319 $9,602 −65% $18,459 −82% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,319 $3,319 $8,181 −59% $15,589 −79% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $12,007 −72% $23,734 −86% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,319 $3,319 $8,732 −62% $19,091 −83% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,319 $3,319 $5,562 −40% $14,208 −77% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,319 $3,319 $8,361 −60% $18,282 −82% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,483 −39% $11,421 −71% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,319 $3,319 $11,903 −72% $24,561 −86% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,319 $3,319 $9,128 −64% $17,943 −82% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,319 $3,319 $6,053 −45% $12,381 −73% —
779 ABORTION WITHOUT D&C $3,319 $3,319 $7,930 −58% $15,327 −78% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,319 $3,319 $10,545 −69% $19,815 −83% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,319 $3,319 $15,085 −78% $14,284 −77% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,064 −76% $28,634 −88% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,319 $3,319 $30,575 −89% $59,425 −94% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,319 $3,319 $15,101 −78% $33,564 −90% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,319 $3,319 $9,379 −65% $24,544 −86% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,319 $3,319 $19,811 −83% $36,334 −91% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,319 $3,319 $10,507 −68% $22,032 −85% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,319 $3,319 $8,075 −59% $18,428 −82% —
811 RED BLOOD CELL DISORDERS WITH MCC $3,319 $3,319 $12,169 −73% $27,934 −88% ≈326% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,319 $3,319 $7,983 −58% $20,488 −84% ≈323% of Medicare
813 COAGULATION DISORDERS $3,319 $3,319 $13,132 −75% $30,128 −89% ≈304% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,319 $3,319 $17,735 −81% $32,483 −90% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,319 $3,319 $8,620 −61% $18,017 −82% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,704 −42% $13,485 −75% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,319 $3,319 $18,088 −82% $36,097 −91% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,319 $3,319 $10,927 −70% $24,316 −86% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $6,927 −52% $17,928 −81% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,319 $3,319 $18,682 −82% $44,053 −92% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,798 −66% $25,390 −87% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,319 $3,319 $18,841 −82% $38,382 −91% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,441 −68% $27,321 −88% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,319 $3,319 $20,508 −84% $47,546 −93% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,598 −76% $35,584 −91% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,319 $3,319 $27,771 −88% $53,817 −94% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,529 −74% $25,149 −87% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,319 $3,319 $9,405 −65% $18,133 −82% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,319 $3,319 $6,341 −48% $12,895 −74% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $4,496 −26% $9,076 −63% —
834 ACUTE LEUKEMIA WITH MCC $3,319 $3,319 $46,891 −93% $76,583 −96% —
835 ACUTE LEUKEMIA WITH CC $3,319 $3,319 $17,874 −81% $35,569 −91% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,319 $3,319 $10,780 −69% $19,686 −83% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,319 $3,319 $17,206 −81% $30,661 −89% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $11,626 −71% $20,980 −84% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,319 $3,319 $27,054 −88% $49,710 −93% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,319 $3,319 $13,302 −75% $31,059 −89% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,319 $3,319 $8,924 −63% $17,550 −81% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,319 $3,319 $16,062 −79% $36,280 −91% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,319 $3,319 $10,139 −67% $20,421 −84% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $7,169 −54% $14,055 −76% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,319 $3,319 $21,877 −85% $38,878 −91% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,319 $3,319 $10,780 −69% $22,275 −85% ≈332% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $7,015 −53% $13,822 −76% —
849 RADIOTHERAPY $3,319 $3,319 $22,353 −85% $37,862 −91% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $3,319 $3,319 $77,091 −96% $121,563 −97% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,319 $3,319 $17,364 −81% $43,524 −92% ≈311% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,926 −76% $27,168 −88% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,319 $3,319 $19,259 −83% $41,900 −92% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,930 −70% $23,924 −86% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,319 $3,319 $15,904 −79% $30,394 −89% ≈317% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,319 $3,319 $8,483 −61% $20,007 −83% —
864 FEVER AND INFLAMMATORY CONDITIONS $3,319 $3,319 $7,618 −56% $17,412 −81% —
865 VIRAL ILLNESS WITH MCC $3,319 $3,319 $12,521 −73% $26,088 −87% —
866 VIRAL ILLNESS WITHOUT MCC $3,319 $3,319 $7,506 −56% $16,391 −80% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,319 $3,319 $18,191 −82% $36,850 −91% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,319 $3,319 $9,083 −63% $22,231 −85% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $6,105 −46% $12,537 −74% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,319 $3,319 $16,645 −80% $35,237 −91% ≈305% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,319 $3,319 $8,918 −63% $22,781 −85% ≈334% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,319 $3,319 $33,337 −90% $54,196 −94% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,319 $3,319 $8,292 −60% $15,636 −79% —
881 DEPRESSIVE NEUROSES $3,319 $3,319 $7,831 −58% $15,058 −78% —
882 NEUROSES EXCEPT DEPRESSIVE $3,319 $3,319 $8,241 −60% $15,680 −79% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $3,319 $3,319 $15,515 −79% $22,698 −85% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,319 $3,319 $14,169 −77% $25,208 −87% ≈297% of Medicare
885 PSYCHOSES $3,319 $3,319 $11,958 −72% $21,489 −85% ≈330% of Medicare
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $3,319 $3,319 $15,241 −78% $24,836 −87% —
887 OTHER MENTAL DISORDER DIAGNOSES $3,319 $3,319 $10,090 −67% $20,602 −84% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,319 $3,319 $5,424 −39% $12,013 −72% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,319 $3,319 $12,117 −73% $21,986 −85% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,319 $3,319 $15,107 −78% $30,275 −89% ≈295% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,319 $3,319 $7,484 −56% $16,049 −79% ≈319% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,319 $3,319 $37,586 −91% $68,847 −95% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,319 $3,319 $16,098 −79% $35,459 −91% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,319 $3,319 $10,444 −68% $23,588 −86% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,319 $3,319 $33,398 −90% $55,097 −94% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,319 $3,319 $13,793 −76% $25,197 −87% —
906 HAND PROCEDURES FOR INJURIES $3,319 $3,319 $18,264 −82% $31,520 −89% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,319 $3,319 $17,112 −81% $41,660 −92% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,319 $3,319 $10,760 −69% $28,156 −88% —
913 TRAUMATIC INJURY WITH MCC $3,319 $3,319 $13,729 −76% $24,198 −86% —
914 TRAUMATIC INJURY WITHOUT MCC $3,319 $3,319 $7,850 −58% $15,593 −79% —
915 ALLERGIC REACTIONS WITH MCC $3,319 $3,319 $14,888 −78% $30,944 −89% —
916 ALLERGIC REACTIONS WITHOUT MCC $3,319 $3,319 $5,634 −41% $13,890 −76% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,319 $3,319 $13,910 −76% $28,134 −88% ≈335% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,319 $3,319 $7,504 −56% $15,045 −78% —
919 COMPLICATIONS OF TREATMENT WITH MCC $3,319 $3,319 $15,622 −79% $29,031 −89% ≈288% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $3,319 $3,319 $8,787 −62% $21,181 −84% ≈339% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,319 $3,319 $5,948 −44% $14,012 −76% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,319 $3,319 $14,613 −77% $29,409 −89% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,319 $3,319 $8,652 −62% $16,571 −80% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,319 $3,319 $56,660 −94% $89,353 −96% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,319 $3,319 $33,230 −90% $59,352 −94% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,319 $3,319 $18,382 −82% $31,044 −89% —
935 NON-EXTENSIVE BURNS $3,319 $3,319 $18,633 −82% $29,458 −89% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,319 $3,319 $26,927 −88% $51,142 −94% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,319 $3,319 $17,669 −81% $38,420 −91% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,319 $3,319 $16,579 −80% $29,524 −89% —
945 REHABILITATION WITH CC/MCC $3,319 $3,319 $12,775 −74% $23,834 −86% —
946 REHABILITATION WITHOUT CC/MCC $3,319 $3,319 $9,323 −64% $17,685 −81% —
947 SIGNS AND SYMPTOMS WITH MCC $3,319 $3,319 $11,018 −70% $25,474 −87% ≈311% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,319 $3,319 $6,872 −52% $17,727 −81% ≈331% of Medicare
949 AFTERCARE WITH CC/MCC $3,319 $3,319 $9,243 −64% $23,953 −86% —
950 AFTERCARE WITHOUT CC/MCC $3,319 $3,319 $5,117 −35% $13,527 −75% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,319 $3,319 $4,950 −33% $9,385 −65% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,319 $3,319 $23,718 −86% $43,491 −92% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,319 $3,319 $12,726 −74% $25,854 −87% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,319 $3,319 $7,742 −57% $17,585 −81% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,319 $3,319 $22,509 −85% $40,947 −92% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,319 $3,319 $25,951 −87% $46,402 −93% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,319 $3,319 $11,895 −72% $25,010 −87% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,319 $3,319 $8,278 −60% $16,212 −80% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,319 $3,319 $12,232 −73% $22,525 −85% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,319 $3,319 $21,375 −84% $51,985 −94% ≈305% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $14,152 −77% $30,930 −89% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,319 $3,319 $14,843 −78% $38,094 −91% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $9,899 −66% $25,307 −87% —

Procedures with negotiated rates only

These 152 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
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,400 – $103,607 · median $39,258 23 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $58,158 – $290,431 · median $221,908 21 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $58,158 – $180,795 · median $149,963 21 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $56,575 – $171,469 · median $136,792 21 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $224,298 · median $177,908 21 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $49,843 – $154,871 · median $124,653 21 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $48,142 – $154,871 · median $106,369 21 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $49,843 – $236,413 · median $193,312 21 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $49,843 – $165,549 · median $138,286 21 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $49,843 – $276,562 · median $181,036 21 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $49,843 – $276,562 · median $123,221 21 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $204,650 · median $138,479 21 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $42,202 – $138,276 · median $95,240 21 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $65,844 – $173,068 · median $118,652 20 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $42,997 – $165,931 · median $82,970 20 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $9,955 – $103,655 · median $78,277 20 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,702 – $310,697 · median $243,606 19 plans
245 AICD GENERATOR PROCEDURES $26,530 – $150,755 · median $112,362 19 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $31,049 – $193,654 · median $154,428 19 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,976 – $120,142 · median $96,366 19 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,049 – $144,284 · median $118,885 19 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $16,823 – $106,848 · median $89,910 19 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,823 – $91,483 · median $72,285 19 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $34,360 – $92,966 · median $79,163 18 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,226 – $67,483 · median $55,127 18 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $18,226 – $91,380 · median $75,185 18 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $64,859 – $580,807 · median $496,377 17 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,463 – $89,142 · median $64,978 17 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,463 – $99,804 · median $78,971 17 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,611 – $135,059 · median $107,595 17 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $9,453 – $107,884 · median $91,533 17 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $120,913 – $387,125 · median $328,784 16 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $39,529 – $111,212 · median $95,223 16 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $113,342 – $287,368 · median $195,527 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $50,371 – $135,318 · median $78,013 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $58,835 – $157,669 · median $133,200 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $42,071 – $109,502 · median $89,861 16 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $46,030 – $125,073 · median $104,469 16 plans
028 SPINAL PROCEDURES WITH MCC $58,556 – $164,758 · median $141,941 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $45,820 – $121,576 · median $98,342 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $39,317 – $110,674 · median $91,659 16 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $41,274 – $110,207 · median $90,093 16 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $29,260 – $80,423 · median $63,118 16 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $37,549 – $101,165 · median $83,904 16 plans
163 MAJOR CHEST PROCEDURES WITH MCC $51,049 – $138,144 · median $110,378 16 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $39,076 – $106,862 · median $89,895 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $60,076 – $175,264 · median $149,244 16 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $48,912 – $136,503 · median $116,237 16 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $28,908 – $78,922 · median $67,205 16 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $74,592 – $197,625 · median $144,888 16 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $59,449 – $155,959 · median $113,486 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $42,952 – $120,175 · median $102,561 16 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $55,205 – $149,744 · median $120,258 16 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $42,370 – $108,330 · median $85,217 16 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $42,706 – $119,496 · median $99,753 16 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $56,846 – $159,568 · median $129,449 16 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $37,327 – $104,406 · median $84,501 16 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $35,784 – $100,954 · median $83,098 16 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $44,393 – $116,366 · median $94,964 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $95,119 – $239,418 · median $198,952 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $68,221 – $181,051 · median $139,895 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $49,165 – $139,712 · median $104,776 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $56,339 – $179,565 · median $141,617 16 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $53,410 – $148,834 · median $121,674 16 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $36,787 – $99,581 · median $81,604 16 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $32,889 – $88,583 · median $76,316 16 plans
471 CERVICAL SPINAL FUSION WITH MCC $52,313 – $139,695 · median $115,092 16 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $40,587 – $121,538 · median $103,493 16 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $34,097 – $93,474 · median $79,952 16 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $31,617 – $84,219 · median $69,535 16 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $36,087 – $96,574 · median $82,360 16 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $24,112 – $65,068 · median $56,057 16 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $35,954 – $101,196 · median $83,396 16 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $35,702 – $99,806 · median $83,678 16 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,673 – $166,890 · median $143,779 16 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $32,699 – $93,901 · median $80,690 16 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $31,277 – $88,331 · median $76,099 16 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $39,547 – $101,410 · median $87,366 16 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $38,644 – $106,931 · median $92,122 16 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $57,991 – $151,735 · median $129,035 16 plans
662 MINOR BLADDER PROCEDURES WITH MCC $33,148 – $84,543 · median $71,991 16 plans
665 PROSTATECTOMY WITH MCC $31,093 – $93,052 · median $79,237 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $37,442 – $113,540 · median $95,970 16 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $25,601 – $66,283 · median $54,653 16 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $45,258 – $118,571 · median $92,632 16 plans
799 SPLENIC PROCEDURES WITH MCC $51,789 – $143,234 · median $114,961 16 plans
800 SPLENIC PROCEDURES WITH CC $29,769 – $82,183 · median $67,827 16 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $59,879 – $159,240 · median $135,936 16 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $44,309 – $126,817 · median $107,989 16 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $52,529 – $140,252 · median $111,496 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $62,749 – $158,694 · median $113,698 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $53,405 – $137,685 · median $116,768 16 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $46,356 – $126,577 · median $105,240 16 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $66,243 – $188,525 · median $159,208 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $41,788 – $110,187 · median $91,932 16 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $63,689 – $185,050 · median $157,230 16 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $41,094 – $107,171 · median $89,426 16 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $78,910 – $206,635 · median $172,582 16 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $43,897 – $117,101 · median $96,536 16 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $29,333 – $76,135 · median $61,729 16 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $60,780 – $180,990 · median $147,657 16 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $47,037 – $128,833 · median $110,992 16 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $34,919 – $94,925 · median $80,832 16 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $47,775 – $85,302 · median $70,755 15 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $49,065 – $83,161 · median $72,216 13 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $171,857 – $295,230 · median $256,377 13 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $112,263 – $191,519 · median $166,315 13 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $99,090 – $167,871 · median $145,779 13 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $76,308 – $126,069 · median $109,478 13 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $71,170 – $135,592 · median $115,319 13 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $51,069 – $86,841 · median $75,412 13 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $66,058 – $115,432 · median $98,652 13 plans
397 APPENDIX PROCEDURES WITH MCC $35,847 – $67,150 · median $57,388 13 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $190,000 – $1,022,036 · median $838,245 11 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $112,821 – $167,655 · median $143,283 9 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $191,040 – $283,889 · median $242,621 9 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $129,532 – $192,487 · median $164,506 9 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $100,378 – $149,164 · median $127,480 9 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $152,108 – $226,035 · median $193,177 9 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $99,766 – $148,253 · median $126,702 9 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $122,274 – $181,701 · median $155,288 9 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $74,471 – $110,665 · median $94,578 9 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $93,922 – $139,570 · median $119,281 9 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $98,532 – $256,000 · median $212,343 7 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $64,154 – $169,804 · median $145,696 7 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $50,415 – $133,407 · median $110,657 7 plans
459 Spinal Fusion Except Cervical With MCC $71,771 – $187,450 · median $157,988 7 plans
460 Spinal Fusion Except Cervical Without MCC $41,482 – $109,508 · median $90,833 7 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $82,861 – $234,489 · median $87,404 5 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $62,877 – $172,979 · median $82,861 5 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $77,470 – $205,004 · median $82,861 5 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $59,167 – $156,681 · median $82,861 5 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $70,049 – $184,108 · median $82,861 5 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $33,233 – $87,036 · median $49,781 5 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $208,893 – $585,614 · median $545,054 5 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $30,810 – $86,190 · median $83,784 5 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $54,772 – $146,241 · median $121,302 3 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $21,312 – $55,362 · median $45,921 3 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $32,434 – $88,379 · median $73,307 3 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $20,076 – $52,330 · median $43,406 3 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $30,482 – $77,934 · median $64,643 3 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $17,975 – $47,198 · median $39,149 3 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $12,962 – $34,205 · median $28,372 3 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $26,794 – $64,496 · median $53,497 3 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $16,867 – $39,905 · median $33,100 3 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $12,062 – $30,892 · median $25,624 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $58,373 – $58,373 · median $58,373 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS $39,868 – $39,868 · median $39,868 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $24,054 – $24,054 · median $24,054 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $40,951 – $40,951 · median $40,951 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $14,494 – $14,494 · median $14,494 1 plans
795 NORMAL NEWBORN $1,961 – $1,961 · median $1,961 1 plans