HMH Jersey Shore University Medical Center — Pricing

792 procedures published in this hospital's Machine-Readable File (MRF) — 771 with a comparable price, 21 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 792
Lowest published price $1,695
Average published price $19,940
Highest published price $319,936

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 792 procedures

Published charges

Showing all 771 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 209 procedures, this hospital's negotiated rates average ≈534% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $319,936 $319,936 $319,936 +0% $573,534 −44% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC $238,965 $238,965 $307,776 −22% $461,389 −48% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $201,252 $201,252 $201,252 +0% $306,087 −34% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $181,815 $181,815 $252,455 −28% $371,366 −51% ≈502% of Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $119,872 $119,872 $167,292 −28% $248,521 −52% ≈441% of Medicare
014 ALLOGENEIC BONE MARROW TRANSPLANT $111,149 $111,149 $111,149 +0% $182,314 −39% —
007 LUNG TRANSPLANT $110,869 $110,869 $110,869 +0% $170,608 −35% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W/O MCC $93,485 $93,485 $93,485 +0% $194,769 −52% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $92,418 $92,418 $94,649 −2% $196,346 −53% —
005 LIVER TRANSPLANT W MCC OR INTESTINAL TRANSPLANT $90,344 $90,344 $118,003 −23% $164,641 −45% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $89,881 $89,881 $91,898 −2% $208,939 −57% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $88,868 $88,868 $88,868 +0% $142,326 −38% —
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC $81,875 $81,875 $99,015 −17% $188,171 −56% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $78,149 $78,149 $78,149 +0% $121,563 −36% —
231 CORONARY BYPASS W PTCA W MCC $71,888 $71,888 $100,406 −28% $147,227 −51% —
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC $71,848 $71,848 $111,108 −35% $153,282 −53% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $70,757 $70,757 $70,757 +0% $144,774 −51% —
020 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC $68,386 $68,386 $96,502 −29% $148,686 −54% —
010 PANCREAS TRANSPLANT $67,639 $67,639 $67,639 +0% $99,940 −32% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $67,251 $67,251 $67,251 +0% $105,228 −36% —
233 CORONARY BYPASS W CARDIAC CATH W MCC $66,310 $66,310 $99,484 −33% $144,569 −54% ≈592% of Medicare
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC $65,641 $65,641 $69,461 −6% $143,242 −54% ≈502% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC $63,322 $63,322 $96,002 −34% $120,573 −47% ≈638% of Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $60,256 $60,256 $60,256 +0% $132,794 −55% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $59,953 $59,953 $59,953 +0% $131,961 −55% —
870 SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) $59,015 $59,015 $71,210 −17% $148,832 −60% ≈431% of Medicare
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $57,928 $57,928 $57,928 +0% $102,600 −44% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $56,879 $56,879 $56,879 +0% $126,098 −55% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $56,660 $56,660 $56,660 +0% $89,353 −37% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC $56,564 $56,564 $56,564 +0% $125,242 −55% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $54,864 $54,864 $54,864 +0% $116,058 −53% ≈432% of Medicare
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC $54,785 $54,785 $54,785 +0% $123,995 −56% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $53,652 $53,652 $70,274 −24% $109,331 −51% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $52,550 $52,550 $52,550 +0% $117,280 −55% ≈427% of Medicare
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $52,482 $52,482 $52,482 +0% $88,566 −41% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $52,243 $52,243 $76,220 −31% $98,912 −47% ≈552% of Medicare
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $52,061 $52,061 $77,989 −33% $108,472 −52% —
232 CORONARY BYPASS W PTCA W/O MCC $51,823 $51,823 $52,744 −2% $115,839 −55% —
028 SPINAL PROCEDURES WITH MCC $51,575 $51,575 $75,626 −32% $113,077 −54% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT W CC/MCC OR T-CELL IMMUNOTHERAPY $51,205 $51,205 $51,205 +0% $98,260 −48% ≈535% of Medicare
017 AUTOLOGOUS BONE MARROW TRANSPLANT W/O CC/MCC $51,205 $51,205 $51,205 +0% $81,176 −37% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $50,823 $50,823 $56,331 −10% $113,855 −55% ≈609% of Medicare
218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC $50,471 $50,471 $70,773 −29% $103,455 −51% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $50,433 $50,433 $68,716 −27% $80,018 −37% —
235 CORONARY BYPASS W/O CARDIAC CATH W MCC $49,918 $49,918 $53,056 −6% $112,062 −55% ≈530% of Medicare
820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC $49,393 $49,393 $73,617 −33% $96,192 −49% —
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC $48,690 $48,690 $69,568 −30% $107,355 −55% —
023 CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR $48,399 $48,399 $74,760 −35% $106,778 −55% ≈524% of Medicare
653 MAJOR BLADDER PROCEDURES W MCC $47,292 $47,292 $48,871 −3% $104,583 −55% —
021 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC $46,891 $46,891 $74,709 −37% $106,057 −56% —
834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC $46,891 $46,891 $46,891 +0% $85,566 −45% ≈260% of Medicare
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $46,694 $46,694 $66,247 −30% $105,899 −56% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $46,409 $46,409 $46,409 +0% $101,618 −54% —
008 SIMULTANEOUS PANCREAS/KIDNEY TRANSPLANT $46,159 $46,159 $46,159 +0% $86,459 −47% —
405 PANCREAS, LIVER & SHUNT PROCEDURES W MCC $46,054 $46,054 $69,661 −34% $102,128 −55% ≈374% of Medicare
463 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC $45,819 $45,819 $45,819 +0% $89,207 −49% ≈356% of Medicare
011 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W MCC $45,776 $45,776 $45,776 +0% $101,576 −55% —
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC $45,771 $45,771 $58,205 −21% $90,401 −49% —
234 CORONARY BYPASS W CARDIAC CATH W/O MCC $45,134 $45,134 $63,765 −29% $102,573 −56% ≈579% of Medicare
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC $44,934 $44,934 $47,356 −5% $111,320 −60% ≈549% of Medicare
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $43,691 $43,691 $43,691 +0% $99,943 −56% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC $43,546 $43,546 $58,029 −25% $99,423 −56% ≈479% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT W MCC $43,220 $43,220 $67,426 −36% $96,507 −55% —
326 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC $43,088 $43,088 $58,279 −26% $80,793 −47% ≈350% of Medicare
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC $42,730 $42,730 $43,082 −1% $93,390 −54% ≈522% of Medicare
837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC $42,478 $42,478 $42,731 −1% $77,055 −45% ≈399% of Medicare
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $42,445 $42,445 $42,445 +0% $93,238 −54% —
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC $42,428 $42,428 $66,300 −36% $93,172 −54% ≈444% of Medicare
228 OTHER CARDIOTHORACIC PROCEDURES W MCC $42,276 $42,276 $45,511 −7% $96,905 −56% ≈641% of Medicare
245 AICD GENERATOR PROCEDURES $41,457 $41,457 $57,711 −28% $72,076 −42% —
471 CERVICAL SPINAL FUSION W MCC $41,207 $41,207 $56,466 −27% $92,515 −55% —
006 LIVER TRANSPLANT W/O MCC $41,138 $41,138 $41,138 +0% $84,407 −51% —
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC $40,513 $40,513 $45,486 −11% $90,724 −55% —
799 SPLENECTOMY W MCC $40,337 $40,337 $63,003 −36% $82,218 −51% —
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $40,330 $40,330 $48,640 −17% $90,775 −56% ≈513% of Medicare
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $39,912 $39,912 $56,990 −30% $92,217 −57% ≈612% of Medicare
823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC $39,698 $39,698 $59,849 −34% $87,761 −55% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $39,464 $39,464 $41,339 −5% $91,329 −57% ≈444% of Medicare
163 MAJOR CHEST PROCEDURES W MCC $39,102 $39,102 $48,368 −19% $90,195 −57% ≈529% of Medicare
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $39,086 $39,086 $39,086 +0% $71,551 −45% —
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC $38,961 $38,961 $53,402 −27% $90,331 −57% —
329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC $38,955 $38,955 $62,792 −38% $88,050 −56% ≈510% of Medicare
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC $38,274 $38,274 $38,274 +0% $76,001 −50% ≈618% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,046 $38,046 $38,916 −2% $84,692 −55% —
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC $37,941 $37,941 $37,941 +0% $88,307 −57% ≈499% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES W MCC $37,586 $37,586 $44,454 −15% $70,177 −46% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $37,266 $37,266 $39,446 −6% $86,970 −57% ≈429% of Medicare
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $36,707 $36,707 $35,085 +5% $59,352 −38% —
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC $36,632 $36,632 $59,237 −38% $83,441 −56% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC $36,188 $36,188 $54,189 −33% $82,561 −56% ≈440% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $36,135 $36,135 $56,745 −36% $101,510 −64% ≈535% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $35,878 $35,878 $35,878 +0% $60,098 −40% —
031 VENTRICULAR SHUNT PROCEDURES W MCC $35,551 $35,551 $54,021 −34% $72,962 −51% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $35,542 $35,542 $52,219 −32% $77,990 −54% ≈449% of Medicare
793 FULL TERM NEONATE W MAJOR PROBLEMS $35,380 $35,380 $35,380 +0% $18,649 +90% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC $35,297 $35,297 $40,079 −12% $85,159 −59% ≈509% of Medicare
236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC $34,885 $34,885 $41,546 −16% $82,247 −58% ≈595% of Medicare
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC $34,865 $34,865 $41,582 −16% $73,120 −52% —
012 TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECTOMY W CC $34,814 $34,814 $40,461 −14% $79,836 −56% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $34,642 $34,642 $18,981 +83% $81,998 −58% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC $34,506 $34,506 $52,205 −34% $79,225 −56% —
791 PREMATURITY W MAJOR PROBLEMS $34,442 $34,442 $45,159 −24% $42,679 −19% —
907 OTHER O.R. PROCEDURES FOR INJURIES W MCC $33,796 $33,796 $42,875 −21% $77,817 −57% ≈463% of Medicare
739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $33,772 $33,772 $45,999 −27% $62,300 −46% —
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC $33,473 $33,473 $33,473 +0% $71,795 −53% —
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC $33,405 $33,405 $48,003 −30% $61,832 −46% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $33,337 $33,337 $33,337 +0% $54,196 −38% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $33,189 $33,189 $33,189 +0% $79,116 −58% —
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $33,173 $33,173 $35,279 −6% $78,852 −58% ≈475% of Medicare
034 CAROTID ARTERY STENT PROCEDURE W MCC $32,990 $32,990 $32,990 +0% $76,219 −57% ≈419% of Medicare
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC $32,789 $32,789 $32,789 +0% $66,685 −51% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $32,756 $32,756 $32,756 +0% $59,594 −45% —
166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC $32,664 $32,664 $50,951 −36% $75,573 −57% —
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $32,427 $32,427 $33,769 −4% $75,103 −57% ≈561% of Medicare
024 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC $32,252 $32,252 $49,588 −35% $74,755 −57% ≈561% of Medicare
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC $32,001 $32,001 $44,359 −28% $74,257 −57% ≈474% of Medicare
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC $31,745 $31,745 $31,745 +0% $61,470 −48% —
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC $30,954 $30,954 $41,778 −26% $68,639 −55% —
335 PERITONEAL ADHESIOLYSIS W MCC $30,739 $30,739 $49,404 −38% $71,755 −57% —
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC $30,412 $30,412 $30,412 +0% $66,711 −54% —
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC $30,410 $30,410 $30,410 +0% $59,533 −49% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $30,405 $30,405 $31,743 −4% $71,092 −57% —
265 AICD LEAD PROCEDURES $30,262 $30,262 $36,401 −17% $63,171 −52% —
492 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC $30,127 $30,127 $31,382 −4% $70,564 −57% —
022 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC $29,950 $29,950 $48,538 −38% $66,848 −55% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC $29,942 $29,942 $29,942 +0% $50,919 −41% ≈591% of Medicare
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC $29,867 $29,867 $45,480 −34% $56,964 −48% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC $29,724 $29,724 $31,947 −7% $69,743 −57% —
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $29,715 $29,715 $29,715 +0% $66,068 −55% ≈394% of Medicare
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC $29,703 $29,703 $48,637 −39% $62,583 −53% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $29,651 $29,651 $29,651 +0% $51,953 −43% ≈517% of Medicare
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $29,459 $29,459 $29,459 +0% $56,242 −48% —
332 RECTAL RESECTION W MCC $29,427 $29,427 $29,427 +0% $58,125 −49% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $29,394 $29,394 $39,320 −25% $52,036 −44% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC $29,221 $29,221 $29,221 +0% $71,014 −59% ≈514% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $29,175 $29,175 $29,175 +0% $68,653 −58% —
665 PROSTATECTOMY W MCC $29,129 $29,129 $43,765 −33% $54,072 −46% —
252 OTHER VASCULAR PROCEDURES W MCC $29,102 $29,102 $45,852 −37% $68,508 −58% ≈462% of Medicare
467 REVISION OF HIP OR KNEE REPLACEMENT W CC $29,058 $29,058 $46,123 −37% $70,847 −59% ≈565% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC $28,896 $28,896 $34,180 −15% $70,371 −59% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC $28,776 $28,776 $47,020 −39% $70,132 −59% ≈574% of Medicare
029 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS $28,477 $28,477 $41,267 −31% $67,268 −58% —
037 EXTRACRANIAL PROCEDURES W MCC $28,173 $28,173 $28,173 +0% $66,666 −58% ≈484% of Medicare
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $28,012 $28,012 $28,012 +0% $52,908 −47% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT $27,730 $27,730 $33,894 −18% $65,788 −58% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $27,651 $27,651 $39,757 −30% $58,745 −53% —
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC $27,639 $27,639 $28,056 −1% $65,608 −58% —
485 KNEE PROCEDURES W PDX OF INFECTION W MCC $27,311 $27,311 $27,311 +0% $72,424 −62% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $27,184 $27,184 $27,184 +0% $63,928 −57% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $27,106 $27,106 $27,106 +0% $71,464 −62% ≈497% of Medicare
840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC $27,054 $27,054 $27,054 +0% $49,710 −46% ≈496% of Medicare
929 FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC $26,981 $26,981 $26,981 +0% $44,472 −39% —
939 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC $26,927 $26,927 $26,927 +0% $55,289 −51% —
500 SOFT TISSUE PROCEDURES W MCC $26,882 $26,882 $26,882 +0% $61,872 −57% —
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $26,477 $26,477 $33,425 −21% $65,573 −60% ≈498% of Medicare
662 MINOR BLADDER PROCEDURES W MCC $26,465 $26,465 $26,465 +0% $54,562 −51% —
229 OTHER CARDIOTHORACIC PROCEDURES W/O MCC $26,352 $26,352 $38,140 −31% $65,325 −60% ≈663% of Medicare
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC $26,234 $26,234 $26,234 +0% $62,821 −58% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $26,180 $26,180 $26,180 +0% $65,216 −60% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W CC/MCC $26,161 $26,161 $26,161 +0% $53,864 −51% —
652 KIDNEY TRANSPLANT $26,056 $26,056 $26,056 +0% $54,720 −52% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $26,032 $26,032 $27,913 −7% $60,407 −57% —
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC $25,948 $25,948 $25,948 +0% $64,523 −60% ≈544% of Medicare
570 SKIN DEBRIDEMENT W MCC $25,537 $25,537 $25,537 +0% $52,435 −51% —
974 HIV W MAJOR RELATED CONDITION W MCC $25,333 $25,333 $25,333 +0% $46,402 −45% —
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC $25,014 $25,014 $25,014 +0% $58,228 −57% —
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC $24,950 $24,950 $39,985 −38% $65,653 −62% ≈564% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC $24,882 $24,882 $24,882 +0% $60,170 −59% —
668 TRANSURETHRAL PROCEDURES W MCC $24,740 $24,740 $29,135 −15% $51,608 −52% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $24,727 $24,727 $24,727 +0% $70,467 −65% ≈453% of Medicare
800 SPLENECTOMY W CC $24,719 $24,719 $24,719 +0% $49,184 −50% —
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC $24,706 $24,706 $24,706 +0% $59,790 −59% —
472 CERVICAL SPINAL FUSION W CC $24,578 $24,578 $24,578 +0% $59,537 −59% ≈515% of Medicare
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC $24,323 $24,323 $24,323 +0% $59,031 −59% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC $24,295 $24,295 $40,277 −40% $58,975 −59% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $24,281 $24,281 $40,065 −39% $61,217 −60% —
510 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC $24,247 $24,247 $24,247 +0% $49,839 −51% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $24,151 $24,151 $24,151 +0% $81,706 −70% ≈448% of Medicare
654 MAJOR BLADDER PROCEDURES W CC $23,941 $23,941 $23,941 +0% $58,274 −59% —
406 PANCREAS, LIVER & SHUNT PROCEDURES W CC $23,825 $23,825 $23,825 +0% $58,043 −59% ≈514% of Medicare
258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC $23,800 $23,800 $23,800 +0% $52,986 −55% —
411 CHOLECYSTECTOMY W C.D.E. W MCC $23,214 $23,214 $23,214 +0% $48,358 −52% —
288 ACUTE & SUBACUTE ENDOCARDITIS W MCC $23,173 $23,173 $23,173 +0% $50,618 −54% —
619 O.R. PROCEDURES FOR OBESITY W MCC $23,130 $23,130 $23,341 −1% $51,746 −55% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC $23,047 $23,047 $23,047 +0% $43,491 −47% ≈588% of Medicare
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC $22,934 $22,934 $22,934 +0% $62,264 −63% ≈562% of Medicare
344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC $22,859 $22,859 $22,859 +0% $44,546 −49% —
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS $22,768 $22,768 $22,768 +0% $52,405 −57% ≈446% of Medicare
263 VEIN LIGATION AND STRIPPING $22,754 $22,754 $22,754 +0% $51,253 −56% —
849 RADIOTHERAPY $22,660 $22,660 $22,660 +0% $37,862 −40% —
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC $22,590 $22,590 $22,590 +0% $47,945 −53% —
970 HIV W EXTENSIVE O.R. PROCEDURE W/O MCC $22,509 $22,509 $22,509 +0% $44,222 −49% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $22,481 $22,481 $22,481 +0% $48,687 −54% —
503 FOOT PROCEDURES W MCC $22,452 $22,452 $22,452 +0% $47,540 −53% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $22,429 $22,429 $33,961 −34% $41,422 −46% —
468 REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC $22,255 $22,255 $22,255 +0% $54,929 −59% —
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC $22,197 $22,197 $22,197 +0% $46,453 −52% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC $21,960 $21,960 $21,960 +0% $45,167 −51% —
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC $21,924 $21,924 $21,924 +0% $52,178 −58% —
846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC $21,665 $21,665 $21,665 +0% $38,878 −44% —
253 OTHER VASCULAR PROCEDURES W CC $21,658 $21,658 $21,658 +0% $57,454 −62% ≈533% of Medicare
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $21,618 $21,618 $21,618 +0% $58,707 −63% —
817 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W MCC $21,506 $21,506 $17,794 +21% $39,173 −45% —
545 CONNECTIVE TISSUE DISORDERS W MCC $21,437 $21,437 $21,437 +0% $40,362 −47% —
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC $21,420 $21,420 $21,420 +0% $49,423 −57% —
164 MAJOR CHEST PROCEDURES W CC $21,353 $21,353 $21,353 +0% $56,755 −62% ≈534% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $21,243 $21,243 $21,243 +0% $39,973 −47% ≈486% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC $21,227 $21,227 $21,227 +0% $55,162 −62% ≈557% of Medicare
397 APPENDIX PROCEDURES WITH MCC $21,020 $21,020 $21,020 +0% $53,257 −61% —
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC $20,936 $20,936 $20,936 +0% $54,583 −62% ≈572% of Medicare
792 PREMATURITY W/O MAJOR PROBLEMS $20,782 $20,782 $20,782 +0% $12,229 +70% —
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $20,770 $20,770 $20,770 +0% $51,985 −60% ≈544% of Medicare
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC $20,599 $20,599 $20,599 +0% $59,421 −65% —
350 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC $20,519 $20,519 $20,519 +0% $50,046 −59% —
135 SINUS & MASTOID PROCEDURES W CC/MCC $20,455 $20,455 $20,455 +0% $42,186 −52% —
493 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC $20,369 $20,369 $20,369 +0% $59,651 −66% ≈556% of Medicare
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC $20,337 $20,337 $20,337 +0% $47,583 −57% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $20,337 $20,337 $20,337 +0% $41,620 −51% —
417 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC $20,161 $20,161 $20,161 +0% $53,451 −62% ≈542% of Medicare
473 CERVICAL SPINAL FUSION W/O CC/MCC $20,084 $20,084 $20,084 +0% $50,624 −60% —
347 ANAL & STOMAL PROCEDURES W MCC $20,079 $20,079 $20,079 +0% $40,548 −50% —
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC $20,052 $20,052 $20,052 +0% $59,500 −66% ≈588% of Medicare
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC $20,020 $20,020 $24,054 −17% $50,498 −60% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $19,839 $19,839 $19,839 +0% $50,139 −60% ≈498% of Medicare
082 TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC $19,683 $19,683 $19,683 +0% $36,489 −46% ≈501% of Medicare
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $19,638 $19,638 $19,638 +0% $40,060 −51% —
250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC $19,619 $19,619 $19,619 +0% $59,629 −67% —
674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC $19,583 $19,583 $31,742 −38% $50,394 −61% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $19,462 $19,462 $19,462 +0% $40,108 −51% —
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC $19,430 $19,430 $19,430 +0% $39,181 −50% ≈490% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC $19,370 $19,370 $19,370 +0% $42,415 −54% —
614 ADRENAL & PITUITARY PROCEDURES W CC/MCC $19,334 $19,334 $19,334 +0% $48,349 −60% —
035 CAROTID ARTERY STENT PROCEDURE W CC $19,298 $19,298 $19,298 +0% $49,066 −61% ≈498% of Medicare
085 TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC $19,224 $19,224 $19,224 +0% $41,892 −54% ≈498% of Medicare
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC $19,158 $19,158 $19,158 +0% $38,998 −51% —
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM $19,157 $19,157 $19,157 +0% $49,418 −61% ≈589% of Medicare
113 ORBITAL PROCEDURES W CC/MCC $19,144 $19,144 $19,144 +0% $36,167 −47% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC $19,112 $19,112 $19,112 +0% $50,011 −62% ≈587% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC $19,105 $19,105 $19,105 +0% $48,682 −61% —
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC $19,080 $19,080 $19,080 +0% $47,737 −60% —
709 PENIS PROCEDURES W CC/MCC $19,063 $19,063 $19,063 +0% $34,535 −45% —
821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC $18,939 $18,939 $18,939 +0% $47,789 −60% —
030 SPINAL PROCEDURES W/O CC/MCC $18,879 $18,879 $18,879 +0% $45,866 −59% —
286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC $18,776 $18,776 $18,776 +0% $46,283 −59% ≈495% of Medicare
824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC $18,659 $18,659 $18,659 +0% $41,608 −55% —
935 NON-EXTENSIVE BURNS $18,633 $18,633 $18,633 +0% $31,701 −41% —
906 HAND PROCEDURES FOR INJURIES $18,515 $18,515 $18,515 +0% $32,065 −42% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $18,485 $18,485 $18,485 +0% $45,333 −59% ≈513% of Medicare
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $18,403 $18,403 $18,403 +0% $42,901 −57% —
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC $18,301 $18,301 $18,301 +0% $45,877 −60% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $18,269 $18,269 $18,269 +0% $38,666 −53% ≈487% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $18,227 $18,227 $18,227 +0% $37,267 −51% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $18,204 $18,204 $18,204 +0% $31,044 −41% —
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC $18,191 $18,191 $18,191 +0% $38,070 −52% —
835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC $18,120 $18,120 $18,120 +0% $35,569 −49% —
407 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC $18,119 $18,119 $18,119 +0% $46,727 −61% —
032 VENTRICULAR SHUNT PROCEDURES W CC $18,117 $18,117 $18,117 +0% $46,724 −61% —
412 CHOLECYSTECTOMY W C.D.E. W CC $18,083 $18,083 $18,083 +0% $42,906 −58% —
333 RECTAL RESECTION W CC $18,030 $18,030 $18,030 +0% $37,154 −51% —
486 KNEE PROCEDURES W PDX OF INFECTION W CC $17,993 $17,993 $17,993 +0% $49,351 −64% —
595 MAJOR SKIN DISORDERS W MCC $17,943 $17,943 $17,943 +0% $34,598 −48% —
336 PERITONEAL ADHESIOLYSIS W CC $17,920 $17,920 $17,920 +0% $50,463 −64% —
374 DIGESTIVE MALIGNANCY W MCC $17,912 $17,912 $17,912 +0% $39,958 −55% ≈507% of Medicare
940 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC $17,912 $17,912 $17,912 +0% $43,650 −59% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $17,884 $17,884 $17,884 +0% $58,280 −69% ≈471% of Medicare
734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC $17,839 $17,839 $17,839 +0% $42,795 −58% —
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC $17,786 $17,786 $17,786 +0% $46,066 −61% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $17,735 $17,735 $17,735 +0% $33,851 −48% —
655 MAJOR BLADDER PROCEDURES W/O CC/MCC $17,623 $17,623 $17,623 +0% $43,174 −59% —
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC $17,602 $17,602 $17,602 +0% $52,751 −67% ≈548% of Medicare
592 SKIN ULCERS WITH MCC $17,445 $17,445 $17,445 +0% $33,246 −48% —
584 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC $17,369 $17,369 $17,369 +0% $35,030 −50% —
838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT $17,206 $17,206 $17,206 +0% $31,134 −45% —
539 OSTEOMYELITIS W MCC $17,157 $17,157 $17,157 +0% $37,609 −54% —
908 OTHER O.R. PROCEDURES FOR INJURIES W CC $17,112 $17,112 $17,112 +0% $42,914 −60% ≈464% of Medicare
548 SEPTIC ARTHRITIS W MCC $17,091 $17,091 $17,091 +0% $31,346 −45% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $17,073 $17,073 $17,073 +0% $32,031 −47% —
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC $17,066 $17,066 $17,066 +0% $46,090 −63% ≈490% of Medicare
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC $16,953 $16,953 $16,953 +0% $44,363 −62% —
854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC $16,951 $16,951 $16,951 +0% $43,943 −61% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $16,939 $16,939 $16,939 +0% $29,611 −43% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $16,875 $16,875 $16,875 +0% $39,106 −57% ≈465% of Medicare
080 NONTRAUMATIC STUPOR & COMA W MCC $16,863 $16,863 $16,863 +0% $36,249 −53% —
100 SEIZURES W MCC $16,842 $16,842 $16,842 +0% $35,481 −53% ≈458% of Medicare
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $16,841 $16,841 $16,841 +0% $32,574 −48% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC $16,781 $16,781 $16,781 +0% $43,913 −62% —
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC $16,738 $16,738 $16,738 +0% $43,800 −62% —
519 BACK & NECK PROC EXC SPINAL FUSION W CC $16,729 $16,729 $16,729 +0% $44,139 −62% —
488 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC $16,673 $16,673 $16,673 +0% $43,631 −62% —
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC $16,645 $16,645 $16,645 +0% $35,628 −53% ≈493% of Medicare
511 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC $16,638 $16,638 $16,638 +0% $43,538 −62% —
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $16,620 $16,620 $16,620 +0% $40,213 −59% ≈501% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC $16,589 $16,589 $16,589 +0% $39,955 −58% ≈499% of Medicare
941 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC $16,579 $16,579 $16,579 +0% $29,524 −44% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $16,577 $16,577 $16,577 +0% $38,861 −57% —
707 MAJOR MALE PELVIC PROCEDURES W CC/MCC $16,463 $16,463 $16,463 +0% $43,080 −62% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC $16,443 $16,443 $16,443 +0% $37,240 −56% —
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC $16,387 $16,387 $16,387 +0% $42,881 −62% ≈544% of Medicare
380 COMPLICATED PEPTIC ULCER W MCC $16,325 $16,325 $16,325 +0% $39,627 −59% —
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC $16,227 $16,227 $16,227 +0% $34,459 −53% —
711 TESTES PROCEDURES W CC/MCC $16,209 $16,209 $16,209 +0% $38,343 −58% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC $16,098 $16,098 $16,098 +0% $42,126 −62% —
902 WOUND DEBRIDEMENTS FOR INJURIES W CC $16,098 $16,098 $16,098 +0% $40,562 −60% —
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W MCC $16,062 $16,062 $16,062 +0% $36,431 −56% —
441 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC $16,037 $16,037 $16,037 +0% $33,985 −53% ≈403% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $16,015 $16,015 $16,015 +0% $33,255 −52% ≈482% of Medicare
686 KIDNEY & URINARY TRACT NEOPLASMS W MCC $15,997 $15,997 $15,997 +0% $37,844 −58% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC $15,996 $15,996 $15,996 +0% $50,607 −68% ≈560% of Medicare
494 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC $15,995 $15,995 $15,995 +0% $47,711 −66% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $15,984 $15,984 $15,984 +0% $32,637 −51% ≈427% of Medicare
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC $15,823 $15,823 $15,823 +0% $36,792 −57% —
165 MAJOR CHEST PROCEDURES W/O CC/MCC $15,813 $15,813 $15,813 +0% $46,340 −66% ≈526% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $15,748 $15,748 $15,748 +0% $33,047 −52% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC $15,741 $15,741 $15,741 +0% $36,670 −57% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $15,728 $15,728 $15,728 +0% $23,206 −32% —
058 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC $15,660 $15,660 $15,660 +0% $30,243 −48% —
783 CESAREAN SECTION W STERILIZATION W MCC $15,627 $15,627 $15,627 +0% $29,221 −47% —
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC $15,599 $15,599 $15,599 +0% $32,859 −53% ≈505% of Medicare
036 CAROTID ARTERY STENT PROCEDURE W/O CC/MCC $15,551 $15,551 $15,551 +0% $40,694 −62% ≈546% of Medicare
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC $15,509 $15,509 $15,509 +0% $43,298 −64% —
167 OTHER RESP SYSTEM O.R. PROCEDURES W CC $15,501 $15,501 $15,501 +0% $40,642 −62% —
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC $15,497 $15,497 $15,497 +0% $40,552 −62% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC $15,479 $15,479 $15,479 +0% $37,950 −59% ≈486% of Medicare
919 COMPLICATIONS OF TREATMENT W MCC $15,470 $15,470 $15,470 +0% $31,105 −50% ≈552% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $15,465 $15,465 $15,465 +0% $37,387 −59% ≈485% of Medicare
740 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC $15,426 $15,426 $15,426 +0% $40,365 −62% —
377 G.I. HEMORRHAGE W MCC $15,425 $15,425 $15,425 +0% $37,842 −59% ≈489% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC $15,349 $15,349 $15,349 +0% $32,433 −53% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $15,348 $15,348 $15,348 +0% $58,809 −74% ≈476% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC $15,310 $15,310 $15,310 +0% $41,591 −63% ≈632% of Medicare
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $15,292 $15,292 $15,292 +0% $16,351 −6% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $15,241 $15,241 $15,241 +0% $26,510 −43% —
501 SOFT TISSUE PROCEDURES W CC $15,140 $15,140 $15,140 +0% $39,619 −62% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC $15,108 $15,108 $15,108 +0% $52,075 −71% ≈610% of Medicare
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $15,107 $15,107 $15,107 +0% $31,159 −52% ≈483% of Medicare
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC $15,101 $15,101 $15,101 +0% $39,515 −62% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $15,065 $15,065 $15,065 +0% $34,276 −56% —
580 OTHER SKIN, SUBCUT TISS & BREAST PROC W CC $15,041 $15,041 $15,041 +0% $38,101 −61% —
199 PNEUMOTHORAX W MCC $14,976 $14,976 $14,976 +0% $33,787 −56% ≈522% of Medicare
259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC $14,911 $14,911 $14,911 +0% $39,020 −62% —
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC $14,911 $14,911 $14,911 +0% $39,018 −62% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $14,903 $14,903 $14,903 +0% $30,553 −51% —
509 ARTHROSCOPY $14,903 $14,903 $14,903 +0% $25,994 −43% —
597 MALIGNANT BREAST DISORDERS W MCC $14,903 $14,903 $14,903 +0% $33,386 −55% —
504 FOOT PROCEDURES W CC $14,889 $14,889 $14,889 +0% $38,960 −62% —
505 FOOT PROCEDURES W/O CC/MCC $14,889 $14,889 $14,889 +0% $34,937 −57% —
582 MASTECTOMY FOR MALIGNANCY W CC/MCC $14,856 $14,856 $14,856 +0% $35,849 −59% —
254 OTHER VASCULAR PROCEDURES W/O CC/MCC $14,841 $14,841 $14,841 +0% $38,836 −62% ≈596% of Medicare
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $14,829 $14,829 $14,829 +0% $33,555 −56% ≈368% of Medicare
180 RESPIRATORY NEOPLASMS W MCC $14,827 $14,827 $14,827 +0% $36,658 −60% ≈550% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $14,751 $14,751 $14,751 +0% $31,951 −54% ≈495% of Medicare
915 ALLERGIC REACTIONS W MCC $14,743 $14,743 $14,743 +0% $32,645 −55% —
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC $14,728 $14,728 $14,728 +0% $32,443 −55% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC $14,667 $14,667 $14,667 +0% $29,826 −51% —
671 URETHRAL PROCEDURES W CC/MCC $14,623 $14,623 $14,623 +0% $27,233 −46% —
075 VIRAL MENINGITIS WITH CC/MCC $14,612 $14,612 $14,612 +0% $30,447 −52% —
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC $14,558 $14,558 $14,558 +0% $38,094 −62% —
551 MEDICAL BACK PROBLEMS W MCC $14,476 $14,476 $14,476 +0% $34,017 −57% ≈540% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC $14,431 $14,431 $14,431 +0% $43,477 −67% —
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC $14,368 $14,368 $14,368 +0% $32,944 −56% —
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $14,340 $14,340 $14,340 +0% $29,079 −51% —
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC $14,332 $14,332 $14,332 +0% $31,563 −55% —
444 DISORDERS OF THE BILIARY TRACT W MCC $14,290 $14,290 $14,290 +0% $34,273 −58% ≈564% of Medicare
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $14,260 $14,260 $14,260 +0% $32,496 −56% ≈493% of Medicare
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $14,206 $14,206 $14,206 +0% $29,916 −53% —
571 SKIN DEBRIDEMENT W CC $14,204 $14,204 $14,204 +0% $37,169 −62% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $14,169 $14,169 $14,169 +0% $26,682 −47% ≈473% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS W MCC $14,167 $14,167 $14,167 +0% $33,876 −58% —
116 INTRAOCULAR PROCEDURES W CC/MCC $14,156 $14,156 $14,156 +0% $29,126 −51% —
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $14,152 $14,152 $14,152 +0% $34,607 −59% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $14,114 $14,114 $14,114 +0% $32,628 −57% ≈514% of Medicare
413 CHOLECYSTECTOMY W C.D.E. W/O CC/MCC $14,104 $14,104 $14,104 +0% $29,316 −52% —
334 RECTAL RESECTION WITHOUT CC/MCC $14,071 $14,071 $14,071 +0% $36,820 −62% —
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC $14,069 $14,069 $14,069 +0% $44,606 −68% ≈534% of Medicare
643 ENDOCRINE DISORDERS W MCC $14,060 $14,060 $14,060 +0% $33,563 −58% ≈510% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $14,049 $14,049 $14,049 +0% $34,192 −59% ≈527% of Medicare
331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $14,006 $14,006 $14,006 +0% $44,117 −68% ≈548% of Medicare
905 SKIN GRAFTS FOR INJURIES W/O CC/MCC $13,982 $13,982 $13,982 +0% $25,197 −45% —
666 PROSTATECTOMY W CC $13,975 $13,975 $13,975 +0% $31,906 −56% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $13,936 $13,936 $13,936 +0% $35,831 −61% —
801 SPLENECTOMY W/O CC/MCC $13,927 $13,927 $13,927 +0% $36,445 −62% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $13,925 $13,925 $13,925 +0% $30,828 −55% ≈541% of Medicare
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC $13,910 $13,910 $13,910 +0% $30,235 −54% —
296 CARDIAC ARREST, UNEXPLAINED W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) $13,899 $13,899 $13,899 +0% $33,661 −59% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC $13,893 $13,893 $13,893 +0% $36,354 −62% —
157 DENTAL & ORAL DISEASES W MCC $13,892 $13,892 $13,892 +0% $31,300 −56% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $13,797 $13,797 $13,797 +0% $27,633 −50% —
855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC $13,791 $13,791 $13,791 +0% $28,202 −51% —
385 INFLAMMATORY BOWEL DISEASE W MCC $13,784 $13,784 $13,784 +0% $27,617 −50% —
913 TRAUMATIC INJURY W MCC $13,729 $13,729 $13,729 +0% $24,198 −43% —
299 PERIPHERAL VASCULAR DISORDERS W MCC $13,723 $13,723 $13,723 +0% $27,316 −50% ≈498% of Medicare
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $13,714 $13,714 $13,714 +0% $33,707 −59% ≈588% of Medicare
786 CESAREAN SECTION W/O STERILIZATION W MCC $13,708 $13,708 $13,708 +0% $27,152 −50% —
038 EXTRACRANIAL PROCEDURES W CC $13,669 $13,669 $13,669 +0% $35,770 −62% ≈606% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $13,661 $13,661 $13,661 +0% $27,975 −51% —
512 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC $13,640 $13,640 $13,640 +0% $35,692 −62% —
828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC $13,598 $13,598 $13,598 +0% $35,584 −62% —
620 O.R. PROCEDURES FOR OBESITY W CC $13,548 $13,548 $13,548 +0% $35,453 −62% —
033 VENTRICULAR SHUNT PROCEDURES W/O CC/MCC $13,535 $13,535 $13,535 +0% $35,419 −62% —
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC $13,518 $13,518 $13,518 +0% $39,006 −65% —
183 MAJOR CHEST TRAUMA W MCC $13,466 $13,466 $13,466 +0% $29,933 −55% —
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC $13,458 $13,458 $13,458 +0% $41,955 −68% —
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC $13,406 $13,406 $13,406 +0% $35,074 −62% —
186 PLEURAL EFFUSION W MCC $13,404 $13,404 $13,404 +0% $33,834 −60% —
289 ACUTE & SUBACUTE ENDOCARDITIS W CC $13,376 $13,376 $13,376 +0% $32,697 −59% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $13,339 $13,339 $13,339 +0% $34,906 −62% —
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC $13,312 $13,312 $13,312 +0% $33,653 −60% ≈480% of Medicare
841 LYMPHOMA & NON-ACUTE LEUKEMIA W CC $13,302 $13,302 $13,302 +0% $33,633 −60% —
675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC $13,279 $13,279 $13,279 +0% $34,749 −62% —
251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC $13,256 $13,256 $13,256 +0% $46,295 −71% —
410 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC $13,159 $13,159 $13,159 +0% $34,434 −62% —
557 TENDONITIS, MYOSITIS & BURSITIS W MCC $13,147 $13,147 $13,147 +0% $32,877 −60% —
813 COAGULATION DISORDERS $13,132 $13,132 $13,132 +0% $33,296 −61% ≈498% of Medicare
669 TRANSURETHRAL PROCEDURES W CC $13,128 $13,128 $13,128 +0% $34,354 −62% —
077 HYPERTENSIVE ENCEPHALOPATHY W MCC $13,118 $13,118 $13,118 +0% $24,550 −47% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC $13,114 $13,114 $13,114 +0% $26,598 −51% —
073 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC $13,112 $13,112 $13,112 +0% $30,010 −56% —
337 PERITONEAL ADHESIOLYSIS W/O CC/MCC $13,023 $13,023 $13,023 +0% $39,211 −67% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $12,988 $12,988 $12,988 +0% $25,703 −49% —
663 MINOR BLADDER PROCEDURES W CC $12,958 $12,958 $12,958 +0% $33,103 −61% —
945 REHABILITATION W CC/MCC $12,950 $12,950 $12,950 +0% $23,834 −46% —
533 FRACTURES OF FEMUR W MCC $12,936 $12,936 $12,936 +0% $25,945 −50% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC $12,876 $12,876 $12,876 +0% $33,694 −62% —
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC $12,869 $12,869 $12,869 +0% $33,674 −62% —
398 APPENDIX PROCEDURES WITH CC $12,837 $12,837 $12,837 +0% $40,162 −68% —
241 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC $12,809 $12,809 $12,809 +0% $30,770 −58% —
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC $12,804 $12,804 $12,804 +0% $33,454 −62% —
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC $12,773 $12,773 $12,773 +0% $33,424 −62% —
351 INGUINAL & FEMORAL HERNIA PROCEDURES W CC $12,763 $12,763 $12,763 +0% $36,505 −65% —
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC $12,759 $12,759 $12,759 +0% $36,253 −65% —
682 RENAL FAILURE W MCC $12,741 $12,741 $12,741 +0% $29,064 −56% ≈538% of Medicare
710 PENIS PROCEDURES W/O CC/MCC $12,737 $12,737 $12,737 +0% $26,436 −52% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC $12,726 $12,726 $12,726 +0% $27,394 −54% ≈639% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $12,718 $12,718 $12,718 +0% $30,502 −58% ≈343% of Medicare
506 MAJOR THUMB OR JOINT PROCEDURES $12,718 $12,718 $12,718 +0% $30,557 −58% —
306 CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC $12,703 $12,703 $12,703 +0% $24,586 −48% ≈476% of Medicare
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC $12,663 $12,663 $12,663 +0% $33,393 −62% —
345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC $12,629 $12,629 $12,629 +0% $33,048 −62% —
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC $12,604 $12,604 $12,604 +0% $28,140 −55% —
708 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC $12,577 $12,577 $12,577 +0% $36,988 −66% —
794 NEONATE W OTHER SIGNIFICANT PROBLEMS $12,523 $12,523 $12,523 +0% $8,445 +48% —
865 VIRAL ILLNESS W MCC $12,521 $12,521 $12,521 +0% $26,910 −53% —
693 URINARY STONES W/O ESW LITHOTRIPSY W MCC $12,474 $12,474 $12,474 +0% $23,892 −48% —
388 G.I. OBSTRUCTION W MCC $12,470 $12,470 $12,470 +0% $30,571 −59% ≈593% of Medicare
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC $12,466 $12,466 $12,466 +0% $25,073 −50% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC $12,466 $12,466 $12,466 +0% $26,463 −53% —
602 CELLULITIS W MCC $12,464 $12,464 $12,464 +0% $30,598 −59% ≈429% of Medicare
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC $12,416 $12,416 $12,416 +0% $29,743 −58% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OTHER PROCEDURE W/O CC/MCC $12,407 $12,407 $12,407 +0% $31,170 −60% —
621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC $12,401 $12,401 $12,401 +0% $32,451 −62% —
637 DIABETES W MCC $12,354 $12,354 $12,354 +0% $30,100 −59% ≈426% of Medicare
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC $12,343 $12,343 $12,343 +0% $24,941 −51% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $12,283 $12,283 $12,283 +0% $21,986 −44% —
713 TRANSURETHRAL PROSTATECTOMY W CC/MCC $12,267 $12,267 $12,267 +0% $32,100 −62% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $12,232 $12,232 $12,232 +0% $22,525 −46% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $12,209 $12,209 $12,209 +0% $26,932 −55% —
520 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC $12,159 $12,159 $12,159 +0% $35,465 −66% —
615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC $12,157 $12,157 $12,157 +0% $32,833 −63% —
975 HIV W MAJOR RELATED CONDITION W CC $12,058 $12,058 $12,058 +0% $27,808 −57% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC $12,041 $12,041 $12,041 +0% $22,620 −47% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC $12,007 $12,007 $12,007 +0% $26,280 −54% —
088 CONCUSSION W MCC $11,968 $11,968 $11,968 +0% $24,402 −51% —
885 PSYCHOSES $11,958 $11,958 $11,958 +0% $21,729 −45% —
175 PULMONARY EMBOLISM W MCC $11,954 $11,954 $11,954 +0% $30,959 −61% ≈413% of Medicare
811 RED BLOOD CELL DISORDERS W MCC $11,935 $11,935 $11,935 +0% $28,226 −58% ≈441% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W/O CC/MCC $11,918 $11,918 $11,918 +0% $39,887 −70% —
630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC $11,888 $11,888 $11,888 +0% $22,393 −47% —
137 MOUTH PROCEDURES W CC/MCC $11,865 $11,865 $11,865 +0% $27,861 −57% —
502 SOFT TISSUE PROCEDURES W/O CC/MCC $11,853 $11,853 $11,853 +0% $31,017 −62% —
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC $11,820 $11,820 $11,820 +0% $27,119 −56% —
083 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC $11,795 $11,795 $11,795 +0% $27,285 −57% ≈509% of Medicare
769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE $11,788 $11,788 $11,788 +0% $25,094 −53% —
150 EPISTAXIS W MCC $11,726 $11,726 $11,726 +0% $23,171 −49% —
741 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC $11,653 $11,653 $11,653 +0% $30,493 −62% —
139 SALIVARY GLAND PROCEDURES $11,648 $11,648 $11,648 +0% $23,612 −51% —
839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC $11,626 $11,626 $11,626 +0% $20,980 −45% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC $11,624 $11,624 $11,624 +0% $30,418 −62% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,557 $11,557 $11,557 +0% $30,242 −62% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $11,496 $11,496 $11,496 +0% $30,083 −62% —
168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC $11,486 $11,486 $11,486 +0% $29,949 −62% —
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC $11,424 $11,424 $11,424 +0% $24,127 −53% —
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC $11,390 $11,390 $11,390 +0% $29,805 −62% —
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC $11,368 $11,368 $11,368 +0% $31,264 −64% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $11,320 $11,320 $11,320 +0% $27,543 −59% ≈487% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC $11,310 $11,310 $11,310 +0% $32,841 −66% —
535 FRACTURES OF HIP & PELVIS W MCC $11,282 $11,282 $11,282 +0% $24,552 −54% —
640 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC $11,266 $11,266 $11,266 +0% $25,463 −56% ≈471% of Medicare
193 SIMPLE PNEUMONIA & PLEURISY W MCC $11,179 $11,179 $11,179 +0% $27,275 −59% ≈536% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC $11,178 $11,178 $11,178 +0% $36,937 −70% —
086 TRAUMATIC STUPOR & COMA, COMA <1 HR W CC $11,127 $11,127 $11,127 +0% $27,043 −59% ≈547% of Medicare
553 BONE DISEASES & ARTHROPATHIES W MCC $11,079 $11,079 $11,079 +0% $26,051 −57% —
291 HEART FAILURE & SHOCK W MCC OR PERIPHERAL EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO) $11,069 $11,069 $11,069 +0% $26,776 −59% ≈528% of Medicare
124 OTHER DISORDERS OF THE EYE W MCC $11,062 $11,062 $11,062 +0% $21,894 −49% —
540 OSTEOMYELITIS W CC $10,978 $10,978 $10,978 +0% $26,676 −59% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC $10,949 $10,949 $10,949 +0% $22,811 −52% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $10,939 $10,939 $10,939 +0% $27,989 −61% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC $10,930 $10,930 $10,930 +0% $25,748 −58% —
818 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC $10,927 $10,927 $10,927 +0% $26,870 −59% —
947 SIGNS & SYMPTOMS W MCC $10,911 $10,911 $10,911 +0% $27,401 −60% —
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $10,897 $10,897 $10,897 +0% $28,050 −61% ≈451% of Medicare
796 VAGINAL DELIVERY W STERILIZATION/D&C W MCC $10,830 $10,830 $10,830 +0% $22,557 −52% —
836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC $10,780 $10,780 $10,780 +0% $19,686 −45% —
847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC $10,780 $10,780 $10,780 +0% $23,498 −54% —
909 OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC $10,760 $10,760 $10,760 +0% $28,156 −62% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $10,748 $10,748 $10,748 +0% $28,125 −62% —
383 UNCOMPLICATED PEPTIC ULCER W MCC $10,725 $10,725 $10,725 +0% $27,426 −61% —
725 BENIGN PROSTATIC HYPERTROPHY W MCC $10,711 $10,711 $10,711 +0% $22,320 −52% —
348 ANAL & STOMAL PROCEDURES W CC $10,680 $10,680 $10,680 +0% $27,947 −62% —
346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $10,564 $10,564 $10,564 +0% $27,297 −61% —
618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC $10,563 $10,563 $10,563 +0% $19,354 −45% —
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC $10,560 $10,560 $10,560 +0% $22,851 −54% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $10,529 $10,529 $10,529 +0% $20,727 −49% —
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $10,507 $10,507 $10,507 +0% $22,458 −53% ≈541% of Medicare
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC $10,506 $10,506 $10,506 +0% $28,320 −63% —
189 PULMONARY EDEMA & RESPIRATORY FAILURE $10,497 $10,497 $10,497 +0% $26,580 −61% ≈543% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W/O CC/MCC $10,451 $10,451 $10,451 +0% $19,270 −46% —
825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC $10,441 $10,441 $10,441 +0% $27,323 −62% —
375 DIGESTIVE MALIGNANCY W CC $10,424 $10,424 $10,424 +0% $27,277 −62% —
294 DEEP VEIN THROMBOPHLEBITIS W CC/MCC $10,418 $10,418 $10,418 +0% $19,132 −46% —
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC $10,380 $10,380 $10,380 +0% $27,163 −62% —
593 SKIN ULCERS W CC $10,373 $10,373 $10,373 +0% $22,886 −55% —
903 WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC $10,342 $10,342 $10,342 +0% $25,581 −60% —
735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC $10,298 $10,298 $10,298 +0% $26,948 −62% —
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $10,230 $10,230 $10,230 +0% $26,770 −62% ≈438% of Medicare
549 SEPTIC ARTHRITIS W CC $10,223 $10,223 $10,223 +0% $24,056 −58% —
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC $10,169 $10,169 $10,169 +0% $30,784 −67% —
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC $10,139 $10,139 $10,139 +0% $21,847 −54% —
887 OTHER MENTAL DISORDER DIAGNOSES $10,090 $10,090 $10,090 +0% $20,616 −51% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $10,051 $10,051 $10,051 +0% $25,712 −61% —
114 ORBITAL PROCEDURES W/O CC/MCC $10,028 $10,028 $10,028 +0% $19,598 −49% —
304 HYPERTENSION W MCC $9,966 $9,966 $9,966 +0% $26,080 −62% ≈522% of Medicare
689 KIDNEY & URINARY TRACT INFECTIONS W MCC $9,928 $9,928 $9,928 +0% $23,617 −58% ≈513% of Medicare
302 ATHEROSCLEROSIS W MCC $9,869 $9,869 $9,869 +0% $22,446 −56% —
121 ACUTE MAJOR EYE INFECTIONS W CC/MCC $9,868 $9,868 $9,868 +0% $19,412 −49% —
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC $9,867 $9,867 $9,867 +0% $23,443 −58% —
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC $9,848 $9,848 $9,848 +0% $21,230 −54% —
102 HEADACHES W MCC $9,837 $9,837 $9,837 +0% $25,740 −62% —
546 CONNECTIVE TISSUE DISORDERS W CC $9,821 $9,821 $9,821 +0% $25,700 −62% —
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $9,803 $9,803 $9,803 +0% $25,652 −62% —
831 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC $9,764 $9,764 $9,585 +2% $18,133 −46% —
822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC $9,703 $9,703 $9,703 +0% $25,390 −62% —
572 SKIN DEBRIDEMENT W/O CC/MCC $9,692 $9,692 $9,692 +0% $24,944 −61% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $9,660 $9,660 $9,660 +0% $25,279 −62% —
039 EXTRACRANIAL PROCEDURES W/O CC/MCC $9,656 $9,656 $9,656 +0% $26,618 −64% ≈562% of Medicare
152 OTITIS MEDIA & URI W MCC $9,627 $9,627 $9,627 +0% $20,247 −52% —
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC $9,568 $9,568 $9,568 +0% $24,566 −61% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC $9,567 $9,567 $9,567 +0% $25,034 −62% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $9,534 $9,534 $9,534 +0% $31,321 −70% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $9,527 $9,527 $9,527 +0% $24,386 −61% ≈582% of Medicare
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC $9,526 $9,526 $9,526 +0% $19,815 −52% —
946 REHABILITATION W/O CC/MCC $9,472 $9,472 $9,472 +0% $17,685 −46% —
181 RESPIRATORY NEOPLASMS W CC $9,419 $9,419 $9,419 +0% $23,573 −60% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC $9,418 $9,418 $9,418 +0% $18,459 −49% —
200 PNEUMOTHORAX W CC $9,395 $9,395 $9,395 +0% $21,368 −56% ≈667% of Medicare
804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC $9,379 $9,379 $9,379 +0% $24,544 −62% —
352 INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC $9,354 $9,354 $9,354 +0% $27,843 −66% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC $9,339 $9,339 $9,339 +0% $17,483 −47% —
768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C $9,300 $9,300 $9,300 +0% $16,846 −45% —
672 URETHRAL PROCEDURES W/O CC/MCC $9,284 $9,284 $9,284 +0% $17,398 −47% —
055 NERVOUS SYSTEM NEOPLASMS W/O MCC $9,255 $9,255 $9,255 +0% $20,926 −56% —
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC $9,244 $9,244 $9,244 +0% $32,021 −71% ≈594% of Medicare
381 COMPLICATED PEPTIC ULCER W CC $9,239 $9,239 $9,239 +0% $24,177 −62% —
445 DISORDERS OF THE BILIARY TRACT W CC $9,200 $9,200 $9,200 +0% $23,319 −61% ≈552% of Medicare
784 CESAREAN SECTION W STERILIZATION W CC $9,188 $9,188 $12,517 −27% $23,283 −61% —
596 MAJOR SKIN DISORDERS W/O MCC $9,171 $9,171 $9,171 +0% $17,226 −47% —
664 MINOR BLADDER PROCEDURES W/O CC/MCC $9,160 $9,160 $9,160 +0% $22,314 −59% —
949 AFTERCARE W CC/MCC $9,154 $9,154 $9,154 +0% $23,953 −62% —
598 MALIGNANT BREAST DISORDERS W CC $9,153 $9,153 $9,153 +0% $19,073 −52% —
117 INTRAOCULAR PROCEDURES W/O CC/MCC $9,150 $9,150 $9,150 +0% $17,193 −47% —
770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $9,128 $9,128 $9,128 +0% $18,956 −52% —
089 CONCUSSION W CC $9,095 $9,095 $9,095 +0% $18,821 −52% —
300 PERIPHERAL VASCULAR DISORDERS W CC $9,082 $9,082 $9,082 +0% $20,422 −56% ≈539% of Medicare
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $9,076 $9,076 $9,076 +0% $23,749 −62% ≈523% of Medicare
712 TESTES PROCEDURES W/O CC/MCC $9,074 $9,074 $9,074 +0% $18,898 −52% —
184 MAJOR CHEST TRAUMA W CC $9,061 $9,061 $9,061 +0% $22,432 −60% —
787 CESAREAN SECTION W/O STERILIZATION W CC $9,008 $9,008 $12,517 −28% $23,571 −62% —
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $9,000 $9,000 $9,000 +0% $23,551 −62% ≈528% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,981 $8,981 $8,981 +0% $24,914 −64% ≈509% of Medicare
071 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $8,941 $8,941 $8,941 +0% $23,488 −62% ≈484% of Medicare
687 KIDNEY & URINARY TRACT NEOPLASMS W CC $8,931 $8,931 $8,931 +0% $20,232 −56% —
842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC $8,924 $8,924 $8,924 +0% $19,657 −55% —
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC $8,909 $8,909 $8,909 +0% $22,763 −61% —
074 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $8,843 $8,843 $8,843 +0% $23,141 −62% —
644 ENDOCRINE DISORDERS W CC $8,767 $8,767 $8,767 +0% $23,198 −62% ≈544% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC $8,746 $8,746 $8,746 +0% $22,888 −62% ≈593% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $8,732 $8,732 $8,732 +0% $22,850 −62% ≈579% of Medicare
667 PROSTATECTOMY W/O CC/MCC $8,719 $8,719 $8,719 +0% $16,703 −48% —
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC $8,709 $8,709 $8,709 +0% $25,970 −66% —
745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC $8,694 $8,694 $8,694 +0% $18,348 −53% —
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $8,652 $8,652 $8,652 +0% $21,275 −59% ≈540% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,652 $8,652 $8,652 +0% $17,601 −51% —
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $8,651 $8,651 $8,651 +0% $22,506 −62% —
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC $8,650 $8,650 $8,650 +0% $22,635 −62% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC $8,647 $8,647 $8,647 +0% $20,901 −59% —
369 MAJOR ESOPHAGEAL DISORDERS W CC $8,633 $8,633 $8,633 +0% $25,303 −66% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS $8,627 $8,627 $8,627 +0% $23,940 −64% ≈575% of Medicare
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC $8,620 $8,620 $8,620 +0% $19,264 −55% —
920 COMPLICATIONS OF TREATMENT W CC $8,618 $8,618 $8,618 +0% $22,468 −62% ≈586% of Medicare
187 PLEURAL EFFUSION W CC $8,517 $8,517 $8,517 +0% $21,789 −61% —
624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC $8,510 $8,510 $8,510 +0% $17,737 −52% —
976 HIV W MAJOR RELATED CONDITION W/O CC/MCC $8,509 $8,509 $8,509 +0% $16,212 −48% —
697 URETHRAL STRICTURE $8,499 $8,499 $8,499 +0% $18,428 −54% —
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC $8,483 $8,483 $8,483 +0% $20,957 −60% —
805 VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC $8,467 $8,467 $8,598 −2% $15,370 −45% —
078 HYPERTENSIVE ENCEPHALOPATHY W CC $8,466 $8,466 $8,466 +0% $17,698 −52% —
386 INFLAMMATORY BOWEL DISEASE W CC $8,420 $8,420 $8,420 +0% $22,033 −62% —
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $8,416 $8,416 $8,416 +0% $22,024 −62% ≈694% of Medicare
197 INTERSTITIAL LUNG DISEASE W CC $8,399 $8,399 $8,399 +0% $21,941 −62% —
378 G.I. HEMORRHAGE W CC $8,364 $8,364 $8,364 +0% $22,098 −62% ≈555% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,361 $8,361 $8,361 +0% $20,895 −60% —
290 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC $8,305 $8,305 $8,305 +0% $15,901 −48% —
136 SINUS & MASTOID PROCEDURES W/O CC/MCC $8,299 $8,299 $8,299 +0% $17,404 −52% —
797 VAGINAL DELIVERY W STERILIZATION/D&C W CC $8,214 $8,214 $8,598 −4% $19,962 −59% —
798 VAGINAL DELIVERY W STERILIZATION/D&C WO CC/MCC $8,214 $8,214 $8,598 −4% $18,452 −55% —
202 BRONCHITIS & ASTHMA W CC/MCC $8,201 $8,201 $8,201 +0% $17,724 −54% ≈570% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC $8,197 $8,197 $8,197 +0% $21,449 −62% —
552 MEDICAL BACK PROBLEMS W/O MCC $8,176 $8,176 $8,176 +0% $21,396 −62% ≈539% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $8,164 $8,164 $8,164 +0% $21,363 −62% ≈548% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $8,161 $8,161 $8,161 +0% $15,680 −48% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $8,132 $8,132 $8,132 +0% $17,733 −54% —
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC $8,115 $8,115 $8,115 +0% $16,700 −51% —
084 TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC $8,111 $8,111 $8,111 +0% $19,924 −59% —
670 TRANSURETHRAL PROCEDURES W/O CC/MCC $8,108 $8,108 $8,108 +0% $20,911 −61% —
747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC $8,103 $8,103 $8,103 +0% $19,594 −59% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,102 $8,102 $8,102 +0% $15,589 −48% —
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC $8,075 $8,075 $8,075 +0% $18,316 −56% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $7,986 $7,986 $7,986 +0% $20,181 −60% ≈560% of Medicare
158 DENTAL & ORAL DISEASES W CC $7,980 $7,980 $7,980 +0% $18,466 −57% —
714 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC $7,972 $7,972 $7,972 +0% $17,934 −56% —
779 ABORTION WITHOUT D&C $7,930 $7,930 $7,930 +0% $15,327 −48% —
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC $7,920 $7,920 $7,920 +0% $16,968 −53% —
307 CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC $7,859 $7,859 $7,859 +0% $20,566 −62% —
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $7,836 $7,836 $7,836 +0% $20,506 −62% ≈616% of Medicare
812 RED BLOOD CELL DISORDERS W/O MCC $7,829 $7,829 $7,829 +0% $20,488 −62% ≈544% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC $7,820 $7,820 $7,820 +0% $20,463 −62% ≈639% of Medicare
101 SEIZURES W/O MCC $7,819 $7,819 $7,819 +0% $20,461 −62% ≈544% of Medicare
053 SPINAL DISORDERS & INJURIES W/O CC/MCC $7,817 $7,817 $7,817 +0% $20,455 −62% —
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC $7,796 $7,796 $7,796 +0% $18,072 −57% —
638 DIABETES W CC $7,781 $7,781 $7,781 +0% $19,661 −60% ≈546% of Medicare
076 VIRAL MENINGITIS W/O CC/MCC $7,779 $7,779 $7,779 +0% $17,135 −55% —
914 TRAUMATIC INJURY W/O MCC $7,774 $7,774 $7,774 +0% $15,855 −51% —
881 DEPRESSIVE NEUROSES $7,755 $7,755 $7,755 +0% $15,058 −49% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $7,742 $7,742 $7,742 +0% $20,259 −62% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $7,684 $7,684 $7,684 +0% $18,488 −58% —
081 NONTRAUMATIC STUPOR & COMA W/O MCC $7,676 $7,676 $7,676 +0% $16,552 −54% —
788 CESAREAN SECTION W/O STERILIZATION W/O CC/MCC $7,675 $7,675 $12,517 −39% $20,084 −62% —
864 FEVER AND INFLAMMATORY CONDITIONS $7,618 $7,618 $7,618 +0% $18,640 −59% ≈526% of Medicare
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $7,583 $7,583 $7,583 +0% $19,842 −62% ≈590% of Medicare
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC $7,571 $7,571 $7,571 +0% $22,148 −66% —
257 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W/O CC/MCC $7,566 $7,566 $7,566 +0% $15,764 −52% —
683 RENAL FAILURE W CC $7,541 $7,541 $7,541 +0% $19,130 −61% ≈593% of Medicare
866 VIRAL ILLNESS W/O MCC $7,506 $7,506 $7,506 +0% $17,081 −56% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,504 $7,504 $7,504 +0% $15,452 −51% —
087 TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $7,499 $7,499 $7,499 +0% $16,520 −55% —
376 DIGESTIVE MALIGNANCY W/O CC/MCC $7,491 $7,491 $7,491 +0% $16,998 −56% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,484 $7,484 $7,484 +0% $16,699 −55% ≈592% of Medicare
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC $7,478 $7,478 $7,478 +0% $19,569 −62% —
349 ANAL & STOMAL PROCEDURES W/O CC/MCC $7,473 $7,473 $7,473 +0% $19,854 −62% —
603 CELLULITIS W/O MCC $7,472 $7,472 $7,472 +0% $18,530 −60% ≈560% of Medicare
541 OSTEOMYELITIS W/O CC/MCC $7,422 $7,422 $7,422 +0% $15,215 −51% —
785 CESAREAN SECTION W STERILIZATION W/O CC/MCC $7,410 $7,410 $7,410 +0% $19,846 −63% —
312 SYNCOPE & COLLAPSE $7,392 $7,392 $7,392 +0% $19,342 −62% ≈541% of Medicare
384 UNCOMPLICATED PEPTIC ULCER W/O MCC $7,377 $7,377 $7,377 +0% $19,305 −62% —
607 MINOR SKIN DISORDERS W/O MCC $7,331 $7,331 $7,331 +0% $15,889 −54% —
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC $7,328 $7,328 $7,328 +0% $18,602 −61% —
550 SEPTIC ARTHRITIS W/O CC/MCC $7,314 $7,314 $7,314 +0% $19,138 −62% —
292 HEART FAILURE & SHOCK W CC $7,306 $7,306 $7,306 +0% $16,371 −55% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $7,297 $7,297 $7,297 +0% $19,096 −62% ≈533% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $7,288 $7,288 $7,288 +0% $18,807 −61% ≈590% of Medicare
090 CONCUSSION W/O CC/MCC $7,273 $7,273 $7,273 +0% $15,412 −53% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $7,253 $7,253 $7,253 +0% $14,290 −49% —
103 HEADACHES W/O MCC $7,213 $7,213 $7,213 +0% $21,280 −66% ≈603% of Medicare
594 SKIN ULCERS W/O CC/MCC $7,200 $7,200 $7,200 +0% $14,209 −49% —
182 RESPIRATORY NEOPLASMS W/O CC/MCC $7,105 $7,105 $7,105 +0% $14,064 −49% —
845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC $7,099 $7,099 $7,099 +0% $14,055 −49% —
554 BONE DISEASES & ARTHROPATHIES W/O MCC $7,080 $7,080 $7,080 +0% $18,528 −62% —
125 OTHER DISORDERS OF THE EYE W/O MCC $7,005 $7,005 $7,005 +0% $17,298 −60% —
194 SIMPLE PNEUMONIA & PLEURISY W CC $6,956 $6,956 $6,956 +0% $18,204 −62% ≈664% of Medicare
848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC $6,947 $6,947 $6,947 +0% $14,501 −52% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $6,936 $6,936 $6,936 +0% $18,150 −62% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $6,932 $6,932 $6,932 +0% $17,118 −60% —
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $6,927 $6,927 $6,927 +0% $18,126 −62% —
819 OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC $6,927 $6,927 $6,927 +0% $18,126 −62% —
176 PULMONARY EMBOLISM W/O MCC $6,910 $6,910 $6,910 +0% $18,081 −62% ≈690% of Medicare
534 FRACTURES OF FEMUR W/O MCC $6,906 $6,906 $6,906 +0% $17,559 −61% —
138 MOUTH PROCEDURES W/O CC/MCC $6,901 $6,901 $6,901 +0% $19,119 −64% —
204 RESPIRATORY SIGNS & SYMPTOMS $6,880 $6,880 $6,880 +0% $18,004 −62% ≈575% of Medicare
536 FRACTURES OF HIP & PELVIS W/O MCC $6,879 $6,879 $6,879 +0% $18,002 −62% ≈566% of Medicare
123 NEUROLOGICAL EYE DISORDERS $6,814 $6,814 $6,814 +0% $19,745 −65% —
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC $6,809 $6,809 $6,809 +0% $17,674 −61% ≈557% of Medicare
389 G.I. OBSTRUCTION W CC $6,800 $6,800 $6,800 +0% $17,578 −61% ≈621% of Medicare
148 EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC $6,793 $6,793 $6,793 +0% $13,586 −50% —
069 TRANSIENT ISCHEMIA W/O THROMBOLYTIC $6,788 $6,788 $6,788 +0% $21,056 −68% ≈539% of Medicare
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC $6,764 $6,764 $6,764 +0% $17,700 −62% ≈559% of Medicare
948 SIGNS & SYMPTOMS W/O MCC $6,740 $6,740 $6,740 +0% $17,921 −62% ≈534% of Medicare
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $6,700 $6,700 $6,700 +0% $13,445 −50% —
093 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $6,696 $6,696 $6,696 +0% $17,620 −62% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC $6,661 $6,661 $6,661 +0% $14,014 −52% —
641 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC $6,629 $6,629 $6,629 +0% $17,038 −61% ≈548% of Medicare
694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC $6,629 $6,629 $6,629 +0% $17,345 −62% ≈598% of Medicare
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $6,620 $6,620 $6,620 +0% $17,322 −62% ≈559% of Medicare
645 ENDOCRINE DISORDERS W/O CC/MCC $6,606 $6,606 $6,606 +0% $15,428 −57% —
185 MAJOR CHEST TRAUMA W/O CC/MCC $6,598 $6,598 $6,598 +0% $17,124 −61% —
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $6,530 $6,530 $6,530 +0% $14,648 −55% —
151 EPISTAXIS W/O MCC $6,430 $6,430 $6,430 +0% $13,032 −51% —
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC $6,411 $6,411 $6,411 +0% $16,776 −62% —
305 HYPERTENSION W/O MCC $6,369 $6,369 $6,369 +0% $18,086 −65% ≈554% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $6,364 $6,364 $6,364 +0% $19,037 −67% —
382 COMPLICATED PEPTIC ULCER W/O CC/MCC $6,357 $6,357 $6,357 +0% $16,634 −62% —
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC $6,346 $6,346 $6,346 +0% $14,716 −57% —
149 DYSEQUILIBRIUM $6,341 $6,341 $6,341 +0% $18,096 −65% ≈568% of Medicare
832 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC $6,341 $6,341 $6,341 +0% $12,895 −51% —
547 CONNECTIVE TISSUE DISORDERS W/O CC/MCC $6,330 $6,330 $6,330 +0% $16,565 −62% —
726 BENIGN PROSTATIC HYPERTROPHY W/O MCC $6,315 $6,315 $6,315 +0% $15,019 −58% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC $6,286 $6,286 $6,286 +0% $16,450 −62% —
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $6,272 $6,272 $6,272 +0% $17,303 −64% ≈636% of Medicare
188 PLEURAL EFFUSION W/O CC/MCC $6,229 $6,229 $6,229 +0% $14,514 −57% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC $6,181 $6,181 $6,181 +0% $12,768 −52% —
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC $6,154 $6,154 $6,154 +0% $16,767 −63% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $6,151 $6,151 $6,151 +0% $19,227 −68% ≈636% of Medicare
688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC $6,144 $6,144 $6,144 +0% $12,593 −51% —
806 VAGINAL DELIVERY W/O STERILIZATION/D&C W CC $6,139 $6,139 $8,598 −29% $13,275 −54% —
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC $6,105 $6,105 $6,105 +0% $12,559 −51% —
776 POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE $6,053 $6,053 $6,053 +0% $12,454 −51% —
301 PERIPHERAL VASCULAR DISORDERS W/O CC/MCC $6,052 $6,052 $6,052 +0% $15,837 −62% —
313 CHEST PAIN $6,052 $6,052 $6,052 +0% $16,440 −63% ≈602% of Medicare
153 OTITIS MEDIA & URI W/O MCC $6,038 $6,038 $6,038 +0% $14,583 −59% ≈598% of Medicare
297 CARDIAC ARREST, UNEXPLAINED W CC $5,976 $5,976 $5,976 +0% $12,336 −52% —
443 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC $5,961 $5,961 $5,961 +0% $15,600 −62% —
198 INTERSTITIAL LUNG DISEASE W/O CC/MCC $5,942 $5,942 $5,942 +0% $15,549 −62% —
311 ANGINA PECTORIS $5,924 $5,924 $5,924 +0% $15,502 −62% —
370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC $5,921 $5,921 $5,921 +0% $15,495 −62% —
203 BRONCHITIS & ASTHMA W/O CC/MCC $5,910 $5,910 $5,910 +0% $12,252 −52% —
434 CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC $5,909 $5,909 $5,909 +0% $12,460 −53% —
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $5,889 $5,889 $5,889 +0% $14,797 −60% —
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC $5,869 $5,869 $5,869 +0% $14,689 −60% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $5,839 $5,839 $5,839 +0% $20,781 −72% ≈664% of Medicare
921 COMPLICATIONS OF TREATMENT W/O CC/MCC $5,834 $5,834 $5,834 +0% $14,415 −60% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC $5,792 $5,792 $5,792 +0% $13,651 −58% —
122 ACUTE MAJOR EYE INFECTIONS W/O CC/MCC $5,754 $5,754 $5,754 +0% $11,997 −52% —
201 PNEUMOTHORAX W/O CC/MCC $5,744 $5,744 $5,744 +0% $14,053 −59% —
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $5,704 $5,704 $5,704 +0% $14,549 −61% —
303 ATHEROSCLEROSIS W/O MCC $5,704 $5,704 $5,704 +0% $14,927 −62% —
538 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC $5,697 $5,697 $5,697 +0% $11,909 −52% —
387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC $5,686 $5,686 $5,686 +0% $16,288 −65% —
079 HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC $5,656 $5,656 $5,656 +0% $11,847 −52% —
916 ALLERGIC REACTIONS W/O MCC $5,634 $5,634 $5,634 +0% $13,942 −60% —
159 DENTAL & ORAL DISEASES W/O CC/MCC $5,596 $5,596 $5,596 +0% $13,633 −59% —
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC $5,594 $5,594 $5,594 +0% $14,638 −62% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $5,491 $5,491 $5,491 +0% $14,368 −62% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $5,429 $5,429 $5,429 +0% $14,250 −62% —
807 VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC $5,407 $5,407 $8,598 −37% $12,078 −55% —
379 G.I. HEMORRHAGE W/O CC/MCC $5,401 $5,401 $5,401 +0% $15,038 −64% ≈671% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $5,399 $5,399 $5,399 +0% $14,128 −62% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,378 $5,378 $5,378 +0% $11,421 −53% —
639 DIABETES W/O CC/MCC $5,316 $5,316 $5,316 +0% $13,910 −62% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,295 $5,295 $5,295 +0% $12,324 −57% —
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $5,283 $5,283 $5,283 +0% $13,824 −62% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $5,218 $5,218 $5,218 +0% $15,183 −66% —
684 RENAL FAILURE W/O CC/MCC $5,153 $5,153 $5,153 +0% $13,642 −62% ≈634% of Medicare
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC $5,149 $5,149 $5,149 +0% $11,071 −53% —
601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC $5,086 $5,086 $5,086 +0% $10,975 −54% —
950 AFTERCARE W/O CC/MCC $4,972 $4,972 $4,972 +0% $13,527 −63% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,810 $4,810 $4,810 +0% $10,160 −53% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED W/O CC/MCC $4,763 $4,763 $4,763 +0% $10,480 −55% —
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $4,747 $4,747 $4,747 +0% $13,384 −65% ≈698% of Medicare
293 HEART FAILURE & SHOCK W/O CC/MCC $4,655 $4,655 $4,655 +0% $12,999 −64% —
390 G.I. OBSTRUCTION W/O CC/MCC $4,642 $4,642 $4,642 +0% $13,361 −65% ≈662% of Medicare
833 OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC $4,410 $4,410 $4,410 +0% $9,940 −56% —
298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC $3,747 $3,747 $3,747 +0% $8,927 −58% —
795 NORMAL NEWBORN $1,695 $1,695 $3,492 −51% $4,720 −64% —

Procedures with negotiated rates only

These 21 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
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $61,784 – $61,784 · median $61,784 1 plans
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $45,577 – $45,577 · median $45,577 1 plans
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $54,015 – $54,015 · median $54,015 1 plans
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $41,282 – $41,282 · median $41,282 1 plans
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $48,509 – $48,509 · median $48,509 1 plans
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $38,532 – $38,532 · median $38,532 1 plans
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $22,932 – $22,932 · median $22,932 1 plans
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $14,587 – $14,587 · median $14,587 1 plans
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $23,286 – $23,286 · median $23,286 1 plans
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $13,788 – $13,788 · median $13,788 1 plans
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $20,534 – $20,534 · median $20,534 1 plans
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $12,436 – $12,436 · median $12,436 1 plans
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $9,012 – $9,012 · median $9,012 1 plans
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $16,993 – $16,993 · median $16,993 1 plans
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $10,514 – $10,514 · median $10,514 1 plans
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,139 – $8,139 · median $8,139 1 plans
453 Combined anterior/posterior spinal fusion w MCC $67,451 – $67,451 · median $67,451 1 plans
454 Combined anterior/posterior spinal fusion w CC $44,740 – $44,740 · median $44,740 1 plans
455 Combined anterior/posterior spinal fusion w/o CC/MCC $35,150 – $35,150 · median $35,150 1 plans
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $49,390 – $49,390 · median $49,390 1 plans
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $28,853 – $28,853 · median $28,853 1 plans
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