Jersey City Medical Center — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 707 with a comparable price, 71 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 778
Lowest published price $5,589
Average published price $5,643
Highest published price $16,229

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 707 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 54 procedures, this hospital's negotiated rates average ≈195% 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 $16,229 $16,229 $16,156 +0% $28,375 −43% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $16,229 $16,229 $12,774 +27% $22,560 −28% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $16,229 $16,229 $14,108 +15% $27,118 −40% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,948 $11,948 $11,094 +8% $22,557 −47% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $5,589 $5,589 $46,225 −88% $86,953 −94% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $5,589 $5,589 $35,828 −84% $73,029 −92% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $5,589 $5,589 $22,177 −75% $45,290 −88% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $5,589 $5,589 $57,383 −90% $101,235 −94% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $5,589 $5,589 $48,061 −88% $62,404 −91% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $5,589 $5,589 $47,667 −88% $74,755 −93% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $5,589 — $44,906 −88% $88,307 −94% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $5,589 $5,589 $34,191 −84% $63,475 −91% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $20,936 −73% $52,332 −89% —
028 SPINAL PROCEDURES WITH MCC $5,589 $5,589 $74,391 −92% $95,858 −94% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $5,589 $5,589 $28,756 −81% $64,152 −91% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $18,879 −70% $45,818 −88% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $5,589 $5,589 $50,459 −89% $68,659 −92% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $5,589 $5,589 $18,559 −70% $45,622 −88% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,535 −59% $33,984 −84% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $5,589 $5,589 $33,950 −84% $72,908 −92% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $5,589 $5,589 $19,487 −71% $46,430 −88% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $15,340 −64% $40,694 −86% —
037 EXTRACRANIAL PROCEDURES WITH MCC $5,589 $5,589 $28,173 −80% $64,749 −91% —
038 EXTRACRANIAL PROCEDURES WITH CC $5,589 $5,589 $13,669 −59% $35,770 −84% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $9,394 −41% $25,267 −78% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $5,589 $5,589 $44,874 −88% $74,257 −92% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $5,589 $5,589 $19,533 −71% $44,989 −88% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $15,203 −63% $39,018 −86% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $5,589 $5,589 $17,073 −67% $30,940 −82% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $5,589 $5,589 $7,893 −29% $20,309 −72% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $5,589 $5,589 $12,842 −56% $29,484 −81% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $5,589 $5,589 $9,255 −40% $19,868 −72% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $5,589 $5,589 $20,668 −73% $39,409 −86% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $5,589 $5,589 $11,320 −51% $25,426 −78% ≈163% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $5,589 $5,589 $15,813 −65% $29,609 −81% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $5,589 $5,589 $10,380 −46% $26,322 −79% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $5,589 $5,589 $7,571 −26% $21,261 −74% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $5,589 $5,589 $28,045 −80% $57,963 −90% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $5,589 $5,589 $15,108 −63% $48,680 −89% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $5,589 $5,589 $11,918 −53% $35,542 −84% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $5,589 $5,589 $16,875 −67% $35,714 −84% ≈222% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $5,589 $5,589 $8,711 −36% $23,469 −76% ≈229% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $5,589 $5,589 $5,839 −4% $19,483 −71% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $5,589 $5,589 $12,175 −54% $24,941 −78% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $5,589 $5,589 $7,478 −25% $19,569 −71% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $5,589 $5,589 $6,696 −17% $20,278 −72% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $5,589 $5,589 $14,751 −62% $30,814 −82% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $5,589 $5,589 $8,941 −37% $23,396 −76% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $5,589 $5,589 $6,364 −12% $16,654 −66% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $5,589 $5,589 $13,241 −58% $28,252 −80% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $5,589 $5,589 $8,843 −37% $23,141 −76% —
075 VIRAL MENINGITIS WITH CC/MCC $5,589 $5,589 $14,216 −61% $29,853 −81% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $5,589 $5,589 $7,779 −28% $15,474 −64% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $5,589 $5,589 $13,118 −57% $24,036 −77% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $5,589 $5,589 $8,351 −33% $17,434 −68% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $5,589 $5,589 $5,589 +0% $11,847 −53% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $5,589 $5,589 $17,194 −67% $35,139 −84% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $5,589 $5,589 $7,676 −27% $15,077 −63% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $5,589 $5,589 $19,683 −72% $36,237 −85% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $5,589 $5,589 $11,795 −53% $24,118 −77% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $5,589 $5,589 $8,111 −31% $18,191 −69% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $5,589 $5,589 $19,224 −71% $37,064 −85% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $5,589 $5,589 $10,976 −49% $23,115 −76% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $5,589 $5,589 $7,499 −25% $15,869 −65% —
088 CONCUSSION WITH MCC $5,589 $5,589 $11,968 −53% $24,402 −77% —
089 CONCUSSION WITH CC $5,589 $5,589 $8,849 −37% $18,293 −69% —
090 CONCUSSION WITHOUT CC/MCC $5,589 $5,589 $7,344 −24% $14,873 −62% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $5,589 $5,589 $15,616 −64% $36,375 −85% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $5,589 $5,589 $9,069 −38% $24,136 −77% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,589 $5,589 $6,762 −17% $17,522 −68% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $5,589 $5,589 $36,817 −85% $62,524 −91% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $5,589 $5,589 $20,337 −73% $47,583 −88% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $5,589 $5,589 $20,337 −73% $39,093 −86% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $5,589 $5,589 $29,586 −81% $57,855 −90% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $5,589 $5,589 $18,584 −70% $37,902 −85% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $5,589 $5,589 $11,500 −51% $25,666 −78% —
100 SEIZURES WITH MCC $5,589 $5,589 $17,172 −67% $35,194 −84% ≈235% of Medicare
101 SEIZURES WITHOUT MCC $5,589 $5,589 $7,819 −29% $19,954 −72% ≈162% of Medicare
102 HEADACHES WITH MCC $5,589 $5,589 $10,029 −44% $22,544 −75% —
103 HEADACHES WITHOUT MCC $5,589 $5,589 $7,213 −23% $20,111 −72% —
113 ORBITAL PROCEDURES WITH CC/MCC $5,589 $5,589 $19,331 −71% $35,642 −84% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $10,028 −44% $19,598 −71% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $5,589 $5,589 $13,243 −58% $24,879 −78% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $5,589 $5,589 $14,294 −61% $28,103 −80% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $9,026 −38% $17,193 −67% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $5,589 $5,589 $9,868 −43% $18,291 −69% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $5,589 $5,589 $5,754 −3% $11,997 −53% —
123 NEUROLOGICAL EYE DISORDERS $5,589 $5,589 $6,881 −19% $17,831 −69% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $5,589 $5,589 $11,062 −49% $21,029 −73% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $5,589 $5,589 $7,073 −21% $15,876 −65% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $5,589 $5,589 $20,655 −73% $40,065 −86% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $8,380 −33% $15,890 −65% —
137 MOUTH PROCEDURES WITH CC/MCC $5,589 $5,589 $11,981 −53% $24,348 −77% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $6,969 −20% $17,383 −68% —
139 SALIVARY GLAND PROCEDURES $5,589 $5,589 $11,648 −52% $21,014 −73% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $5,589 $5,589 $34,907 −84% $60,098 −91% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $5,589 $5,589 $18,227 −69% $34,900 −84% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,339 −58% $34,906 −84% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $5,589 $5,589 $28,012 −80% $52,908 −89% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $5,589 $5,589 $15,049 −63% $29,558 −81% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $10,150 −45% $20,842 −73% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $5,589 $5,589 $19,273 −71% $37,080 −85% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $5,589 $5,589 $10,664 −48% $21,860 −74% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $6,793 −18% $13,586 −59% —
149 DYSEQUILIBRIUM $5,589 $5,589 $6,256 −11% $17,203 −68% —
150 EPISTAXIS WITH MCC $5,589 $5,589 $11,841 −53% $21,133 −74% —
151 EPISTAXIS WITHOUT MCC $5,589 $5,589 $6,494 −14% $13,032 −57% —
152 OTITIS MEDIA AND URI WITH MCC $5,589 $5,589 $9,627 −42% $19,795 −72% —
153 OTITIS MEDIA AND URI WITHOUT MCC $5,589 $5,589 $6,038 −7% $14,473 −61% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $5,589 $5,589 $13,610 −59% $24,465 −77% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $5,589 $5,589 $7,998 −30% $16,642 −66% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $5,760 −3% $13,198 −58% —
157 DENTAL AND ORAL DISEASES WITH MCC $5,589 $5,589 $13,892 −60% $27,457 −80% —
158 DENTAL AND ORAL DISEASES WITH CC $5,589 $5,589 $7,980 −30% $17,700 −68% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $5,589 $5,589 $5,651 −1% $13,368 −58% —
164 MAJOR CHEST PROCEDURES WITH CC $5,589 $5,589 $21,353 −74% $53,141 −89% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $15,813 −65% $41,380 −86% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $5,589 $5,589 $48,736 −89% $72,782 −92% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $5,589 $5,589 $15,653 −64% $40,563 −86% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $11,330 −51% $28,527 −80% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $5,589 $5,589 $32,419 −83% $53,555 −90% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $5,589 $5,589 $12,188 −54% $29,757 −81% —
176 PULMONARY EMBOLISM WITHOUT MCC $5,589 $5,589 $7,045 −21% $18,081 −69% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $5,589 $5,589 $13,714 −59% $31,840 −82% ≈203% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $5,589 $5,589 $8,416 −34% $22,024 −75% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,589 $5,589 $6,594 −15% $14,444 −61% —
180 RESPIRATORY NEOPLASMS WITH MCC $5,589 $5,589 $14,973 −63% $36,658 −85% —
181 RESPIRATORY NEOPLASMS WITH CC $5,589 $5,589 $9,512 −41% $22,431 −75% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,589 $5,589 $7,131 −22% $14,064 −60% —
183 MAJOR CHEST TRAUMA WITH MCC $5,589 $5,589 $13,466 −58% $28,924 −81% —
184 MAJOR CHEST TRAUMA WITH CC $5,589 $5,589 $9,061 −38% $20,842 −73% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $5,589 $5,589 $6,727 −17% $15,858 −65% —
186 PLEURAL EFFUSION WITH MCC $5,589 $5,589 $13,404 −58% $32,468 −83% —
187 PLEURAL EFFUSION WITH CC $5,589 $5,589 $8,517 −34% $21,467 −74% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $5,589 $5,589 $6,229 −10% $14,110 −60% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $5,589 $5,589 $10,497 −47% $25,704 −78% ≈172% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $5,589 $5,589 $9,714 −42% $24,190 −77% ≈204% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $5,589 $5,589 $7,431 −25% $18,278 −69% ≈171% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,589 $5,589 $5,598 −0% $14,368 −61% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $5,589 $5,589 $11,179 −50% $26,158 −79% ≈173% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,589 $5,589 $7,093 −21% $18,204 −69% ≈170% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,589 $5,589 $5,283 +6% $13,824 −60% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $5,589 $5,589 $16,297 −66% $30,766 −82% —
197 INTERSTITIAL LUNG DISEASE WITH CC $5,589 $5,589 $8,399 −33% $20,106 −72% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $5,589 $5,589 $6,058 −8% $13,654 −59% —
199 PNEUMOTHORAX WITH MCC $5,589 $5,589 $15,123 −63% $31,491 −82% —
200 PNEUMOTHORAX WITH CC $5,589 $5,589 $9,580 −42% $20,573 −73% —
201 PNEUMOTHORAX WITHOUT CC/MCC $5,589 $5,589 $5,857 −5% $13,081 −57% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,589 $5,589 $8,281 −33% $17,273 −68% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $5,589 $5,589 $6,025 −7% $12,279 −54% —
204 RESPIRATORY SIGNS AND SYMPTOMS $5,589 $5,589 $7,015 −20% $16,866 −67% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $5,589 $5,589 $16,015 −65% $32,204 −83% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $5,589 $5,589 $7,835 −29% $17,731 −68% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $5,589 $5,589 $22,768 −75% $52,405 −89% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $5,589 — $56,890 −90% $121,714 −95% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $5,589 — $47,356 −88% $102,177 −95% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $5,589 — $54,333 −90% $90,331 −94% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $5,589 $5,589 $37,378 −85% $65,325 −91% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $5,589 — $53,665 −90% $106,238 −95% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $5,589 — $61,822 −91% $102,573 −95% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $5,589 — $46,520 −88% $82,247 −93% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $5,589 $5,589 $25,425 −78% $54,475 −90% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $5,589 $5,589 $12,810 −56% $24,229 −77% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $5,589 $5,589 $43,918 −87% $70,132 −92% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $5,589 $5,589 $19,668 −72% $50,011 −89% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $5,589 $5,589 $15,683 −64% $40,063 −86% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $5,589 $5,589 $19,811 −72% $51,339 −89% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $5,589 $5,589 $13,256 −58% $41,380 −86% —
252 OTHER VASCULAR PROCEDURES WITH MCC $5,589 $5,589 $42,633 −87% $68,508 −92% —
253 OTHER VASCULAR PROCEDURES WITH CC $5,589 $5,589 $22,753 −75% $53,746 −90% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $14,950 −63% $38,836 −86% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $5,589 $5,589 $21,896 −74% $43,697 −87% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $5,589 $5,589 $14,368 −61% $29,729 −81% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $5,589 $5,589 $7,566 −26% $15,764 −65% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $5,589 $5,589 $32,590 −83% $48,907 −89% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $5,589 $5,589 $14,911 −63% $35,673 −84% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $5,589 $5,589 $38,294 −85% $67,901 −92% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $5,589 $5,589 $16,567 −66% $42,126 −87% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $5,589 $5,589 $12,876 −57% $33,694 −83% —
263 VEIN LIGATION AND STRIPPING $5,589 $5,589 $23,200 −76% $44,938 −88% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $5,589 $5,589 $29,651 −81% $51,953 −89% —
265 AICD LEAD PROCEDURES $5,589 $5,589 $31,144 −82% $56,695 −90% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $5,589 — $56,801 −90% $92,217 −94% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $5,589 $5,589 $42,533 −87% $83,065 −93% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $5,589 — $59,897 −91% $99,423 −94% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $5,589 $5,589 $30,072 −81% $71,014 −92% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $21,745 −74% $55,162 −90% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $5,589 — $40,083 −86% $78,852 −93% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $5,589 $5,589 $37,451 −85% $65,573 −91% ≈220% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $5,589 $5,589 $40,209 −86% $57,277 −90% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $5,589 $5,589 $14,198 −61% $28,967 −81% ≈220% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $5,589 $5,589 $7,820 −29% $20,463 −73% ≈179% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $5,589 $5,589 $6,272 −11% $18,623 −70% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $5,589 $5,589 $16,589 −66% $35,014 −84% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $5,589 $5,589 $6,286 −11% $13,282 −58% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $5,589 $5,589 $4,763 +17% $10,039 −44% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $5,589 $5,589 $19,498 −71% $44,600 −87% ≈227% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $5,589 $5,589 $9,426 −41% $31,190 −82% ≈170% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $5,589 $5,589 $22,859 −76% $45,497 −88% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $5,589 $5,589 $13,487 −59% $29,371 −81% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $5,589 $5,589 $8,305 −33% $15,901 −65% —
291 HEART FAILURE AND SHOCK WITH MCC $5,589 $5,589 $11,286 −50% $25,020 −78% ≈208% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $5,589 $5,589 $7,306 −24% $16,212 −66% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,589 $5,589 $4,790 +17% $11,955 −53% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $5,589 $5,589 $10,418 −46% $19,132 −71% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,589 $5,589 $6,267 −11% $13,445 −58% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $5,589 $5,589 $14,036 −60% $30,910 −82% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $5,589 $5,589 $5,976 −6% $12,336 −55% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $5,589 $5,589 $3,989 +40% $8,927 −37% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $5,589 $5,589 $13,351 −58% $25,731 −78% ≈223% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $5,589 $5,589 $9,260 −40% $19,579 −71% ≈167% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,589 $5,589 $6,171 −9% $15,607 −64% —
302 ATHEROSCLEROSIS WITH MCC $5,589 $5,589 $10,062 −44% $20,844 −73% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,589 $5,589 $5,704 −2% $14,927 −63% —
304 HYPERTENSION WITH MCC $5,589 $5,589 $10,162 −45% $24,185 −77% —
305 HYPERTENSION WITHOUT MCC $5,589 $5,589 $6,493 −14% $17,144 −67% ≈188% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $5,589 $5,589 $12,703 −56% $24,450 −77% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $5,589 $5,589 $7,859 −29% $18,608 −70% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $5,589 $5,589 $10,431 −46% $26,488 −79% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $5,589 $5,589 $6,333 −12% $16,865 −67% ≈139% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,589 $5,589 $4,793 +17% $13,384 −58% —
311 ANGINA PECTORIS $5,589 $5,589 $5,924 −6% $15,165 −63% —
312 SYNCOPE AND COLLAPSE $5,589 $5,589 $7,537 −26% $19,342 −71% ≈203% of Medicare
313 CHEST PAIN $5,589 $5,589 $6,171 −9% $15,962 −65% ≈198% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $5,589 $5,589 $18,627 −70% $38,357 −85% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $5,589 $5,589 $8,164 −32% $20,777 −73% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $5,792 −3% $12,797 −56% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $5,589 $5,589 $46,152 −88% $75,585 −93% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $5,589 $5,589 $20,257 −72% $36,080 −85% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $5,589 $5,589 $24,151 −77% $74,274 −92% ≈171% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $5,589 $5,589 $15,140 −63% $54,772 −90% ≈242% of Medicare
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $5,589 — $55,014 −90% $88,049 −94% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $5,589 $5,589 $27,766 −80% $66,819 −92% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $5,589 $5,589 $24,988 −78% $53,551 −90% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $5,589 $5,589 $59,697 −91% $80,747 −93% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $5,589 $5,589 $20,599 −73% $54,824 −90% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,518 −59% $35,375 −84% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,589 $5,589 $20,052 −72% $58,832 −91% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $14,006 −60% $44,117 −87% —
332 RECTAL RESECTION WITH MCC $5,589 $5,589 $29,427 −81% $58,125 −90% —
333 RECTAL RESECTION WITH CC $5,589 $5,589 $18,469 −70% $34,352 −84% —
334 RECTAL RESECTION WITHOUT CC/MCC $5,589 $5,589 $14,071 −60% $32,213 −83% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $5,589 $5,589 $46,502 −88% $71,755 −92% —
336 PERITONEAL ADHESIOLYSIS WITH CC $5,589 $5,589 $21,904 −74% $49,470 −89% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $5,589 $5,589 $13,340 −58% $36,239 −85% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $5,589 $5,589 $24,914 −78% $44,839 −88% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $5,589 $5,589 $12,753 −56% $31,062 −82% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $10,668 −48% $26,146 −79% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $5,589 $5,589 $20,663 −73% $40,548 −86% —
348 ANAL AND STOMAL PROCEDURES WITH CC $5,589 $5,589 $10,889 −49% $27,947 −80% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $7,620 −27% $19,854 −72% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $5,589 $5,589 $20,519 −73% $46,591 −88% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $5,589 $5,589 $12,763 −56% $33,792 −83% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $9,354 −40% $25,162 −78% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $5,589 $5,589 $26,562 −79% $60,140 −91% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $5,589 $5,589 $14,431 −61% $43,266 −87% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $5,589 $5,589 $11,310 −51% $31,978 −83% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $5,589 $5,589 $52,759 −89% $82,561 −93% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $5,589 $5,589 $19,570 −71% $48,682 −89% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $11,609 −52% $29,374 −81% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $5,589 $5,589 $14,167 −61% $33,607 −83% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,589 $5,589 $8,633 −35% $22,713 −75% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $5,589 $5,589 $5,921 −6% $15,072 −63% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $5,589 $5,589 $15,120 −63% $31,758 −82% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $5,589 $5,589 $8,732 −36% $22,850 −76% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $5,589 $5,589 $6,154 −9% $16,104 −65% —
374 DIGESTIVE MALIGNANCY WITH MCC $5,589 $5,589 $18,263 −69% $38,885 −86% —
375 DIGESTIVE MALIGNANCY WITH CC $5,589 $5,589 $10,526 −47% $27,219 −79% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $7,491 −25% $15,608 −64% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $5,589 $5,589 $15,800 −65% $37,842 −85% ≈226% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $5,589 $5,589 $8,364 −33% $21,886 −74% ≈193% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,589 $5,589 $5,559 +1% $14,134 −60% —
380 COMPLICATED PEPTIC ULCER WITH MCC $5,589 $5,589 $16,722 −67% $36,641 −85% —
381 COMPLICATED PEPTIC ULCER WITH CC $5,589 $5,589 $9,239 −40% $24,177 −77% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $5,589 $5,589 $6,357 −12% $16,634 −66% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $5,589 $5,589 $10,725 −48% $26,634 −79% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,589 $5,589 $7,377 −24% $19,305 −71% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $5,589 $5,589 $14,054 −60% $26,020 −79% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $5,589 $5,589 $8,420 −34% $20,968 −73% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $5,589 $5,589 $5,798 −4% $14,880 −62% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $5,589 $5,589 $12,592 −56% $28,780 −81% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $5,589 $5,589 $6,800 −18% $17,388 −68% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,589 $5,589 $4,642 +20% $13,318 −58% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $5,589 $5,589 $10,897 −49% $27,244 −79% ≈197% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $5,589 $5,589 $6,685 −16% $17,322 −68% ≈173% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,589 $5,589 $14,049 −60% $32,689 −83% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $5,589 $5,589 $7,986 −30% $18,918 −70% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $5,399 +4% $14,128 −60% —
397 APPENDIX PROCEDURES WITH MCC $5,589 $5,589 $21,532 −74% $52,319 −89% —
398 APPENDIX PROCEDURES WITH CC $5,589 $5,589 $12,663 −56% $39,107 −86% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $9,534 −41% $30,314 −82% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $5,589 $5,589 $33,189 −83% $75,492 −93% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $5,589 $5,589 $24,059 −77% $58,043 −90% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $18,560 −70% $40,232 −86% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $5,589 $5,589 $42,905 −87% $59,207 −91% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $5,589 $5,589 $17,896 −69% $46,066 −88% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $5,589 $5,589 $13,417 −58% $34,434 −84% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $5,589 $5,589 $23,780 −76% $48,358 −88% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $5,589 $5,589 $18,686 −70% $37,654 −85% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $5,589 $5,589 $13,994 −60% $27,548 −80% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $5,589 $5,589 $31,947 −83% $68,399 −92% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $5,589 $5,589 $17,190 −67% $43,398 −87% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $5,589 $5,589 $11,624 −52% $30,418 −82% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $5,589 $5,589 $28,596 −80% $52,313 −89% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $5,589 $5,589 $14,069 −60% $42,119 −87% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $5,589 $5,589 $11,178 −50% $34,887 −84% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $5,589 $5,589 $29,942 −81% $50,919 −89% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $5,589 $5,589 $13,893 −60% $36,333 −85% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $12,466 −55% $25,152 −78% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $5,589 $5,589 $48,943 −89% $72,011 −92% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $5,589 $5,589 $19,842 −72% $39,253 −86% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,114 −57% $25,484 −78% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $5,589 $5,589 $66,231 −92% $105,899 −95% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $5,589 $5,589 $16,783 −67% $36,933 −85% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $5,589 $5,589 $9,254 −40% $23,749 −76% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,589 $5,589 $5,829 −4% $12,405 −55% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $5,589 $5,589 $15,782 −65% $37,950 −85% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $5,589 $5,589 $9,567 −42% $24,017 −77% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $5,589 $5,589 $6,661 −16% $13,385 −58% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $5,589 $5,589 $14,391 −61% $32,502 −83% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $5,589 $5,589 $7,369 −24% $19,096 −71% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $5,370 +4% $15,070 −63% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $5,589 $5,589 $16,037 −65% $32,399 −83% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $5,589 $5,589 $8,357 −33% $21,449 −74% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $5,589 $5,589 $6,020 −7% $15,600 −64% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $5,589 $5,589 $14,290 −61% $31,128 −82% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $5,589 $5,589 $9,291 −40% $21,806 −74% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $5,589 $5,589 $6,896 −19% $17,700 −68% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $5,589 $5,589 $34,642 −84% $81,998 −93% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $5,589 $5,589 $44,547 −87% $79,944 −93% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $5,589 $5,589 $26,180 −79% $65,216 −91% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $5,589 $5,589 $55,653 −90% $83,441 −93% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $5,589 $5,589 $29,422 −81% $56,758 −90% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,589 $5,589 $46,936 −88% $78,582 −93% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $5,589 $5,589 $25,014 −78% $54,313 −90% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,589 $5,589 $14,728 −62% $32,839 −83% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $5,589 $5,589 $65,645 −91% $96,222 −94% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $5,589 $5,589 $42,906 −87% $68,880 −92% ≈235% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $5,589 $5,589 $22,797 −75% $54,929 −90% ≈220% of Medicare
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $5,589 $5,589 $33,894 −84% $65,254 −91% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $5,589 $5,589 $16,152 −65% $49,197 −89% —
472 CERVICAL SPINAL FUSION WITH CC $5,589 $5,589 $25,060 −78% $59,537 −91% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $5,589 $5,589 $20,281 −72% $50,624 −89% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $5,589 $5,589 $44,319 −87% $76,954 −93% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $5,589 $5,589 $19,205 −71% $44,553 −87% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,589 $5,589 $9,867 −43% $21,062 −73% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,589 $5,589 $30,024 −81% $62,269 −91% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,589 $5,589 $20,417 −73% $50,139 −89% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,589 $5,589 $15,065 −63% $31,909 −82% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $5,589 $5,589 $36,997 −85% $63,984 −91% ≈229% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $5,589 $5,589 $17,775 −69% $51,172 −89% ≈212% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $5,589 $5,589 $13,458 −58% $39,747 −86% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $5,589 $5,589 $22,247 −75% $57,149 −90% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $5,589 $5,589 $27,579 −80% $64,956 −91% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $5,589 $5,589 $18,345 −70% $46,477 −88% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,589 $5,589 $13,406 −58% $33,490 −83% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $5,589 $5,589 $16,673 −66% $41,520 −87% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $5,589 $5,589 $10,506 −47% $27,492 −80% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $5,589 $5,589 $35,670 −84% $70,540 −92% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $5,589 $5,589 $28,417 −80% $56,394 −90% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $5,589 $5,589 $16,152 −65% $45,963 −88% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $5,589 $5,589 $43,922 −87% $56,964 −90% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $5,589 $5,589 $17,146 −67% $43,800 −87% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $5,589 $5,589 $11,390 −51% $29,805 −81% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $5,589 $5,589 $22,044 −75% $46,659 −88% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $5,589 $5,589 $9,848 −43% $22,532 −75% —
500 SOFT TISSUE PROCEDURES WITH MCC $5,589 $5,589 $27,145 −79% $57,479 −90% —
501 SOFT TISSUE PROCEDURES WITH CC $5,589 $5,589 $15,581 −64% $37,975 −85% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $11,853 −53% $30,006 −81% —
503 FOOT PROCEDURES WITH MCC $5,589 $5,589 $23,106 −76% $43,901 −87% —
504 FOOT PROCEDURES WITH CC $5,589 $5,589 $14,889 −62% $36,598 −85% —
505 FOOT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $14,889 −62% $31,716 −82% —
506 MAJOR THUMB OR JOINT PROCEDURES $5,589 $5,589 $12,842 −56% $28,983 −81% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $5,589 $5,589 $16,604 −66% $36,202 −85% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $10,801 −48% $22,811 −75% —
509 ARTHROSCOPY $5,589 $5,589 $14,903 −62% $25,994 −78% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $5,589 $5,589 $24,247 −77% $49,055 −89% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $5,589 $5,589 $16,964 −67% $43,538 −87% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,640 −59% $35,692 −84% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $5,589 $5,589 $13,023 −57% $33,424 −83% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $8,819 −37% $20,080 −72% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $5,589 $5,589 $26,998 −79% $62,821 −91% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $5,589 $5,589 $18,104 −69% $45,817 −88% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $12,912 −57% $33,137 −83% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $5,589 $5,589 $31,290 −82% $64,776 −91% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $5,589 $5,589 $17,136 −67% $43,775 −87% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $5,589 $5,589 $12,397 −55% $31,816 −82% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $5,589 $5,589 $35,073 −84% $67,764 −92% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $5,589 $5,589 $17,642 −68% $56,519 −90% ≈211% of Medicare
533 FRACTURES OF FEMUR WITH MCC $5,589 $5,589 $12,936 −57% $25,945 −78% —
534 FRACTURES OF FEMUR WITHOUT MCC $5,589 $5,589 $6,906 −19% $17,195 −67% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $5,589 $5,589 $11,503 −51% $23,350 −76% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $5,589 $5,589 $6,879 −19% $18,002 −69% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $5,589 $5,589 $7,873 −29% $16,352 −66% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $5,589 $5,589 $5,697 −2% $11,909 −53% —
539 OSTEOMYELITIS WITH MCC $5,589 $5,589 $17,157 −67% $33,746 −83% —
540 OSTEOMYELITIS WITH CC $5,589 $5,589 $11,086 −50% $23,494 −76% —
541 OSTEOMYELITIS WITHOUT CC/MCC $5,589 $5,589 $7,495 −25% $14,549 −62% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $5,589 $5,589 $15,978 −65% $35,114 −84% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $5,589 $5,589 $9,000 −38% $23,496 −76% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $6,537 −14% $16,776 −67% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $5,589 $5,589 $21,147 −74% $39,657 −86% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $5,589 $5,589 $9,688 −42% $24,202 −77% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $5,589 $5,589 $6,330 −12% $14,861 −62% —
548 SEPTIC ARTHRITIS WITH MCC $5,589 $5,589 $17,091 −67% $31,019 −82% —
549 SEPTIC ARTHRITIS WITH CC $5,589 $5,589 $10,085 −45% $20,938 −73% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $5,589 $5,589 $7,314 −24% $16,156 −65% —
551 MEDICAL BACK PROBLEMS WITH MCC $5,589 $5,589 $14,618 −62% $31,086 −82% ≈179% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $5,589 $5,589 $8,176 −32% $21,213 −74% ≈212% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $5,589 $5,589 $11,297 −51% $23,956 −77% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $5,589 $5,589 $7,219 −23% $18,253 −69% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,589 $5,589 $11,648 −52% $23,723 −76% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $5,589 $5,589 $6,927 −19% $17,715 −68% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $5,589 $5,589 $13,276 −58% $28,646 −80% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $5,589 $5,589 $7,328 −24% $17,367 −68% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $5,589 $5,589 $15,902 −65% $30,974 −82% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,589 $5,589 $9,755 −43% $24,452 −77% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $5,589 $5,589 $6,936 −19% $18,150 −69% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $5,589 $5,589 $12,416 −55% $29,211 −81% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $5,589 $5,589 $7,583 −26% $18,803 −70% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $5,589 $5,589 $13,312 −58% $32,936 −83% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $5,589 $5,589 $8,651 −35% $21,545 −74% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $6,409 −13% $14,337 −61% —
570 SKIN DEBRIDEMENT WITH MCC $5,589 $5,589 $26,159 −79% $52,435 −89% —
571 SKIN DEBRIDEMENT WITH CC $5,589 $5,589 $14,343 −61% $34,901 −84% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $5,589 $5,589 $9,692 −42% $24,432 −77% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $5,589 $5,589 $30,877 −82% $49,065 −89% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,589 $5,589 $17,271 −68% $29,109 −81% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $5,589 $5,589 $46,886 −88% $82,527 −93% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $5,589 $5,589 $22,590 −75% $45,432 −88% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $5,589 $5,589 $14,340 −61% $28,578 −80% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $5,589 $5,589 $38,910 −86% $54,129 −90% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $5,589 $5,589 $15,336 −64% $36,242 −85% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $12,424 −55% $25,243 −78% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $5,589 $5,589 $14,856 −62% $34,264 −84% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $13,936 −60% $31,566 −82% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $5,589 $5,589 $17,710 −68% $34,089 −84% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $16,841 −67% $29,633 −81% —
592 SKIN ULCERS WITH MCC $5,589 $5,589 $17,616 −68% $32,662 −83% —
593 SKIN ULCERS WITH CC $5,589 $5,589 $10,474 −47% $20,470 −73% —
594 SKIN ULCERS WITHOUT CC/MCC $5,589 $5,589 $7,271 −23% $14,209 −61% —
595 MAJOR SKIN DISORDERS WITH MCC $5,589 $5,589 $17,943 −69% $31,785 −82% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $5,589 $5,589 $9,261 −40% $17,226 −68% —
597 MALIGNANT BREAST DISORDERS WITH MCC $5,589 $5,589 $14,903 −62% $31,846 −82% —
598 MALIGNANT BREAST DISORDERS WITH CC $5,589 $5,589 $9,153 −39% $19,073 −71% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,589 $5,589 $7,253 −23% $14,290 −61% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $5,589 $5,589 $8,195 −32% $16,418 −66% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,589 $5,589 $5,186 +8% $10,975 −49% —
602 CELLULITIS WITH MCC $5,589 $5,589 $12,464 −55% $29,347 −81% —
603 CELLULITIS WITHOUT MCC $5,589 $5,589 $7,472 −25% $18,530 −70% ≈170% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $5,589 $5,589 $12,604 −56% $28,140 −80% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $5,589 $5,589 $7,990 −30% $19,287 −71% —
606 MINOR SKIN DISORDERS WITH MCC $5,589 $5,589 $13,661 −59% $25,434 −78% —
607 MINOR SKIN DISORDERS WITHOUT MCC $5,589 $5,589 $7,475 −25% $15,284 −63% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $5,589 $5,589 $19,713 −72% $43,586 −87% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $12,276 −54% $31,812 −82% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,589 $5,589 $34,783 −84% $62,961 −91% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,589 $5,589 $16,387 −66% $42,881 −87% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,589 $5,589 $10,663 −48% $19,354 −71% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $5,589 $5,589 $23,568 −76% $44,973 −88% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $5,589 $5,589 $14,418 −61% $35,453 −84% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $5,589 $5,589 $12,523 −55% $32,451 −83% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $5,589 $5,589 $46,834 −88% $60,861 −91% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $5,589 $5,589 $16,227 −66% $33,165 −83% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $5,589 $5,589 $8,510 −34% $17,078 −67% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $5,589 $5,589 $24,323 −77% $58,968 −91% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $5,589 $5,589 $12,930 −57% $27,279 −80% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $10,748 −48% $25,623 −78% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $5,589 $5,589 $35,390 −84% $68,006 −92% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $5,589 $5,589 $19,545 −71% $45,059 −88% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $11,888 −53% $24,452 −77% —
637 DIABETES WITH MCC $5,589 $5,589 $12,597 −56% $28,819 −81% ≈163% of Medicare
638 DIABETES WITH CC $5,589 $5,589 $7,934 −30% $18,821 −70% ≈175% of Medicare
639 DIABETES WITHOUT CC/MCC $5,589 $5,589 $5,316 +5% $13,910 −60% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $5,589 $5,589 $11,487 −51% $24,480 −77% ≈191% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,589 $5,589 $6,629 −16% $16,745 −67% ≈164% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $5,589 $5,589 $10,529 −47% $20,727 −73% —
643 ENDOCRINE DISORDERS WITH MCC $5,589 $5,589 $14,060 −60% $32,996 −83% —
644 ENDOCRINE DISORDERS WITH CC $5,589 $5,589 $8,939 −37% $22,941 −76% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $5,589 $5,589 $6,671 −16% $14,166 −61% —
654 MAJOR BLADDER PROCEDURES WITH CC $5,589 $5,589 $24,176 −77% $53,868 −90% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $17,623 −68% $41,651 −87% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $5,589 $5,589 $28,474 −80% $64,465 −91% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $5,589 $5,589 $15,661 −64% $40,583 −86% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $5,589 $5,589 $12,884 −57% $35,528 −84% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $5,589 $5,589 $22,354 −75% $48,094 −88% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $5,589 $5,589 $11,645 −52% $30,358 −82% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $5,589 $5,589 $8,880 −37% $24,022 −77% —
662 MINOR BLADDER PROCEDURES WITH MCC $5,589 $5,589 $30,960 −82% $54,483 −90% —
663 MINOR BLADDER PROCEDURES WITH CC $5,589 $5,589 $13,212 −58% $29,924 −81% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $9,250 −40% $18,126 −69% —
665 PROSTATECTOMY WITH MCC $5,589 $5,589 $41,317 −86% $54,072 −90% —
666 PROSTATECTOMY WITH CC $5,589 $5,589 $14,112 −60% $30,016 −81% —
667 PROSTATECTOMY WITHOUT CC/MCC $5,589 $5,589 $8,805 −37% $16,703 −67% —
668 TRANSURETHRAL PROCEDURES WITH MCC $5,589 $5,589 $25,343 −78% $47,277 −88% —
669 TRANSURETHRAL PROCEDURES WITH CC $5,589 $5,589 $13,128 −57% $34,354 −84% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $8,108 −31% $20,371 −73% —
671 URETHRAL PROCEDURES WITH CC/MCC $5,589 $5,589 $14,623 −62% $27,233 −79% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $8,828 −37% $17,398 −68% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $5,589 $5,589 $51,316 −89% $72,945 −92% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $5,589 $5,589 $27,750 −80% $49,631 −89% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,279 −58% $32,490 −83% —
682 RENAL FAILURE WITH MCC $5,589 $5,589 $12,741 −56% $27,854 −80% ≈216% of Medicare
683 RENAL FAILURE WITH CC $5,589 $5,589 $7,689 −27% $18,620 −70% ≈203% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $5,589 $5,589 $5,153 +8% $13,623 −59% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $5,589 $5,589 $15,997 −65% $32,981 −83% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,589 $5,589 $8,689 −36% $18,478 −70% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $5,589 $5,589 $6,144 −9% $12,593 −56% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $5,589 $5,589 $9,928 −44% $22,982 −76% ≈147% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $5,589 $5,589 $6,809 −18% $17,466 −68% ≈162% of Medicare
693 URINARY STONES WITH MCC $5,589 $5,589 $12,474 −55% $22,525 −75% —
694 URINARY STONES WITHOUT MCC $5,589 $5,589 $6,629 −16% $16,531 −66% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $5,589 $5,589 $9,661 −42% $20,741 −73% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $5,589 $5,589 $5,984 −7% $14,441 −61% —
697 URETHRAL STRICTURE $5,589 $5,589 $8,499 −34% $17,705 −68% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $5,589 $5,589 $14,260 −61% $30,058 −81% ≈193% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $5,589 $5,589 $8,737 −36% $20,732 −73% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $5,889 −5% $13,303 −58% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $5,589 $5,589 $16,240 −66% $43,080 −87% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $12,700 −56% $32,911 −83% —
709 PENIS PROCEDURES WITH CC/MCC $5,589 $5,589 $19,437 −71% $34,535 −84% —
710 PENIS PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $12,737 −56% $23,814 −77% —
711 TESTES PROCEDURES WITH CC/MCC $5,589 $5,589 $16,209 −66% $34,852 −84% —
712 TESTES PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $8,951 −38% $18,898 −70% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $5,589 $5,589 $12,387 −55% $29,663 −81% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $5,589 $5,589 $8,050 −31% $17,108 −67% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $5,589 $5,589 $19,158 −71% $38,998 −86% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $12,041 −54% $21,615 −74% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $5,589 $5,589 $15,528 −64% $32,538 −83% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $10,451 −47% $20,147 −72% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $5,589 $5,589 $14,811 −62% $29,826 −81% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $5,589 $5,589 $9,526 −41% $19,317 −71% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,589 $5,589 $6,242 −10% $12,650 −56% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $5,589 $5,589 $10,566 −47% $19,894 −72% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $5,589 $5,589 $6,315 −11% $13,892 −60% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $5,589 $5,589 $12,466 −55% $25,786 −78% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,589 $5,589 $6,744 −17% $16,837 −67% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $5,589 $5,589 $9,346 −40% $17,483 −68% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $5,274 +6% $11,071 −50% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $5,589 $5,589 $19,834 −72% $35,686 −84% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $5,589 $5,589 $10,399 −46% $23,297 −76% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $5,589 $5,589 $47,381 −88% $61,832 −91% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $5,589 $5,589 $16,953 −67% $44,363 −87% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $12,869 −57% $30,972 −82% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $5,589 $5,589 $47,902 −88% $57,521 −90% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $5,589 $5,589 $15,426 −64% $36,597 −85% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $11,881 −53% $29,050 −81% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $5,589 $5,589 $15,497 −64% $40,552 −86% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $5,589 $5,589 $10,169 −45% $27,369 −80% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $5,589 $5,589 $16,902 −67% $33,050 −83% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $5,589 $5,589 $8,779 −36% $16,495 −66% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $5,589 $5,589 $14,485 −61% $29,916 −81% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $8,103 −31% $19,326 −71% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $5,589 $5,589 $11,784 −53% $24,980 −78% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $5,589 $5,589 $21,960 −75% $41,703 −87% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $11,047 −49% $23,920 −77% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,589 $5,589 $15,500 −64% $29,476 −81% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,589 $5,589 $9,602 −42% $18,459 −70% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,589 $5,589 $8,181 −32% $15,589 −64% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $5,589 $5,589 $12,007 −53% $23,734 −76% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $5,589 $5,589 $8,732 −36% $19,091 −71% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $5,589 $5,589 $5,562 +0% $14,208 −61% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $5,589 $5,589 $8,361 −33% $18,282 −69% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,589 $5,589 $5,483 +2% $11,421 −51% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,589 $5,589 $11,271 −50% $17,103 −67% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $5,589 $5,589 $11,903 −53% $24,561 −77% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $5,589 $5,589 $9,128 −39% $17,943 −69% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $5,589 $5,589 $6,053 −8% $12,381 −55% —
779 ABORTION WITHOUT D&C $5,589 $5,589 $7,930 −30% $15,327 −64% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $5,589 $5,589 $10,545 −47% $19,815 −72% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $5,589 $5,589 $9,775 −43% $23,571 −76% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $5,589 $5,589 $8,017 −30% $20,084 −72% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,589 $5,589 $15,085 −63% $14,284 −61% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,589 $5,589 $8,598 −35% $19,001 −71% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,589 $5,589 $10,124 −45% $18,238 −69% —
800 SPLENIC PROCEDURES WITH CC $5,589 $5,589 $25,439 −78% $49,184 −89% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $14,064 −60% $28,634 −80% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $5,589 $5,589 $30,575 −82% $59,425 −91% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $5,589 $5,589 $15,101 −63% $33,564 −83% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $5,589 $5,589 $9,379 −40% $24,544 −77% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,589 $5,589 $10,576 −47% $15,370 −64% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,589 $5,589 $9,343 −40% $13,090 −57% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,589 $5,589 $8,897 −37% $12,044 −54% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $5,589 $5,589 $19,811 −72% $36,334 −85% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $5,589 $5,589 $10,507 −47% $22,032 −75% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $5,589 $5,589 $8,075 −31% $18,428 −70% —
811 RED BLOOD CELL DISORDERS WITH MCC $5,589 $5,589 $12,169 −54% $27,934 −80% ≈177% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $5,589 $5,589 $7,983 −30% $20,488 −73% ≈243% of Medicare
813 COAGULATION DISORDERS $5,589 $5,589 $13,132 −57% $30,128 −81% ≈181% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $5,589 $5,589 $17,735 −68% $32,483 −83% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $5,589 $5,589 $8,620 −35% $18,017 −69% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $5,589 $5,589 $5,704 −2% $13,485 −59% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $5,589 $5,589 $18,088 −69% $36,097 −85% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $5,589 $5,589 $10,927 −49% $24,316 −77% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $6,927 −19% $17,928 −69% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $5,589 — $71,838 −92% $96,192 −94% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $5,589 $5,589 $18,682 −70% $44,053 −87% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $9,798 −43% $25,390 −78% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $5,589 $5,589 $58,079 −90% $80,885 −93% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $5,589 $5,589 $18,841 −70% $38,382 −85% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $10,441 −46% $27,321 −80% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $5,589 $5,589 $20,508 −73% $47,546 −88% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,598 −59% $35,584 −84% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $5,589 $5,589 $27,771 −80% $53,817 −90% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $12,529 −55% $25,149 −78% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $5,589 $5,589 $9,405 −41% $18,133 −69% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $5,589 $5,589 $6,341 −12% $12,895 −57% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $4,496 +24% $9,076 −38% —
834 ACUTE LEUKEMIA WITH MCC $5,589 $5,589 $46,891 −88% $76,583 −93% —
835 ACUTE LEUKEMIA WITH CC $5,589 $5,589 $17,874 −69% $35,569 −84% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $5,589 $5,589 $10,780 −48% $19,686 −72% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $5,589 $5,589 $43,716 −87% $70,735 −92% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $5,589 $5,589 $17,206 −68% $30,661 −82% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,589 $5,589 $11,626 −52% $20,980 −73% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $5,589 $5,589 $27,054 −79% $49,710 −89% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $5,589 $5,589 $13,302 −58% $31,059 −82% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $5,589 $5,589 $8,924 −37% $17,550 −68% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $5,589 $5,589 $16,062 −65% $36,280 −85% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $5,589 $5,589 $10,139 −45% $20,421 −73% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $7,169 −22% $14,055 −60% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $5,589 $5,589 $21,877 −74% $38,878 −86% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $5,589 $5,589 $10,780 −48% $22,275 −75% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $5,589 $5,589 $7,015 −20% $13,822 −60% —
849 RADIOTHERAPY $5,589 $5,589 $22,353 −75% $37,862 −85% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $5,589 $5,589 $77,091 −93% $121,563 −95% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $5,589 $5,589 $17,364 −68% $43,524 −87% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $13,926 −60% $27,168 −79% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $5,589 $5,589 $50,907 −89% $72,859 −92% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $5,589 $5,589 $19,259 −71% $41,900 −87% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $5,589 $5,589 $10,930 −49% $23,924 −77% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $5,589 $5,589 $15,904 −65% $30,394 −82% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $5,589 $5,589 $8,483 −34% $20,007 −72% —
864 FEVER AND INFLAMMATORY CONDITIONS $5,589 $5,589 $7,618 −27% $17,412 −68% —
865 VIRAL ILLNESS WITH MCC $5,589 $5,589 $12,521 −55% $26,088 −79% —
866 VIRAL ILLNESS WITHOUT MCC $5,589 $5,589 $7,506 −26% $16,391 −66% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $5,589 $5,589 $18,191 −69% $36,850 −85% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $5,589 $5,589 $9,083 −38% $22,231 −75% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $5,589 $5,589 $6,105 −8% $12,537 −55% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $5,589 $5,589 $16,645 −66% $35,237 −84% ≈202% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $5,589 $5,589 $8,918 −37% $22,781 −75% ≈205% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $5,589 $5,589 $33,337 −83% $54,196 −90% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $5,589 $5,589 $8,292 −33% $15,636 −64% —
881 DEPRESSIVE NEUROSES $5,589 $5,589 $7,831 −29% $15,058 −63% —
882 NEUROSES EXCEPT DEPRESSIVE $5,589 $5,589 $8,241 −32% $15,680 −64% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $5,589 $5,589 $15,515 −64% $22,698 −75% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $5,589 $5,589 $14,169 −61% $25,208 −78% ≈146% of Medicare
885 PSYCHOSES $5,589 $5,589 $11,958 −53% $21,489 −74% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $5,589 $5,589 $15,241 −63% $24,836 −77% —
887 OTHER MENTAL DISORDER DIAGNOSES $5,589 $5,589 $10,090 −45% $20,602 −73% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,589 $5,589 $5,424 +3% $12,013 −53% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $5,589 $5,589 $12,117 −54% $21,986 −75% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $5,589 $5,589 $15,107 −63% $30,275 −82% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,589 $5,589 $7,484 −25% $16,049 −65% ≈158% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $5,589 $5,589 $37,586 −85% $68,847 −92% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $5,589 $5,589 $16,098 −65% $35,459 −84% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $5,589 $5,589 $10,444 −46% $23,588 −76% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $5,589 $5,589 $33,398 −83% $55,097 −90% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $5,589 $5,589 $13,793 −59% $25,197 −78% —
906 HAND PROCEDURES FOR INJURIES $5,589 $5,589 $18,264 −69% $31,520 −82% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $5,589 $5,589 $45,405 −88% $71,701 −92% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $5,589 $5,589 $17,112 −67% $41,660 −87% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $5,589 $5,589 $10,760 −48% $28,156 −80% —
913 TRAUMATIC INJURY WITH MCC $5,589 $5,589 $13,729 −59% $24,198 −77% —
914 TRAUMATIC INJURY WITHOUT MCC $5,589 $5,589 $7,850 −29% $15,593 −64% —
915 ALLERGIC REACTIONS WITH MCC $5,589 $5,589 $14,888 −62% $30,944 −82% —
916 ALLERGIC REACTIONS WITHOUT MCC $5,589 $5,589 $5,634 −1% $13,890 −60% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $5,589 $5,589 $13,910 −60% $28,134 −80% ≈199% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $5,589 $5,589 $7,504 −26% $15,045 −63% —
919 COMPLICATIONS OF TREATMENT WITH MCC $5,589 $5,589 $15,622 −64% $29,031 −81% —
920 COMPLICATIONS OF TREATMENT WITH CC $5,589 $5,589 $8,787 −36% $21,181 −74% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $5,589 $5,589 $5,948 −6% $14,012 −60% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $5,589 $5,589 $14,613 −62% $29,409 −81% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $5,589 $5,589 $8,652 −35% $16,571 −66% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $5,589 $5,589 $56,660 −90% $89,353 −94% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $5,589 $5,589 $27,638 −80% $44,472 −87% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $5,589 $5,589 $33,230 −83% $59,352 −91% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $5,589 $5,589 $18,382 −70% $31,044 −82% —
935 NON-EXTENSIVE BURNS $5,589 $5,589 $18,633 −70% $29,458 −81% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $5,589 $5,589 $26,927 −79% $51,142 −89% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $5,589 $5,589 $17,669 −68% $38,420 −85% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $5,589 $5,589 $16,579 −66% $29,524 −81% —
945 REHABILITATION WITH CC/MCC $5,589 $5,589 $12,775 −56% $23,834 −77% —
946 REHABILITATION WITHOUT CC/MCC $5,589 $5,589 $9,323 −40% $17,685 −68% —
947 SIGNS AND SYMPTOMS WITH MCC $5,589 $5,589 $11,018 −49% $25,474 −78% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $5,589 $5,589 $6,872 −19% $17,727 −68% —
949 AFTERCARE WITH CC/MCC $5,589 $5,589 $9,243 −40% $23,953 −77% —
950 AFTERCARE WITHOUT CC/MCC $5,589 $5,589 $5,117 +9% $13,527 −59% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,589 $5,589 $4,950 +13% $9,385 −40% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $5,589 $5,589 $59,339 −91% $105,612 −95% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $5,589 $5,589 $35,111 −84% $75,103 −93% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,589 $5,589 $41,582 −87% $66,853 −92% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,589 $5,589 $29,424 −81% $40,277 −86% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $5,589 $5,589 $23,718 −76% $43,491 −87% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $5,589 $5,589 $12,726 −56% $25,854 −78% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $5,589 $5,589 $7,742 −28% $17,585 −68% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $5,589 $5,589 $76,100 −93% $109,331 −95% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $5,589 $5,589 $22,509 −75% $40,947 −86% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $5,589 $5,589 $25,951 −78% $46,402 −88% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $5,589 $5,589 $11,895 −53% $25,010 −78% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $5,589 $5,589 $8,278 −32% $16,212 −66% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,589 $5,589 $12,232 −54% $22,525 −75% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $5,589 $5,589 $54,442 −90% $86,390 −94% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,589 $5,589 $21,375 −74% $51,985 −89% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,589 $5,589 $14,152 −61% $30,930 −82% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $5,589 $5,589 $38,991 −86% $65,383 −91% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $5,589 $5,589 $14,843 −62% $38,094 −85% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $5,589 $5,589 $9,899 −44% $25,307 −78% —

Procedures with negotiated rates only

These 71 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
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $67,218 – $291,164 · median $208,145 19 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $36,154 – $179,484 · median $132,294 19 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $52,477 – $233,433 · median $166,875 19 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $42,077 – $165,930 · median $117,014 19 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $54,963 – $255,649 · median $179,384 19 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $52,001 – $276,562 · median $177,323 19 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $39,389 – $204,650 · median $133,489 19 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $45,399 – $201,155 · median $143,800 19 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $126,867 – $646,570 · median $462,215 17 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $77,267 – $426,287 · median $304,742 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $72,430 – $270,922 · median $182,874 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $37,598 – $172,117 · median $123,042 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $32,623 – $139,055 · median $104,073 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $38,390 – $195,108 · median $139,478 17 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $86,252 – $319,635 · median $234,068 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $31,256 – $151,958 · median $108,631 17 plans
245 AICD GENERATOR PROCEDURES $34,858 – $147,430 · median $105,394 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $47,667 – $186,315 · median $135,907 17 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,846 – $138,533 · median $101,748 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $36,326 – $163,778 · median $120,213 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $60,784 – $255,507 · median $182,655 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $43,596 – $173,152 · median $130,204 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $36,002 – $180,736 · median $132,350 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $33,430 – $146,540 · median $105,241 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,577 – $185,787 · median $132,814 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $37,058 – $168,180 · median $120,227 17 plans
799 SPLENIC PROCEDURES WITH MCC $33,094 – $143,448 · median $107,867 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $33,567 – $144,072 · median $105,661 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $34,127 – $150,884 · median $107,863 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $42,332 – $209,870 · median $143,728 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $133,490 – $662,552 · median $511,630 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $50,426 – $225,187 · median $160,980 17 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $172,320 – $328,658 · median $241,044 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $111,786 – $213,204 · median $156,368 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $97,983 – $186,879 · median $137,060 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $73,584 – $140,343 · median $102,930 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $79,142 – $150,945 · median $106,821 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $573,641 – $1,137,757 · median $771,682 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $97,856 – $186,638 · median $132,191 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $165,700 – $316,032 · median $223,838 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $112,351 – $214,281 · median $151,770 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $131,932 – $251,628 · median $178,222 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $86,532 – $165,040 · median $116,894 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $106,055 – $202,274 · median $143,266 10 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $62,965 – $241,349 · median $205,788 7 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $40,998 – $160,087 · median $142,039 7 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $32,217 – $125,773 · median $106,956 7 plans
459 Spinal Fusion Except Cervical With MCC $45,864 – $176,722 · median $154,022 7 plans
460 Spinal Fusion Except Cervical Without MCC $26,510 – $103,241 · median $84,947 7 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $55,855 – $221,070 · median $82,861 5 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $40,180 – $163,079 · median $82,861 5 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $49,505 – $193,272 · median $82,861 5 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $37,810 – $147,714 · median $82,861 5 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $44,763 – $173,572 · median $82,861 5 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $21,237 – $82,056 · median $49,781 5 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $35,002 – $137,872 · median $110,173 3 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $13,619 – $52,194 · median $41,708 3 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $20,726 – $83,321 · median $66,581 3 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $12,828 – $49,335 · median $39,423 3 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $19,479 – $73,474 · median $58,713 3 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $11,486 – $44,497 · median $35,557 3 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $8,283 – $32,248 · median $25,769 3 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $17,122 – $60,805 · median $48,589 3 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $10,778 – $37,622 · median $30,063 3 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $7,708 – $29,124 · median $23,273 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $37,303 – $37,303 · median $37,303 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS $25,477 – $25,477 · median $25,477 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $15,371 – $15,371 · median $15,371 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $26,169 – $26,169 · median $26,169 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,262 – $9,262 · median $9,262 1 plans
795 NORMAL NEWBORN $1,254 – $1,254 · median $1,254 1 plans
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