Jersey City Medical Center — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 602 with a comparable price, 176 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 $3,319
Average published price $3,457
Highest published price $12,517

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 778 procedures

Published charges

Showing all 602 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 46 procedures, this hospital's negotiated rates average ≈203% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,517 $12,517 $15,627 −20% $29,221 −57% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $12,517 $12,517 $12,517 +0% $23,283 −46% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,517 $12,517 $13,708 −9% $27,152 −54% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $12,517 $12,517 $12,517 +0% $23,571 −47% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $12,517 $12,517 $12,517 +0% $20,084 −38% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $8,598 $8,598 $9,300 −8% $16,846 −49% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $8,598 $8,598 $10,830 −21% $22,557 −62% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,598 $8,598 $8,598 +0% $19,962 −57% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $8,598 $8,598 $8,598 +0% $18,452 −53% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,598 $8,598 $8,598 +0% $15,370 −44% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $8,598 $8,598 $8,598 +0% $13,275 −35% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $8,598 $8,598 $8,598 +0% $12,078 −29% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,319 $3,319 $22,481 −85% $48,687 −93% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $20,936 −84% $54,583 −94% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $18,879 −82% $45,866 −93% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,535 −75% $35,419 −91% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $15,551 −79% $40,694 −92% —
037 EXTRACRANIAL PROCEDURES WITH MCC $3,319 $3,319 $28,173 −88% $66,666 −95% —
038 EXTRACRANIAL PROCEDURES WITH CC $3,319 $3,319 $13,669 −76% $35,770 −91% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,656 −66% $26,618 −88% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,319 $3,319 $19,157 −83% $49,418 −93% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,911 −78% $39,018 −91% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,319 $3,319 $17,073 −81% $32,031 −90% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,319 $3,319 $7,817 −58% $20,455 −84% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,319 $3,319 $12,718 −74% $30,502 −89% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,319 $3,319 $9,255 −64% $20,926 −84% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,319 $3,319 $21,243 −84% $39,973 −92% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,319 $3,319 $11,320 −71% $27,543 −88% ≈171% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,319 $3,319 $15,660 −79% $30,243 −89% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,319 $3,319 $10,380 −68% $27,163 −88% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,319 $3,319 $7,571 −56% $22,148 −85% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $3,319 $3,319 $22,934 −86% $62,264 −95% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,319 $3,319 $15,108 −78% $52,075 −94% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,319 $3,319 $11,918 −72% $39,887 −92% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,319 $3,319 $16,875 −80% $39,106 −92% ≈238% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,319 $3,319 $8,627 −62% $23,940 −86% ≈246% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,319 $3,319 $5,839 −43% $20,781 −84% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,319 $3,319 $12,343 −73% $24,941 −87% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,319 $3,319 $7,478 −56% $19,569 −83% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,319 $3,319 $6,788 −51% $21,056 −84% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,319 $3,319 $14,751 −77% $31,951 −90% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,319 $3,319 $8,941 −63% $23,488 −86% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,364 −48% $19,037 −83% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,319 $3,319 $13,112 −75% $30,010 −89% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,319 $3,319 $8,843 −62% $23,141 −86% —
075 VIRAL MENINGITIS WITH CC/MCC $3,319 $3,319 $14,612 −77% $30,447 −89% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,319 $3,319 $7,779 −57% $17,135 −81% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,319 $3,319 $13,118 −75% $24,550 −86% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,319 $3,319 $8,466 −61% $17,698 −81% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,319 $3,319 $5,656 −41% $11,847 −72% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,319 $3,319 $16,863 −80% $36,249 −91% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,319 $3,319 $7,676 −57% $16,552 −80% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,319 $3,319 $19,683 −83% $36,489 −91% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,319 $3,319 $11,795 −72% $27,285 −88% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,319 $3,319 $8,111 −59% $19,924 −83% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,319 $3,319 $19,224 −83% $41,892 −92% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,319 $3,319 $11,127 −70% $27,043 −88% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,319 $3,319 $7,499 −56% $16,520 −80% —
088 CONCUSSION WITH MCC $3,319 $3,319 $11,968 −72% $24,402 −86% —
089 CONCUSSION WITH CC $3,319 $3,319 $9,095 −64% $18,821 −82% —
090 CONCUSSION WITHOUT CC/MCC $3,319 $3,319 $7,273 −54% $15,412 −78% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,319 $3,319 $15,465 −79% $37,387 −91% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,319 $3,319 $8,981 −63% $24,914 −87% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,319 $3,319 $6,696 −50% $17,620 −81% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,319 $3,319 $20,337 −84% $47,583 −93% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,319 $3,319 $20,337 −84% $41,620 −92% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,319 $3,319 $30,410 −89% $59,533 −94% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,319 $3,319 $18,403 −82% $42,901 −92% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,319 $3,319 $11,820 −72% $27,119 −88% —
100 SEIZURES WITH MCC $3,319 $3,319 $16,842 −80% $35,481 −91% ≈252% of Medicare
101 SEIZURES WITHOUT MCC $3,319 $3,319 $7,819 −58% $20,461 −84% ≈177% of Medicare
102 HEADACHES WITH MCC $3,319 $3,319 $9,837 −66% $25,740 −87% —
103 HEADACHES WITHOUT MCC $3,319 $3,319 $7,213 −54% $21,280 −84% —
113 ORBITAL PROCEDURES WITH CC/MCC $3,319 $3,319 $19,144 −83% $36,167 −91% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,028 −67% $19,598 −83% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,319 $3,319 $12,988 −74% $25,703 −87% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,319 $3,319 $14,156 −77% $29,126 −89% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,150 −64% $17,193 −81% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,319 $3,319 $9,868 −66% $19,412 −83% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,319 $3,319 $5,754 −42% $11,997 −72% —
123 NEUROLOGICAL EYE DISORDERS $3,319 $3,319 $6,814 −51% $19,745 −83% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,319 $3,319 $11,062 −70% $21,894 −85% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,319 $3,319 $7,005 −53% $17,298 −81% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,319 $3,319 $20,455 −84% $42,186 −92% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,299 −60% $17,404 −81% —
137 MOUTH PROCEDURES WITH CC/MCC $3,319 $3,319 $11,865 −72% $27,861 −88% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $6,901 −52% $19,119 −83% —
139 SALIVARY GLAND PROCEDURES $3,319 $3,319 $11,648 −72% $23,612 −86% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,319 $3,319 $35,878 −91% $60,098 −94% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,319 $3,319 $18,227 −82% $37,267 −91% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,339 −75% $34,906 −90% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,319 $3,319 $28,012 −88% $52,908 −94% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,319 $3,319 $14,903 −78% $30,553 −89% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,051 −67% $25,712 −87% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,319 $3,319 $19,462 −83% $40,108 −92% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,319 $3,319 $10,560 −69% $22,851 −85% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $6,793 −51% $13,586 −76% —
149 DYSEQUILIBRIUM $3,319 $3,319 $6,341 −48% $18,096 −82% —
150 EPISTAXIS WITH MCC $3,319 $3,319 $11,726 −72% $23,171 −86% —
151 EPISTAXIS WITHOUT MCC $3,319 $3,319 $6,430 −48% $13,032 −75% —
152 OTITIS MEDIA AND URI WITH MCC $3,319 $3,319 $9,627 −66% $20,247 −84% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,319 $3,319 $6,038 −45% $14,583 −77% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,319 $3,319 $13,797 −76% $27,633 −88% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,319 $3,319 $7,920 −58% $16,968 −80% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,704 −42% $14,549 −77% —
157 DENTAL AND ORAL DISEASES WITH MCC $3,319 $3,319 $13,892 −76% $31,300 −89% —
158 DENTAL AND ORAL DISEASES WITH CC $3,319 $3,319 $7,980 −58% $18,466 −82% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,319 $3,319 $5,596 −41% $13,633 −76% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,319 $3,319 $15,501 −79% $40,642 −92% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,486 −71% $29,949 −89% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,319 $3,319 $11,954 −72% $30,959 −89% —
176 PULMONARY EMBOLISM WITHOUT MCC $3,319 $3,319 $6,910 −52% $18,081 −82% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,319 $3,319 $13,714 −76% $33,707 −90% ≈213% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,319 $3,319 $8,416 −61% $22,024 −85% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,319 $3,319 $6,530 −49% $14,648 −77% —
180 RESPIRATORY NEOPLASMS WITH MCC $3,319 $3,319 $14,827 −78% $36,658 −91% —
181 RESPIRATORY NEOPLASMS WITH CC $3,319 $3,319 $9,419 −65% $23,573 −86% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,319 $3,319 $7,105 −53% $14,064 −76% —
183 MAJOR CHEST TRAUMA WITH MCC $3,319 $3,319 $13,466 −75% $29,933 −89% —
184 MAJOR CHEST TRAUMA WITH CC $3,319 $3,319 $9,061 −63% $22,432 −85% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,319 $3,319 $6,598 −50% $17,124 −81% —
186 PLEURAL EFFUSION WITH MCC $3,319 $3,319 $13,404 −75% $33,834 −90% —
187 PLEURAL EFFUSION WITH CC $3,319 $3,319 $8,517 −61% $21,789 −85% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,319 $3,319 $6,229 −47% $14,514 −77% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,319 $3,319 $10,497 −68% $26,580 −88% ≈187% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,319 $3,319 $9,527 −65% $24,386 −86% ≈217% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,319 $3,319 $7,288 −54% $18,807 −82% ≈181% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,319 $3,319 $5,491 −40% $14,368 −77% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,319 $3,319 $11,179 −70% $27,275 −88% ≈188% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,319 $3,319 $6,956 −52% $18,204 −82% ≈182% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,319 $3,319 $5,283 −37% $13,824 −76% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,319 $3,319 $15,984 −79% $32,637 −90% —
197 INTERSTITIAL LUNG DISEASE WITH CC $3,319 $3,319 $8,399 −60% $21,941 −85% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,319 $3,319 $5,942 −44% $15,549 −79% —
199 PNEUMOTHORAX WITH MCC $3,319 $3,319 $14,976 −78% $33,787 −90% —
200 PNEUMOTHORAX WITH CC $3,319 $3,319 $9,395 −65% $21,368 −84% —
201 PNEUMOTHORAX WITHOUT CC/MCC $3,319 $3,319 $5,744 −42% $14,053 −76% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,319 $3,319 $8,201 −60% $17,724 −81% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,319 $3,319 $5,910 −44% $12,252 −73% —
204 RESPIRATORY SIGNS AND SYMPTOMS $3,319 $3,319 $6,880 −52% $18,004 −82% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,319 $3,319 $16,015 −79% $33,255 −90% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,319 $3,319 $7,684 −57% $18,488 −82% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,319 $3,319 $22,768 −85% $52,405 −94% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,319 $3,319 $24,706 −87% $59,790 −94% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,319 $3,319 $12,809 −74% $30,770 −89% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,319 $3,319 $19,112 −83% $50,011 −93% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,319 $3,319 $15,310 −78% $41,591 −92% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $3,319 $3,319 $13,256 −75% $46,295 −93% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,841 −78% $38,836 −91% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,319 $3,319 $22,197 −85% $46,453 −93% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,319 $3,319 $14,368 −77% $32,944 −90% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,319 $3,319 $7,566 −56% $15,764 −79% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $3,319 $3,319 $23,800 −86% $52,986 −94% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,319 $3,319 $14,911 −78% $39,020 −91% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,319 $3,319 $16,098 −79% $42,126 −92% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,319 $3,319 $12,876 −74% $33,694 −90% —
263 VEIN LIGATION AND STRIPPING $3,319 $3,319 $22,754 −85% $51,253 −94% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,319 $3,319 $29,651 −89% $51,953 −94% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,319 $3,319 $29,221 −89% $71,014 −95% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $3,319 $3,319 $27,184 −88% $63,928 −95% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,319 $3,319 $13,925 −76% $30,828 −89% ≈233% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,319 $3,319 $7,820 −58% $20,463 −84% ≈189% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,319 $3,319 $6,151 −46% $19,227 −83% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,319 $3,319 $16,589 −80% $39,955 −92% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,319 $3,319 $6,286 −47% $16,450 −80% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,319 $3,319 $4,763 −30% $10,480 −68% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,319 $3,319 $9,244 −64% $32,021 −90% ≈169% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,319 $3,319 $23,173 −86% $50,618 −93% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,319 $3,319 $13,376 −75% $32,697 −90% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,319 $3,319 $8,305 −60% $15,901 −79% —
291 HEART FAILURE AND SHOCK WITH MCC $3,319 $3,319 $11,069 −70% $26,776 −88% ≈220% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $3,319 $3,319 $7,306 −55% $16,371 −80% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,319 $3,319 $4,655 −29% $12,999 −74% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,319 $3,319 $10,418 −68% $19,132 −83% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,319 $3,319 $6,700 −50% $13,445 −75% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,319 $3,319 $13,899 −76% $33,661 −90% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,319 $3,319 $5,976 −44% $12,336 −73% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,319 $3,319 $3,747 −11% $8,927 −63% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,319 $3,319 $13,723 −76% $27,316 −88% ≈244% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,319 $3,319 $9,082 −63% $20,422 −84% ≈182% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,052 −45% $15,837 −79% —
302 ATHEROSCLEROSIS WITH MCC $3,319 $3,319 $9,869 −66% $22,446 −85% —
303 ATHEROSCLEROSIS WITHOUT MCC $3,319 $3,319 $5,704 −42% $14,927 −78% —
304 HYPERTENSION WITH MCC $3,319 $3,319 $9,966 −67% $26,080 −87% —
305 HYPERTENSION WITHOUT MCC $3,319 $3,319 $6,369 −48% $18,086 −82% ≈202% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,319 $3,319 $12,703 −74% $24,586 −87% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,319 $3,319 $7,859 −58% $20,566 −84% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,319 $3,319 $10,230 −68% $26,770 −88% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,319 $3,319 $6,272 −47% $17,303 −81% ≈149% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,319 $3,319 $4,747 −30% $13,384 −75% —
311 ANGINA PECTORIS $3,319 $3,319 $5,924 −44% $15,502 −79% —
312 SYNCOPE AND COLLAPSE $3,319 $3,319 $7,392 −55% $19,342 −83% ≈222% of Medicare
313 CHEST PAIN $3,319 $3,319 $6,052 −45% $16,440 −80% ≈212% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,319 $3,319 $18,269 −82% $38,666 −91% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,319 $3,319 $8,164 −59% $21,363 −84% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,792 −43% $13,651 −76% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $3,319 $3,319 $52,482 −94% $88,566 −96% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,319 $3,319 $19,638 −83% $40,060 −92% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,518 −75% $39,006 −91% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,006 −76% $44,117 −92% —
333 RECTAL RESECTION WITH CC $3,319 $3,319 $18,030 −82% $37,154 −91% —
334 RECTAL RESECTION WITHOUT CC/MCC $3,319 $3,319 $14,071 −76% $36,820 −91% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,319 $3,319 $13,023 −75% $39,211 −92% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,319 $3,319 $22,859 −85% $44,546 −93% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,319 $3,319 $12,629 −74% $33,048 −90% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,564 −69% $27,297 −88% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,319 $3,319 $20,079 −83% $40,548 −92% —
348 ANAL AND STOMAL PROCEDURES WITH CC $3,319 $3,319 $10,680 −69% $27,947 −88% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $7,473 −56% $19,854 −83% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,319 $3,319 $20,519 −84% $50,046 −93% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,319 $3,319 $12,763 −74% $36,505 −91% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,354 −65% $27,843 −88% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,319 $3,319 $24,882 −87% $60,170 −94% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,319 $3,319 $14,431 −77% $43,477 −92% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,319 $3,319 $11,310 −71% $32,841 −90% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,319 $3,319 $19,105 −83% $48,682 −93% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,496 −71% $30,083 −89% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,319 $3,319 $14,167 −77% $33,876 −90% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,319 $3,319 $8,633 −62% $25,303 −87% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,921 −44% $15,495 −79% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,319 $3,319 $14,829 −78% $33,555 −90% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,319 $3,319 $8,732 −62% $22,850 −85% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,319 $3,319 $6,154 −46% $16,767 −80% —
374 DIGESTIVE MALIGNANCY WITH MCC $3,319 $3,319 $17,912 −81% $39,958 −92% —
375 DIGESTIVE MALIGNANCY WITH CC $3,319 $3,319 $10,424 −68% $27,277 −88% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $7,491 −56% $16,998 −80% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,319 $3,319 $15,425 −78% $37,842 −91% ≈244% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,319 $3,319 $8,364 −60% $22,098 −85% ≈206% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,319 $3,319 $5,401 −39% $15,038 −78% —
380 COMPLICATED PEPTIC ULCER WITH MCC $3,319 $3,319 $16,325 −80% $39,627 −92% —
381 COMPLICATED PEPTIC ULCER WITH CC $3,319 $3,319 $9,239 −64% $24,177 −86% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,319 $3,319 $6,357 −48% $16,634 −80% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,319 $3,319 $10,725 −69% $27,426 −88% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,319 $3,319 $7,377 −55% $19,305 −83% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,319 $3,319 $13,784 −76% $27,617 −88% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,319 $3,319 $8,420 −61% $22,033 −85% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,319 $3,319 $5,686 −42% $16,288 −80% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,319 $3,319 $12,470 −73% $30,571 −89% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,319 $3,319 $6,800 −51% $17,578 −81% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,319 $3,319 $4,642 −29% $13,361 −75% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,319 $3,319 $10,897 −70% $28,050 −88% ≈215% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,319 $3,319 $6,620 −50% $17,322 −81% ≈187% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,319 $3,319 $14,049 −76% $34,192 −90% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,319 $3,319 $7,986 −58% $20,181 −84% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,399 −39% $14,128 −77% —
397 APPENDIX PROCEDURES WITH MCC $3,319 $3,319 $21,020 −84% $53,257 −94% —
398 APPENDIX PROCEDURES WITH CC $3,319 $3,319 $12,837 −74% $40,162 −92% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,534 −65% $31,321 −89% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,319 $3,319 $17,786 −81% $46,066 −93% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,319 $3,319 $13,159 −75% $34,434 −90% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,319 $3,319 $23,214 −86% $48,358 −93% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,319 $3,319 $14,104 −76% $29,316 −89% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,319 $3,319 $16,781 −80% $43,913 −92% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,319 $3,319 $11,624 −71% $30,418 −89% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,319 $3,319 $14,069 −76% $44,606 −93% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,319 $3,319 $11,178 −70% $36,937 −91% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,319 $3,319 $29,942 −89% $50,919 −93% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,319 $3,319 $13,893 −76% $36,354 −91% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,466 −73% $25,073 −87% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,319 $3,319 $19,370 −83% $42,415 −92% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,114 −75% $26,598 −88% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,319 $3,319 $16,620 −80% $40,213 −92% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,319 $3,319 $9,076 −63% $23,749 −86% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,319 $3,319 $5,909 −44% $12,460 −73% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,319 $3,319 $15,479 −79% $37,950 −91% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,319 $3,319 $9,567 −65% $25,034 −87% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,319 $3,319 $6,661 −50% $14,014 −76% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,319 $3,319 $14,114 −76% $32,628 −90% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,319 $3,319 $7,297 −55% $19,096 −83% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $5,218 −36% $15,183 −78% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,319 $3,319 $16,037 −79% $33,985 −90% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,319 $3,319 $8,197 −60% $21,449 −85% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,319 $3,319 $5,961 −44% $15,600 −79% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,319 $3,319 $14,290 −77% $34,273 −90% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,319 $3,319 $9,200 −64% $23,319 −86% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,319 $3,319 $6,764 −51% $17,700 −81% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,319 $3,319 $18,981 −83% $81,998 −96% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,319 $3,319 $26,180 −87% $65,216 −95% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,319 $3,319 $25,014 −87% $58,228 −94% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $14,728 −77% $32,443 −90% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,319 $3,319 $22,255 −85% $54,929 −94% ≈226% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,319 $3,319 $15,996 −79% $50,607 −93% —
472 CERVICAL SPINAL FUSION WITH CC $3,319 $3,319 $24,578 −86% $59,537 −94% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,319 $3,319 $20,084 −83% $50,624 −93% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,319 $3,319 $18,301 −82% $45,877 −93% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $9,867 −66% $23,443 −86% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,319 $3,319 $19,839 −83% $50,139 −93% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,319 $3,319 $15,065 −78% $34,276 −90% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,319 $3,319 $13,458 −75% $41,955 −92% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,319 $3,319 $21,618 −85% $58,707 −94% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,319 $3,319 $13,406 −75% $35,074 −91% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,319 $3,319 $16,673 −80% $43,631 −92% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,319 $3,319 $10,506 −68% $28,320 −88% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,319 $3,319 $20,369 −84% $59,651 −94% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,319 $3,319 $15,995 −79% $47,711 −93% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,319 $3,319 $16,738 −80% $43,800 −92% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,319 $3,319 $11,390 −71% $29,805 −89% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,319 $3,319 $21,420 −85% $49,423 −93% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,319 $3,319 $9,848 −66% $21,230 −84% —
500 SOFT TISSUE PROCEDURES WITH MCC $3,319 $3,319 $26,882 −88% $61,872 −95% —
501 SOFT TISSUE PROCEDURES WITH CC $3,319 $3,319 $15,140 −78% $39,619 −92% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,853 −72% $31,017 −89% —
503 FOOT PROCEDURES WITH MCC $3,319 $3,319 $22,452 −85% $47,540 −93% —
504 FOOT PROCEDURES WITH CC $3,319 $3,319 $14,889 −78% $38,960 −91% —
505 FOOT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $14,889 −78% $34,937 −91% —
506 MAJOR THUMB OR JOINT PROCEDURES $3,319 $3,319 $12,718 −74% $30,557 −89% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,319 $3,319 $16,443 −80% $37,240 −91% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,949 −70% $22,811 −85% —
509 ARTHROSCOPY $3,319 $3,319 $14,903 −78% $25,994 −87% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,319 $3,319 $24,247 −86% $49,839 −93% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,319 $3,319 $16,638 −80% $43,538 −92% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,640 −76% $35,692 −91% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,319 $3,319 $12,773 −74% $33,424 −90% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,650 −62% $22,635 −85% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,319 $3,319 $26,234 −87% $62,821 −95% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,319 $3,319 $17,066 −81% $46,090 −93% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,663 −74% $33,393 −90% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,319 $3,319 $16,729 −80% $44,139 −92% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,319 $3,319 $12,159 −73% $35,465 −91% —
533 FRACTURES OF FEMUR WITH MCC $3,319 $3,319 $12,936 −74% $25,945 −87% —
534 FRACTURES OF FEMUR WITHOUT MCC $3,319 $3,319 $6,906 −52% $17,559 −81% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,319 $3,319 $11,282 −71% $24,552 −86% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,319 $3,319 $6,879 −52% $18,002 −82% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,319 $3,319 $7,796 −57% $18,072 −82% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,319 $3,319 $5,697 −42% $11,909 −72% —
539 OSTEOMYELITIS WITH MCC $3,319 $3,319 $17,157 −81% $37,609 −91% —
540 OSTEOMYELITIS WITH CC $3,319 $3,319 $10,978 −70% $26,676 −88% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,319 $3,319 $7,422 −55% $15,215 −78% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,319 $3,319 $15,823 −79% $36,792 −91% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,319 $3,319 $9,000 −63% $23,551 −86% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $6,411 −48% $16,776 −80% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,319 $3,319 $21,437 −85% $40,362 −92% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,319 $3,319 $9,821 −66% $25,700 −87% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,330 −48% $16,565 −80% —
548 SEPTIC ARTHRITIS WITH MCC $3,319 $3,319 $17,091 −81% $31,346 −89% —
549 SEPTIC ARTHRITIS WITH CC $3,319 $3,319 $10,223 −68% $24,056 −86% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,319 $3,319 $7,314 −55% $19,138 −83% —
551 MEDICAL BACK PROBLEMS WITH MCC $3,319 $3,319 $14,476 −77% $34,017 −90% ≈192% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,319 $3,319 $8,176 −59% $21,396 −84% ≈230% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,319 $3,319 $11,079 −70% $26,051 −87% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,319 $3,319 $7,080 −53% $18,528 −82% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,319 $3,319 $11,424 −71% $24,127 −86% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,319 $3,319 $6,927 −52% $18,126 −82% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,319 $3,319 $13,147 −75% $32,877 −90% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,319 $3,319 $7,328 −55% $18,602 −82% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,319 $3,319 $15,748 −79% $33,047 −90% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,319 $3,319 $9,660 −66% $25,279 −87% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,319 $3,319 $6,936 −52% $18,150 −82% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,319 $3,319 $12,416 −73% $29,743 −89% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,319 $3,319 $7,583 −56% $19,842 −83% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,319 $3,319 $13,312 −75% $33,653 −90% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,319 $3,319 $8,651 −62% $22,506 −85% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $6,346 −48% $14,716 −77% —
570 SKIN DEBRIDEMENT WITH MCC $3,319 $3,319 $25,537 −87% $52,435 −94% —
571 SKIN DEBRIDEMENT WITH CC $3,319 $3,319 $14,204 −77% $37,169 −91% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,319 $3,319 $9,692 −66% $24,944 −87% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,319 $3,319 $16,939 −80% $29,611 −89% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,319 $3,319 $22,590 −85% $47,945 −93% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,319 $3,319 $14,340 −77% $29,079 −89% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,319 $3,319 $15,041 −78% $38,101 −91% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,209 −73% $26,932 −88% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,319 $3,319 $14,856 −78% $35,849 −91% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $13,936 −76% $35,831 −91% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,319 $3,319 $17,369 −81% $35,030 −91% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $16,841 −80% $32,574 −90% —
592 SKIN ULCERS WITH MCC $3,319 $3,319 $17,445 −81% $33,246 −90% —
593 SKIN ULCERS WITH CC $3,319 $3,319 $10,373 −68% $22,886 −85% —
594 SKIN ULCERS WITHOUT CC/MCC $3,319 $3,319 $7,200 −54% $14,209 −77% —
595 MAJOR SKIN DISORDERS WITH MCC $3,319 $3,319 $17,943 −82% $34,598 −90% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,319 $3,319 $9,171 −64% $17,226 −81% —
597 MALIGNANT BREAST DISORDERS WITH MCC $3,319 $3,319 $14,903 −78% $33,386 −90% —
598 MALIGNANT BREAST DISORDERS WITH CC $3,319 $3,319 $9,153 −64% $19,073 −83% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,319 $3,319 $7,253 −54% $14,290 −77% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,319 $3,319 $8,115 −59% $16,700 −80% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,086 −35% $10,975 −70% —
602 CELLULITIS WITH MCC $3,319 $3,319 $12,464 −73% $30,598 −89% —
603 CELLULITIS WITHOUT MCC $3,319 $3,319 $7,472 −56% $18,530 −82% ≈183% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,319 $3,319 $12,604 −74% $28,140 −88% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,319 $3,319 $7,836 −58% $20,506 −84% —
606 MINOR SKIN DISORDERS WITH MCC $3,319 $3,319 $13,661 −76% $27,975 −88% —
607 MINOR SKIN DISORDERS WITHOUT MCC $3,319 $3,319 $7,331 −55% $15,889 −79% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,319 $3,319 $19,334 −83% $48,349 −93% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,157 −73% $32,833 −90% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,319 $3,319 $32,789 −90% $66,685 −95% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,319 $3,319 $16,387 −80% $42,881 −92% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,319 $3,319 $10,563 −69% $19,354 −83% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,319 $3,319 $13,548 −76% $35,453 −91% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,319 $3,319 $12,401 −73% $32,451 −90% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,319 $3,319 $31,745 −90% $61,470 −95% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,319 $3,319 $16,227 −80% $34,459 −90% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,319 $3,319 $8,510 −61% $17,737 −81% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,319 $3,319 $24,323 −86% $59,031 −94% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,319 $3,319 $12,804 −74% $33,454 −90% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,748 −69% $28,125 −88% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,319 $3,319 $19,080 −83% $47,737 −93% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $11,888 −72% $22,393 −85% —
637 DIABETES WITH MCC $3,319 $3,319 $12,354 −73% $30,100 −89% ≈175% of Medicare
638 DIABETES WITH CC $3,319 $3,319 $7,781 −57% $19,661 −83% ≈192% of Medicare
639 DIABETES WITHOUT CC/MCC $3,319 $3,319 $5,316 −38% $13,910 −76% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,319 $3,319 $11,266 −71% $25,463 −87% ≈204% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,319 $3,319 $6,629 −50% $17,038 −81% ≈177% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,319 $3,319 $10,529 −68% $20,727 −84% —
643 ENDOCRINE DISORDERS WITH MCC $3,319 $3,319 $14,060 −76% $33,563 −90% —
644 ENDOCRINE DISORDERS WITH CC $3,319 $3,319 $8,767 −62% $23,198 −86% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,319 $3,319 $6,606 −50% $15,428 −78% —
654 MAJOR BLADDER PROCEDURES WITH CC $3,319 $3,319 $23,941 −86% $58,274 −94% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,319 $3,319 $15,509 −79% $43,298 −92% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,319 $3,319 $12,759 −74% $36,253 −91% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,319 $3,319 $21,924 −85% $52,178 −94% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,319 $3,319 $11,368 −71% $31,264 −89% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,319 $3,319 $8,709 −62% $25,970 −87% —
662 MINOR BLADDER PROCEDURES WITH MCC $3,319 $3,319 $26,465 −87% $54,562 −94% —
663 MINOR BLADDER PROCEDURES WITH CC $3,319 $3,319 $12,958 −74% $33,103 −90% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,160 −64% $22,314 −85% —
666 PROSTATECTOMY WITH CC $3,319 $3,319 $13,975 −76% $31,906 −90% —
667 PROSTATECTOMY WITHOUT CC/MCC $3,319 $3,319 $8,719 −62% $16,703 −80% —
669 TRANSURETHRAL PROCEDURES WITH CC $3,319 $3,319 $13,128 −75% $34,354 −90% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,108 −59% $20,911 −84% —
671 URETHRAL PROCEDURES WITH CC/MCC $3,319 $3,319 $14,623 −77% $27,233 −88% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,284 −64% $17,398 −81% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,279 −75% $34,749 −90% —
682 RENAL FAILURE WITH MCC $3,319 $3,319 $12,741 −74% $29,064 −89% ≈236% of Medicare
683 RENAL FAILURE WITH CC $3,319 $3,319 $7,541 −56% $19,130 −83% ≈219% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $3,319 $3,319 $5,153 −36% $13,642 −76% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,319 $3,319 $15,997 −79% $37,844 −91% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,319 $3,319 $8,931 −63% $20,232 −84% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,319 $3,319 $6,144 −46% $12,593 −74% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,319 $3,319 $9,928 −67% $23,617 −86% ≈157% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,319 $3,319 $6,809 −51% $17,674 −81% ≈176% of Medicare
693 URINARY STONES WITH MCC $3,319 $3,319 $12,474 −73% $23,892 −86% —
694 URINARY STONES WITHOUT MCC $3,319 $3,319 $6,629 −50% $17,345 −81% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,319 $3,319 $9,568 −65% $24,566 −86% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,319 $3,319 $5,869 −43% $14,689 −77% —
697 URETHRAL STRICTURE $3,319 $3,319 $8,499 −61% $18,428 −82% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,319 $3,319 $14,260 −77% $32,496 −90% ≈211% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,319 $3,319 $8,652 −62% $21,275 −84% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,889 −44% $14,797 −78% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,319 $3,319 $16,463 −80% $43,080 −92% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,577 −74% $36,988 −91% —
709 PENIS PROCEDURES WITH CC/MCC $3,319 $3,319 $19,063 −83% $34,535 −90% —
710 PENIS PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,737 −74% $26,436 −87% —
711 TESTES PROCEDURES WITH CC/MCC $3,319 $3,319 $16,209 −80% $38,343 −91% —
712 TESTES PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,074 −63% $18,898 −82% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,319 $3,319 $12,267 −73% $32,100 −90% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,319 $3,319 $7,972 −58% $17,934 −81% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,319 $3,319 $19,158 −83% $38,998 −91% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $12,041 −72% $22,620 −85% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,319 $3,319 $15,741 −79% $36,670 −91% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $10,451 −68% $19,270 −83% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $14,667 −77% $29,826 −89% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,319 $3,319 $9,526 −65% $19,815 −83% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,319 $3,319 $6,181 −46% $12,768 −74% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,319 $3,319 $10,711 −69% $22,320 −85% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,319 $3,319 $6,315 −47% $15,019 −78% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $12,466 −73% $26,463 −87% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,319 $3,319 $6,932 −52% $17,118 −81% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,319 $3,319 $9,339 −64% $17,483 −81% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $5,149 −36% $11,071 −70% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,319 $3,319 $17,839 −81% $42,795 −92% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,319 $3,319 $10,298 −68% $26,948 −88% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,319 $3,319 $16,953 −80% $44,363 −93% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $12,869 −74% $33,674 −90% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,319 $3,319 $15,426 −78% $40,365 −92% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $11,653 −72% $30,493 −89% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,319 $3,319 $15,497 −79% $40,552 −92% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,319 $3,319 $10,169 −67% $30,784 −89% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,319 $3,319 $16,577 −80% $38,861 −91% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,319 $3,319 $8,694 −62% $18,348 −82% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,319 $3,319 $14,206 −77% $29,916 −89% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $8,103 −59% $19,594 −83% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,319 $3,319 $11,557 −71% $30,242 −89% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,319 $3,319 $21,960 −85% $45,167 −93% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,939 −70% $27,989 −88% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $15,349 −78% $32,433 −90% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,319 $3,319 $9,418 −65% $18,459 −82% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,319 $3,319 $8,102 −59% $15,589 −79% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,319 $3,319 $12,007 −72% $26,280 −87% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,319 $3,319 $8,647 −62% $20,901 −84% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,319 $3,319 $5,429 −39% $14,250 −77% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,319 $3,319 $8,361 −60% $20,895 −84% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,378 −38% $11,421 −71% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,319 $3,319 $11,788 −72% $25,094 −87% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,319 $3,319 $9,128 −64% $18,956 −82% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,319 $3,319 $6,053 −45% $12,454 −73% —
779 ABORTION WITHOUT D&C $3,319 $3,319 $7,930 −58% $15,327 −78% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,319 $3,319 $7,410 −55% $19,846 −83% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,319 $3,319 $15,292 −78% $16,351 −80% —
800 SPLENIC PROCEDURES WITH CC $3,319 $3,319 $24,719 −87% $49,184 −93% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,927 −76% $36,445 −91% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,319 $3,319 $30,412 −89% $66,711 −95% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,319 $3,319 $15,101 −78% $39,515 −92% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,319 $3,319 $9,379 −65% $24,544 −86% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,319 $3,319 $19,430 −83% $39,181 −92% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,319 $3,319 $10,507 −68% $22,458 −85% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,319 $3,319 $8,075 −59% $18,316 −82% —
811 RED BLOOD CELL DISORDERS WITH MCC $3,319 $3,319 $11,935 −72% $28,226 −88% ≈194% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,319 $3,319 $7,829 −58% $20,488 −84% ≈266% of Medicare
813 COAGULATION DISORDERS $3,319 $3,319 $13,132 −75% $33,296 −90% ≈196% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,319 $3,319 $17,735 −81% $33,851 −90% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,319 $3,319 $8,620 −61% $19,264 −83% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,319 $3,319 $5,594 −41% $14,638 −77% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,319 $3,319 $17,794 −81% $39,173 −92% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,319 $3,319 $10,927 −70% $26,870 −88% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $6,927 −52% $18,126 −82% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,319 $3,319 $18,939 −82% $47,789 −93% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $9,703 −66% $25,390 −87% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,319 $3,319 $18,659 −82% $41,608 −92% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,441 −68% $27,323 −88% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,598 −76% $35,584 −91% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,319 $3,319 $26,161 −87% $53,864 −94% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $12,407 −73% $31,170 −89% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,319 $3,319 $9,585 −65% $18,133 −82% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,319 $3,319 $6,341 −48% $12,895 −74% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $4,410 −25% $9,940 −67% —
834 ACUTE LEUKEMIA WITH MCC $3,319 $3,319 $46,891 −93% $85,566 −96% —
835 ACUTE LEUKEMIA WITH CC $3,319 $3,319 $18,120 −82% $35,569 −91% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,319 $3,319 $10,780 −69% $19,686 −83% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,319 $3,319 $17,206 −81% $31,134 −89% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $11,626 −71% $20,980 −84% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,319 $3,319 $27,054 −88% $49,710 −93% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,319 $3,319 $13,302 −75% $33,633 −90% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,319 $3,319 $8,924 −63% $19,657 −83% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,319 $3,319 $16,062 −79% $36,431 −91% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,319 $3,319 $10,139 −67% $21,847 −85% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $7,099 −53% $14,055 −76% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,319 $3,319 $21,665 −85% $38,878 −91% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,319 $3,319 $10,780 −69% $23,498 −86% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $6,947 −52% $14,501 −77% —
849 RADIOTHERAPY $3,319 $3,319 $22,660 −85% $37,862 −91% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $3,319 $3,319 $78,149 −96% $121,563 −97% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,319 $3,319 $16,951 −80% $43,943 −92% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $13,791 −76% $28,202 −88% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $3,319 $3,319 $38,274 −91% $76,001 −96% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,319 $3,319 $18,485 −82% $45,333 −93% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,319 $3,319 $10,930 −70% $25,748 −87% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,319 $3,319 $15,599 −79% $32,859 −90% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,319 $3,319 $8,483 −61% $20,957 −84% —
864 FEVER AND INFLAMMATORY CONDITIONS $3,319 $3,319 $7,618 −56% $18,640 −82% —
865 VIRAL ILLNESS WITH MCC $3,319 $3,319 $12,521 −73% $26,910 −88% —
866 VIRAL ILLNESS WITHOUT MCC $3,319 $3,319 $7,506 −56% $17,081 −81% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,319 $3,319 $18,191 −82% $38,070 −91% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,319 $3,319 $8,909 −63% $22,763 −85% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,319 $3,319 $6,105 −46% $12,559 −74% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,319 $3,319 $16,645 −80% $35,628 −91% ≈215% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,319 $3,319 $8,746 −62% $22,888 −85% ≈222% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,319 $3,319 $33,337 −90% $54,196 −94% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,319 $3,319 $8,132 −59% $17,733 −81% —
881 DEPRESSIVE NEUROSES $3,319 $3,319 $7,755 −57% $15,058 −78% —
882 NEUROSES EXCEPT DEPRESSIVE $3,319 $3,319 $8,161 −59% $15,680 −79% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $3,319 $3,319 $15,728 −79% $23,206 −86% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,319 $3,319 $14,169 −77% $26,682 −88% ≈152% of Medicare
885 PSYCHOSES $3,319 $3,319 $11,958 −72% $21,729 −85% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $3,319 $3,319 $15,241 −78% $26,510 −87% —
887 OTHER MENTAL DISORDER DIAGNOSES $3,319 $3,319 $10,090 −67% $20,616 −84% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,319 $3,319 $5,295 −37% $12,324 −73% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,319 $3,319 $12,283 −73% $21,986 −85% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,319 $3,319 $15,107 −78% $31,159 −89% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,319 $3,319 $7,484 −56% $16,699 −80% ≈162% of Medicare
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,319 $3,319 $16,098 −79% $40,562 −92% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,319 $3,319 $10,342 −68% $25,581 −87% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,319 $3,319 $32,756 −90% $59,594 −94% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,319 $3,319 $13,982 −76% $25,197 −87% —
906 HAND PROCEDURES FOR INJURIES $3,319 $3,319 $18,515 −82% $32,065 −90% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,319 $3,319 $17,112 −81% $42,914 −92% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,319 $3,319 $10,760 −69% $28,156 −88% —
913 TRAUMATIC INJURY WITH MCC $3,319 $3,319 $13,729 −76% $24,198 −86% —
914 TRAUMATIC INJURY WITHOUT MCC $3,319 $3,319 $7,774 −57% $15,855 −79% —
915 ALLERGIC REACTIONS WITH MCC $3,319 $3,319 $14,743 −77% $32,645 −90% —
916 ALLERGIC REACTIONS WITHOUT MCC $3,319 $3,319 $5,634 −41% $13,942 −76% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,319 $3,319 $13,910 −76% $30,235 −89% ≈213% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,319 $3,319 $7,504 −56% $15,452 −79% —
919 COMPLICATIONS OF TREATMENT WITH MCC $3,319 $3,319 $15,470 −79% $31,105 −89% —
920 COMPLICATIONS OF TREATMENT WITH CC $3,319 $3,319 $8,618 −61% $22,468 −85% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,319 $3,319 $5,834 −43% $14,415 −77% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,319 $3,319 $14,332 −77% $31,563 −89% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,319 $3,319 $8,652 −62% $17,601 −81% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,319 $3,319 $35,085 −91% $59,352 −94% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,319 $3,319 $18,204 −82% $31,044 −89% —
935 NON-EXTENSIVE BURNS $3,319 $3,319 $18,633 −82% $31,701 −90% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,319 $3,319 $26,927 −88% $55,289 −94% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,319 $3,319 $17,912 −81% $43,650 −92% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,319 $3,319 $16,579 −80% $29,524 −89% —
945 REHABILITATION WITH CC/MCC $3,319 $3,319 $12,950 −74% $23,834 −86% —
946 REHABILITATION WITHOUT CC/MCC $3,319 $3,319 $9,472 −65% $17,685 −81% —
947 SIGNS AND SYMPTOMS WITH MCC $3,319 $3,319 $10,911 −70% $27,401 −88% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,319 $3,319 $6,740 −51% $17,921 −81% —
949 AFTERCARE WITH CC/MCC $3,319 $3,319 $9,154 −64% $23,953 −86% —
950 AFTERCARE WITHOUT CC/MCC $3,319 $3,319 $4,972 −33% $13,527 −75% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,319 $3,319 $4,810 −31% $10,160 −67% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,319 $3,319 $23,047 −86% $43,491 −92% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,319 $3,319 $12,726 −74% $27,394 −88% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,319 $3,319 $7,742 −57% $20,259 −84% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,319 $3,319 $22,509 −85% $44,222 −92% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,319 $3,319 $25,333 −87% $46,402 −93% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,319 $3,319 $12,058 −72% $27,808 −88% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,319 $3,319 $8,509 −61% $16,212 −80% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,319 $3,319 $12,232 −73% $22,525 −85% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,319 $3,319 $20,770 −84% $51,985 −94% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $14,152 −77% $34,607 −90% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $3,319 $3,319 $29,715 −89% $66,068 −95% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,319 $3,319 $14,558 −77% $38,094 −91% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,319 $3,319 $9,803 −66% $25,652 −87% —

Procedures with negotiated rates only

These 176 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 $58,158 – $290,431 · median $202,823 12 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $58,158 – $180,795 · median $146,391 12 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $55,899 – $171,469 · median $125,861 12 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $224,298 · median $163,879 12 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $49,767 – $154,871 · median $120,068 12 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $43,152 – $154,871 · median $103,880 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $46,823 – $173,068 · median $114,581 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $29,187 – $165,931 · median $73,104 12 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $49,843 – $236,413 · median $178,083 12 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $49,843 – $165,549 · median $136,363 12 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $49,843 – $276,562 · median $177,186 12 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $49,843 – $276,562 · median $120,601 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $204,650 · median $133,386 12 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $38,637 – $138,276 · median $94,463 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $9,955 – $103,655 · median $75,791 12 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $32,232 – $92,966 · median $76,698 12 plans
253 OTHER VASCULAR PROCEDURES WITH CC $23,988 – $73,893 · median $58,701 12 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $31,049 – $193,654 · median $151,145 12 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,976 – $120,142 · median $94,317 12 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,049 – $144,284 · median $116,358 12 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $19,976 – $74,871 · median $57,743 12 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $16,823 – $106,848 · median $88,000 12 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,823 – $91,483 · median $70,749 12 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $7,356 – $61,653 · median $44,382 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $18,400 – $103,607 · median $39,258 12 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $64,859 – $580,807 · median $478,868 11 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $120,913 – $387,125 · median $320,306 11 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $50,700 – $146,232 · median $121,697 11 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $38,558 – $111,212 · median $93,025 11 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $75,742 – $287,368 · median $186,026 11 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $51,934 – $209,721 · median $126,391 11 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $33,171 – $135,318 · median $72,177 11 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $53,605 – $157,669 · median $130,979 11 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $35,721 – $109,502 · median $87,732 11 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $42,021 – $125,073 · median $103,207 11 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $28,738 – $85,151 · median $70,336 11 plans
028 SPINAL PROCEDURES WITH MCC $57,123 – $164,758 · median $137,813 11 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $31,539 – $91,751 · median $76,642 11 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $39,375 – $121,576 · median $96,706 11 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $20,066 – $61,600 · median $49,283 11 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $36,538 – $110,674 · median $89,740 11 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $21,374 – $65,078 · median $52,496 11 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $35,442 – $110,207 · median $87,049 11 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $34,283 – $101,165 · median $81,975 11 plans
163 MAJOR CHEST PROCEDURES WITH MCC $43,308 – $138,144 · median $106,367 11 plans
164 MAJOR CHEST PROCEDURES WITH CC $23,650 – $73,490 · median $58,085 11 plans
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $17,514 – $53,285 · median $43,016 11 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $36,177 – $106,862 · median $88,049 11 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $60,076 – $175,264 · median $144,661 11 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,702 – $310,697 · median $236,730 11 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $47,326 – $136,503 · median $113,523 11 plans
245 AICD GENERATOR PROCEDURES $26,530 – $150,755 · median $107,942 11 plans
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $16,823 – $70,248 · median $51,673 11 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,463 – $99,804 · median $78,319 11 plans
265 AICD LEAD PROCEDURES $32,693 – $96,673 · median $80,863 11 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $56,289 – $197,625 · median $138,250 11 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $44,205 – $155,959 · median $108,570 11 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $41,274 – $120,175 · median $100,343 11 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $47,722 – $149,744 · median $117,208 11 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $22,814 – $72,665 · median $56,033 11 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,611 – $135,059 · median $105,582 11 plans
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,660 – $70,700 · median $54,349 11 plans
332 RECTAL RESECTION WITH MCC $32,592 – $115,829 · median $80,047 11 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $34,045 – $108,330 · median $83,617 11 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $19,847 – $63,568 · median $48,746 11 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $40,080 – $119,496 · median $98,440 11 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $51,008 – $159,568 · median $125,278 11 plans
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $26,388 – $80,111 · median $64,809 11 plans
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $20,068 – $58,921 · median $48,991 11 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $32,898 – $104,406 · median $80,800 11 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $20,028 – $63,368 · median $49,114 11 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $32,921 – $100,954 · median $80,857 11 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $18,226 – $67,483 · median $54,643 11 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $38,217 – $116,366 · median $93,342 11 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $79,576 – $239,418 · median $195,444 11 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $53,927 – $181,051 · median $132,448 11 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $40,572 – $139,712 · median $99,646 11 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $56,339 – $179,565 · median $140,664 11 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $26,908 – $87,552 · median $66,088 11 plans
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $50,747 – $149,402 · median $124,055 11 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $47,869 – $148,834 · median $117,568 11 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $32,183 – $99,581 · median $79,043 11 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $30,713 – $88,583 · median $74,097 11 plans
471 CERVICAL SPINAL FUSION WITH MCC $45,639 – $139,695 · median $112,092 11 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $40,587 – $121,538 · median $101,352 11 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,313 – $93,474 · median $78,303 11 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $27,633 – $84,219 · median $67,869 11 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $19,496 – $58,350 · median $47,882 11 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $30,248 – $94,886 · median $74,292 11 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $19,928 – $59,823 · median $48,303 11 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $33,367 – $96,574 · median $80,879 11 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $33,079 – $101,196 · median $81,245 11 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $33,675 – $99,806 · median $82,596 11 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $27,386 – $85,302 · median $67,507 11 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $19,808 – $60,956 · median $48,826 11 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $55,673 – $166,890 · median $139,597 11 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $32,556 – $93,901 · median $78,544 11 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $50,694 – $149,664 · median $122,304 11 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $30,625 – $88,331 · median $73,886 11 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $37,074 – $106,931 · median $89,443 11 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $52,379 – $151,735 · median $127,018 11 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $19,518 – $57,921 · median $47,904 11 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $18,226 – $91,380 · median $74,741 11 plans
665 PROSTATECTOMY WITH MCC $31,093 – $93,052 · median $75,153 11 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $27,401 – $79,033 · median $66,108 11 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $37,442 – $113,540 · median $90,851 11 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $21,690 – $66,283 · median $53,271 11 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $36,997 – $118,571 · median $90,868 11 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $9,453 – $107,884 · median $88,269 11 plans
799 SPLENIC PROCEDURES WITH MCC $44,676 – $143,234 · median $109,727 11 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $54,706 – $159,240 · median $132,615 11 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $43,968 – $126,817 · median $105,899 11 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $44,870 – $140,252 · median $110,020 11 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $22,173 – $69,547 · median $54,459 11 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $47,047 – $158,694 · median $111,046 11 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $46,992 – $137,685 · median $114,600 11 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $65,363 – $188,525 · median $151,914 11 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $41,629 – $120,069 · median $100,433 11 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $37,431 – $110,187 · median $90,204 11 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $63,689 – $185,050 · median $148,902 11 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $35,915 – $107,171 · median $88,210 11 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $70,133 – $206,635 · median $171,511 11 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $38,615 – $117,101 · median $94,842 11 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $24,842 – $76,135 · median $60,558 11 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $59,423 – $180,990 · median $143,362 11 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $44,667 – $128,833 · median $107,866 11 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $190,000 – $1,022,036 · median $772,370 10 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $28,832 – $83,161 · median $70,556 10 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $102,358 – $295,230 · median $250,483 10 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $66,401 – $191,519 · median $162,492 10 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $58,202 – $167,871 · median $142,428 10 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $43,709 – $126,069 · median $106,961 10 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $47,011 – $135,592 · median $111,794 10 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $26,748 – $77,150 · median $65,456 10 plans
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $16,999 – $49,030 · median $41,599 10 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $40,021 – $115,432 · median $97,936 10 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $30,021 – $86,589 · median $71,391 10 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $26,892 – $77,564 · median $63,951 10 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $36,759 – $106,023 · median $87,414 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $98,426 – $283,889 · median $234,062 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $66,737 – $192,487 · median $158,703 10 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $51,716 – $149,164 · median $122,984 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $78,368 – $226,035 · median $186,362 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $51,400 – $148,253 · median $122,233 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $62,997 – $181,701 · median $149,810 10 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $48,390 – $139,570 · median $115,074 10 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $208,893 – $585,614 · median $443,567 9 plans
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $62,755 – $181,725 · median $124,882 9 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $29,883 – $86,190 · median $59,467 9 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $55,857 – $111,155 · median $57,674 8 plans
791 PREMATURITY WITH MAJOR PROBLEMS $38,147 – $75,912 · median $39,389 8 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $23,017 – $45,804 · median $23,766 8 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $39,186 – $77,980 · median $40,460 8 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,870 – $27,602 · median $14,321 8 plans
795 NORMAL NEWBORN $1,877 – $3,736 · median $1,938 8 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $82,861 – $234,489 · median $140,953 3 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $62,877 – $172,979 · median $113,170 3 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $77,470 – $205,004 · median $126,452 3 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $59,167 – $156,681 · median $106,411 3 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $70,049 – $184,108 · median $117,786 3 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $33,233 – $87,036 · median $60,987 3 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $54,772 – $146,241 · median $121,302 2 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $21,312 – $55,362 · median $45,921 2 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $32,434 – $88,379 · median $73,307 2 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $20,076 – $52,330 · median $43,406 2 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $30,482 – $77,934 · median $64,643 2 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $17,975 – $47,198 · median $39,149 2 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $12,962 – $34,205 · median $28,372 2 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $26,794 – $64,496 · median $53,497 2 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $16,867 – $39,905 · median $33,100 2 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $12,062 – $30,892 · median $25,624 2 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $98,532 – $256,000 · median $212,343 2 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $64,154 – $169,804 · median $145,696 2 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $50,415 – $133,407 · median $110,657 2 plans
459 Spinal Fusion Except Cervical With MCC $71,771 – $187,450 · median $157,988 2 plans
460 Spinal Fusion Except Cervical Without MCC $41,482 – $109,508 · median $90,833 2 plans
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