Monmouth Medical Center — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 643 with a comparable price, 135 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 $3,629
Average published price $3,711
Highest published price $13,550

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 643 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 67 procedures, this hospital's negotiated rates average ≈228% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $13,550 $13,550 $12,774 +6% $22,560 −40% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,550 $13,550 $14,108 −4% $27,118 −50% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $13,550 $13,550 $9,775 +39% $23,571 −43% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $9,390 $9,390 $8,598 +9% $19,001 −51% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,390 $9,390 $10,576 −11% $15,370 −39% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,390 $9,390 $9,343 +1% $13,090 −28% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $9,390 $9,390 $8,897 +6% $12,044 −22% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,629 $3,629 $46,225 −92% $86,953 −96% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $3,629 $3,629 $35,828 −90% $73,029 −95% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,629 $3,629 $22,177 −84% $45,290 −92% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,629 $3,629 $57,383 −94% $101,235 −96% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,629 — $34,191 −89% $63,475 −94% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $20,936 −83% $52,332 −93% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,629 $3,629 $28,756 −87% $64,152 −94% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $18,879 −81% $45,818 −92% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,629 $3,629 $18,559 −80% $45,622 −92% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,535 −73% $33,984 −89% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,629 $3,629 $19,487 −81% $46,430 −92% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $15,340 −76% $40,694 −91% —
037 EXTRACRANIAL PROCEDURES WITH MCC $3,629 $3,629 $28,173 −87% $64,749 −94% —
038 EXTRACRANIAL PROCEDURES WITH CC $3,629 $3,629 $13,669 −73% $35,770 −90% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $9,394 −61% $25,267 −86% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,629 $3,629 $19,533 −81% $44,989 −92% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $15,203 −76% $39,018 −91% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,629 $3,629 $17,073 −79% $30,940 −88% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,629 $3,629 $7,893 −54% $20,309 −82% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,629 $3,629 $12,842 −72% $29,484 −88% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,629 $3,629 $9,255 −61% $19,868 −82% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,629 $3,629 $20,668 −82% $39,409 −91% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,629 $3,629 $11,320 −68% $25,426 −86% ≈215% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,629 $3,629 $15,813 −77% $29,609 −88% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,629 $3,629 $10,380 −65% $26,322 −86% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,629 $3,629 $7,571 −52% $21,261 −83% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $3,629 — $28,045 −87% $57,963 −94% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,629 $3,629 $15,108 −76% $48,680 −93% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,629 $3,629 $11,918 −70% $35,542 −90% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,629 $3,629 $16,875 −78% $35,714 −90% ≈167% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,629 $3,629 $8,711 −58% $23,469 −85% ≈241% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,629 $3,629 $5,839 −38% $19,483 −81% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,629 $3,629 $12,175 −70% $24,941 −85% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,629 $3,629 $7,478 −51% $19,569 −81% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,629 $3,629 $6,696 −46% $20,278 −82% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,629 $3,629 $14,751 −75% $30,814 −88% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,629 $3,629 $8,941 −59% $23,396 −84% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,629 $3,629 $6,364 −43% $16,654 −78% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,629 $3,629 $13,241 −73% $28,252 −87% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,629 $3,629 $8,843 −59% $23,141 −84% —
075 VIRAL MENINGITIS WITH CC/MCC $3,629 $3,629 $14,216 −74% $29,853 −88% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,629 $3,629 $7,779 −53% $15,474 −77% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,629 $3,629 $13,118 −72% $24,036 −85% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,629 $3,629 $8,351 −57% $17,434 −79% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,629 $3,629 $5,589 −35% $11,847 −69% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,629 $3,629 $17,194 −79% $35,139 −90% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,629 $3,629 $7,676 −53% $15,077 −76% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,629 $3,629 $19,683 −82% $36,237 −90% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,629 $3,629 $11,795 −69% $24,118 −85% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,629 $3,629 $8,111 −55% $18,191 −80% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,629 $3,629 $19,224 −81% $37,064 −90% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,629 $3,629 $10,976 −67% $23,115 −84% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,629 $3,629 $7,499 −52% $15,869 −77% —
088 CONCUSSION WITH MCC $3,629 $3,629 $11,968 −70% $24,402 −85% —
089 CONCUSSION WITH CC $3,629 $3,629 $8,849 −59% $18,293 −80% —
090 CONCUSSION WITHOUT CC/MCC $3,629 $3,629 $7,344 −51% $14,873 −76% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,629 $3,629 $15,616 −77% $36,375 −90% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,629 $3,629 $9,069 −60% $24,136 −85% ≈207% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,629 $3,629 $6,762 −46% $17,522 −79% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $3,629 $3,629 $36,817 −90% $62,524 −94% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,629 $3,629 $20,337 −82% $47,583 −92% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,629 $3,629 $20,337 −82% $39,093 −91% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,629 $3,629 $29,586 −88% $57,855 −94% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,629 $3,629 $18,584 −80% $37,902 −90% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,629 $3,629 $11,500 −68% $25,666 −86% —
100 SEIZURES WITH MCC $3,629 $3,629 $17,172 −79% $35,194 −90% —
101 SEIZURES WITHOUT MCC $3,629 $3,629 $7,819 −54% $19,954 −82% —
102 HEADACHES WITH MCC $3,629 $3,629 $10,029 −64% $22,544 −84% —
103 HEADACHES WITHOUT MCC $3,629 $3,629 $7,213 −50% $20,111 −82% —
113 ORBITAL PROCEDURES WITH CC/MCC $3,629 $3,629 $19,331 −81% $35,642 −90% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $10,028 −64% $19,598 −81% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,629 $3,629 $13,243 −73% $24,879 −85% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,629 $3,629 $14,294 −75% $28,103 −87% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $9,026 −60% $17,193 −79% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,629 $3,629 $9,868 −63% $18,291 −80% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,629 $3,629 $5,754 −37% $11,997 −70% —
123 NEUROLOGICAL EYE DISORDERS $3,629 $3,629 $6,881 −47% $17,831 −80% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,629 $3,629 $11,062 −67% $21,029 −83% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,629 $3,629 $7,073 −49% $15,876 −77% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,629 $3,629 $20,655 −82% $40,065 −91% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $8,380 −57% $15,890 −77% —
137 MOUTH PROCEDURES WITH CC/MCC $3,629 $3,629 $11,981 −70% $24,348 −85% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $6,969 −48% $17,383 −79% —
139 SALIVARY GLAND PROCEDURES $3,629 $3,629 $11,648 −69% $21,014 −83% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,629 $3,629 $34,907 −90% $60,098 −94% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,629 $3,629 $18,227 −80% $34,900 −90% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,339 −73% $34,906 −90% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,629 $3,629 $28,012 −87% $52,908 −93% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,629 $3,629 $15,049 −76% $29,558 −88% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $10,150 −64% $20,842 −83% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,629 $3,629 $19,273 −81% $37,080 −90% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,629 $3,629 $10,664 −66% $21,860 −83% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $6,793 −47% $13,586 −73% —
149 DYSEQUILIBRIUM $3,629 $3,629 $6,256 −42% $17,203 −79% ≈211% of Medicare
150 EPISTAXIS WITH MCC $3,629 $3,629 $11,841 −69% $21,133 −83% —
151 EPISTAXIS WITHOUT MCC $3,629 $3,629 $6,494 −44% $13,032 −72% —
152 OTITIS MEDIA AND URI WITH MCC $3,629 $3,629 $9,627 −62% $19,795 −82% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,629 $3,629 $6,038 −40% $14,473 −75% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,629 $3,629 $13,610 −73% $24,465 −85% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,629 $3,629 $7,998 −55% $16,642 −78% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $5,760 −37% $13,198 −73% —
157 DENTAL AND ORAL DISEASES WITH MCC $3,629 $3,629 $13,892 −74% $27,457 −87% —
158 DENTAL AND ORAL DISEASES WITH CC $3,629 $3,629 $7,980 −55% $17,700 −79% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,629 $3,629 $5,651 −36% $13,368 −73% —
164 MAJOR CHEST PROCEDURES WITH CC $3,629 — $21,353 −83% $53,141 −93% ≈249% of Medicare
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $15,813 −77% $41,380 −91% ≈231% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,629 $3,629 $15,653 −77% $40,563 −91% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $11,330 −68% $28,527 −87% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,629 $3,629 $12,188 −70% $29,757 −88% —
176 PULMONARY EMBOLISM WITHOUT MCC $3,629 $3,629 $7,045 −48% $18,081 −80% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,629 $3,629 $13,714 −74% $31,840 −89% ≈219% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,629 $3,629 $8,416 −57% $22,024 −84% ≈243% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,629 $3,629 $6,594 −45% $14,444 −75% —
180 RESPIRATORY NEOPLASMS WITH MCC $3,629 $3,629 $14,973 −76% $36,658 −90% —
181 RESPIRATORY NEOPLASMS WITH CC $3,629 $3,629 $9,512 −62% $22,431 −84% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,629 $3,629 $7,131 −49% $14,064 −74% —
183 MAJOR CHEST TRAUMA WITH MCC $3,629 $3,629 $13,466 −73% $28,924 −87% —
184 MAJOR CHEST TRAUMA WITH CC $3,629 $3,629 $9,061 −60% $20,842 −83% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,629 $3,629 $6,727 −46% $15,858 −77% —
186 PLEURAL EFFUSION WITH MCC $3,629 $3,629 $13,404 −73% $32,468 −89% —
187 PLEURAL EFFUSION WITH CC $3,629 $3,629 $8,517 −57% $21,467 −83% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,629 $3,629 $6,229 −42% $14,110 −74% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,629 $3,629 $10,497 −65% $25,704 −86% ≈199% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,629 $3,629 $9,714 −63% $24,190 −85% ≈199% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,629 $3,629 $7,431 −51% $18,278 −80% ≈227% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,629 $3,629 $5,598 −35% $14,368 −75% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,629 $3,629 $11,179 −68% $26,158 −86% ≈229% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,629 $3,629 $7,093 −49% $18,204 −80% ≈225% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,629 $3,629 $5,283 −31% $13,824 −74% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,629 $3,629 $16,297 −78% $30,766 −88% ≈324% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $3,629 $3,629 $8,399 −57% $20,106 −82% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,629 $3,629 $6,058 −40% $13,654 −73% —
199 PNEUMOTHORAX WITH MCC $3,629 $3,629 $15,123 −76% $31,491 −88% —
200 PNEUMOTHORAX WITH CC $3,629 $3,629 $9,580 −62% $20,573 −82% —
201 PNEUMOTHORAX WITHOUT CC/MCC $3,629 $3,629 $5,857 −38% $13,081 −72% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,629 $3,629 $8,281 −56% $17,273 −79% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,629 $3,629 $6,025 −40% $12,279 −70% —
204 RESPIRATORY SIGNS AND SYMPTOMS $3,629 $3,629 $7,015 −48% $16,866 −78% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,629 $3,629 $16,015 −77% $32,204 −89% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,629 $3,629 $7,835 −54% $17,731 −80% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,629 $3,629 $22,768 −84% $52,405 −93% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $3,629 $3,629 $25,425 −86% $54,475 −93% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,629 $3,629 $12,810 −72% $24,229 −85% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,629 $3,629 $19,668 −82% $50,011 −93% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,629 $3,629 $15,683 −77% $40,063 −91% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $3,629 $3,629 $19,811 −82% $51,339 −93% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $3,629 $3,629 $13,256 −73% $41,380 −91% —
253 OTHER VASCULAR PROCEDURES WITH CC $3,629 — $22,753 −84% $53,746 −93% ≈243% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $14,950 −76% $38,836 −91% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,629 $3,629 $21,896 −83% $43,697 −92% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,629 $3,629 $14,368 −75% $29,729 −88% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,629 $3,629 $7,566 −52% $15,764 −77% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,629 $3,629 $14,911 −76% $35,673 −90% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,629 $3,629 $16,567 −78% $42,126 −91% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,629 $3,629 $12,876 −72% $33,694 −89% —
263 VEIN LIGATION AND STRIPPING $3,629 $3,629 $23,200 −84% $44,938 −92% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,629 $3,629 $29,651 −88% $51,953 −93% —
265 AICD LEAD PROCEDURES $3,629 $3,629 $31,144 −88% $56,695 −94% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,629 — $30,072 −88% $71,014 −95% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,629 — $21,745 −83% $55,162 −93% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,629 $3,629 $14,198 −74% $28,967 −87% ≈286% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,629 $3,629 $7,820 −54% $20,463 −82% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,629 $3,629 $6,272 −42% $18,623 −81% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,629 $3,629 $16,589 −78% $35,014 −90% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,629 $3,629 $6,286 −42% $13,282 −73% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,629 $3,629 $4,763 −24% $10,039 −64% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,629 $3,629 $19,498 −81% $44,600 −92% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,629 $3,629 $9,426 −61% $31,190 −88% ≈238% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,629 $3,629 $22,859 −84% $45,497 −92% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,629 $3,629 $13,487 −73% $29,371 −88% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,629 $3,629 $8,305 −56% $15,901 −77% —
291 HEART FAILURE AND SHOCK WITH MCC $3,629 $3,629 $11,286 −68% $25,020 −85% ≈232% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $3,629 $3,629 $7,306 −50% $16,212 −78% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,629 $3,629 $4,790 −24% $11,955 −70% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,629 $3,629 $10,418 −65% $19,132 −81% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,629 $3,629 $6,267 −42% $13,445 −73% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,629 $3,629 $14,036 −74% $30,910 −88% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,629 $3,629 $5,976 −39% $12,336 −71% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,629 $3,629 $3,989 −9% $8,927 −59% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,629 $3,629 $13,351 −73% $25,731 −86% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,629 $3,629 $9,260 −61% $19,579 −81% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,629 $3,629 $6,171 −41% $15,607 −77% —
302 ATHEROSCLEROSIS WITH MCC $3,629 $3,629 $10,062 −64% $20,844 −83% —
303 ATHEROSCLEROSIS WITHOUT MCC $3,629 $3,629 $5,704 −36% $14,927 −76% —
304 HYPERTENSION WITH MCC $3,629 $3,629 $10,162 −64% $24,185 −85% —
305 HYPERTENSION WITHOUT MCC $3,629 $3,629 $6,493 −44% $17,144 −79% ≈232% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,629 $3,629 $12,703 −71% $24,450 −85% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,629 $3,629 $7,859 −54% $18,608 −80% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,629 $3,629 $10,431 −65% $26,488 −86% ≈248% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,629 $3,629 $6,333 −43% $16,865 −78% ≈231% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,629 $3,629 $4,793 −24% $13,384 −73% ≈243% of Medicare
311 ANGINA PECTORIS $3,629 $3,629 $5,924 −39% $15,165 −76% —
312 SYNCOPE AND COLLAPSE $3,629 $3,629 $7,537 −52% $19,342 −81% ≈209% of Medicare
313 CHEST PAIN $3,629 $3,629 $6,171 −41% $15,962 −77% ≈207% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,629 $3,629 $18,627 −81% $38,357 −91% ≈218% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,629 $3,629 $8,164 −56% $20,777 −83% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $5,792 −37% $12,797 −72% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,629 $3,629 $20,257 −82% $36,080 −90% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $3,629 — $24,151 −85% $74,274 −95% ≈233% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,629 $3,629 $15,140 −76% $54,772 −93% ≈258% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,629 — $27,766 −87% $66,819 −95% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,629 $3,629 $24,988 −85% $53,551 −93% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,629 — $20,599 −82% $54,824 −93% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,518 −73% $35,375 −90% ≈242% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,629 — $20,052 −82% $58,832 −94% ≈269% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $14,006 −74% $44,117 −92% ≈241% of Medicare
332 RECTAL RESECTION WITH MCC $3,629 $3,629 $29,427 −88% $58,125 −94% —
333 RECTAL RESECTION WITH CC $3,629 $3,629 $18,469 −80% $34,352 −89% —
334 RECTAL RESECTION WITHOUT CC/MCC $3,629 $3,629 $14,071 −74% $32,213 −89% —
336 PERITONEAL ADHESIOLYSIS WITH CC $3,629 $3,629 $21,904 −83% $49,470 −93% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,629 $3,629 $13,340 −73% $36,239 −90% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,629 $3,629 $24,914 −85% $44,839 −92% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,629 $3,629 $12,753 −72% $31,062 −88% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $10,668 −66% $26,146 −86% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,629 $3,629 $20,663 −82% $40,548 −91% —
348 ANAL AND STOMAL PROCEDURES WITH CC $3,629 $3,629 $10,889 −67% $27,947 −87% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $7,620 −52% $19,854 −82% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,629 $3,629 $20,519 −82% $46,591 −92% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,629 $3,629 $12,763 −72% $33,792 −89% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $9,354 −61% $25,162 −86% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,629 $3,629 $26,562 −86% $60,140 −94% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,629 $3,629 $14,431 −75% $43,266 −92% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,629 $3,629 $11,310 −68% $31,978 −89% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,629 $3,629 $19,570 −81% $48,682 −93% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $11,609 −69% $29,374 −88% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,629 $3,629 $14,167 −74% $33,607 −89% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,629 $3,629 $8,633 −58% $22,713 −84% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,629 $3,629 $5,921 −39% $15,072 −76% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,629 $3,629 $15,120 −76% $31,758 −89% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,629 $3,629 $8,732 −58% $22,850 −84% ≈268% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,629 $3,629 $6,154 −41% $16,104 −77% —
374 DIGESTIVE MALIGNANCY WITH MCC $3,629 $3,629 $18,263 −80% $38,885 −91% —
375 DIGESTIVE MALIGNANCY WITH CC $3,629 $3,629 $10,526 −66% $27,219 −87% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $7,491 −52% $15,608 −77% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,629 $3,629 $15,800 −77% $37,842 −90% ≈223% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,629 $3,629 $8,364 −57% $21,886 −83% ≈228% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,629 $3,629 $5,559 −35% $14,134 −74% —
380 COMPLICATED PEPTIC ULCER WITH MCC $3,629 $3,629 $16,722 −78% $36,641 −90% —
381 COMPLICATED PEPTIC ULCER WITH CC $3,629 $3,629 $9,239 −61% $24,177 −85% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,629 $3,629 $6,357 −43% $16,634 −78% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,629 $3,629 $10,725 −66% $26,634 −86% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,629 $3,629 $7,377 −51% $19,305 −81% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,629 $3,629 $14,054 −74% $26,020 −86% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,629 $3,629 $8,420 −57% $20,968 −83% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,629 $3,629 $5,798 −37% $14,880 −76% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,629 $3,629 $12,592 −71% $28,780 −87% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,629 $3,629 $6,800 −47% $17,388 −79% ≈220% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,629 $3,629 $4,642 −22% $13,318 −73% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,629 $3,629 $10,897 −67% $27,244 −87% ≈224% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,629 $3,629 $6,685 −46% $17,322 −79% ≈230% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,629 $3,629 $14,049 −74% $32,689 −89% ≈202% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,629 $3,629 $7,986 −55% $18,918 −81% ≈226% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $5,399 −33% $14,128 −74% —
397 APPENDIX PROCEDURES WITH MCC $3,629 $3,629 $21,532 −83% $52,319 −93% —
398 APPENDIX PROCEDURES WITH CC $3,629 $3,629 $12,663 −71% $39,107 −91% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $9,534 −62% $30,314 −88% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $3,629 $3,629 $33,189 −89% $75,492 −95% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,629 $3,629 $24,059 −85% $58,043 −94% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $18,560 −80% $40,232 −91% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $3,629 — $42,905 −92% $59,207 −94% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,629 $3,629 $17,896 −80% $46,066 −92% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,629 $3,629 $13,417 −73% $34,434 −89% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,629 $3,629 $23,780 −85% $48,358 −92% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,629 $3,629 $18,686 −81% $37,654 −90% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,629 $3,629 $13,994 −74% $27,548 −87% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,629 $3,629 $17,190 −79% $43,398 −92% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,629 $3,629 $11,624 −69% $30,418 −88% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $3,629 $3,629 $28,596 −87% $52,313 −93% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,629 $3,629 $14,069 −74% $42,119 −91% ≈256% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,629 $3,629 $11,178 −68% $34,887 −90% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,629 $3,629 $29,942 −88% $50,919 −93% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,629 $3,629 $13,893 −74% $36,333 −90% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $12,466 −71% $25,152 −86% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,629 $3,629 $19,842 −82% $39,253 −91% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,114 −72% $25,484 −86% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,629 $3,629 $16,783 −78% $36,933 −90% ≈202% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,629 $3,629 $9,254 −61% $23,749 −85% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,629 $3,629 $5,829 −38% $12,405 −71% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,629 $3,629 $15,782 −77% $37,950 −90% ≈239% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,629 $3,629 $9,567 −62% $24,017 −85% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,629 $3,629 $6,661 −46% $13,385 −73% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,629 $3,629 $14,391 −75% $32,502 −89% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,629 $3,629 $7,369 −51% $19,096 −81% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $5,370 −32% $15,070 −76% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,629 $3,629 $16,037 −77% $32,399 −89% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,629 $3,629 $8,357 −57% $21,449 −83% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,629 $3,629 $6,020 −40% $15,600 −77% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,629 $3,629 $14,290 −75% $31,128 −88% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,629 $3,629 $9,291 −61% $21,806 −83% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,629 $3,629 $6,896 −47% $17,700 −79% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,629 $3,629 $34,642 −90% $81,998 −96% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,629 $3,629 $26,180 −86% $65,216 −94% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,629 — $29,422 −88% $56,758 −94% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,629 $3,629 $46,936 −92% $78,582 −95% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,629 $3,629 $25,014 −85% $54,313 −93% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,629 $3,629 $14,728 −75% $32,839 −89% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,629 $3,629 $22,797 −84% $54,929 −93% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,629 $3,629 $16,152 −78% $49,197 −93% ≈198% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $3,629 — $25,060 −86% $59,537 −94% ≈251% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,629 $3,629 $20,281 −82% $50,624 −93% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,629 $3,629 $19,205 −81% $44,553 −92% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,629 $3,629 $9,867 −63% $21,062 −83% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,629 $3,629 $20,417 −82% $50,139 −93% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,629 $3,629 $15,065 −76% $31,909 −89% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,629 $3,629 $17,775 −80% $51,172 −93% ≈255% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,629 $3,629 $13,458 −73% $39,747 −91% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,629 $3,629 $22,247 −84% $57,149 −94% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,629 $3,629 $27,579 −87% $64,956 −94% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,629 $3,629 $18,345 −80% $46,477 −92% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,629 $3,629 $13,406 −73% $33,490 −89% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,629 $3,629 $16,673 −78% $41,520 −91% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,629 $3,629 $10,506 −65% $27,492 −87% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,629 $3,629 $28,417 −87% $56,394 −94% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,629 $3,629 $16,152 −78% $45,963 −92% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,629 $3,629 $17,146 −79% $43,800 −92% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,629 $3,629 $11,390 −68% $29,805 −88% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,629 $3,629 $22,044 −84% $46,659 −92% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,629 $3,629 $9,848 −63% $22,532 −84% —
500 SOFT TISSUE PROCEDURES WITH MCC $3,629 $3,629 $27,145 −87% $57,479 −94% —
501 SOFT TISSUE PROCEDURES WITH CC $3,629 $3,629 $15,581 −77% $37,975 −90% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $11,853 −69% $30,006 −88% —
503 FOOT PROCEDURES WITH MCC $3,629 $3,629 $23,106 −84% $43,901 −92% —
504 FOOT PROCEDURES WITH CC $3,629 $3,629 $14,889 −76% $36,598 −90% —
505 FOOT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $14,889 −76% $31,716 −89% —
506 MAJOR THUMB OR JOINT PROCEDURES $3,629 $3,629 $12,842 −72% $28,983 −87% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,629 $3,629 $16,604 −78% $36,202 −90% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $10,801 −66% $22,811 −84% —
509 ARTHROSCOPY $3,629 $3,629 $14,903 −76% $25,994 −86% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,629 $3,629 $24,247 −85% $49,055 −93% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,629 $3,629 $16,964 −79% $43,538 −92% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,640 −73% $35,692 −90% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,629 $3,629 $13,023 −72% $33,424 −89% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $8,819 −59% $20,080 −82% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,629 $3,629 $26,998 −87% $62,821 −94% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,629 $3,629 $18,104 −80% $45,817 −92% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $12,912 −72% $33,137 −89% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $3,629 — $31,290 −88% $64,776 −94% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,629 $3,629 $17,136 −79% $43,775 −92% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,629 $3,629 $12,397 −71% $31,816 −89% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $3,629 — $35,073 −90% $67,764 −95% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,629 — $17,642 −79% $56,519 −94% ≈240% of Medicare
533 FRACTURES OF FEMUR WITH MCC $3,629 $3,629 $12,936 −72% $25,945 −86% —
534 FRACTURES OF FEMUR WITHOUT MCC $3,629 $3,629 $6,906 −47% $17,195 −79% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,629 $3,629 $11,503 −68% $23,350 −84% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,629 $3,629 $6,879 −47% $18,002 −80% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,629 $3,629 $7,873 −54% $16,352 −78% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,629 $3,629 $5,697 −36% $11,909 −70% —
539 OSTEOMYELITIS WITH MCC $3,629 $3,629 $17,157 −79% $33,746 −89% —
540 OSTEOMYELITIS WITH CC $3,629 $3,629 $11,086 −67% $23,494 −85% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,629 $3,629 $7,495 −52% $14,549 −75% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,629 $3,629 $15,978 −77% $35,114 −90% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,629 $3,629 $9,000 −60% $23,496 −85% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $6,537 −44% $16,776 −78% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,629 $3,629 $21,147 −83% $39,657 −91% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,629 $3,629 $9,688 −63% $24,202 −85% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,629 $3,629 $6,330 −43% $14,861 −76% —
548 SEPTIC ARTHRITIS WITH MCC $3,629 $3,629 $17,091 −79% $31,019 −88% —
549 SEPTIC ARTHRITIS WITH CC $3,629 $3,629 $10,085 −64% $20,938 −83% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,629 $3,629 $7,314 −50% $16,156 −78% —
551 MEDICAL BACK PROBLEMS WITH MCC $3,629 $3,629 $14,618 −75% $31,086 −88% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,629 $3,629 $8,176 −56% $21,213 −83% ≈220% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,629 $3,629 $11,297 −68% $23,956 −85% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,629 $3,629 $7,219 −50% $18,253 −80% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,629 $3,629 $11,648 −69% $23,723 −85% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,629 $3,629 $6,927 −48% $17,715 −80% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,629 $3,629 $13,276 −73% $28,646 −87% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,629 $3,629 $7,328 −50% $17,367 −79% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,629 $3,629 $15,902 −77% $30,974 −88% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,629 $3,629 $9,755 −63% $24,452 −85% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,629 $3,629 $6,936 −48% $18,150 −80% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,629 $3,629 $12,416 −71% $29,211 −88% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,629 $3,629 $7,583 −52% $18,803 −81% ≈287% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,629 $3,629 $13,312 −73% $32,936 −89% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,629 $3,629 $8,651 −58% $21,545 −83% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $6,409 −43% $14,337 −75% —
570 SKIN DEBRIDEMENT WITH MCC $3,629 $3,629 $26,159 −86% $52,435 −93% —
571 SKIN DEBRIDEMENT WITH CC $3,629 $3,629 $14,343 −75% $34,901 −90% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,629 $3,629 $9,692 −63% $24,432 −85% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,629 $3,629 $30,877 −88% $49,065 −93% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,629 $3,629 $17,271 −79% $29,109 −88% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,629 $3,629 $46,886 −92% $82,527 −96% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,629 $3,629 $22,590 −84% $45,432 −92% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,629 $3,629 $14,340 −75% $28,578 −87% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,629 $3,629 $15,336 −76% $36,242 −90% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $12,424 −71% $25,243 −86% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,629 $3,629 $14,856 −76% $34,264 −89% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $13,936 −74% $31,566 −89% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,629 $3,629 $17,710 −80% $34,089 −89% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $16,841 −78% $29,633 −88% —
592 SKIN ULCERS WITH MCC $3,629 $3,629 $17,616 −79% $32,662 −89% —
593 SKIN ULCERS WITH CC $3,629 $3,629 $10,474 −65% $20,470 −82% —
594 SKIN ULCERS WITHOUT CC/MCC $3,629 $3,629 $7,271 −50% $14,209 −74% —
595 MAJOR SKIN DISORDERS WITH MCC $3,629 $3,629 $17,943 −80% $31,785 −89% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,629 $3,629 $9,261 −61% $17,226 −79% —
597 MALIGNANT BREAST DISORDERS WITH MCC $3,629 $3,629 $14,903 −76% $31,846 −89% —
598 MALIGNANT BREAST DISORDERS WITH CC $3,629 $3,629 $9,153 −60% $19,073 −81% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,629 $3,629 $7,253 −50% $14,290 −75% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,629 $3,629 $8,195 −56% $16,418 −78% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,629 $3,629 $5,186 −30% $10,975 −67% —
602 CELLULITIS WITH MCC $3,629 $3,629 $12,464 −71% $29,347 −88% —
603 CELLULITIS WITHOUT MCC $3,629 $3,629 $7,472 −51% $18,530 −80% ≈247% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,629 $3,629 $12,604 −71% $28,140 −87% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,629 $3,629 $7,990 −55% $19,287 −81% —
606 MINOR SKIN DISORDERS WITH MCC $3,629 $3,629 $13,661 −73% $25,434 −86% —
607 MINOR SKIN DISORDERS WITHOUT MCC $3,629 $3,629 $7,475 −51% $15,284 −76% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,629 $3,629 $19,713 −82% $43,586 −92% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $12,276 −70% $31,812 −89% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,629 $3,629 $34,783 −90% $62,961 −94% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,629 $3,629 $16,387 −78% $42,881 −92% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,629 $3,629 $10,663 −66% $19,354 −81% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $3,629 $3,629 $23,568 −85% $44,973 −92% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,629 $3,629 $14,418 −75% $35,453 −90% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,629 $3,629 $12,523 −71% $32,451 −89% ≈245% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,629 $3,629 $16,227 −78% $33,165 −89% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,629 $3,629 $8,510 −57% $17,078 −79% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,629 $3,629 $24,323 −85% $58,968 −94% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,629 $3,629 $12,930 −72% $27,279 −87% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $10,748 −66% $25,623 −86% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,629 $3,629 $19,545 −81% $45,059 −92% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $11,888 −69% $24,452 −85% —
637 DIABETES WITH MCC $3,629 $3,629 $12,597 −71% $28,819 −87% —
638 DIABETES WITH CC $3,629 $3,629 $7,934 −54% $18,821 −81% ≈225% of Medicare
639 DIABETES WITHOUT CC/MCC $3,629 $3,629 $5,316 −32% $13,910 −74% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,629 $3,629 $11,487 −68% $24,480 −85% ≈225% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,629 $3,629 $6,629 −45% $16,745 −78% ≈220% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,629 $3,629 $10,529 −66% $20,727 −82% —
643 ENDOCRINE DISORDERS WITH MCC $3,629 $3,629 $14,060 −74% $32,996 −89% —
644 ENDOCRINE DISORDERS WITH CC $3,629 $3,629 $8,939 −59% $22,941 −84% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,629 $3,629 $6,671 −46% $14,166 −74% —
654 MAJOR BLADDER PROCEDURES WITH CC $3,629 — $24,176 −85% $53,868 −93% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $17,623 −79% $41,651 −91% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,629 $3,629 $15,661 −77% $40,583 −91% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,629 $3,629 $12,884 −72% $35,528 −90% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,629 $3,629 $22,354 −84% $48,094 −92% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,629 $3,629 $11,645 −69% $30,358 −88% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,629 $3,629 $8,880 −59% $24,022 −85% —
663 MINOR BLADDER PROCEDURES WITH CC $3,629 $3,629 $13,212 −73% $29,924 −88% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $9,250 −61% $18,126 −80% —
666 PROSTATECTOMY WITH CC $3,629 $3,629 $14,112 −74% $30,016 −88% —
667 PROSTATECTOMY WITHOUT CC/MCC $3,629 $3,629 $8,805 −59% $16,703 −78% —
668 TRANSURETHRAL PROCEDURES WITH MCC $3,629 $3,629 $25,343 −86% $47,277 −92% —
669 TRANSURETHRAL PROCEDURES WITH CC $3,629 $3,629 $13,128 −72% $34,354 −89% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $8,108 −55% $20,371 −82% —
671 URETHRAL PROCEDURES WITH CC/MCC $3,629 $3,629 $14,623 −75% $27,233 −87% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $8,828 −59% $17,398 −79% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $3,629 $3,629 $27,750 −87% $49,631 −93% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,279 −73% $32,490 −89% —
682 RENAL FAILURE WITH MCC $3,629 $3,629 $12,741 −72% $27,854 −87% ≈201% of Medicare
683 RENAL FAILURE WITH CC $3,629 $3,629 $7,689 −53% $18,620 −81% ≈215% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $3,629 $3,629 $5,153 −30% $13,623 −73% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,629 $3,629 $15,997 −77% $32,981 −89% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,629 $3,629 $8,689 −58% $18,478 −80% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,629 $3,629 $6,144 −41% $12,593 −71% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,629 $3,629 $9,928 −63% $22,982 −84% ≈220% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,629 $3,629 $6,809 −47% $17,466 −79% ≈215% of Medicare
693 URINARY STONES WITH MCC $3,629 $3,629 $12,474 −71% $22,525 −84% —
694 URINARY STONES WITHOUT MCC $3,629 $3,629 $6,629 −45% $16,531 −78% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,629 $3,629 $9,661 −62% $20,741 −83% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,629 $3,629 $5,984 −39% $14,441 −75% —
697 URETHRAL STRICTURE $3,629 $3,629 $8,499 −57% $17,705 −80% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,629 $3,629 $14,260 −75% $30,058 −88% ≈232% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,629 $3,629 $8,737 −58% $20,732 −82% ≈220% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $5,889 −38% $13,303 −73% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,629 $3,629 $16,240 −78% $43,080 −92% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $12,700 −71% $32,911 −89% —
709 PENIS PROCEDURES WITH CC/MCC $3,629 $3,629 $19,437 −81% $34,535 −89% —
710 PENIS PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $12,737 −72% $23,814 −85% —
711 TESTES PROCEDURES WITH CC/MCC $3,629 $3,629 $16,209 −78% $34,852 −90% —
712 TESTES PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $8,951 −59% $18,898 −81% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,629 $3,629 $12,387 −71% $29,663 −88% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,629 $3,629 $8,050 −55% $17,108 −79% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,629 $3,629 $19,158 −81% $38,998 −91% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $12,041 −70% $21,615 −83% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,629 $3,629 $15,528 −77% $32,538 −89% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $10,451 −65% $20,147 −82% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,629 $3,629 $14,811 −75% $29,826 −88% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,629 $3,629 $9,526 −62% $19,317 −81% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,629 $3,629 $6,242 −42% $12,650 −71% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,629 $3,629 $10,566 −66% $19,894 −82% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,629 $3,629 $6,315 −43% $13,892 −74% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,629 $3,629 $12,466 −71% $25,786 −86% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,629 $3,629 $6,744 −46% $16,837 −78% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,629 $3,629 $9,346 −61% $17,483 −79% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $5,274 −31% $11,071 −67% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,629 $3,629 $19,834 −82% $35,686 −90% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,629 $3,629 $10,399 −65% $23,297 −84% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,629 $3,629 $16,953 −79% $44,363 −92% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $12,869 −72% $30,972 −88% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,629 $3,629 $15,426 −76% $36,597 −90% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $11,881 −69% $29,050 −88% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,629 $3,629 $15,497 −77% $40,552 −91% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,629 $3,629 $10,169 −64% $27,369 −87% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,629 $3,629 $16,902 −79% $33,050 −89% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,629 $3,629 $8,779 −59% $16,495 −78% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,629 $3,629 $14,485 −75% $29,916 −88% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $8,103 −55% $19,326 −81% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,629 $3,629 $11,784 −69% $24,980 −85% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,629 $3,629 $21,960 −83% $41,703 −91% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $11,047 −67% $23,920 −85% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,629 $3,629 $15,500 −77% $29,476 −88% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,629 $3,629 $9,602 −62% $18,459 −80% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,629 $3,629 $8,181 −56% $15,589 −77% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,629 $3,629 $12,007 −70% $23,734 −85% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,629 $3,629 $8,732 −58% $19,091 −81% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,629 $3,629 $5,562 −35% $14,208 −74% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,629 $3,629 $8,361 −57% $18,282 −80% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,629 $3,629 $5,483 −34% $11,421 −68% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,629 $3,629 $11,271 −68% $17,103 −79% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,629 $3,629 $11,903 −70% $24,561 −85% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,629 $3,629 $9,128 −60% $17,943 −80% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,629 $3,629 $6,053 −40% $12,381 −71% —
779 ABORTION WITHOUT D&C $3,629 $3,629 $7,930 −54% $15,327 −76% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,629 $3,629 $16,156 −78% $28,375 −87% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,629 $3,629 $10,545 −66% $19,815 −82% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $3,629 $3,629 $8,017 −55% $20,084 −82% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,629 $3,629 $15,085 −76% $14,284 −75% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,629 $3,629 $11,094 −67% $22,557 −84% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $3,629 $3,629 $10,124 −64% $18,238 −80% —
800 SPLENIC PROCEDURES WITH CC $3,629 — $25,439 −86% $49,184 −93% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $14,064 −74% $28,634 −87% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,629 $3,629 $30,575 −88% $59,425 −94% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,629 $3,629 $15,101 −76% $33,564 −89% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,629 $3,629 $9,379 −61% $24,544 −85% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,629 $3,629 $19,811 −82% $36,334 −90% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,629 $3,629 $10,507 −65% $22,032 −84% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,629 $3,629 $8,075 −55% $18,428 −80% —
811 RED BLOOD CELL DISORDERS WITH MCC $3,629 $3,629 $12,169 −70% $27,934 −87% ≈204% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,629 $3,629 $7,983 −55% $20,488 −82% ≈249% of Medicare
813 COAGULATION DISORDERS $3,629 $3,629 $13,132 −72% $30,128 −88% ≈228% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,629 $3,629 $17,735 −80% $32,483 −89% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,629 $3,629 $8,620 −58% $18,017 −80% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,629 $3,629 $5,704 −36% $13,485 −73% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,629 $3,629 $18,088 −80% $36,097 −90% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,629 $3,629 $10,927 −67% $24,316 −85% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $6,927 −48% $17,928 −80% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,629 $3,629 $18,682 −81% $44,053 −92% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $9,798 −63% $25,390 −86% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,629 $3,629 $18,841 −81% $38,382 −91% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $10,441 −65% $27,321 −87% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,629 $3,629 $20,508 −82% $47,546 −92% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,598 −73% $35,584 −90% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,629 $3,629 $27,771 −87% $53,817 −93% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $12,529 −71% $25,149 −86% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,629 $3,629 $9,405 −61% $18,133 −80% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,629 $3,629 $6,341 −43% $12,895 −72% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $4,496 −19% $9,076 −60% —
834 ACUTE LEUKEMIA WITH MCC $3,629 $3,629 $46,891 −92% $76,583 −95% —
835 ACUTE LEUKEMIA WITH CC $3,629 $3,629 $17,874 −80% $35,569 −90% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,629 $3,629 $10,780 −66% $19,686 −82% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,629 $3,629 $17,206 −79% $30,661 −88% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,629 $3,629 $11,626 −69% $20,980 −83% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,629 $3,629 $27,054 −87% $49,710 −93% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,629 $3,629 $13,302 −73% $31,059 −88% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,629 $3,629 $8,924 −59% $17,550 −79% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,629 $3,629 $16,062 −77% $36,280 −90% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,629 $3,629 $10,139 −64% $20,421 −82% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $7,169 −49% $14,055 −74% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,629 $3,629 $21,877 −83% $38,878 −91% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,629 $3,629 $10,780 −66% $22,275 −84% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,629 $3,629 $7,015 −48% $13,822 −74% —
849 RADIOTHERAPY $3,629 $3,629 $22,353 −84% $37,862 −90% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $3,629 $3,629 $77,091 −95% $121,563 −97% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,629 $3,629 $17,364 −79% $43,524 −92% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $13,926 −74% $27,168 −87% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,629 $3,629 $19,259 −81% $41,900 −91% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,629 $3,629 $10,930 −67% $23,924 −85% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,629 $3,629 $15,904 −77% $30,394 −88% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,629 $3,629 $8,483 −57% $20,007 −82% —
864 FEVER AND INFLAMMATORY CONDITIONS $3,629 $3,629 $7,618 −52% $17,412 −79% —
865 VIRAL ILLNESS WITH MCC $3,629 $3,629 $12,521 −71% $26,088 −86% —
866 VIRAL ILLNESS WITHOUT MCC $3,629 $3,629 $7,506 −52% $16,391 −78% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,629 $3,629 $18,191 −80% $36,850 −90% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,629 $3,629 $9,083 −60% $22,231 −84% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,629 $3,629 $6,105 −41% $12,537 −71% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,629 $3,629 $16,645 −78% $35,237 −90% ≈226% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,629 $3,629 $8,918 −59% $22,781 −84% ≈234% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,629 $3,629 $33,337 −89% $54,196 −93% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,629 $3,629 $8,292 −56% $15,636 −77% —
881 DEPRESSIVE NEUROSES $3,629 $3,629 $7,831 −54% $15,058 −76% —
882 NEUROSES EXCEPT DEPRESSIVE $3,629 $3,629 $8,241 −56% $15,680 −77% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $3,629 $3,629 $15,515 −77% $22,698 −84% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,629 $3,629 $14,169 −74% $25,208 −86% ≈231% of Medicare
885 PSYCHOSES $3,629 $3,629 $11,958 −70% $21,489 −83% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $3,629 $3,629 $15,241 −76% $24,836 −85% —
887 OTHER MENTAL DISORDER DIAGNOSES $3,629 $3,629 $10,090 −64% $20,602 −82% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,629 $3,629 $5,424 −33% $12,013 −70% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,629 $3,629 $12,117 −70% $21,986 −83% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,629 $3,629 $15,107 −76% $30,275 −88% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,629 $3,629 $7,484 −52% $16,049 −77% ≈164% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,629 $3,629 $37,586 −90% $68,847 −95% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,629 $3,629 $16,098 −77% $35,459 −90% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,629 $3,629 $10,444 −65% $23,588 −85% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,629 $3,629 $33,398 −89% $55,097 −93% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,629 $3,629 $13,793 −74% $25,197 −86% —
906 HAND PROCEDURES FOR INJURIES $3,629 $3,629 $18,264 −80% $31,520 −88% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,629 $3,629 $17,112 −79% $41,660 −91% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,629 $3,629 $10,760 −66% $28,156 −87% —
913 TRAUMATIC INJURY WITH MCC $3,629 $3,629 $13,729 −74% $24,198 −85% —
914 TRAUMATIC INJURY WITHOUT MCC $3,629 $3,629 $7,850 −54% $15,593 −77% —
915 ALLERGIC REACTIONS WITH MCC $3,629 $3,629 $14,888 −76% $30,944 −88% —
916 ALLERGIC REACTIONS WITHOUT MCC $3,629 $3,629 $5,634 −36% $13,890 −74% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,629 $3,629 $13,910 −74% $28,134 −87% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,629 $3,629 $7,504 −52% $15,045 −76% —
919 COMPLICATIONS OF TREATMENT WITH MCC $3,629 $3,629 $15,622 −77% $29,031 −87% —
920 COMPLICATIONS OF TREATMENT WITH CC $3,629 $3,629 $8,787 −59% $21,181 −83% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,629 $3,629 $5,948 −39% $14,012 −74% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,629 $3,629 $14,613 −75% $29,409 −88% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,629 $3,629 $8,652 −58% $16,571 −78% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,629 $3,629 $56,660 −94% $89,353 −96% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $3,629 $3,629 $27,638 −87% $44,472 −92% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,629 $3,629 $33,230 −89% $59,352 −94% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,629 $3,629 $18,382 −80% $31,044 −88% —
935 NON-EXTENSIVE BURNS $3,629 $3,629 $18,633 −81% $29,458 −88% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,629 $3,629 $26,927 −87% $51,142 −93% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,629 $3,629 $17,669 −79% $38,420 −91% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,629 $3,629 $16,579 −78% $29,524 −88% —
945 REHABILITATION WITH CC/MCC $3,629 $3,629 $12,775 −72% $23,834 −85% —
946 REHABILITATION WITHOUT CC/MCC $3,629 $3,629 $9,323 −61% $17,685 −79% —
947 SIGNS AND SYMPTOMS WITH MCC $3,629 $3,629 $11,018 −67% $25,474 −86% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,629 $3,629 $6,872 −47% $17,727 −80% ≈203% of Medicare
949 AFTERCARE WITH CC/MCC $3,629 $3,629 $9,243 −61% $23,953 −85% —
950 AFTERCARE WITHOUT CC/MCC $3,629 $3,629 $5,117 −29% $13,527 −73% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,629 $3,629 $4,950 −27% $9,385 −61% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,629 — $29,424 −88% $40,277 −91% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,629 $3,629 $23,718 −85% $43,491 −92% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,629 $3,629 $12,726 −71% $25,854 −86% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,629 $3,629 $7,742 −53% $17,585 −79% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,629 $3,629 $22,509 −84% $40,947 −91% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,629 $3,629 $25,951 −86% $46,402 −92% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,629 $3,629 $11,895 −69% $25,010 −85% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,629 $3,629 $8,278 −56% $16,212 −78% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,629 $3,629 $12,232 −70% $22,525 −84% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,629 $3,629 $21,375 −83% $51,985 −93% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,629 $3,629 $14,152 −74% $30,930 −88% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,629 $3,629 $14,843 −76% $38,094 −90% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,629 $3,629 $9,899 −63% $25,307 −86% —

Procedures with negotiated rates only

These 135 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
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $9,955 – $90,529 · median $69,276 21 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $58,158 – $257,578 · median $197,680 20 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $58,158 – $172,355 · median $138,769 20 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $53,457 – $171,469 · median $123,900 20 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $206,506 · median $158,111 20 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $49,843 – $154,871 · median $114,076 20 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $45,488 – $154,871 · median $100,010 20 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $49,843 – $226,160 · median $172,023 20 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $49,843 – $163,035 · median $130,478 20 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $49,843 – $276,562 · median $168,996 20 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $49,843 – $276,562 · median $113,822 20 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $204,650 · median $127,319 20 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $39,875 – $138,276 · median $88,232 20 plans
245 AICD GENERATOR PROCEDURES $26,530 – $130,424 · median $99,591 20 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $31,049 – $177,952 · median $135,526 20 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,976 – $111,045 · median $84,571 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,049 – $136,995 · median $104,333 20 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $16,823 – $104,362 · median $79,481 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,823 – $83,296 · median $63,438 20 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $62,215 – $165,931 · median $112,184 19 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $40,626 – $165,931 · median $69,929 19 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $32,466 – $91,554 · median $71,534 19 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $17,956 – $86,953 · median $67,939 19 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $64,859 – $571,988 · median $444,238 18 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,702 – $282,765 · median $221,404 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,463 – $74,876 · median $59,205 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,463 – $90,908 · median $71,519 18 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,611 – $122,553 · median $96,932 18 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $9,453 – $106,246 · median $80,916 18 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $114,247 – $377,116 · median $294,653 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $107,094 – $239,953 · median $181,473 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $43,037 – $112,991 · median $72,131 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $55,592 – $152,263 · median $123,042 17 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $39,751 – $101,464 · median $81,991 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $43,492 – $119,361 · median $95,920 17 plans
028 SPINAL PROCEDURES WITH MCC $55,327 – $162,256 · median $130,893 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $43,294 – $111,843 · median $89,417 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $37,150 – $103,786 · median $83,868 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $38,998 – $100,674 · median $81,353 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $48,234 – $123,015 · median $99,407 17 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $36,922 – $102,761 · median $83,039 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $56,764 – $172,603 · median $133,145 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $46,215 – $134,430 · median $105,034 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $70,480 – $165,017 · median $132,080 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $56,171 – $130,227 · median $104,233 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $40,584 – $117,239 · median $94,740 17 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $52,161 – $135,553 · median $109,539 17 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $40,034 – $96,705 · median $77,653 17 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $40,352 – $113,847 · median $91,998 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $53,712 – $144,887 · median $117,081 17 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $33,812 – $93,513 · median $75,566 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $41,945 – $108,555 · median $84,949 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $89,875 – $226,034 · median $182,655 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $64,461 – $153,179 · median $123,782 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $46,455 – $116,660 · median $93,374 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $53,233 – $167,578 · median $132,350 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $50,465 – $135,970 · median $109,875 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $34,759 – $91,415 · median $73,871 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $31,075 – $87,238 · median $70,496 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $49,429 – $129,636 · median $104,757 17 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $38,349 – $119,692 · median $93,519 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $32,217 – $91,783 · median $73,178 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $29,874 – $78,492 · median $63,429 17 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $34,098 – $94,778 · median $75,200 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $33,972 – $93,961 · median $75,929 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $52,605 – $164,356 · median $128,748 17 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $29,553 – $86,990 · median $68,074 17 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $37,366 – $99,870 · median $80,704 17 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $36,513 – $105,307 · median $85,097 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $54,794 – $148,781 · median $117,589 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $31,321 – $83,259 · median $65,091 17 plans
665 PROSTATECTOMY WITH MCC $29,379 – $91,639 · median $70,606 17 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $35,377 – $111,816 · median $82,950 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $42,763 – $105,091 · median $84,434 17 plans
799 SPLENIC PROCEDURES WITH MCC $48,933 – $126,901 · median $102,547 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $56,577 – $155,391 · median $125,570 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $41,866 – $124,891 · median $97,786 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $49,633 – $127,453 · median $100,518 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $59,290 – $133,637 · median $100,455 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $50,460 – $133,480 · median $107,863 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $43,801 – $120,410 · median $96,189 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $62,591 – $185,662 · median $143,059 17 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $39,485 – $106,321 · median $83,072 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $197,378 – $647,818 · median $452,768 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $60,178 – $182,241 · median $142,391 17 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $38,828 – $102,016 · median $82,438 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $74,560 – $199,212 · median $157,097 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $41,477 – $109,686 · median $87,857 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $57,429 – $168,908 · median $134,563 17 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $44,444 – $126,877 · median $102,527 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,993 – $93,484 · median $73,345 17 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $47,815 – $81,898 · median $66,486 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $169,749 – $290,747 · median $234,450 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $110,118 – $188,611 · median $152,619 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $96,521 – $165,322 · median $134,243 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $72,486 – $124,155 · median $102,103 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $77,961 – $133,533 · median $106,120 14 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $49,931 – $85,522 · median $69,315 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $66,370 – $113,679 · median $90,894 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $580,236 – $867,939 · median $751,713 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $96,396 – $165,109 · median $131,214 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $163,228 – $279,578 · median $222,183 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $110,674 – $189,564 · median $150,648 10 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $85,765 – $146,899 · median $116,742 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $129,963 – $222,602 · median $176,904 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $85,241 – $146,002 · median $116,029 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $104,473 – $178,942 · median $142,207 10 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $80,249 – $137,451 · median $109,234 10 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $93,100 – $217,787 · median $192,478 7 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $60,618 – $150,320 · median $132,852 7 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $47,637 – $113,192 · median $100,038 7 plans
459 Spinal Fusion Except Cervical With MCC $67,813 – $163,002 · median $144,060 7 plans
460 Spinal Fusion Except Cervical Without MCC $39,196 – $91,439 · median $79,453 7 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $82,585 – $195,800 · median $82,861 5 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $59,410 – $144,438 · median $82,861 5 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $73,199 – $171,179 · median $82,861 5 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $55,905 – $130,829 · median $82,861 5 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $66,187 – $153,731 · median $82,861 5 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $31,401 – $72,676 · median $49,781 5 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $51,753 – $122,112 · median $97,738 3 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $20,137 – $46,228 · median $37,001 3 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $30,646 – $73,797 · median $59,067 3 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $18,968 – $43,696 · median $34,974 3 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $28,801 – $65,075 · median $52,086 3 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $16,984 – $39,411 · median $31,544 3 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $12,247 – $28,562 · median $22,861 3 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $25,317 – $53,854 · median $43,105 3 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $15,937 – $33,321 · median $26,670 3 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $11,397 – $25,795 · median $20,646 3 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $38,694 – $86,967 · median $62,831 2 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $55,155 – $55,155 · median $55,155 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS $37,669 – $37,669 · median $37,669 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,728 – $22,728 · median $22,728 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,695 – $13,695 · median $13,695 1 plans
795 NORMAL NEWBORN $1,854 – $1,854 · median $1,854 1 plans
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