Newark Beth Israel Medical Center — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 633 with a comparable price, 145 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 $3,470
Average published price $3,607
Highest published price $17,010

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 633 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 27 procedures, this hospital's negotiated rates average ≈194% 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 $17,010 $17,010 $12,774 +33% $22,560 −25% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $17,010 $17,010 $14,108 +21% $27,118 −37% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $17,010 $17,010 $8,017 +112% $20,084 −15% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $12,709 $12,709 $8,598 +48% $19,001 −33% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $12,709 $12,709 $10,124 +26% $18,238 −30% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $12,709 $12,709 $10,576 +20% $15,370 −17% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $12,709 $12,709 $9,343 +36% $13,090 −3% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $12,709 $12,709 $8,897 +43% $12,044 +6% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $3,470 $3,470 $46,225 −92% $86,953 −96% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,470 $3,470 $22,177 −84% $45,290 −92% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,470 $3,470 $57,383 −94% $101,235 −97% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,470 — $34,191 −90% $63,475 −95% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $20,936 −83% $52,332 −93% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,470 — $28,756 −88% $64,152 −95% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $18,879 −82% $45,818 −92% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,470 $3,470 $18,559 −81% $45,622 −92% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,535 −74% $33,984 −90% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $3,470 — $19,487 −82% $46,430 −93% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $15,340 −77% $40,694 −91% —
037 EXTRACRANIAL PROCEDURES WITH MCC $3,470 $3,470 $28,173 −88% $64,749 −95% —
038 EXTRACRANIAL PROCEDURES WITH CC $3,470 $3,470 $13,669 −75% $35,770 −90% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $9,394 −63% $25,267 −86% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,470 $3,470 $19,533 −82% $44,989 −92% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $15,203 −77% $39,018 −91% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,470 $3,470 $17,073 −80% $30,940 −89% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,470 $3,470 $7,893 −56% $20,309 −83% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,470 $3,470 $12,842 −73% $29,484 −88% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,470 $3,470 $9,255 −63% $19,868 −83% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,470 $3,470 $20,668 −83% $39,409 −91% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,470 $3,470 $11,320 −69% $25,426 −86% ≈180% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,470 $3,470 $15,813 −78% $29,609 −88% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,470 $3,470 $10,380 −67% $26,322 −87% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,470 $3,470 $7,571 −54% $21,261 −84% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,470 $3,470 $15,108 −77% $48,680 −93% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,470 $3,470 $11,918 −71% $35,542 −90% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,470 $3,470 $16,875 −79% $35,714 −90% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,470 $3,470 $8,711 −60% $23,469 −85% ≈261% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,470 $3,470 $5,839 −41% $19,483 −82% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,470 $3,470 $12,175 −72% $24,941 −86% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,470 $3,470 $7,478 −54% $19,569 −82% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,470 $3,470 $6,696 −48% $20,278 −83% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,470 $3,470 $14,751 −76% $30,814 −89% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,470 $3,470 $8,941 −61% $23,396 −85% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,470 $3,470 $6,364 −45% $16,654 −79% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,470 $3,470 $13,241 −74% $28,252 −88% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,470 $3,470 $8,843 −61% $23,141 −85% —
075 VIRAL MENINGITIS WITH CC/MCC $3,470 $3,470 $14,216 −76% $29,853 −88% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,470 $3,470 $7,779 −55% $15,474 −78% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,470 $3,470 $13,118 −74% $24,036 −86% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,470 $3,470 $8,351 −58% $17,434 −80% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,470 $3,470 $5,589 −38% $11,847 −71% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,470 $3,470 $17,194 −80% $35,139 −90% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,470 $3,470 $7,676 −55% $15,077 −77% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,470 $3,470 $19,683 −82% $36,237 −90% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,470 $3,470 $11,795 −71% $24,118 −86% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,470 $3,470 $8,111 −57% $18,191 −81% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,470 $3,470 $19,224 −82% $37,064 −91% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,470 $3,470 $10,976 −68% $23,115 −85% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,470 $3,470 $7,499 −54% $15,869 −78% —
088 CONCUSSION WITH MCC $3,470 $3,470 $11,968 −71% $24,402 −86% —
089 CONCUSSION WITH CC $3,470 $3,470 $8,849 −61% $18,293 −81% —
090 CONCUSSION WITHOUT CC/MCC $3,470 $3,470 $7,344 −53% $14,873 −77% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,470 $3,470 $15,616 −78% $36,375 −90% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,470 $3,470 $9,069 −62% $24,136 −86% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,470 $3,470 $6,762 −49% $17,522 −80% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,470 $3,470 $20,337 −83% $47,583 −93% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,470 $3,470 $20,337 −83% $39,093 −91% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,470 $3,470 $29,586 −88% $57,855 −94% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,470 $3,470 $18,584 −81% $37,902 −91% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,470 $3,470 $11,500 −70% $25,666 −86% —
100 SEIZURES WITH MCC $3,470 $3,470 $17,172 −80% $35,194 −90% —
101 SEIZURES WITHOUT MCC $3,470 $3,470 $7,819 −56% $19,954 −83% —
102 HEADACHES WITH MCC $3,470 $3,470 $10,029 −65% $22,544 −85% —
103 HEADACHES WITHOUT MCC $3,470 $3,470 $7,213 −52% $20,111 −83% —
113 ORBITAL PROCEDURES WITH CC/MCC $3,470 $3,470 $19,331 −82% $35,642 −90% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $10,028 −65% $19,598 −82% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,470 $3,470 $13,243 −74% $24,879 −86% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,470 $3,470 $14,294 −76% $28,103 −88% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $9,026 −62% $17,193 −80% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,470 $3,470 $9,868 −65% $18,291 −81% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,470 $3,470 $5,754 −40% $11,997 −71% —
123 NEUROLOGICAL EYE DISORDERS $3,470 $3,470 $6,881 −50% $17,831 −81% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,470 $3,470 $11,062 −69% $21,029 −83% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,470 $3,470 $7,073 −51% $15,876 −78% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,470 $3,470 $20,655 −83% $40,065 −91% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $8,380 −59% $15,890 −78% —
137 MOUTH PROCEDURES WITH CC/MCC $3,470 $3,470 $11,981 −71% $24,348 −86% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $6,969 −50% $17,383 −80% —
139 SALIVARY GLAND PROCEDURES $3,470 $3,470 $11,648 −70% $21,014 −83% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,470 $3,470 $34,907 −90% $60,098 −94% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,470 $3,470 $18,227 −81% $34,900 −90% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,339 −74% $34,906 −90% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,470 $3,470 $28,012 −88% $52,908 −93% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,470 $3,470 $15,049 −77% $29,558 −88% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $10,150 −66% $20,842 −83% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,470 $3,470 $19,273 −82% $37,080 −91% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,470 $3,470 $10,664 −67% $21,860 −84% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $6,793 −49% $13,586 −74% —
149 DYSEQUILIBRIUM $3,470 $3,470 $6,256 −45% $17,203 −80% —
150 EPISTAXIS WITH MCC $3,470 $3,470 $11,841 −71% $21,133 −84% —
151 EPISTAXIS WITHOUT MCC $3,470 $3,470 $6,494 −47% $13,032 −73% —
152 OTITIS MEDIA AND URI WITH MCC $3,470 $3,470 $9,627 −64% $19,795 −82% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,470 $3,470 $6,038 −43% $14,473 −76% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,470 $3,470 $13,610 −75% $24,465 −86% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,470 $3,470 $7,998 −57% $16,642 −79% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $5,760 −40% $13,198 −74% —
157 DENTAL AND ORAL DISEASES WITH MCC $3,470 $3,470 $13,892 −75% $27,457 −87% —
158 DENTAL AND ORAL DISEASES WITH CC $3,470 $3,470 $7,980 −57% $17,700 −80% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,470 $3,470 $5,651 −39% $13,368 −74% —
164 MAJOR CHEST PROCEDURES WITH CC $3,470 — $21,353 −84% $53,141 −93% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $15,813 −78% $41,380 −92% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,470 $3,470 $15,653 −78% $40,563 −91% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $11,330 −69% $28,527 −88% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,470 $3,470 $12,188 −72% $29,757 −88% —
176 PULMONARY EMBOLISM WITHOUT MCC $3,470 $3,470 $7,045 −51% $18,081 −81% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,470 $3,470 $13,714 −75% $31,840 −89% ≈223% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,470 $3,470 $8,416 −59% $22,024 −84% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,470 $3,470 $6,594 −47% $14,444 −76% —
180 RESPIRATORY NEOPLASMS WITH MCC $3,470 $3,470 $14,973 −77% $36,658 −91% —
181 RESPIRATORY NEOPLASMS WITH CC $3,470 $3,470 $9,512 −64% $22,431 −85% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,470 $3,470 $7,131 −51% $14,064 −75% —
183 MAJOR CHEST TRAUMA WITH MCC $3,470 $3,470 $13,466 −74% $28,924 −88% —
184 MAJOR CHEST TRAUMA WITH CC $3,470 $3,470 $9,061 −62% $20,842 −83% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,470 $3,470 $6,727 −48% $15,858 −78% —
186 PLEURAL EFFUSION WITH MCC $3,470 $3,470 $13,404 −74% $32,468 −89% —
187 PLEURAL EFFUSION WITH CC $3,470 $3,470 $8,517 −59% $21,467 −84% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,470 $3,470 $6,229 −44% $14,110 −75% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,470 $3,470 $10,497 −67% $25,704 −87% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,470 $3,470 $9,714 −64% $24,190 −86% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,470 $3,470 $7,431 −53% $18,278 −81% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,470 $3,470 $5,598 −38% $14,368 −76% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,470 $3,470 $11,179 −69% $26,158 −87% ≈195% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,470 $3,470 $7,093 −51% $18,204 −81% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,470 $3,470 $5,283 −34% $13,824 −75% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,470 $3,470 $16,297 −79% $30,766 −89% —
197 INTERSTITIAL LUNG DISEASE WITH CC $3,470 $3,470 $8,399 −59% $20,106 −83% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,470 $3,470 $6,058 −43% $13,654 −75% —
199 PNEUMOTHORAX WITH MCC $3,470 $3,470 $15,123 −77% $31,491 −89% —
200 PNEUMOTHORAX WITH CC $3,470 $3,470 $9,580 −64% $20,573 −83% —
201 PNEUMOTHORAX WITHOUT CC/MCC $3,470 $3,470 $5,857 −41% $13,081 −73% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,470 $3,470 $8,281 −58% $17,273 −80% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,470 $3,470 $6,025 −42% $12,279 −72% —
204 RESPIRATORY SIGNS AND SYMPTOMS $3,470 $3,470 $7,015 −51% $16,866 −79% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,470 $3,470 $16,015 −78% $32,204 −89% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,470 $3,470 $7,835 −56% $17,731 −80% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,470 $3,470 $22,768 −85% $52,405 −93% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,470 $3,470 $12,810 −73% $24,229 −86% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,470 $3,470 $19,668 −82% $50,011 −93% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,470 $3,470 $15,683 −78% $40,063 −91% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $3,470 — $19,811 −82% $51,339 −93% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $3,470 $3,470 $13,256 −74% $41,380 −92% —
253 OTHER VASCULAR PROCEDURES WITH CC $3,470 — $22,753 −85% $53,746 −94% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $14,950 −77% $38,836 −91% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,470 $3,470 $21,896 −84% $43,697 −92% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,470 $3,470 $14,368 −76% $29,729 −88% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,470 $3,470 $7,566 −54% $15,764 −78% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,470 $3,470 $14,911 −77% $35,673 −90% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,470 $3,470 $16,567 −79% $42,126 −92% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,470 $3,470 $12,876 −73% $33,694 −90% —
263 VEIN LIGATION AND STRIPPING $3,470 $3,470 $23,200 −85% $44,938 −92% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,470 $3,470 $29,651 −88% $51,953 −93% —
265 AICD LEAD PROCEDURES $3,470 $3,470 $31,144 −89% $56,695 −94% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,470 — $30,072 −88% $71,014 −95% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,470 — $21,745 −84% $55,162 −94% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,470 $3,470 $14,198 −76% $28,967 −88% ≈225% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,470 $3,470 $7,820 −56% $20,463 −83% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,470 $3,470 $6,272 −45% $18,623 −81% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,470 $3,470 $16,589 −79% $35,014 −90% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,470 $3,470 $6,286 −45% $13,282 −74% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,470 $3,470 $4,763 −27% $10,039 −65% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $3,470 $3,470 $19,498 −82% $44,600 −92% ≈199% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,470 $3,470 $9,426 −63% $31,190 −89% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,470 $3,470 $22,859 −85% $45,497 −92% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,470 $3,470 $13,487 −74% $29,371 −88% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,470 $3,470 $8,305 −58% $15,901 −78% —
291 HEART FAILURE AND SHOCK WITH MCC $3,470 $3,470 $11,286 −69% $25,020 −86% ≈194% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $3,470 $3,470 $7,306 −53% $16,212 −79% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,470 $3,470 $4,790 −28% $11,955 −71% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,470 $3,470 $10,418 −67% $19,132 −82% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,470 $3,470 $6,267 −45% $13,445 −74% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,470 $3,470 $14,036 −75% $30,910 −89% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,470 $3,470 $5,976 −42% $12,336 −72% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,470 $3,470 $3,989 −13% $8,927 −61% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,470 $3,470 $13,351 −74% $25,731 −87% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,470 $3,470 $9,260 −63% $19,579 −82% ≈217% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,470 $3,470 $6,171 −44% $15,607 −78% —
302 ATHEROSCLEROSIS WITH MCC $3,470 $3,470 $10,062 −66% $20,844 −83% —
303 ATHEROSCLEROSIS WITHOUT MCC $3,470 $3,470 $5,704 −39% $14,927 −77% —
304 HYPERTENSION WITH MCC $3,470 $3,470 $10,162 −66% $24,185 −86% —
305 HYPERTENSION WITHOUT MCC $3,470 $3,470 $6,493 −47% $17,144 −80% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,470 $3,470 $12,703 −73% $24,450 −86% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,470 $3,470 $7,859 −56% $18,608 −81% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,470 $3,470 $10,431 −67% $26,488 −87% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,470 $3,470 $6,333 −45% $16,865 −79% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,470 $3,470 $4,793 −28% $13,384 −74% —
311 ANGINA PECTORIS $3,470 $3,470 $5,924 −41% $15,165 −77% —
312 SYNCOPE AND COLLAPSE $3,470 $3,470 $7,537 −54% $19,342 −82% ≈172% of Medicare
313 CHEST PAIN $3,470 $3,470 $6,171 −44% $15,962 −78% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,470 $3,470 $18,627 −81% $38,357 −91% ≈216% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,470 $3,470 $8,164 −57% $20,777 −83% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $5,792 −40% $12,797 −73% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,470 $3,470 $20,257 −83% $36,080 −90% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $3,470 — $24,151 −86% $74,274 −95% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,470 — $15,140 −77% $54,772 −94% ≈280% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,470 — $27,766 −88% $66,819 −95% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $3,470 $3,470 $24,988 −86% $53,551 −94% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,470 — $20,599 −83% $54,824 −94% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,518 −74% $35,375 −90% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,470 — $20,052 −83% $58,832 −94% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $14,006 −75% $44,117 −92% —
332 RECTAL RESECTION WITH MCC $3,470 $3,470 $29,427 −88% $58,125 −94% —
333 RECTAL RESECTION WITH CC $3,470 $3,470 $18,469 −81% $34,352 −90% —
334 RECTAL RESECTION WITHOUT CC/MCC $3,470 $3,470 $14,071 −75% $32,213 −89% —
336 PERITONEAL ADHESIOLYSIS WITH CC $3,470 $3,470 $21,904 −84% $49,470 −93% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,470 $3,470 $13,340 −74% $36,239 −90% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $3,470 $3,470 $24,914 −86% $44,839 −92% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,470 $3,470 $12,753 −73% $31,062 −89% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $10,668 −67% $26,146 −87% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,470 $3,470 $20,663 −83% $40,548 −91% —
348 ANAL AND STOMAL PROCEDURES WITH CC $3,470 $3,470 $10,889 −68% $27,947 −88% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $7,620 −54% $19,854 −83% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,470 $3,470 $20,519 −83% $46,591 −93% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,470 $3,470 $12,763 −73% $33,792 −90% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $9,354 −63% $25,162 −86% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,470 $3,470 $26,562 −87% $60,140 −94% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,470 $3,470 $14,431 −76% $43,266 −92% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,470 $3,470 $11,310 −69% $31,978 −89% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,470 $3,470 $19,570 −82% $48,682 −93% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $11,609 −70% $29,374 −88% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,470 $3,470 $14,167 −76% $33,607 −90% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,470 $3,470 $8,633 −60% $22,713 −85% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,470 $3,470 $5,921 −41% $15,072 −77% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,470 $3,470 $15,120 −77% $31,758 −89% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,470 $3,470 $8,732 −60% $22,850 −85% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,470 $3,470 $6,154 −44% $16,104 −78% —
374 DIGESTIVE MALIGNANCY WITH MCC $3,470 $3,470 $18,263 −81% $38,885 −91% —
375 DIGESTIVE MALIGNANCY WITH CC $3,470 $3,470 $10,526 −67% $27,219 −87% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $7,491 −54% $15,608 −78% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,470 $3,470 $15,800 −78% $37,842 −91% ≈168% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,470 $3,470 $8,364 −59% $21,886 −84% ≈187% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,470 $3,470 $5,559 −38% $14,134 −75% —
380 COMPLICATED PEPTIC ULCER WITH MCC $3,470 $3,470 $16,722 −79% $36,641 −91% —
381 COMPLICATED PEPTIC ULCER WITH CC $3,470 $3,470 $9,239 −62% $24,177 −86% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,470 $3,470 $6,357 −45% $16,634 −79% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,470 $3,470 $10,725 −68% $26,634 −87% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,470 $3,470 $7,377 −53% $19,305 −82% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,470 $3,470 $14,054 −75% $26,020 −87% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,470 $3,470 $8,420 −59% $20,968 −83% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,470 $3,470 $5,798 −40% $14,880 −77% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,470 $3,470 $12,592 −72% $28,780 −88% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,470 $3,470 $6,800 −49% $17,388 −80% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,470 $3,470 $4,642 −25% $13,318 −74% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,470 $3,470 $10,897 −68% $27,244 −87% ≈213% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,470 $3,470 $6,685 −48% $17,322 −80% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,470 $3,470 $14,049 −75% $32,689 −89% ≈168% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,470 $3,470 $7,986 −57% $18,918 −82% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $5,399 −36% $14,128 −75% —
397 APPENDIX PROCEDURES WITH MCC $3,470 $3,470 $21,532 −84% $52,319 −93% —
398 APPENDIX PROCEDURES WITH CC $3,470 $3,470 $12,663 −73% $39,107 −91% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $9,534 −64% $30,314 −89% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $3,470 $3,470 $33,189 −90% $75,492 −95% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,470 $3,470 $24,059 −86% $58,043 −94% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $18,560 −81% $40,232 −91% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,470 $3,470 $17,896 −81% $46,066 −92% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,470 $3,470 $13,417 −74% $34,434 −90% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,470 $3,470 $23,780 −85% $48,358 −93% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,470 $3,470 $18,686 −81% $37,654 −91% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,470 $3,470 $13,994 −75% $27,548 −87% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,470 $3,470 $17,190 −80% $43,398 −92% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,470 $3,470 $11,624 −70% $30,418 −89% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,470 $3,470 $14,069 −75% $42,119 −92% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,470 $3,470 $11,178 −69% $34,887 −90% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,470 $3,470 $29,942 −88% $50,919 −93% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,470 $3,470 $13,893 −75% $36,333 −90% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $12,466 −72% $25,152 −86% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,470 $3,470 $19,842 −83% $39,253 −91% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,114 −74% $25,484 −86% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,470 $3,470 $16,783 −79% $36,933 −91% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,470 $3,470 $9,254 −63% $23,749 −85% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,470 $3,470 $5,829 −40% $12,405 −72% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,470 $3,470 $15,782 −78% $37,950 −91% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,470 $3,470 $9,567 −64% $24,017 −86% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,470 $3,470 $6,661 −48% $13,385 −74% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,470 $3,470 $14,391 −76% $32,502 −89% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,470 $3,470 $7,369 −53% $19,096 −82% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $5,370 −35% $15,070 −77% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,470 $3,470 $16,037 −78% $32,399 −89% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,470 $3,470 $8,357 −58% $21,449 −84% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,470 $3,470 $6,020 −42% $15,600 −78% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,470 $3,470 $14,290 −76% $31,128 −89% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,470 $3,470 $9,291 −63% $21,806 −84% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,470 $3,470 $6,896 −50% $17,700 −80% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,470 $3,470 $26,180 −87% $65,216 −95% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,470 — $29,422 −88% $56,758 −94% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,470 $3,470 $46,936 −93% $78,582 −96% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,470 $3,470 $25,014 −86% $54,313 −94% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,470 $3,470 $14,728 −76% $32,839 −89% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,470 $3,470 $22,797 −85% $54,929 −94% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,470 $3,470 $16,152 −79% $49,197 −93% —
472 CERVICAL SPINAL FUSION WITH CC $3,470 — $25,060 −86% $59,537 −94% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,470 $3,470 $20,281 −83% $50,624 −93% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,470 $3,470 $19,205 −82% $44,553 −92% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,470 $3,470 $9,867 −65% $21,062 −84% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,470 $3,470 $20,417 −83% $50,139 −93% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,470 $3,470 $15,065 −77% $31,909 −89% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,470 — $17,775 −80% $51,172 −93% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,470 $3,470 $13,458 −74% $39,747 −91% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,470 $3,470 $22,247 −84% $57,149 −94% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $3,470 $3,470 $27,579 −87% $64,956 −95% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,470 $3,470 $18,345 −81% $46,477 −93% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,470 $3,470 $13,406 −74% $33,490 −90% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,470 $3,470 $16,673 −79% $41,520 −92% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,470 $3,470 $10,506 −67% $27,492 −87% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $3,470 $3,470 $28,417 −88% $56,394 −94% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,470 $3,470 $16,152 −79% $45,963 −92% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,470 $3,470 $17,146 −80% $43,800 −92% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,470 $3,470 $11,390 −70% $29,805 −88% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,470 $3,470 $22,044 −84% $46,659 −93% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,470 $3,470 $9,848 −65% $22,532 −85% —
500 SOFT TISSUE PROCEDURES WITH MCC $3,470 $3,470 $27,145 −87% $57,479 −94% —
501 SOFT TISSUE PROCEDURES WITH CC $3,470 $3,470 $15,581 −78% $37,975 −91% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $11,853 −71% $30,006 −88% —
503 FOOT PROCEDURES WITH MCC $3,470 $3,470 $23,106 −85% $43,901 −92% —
504 FOOT PROCEDURES WITH CC $3,470 $3,470 $14,889 −77% $36,598 −91% —
505 FOOT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $14,889 −77% $31,716 −89% —
506 MAJOR THUMB OR JOINT PROCEDURES $3,470 $3,470 $12,842 −73% $28,983 −88% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,470 $3,470 $16,604 −79% $36,202 −90% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $10,801 −68% $22,811 −85% —
509 ARTHROSCOPY $3,470 $3,470 $14,903 −77% $25,994 −87% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,470 $3,470 $24,247 −86% $49,055 −93% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,470 $3,470 $16,964 −80% $43,538 −92% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,640 −75% $35,692 −90% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,470 $3,470 $13,023 −73% $33,424 −90% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $8,819 −61% $20,080 −83% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,470 $3,470 $26,998 −87% $62,821 −94% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,470 $3,470 $18,104 −81% $45,817 −92% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $12,912 −73% $33,137 −90% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,470 $3,470 $17,136 −80% $43,775 −92% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,470 $3,470 $12,397 −72% $31,816 −89% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $3,470 — $35,073 −90% $67,764 −95% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,470 — $17,642 −80% $56,519 −94% —
533 FRACTURES OF FEMUR WITH MCC $3,470 $3,470 $12,936 −73% $25,945 −87% —
534 FRACTURES OF FEMUR WITHOUT MCC $3,470 $3,470 $6,906 −50% $17,195 −80% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,470 $3,470 $11,503 −70% $23,350 −85% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,470 $3,470 $6,879 −50% $18,002 −81% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,470 $3,470 $7,873 −56% $16,352 −79% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,470 $3,470 $5,697 −39% $11,909 −71% —
539 OSTEOMYELITIS WITH MCC $3,470 $3,470 $17,157 −80% $33,746 −90% —
540 OSTEOMYELITIS WITH CC $3,470 $3,470 $11,086 −69% $23,494 −85% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,470 $3,470 $7,495 −54% $14,549 −76% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,470 $3,470 $15,978 −78% $35,114 −90% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,470 $3,470 $9,000 −61% $23,496 −85% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $6,537 −47% $16,776 −79% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,470 $3,470 $21,147 −84% $39,657 −91% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,470 $3,470 $9,688 −64% $24,202 −86% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,470 $3,470 $6,330 −45% $14,861 −77% —
548 SEPTIC ARTHRITIS WITH MCC $3,470 $3,470 $17,091 −80% $31,019 −89% —
549 SEPTIC ARTHRITIS WITH CC $3,470 $3,470 $10,085 −66% $20,938 −83% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,470 $3,470 $7,314 −53% $16,156 −79% —
551 MEDICAL BACK PROBLEMS WITH MCC $3,470 $3,470 $14,618 −76% $31,086 −89% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,470 $3,470 $8,176 −58% $21,213 −84% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,470 $3,470 $11,297 −69% $23,956 −86% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,470 $3,470 $7,219 −52% $18,253 −81% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,470 $3,470 $11,648 −70% $23,723 −85% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,470 $3,470 $6,927 −50% $17,715 −80% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,470 $3,470 $13,276 −74% $28,646 −88% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,470 $3,470 $7,328 −53% $17,367 −80% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,470 $3,470 $15,902 −78% $30,974 −89% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,470 $3,470 $9,755 −64% $24,452 −86% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,470 $3,470 $6,936 −50% $18,150 −81% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,470 $3,470 $12,416 −72% $29,211 −88% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,470 $3,470 $7,583 −54% $18,803 −82% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,470 $3,470 $13,312 −74% $32,936 −89% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,470 $3,470 $8,651 −60% $21,545 −84% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $6,409 −46% $14,337 −76% —
570 SKIN DEBRIDEMENT WITH MCC $3,470 $3,470 $26,159 −87% $52,435 −93% —
571 SKIN DEBRIDEMENT WITH CC $3,470 $3,470 $14,343 −76% $34,901 −90% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,470 $3,470 $9,692 −64% $24,432 −86% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $3,470 $3,470 $30,877 −89% $49,065 −93% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,470 $3,470 $17,271 −80% $29,109 −88% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,470 $3,470 $46,886 −93% $82,527 −96% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,470 $3,470 $22,590 −85% $45,432 −92% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,470 $3,470 $14,340 −76% $28,578 −88% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,470 $3,470 $15,336 −77% $36,242 −90% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $12,424 −72% $25,243 −86% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,470 $3,470 $14,856 −77% $34,264 −90% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $13,936 −75% $31,566 −89% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,470 $3,470 $17,710 −80% $34,089 −90% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $16,841 −79% $29,633 −88% —
592 SKIN ULCERS WITH MCC $3,470 $3,470 $17,616 −80% $32,662 −89% —
593 SKIN ULCERS WITH CC $3,470 $3,470 $10,474 −67% $20,470 −83% —
594 SKIN ULCERS WITHOUT CC/MCC $3,470 $3,470 $7,271 −52% $14,209 −76% —
595 MAJOR SKIN DISORDERS WITH MCC $3,470 $3,470 $17,943 −81% $31,785 −89% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,470 $3,470 $9,261 −63% $17,226 −80% —
597 MALIGNANT BREAST DISORDERS WITH MCC $3,470 $3,470 $14,903 −77% $31,846 −89% —
598 MALIGNANT BREAST DISORDERS WITH CC $3,470 $3,470 $9,153 −62% $19,073 −82% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,470 $3,470 $7,253 −52% $14,290 −76% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,470 $3,470 $8,195 −58% $16,418 −79% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,470 $3,470 $5,186 −33% $10,975 −68% —
602 CELLULITIS WITH MCC $3,470 $3,470 $12,464 −72% $29,347 −88% —
603 CELLULITIS WITHOUT MCC $3,470 $3,470 $7,472 −54% $18,530 −81% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,470 $3,470 $12,604 −72% $28,140 −88% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,470 $3,470 $7,990 −57% $19,287 −82% —
606 MINOR SKIN DISORDERS WITH MCC $3,470 $3,470 $13,661 −75% $25,434 −86% —
607 MINOR SKIN DISORDERS WITHOUT MCC $3,470 $3,470 $7,475 −54% $15,284 −77% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,470 $3,470 $19,713 −82% $43,586 −92% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $12,276 −72% $31,812 −89% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,470 $3,470 $34,783 −90% $62,961 −94% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,470 $3,470 $16,387 −79% $42,881 −92% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,470 $3,470 $10,663 −67% $19,354 −82% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $3,470 $3,470 $23,568 −85% $44,973 −92% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,470 $3,470 $14,418 −76% $35,453 −90% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,470 $3,470 $12,523 −72% $32,451 −89% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,470 $3,470 $16,227 −79% $33,165 −90% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,470 $3,470 $8,510 −59% $17,078 −80% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,470 $3,470 $24,323 −86% $58,968 −94% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,470 $3,470 $12,930 −73% $27,279 −87% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $10,748 −68% $25,623 −86% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,470 $3,470 $19,545 −82% $45,059 −92% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $11,888 −71% $24,452 −86% —
637 DIABETES WITH MCC $3,470 $3,470 $12,597 −72% $28,819 −88% —
638 DIABETES WITH CC $3,470 $3,470 $7,934 −56% $18,821 −82% ≈200% of Medicare
639 DIABETES WITHOUT CC/MCC $3,470 $3,470 $5,316 −35% $13,910 −75% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,470 $3,470 $11,487 −70% $24,480 −86% ≈188% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,470 $3,470 $6,629 −48% $16,745 −79% ≈177% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,470 $3,470 $10,529 −67% $20,727 −83% —
643 ENDOCRINE DISORDERS WITH MCC $3,470 $3,470 $14,060 −75% $32,996 −89% —
644 ENDOCRINE DISORDERS WITH CC $3,470 $3,470 $8,939 −61% $22,941 −85% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,470 $3,470 $6,671 −48% $14,166 −76% —
654 MAJOR BLADDER PROCEDURES WITH CC $3,470 — $24,176 −86% $53,868 −94% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $17,623 −80% $41,651 −92% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,470 $3,470 $15,661 −78% $40,583 −91% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,470 $3,470 $12,884 −73% $35,528 −90% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,470 $3,470 $22,354 −84% $48,094 −93% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,470 $3,470 $11,645 −70% $30,358 −89% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,470 $3,470 $8,880 −61% $24,022 −86% —
663 MINOR BLADDER PROCEDURES WITH CC $3,470 $3,470 $13,212 −74% $29,924 −88% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $9,250 −62% $18,126 −81% —
666 PROSTATECTOMY WITH CC $3,470 $3,470 $14,112 −75% $30,016 −88% —
667 PROSTATECTOMY WITHOUT CC/MCC $3,470 $3,470 $8,805 −61% $16,703 −79% —
668 TRANSURETHRAL PROCEDURES WITH MCC $3,470 $3,470 $25,343 −86% $47,277 −93% —
669 TRANSURETHRAL PROCEDURES WITH CC $3,470 $3,470 $13,128 −74% $34,354 −90% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $8,108 −57% $20,371 −83% —
671 URETHRAL PROCEDURES WITH CC/MCC $3,470 $3,470 $14,623 −76% $27,233 −87% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $8,828 −61% $17,398 −80% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $3,470 $3,470 $27,750 −87% $49,631 −93% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,279 −74% $32,490 −89% —
682 RENAL FAILURE WITH MCC $3,470 $3,470 $12,741 −73% $27,854 −88% ≈233% of Medicare
683 RENAL FAILURE WITH CC $3,470 $3,470 $7,689 −55% $18,620 −81% ≈173% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $3,470 $3,470 $5,153 −33% $13,623 −75% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,470 $3,470 $15,997 −78% $32,981 −89% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,470 $3,470 $8,689 −60% $18,478 −81% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,470 $3,470 $6,144 −44% $12,593 −72% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,470 $3,470 $9,928 −65% $22,982 −85% ≈189% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,470 $3,470 $6,809 −49% $17,466 −80% ≈171% of Medicare
693 URINARY STONES WITH MCC $3,470 $3,470 $12,474 −72% $22,525 −85% —
694 URINARY STONES WITHOUT MCC $3,470 $3,470 $6,629 −48% $16,531 −79% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,470 $3,470 $9,661 −64% $20,741 −83% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,470 $3,470 $5,984 −42% $14,441 −76% —
697 URETHRAL STRICTURE $3,470 $3,470 $8,499 −59% $17,705 −80% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,470 $3,470 $14,260 −76% $30,058 −88% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,470 $3,470 $8,737 −60% $20,732 −83% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $5,889 −41% $13,303 −74% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,470 $3,470 $16,240 −79% $43,080 −92% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $12,700 −73% $32,911 −89% —
709 PENIS PROCEDURES WITH CC/MCC $3,470 $3,470 $19,437 −82% $34,535 −90% —
710 PENIS PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $12,737 −73% $23,814 −85% —
711 TESTES PROCEDURES WITH CC/MCC $3,470 $3,470 $16,209 −79% $34,852 −90% —
712 TESTES PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $8,951 −61% $18,898 −82% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,470 $3,470 $12,387 −72% $29,663 −88% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,470 $3,470 $8,050 −57% $17,108 −80% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,470 $3,470 $19,158 −82% $38,998 −91% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $12,041 −71% $21,615 −84% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,470 $3,470 $15,528 −78% $32,538 −89% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $10,451 −67% $20,147 −83% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,470 $3,470 $14,811 −77% $29,826 −88% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,470 $3,470 $9,526 −64% $19,317 −82% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,470 $3,470 $6,242 −44% $12,650 −73% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,470 $3,470 $10,566 −67% $19,894 −83% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,470 $3,470 $6,315 −45% $13,892 −75% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,470 $3,470 $12,466 −72% $25,786 −87% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,470 $3,470 $6,744 −49% $16,837 −79% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,470 $3,470 $9,346 −63% $17,483 −80% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $5,274 −34% $11,071 −69% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,470 $3,470 $19,834 −83% $35,686 −90% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,470 $3,470 $10,399 −67% $23,297 −85% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,470 $3,470 $16,953 −80% $44,363 −92% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $12,869 −73% $30,972 −89% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,470 $3,470 $15,426 −78% $36,597 −91% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $11,881 −71% $29,050 −88% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,470 $3,470 $15,497 −78% $40,552 −91% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,470 $3,470 $10,169 −66% $27,369 −87% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,470 $3,470 $16,902 −79% $33,050 −90% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,470 $3,470 $8,779 −60% $16,495 −79% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,470 $3,470 $14,485 −76% $29,916 −88% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $8,103 −57% $19,326 −82% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,470 $3,470 $11,784 −71% $24,980 −86% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,470 $3,470 $21,960 −84% $41,703 −92% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $11,047 −69% $23,920 −85% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,470 $3,470 $15,500 −78% $29,476 −88% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,470 $3,470 $9,602 −64% $18,459 −81% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,470 $3,470 $8,181 −58% $15,589 −78% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,470 $3,470 $12,007 −71% $23,734 −85% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,470 $3,470 $8,732 −60% $19,091 −82% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,470 $3,470 $5,562 −38% $14,208 −76% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,470 $3,470 $8,361 −58% $18,282 −81% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,470 $3,470 $5,483 −37% $11,421 −70% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $3,470 $3,470 $11,271 −69% $17,103 −80% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,470 $3,470 $11,903 −71% $24,561 −86% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,470 $3,470 $9,128 −62% $17,943 −81% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,470 $3,470 $6,053 −43% $12,381 −72% —
779 ABORTION WITHOUT D&C $3,470 $3,470 $7,930 −56% $15,327 −77% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $3,470 $3,470 $16,156 −79% $28,375 −88% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $3,470 $3,470 $10,545 −67% $19,815 −82% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $3,470 $3,470 $9,775 −65% $23,571 −85% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,470 $3,470 $15,085 −77% $14,284 −76% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $3,470 $3,470 $11,094 −69% $22,557 −85% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $14,064 −75% $28,634 −88% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,470 $3,470 $30,575 −89% $59,425 −94% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,470 $3,470 $15,101 −77% $33,564 −90% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,470 $3,470 $9,379 −63% $24,544 −86% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,470 $3,470 $19,811 −82% $36,334 −90% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,470 $3,470 $10,507 −67% $22,032 −84% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,470 $3,470 $8,075 −57% $18,428 −81% —
811 RED BLOOD CELL DISORDERS WITH MCC $3,470 $3,470 $12,169 −71% $27,934 −88% ≈184% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,470 $3,470 $7,983 −57% $20,488 −83% ≈185% of Medicare
813 COAGULATION DISORDERS $3,470 $3,470 $13,132 −74% $30,128 −88% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,470 $3,470 $17,735 −80% $32,483 −89% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,470 $3,470 $8,620 −60% $18,017 −81% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,470 $3,470 $5,704 −39% $13,485 −74% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,470 $3,470 $18,088 −81% $36,097 −90% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,470 $3,470 $10,927 −68% $24,316 −86% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $6,927 −50% $17,928 −81% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,470 $3,470 $18,682 −81% $44,053 −92% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $9,798 −65% $25,390 −86% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,470 $3,470 $18,841 −82% $38,382 −91% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $10,441 −67% $27,321 −87% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,470 $3,470 $20,508 −83% $47,546 −93% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,598 −74% $35,584 −90% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,470 $3,470 $27,771 −88% $53,817 −94% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $12,529 −72% $25,149 −86% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,470 $3,470 $9,405 −63% $18,133 −81% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,470 $3,470 $6,341 −45% $12,895 −73% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $4,496 −23% $9,076 −62% —
834 ACUTE LEUKEMIA WITH MCC $3,470 $3,470 $46,891 −93% $76,583 −95% —
835 ACUTE LEUKEMIA WITH CC $3,470 $3,470 $17,874 −81% $35,569 −90% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,470 $3,470 $10,780 −68% $19,686 −82% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,470 $3,470 $17,206 −80% $30,661 −89% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,470 $3,470 $11,626 −70% $20,980 −83% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,470 $3,470 $27,054 −87% $49,710 −93% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,470 $3,470 $13,302 −74% $31,059 −89% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,470 $3,470 $8,924 −61% $17,550 −80% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,470 $3,470 $16,062 −78% $36,280 −90% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,470 $3,470 $10,139 −66% $20,421 −83% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $7,169 −52% $14,055 −75% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,470 $3,470 $21,877 −84% $38,878 −91% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,470 $3,470 $10,780 −68% $22,275 −84% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,470 $3,470 $7,015 −51% $13,822 −75% —
849 RADIOTHERAPY $3,470 $3,470 $22,353 −84% $37,862 −91% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $3,470 $3,470 $77,091 −95% $121,563 −97% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,470 $3,470 $17,364 −80% $43,524 −92% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $13,926 −75% $27,168 −87% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,470 $3,470 $19,259 −82% $41,900 −92% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,470 $3,470 $10,930 −68% $23,924 −85% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,470 $3,470 $15,904 −78% $30,394 −89% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,470 $3,470 $8,483 −59% $20,007 −83% —
864 FEVER AND INFLAMMATORY CONDITIONS $3,470 $3,470 $7,618 −54% $17,412 −80% —
865 VIRAL ILLNESS WITH MCC $3,470 $3,470 $12,521 −72% $26,088 −87% —
866 VIRAL ILLNESS WITHOUT MCC $3,470 $3,470 $7,506 −54% $16,391 −79% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,470 $3,470 $18,191 −81% $36,850 −91% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,470 $3,470 $9,083 −62% $22,231 −84% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,470 $3,470 $6,105 −43% $12,537 −72% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,470 $3,470 $16,645 −79% $35,237 −90% ≈217% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,470 $3,470 $8,918 −61% $22,781 −85% ≈210% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,470 $3,470 $33,337 −90% $54,196 −94% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,470 $3,470 $8,292 −58% $15,636 −78% —
881 DEPRESSIVE NEUROSES $3,470 $3,470 $7,831 −56% $15,058 −77% —
882 NEUROSES EXCEPT DEPRESSIVE $3,470 $3,470 $8,241 −58% $15,680 −78% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $3,470 $3,470 $15,515 −78% $22,698 −85% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,470 $3,470 $14,169 −76% $25,208 −86% ≈178% of Medicare
885 PSYCHOSES $3,470 $3,470 $11,958 −71% $21,489 −84% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $3,470 $3,470 $15,241 −77% $24,836 −86% —
887 OTHER MENTAL DISORDER DIAGNOSES $3,470 $3,470 $10,090 −66% $20,602 −83% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,470 $3,470 $5,424 −36% $12,013 −71% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,470 $3,470 $12,117 −71% $21,986 −84% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,470 $3,470 $15,107 −77% $30,275 −89% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,470 $3,470 $7,484 −54% $16,049 −78% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,470 $3,470 $37,586 −91% $68,847 −95% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,470 $3,470 $16,098 −78% $35,459 −90% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,470 $3,470 $10,444 −67% $23,588 −85% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,470 $3,470 $33,398 −90% $55,097 −94% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,470 $3,470 $13,793 −75% $25,197 −86% —
906 HAND PROCEDURES FOR INJURIES $3,470 $3,470 $18,264 −81% $31,520 −89% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,470 $3,470 $17,112 −80% $41,660 −92% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,470 $3,470 $10,760 −68% $28,156 −88% —
913 TRAUMATIC INJURY WITH MCC $3,470 $3,470 $13,729 −75% $24,198 −86% —
914 TRAUMATIC INJURY WITHOUT MCC $3,470 $3,470 $7,850 −56% $15,593 −78% —
915 ALLERGIC REACTIONS WITH MCC $3,470 $3,470 $14,888 −77% $30,944 −89% —
916 ALLERGIC REACTIONS WITHOUT MCC $3,470 $3,470 $5,634 −38% $13,890 −75% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,470 $3,470 $13,910 −75% $28,134 −88% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,470 $3,470 $7,504 −54% $15,045 −77% —
919 COMPLICATIONS OF TREATMENT WITH MCC $3,470 $3,470 $15,622 −78% $29,031 −88% —
920 COMPLICATIONS OF TREATMENT WITH CC $3,470 $3,470 $8,787 −61% $21,181 −84% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,470 $3,470 $5,948 −42% $14,012 −75% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,470 $3,470 $14,613 −76% $29,409 −88% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,470 $3,470 $8,652 −60% $16,571 −79% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,470 $3,470 $56,660 −94% $89,353 −96% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,470 $3,470 $33,230 −90% $59,352 −94% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,470 $3,470 $18,382 −81% $31,044 −89% —
935 NON-EXTENSIVE BURNS $3,470 $3,470 $18,633 −81% $29,458 −88% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,470 $3,470 $26,927 −87% $51,142 −93% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,470 $3,470 $17,669 −80% $38,420 −91% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,470 $3,470 $16,579 −79% $29,524 −88% —
945 REHABILITATION WITH CC/MCC $3,470 $3,470 $12,775 −73% $23,834 −85% —
946 REHABILITATION WITHOUT CC/MCC $3,470 $3,470 $9,323 −63% $17,685 −80% —
947 SIGNS AND SYMPTOMS WITH MCC $3,470 $3,470 $11,018 −69% $25,474 −86% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,470 $3,470 $6,872 −50% $17,727 −80% —
949 AFTERCARE WITH CC/MCC $3,470 $3,470 $9,243 −62% $23,953 −86% —
950 AFTERCARE WITHOUT CC/MCC $3,470 $3,470 $5,117 −32% $13,527 −74% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,470 $3,470 $4,950 −30% $9,385 −63% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,470 — $29,424 −88% $40,277 −91% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,470 $3,470 $23,718 −85% $43,491 −92% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,470 $3,470 $12,726 −73% $25,854 −87% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,470 $3,470 $7,742 −55% $17,585 −80% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,470 $3,470 $22,509 −85% $40,947 −92% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,470 $3,470 $25,951 −87% $46,402 −93% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,470 $3,470 $11,895 −71% $25,010 −86% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,470 $3,470 $8,278 −58% $16,212 −79% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,470 $3,470 $12,232 −72% $22,525 −85% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,470 $3,470 $21,375 −84% $51,985 −93% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,470 $3,470 $14,152 −75% $30,930 −89% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,470 $3,470 $14,843 −77% $38,094 −91% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,470 $3,470 $9,899 −65% $25,307 −86% —

Procedures with negotiated rates only

These 145 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 – $313,169 · median $214,807 22 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $58,158 – $209,552 · median $151,144 22 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $58,158 – $193,049 · median $137,292 22 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $251,074 · median $169,159 22 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $49,843 – $171,873 · median $123,966 22 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $49,843 – $154,871 · median $107,488 22 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $49,843 – $274,970 · median $181,958 22 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $49,843 – $198,221 · median $139,372 22 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $49,843 – $276,562 · median $182,939 22 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $49,843 – $276,562 · median $124,517 22 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $49,843 – $204,650 · median $137,717 22 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $43,852 – $138,276 · median $96,242 22 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $68,419 – $165,931 · median $123,772 21 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $44,676 – $165,931 · median $82,218 21 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $9,955 – $110,067 · median $77,992 21 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $64,859 – $695,424 · median $483,428 20 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $58,702 – $343,786 · median $244,496 20 plans
245 AICD GENERATOR PROCEDURES $26,530 – $158,572 · median $112,773 20 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $31,049 – $216,357 · median $153,868 20 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $19,976 – $135,011 · median $96,016 20 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,049 – $166,561 · median $118,454 20 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $16,823 – $126,885 · median $90,238 20 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $16,823 – $101,273 · median $72,023 20 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $35,704 – $111,313 · median $79,451 19 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $17,956 – $77,115 · median $55,042 19 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $17,956 – $105,719 · median $75,459 19 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,463 – $91,036 · median $65,661 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $4,463 – $110,528 · median $79,721 18 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $10,611 – $149,003 · median $107,471 18 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $9,453 – $129,176 · median $92,856 18 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $125,641 – $458,498 · median $327,265 17 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $41,076 – $133,161 · median $95,656 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $117,774 – $261,571 · median $200,778 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $51,404 – $121,311 · median $81,768 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $61,136 – $185,125 · median $134,914 17 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $43,714 – $123,361 · median $89,903 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $47,829 – $145,122 · median $105,761 17 plans
028 SPINAL PROCEDURES WITH MCC $60,846 – $197,274 · median $143,768 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $47,612 – $135,981 · median $99,099 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $40,855 – $126,184 · median $91,960 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $42,887 – $122,399 · median $89,203 17 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $30,404 – $87,723 · median $63,775 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $39,016 – $118,397 · median $84,508 17 plans
163 MAJOR CHEST PROCEDURES WITH MCC $53,045 – $149,564 · median $108,998 17 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $40,605 – $124,938 · median $91,052 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $62,425 – $209,851 · median $149,787 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $50,825 – $163,442 · median $119,113 17 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $30,039 – $94,498 · median $68,868 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $77,509 – $194,395 · median $141,670 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $61,772 – $152,663 · median $111,537 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $44,632 – $142,542 · median $103,881 17 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $57,363 – $164,808 · median $120,108 17 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $44,027 – $117,576 · median $85,686 17 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $44,376 – $138,418 · median $100,875 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $59,069 – $176,156 · median $128,378 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $38,785 – $113,614 · median $82,799 17 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $37,183 – $113,695 · median $82,858 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $46,128 – $131,983 · median $96,186 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $98,839 – $274,817 · median $200,280 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $70,890 – $186,238 · median $135,725 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $51,087 – $140,115 · median $102,112 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $58,542 – $197,143 · median $142,132 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $55,499 – $165,315 · median $120,477 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $38,225 – $111,144 · median $80,999 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $34,174 – $106,066 · median $76,996 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $54,358 – $157,615 · median $114,865 17 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $42,174 – $145,524 · median $103,870 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $35,430 – $111,592 · median $81,325 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $32,853 – $95,433 · median $69,549 17 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $37,497 – $115,233 · median $83,979 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $37,360 – $114,240 · median $83,255 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $37,098 – $116,297 · median $84,754 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $57,850 – $199,827 · median $142,630 17 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $32,501 – $105,764 · median $75,491 17 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $41,092 – $121,424 · median $88,491 17 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $40,154 – $128,034 · median $92,316 17 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $60,259 – $180,890 · median $131,828 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $34,445 – $101,228 · median $73,137 17 plans
665 PROSTATECTOMY WITH MCC $32,308 – $111,417 · median $79,526 17 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $38,906 – $135,948 · median $96,331 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $47,028 – $127,771 · median $93,116 17 plans
799 SPLENIC PROCEDURES WITH MCC $53,813 – $154,289 · median $112,442 17 plans
800 SPLENIC PROCEDURES WITH CC $30,931 – $94,550 · median $68,906 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $62,220 – $188,926 · median $137,686 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $46,041 – $151,845 · median $110,661 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $54,582 – $154,960 · median $112,931 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $65,204 – $162,477 · median $115,972 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $55,493 – $162,285 · median $118,271 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $48,168 – $146,397 · median $106,690 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $68,833 – $225,728 · median $160,384 17 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $43,423 – $129,267 · median $94,207 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $23,161 – $762,109 · median $500,937 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $23,161 – $103,201 · median $75,112 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $66,179 – $221,572 · median $157,480 17 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $42,701 – $124,033 · median $90,392 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $81,996 – $242,206 · median $176,513 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $45,612 – $133,359 · median $97,189 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $63,156 – $205,217 · median $146,477 17 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $48,876 – $154,259 · median $112,420 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $36,283 – $113,659 · median $81,432 17 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $49,910 – $99,573 · median $74,498 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $174,819 – $353,496 · median $264,477 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $114,198 – $229,317 · median $171,569 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $100,798 – $201,002 · median $150,385 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $77,623 – $150,950 · median $112,937 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $72,397 – $162,352 · median $117,100 14 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $51,949 – $103,980 · median $77,795 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $67,196 – $138,213 · median $103,408 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $526,224 – $1,223,743 · median $910,281 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $115,135 – $200,742 · median $144,790 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $194,958 – $339,916 · median $245,171 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $132,188 – $230,476 · median $166,235 10 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $102,437 – $178,603 · median $128,821 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $155,227 – $270,644 · median $195,208 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $101,811 – $177,512 · median $128,034 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $124,781 – $217,561 · median $156,920 10 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $75,998 – $132,505 · median $95,572 10 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $95,849 – $167,116 · median $120,536 10 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $102,384 – $256,210 · median $229,138 7 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $66,663 – $176,841 · median $152,228 7 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $52,387 – $133,162 · median $119,092 7 plans
459 Spinal Fusion Except Cervical With MCC $74,576 – $191,760 · median $168,047 7 plans
460 Spinal Fusion Except Cervical Without MCC $43,104 – $105,761 · median $94,586 7 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $82,861 – $210,218 · median $90,822 5 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $65,336 – $155,074 · median $82,861 5 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $80,499 – $183,784 · median $82,861 5 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $61,481 – $140,463 · median $82,861 5 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $72,789 – $165,052 · median $82,861 5 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $34,532 – $78,027 · median $49,781 5 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $56,913 – $131,104 · median $104,587 3 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $22,146 – $49,632 · median $39,593 3 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $33,702 – $79,231 · median $63,205 3 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $20,860 – $46,913 · median $37,425 3 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $31,672 – $69,867 · median $55,736 3 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $18,678 – $42,313 · median $33,754 3 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $13,469 – $30,665 · median $24,463 3 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $27,842 – $57,820 · median $46,125 3 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $17,526 – $35,775 · median $28,539 3 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $12,534 – $27,694 · median $22,093 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $60,656 – $60,656 · median $60,656 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS $41,427 – $41,427 · median $41,427 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $24,995 – $24,995 · median $24,995 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $42,552 – $42,552 · median $42,552 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $15,061 – $15,061 · median $15,061 1 plans
795 NORMAL NEWBORN $2,038 – $2,038 · median $2,038 1 plans
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