Procedures published 394
Lowest published price $5,823
Average published price $103,391
Highest published price $1,729,175

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 394 procedures

Published charges

Showing all 393 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 31 procedures, this hospital's negotiated rates average ≈359% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
161 IMPLANTABLE HEART ASSIST SYSTEMS,EXTREME $1,729,175 — $1,729,175 +0% $1,181,300 +46% —
588 NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,MAJOR $1,196,961 — $1,196,961 +0% $1,196,961 +0% —
709 PENIS PROCEDURES WITH CC/MCC $1,063,584 — $19,437 +5372% $34,535 +2980% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $558,634 $25,841 $18,584 +2906% $37,902 +1374% —
483 PENIS, TESTES AND SCROTAL PROCEDURES,EXTREME $438,132 — $22,247 +1869% $57,149 +667% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $414,976 $92,198 $99,484 +317% $138,868 +199% —
110 EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES,EXTREME $381,874 — $381,874 +0% $126,895 +201% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $352,506 $89,607 $96,002 +267% $120,587 +192% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $346,884 — $47,381 +632% $61,832 +461% —
530 FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR $333,949 — $333,949 +0% $47,318 +606% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $326,499 $41,780 $48,061 +579% $62,404 +423% —
304 DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,MODERATE $315,546 — $10,162 +3005% $24,185 +1205% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $314,071 — $73,928 +325% $92,238 +241% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $299,351 — $61,822 +384% $102,573 +192% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $291,744 $55,614 $56,801 +414% $92,217 +216% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $284,665 $30,814 $29,424 +867% $40,277 +607% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $276,414 $68,754 $71,838 +285% $96,192 +187% —
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $270,181 — $270,181 +0% $57,380 +371% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $266,047 $12,443 $10,664 +2395% $21,860 +1117% —
181 LOWER VASCULAR PROCEDURES,MAJOR $264,939 — $9,512 +2685% $22,431 +1081% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $264,843 — $55,653 +376% $83,441 +217% —
045 CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME $261,633 — $261,633 +0% $77,914 +236% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $257,266 $50,341 $55,014 +368% $88,049 +192% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $255,487 $25,529 $18,382 +1290% $31,044 +723% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $253,847 — $76,220 +233% $98,912 +157% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $253,749 — $54,333 +367% $90,331 +181% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $249,826 $60,547 $59,897 +317% $99,423 +151% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $249,253 $50,391 $52,759 +372% $82,561 +202% —
799 SPLENIC PROCEDURES WITH MCC $239,874 $56,203 $63,003 +281% $78,821 +204% —
028 SPINAL PROCEDURES WITH MCC $230,622 — $74,391 +210% $95,858 +141% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $225,710 $64,893 $66,231 +241% $105,899 +113% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $225,142 $55,318 $58,079 +288% $80,885 +178% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $214,436 $72,083 $71,534 +200% $80,018 +168% —
320 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE PROCEDURES,MAJOR $209,186 — $20,257 +933% $36,080 +480% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $206,135 $59,005 $66,300 +211% $87,018 +137% ≈343% of Medicare
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $203,048 $44,957 $47,667 +326% $74,755 +172% —
665 PROSTATECTOMY WITH MCC $199,539 $40,639 $41,317 +383% $54,072 +269% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $196,708 $28,612 $23,718 +729% $43,491 +352% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $193,830 — $18,841 +929% $38,382 +405% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $193,096 $48,941 $48,943 +295% $72,011 +168% —
952 NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR $192,564 — $192,564 +0% $50,048 +285% —
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $192,321 — $192,321 +0% $33,983 +466% —
026 OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,MAJOR $190,989 — $34,191 +459% $63,475 +201% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $188,106 $27,176 $19,842 +848% $39,253 +379% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $186,574 $64,010 $69,661 +168% $94,927 +97% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $179,547 $40,548 $42,906 +318% $68,880 +161% —
174 PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MAJOR $179,426 — $179,426 +0% $74,377 +141% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $178,537 — $17,073 +946% $30,940 +477% —
175 PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE $173,161 — $12,188 +1321% $29,757 +482% ≈275% of Medicare
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $172,693 — $50,459 +242% $68,659 +152% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $172,441 $41,714 $43,922 +293% $56,964 +203% —
021 OPEN CRANIOTOMY EXCEPT TRAUMA,EXTREME $171,613 — $57,383 +199% $101,235 +70% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $168,743 $33,315 $24,059 +601% $58,043 +191% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $168,417 — $22,044 +664% $46,659 +261% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $167,515 — $51,316 +226% $72,945 +130% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $163,020 $37,665 $30,575 +433% $59,425 +174% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $162,011 $36,729 $42,905 +278% $59,207 +174% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $160,424 — $111,108 +44% $151,029 +6% —
325 NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MODERATE $159,139 — $24,988 +537% $53,551 +197% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $158,149 $45,685 $34,783 +355% $62,961 +151% —
137 MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MODERATE $157,112 — $11,981 +1211% $24,348 +545% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $156,448 — $15,108 +936% $48,680 +221% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $154,289 $30,712 $11,047 +1297% $23,920 +545% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $153,268 $27,470 $19,811 +674% $51,339 +199% —
509 ARTHROSCOPY $150,322 $20,955 $14,903 +909% $25,994 +478% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $147,563 $28,554 $28,417 +419% $56,394 +162% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $145,296 $41,766 $29,942 +385% $50,919 +185% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $143,367 — $62,792 +128% $88,050 +63% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $143,222 — $19,205 +646% $44,553 +221% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $141,689 $20,532 $14,843 +855% $38,094 +272% —
135 MAJOR CHEST AND RESPIRATORY TRAUMA,MAJOR $141,116 — $20,655 +583% $40,065 +252% —
721 POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR $139,112 — $139,112 +0% $51,822 +168% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $135,989 $16,263 $11,062 +1129% $21,029 +547% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $133,328 — $11,918 +1019% $35,542 +275% —
949 AFTERCARE WITH CC/MCC $133,243 — $9,243 +1341% $23,953 +456% —
773 OPIOID ABUSE AND DEPENDENCE,EXTREME $130,556 — $130,556 +0% $87,384 +49% —
661 COAGULATION AND PLATELET DISORDERS,MAJOR $128,165 — $8,880 +1343% $24,022 +434% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $127,165 $53,960 $46,936 +171% $78,582 +62% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $126,340 — $35,073 +260% $67,764 +86% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $125,210 — $38,910 +222% $54,129 +131% —
058 OTHER DISORDERS OF NERVOUS SYSTEM,EXTREME $123,919 — $15,813 +684% $29,609 +319% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $121,115 $21,365 $17,190 +605% $43,398 +179% —
231 MAJOR LARGE BOWEL PROCEDURES,EXTREME $120,412 — $105,048 +15% $146,474 −18% —
314 FOOT AND TOE PROCEDURES,MAJOR $118,901 — $18,627 +538% $38,357 +210% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $118,766 $25,953 $19,259 +517% $41,900 +183% —
336 PERITONEAL ADHESIOLYSIS WITH CC $118,308 — $21,904 +440% $49,470 +139% —
055 HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE,MODERATE $117,416 — $9,255 +1169% $19,868 +491% —
710 INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE $117,403 — $12,737 +822% $23,814 +393% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $116,327 — $17,896 +550% $46,066 +153% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $115,726 $22,501 $16,297 +610% $30,766 +276% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $115,460 — $16,783 +588% $36,933 +213% ≈328% of Medicare
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $114,880 $31,314 $36,997 +211% $63,984 +80% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $114,486 — $21,375 +436% $51,985 +120% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $114,215 — $15,997 +614% $32,981 +246% —
919 COMPLICATIONS OF TREATMENT WITH MCC $114,147 $21,792 $15,622 +631% $29,031 +293% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $113,859 — $26,562 +329% $60,140 +89% —
100 SEIZURES WITH MCC $112,285 $23,058 $17,172 +554% $35,194 +219% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $111,110 — $14,391 +672% $32,502 +242% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $110,503 $45,526 $48,736 +127% $72,782 +52% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $109,845 — $17,146 +541% $43,800 +151% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $109,590 — $18,104 +505% $45,817 +139% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $109,517 $33,945 $29,422 +272% $56,758 +93% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $108,936 $21,804 $15,782 +590% $37,950 +187% —
503 FOOT PROCEDURES WITH MCC $108,872 $27,763 $23,106 +371% $43,901 +148% —
206 MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE,EXTREME $106,398 — $7,835 +1258% $17,731 +500% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $106,352 $26,852 $19,158 +455% $38,998 +173% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $105,802 $16,443 $13,276 +697% $28,646 +269% —
023 SPINAL PROCEDURES,MODERATE $105,734 — $74,760 +41% $106,778 −1% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $104,455 $21,200 $15,336 +581% $36,242 +188% —
136 RESPIRATORY MALIGNANCY,MODERATE $104,327 — $8,380 +1145% $15,890 +557% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $104,050 — $27,771 +275% $53,817 +93% —
571 SKIN DEBRIDEMENT WITH CC $102,565 $20,044 $14,343 +615% $34,901 +194% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $102,512 — $18,191 +464% $36,850 +178% —
380 COMPLICATED PEPTIC ULCER WITH MCC $101,966 $22,972 $16,722 +510% $36,641 +178% —
592 SKIN ULCERS WITH MCC $101,467 $24,477 $17,616 +476% $32,662 +211% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $101,458 — $46,502 +118% $71,755 +41% —
324 ELECTIVE HIP JOINT REPLACEMENT,MODERATE $101,113 — $27,766 +264% $66,819 +51% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $99,544 $27,117 $19,713 +405% $43,586 +128% —
445 OTHER BLADDER PROCEDURES,MAJOR $99,338 — $9,291 +969% $21,806 +356% ≈287% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $98,774 $19,839 $14,060 +603% $32,996 +199% —
113 INFECTIONS OF UPPER RESPIRATORY TRACT,MAJOR $98,651 — $19,331 +410% $35,642 +177% —
043 MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE $98,362 — $98,362 +0% $46,703 +111% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $96,780 $23,556 $17,136 +465% $43,775 +121% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $96,587 $18,524 $13,417 +620% $34,434 +181% —
951 MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MINOR $96,536 — $4,950 +1850% $9,385 +929% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $96,450 $21,787 $15,800 +510% $37,842 +155% ≈362% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $95,882 $22,511 $16,152 +494% $49,197 +95% —
622 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $95,695 — $46,834 +104% $60,861 +57% —
204 SYNCOPE AND COLLAPSE,MODERATE $95,005 — $7,015 +1254% $16,866 +463% —
282 DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MAJOR $94,411 — $6,272 +1405% $18,623 +407% ≈322% of Medicare
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $94,284 — $18,227 +417% $34,900 +170% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $94,281 — $28,596 +230% $52,313 +80% —
666 PROSTATECTOMY WITH CC $93,573 — $14,112 +563% $30,016 +212% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $93,349 — $27,750 +236% $49,631 +88% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $92,549 $14,931 $10,668 +768% $26,146 +254% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $92,303 — $14,811 +523% $29,826 +209% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $90,904 — $18,560 +390% $40,232 +126% —
570 SKIN DEBRIDEMENT WITH MCC $90,873 $27,914 $26,159 +247% $52,435 +73% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $90,731 — $14,485 +526% $29,916 +203% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $89,947 $21,845 $15,661 +474% $40,583 +122% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $89,818 $21,291 $15,107 +495% $30,275 +197% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $89,347 $27,608 $19,683 +354% $36,237 +147% —
540 OSTEOMYELITIS WITH CC $89,304 $15,494 $11,086 +706% $23,494 +280% —
201 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MINOR $89,228 — $5,857 +1424% $13,081 +582% —
308 HIP AND FEMUR FRACTURE REPAIR,MINOR $88,742 — $10,431 +751% $26,488 +235% ≈198% of Medicare
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $88,342 — $47,902 +84% $57,521 +54% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $87,371 — $18,686 +368% $37,654 +132% —
180 RESPIRATORY NEOPLASMS WITH MCC $86,845 — $14,973 +480% $36,658 +137% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $86,610 — $14,198 +510% $28,967 +199% ≈346% of Medicare
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $86,464 $17,900 $14,613 +492% $29,409 +194% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $85,836 $63,337 $77,989 +10% $108,472 −21% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $85,815 — $15,902 +440% $30,974 +177% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $85,648 $9,774 $6,896 +1142% $17,700 +384% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $85,621 $23,274 $16,902 +407% $33,050 +159% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $85,568 $24,406 $17,710 +383% $34,089 +151% —
501 SOFT TISSUE PROCEDURES WITH CC $85,394 $21,337 $15,581 +448% $37,975 +125% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $85,019 $18,414 $13,340 +537% $36,239 +135% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $84,441 $18,539 $13,487 +526% $29,371 +188% —
551 MEDICAL BACK PROBLEMS WITH MCC $84,394 — $14,618 +477% $31,086 +171% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $83,309 $13,902 $11,297 +637% $23,956 +248% —
539 OSTEOMYELITIS WITH MCC $82,920 $12,845 $17,157 +383% $33,746 +146% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $81,622 — $15,616 +423% $36,375 +124% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $81,206 — $12,930 +528% $27,279 +198% —
150 EPISTAXIS WITH MCC $80,876 — $11,841 +583% $21,133 +283% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $80,544 $19,549 $14,036 +474% $30,910 +161% —
252 MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MAJOR $80,422 — $42,633 +89% $68,508 +17% —
637 DIABETES WITH MCC $80,265 — $12,597 +537% $28,819 +179% ≈334% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $79,351 $12,285 $8,732 +809% $19,091 +316% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $78,420 — $8,711 +800% $23,469 +234% ≈370% of Medicare
775 ALCOHOL ABUSE AND DEPENDENCE,MAJOR $78,113 — $31,569 +147% $3,242 +2310% —
663 MINOR BLADDER PROCEDURES WITH CC $77,362 $17,900 $13,212 +486% $29,924 +159% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $77,354 — $7,990 +868% $19,287 +301% —
245 INFLAMMATORY BOWEL DISEASE,MODERATE $77,149 — $61,075 +26% $72,076 +7% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $76,411 — $12,700 +502% $32,911 +132% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $76,305 $17,221 $12,397 +516% $31,816 +140% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $76,109 $9,680 $6,762 +1026% $17,522 +334% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $75,776 $28,265 $24,914 +204% $44,839 +69% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $75,080 $18,961 $18,559 +305% $45,622 +65% —
811 RED BLOOD CELL DISORDERS WITH MCC $74,534 — $12,169 +512% $27,934 +167% ≈341% of Medicare
466 MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MAJOR $74,484 — $65,645 +13% $96,222 −23% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $74,338 $27,258 $19,811 +275% $36,334 +105% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $74,173 $24,957 $17,271 +329% $29,109 +155% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $73,966 $20,907 $15,120 +389% $31,758 +133% ≈396% of Medicare
443 KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,MINOR $73,812 — $6,020 +1126% $15,600 +373% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $73,727 $14,772 $10,441 +606% $27,321 +170% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $73,507 — $9,254 +694% $23,749 +210% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $73,313 — $9,426 +678% $31,190 +135% ≈375% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $73,280 — $8,941 +720% $23,396 +213% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $72,613 $12,347 $10,663 +581% $19,354 +275% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $72,517 — $8,357 +768% $21,449 +238% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $72,247 $29,538 $32,590 +122% $48,907 +48% —
186 PLEURAL EFFUSION WITH MCC $72,053 $18,934 $13,404 +438% $32,468 +122% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $71,868 — $12,387 +480% $29,663 +142% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $71,262 $34,012 $24,323 +193% $58,968 +21% —
120 MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR $71,194 — $71,194 +0% $71,194 +0% —
915 ALLERGIC REACTIONS WITH MCC $71,164 $17,301 $14,888 +378% $30,944 +130% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $71,059 — $12,884 +452% $35,528 +100% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $70,308 $11,134 $7,893 +791% $20,309 +246% —
038 EXTRACRANIAL PROCEDURES WITH CC $69,616 — $13,669 +409% $35,770 +95% —
660 MAJOR HEMATOLOGIC OR IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION,MODERATE $68,771 — $11,645 +491% $30,358 +127% —
593 SKIN ULCERS WITH CC $68,616 $14,756 $10,474 +555% $20,470 +235% —
042 DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MINOR $68,513 — $15,203 +351% $39,018 +76% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $68,247 $12,641 $8,843 +672% $23,141 +195% —
375 DIGESTIVE MALIGNANCY WITH CC $67,793 $14,826 $10,526 +544% $27,219 +149% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $67,634 $40,159 $43,918 +54% $70,132 −4% —
253 OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE $67,394 — $22,753 +196% $53,746 +25% —
816 TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MAJOR $67,194 — $5,704 +1078% $13,485 +398% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $67,127 $26,494 $19,834 +238% $35,686 +88% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $66,774 — $16,567 +303% $42,126 +59% —
914 TRAUMATIC INJURY WITHOUT MCC $66,770 $11,075 $7,850 +751% $15,593 +328% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $66,645 $16,073 $11,503 +479% $23,350 +185% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $66,585 $10,510 $7,369 +804% $19,096 +249% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $66,115 $12,350 $8,779 +653% $16,495 +301% —
638 DIABETES WITH CC $66,060 $11,178 $7,934 +733% $18,821 +251% ≈410% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $65,673 $21,577 $17,194 +282% $35,139 +87% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $65,171 — $14,064 +363% $28,634 +128% —
947 SIGNS AND SYMPTOMS WITH MCC $65,051 — $11,018 +490% $25,474 +155% —
057 CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA,MODERATE $65,017 — $11,320 +474% $25,426 +156% ≈111% of Medicare
291 HEART FAILURE AND SHOCK WITH MCC $64,896 $15,431 $11,286 +475% $25,020 +159% ≈363% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $64,697 — $11,784 +449% $24,980 +159% —
348 ANAL AND STOMAL PROCEDURES WITH CC $64,656 — $10,889 +494% $27,947 +131% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $64,457 $11,663 $8,292 +677% $15,636 +312% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $64,230 — $16,841 +281% $29,633 +117% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $64,200 $16,495 $13,339 +381% $34,906 +84% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $63,833 — $11,881 +437% $29,050 +120% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $63,635 $14,231 $10,150 +527% $20,842 +205% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $63,057 — $13,241 +376% $28,252 +123% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $62,898 — $12,912 +387% $33,137 +90% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $62,807 — $12,753 +392% $31,062 +102% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $62,658 — $9,346 +570% $17,483 +258% —
302 ATHEROSCLEROSIS WITH MCC $62,630 $14,056 $10,062 +522% $20,844 +200% —
187 PLEURAL EFFUSION WITH CC $62,197 — $8,517 +630% $21,467 +190% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $62,067 — $15,653 +297% $40,563 +53% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $61,679 $12,511 $8,918 +592% $22,781 +171% ≈394% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $61,570 $9,451 $6,594 +834% $14,444 +326% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $61,334 $13,535 $11,609 +428% $29,374 +109% —
341 FRACTURE OF PELVIS OR DISLOCATION OF HIP,EXTREME $60,576 — $60,576 +0% $25,628 +136% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $60,475 $21,547 $15,904 +280% $30,394 +99% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $60,248 $20,019 $14,294 +321% $28,103 +114% —
102 HEADACHES WITH MCC $60,029 $13,934 $10,029 +499% $22,544 +166% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $59,995 — $11,310 +430% $31,978 +88% —
143 OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MINOR $59,715 — $28,012 +113% $52,908 +13% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $59,674 $14,713 $10,444 +471% $23,588 +153% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $59,659 — $9,069 +558% $24,136 +147% ≈345% of Medicare
385 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE $59,574 — $14,054 +324% $26,020 +129% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $59,325 $22,009 $16,156 +267% $28,375 +109% —
263 CHOLECYSTECTOMY,MAJOR $58,891 — $23,200 +154% $44,938 +31% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $58,801 — $12,276 +379% $31,812 +85% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $58,522 $13,374 $9,714 +502% $24,190 +142% ≈399% of Medicare
251 ABDOMINAL PAIN,MODERATE $58,415 — $13,256 +341% $41,380 +41% —
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $58,356 — $58,356 +0% $16,240 +259% —
123 NEUROLOGICAL EYE DISORDERS $58,329 — $6,881 +748% $17,831 +227% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $58,035 $17,235 $13,926 +317% $27,168 +114% —
312 SYNCOPE AND COLLAPSE $58,027 $10,637 $7,537 +670% $19,342 +200% ≈421% of Medicare
887 OTHER MENTAL DISORDER DIAGNOSES $57,815 — $10,090 +473% $20,602 +181% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $57,628 — $6,872 +739% $17,727 +225% —
088 CONCUSSION WITH MCC $57,593 — $11,968 +381% $24,402 +136% —
920 COMPLICATIONS OF TREATMENT WITH CC $57,386 $12,334 $8,787 +553% $21,181 +171% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $57,380 — $12,592 +356% $28,780 +99% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $57,359 $9,404 $7,073 +711% $15,876 +261% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $57,285 — $12,529 +357% $25,149 +128% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $56,701 $11,558 $8,305 +583% $15,901 +257% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $56,419 $12,905 $9,260 +509% $19,579 +188% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $56,387 $11,245 $7,983 +606% $20,488 +175% ≈386% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $56,263 — $9,083 +519% $22,231 +153% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $56,145 $20,071 $16,098 +249% $35,459 +58% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $56,009 $6,661 $5,651 +891% $13,368 +319% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $55,992 — $7,873 +611% $16,352 +242% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $55,545 — $6,333 +777% $16,865 +229% ≈373% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $55,510 — $7,045 +688% $18,081 +207% ≈373% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $54,636 $19,139 $14,418 +279% $35,453 +54% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $54,179 — $8,737 +520% $20,732 +161% ≈298% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $53,976 $11,542 $8,111 +565% $18,191 +197% —
054 MIGRAINE AND OTHER HEADACHES,MINOR $53,927 — $12,842 +320% $29,484 +83% —
224 PERITONEAL ADHESIOLYSIS,MINOR $53,680 — $53,680 +0% $80,427 −33% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $53,390 $14,126 $11,648 +358% $23,723 +125% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $53,154 — $8,819 +503% $20,080 +165% —
513 GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MODERATE $52,283 — $13,023 +301% $33,424 +56% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $51,992 $8,016 $5,598 +829% $14,368 +262% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $51,886 $11,370 $7,998 +549% $16,642 +212% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $51,367 $12,571 $9,250 +455% $18,126 +183% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $51,227 — $8,195 +525% $16,418 +212% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $50,984 $8,393 $6,727 +658% $15,858 +222% —
683 RENAL FAILURE WITH CC $50,693 — $7,689 +559% $18,620 +172% ≈359% of Medicare
403 PROCEDURES FOR OBESITY,MINOR $50,645 — $50,645 +0% $50,645 +0% —
254 OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR $50,632 — $14,950 +239% $38,836 +30% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $50,518 — $7,431 +580% $18,278 +176% ≈204% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $50,322 — $14,623 +244% $27,233 +85% —
248 MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MODERATE $50,291 — $45,105 +11% $34,146 +47% —
644 ENDOCRINE DISORDERS WITH CC $50,284 — $8,939 +463% $22,941 +119% —
279 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,MINOR $50,140 — $40,209 +25% $57,277 −12% —
305 HYPERTENSION WITHOUT MCC $49,862 — $6,493 +668% $17,144 +191% ≈444% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $49,836 — $7,093 +603% $18,204 +174% ≈228% of Medicare
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $49,734 $13,748 $9,798 +408% $25,390 +96% —
506 MAJOR THUMB OR JOINT PROCEDURES $48,885 — $12,842 +281% $28,983 +69% —
999 UNGROUPABLE $48,800 $11,129 $48,800 +0% $28,822 +69% —
244 DIVERTICULITIS AND DIVERTICULOSIS,MINOR $48,780 — $15,683 +211% $40,063 +22% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $48,450 $9,575 $6,685 +625% $17,322 +180% ≈400% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $48,296 — $9,755 +395% $24,452 +98% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $47,828 — $7,169 +567% $14,055 +240% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $47,478 — $5,948 +698% $14,012 +239% —
241 PEPTIC ULCER AND GASTRITIS,MODERATE $47,463 — $12,810 +271% $24,229 +96% —
313 KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MINOR $47,049 — $6,171 +662% $15,962 +195% —
696 OTHER CHEMOTHERAPY,MODERATE $46,671 — $5,984 +680% $14,441 +223% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $46,663 $10,297 $7,219 +546% $18,253 +156% —
468 OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS,MINOR $46,639 — $22,797 +105% $54,929 −15% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $46,505 $18,301 $13,243 +251% $24,879 +87% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $45,820 $7,754 $5,483 +736% $11,421 +301% —
950 AFTERCARE WITHOUT CC/MCC $45,297 $7,192 $5,117 +785% $13,527 +235% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $45,228 $7,695 $5,370 +742% $15,070 +200% —
791 PREMATURITY WITH MAJOR PROBLEMS $45,159 — $45,159 +0% $39,563 +14% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $45,123 $7,820 $5,562 +711% $14,208 +218% —
200 PNEUMOTHORAX WITH CC $45,033 — $9,580 +370% $20,573 +119% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $44,982 — $44,982 +0% $19,454 +131% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $44,735 — $44,735 +0% $13,735 +226% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $44,706 — $5,798 +671% $14,880 +200% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $44,654 $8,399 $6,793 +557% $13,586 +229% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $44,482 $8,791 $6,171 +621% $15,607 +185% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $43,833 — $5,792 +657% $12,797 +243% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $43,597 $9,186 $6,537 +567% $16,776 +160% —
349 MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE,MODERATE $43,372 — $7,620 +469% $19,854 +118% —
756 ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR $43,321 — $8,181 +430% $15,589 +178% —
199 HYPERTENSION,MODERATE $42,999 — $15,123 +184% $31,491 +37% —
695 CHEMOTHERAPY FOR ACUTE LEUKEMIA,MODERATE $42,344 — $9,661 +338% $20,741 +104% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $41,982 — $9,261 +353% $17,226 +144% —
041 NERVOUS SYSTEM MALIGNANCY,MAJOR $41,406 — $19,533 +112% $44,989 −8% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $41,365 $7,539 $6,058 +583% $13,654 +203% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $41,311 $11,073 $7,779 +431% $15,474 +167% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $40,907 — $8,281 +394% $17,273 +137% ≈366% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $40,875 — $5,559 +635% $14,134 +189% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $40,865 — $4,790 +753% $11,955 +242% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $40,583 — $5,760 +605% $13,198 +208% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $40,141 — $6,671 +502% $14,166 +183% —
882 NEUROSES EXCEPT DEPRESSIVE $39,614 — $8,241 +381% $15,680 +153% —
541 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,MODERATE $39,425 — $7,495 +426% $14,549 +171% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $39,425 — $10,124 +289% $18,238 +116% —
230 MAJOR SMALL BOWEL PROCEDURES,MINOR $38,975 — $38,975 +0% $88,720 −56% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $38,577 $7,746 $5,424 +611% $12,013 +221% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $38,438 $15,500 $10,399 +270% $23,297 +65% —
667 PROSTATECTOMY WITHOUT CC/MCC $38,329 $12,470 $8,805 +335% $16,703 +129% —
229 OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MINOR $38,140 — $37,378 +2% $65,325 −42% —
111 VERTIGO AND OTHER LABYRINTH DISORDERS,MINOR $37,981 — $37,981 +0% $32,376 +17% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $37,439 $12,871 $9,775 +283% $23,571 +59% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $37,435 $13,437 $9,602 +290% $18,459 +103% —
090 CONCUSSION WITHOUT CC/MCC $37,232 $9,164 $7,344 +407% $14,873 +150% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $36,964 — $5,274 +601% $11,071 +234% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $35,930 — $6,144 +485% $12,593 +185% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $35,816 — $9,899 +262% $25,307 +42% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $35,661 $6,535 $5,186 +588% $10,975 +225% —
760 OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,MODERATE $35,376 — $8,361 +323% $18,282 +94% —
720 SEPTICEMIA AND DISSEMINATED INFECTIONS,MINOR $35,306 — $35,306 +0% $47,150 −25% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,043 $10,557 $7,475 +369% $15,284 +129% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $34,865 $13,275 $11,271 +209% $17,103 +104% —
243 OTHER ESOPHAGEAL DISORDERS,MINOR $33,796 — $19,668 +72% $50,011 −32% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $33,666 $8,911 $9,343 +260% $13,090 +157% —
770 DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MODERATE $33,469 — $9,128 +267% $17,943 +87% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $33,437 $12,124 $10,576 +216% $15,370 +118% —
724 OTHER INFECTIOUS AND PARASITIC DISEASES,MINOR $33,433 — $6,242 +436% $12,650 +164% —
247 INTESTINAL OBSTRUCTION,MAJOR $32,933 — $31,429 +5% $21,663 +52% —
151 EPISTAXIS WITHOUT MCC $32,401 $8,188 $6,494 +399% $13,032 +149% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $31,987 $9,293 $6,341 +404% $12,895 +148% —
594 SKIN ULCERS WITHOUT CC/MCC $30,983 $8,791 $7,271 +326% $14,209 +118% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $29,643 — $8,897 +233% $12,044 +146% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,575 — $10,545 +180% $19,815 +49% —
754 DEPRESSION EXCEPT MAJOR DEPRESSIVE DISORDER,MODERATE $29,481 — $15,500 +90% $29,476 +0% —
881 DEPRESSIVE NEUROSES $28,985 — $7,831 +270% $15,058 +92% —
542 VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MINOR $28,114 — $15,978 +76% $35,114 −20% —
566 ANTEPARTUM WITHOUT O.R. PROCEDURE,MODERATE $27,729 — $6,409 +333% $14,337 +93% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $27,652 — $8,050 +243% $17,108 +62% —
144 RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR $27,515 — $15,049 +83% $29,558 −7% —
621 NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,MODERATE $26,664 — $12,523 +113% $32,451 −18% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $26,006 — $7,015 +271% $13,822 +88% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $25,075 $16,638 $11,903 +111% $24,561 +2% —
753 BIPOLAR DISORDERS,MODERATE $24,612 — $24,612 +0% $34,651 −29% —
138 BRONCHIOLITIS AND RSV PNEUMONIA,MINOR $23,503 — $6,969 +237% $17,383 +35% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $23,503 $8,595 $6,025 +290% $12,279 +91% —
861 SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE $21,927 — $21,927 +0% $27,175 −19% —
364 OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MINOR $21,270 — $21,270 +0% $46,852 −55% —
634 NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR $20,469 — $20,469 +0% $37,527 −45% —
581 NEONATE, TRANSFERRED < 5 DAYS OLD, BORN HERE,MAJOR $20,109 — $12,424 +62% $25,243 −20% —
249 OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MAJOR $20,082 — $20,346 −1% $20,610 −3% —
226 ANAL AND PERINEAL PROCEDURES,MINOR $19,012 — $19,012 +0% $72,618 −74% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $18,632 — $35,380 −47% $16,719 +11% —
817 INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,MINOR $17,794 — $18,088 −2% $36,097 −51% —
139 OTHER PNEUMONIA,MINOR $16,308 — $11,648 +40% $21,014 −22% —
751 DEPRESSIVE DISORDERS,MINOR $15,939 — $15,939 +0% $33,812 −53% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $14,954 — $4,496 +233% $9,076 +65% —
427 THYROID DISORDERS,MODERATE $13,601 — $60,256 −77% $121,728 −89% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $13,335 $10,245 $7,131 +87% $14,064 −5% —
640 NEONATE BIRTH WEIGHT > 2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM,MAJOR $13,260 — $11,487 +15% $24,480 −46% ≈34% of Medicare
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $12,341 — $3,989 +209% $8,927 +38% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $11,633 $11,633 $20,782 −44% $11,633 +0% —
795 NORMAL NEWBORN $5,823 $2,771 $3,492 +67% $4,530 +29% —

Procedures with negotiated rates only

These 1 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
602 NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,MAJOR — 8 plans