Robert Wood Johnson University Hospital Hamilton — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 606 with a comparable price, 172 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 $3,233
Average published price $3,233
Highest published price $3,233

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 606 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 51 procedures, this hospital's negotiated rates average ≈303% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $3,233 $3,233 $22,177 −85% $45,290 −93% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $3,233 $3,233 $57,383 −94% $101,235 −97% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $3,233 — $34,191 −91% $63,475 −95% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,233 — $20,936 −85% $52,332 −94% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $3,233 — $28,756 −89% $64,152 −95% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $18,879 −83% $45,818 −93% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $3,233 — $18,559 −83% $45,622 −93% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,535 −76% $33,984 −90% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $15,340 −79% $40,694 −92% —
037 EXTRACRANIAL PROCEDURES WITH MCC $3,233 $3,233 $28,173 −89% $64,749 −95% —
038 EXTRACRANIAL PROCEDURES WITH CC $3,233 $3,233 $13,669 −76% $35,770 −91% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $9,394 −66% $25,267 −87% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $3,233 $3,233 $19,533 −83% $44,989 −93% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $15,203 −79% $39,018 −92% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $3,233 $3,233 $17,073 −81% $30,940 −90% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $3,233 $3,233 $7,893 −59% $20,309 −84% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $3,233 $3,233 $12,842 −75% $29,484 −89% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $3,233 $3,233 $9,255 −65% $19,868 −84% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $3,233 $3,233 $20,668 −84% $39,409 −92% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $3,233 $3,233 $11,320 −71% $25,426 −87% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $3,233 $3,233 $15,813 −80% $29,609 −89% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $3,233 $3,233 $10,380 −69% $26,322 −88% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $3,233 $3,233 $7,571 −57% $21,261 −85% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $3,233 — $15,108 −79% $48,680 −93% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $3,233 $3,233 $11,918 −73% $35,542 −91% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $3,233 $3,233 $16,875 −81% $35,714 −91% ≈359% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $3,233 $3,233 $8,711 −63% $23,469 −86% ≈324% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $3,233 $3,233 $5,839 −45% $19,483 −83% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $3,233 $3,233 $12,175 −73% $24,941 −87% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $3,233 $3,233 $7,478 −57% $19,569 −83% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $3,233 $3,233 $6,696 −52% $20,278 −84% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $3,233 $3,233 $14,751 −78% $30,814 −90% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $3,233 $3,233 $8,941 −64% $23,396 −86% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $3,233 $3,233 $6,364 −49% $16,654 −81% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $3,233 $3,233 $13,241 −76% $28,252 −89% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $3,233 $3,233 $8,843 −63% $23,141 −86% —
075 VIRAL MENINGITIS WITH CC/MCC $3,233 $3,233 $14,216 −77% $29,853 −89% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $3,233 $3,233 $7,779 −58% $15,474 −79% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $3,233 $3,233 $13,118 −75% $24,036 −87% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $3,233 $3,233 $8,351 −61% $17,434 −81% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $3,233 $3,233 $5,589 −42% $11,847 −73% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $3,233 $3,233 $17,194 −81% $35,139 −91% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $3,233 $3,233 $7,676 −58% $15,077 −79% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $3,233 $3,233 $19,683 −84% $36,237 −91% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $3,233 $3,233 $11,795 −73% $24,118 −87% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $3,233 $3,233 $8,111 −60% $18,191 −82% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $3,233 $3,233 $19,224 −83% $37,064 −91% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $3,233 $3,233 $10,976 −71% $23,115 −86% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $3,233 $3,233 $7,499 −57% $15,869 −80% —
088 CONCUSSION WITH MCC $3,233 $3,233 $11,968 −73% $24,402 −87% —
089 CONCUSSION WITH CC $3,233 $3,233 $8,849 −63% $18,293 −82% —
090 CONCUSSION WITHOUT CC/MCC $3,233 $3,233 $7,344 −56% $14,873 −78% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $3,233 $3,233 $15,616 −79% $36,375 −91% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $3,233 $3,233 $9,069 −64% $24,136 −87% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,233 $3,233 $6,762 −52% $17,522 −82% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $3,233 $3,233 $20,337 −84% $47,583 −93% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $3,233 $3,233 $20,337 −84% $39,093 −92% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $3,233 $3,233 $29,586 −89% $57,855 −94% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $3,233 $3,233 $18,584 −83% $37,902 −91% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $3,233 $3,233 $11,500 −72% $25,666 −87% —
100 SEIZURES WITH MCC $3,233 $3,233 $17,172 −81% $35,194 −91% —
101 SEIZURES WITHOUT MCC $3,233 $3,233 $7,819 −59% $19,954 −84% —
102 HEADACHES WITH MCC $3,233 $3,233 $10,029 −68% $22,544 −86% —
103 HEADACHES WITHOUT MCC $3,233 $3,233 $7,213 −55% $20,111 −84% —
113 ORBITAL PROCEDURES WITH CC/MCC $3,233 $3,233 $19,331 −83% $35,642 −91% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $10,028 −68% $19,598 −84% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $3,233 $3,233 $13,243 −76% $24,879 −87% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $3,233 $3,233 $14,294 −77% $28,103 −88% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $9,026 −64% $17,193 −81% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $3,233 $3,233 $9,868 −67% $18,291 −82% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $3,233 $3,233 $5,754 −44% $11,997 −73% —
123 NEUROLOGICAL EYE DISORDERS $3,233 $3,233 $6,881 −53% $17,831 −82% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $3,233 $3,233 $11,062 −71% $21,029 −85% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $3,233 $3,233 $7,073 −54% $15,876 −80% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $3,233 $3,233 $20,655 −84% $40,065 −92% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $8,380 −61% $15,890 −80% —
137 MOUTH PROCEDURES WITH CC/MCC $3,233 $3,233 $11,981 −73% $24,348 −87% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $6,969 −54% $17,383 −81% —
139 SALIVARY GLAND PROCEDURES $3,233 $3,233 $11,648 −72% $21,014 −85% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $3,233 $3,233 $34,907 −91% $60,098 −95% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $3,233 $3,233 $18,227 −82% $34,900 −91% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,339 −76% $34,906 −91% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $3,233 $3,233 $28,012 −88% $52,908 −94% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $3,233 $3,233 $15,049 −79% $29,558 −89% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $10,150 −68% $20,842 −84% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $3,233 $3,233 $19,273 −83% $37,080 −91% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $3,233 $3,233 $10,664 −70% $21,860 −85% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $6,793 −52% $13,586 −76% —
149 DYSEQUILIBRIUM $3,233 $3,233 $6,256 −48% $17,203 −81% —
150 EPISTAXIS WITH MCC $3,233 $3,233 $11,841 −73% $21,133 −85% —
151 EPISTAXIS WITHOUT MCC $3,233 $3,233 $6,494 −50% $13,032 −75% —
152 OTITIS MEDIA AND URI WITH MCC $3,233 $3,233 $9,627 −66% $19,795 −84% —
153 OTITIS MEDIA AND URI WITHOUT MCC $3,233 $3,233 $6,038 −46% $14,473 −78% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $3,233 $3,233 $13,610 −76% $24,465 −87% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $3,233 $3,233 $7,998 −60% $16,642 −81% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $5,760 −44% $13,198 −76% —
157 DENTAL AND ORAL DISEASES WITH MCC $3,233 $3,233 $13,892 −77% $27,457 −88% —
158 DENTAL AND ORAL DISEASES WITH CC $3,233 $3,233 $7,980 −59% $17,700 −82% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $3,233 $3,233 $5,651 −43% $13,368 −76% —
164 MAJOR CHEST PROCEDURES WITH CC $3,233 — $21,353 −85% $53,141 −94% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $15,813 −80% $41,380 −92% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $3,233 $3,233 $15,653 −79% $40,563 −92% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $11,330 −71% $28,527 −89% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $3,233 $3,233 $12,188 −73% $29,757 −89% —
176 PULMONARY EMBOLISM WITHOUT MCC $3,233 $3,233 $7,045 −54% $18,081 −82% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $3,233 $3,233 $13,714 −76% $31,840 −90% ≈324% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,233 $3,233 $8,416 −62% $22,024 −85% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $3,233 $3,233 $6,594 −51% $14,444 −78% —
180 RESPIRATORY NEOPLASMS WITH MCC $3,233 $3,233 $14,973 −78% $36,658 −91% —
181 RESPIRATORY NEOPLASMS WITH CC $3,233 $3,233 $9,512 −66% $22,431 −86% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $3,233 $3,233 $7,131 −55% $14,064 −77% —
183 MAJOR CHEST TRAUMA WITH MCC $3,233 $3,233 $13,466 −76% $28,924 −89% —
184 MAJOR CHEST TRAUMA WITH CC $3,233 $3,233 $9,061 −64% $20,842 −84% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $3,233 $3,233 $6,727 −52% $15,858 −80% —
186 PLEURAL EFFUSION WITH MCC $3,233 $3,233 $13,404 −76% $32,468 −90% —
187 PLEURAL EFFUSION WITH CC $3,233 $3,233 $8,517 −62% $21,467 −85% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $3,233 $3,233 $6,229 −48% $14,110 −77% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $3,233 $3,233 $10,497 −69% $25,704 −87% ≈297% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $3,233 $3,233 $9,714 −67% $24,190 −87% ≈321% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $3,233 $3,233 $7,431 −56% $18,278 −82% ≈303% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $3,233 $3,233 $5,598 −42% $14,368 −77% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $3,233 $3,233 $11,179 −71% $26,158 −88% ≈279% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $3,233 $3,233 $7,093 −54% $18,204 −82% ≈397% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $3,233 $3,233 $5,283 −39% $13,824 −77% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $3,233 $3,233 $16,297 −80% $30,766 −89% —
197 INTERSTITIAL LUNG DISEASE WITH CC $3,233 $3,233 $8,399 −62% $20,106 −84% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $3,233 $3,233 $6,058 −47% $13,654 −76% —
199 PNEUMOTHORAX WITH MCC $3,233 $3,233 $15,123 −79% $31,491 −90% —
200 PNEUMOTHORAX WITH CC $3,233 $3,233 $9,580 −66% $20,573 −84% —
201 PNEUMOTHORAX WITHOUT CC/MCC $3,233 $3,233 $5,857 −45% $13,081 −75% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $3,233 $3,233 $8,281 −61% $17,273 −81% ≈316% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $3,233 $3,233 $6,025 −46% $12,279 −74% —
204 RESPIRATORY SIGNS AND SYMPTOMS $3,233 $3,233 $7,015 −54% $16,866 −81% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $3,233 $3,233 $16,015 −80% $32,204 −90% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $3,233 $3,233 $7,835 −59% $17,731 −82% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $3,233 $3,233 $22,768 −86% $52,405 −94% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $3,233 $3,233 $12,810 −75% $24,229 −87% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $3,233 — $19,668 −84% $50,011 −94% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $3,233 $3,233 $15,683 −79% $40,063 −92% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $3,233 — $19,811 −84% $51,339 −94% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $3,233 $3,233 $13,256 −76% $41,380 −92% —
253 OTHER VASCULAR PROCEDURES WITH CC $3,233 — $22,753 −86% $53,746 −94% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $14,950 −78% $38,836 −92% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $3,233 $3,233 $21,896 −85% $43,697 −93% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $3,233 $3,233 $14,368 −77% $29,729 −89% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $3,233 $3,233 $7,566 −57% $15,764 −79% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $3,233 $3,233 $14,911 −78% $35,673 −91% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $3,233 $3,233 $16,567 −80% $42,126 −92% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $3,233 $3,233 $12,876 −75% $33,694 −90% —
263 VEIN LIGATION AND STRIPPING $3,233 $3,233 $23,200 −86% $44,938 −93% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $3,233 $3,233 $29,651 −89% $51,953 −94% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $3,233 — $30,072 −89% $71,014 −95% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $3,233 — $21,745 −85% $55,162 −94% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $3,233 $3,233 $14,198 −77% $28,967 −89% ≈304% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $3,233 $3,233 $7,820 −59% $20,463 −84% ≈345% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $3,233 $3,233 $6,272 −48% $18,623 −83% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $3,233 $3,233 $16,589 −81% $35,014 −91% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $3,233 $3,233 $6,286 −49% $13,282 −76% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $3,233 $3,233 $4,763 −32% $10,039 −68% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $3,233 $3,233 $9,426 −66% $31,190 −90% ≈330% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $3,233 $3,233 $22,859 −86% $45,497 −93% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $3,233 $3,233 $13,487 −76% $29,371 −89% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $3,233 $3,233 $8,305 −61% $15,901 −80% —
291 HEART FAILURE AND SHOCK WITH MCC $3,233 $3,233 $11,286 −71% $25,020 −87% ≈290% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $3,233 $3,233 $7,306 −56% $16,212 −80% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $3,233 $3,233 $4,790 −33% $11,955 −73% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $3,233 $3,233 $10,418 −69% $19,132 −83% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $3,233 $3,233 $6,267 −48% $13,445 −76% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $3,233 $3,233 $14,036 −77% $30,910 −90% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $3,233 $3,233 $5,976 −46% $12,336 −74% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $3,233 $3,233 $3,989 −19% $8,927 −64% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $3,233 $3,233 $13,351 −76% $25,731 −87% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $3,233 $3,233 $9,260 −65% $19,579 −83% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $3,233 $3,233 $6,171 −48% $15,607 −79% —
302 ATHEROSCLEROSIS WITH MCC $3,233 $3,233 $10,062 −68% $20,844 −84% —
303 ATHEROSCLEROSIS WITHOUT MCC $3,233 $3,233 $5,704 −43% $14,927 −78% —
304 HYPERTENSION WITH MCC $3,233 $3,233 $10,162 −68% $24,185 −87% —
305 HYPERTENSION WITHOUT MCC $3,233 $3,233 $6,493 −50% $17,144 −81% ≈312% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $3,233 $3,233 $12,703 −75% $24,450 −87% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,233 $3,233 $7,859 −59% $18,608 −83% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $3,233 $3,233 $10,431 −69% $26,488 −88% ≈284% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $3,233 $3,233 $6,333 −49% $16,865 −81% ≈352% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $3,233 $3,233 $4,793 −33% $13,384 −76% ≈424% of Medicare
311 ANGINA PECTORIS $3,233 $3,233 $5,924 −45% $15,165 −79% —
312 SYNCOPE AND COLLAPSE $3,233 $3,233 $7,537 −57% $19,342 −83% ≈298% of Medicare
313 CHEST PAIN $3,233 $3,233 $6,171 −48% $15,962 −80% ≈328% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $3,233 $3,233 $18,627 −83% $38,357 −92% ≈321% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $3,233 $3,233 $8,164 −60% $20,777 −84% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $5,792 −44% $12,797 −75% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $3,233 — $20,257 −84% $36,080 −91% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $3,233 — $24,151 −87% $74,274 −96% ≈296% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $3,233 — $15,140 −79% $54,772 −94% ≈337% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $3,233 — $27,766 −88% $66,819 −95% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $3,233 — $20,599 −84% $54,824 −94% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,518 −76% $35,375 −91% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,233 — $20,052 −84% $58,832 −95% ≈311% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $14,006 −77% $44,117 −93% —
332 RECTAL RESECTION WITH MCC $3,233 $3,233 $29,427 −89% $58,125 −94% —
333 RECTAL RESECTION WITH CC $3,233 $3,233 $18,469 −82% $34,352 −91% —
334 RECTAL RESECTION WITHOUT CC/MCC $3,233 $3,233 $14,071 −77% $32,213 −90% —
336 PERITONEAL ADHESIOLYSIS WITH CC $3,233 — $21,904 −85% $49,470 −93% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $3,233 $3,233 $13,340 −76% $36,239 −91% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $3,233 $3,233 $12,753 −75% $31,062 −90% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $10,668 −70% $26,146 −88% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $3,233 $3,233 $20,663 −84% $40,548 −92% —
348 ANAL AND STOMAL PROCEDURES WITH CC $3,233 $3,233 $10,889 −70% $27,947 −88% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $7,620 −58% $19,854 −84% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $3,233 $3,233 $20,519 −84% $46,591 −93% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $3,233 $3,233 $12,763 −75% $33,792 −90% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $9,354 −65% $25,162 −87% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $3,233 $3,233 $26,562 −88% $60,140 −95% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $3,233 $3,233 $14,431 −78% $43,266 −93% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $3,233 $3,233 $11,310 −71% $31,978 −90% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $3,233 — $19,570 −83% $48,682 −93% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $11,609 −72% $29,374 −89% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $3,233 $3,233 $14,167 −77% $33,607 −90% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $3,233 $3,233 $8,633 −63% $22,713 −86% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $3,233 $3,233 $5,921 −45% $15,072 −79% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $3,233 $3,233 $15,120 −79% $31,758 −90% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $3,233 $3,233 $8,732 −63% $22,850 −86% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $3,233 $3,233 $6,154 −47% $16,104 −80% —
374 DIGESTIVE MALIGNANCY WITH MCC $3,233 $3,233 $18,263 −82% $38,885 −92% —
375 DIGESTIVE MALIGNANCY WITH CC $3,233 $3,233 $10,526 −69% $27,219 −88% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $7,491 −57% $15,608 −79% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $3,233 $3,233 $15,800 −80% $37,842 −91% ≈269% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $3,233 $3,233 $8,364 −61% $21,886 −85% ≈298% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $3,233 $3,233 $5,559 −42% $14,134 −77% —
380 COMPLICATED PEPTIC ULCER WITH MCC $3,233 $3,233 $16,722 −81% $36,641 −91% —
381 COMPLICATED PEPTIC ULCER WITH CC $3,233 $3,233 $9,239 −65% $24,177 −87% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $3,233 $3,233 $6,357 −49% $16,634 −81% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $3,233 $3,233 $10,725 −70% $26,634 −88% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $3,233 $3,233 $7,377 −56% $19,305 −83% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $3,233 $3,233 $14,054 −77% $26,020 −88% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $3,233 $3,233 $8,420 −62% $20,968 −85% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,233 $3,233 $5,798 −44% $14,880 −78% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $3,233 $3,233 $12,592 −74% $28,780 −89% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $3,233 $3,233 $6,800 −52% $17,388 −81% ≈348% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $3,233 $3,233 $4,642 −30% $13,318 −76% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $3,233 $3,233 $10,897 −70% $27,244 −88% ≈271% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $3,233 $3,233 $6,685 −52% $17,322 −81% ≈298% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $3,233 $3,233 $14,049 −77% $32,689 −90% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $3,233 $3,233 $7,986 −60% $18,918 −83% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $5,399 −40% $14,128 −77% —
398 APPENDIX PROCEDURES WITH CC $3,233 $3,233 $12,663 −74% $39,107 −92% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $9,534 −66% $30,314 −89% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $3,233 $3,233 $33,189 −90% $75,492 −96% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $3,233 $3,233 $24,059 −87% $58,043 −94% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $18,560 −83% $40,232 −92% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $3,233 $3,233 $17,896 −82% $46,066 −93% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $3,233 $3,233 $13,417 −76% $34,434 −91% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $3,233 $3,233 $23,780 −86% $48,358 −93% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $3,233 — $18,686 −83% $37,654 −91% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $3,233 $3,233 $13,994 −77% $27,548 −88% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $3,233 $3,233 $17,190 −81% $43,398 −93% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $3,233 $3,233 $11,624 −72% $30,418 −89% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $3,233 $3,233 $14,069 −77% $42,119 −92% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $3,233 $3,233 $11,178 −71% $34,887 −91% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $3,233 $3,233 $29,942 −89% $50,919 −94% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $3,233 $3,233 $13,893 −77% $36,333 −91% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $12,466 −74% $25,152 −87% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $3,233 $3,233 $19,842 −84% $39,253 −92% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,114 −75% $25,484 −87% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $3,233 $3,233 $16,783 −81% $36,933 −91% ≈307% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $3,233 $3,233 $9,254 −65% $23,749 −86% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,233 $3,233 $5,829 −45% $12,405 −74% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,233 $3,233 $15,782 −80% $37,950 −91% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $3,233 $3,233 $9,567 −66% $24,017 −87% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $3,233 $3,233 $6,661 −51% $13,385 −76% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $3,233 $3,233 $14,391 −78% $32,502 −90% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $3,233 $3,233 $7,369 −56% $19,096 −83% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $5,370 −40% $15,070 −79% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $3,233 $3,233 $16,037 −80% $32,399 −90% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $3,233 $3,233 $8,357 −61% $21,449 −85% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $3,233 $3,233 $6,020 −46% $15,600 −79% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $3,233 $3,233 $14,290 −77% $31,128 −90% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $3,233 $3,233 $9,291 −65% $21,806 −85% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $3,233 $3,233 $6,896 −53% $17,700 −82% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $3,233 $3,233 $26,180 −88% $65,216 −95% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $3,233 — $29,422 −89% $56,758 −94% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $3,233 $3,233 $46,936 −93% $78,582 −96% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $3,233 $3,233 $25,014 −87% $54,313 −94% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,233 $3,233 $14,728 −78% $32,839 −90% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $3,233 $3,233 $22,797 −86% $54,929 −94% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $3,233 — $16,152 −80% $49,197 −93% ≈257% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $3,233 — $25,060 −87% $59,537 −95% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $3,233 — $20,281 −84% $50,624 −94% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $3,233 $3,233 $19,205 −83% $44,553 −93% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,233 $3,233 $9,867 −67% $21,062 −85% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,233 $3,233 $20,417 −84% $50,139 −94% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,233 $3,233 $15,065 −79% $31,909 −90% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $3,233 — $17,775 −82% $51,172 −94% ≈290% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $3,233 $3,233 $13,458 −76% $39,747 −92% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $3,233 — $22,247 −85% $57,149 −94% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $3,233 — $18,345 −82% $46,477 −93% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,233 $3,233 $13,406 −76% $33,490 −90% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $3,233 $3,233 $16,673 −81% $41,520 −92% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $3,233 $3,233 $10,506 −69% $27,492 −88% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $3,233 $3,233 $16,152 −80% $45,963 −93% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $3,233 $3,233 $17,146 −81% $43,800 −93% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $3,233 $3,233 $11,390 −72% $29,805 −89% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $3,233 $3,233 $22,044 −85% $46,659 −93% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $3,233 $3,233 $9,848 −67% $22,532 −86% —
500 SOFT TISSUE PROCEDURES WITH MCC $3,233 $3,233 $27,145 −88% $57,479 −94% —
501 SOFT TISSUE PROCEDURES WITH CC $3,233 $3,233 $15,581 −79% $37,975 −91% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $11,853 −73% $30,006 −89% —
503 FOOT PROCEDURES WITH MCC $3,233 $3,233 $23,106 −86% $43,901 −93% —
504 FOOT PROCEDURES WITH CC $3,233 $3,233 $14,889 −78% $36,598 −91% —
505 FOOT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $14,889 −78% $31,716 −90% —
506 MAJOR THUMB OR JOINT PROCEDURES $3,233 $3,233 $12,842 −75% $28,983 −89% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $3,233 $3,233 $16,604 −81% $36,202 −91% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $10,801 −70% $22,811 −86% —
509 ARTHROSCOPY $3,233 $3,233 $14,903 −78% $25,994 −88% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $3,233 $3,233 $24,247 −87% $49,055 −93% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $3,233 $3,233 $16,964 −81% $43,538 −93% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,640 −76% $35,692 −91% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $3,233 $3,233 $13,023 −75% $33,424 −90% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $8,819 −63% $20,080 −84% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $3,233 $3,233 $26,998 −88% $62,821 −95% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $3,233 — $18,104 −82% $45,817 −93% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $12,912 −75% $33,137 −90% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $3,233 $3,233 $17,136 −81% $43,775 −93% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $3,233 $3,233 $12,397 −74% $31,816 −90% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $3,233 — $17,642 −82% $56,519 −94% —
533 FRACTURES OF FEMUR WITH MCC $3,233 $3,233 $12,936 −75% $25,945 −88% —
534 FRACTURES OF FEMUR WITHOUT MCC $3,233 $3,233 $6,906 −53% $17,195 −81% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $3,233 $3,233 $11,503 −72% $23,350 −86% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $3,233 $3,233 $6,879 −53% $18,002 −82% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $3,233 $3,233 $7,873 −59% $16,352 −80% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $3,233 $3,233 $5,697 −43% $11,909 −73% —
539 OSTEOMYELITIS WITH MCC $3,233 $3,233 $17,157 −81% $33,746 −90% —
540 OSTEOMYELITIS WITH CC $3,233 $3,233 $11,086 −71% $23,494 −86% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,233 $3,233 $7,495 −57% $14,549 −78% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $3,233 $3,233 $15,978 −80% $35,114 −91% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $3,233 $3,233 $9,000 −64% $23,496 −86% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $6,537 −51% $16,776 −81% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $3,233 $3,233 $21,147 −85% $39,657 −92% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $3,233 $3,233 $9,688 −67% $24,202 −87% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $3,233 $3,233 $6,330 −49% $14,861 −78% —
548 SEPTIC ARTHRITIS WITH MCC $3,233 $3,233 $17,091 −81% $31,019 −90% —
549 SEPTIC ARTHRITIS WITH CC $3,233 $3,233 $10,085 −68% $20,938 −85% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $3,233 $3,233 $7,314 −56% $16,156 −80% —
551 MEDICAL BACK PROBLEMS WITH MCC $3,233 $3,233 $14,618 −78% $31,086 −90% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $3,233 $3,233 $8,176 −60% $21,213 −85% ≈321% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $3,233 $3,233 $11,297 −71% $23,956 −87% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $3,233 $3,233 $7,219 −55% $18,253 −82% ≈309% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,233 $3,233 $11,648 −72% $23,723 −86% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $3,233 $3,233 $6,927 −53% $17,715 −82% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $3,233 $3,233 $13,276 −76% $28,646 −89% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,233 $3,233 $7,328 −56% $17,367 −81% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $3,233 $3,233 $15,902 −80% $30,974 −90% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $3,233 $3,233 $9,755 −67% $24,452 −87% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $3,233 $3,233 $6,936 −53% $18,150 −82% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $3,233 $3,233 $12,416 −74% $29,211 −89% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $3,233 $3,233 $7,583 −57% $18,803 −83% ≈312% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $3,233 $3,233 $13,312 −76% $32,936 −90% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $3,233 $3,233 $8,651 −63% $21,545 −85% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $6,409 −50% $14,337 −77% —
570 SKIN DEBRIDEMENT WITH MCC $3,233 $3,233 $26,159 −88% $52,435 −94% —
571 SKIN DEBRIDEMENT WITH CC $3,233 $3,233 $14,343 −77% $34,901 −91% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $3,233 $3,233 $9,692 −67% $24,432 −87% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,233 $3,233 $17,271 −81% $29,109 −89% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $3,233 $3,233 $46,886 −93% $82,527 −96% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $3,233 $3,233 $22,590 −86% $45,432 −93% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $3,233 $3,233 $14,340 −77% $28,578 −89% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $3,233 $3,233 $15,336 −79% $36,242 −91% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $12,424 −74% $25,243 −87% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $3,233 $3,233 $14,856 −78% $34,264 −91% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $13,936 −77% $31,566 −90% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $3,233 $3,233 $17,710 −82% $34,089 −91% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $16,841 −81% $29,633 −89% —
592 SKIN ULCERS WITH MCC $3,233 $3,233 $17,616 −82% $32,662 −90% —
593 SKIN ULCERS WITH CC $3,233 $3,233 $10,474 −69% $20,470 −84% —
594 SKIN ULCERS WITHOUT CC/MCC $3,233 $3,233 $7,271 −56% $14,209 −77% —
595 MAJOR SKIN DISORDERS WITH MCC $3,233 $3,233 $17,943 −82% $31,785 −90% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,233 $3,233 $9,261 −65% $17,226 −81% —
597 MALIGNANT BREAST DISORDERS WITH MCC $3,233 $3,233 $14,903 −78% $31,846 −90% —
598 MALIGNANT BREAST DISORDERS WITH CC $3,233 $3,233 $9,153 −65% $19,073 −83% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,233 $3,233 $7,253 −55% $14,290 −77% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $3,233 $3,233 $8,195 −61% $16,418 −80% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $3,233 $3,233 $5,186 −38% $10,975 −71% —
602 CELLULITIS WITH MCC $3,233 $3,233 $12,464 −74% $29,347 −89% —
603 CELLULITIS WITHOUT MCC $3,233 $3,233 $7,472 −57% $18,530 −83% ≈305% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $3,233 $3,233 $12,604 −74% $28,140 −89% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $3,233 $3,233 $7,990 −60% $19,287 −83% —
606 MINOR SKIN DISORDERS WITH MCC $3,233 $3,233 $13,661 −76% $25,434 −87% —
607 MINOR SKIN DISORDERS WITHOUT MCC $3,233 $3,233 $7,475 −57% $15,284 −79% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $3,233 $3,233 $19,713 −84% $43,586 −93% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $12,276 −74% $31,812 −90% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $3,233 $3,233 $34,783 −91% $62,961 −95% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,233 $3,233 $16,387 −80% $42,881 −92% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,233 $3,233 $10,663 −70% $19,354 −83% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $3,233 $3,233 $14,418 −78% $35,453 −91% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $3,233 $3,233 $12,523 −74% $32,451 −90% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $3,233 $3,233 $16,227 −80% $33,165 −90% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $3,233 $3,233 $8,510 −62% $17,078 −81% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $3,233 $3,233 $24,323 −87% $58,968 −95% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $3,233 $3,233 $12,930 −75% $27,279 −88% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $10,748 −70% $25,623 −87% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $3,233 $3,233 $19,545 −83% $45,059 −93% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $11,888 −73% $24,452 −87% —
637 DIABETES WITH MCC $3,233 $3,233 $12,597 −74% $28,819 −89% ≈264% of Medicare
638 DIABETES WITH CC $3,233 $3,233 $7,934 −59% $18,821 −83% ≈286% of Medicare
639 DIABETES WITHOUT CC/MCC $3,233 $3,233 $5,316 −39% $13,910 −77% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $3,233 $3,233 $11,487 −72% $24,480 −87% ≈269% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $3,233 $3,233 $6,629 −51% $16,745 −81% ≈364% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,233 $3,233 $10,529 −69% $20,727 −84% —
643 ENDOCRINE DISORDERS WITH MCC $3,233 $3,233 $14,060 −77% $32,996 −90% —
644 ENDOCRINE DISORDERS WITH CC $3,233 $3,233 $8,939 −64% $22,941 −86% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $3,233 $3,233 $6,671 −52% $14,166 −77% —
654 MAJOR BLADDER PROCEDURES WITH CC $3,233 — $24,176 −87% $53,868 −94% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $17,623 −82% $41,651 −92% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $3,233 $3,233 $15,661 −79% $40,583 −92% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $3,233 $3,233 $12,884 −75% $35,528 −91% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $3,233 $3,233 $22,354 −86% $48,094 −93% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $3,233 $3,233 $11,645 −72% $30,358 −89% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $3,233 $3,233 $8,880 −64% $24,022 −87% —
663 MINOR BLADDER PROCEDURES WITH CC $3,233 $3,233 $13,212 −76% $29,924 −89% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $9,250 −65% $18,126 −82% —
666 PROSTATECTOMY WITH CC $3,233 $3,233 $14,112 −77% $30,016 −89% —
667 PROSTATECTOMY WITHOUT CC/MCC $3,233 $3,233 $8,805 −63% $16,703 −81% —
668 TRANSURETHRAL PROCEDURES WITH MCC $3,233 $3,233 $25,343 −87% $47,277 −93% —
669 TRANSURETHRAL PROCEDURES WITH CC $3,233 $3,233 $13,128 −75% $34,354 −91% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $8,108 −60% $20,371 −84% —
671 URETHRAL PROCEDURES WITH CC/MCC $3,233 $3,233 $14,623 −78% $27,233 −88% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $8,828 −63% $17,398 −81% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,279 −76% $32,490 −90% —
682 RENAL FAILURE WITH MCC $3,233 $3,233 $12,741 −75% $27,854 −88% ≈277% of Medicare
683 RENAL FAILURE WITH CC $3,233 $3,233 $7,689 −58% $18,620 −83% ≈314% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $3,233 $3,233 $5,153 −37% $13,623 −76% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $3,233 $3,233 $15,997 −80% $32,981 −90% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $3,233 $3,233 $8,689 −63% $18,478 −83% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,233 $3,233 $6,144 −47% $12,593 −74% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $3,233 $3,233 $9,928 −67% $22,982 −86% ≈289% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $3,233 $3,233 $6,809 −53% $17,466 −81% ≈305% of Medicare
693 URINARY STONES WITH MCC $3,233 $3,233 $12,474 −74% $22,525 −86% —
694 URINARY STONES WITHOUT MCC $3,233 $3,233 $6,629 −51% $16,531 −80% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $3,233 $3,233 $9,661 −67% $20,741 −84% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $3,233 $3,233 $5,984 −46% $14,441 −78% —
697 URETHRAL STRICTURE $3,233 $3,233 $8,499 −62% $17,705 −82% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $3,233 $3,233 $14,260 −77% $30,058 −89% ≈279% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $3,233 $3,233 $8,737 −63% $20,732 −84% ≈280% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $5,889 −45% $13,303 −76% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $3,233 $3,233 $16,240 −80% $43,080 −92% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $12,700 −75% $32,911 −90% —
709 PENIS PROCEDURES WITH CC/MCC $3,233 $3,233 $19,437 −83% $34,535 −91% —
710 PENIS PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $12,737 −75% $23,814 −86% —
711 TESTES PROCEDURES WITH CC/MCC $3,233 $3,233 $16,209 −80% $34,852 −91% —
712 TESTES PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $8,951 −64% $18,898 −83% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $3,233 $3,233 $12,387 −74% $29,663 −89% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $3,233 $3,233 $8,050 −60% $17,108 −81% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $3,233 $3,233 $19,158 −83% $38,998 −92% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $12,041 −73% $21,615 −85% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $3,233 $3,233 $15,528 −79% $32,538 −90% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $10,451 −69% $20,147 −84% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $3,233 $3,233 $14,811 −78% $29,826 −89% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $3,233 $3,233 $9,526 −66% $19,317 −83% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,233 $3,233 $6,242 −48% $12,650 −74% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $3,233 $3,233 $10,566 −69% $19,894 −84% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $3,233 $3,233 $6,315 −49% $13,892 −77% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $3,233 $3,233 $12,466 −74% $25,786 −87% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $3,233 $3,233 $6,744 −52% $16,837 −81% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $3,233 $3,233 $9,346 −65% $17,483 −82% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $5,274 −39% $11,071 −71% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $3,233 $3,233 $19,834 −84% $35,686 −91% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $3,233 $3,233 $10,399 −69% $23,297 −86% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $3,233 $3,233 $16,953 −81% $44,363 −93% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $12,869 −75% $30,972 −90% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $3,233 $3,233 $15,426 −79% $36,597 −91% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $11,881 −73% $29,050 −89% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $3,233 $3,233 $15,497 −79% $40,552 −92% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $3,233 $3,233 $10,169 −68% $27,369 −88% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $3,233 $3,233 $16,902 −81% $33,050 −90% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $3,233 $3,233 $8,779 −63% $16,495 −80% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $3,233 $3,233 $14,485 −78% $29,916 −89% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $8,103 −60% $19,326 −83% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $3,233 $3,233 $11,784 −73% $24,980 −87% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $3,233 $3,233 $21,960 −85% $41,703 −92% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $11,047 −71% $23,920 −86% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,233 $3,233 $15,500 −79% $29,476 −89% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,233 $3,233 $9,602 −66% $18,459 −82% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,233 $3,233 $8,181 −60% $15,589 −79% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $3,233 $3,233 $12,007 −73% $23,734 −86% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $3,233 $3,233 $8,732 −63% $19,091 −83% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $3,233 $3,233 $5,562 −42% $14,208 −77% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $3,233 $3,233 $8,361 −61% $18,282 −82% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $3,233 $3,233 $5,483 −41% $11,421 −72% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $3,233 $3,233 $11,903 −73% $24,561 −87% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $3,233 $3,233 $9,128 −65% $17,943 −82% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $3,233 $3,233 $6,053 −47% $12,381 −74% —
779 ABORTION WITHOUT D&C $3,233 $3,233 $7,930 −59% $15,327 −79% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $3,233 $3,233 $15,085 −79% $14,284 −77% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $14,064 −77% $28,634 −89% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $3,233 $3,233 $30,575 −89% $59,425 −95% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $3,233 $3,233 $15,101 −79% $33,564 −90% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $3,233 $3,233 $9,379 −66% $24,544 −87% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $3,233 $3,233 $19,811 −84% $36,334 −91% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $3,233 $3,233 $10,507 −69% $22,032 −85% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $3,233 $3,233 $8,075 −60% $18,428 −82% —
811 RED BLOOD CELL DISORDERS WITH MCC $3,233 $3,233 $12,169 −73% $27,934 −88% ≈280% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,233 $3,233 $7,983 −60% $20,488 −84% ≈288% of Medicare
813 COAGULATION DISORDERS $3,233 $3,233 $13,132 −75% $30,128 −89% ≈271% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $3,233 $3,233 $17,735 −82% $32,483 −90% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $3,233 $3,233 $8,620 −62% $18,017 −82% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $3,233 $3,233 $5,704 −43% $13,485 −76% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $3,233 $3,233 $18,088 −82% $36,097 −91% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $3,233 $3,233 $10,927 −70% $24,316 −87% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $6,927 −53% $17,928 −82% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $3,233 $3,233 $18,682 −83% $44,053 −93% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $9,798 −67% $25,390 −87% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $3,233 $3,233 $18,841 −83% $38,382 −92% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $10,441 −69% $27,321 −88% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $3,233 — $20,508 −84% $47,546 −93% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,598 −76% $35,584 −91% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $3,233 $3,233 $27,771 −88% $53,817 −94% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $12,529 −74% $25,149 −87% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $3,233 $3,233 $9,405 −66% $18,133 −82% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $3,233 $3,233 $6,341 −49% $12,895 −75% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $4,496 −28% $9,076 −64% —
834 ACUTE LEUKEMIA WITH MCC $3,233 $3,233 $46,891 −93% $76,583 −96% —
835 ACUTE LEUKEMIA WITH CC $3,233 $3,233 $17,874 −82% $35,569 −91% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $3,233 $3,233 $10,780 −70% $19,686 −84% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $3,233 $3,233 $17,206 −81% $30,661 −89% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,233 $3,233 $11,626 −72% $20,980 −85% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $3,233 $3,233 $27,054 −88% $49,710 −93% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $3,233 $3,233 $13,302 −76% $31,059 −90% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $3,233 $3,233 $8,924 −64% $17,550 −82% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $3,233 $3,233 $16,062 −80% $36,280 −91% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $3,233 $3,233 $10,139 −68% $20,421 −84% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $7,169 −55% $14,055 −77% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $3,233 $3,233 $21,877 −85% $38,878 −92% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $3,233 $3,233 $10,780 −70% $22,275 −85% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $3,233 $3,233 $7,015 −54% $13,822 −77% —
849 RADIOTHERAPY $3,233 $3,233 $22,353 −86% $37,862 −91% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $3,233 $3,233 $77,091 −96% $121,563 −97% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $3,233 $3,233 $17,364 −81% $43,524 −93% ≈283% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $13,926 −77% $27,168 −88% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $3,233 $3,233 $19,259 −83% $41,900 −92% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $3,233 $3,233 $10,930 −70% $23,924 −86% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $3,233 $3,233 $15,904 −80% $30,394 −89% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $3,233 $3,233 $8,483 −62% $20,007 −84% —
864 FEVER AND INFLAMMATORY CONDITIONS $3,233 $3,233 $7,618 −58% $17,412 −81% —
865 VIRAL ILLNESS WITH MCC $3,233 $3,233 $12,521 −74% $26,088 −88% —
866 VIRAL ILLNESS WITHOUT MCC $3,233 $3,233 $7,506 −57% $16,391 −80% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $3,233 $3,233 $18,191 −82% $36,850 −91% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $3,233 $3,233 $9,083 −64% $22,231 −85% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $3,233 $3,233 $6,105 −47% $12,537 −74% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $3,233 $3,233 $16,645 −81% $35,237 −91% ≈283% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $3,233 $3,233 $8,918 −64% $22,781 −86% ≈293% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $3,233 $3,233 $33,337 −90% $54,196 −94% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,233 $3,233 $8,292 −61% $15,636 −79% —
881 DEPRESSIVE NEUROSES $3,233 $3,233 $7,831 −59% $15,058 −79% —
882 NEUROSES EXCEPT DEPRESSIVE $3,233 $3,233 $8,241 −61% $15,680 −79% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $3,233 $3,233 $15,515 −79% $22,698 −86% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $3,233 $3,233 $14,169 −77% $25,208 −87% —
885 PSYCHOSES $3,233 $3,233 $11,958 −73% $21,489 −85% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $3,233 $3,233 $15,241 −79% $24,836 −87% —
887 OTHER MENTAL DISORDER DIAGNOSES $3,233 $3,233 $10,090 −68% $20,602 −84% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $3,233 $3,233 $5,424 −40% $12,013 −73% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $3,233 $3,233 $12,117 −73% $21,986 −85% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $3,233 $3,233 $15,107 −79% $30,275 −89% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $3,233 $3,233 $7,484 −57% $16,049 −80% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $3,233 $3,233 $37,586 −91% $68,847 −95% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $3,233 $3,233 $16,098 −80% $35,459 −91% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $3,233 $3,233 $10,444 −69% $23,588 −86% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $3,233 $3,233 $33,398 −90% $55,097 −94% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $3,233 $3,233 $13,793 −77% $25,197 −87% —
906 HAND PROCEDURES FOR INJURIES $3,233 $3,233 $18,264 −82% $31,520 −90% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $3,233 $3,233 $17,112 −81% $41,660 −92% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $3,233 $3,233 $10,760 −70% $28,156 −89% —
913 TRAUMATIC INJURY WITH MCC $3,233 $3,233 $13,729 −76% $24,198 −87% —
914 TRAUMATIC INJURY WITHOUT MCC $3,233 $3,233 $7,850 −59% $15,593 −79% —
915 ALLERGIC REACTIONS WITH MCC $3,233 $3,233 $14,888 −78% $30,944 −90% —
916 ALLERGIC REACTIONS WITHOUT MCC $3,233 $3,233 $5,634 −43% $13,890 −77% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $3,233 $3,233 $13,910 −77% $28,134 −89% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $3,233 $3,233 $7,504 −57% $15,045 −79% —
919 COMPLICATIONS OF TREATMENT WITH MCC $3,233 $3,233 $15,622 −79% $29,031 −89% —
920 COMPLICATIONS OF TREATMENT WITH CC $3,233 $3,233 $8,787 −63% $21,181 −85% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $3,233 $3,233 $5,948 −46% $14,012 −77% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $3,233 $3,233 $14,613 −78% $29,409 −89% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $3,233 $3,233 $8,652 −63% $16,571 −80% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $3,233 $3,233 $56,660 −94% $89,353 −96% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $3,233 $3,233 $33,230 −90% $59,352 −95% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $3,233 $3,233 $18,382 −82% $31,044 −90% —
935 NON-EXTENSIVE BURNS $3,233 $3,233 $18,633 −83% $29,458 −89% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $3,233 $3,233 $26,927 −88% $51,142 −94% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $3,233 $3,233 $17,669 −82% $38,420 −92% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $3,233 $3,233 $16,579 −80% $29,524 −89% —
945 REHABILITATION WITH CC/MCC $3,233 $3,233 $12,775 −75% $23,834 −86% —
946 REHABILITATION WITHOUT CC/MCC $3,233 $3,233 $9,323 −65% $17,685 −82% —
947 SIGNS AND SYMPTOMS WITH MCC $3,233 $3,233 $11,018 −71% $25,474 −87% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $3,233 $3,233 $6,872 −53% $17,727 −82% —
949 AFTERCARE WITH CC/MCC $3,233 $3,233 $9,243 −65% $23,953 −87% —
950 AFTERCARE WITHOUT CC/MCC $3,233 $3,233 $5,117 −37% $13,527 −76% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,233 $3,233 $4,950 −35% $9,385 −66% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $3,233 $3,233 $23,718 −86% $43,491 −93% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $3,233 $3,233 $12,726 −75% $25,854 −87% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $3,233 $3,233 $7,742 −58% $17,585 −82% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $3,233 $3,233 $22,509 −86% $40,947 −92% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $3,233 $3,233 $25,951 −88% $46,402 −93% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $3,233 $3,233 $11,895 −73% $25,010 −87% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $3,233 $3,233 $8,278 −61% $16,212 −80% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $3,233 $3,233 $12,232 −74% $22,525 −86% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,233 $3,233 $21,375 −85% $51,985 −94% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,233 $3,233 $14,152 −77% $30,930 −90% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $3,233 $3,233 $14,843 −78% $38,094 −92% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $3,233 $3,233 $9,899 −67% $25,307 −87% —

Procedures with negotiated rates only

These 172 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
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $121,719 – $544,964 · median $396,003 19 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $74,132 – $359,299 · median $273,038 19 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $31,749 – $137,207 · median $97,784 19 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $24,236 – $104,349 · median $74,819 19 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $69,491 – $244,941 · median $163,519 19 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $31,672 – $115,340 · median $65,139 19 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $36,073 – $145,070 · median $107,199 19 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $25,793 – $96,670 · median $71,851 19 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $28,221 – $113,722 · median $83,745 19 plans
028 SPINAL PROCEDURES WITH MCC $35,900 – $154,590 · median $111,929 19 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $28,093 – $106,559 · median $78,067 19 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $24,106 – $98,882 · median $73,986 19 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $14,785 – $57,844 · median $43,608 19 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $25,304 – $95,917 · median $73,021 19 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $17,940 – $68,742 · median $51,505 19 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $23,021 – $92,779 · median $66,523 19 plans
163 MAJOR CHEST PROCEDURES WITH MCC $31,298 – $117,749 · median $91,973 19 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $23,958 – $97,906 · median $75,370 19 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $36,833 – $164,449 · median $115,288 19 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $82,753 – $269,406 · median $211,242 19 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $64,491 – $247,552 · median $184,051 19 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $42,716 – $164,212 · median $120,712 19 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $34,688 – $151,279 · median $108,032 19 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $50,348 – $196,750 · median $146,235 19 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $34,074 – $134,685 · median $99,459 19 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $29,516 – $116,781 · median $86,343 19 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $40,369 – $147,516 · median $106,643 19 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $26,361 – $94,653 · median $66,475 19 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $52,733 – $215,475 · median $154,496 19 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $38,444 – $155,333 · median $111,667 19 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $49,891 – $198,756 · median $147,532 19 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $33,435 – $135,283 · median $98,573 19 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $37,790 – $149,624 · median $111,520 19 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $25,874 – $104,563 · median $76,637 19 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $29,988 – $128,079 · median $91,156 19 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $17,724 – $74,052 · median $53,095 19 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $23,832 – $88,351 · median $67,038 19 plans
245 AICD GENERATOR PROCEDURES $33,444 – $128,498 · median $89,096 19 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,066 – $87,229 · median $62,868 19 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,643 – $75,981 · median $51,366 19 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $23,758 – $86,613 · median $65,799 19 plans
265 AICD LEAD PROCEDURES $20,045 – $90,707 · median $65,642 19 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,112 – $56,280 · median $40,353 19 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $33,847 – $129,149 · median $100,822 19 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,513 – $116,763 · median $91,826 19 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $25,977 – $92,336 · median $73,653 19 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,234 – $68,516 · median $53,027 19 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $26,183 – $108,469 · median $81,141 19 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $34,853 – $138,041 · median $104,401 19 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $22,885 – $89,031 · median $70,588 19 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $21,940 – $89,095 · median $66,852 19 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,481 – $60,430 · median $45,255 19 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $27,218 – $103,426 · median $77,807 19 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $58,318 – $215,356 · median $162,780 19 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $41,828 – $154,321 · median $115,290 19 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,144 – $119,085 · median $88,916 19 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $34,542 – $152,335 · median $126,647 19 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $32,745 – $129,546 · median $98,359 19 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $22,555 – $87,096 · median $66,114 19 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,165 – $83,117 · median $61,848 19 plans
471 CERVICAL SPINAL FUSION WITH MCC $32,074 – $123,512 · median $93,284 19 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $24,884 – $114,037 · median $81,598 19 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,905 – $87,447 · median $63,553 19 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,385 – $74,784 · median $55,923 19 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $21,057 – $81,861 · median $62,467 19 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $22,125 – $90,300 · median $65,655 19 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $14,783 – $61,053 · median $44,609 19 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $22,044 – $89,522 · median $67,914 19 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $34,134 – $156,591 · median $115,495 19 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $20,047 – $88,106 · median $63,259 19 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $19,177 – $82,880 · median $62,078 19 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,526 – $62,658 · median $38,166 19 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,245 – $95,152 · median $71,057 19 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $23,692 – $100,332 · median $74,565 19 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $35,555 – $141,751 · median $103,165 19 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,939 – $82,845 · median $62,129 19 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,323 – $79,325 · median $56,829 19 plans
665 PROSTATECTOMY WITH MCC $19,063 – $87,310 · median $60,510 19 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $22,955 – $106,534 · median $73,833 19 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,697 – $58,698 · median $45,066 19 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $27,748 – $101,066 · median $79,302 19 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $24,047 – $101,227 · median $72,353 19 plans
799 SPLENIC PROCEDURES WITH MCC $31,752 – $122,087 · median $93,959 19 plans
800 SPLENIC PROCEDURES WITH CC $18,251 – $74,092 · median $53,435 19 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $36,712 – $148,050 · median $112,311 19 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $27,166 – $118,991 · median $85,317 19 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $32,206 – $121,432 · median $87,458 19 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $38,472 – $135,265 · median $107,154 19 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $32,742 – $127,174 · median $94,807 19 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $28,421 – $114,721 · median $86,059 19 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $40,614 – $176,891 · median $122,594 19 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $25,621 – $101,298 · median $72,631 19 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $128,075 – $597,269 · median $471,557 19 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $18,890 – $80,871 · median $59,725 19 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $39,049 – $173,631 · median $120,335 19 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $25,195 – $97,196 · median $72,866 19 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $48,380 – $189,800 · median $137,157 19 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $26,913 – $104,504 · median $76,706 19 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $17,985 – $67,229 · median $48,204 19 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $37,264 – $160,815 · median $127,652 19 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $28,838 – $120,883 · median $89,897 19 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,408 – $89,067 · median $63,861 19 plans
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $5,796 – $23,848 · median $16,711 18 plans
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $8,025 – $43,444 · median $22,271 18 plans
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,025 – $25,847 · median $19,945 18 plans
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $8,025 – $25,847 · median $19,138 18 plans
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $8,025 – $38,109 · median $22,271 18 plans
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,025 – $25,847 · median $20,201 18 plans
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $8,025 – $25,847 · median $19,488 18 plans
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $5,796 – $26,899 · median $16,711 18 plans
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $5,796 – $22,834 · median $16,697 18 plans
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $5,796 – $22,834 · median $15,225 18 plans
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $5,796 – $23,537 · median $16,281 18 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $5,796 – $18,299 · median $13,484 18 plans
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $5,796 – $18,299 · median $13,164 18 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $45,733 – $168,448 · median $128,203 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,448 – $132,934 · median $100,681 17 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $43,556 – $169,544 · median $131,665 17 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $27,398 – $105,799 · median $81,684 17 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $32,817 – $130,522 · median $98,098 17 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $23,827 – $99,431 · median $73,903 17 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $20,292 – $79,361 · median $62,199 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $26,334 – $111,700 · median $82,719 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $21,890 – $91,134 · median $69,253 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $35,498 – $74,115 · median $60,186 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $37,372 – $78,029 · median $61,991 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $132,677 – $277,011 · median $218,693 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $86,069 – $179,700 · median $142,330 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $75,442 – $157,512 · median $125,165 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $56,655 – $118,289 · median $95,122 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $60,935 – $127,224 · median $99,145 14 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $39,026 – $81,482 · median $64,635 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $51,875 – $108,308 · median $84,831 14 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $34,858 – $72,778 · median $56,715 14 plans
397 APPENDIX PROCEDURES WITH MCC $30,177 – $63,006 · median $49,100 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $459,304 – $958,964 · median $685,664 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $75,344 – $157,308 · median $135,609 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $127,580 – $266,369 · median $229,626 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $86,504 – $180,608 · median $155,695 10 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $67,034 – $139,959 · median $120,653 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $101,580 – $212,085 · median $182,830 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $66,625 – $139,104 · median $119,916 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $81,657 – $170,488 · median $146,971 10 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $49,733 – $103,836 · median $89,512 10 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $62,723 – $130,957 · median $112,893 10 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $35,789 – $140,202 · median $96,266 10 plans
791 PREMATURITY WITH MAJOR PROBLEMS $24,443 – $95,749 · median $65,743 10 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $14,748 – $57,774 · median $39,669 10 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $25,108 – $98,357 · median $67,534 10 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $60,411 – $218,204 · median $164,592 9 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $39,334 – $144,735 · median $113,604 9 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $30,910 – $113,711 · median $85,544 9 plans
459 Spinal Fusion Except Cervical With MCC $44,002 – $159,775 · median $118,652 9 plans
460 Spinal Fusion Except Cervical Without MCC $25,433 – $93,340 · median $67,942 9 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,886 – $34,815 · median $24,609 8 plans
795 NORMAL NEWBORN $1,203 – $4,712 · median $3,332 8 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $53,588 – $199,870 · median $153,620 5 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $38,550 – $147,440 · median $109,709 5 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $47,497 – $174,737 · median $137,903 5 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $36,276 – $133,549 · median $103,493 5 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $42,948 – $156,927 · median $121,008 5 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $33,582 – $124,651 · median $93,218 5 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $20,375 – $74,187 · median $56,711 5 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $13,067 – $47,189 · median $35,772 5 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $19,885 – $75,331 · median $53,903 5 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $12,309 – $44,604 · median $32,269 5 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $18,689 – $66,428 · median $52,987 5 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $11,020 – $40,230 · median $32,090 5 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $7,947 – $29,155 · median $21,602 5 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $16,427 – $54,974 · median $41,530 5 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $10,341 – $34,014 · median $24,283 5 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $7,395 – $26,331 · median $17,152 5 plans
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