Robert Wood Johnson University Hospital Somerset — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 555 with a comparable price, 223 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 $2,486
Average published price $2,547
Highest published price $10,580

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 555 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 83 procedures, this hospital's negotiated rates average ≈341% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $10,580 $10,580 $16,156 −35% $28,375 −63% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $10,580 $10,580 $12,774 −17% $22,560 −53% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $10,580 $10,580 $10,545 +0% $19,815 −47% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $7,136 $7,136 $11,094 −36% $22,557 −68% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $7,136 $7,136 $10,124 −30% $18,238 −61% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $2,486 $2,486 $22,177 −89% $45,290 −95% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $18,879 −87% $45,818 −95% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $13,535 −82% $33,984 −93% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $2,486 — $15,340 −84% $40,694 −94% —
037 EXTRACRANIAL PROCEDURES WITH MCC $2,486 $2,486 $28,173 −91% $64,749 −96% —
038 EXTRACRANIAL PROCEDURES WITH CC $2,486 $2,486 $13,669 −82% $35,770 −93% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $9,394 −74% $25,267 −90% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $2,486 $2,486 $19,533 −87% $44,989 −94% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $15,203 −84% $39,018 −94% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $2,486 $2,486 $17,073 −85% $30,940 −92% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $2,486 $2,486 $7,893 −69% $20,309 −88% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $2,486 $2,486 $12,842 −81% $29,484 −92% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $2,486 $2,486 $9,255 −73% $19,868 −87% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $2,486 $2,486 $20,668 −88% $39,409 −94% ≈412% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $2,486 $2,486 $11,320 −78% $25,426 −90% ≈328% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $2,486 $2,486 $15,813 −84% $29,609 −92% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $2,486 $2,486 $10,380 −76% $26,322 −91% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $2,486 $2,486 $7,571 −67% $21,261 −88% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $2,486 — $15,108 −84% $48,680 −95% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $2,486 $2,486 $11,918 −79% $35,542 −93% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $2,486 $2,486 $16,875 −85% $35,714 −93% ≈370% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $2,486 $2,486 $8,711 −71% $23,469 −89% ≈329% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $2,486 $2,486 $5,839 −57% $19,483 −87% ≈359% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $2,486 $2,486 $12,175 −80% $24,941 −90% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $2,486 $2,486 $7,478 −67% $19,569 −87% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $2,486 $2,486 $6,696 −63% $20,278 −88% ≈371% of Medicare
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $2,486 $2,486 $14,751 −83% $30,814 −92% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $2,486 $2,486 $8,941 −72% $23,396 −89% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $2,486 $2,486 $6,364 −61% $16,654 −85% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $2,486 $2,486 $13,241 −81% $28,252 −91% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,486 $2,486 $8,843 −72% $23,141 −89% —
075 VIRAL MENINGITIS WITH CC/MCC $2,486 $2,486 $14,216 −83% $29,853 −92% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $2,486 $2,486 $7,779 −68% $15,474 −84% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $2,486 $2,486 $13,118 −81% $24,036 −90% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $2,486 $2,486 $8,351 −70% $17,434 −86% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $2,486 $2,486 $5,589 −56% $11,847 −79% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $2,486 $2,486 $17,194 −86% $35,139 −93% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $2,486 $2,486 $7,676 −68% $15,077 −84% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $2,486 $2,486 $19,683 −87% $36,237 −93% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $2,486 $2,486 $11,795 −79% $24,118 −90% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $2,486 $2,486 $8,111 −69% $18,191 −86% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $2,486 $2,486 $19,224 −87% $37,064 −93% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $2,486 $2,486 $10,976 −77% $23,115 −89% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $2,486 $2,486 $7,499 −67% $15,869 −84% —
088 CONCUSSION WITH MCC $2,486 $2,486 $11,968 −79% $24,402 −90% —
089 CONCUSSION WITH CC $2,486 $2,486 $8,849 −72% $18,293 −86% —
090 CONCUSSION WITHOUT CC/MCC $2,486 $2,486 $7,344 −66% $14,873 −83% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $2,486 $2,486 $15,616 −84% $36,375 −93% ≈328% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $2,486 $2,486 $9,069 −73% $24,136 −90% ≈336% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,486 $2,486 $6,762 −63% $17,522 −86% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $2,486 $2,486 $20,337 −88% $47,583 −95% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $2,486 $2,486 $20,337 −88% $39,093 −94% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $2,486 $2,486 $29,586 −92% $57,855 −96% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $2,486 $2,486 $18,584 −87% $37,902 −93% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $2,486 $2,486 $11,500 −78% $25,666 −90% —
100 SEIZURES WITH MCC $2,486 $2,486 $17,172 −86% $35,194 −93% ≈321% of Medicare
101 SEIZURES WITHOUT MCC $2,486 $2,486 $7,819 −68% $19,954 −88% ≈328% of Medicare
102 HEADACHES WITH MCC $2,486 $2,486 $10,029 −75% $22,544 −89% —
103 HEADACHES WITHOUT MCC $2,486 $2,486 $7,213 −66% $20,111 −88% ≈559% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $2,486 $2,486 $19,331 −87% $35,642 −93% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $10,028 −75% $19,598 −87% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $2,486 $2,486 $13,243 −81% $24,879 −90% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $2,486 — $14,294 −83% $28,103 −91% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $9,026 −72% $17,193 −86% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $2,486 $2,486 $9,868 −75% $18,291 −86% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $2,486 $2,486 $5,754 −57% $11,997 −79% —
123 NEUROLOGICAL EYE DISORDERS $2,486 $2,486 $6,881 −64% $17,831 −86% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $2,486 $2,486 $11,062 −78% $21,029 −88% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $2,486 $2,486 $7,073 −65% $15,876 −84% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $2,486 $2,486 $20,655 −88% $40,065 −94% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $8,380 −70% $15,890 −84% —
137 MOUTH PROCEDURES WITH CC/MCC $2,486 $2,486 $11,981 −79% $24,348 −90% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $6,969 −64% $17,383 −86% —
139 SALIVARY GLAND PROCEDURES $2,486 $2,486 $11,648 −79% $21,014 −88% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $2,486 — $34,907 −93% $60,098 −96% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $2,486 $2,486 $18,227 −86% $34,900 −93% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $13,339 −81% $34,906 −93% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $2,486 $2,486 $28,012 −91% $52,908 −95% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $2,486 $2,486 $15,049 −83% $29,558 −92% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $10,150 −76% $20,842 −88% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $2,486 $2,486 $19,273 −87% $37,080 −93% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $2,486 $2,486 $10,664 −77% $21,860 −89% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $6,793 −63% $13,586 −82% —
149 DYSEQUILIBRIUM $2,486 $2,486 $6,256 −60% $17,203 −86% ≈380% of Medicare
150 EPISTAXIS WITH MCC $2,486 $2,486 $11,841 −79% $21,133 −88% —
151 EPISTAXIS WITHOUT MCC $2,486 $2,486 $6,494 −62% $13,032 −81% —
152 OTITIS MEDIA AND URI WITH MCC $2,486 $2,486 $9,627 −74% $19,795 −87% —
153 OTITIS MEDIA AND URI WITHOUT MCC $2,486 $2,486 $6,038 −59% $14,473 −83% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $2,486 $2,486 $13,610 −82% $24,465 −90% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $2,486 $2,486 $7,998 −69% $16,642 −85% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $5,760 −57% $13,198 −81% —
157 DENTAL AND ORAL DISEASES WITH MCC $2,486 $2,486 $13,892 −82% $27,457 −91% —
158 DENTAL AND ORAL DISEASES WITH CC $2,486 $2,486 $7,980 −69% $17,700 −86% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $2,486 $2,486 $5,651 −56% $13,368 −81% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $2,486 — $15,813 −84% $41,380 −94% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $2,486 — $15,653 −84% $40,563 −94% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $11,330 −78% $28,527 −91% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $2,486 $2,486 $12,188 −80% $29,757 −92% ≈337% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $2,486 $2,486 $7,045 −65% $18,081 −86% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $2,486 $2,486 $13,714 −82% $31,840 −92% ≈325% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $2,486 $2,486 $8,416 −70% $22,024 −89% ≈367% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $2,486 $2,486 $6,594 −62% $14,444 −83% ≈368% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $2,486 $2,486 $14,973 −83% $36,658 −93% —
181 RESPIRATORY NEOPLASMS WITH CC $2,486 $2,486 $9,512 −74% $22,431 −89% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $2,486 $2,486 $7,131 −65% $14,064 −82% —
183 MAJOR CHEST TRAUMA WITH MCC $2,486 $2,486 $13,466 −82% $28,924 −91% —
184 MAJOR CHEST TRAUMA WITH CC $2,486 $2,486 $9,061 −73% $20,842 −88% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $2,486 $2,486 $6,727 −63% $15,858 −84% —
186 PLEURAL EFFUSION WITH MCC $2,486 $2,486 $13,404 −81% $32,468 −92% —
187 PLEURAL EFFUSION WITH CC $2,486 $2,486 $8,517 −71% $21,467 −88% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $2,486 $2,486 $6,229 −60% $14,110 −82% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $2,486 $2,486 $10,497 −76% $25,704 −90% ≈331% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $2,486 $2,486 $9,714 −74% $24,190 −90% ≈339% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $2,486 $2,486 $7,431 −67% $18,278 −86% ≈352% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $2,486 $2,486 $5,598 −56% $14,368 −83% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $2,486 $2,486 $11,179 −78% $26,158 −90% ≈343% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $2,486 $2,486 $7,093 −65% $18,204 −86% ≈391% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $2,486 $2,486 $5,283 −53% $13,824 −82% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $2,486 $2,486 $16,297 −85% $30,766 −92% ≈315% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $2,486 $2,486 $8,399 −70% $20,106 −88% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $2,486 $2,486 $6,058 −59% $13,654 −82% —
199 PNEUMOTHORAX WITH MCC $2,486 $2,486 $15,123 −84% $31,491 −92% —
200 PNEUMOTHORAX WITH CC $2,486 $2,486 $9,580 −74% $20,573 −88% —
201 PNEUMOTHORAX WITHOUT CC/MCC $2,486 $2,486 $5,857 −58% $13,081 −81% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $2,486 $2,486 $8,281 −70% $17,273 −86% ≈347% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $2,486 $2,486 $6,025 −59% $12,279 −80% —
204 RESPIRATORY SIGNS AND SYMPTOMS $2,486 $2,486 $7,015 −65% $16,866 −85% ≈334% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $2,486 $2,486 $16,015 −84% $32,204 −92% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $2,486 $2,486 $7,835 −68% $17,731 −86% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $2,486 $2,486 $22,768 −89% $52,405 −95% ≈340% of Medicare
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $2,486 $2,486 $12,810 −81% $24,229 −90% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $2,486 — $15,683 −84% $40,063 −94% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $2,486 — $19,811 −87% $51,339 −95% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $2,486 — $13,256 −81% $41,380 −94% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $14,950 −83% $38,836 −94% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $2,486 $2,486 $21,896 −89% $43,697 −94% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $2,486 $2,486 $14,368 −83% $29,729 −92% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $2,486 $2,486 $7,566 −67% $15,764 −84% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $2,486 $2,486 $14,911 −83% $35,673 −93% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $2,486 $2,486 $12,876 −81% $33,694 −93% —
263 VEIN LIGATION AND STRIPPING $2,486 $2,486 $23,200 −89% $44,938 −94% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $2,486 $2,486 $29,651 −92% $51,953 −95% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $2,486 $2,486 $14,198 −82% $28,967 −91% ≈326% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $2,486 $2,486 $7,820 −68% $20,463 −88% ≈342% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $2,486 $2,486 $6,272 −60% $18,623 −87% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $2,486 $2,486 $16,589 −85% $35,014 −93% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $2,486 $2,486 $6,286 −60% $13,282 −81% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $2,486 $2,486 $4,763 −48% $10,039 −75% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $2,486 $2,486 $9,426 −74% $31,190 −92% ≈360% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $2,486 $2,486 $22,859 −89% $45,497 −95% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $2,486 $2,486 $13,487 −82% $29,371 −92% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $2,486 $2,486 $8,305 −70% $15,901 −84% —
291 HEART FAILURE AND SHOCK WITH MCC $2,486 $2,486 $11,286 −78% $25,020 −90% ≈324% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $2,486 $2,486 $7,306 −66% $16,212 −85% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $2,486 $2,486 $4,790 −48% $11,955 −79% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $2,486 $2,486 $10,418 −76% $19,132 −87% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $2,486 $2,486 $6,267 −60% $13,445 −82% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $2,486 $2,486 $14,036 −82% $30,910 −92% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $2,486 $2,486 $5,976 −58% $12,336 −80% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $2,486 $2,486 $3,989 −38% $8,927 −72% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $2,486 $2,486 $13,351 −81% $25,731 −90% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $2,486 $2,486 $9,260 −73% $19,579 −87% ≈373% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $2,486 $2,486 $6,171 −60% $15,607 −84% —
302 ATHEROSCLEROSIS WITH MCC $2,486 $2,486 $10,062 −75% $20,844 −88% —
303 ATHEROSCLEROSIS WITHOUT MCC $2,486 $2,486 $5,704 −56% $14,927 −83% —
304 HYPERTENSION WITH MCC $2,486 $2,486 $10,162 −76% $24,185 −90% —
305 HYPERTENSION WITHOUT MCC $2,486 $2,486 $6,493 −62% $17,144 −85% ≈380% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $2,486 $2,486 $12,703 −80% $24,450 −90% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $2,486 $2,486 $7,859 −68% $18,608 −87% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $2,486 $2,486 $10,431 −76% $26,488 −91% ≈346% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $2,486 $2,486 $6,333 −61% $16,865 −85% ≈337% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $2,486 $2,486 $4,793 −48% $13,384 −81% ≈481% of Medicare
311 ANGINA PECTORIS $2,486 $2,486 $5,924 −58% $15,165 −84% —
312 SYNCOPE AND COLLAPSE $2,486 $2,486 $7,537 −67% $19,342 −87% ≈369% of Medicare
313 CHEST PAIN $2,486 $2,486 $6,171 −60% $15,962 −84% ≈370% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $2,486 $2,486 $18,627 −87% $38,357 −94% ≈322% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $2,486 $2,486 $8,164 −70% $20,777 −88% ≈363% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $5,792 −57% $12,797 −81% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $2,486 — $15,140 −84% $54,772 −95% ≈391% of Medicare
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $2,486 — $13,518 −82% $35,375 −93% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,486 — $20,052 −88% $58,832 −96% ≈325% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,486 — $14,006 −82% $44,117 −94% —
334 RECTAL RESECTION WITHOUT CC/MCC $2,486 $2,486 $14,071 −82% $32,213 −92% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $2,486 — $13,340 −81% $36,239 −93% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $2,486 $2,486 $12,753 −81% $31,062 −92% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $10,668 −77% $26,146 −90% —
348 ANAL AND STOMAL PROCEDURES WITH CC $2,486 $2,486 $10,889 −77% $27,947 −91% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $7,620 −67% $19,854 −87% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $2,486 $2,486 $20,519 −88% $46,591 −95% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $2,486 $2,486 $12,763 −81% $33,792 −93% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $9,354 −73% $25,162 −90% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $2,486 — $14,431 −83% $43,266 −94% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $2,486 $2,486 $11,310 −78% $31,978 −92% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $11,609 −79% $29,374 −92% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $2,486 $2,486 $14,167 −82% $33,607 −93% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $2,486 $2,486 $8,633 −71% $22,713 −89% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $2,486 $2,486 $5,921 −58% $15,072 −84% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $2,486 $2,486 $15,120 −84% $31,758 −92% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $2,486 $2,486 $8,732 −72% $22,850 −89% ≈358% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $2,486 $2,486 $6,154 −60% $16,104 −85% —
375 DIGESTIVE MALIGNANCY WITH CC $2,486 $2,486 $10,526 −76% $27,219 −91% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $7,491 −67% $15,608 −84% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $2,486 $2,486 $15,800 −84% $37,842 −93% ≈368% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $2,486 $2,486 $8,364 −70% $21,886 −89% ≈382% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $2,486 $2,486 $5,559 −55% $14,134 −82% —
380 COMPLICATED PEPTIC ULCER WITH MCC $2,486 $2,486 $16,722 −85% $36,641 −93% —
381 COMPLICATED PEPTIC ULCER WITH CC $2,486 $2,486 $9,239 −73% $24,177 −90% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $2,486 $2,486 $6,357 −61% $16,634 −85% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $2,486 $2,486 $10,725 −77% $26,634 −91% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $2,486 $2,486 $7,377 −66% $19,305 −87% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $2,486 $2,486 $14,054 −82% $26,020 −90% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $2,486 $2,486 $8,420 −70% $20,968 −88% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $2,486 $2,486 $5,798 −57% $14,880 −83% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $2,486 $2,486 $12,592 −80% $28,780 −91% ≈317% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $2,486 $2,486 $6,800 −63% $17,388 −86% ≈345% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $2,486 $2,486 $4,642 −46% $13,318 −81% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $2,486 $2,486 $10,897 −77% $27,244 −91% ≈334% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $2,486 $2,486 $6,685 −63% $17,322 −86% ≈355% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $2,486 $2,486 $14,049 −82% $32,689 −92% ≈340% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $2,486 $2,486 $7,986 −69% $18,918 −87% ≈316% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $5,399 −54% $14,128 −82% —
398 APPENDIX PROCEDURES WITH CC $2,486 $2,486 $12,663 −80% $39,107 −94% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $9,534 −74% $30,314 −92% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $2,486 — $24,059 −90% $58,043 −96% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $2,486 — $18,560 −87% $40,232 −94% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $2,486 $2,486 $17,896 −86% $46,066 −95% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $2,486 $2,486 $13,417 −81% $34,434 −93% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $2,486 $2,486 $13,994 −82% $27,548 −91% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $2,486 $2,486 $11,624 −79% $30,418 −92% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $2,486 — $14,069 −82% $42,119 −94% ≈343% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $2,486 $2,486 $11,178 −78% $34,887 −93% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $2,486 $2,486 $13,893 −82% $36,333 −93% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $12,466 −80% $25,152 −90% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $13,114 −81% $25,484 −90% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $2,486 $2,486 $16,783 −85% $36,933 −93% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $2,486 $2,486 $9,254 −73% $23,749 −90% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,486 $2,486 $5,829 −57% $12,405 −80% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $2,486 $2,486 $15,782 −84% $37,950 −93% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $2,486 $2,486 $9,567 −74% $24,017 −90% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $2,486 $2,486 $6,661 −63% $13,385 −81% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $2,486 $2,486 $14,391 −83% $32,502 −92% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $2,486 $2,486 $7,369 −66% $19,096 −87% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $5,370 −54% $15,070 −84% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $2,486 $2,486 $16,037 −84% $32,399 −92% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $2,486 $2,486 $8,357 −70% $21,449 −88% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $2,486 $2,486 $6,020 −59% $15,600 −84% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $2,486 $2,486 $14,290 −83% $31,128 −92% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $2,486 $2,486 $9,291 −73% $21,806 −89% ≈336% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $2,486 $2,486 $6,896 −64% $17,700 −86% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $2,486 $2,486 $46,936 −95% $78,582 −97% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,486 $2,486 $14,728 −83% $32,839 −92% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $2,486 $2,486 $22,797 −89% $54,929 −95% ≈323% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $2,486 — $16,152 −85% $49,197 −95% ≈255% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $2,486 — $20,281 −88% $50,624 −95% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,486 $2,486 $9,867 −75% $21,062 −88% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,486 $2,486 $15,065 −83% $31,909 −92% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $2,486 — $13,458 −82% $39,747 −94% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $2,486 — $22,247 −89% $57,149 −96% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,486 $2,486 $13,406 −81% $33,490 −93% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $2,486 $2,486 $10,506 −76% $27,492 −91% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $2,486 $2,486 $17,146 −86% $43,800 −94% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $2,486 $2,486 $11,390 −78% $29,805 −92% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $2,486 $2,486 $9,848 −75% $22,532 −89% —
501 SOFT TISSUE PROCEDURES WITH CC $2,486 $2,486 $15,581 −84% $37,975 −93% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $11,853 −79% $30,006 −92% —
504 FOOT PROCEDURES WITH CC $2,486 $2,486 $14,889 −83% $36,598 −93% —
505 FOOT PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $14,889 −83% $31,716 −92% —
506 MAJOR THUMB OR JOINT PROCEDURES $2,486 $2,486 $12,842 −81% $28,983 −91% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $10,801 −77% $22,811 −89% —
509 ARTHROSCOPY $2,486 $2,486 $14,903 −83% $25,994 −90% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $2,486 $2,486 $24,247 −90% $49,055 −95% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $13,640 −82% $35,692 −93% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $2,486 $2,486 $13,023 −81% $33,424 −93% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $8,819 −72% $20,080 −88% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $12,912 −81% $33,137 −92% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $2,486 — $17,136 −85% $43,775 −94% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $2,486 $2,486 $12,397 −80% $31,816 −92% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $2,486 — $17,642 −86% $56,519 −96% ≈347% of Medicare
533 FRACTURES OF FEMUR WITH MCC $2,486 $2,486 $12,936 −81% $25,945 −90% —
534 FRACTURES OF FEMUR WITHOUT MCC $2,486 $2,486 $6,906 −64% $17,195 −86% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $2,486 $2,486 $11,503 −78% $23,350 −89% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $2,486 $2,486 $6,879 −64% $18,002 −86% ≈378% of Medicare
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $2,486 $2,486 $7,873 −68% $16,352 −85% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $2,486 $2,486 $5,697 −56% $11,909 −79% —
539 OSTEOMYELITIS WITH MCC $2,486 $2,486 $17,157 −86% $33,746 −93% —
540 OSTEOMYELITIS WITH CC $2,486 $2,486 $11,086 −78% $23,494 −89% —
541 OSTEOMYELITIS WITHOUT CC/MCC $2,486 $2,486 $7,495 −67% $14,549 −83% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $2,486 $2,486 $15,978 −84% $35,114 −93% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $2,486 $2,486 $9,000 −72% $23,496 −89% ≈324% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $6,537 −62% $16,776 −85% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $2,486 $2,486 $21,147 −88% $39,657 −94% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $2,486 $2,486 $9,688 −74% $24,202 −90% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $2,486 $2,486 $6,330 −61% $14,861 −83% —
548 SEPTIC ARTHRITIS WITH MCC $2,486 $2,486 $17,091 −85% $31,019 −92% —
549 SEPTIC ARTHRITIS WITH CC $2,486 $2,486 $10,085 −75% $20,938 −88% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $2,486 $2,486 $7,314 −66% $16,156 −85% —
551 MEDICAL BACK PROBLEMS WITH MCC $2,486 $2,486 $14,618 −83% $31,086 −92% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $2,486 $2,486 $8,176 −70% $21,213 −88% ≈364% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $2,486 $2,486 $11,297 −78% $23,956 −90% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $2,486 $2,486 $7,219 −66% $18,253 −86% ≈341% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,486 $2,486 $11,648 −79% $23,723 −90% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $2,486 $2,486 $6,927 −64% $17,715 −86% ≈330% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $2,486 $2,486 $13,276 −81% $28,646 −91% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $2,486 $2,486 $7,328 −66% $17,367 −86% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $2,486 $2,486 $15,902 −84% $30,974 −92% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $2,486 $2,486 $9,755 −75% $24,452 −90% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $2,486 $2,486 $6,936 −64% $18,150 −86% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $2,486 $2,486 $12,416 −80% $29,211 −91% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $2,486 $2,486 $7,583 −67% $18,803 −87% ≈363% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $2,486 $2,486 $13,312 −81% $32,936 −92% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $2,486 $2,486 $8,651 −71% $21,545 −88% ≈340% of Medicare
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $6,409 −61% $14,337 −83% —
570 SKIN DEBRIDEMENT WITH MCC $2,486 $2,486 $26,159 −90% $52,435 −95% —
571 SKIN DEBRIDEMENT WITH CC $2,486 $2,486 $14,343 −83% $34,901 −93% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $2,486 $2,486 $9,692 −74% $24,432 −90% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,486 $2,486 $17,271 −86% $29,109 −91% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $2,486 $2,486 $22,590 −89% $45,432 −95% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $2,486 $2,486 $14,340 −83% $28,578 −91% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $2,486 $2,486 $15,336 −84% $36,242 −93% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $12,424 −80% $25,243 −90% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $2,486 $2,486 $14,856 −83% $34,264 −93% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $13,936 −82% $31,566 −92% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $2,486 $2,486 $17,710 −86% $34,089 −93% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $16,841 −85% $29,633 −92% —
592 SKIN ULCERS WITH MCC $2,486 $2,486 $17,616 −86% $32,662 −92% —
593 SKIN ULCERS WITH CC $2,486 $2,486 $10,474 −76% $20,470 −88% —
594 SKIN ULCERS WITHOUT CC/MCC $2,486 $2,486 $7,271 −66% $14,209 −83% —
595 MAJOR SKIN DISORDERS WITH MCC $2,486 $2,486 $17,943 −86% $31,785 −92% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $2,486 $2,486 $9,261 −73% $17,226 −86% —
597 MALIGNANT BREAST DISORDERS WITH MCC $2,486 $2,486 $14,903 −83% $31,846 −92% —
598 MALIGNANT BREAST DISORDERS WITH CC $2,486 $2,486 $9,153 −73% $19,073 −87% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,486 $2,486 $7,253 −66% $14,290 −83% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $2,486 $2,486 $8,195 −70% $16,418 −85% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $2,486 $2,486 $5,186 −52% $10,975 −77% —
602 CELLULITIS WITH MCC $2,486 $2,486 $12,464 −80% $29,347 −92% —
603 CELLULITIS WITHOUT MCC $2,486 $2,486 $7,472 −67% $18,530 −87% ≈360% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $2,486 $2,486 $12,604 −80% $28,140 −91% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $2,486 $2,486 $7,990 −69% $19,287 −87% —
606 MINOR SKIN DISORDERS WITH MCC $2,486 $2,486 $13,661 −82% $25,434 −90% —
607 MINOR SKIN DISORDERS WITHOUT MCC $2,486 $2,486 $7,475 −67% $15,284 −84% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $2,486 $2,486 $19,713 −87% $43,586 −94% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $12,276 −80% $31,812 −92% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,486 $2,486 $16,387 −85% $42,881 −94% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,486 $2,486 $10,663 −77% $19,354 −87% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $2,486 $2,486 $12,523 −80% $32,451 −92% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $2,486 $2,486 $16,227 −85% $33,165 −93% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $2,486 $2,486 $8,510 −71% $17,078 −85% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $2,486 $2,486 $24,323 −90% $58,968 −96% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $2,486 $2,486 $12,930 −81% $27,279 −91% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $10,748 −77% $25,623 −90% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $11,888 −79% $24,452 −90% —
637 DIABETES WITH MCC $2,486 $2,486 $12,597 −80% $28,819 −91% ≈317% of Medicare
638 DIABETES WITH CC $2,486 $2,486 $7,934 −69% $18,821 −87% ≈352% of Medicare
639 DIABETES WITHOUT CC/MCC $2,486 $2,486 $5,316 −53% $13,910 −82% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $2,486 $2,486 $11,487 −78% $24,480 −90% ≈301% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $2,486 $2,486 $6,629 −62% $16,745 −85% ≈381% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $2,486 $2,486 $10,529 −76% $20,727 −88% —
643 ENDOCRINE DISORDERS WITH MCC $2,486 $2,486 $14,060 −82% $32,996 −92% —
644 ENDOCRINE DISORDERS WITH CC $2,486 $2,486 $8,939 −72% $22,941 −89% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $2,486 $2,486 $6,671 −63% $14,166 −82% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $2,486 — $15,661 −84% $40,583 −94% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $2,486 $2,486 $12,884 −81% $35,528 −93% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $2,486 $2,486 $11,645 −79% $30,358 −92% ≈335% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $2,486 $2,486 $8,880 −72% $24,022 −90% —
663 MINOR BLADDER PROCEDURES WITH CC $2,486 $2,486 $13,212 −81% $29,924 −92% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $9,250 −73% $18,126 −86% —
666 PROSTATECTOMY WITH CC $2,486 $2,486 $14,112 −82% $30,016 −92% —
667 PROSTATECTOMY WITHOUT CC/MCC $2,486 $2,486 $8,805 −72% $16,703 −85% —
669 TRANSURETHRAL PROCEDURES WITH CC $2,486 $2,486 $13,128 −81% $34,354 −93% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $8,108 −69% $20,371 −88% —
671 URETHRAL PROCEDURES WITH CC/MCC $2,486 $2,486 $14,623 −83% $27,233 −91% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $8,828 −72% $17,398 −86% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $13,279 −81% $32,490 −92% —
682 RENAL FAILURE WITH MCC $2,486 $2,486 $12,741 −80% $27,854 −91% ≈338% of Medicare
683 RENAL FAILURE WITH CC $2,486 $2,486 $7,689 −68% $18,620 −87% ≈336% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $2,486 $2,486 $5,153 −52% $13,623 −82% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $2,486 $2,486 $15,997 −84% $32,981 −92% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $2,486 $2,486 $8,689 −71% $18,478 −87% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $2,486 $2,486 $6,144 −60% $12,593 −80% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $2,486 $2,486 $9,928 −75% $22,982 −89% ≈346% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $2,486 $2,486 $6,809 −63% $17,466 −86% ≈364% of Medicare
693 URINARY STONES WITH MCC $2,486 $2,486 $12,474 −80% $22,525 −89% —
694 URINARY STONES WITHOUT MCC $2,486 $2,486 $6,629 −62% $16,531 −85% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $2,486 $2,486 $9,661 −74% $20,741 −88% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $2,486 $2,486 $5,984 −58% $14,441 −83% —
697 URETHRAL STRICTURE $2,486 $2,486 $8,499 −71% $17,705 −86% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $2,486 $2,486 $14,260 −83% $30,058 −92% ≈320% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $2,486 $2,486 $8,737 −72% $20,732 −88% ≈322% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $5,889 −58% $13,303 −81% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $2,486 — $16,240 −85% $43,080 −94% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $2,486 — $12,700 −80% $32,911 −92% —
710 PENIS PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $12,737 −80% $23,814 −90% —
711 TESTES PROCEDURES WITH CC/MCC $2,486 $2,486 $16,209 −85% $34,852 −93% —
712 TESTES PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $8,951 −72% $18,898 −87% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $2,486 $2,486 $12,387 −80% $29,663 −92% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $2,486 $2,486 $8,050 −69% $17,108 −85% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $2,486 $2,486 $19,158 −87% $38,998 −94% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $12,041 −79% $21,615 −88% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $2,486 $2,486 $15,528 −84% $32,538 −92% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $10,451 −76% $20,147 −88% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $2,486 $2,486 $14,811 −83% $29,826 −92% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $2,486 $2,486 $9,526 −74% $19,317 −87% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,486 $2,486 $6,242 −60% $12,650 −80% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $2,486 $2,486 $10,566 −76% $19,894 −88% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $2,486 $2,486 $6,315 −61% $13,892 −82% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $2,486 $2,486 $12,466 −80% $25,786 −90% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $2,486 $2,486 $6,744 −63% $16,837 −85% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $2,486 $2,486 $9,346 −73% $17,483 −86% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $5,274 −53% $11,071 −78% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $2,486 $2,486 $10,399 −76% $23,297 −89% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $2,486 $2,486 $16,953 −85% $44,363 −94% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $12,869 −81% $30,972 −92% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $2,486 — $15,426 −84% $36,597 −93% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $11,881 −79% $29,050 −91% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $2,486 $2,486 $15,497 −84% $40,552 −94% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,486 $2,486 $10,169 −76% $27,369 −91% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $2,486 $2,486 $16,902 −85% $33,050 −92% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $2,486 $2,486 $8,779 −72% $16,495 −85% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $2,486 $2,486 $14,485 −83% $29,916 −92% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $8,103 −69% $19,326 −87% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $2,486 $2,486 $11,784 −79% $24,980 −90% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $2,486 $2,486 $21,960 −89% $41,703 −94% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $11,047 −77% $23,920 −90% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,486 $2,486 $15,500 −84% $29,476 −92% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,486 $2,486 $9,602 −74% $18,459 −87% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,486 $2,486 $8,181 −70% $15,589 −84% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $2,486 $2,486 $12,007 −79% $23,734 −90% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $2,486 $2,486 $8,732 −72% $19,091 −87% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $2,486 $2,486 $5,562 −55% $14,208 −83% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $2,486 $2,486 $8,361 −70% $18,282 −86% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $2,486 $2,486 $5,483 −55% $11,421 −78% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $2,486 $2,486 $11,271 −78% $17,103 −85% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $2,486 $2,486 $11,903 −79% $24,561 −90% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $2,486 $2,486 $9,128 −73% $17,943 −86% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $2,486 $2,486 $6,053 −59% $12,381 −80% —
779 ABORTION WITHOUT D&C $2,486 $2,486 $7,930 −69% $15,327 −84% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $2,486 $2,486 $14,108 −82% $27,118 −91% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $2,486 $2,486 $9,775 −75% $23,571 −89% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $2,486 $2,486 $8,017 −69% $20,084 −88% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $2,486 $2,486 $15,085 −84% $14,284 −83% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $2,486 $2,486 $8,598 −71% $19,001 −87% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $14,064 −82% $28,634 −91% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $2,486 $2,486 $30,575 −92% $59,425 −96% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $2,486 $2,486 $15,101 −84% $33,564 −93% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $2,486 $2,486 $9,379 −73% $24,544 −90% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $2,486 $2,486 $10,576 −76% $15,370 −84% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $2,486 $2,486 $9,343 −73% $13,090 −81% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $2,486 $2,486 $8,897 −72% $12,044 −79% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $2,486 $2,486 $19,811 −87% $36,334 −93% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $2,486 $2,486 $10,507 −76% $22,032 −89% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $2,486 $2,486 $8,075 −69% $18,428 −87% —
811 RED BLOOD CELL DISORDERS WITH MCC $2,486 $2,486 $12,169 −80% $27,934 −91% ≈330% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $2,486 $2,486 $7,983 −69% $20,488 −88% ≈418% of Medicare
813 COAGULATION DISORDERS $2,486 $2,486 $13,132 −81% $30,128 −92% ≈341% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $2,486 $2,486 $17,735 −86% $32,483 −92% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $2,486 $2,486 $8,620 −71% $18,017 −86% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $2,486 $2,486 $5,704 −56% $13,485 −82% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $2,486 $2,486 $18,088 −86% $36,097 −93% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $2,486 $2,486 $10,927 −77% $24,316 −90% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $6,927 −64% $17,928 −86% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $2,486 $2,486 $18,682 −87% $44,053 −94% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $9,798 −75% $25,390 −90% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $2,486 $2,486 $18,841 −87% $38,382 −94% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $10,441 −76% $27,321 −91% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $13,598 −82% $35,584 −93% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $12,529 −80% $25,149 −90% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $2,486 $2,486 $9,405 −74% $18,133 −86% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $2,486 $2,486 $6,341 −61% $12,895 −81% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $4,496 −45% $9,076 −73% —
834 ACUTE LEUKEMIA WITH MCC $2,486 $2,486 $46,891 −95% $76,583 −97% —
835 ACUTE LEUKEMIA WITH CC $2,486 $2,486 $17,874 −86% $35,569 −93% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $2,486 $2,486 $10,780 −77% $19,686 −87% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $2,486 $2,486 $17,206 −86% $30,661 −92% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,486 $2,486 $11,626 −79% $20,980 −88% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $2,486 $2,486 $27,054 −91% $49,710 −95% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $2,486 $2,486 $13,302 −81% $31,059 −92% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $2,486 $2,486 $8,924 −72% $17,550 −86% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $2,486 $2,486 $16,062 −85% $36,280 −93% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $2,486 $2,486 $10,139 −75% $20,421 −88% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $7,169 −65% $14,055 −82% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $2,486 $2,486 $10,780 −77% $22,275 −89% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $2,486 $2,486 $7,015 −65% $13,822 −82% —
849 RADIOTHERAPY $2,486 $2,486 $22,353 −89% $37,862 −93% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $2,486 $2,486 $77,091 −97% $121,563 −98% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $13,926 −82% $27,168 −91% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $2,486 $2,486 $10,930 −77% $23,924 −90% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $2,486 $2,486 $15,904 −84% $30,394 −92% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $2,486 $2,486 $8,483 −71% $20,007 −88% —
864 FEVER AND INFLAMMATORY CONDITIONS $2,486 $2,486 $7,618 −67% $17,412 −86% —
865 VIRAL ILLNESS WITH MCC $2,486 $2,486 $12,521 −80% $26,088 −90% —
866 VIRAL ILLNESS WITHOUT MCC $2,486 $2,486 $7,506 −67% $16,391 −85% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $2,486 $2,486 $18,191 −86% $36,850 −93% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $2,486 $2,486 $9,083 −73% $22,231 −89% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $2,486 $2,486 $6,105 −59% $12,537 −80% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $2,486 $2,486 $16,645 −85% $35,237 −93% ≈339% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $2,486 $2,486 $8,918 −72% $22,781 −89% ≈358% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $2,486 $2,486 $33,337 −93% $54,196 −95% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $2,486 $2,486 $8,292 −70% $15,636 −84% —
881 DEPRESSIVE NEUROSES $2,486 $2,486 $7,831 −68% $15,058 −83% —
882 NEUROSES EXCEPT DEPRESSIVE $2,486 $2,486 $8,241 −70% $15,680 −84% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $2,486 $2,486 $15,515 −84% $22,698 −89% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,486 $2,486 $14,169 −82% $25,208 −90% ≈261% of Medicare
885 PSYCHOSES $2,486 $2,486 $11,958 −79% $21,489 −88% ≈296% of Medicare
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $2,486 $2,486 $15,241 −84% $24,836 −90% —
887 OTHER MENTAL DISORDER DIAGNOSES $2,486 $2,486 $10,090 −75% $20,602 −88% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $2,486 $2,486 $5,424 −54% $12,013 −79% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $2,486 $2,486 $12,117 −79% $21,986 −89% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $2,486 $2,486 $15,107 −84% $30,275 −92% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $2,486 $2,486 $7,484 −67% $16,049 −85% ≈273% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $2,486 $2,486 $37,586 −93% $68,847 −96% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $2,486 $2,486 $16,098 −85% $35,459 −93% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $2,486 $2,486 $10,444 −76% $23,588 −89% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $2,486 $2,486 $13,793 −82% $25,197 −90% —
906 HAND PROCEDURES FOR INJURIES $2,486 $2,486 $18,264 −86% $31,520 −92% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $2,486 $2,486 $17,112 −85% $41,660 −94% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $2,486 $2,486 $10,760 −77% $28,156 −91% —
913 TRAUMATIC INJURY WITH MCC $2,486 $2,486 $13,729 −82% $24,198 −90% —
914 TRAUMATIC INJURY WITHOUT MCC $2,486 $2,486 $7,850 −68% $15,593 −84% —
915 ALLERGIC REACTIONS WITH MCC $2,486 $2,486 $14,888 −83% $30,944 −92% —
916 ALLERGIC REACTIONS WITHOUT MCC $2,486 $2,486 $5,634 −56% $13,890 −82% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $2,486 $2,486 $13,910 −82% $28,134 −91% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $2,486 $2,486 $7,504 −67% $15,045 −83% —
919 COMPLICATIONS OF TREATMENT WITH MCC $2,486 $2,486 $15,622 −84% $29,031 −91% —
920 COMPLICATIONS OF TREATMENT WITH CC $2,486 $2,486 $8,787 −72% $21,181 −88% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $2,486 $2,486 $5,948 −58% $14,012 −82% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $2,486 $2,486 $14,613 −83% $29,409 −92% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $2,486 $2,486 $8,652 −71% $16,571 −85% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $2,486 $2,486 $56,660 −96% $89,353 −97% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $2,486 $2,486 $33,230 −93% $59,352 −96% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $2,486 $2,486 $18,382 −86% $31,044 −92% —
935 NON-EXTENSIVE BURNS $2,486 $2,486 $18,633 −87% $29,458 −92% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $2,486 $2,486 $26,927 −91% $51,142 −95% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $2,486 $2,486 $17,669 −86% $38,420 −94% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $2,486 $2,486 $16,579 −85% $29,524 −92% —
945 REHABILITATION WITH CC/MCC $2,486 $2,486 $12,775 −81% $23,834 −90% —
946 REHABILITATION WITHOUT CC/MCC $2,486 $2,486 $9,323 −73% $17,685 −86% —
947 SIGNS AND SYMPTOMS WITH MCC $2,486 $2,486 $11,018 −77% $25,474 −90% ≈339% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $2,486 $2,486 $6,872 −64% $17,727 −86% ≈349% of Medicare
949 AFTERCARE WITH CC/MCC $2,486 $2,486 $9,243 −73% $23,953 −90% —
950 AFTERCARE WITHOUT CC/MCC $2,486 $2,486 $5,117 −51% $13,527 −82% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $2,486 $2,486 $4,950 −50% $9,385 −74% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $2,486 $2,486 $12,726 −80% $25,854 −90% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $2,486 $2,486 $7,742 −68% $17,585 −86% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $2,486 $2,486 $11,895 −79% $25,010 −90% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $2,486 $2,486 $8,278 −70% $16,212 −85% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $2,486 $2,486 $12,232 −80% $22,525 −89% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,486 — $21,375 −88% $51,985 −95% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,486 $2,486 $14,152 −82% $30,930 −92% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $2,486 $2,486 $14,843 −83% $38,094 −93% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $2,486 $2,486 $9,899 −75% $25,307 −90% —

Procedures with negotiated rates only

These 223 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
163 MAJOR CHEST PROCEDURES WITH MCC $31,844 – $164,143 · median $111,195 18 plans
164 MAJOR CHEST PROCEDURES WITH CC $16,541 – $89,635 · median $62,133 18 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $24,377 – $137,117 · median $92,887 18 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $24,248 – $120,796 · median $82,308 18 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $16,527 – $80,227 · median $55,318 18 plans
245 AICD GENERATOR PROCEDURES $34,027 – $174,029 · median $117,726 18 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $19,986 – $99,909 · median $69,403 18 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $24,173 – $121,302 · median $82,173 18 plans
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $12,732 – $67,577 · median $45,779 18 plans
265 AICD LEAD PROCEDURES $20,395 – $127,035 · median $86,057 18 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $44,317 – $237,447 · median $160,853 18 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $27,876 – $148,171 · median $100,375 18 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $33,390 – $182,796 · median $123,831 18 plans
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $23,182 – $122,662 · median $83,095 18 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $16,997 – $89,108 · median $60,364 18 plans
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,520 – $91,136 · median $38,102 18 plans
620 O.R. PROCEDURES FOR OBESITY WITH CC $17,520 – $53,381 · median $34,120 18 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $24,106 – $140,514 · median $95,188 18 plans
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,177 – $80,095 · median $54,259 18 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $36,175 – $198,523 · median $134,485 18 plans
654 MAJOR BLADDER PROCEDURES WITH CC $18,375 – $100,501 · median $69,137 18 plans
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $13,475 – $73,977 · median $53,182 18 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $21,305 – $116,024 · median $78,598 18 plans
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,510 – $92,032 · median $62,345 18 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $123,844 – $763,222 · median $530,432 17 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $75,426 – $503,198 · median $349,718 17 plans
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $32,302 – $192,159 · median $133,549 17 plans
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $24,659 – $146,141 · median $101,567 17 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $70,704 – $287,072 · median $216,844 17 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $54,060 – $196,838 · median $148,684 17 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $32,224 – $125,725 · median $84,022 17 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $36,701 – $203,170 · median $141,201 17 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $26,244 – $135,386 · median $94,092 17 plans
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $28,713 – $159,268 · median $110,689 17 plans
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,901 – $108,923 · median $75,700 17 plans
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $15,660 – $87,883 · median $61,078 17 plans
028 SPINAL PROCEDURES WITH MCC $36,527 – $216,503 · median $150,468 17 plans
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $20,954 – $119,539 · median $83,078 17 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $28,583 – $149,236 · median $103,717 17 plans
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,323 – $76,053 · median $52,856 17 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $24,527 – $138,484 · median $96,245 17 plans
035 CAROTID ARTERY STENT PROCEDURES WITH CC $15,043 – $81,010 · median $56,301 17 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $25,747 – $134,332 · median $93,359 17 plans
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,252 – $96,273 · median $64,302 17 plans
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $23,423 – $129,938 · median $85,741 17 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $37,476 – $230,310 · median $158,483 17 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $84,197 – $377,302 · median $262,221 17 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $65,616 – $343,695 · median $238,865 17 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $43,462 – $229,979 · median $159,833 17 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,292 – $211,866 · median $147,245 17 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $51,226 – $275,548 · median $191,503 17 plans
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $34,669 – $188,626 · median $131,093 17 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $30,031 – $163,552 · median $113,667 17 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $41,074 – $177,465 · median $131,359 17 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $26,821 – $110,622 · median $82,892 17 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $53,653 – $301,773 · median $209,729 17 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $39,116 – $217,543 · median $151,190 17 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $50,762 – $278,358 · median $193,456 17 plans
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $34,018 – $189,463 · median $131,675 17 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $38,450 – $209,548 · median $145,634 17 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $26,326 – $146,440 · median $101,774 17 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $30,511 – $179,374 · median $124,663 17 plans
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $18,034 – $103,709 · median $72,077 17 plans
252 OTHER VASCULAR PROCEDURES WITH MCC $21,434 – $122,163 · median $84,902 17 plans
253 OTHER VASCULAR PROCEDURES WITH CC $17,032 – $90,917 · median $63,187 17 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $46,531 – $213,344 · median $153,791 17 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $37,084 – $167,544 · median $121,367 17 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $24,243 – $139,254 · median $96,780 17 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $20,646 – $111,145 · median $77,245 17 plans
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,357 – $78,820 · median $52,010 17 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $26,794 – $156,436 · median $108,722 17 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $15,340 – $82,435 · median $57,291 17 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $34,438 – $180,873 · median $125,705 17 plans
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,811 – $86,470 · median $60,095 17 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $32,063 – $163,527 · median $113,650 17 plans
332 RECTAL RESECTION WITH MCC $22,816 – $123,527 · median $90,138 17 plans
333 RECTAL RESECTION WITH CC $14,787 – $75,686 · median $52,601 17 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $26,430 – $129,037 · median $89,679 17 plans
336 PERITONEAL ADHESIOLYSIS WITH CC $14,807 – $75,223 · median $52,279 17 plans
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $19,569 – $95,957 · median $66,689 17 plans
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,226 – $84,286 · median $58,578 17 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,385 – $104,450 · median $72,592 17 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $26,640 – $151,910 · median $105,576 17 plans
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $14,704 – $80,198 · median $55,737 17 plans
374 DIGESTIVE MALIGNANCY WITH MCC $13,052 – $75,191 · median $49,616 17 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $35,461 – $193,327 · median $134,360 17 plans
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $23,284 – $124,688 · median $86,657 17 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $25,028 – $97,449 · median $73,609 17 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $15,531 – $75,911 · median $52,757 17 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $22,322 – $124,777 · median $86,719 17 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,406 – $70,444 · median $48,958 17 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,752 – $84,632 · median $58,818 17 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $22,442 – $125,693 · median $83,445 17 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $27,693 – $144,848 · median $100,668 17 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,711 – $81,313 · median $55,573 17 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $59,336 – $301,605 · median $209,613 17 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $42,557 – $204,392 · median $142,050 17 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $30,670 – $153,773 · median $108,723 17 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $35,145 – $218,540 · median $148,272 17 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $20,493 – $101,986 · median $70,879 17 plans
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $19,293 – $105,006 · median $72,978 17 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $33,317 – $181,429 · median $126,091 17 plans
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $22,948 – $121,978 · median $84,774 17 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $20,516 – $116,405 · median $80,900 17 plans
471 CERVICAL SPINAL FUSION WITH MCC $32,633 – $172,978 · median $120,218 17 plans
472 CERVICAL SPINAL FUSION WITH CC $19,873 – $103,175 · median $71,706 17 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $25,319 – $159,709 · median $110,996 17 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $13,728 – $76,826 · median $53,393 17 plans
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,270 – $122,470 · median $85,115 17 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $15,140 – $83,282 · median $57,880 17 plans
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,723 – $104,735 · median $72,790 17 plans
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $13,642 – $73,891 · median $51,354 17 plans
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $21,425 – $114,646 · median $79,678 17 plans
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $14,052 – $75,529 · median $52,356 17 plans
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $12,867 – $69,992 · median $48,644 17 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $22,512 – $126,465 · median $87,892 17 plans
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $15,041 – $85,504 · median $59,425 17 plans
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $11,836 – $67,143 · median $46,664 17 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $22,429 – $125,376 · median $87,135 17 plans
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $15,996 – $89,917 · median $62,491 17 plans
500 SOFT TISSUE PROCEDURES WITH MCC $19,701 – $112,844 · median $78,425 17 plans
503 FOOT PROCEDURES WITH MCC $17,751 – $94,251 · median $65,503 17 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $13,721 – $69,023 · median $47,970 17 plans
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $12,311 – $69,842 · median $48,540 17 plans
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $20,608 – $110,127 · median $76,537 17 plans
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $12,670 – $71,641 · median $49,790 17 plans
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $22,271 – $127,633 · median $88,704 17 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $34,730 – $219,306 · median $152,415 17 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $20,397 – $123,392 · median $85,756 17 plans
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $31,685 – $192,137 · median $133,534 17 plans
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $19,512 – $116,074 · median $80,670 17 plans
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,141 – $137,640 · median $95,659 17 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,669 – $133,260 · median $92,615 17 plans
662 MINOR BLADDER PROCEDURES WITH MCC $20,678 – $111,095 · median $77,210 17 plans
665 PROSTATECTOMY WITH MCC $19,396 – $122,277 · median $80,686 17 plans
668 TRANSURETHRAL PROCEDURES WITH MCC $18,219 – $103,855 · median $72,178 17 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $23,356 – $149,200 · median $98,451 17 plans
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $15,970 – $82,207 · median $57,133 17 plans
709 PENIS PROCEDURES WITH CC/MCC $15,718 – $80,024 · median $55,616 17 plans
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,321 – $74,885 · median $52,044 17 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $28,232 – $140,226 · median $97,456 17 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $24,467 – $141,768 · median $94,277 17 plans
799 SPLENIC PROCEDURES WITH MCC $32,306 – $169,328 · median $117,681 17 plans
800 SPLENIC PROCEDURES WITH CC $18,569 – $103,766 · median $72,117 17 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $37,352 – $207,344 · median $144,102 17 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $27,639 – $166,646 · median $115,818 17 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $32,768 – $170,065 · median $118,194 17 plans
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,134 – $84,041 · median $58,408 17 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $20,516 – $109,820 · median $76,324 17 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $39,143 – $178,316 · median $120,611 17 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $17,162 – $90,946 · median $60,012 17 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $33,314 – $178,106 · median $123,782 17 plans
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,121 – $71,156 · median $49,453 17 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $28,917 – $160,667 · median $111,662 17 plans
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $13,286 – $77,595 · median $53,928 17 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $41,323 – $247,735 · median $163,471 17 plans
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $23,113 – $137,501 · median $90,732 17 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $26,068 – $141,868 · median $96,967 17 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $130,309 – $844,816 · median $572,274 17 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $19,220 – $113,260 · median $78,715 17 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $39,729 – $243,169 · median $160,458 17 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $25,635 – $136,123 · median $94,604 17 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $49,225 – $265,815 · median $184,739 17 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $27,383 – $146,358 · median $101,718 17 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $18,299 – $94,155 · median $65,437 17 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $17,806 – $96,747 · median $63,840 17 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $37,914 – $225,221 · median $156,526 17 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $19,059 – $94,489 · median $65,669 17 plans
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $17,471 – $106,345 · median $70,173 17 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,342 – $169,296 · median $117,659 17 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,782 – $124,738 · median $86,692 17 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $38,127 – $103,798 · median $75,099 16 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $40,140 – $109,279 · median $81,355 14 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $142,503 – $387,954 · median $286,919 14 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $92,443 – $251,670 · median $186,763 14 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $81,029 – $220,595 · median $164,265 14 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $60,852 – $165,663 · median $124,907 14 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $65,448 – $178,178 · median $125,017 14 plans
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $41,917 – $114,115 · median $84,819 14 plans
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $37,239 – $101,380 · median $75,761 14 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $55,717 – $151,686 · median $111,254 14 plans
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $41,795 – $113,784 · median $81,536 14 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $37,439 – $101,925 · median $72,827 14 plans
397 APPENDIX PROCEDURES WITH MCC $32,412 – $88,239 · median $62,446 14 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $493,321 – $1,079,517 · median $865,729 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $80,924 – $220,310 · median $159,764 10 plans
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $51,175 – $139,321 · median $101,033 10 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $137,029 – $373,050 · median $270,527 10 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $92,910 – $252,941 · median $183,427 10 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $71,999 – $196,012 · median $142,143 10 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $109,103 – $297,025 · median $215,396 10 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $71,560 – $194,815 · median $141,276 10 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $87,704 – $238,768 · median $173,149 10 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $53,416 – $145,422 · median $105,457 10 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $67,368 – $183,405 · median $133,001 10 plans
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $40,368 – $109,899 · median $79,696 10 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $61,465 – $253,959 · median $199,219 7 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $40,021 – $175,287 · median $132,791 7 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $31,450 – $131,992 · median $103,818 7 plans
459 Spinal Fusion Except Cervical With MCC $44,770 – $190,075 · median $145,873 7 plans
460 Spinal Fusion Except Cervical Without MCC $25,877 – $104,832 · median $85,219 7 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $54,524 – $182,479 · median $139,214 4 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $39,223 – $134,612 · median $120,117 4 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $48,327 – $159,534 · median $124,022 4 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $36,910 – $121,929 · median $109,019 4 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $43,697 – $143,273 · median $109,485 4 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $34,167 – $113,805 · median $97,728 4 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $20,731 – $67,732 · median $50,166 4 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $13,295 – $46,288 · median $38,729 4 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $20,233 – $68,776 · median $48,570 4 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $12,522 – $42,264 · median $36,608 4 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $19,014 – $60,648 · median $48,391 3 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $11,213 – $36,729 · median $29,306 3 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $8,086 – $26,619 · median $21,239 3 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $16,715 – $50,190 · median $40,047 3 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $10,521 – $31,054 · median $24,778 3 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $7,524 – $24,040 · median $19,181 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $36,414 – $36,414 · median $36,414 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS $24,869 – $24,869 · median $24,869 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $15,005 – $15,005 · median $15,005 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $25,546 – $25,546 · median $25,546 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,041 – $9,041 · median $9,041 1 plans
795 NORMAL NEWBORN $1,224 – $1,224 · median $1,224 1 plans
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