Robert Wood Johnson University Hospital — Pricing

778 procedures published in this hospital's Machine-Readable File (MRF) — 660 with a comparable price, 118 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 $4,122
Average published price $4,188
Highest published price $13,519

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 660 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 151 procedures, this hospital's negotiated rates average ≈291% of what Medicare pays.

DRG Description Published price Cash price vs. NJ median vs. National median vs Medicare
784 CESAREAN SECTION WITH STERILIZATION WITH CC $13,519 $13,519 $12,774 +6% $22,560 −40% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $13,519 $13,519 $10,545 +28% $19,815 −32% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $13,519 $13,519 $14,108 −4% $27,118 −50% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $9,296 $9,296 $11,271 −18% $17,103 −46% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,296 $9,296 $10,576 −12% $15,370 −40% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $9,296 $9,296 $9,343 −1% $13,090 −29% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $4,122 $4,122 $46,225 −91% $86,953 −95% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $4,122 $4,122 $35,828 −88% $73,029 −94% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $4,122 $4,122 $22,177 −81% $45,290 −91% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $4,122 $4,122 $57,383 −93% $101,235 −96% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $4,122 $4,122 $34,191 −88% $63,475 −94% ≈399% of Medicare
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $20,936 −80% $52,332 −92% ≈291% of Medicare
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $4,122 $4,122 $28,756 −86% $64,152 −94% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $18,879 −78% $45,818 −91% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $4,122 $4,122 $18,559 −78% $45,622 −91% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,535 −70% $33,984 −88% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $4,122 $4,122 $19,487 −79% $46,430 −91% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $15,340 −73% $40,694 −90% —
037 EXTRACRANIAL PROCEDURES WITH MCC $4,122 $4,122 $28,173 −85% $64,749 −94% —
038 EXTRACRANIAL PROCEDURES WITH CC $4,122 $4,122 $13,669 −70% $35,770 −88% ≈314% of Medicare
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $9,394 −56% $25,267 −84% ≈282% of Medicare
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $4,122 $4,122 $19,533 −79% $44,989 −91% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $15,203 −73% $39,018 −89% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $4,122 $4,122 $17,073 −76% $30,940 −87% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $4,122 $4,122 $7,893 −48% $20,309 −80% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $4,122 $4,122 $12,842 −68% $29,484 −86% ≈323% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $4,122 $4,122 $9,255 −55% $19,868 −79% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $4,122 $4,122 $20,668 −80% $39,409 −90% ≈326% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $4,122 $4,122 $11,320 −64% $25,426 −84% ≈280% of Medicare
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $4,122 $4,122 $15,813 −74% $29,609 −86% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $4,122 $4,122 $10,380 −60% $26,322 −84% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $4,122 $4,122 $7,571 −46% $21,261 −81% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $4,122 — $28,045 −85% $57,963 −93% ≈273% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $4,122 $4,122 $15,108 −73% $48,680 −92% ≈320% of Medicare
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $4,122 $4,122 $11,918 −65% $35,542 −88% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $4,122 $4,122 $16,875 −76% $35,714 −88% ≈274% of Medicare
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $4,122 $4,122 $8,711 −53% $23,469 −82% ≈311% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $4,122 $4,122 $5,839 −29% $19,483 −79% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $4,122 $4,122 $12,175 −66% $24,941 −83% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $4,122 $4,122 $7,478 −45% $19,569 −79% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $4,122 $4,122 $6,696 −38% $20,278 −80% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $4,122 $4,122 $14,751 −72% $30,814 −87% ≈283% of Medicare
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $4,122 $4,122 $8,941 −54% $23,396 −82% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $4,122 $4,122 $6,364 −35% $16,654 −75% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $4,122 $4,122 $13,241 −69% $28,252 −85% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $4,122 $4,122 $8,843 −53% $23,141 −82% ≈275% of Medicare
075 VIRAL MENINGITIS WITH CC/MCC $4,122 $4,122 $14,216 −71% $29,853 −86% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $4,122 $4,122 $7,779 −47% $15,474 −73% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $4,122 $4,122 $13,118 −69% $24,036 −83% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $4,122 $4,122 $8,351 −51% $17,434 −76% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $4,122 $4,122 $5,589 −26% $11,847 −65% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $4,122 $4,122 $17,194 −76% $35,139 −88% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $4,122 $4,122 $7,676 −46% $15,077 −73% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $4,122 $4,122 $19,683 −79% $36,237 −89% ≈284% of Medicare
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $4,122 $4,122 $11,795 −65% $24,118 −83% ≈383% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $4,122 $4,122 $8,111 −49% $18,191 −77% ≈322% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $4,122 $4,122 $19,224 −79% $37,064 −89% ≈267% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $4,122 $4,122 $10,976 −62% $23,115 −82% ≈336% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $4,122 $4,122 $7,499 −45% $15,869 −74% —
088 CONCUSSION WITH MCC $4,122 $4,122 $11,968 −66% $24,402 −83% —
089 CONCUSSION WITH CC $4,122 $4,122 $8,849 −53% $18,293 −77% —
090 CONCUSSION WITHOUT CC/MCC $4,122 $4,122 $7,344 −44% $14,873 −72% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $4,122 $4,122 $15,616 −74% $36,375 −89% ≈206% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $4,122 $4,122 $9,069 −55% $24,136 −83% ≈314% of Medicare
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,122 $4,122 $6,762 −39% $17,522 −76% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $4,122 $4,122 $36,817 −89% $62,524 −93% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $4,122 $4,122 $20,337 −80% $47,583 −91% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $4,122 $4,122 $20,337 −80% $39,093 −89% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $4,122 $4,122 $29,586 −86% $57,855 −93% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $4,122 $4,122 $18,584 −78% $37,902 −89% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $4,122 $4,122 $11,500 −64% $25,666 −84% —
100 SEIZURES WITH MCC $4,122 $4,122 $17,172 −76% $35,194 −88% ≈264% of Medicare
101 SEIZURES WITHOUT MCC $4,122 $4,122 $7,819 −47% $19,954 −79% ≈341% of Medicare
102 HEADACHES WITH MCC $4,122 $4,122 $10,029 −59% $22,544 −82% —
103 HEADACHES WITHOUT MCC $4,122 $4,122 $7,213 −43% $20,111 −80% —
113 ORBITAL PROCEDURES WITH CC/MCC $4,122 $4,122 $19,331 −79% $35,642 −88% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $10,028 −59% $19,598 −79% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $4,122 $4,122 $13,243 −69% $24,879 −83% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $4,122 $4,122 $14,294 −71% $28,103 −85% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $9,026 −54% $17,193 −76% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $4,122 $4,122 $9,868 −58% $18,291 −77% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $4,122 $4,122 $5,754 −28% $11,997 −66% —
123 NEUROLOGICAL EYE DISORDERS $4,122 $4,122 $6,881 −40% $17,831 −77% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $4,122 $4,122 $11,062 −63% $21,029 −80% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,122 $4,122 $7,073 −42% $15,876 −74% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $4,122 $4,122 $20,655 −80% $40,065 −90% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $8,380 −51% $15,890 −74% —
137 MOUTH PROCEDURES WITH CC/MCC $4,122 $4,122 $11,981 −66% $24,348 −83% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $6,969 −41% $17,383 −76% —
139 SALIVARY GLAND PROCEDURES $4,122 $4,122 $11,648 −65% $21,014 −80% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $4,122 $4,122 $34,907 −88% $60,098 −93% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $4,122 $4,122 $18,227 −77% $34,900 −88% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,339 −69% $34,906 −88% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $4,122 $4,122 $28,012 −85% $52,908 −92% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $4,122 $4,122 $15,049 −73% $29,558 −86% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $10,150 −59% $20,842 −80% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $4,122 $4,122 $19,273 −79% $37,080 −89% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $4,122 $4,122 $10,664 −61% $21,860 −81% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $6,793 −39% $13,586 −70% —
149 DYSEQUILIBRIUM $4,122 $4,122 $6,256 −34% $17,203 −76% ≈319% of Medicare
150 EPISTAXIS WITH MCC $4,122 $4,122 $11,841 −65% $21,133 −80% —
151 EPISTAXIS WITHOUT MCC $4,122 $4,122 $6,494 −37% $13,032 −68% —
152 OTITIS MEDIA AND URI WITH MCC $4,122 $4,122 $9,627 −57% $19,795 −79% —
153 OTITIS MEDIA AND URI WITHOUT MCC $4,122 $4,122 $6,038 −32% $14,473 −72% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $4,122 $4,122 $13,610 −70% $24,465 −83% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $4,122 $4,122 $7,998 −48% $16,642 −75% ≈319% of Medicare
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $5,760 −28% $13,198 −69% —
157 DENTAL AND ORAL DISEASES WITH MCC $4,122 $4,122 $13,892 −70% $27,457 −85% —
158 DENTAL AND ORAL DISEASES WITH CC $4,122 $4,122 $7,980 −48% $17,700 −77% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $4,122 $4,122 $5,651 −27% $13,368 −69% —
164 MAJOR CHEST PROCEDURES WITH CC $4,122 — $21,353 −81% $53,141 −92% ≈311% of Medicare
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $15,813 −74% $41,380 −90% ≈311% of Medicare
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $4,122 $4,122 $15,653 −74% $40,563 −90% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $11,330 −64% $28,527 −86% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $4,122 $4,122 $12,188 −66% $29,757 −86% ≈291% of Medicare
176 PULMONARY EMBOLISM WITHOUT MCC $4,122 $4,122 $7,045 −41% $18,081 −77% ≈287% of Medicare
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $4,122 $4,122 $13,714 −70% $31,840 −87% ≈273% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $4,122 $4,122 $8,416 −51% $22,024 −81% ≈289% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $4,122 $4,122 $6,594 −37% $14,444 −71% —
180 RESPIRATORY NEOPLASMS WITH MCC $4,122 $4,122 $14,973 −72% $36,658 −89% ≈258% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $4,122 $4,122 $9,512 −57% $22,431 −82% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,122 $4,122 $7,131 −42% $14,064 −71% —
183 MAJOR CHEST TRAUMA WITH MCC $4,122 $4,122 $13,466 −69% $28,924 −86% ≈303% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $4,122 $4,122 $9,061 −55% $20,842 −80% ≈336% of Medicare
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $4,122 $4,122 $6,727 −39% $15,858 −74% —
186 PLEURAL EFFUSION WITH MCC $4,122 $4,122 $13,404 −69% $32,468 −87% —
187 PLEURAL EFFUSION WITH CC $4,122 $4,122 $8,517 −52% $21,467 −81% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $4,122 $4,122 $6,229 −34% $14,110 −71% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $4,122 $4,122 $10,497 −61% $25,704 −84% ≈290% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $4,122 $4,122 $9,714 −58% $24,190 −83% ≈303% of Medicare
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $4,122 $4,122 $7,431 −45% $18,278 −77% ≈307% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $4,122 $4,122 $5,598 −26% $14,368 −71% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $4,122 $4,122 $11,179 −63% $26,158 −84% ≈270% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $4,122 $4,122 $7,093 −42% $18,204 −77% ≈323% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $4,122 $4,122 $5,283 −22% $13,824 −70% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $4,122 $4,122 $16,297 −75% $30,766 −87% ≈283% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $4,122 $4,122 $8,399 −51% $20,106 −79% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $4,122 $4,122 $6,058 −32% $13,654 −70% —
199 PNEUMOTHORAX WITH MCC $4,122 $4,122 $15,123 −73% $31,491 −87% —
200 PNEUMOTHORAX WITH CC $4,122 $4,122 $9,580 −57% $20,573 −80% ≈284% of Medicare
201 PNEUMOTHORAX WITHOUT CC/MCC $4,122 $4,122 $5,857 −30% $13,081 −68% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $4,122 $4,122 $8,281 −50% $17,273 −76% ≈265% of Medicare
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $4,122 $4,122 $6,025 −32% $12,279 −66% —
204 RESPIRATORY SIGNS AND SYMPTOMS $4,122 $4,122 $7,015 −41% $16,866 −76% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $4,122 $4,122 $16,015 −74% $32,204 −87% ≈297% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $4,122 $4,122 $7,835 −47% $17,731 −77% ≈274% of Medicare
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $4,122 $4,122 $22,768 −82% $52,405 −92% ≈225% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $4,122 — $47,356 −91% $102,177 −96% ≈308% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $4,122 $4,122 $37,378 −89% $65,325 −94% ≈299% of Medicare
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $4,122 — $61,822 −93% $102,573 −96% ≈317% of Medicare
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $4,122 $4,122 $25,425 −84% $54,475 −92% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $4,122 $4,122 $12,810 −68% $24,229 −83% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $4,122 $4,122 $19,668 −79% $50,011 −92% ≈304% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $4,122 $4,122 $15,683 −74% $40,063 −90% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $4,122 $4,122 $19,811 −79% $51,339 −92% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $4,122 $4,122 $13,256 −69% $41,380 −90% —
252 OTHER VASCULAR PROCEDURES WITH MCC $4,122 $4,122 $42,633 −90% $68,508 −94% ≈227% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $4,122 $4,122 $22,753 −82% $53,746 −92% ≈290% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $14,950 −72% $38,836 −89% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $4,122 $4,122 $21,896 −81% $43,697 −91% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $4,122 $4,122 $14,368 −71% $29,729 −86% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $4,122 $4,122 $7,566 −46% $15,764 −74% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $4,122 $4,122 $32,590 −87% $48,907 −92% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $4,122 $4,122 $14,911 −72% $35,673 −88% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $4,122 $4,122 $16,567 −75% $42,126 −90% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $4,122 $4,122 $12,876 −68% $33,694 −88% —
263 VEIN LIGATION AND STRIPPING $4,122 $4,122 $23,200 −82% $44,938 −91% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $4,122 $4,122 $29,651 −86% $51,953 −92% —
265 AICD LEAD PROCEDURES $4,122 $4,122 $31,144 −87% $56,695 −93% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $4,122 $4,122 $30,072 −86% $71,014 −94% ≈233% of Medicare
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $4,122 — $21,745 −81% $55,162 −93% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $4,122 $4,122 $40,209 −90% $57,277 −93% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $4,122 $4,122 $14,198 −71% $28,967 −86% ≈276% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $4,122 $4,122 $7,820 −47% $20,463 −80% ≈312% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $4,122 $4,122 $6,272 −34% $18,623 −78% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $4,122 $4,122 $16,589 −75% $35,014 −88% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $4,122 $4,122 $6,286 −34% $13,282 −69% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,122 $4,122 $4,763 −13% $10,039 −59% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $4,122 $4,122 $19,498 −79% $44,600 −91% ≈247% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $4,122 $4,122 $9,426 −56% $31,190 −87% ≈309% of Medicare
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $4,122 $4,122 $22,859 −82% $45,497 −91% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $4,122 $4,122 $13,487 −69% $29,371 −86% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $4,122 $4,122 $8,305 −50% $15,901 −74% —
291 HEART FAILURE AND SHOCK WITH MCC $4,122 $4,122 $11,286 −63% $25,020 −84% ≈288% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $4,122 $4,122 $7,306 −44% $16,212 −75% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $4,122 $4,122 $4,790 −14% $11,955 −66% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $4,122 $4,122 $10,418 −60% $19,132 −78% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $4,122 $4,122 $6,267 −34% $13,445 −69% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $4,122 $4,122 $14,036 −71% $30,910 −87% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $4,122 $4,122 $5,976 −31% $12,336 −67% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,122 $4,122 $3,989 +3% $8,927 −54% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $4,122 $4,122 $13,351 −69% $25,731 −84% ≈269% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $4,122 $4,122 $9,260 −55% $19,579 −79% ≈319% of Medicare
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $4,122 $4,122 $6,171 −33% $15,607 −74% —
302 ATHEROSCLEROSIS WITH MCC $4,122 $4,122 $10,062 −59% $20,844 −80% —
303 ATHEROSCLEROSIS WITHOUT MCC $4,122 $4,122 $5,704 −28% $14,927 −72% ≈348% of Medicare
304 HYPERTENSION WITH MCC $4,122 $4,122 $10,162 −59% $24,185 −83% —
305 HYPERTENSION WITHOUT MCC $4,122 $4,122 $6,493 −37% $17,144 −76% ≈325% of Medicare
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $4,122 $4,122 $12,703 −68% $24,450 −83% ≈267% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $4,122 $4,122 $7,859 −48% $18,608 −78% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $4,122 $4,122 $10,431 −60% $26,488 −84% ≈217% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $4,122 $4,122 $6,333 −35% $16,865 −76% ≈311% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $4,122 $4,122 $4,793 −14% $13,384 −69% ≈339% of Medicare
311 ANGINA PECTORIS $4,122 $4,122 $5,924 −30% $15,165 −73% —
312 SYNCOPE AND COLLAPSE $4,122 $4,122 $7,537 −45% $19,342 −79% ≈245% of Medicare
313 CHEST PAIN $4,122 $4,122 $6,171 −33% $15,962 −74% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $4,122 $4,122 $18,627 −78% $38,357 −89% ≈273% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $4,122 $4,122 $8,164 −50% $20,777 −80% ≈266% of Medicare
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $5,792 −29% $12,797 −68% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $4,122 $4,122 $20,257 −80% $36,080 −89% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $4,122 — $24,151 −83% $74,274 −94% ≈265% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $4,122 $4,122 $15,140 −73% $54,772 −92% ≈324% of Medicare
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $4,122 — $27,766 −85% $66,819 −94% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $4,122 $4,122 $24,988 −84% $53,551 −92% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $4,122 $4,122 $20,599 −80% $54,824 −92% ≈333% of Medicare
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,518 −70% $35,375 −88% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,122 $4,122 $20,052 −79% $58,832 −93% ≈334% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $14,006 −71% $44,117 −91% ≈357% of Medicare
332 RECTAL RESECTION WITH MCC $4,122 $4,122 $29,427 −86% $58,125 −93% —
333 RECTAL RESECTION WITH CC $4,122 $4,122 $18,469 −78% $34,352 −88% —
334 RECTAL RESECTION WITHOUT CC/MCC $4,122 $4,122 $14,071 −71% $32,213 −87% —
336 PERITONEAL ADHESIOLYSIS WITH CC $4,122 $4,122 $21,904 −81% $49,470 −92% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $4,122 $4,122 $13,340 −69% $36,239 −89% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $4,122 $4,122 $24,914 −83% $44,839 −91% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $4,122 $4,122 $12,753 −68% $31,062 −87% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $10,668 −61% $26,146 −84% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $4,122 $4,122 $20,663 −80% $40,548 −90% —
348 ANAL AND STOMAL PROCEDURES WITH CC $4,122 $4,122 $10,889 −62% $27,947 −85% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $7,620 −46% $19,854 −79% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $4,122 $4,122 $20,519 −80% $46,591 −91% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $4,122 $4,122 $12,763 −68% $33,792 −88% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $9,354 −56% $25,162 −84% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $4,122 $4,122 $26,562 −84% $60,140 −93% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $4,122 $4,122 $14,431 −71% $43,266 −90% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $4,122 $4,122 $11,310 −64% $31,978 −87% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $4,122 $4,122 $19,570 −79% $48,682 −92% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $11,609 −64% $29,374 −86% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $4,122 $4,122 $14,167 −71% $33,607 −88% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $4,122 $4,122 $8,633 −52% $22,713 −82% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $4,122 $4,122 $5,921 −30% $15,072 −73% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $4,122 $4,122 $15,120 −73% $31,758 −87% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $4,122 $4,122 $8,732 −53% $22,850 −82% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $4,122 $4,122 $6,154 −33% $16,104 −74% —
374 DIGESTIVE MALIGNANCY WITH MCC $4,122 $4,122 $18,263 −77% $38,885 −89% ≈258% of Medicare
375 DIGESTIVE MALIGNANCY WITH CC $4,122 $4,122 $10,526 −61% $27,219 −85% ≈351% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $7,491 −45% $15,608 −74% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $4,122 $4,122 $15,800 −74% $37,842 −89% ≈271% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $4,122 $4,122 $8,364 −51% $21,886 −81% ≈274% of Medicare
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $4,122 $4,122 $5,559 −26% $14,134 −71% —
380 COMPLICATED PEPTIC ULCER WITH MCC $4,122 $4,122 $16,722 −75% $36,641 −89% —
381 COMPLICATED PEPTIC ULCER WITH CC $4,122 $4,122 $9,239 −55% $24,177 −83% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $4,122 $4,122 $6,357 −35% $16,634 −75% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $4,122 $4,122 $10,725 −62% $26,634 −85% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $4,122 $4,122 $7,377 −44% $19,305 −79% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $4,122 $4,122 $14,054 −71% $26,020 −84% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $4,122 $4,122 $8,420 −51% $20,968 −80% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $4,122 $4,122 $5,798 −29% $14,880 −72% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $4,122 $4,122 $12,592 −67% $28,780 −86% ≈232% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $4,122 $4,122 $6,800 −39% $17,388 −76% ≈319% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $4,122 $4,122 $4,642 −11% $13,318 −69% ≈428% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $4,122 $4,122 $10,897 −62% $27,244 −85% ≈309% of Medicare
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $4,122 $4,122 $6,685 −38% $17,322 −76% ≈298% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $4,122 $4,122 $14,049 −71% $32,689 −87% ≈234% of Medicare
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $4,122 $4,122 $7,986 −48% $18,918 −78% ≈272% of Medicare
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $5,399 −24% $14,128 −71% —
397 APPENDIX PROCEDURES WITH MCC $4,122 $4,122 $21,532 −81% $52,319 −92% —
398 APPENDIX PROCEDURES WITH CC $4,122 $4,122 $12,663 −67% $39,107 −89% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $9,534 −57% $30,314 −86% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $4,122 $4,122 $33,189 −88% $75,492 −95% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $4,122 $4,122 $24,059 −83% $58,043 −93% ≈302% of Medicare
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $18,560 −78% $40,232 −90% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $4,122 — $42,905 −90% $59,207 −93% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $4,122 $4,122 $17,896 −77% $46,066 −91% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $4,122 $4,122 $13,417 −69% $34,434 −88% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $4,122 $4,122 $23,780 −83% $48,358 −91% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $4,122 $4,122 $18,686 −78% $37,654 −89% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $4,122 $4,122 $13,994 −71% $27,548 −85% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $4,122 $4,122 $31,947 −87% $68,399 −94% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $4,122 $4,122 $17,190 −76% $43,398 −91% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $4,122 $4,122 $11,624 −65% $30,418 −86% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $4,122 $4,122 $28,596 −86% $52,313 −92% ≈267% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $4,122 $4,122 $14,069 −71% $42,119 −90% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $4,122 $4,122 $11,178 −63% $34,887 −88% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $4,122 $4,122 $29,942 −86% $50,919 −92% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $4,122 $4,122 $13,893 −70% $36,333 −89% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $12,466 −67% $25,152 −84% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $4,122 $4,122 $48,943 −92% $72,011 −94% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $4,122 $4,122 $19,842 −79% $39,253 −89% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,114 −69% $25,484 −84% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $4,122 $4,122 $16,783 −75% $36,933 −89% ≈230% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $4,122 $4,122 $9,254 −55% $23,749 −83% ≈257% of Medicare
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,122 $4,122 $5,829 −29% $12,405 −67% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $4,122 $4,122 $15,782 −74% $37,950 −89% ≈261% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $4,122 $4,122 $9,567 −57% $24,017 −83% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $4,122 $4,122 $6,661 −38% $13,385 −69% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $4,122 $4,122 $14,391 −71% $32,502 −87% ≈272% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $4,122 $4,122 $7,369 −44% $19,096 −78% ≈289% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $5,370 −23% $15,070 −73% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $4,122 $4,122 $16,037 −74% $32,399 −87% ≈304% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $4,122 $4,122 $8,357 −51% $21,449 −81% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $4,122 $4,122 $6,020 −32% $15,600 −74% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $4,122 $4,122 $14,290 −71% $31,128 −87% ≈291% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $4,122 $4,122 $9,291 −56% $21,806 −81% ≈314% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,122 $4,122 $6,896 −40% $17,700 −77% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $4,122 $4,122 $34,642 −88% $81,998 −95% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $4,122 $4,122 $26,180 −84% $65,216 −94% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $4,122 — $29,422 −86% $56,758 −93% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $4,122 $4,122 $46,936 −91% $78,582 −95% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $4,122 $4,122 $25,014 −84% $54,313 −92% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,122 $4,122 $14,728 −72% $32,839 −87% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $4,122 — $42,906 −90% $68,880 −94% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $4,122 $4,122 $22,797 −82% $54,929 −92% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $4,122 $4,122 $33,894 −88% $65,254 −94% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $4,122 $4,122 $16,152 −74% $49,197 −92% —
472 CERVICAL SPINAL FUSION WITH CC $4,122 — $25,060 −84% $59,537 −93% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $4,122 $4,122 $20,281 −80% $50,624 −92% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $4,122 $4,122 $19,205 −79% $44,553 −91% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,122 $4,122 $9,867 −58% $21,062 −80% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,122 $4,122 $30,024 −86% $62,269 −93% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,122 $4,122 $20,417 −80% $50,139 −92% ≈290% of Medicare
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,122 $4,122 $15,065 −73% $31,909 −87% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $4,122 — $36,997 −89% $63,984 −94% ≈294% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $4,122 $4,122 $17,775 −77% $51,172 −92% ≈301% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $4,122 $4,122 $13,458 −69% $39,747 −90% ≈294% of Medicare
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $4,122 $4,122 $22,247 −81% $57,149 −93% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $4,122 $4,122 $27,579 −85% $64,956 −94% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $4,122 $4,122 $18,345 −78% $46,477 −91% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,122 $4,122 $13,406 −69% $33,490 −88% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $4,122 $4,122 $16,673 −75% $41,520 −90% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $4,122 $4,122 $10,506 −61% $27,492 −85% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $4,122 $4,122 $28,417 −85% $56,394 −93% ≈283% of Medicare
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $4,122 $4,122 $16,152 −74% $45,963 −91% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $4,122 $4,122 $17,146 −76% $43,800 −91% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $4,122 $4,122 $11,390 −64% $29,805 −86% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $4,122 $4,122 $22,044 −81% $46,659 −91% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $4,122 $4,122 $9,848 −58% $22,532 −82% —
500 SOFT TISSUE PROCEDURES WITH MCC $4,122 $4,122 $27,145 −85% $57,479 −93% —
501 SOFT TISSUE PROCEDURES WITH CC $4,122 $4,122 $15,581 −74% $37,975 −89% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $11,853 −65% $30,006 −86% —
503 FOOT PROCEDURES WITH MCC $4,122 $4,122 $23,106 −82% $43,901 −91% —
504 FOOT PROCEDURES WITH CC $4,122 $4,122 $14,889 −72% $36,598 −89% —
505 FOOT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $14,889 −72% $31,716 −87% —
506 MAJOR THUMB OR JOINT PROCEDURES $4,122 $4,122 $12,842 −68% $28,983 −86% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $4,122 $4,122 $16,604 −75% $36,202 −89% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $10,801 −62% $22,811 −82% —
509 ARTHROSCOPY $4,122 $4,122 $14,903 −72% $25,994 −84% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $4,122 $4,122 $24,247 −83% $49,055 −92% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $4,122 $4,122 $16,964 −76% $43,538 −91% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,640 −70% $35,692 −88% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $4,122 $4,122 $13,023 −68% $33,424 −88% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $8,819 −53% $20,080 −79% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $4,122 $4,122 $26,998 −85% $62,821 −93% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $4,122 $4,122 $18,104 −77% $45,817 −91% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $12,912 −68% $33,137 −88% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $4,122 — $31,290 −87% $64,776 −94% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $4,122 $4,122 $17,136 −76% $43,775 −91% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $4,122 $4,122 $12,397 −67% $31,816 −87% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $4,122 — $35,073 −88% $67,764 −94% ≈310% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $4,122 $4,122 $17,642 −77% $56,519 −93% ≈315% of Medicare
533 FRACTURES OF FEMUR WITH MCC $4,122 $4,122 $12,936 −68% $25,945 −84% —
534 FRACTURES OF FEMUR WITHOUT MCC $4,122 $4,122 $6,906 −40% $17,195 −76% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $4,122 $4,122 $11,503 −64% $23,350 −82% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $4,122 $4,122 $6,879 −40% $18,002 −77% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $4,122 $4,122 $7,873 −48% $16,352 −75% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $4,122 $4,122 $5,697 −28% $11,909 −65% —
539 OSTEOMYELITIS WITH MCC $4,122 $4,122 $17,157 −76% $33,746 −88% —
540 OSTEOMYELITIS WITH CC $4,122 $4,122 $11,086 −63% $23,494 −82% —
541 OSTEOMYELITIS WITHOUT CC/MCC $4,122 $4,122 $7,495 −45% $14,549 −72% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $4,122 $4,122 $15,978 −74% $35,114 −88% ≈218% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $4,122 $4,122 $9,000 −54% $23,496 −82% ≈258% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $6,537 −37% $16,776 −75% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $4,122 $4,122 $21,147 −81% $39,657 −90% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,122 $4,122 $9,688 −57% $24,202 −83% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $4,122 $4,122 $6,330 −35% $14,861 −72% —
548 SEPTIC ARTHRITIS WITH MCC $4,122 $4,122 $17,091 −76% $31,019 −87% —
549 SEPTIC ARTHRITIS WITH CC $4,122 $4,122 $10,085 −59% $20,938 −80% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $4,122 $4,122 $7,314 −44% $16,156 −74% —
551 MEDICAL BACK PROBLEMS WITH MCC $4,122 $4,122 $14,618 −72% $31,086 −87% ≈281% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $4,122 $4,122 $8,176 −50% $21,213 −81% ≈301% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $4,122 $4,122 $11,297 −64% $23,956 −83% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $4,122 $4,122 $7,219 −43% $18,253 −77% ≈109% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,122 $4,122 $11,648 −65% $23,723 −83% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $4,122 $4,122 $6,927 −40% $17,715 −77% ≈313% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $4,122 $4,122 $13,276 −69% $28,646 −86% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $4,122 $4,122 $7,328 −44% $17,367 −76% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,122 $4,122 $15,902 −74% $30,974 −87% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $4,122 $4,122 $9,755 −58% $24,452 −83% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $4,122 $4,122 $6,936 −41% $18,150 −77% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $4,122 $4,122 $12,416 −67% $29,211 −86% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $4,122 $4,122 $7,583 −46% $18,803 −78% ≈296% of Medicare
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $4,122 $4,122 $13,312 −69% $32,936 −87% ≈254% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $4,122 $4,122 $8,651 −52% $21,545 −81% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $6,409 −36% $14,337 −71% —
570 SKIN DEBRIDEMENT WITH MCC $4,122 $4,122 $26,159 −84% $52,435 −92% —
571 SKIN DEBRIDEMENT WITH CC $4,122 $4,122 $14,343 −71% $34,901 −88% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $4,122 $4,122 $9,692 −57% $24,432 −83% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $4,122 $4,122 $30,877 −87% $49,065 −92% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,122 $4,122 $17,271 −76% $29,109 −86% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $4,122 $4,122 $46,886 −91% $82,527 −95% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $4,122 $4,122 $22,590 −82% $45,432 −91% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $4,122 $4,122 $14,340 −71% $28,578 −86% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $4,122 $4,122 $38,910 −89% $54,129 −92% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $4,122 $4,122 $15,336 −73% $36,242 −89% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $12,424 −67% $25,243 −84% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $4,122 $4,122 $14,856 −72% $34,264 −88% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $13,936 −70% $31,566 −87% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $4,122 $4,122 $17,710 −77% $34,089 −88% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $16,841 −76% $29,633 −86% —
592 SKIN ULCERS WITH MCC $4,122 $4,122 $17,616 −77% $32,662 −87% —
593 SKIN ULCERS WITH CC $4,122 $4,122 $10,474 −61% $20,470 −80% —
594 SKIN ULCERS WITHOUT CC/MCC $4,122 $4,122 $7,271 −43% $14,209 −71% —
595 MAJOR SKIN DISORDERS WITH MCC $4,122 $4,122 $17,943 −77% $31,785 −87% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $4,122 $4,122 $9,261 −55% $17,226 −76% —
597 MALIGNANT BREAST DISORDERS WITH MCC $4,122 $4,122 $14,903 −72% $31,846 −87% —
598 MALIGNANT BREAST DISORDERS WITH CC $4,122 $4,122 $9,153 −55% $19,073 −78% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,122 $4,122 $7,253 −43% $14,290 −71% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $4,122 $4,122 $8,195 −50% $16,418 −75% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $4,122 $4,122 $5,186 −21% $10,975 −62% —
602 CELLULITIS WITH MCC $4,122 $4,122 $12,464 −67% $29,347 −86% —
603 CELLULITIS WITHOUT MCC $4,122 $4,122 $7,472 −45% $18,530 −78% ≈301% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $4,122 $4,122 $12,604 −67% $28,140 −85% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $4,122 $4,122 $7,990 −48% $19,287 −79% ≈284% of Medicare
606 MINOR SKIN DISORDERS WITH MCC $4,122 $4,122 $13,661 −70% $25,434 −84% —
607 MINOR SKIN DISORDERS WITHOUT MCC $4,122 $4,122 $7,475 −45% $15,284 −73% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $4,122 $4,122 $19,713 −79% $43,586 −91% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $12,276 −66% $31,812 −87% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $4,122 $4,122 $34,783 −88% $62,961 −93% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,122 $4,122 $16,387 −75% $42,881 −90% ≈340% of Medicare
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,122 $4,122 $10,663 −61% $19,354 −79% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $4,122 $4,122 $23,568 −83% $44,973 −91% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $4,122 $4,122 $14,418 −71% $35,453 −88% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $4,122 $4,122 $12,523 −67% $32,451 −87% ≈245% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $4,122 $4,122 $16,227 −75% $33,165 −88% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $4,122 $4,122 $8,510 −52% $17,078 −76% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $4,122 $4,122 $24,323 −83% $58,968 −93% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,122 $4,122 $12,930 −68% $27,279 −85% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $10,748 −62% $25,623 −84% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $4,122 $4,122 $19,545 −79% $45,059 −91% ≈340% of Medicare
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $11,888 −65% $24,452 −83% —
637 DIABETES WITH MCC $4,122 $4,122 $12,597 −67% $28,819 −86% ≈316% of Medicare
638 DIABETES WITH CC $4,122 $4,122 $7,934 −48% $18,821 −78% ≈309% of Medicare
639 DIABETES WITHOUT CC/MCC $4,122 $4,122 $5,316 −22% $13,910 −70% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $4,122 $4,122 $11,487 −64% $24,480 −83% ≈281% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $4,122 $4,122 $6,629 −38% $16,745 −75% ≈287% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $4,122 $4,122 $10,529 −61% $20,727 −80% —
643 ENDOCRINE DISORDERS WITH MCC $4,122 $4,122 $14,060 −71% $32,996 −88% ≈285% of Medicare
644 ENDOCRINE DISORDERS WITH CC $4,122 $4,122 $8,939 −54% $22,941 −82% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $4,122 $4,122 $6,671 −38% $14,166 −71% —
654 MAJOR BLADDER PROCEDURES WITH CC $4,122 $4,122 $24,176 −83% $53,868 −92% ≈307% of Medicare
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $17,623 −77% $41,651 −90% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $4,122 $4,122 $15,661 −74% $40,583 −90% ≈337% of Medicare
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $4,122 $4,122 $12,884 −68% $35,528 −88% ≈390% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $4,122 $4,122 $22,354 −82% $48,094 −91% ≈328% of Medicare
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $4,122 $4,122 $11,645 −65% $30,358 −86% ≈338% of Medicare
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $4,122 $4,122 $8,880 −54% $24,022 −83% —
662 MINOR BLADDER PROCEDURES WITH MCC $4,122 $4,122 $30,960 −87% $54,483 −92% —
663 MINOR BLADDER PROCEDURES WITH CC $4,122 $4,122 $13,212 −69% $29,924 −86% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $9,250 −55% $18,126 −77% —
665 PROSTATECTOMY WITH MCC $4,122 $4,122 $41,317 −90% $54,072 −92% —
666 PROSTATECTOMY WITH CC $4,122 $4,122 $14,112 −71% $30,016 −86% —
667 PROSTATECTOMY WITHOUT CC/MCC $4,122 $4,122 $8,805 −53% $16,703 −75% —
668 TRANSURETHRAL PROCEDURES WITH MCC $4,122 $4,122 $25,343 −84% $47,277 −91% —
669 TRANSURETHRAL PROCEDURES WITH CC $4,122 $4,122 $13,128 −69% $34,354 −88% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $8,108 −49% $20,371 −80% —
671 URETHRAL PROCEDURES WITH CC/MCC $4,122 $4,122 $14,623 −72% $27,233 −85% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $8,828 −53% $17,398 −76% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $4,122 $4,122 $27,750 −85% $49,631 −92% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,279 −69% $32,490 −87% —
682 RENAL FAILURE WITH MCC $4,122 $4,122 $12,741 −68% $27,854 −85% ≈252% of Medicare
683 RENAL FAILURE WITH CC $4,122 $4,122 $7,689 −46% $18,620 −78% ≈300% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $4,122 $4,122 $5,153 −20% $13,623 −70% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $4,122 $4,122 $15,997 −74% $32,981 −88% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $4,122 $4,122 $8,689 −53% $18,478 −78% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $4,122 $4,122 $6,144 −33% $12,593 −67% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $4,122 $4,122 $9,928 −58% $22,982 −82% ≈279% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $4,122 $4,122 $6,809 −39% $17,466 −76% ≈284% of Medicare
693 URINARY STONES WITH MCC $4,122 $4,122 $12,474 −67% $22,525 −82% —
694 URINARY STONES WITHOUT MCC $4,122 $4,122 $6,629 −38% $16,531 −75% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $4,122 $4,122 $9,661 −57% $20,741 −80% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $4,122 $4,122 $5,984 −31% $14,441 −71% —
697 URETHRAL STRICTURE $4,122 $4,122 $8,499 −51% $17,705 −77% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $4,122 $4,122 $14,260 −71% $30,058 −86% ≈301% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $4,122 $4,122 $8,737 −53% $20,732 −80% ≈284% of Medicare
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $5,889 −30% $13,303 −69% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $4,122 $4,122 $16,240 −75% $43,080 −90% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $12,700 −68% $32,911 −87% —
709 PENIS PROCEDURES WITH CC/MCC $4,122 $4,122 $19,437 −79% $34,535 −88% —
710 PENIS PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $12,737 −68% $23,814 −83% —
711 TESTES PROCEDURES WITH CC/MCC $4,122 $4,122 $16,209 −75% $34,852 −88% —
712 TESTES PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $8,951 −54% $18,898 −78% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $4,122 $4,122 $12,387 −67% $29,663 −86% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $4,122 $4,122 $8,050 −49% $17,108 −76% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $4,122 $4,122 $19,158 −78% $38,998 −89% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $12,041 −66% $21,615 −81% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $4,122 $4,122 $15,528 −73% $32,538 −87% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $10,451 −61% $20,147 −80% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $4,122 $4,122 $14,811 −72% $29,826 −86% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $4,122 $4,122 $9,526 −57% $19,317 −79% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,122 $4,122 $6,242 −34% $12,650 −67% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $4,122 $4,122 $10,566 −61% $19,894 −79% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $4,122 $4,122 $6,315 −35% $13,892 −70% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $4,122 $4,122 $12,466 −67% $25,786 −84% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $4,122 $4,122 $6,744 −39% $16,837 −76% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $4,122 $4,122 $9,346 −56% $17,483 −76% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $5,274 −22% $11,071 −63% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $4,122 $4,122 $19,834 −79% $35,686 −88% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $4,122 $4,122 $10,399 −60% $23,297 −82% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $4,122 $4,122 $16,953 −76% $44,363 −91% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $12,869 −68% $30,972 −87% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $4,122 $4,122 $15,426 −73% $36,597 −89% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $11,881 −65% $29,050 −86% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $4,122 $4,122 $15,497 −73% $40,552 −90% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $4,122 $4,122 $10,169 −59% $27,369 −85% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $4,122 $4,122 $16,902 −76% $33,050 −88% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $4,122 $4,122 $8,779 −53% $16,495 −75% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $4,122 $4,122 $14,485 −72% $29,916 −86% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $8,103 −49% $19,326 −79% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $4,122 $4,122 $11,784 −65% $24,980 −83% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $4,122 $4,122 $21,960 −81% $41,703 −90% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $11,047 −63% $23,920 −83% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,122 $4,122 $15,500 −73% $29,476 −86% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,122 $4,122 $9,602 −57% $18,459 −78% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,122 $4,122 $8,181 −50% $15,589 −74% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $4,122 $4,122 $12,007 −66% $23,734 −83% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $4,122 $4,122 $8,732 −53% $19,091 −78% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $4,122 $4,122 $5,562 −26% $14,208 −71% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $4,122 $4,122 $8,361 −51% $18,282 −77% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $4,122 $4,122 $5,483 −25% $11,421 −64% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $4,122 $4,122 $11,903 −65% $24,561 −83% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $4,122 $4,122 $9,128 −55% $17,943 −77% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,122 $4,122 $6,053 −32% $12,381 −67% —
779 ABORTION WITHOUT D&C $4,122 $4,122 $7,930 −48% $15,327 −73% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $4,122 $4,122 $16,156 −74% $28,375 −85% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $4,122 $4,122 $9,775 −58% $23,571 −83% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $4,122 $4,122 $8,017 −49% $20,084 −79% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $4,122 $4,122 $15,085 −73% $14,284 −71% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $4,122 $4,122 $11,094 −63% $22,557 −82% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $4,122 $4,122 $8,598 −52% $19,001 −78% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $4,122 $4,122 $10,124 −59% $18,238 −77% —
800 SPLENIC PROCEDURES WITH CC $4,122 $4,122 $25,439 −84% $49,184 −92% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $14,064 −71% $28,634 −86% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $4,122 $4,122 $30,575 −87% $59,425 −93% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $4,122 $4,122 $15,101 −73% $33,564 −88% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $4,122 $4,122 $9,379 −56% $24,544 −83% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $4,122 $4,122 $8,897 −54% $12,044 −66% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $4,122 $4,122 $19,811 −79% $36,334 −89% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $4,122 $4,122 $10,507 −61% $22,032 −81% ≈319% of Medicare
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $4,122 $4,122 $8,075 −49% $18,428 −78% —
811 RED BLOOD CELL DISORDERS WITH MCC $4,122 $4,122 $12,169 −66% $27,934 −85% ≈270% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $4,122 $4,122 $7,983 −48% $20,488 −80% ≈276% of Medicare
813 COAGULATION DISORDERS $4,122 $4,122 $13,132 −69% $30,128 −86% ≈292% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $4,122 $4,122 $17,735 −77% $32,483 −87% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $4,122 $4,122 $8,620 −52% $18,017 −77% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $4,122 $4,122 $5,704 −28% $13,485 −69% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $4,122 $4,122 $18,088 −77% $36,097 −89% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $4,122 $4,122 $10,927 −62% $24,316 −83% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $6,927 −40% $17,928 −77% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $4,122 $4,122 $18,682 −78% $44,053 −91% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $9,798 −58% $25,390 −84% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $4,122 $4,122 $18,841 −78% $38,382 −89% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $10,441 −61% $27,321 −85% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $4,122 $4,122 $20,508 −80% $47,546 −91% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,598 −70% $35,584 −88% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $4,122 $4,122 $27,771 −85% $53,817 −92% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $12,529 −67% $25,149 −84% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $4,122 $4,122 $9,405 −56% $18,133 −77% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $4,122 $4,122 $6,341 −35% $12,895 −68% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $4,496 −8% $9,076 −55% —
834 ACUTE LEUKEMIA WITH MCC $4,122 $4,122 $46,891 −91% $76,583 −95% ≈318% of Medicare
835 ACUTE LEUKEMIA WITH CC $4,122 $4,122 $17,874 −77% $35,569 −88% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $4,122 $4,122 $10,780 −62% $19,686 −79% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $4,122 $4,122 $17,206 −76% $30,661 −87% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,122 $4,122 $11,626 −65% $20,980 −80% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $4,122 $4,122 $27,054 −85% $49,710 −92% ≈267% of Medicare
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $4,122 $4,122 $13,302 −69% $31,059 −87% ≈329% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $4,122 $4,122 $8,924 −54% $17,550 −77% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $4,122 $4,122 $16,062 −74% $36,280 −89% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $4,122 $4,122 $10,139 −59% $20,421 −80% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $7,169 −42% $14,055 −71% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $4,122 $4,122 $21,877 −81% $38,878 −89% ≈256% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $4,122 $4,122 $10,780 −62% $22,275 −81% ≈274% of Medicare
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $4,122 $4,122 $7,015 −41% $13,822 −70% —
849 RADIOTHERAPY $4,122 $4,122 $22,353 −82% $37,862 −89% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $4,122 $4,122 $77,091 −95% $121,563 −97% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $4,122 $4,122 $17,364 −76% $43,524 −91% ≈320% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $13,926 −70% $27,168 −85% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $4,122 $4,122 $50,907 −92% $72,859 −94% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $4,122 $4,122 $19,259 −79% $41,900 −90% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $4,122 $4,122 $10,930 −62% $23,924 −83% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $4,122 $4,122 $15,904 −74% $30,394 −86% ≈235% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $4,122 $4,122 $8,483 −51% $20,007 −79% ≈290% of Medicare
864 FEVER AND INFLAMMATORY CONDITIONS $4,122 $4,122 $7,618 −46% $17,412 −76% ≈428% of Medicare
865 VIRAL ILLNESS WITH MCC $4,122 $4,122 $12,521 −67% $26,088 −84% —
866 VIRAL ILLNESS WITHOUT MCC $4,122 $4,122 $7,506 −45% $16,391 −75% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $4,122 $4,122 $18,191 −77% $36,850 −89% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $4,122 $4,122 $9,083 −55% $22,231 −81% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $4,122 $4,122 $6,105 −32% $12,537 −67% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $4,122 $4,122 $16,645 −75% $35,237 −88% ≈273% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $4,122 $4,122 $8,918 −54% $22,781 −82% ≈313% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $4,122 $4,122 $33,337 −88% $54,196 −92% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $4,122 $4,122 $8,292 −50% $15,636 −74% —
881 DEPRESSIVE NEUROSES $4,122 $4,122 $7,831 −47% $15,058 −73% —
882 NEUROSES EXCEPT DEPRESSIVE $4,122 $4,122 $8,241 −50% $15,680 −74% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $4,122 $4,122 $15,515 −73% $22,698 −82% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $4,122 $4,122 $14,169 −71% $25,208 −84% ≈242% of Medicare
885 PSYCHOSES $4,122 $4,122 $11,958 −66% $21,489 −81% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $4,122 $4,122 $15,241 −73% $24,836 −83% —
887 OTHER MENTAL DISORDER DIAGNOSES $4,122 $4,122 $10,090 −59% $20,602 −80% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $4,122 $4,122 $5,424 −24% $12,013 −66% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $4,122 $4,122 $12,117 −66% $21,986 −81% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,122 $4,122 $15,107 −73% $30,275 −86% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $4,122 $4,122 $7,484 −45% $16,049 −74% ≈230% of Medicare
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $4,122 $4,122 $37,586 −89% $68,847 −94% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $4,122 $4,122 $16,098 −74% $35,459 −88% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $4,122 $4,122 $10,444 −61% $23,588 −83% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $4,122 $4,122 $33,398 −88% $55,097 −93% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $4,122 $4,122 $13,793 −70% $25,197 −84% —
906 HAND PROCEDURES FOR INJURIES $4,122 $4,122 $18,264 −77% $31,520 −87% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $4,122 $4,122 $17,112 −76% $41,660 −90% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $4,122 $4,122 $10,760 −62% $28,156 −85% —
913 TRAUMATIC INJURY WITH MCC $4,122 $4,122 $13,729 −70% $24,198 −83% —
914 TRAUMATIC INJURY WITHOUT MCC $4,122 $4,122 $7,850 −47% $15,593 −74% —
915 ALLERGIC REACTIONS WITH MCC $4,122 $4,122 $14,888 −72% $30,944 −87% —
916 ALLERGIC REACTIONS WITHOUT MCC $4,122 $4,122 $5,634 −27% $13,890 −70% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $4,122 $4,122 $13,910 −70% $28,134 −85% ≈299% of Medicare
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $4,122 $4,122 $7,504 −45% $15,045 −73% —
919 COMPLICATIONS OF TREATMENT WITH MCC $4,122 $4,122 $15,622 −74% $29,031 −86% ≈306% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $4,122 $4,122 $8,787 −53% $21,181 −81% ≈260% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $4,122 $4,122 $5,948 −31% $14,012 −71% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $4,122 $4,122 $14,613 −72% $29,409 −86% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $4,122 $4,122 $8,652 −52% $16,571 −75% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $4,122 $4,122 $56,660 −93% $89,353 −95% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $4,122 $4,122 $27,638 −85% $44,472 −91% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $4,122 $4,122 $33,230 −88% $59,352 −93% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $4,122 $4,122 $18,382 −78% $31,044 −87% —
935 NON-EXTENSIVE BURNS $4,122 $4,122 $18,633 −78% $29,458 −86% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $4,122 $4,122 $26,927 −85% $51,142 −92% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $4,122 $4,122 $17,669 −77% $38,420 −89% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $4,122 $4,122 $16,579 −75% $29,524 −86% —
945 REHABILITATION WITH CC/MCC $4,122 $4,122 $12,775 −68% $23,834 −83% —
946 REHABILITATION WITHOUT CC/MCC $4,122 $4,122 $9,323 −56% $17,685 −77% —
947 SIGNS AND SYMPTOMS WITH MCC $4,122 $4,122 $11,018 −63% $25,474 −84% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $4,122 $4,122 $6,872 −40% $17,727 −77% ≈302% of Medicare
949 AFTERCARE WITH CC/MCC $4,122 $4,122 $9,243 −55% $23,953 −83% —
950 AFTERCARE WITHOUT CC/MCC $4,122 $4,122 $5,117 −19% $13,527 −70% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $4,122 $4,122 $4,950 −17% $9,385 −56% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,122 $4,122 $41,582 −90% $66,853 −94% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,122 $4,122 $29,424 −86% $40,277 −90% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $4,122 $4,122 $23,718 −83% $43,491 −91% ≈222% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $4,122 $4,122 $12,726 −68% $25,854 −84% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $4,122 $4,122 $7,742 −47% $17,585 −77% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $4,122 $4,122 $22,509 −82% $40,947 −90% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $4,122 $4,122 $25,951 −84% $46,402 −91% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $4,122 $4,122 $11,895 −65% $25,010 −84% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $4,122 $4,122 $8,278 −50% $16,212 −75% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $4,122 $4,122 $12,232 −66% $22,525 −82% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,122 $4,122 $21,375 −81% $51,985 −92% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,122 $4,122 $14,152 −71% $30,930 −87% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $4,122 $4,122 $14,843 −72% $38,094 −89% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $4,122 $4,122 $9,899 −58% $25,307 −84% —

Procedures with negotiated rates only

These 118 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
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $42,196 – $153,681 · median $119,576 19 plans
163 MAJOR CHEST PROCEDURES WITH MCC $46,797 – $164,038 · median $129,035 19 plans
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $35,823 – $141,216 · median $104,204 19 plans
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $96,429 – $337,754 · median $270,183 19 plans
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $63,869 – $317,655 · median $172,848 19 plans
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $51,865 – $317,655 · median $158,829 19 plans
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $75,281 – $268,357 · median $214,439 19 plans
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $44,133 – $219,152 · median $122,071 19 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $60,361 – $246,764 · median $139,507 19 plans
231 CORONARY BYPASS WITH PTCA WITH MCC $78,847 – $290,771 · median $226,022 19 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $57,483 – $290,771 · median $162,369 19 plans
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $74,598 – $271,434 · median $207,760 19 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $56,504 – $204,651 · median $160,533 19 plans
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $38,688 – $166,386 · median $109,300 19 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $35,634 – $133,714 · median $94,959 19 plans
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $68,380 – $356,335 · median $179,615 19 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $54,497 – $271,749 · median $136,979 19 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $65,128 – $260,278 · median $185,142 19 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $40,967 – $161,790 · median $114,861 19 plans
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $49,069 – $196,219 · median $137,942 19 plans
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $35,627 – $147,112 · median $103,936 19 plans
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $30,341 – $112,783 · median $87,372 19 plans
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $31,860 – $157,189 · median $122,053 19 plans
335 PERITONEAL ADHESIOLYSIS WITH MCC $38,842 – $125,575 · median $101,437 19 plans
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $40,696 – $180,499 · median $135,414 19 plans
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $33,082 – $120,485 · median $92,329 19 plans
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $41,489 – $135,278 · median $104,661 19 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $37,737 – $213,168 · median $177,405 19 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $110,844 – $511,575 · median $386,533 16 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $47,355 – $136,514 · median $94,839 16 plans
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $53,936 – $197,280 · median $155,678 16 plans
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $38,566 – $131,854 · median $105,559 16 plans
028 SPINAL PROCEDURES WITH MCC $53,679 – $209,714 · median $165,895 16 plans
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $42,004 – $143,262 · median $116,774 16 plans
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $36,043 – $135,773 · median $107,337 16 plans
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $37,836 – $134,001 · median $105,481 16 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $55,074 – $211,039 · median $176,474 16 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $123,733 – $355,485 · median $296,821 16 plans
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $44,839 – $167,281 · median $137,445 16 plans
245 AICD GENERATOR PROCEDURES $50,006 – $157,697 · median $136,741 16 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $35,524 – $115,372 · median $95,387 16 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $39,375 – $151,798 · median $119,869 16 plans
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $50,608 – $176,754 · median $142,675 16 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $39,150 – $148,903 · median $116,831 16 plans
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $52,112 – $191,586 · median $152,265 16 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $87,199 – $293,352 · median $232,995 16 plans
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $62,541 – $211,427 · median $161,335 16 plans
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $45,071 – $157,683 · median $121,379 16 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $51,648 – $237,291 · median $170,460 16 plans
471 CERVICAL SPINAL FUSION WITH MCC $47,956 – $171,186 · median $136,539 16 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $37,207 – $149,742 · median $122,376 16 plans
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $32,961 – $124,629 · median $97,653 16 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $51,038 – $216,396 · median $168,042 16 plans
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $36,253 – $133,135 · median $105,187 16 plans
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $35,425 – $139,709 · median $107,669 16 plans
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $31,308 – $109,192 · median $89,286 16 plans
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $34,324 – $128,694 · median $111,450 16 plans
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $35,955 – $125,851 · median $107,443 16 plans
799 SPLENIC PROCEDURES WITH MCC $47,476 – $172,425 · median $133,658 16 plans
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $54,892 – $210,431 · median $159,137 16 plans
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $40,619 – $156,671 · median $127,692 16 plans
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $48,155 – $161,049 · median $133,889 16 plans
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $57,525 – $153,436 · median $136,634 16 plans
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $48,957 – $173,981 · median $136,473 16 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $38,308 – $129,442 · median $108,706 16 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $191,499 – $917,309 · median $610,640 16 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $58,385 – $211,945 · median $182,594 16 plans
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $37,672 – $134,965 · median $104,734 16 plans
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $72,339 – $251,698 · median $203,679 16 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $55,718 – $239,173 · median $176,769 16 plans
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $43,120 – $164,971 · median $129,722 16 plans
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $32,010 – $117,513 · median $95,580 16 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $181,997 – $741,968 · median $599,978 15 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $103,904 – $294,152 · median $227,988 15 plans
653 MAJOR BLADDER PROCEDURES WITH MCC $53,163 – $188,399 · median $156,061 15 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $61,872 – $107,013 · median $86,611 13 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $219,654 – $374,831 · median $307,480 13 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $142,492 – $244,853 · median $199,466 13 plans
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $124,898 – $216,121 · median $174,837 13 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $93,796 – $166,432 · median $131,300 13 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $100,882 – $155,226 · median $140,067 13 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $85,882 – $144,076 · median $120,222 13 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $190,000 – $1,155,633 · median $1,002,406 11 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $124,736 – $189,570 · median $173,188 9 plans
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $211,215 – $320,998 · median $293,259 9 plans
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $143,212 – $217,648 · median $198,840 9 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $110,979 – $168,662 · median $154,087 9 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $168,172 – $255,581 · median $233,495 9 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $110,302 – $167,633 · median $153,147 9 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $135,187 – $205,452 · median $187,698 9 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $103,841 – $157,815 · median $144,177 9 plans
453 Combined Anterior And Posterior Spinal Fusion With MCC $90,327 – $308,386 · median $244,748 7 plans
454 Combined Anterior And Posterior Spinal Fusion With CC $58,813 – $212,853 · median $162,341 7 plans
455 Combined Anterior And Posterior Spinal Fusion Without CC/MCC $46,217 – $160,279 · median $127,544 7 plans
459 Spinal Fusion Except Cervical With MCC $65,793 – $230,811 · median $179,211 7 plans
460 Spinal Fusion Except Cervical Without MCC $38,028 – $127,299 · median $104,694 7 plans
222 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With MCC $80,126 – $232,546 · median $151,154 6 plans
223 Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without MCC $57,641 – $232,546 · median $126,753 6 plans
224 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With MCC $71,019 – $195,993 · median $127,831 6 plans
225 Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without MCC $54,241 – $186,036 · median $108,662 6 plans
226 Cardiac Defibrillator Implant Without Cardiac Catheterization With MCC $64,216 – $203,477 · median $123,902 6 plans
227 Cardiac Defibrillator Implant Without Cardiac Catheterization Without MCC $50,211 – $203,477 · median $108,881 6 plans
246 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $30,465 – $127,900 · median $66,501 6 plans
247 Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without MCC $19,537 – $81,390 · median $42,309 6 plans
248 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With MCC Or 4+ Arteries Or Stents $29,733 – $104,645 · median $61,220 6 plans
249 Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without MCC $18,403 – $81,390 · median $41,106 6 plans
338 Appendectomy With Complicated Principal Diagnosis With MCC $27,943 – $74,508 · median $61,830 3 plans
339 Appendectomy With Complicated Principal Diagnosis With CC $16,479 – $45,123 · median $37,445 3 plans
340 Appendectomy With Complicated Principal Diagnosis Without CC/MCC $11,883 – $32,702 · median $27,137 3 plans
341 Appendectomy Without Complicated Principal Diagnosis With MCC $24,563 – $61,661 · median $51,169 3 plans
342 Appendectomy Without Complicated Principal Diagnosis With CC $15,462 – $38,151 · median $31,660 3 plans
343 Appendectomy Without Complicated Principal Diagnosis Without CC/MCC $11,058 – $29,534 · median $24,509 3 plans
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $53,513 – $53,513 · median $53,513 1 plans
791 PREMATURITY WITH MAJOR PROBLEMS $36,547 – $36,547 · median $36,547 1 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $22,051 – $22,051 · median $22,051 1 plans
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $37,541 – $37,541 · median $37,541 1 plans
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $13,287 – $13,287 · median $13,287 1 plans
795 NORMAL NEWBORN $1,799 – $1,799 · median $1,799 1 plans
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