Stony Brook University Hospital — Pricing

775 procedures published in this hospital's Machine-Readable File (MRF) — 169 with a comparable price, 606 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 775
Lowest published price $998
Average published price $49,875
Highest published price $636,712

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 775 procedures

Published charges

Showing all 169 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. Cash-pay prices not published for this hospital.

Across 100 procedures, this hospital's negotiated rates average ≈133% of what Medicare pays.

DRG Description Published price vs. NY median vs. National median vs Medicare
011 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMORBITY $636,712 $143,271 +344% $101,576 +527% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $410,449 $99,339 +313% $120,573 +240% —
098 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMPLICATION $226,652 $39,731 +470% $42,901 +428% —
253 OTHER VASCULAR PROCEDURES WITH COMPLICATION $216,289 $40,302 +437% $57,454 +276% ≈127% of Medicare
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $215,355 $140,370 +53% $132,794 +62% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITH COMORBITY $202,186 $149,605 +35% $113,855 +78% ≈117% of Medicare
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMORBITY $188,356 $111,594 +69% $99,423 +89% ≈101% of Medicare
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX WITH COMORBITY OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $164,113 $122,419 +34% $106,778 +54% ≈126% of Medicare
163 MAJOR CHEST PROCEDURES WITH COMORBITY $160,620 $90,851 +77% $90,195 +78% ≈125% of Medicare
457 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMPLICATION $150,307 $111,217 +35% $107,355 +40% —
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMORBITY $127,882 $34,886 +267% $36,792 +248% ≈92% of Medicare
432 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMORBITY $125,448 $48,837 +157% $40,213 +212% ≈132% of Medicare
652 KIDNEY TRANSPLANT $125,055 $54,720 +129% $54,720 +129% ≈152% of Medicare
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $120,427 $105,908 +14% $90,775 +33% ≈105% of Medicare
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHAL INJ WITH COMPLICATION/COMORBITY $112,274 $89,353 +26% $89,353 +26% —
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMORBITY $109,719 $200,973 −45% $188,171 −42% —
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMORBITY $106,894 $44,554 +140% $52,178 +105% ≈80% of Medicare
518 BACK & NECK PROC EXC SPINAL FUSION WITH COMORBITY OR DISC DEVICE/NEUROSTIM $105,673 $76,715 +38% $71,092 +49% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH COMPLICATION $104,367 $81,781 +28% $71,014 +47% ≈121% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION $101,576 $42,646 +138% $48,682 +109% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION $101,004 $67,788 +49% $70,847 +43% ≈139% of Medicare
324 NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT $99,497 $91,834 +8% $71,464 +39% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $98,394 $102,983 −4% $117,280 −16% ≈118% of Medicare
274 PERCUTANEOUS INTRACARDIAC PROCEDURES WITHOUT COMORBITY $94,569 $57,726 +64% $65,573 +44% ≈123% of Medicare
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $93,567 $34,970 +168% $51,985 +80% ≈117% of Medicare
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMORBITY $93,415 $21,375 +337% $32,628 +186% ≈111% of Medicare
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $90,000 $75,492 +19% $79,116 +14% —
027 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $76,448 $71,258 +7% $54,583 +40% ≈129% of Medicare
164 MAJOR CHEST PROCEDURES WITH COMPLICATION $74,798 $62,887 +19% $56,755 +32% ≈125% of Medicare
407 PANCREAS; LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY $72,825 $66,230 +10% $46,727 +56% —
041 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMPLICATION OR PERIPH NEUROSTIM $70,985 $32,503 +118% $49,418 +44% ≈133% of Medicare
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMORBITY $69,214 $36,743 +88% $39,181 +77% —
935 NON-EXTENSIVE BURNS $66,547 $35,844 +86% $31,701 +110% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMPLICATION $64,892 $38,932 +67% $45,333 +43% ≈136% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH COMPLICATION $63,998 $44,395 +44% $50,463 +27% ≈121% of Medicare
473 CERVICAL SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $63,467 $50,196 +26% $50,624 +25% —
167 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMPLICATION $61,620 $41,640 +48% $40,642 +52% —
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMPLICATION $61,079 $39,277 +56% $43,298 +41% ≈131% of Medicare
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITHOUT COMPLICATION/COMORBITY $60,333 $36,253 +66% $36,253 +66% ≈150% of Medicare
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMORBITY $60,269 $42,071 +43% $39,106 +54% ≈125% of Medicare
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION $58,424 $40,849 +43% $46,090 +27% ≈142% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION $57,273 $38,919 +47% $42,914 +33% ≈125% of Medicare
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITHOUT COMPLICATION/COMORBITY $57,182 $48,926 +17% $31,170 +83% —
494 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITHOUT COMPLICATION/COMORBITY $56,645 $41,301 +37% $47,711 +19% ≈145% of Medicare
026 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMPLICATION $54,750 $63,310 −14% $64,523 −15% ≈117% of Medicare
199 PNEUMOTHORAX WITH COMORBITY $53,485 $33,787 +58% $33,787 +58% ≈124% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH COMORBITY $52,231 $31,016 +68% $32,637 +60% ≈116% of Medicare
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH COMORBITY $50,368 $36,465 +38% $35,628 +41% ≈123% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $50,147 $43,831 +14% $38,836 +29% —
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMORBITY $50,125 $30,494 +64% $32,496 +54% ≈116% of Medicare
042 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITHOUT COMPLICATION/COMORBITY $49,334 $26,578 +86% $39,018 +26% ≈141% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH COMPLICATION $48,618 $40,745 +19% $35,453 +37% —
165 MAJOR CHEST PROCEDURES WITHOUT COMPLICATION/COMORBITY $47,624 $48,570 −2% $46,340 +3% ≈142% of Medicare
035 CAROTID ARTERY STENT PROCEDURE WITH COMPLICATION $46,181 $60,743 −24% $49,066 −6% ≈117% of Medicare
377 G.I. HEMORRHAGE WITH COMORBITY $45,845 $38,041 +21% $37,842 +21% ≈133% of Medicare
331 MAJOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $44,990 $38,599 +17% $44,117 +2% ≈136% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT COMORBITY $44,890 $43,106 +4% $50,607 −11% ≈138% of Medicare
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $44,735 $5,725 +681% $8,445 +430% —
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION $44,592 $27,009 +65% $38,094 +17% ≈110% of Medicare
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $44,418 $48,725 −9% $65,216 −32% —
144 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH CC $43,864 $33,575 +31% $30,553 +44% —
571 SKIN DEBRIDEMENT WITH COMPLICATION $42,324 $37,317 +13% $37,169 +14% —
280 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMORBITY $41,433 $30,500 +36% $30,828 +34% ≈126% of Medicare
177 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMORBITY $41,410 $33,707 +23% $33,707 +23% ≈119% of Medicare
322 SHOULDER AND ELBOW JOINT REPLACEMENT $41,242 $53,246 −23% $58,809 −30% ≈130% of Medicare
512 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITHOUT COMPLICATION/COMORBITY $41,155 $34,657 +19% $35,692 +15% —
626 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMPLICATION $40,323 $25,547 +58% $33,454 +21% —
947 SIGNS & SYMPTOMS WITH COMORBITY $38,969 $23,898 +63% $27,401 +42% ≈128% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH COMORBITY $38,029 $22,682 +68% $30,502 +25% ≈112% of Medicare
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMORBITY $37,211 $24,743 +50% $26,770 +39% ≈136% of Medicare
621 O.R. PROCEDURES FOR OBESITY WITHOUT COMPLICATION/COMORBITY $37,032 $36,535 +1% $32,451 +14% —
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION $36,856 $26,769 +38% $31,264 +18% ≈130% of Medicare
547 CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION/COMORBITY $36,517 $19,855 +84% $16,565 +120% —
304 HYPERTENSION WITH COMORBITY $35,594 $24,714 +44% $26,080 +36% ≈134% of Medicare
627 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $35,507 $25,625 +39% $28,125 +26% ≈150% of Medicare
063 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT COMPLICATION/COMORBITY $35,391 $46,269 −24% $39,887 −11% —
025 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES WITH COMORBITY $34,274 $94,677 −64% $88,307 −61% ≈125% of Medicare
236 CORONARY BYPASS WITHOUT CARDIAC CATH WITHOUT COMORBITY $33,979 $109,137 −69% $82,247 −59% ≈147% of Medicare
095 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION $33,060 $50,347 −34% $47,583 −31% —
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITHOUT COMPLICATION/COMORBITY $31,019 $27,384 +13% $30,784 +1% —
352 INGUINAL & FEMORAL HERNIA PROCEDURES WITHOUT COMPLICATION/COMORBITY $29,452 $29,044 +1% $27,843 +6% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMORBITY $29,088 $18,133 +60% $18,133 +60% —
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $29,044 $20,399 +42% $17,733 +64% —
287 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITHOUT COMORBITY $28,777 $27,854 +3% $32,021 −10% ≈131% of Medicare
184 MAJOR CHEST TRAUMA WITH COMPLICATION $28,675 $19,872 +44% $22,432 +28% ≈134% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT COMORBITY $27,962 $16,909 +65% $20,488 +36% ≈134% of Medicare
638 DIABETES WITH COMPLICATION $27,153 $18,494 +47% $19,661 +38% ≈137% of Medicare
563 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITHOUT COMORBITY $27,132 $18,854 +44% $19,842 +37% ≈139% of Medicare
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $27,120 $13,828 +96% $18,649 +45% —
863 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITHOUT COMORBITY $26,885 $19,304 +39% $20,957 +28% ≈169% of Medicare
644 ENDOCRINE DISORDERS WITH COMPLICATION $26,291 $23,815 +10% $23,198 +13% ≈130% of Medicare
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT COMORBITY $25,984 $14,644 +77% $16,699 +56% ≈141% of Medicare
090 CONCUSSION WITHOUT COMPLICATION/COMORBITY $25,983 $25,638 +1% $15,412 +69% —
552 MEDICAL BACK PROBLEMS WITHOUT COMORBITY $25,958 $21,141 +23% $21,396 +21% ≈140% of Medicare
923 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITHOUT COMORBITY $25,749 $16,813 +53% $17,601 +46% —
187 PLEURAL EFFUSION WITH COMPLICATION $25,628 $20,440 +25% $21,789 +18% ≈126% of Medicare
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $25,413 $24,125 +5% $26,682 −5% ≈93% of Medicare
378 G.I. HEMORRHAGE WITH COMPLICATION $24,838 $25,803 −4% $22,098 +12% ≈132% of Medicare
060 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION/COMORBITY $24,563 $18,799 +31% $22,148 +11% —
312 SYNCOPE & COLLAPSE $23,297 $17,340 +34% $19,342 +20% ≈137% of Medicare
101 SEIZURES WITHOUT COMORBITY $23,220 $15,777 +47% $20,461 +13% ≈141% of Medicare
607 MINOR SKIN DISORDERS WITHOUT COMORBITY $23,207 $15,276 +52% $15,889 +46% ≈139% of Medicare
086 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMPLICATION $23,029 $23,278 −1% $27,043 −15% ≈134% of Medicare
149 DYSEQUILIBRIUM $22,823 $23,926 −5% $18,096 +26% ≈149% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $22,741 $74,502 −69% $68,653 −67% —
683 RENAL FAILURE WITH COMPLICATION $22,551 $15,913 +42% $19,130 +18% ≈136% of Medicare
918 POISONING & TOXIC EFFECTS OF DRUGS WITHOUT COMORBITY $22,286 $12,276 +82% $15,452 +44% ≈73% of Medicare
153 OTITIS MEDIA & URI WITHOUT COMORBITY $21,563 $13,931 +55% $14,583 +48% ≈151% of Medicare
690 KIDNEY & URINARY TRACT INFECTIONS WITHOUT COMORBITY $21,499 $16,665 +29% $17,674 +22% ≈137% of Medicare
786 CESAREAN SECTION WITHOUT STERILIZATION WITH COMORBITY $21,068 $22,460 −6% $27,152 −22% —
783 CESAREAN SECTION WITH STERILIZATION WITH COMORBITY $20,860 $22,780 −8% $29,221 −29% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT COMPLICATION/COMORBITY $20,854 $20,781 +0% $20,781 +0% ≈144% of Medicare
125 OTHER DISORDERS OF THE EYE WITHOUT COMORBITY $20,819 $18,154 +15% $17,298 +20% ≈133% of Medicare
194 SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION $20,658 $16,173 +28% $18,204 +13% ≈133% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT COMPLICATION/COMORBITY $20,086 $16,731 +20% $17,700 +13% ≈161% of Medicare
558 TENDONITIS; MYOSITIS & BURSITIS WITHOUT COMORBITY $19,672 $19,672 +0% $18,602 +6% ≈142% of Medicare
178 RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION $19,418 $20,753 −6% $22,024 −12% ≈137% of Medicare
769 POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE $19,054 $21,228 −10% $25,094 −24% —
443 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITHOUT COMPLICATION/COMORBITY $18,925 $21,770 −13% $15,600 +21% —
442 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMPLICATION $18,853 $20,528 −8% $21,449 −12% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION $18,838 $22,889 −18% $24,914 −24% ≈133% of Medicare
674 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMPLICATION $18,808 $41,721 −55% $50,394 −63% ≈111% of Medicare
785 CESAREAN SECTION WITH STERILIZATION WITHOUT COMPLICATION/COMORBITY $18,745 $19,783 −5% $19,846 −6% —
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMPLICATION $18,131 $19,320 −6% $22,850 −21% ≈127% of Medicare
916 ALLERGIC REACTIONS WITHOUT COMORBITY $17,945 $13,750 +31% $13,942 +29% —
286 CIRCULATORY DISORDERS EXCEPT AMI; WITH CARD CATH WITH COMORBITY $17,856 $44,619 −60% $46,283 −61% ≈117% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $17,745 $39,563 −55% $42,679 −58% —
784 CESAREAN SECTION WITH STERILIZATION WITH COMPLICATION $17,519 $20,443 −14% $23,283 −25% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $17,345 $15,788 +10% $13,651 +27% —
754 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $15,536 $26,677 −42% $32,433 −52% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT COMPLICATION/COMORBITY $15,496 $12,703 +22% $15,183 +2% ≈149% of Medicare
193 SIMPLE PNEUMONIA & PLEURISY WITH COMORBITY $15,288 $28,415 −46% $27,275 −44% ≈135% of Medicare
202 BRONCHITIS & ASTHMA WITH COMPLICATION/COMORBITY $15,156 $16,255 −7% $17,724 −14% ≈134% of Medicare
603 CELLULITIS WITHOUT COMORBITY $14,999 $14,803 +1% $18,530 −19% ≈138% of Medicare
776 POSTPARTUM & POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURE $14,999 $9,835 +53% $12,454 +20% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH COMPLICATION $14,858 $24,376 −39% $23,571 −37% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT COMPLICATION/COMORBITY $14,463 $21,303 −32% $20,084 −28% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMORBITY $14,456 $13,876 +4% $15,370 −6% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $14,066 $8,048 +75% $9,940 +42% —
757 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMORBITY $13,131 $42,870 −69% $26,280 −50% —
768 VAGINAL DELIVERY WITH O.R. PROC EXCEPT STERIL &/OR D&C $10,612 $15,107 −30% $16,846 −37% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $10,466 $25,475 −59% $31,321 −67% —
811 RED BLOOD CELL DISORDERS WITH COMORBITY $10,262 $24,954 −59% $28,226 −64% ≈139% of Medicare
392 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITHOUT COMORBITY $9,536 $13,321 −28% $17,322 −45% ≈138% of Medicare
466 REVISION OF HIP OR KNEE REPLACEMENT WITH COMORBITY $9,373 $80,478 −88% $96,507 −90% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $8,598 $12,588 −32% $12,078 −29% —
234 CORONARY BYPASS WITH CARDIAC CATH WITHOUT COMORBITY $7,568 $129,059 −94% $102,573 −93% ≈131% of Medicare
291 HEART FAILURE & SHOCK WITH COMORBITY $6,990 $27,424 −75% $26,776 −74% ≈124% of Medicare
795 NORMAL NEWBORN $6,062 $4,866 +25% $4,720 +28% —
641 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITHOUT COMORBITY $5,901 $15,817 −63% $17,038 −65% ≈136% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION/D&C WITHOUT COMPLICATION/COMORBITY $5,105 $13,602 −62% $18,452 −72% —
189 PULMONARY EDEMA & RESPIRATORY FAILURE $4,020 $24,603 −84% $26,580 −85% ≈133% of Medicare
203 BRONCHITIS & ASTHMA WITHOUT COMPLICATION/COMORBITY $3,611 $14,098 −74% $12,252 −71% —
374 DIGESTIVE MALIGNANCY WITH COMORBITY $3,197 $34,183 −91% $39,958 −92% ≈109% of Medicare
390 G.I. OBSTRUCTION WITHOUT COMPLICATION/COMORBITY $3,024 $10,472 −71% $13,361 −77% ≈152% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMPLICATION $3,024 $33,278 −91% $44,606 −93% ≈134% of Medicare
885 PSYCHOSES $3,024 $23,973 −87% $21,729 −86% ≈91% of Medicare
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION $2,996 $34,861 −91% $42,126 −93% ≈126% of Medicare
087 TRAUMATIC STUPOR & COMA; COMA <1 HR WITHOUT COMPLICATION/COMORBITY $2,967 $14,668 −80% $16,520 −82% ≈171% of Medicare
159 DENTAL & ORAL DISEASES WITHOUT COMPLICATION/COMORBITY $2,967 $11,755 −75% $13,633 −78% —
598 MALIGNANT BREAST DISORDERS WITH COMPLICATION $2,967 $18,578 −84% $19,073 −84% —
640 MISC DISORDERS OF NUTRITION; METABOLISM; FLUIDS/ELECTROLYTES WITH COMORBITY $2,967 $23,010 −87% $25,463 −88% ≈130% of Medicare
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION $2,967 $20,153 −85% $21,275 −86% ≈134% of Medicare
919 COMPLICATIONS OF TREATMENT WITH COMORBITY $2,967 $26,862 −89% $31,105 −90% ≈124% of Medicare
156 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $2,839 $11,921 −76% $14,549 −80% —
887 OTHER MENTAL DISORDER DIAGNOSES $2,812 $18,631 −85% $20,616 −86% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURE WITH COMPLICATION $1,978 $12,595 −84% $12,895 −85% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME; NEONATE $1,179 $66,974 −98% $80,018 −99% —
684 RENAL FAILURE WITHOUT COMPLICATION/COMORBITY $998 $11,276 −91% $13,642 −93% —

Procedures with negotiated rates only

These 606 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
876 O.R. PROCEDURE WITH PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $33,011 – $65,196 · median $52,658 13 plans
881 DEPRESSIVE NEUROSES $12,508 – $33,011 · median $13,384 13 plans
882 NEUROSES EXCEPT DEPRESSIVE $14,219 – $33,011 · median $15,214 13 plans
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $25,709 – $33,421 · median $27,508 13 plans
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $27,112 – $35,246 · median $29,010 13 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $7,762 – $357,832 · median $284,889 13 plans
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHAL INJ WITHOUT COMPLICATION/COMORBITY $7,762 – $54,416 · median $43,324 13 plans
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $7,762 – $65,686 · median $52,296 13 plans
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHAL INJ $7,082 – $37,510 · median $29,864 13 plans
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEMWITHCOMORBITY $33,011 – $469,516 · median $373,807 12 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $33,011 – $190,161 · median $151,397 12 plans
003 ECMO OR TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITH MAJ O.R. $33,011 – $355,735 · median $283,220 12 plans
004 TRACH WITH MV >96 HRS OR PDX EXC FACE; MOUTH & NECK WITHOUT MAJ O.R. $33,011 – $232,328 · median $184,969 12 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $33,011 – $173,068 · median $137,789 12 plans
006 LIVER TRANSPLANT WITHOUT MCC $33,011 – $78,118 · median $62,194 12 plans
007 LUNG TRANSPLANT $33,011 – $217,246 · median $172,961 12 plans
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $33,011 – $94,311 · median $75,086 12 plans
010 PANCREAS TRANSPLANT $33,011 – $120,605 · median $96,020 12 plans
012 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITH COMPLICATION $33,011 – $71,072 · median $56,584 12 plans
013 TRACHEOSTOMY FOR FACE; MOUTH & NECK DIAGNOSES OR LARYNGECTOMY WITHOUT COMPLICATION/COMORBITY $33,011 – $48,743 · median $38,807 12 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $33,011 – $201,643 · median $160,539 12 plans
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH COMPLICATION/COMORBITY OR T-CELL IMMUNOTHERAPY $33,011 – $99,752 · median $79,418 12 plans
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $33,011 – $91,428 · median $72,790 12 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $33,011 – $723,213 · median $575,789 12 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $33,011 – $119,917 · median $95,472 12 plans
020 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMORBITY $33,011 – $132,204 · median $105,255 12 plans
021 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITH COMPLICATION $33,011 – $89,110 · median $70,945 12 plans
022 INTRACRANIAL VASCULAR PROCEDURES WITH PDX HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $33,011 – $53,690 · median $42,746 12 plans
024 CRANIO WITH MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX WITHOUT COMORBITY $33,011 – $65,982 · median $52,532 12 plans
028 SPINAL PROCEDURES WITH COMORBITY $33,011 – $101,067 · median $80,465 12 plans
029 SPINAL PROCEDURES WITH COMPLICATION OR SPINAL NEUROSTIMULATORS $33,011 – $57,610 · median $45,866 12 plans
030 SPINAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $28,655 – $37,252 · median $30,805 12 plans
031 VENTRICULAR SHUNT PROCEDURES WITH COMORBITY $33,011 – $75,498 · median $60,108 12 plans
032 VENTRICULAR SHUNT PROCEDURES WITH COMPLICATION $27,829 – $36,178 · median $29,916 12 plans
033 VENTRICULAR SHUNT PROCEDURES WITHOUT COMPLICATION/COMORBITY $21,803 – $33,011 · median $23,438 12 plans
034 CAROTID ARTERY STENT PROCEDURE WITH COMORBITY $33,011 – $65,293 · median $51,983 12 plans
036 CAROTID ARTERY STENT PROCEDURE WITHOUT COMPLICATION/COMORBITY $25,406 – $33,028 · median $27,312 12 plans
037 EXTRACRANIAL PROCEDURES WITH COMORBITY $33,011 – $55,610 · median $44,274 12 plans
038 EXTRACRANIAL PROCEDURES WITH COMPLICATION $21,284 – $33,011 · median $22,880 12 plans
039 EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,528 – $33,011 · median $16,693 12 plans
040 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC WITH COMORBITY $33,011 – $65,134 · median $51,857 12 plans
052 SPINAL DISORDERS & INJURIES WITH COMPLICATION/COMORBITY $23,713 – $33,011 · median $25,492 12 plans
053 SPINAL DISORDERS & INJURIES WITHOUT COMPLICATION/COMORBITY $13,001 – $33,011 · median $13,976 12 plans
055 NERVOUS SYSTEM NEOPLASMS WITHOUT COMORBITY $13,521 – $33,011 · median $14,535 12 plans
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH COMORBITY $30,302 – $39,393 · median $32,414 12 plans
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT COMORBITY $17,074 – $33,011 · median $18,355 12 plans
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $22,403 – $33,011 · median $24,083 12 plans
059 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION $16,370 – $33,011 · median $17,598 12 plans
061 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMORBITY $33,011 – $46,656 · median $37,145 12 plans
062 ISCHEMIC STROKE; PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION $23,017 – $33,011 · median $24,743 12 plans
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION OR TPA IN 24 HRS $13,401 – $33,011 · median $14,407 12 plans
067 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITH COMORBITY $19,303 – $33,011 · median $20,750 12 plans
068 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION WITHOUT INFARCT WITHOUT COMORBITY $11,523 – $33,011 · median $12,387 12 plans
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $10,679 – $33,011 · median $11,480 12 plans
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMORBITY $21,827 – $33,011 · median $23,464 12 plans
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION $13,604 – $33,011 · median $14,624 12 plans
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $10,130 – $33,011 · median $10,890 12 plans
073 CRANIAL & PERIPHERAL NERVE DISORDERS WITH COMORBITY $21,048 – $33,011 · median $22,627 12 plans
074 CRANIAL & PERIPHERAL NERVE DISORDERS WITHOUT COMORBITY $13,665 – $33,011 · median $14,690 12 plans
075 VIRAL MENINGITIS WITH COMPLICATION/COMORBITY $25,080 – $33,011 · median $26,961 12 plans
076 VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY $11,018 – $33,011 · median $11,845 12 plans
080 NONTRAUMATIC STUPOR & COMA WITH COMORBITY $23,697 – $33,011 · median $25,474 12 plans
081 NONTRAUMATIC STUPOR & COMA WITHOUT COMORBITY $11,925 – $33,011 · median $12,819 12 plans
082 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMORBITY $29,819 – $38,765 · median $32,056 12 plans
083 TRAUMATIC STUPOR & COMA; COMA >1 HR WITH COMPLICATION $18,364 – $33,011 · median $19,742 12 plans
084 TRAUMATIC STUPOR & COMA; COMA >1 HR WITHOUT COMPLICATION/COMORBITY $12,700 – $33,011 · median $13,652 12 plans
085 TRAUMATIC STUPOR & COMA; COMA <1 HR WITH COMORBITY $29,643 – $38,536 · median $31,866 12 plans
088 CONCUSSION WITH COMORBITY $17,798 – $33,011 · median $19,133 12 plans
089 CONCUSSION WITH COMPLICATION $14,538 – $33,011 · median $15,629 12 plans
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH COMORBITY $23,004 – $33,011 · median $24,729 12 plans
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $10,646 – $33,011 · median $11,445 12 plans
094 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMORBITY $33,011 – $59,414 · median $47,302 12 plans
096 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT COMPLICATION/COMORBITY $33,011 – $43,679 · median $34,775 12 plans
097 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH COMORBITY $33,011 – $60,960 · median $48,534 12 plans
099 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITHOUT COMPLICATION/COMORBITY $17,934 – $33,011 · median $19,279 12 plans
100 SEIZURES WITH COMORBITY $25,329 – $33,011 · median $27,229 12 plans
102 HEADACHES WITH MCC $14,825 – $33,011 · median $15,937 12 plans
103 HEADACHES WITHOUT COMORBITY $11,161 – $33,011 · median $11,999 12 plans
113 ORBITAL PROCEDURES WITH COMPLICATION/COMORBITY $30,662 – $39,861 · median $32,603 12 plans
114 ORBITAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $17,813 – $33,011 · median $19,149 12 plans
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $20,155 – $33,011 · median $21,667 12 plans
116 INTRAOCULAR PROCEDURES WITH COMPLICATION/COMORBITY $23,672 – $33,011 · median $25,447 12 plans
117 INTRAOCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $14,362 – $33,011 · median $15,439 12 plans
121 ACUTE MAJOR EYE INFECTIONS WITH COMPLICATION/COMORBITY $15,371 – $33,011 · median $16,524 12 plans
122 ACUTE MAJOR EYE INFECTIONS WITHOUT COMPLICATION/COMORBITY $10,511 – $33,011 · median $11,300 12 plans
123 NEUROLOGICAL EYE DISORDERS $10,676 – $33,011 · median $11,477 12 plans
124 OTHER DISORDERS OF THE EYE WITH COMORBITY $17,428 – $33,011 · median $18,735 12 plans
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $28,331 – $36,830 · median $30,456 12 plans
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $13,466 – $33,011 · median $14,476 12 plans
137 MOUTH PROCEDURES WITH COMPLICATION/COMORBITY $19,618 – $33,011 · median $21,089 12 plans
138 MOUTH PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,804 – $33,011 · median $12,689 12 plans
139 SALIVARY GLAND PROCEDURES $16,303 – $33,011 · median $17,526 12 plans
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $33,011 – $71,897 · median $57,241 12 plans
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $28,474 – $37,016 · median $30,610 12 plans
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $20,947 – $33,011 · median $22,518 12 plans
143 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITH MCC $33,011 – $63,216 · median $50,330 12 plans
145 OTHER EAR; NOSE; MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $15,873 – $33,011 · median $17,064 12 plans
146 EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMORBITY $27,654 – $35,950 · median $29,728 12 plans
147 EAR; NOSE; MOUTH & THROAT MALIGNANCY WITH COMPLICATION $16,764 – $33,011 · median $18,021 12 plans
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $10,657 – $33,011 · median $11,456 12 plans
150 EPISTAXIS WITH COMORBITY $17,536 – $33,011 · median $18,852 12 plans
151 EPISTAXIS WITHOUT COMORBITY $9,844 – $33,011 · median $10,583 12 plans
152 OTITIS MEDIA & URI WITH COMORBITY $15,614 – $33,011 · median $16,785 12 plans
154 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMORBITY $20,523 – $33,011 · median $22,062 12 plans
155 OTHER EAR; NOSE; MOUTH & THROAT DIAGNOSES WITH COMPLICATION $12,194 – $33,011 · median $13,108 12 plans
157 DENTAL & ORAL DISEASES WITH COMORBITY $22,497 – $33,011 · median $24,184 12 plans
158 DENTAL & ORAL DISEASES WITH COMPLICATION $12,108 – $33,011 · median $13,016 12 plans
166 OTHER RESP SYSTEM O.R. PROCEDURES WITH COMORBITY $33,011 – $63,067 · median $50,211 12 plans
168 OTHER RESP SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $17,986 – $33,011 · median $19,335 12 plans
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $33,011 – $50,326 · median $40,067 12 plans
175 PULMONARY EMBOLISM WITH COMORBITY OR ACUTE COR PULMONALE $18,078 – $33,011 · median $19,434 12 plans
176 PULMONARY EMBOLISM WITHOUT COMORBITY $10,758 – $33,011 · median $11,565 12 plans
179 RESPIRATORY INFECTIONS & INFLAMMATIONS WITHOUT COMPLICATION/COMORBITY $10,115 – $33,011 · median $10,873 12 plans
180 RESPIRATORY NEOPLASMS WITH COMORBITY $23,130 – $33,011 · median $24,865 12 plans
181 RESPIRATORY NEOPLASMS WITH COMPLICATION $14,183 – $33,011 · median $15,247 12 plans
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $10,099 – $33,011 · median $10,857 12 plans
183 MAJOR CHEST TRAUMA WITH COMORBITY $20,091 – $33,011 · median $21,597 12 plans
185 MAJOR CHEST TRAUMA WITHOUT COMPLICATION/COMORBITY $10,520 – $33,011 · median $11,309 12 plans
186 PLEURAL EFFUSION WITH COMORBITY $20,459 – $33,011 · median $21,993 12 plans
188 PLEURAL EFFUSION WITHOUT COMPLICATION/COMORBITY $9,628 – $33,011 · median $10,350 12 plans
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMORBITY $14,655 – $33,011 · median $15,754 12 plans
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION $11,248 – $33,011 · median $12,091 12 plans
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT COMPLICATION/COMORBITY $8,660 – $33,011 · median $9,310 12 plans
195 SIMPLE PNEUMONIA & PLEURISY WITHOUT COMPLICATION/COMORBITY $8,486 – $33,011 · median $9,123 12 plans
197 INTERSTITIAL LUNG DISEASE WITH COMPLICATION $12,614 – $33,011 · median $13,560 12 plans
198 INTERSTITIAL LUNG DISEASE WITHOUT COMPLICATION/COMORBITY $9,615 – $33,011 · median $10,336 12 plans
200 PNEUMOTHORAX WITH COMPLICATION $14,547 – $33,011 · median $15,638 12 plans
201 PNEUMOTHORAX WITHOUT COMPLICATION/COMORBITY $9,601 – $33,011 · median $10,321 12 plans
204 RESPIRATORY SIGNS & SYMPTOMS $10,789 – $33,011 · median $11,599 12 plans
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH COMORBITY $23,967 – $33,011 · median $25,764 12 plans
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT COMORBITY $12,511 – $33,011 · median $13,449 12 plans
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $33,011 – $108,204 · median $86,147 12 plans
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $33,011 – $46,515 · median $37,033 12 plans
209 COMPLEX AORTIC ARCH PROCEDURES $33,011 – $189,943 · median $151,224 12 plans
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $33,011 – $182,501 · median $145,299 12 plans
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $33,011 – $96,023 · median $76,449 12 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $33,011 – $167,152 · median $133,079 12 plans
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITH COMPLICATION $33,011 – $110,557 · median $88,020 12 plans
218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITH CARD CATH WITHOUT COMPLICATION/COMORBITY $33,011 – $110,557 · median $88,020 12 plans
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMORBITY $33,011 – $129,016 · median $102,717 12 plans
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITH COMPLICATION $33,011 – $89,762 · median $71,465 12 plans
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC WITHOUT CARD CATH WITHOUT COMPLICATION/COMORBITY $33,011 – $84,866 · median $67,566 12 plans
228 OTHER CARDIOTHORACIC PROCEDURES WITH COMORBITY $33,011 – $83,312 · median $66,329 12 plans
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT COMORBITY $33,011 – $53,223 · median $42,374 12 plans
231 CORONARY BYPASS WITH PTCA WITH COMORBITY $33,011 – $141,595 · median $112,731 12 plans
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $33,011 – $101,976 · median $81,189 12 plans
233 CORONARY BYPASS WITH CARDIAC CATH WITH COMORBITY $33,011 – $128,462 · median $102,276 12 plans
235 CORONARY BYPASS WITHOUT CARDIAC CATH WITH COMORBITY $33,011 – $98,729 · median $78,604 12 plans
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMORBITY $33,011 – $82,882 · median $65,987 12 plans
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION $33,011 – $48,219 · median $38,390 12 plans
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $18,217 – $33,011 · median $19,584 12 plans
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMORBITY $33,011 – $53,948 · median $42,951 12 plans
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION $27,828 – $36,176 · median $29,915 12 plans
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT COMPLICATION/COMORBITY $23,664 – $33,011 · median $25,439 12 plans
245 AICD GENERATOR PROCEDURES $33,011 – $76,869 · median $61,200 12 plans
250 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITH COMORBITY $28,492 – $37,040 · median $30,629 12 plans
251 PERCUTANEOUS CARDIOVASC PROC WITHOUT CORONARY ARTERY STENT WITHOUT COMORBITY $19,635 – $33,011 · median $21,107 12 plans
252 OTHER VASCULAR PROCEDURES WITH COMORBITY $33,011 – $58,893 · median $46,888 12 plans
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS WITH COMORBITY $33,011 – $45,657 · median $36,350 12 plans
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $22,253 – $33,011 · median $23,922 12 plans
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $14,456 – $33,011 · median $15,540 12 plans
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $33,011 – $53,099 · median $42,275 12 plans
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT COMORBITY $26,427 – $34,355 · median $28,409 12 plans
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMORBITY $33,011 – $54,952 · median $43,750 12 plans
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $21,378 – $33,011 · median $22,981 12 plans
263 VEIN LIGATION & STRIPPING $33,011 – $51,682 · median $41,147 12 plans
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $33,011 – $56,421 · median $44,920 12 plans
265 AICD LEAD PROCEDURES $33,011 – $61,067 · median $48,619 12 plans
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES WITHOUT COMORBITY $33,011 – $80,190 · median $63,843 12 plans
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH COMORBITY $33,011 – $115,621 · median $92,052 12 plans
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT COMORBITY $33,011 – $71,192 · median $56,680 12 plans
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT COMPLICATION/COMORBITY $33,011 – $43,240 · median $34,426 12 plans
273 PERCUTANEOUS INTRACARDIAC PROCEDURES WITH COMORBITY $33,011 – $69,557 · median $55,378 12 plans
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $33,011 – $119,847 · median $95,416 12 plans
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $33,011 – $77,808 · median $61,947 12 plans
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $33,011 – $93,669 · median $74,575 12 plans
279 HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS $33,011 – $60,870 · median $48,462 12 plans
281 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITH COMPLICATION $12,227 – $33,011 · median $13,144 12 plans
282 ACUTE MYOCARDIAL INFARCTION; DISCHARGED ALIVE WITHOUT COMPLICATION/COMORBITY $9,704 – $33,011 · median $10,432 12 plans
283 ACUTE MYOCARDIAL INFARCTION; EXPIRED WITH COMORBITY $25,895 – $33,664 · median $27,837 12 plans
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $9,306 – $33,011 · median $10,004 12 plans
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $8,105 – $33,011 · median $8,713 12 plans
288 ACUTE & SUBACUTE ENDOCARDITIS WITH COMORBITY $33,011 – $45,804 · median $36,467 12 plans
289 ACUTE & SUBACUTE ENDOCARDITIS WITH COMPLICATION $22,369 – $33,011 · median $24,047 12 plans
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $12,364 – $33,011 · median $13,291 12 plans
292 HEART FAILURE & SHOCK WITH COMPLICATION $11,325 – $33,011 · median $12,174 12 plans
293 HEART FAILURE & SHOCK WITHOUT COMPLICATION/COMORBITY $7,682 – $33,011 · median $8,258 12 plans
296 CARDIAC ARREST; UNEXPLAINED WITH COMORBITY $20,503 – $33,011 · median $22,040 12 plans
297 CARDIAC ARREST, UNEXPLAINED WITH CC $8,557 – $33,011 · median $9,199 12 plans
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $6,254 – $33,011 · median $6,723 12 plans
299 PERIPHERAL VASCULAR DISORDERS WITH COMORBITY $21,414 – $33,011 · median $23,020 12 plans
300 PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION $14,138 – $33,011 · median $15,198 12 plans
301 PERIPHERAL VASCULAR DISORDERS WITHOUT COMPLICATION/COMORBITY $9,660 – $33,011 · median $10,385 12 plans
302 ATHEROSCLEROSIS WITH COMORBITY $15,800 – $33,011 · median $16,985 12 plans
303 ATHEROSCLEROSIS WITHOUT COMORBITY $9,062 – $33,011 · median $9,741 12 plans
305 HYPERTENSION WITHOUT COMORBITY $10,116 – $33,011 · median $10,875 12 plans
306 CARDIAC CONGENITAL & VALVULAR DISORDERS WITH COMORBITY $20,682 – $33,011 · median $22,233 12 plans
307 CARDIAC CONGENITAL & VALVULAR DISORDERS WITHOUT COMORBITY $12,151 – $33,011 · median $13,063 12 plans
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION $9,866 – $33,011 · median $10,606 12 plans
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITHOUT COMPLICATION/COMORBITY $7,683 – $33,011 · median $8,259 12 plans
311 ANGINA PECTORIS $9,431 – $33,011 · median $10,139 12 plans
313 CHEST PAIN $9,664 – $33,011 · median $10,389 12 plans
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMORBITY $27,239 – $35,411 · median $29,282 12 plans
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION $12,796 – $33,011 · median $13,756 12 plans
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $33,011 – $112,418 · median $89,502 12 plans
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $31,578 – $41,051 · median $33,084 12 plans
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH COMORBITY $33,011 – $75,204 · median $59,874 12 plans
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT COMORBITY $31,360 – $40,768 · median $32,970 12 plans
321 CERVICAL SPINAL FUSION AND OTHER BACK OR NECK PROCEDURES EXCEPT DISC EXCISION OR DECOMPRESSION $33,011 – $46,048 · median $36,662 12 plans
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $33,011 – $72,936 · median $58,068 12 plans
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $33,011 – $54,242 · median $43,185 12 plans
326 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMORBITY $33,011 – $83,982 · median $66,862 12 plans
327 STOMACH; ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION $31,861 – $41,419 · median $33,233 12 plans
328 STOMACH; ESOPHAGEAL & DUODENAL PROC WITHOUT COMPLICATION/COMORBITY $21,023 – $33,011 · median $22,599 12 plans
329 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $33,011 – $77,440 · median $61,654 12 plans
330 MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION $31,256 – $40,633 · median $32,915 12 plans
332 RECTAL RESECTION WITH MCC $33,011 – $61,109 · median $48,652 12 plans
333 RECTAL RESECTION WITH COMPLICATION $30,548 – $39,712 · median $32,543 12 plans
334 RECTAL RESECTION WITHOUT COMPLICATION/COMORBITY $21,481 – $33,011 · median $23,092 12 plans
335 PERITONEAL ADHESIOLYSIS WITH COMORBITY $33,011 – $60,276 · median $47,989 12 plans
337 PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION/COMORBITY $20,156 – $33,011 · median $21,668 12 plans
344 MINOR SMALL & LARGE BOWEL PROCEDURES WITH COMORBITY $33,011 – $43,739 · median $34,823 12 plans
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $19,766 – $33,011 · median $21,249 12 plans
346 MINOR SMALL & LARGE BOWEL PROCEDURES WITHOUT COMPLICATION/COMORBITY $15,666 – $33,011 · median $16,841 12 plans
347 ANAL & STOMAL PROCEDURES WITH COMORBITY $29,948 – $38,932 · median $32,194 12 plans
348 ANAL & STOMAL PROCEDURES WITH COMPLICATION $17,244 – $33,011 · median $18,538 12 plans
349 ANAL & STOMAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,603 – $33,011 · median $12,473 12 plans
350 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMORBITY $32,475 – $42,218 · median $33,612 12 plans
351 INGUINAL & FEMORAL HERNIA PROCEDURES WITH COMPLICATION $20,021 – $33,011 · median $21,523 12 plans
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMORBITY $33,011 – $49,081 · median $39,076 12 plans
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION $22,054 – $33,011 · median $23,708 12 plans
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITHOUT COMPLICATION/COMORBITY $17,710 – $33,011 · median $19,039 12 plans
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH COMORBITY $33,011 – $74,031 · median $58,940 12 plans
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,391 – $33,011 · median $19,771 12 plans
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $33,011 – $58,061 · median $46,226 12 plans
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $31,476 – $40,919 · median $33,030 12 plans
368 MAJOR ESOPHAGEAL DISORDERS WITH COMORBITY $20,889 – $33,011 · median $22,455 12 plans
369 MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION $13,271 – $33,011 · median $14,267 12 plans
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT COMPLICATION/COMORBITY $9,417 – $33,011 · median $10,123 12 plans
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITH COMORBITY $23,221 – $33,011 · median $24,963 12 plans
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS WITHOUT COMPLICATION/COMORBITY $9,759 – $33,011 · median $10,491 12 plans
375 DIGESTIVE MALIGNANCY WITH COMPLICATION $15,967 – $33,011 · median $17,165 12 plans
376 DIGESTIVE MALIGNANCY WITHOUT COMPLICATION/COMORBITY $12,294 – $33,011 · median $13,216 12 plans
379 G.I. HEMORRHAGE WITHOUT COMPLICATION/COMORBITY $8,511 – $33,011 · median $9,149 12 plans
380 COMPLICATED PEPTIC ULCER WITH COMORBITY $25,656 – $33,353 · median $27,580 12 plans
381 COMPLICATED PEPTIC ULCER WITH COMPLICATION $14,344 – $33,011 · median $15,420 12 plans
382 COMPLICATED PEPTIC ULCER WITHOUT COMPLICATION/COMORBITY $10,702 – $33,011 · median $11,504 12 plans
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $18,170 – $33,011 · median $19,533 12 plans
384 UNCOMPLICATED PEPTIC ULCER WITHOUT COMORBITY $11,400 – $33,011 · median $12,255 12 plans
385 INFLAMMATORY BOWEL DISEASE WITH COMORBITY $20,765 – $33,011 · median $22,323 12 plans
386 INFLAMMATORY BOWEL DISEASE WITH COMPLICATION $12,964 – $33,011 · median $13,936 12 plans
387 INFLAMMATORY BOWEL DISEASE WITHOUT COMPLICATION/COMORBITY $9,166 – $33,011 · median $9,853 12 plans
388 G.I. OBSTRUCTION WITH COMORBITY $19,407 – $33,011 · median $20,863 12 plans
389 G.I. OBSTRUCTION WITH COMPLICATION $10,563 – $33,011 · median $11,355 12 plans
391 ESOPHAGITIS; GASTROENT & MISC DIGEST DISORDERS WITH COMORBITY $16,723 – $33,011 · median $17,977 12 plans
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMORBITY $20,984 – $33,011 · median $22,558 12 plans
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION $12,441 – $33,011 · median $13,374 12 plans
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $8,750 – $33,011 · median $9,406 12 plans
397 APPENDIX PROCEDURES WITH MCC $31,226 – $40,594 · median $32,899 12 plans
398 APPENDIX PROCEDURES WITH CC $19,881 – $33,011 · median $21,372 12 plans
405 PANCREAS; LIVER & SHUNT PROCEDURES WITH COMORBITY $33,011 – $92,067 · median $73,299 12 plans
406 PANCREAS; LIVER & SHUNT PROCEDURES WITH COMPLICATION $33,011 – $49,051 · median $39,052 12 plans
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMORBITY $33,011 – $60,187 · median $47,918 12 plans
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST WITH OR WITHOUT C.D.E. WITH COMPLICATION $28,425 – $36,953 · median $30,557 12 plans
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $20,835 – $33,011 · median $22,397 12 plans
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $33,011 – $55,797 · median $44,423 12 plans
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $27,462 – $35,701 · median $29,522 12 plans
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT COMPLICATION/COMORBITY $21,772 – $33,011 · median $23,405 12 plans
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $33,011 – $60,137 · median $47,878 12 plans
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH COMPLICATION $27,001 – $35,102 · median $29,026 12 plans
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $17,946 – $33,011 · median $19,292 12 plans
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH COMORBITY $31,117 – $40,452 · median $32,842 12 plans
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT COMPLICATION/COMORBITY $17,978 – $33,011 · median $19,326 12 plans
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMORBITY $33,011 – $57,534 · median $45,806 12 plans
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH COMPLICATION $22,763 – $33,011 · median $24,470 12 plans
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,412 – $33,011 · median $19,793 12 plans
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMORBITY $33,011 – $70,017 · median $55,745 12 plans
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH COMPLICATION $28,561 – $37,130 · median $30,704 12 plans
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT COMPLICATION/COMORBITY $19,710 – $33,011 · median $21,188 12 plans
426 NON-HYPOVOLEMIC SODIUM DISORDERS $33,011 – $184,962 · median $147,259 12 plans
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $33,011 – $94,602 · median $75,318 12 plans
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $33,011 – $151,297 · median $120,455 12 plans
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $33,011 – $97,031 · median $77,251 12 plans
433 CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION $13,992 – $33,011 · median $15,042 12 plans
434 CIRRHOSIS & ALCOHOLIC HEPATITIS WITHOUT COMPLICATION/COMORBITY $9,568 – $33,011 · median $10,285 12 plans
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMORBITY $24,040 – $33,011 · median $25,843 12 plans
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH COMPLICATION $14,957 – $33,011 · median $16,078 12 plans
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION/COMORBITY $11,380 – $33,011 · median $12,234 12 plans
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION $11,224 – $33,011 · median $12,066 12 plans
441 DISORDERS OF LIVER EXCEPT MALIG; CIRR; ALC HEPA WITH COMORBITY $23,500 – $33,011 · median $25,262 12 plans
444 DISORDERS OF THE BILIARY TRACT WITH COMORBITY $21,906 – $33,011 · median $23,549 12 plans
445 DISORDERS OF THE BILIARY TRACT WITH COMPLICATION $14,484 – $33,011 · median $15,570 12 plans
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $33,011 – $112,336 · median $89,436 12 plans
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $33,011 – $71,487 · median $56,915 12 plans
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $33,011 – $89,709 · median $71,422 12 plans
456 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITH COMORBITY $108,578 – $202,887 · median $116,721 12 plans
458 SPINAL FUS EXC CERV WITH SPINAL CURV/MALIG/INFEC OR EXT FUS WITHOUT COMPLICATION/COMORBITY $54,112 – $112,853 · median $58,170 12 plans
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH COMORBITY $71,497 – $106,709 · median $76,859 12 plans
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITHOUT COMORBITY $34,639 – $74,110 · median $37,237 12 plans
463 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMORBITY $33,011 – $95,899 · median $76,351 12 plans
464 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITH COMPLICATION $33,011 – $52,641 · median $41,910 12 plans
465 WND DEBRID & SKN GRFT EXC HAND; FOR MUSCULO-CONN TISS DIS WITHOUT COMPLICATION/COMORBITY $23,873 – $33,011 · median $25,663 12 plans
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION/COMORBITY $35,772 – $59,288 · median $38,455 12 plans
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH COMORBITY OR TOTAL ANKLE REPLACEMENT $39,444 – $72,694 · median $42,402 12 plans
471 CERVICAL SPINAL FUSION WITH COMORBITY $33,011 – $81,326 · median $64,748 12 plans
472 CERVICAL SPINAL FUSION WITH COMPLICATION $33,011 – $49,819 · median $39,664 12 plans
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMORBITY $33,011 – $72,359 · median $57,609 12 plans
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITH COMPLICATION $29,692 – $38,599 · median $31,919 12 plans
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS WITHOUT COMPLICATION/COMORBITY $15,589 – $33,011 · median $16,758 12 plans
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $32,054 – $41,670 · median $33,334 12 plans
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $24,326 – $33,011 · median $26,150 12 plans
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMORBITY $37,887 – $63,807 · median $40,729 12 plans
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION $27,359 – $44,820 · median $29,411 12 plans
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT COMPLICATION/COMORBITY $21,392 – $35,181 · median $22,997 12 plans
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $36,080 – $51,392 · median $38,786 12 plans
485 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMORBITY $41,940 – $65,711 · median $45,085 12 plans
486 KNEE PROCEDURES WITH PDX OF INFECTION WITH COMPLICATION $27,315 – $43,858 · median $29,364 12 plans
487 KNEE PROCEDURES WITH PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $20,558 – $33,186 · median $22,100 12 plans
488 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITH COMPLICATION/COMORBITY $23,167 – $36,573 · median $24,905 12 plans
489 KNEE PROCEDURES WITHOUT PDX OF INFECTION WITHOUT COMPLICATION/COMORBITY $14,772 – $27,998 · median $15,880 12 plans
492 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMORBITY $47,662 – $67,675 · median $51,237 12 plans
493 LOWER EXTREM & HUMER PROC EXCEPT HIP; FOOT; FEMUR WITH COMPLICATION $33,044 – $43,640 · median $35,522 12 plans
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMORBITY $33,011 – $61,193 · median $48,719 12 plans
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITH COMPLICATION $23,618 – $33,011 · median $25,389 12 plans
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $15,950 – $33,011 · median $17,147 12 plans
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITH COMPLICATION/COMORBITY $33,011 – $51,002 · median $40,606 12 plans
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR WITHOUT COMPLICATION/COMORBITY $26,333 – $34,233 · median $28,308 12 plans
500 SOFT TISSUE PROCEDURES WITH COMORBITY $33,011 – $53,479 · median $42,578 12 plans
501 SOFT TISSUE PROCEDURES WITH COMPLICATION $22,900 – $33,011 · median $24,617 12 plans
502 SOFT TISSUE PROCEDURES WITHOUT COMPLICATION/COMORBITY $17,722 – $33,011 · median $19,051 12 plans
503 FOOT PROCEDURES WITH COMORBITY $33,011 – $47,225 · median $37,598 12 plans
504 FOOT PROCEDURES WITH COMPLICATION $24,459 – $33,011 · median $26,293 12 plans
505 FOOT PROCEDURES WITHOUT COMPLICATION/COMORBITY $23,475 – $33,011 · median $25,236 12 plans
506 MAJOR THUMB OR JOINT PROCEDURES $17,764 – $33,011 · median $19,097 12 plans
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH COMPLICATION/COMORBITY $23,650 – $33,011 · median $25,424 12 plans
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $19,891 – $33,011 · median $21,383 12 plans
510 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMORBITY $33,011 – $51,064 · median $40,655 12 plans
511 SHOULDER; ELBOW OR FOREARM PROC; EXC MAJOR JOINT PROC WITH COMPLICATION $27,165 – $35,314 · median $29,202 12 plans
513 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION/COMORBITY $20,662 – $33,011 · median $22,212 12 plans
514 HAND OR WRIST PROC; EXCEPT MAJOR THUMB OR JOINT PROC WITHOUT COMPLICATION/COMORBITY $13,556 – $33,011 · median $14,573 12 plans
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMORBITY $33,011 – $53,849 · median $42,872 12 plans
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION/COMORBITY $20,178 – $33,011 · median $21,691 12 plans
519 BACK & NECK PROC EXC SPINAL FUSION WITH COMPLICATION $26,145 – $33,989 · median $28,106 12 plans
520 BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION/COMORBITY $19,627 – $33,011 · median $21,099 12 plans
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $33,011 – $48,549 · median $38,652 12 plans
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $27,658 – $35,955 · median $29,732 12 plans
533 FRACTURES OF FEMUR WITH COMORBITY $20,577 – $33,011 · median $22,121 12 plans
534 FRACTURES OF FEMUR WITHOUT COMORBITY $10,773 – $33,011 · median $11,581 12 plans
535 FRACTURES OF HIP & PELVIS WITH COMORBITY $16,899 – $33,011 · median $18,167 12 plans
536 FRACTURES OF HIP & PELVIS WITHOUT COMORBITY $10,792 – $33,011 · median $11,601 12 plans
537 SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITH COMPLICATION/COMORBITY $12,681 – $33,011 · median $13,632 12 plans
538 SPRAINS; STRAINS; & DISLOCATIONS OF HIP; PELVIS & THIGH WITHOUT COMPLICATION/COMORBITY $9,668 – $33,011 · median $10,393 12 plans
539 OSTEOMYELITIS WITH COMORBITY $25,752 – $33,478 · median $27,684 12 plans
540 OSTEOMYELITIS WITH COMPLICATION $17,083 – $33,011 · median $18,365 12 plans
541 OSTEOMYELITIS WITHOUT COMPLICATION/COMORBITY $10,532 – $33,011 · median $11,322 12 plans
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITH COMPLICATION $13,629 – $33,011 · median $14,651 12 plans
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG WITHOUT COMPLICATION/COMORBITY $10,110 – $33,011 · median $10,868 12 plans
545 CONNECTIVE TISSUE DISORDERS WITH COMORBITY $32,344 – $42,047 · median $33,486 12 plans
546 CONNECTIVE TISSUE DISORDERS WITH COMPLICATION $15,244 – $33,011 · median $16,387 12 plans
548 SEPTIC ARTHRITIS WITH COMORBITY $25,253 – $33,011 · median $27,147 12 plans
549 SEPTIC ARTHRITIS WITH COMPLICATION $15,936 – $33,011 · median $17,131 12 plans
550 SEPTIC ARTHRITIS WITHOUT COMPLICATION/COMORBITY $11,648 – $33,011 · median $12,522 12 plans
551 MEDICAL BACK PROBLEMS WITH COMORBITY $21,973 – $33,011 · median $23,621 12 plans
553 BONE DISEASES & ARTHROPATHIES WITH COMORBITY $17,083 – $33,011 · median $18,365 12 plans
554 BONE DISEASES & ARTHROPATHIES WITHOUT COMORBITY $11,082 – $33,011 · median $11,913 12 plans
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITH COMORBITY $17,412 – $33,011 · median $18,717 12 plans
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE WITHOUT COMORBITY $11,088 – $33,011 · median $11,920 12 plans
557 TENDONITIS; MYOSITIS & BURSITIS WITH COMORBITY $19,537 – $33,011 · median $21,002 12 plans
559 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMORBITY $24,403 – $33,011 · median $26,234 12 plans
560 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION $14,892 – $33,011 · median $16,009 12 plans
561 AFTERCARE; MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION/COMORBITY $10,744 – $33,011 · median $11,550 12 plans
562 FX; SPRN; STRN & DISL EXCEPT FEMUR; HIP; PELVIS & THIGH WITH COMORBITY $18,738 – $33,011 · median $20,143 12 plans
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMORBITY $20,267 – $33,011 · median $21,787 12 plans
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITH COMPLICATION $12,939 – $33,011 · median $13,910 12 plans
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION/COMORBITY $10,041 – $33,011 · median $10,794 12 plans
570 SKIN DEBRIDEMENT WITH COMORBITY $33,011 – $49,735 · median $39,597 12 plans
572 SKIN DEBRIDEMENT WITHOUT COMPLICATION/COMORBITY $15,152 – $33,011 · median $16,289 12 plans
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $33,011 – $110,157 · median $87,702 12 plans
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $33,011 – $58,610 · median $46,663 12 plans
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $23,529 – $33,011 · median $25,294 12 plans
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMORBITY $33,011 – $82,539 · median $65,714 12 plans
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITH COMPLICATION $33,011 – $44,875 · median $35,728 12 plans
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS WITHOUT COMPLICATION/COMORBITY $21,075 – $33,011 · median $22,656 12 plans
579 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMORBITY $33,011 – $54,713 · median $43,560 12 plans
580 OTHER SKIN; SUBCUT TISS & BREAST PROC WITH COMPLICATION $22,641 – $33,011 · median $24,339 12 plans
581 OTHER SKIN; SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION/COMORBITY $18,973 – $33,011 · median $20,396 12 plans
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $25,198 – $33,011 · median $27,087 12 plans
583 MASTECTOMY FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY $22,595 – $33,011 · median $24,289 12 plans
584 BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITH COMPLICATION/COMORBITY $27,954 – $36,340 · median $30,050 12 plans
585 BREAST BIOPSY; LOCAL EXCISION & OTHER BREAST PROCEDURES WITHOUT COMPLICATION/COMORBITY $25,230 – $33,011 · median $27,122 12 plans
592 SKIN ULCERS WITH COMORBITY $25,310 – $33,011 · median $27,208 12 plans
593 SKIN ULCERS WITH COMPLICATION $15,667 – $33,011 · median $16,842 12 plans
594 SKIN ULCERS WITHOUT COMPLICATION/COMORBITY $11,554 – $33,011 · median $12,421 12 plans
595 MAJOR SKIN DISORDERS WITH COMORBITY $27,696 – $36,005 · median $29,774 12 plans
596 MAJOR SKIN DISORDERS WITHOUT COMORBITY $14,331 – $33,011 · median $15,406 12 plans
597 MALIGNANT BREAST DISORDERS WITH COMORBITY $21,857 – $33,011 · median $23,496 12 plans
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,300 – $33,011 · median $11,073 12 plans
600 NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION/COMORBITY $13,804 – $33,011 · median $14,840 12 plans
601 NON-MALIGNANT BREAST DISORDERS WITHOUT COMPLICATION/COMORBITY $8,184 – $33,011 · median $8,797 12 plans
602 CELLULITIS WITH COMORBITY $18,693 – $33,011 · median $20,094 12 plans
604 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITH COMORBITY $19,347 – $33,011 · median $20,797 12 plans
605 TRAUMA TO THE SKIN; SUBCUT TISS & BREAST WITHOUT COMORBITY $12,187 – $33,011 · median $13,101 12 plans
606 MINOR SKIN DISORDERS WITH COMORBITY $19,876 – $33,011 · median $21,366 12 plans
614 ADRENAL & PITUITARY PROCEDURES WITH COMPLICATION/COMORBITY $28,612 – $37,195 · median $30,758 12 plans
615 ADRENAL & PITUITARY PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,409 – $33,011 · median $19,790 12 plans
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMORBITY $33,011 – $58,878 · median $46,876 12 plans
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE; NUTRIT; & METABOL DIS WITH COMPLICATION $24,473 – $33,011 · median $26,308 12 plans
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $18,654 – $33,011 · median $20,053 12 plans
619 O.R. PROCEDURES FOR OBESITY WITH COMORBITY $33,011 – $48,837 · median $38,881 12 plans
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMORBITY $33,011 – $60,080 · median $47,833 12 plans
623 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITH COMPLICATION $23,489 – $33,011 · median $25,251 12 plans
624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC; NUTRIT & METAB DIS WITHOUT COMPLICATION/COMORBITY $16,512 – $33,011 · median $17,750 12 plans
625 THYROID; PARATHYROID & THYROGLOSSAL PROCEDURES WITH COMORBITY $33,011 – $51,057 · median $40,650 12 plans
628 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMORBITY $33,011 – $62,885 · median $50,066 12 plans
629 OTHER ENDOCRINE; NUTRIT & METAB O.R. PROC WITH COMPLICATION $28,444 – $36,978 · median $30,578 12 plans
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $19,184 – $33,011 · median $20,623 12 plans
637 DIABETES WITH COMORBITY $18,891 – $33,011 · median $20,308 12 plans
639 DIABETES WITHOUT COMPLICATION/COMORBITY $8,392 – $33,011 · median $9,022 12 plans
642 INBORN AND OTHER DISORDERS OF METABOLISM $18,703 – $33,011 · median $20,106 12 plans
643 ENDOCRINE DISORDERS WITH COMORBITY $21,587 – $33,011 · median $23,206 12 plans
645 ENDOCRINE DISORDERS WITHOUT COMPLICATION/COMORBITY $10,286 – $33,011 · median $11,057 12 plans
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $33,011 – $79,195 · median $63,052 12 plans
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $33,011 – $62,533 · median $49,786 12 plans
653 MAJOR BLADDER PROCEDURES WITH COMORBITY $33,011 – $87,480 · median $69,647 12 plans
654 MAJOR BLADDER PROCEDURES WITH COMPLICATION $33,011 – $47,362 · median $37,708 12 plans
655 MAJOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY $27,644 – $35,937 · median $29,717 12 plans
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM WITH COMORBITY $33,011 – $53,797 · median $42,831 12 plans
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITHOUT COMPLICATION/COMORBITY $13,725 – $33,011 · median $14,754 12 plans
662 MINOR BLADDER PROCEDURES WITH COMORBITY $33,011 – $51,750 · median $41,201 12 plans
663 MINOR BLADDER PROCEDURES WITH COMPLICATION $19,966 – $33,011 · median $21,463 12 plans
664 MINOR BLADDER PROCEDURES WITHOUT COMPLICATION/COMORBITY $13,873 – $33,011 · median $14,913 12 plans
665 PROSTATECTOMY WITH COMORBITY $33,011 – $52,749 · median $41,997 12 plans
666 PROSTATECTOMY WITH COMPLICATION $22,915 – $33,011 · median $24,634 12 plans
667 PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY $14,636 – $33,011 · median $15,734 12 plans
668 TRANSURETHRAL PROCEDURES WITH COMORBITY $33,011 – $49,382 · median $39,316 12 plans
669 TRANSURETHRAL PROCEDURES WITH COMPLICATION $20,375 – $33,011 · median $21,903 12 plans
670 TRANSURETHRAL PROCEDURES WITHOUT COMPLICATION/COMORBITY $12,977 – $33,011 · median $13,950 12 plans
671 URETHRAL PROCEDURES WITH COMPLICATION/COMORBITY $23,503 – $33,011 · median $25,266 12 plans
672 URETHRAL PROCEDURES WITHOUT CC/MCC $14,292 – $33,011 · median $15,364 12 plans
673 OTHER KIDNEY & URINARY TRACT PROCEDURES WITH COMORBITY $33,011 – $70,831 · median $56,392 12 plans
675 OTHER KIDNEY & URINARY TRACT PROCEDURES WITHOUT COMPLICATION/COMORBITY $21,526 – $33,011 · median $23,140 12 plans
682 RENAL FAILURE WITH COMORBITY $19,461 – $33,011 · median $20,921 12 plans
686 KIDNEY & URINARY TRACT NEOPLASMS WITH COMORBITY $23,615 – $33,011 · median $25,387 12 plans
687 KIDNEY & URINARY TRACT NEOPLASMS WITH COMPLICATION $13,884 – $33,011 · median $14,925 12 plans
688 KIDNEY & URINARY TRACT NEOPLASMS WITHOUT COMPLICATION/COMORBITY $10,569 – $33,011 · median $11,362 12 plans
689 KIDNEY & URINARY TRACT INFECTIONS WITH COMORBITY $15,332 – $33,011 · median $16,482 12 plans
693 URINARY STONES WITH COMORBITY $17,704 – $33,011 · median $19,032 12 plans
694 URINARY STONES WITHOUT COMORBITY $10,459 – $33,011 · median $11,243 12 plans
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITH COMORBITY $15,120 – $33,011 · median $16,254 12 plans
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT COMORBITY $9,265 – $33,011 · median $9,960 12 plans
697 URETHRAL STRICTURE $14,270 – $33,011 · median $15,341 12 plans
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION/COMORBITY $9,277 – $33,011 · median $9,972 12 plans
707 MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION/COMORBITY $26,146 – $33,990 · median $28,107 12 plans
708 MAJOR MALE PELVIC PROCEDURES WITHOUT COMPLICATION/COMORBITY $20,146 – $33,011 · median $21,657 12 plans
709 PENIS PROCEDURES WITH COMPLICATION/COMORBITY $30,354 – $39,460 · median $32,441 12 plans
710 PENIS PROCEDURES WITHOUT COMPLICATION/COMORBITY $18,434 – $33,011 · median $19,816 12 plans
711 TESTES PROCEDURES WITH COMPLICATION/COMORBITY $27,221 – $35,388 · median $29,263 12 plans
712 TESTES PROCEDURES WITHOUT COMPLICATION/COMORBITY $14,552 – $33,011 · median $15,644 12 plans
713 TRANSURETHRAL PROSTATECTOMY WITH COMPLICATION/COMORBITY $19,749 – $33,011 · median $21,231 12 plans
714 TRANSURETHRAL PROSTATECTOMY WITHOUT COMPLICATION/COMORBITY $14,008 – $33,011 · median $15,058 12 plans
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $29,197 – $37,957 · median $31,387 12 plans
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY WITHOUT COMPLICATION/COMORBITY $19,332 – $33,011 · median $20,782 12 plans
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITH COMPLICATION/COMORBITY $24,733 – $33,011 · median $26,588 12 plans
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY WITHOUT COMPLICATION/COMORBITY $17,686 – $33,011 · median $19,012 12 plans
722 MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMORBITY $23,693 – $33,011 · median $25,470 12 plans
723 MALIGNANCY; MALE REPRODUCTIVE SYSTEM WITH COMPLICATION $15,106 – $33,011 · median $16,239 12 plans
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,836 – $33,011 · median $9,499 12 plans
725 BENIGN PROSTATIC HYPERTROPHY WITH COMORBITY $15,460 – $33,011 · median $16,619 12 plans
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT COMORBITY $9,690 – $33,011 · median $10,417 12 plans
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH COMORBITY $19,486 – $33,011 · median $20,947 12 plans
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT COMORBITY $10,838 – $33,011 · median $11,651 12 plans
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $14,025 – $33,011 · median $15,076 12 plans
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT COMPLICATION/COMORBITY $9,046 – $33,011 · median $9,725 12 plans
734 PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITH COMPLICATION/COMORBITY $27,816 – $36,161 · median $29,902 12 plans
735 PELVIC EVISCERATION; RAD HYSTERECTOMY & RAD VULVECTOMY WITHOUT COMPLICATION/COMORBITY $17,717 – $33,011 · median $19,045 12 plans
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMORBITY $33,011 – $60,336 · median $48,037 12 plans
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH COMPLICATION $26,923 – $34,999 · median $28,942 12 plans
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT COMPLICATION/COMORBITY $19,300 – $33,011 · median $20,748 12 plans
739 UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMORBITY $33,011 – $60,475 · median $48,147 12 plans
740 UTERINE; ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG WITH COMPLICATION $23,691 – $33,011 · median $25,468 12 plans
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $18,754 – $33,011 · median $20,161 12 plans
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION/COMORBITY $24,016 – $33,011 · median $25,817 12 plans
744 D&C; CONIZATION; LAPAROSCOPY & TUBAL INTERRUPTION WITH COMPLICATION/COMORBITY $26,775 – $34,807 · median $28,783 12 plans
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $15,039 – $33,011 · median $16,167 12 plans
746 VAGINA; CERVIX & VULVA PROCEDURES WITH COMPLICATION/COMORBITY $22,758 – $33,011 · median $24,465 12 plans
747 VAGINA; CERVIX & VULVA PROCEDURES WITHOUT COMPLICATION/COMORBITY $11,463 – $33,011 · median $12,322 12 plans
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $18,255 – $33,011 · median $19,624 12 plans
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH COMPLICATION/COMORBITY $33,011 – $43,485 · median $34,620 12 plans
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,394 – $33,011 · median $20,849 12 plans
755 MALIGNANCY; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $14,399 – $33,011 · median $15,479 12 plans
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $12,760 – $33,011 · median $13,717 12 plans
758 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION $12,998 – $33,011 · median $13,973 12 plans
759 INFECTIONS; FEMALE REPRODUCTIVE SYSTEM WITHOUT COMPLICATION/COMORBITY $8,938 – $33,011 · median $9,608 12 plans
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH COMPLICATION/COMORBITY $13,365 – $33,011 · median $14,368 12 plans
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $7,740 – $33,011 · median $8,320 12 plans
770 ABORTION WITH D&C; ASPIRATION CURETTAGE OR HYSTEROTOMY $13,304 – $33,011 · median $14,301 12 plans
779 ABORTION WITHOUT D&C $11,226 – $33,011 · median $12,068 12 plans
789 NEONATES; DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $23,596 – $33,011 · median $25,366 12 plans
792 PREMATURITY WITHOUT MAJOR PROBLEMS $31,925 – $41,503 · median $33,266 12 plans
796 VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMORBITY $15,419 – $20,044 · median $16,190 12 plans
797 VAGINAL DELIVERY WITH STERILIZATION/D&C WITH COMPLICATION $13,274 – $17,256 · median $13,938 12 plans
799 SPLENECTOMY WITH COMORBITY $33,011 – $76,308 · median $60,753 12 plans
800 SPLENECTOMY WITH COMPLICATION $33,011 – $47,531 · median $37,842 12 plans
801 SPLENECTOMY WITHOUT COMPLICATION/COMORBITY $24,970 – $33,011 · median $26,842 12 plans
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMORBITY $33,011 – $67,191 · median $53,494 12 plans
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS WITH COMPLICATION $24,326 – $33,011 · median $26,150 12 plans
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,852 – $33,011 · median $19,191 12 plans
806 VAGINAL DELIVERY WITHOUT STERILIZATION/D&C WITH COMPLICATION $10,102 – $13,132 · median $10,607 12 plans
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITH COMPLICATION $16,692 – $33,011 · median $17,944 12 plans
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL WITHOUT COMPLICATION/COMORBITY $13,869 – $33,011 · median $14,909 12 plans
813 COAGULATION DISORDERS $20,031 – $33,011 · median $21,534 12 plans
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMORBITY $27,774 – $36,106 · median $29,857 12 plans
815 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH COMPLICATION $13,449 – $33,011 · median $14,458 12 plans
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION/COMORBITY $8,531 – $33,011 · median $9,171 12 plans
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMORBITY $29,768 – $38,698 · median $32,000 12 plans
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITH COMPLICATION $15,318 – $33,011 · median $16,467 12 plans
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $11,465 – $33,011 · median $12,325 12 plans
820 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMORBITY $33,011 – $98,666 · median $78,553 12 plans
821 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITH COMPLICATION $29,214 – $37,978 · median $31,405 12 plans
822 LYMPHOMA & LEUKEMIA WITH MAJOR O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $15,895 – $33,011 · median $17,087 12 plans
823 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMORBITY $33,011 – $77,244 · median $61,498 12 plans
824 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITH COMPLICATION $29,562 – $38,430 · median $31,779 12 plans
825 LYMPHOMA & NON-ACUTE LEUKEMIA WITH OTHER PROC WITHOUT COMPLICATION/COMORBITY $17,767 – $33,011 · median $19,099 12 plans
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMORBITY $33,011 – $78,800 · median $62,737 12 plans
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITH COMPLICATION $30,149 – $39,193 · median $32,334 12 plans
828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL WITH MAJ O.R. PROC WITHOUT COMPLICATION/COMORBITY $22,329 – $33,011 · median $24,004 12 plans
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURE WITH COMPLICATION/COMORBITY $33,011 – $53,399 · median $42,514 12 plans
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMORBITY $33,011 – $92,392 · median $73,558 12 plans
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURE WITH COMPLICATION $27,247 – $35,421 · median $29,291 12 plans
836 ACUTE LEUKEMIA WITHOUT CC/MCC $16,095 – $33,011 · median $17,302 12 plans
837 CHEMO WITH ACUTE LEUKEMIA AS SDX OR WITH HIGH DOSE CHEMO AGENT WITH COMORBITY $33,011 – $80,918 · median $64,423 12 plans
838 CHEMO WITH ACUTE LEUKEMIA AS SDX WITH COMPLICATION OR HIGH DOSE CHEMO AGENT $27,268 – $35,448 · median $29,313 12 plans
839 CHEMO WITH ACUTE LEUKEMIA AS SDX WITHOUT COMPLICATION/COMORBITY $18,983 – $33,011 · median $20,407 12 plans
840 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMORBITY $33,011 – $54,652 · median $43,512 12 plans
841 LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION $21,397 – $33,011 · median $23,002 12 plans
842 LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION/COMORBITY $13,403 – $33,011 · median $14,408 12 plans
843 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMORBITY $26,076 – $33,898 · median $28,031 12 plans
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITH COMPLICATION $16,068 – $33,011 · median $17,273 12 plans
845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG WITHOUT COMPLICATION/COMORBITY $11,358 – $33,011 · median $12,210 12 plans
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMORBITY $33,011 – $43,901 · median $34,952 12 plans
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH COMPLICATION $17,236 – $33,011 · median $18,529 12 plans
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,330 – $33,011 · median $12,180 12 plans
849 RADIOTHERAPY $33,011 – $45,859 · median $36,511 12 plans
850 PROCEDURE WITH DIAGNOSIS OF REHABILITATION; AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES $33,011 – $145,437 · median $115,791 12 plans
853 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMORBITY $33,011 – $83,165 · median $66,212 12 plans
854 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION $26,118 – $33,953 · median $28,077 12 plans
855 INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITHOUT COMPLICATION/COMORBITY $19,670 – $33,011 · median $21,145 12 plans
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITH COMORBITY $33,011 – $76,640 · median $61,017 12 plans
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROC WITHOUT COMPLICATION/COMORBITY $18,327 – $33,011 · median $19,701 12 plans
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH COMORBITY $23,873 – $33,011 · median $25,663 12 plans
864 FEVER AND INFLAMMATORY CONDITIONS $11,823 – $33,011 · median $12,710 12 plans
865 VIRAL ILLNESS WITH COMORBITY $19,684 – $33,011 · median $21,160 12 plans
866 VIRAL ILLNESS WITHOUT COMORBITY $11,590 – $33,011 · median $12,459 12 plans
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMORBITY $27,342 – $35,545 · median $29,393 12 plans
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITH COMPLICATION $13,669 – $33,011 · median $14,694 12 plans
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES WITHOUT COMPLICATION/COMORBITY $9,789 – $33,011 · median $10,523 12 plans
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $33,011 – $116,188 · median $92,504 12 plans
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT COMORBITY $13,569 – $33,011 · median $14,586 12 plans
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE; LEFT AMA $8,337 – $33,011 · median $8,962 12 plans
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $18,619 – $33,011 · median $20,016 12 plans
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH COMORBITY $22,861 – $33,011 · median $24,576 12 plans
901 WOUND DEBRIDEMENTS FOR INJURIES WITH COMORBITY $33,011 – $70,747 · median $56,326 12 plans
902 WOUND DEBRIDEMENTS FOR INJURIES WITH COMPLICATION $25,042 – $33,011 · median $26,920 12 plans
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY $15,452 – $33,011 · median $16,611 12 plans
904 SKIN GRAFTS FOR INJURIES WITH COMPLICATION/COMORBITY $33,011 – $61,986 · median $49,350 12 plans
905 SKIN GRAFTS FOR INJURIES WITHOUT COMPLICATION/COMORBITY $19,492 – $33,011 · median $20,954 12 plans
906 HAND PROCEDURES FOR INJURIES $25,683 – $33,388 · median $27,609 12 plans
907 OTHER O.R. PROCEDURES FOR INJURIES WITH COMORBITY $33,011 – $64,767 · median $51,565 12 plans
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION/COMORBITY $17,294 – $33,011 · median $18,592 12 plans
913 TRAUMATIC INJURY WITH COMORBITY $21,438 – $33,011 · median $23,046 12 plans
914 TRAUMATIC INJURY WITHOUT COMORBITY $11,795 – $33,011 · median $12,679 12 plans
915 ALLERGIC REACTIONS WITH COMORBITY $22,044 – $33,011 · median $23,697 12 plans
917 POISONING & TOXIC EFFECTS OF DRUGS WITH COMORBITY $20,586 – $33,011 · median $22,130 12 plans
920 COMPLICATIONS OF TREATMENT WITH COMPLICATION $13,298 – $33,011 · median $14,296 12 plans
921 COMPLICATIONS OF TREATMENT WITHOUT COMPLICATION/COMORBITY $9,257 – $33,011 · median $9,952 12 plans
922 OTHER INJURY; POISONING & TOXIC EFFECT DIAG WITH COMORBITY $22,916 – $33,011 · median $24,635 12 plans
939 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMORBITY $33,011 – $61,240 · median $48,756 12 plans
940 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH COMPLICATION $30,480 – $39,624 · median $32,507 12 plans
941 O.R. PROC WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT COMPLICATION/COMORBITY $26,499 – $34,449 · median $28,487 12 plans
945 REHABILITATION WITH COMPLICATION/COMORBITY $20,331 – $33,011 · median $21,856 12 plans
946 REHABILITATION WITHOUT CC/MCC $15,159 – $33,011 · median $16,296 12 plans
948 SIGNS & SYMPTOMS WITHOUT COMORBITY $10,701 – $33,011 · median $11,503 12 plans
949 AFTERCARE WITH COMPLICATION/COMORBITY $15,711 – $33,011 · median $16,889 12 plans
950 AFTERCARE WITHOUT COMPLICATION/COMORBITY $8,476 – $33,011 · median $9,112 12 plans
951 OTHER FACTORS INFLUENCING HEALTH STATUS $7,553 – $33,011 · median $8,119 12 plans
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $33,011 – $113,164 · median $90,096 12 plans
956 LIMB REATTACHMENT; HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $33,011 – $63,491 · median $50,548 12 plans
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $33,011 – $71,037 · median $56,556 12 plans
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY $33,011 – $49,786 · median $39,637 12 plans
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMORBITY $33,011 – $46,266 · median $36,835 12 plans
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH COMPLICATION $20,125 – $33,011 · median $21,635 12 plans
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT COMPLICATION/COMORBITY $12,503 – $33,011 · median $13,441 12 plans
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $33,011 – $102,959 · median $81,971 12 plans
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $33,011 – $44,653 · median $35,550 12 plans
974 HIV WITH MAJOR RELATED CONDITION WITH COMORBITY $33,011 – $48,813 · median $38,863 12 plans
975 HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION $17,067 – $33,011 · median $18,347 12 plans
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $12,016 – $33,011 · median $12,917 12 plans
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $17,101 – $33,011 · median $18,384 12 plans
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $22,461 – $33,011 · median $24,145 12 plans
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMORBITY $33,011 – $57,891 · median $46,090 12 plans
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT COMPLICATION/COMORBITY $15,833 – $33,011 · median $17,021 12 plans
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $7,966 – $33,011 · median $20,489 2 plans
999 UNGROUPABLE $6,160 – $33,011 · median $19,586 2 plans
077 HYPERTENSIVE ENCEPHALOPATHY WITH COMORBITY $33,011 – $33,011 · median $33,011 1 plans
078 HYPERTENSIVE ENCEPHALOPATHY WITH COMPLICATION $33,011 – $33,011 · median $33,011 1 plans
773 OPIOID ABUSE AND DEPENDENCE $33,011 – $33,011 · median $33,011 1 plans
← Back to Stony Brook University Hospital profile