TriHealth Bethesda North Hospital — Pricing

772 procedures published in this hospital's Machine-Readable File (MRF) — 455 with a comparable price, 317 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 772
Lowest published price $719
Average published price $13,018
Highest published price $80,184

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 772 procedures

Published charges

Showing all 455 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 73 procedures, this hospital's negotiated rates average ≈296% of what Medicare pays.

DRG Description Published price vs. OH median vs. National median vs Medicare
209 Complex Aortic Arch Procedures $80,184 $80,184 +0% $250,946 −68% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $73,437 $55,985 +31% $79,225 −7% —
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $66,299 $82,731 −20% $98,912 −33% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $62,325 $56,456 +10% $79,836 −22% —
656 Kidney And Ureter Procedures For Neoplasm With Mcc $57,568 $45,479 +27% $65,608 −12% —
347 Anal And Stomal Procedures With Mcc $56,518 $33,912 +67% $40,548 +39% —
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $56,222 $99,339 −43% $120,573 −53% —
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $47,484 $89,681 −47% $126,098 −62% —
212 Concomitant Aortic And Mitral Valve Procedures $45,091 $142,952 −68% $196,346 −77% —
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $42,254 $42,254 — $139,857 −70% —
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $42,027 $80,075 −48% $103,455 −59% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $41,879 $33,823 +24% $50,498 −17% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $41,570 $276,951 −85% $371,366 −89% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $40,546 $94,288 −57% $131,961 −69% —
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $40,386 $78,460 −49% $96,192 −58% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $40,272 $80,603 −50% $113,855 −65% ≈194% of Medicare
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $39,562 $77,406 −49% $107,355 −63% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $38,967 $74,634 −48% $105,899 −63% —
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $37,825 $73,986 −49% $101,618 −63% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $37,554 $73,030 −49% $90,401 −58% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $36,540 $40,662 −10% $63,928 −43% —
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $35,988 $68,473 −47% $93,390 −61% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $35,972 $62,801 −43% $90,331 −60% —
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $35,838 $71,776 −50% $111,320 −68% —
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $35,089 $69,912 −50% $99,943 −65% —
711 Testes Procedures With Cc/Mcc $34,693 $27,991 +24% $38,343 −10% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $34,154 $68,045 −50% $93,238 −63% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $33,658 $64,248 −48% $92,217 −64% ≈273% of Medicare
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $33,485 $29,767 +12% $35,030 −4% —
030 Spinal Procedures Without Cc/Mcc $33,282 $32,077 +4% $45,866 −27% —
319 Other Endovascular Cardiac Valve Procedures With Mcc $33,235 $60,208 −45% $86,970 −62% —
245 Aicd Generator Procedures $32,681 $66,564 −51% $72,076 −55% —
471 Cervical Spinal Fusion With Mcc $32,400 $66,189 −51% $92,515 −65% —
799 Splenic Procedures With Mcc $32,367 $64,885 −50% $82,218 −61% —
707 Major Male Pelvic Procedures With Cc/Mcc $32,285 $28,381 +14% $43,080 −25% —
405 Pancreas, Liver And Shunt Procedures With Mcc $32,043 $73,455 −56% $102,128 −69% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $31,863 $59,237 −46% $83,441 −62% —
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $30,905 $83,192 −63% $117,280 −74% —
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $30,292 $44,977 −33% $72,424 −58% —
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $29,551 $102,814 −71% $143,242 −79% ≈316% of Medicare
722 Malignancy, Male Reproductive System With Mcc $29,465 $25,633 +15% $29,826 −1% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $29,337 $57,196 −49% $85,159 −66% —
413 Cholecystectomy With C.D.E. Without Cc/Mcc $29,316 $24,771 +18% $29,316 +0% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $28,489 $127,148 −78% $188,171 −85% ≈283% of Medicare
273 Percutaneous And Other Intracardiac Procedures With Mcc $28,086 $53,945 −48% $78,852 −64% ≈280% of Medicare
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $27,890 $73,038 −62% $101,576 −73% —
333 Rectal Resection With Cc $27,890 $30,778 −9% $37,154 −25% —
904 Skin Grafts For Injuries With Cc/Mcc $27,741 $53,307 −48% $59,594 −53% —
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $27,655 $34,307 −19% $47,583 −42% —
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $27,500 $137,630 −80% $142,326 −81% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $27,500 $94,742 −71% $132,794 −79% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $27,404 $22,893 +20% $33,694 −19% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $27,225 $61,401 −56% $84,692 −68% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $26,952 $52,536 −49% $74,755 −64% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $26,564 $33,343 −20% $38,878 −32% —
231 Coronary Bypass With Ptca With Mcc $26,309 $112,178 −77% $147,227 −82% —
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $25,245 $30,914 −18% $46,727 −46% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $25,097 $48,637 −48% $62,583 −60% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $25,086 $49,285 −49% $70,564 −64% ≈302% of Medicare
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $25,076 $96,607 −74% $144,569 −83% ≈331% of Medicare
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $25,009 $86,374 −71% $116,058 −78% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $24,598 $21,277 +16% $27,119 −9% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $24,316 $20,978 +16% $30,418 −20% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $23,797 $43,218 −45% $53,864 −56% —
037 Extracranial Procedures With Mcc $23,771 $35,207 −32% $66,666 −64% —
270 Other Major Cardiovascular Procedures With Mcc $23,644 $69,695 −66% $99,423 −76% ≈288% of Medicare
228 Other Cardiothoracic Procedures With Mcc $23,162 $67,791 −66% $96,905 −76% —
665 Prostatectomy With Mcc $23,085 $47,758 −52% $54,072 −57% —
500 Soft Tissue Procedures With Mcc $22,885 $42,092 −46% $61,872 −63% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $22,839 $56,535 −60% $73,120 −69% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $22,757 $46,760 −51% $67,268 −66% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $22,692 $40,341 −44% $61,217 −63% —
242 Permanent Cardiac Pacemaker Implant With Mcc $22,421 $47,218 −53% $70,132 −68% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $22,282 $52,805 −58% $75,103 −70% —
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $22,166 $56,194 −61% $81,998 −73% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $22,121 $25,121 −12% $31,563 −30% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $22,092 $44,389 −50% $55,289 −60% —
903 Wound Debridements For Injuries Without Cc/Mcc $22,011 $19,017 +16% $25,581 −14% —
139 Salivary Gland Procedures $21,929 $21,014 +4% $23,612 −7% —
235 Coronary Bypass Without Cardiac Catheterization With Mcc $21,737 $79,247 −73% $112,062 −81% ≈370% of Medicare
653 Major Bladder Procedures With Mcc $21,731 $64,273 −66% $104,583 −79% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $21,003 $44,663 −53% $71,464 −71% ≈278% of Medicare
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $20,938 $184,103 −89% $248,521 −92% —
710 Penis Procedures Without Cc/Mcc $20,627 $22,681 −9% $26,436 −22% —
406 Pancreas, Liver And Shunt Procedures With Cc $20,358 $39,644 −49% $58,043 −65% —
963 Other Multiple Significant Trauma With Mcc $19,715 $38,454 −49% $43,491 −55% —
344 Minor Small And Large Bowel Procedures With Mcc $19,583 $38,166 −49% $44,546 −56% —
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $19,265 $19,183 +0% $19,270 −0% —
028 Spinal Procedures With Mcc $18,967 $81,731 −77% $113,077 −83% —
668 Transurethral Procedures With Mcc $18,954 $41,045 −54% $51,608 −63% —
654 Major Bladder Procedures With Cc $18,494 $39,822 −54% $58,274 −68% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $18,411 $50,398 −63% $61,470 −70% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $18,030 $16,587 +9% $18,956 −5% —
350 Inguinal And Femoral Hernia Procedures With Mcc $17,625 $34,586 −49% $50,046 −65% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $17,572 $34,307 −49% $41,620 −58% —
503 Foot Procedures With Mcc $17,544 $37,295 −53% $47,540 −63% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $17,509 $41,024 −57% $70,467 −75% ≈276% of Medicare
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $17,453 $17,736 −2% $98,737 −82% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $17,370 $37,153 −53% $46,453 −63% —
166 Other Respiratory System O.R. Procedures With Mcc $17,340 $53,167 −67% $75,573 −77% —
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $17,291 $72,668 — $102,597 −83% —
473 Cervical Spinal Fusion Without Cc/Mcc $17,135 $33,920 −49% $50,624 −66% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $17,059 $89,209 −81% $125,242 −86% —
289 Acute And Subacute Endocarditis With Cc $16,980 $23,658 −28% $32,697 −48% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $16,871 $35,964 −53% $49,423 −66% —
197 Interstitial Lung Disease With Cc $16,087 $16,043 +0% $21,941 −27% —
670 Transurethral Procedures Without Cc/Mcc $16,071 $15,598 +3% $20,911 −23% —
835 Acute Leukemia With Cc $16,061 $30,915 −48% $35,569 −55% —
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $15,988 $28,648 −44% $43,538 −63% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $15,536 $30,721 −49% $49,351 −69% ≈296% of Medicare
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $15,464 $17,806 −13% $21,230 −27% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $15,367 $44,609 −66% $89,207 −83% —
655 Major Bladder Procedures Without Cc/Mcc $15,242 $30,155 −49% $43,174 −65% —
035 Carotid Artery Stent Procedures With Cc $14,953 $32,719 −54% $49,066 −70% —
570 Skin Debridement With Mcc $14,942 $40,626 −63% $52,435 −72% —
592 Skin Ulcers With Mcc $14,925 $29,882 −50% $33,246 −55% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $14,677 $29,131 −50% $44,363 −67% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $14,636 $30,598 −52% $43,650 −66% —
467 Revision Of Hip Or Knee Replacement With Cc $14,619 $46,494 −69% $70,847 −79% ≈295% of Medicare
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $14,584 $28,958 −50% $32,574 −55% —
335 Peritoneal Adhesiolysis With Mcc $14,512 $49,106 −70% $71,755 −80% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $14,501 $32,829 −56% $42,415 −66% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $14,491 $28,787 −50% $44,139 −67% —
353 Hernia Procedures Except Inguinal And Femoral With Mcc $14,405 $41,261 −65% $60,170 −76% —
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $14,404 $28,559 −50% $29,524 −51% —
326 Stomach, Esophageal And Duodenal Procedures With Mcc $14,375 $69,008 −79% $80,793 −82% —
034 Carotid Artery Stent Procedures With Mcc $14,305 $50,089 −71% $76,219 −81% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $14,266 $65,149 −78% $90,724 −84% —
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $14,105 $47,403 −70% $70,371 −80% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $14,065 $16,604 −15% $26,932 −48% —
814 Reticuloendothelial And Immunity Disorders With Mcc $14,059 $25,294 −44% $33,851 −58% —
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $13,945 $31,740 −56% $41,608 −66% —
472 Cervical Spinal Fusion With Cc $13,910 $56,206 −75% $59,537 −77% ≈336% of Medicare
288 Acute And Subacute Endocarditis With Mcc $13,581 $33,207 −59% $50,618 −73% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $13,557 $76,970 −82% $106,778 −87% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $13,513 $37,754 −64% $47,945 −72% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $13,512 $28,801 −53% $43,800 −69% —
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $13,498 $30,486 −56% $42,795 −68% —
243 Permanent Cardiac Pacemaker Implant With Cc $13,494 $23,776 −43% $50,011 −73% ≈254% of Medicare
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $13,335 $25,046 −47% $41,591 −68% ≈294% of Medicare
686 Kidney And Urinary Tract Neoplasms With Mcc $13,279 $27,668 −52% $37,844 −65% —
163 Major Chest Procedures With Mcc $13,264 $63,017 −79% $90,195 −85% ≈295% of Medicare
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $13,157 $26,296 −50% $39,515 −67% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $13,116 $17,397 −25% $34,276 −62% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $13,014 $26,006 −50% $39,018 −67% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $12,978 $41,464 −69% $58,228 −78% ≈316% of Medicare
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $12,797 $32,279 −60% $59,629 −79% —
329 Major Small And Large Bowel Procedures With Mcc $12,796 $62,792 −80% $88,050 −85% ≈279% of Medicare
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $12,776 $24,884 −49% $32,944 −61% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $12,516 $29,304 −57% $46,090 −73% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $12,462 $24,341 −49% $36,670 −66% —
480 Hip And Femur Procedures Except Major Joint With Mcc $12,456 $41,365 −70% $65,653 −81% ≈302% of Medicare
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $12,277 $23,703 −48% $35,074 −65% —
908 Other O.R. Procedures For Injuries With Cc $12,276 $29,374 −58% $42,914 −71% —
666 Prostatectomy With Cc $12,224 $24,574 −50% $31,906 −62% —
915 Allergic Reactions With Mcc $12,220 $25,750 −53% $32,645 −63% —
505 Foot Procedures Without Cc/Mcc $12,070 $25,972 −54% $34,937 −65% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $11,990 $45,618 −74% $65,788 −82% —
466 Revision Of Hip Or Knee Replacement With Mcc $11,961 $69,206 −83% $96,507 −88% —
597 Malignant Breast Disorders With Mcc $11,953 $25,994 −54% $33,386 −64% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $11,824 $36,798 −68% $59,533 −80% —
759 Infections, Female Reproductive System Without Cc/Mcc $11,775 $11,501 +2% $14,250 −17% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $11,726 $43,330 −73% $62,821 −81% —
229 Other Cardiothoracic Procedures Without Mcc $11,670 $43,510 −73% $65,325 −82% —
165 Major Chest Procedures Without Cc/Mcc $11,667 $27,387 −57% $46,340 −75% ≈363% of Medicare
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $11,654 $23,510 −50% $34,749 −66% —
397 Appendix Procedures With Mcc $11,649 $35,353 −67% $53,257 −78% —
199 Pneumothorax With Mcc $11,610 $26,106 −56% $33,787 −66% —
077 Hypertensive Encephalopathy With Mcc $11,550 $21,965 −47% $24,550 −53% —
196 Interstitial Lung Disease With Mcc $11,471 $27,093 −58% $32,637 −65% —
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $11,356 $27,152 −58% $30,243 −62% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $11,325 $22,882 −51% $33,674 −66% —
334 Rectal Resection Without Cc/Mcc $11,255 $24,721 −54% $36,820 −69% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $11,248 $26,921 −58% $43,298 −74% —
671 Urethral Procedures With Cc/Mcc $11,234 $25,566 −56% $27,233 −59% —
964 Other Multiple Significant Trauma With Cc $11,184 $22,202 −50% $27,394 −59% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $11,139 $25,440 −56% $33,393 −67% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $11,101 $38,933 −71% $52,036 −79% —
606 Minor Skin Disorders With Mcc $11,087 $20,159 −45% $27,975 −60% —
708 Major Male Pelvic Procedures Without Cc/Mcc $11,067 $22,435 −51% $36,988 −70% —
252 Other Vascular Procedures With Mcc $10,974 $39,129 −72% $68,508 −84% —
337 Peritoneal Adhesiolysis Without Cc/Mcc $10,966 $23,118 −53% $39,211 −72% —
420 Hepatobiliary Diagnostic Procedures With Mcc $10,902 $39,827 −73% $50,919 −79% —
975 Hiv With Major Related Condition With Cc $10,846 $21,642 −50% $27,808 −61% —
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $10,782 $68,020 −84% $93,172 −88% ≈309% of Medicare
265 Aicd Lead Procedures $10,746 $49,492 −78% $63,171 −83% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $10,681 $31,193 −66% $45,877 −77% —
320 Other Endovascular Cardiac Valve Procedures Without Mcc $10,653 $33,237 −68% $40,060 −73% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $10,632 $21,795 −51% $35,465 −70% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $10,632 $22,175 −52% $31,170 −66% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $10,517 $15,028 −30% $27,633 −62% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $10,499 $21,215 −51% $46,295 −77% —
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $10,494 $61,750 −83% $76,001 −86% —
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $10,490 $26,794 −61% $40,365 −74% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $10,409 $31,353 −67% $45,333 −77% —
036 Carotid Artery Stent Procedures Without Cc/Mcc $10,403 $20,380 −49% $40,694 −74% —
274 Percutaneous And Other Intracardiac Procedures Without Mcc $10,403 $43,701 −76% $65,573 −84% ≈291% of Medicare
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $10,403 $37,242 −72% $54,929 −81% ≈302% of Medicare
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $10,403 $49,721 −79% $66,711 −84% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $10,403 $17,544 −41% $24,544 −58% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $10,403 $21,670 −52% $34,607 −70% —
356 Other Digestive System O.R. Procedures With Mcc $10,311 $58,558 −82% $82,561 −88% ≈281% of Medicare
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $10,290 $54,862 −81% $62,300 −83% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $10,280 $53,357 −81% $66,685 −85% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $10,239 $18,496 −45% $36,253 −72% —
748 Female Reproductive System Reconstructive Procedures $10,222 $20,875 −51% $30,242 −66% —
351 Inguinal And Femoral Hernia Procedures With Cc $10,195 $22,721 −55% $36,505 −72% —
358 Other Digestive System O.R. Procedures Without Cc/Mcc $10,165 $20,782 −51% $30,083 −66% —
669 Transurethral Procedures With Cc $10,125 $23,279 −57% $34,354 −71% —
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $10,114 $21,427 −53% $39,887 −75% —
081 Nontraumatic Stupor And Coma Without Mcc $10,057 $14,937 −33% $16,552 −39% —
583 Mastectomy For Malignancy Without Cc/Mcc $10,049 $24,514 −59% $35,831 −72% —
545 Connective Tissue Disorders With Mcc $10,034 $35,990 −72% $40,362 −75% —
885 Psychoses $9,999 $16,501 −39% $21,729 −54% —
501 Soft Tissue Procedures With Cc $9,941 $26,358 −62% $39,619 −75% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $9,921 $28,868 −66% $43,913 −77% —
115 Extraocular Procedures Except Orbit $9,883 $23,065 −57% $25,703 −62% —
330 Major Small And Large Bowel Procedures With Cc $9,882 $33,872 −71% $59,500 −83% ≈298% of Medicare
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $9,788 $31,349 −69% $42,901 −77% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $9,775 $19,686 −50% $23,498 −58% —
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $9,765 $23,784 −59% $41,955 −77% —
345 Minor Small And Large Bowel Procedures With Cc $9,750 $22,516 −57% $33,048 −70% —
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $9,667 $36,791 −74% $45,167 −79% —
909 Other O.R. Procedures For Injuries Without Cc/Mcc $9,572 $19,655 −51% $28,156 −66% —
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $9,558 $50,550 −81% $68,639 −86% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $9,545 $26,676 −64% $58,809 −84% ≈313% of Medicare
180 Respiratory Neoplasms With Mcc $9,537 $25,879 −63% $36,658 −74% ≈378% of Medicare
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $9,499 $18,202 −48% $27,297 −65% —
085 Traumatic Stupor And Coma <1 Hour With Mcc $9,443 $32,604 −71% $41,892 −77% —
841 Lymphoma And Non-Acute Leukemia With Cc $9,426 $17,198 −45% $33,633 −72% —
331 Major Small And Large Bowel Procedures Without Cc/Mcc $9,412 $24,622 −62% $44,117 −79% ≈318% of Medicare
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $9,394 $19,354 −51% $19,354 −51% —
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $9,389 $28,703 −67% $43,631 −78% —
348 Anal And Stomal Procedures With Cc $9,388 $19,533 −52% $27,947 −66% —
272 Other Major Cardiovascular Procedures Without Cc/Mcc $9,379 $35,670 −74% $55,162 −83% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $9,324 $30,555 −69% $58,280 −84% ≈284% of Medicare
388 Gastrointestinal Obstruction With Mcc $9,216 $22,272 −59% $30,571 −70% ≈287% of Medicare
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $9,202 $22,791 −60% $30,770 −70% —
840 Lymphoma And Non-Acute Leukemia With Mcc $9,148 $29,520 −69% $49,710 −82% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $9,103 $48,655 −81% $66,068 −86% —
336 Peritoneal Adhesiolysis With Cc $9,101 $30,243 −70% $50,463 −82% ≈263% of Medicare
504 Foot Procedures With Cc $9,056 $25,876 −65% $38,960 −77% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $9,010 $18,949 −52% $26,948 −67% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $8,965 $25,881 −65% $33,555 −73% ≈339% of Medicare
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $8,936 $47,828 −81% $68,653 −87% —
539 Osteomyelitis With Mcc $8,936 $28,990 −69% $37,609 −76% —
167 Other Respiratory System O.R. Procedures With Cc $8,930 $26,909 −67% $40,642 −78% —
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $8,870 $17,867 −50% $33,047 −73% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $8,866 $32,385 −73% $47,737 −81% —
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $8,765 $23,677 −63% $53,451 −84% —
615 Adrenal And Pituitary Procedures Without Cc/Mcc $8,757 $21,793 −60% $32,833 −73% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $8,688 $12,534 −31% $12,559 −31% —
150 Epistaxis With Mcc $8,629 $21,133 −59% $23,171 −63% —
083 Traumatic Stupor And Coma >1 Hour With Cc $8,619 $21,240 −59% $27,285 −68% —
088 Concussion With Mcc $8,595 $21,503 −60% $24,402 −65% —
157 Dental And Oral Diseases With Mcc $8,555 $24,447 −65% $31,300 −73% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $8,524 $25,272 −66% $43,477 −80% —
902 Wound Debridements For Injuries With Cc $8,464 $26,863 −68% $40,562 −79% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $8,398 $32,503 −74% $49,418 −83% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $8,398 $18,646 −55% $38,094 −78% —
080 Nontraumatic Stupor And Coma With Mcc $8,385 $27,322 −69% $36,249 −77% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $8,374 $17,596 −52% $36,792 −77% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $8,364 $27,955 −70% $42,881 −80% ≈373% of Medicare
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $8,274 $19,916 −58% $25,748 −68% —
598 Malignant Breast Disorders With Cc $8,240 $17,197 −52% $19,073 −57% —
947 Signs And Symptoms With Mcc $8,237 $12,290 −33% $27,401 −70% ≈297% of Medicare
056 Degenerative Nervous System Disorders With Mcc $8,201 $22,123 −63% $39,973 −79% —
089 Concussion With Cc $8,188 $17,109 −52% $18,821 −56% —
383 Uncomplicated Peptic Ulcer With Mcc $8,177 $18,091 −55% $27,426 −70% —
884 Organic Disturbances And Intellectual Disability $8,157 $22,671 −64% $26,682 −69% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $8,087 $25,985 −69% $40,552 −80% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $7,998 $19,637 −59% $28,125 −72% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $7,975 $19,267 −59% $28,320 −72% —
091 Other Disorders Of Nervous System With Mcc $7,893 $26,853 −71% $37,387 −79% ≈277% of Medicare
667 Prostatectomy Without Cc/Mcc $7,870 $16,534 −52% $16,703 −53% —
075 Viral Meningitis With Cc/Mcc $7,834 $25,549 −69% $30,447 −74% —
813 Coagulation Disorders $7,809 $23,285 −66% $33,296 −77% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $7,754 $19,075 −59% $27,163 −71% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $7,660 $18,191 −58% $25,652 −70% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $7,633 $11,423 −33% $33,653 −77% —
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $7,583 $24,928 −70% $29,916 −75% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $7,516 $64,874 −88% $90,775 −92% ≈353% of Medicare
882 Neuroses Except Depressive $7,453 $9,719 −23% $15,680 −52% —
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $7,412 $16,847 −56% $19,657 −62% —
642 Inborn And Other Disorders Of Metabolism $7,382 $19,302 −62% $20,727 −64% —
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $7,370 $15,591 −53% $19,594 −62% —
184 Major Chest Trauma With Cc $7,356 $15,014 −51% $22,432 −67% —
920 Complications Of Treatment With Cc $7,313 $16,379 −55% $22,468 −67% ≈299% of Medicare
571 Skin Debridement With Cc $7,265 $24,925 −71% $37,169 −80% —
039 Extracranial Procedures Without Cc/Mcc $7,220 $17,967 −60% $26,618 −73% —
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $7,144 $36,735 −81% $52,178 −86% ≈254% of Medicare
698 Other Kidney And Urinary Tract Diagnoses With Mcc $7,144 $25,010 −71% $32,496 −78% ≈327% of Medicare
914 Traumatic Injury Without Mcc $7,088 $12,958 −45% $15,855 −55% —
663 Minor Bladder Procedures With Cc $6,973 $23,018 −70% $33,103 −79% —
186 Pleural Effusion With Mcc $6,914 $23,701 −71% $33,834 −80% —
714 Transurethral Prostatectomy Without Cc/Mcc $6,880 $13,481 −49% $17,934 −62% —
935 Non-Extensive Burns $6,859 $26,396 −74% $31,701 −78% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $6,807 $26,206 −74% $38,101 −82% —
755 Malignancy, Female Reproductive System With Cc $6,805 $16,999 −60% $18,459 −63% —
593 Skin Ulcers With Cc $6,787 $19,063 −64% $22,886 −70% —
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $6,759 $16,434 −59% $22,557 −70% —
296 Cardiac Arrest, Unexplained With Mcc $6,725 $22,841 −71% $33,661 −80% —
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $6,718 $23,143 −71% $37,950 −82% ≈312% of Medicare
553 Bone Diseases And Arthropathies With Mcc $6,714 $19,931 −66% $26,051 −74% —
594 Skin Ulcers Without Cc/Mcc $6,638 $14,209 −53% $14,209 −53% —
357 Other Digestive System O.R. Procedures With Cc $6,619 $25,347 −74% $48,682 −86% —
572 Skin Debridement Without Cc/Mcc $6,601 $18,021 −63% $24,944 −74% —
540 Osteomyelitis With Cc $6,593 $19,990 −67% $26,676 −75% —
549 Septic Arthritis With Cc $6,593 $18,835 −65% $24,056 −73% —
038 Extracranial Procedures With Cc $6,584 $24,107 −73% $35,770 −82% —
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $6,582 $36,097 −82% $39,173 −83% —
664 Minor Bladder Procedures Without Cc/Mcc $6,564 $17,209 −62% $22,314 −71% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $6,545 $18,752 −65% $30,784 −79% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $6,515 $15,985 −59% $25,279 −74% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $6,512 $26,308 −75% $52,075 −87% ≈320% of Medicare
862 Postoperative And Post-Traumatic Infections With Mcc $6,483 $27,058 −76% $32,859 −80% ≈306% of Medicare
054 Nervous System Neoplasms With Mcc $6,458 $22,651 −71% $30,502 −79% —
307 Cardiac Congenital And Valvular Disorders Without Mcc $6,443 $15,217 −58% $20,566 −69% —
102 Headaches With Mcc $6,441 $11,859 −46% $25,740 −75% —
534 Fractures Of Femur Without Mcc $6,416 $10,860 −41% $17,559 −63% —
137 Mouth Procedures With Cc/Mcc $6,414 $20,200 −68% $27,861 −77% —
974 Hiv With Major Related Condition With Mcc $6,257 $34,285 −82% $46,402 −87% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $6,177 $11,583 −47% $22,763 −73% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $6,173 $45,498 −86% $58,745 −89% —
123 Neurological Eye Disorders $6,137 $13,618 −55% $19,745 −69% —
783 Cesarean Section With Sterilization With Mcc $6,068 $22,780 −73% $29,221 −79% —
187 Pleural Effusion With Cc $6,059 $16,225 −63% $21,789 −72% —
078 Hypertensive Encephalopathy With Cc $6,027 $10,035 −40% $17,698 −66% —
786 Cesarean Section Without Sterilization With Mcc $6,013 $17,928 −66% $27,152 −78% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $5,994 $27,767 −78% $36,431 −84% —
551 Medical Back Problems With Mcc $5,992 $25,341 −76% $34,017 −82% ≈304% of Medicare
386 Inflammatory Bowel Disease With Cc $5,988 $12,567 −52% $22,033 −73% —
481 Hip And Femur Procedures Except Major Joint With Cc $5,976 $30,124 −80% $52,751 −89% ≈292% of Medicare
815 Reticuloendothelial And Immunity Disorders With Cc $5,962 $12,824 −54% $19,264 −69% —
086 Traumatic Stupor And Coma <1 Hour With Cc $5,919 $12,397 −52% $27,043 −78% —
073 Cranial And Peripheral Nerve Disorders With Mcc $5,909 $23,254 −75% $30,010 −80% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $5,899 $28,555 −79% $38,861 −85% —
369 Major Esophageal Disorders With Cc $5,897 $9,256 −36% $25,303 −77% —
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $5,874 $17,832 −67% $24,566 −76% —
206 Other Respiratory System Diagnoses Without Mcc $5,869 $14,950 −61% $18,488 −68% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $5,844 $25,727 −77% $32,443 −82% —
315 Other Circulatory System Diagnoses With Cc $5,833 $15,684 −63% $21,363 −73% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $5,833 $21,645 −73% $50,139 −88% —
092 Other Disorders Of Nervous System With Cc $5,832 $16,935 −66% $24,914 −77% ≈368% of Medicare
070 Other Cerebrovascular Disorders With Mcc $5,687 $17,053 −67% $31,951 −82% ≈290% of Medicare
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $5,541 $32,890 −83% $43,943 −87% ≈285% of Medicare
177 Respiratory Infections And Inflammations With Mcc $5,535 $24,174 −77% $33,707 −84% ≈307% of Medicare
191 Chronic Obstructive Pulmonary Disease With Cc $5,523 $14,344 −61% $18,807 −71% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $5,497 $22,047 −75% $34,459 −84% —
784 Cesarean Section With Sterilization With Cc $5,494 $15,015 −63% $23,283 −76% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $5,490 $13,602 −60% $19,962 −72% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $5,490 $13,602 −60% $18,452 −70% —
370 Major Esophageal Disorders Without Cc/Mcc $5,440 $12,253 −56% $15,495 −65% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $5,407 $15,603 −65% $19,924 −73% —
865 Viral Illness With Mcc $5,377 $22,350 −76% $26,910 −80% —
292 Heart Failure And Shock With Cc $5,375 $13,422 −60% $16,371 −67% —
068 Precerebral Occlusion Without Infarction Without Mcc $5,365 $14,635 −63% $19,569 −73% —
541 Osteomyelitis Without Cc/Mcc $5,364 $13,738 −61% $15,215 −65% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $5,351 $13,791 −61% $18,126 −70% —
380 Complicated Peptic Ulcer With Mcc $5,327 $28,169 −81% $39,627 −87% —
382 Complicated Peptic Ulcer Without Cc/Mcc $5,327 $11,948 −55% $16,634 −68% —
377 Gastrointestinal Hemorrhage With Mcc $5,321 $22,401 −76% $37,842 −86% ≈260% of Medicare
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $5,309 $11,752 −55% $14,638 −64% —
291 Heart Failure And Shock With Mcc $5,218 $20,129 −74% $26,776 −81% ≈275% of Medicare
787 Cesarean Section Without Sterilization With Cc $5,190 $15,418 −66% $23,571 −78% —
152 Otitis Media And Uri With Mcc $5,187 $17,922 −71% $20,247 −74% —
201 Pneumothorax Without Cc/Mcc $5,176 $11,982 −57% $14,053 −63% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $5,170 $34,708 −85% $59,421 −91% —
202 Bronchitis And Asthma With Cc/Mcc $5,168 $10,530 −51% $17,724 −71% —
300 Peripheral Vascular Disorders With Cc $5,164 $12,227 −58% $20,422 −75% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $5,142 $12,389 −58% $16,699 −69% —
438 Disorders Of Pancreas Except Malignancy With Mcc $5,132 $24,787 −79% $32,628 −84% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $5,085 $13,385 −62% $14,014 −64% —
785 Cesarean Section With Sterilization Without Cc/Mcc $5,039 $13,884 −64% $19,846 −75% —
788 Cesarean Section Without Sterilization Without Cc/Mcc $5,039 $13,306 −62% $20,084 −75% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $5,029 $32,919 −85% $39,181 −87% ≈315% of Medicare
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $5,022 $12,234 −59% $12,460 −60% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $4,965 $15,121 −67% $18,072 −73% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $4,946 $20,497 −76% $32,841 −85% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $4,942 $34,905 −86% $52,405 −91% ≈243% of Medicare
673 Other Kidney And Urinary Tract Procedures With Mcc $4,932 $57,570 −91% $77,990 −94% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $4,908 $12,418 −60% $16,846 −71% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $4,900 $14,665 −67% $25,970 −81% ≈296% of Medicare
385 Inflammatory Bowel Disease With Mcc $4,865 $17,302 −72% $27,617 −82% —
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $4,853 $21,483 −77% $30,959 −84% ≈285% of Medicare
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $4,853 $19,865 −76% $28,050 −83% ≈276% of Medicare
433 Cirrhosis And Alcoholic Hepatitis With Cc $4,829 $17,079 −72% $23,749 −80% —
683 Renal Failure With Cc $4,789 $14,731 −67% $19,130 −75% ≈279% of Medicare
159 Dental And Oral Diseases Without Cc/Mcc $4,757 $11,755 −60% $13,633 −65% —
103 Headaches Without Mcc $4,720 $14,229 −67% $21,280 −78% —
637 Diabetes With Mcc $4,678 $22,095 −79% $30,100 −84% ≈297% of Medicare
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $4,674 $20,766 −77% $29,949 −84% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $4,666 $11,921 −61% $14,549 −68% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $4,632 $13,699 −66% $20,463 −77% ≈298% of Medicare
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $4,622 $14,025 −67% $31,159 −85% —
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $4,596 $13,537 −66% $15,370 −70% —
183 Major Chest Trauma With Mcc $4,533 $14,367 −68% $29,933 −85% ≈292% of Medicare
601 Non-Malignant Breast Disorders Without Cc/Mcc $4,480 $10,975 −59% $10,975 −59% —
694 Urinary Stones Without Mcc $4,468 $13,336 −66% $17,345 −74% —
190 Chronic Obstructive Pulmonary Disease With Mcc $4,435 $17,654 −75% $24,386 −82% ≈322% of Medicare
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $4,358 $20,586 −79% $31,264 −86% ≈285% of Medicare
302 Atherosclerosis With Mcc $4,333 $17,761 −76% $22,446 −81% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $4,260 $12,127 −65% $20,781 −79% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $4,219 $15,715 −73% $22,888 −82% ≈307% of Medicare
198 Interstitial Lung Disease Without Cc/Mcc $4,181 $12,284 −66% $15,549 −73% —
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $4,117 $8,316 −50% $15,183 −73% —
387 Inflammatory Bowel Disease Without Cc/Mcc $4,105 $8,566 −52% $16,288 −75% —
100 Seizures With Mcc $4,104 $28,961 −86% $35,481 −88% ≈274% of Medicare
806 Vaginal Delivery Without Sterilization Or D&C With Cc $4,087 $9,691 −58% $13,275 −69% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $4,040 $16,000 −75% $22,458 −82% —
188 Pleural Effusion Without Cc/Mcc $4,007 $12,723 −69% $14,514 −72% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $3,989 $10,747 −63% $16,767 −76% —
301 Peripheral Vascular Disorders Without Cc/Mcc $3,959 $8,900 −56% $15,837 −75% —
293 Heart Failure And Shock Without Cc/Mcc $3,902 $10,316 −62% $12,999 −70% —
072 Other Cerebrovascular Disorders Without Cc/Mcc $3,850 $12,931 −70% $19,037 −80% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $3,762 $21,228 −82% $25,094 −85% —
069 Transient Ischemia Without Thrombolytic $3,731 $13,579 −73% $21,056 −82% —
151 Epistaxis Without Mcc $3,723 $12,787 −71% $13,032 −71% —
176 Pulmonary Embolism Without Mcc $3,703 $12,624 −71% $18,081 −80% ≈300% of Medicare
811 Red Blood Cell Disorders With Mcc $3,691 $18,473 −80% $28,226 −87% ≈232% of Medicare
791 Prematurity With Major Problems $3,675 $34,928 −89% $42,679 −91% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $3,641 $19,911 −82% $26,870 −86% —
395 Other Digestive System Diagnoses Without Cc/Mcc $3,577 $11,454 −69% $14,128 −75% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $3,552 $13,643 −74% $17,601 −80% —
314 Other Circulatory System Diagnoses With Mcc $3,525 $31,144 −89% $38,666 −91% ≈278% of Medicare
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $3,524 $9,063 −61% $11,421 −69% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $3,440 $13,336 −74% $17,038 −80% ≈309% of Medicare
394 Other Digestive System Diagnoses With Cc $3,430 $13,612 −75% $20,181 −83% ≈305% of Medicare
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $3,375 $20,430 −83% $25,463 −87% ≈278% of Medicare
093 Other Disorders Of Nervous System Without Cc/Mcc $3,373 $13,438 −75% $17,620 −81% —
834 Acute Leukemia With Mcc $3,071 $62,164 −95% $85,566 −96% —
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $3,060 $17,505 −83% $27,843 −89% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $3,045 $5,116 −40% $9,940 −69% —
779 Abortion Without D&C $3,004 $12,637 −76% $15,327 −80% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $2,900 $11,888 −76% $12,895 −78% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $2,769 $9,058 −69% $12,078 −77% —
864 Fever And Inflammatory Conditions $2,650 $14,849 −82% $18,640 −86% —
812 Red Blood Cell Disorders Without Mcc $2,625 $15,172 −83% $20,488 −87% ≈294% of Medicare
792 Prematurity Without Major Problems $2,359 $11,200 −79% $12,229 −81% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $2,325 $8,743 −73% $17,733 −87% —
185 Major Chest Trauma Without Cc/Mcc $2,324 $13,288 −83% $17,124 −86% —
913 Traumatic Injury With Mcc $2,287 $24,198 −91% $24,198 −91% —
793 Full Term Neonate With Major Problems $2,271 $9,054 −75% $18,649 −88% —
445 Disorders Of The Biliary Tract With Cc $2,179 $16,211 −87% $23,319 −91% ≈297% of Medicare
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $2,163 $12,173 −82% $14,689 −85% —
200 Pneumothorax With Cc $2,021 $14,483 −86% $21,368 −91% —
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $1,813 $11,694 −84% $18,133 −90% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $1,652 $13,806 −88% $18,150 −91% —
684 Renal Failure Without Cc/Mcc $1,652 $11,077 −85% $13,642 −88% ≈310% of Medicare
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $1,652 $15,547 −89% $18,316 −91% —
728 Inflammation Of The Male Reproductive System Without Mcc $1,487 $13,799 −89% $17,118 −91% —
918 Poisoning And Toxic Effects Of Drugs Without Mcc $1,487 $14,675 −90% $15,452 −90% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $1,410 $53,277 −97% $80,018 −98% —
794 Neonate With Other Significant Problems $900 $4,964 −82% $8,445 −89% —
795 Normal Newborn $719 $3,472 −79% $4,720 −85% —

Procedures with negotiated rates only

These 317 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
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $207,302 – $597,029 · median $493,683 17 plans
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $84,376 – $243,002 · median $200,114 17 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $76,854 – $221,341 · median $182,078 17 plans
006 Liver Transplant Without Mcc $35,073 – $101,010 · median $81,887 17 plans
007 Lung Transplant $96,294 – $277,327 · median $228,694 17 plans
008 Simultaneous Pancreas And Kidney Transplant $42,199 – $121,532 · median $98,974 17 plans
010 Pancreas Transplant $53,769 – $154,854 · median $126,719 17 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $22,147 – $63,783 · median $50,891 17 plans
014 Allogeneic Bone Marrow Transplant $89,428 – $257,553 · median $212,230 17 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $44,593 – $128,427 · median $104,716 17 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $40,930 – $117,877 · median $95,932 17 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $318,937 – $918,539 · median $760,130 17 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $53,466 – $153,982 · median $125,993 17 plans
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $58,873 – $169,554 · median $138,959 17 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $39,910 – $114,940 · median $93,486 17 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $24,324 – $70,052 · median $56,111 17 plans
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $34,408 – $99,094 · median $80,292 17 plans
026 Craniotomy And Endovascular Intracranial Procedures With Cc $23,822 – $68,606 · median $54,907 17 plans
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $19,504 – $56,171 · median $44,553 17 plans
031 Ventricular Shunt Procedures With Mcc $33,920 – $97,690 · median $79,123 17 plans
032 Ventricular Shunt Procedures With Cc $16,618 – $47,859 · median $37,632 17 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $13,170 – $37,931 · median $29,366 17 plans
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $29,360 – $84,555 · median $68,187 17 plans
052 Spinal Disorders And Injuries With Cc/Mcc $14,263 – $41,078 · median $31,987 17 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $8,135 – $23,430 · median $17,292 17 plans
055 Nervous System Neoplasms Without Mcc $8,433 – $24,287 · median $18,006 17 plans
057 Degenerative Nervous System Disorders Without Mcc $10,466 – $30,141 · median $22,880 17 plans
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $7,698 – $22,170 · median $16,243 17 plans
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $21,229 – $61,138 · median $48,689 17 plans
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $15,734 – $45,314 · median $35,513 17 plans
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $8,365 – $24,090 · median $17,841 17 plans
067 Precerebral Occlusion Without Infarction With Mcc $11,740 – $33,812 · median $25,937 17 plans
071 Other Cerebrovascular Disorders With Cc $8,480 – $24,423 · median $18,119 17 plans
074 Cranial And Peripheral Nerve Disorders Without Mcc $8,515 – $24,525 · median $18,203 17 plans
076 Viral Meningitis Without Cc/Mcc $7,001 – $20,164 · median $14,573 17 plans
082 Traumatic Stupor And Coma >1 Hour With Mcc $17,756 – $51,138 · median $40,363 17 plans
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $7,660 – $22,062 · median $16,153 17 plans
090 Concussion Without Cc/Mcc $6,987 – $20,122 · median $14,537 17 plans
101 Seizures Without Mcc $7,571 – $21,806 · median $15,939 17 plans
113 Orbital Procedures With Cc/Mcc $18,239 – $52,527 · median $41,519 17 plans
114 Orbital Procedures Without Cc/Mcc $10,888 – $31,358 · median $23,893 17 plans
116 Intraocular Procedures With Cc/Mcc $14,240 – $41,011 · median $31,930 17 plans
117 Intraocular Procedures Without Cc/Mcc $8,914 – $25,672 · median $19,159 17 plans
121 Acute Major Eye Infections With Cc/Mcc $9,491 – $27,335 · median $20,543 17 plans
122 Acute Major Eye Infections Without Cc/Mcc $6,711 – $19,328 · median $13,877 17 plans
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $10,668 – $30,724 · median $23,365 17 plans
125 Other Disorders Of The Eye Without Mcc $6,579 – $18,947 · median $13,559 17 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $16,905 – $48,686 · median $38,321 17 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $8,401 – $24,196 · median $17,930 17 plans
138 Mouth Procedures Without Cc/Mcc $7,451 – $21,458 · median $15,650 17 plans
140 Major Head And Neck Procedures With Mcc $32,335 – $93,126 · median $75,323 17 plans
141 Major Head And Neck Procedures With Cc $16,987 – $48,922 · median $38,517 17 plans
142 Major Head And Neck Procedures Without Cc/Mcc $12,681 – $36,521 · median $28,192 17 plans
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $28,516 – $82,125 · median $66,163 17 plans
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $13,686 – $39,416 · median $30,602 17 plans
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $9,778 – $28,162 · median $21,232 17 plans
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $16,518 – $47,571 · median $37,392 17 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $10,288 – $29,630 · median $22,454 17 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $6,794 – $19,568 · median $14,076 17 plans
149 Dysequilibrium $6,459 – $18,603 · median $13,273 17 plans
153 Otitis Media And Uri Without Mcc $6,361 – $18,319 · median $13,036 17 plans
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $7,674 – $22,100 · median $16,185 17 plans
158 Dental And Oral Diseases With Cc $7,624 – $21,958 · median $16,067 17 plans
164 Major Chest Procedures With Cc $19,512 – $56,194 · median $44,573 17 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $22,844 – $65,789 · median $52,562 17 plans
178 Respiratory Infections And Inflammations With Cc $8,112 – $23,362 · median $17,236 17 plans
179 Respiratory Infections And Inflammations Without Cc/Mcc $6,484 – $18,675 · median $13,333 17 plans
181 Respiratory Neoplasms With Cc $8,812 – $25,377 · median $18,913 17 plans
182 Respiratory Neoplasms Without Cc/Mcc $6,476 – $18,650 · median $13,312 17 plans
189 Pulmonary Edema And Respiratory Failure $10,022 – $28,864 · median $21,817 17 plans
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $5,652 – $16,278 · median $11,337 17 plans
193 Simple Pneumonia And Pleurisy With Mcc $10,604 – $30,540 · median $23,212 17 plans
194 Simple Pneumonia And Pleurisy With Cc $6,859 – $19,755 · median $14,232 17 plans
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $5,553 – $15,992 · median $11,099 17 plans
203 Bronchitis And Asthma Without Cc/Mcc $5,858 – $16,872 · median $11,832 17 plans
204 Respiratory Signs And Symptoms $6,870 – $19,786 · median $14,258 17 plans
205 Other Respiratory System Diagnoses With Mcc $14,408 – $41,496 · median $32,335 17 plans
215 Other Heart Assist System Implant $74,251 – $213,843 · median $174,168 17 plans
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $49,347 – $142,120 · median $116,117 17 plans
232 Coronary Bypass With Ptca Without Mcc $45,571 – $131,246 · median $107,062 17 plans
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $41,154 – $118,522 · median $95,554 17 plans
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $31,772 – $91,504 · median $73,270 17 plans
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $21,916 – $63,119 · median $50,338 17 plans
253 Other Vascular Procedures With Cc $20,039 – $57,713 · median $45,837 17 plans
254 Other Vascular Procedures Without Cc/Mcc $14,045 – $40,451 · median $31,464 17 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $8,968 – $25,827 · median $19,288 17 plans
258 Cardiac Pacemaker Device Replacement With Mcc $24,064 – $69,304 · median $55,488 17 plans
259 Cardiac Pacemaker Device Replacement Without Mcc $15,816 – $45,549 · median $35,709 17 plans
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $14,847 – $42,758 · median $33,385 17 plans
263 Vein Ligation And Stripping $23,440 – $67,507 · median $53,992 17 plans
264 Other Circulatory System O.R. Procedures $25,526 – $73,514 · median $58,993 17 plans
271 Other Major Cardiovascular Procedures With Cc $27,114 – $78,089 · median $62,802 17 plans
277 Cardiac Defibrillator Implant Without Mcc $34,937 – $100,617 · median $81,560 17 plans
280 Acute Myocardial Infarction, Discharged Alive With Mcc $12,737 – $36,684 · median $28,328 17 plans
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $6,249 – $17,999 · median $12,770 17 plans
283 Acute Myocardial Infarction, Expired With Mcc $15,512 – $44,673 · median $34,980 17 plans
284 Acute Myocardial Infarction, Expired With Cc $6,022 – $17,343 · median $12,224 17 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $5,335 – $15,364 · median $10,576 17 plans
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $17,220 – $49,594 · median $39,077 17 plans
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $8,805 – $25,358 · median $18,897 17 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $7,771 – $22,380 · median $16,418 17 plans
297 Cardiac Arrest, Unexplained With Cc $5,593 – $16,109 · median $11,196 17 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $4,276 – $12,314 · median $8,037 17 plans
299 Peripheral Vascular Disorders With Mcc $12,948 – $37,291 · median $28,833 17 plans
303 Atherosclerosis Without Mcc $5,882 – $16,940 · median $11,888 17 plans
304 Hypertension With Mcc $9,688 – $27,901 · median $21,015 17 plans
305 Hypertension Without Mcc $6,485 – $18,677 · median $13,335 17 plans
306 Cardiac Congenital And Valvular Disorders With Mcc $12,529 – $36,084 · median $27,828 17 plans
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $9,791 – $28,198 · median $21,262 17 plans
309 Cardiac Arrhythmia And Conduction Disorders With Cc $6,342 – $18,266 · median $12,992 17 plans
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $5,093 – $14,669 · median $9,997 17 plans
311 Angina Pectoris $6,093 – $17,549 · median $12,395 17 plans
312 Syncope And Collapse $7,343 – $21,148 · median $15,392 17 plans
313 Chest Pain $6,227 – $17,933 · median $12,715 17 plans
316 Other Circulatory System Diagnoses Without Cc/Mcc $5,948 – $17,129 · median $12,046 17 plans
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $50,166 – $144,478 · median $118,080 17 plans
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $20,961 – $60,368 · median $48,048 17 plans
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $32,793 – $94,443 · median $76,420 17 plans
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $12,724 – $36,646 · median $28,296 17 plans
332 Rectal Resection With Mcc $27,588 – $79,455 · median $63,940 17 plans
349 Anal And Stomal Procedures Without Cc/Mcc $7,336 – $21,127 · median $15,374 17 plans
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $26,247 – $75,592 · median $60,148 17 plans
368 Major Esophageal Disorders With Mcc $12,648 – $36,425 · median $28,112 17 plans
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $8,443 – $24,317 · median $18,030 17 plans
374 Digestive Malignancy With Mcc $16,674 – $48,022 · median $37,768 17 plans
375 Digestive Malignancy With Cc $9,832 – $28,317 · median $21,361 17 plans
376 Digestive Malignancy Without Cc/Mcc $7,731 – $22,266 · median $16,323 17 plans
378 Gastrointestinal Hemorrhage With Cc $8,147 – $23,462 · median $17,319 17 plans
379 Gastrointestinal Hemorrhage Without Cc/Mcc $5,567 – $16,032 · median $11,133 17 plans
381 Complicated Peptic Ulcer With Cc $8,904 – $25,642 · median $19,134 17 plans
384 Uncomplicated Peptic Ulcer Without Mcc $7,219 – $20,792 · median $15,095 17 plans
389 Gastrointestinal Obstruction With Cc $6,741 – $19,413 · median $13,947 17 plans
390 Gastrointestinal Obstruction Without Cc/Mcc $4,931 – $14,200 · median $9,607 17 plans
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $6,666 – $19,197 · median $13,767 17 plans
393 Other Digestive System Diagnoses With Mcc $12,702 – $36,582 · median $28,243 17 plans
398 Appendix Procedures With Cc $12,071 – $34,764 · median $26,729 17 plans
399 Appendix Procedures Without Cc/Mcc $9,354 – $26,940 · median $20,215 17 plans
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $30,533 – $87,934 · median $71,673 17 plans
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $16,959 – $48,841 · median $38,450 17 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $12,617 – $36,336 · median $28,038 17 plans
411 Cholecystectomy With C.D.E. With Mcc $25,251 – $72,723 · median $58,335 17 plans
412 Cholecystectomy With C.D.E. With Cc $16,408 – $47,255 · median $37,129 17 plans
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $27,161 – $78,222 · median $62,914 17 plans
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $13,382 – $38,540 · median $29,873 17 plans
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $10,983 – $31,630 · median $24,119 17 plans
421 Hepatobiliary Diagnostic Procedures With Cc $13,720 – $39,513 · median $30,683 17 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $11,231 – $32,344 · median $24,714 17 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $11,973 – $34,482 · median $26,495 17 plans
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $67,274 – $193,749 · median $160,614 17 plans
432 Cirrhosis And Alcoholic Hepatitis With Mcc $15,419 – $44,406 · median $34,757 17 plans
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $9,254 – $26,652 · median $19,975 17 plans
439 Disorders Of Pancreas Except Malignancy With Cc $7,119 – $20,503 · median $14,855 17 plans
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $14,141 – $40,726 · median $31,694 17 plans
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $8,033 – $23,135 · median $17,047 17 plans
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $6,077 – $17,502 · median $12,356 17 plans
444 Disorders Of The Biliary Tract With Mcc $13,229 – $38,101 · median $29,507 17 plans
446 Disorders Of The Biliary Tract Without Cc/Mcc $7,017 – $20,209 · median $14,610 17 plans
451 Single Level Spinal Fusion Except Cervical Without Mcc $24,714 – $71,177 · median $57,588 17 plans
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $62,810 – $180,892 · median $148,400 17 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $41,598 – $119,801 · median $97,533 17 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $20,513 – $59,079 · median $46,974 17 plans
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $15,129 – $43,573 · median $34,387 17 plans
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $9,616 – $27,693 · median $20,842 17 plans
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $21,338 – $61,452 · median $48,950 17 plans
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $19,601 – $56,451 · median $44,786 17 plans
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $15,701 – $45,219 · median $35,434 17 plans
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $27,625 – $79,561 · median $64,028 17 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $9,823 – $28,289 · median $21,338 17 plans
502 Soft Tissue Procedures Without Cc/Mcc $10,836 – $31,208 · median $23,768 17 plans
506 Major Thumb Or Joint Procedures $10,860 – $31,278 · median $23,826 17 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $14,227 – $40,975 · median $31,900 17 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $12,077 – $34,781 · median $26,744 17 plans
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $23,168 – $66,725 · median $53,341 17 plans
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $13,115 – $37,772 · median $29,234 17 plans
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $12,518 – $36,052 · median $27,801 17 plans
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $8,453 – $24,344 · median $18,053 17 plans
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $28,447 – $81,928 · median $65,999 17 plans
533 Fractures Of Femur With Mcc $12,469 – $35,912 · median $27,685 17 plans
535 Fractures Of Hip And Pelvis With Mcc $10,365 – $29,852 · median $22,639 17 plans
536 Fractures Of Hip And Pelvis Without Mcc $6,872 – $19,791 · median $14,262 17 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $6,229 – $17,939 · median $12,720 17 plans
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $8,495 – $24,465 · median $18,154 17 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $6,481 – $18,667 · median $13,326 17 plans
546 Connective Tissue Disorders With Cc $9,418 – $27,125 · median $20,368 17 plans
547 Connective Tissue Disorders Without Cc/Mcc $7,082 – $20,397 · median $14,767 17 plans
548 Septic Arthritis With Mcc $15,144 – $43,615 · median $34,099 17 plans
550 Septic Arthritis Without Cc/Mcc $7,362 – $21,201 · median $15,436 17 plans
552 Medical Back Problems Without Mcc $8,004 – $23,051 · median $16,976 17 plans
554 Bone Diseases And Arthropathies Without Mcc $7,037 – $20,268 · median $14,659 17 plans
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $10,659 – $30,697 · median $23,342 17 plans
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $7,041 – $20,279 · median $14,668 17 plans
557 Tendonitis, Myositis And Bursitis With Mcc $11,874 – $34,198 · median $26,258 17 plans
558 Tendonitis, Myositis And Bursitis Without Mcc $7,502 – $21,606 · median $15,773 17 plans
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $11,417 – $32,881 · median $25,161 17 plans
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $7,519 – $21,655 · median $15,814 17 plans
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $8,100 – $23,328 · median $17,207 17 plans
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $6,442 – $18,554 · median $13,232 17 plans
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $14,158 – $40,775 · median $31,734 17 plans
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $12,754 – $36,733 · median $28,368 17 plans
582 Mastectomy For Malignancy With Cc/Mcc $15,112 – $43,524 · median $34,023 17 plans
595 Major Skin Disorders With Mcc $16,542 – $47,641 · median $37,451 17 plans
596 Major Skin Disorders Without Mcc $8,896 – $25,621 · median $19,116 17 plans
599 Malignant Breast Disorders Without Cc/Mcc $6,590 – $18,981 · median $13,587 17 plans
600 Non-Malignant Breast Disorders With Cc/Mcc $8,595 – $24,754 · median $18,394 17 plans
602 Cellulitis With Mcc $11,391 – $32,807 · median $25,099 17 plans
603 Cellulitis Without Mcc $7,338 – $21,133 · median $15,380 17 plans
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $11,765 – $33,884 · median $25,997 17 plans
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $7,670 – $22,090 · median $16,176 17 plans
607 Minor Skin Disorders Without Mcc $7,599 – $21,886 · median $16,007 17 plans
614 Adrenal And Pituitary Procedures With Cc/Mcc $17,065 – $49,149 · median $38,706 17 plans
619 O.R. Procedures For Obesity With Mcc $22,188 – $63,902 · median $50,990 17 plans
620 O.R. Procedures For Obesity With Cc $12,709 – $36,603 · median $28,261 17 plans
621 O.R. Procedures For Obesity Without Cc/Mcc $12,033 – $34,654 · median $26,638 17 plans
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $10,144 – $29,214 · median $22,108 17 plans
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $23,165 – $66,716 · median $53,333 17 plans
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $11,966 – $34,463 · median $26,479 17 plans
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $28,370 – $81,705 · median $65,813 17 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $11,673 – $33,617 · median $25,774 17 plans
638 Diabetes With Cc $7,524 – $21,670 · median $15,826 17 plans
639 Diabetes Without Cc/Mcc $5,499 – $15,837 · median $10,970 17 plans
643 Endocrine Disorders With Mcc $13,047 – $37,575 · median $29,069 17 plans
644 Endocrine Disorders With Cc $8,473 – $24,402 · median $18,101 17 plans
645 Endocrine Disorders Without Cc/Mcc $6,582 – $18,957 · median $13,568 17 plans
650 Kidney Transplant With Hemodialysis With Mcc $35,547 – $102,375 · median $83,024 17 plans
651 Kidney Transplant With Hemodialysis Without Mcc $28,215 – $81,259 · median $65,443 17 plans
652 Kidney Transplant $24,707 – $71,157 · median $57,031 17 plans
662 Minor Bladder Procedures With Mcc $23,470 – $67,594 · median $54,065 17 plans
672 Urethral Procedures Without Cc/Mcc $8,874 – $25,557 · median $19,063 17 plans
674 Other Kidney And Urinary Tract Procedures With Cc $18,147 – $52,262 · median $41,299 17 plans
682 Renal Failure With Mcc $11,831 – $34,073 · median $26,154 17 plans
687 Kidney And Urinary Tract Neoplasms With Cc $8,641 – $24,885 · median $18,504 17 plans
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $6,744 – $19,424 · median $13,956 17 plans
689 Kidney And Urinary Tract Infections With Mcc $9,469 – $27,271 · median $20,490 17 plans
690 Kidney And Urinary Tract Infections Without Mcc $6,886 – $19,831 · median $14,295 17 plans
693 Urinary Stones With Mcc $10,826 – $31,178 · median $23,743 17 plans
697 Urethral Stricture $8,862 – $25,521 · median $19,033 17 plans
699 Other Kidney And Urinary Tract Diagnoses With Cc $8,399 – $24,189 · median $17,924 17 plans
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $6,005 – $17,294 · median $12,183 17 plans
709 Penis Procedures With Cc/Mcc $18,062 – $52,018 · median $41,095 17 plans
712 Testes Procedures Without Cc/Mcc $9,023 – $25,986 · median $19,420 17 plans
713 Transurethral Prostatectomy With Cc/Mcc $11,996 – $34,548 · median $26,549 17 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $17,401 – $50,114 · median $39,510 17 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $11,757 – $33,861 · median $25,977 17 plans
723 Malignancy, Male Reproductive System With Cc $9,340 – $26,898 · median $20,180 17 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $5,753 – $16,569 · median $11,579 17 plans
725 Benign Prostatic Hypertrophy With Mcc $9,542 – $27,481 · median $20,665 17 plans
726 Benign Prostatic Hypertrophy Without Mcc $6,241 – $17,975 · median $12,750 17 plans
727 Inflammation Of The Male Reproductive System With Mcc $11,845 – $34,113 · median $26,187 17 plans
729 Other Male Reproductive System Diagnoses With Cc/Mcc $8,721 – $25,116 · median $18,696 17 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $5,873 – $16,915 · median $11,867 17 plans
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $27,248 – $78,475 · median $63,124 17 plans
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $11,427 – $32,909 · median $25,184 17 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $9,301 – $26,788 · median $20,088 17 plans
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $11,793 – $33,963 · median $26,062 17 plans
754 Malignancy, Female Reproductive System With Mcc $14,487 – $41,723 · median $32,524 17 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $7,998 – $23,034 · median $16,962 17 plans
757 Infections, Female Reproductive System With Mcc $11,469 – $33,032 · median $25,287 17 plans
758 Infections, Female Reproductive System With Cc $8,134 – $23,426 · median $17,289 17 plans
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $8,344 – $24,030 · median $17,792 17 plans
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $5,746 – $16,548 · median $11,562 17 plans
789 Neonates, Died Or Transferred To Another Acute Care Facility $14,196 – $40,885 · median $31,826 17 plans
800 Splenic Procedures With Cc $21,614 – $62,247 · median $49,613 17 plans
801 Splenic Procedures Without Cc/Mcc $14,982 – $43,149 · median $33,710 17 plans
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $17,410 – $50,141 · median $39,533 17 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $9,791 – $28,198 · median $21,262 17 plans
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $34,688 – $99,902 · median $80,965 17 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $10,862 – $31,282 · median $23,830 17 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $13,472 – $38,798 · median $30,088 17 plans
836 Acute Leukemia Without Cc/Mcc $9,905 – $28,527 · median $21,536 17 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $36,305 – $104,558 · median $84,842 17 plans
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $16,297 – $46,934 · median $36,862 17 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $11,558 – $33,286 · median $25,499 17 plans
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $9,890 – $28,482 · median $21,499 17 plans
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $7,196 – $20,724 · median $15,039 17 plans
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $7,180 – $20,677 · median $15,000 17 plans
849 Radiotherapy $20,878 – $60,129 · median $47,848 17 plans
850 Acute Leukemia With Other Procedures $64,696 – $186,324 · median $152,922 17 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $11,950 – $34,417 · median $26,440 17 plans
863 Postoperative And Post-Traumatic Infections Without Mcc $8,273 – $23,827 · median $17,622 17 plans
866 Viral Illness Without Mcc $7,328 – $21,106 · median $15,357 17 plans
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $16,339 – $47,057 · median $36,965 17 plans
870 Septicemia Or Severe Sepsis With Mv >96 Hours $51,825 – $149,256 · median $122,059 17 plans
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $15,230 – $43,861 · median $34,304 17 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $29,387 – $84,634 · median $68,252 17 plans
881 Depressive Neuroses $7,853 – $22,618 · median $16,616 17 plans
883 Disorders Of Personality And Impulse Control $15,405 – $44,366 · median $34,724 17 plans
886 Behavioral And Developmental Disorders $16,208 – $46,678 · median $36,649 17 plans
887 Other Mental Disorder Diagnoses $8,811 – $25,375 · median $18,912 17 plans
894 Alcohol, Drug Abuse Or Dependence, Left Ama $5,467 – $15,746 · median $10,894 17 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $11,349 – $32,686 · median $24,999 17 plans
901 Wound Debridements For Injuries With Mcc $31,830 – $91,669 · median $74,110 17 plans
905 Skin Grafts For Injuries Without Cc/Mcc $11,849 – $34,124 · median $26,196 17 plans
906 Hand Procedures For Injuries $15,390 – $44,323 · median $34,689 17 plans
907 Other O.R. Procedures For Injuries With Mcc $29,198 – $84,091 · median $67,800 17 plans
916 Allergic Reactions Without Mcc $5,831 – $16,794 · median $11,767 17 plans
917 Poisoning And Toxic Effects Of Drugs With Mcc $12,475 – $35,927 · median $27,697 17 plans
919 Complications Of Treatment With Mcc $14,407 – $41,492 · median $32,331 17 plans
921 Complications Of Treatment Without Cc/Mcc $5,994 – $17,263 · median $12,157 17 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $158,157 – $455,491 · median $376,385 17 plans
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $53,747 – $154,790 · median $126,666 17 plans
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $24,643 – $70,973 · median $56,878 17 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $29,603 – $85,255 · median $68,770 17 plans
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $17,204 – $49,547 · median $39,038 17 plans
945 Rehabilitation With Cc/Mcc $12,329 – $35,507 · median $27,348 17 plans
946 Rehabilitation Without Cc/Mcc $9,370 – $26,985 · median $20,252 17 plans
948 Signs And Symptoms Without Mcc $6,819 – $19,640 · median $14,136 17 plans
949 Aftercare With Cc/Mcc $9,686 – $27,895 · median $21,010 17 plans
950 Aftercare Without Cc/Mcc $5,547 – $15,975 · median $11,085 17 plans
951 Other Factors Influencing Health Status $5,019 – $14,454 · median $9,819 17 plans
955 Craniotomy For Multiple Significant Trauma $50,494 – $145,424 · median $118,868 17 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $22,606 – $65,104 · median $51,991 17 plans
965 Other Multiple Significant Trauma Without Cc/Mcc $7,850 – $22,609 · median $16,609 17 plans
969 Hiv With Extensive O.R. Procedures With Mcc $46,004 – $132,491 · median $108,099 17 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $20,347 – $58,599 · median $46,575 17 plans
976 Hiv With Major Related Condition Without Cc/Mcc $7,572 – $21,808 · median $15,941 17 plans
977 Hiv With Or Without Other Related Condition $10,481 – $30,185 · median $22,917 17 plans
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $19,030 – $54,805 · median $43,416 17 plans
← Back to TriHealth Bethesda North Hospital profile