Mccurtain Memorial Hospital — Pricing

771 procedures published in this hospital's Machine-Readable File (MRF) — 758 with a comparable price, 13 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 771
Lowest published price $11,826
Average published price $11,826
Highest published price $11,826

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 771 procedures

Published charges

Showing all 758 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.

DRG Description Published price vs. OK median vs. National median
006 LIVER TRANSPLANT WITHOUT MCC $11,826 $51,951 −77% $84,407 −86%
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $11,826 $60,091 −80% $86,459 −86%
010 PANCREAS TRANSPLANT $11,826 $63,234 −81% $99,940 −88%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $11,826 $63,721 −81% $101,576 −88%
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $11,826 $47,461 −75% $79,836 −85%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $11,826 $30,124 −61% $48,687 −76%
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $11,826 $74,479 −84% $98,260 −88%
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $11,826 $53,485 −78% $81,176 −85%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $11,826 $106,929 −89% $148,686 −92%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $11,826 $74,709 −84% $106,057 −89%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $11,826 $49,015 −76% $66,848 −82%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $11,826 $54,616 −78% $106,778 −89%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $11,826 $39,348 −70% $74,755 −84%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $11,826 $45,518 −74% $88,307 −87%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $11,826 $31,071 −62% $64,523 −82%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,826 $27,813 −57% $54,583 −78%
028 SPINAL PROCEDURES WITH MCC $11,826 $57,312 −79% $113,077 −90%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $11,826 $41,623 −72% $67,268 −82%
030 SPINAL PROCEDURES WITHOUT CC/MCC $11,826 $28,401 −58% $45,866 −74%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $11,826 $42,803 −72% $72,962 −84%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $11,826 $24,496 −52% $46,724 −75%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,826 $19,053 −38% $35,419 −67%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $11,826 $48,838 −76% $76,219 −84%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $11,826 $20,608 −43% $49,066 −76%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $11,826 $15,690 −25% $40,694 −71%
037 EXTRACRANIAL PROCEDURES WITH MCC $11,826 $32,138 −63% $66,666 −82%
038 EXTRACRANIAL PROCEDURES WITH CC $11,826 $15,326 −23% $35,770 −67%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $11,826 $10,950 +8% $26,618 −56%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $11,826 $47,988 −75% $74,257 −84%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $11,826 $22,089 −46% $49,418 −76%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $11,826 $23,439 −50% $39,018 −70%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,826 $21,986 −46% $32,031 −63%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $11,826 $13,215 −11% $20,455 −42%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $11,826 $17,289 −32% $30,502 −61%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $11,826 $11,554 +2% $20,926 −43%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $11,826 $28,722 −59% $39,973 −70%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $11,826 $16,919 −30% $27,543 −57%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $11,826 $19,230 −39% $30,243 −61%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $11,826 $13,136 −10% $27,163 −56%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $11,826 $10,982 +8% $22,148 −47%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $11,826 $31,981 −63% $62,264 −81%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $11,826 $22,004 −46% $52,075 −77%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $11,826 $18,934 −38% $39,887 −70%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $11,826 $27,532 −57% $39,106 −70%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $11,826 $15,227 −22% $23,940 −51%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $11,826 $11,440 +3% $20,781 −43%
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $11,826 $15,439 −23% $24,941 −53%
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $11,826 $12,250 −3% $19,569 −40%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,826 $8,704 +36% $21,056 −44%
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $11,826 $15,566 −24% $31,951 −63%
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $11,826 $13,037 −9% $23,488 −50%
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $11,826 $10,763 +10% $19,037 −38%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,826 $12,170 −3% $30,010 −61%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $11,826 $13,383 −12% $23,141 −49%
075 VIRAL MENINGITIS WITH CC/MCC $11,826 $18,005 −34% $30,447 −61%
076 VIRAL MENINGITIS WITHOUT CC/MCC $11,826 $11,826 +0% $17,135 −31%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,826 $15,890 −26% $24,550 −52%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $11,826 $11,167 +6% $17,698 −33%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $11,826 $10,685 +11% $11,847 −0%
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $11,826 $27,360 −57% $36,249 −67%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $11,826 $11,594 +2% $16,552 −29%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $11,826 $28,152 −58% $36,489 −68%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $11,826 $14,857 −20% $27,285 −57%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $11,826 $13,026 −9% $19,924 −41%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $11,826 $25,539 −54% $41,892 −72%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $11,826 $14,095 −16% $27,043 −56%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $11,826 $11,934 −1% $16,520 −28%
088 CONCUSSION WITH MCC $11,826 $16,159 −27% $24,402 −52%
089 CONCUSSION WITH CC $11,826 $11,789 +0% $18,821 −37%
090 CONCUSSION WITHOUT CC/MCC $11,826 $11,826 +0% $15,412 −23%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $11,826 $23,064 −49% $37,387 −68%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $11,826 $12,342 −4% $24,914 −53%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,826 $8,917 +33% $17,620 −33%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $11,826 $50,550 −77% $68,639 −83%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $11,826 $34,307 −66% $47,583 −75%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $11,826 $22,748 −48% $41,620 −72%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $11,826 $40,118 −71% $59,533 −80%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $11,826 $23,374 −49% $42,901 −72%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $11,826 $15,472 −24% $27,119 −56%
100 SEIZURES WITH MCC $11,826 $26,892 −56% $35,481 −67%
101 SEIZURES WITHOUT MCC $11,826 $9,822 +20% $20,461 −42%
102 HEADACHES WITH MCC $11,826 $14,121 −16% $25,740 −54%
103 HEADACHES WITHOUT MCC $11,826 $11,684 +1% $21,280 −44%
113 ORBITAL PROCEDURES WITH CC/MCC $11,826 $24,270 −51% $36,167 −67%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $11,826 $16,902 −30% $19,598 −40%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,826 $18,743 −37% $25,703 −54%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $11,826 $20,786 −43% $29,126 −59%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $11,826 $11,826 +0% $17,193 −31%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $11,826 $13,162 −10% $19,412 −39%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $11,826 $10,334 +14% $11,997 −1%
123 NEUROLOGICAL EYE DISORDERS $11,826 $11,951 −1% $19,745 −40%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $11,826 $13,658 −13% $21,894 −46%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $11,826 $12,401 −5% $17,298 −32%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $11,826 $28,288 −58% $42,186 −72%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $11,826 $14,790 −20% $17,404 −32%
137 MOUTH PROCEDURES WITH CC/MCC $11,826 $17,894 −34% $27,861 −58%
138 MOUTH PROCEDURES WITHOUT CC/MCC $11,826 $11,826 +0% $19,119 −38%
139 SALIVARY GLAND PROCEDURES $11,826 $13,584 −13% $23,612 −50%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $11,826 $43,139 −73% $60,098 −80%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $11,826 $21,888 −46% $37,267 −68%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,826 $17,007 −30% $34,906 −66%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $11,826 $34,525 −66% $52,908 −78%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $11,826 $19,383 −39% $30,553 −61%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $11,826 $12,562 −6% $25,712 −54%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $11,826 $25,692 −54% $40,108 −71%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $11,826 $16,078 −26% $22,851 −48%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $11,826 $11,515 +3% $13,586 −13%
149 DYSEQUILIBRIUM $11,826 $11,826 +0% $18,096 −35%
150 EPISTAXIS WITH MCC $11,826 $19,047 −38% $23,171 −49%
151 EPISTAXIS WITHOUT MCC $11,826 $11,566 +2% $13,032 −9%
152 OTITIS MEDIA AND URI WITH MCC $11,826 $15,287 −23% $20,247 −42%
153 OTITIS MEDIA AND URI WITHOUT MCC $11,826 $9,376 +26% $14,583 −19%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,826 $12,248 −3% $27,633 −57%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $11,826 $11,826 +0% $16,968 −30%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $11,826 $7,520 +57% $14,549 −19%
157 DENTAL AND ORAL DISEASES WITH MCC $11,826 $17,411 −32% $31,300 −62%
158 DENTAL AND ORAL DISEASES WITH CC $11,826 $11,826 +0% $18,466 −36%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $11,826 $5,742 +106% $13,633 −13%
163 MAJOR CHEST PROCEDURES WITH MCC $11,826 $45,840 −74% $90,195 −87%
164 MAJOR CHEST PROCEDURES WITH CC $11,826 $23,218 −49% $56,755 −79%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $11,826 $17,878 −34% $46,340 −74%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $11,826 $35,340 −67% $75,573 −84%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $11,826 $17,800 −34% $40,642 −71%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,826 $12,679 −7% $29,949 −61%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $11,826 $30,869 −62% $60,407 −80%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $11,826 $12,480 −5% $30,959 −62%
176 PULMONARY EMBOLISM WITHOUT MCC $11,826 $7,786 +52% $18,081 −35%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $11,826 $15,367 −23% $33,707 −65%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $11,826 $15,343 −23% $22,024 −46%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $11,826 $9,646 +23% $14,648 −19%
180 RESPIRATORY NEOPLASMS WITH MCC $11,826 $21,748 −46% $36,658 −68%
181 RESPIRATORY NEOPLASMS WITH CC $11,826 $14,326 −17% $23,573 −50%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $11,826 $10,273 +15% $14,064 −16%
183 MAJOR CHEST TRAUMA WITH MCC $11,826 $12,207 −3% $29,933 −60%
184 MAJOR CHEST TRAUMA WITH CC $11,826 $10,391 +14% $22,432 −47%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $11,826 $11,345 +4% $17,124 −31%
186 PLEURAL EFFUSION WITH MCC $11,826 $12,717 −7% $33,834 −65%
187 PLEURAL EFFUSION WITH CC $11,826 $11,826 +0% $21,789 −46%
188 PLEURAL EFFUSION WITHOUT CC/MCC $11,826 $11,088 +7% $14,514 −19%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $11,826 $14,929 −21% $26,580 −56%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $11,826 $12,954 −9% $24,386 −52%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $11,826 $12,035 −2% $18,807 −37%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $11,826 $10,184 +16% $14,368 −18%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $11,826 $15,116 −22% $27,275 −57%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $11,826 $13,014 −9% $18,204 −35%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $11,826 $9,727 +22% $13,824 −14%
196 INTERSTITIAL LUNG DISEASE WITH MCC $11,826 $17,908 −34% $32,637 −64%
197 INTERSTITIAL LUNG DISEASE WITH CC $11,826 $15,113 −22% $21,941 −46%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $11,826 $9,499 +24% $15,549 −24%
199 PNEUMOTHORAX WITH MCC $11,826 $14,424 −18% $33,787 −65%
200 PNEUMOTHORAX WITH CC $11,826 $11,903 −1% $21,368 −45%
201 PNEUMOTHORAX WITHOUT CC/MCC $11,826 $10,655 +11% $14,053 −16%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $11,826 $9,827 +20% $17,724 −33%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $11,826 $10,825 +9% $12,252 −3%
204 RESPIRATORY SIGNS AND SYMPTOMS $11,826 $10,319 +15% $18,004 −34%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $11,826 $18,628 −37% $33,255 −64%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $11,826 $9,791 +21% $18,488 −36%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $11,826 $59,494 −80% $116,058 −90%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $11,826 $25,381 −53% $52,405 −77%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $11,826 $124,403 −90% $196,346 −94%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $11,826 $98,882 −88% $188,171 −94%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $11,826 $68,644 −83% $123,995 −90%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $11,826 $57,489 −79% $103,455 −89%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,826 $94,884 −88% $143,242 −92%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $11,826 $57,531 −79% $111,320 −89%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $11,826 $47,032 −75% $90,331 −87%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $11,826 $67,791 −83% $96,905 −88%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $11,826 $43,510 −73% $65,325 −82%
231 CORONARY BYPASS WITH PTCA WITH MCC $11,826 $85,426 −86% $147,227 −92%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $11,826 $60,418 −80% $115,839 −90%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $11,826 $66,864 −82% $144,569 −92%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $11,826 $52,703 −78% $102,573 −88%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $11,826 $60,369 −80% $112,062 −89%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $11,826 $36,013 −67% $82,247 −86%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $11,826 $53,247 −78% $93,390 −87%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $11,826 $27,106 −56% $59,790 −80%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $11,826 $16,476 −28% $30,770 −62%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $11,826 $37,700 −69% $70,132 −83%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $11,826 $25,683 −54% $50,011 −76%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $11,826 $19,157 −38% $41,591 −72%
245 AICD GENERATOR PROCEDURES $11,826 $47,309 −75% $72,076 −84%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $11,826 $26,268 −55% $59,629 −80%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $11,826 $15,651 −24% $46,295 −74%
252 OTHER VASCULAR PROCEDURES WITH MCC $11,826 $34,562 −66% $68,508 −83%
253 OTHER VASCULAR PROCEDURES WITH CC $11,826 $26,283 −55% $57,454 −79%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $11,826 $16,266 −27% $38,836 −70%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $11,826 $28,159 −58% $46,453 −75%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,826 $18,194 −35% $32,944 −64%
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $11,826 $12,856 −8% $15,764 −25%
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $11,826 $35,448 −67% $52,986 −78%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $11,826 $20,655 −43% $39,020 −70%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $11,826 $35,462 −67% $70,371 −83%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $11,826 $18,080 −35% $42,126 −72%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,826 $14,334 −17% $33,694 −65%
263 VEIN LIGATION AND STRIPPING $11,826 $28,515 −59% $51,253 −77%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $11,826 $41,424 −71% $51,953 −77%
265 AICD LEAD PROCEDURES $11,826 $42,814 −72% $63,171 −81%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $11,826 $67,157 −82% $113,855 −90%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $11,826 $52,018 −77% $92,217 −87%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $11,826 $72,361 −84% $125,242 −91%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $11,826 $37,612 −69% $85,159 −86%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $11,826 $66,980 −82% $99,423 −88%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $11,826 $35,891 −67% $71,014 −83%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $11,826 $29,423 −60% $55,162 −79%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $11,826 $35,791 −67% $78,852 −85%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $11,826 $27,943 −58% $65,573 −82%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $11,826 $71,091 −83% $131,961 −91%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $11,826 $62,313 −81% $117,280 −90%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $11,826 $46,796 −75% $91,329 −87%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $11,826 $50,127 −76% $93,238 −87%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $11,826 $32,235 −63% $63,928 −82%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,826 $16,121 −27% $30,828 −62%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $11,826 $10,566 +12% $20,463 −42%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $11,826 $9,338 +27% $19,227 −38%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $11,826 $17,649 −33% $39,955 −70%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $11,826 $9,562 +24% $16,450 −28%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $11,826 $5,564 +113% $10,480 +13%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $11,826 $21,886 −46% $46,283 −74%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $11,826 $11,978 −1% $32,021 −63%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $11,826 $38,646 −69% $50,618 −77%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $11,826 $23,626 −50% $32,697 −64%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $11,826 $11,580 +2% $15,901 −26%
291 HEART FAILURE AND SHOCK WITH MCC $11,826 $12,420 −5% $26,776 −56%
292 HEART FAILURE AND SHOCK WITH CC $11,826 $9,549 +24% $16,371 −28%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $11,826 $10,033 +18% $12,999 −9%
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $11,826 $14,197 −17% $19,132 −38%
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $11,826 $11,182 +6% $13,445 −12%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,826 $14,750 −20% $33,661 −65%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $11,826 $9,534 +24% $12,336 −4%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $11,826 $6,059 +95% $8,927 +32%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,826 $13,410 −12% $27,316 −57%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $11,826 $14,691 −19% $20,422 −42%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $11,826 $10,845 +9% $15,837 −25%
302 ATHEROSCLEROSIS WITH MCC $11,826 $11,967 −1% $22,446 −47%
303 ATHEROSCLEROSIS WITHOUT MCC $11,826 $6,694 +77% $14,927 −21%
304 HYPERTENSION WITH MCC $11,826 $11,979 −1% $26,080 −55%
305 HYPERTENSION WITHOUT MCC $11,826 $8,177 +45% $18,086 −35%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,826 $15,966 −26% $24,586 −52%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $11,826 $11,826 +0% $20,566 −42%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $11,826 $13,237 −11% $26,770 −56%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $11,826 $12,319 −4% $17,303 −32%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $11,826 $8,176 +45% $13,384 −12%
311 ANGINA PECTORIS $11,826 $6,608 +79% $15,502 −24%
312 SYNCOPE AND COLLAPSE $11,826 $11,631 +2% $19,342 −39%
313 CHEST PAIN $11,826 $11,200 +6% $16,440 −28%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $11,826 $16,729 −29% $38,666 −69%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $11,826 $10,234 +16% $21,363 −45%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $11,826 $8,299 +43% $13,651 −13%
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $11,826 $72,826 −84% $88,566 −87%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $11,826 $48,875 −76% $86,970 −86%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $11,826 $28,214 −58% $40,060 −70%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $11,826 $27,123 −56% $81,706 −86%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $11,826 $17,490 −32% $58,809 −80%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $11,826 $43,598 −73% $101,510 −88%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $11,826 $32,011 −63% $71,464 −83%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $11,826 $30,737 −62% $61,217 −81%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $11,826 $59,547 −80% $80,793 −85%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $11,826 $31,373 −62% $59,421 −80%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,826 $18,442 −36% $39,006 −70%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $11,826 $58,250 −80% $88,050 −87%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,826 $30,993 −62% $59,500 −80%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,826 $18,936 −38% $44,117 −73%
332 RECTAL RESECTION WITH MCC $11,826 $39,662 −70% $58,125 −80%
333 RECTAL RESECTION WITH CC $11,826 $20,258 −42% $37,154 −68%
334 RECTAL RESECTION WITHOUT CC/MCC $11,826 $17,819 −34% $36,820 −68%
335 PERITONEAL ADHESIOLYSIS WITH MCC $11,826 $50,222 −76% $71,755 −84%
336 PERITONEAL ADHESIOLYSIS WITH CC $11,826 $25,279 −53% $50,463 −77%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $11,826 $20,366 −42% $39,211 −70%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $11,826 $31,014 −62% $44,546 −73%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,826 $17,470 −32% $33,048 −64%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,826 $15,182 −22% $27,297 −57%
347 ANAL AND STOMAL PROCEDURES WITH MCC $11,826 $25,200 −53% $40,548 −71%
348 ANAL AND STOMAL PROCEDURES WITH CC $11,826 $14,864 −20% $27,947 −58%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $11,826 $11,826 +0% $19,854 −40%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $11,826 $30,871 −62% $50,046 −76%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $11,826 $16,503 −28% $36,505 −68%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $11,826 $12,214 −3% $27,843 −58%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $11,826 $41,261 −71% $60,170 −80%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $11,826 $19,743 −40% $43,477 −73%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $11,826 $16,936 −30% $32,841 −64%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $11,826 $51,762 −77% $82,561 −86%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $11,826 $24,955 −53% $48,682 −76%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,826 $19,796 −40% $30,083 −61%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,826 $21,507 −45% $33,876 −65%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $11,826 $11,923 −1% $25,303 −53%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $11,826 $10,800 +10% $15,495 −24%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $11,826 $19,112 −38% $33,555 −65%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $11,826 $10,681 +11% $22,850 −48%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $11,826 $11,095 +7% $16,767 −29%
374 DIGESTIVE MALIGNANCY WITH MCC $11,826 $20,421 −42% $39,958 −70%
375 DIGESTIVE MALIGNANCY WITH CC $11,826 $11,826 +0% $27,277 −57%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $11,826 $12,475 −5% $16,998 −30%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $11,826 $22,616 −48% $37,842 −69%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $11,826 $9,695 +22% $22,098 −46%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,826 $10,064 +18% $15,038 −21%
380 COMPLICATED PEPTIC ULCER WITH MCC $11,826 $27,073 −56% $39,627 −70%
381 COMPLICATED PEPTIC ULCER WITH CC $11,826 $13,597 −13% $24,177 −51%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $11,826 $11,191 +6% $16,634 −29%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $11,826 $14,516 −19% $27,426 −57%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $11,826 $11,826 +0% $19,305 −39%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,826 $13,466 −12% $27,617 −57%
386 INFLAMMATORY BOWEL DISEASE WITH CC $11,826 $12,812 −8% $22,033 −46%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $11,826 $9,038 +31% $16,288 −27%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $11,826 $22,272 −47% $30,571 −61%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $11,826 $8,130 +45% $17,578 −33%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $11,826 $8,852 +34% $13,361 −11%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $11,826 $15,403 −23% $28,050 −58%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $11,826 $10,748 +10% $17,322 −32%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,826 $24,687 −52% $34,192 −65%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $11,826 $12,611 −6% $20,181 −41%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,826 $9,429 +25% $14,128 −16%
397 APPENDIX PROCEDURES WITH MCC $11,826 $24,925 −53% $53,257 −78%
398 APPENDIX PROCEDURES WITH CC $11,826 $15,755 −25% $40,162 −71%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $11,826 $11,826 +0% $31,321 −62%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $11,826 $49,323 −76% $79,116 −85%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $11,826 $73,455 −84% $102,128 −88%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $11,826 $35,751 −67% $58,043 −80%
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $11,826 $29,176 −59% $46,727 −75%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $11,826 $48,637 −76% $62,583 −81%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $11,826 $30,404 −61% $46,066 −74%
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,826 $23,326 −49% $34,434 −66%
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $11,826 $38,709 −69% $48,358 −76%
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $11,826 $25,199 −53% $42,906 −72%
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,826 $21,521 −45% $29,316 −60%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $11,826 $44,407 −73% $69,743 −83%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $11,826 $22,499 −47% $43,913 −73%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $11,826 $15,748 −25% $30,418 −61%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $11,826 $30,380 −61% $53,451 −78%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,826 $21,170 −44% $44,606 −73%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $11,826 $16,583 −29% $36,937 −68%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $11,826 $43,957 −73% $50,919 −77%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $11,826 $21,137 −44% $36,354 −67%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $11,826 $18,918 −37% $25,073 −53%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $11,826 $50,631 −77% $79,225 −85%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $11,826 $25,264 −53% $42,415 −72%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,826 $17,089 −31% $26,598 −56%
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $11,826 $119,623 −90% $142,326 −92%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $11,826 $87,925 −87% $132,794 −91%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $11,826 $68,634 −83% $105,899 −89%
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $11,826 $95,245 −88% $144,774 −92%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $11,826 $62,470 −81% $101,618 −88%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $11,826 $16,583 −29% $40,213 −71%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,826 $14,100 −16% $23,749 −50%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,826 $9,212 +28% $12,460 −5%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $11,826 $18,054 −34% $37,950 −69%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $11,826 $12,115 −2% $25,034 −53%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $11,826 $10,866 +9% $14,014 −16%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,826 $12,857 −8% $32,628 −64%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,826 $11,952 −1% $19,096 −38%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $11,826 $7,814 +51% $15,183 −22%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $11,826 $12,729 −7% $33,985 −65%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,826 $10,316 +15% $21,449 −45%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $11,826 $6,921 +71% $15,600 −24%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,826 $12,408 −5% $34,273 −65%
445 DISORDERS OF THE BILIARY TRACT WITH CC $11,826 $13,536 −13% $23,319 −49%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $11,826 $11,826 +0% $17,700 −33%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $11,826 $76,564 −85% $126,098 −91%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,826 $51,412 −77% $81,998 −86%
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $11,826 $55,309 −79% $99,943 −88%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $11,826 $33,142 −64% $65,216 −82%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $11,826 $74,701 −84% $107,355 −89%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $11,826 $59,237 −80% $83,441 −86%
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $11,826 $67,282 −82% $108,472 −89%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $11,826 $35,706 −67% $58,975 −80%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $11,826 $46,473 −75% $89,207 −87%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $11,826 $40,853 −71% $58,228 −80%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,826 $18,905 −37% $32,443 −64%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $11,826 $64,196 −82% $96,507 −88%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $11,826 $46,844 −75% $70,847 −83%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $11,826 $31,049 −62% $54,929 −78%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $11,826 $34,154 −65% $65,788 −82%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $11,826 $27,666 −57% $50,607 −77%
471 CERVICAL SPINAL FUSION WITH MCC $11,826 $55,551 −79% $92,515 −87%
472 CERVICAL SPINAL FUSION WITH CC $11,826 $37,272 −68% $59,537 −80%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $11,826 $32,885 −64% $50,624 −77%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $11,826 $45,098 −74% $84,692 −86%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $11,826 $24,290 −51% $45,877 −74%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,826 $12,334 −4% $23,443 −50%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,826 $37,171 −68% $68,653 −83%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,826 $26,098 −55% $50,139 −76%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,826 $20,034 −41% $34,276 −65%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $11,826 $37,428 −68% $65,653 −82%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $11,826 $27,682 −57% $52,751 −78%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,826 $20,807 −43% $41,955 −72%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $11,826 $35,631 −67% $58,707 −80%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $11,826 $37,732 −69% $72,424 −84%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $11,826 $21,541 −45% $49,351 −76%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,826 $18,163 −35% $35,074 −66%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $11,826 $25,055 −53% $43,631 −73%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,826 $13,997 −16% $28,320 −58%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $11,826 $28,302 −58% $70,564 −83%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $11,826 $25,747 −54% $59,651 −80%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $11,826 $23,002 −49% $47,711 −75%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $11,826 $29,627 −60% $56,964 −79%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $11,826 $28,058 −58% $43,800 −73%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $11,826 $20,076 −41% $29,805 −60%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $11,826 $27,679 −57% $49,423 −76%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $11,826 $13,273 −11% $21,230 −44%
500 SOFT TISSUE PROCEDURES WITH MCC $11,826 $38,926 −70% $61,872 −81%
501 SOFT TISSUE PROCEDURES WITH CC $11,826 $21,864 −46% $39,619 −70%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $11,826 $18,515 −36% $31,017 −62%
503 FOOT PROCEDURES WITH MCC $11,826 $35,170 −66% $47,540 −75%
504 FOOT PROCEDURES WITH CC $11,826 $19,745 −40% $38,960 −70%
505 FOOT PROCEDURES WITHOUT CC/MCC $11,826 $24,302 −51% $34,937 −66%
506 MAJOR THUMB OR JOINT PROCEDURES $11,826 $16,340 −28% $30,557 −61%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $11,826 $24,663 −52% $37,240 −68%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $11,826 $19,945 −41% $22,811 −48%
509 ARTHROSCOPY $11,826 $22,130 −47% $25,994 −55%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $11,826 $30,237 −61% $49,839 −76%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $11,826 $21,194 −44% $43,538 −73%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,826 $17,232 −31% $35,692 −67%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,826 $17,263 −31% $33,424 −65%
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $11,826 $14,487 −18% $22,635 −48%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $11,826 $38,474 −69% $62,821 −81%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $11,826 $21,715 −46% $46,090 −74%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $11,826 $20,646 −43% $33,393 −65%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $11,826 $41,839 −72% $71,092 −83%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $11,826 $24,007 −51% $44,139 −73%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $11,826 $17,345 −32% $35,465 −67%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $11,826 $32,382 −63% $70,467 −83%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $11,826 $23,107 −49% $58,280 −80%
533 FRACTURES OF FEMUR WITH MCC $11,826 $18,220 −35% $25,945 −54%
534 FRACTURES OF FEMUR WITHOUT MCC $11,826 $11,826 +0% $17,559 −33%
535 FRACTURES OF HIP AND PELVIS WITH MCC $11,826 $12,744 −7% $24,552 −52%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $11,826 $8,544 +38% $18,002 −34%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $11,826 $12,690 −7% $18,072 −35%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $11,826 $8,792 +35% $11,909 −1%
539 OSTEOMYELITIS WITH MCC $11,826 $29,443 −60% $37,609 −69%
540 OSTEOMYELITIS WITH CC $11,826 $18,365 −36% $26,676 −56%
541 OSTEOMYELITIS WITHOUT CC/MCC $11,826 $14,120 −16% $15,215 −22%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $11,826 $22,974 −49% $36,792 −68%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $11,826 $11,689 +1% $23,551 −50%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $11,826 $11,826 +0% $16,776 −30%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $11,826 $30,973 −62% $40,362 −71%
546 CONNECTIVE TISSUE DISORDERS WITH CC $11,826 $11,826 +0% $25,700 −54%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $11,826 $11,299 +5% $16,565 −29%
548 SEPTIC ARTHRITIS WITH MCC $11,826 $28,872 −59% $31,346 −62%
549 SEPTIC ARTHRITIS WITH CC $11,826 $15,414 −23% $24,056 −51%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $11,826 $12,640 −6% $19,138 −38%
551 MEDICAL BACK PROBLEMS WITH MCC $11,826 $25,341 −53% $34,017 −65%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $11,826 $15,105 −22% $21,396 −45%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $11,826 $18,392 −36% $26,051 −55%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $11,826 $13,376 −12% $18,528 −36%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,826 $15,698 −25% $24,127 −51%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $11,826 $11,249 +5% $18,126 −35%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,826 $22,824 −48% $32,877 −64%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $11,826 $12,799 −8% $18,602 −36%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $11,826 $16,452 −28% $33,047 −64%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $11,826 $16,292 −27% $25,279 −53%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $11,826 $12,764 −7% $18,150 −35%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,826 $21,069 −44% $29,743 −60%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $11,826 $11,996 −1% $19,842 −40%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,826 $14,998 −21% $33,653 −65%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $11,826 $11,826 +0% $22,506 −47%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,826 $11,990 −1% $14,716 −20%
570 SKIN DEBRIDEMENT WITH MCC $11,826 $40,434 −71% $52,435 −77%
571 SKIN DEBRIDEMENT WITH CC $11,826 $20,709 −43% $37,169 −68%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $11,826 $16,570 −29% $24,944 −53%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $11,826 $63,888 −81% $98,912 −88%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $11,826 $46,164 −74% $52,036 −77%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,826 $19,505 −39% $29,611 −60%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $11,826 $62,020 −81% $90,401 −87%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $11,826 $36,692 −68% $47,945 −75%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,826 $17,619 −33% $29,079 −59%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $11,826 $32,420 −64% $58,745 −80%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,826 $22,110 −47% $38,101 −69%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $11,826 $16,121 −27% $26,932 −56%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,826 $18,177 −35% $35,849 −67%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,826 $17,070 −31% $35,831 −67%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $11,826 $20,267 −42% $35,030 −66%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $11,826 $19,292 −39% $32,574 −64%
592 SKIN ULCERS WITH MCC $11,826 $23,449 −50% $33,246 −64%
593 SKIN ULCERS WITH CC $11,826 $10,759 +10% $22,886 −48%
594 SKIN ULCERS WITHOUT CC/MCC $11,826 $11,154 +6% $14,209 −17%
595 MAJOR SKIN DISORDERS WITH MCC $11,826 $20,595 −43% $34,598 −66%
596 MAJOR SKIN DISORDERS WITHOUT MCC $11,826 $11,826 +0% $17,226 −31%
597 MALIGNANT BREAST DISORDERS WITH MCC $11,826 $17,055 −31% $33,386 −65%
598 MALIGNANT BREAST DISORDERS WITH CC $11,826 $12,065 −2% $19,073 −38%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $11,826 $11,193 +6% $14,290 −17%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $11,826 $12,902 −8% $16,700 −29%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $11,826 $9,608 +23% $10,975 +8%
602 CELLULITIS WITH MCC $11,826 $20,839 −43% $30,598 −61%
603 CELLULITIS WITHOUT MCC $11,826 $12,116 −2% $18,530 −36%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,826 $21,322 −45% $28,140 −58%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $11,826 $12,086 −2% $20,506 −42%
606 MINOR SKIN DISORDERS WITH MCC $11,826 $20,594 −43% $27,975 −58%
607 MINOR SKIN DISORDERS WITHOUT MCC $11,826 $9,142 +29% $15,889 −26%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $11,826 $26,429 −55% $48,349 −76%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $11,826 $19,109 −38% $32,833 −64%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $11,826 $44,168 −73% $66,685 −82%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,826 $26,625 −56% $42,881 −72%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,826 $14,428 −18% $19,354 −39%
619 O.R. PROCEDURES FOR OBESITY WITH MCC $11,826 $36,238 −67% $51,746 −77%
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,826 $23,921 −51% $35,453 −67%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,826 $22,079 −46% $32,451 −64%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $11,826 $30,328 −61% $61,470 −81%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $11,826 $23,570 −50% $34,459 −66%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $11,826 $14,097 −16% $17,737 −33%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $11,826 $29,958 −61% $59,031 −80%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $11,826 $18,296 −35% $33,454 −65%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $11,826 $13,086 −10% $28,125 −58%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $11,826 $40,949 −71% $71,795 −84%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $11,826 $21,746 −46% $47,737 −75%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $11,826 $18,480 −36% $22,393 −47%
637 DIABETES WITH MCC $11,826 $18,353 −36% $30,100 −61%
638 DIABETES WITH CC $11,826 $11,158 +6% $19,661 −40%
639 DIABETES WITHOUT CC/MCC $11,826 $6,257 +89% $13,910 −15%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $11,826 $13,299 −11% $25,463 −54%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $11,826 $10,751 +10% $17,038 −31%
642 INBORN AND OTHER DISORDERS OF METABOLISM $11,826 $12,445 −5% $20,727 −43%
643 ENDOCRINE DISORDERS WITH MCC $11,826 $13,875 −15% $33,563 −65%
644 ENDOCRINE DISORDERS WITH CC $11,826 $9,885 +20% $23,198 −49%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $11,826 $11,916 −1% $15,428 −23%
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $11,826 $49,974 −76% $71,551 −83%
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $11,826 $38,482 −69% $56,242 −79%
652 KIDNEY TRANSPLANT $11,826 $35,233 −66% $54,720 −78%
653 MAJOR BLADDER PROCEDURES WITH MCC $11,826 $54,911 −78% $104,583 −89%
654 MAJOR BLADDER PROCEDURES WITH CC $11,826 $35,863 −67% $58,274 −80%
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $11,826 $21,374 −45% $43,174 −73%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $11,826 $42,682 −72% $65,608 −82%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $11,826 $24,168 −51% $43,298 −73%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $11,826 $15,821 −25% $36,253 −67%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $11,826 $29,507 −60% $52,178 −77%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $11,826 $15,198 −22% $31,264 −62%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $11,826 $12,373 −4% $25,970 −54%
662 MINOR BLADDER PROCEDURES WITH MCC $11,826 $38,018 −69% $54,562 −78%
663 MINOR BLADDER PROCEDURES WITH CC $11,826 $20,339 −42% $33,103 −64%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $11,826 $15,161 −22% $22,314 −47%
665 PROSTATECTOMY WITH MCC $11,826 $39,653 −70% $54,072 −78%
666 PROSTATECTOMY WITH CC $11,826 $19,204 −38% $31,906 −63%
667 PROSTATECTOMY WITHOUT CC/MCC $11,826 $13,033 −9% $16,703 −29%
668 TRANSURETHRAL PROCEDURES WITH MCC $11,826 $34,563 −66% $51,608 −77%
669 TRANSURETHRAL PROCEDURES WITH CC $11,826 $16,963 −30% $34,354 −66%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $11,826 $12,845 −8% $20,911 −43%
671 URETHRAL PROCEDURES WITH CC/MCC $11,826 $19,673 −40% $27,233 −57%
672 URETHRAL PROCEDURES WITHOUT CC/MCC $11,826 $12,744 −7% $17,398 −32%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $11,826 $34,531 −66% $77,990 −85%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $11,826 $26,358 −55% $50,394 −77%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,826 $21,202 −44% $34,749 −66%
682 RENAL FAILURE WITH MCC $11,826 $15,310 −23% $29,064 −59%
683 RENAL FAILURE WITH CC $11,826 $10,122 +17% $19,130 −38%
684 RENAL FAILURE WITHOUT CC/MCC $11,826 $7,367 +61% $13,642 −13%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $11,826 $17,671 −33% $37,844 −69%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $11,826 $11,826 +0% $20,232 −42%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $11,826 $10,832 +9% $12,593 −6%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $11,826 $10,576 +12% $23,617 −50%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $11,826 $9,409 +26% $17,674 −33%
693 URINARY STONES WITH MCC $11,826 $17,257 −31% $23,892 −51%
694 URINARY STONES WITHOUT MCC $11,826 $11,436 +3% $17,345 −32%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $11,826 $14,519 −19% $24,566 −52%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $11,826 $7,759 +52% $14,689 −19%
697 URETHRAL STRICTURE $11,826 $11,826 +0% $18,428 −36%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,826 $16,359 −28% $32,496 −64%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $11,826 $11,352 +4% $21,275 −44%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $11,826 $9,471 +25% $14,797 −20%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $11,826 $23,728 −50% $43,080 −73%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $11,826 $18,300 −35% $36,988 −68%
709 PENIS PROCEDURES WITH CC/MCC $11,826 $32,317 −63% $34,535 −66%
710 PENIS PROCEDURES WITHOUT CC/MCC $11,826 $21,400 −45% $26,436 −55%
711 TESTES PROCEDURES WITH CC/MCC $11,826 $25,790 −54% $38,343 −69%
712 TESTES PROCEDURES WITHOUT CC/MCC $11,826 $11,826 +0% $18,898 −37%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $11,826 $18,424 −36% $32,100 −63%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $11,826 $11,826 +0% $17,934 −34%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $11,826 $26,809 −56% $38,998 −70%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $11,826 $14,135 −16% $22,620 −48%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $11,826 $19,915 −41% $36,670 −68%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $11,826 $12,757 −7% $19,270 −39%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $11,826 $18,924 −38% $29,826 −60%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $11,826 $12,060 −2% $19,815 −40%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,826 $10,435 +13% $12,768 −7%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $11,826 $14,194 −17% $22,320 −47%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $11,826 $11,585 +2% $15,019 −21%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,826 $20,689 −43% $26,463 −55%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $11,826 $10,304 +15% $17,118 −31%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $11,826 $13,509 −12% $17,483 −32%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $11,826 $8,959 +32% $11,071 +7%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $11,826 $24,613 −52% $42,795 −72%
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $11,826 $15,652 −24% $26,948 −56%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $11,826 $50,725 −77% $61,832 −81%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $11,826 $28,013 −58% $44,363 −73%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,826 $16,350 −28% $33,674 −65%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $11,826 $47,238 −75% $62,300 −81%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $11,826 $26,794 −56% $40,365 −71%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $11,826 $18,424 −36% $30,493 −61%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $11,826 $20,895 −43% $40,552 −71%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $11,826 $18,771 −37% $30,784 −62%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $11,826 $19,865 −40% $38,861 −70%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $11,826 $12,500 −5% $18,348 −36%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,826 $20,893 −43% $29,916 −60%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $11,826 $13,244 −11% $19,594 −40%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $11,826 $14,930 −21% $30,242 −61%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $11,826 $33,327 −65% $45,167 −74%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $11,826 $18,431 −36% $27,989 −58%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,826 $20,164 −41% $32,433 −64%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,826 $14,069 −16% $18,459 −36%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,826 $10,592 +12% $15,589 −24%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $11,826 $18,737 −37% $26,280 −55%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $11,826 $11,267 +5% $20,901 −43%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $11,826 $8,711 +36% $14,250 −17%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $11,826 $12,731 −7% $20,895 −43%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $11,826 $9,232 +28% $11,421 +4%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $11,826 $14,778 −20% $16,846 −30%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,826 $16,110 −27% $25,094 −53%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $11,826 $12,395 −5% $18,956 −38%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $11,826 $8,513 +39% $12,454 −5%
779 ABORTION WITHOUT D&C $11,826 $11,520 +3% $15,327 −23%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $11,826 $21,758 −46% $29,221 −60%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $11,826 $11,975 −1% $23,283 −49%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $11,826 $13,009 −9% $19,846 −40%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $11,826 $19,160 −38% $27,152 −56%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $11,826 $15,449 −23% $23,571 −50%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $11,826 $12,818 −8% $20,084 −41%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $11,826 $12,130 −3% $16,351 −28%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $11,826 $38,163 −69% $80,018 −85%
791 PREMATURITY WITH MAJOR PROBLEMS $11,826 $27,643 −57% $42,679 −72%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $11,826 $15,564 −24% $12,229 −3%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $11,826 $26,237 −55% $18,649 −37%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,826 $10,317 +15% $8,445 +40%
795 NORMAL NEWBORN $11,826 $2,718 +335% $4,720 +151%
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $11,826 $11,826 +0% $22,557 −48%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $11,826 $12,433 −5% $19,962 −41%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $11,826 $12,184 −3% $18,452 −36%
799 SPLENIC PROCEDURES WITH MCC $11,826 $56,958 −79% $82,218 −86%
800 SPLENIC PROCEDURES WITH CC $11,826 $35,906 −67% $49,184 −76%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $11,826 $21,294 −44% $36,445 −68%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $11,826 $37,950 −69% $66,711 −82%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $11,826 $18,637 −37% $39,515 −70%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $11,826 $15,106 −22% $24,544 −52%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $11,826 $11,826 +0% $15,370 −23%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,826 $11,355 +4% $13,275 −11%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $11,826 $10,214 +16% $12,078 −2%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $11,826 $22,510 −47% $39,181 −70%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $11,826 $11,826 +0% $22,458 −47%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $11,826 $12,621 −6% $18,316 −35%
811 RED BLOOD CELL DISORDERS WITH MCC $11,826 $15,254 −22% $28,226 −58%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $11,826 $11,678 +1% $20,488 −42%
813 COAGULATION DISORDERS $11,826 $13,514 −12% $33,296 −64%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $11,826 $21,394 −45% $33,851 −65%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $11,826 $11,408 +4% $19,264 −39%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $11,826 $10,046 +18% $14,638 −19%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $11,826 $30,742 −62% $39,173 −70%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $11,826 $14,578 −19% $26,870 −56%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,826 $11,829 −0% $18,126 −35%
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $11,826 $70,718 −83% $96,192 −88%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $11,826 $22,233 −47% $47,789 −75%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,826 $15,542 −24% $25,390 −53%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $11,826 $56,308 −79% $87,761 −87%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $11,826 $26,162 −55% $41,608 −72%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $11,826 $16,779 −30% $27,323 −57%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $11,826 $45,495 −74% $90,724 −87%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $11,826 $22,415 −47% $50,498 −77%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,826 $14,897 −21% $35,584 −67%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $11,826 $32,264 −63% $53,864 −78%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,826 $16,349 −28% $31,170 −62%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $11,826 $12,120 −2% $18,133 −35%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $11,826 $9,485 +25% $12,895 −8%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $11,826 $6,463 +83% $9,940 +19%
834 ACUTE LEUKEMIA WITH MCC $11,826 $70,851 −83% $85,566 −86%
835 ACUTE LEUKEMIA WITH CC $11,826 $26,770 −56% $35,569 −67%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $11,826 $15,789 −25% $19,686 −40%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $11,826 $65,601 −82% $77,055 −85%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $11,826 $25,012 −53% $31,134 −62%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,826 $16,458 −28% $20,980 −44%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $11,826 $32,109 −63% $49,710 −76%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,826 $13,823 −14% $33,633 −65%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $11,826 $13,903 −15% $19,657 −40%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $11,826 $21,071 −44% $36,431 −68%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $11,826 $18,029 −34% $21,847 −46%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $11,826 $10,605 +12% $14,055 −16%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $11,826 $32,058 −63% $38,878 −70%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $11,826 $13,306 −11% $23,498 −50%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $11,826 $11,826 +0% $14,501 −18%
849 RADIOTHERAPY $11,826 $27,544 −57% $37,862 −69%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $11,826 $54,752 −78% $93,172 −87%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $11,826 $26,159 −55% $43,943 −73%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $11,826 $18,896 −37% $28,202 −58%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $11,826 $46,799 −75% $76,001 −84%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $11,826 $22,530 −48% $45,333 −74%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $11,826 $14,931 −21% $25,748 −54%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $11,826 $20,804 −43% $32,859 −64%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $11,826 $11,325 +4% $20,957 −44%
864 FEVER AND INFLAMMATORY CONDITIONS $11,826 $12,482 −5% $18,640 −37%
865 VIRAL ILLNESS WITH MCC $11,826 $18,804 −37% $26,910 −56%
866 VIRAL ILLNESS WITHOUT MCC $11,826 $11,728 +1% $17,081 −31%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $11,826 $30,205 −61% $38,070 −69%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $11,826 $11,826 +0% $22,763 −48%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $11,826 $9,480 +25% $12,559 −6%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $11,826 $72,622 −84% $148,832 −92%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $11,826 $15,729 −25% $35,628 −67%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $11,826 $12,479 −5% $22,888 −48%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $11,826 $31,737 −63% $54,196 −78%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $11,826 $11,701 +1% $17,733 −33%
881 DEPRESSIVE NEUROSES $11,826 $11,075 +7% $15,058 −21%
882 NEUROSES EXCEPT DEPRESSIVE $11,826 $9,594 +23% $15,680 −25%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $11,826 $14,941 −21% $23,206 −49%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $11,826 $13,180 −10% $26,682 −56%
885 PSYCHOSES $11,826 $12,762 −7% $21,729 −46%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $11,826 $11,826 +0% $26,510 −55%
887 OTHER MENTAL DISORDER DIAGNOSES $11,826 $11,944 −1% $20,616 −43%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $11,826 $8,352 +42% $12,324 −4%
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,826 $14,727 −20% $21,986 −46%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $11,826 $23,851 −50% $31,159 −62%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $11,826 $11,027 +7% $16,699 −29%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $11,826 $60,190 −80% $70,177 −83%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $11,826 $19,137 −38% $40,562 −71%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $11,826 $12,194 −3% $25,581 −54%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $11,826 $48,741 −76% $59,594 −80%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,826 $19,892 −41% $25,197 −53%
906 HAND PROCEDURES FOR INJURIES $11,826 $23,238 −49% $32,065 −63%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $11,826 $43,817 −73% $77,817 −85%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $11,826 $28,752 −59% $42,914 −72%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $11,826 $19,655 −40% $28,156 −58%
913 TRAUMATIC INJURY WITH MCC $11,826 $18,375 −36% $24,198 −51%
914 TRAUMATIC INJURY WITHOUT MCC $11,826 $10,833 +9% $15,855 −25%
915 ALLERGIC REACTIONS WITH MCC $11,826 $19,852 −40% $32,645 −64%
916 ALLERGIC REACTIONS WITHOUT MCC $11,826 $8,796 +34% $13,942 −15%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,826 $12,890 −8% $30,235 −61%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,826 $9,870 +20% $15,452 −23%
919 COMPLICATIONS OF TREATMENT WITH MCC $11,826 $14,296 −17% $31,105 −62%
920 COMPLICATIONS OF TREATMENT WITH CC $11,826 $14,272 −17% $22,468 −47%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $11,826 $8,824 +34% $14,415 −18%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $11,826 $17,579 −33% $31,563 −63%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $11,826 $12,431 −5% $17,601 −33%
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $11,826 $72,265 −84% $89,353 −87%
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $11,826 $33,318 −65% $44,472 −73%
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $11,826 $31,670 −63% $59,352 −80%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $11,826 $21,485 −45% $31,044 −62%
935 NON-EXTENSIVE BURNS $11,826 $21,407 −45% $31,701 −63%
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $11,826 $37,495 −68% $55,289 −79%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $11,826 $30,598 −61% $43,650 −73%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $11,826 $21,312 −45% $29,524 −60%
945 REHABILITATION WITH CC/MCC $11,826 $11,933 −1% $23,834 −50%
946 REHABILITATION WITHOUT CC/MCC $11,826 $8,837 +34% $17,685 −33%
947 SIGNS AND SYMPTOMS WITH MCC $11,826 $17,151 −31% $27,401 −57%
948 SIGNS AND SYMPTOMS WITHOUT MCC $11,826 $12,357 −4% $17,921 −34%
949 AFTERCARE WITH CC/MCC $11,826 $17,135 −31% $23,953 −51%
950 AFTERCARE WITHOUT CC/MCC $11,826 $9,559 +24% $13,527 −13%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $11,826 $6,181 +91% $10,160 +16%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $11,826 $69,627 −83% $102,600 −88%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $11,826 $42,618 −72% $75,103 −84%
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,826 $82,171 −86% $120,573 −90%
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,826 $51,550 −77% $73,120 −84%
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,826 $27,829 −58% $41,422 −71%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $11,826 $30,165 −61% $43,491 −73%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $11,826 $14,775 −20% $27,394 −57%
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $11,826 $11,826 +0% $20,259 −42%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $11,826 $72,559 −84% $109,331 −89%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $11,826 $34,739 −66% $44,222 −73%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $11,826 $35,020 −66% $46,402 −75%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $11,826 $16,871 −30% $27,808 −57%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $11,826 $11,826 +0% $16,212 −27%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $11,826 $16,844 −30% $22,525 −47%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $11,826 $46,591 −75% $90,775 −87%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,826 $27,532 −57% $51,985 −77%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,826 $18,324 −35% $34,607 −66%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $11,826 $41,612 −72% $66,068 −82%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $11,826 $17,404 −32% $38,094 −69%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,826 $11,826 +0% $25,652 −54%

Procedures with negotiated rates only

These 13 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 $198,615 – $326,302 · median $223,173 9 plans
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $51,733 – $127,652 · median $87,056 9 plans
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $148,874 – $248,264 · median $169,310 9 plans
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $98,506 – $163,682 · median $111,627 9 plans
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $75,089 – $146,771 · median $89,402 9 plans
007 LUNG TRANSPLANT $71,890 – $151,389 · median $103,244 9 plans
014 ALLOGENEIC BONE MARROW TRANSPLANT $92,381 – $151,771 · median $103,504 9 plans
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $207,455 – $436,865 · median $297,931 9 plans
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $43,607 – $91,830 · median $62,626 9 plans
215 OTHER HEART ASSIST SYSTEM IMPLANT $51,510 – $122,730 · median $83,699 9 plans
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $51,681 – $98,107 · median $66,907 9 plans
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $49,928 – $106,711 · median $72,774 9 plans
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $70,632 – $274,805 · median $187,410 9 plans
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