HCA Houston Healthcare Pearland — Pricing

777 procedures published in this hospital's Machine-Readable File (MRF) — 427 with a comparable price, 350 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 777
Lowest published price $1,255
Average published price $27,564
Highest published price $460,510

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 777 procedures

Published charges

Showing all 427 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 10 procedures, this hospital's negotiated rates average ≈262% of what Medicare pays.

DRG Description Published price vs. TX median vs. National median vs Medicare
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $460,510 $85,313 +440% $59,425 +675% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $317,749 $79,695 +299% $83,065 +283% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $304,200 $149,897 +103% $138,868 +119% —
212 Concomitant Aortic And Mitral Valve Procedures $176,964 $176,964 +0% $171,338 +3% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $158,945 $73,103 +117% $78,327 +103% —
231 Coronary Bypass With Ptca With Mcc $143,998 $128,088 +12% $145,864 −1% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $138,578 $660,173 −79% $371,366 −63% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $126,378 $80,018 +58% $80,018 +58% —
799 Splenic Procedures With Mcc $112,894 $99,427 +14% $78,821 +43% —
263 Vein Ligation And Stripping $105,988 $60,391 +76% $44,938 +136% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $103,744 $49,325 +110% $43,697 +137% —
007 Lung Transplant $103,108 $170,608 −40% $170,608 −40% —
913 Traumatic Injury With Mcc $99,010 $35,934 +176% $24,198 +309% —
466 Revision Of Hip Or Knee Replacement With Mcc $89,937 $82,870 +9% $94,320 −5% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $87,436 $71,969 +21% $65,383 +34% —
653 Major Bladder Procedures With Mcc $86,776 $132,069 −34% $97,028 −11% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $83,581 $115,941 −28% $76,954 +9% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $79,545 $166,500 −52% $175,437 −55% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $76,519 $125,987 −39% $84,861 −10% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $73,339 $205,911 −64% $151,029 −51% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $73,069 $63,849 +14% $51,142 +43% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $67,240 $53,584 +25% $52,908 +27% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $65,110 $106,929 −39% $135,380 −52% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $64,941 $38,950 +67% $27,597 +135% —
186 Pleural Effusion With Mcc $62,310 $51,361 +21% $32,385 +92% —
654 Major Bladder Procedures With Cc $62,257 $39,822 +56% $53,868 +16% —
473 Cervical Spinal Fusion Without Cc/Mcc $61,550 $71,589 −14% $50,624 +22% —
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $60,554 $122,950 −51% $120,573 −50% —
454 Combined Anterior And Posterior Spinal Fusion With Cc $59,866 $69,101 −13% $69,101 −13% —
229 Other Cardiothoracic Procedures Without Mcc $59,712 $59,712 +0% $65,325 −9% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $59,554 $94,288 −37% $131,961 −55% —
353 Hernia Procedures Except Inguinal And Femoral With Mcc $59,043 $68,262 −14% $60,140 −2% —
039 Extracranial Procedures Without Cc/Mcc $58,641 $37,000 +58% $25,267 +132% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $58,279 $46,133 +26% $53,763 +8% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $58,245 $210,247 −72% $116,058 −50% —
030 Spinal Procedures Without Cc/Mcc $58,180 $59,227 −2% $45,842 +27% —
955 Craniotomy For Multiple Significant Trauma $56,571 $91,253 −38% $104,881 −46% —
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $56,209 $56,565 −1% $82,247 −32% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $55,886 $89,662 −38% $115,937 −52% —
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $54,691 $51,898 +5% $56,197 −3% —
335 Peritoneal Adhesiolysis With Mcc $54,682 $117,803 −54% $71,755 −24% —
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $53,998 $53,998 +0% $44,472 +21% —
459 Spinal Fusion Except Cervical With Mcc $53,599 $78,699 −32% $75,251 −29% —
975 Hiv With Major Related Condition With Cc $52,998 $21,642 +145% $25,071 +111% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $52,690 $69,973 −25% $64,468 −18% —
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $49,825 $83,192 −40% $117,280 −58% —
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $49,798 $362,617 −86% $431,073 −88% —
998 Principal Diagnosis Invalid As Discharge Diagnosis $49,786 $26,211 +90% $15,594 +219% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $49,459 $80,603 −39% $113,855 −57% —
073 Cranial And Peripheral Nerve Disorders With Mcc $49,216 $26,548 +85% $28,252 +74% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $49,002 $103,292 −53% $106,778 −54% —
235 Coronary Bypass Without Cardiac Catheterization With Mcc $48,653 $79,247 −39% $112,062 −57% —
272 Other Major Cardiovascular Procedures Without Cc/Mcc $48,270 $54,107 −11% $55,162 −12% —
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $47,836 $78,460 −39% $96,192 −50% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $47,407 $230,527 −79% $245,189 −81% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $47,195 $41,021 +15% $32,839 +44% —
405 Pancreas, Liver And Shunt Procedures With Mcc $47,039 $73,455 −36% $95,375 −51% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $46,921 $59,237 −21% $83,441 −44% —
834 Acute Leukemia With Mcc $46,837 $74,709 −37% $76,004 −38% —
270 Other Major Cardiovascular Procedures With Mcc $45,598 $105,340 −57% $99,423 −54% —
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $45,519 $58,221 −22% $47,546 −4% —
655 Major Bladder Procedures Without Cc/Mcc $45,373 $37,764 +20% $41,701 +9% —
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $45,000 $175,396 −74% $86,953 −48% —
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $44,969 $37,784 +19% $37,839 +19% —
642 Inborn And Other Disorders Of Metabolism $44,855 $40,345 +11% $20,727 +116% —
080 Nontraumatic Stupor And Coma With Mcc $44,431 $44,679 −1% $35,139 +26% —
273 Percutaneous And Other Intracardiac Procedures With Mcc $43,102 $53,945 −20% $78,852 −45% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $42,819 $226,137 −81% $137,160 −69% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $42,784 $52,027 −18% $44,989 −5% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $42,680 $42,680 +0% $33,424 +28% —
471 Cervical Spinal Fusion With Mcc $41,977 $66,842 −37% $92,515 −55% —
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $41,694 $64,248 −35% $92,217 −55% —
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $41,427 $47,944 −14% $36,097 +15% —
167 Other Respiratory System O.R. Procedures With Cc $40,743 $43,017 −5% $40,563 +0% —
329 Major Small And Large Bowel Procedures With Mcc $40,447 $149,263 −73% $88,050 −54% —
674 Other Kidney And Urinary Tract Procedures With Cc $40,151 $59,086 −32% $49,631 −19% —
571 Skin Debridement With Cc $39,900 $37,792 +6% $34,773 +15% —
356 Other Digestive System O.R. Procedures With Mcc $38,912 $138,656 −72% $82,561 −53% —
252 Other Vascular Procedures With Mcc $38,573 $48,030 −20% $68,508 −44% —
028 Spinal Procedures With Mcc $37,978 $82,145 −54% $95,858 −60% —
814 Reticuloendothelial And Immunity Disorders With Mcc $37,963 $43,520 −13% $32,506 +17% —
505 Foot Procedures Without Cc/Mcc $37,596 $26,653 +41% $31,716 +19% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $37,584 $133,390 −72% $73,029 −49% —
673 Other Kidney And Urinary Tract Procedures With Mcc $37,471 $57,570 −35% $72,879 −49% —
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $36,806 $45,806 −20% $29,521 +25% —
331 Major Small And Large Bowel Procedures Without Cc/Mcc $36,761 $51,792 −29% $44,087 −17% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $36,404 $132,154 −72% $87,495 −58% —
326 Stomach, Esophageal And Duodenal Procedures With Mcc $36,105 $118,231 −69% $80,747 −55% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $35,669 $63,316 −44% $44,927 −21% —
904 Skin Grafts For Injuries With Cc/Mcc $35,282 $53,307 −34% $55,002 −36% —
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $35,271 $56,535 −38% $66,853 −47% —
034 Carotid Artery Stent Procedures With Mcc $34,977 $53,665 −35% $72,908 −52% —
791 Prematurity With Major Problems $34,685 $34,685 +0% $39,254 −12% —
368 Major Esophageal Disorders With Mcc $34,595 $43,894 −21% $33,339 +4% —
501 Soft Tissue Procedures With Cc $34,246 $57,633 −41% $37,975 −10% —
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $34,037 $33,151 +3% $16,431 +107% —
357 Other Digestive System O.R. Procedures With Cc $34,037 $48,444 −30% $48,682 −30% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $34,013 $52,536 −35% $74,755 −55% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $33,995 $32,502 +5% $23,646 +44% —
166 Other Respiratory System O.R. Procedures With Mcc $33,974 $98,765 −66% $72,274 −53% —
453 Combined Anterior And Posterior Spinal Fusion With Mcc $33,782 $103,861 −67% $103,861 −67% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc $33,782 $61,694 −45% $54,320 −38% —
909 Other O.R. Procedures For Injuries Without Cc/Mcc $33,772 $39,906 −15% $28,156 +20% —
114 Orbital Procedures Without Cc/Mcc $33,368 $25,952 +29% $19,598 +70% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $32,689 $48,637 −33% $59,207 −45% —
271 Other Major Cardiovascular Procedures With Cc $32,655 $73,695 −56% $71,014 −54% —
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $32,567 $43,248 −25% $47,574 −32% —
140 Major Head And Neck Procedures With Mcc $32,223 $59,066 −45% $60,098 −46% —
385 Inflammatory Bowel Disease With Mcc $32,143 $24,282 +32% $25,998 +24% —
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $32,119 $60,017 −46% $64,488 −50% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $32,018 $49,708 −36% $36,355 −12% —
907 Other O.R. Procedures For Injuries With Mcc $31,977 $69,779 −54% $71,519 −55% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $31,822 $31,822 +0% $26,998 +18% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $31,677 $21,022 +51% $29,029 +9% —
420 Hepatobiliary Diagnostic Procedures With Mcc $31,483 $49,003 −36% $50,919 −38% —
380 Complicated Peptic Ulcer With Mcc $31,112 $43,397 −28% $36,537 −15% —
201 Pneumothorax Without Cc/Mcc $31,014 $22,004 +41% $13,081 +137% —
789 Neonates, Died Or Transferred To Another Acute Care Facility $30,798 $17,621 +75% $14,121 +118% —
264 Other Circulatory System O.R. Procedures $30,663 $48,557 −37% $51,953 −41% —
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $30,320 $70,613 −57% $67,215 −55% —
467 Revision Of Hip Or Knee Replacement With Cc $30,112 $47,649 −37% $68,421 −56% ≈415% of Medicare
840 Lymphoma And Non-Acute Leukemia With Mcc $29,964 $58,561 −49% $49,710 −40% —
546 Connective Tissue Disorders With Cc $29,935 $32,249 −7% $24,146 +24% —
500 Soft Tissue Procedures With Mcc $29,515 $44,320 −33% $57,181 −48% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $29,491 $89,353 −67% $89,353 −67% —
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $29,470 $58,702 −50% $61,353 −52% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $29,338 $32,141 −9% $31,909 −8% —
178 Respiratory Infections And Inflammations With Cc $28,890 $32,081 −10% $22,024 +31% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $28,553 $38,751 −26% $46,659 −39% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $28,377 $92,740 −69% $66,819 −58% —
914 Traumatic Injury Without Mcc $28,341 $21,714 +31% $15,586 +82% —
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $28,171 $51,569 −45% $39,675 −29% —
534 Fractures Of Femur Without Mcc $28,067 $26,458 +6% $17,194 +63% —
570 Skin Debridement With Mcc $27,971 $53,191 −47% $51,501 −46% —
668 Transurethral Procedures With Mcc $27,812 $51,424 −46% $47,126 −41% —
398 Appendix Procedures With Cc $27,799 $49,193 −43% $38,574 −28% —
406 Pancreas, Liver And Shunt Procedures With Cc $27,670 $39,644 −30% $58,043 −52% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $27,538 $48,636 −43% $53,817 −49% —
348 Anal And Stomal Procedures With Cc $27,365 $29,376 −7% $27,947 −2% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $27,314 $31,221 −13% $43,252 −37% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $26,576 $35,273 −25% $30,930 −14% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $26,532 $30,041 −12% $32,901 −19% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $26,521 $68,604 −61% $52,405 −49% —
369 Major Esophageal Disorders With Cc $26,364 $33,079 −20% $22,590 +17% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $26,310 $92,538 −72% $74,274 −65% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $26,264 $94,746 −72% $66,765 −61% —
480 Hip And Femur Procedures Except Major Joint With Mcc $25,784 $95,604 −73% $63,984 −60% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $25,768 $50,793 −49% $40,801 −37% —
163 Major Chest Procedures With Mcc $25,503 $142,222 −82% $88,341 −71% —
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $25,343 $36,339 −30% $38,878 −35% —
253 Other Vascular Procedures With Cc $25,033 $69,497 −64% $53,746 −53% —
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $24,998 $43,335 −42% $31,978 −22% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $24,918 $87,874 −72% $57,030 −56% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $24,819 $46,399 −47% $52,332 −53% —
052 Spinal Disorders And Injuries With Cc/Mcc $24,661 $32,258 −24% $30,940 −20% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $24,375 $46,335 −47% $45,271 −46% —
277 Cardiac Defibrillator Implant Without Mcc $24,355 $77,461 −69% $91,329 −73% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $24,260 $31,349 −23% $37,681 −36% —
055 Nervous System Neoplasms Without Mcc $24,079 $18,873 +28% $19,868 +21% —
399 Appendix Procedures Without Cc/Mcc $24,032 $36,541 −34% $30,259 −21% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $23,984 $43,330 −45% $62,266 −61% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $23,873 $76,642 −69% $54,681 −56% —
397 Appendix Procedures With Mcc $23,854 $49,342 −52% $52,319 −54% —
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $23,797 $64,932 −63% $51,950 −54% —
835 Acute Leukemia With Cc $23,550 $31,659 −26% $35,569 −34% —
113 Orbital Procedures With Cc/Mcc $23,524 $32,482 −28% $35,642 −34% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $23,459 $44,354 −47% $31,816 −26% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $23,083 $90,791 −75% $75,103 −69% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $22,956 $51,780 −56% $44,553 −48% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $22,445 $61,278 −63% $36,195 −38% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $22,428 $76,015 −70% $50,139 −55% —
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $22,349 $31,025 −28% $36,850 −39% —
614 Adrenal And Pituitary Procedures With Cc/Mcc $22,332 $32,773 −32% $43,313 −48% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $22,323 $73,345 −70% $56,394 −60% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $22,305 $21,228 +5% $24,561 −9% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $22,253 $60,574 −63% $51,339 −57% —
082 Traumatic Stupor And Coma >1 Hour With Mcc $22,031 $33,308 −34% $36,237 −39% —
374 Digestive Malignancy With Mcc $21,923 $41,900 −48% $38,885 −44% —
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $21,866 $45,049 −51% $39,923 −45% —
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $21,763 $32,969 −34% $37,080 −41% —
243 Permanent Cardiac Pacemaker Implant With Cc $21,546 $73,229 −71% $50,011 −57% —
314 Other Circulatory System Diagnoses With Mcc $21,520 $43,019 −50% $38,166 −44% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $21,466 $39,148 −45% $45,594 −53% —
035 Carotid Artery Stent Procedures With Cc $21,451 $32,719 −34% $46,306 −54% —
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $21,344 $29,131 −27% $43,320 −51% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $21,301 $48,230 −56% $34,089 −38% —
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $21,214 $31,343 −32% $22,557 −6% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $21,169 $26,492 −20% $30,661 −31% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $21,064 $70,888 −70% $54,313 −61% —
963 Other Multiple Significant Trauma With Mcc $21,041 $38,454 −45% $43,491 −52% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $20,751 $49,536 −58% $41,114 −50% —
919 Complications Of Treatment With Mcc $20,460 $47,893 −57% $29,031 −30% —
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $20,343 $39,682 −49% $29,598 −31% —
165 Major Chest Procedures Without Cc/Mcc $20,241 $43,221 −53% $41,380 −51% —
336 Peritoneal Adhesiolysis With Cc $20,216 $68,668 −71% $49,071 −59% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $20,104 $25,133 −20% $28,578 −30% —
259 Cardiac Pacemaker Device Replacement Without Mcc $20,062 $46,747 −57% $35,673 −44% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $20,057 $61,679 −67% $42,126 −52% —
228 Other Cardiothoracic Procedures With Mcc $20,000 $67,791 −70% $96,905 −79% —
902 Wound Debridements For Injuries With Cc $19,915 $27,823 −28% $35,029 −43% —
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $19,856 $28,324 −30% $26,146 −24% —
383 Uncomplicated Peptic Ulcer With Mcc $19,808 $35,114 −44% $26,616 −26% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $19,808 $36,655 −46% $24,017 −18% —
196 Interstitial Lung Disease With Mcc $19,685 $43,199 −54% $30,362 −35% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $19,672 $61,539 −68% $36,241 −46% —
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $19,654 $42,406 −54% $37,950 −48% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $19,633 $59,378 −67% $40,552 −52% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $19,609 $31,408 −38% $21,449 −9% —
657 Kidney And Ureter Procedures For Neoplasm With Cc $19,601 $33,998 −42% $40,583 −52% —
481 Hip And Femur Procedures Except Major Joint With Cc $19,591 $66,292 −70% $50,998 −62% —
643 Endocrine Disorders With Mcc $19,520 $44,725 −56% $32,953 −41% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $19,469 $53,913 −64% $42,119 −54% —
444 Disorders Of The Biliary Tract With Mcc $19,311 $40,821 −53% $31,029 −38% —
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $19,264 $62,477 −69% $35,714 −46% —
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $19,168 $29,160 −34% $31,627 −39% —
180 Respiratory Neoplasms With Mcc $19,114 $58,269 −67% $36,658 −48% —
199 Pneumothorax With Mcc $19,110 $56,291 −66% $31,085 −39% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $19,067 $21,306 −11% $23,646 −19% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $18,865 $29,558 −36% $29,558 −36% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $18,854 $55,994 −66% $42,881 −56% —
157 Dental And Oral Diseases With Mcc $18,743 $42,077 −55% $27,457 −32% —
205 Other Respiratory System Diagnoses With Mcc $18,724 $35,004 −47% $31,743 −41% —
432 Cirrhosis And Alcoholic Hepatitis With Mcc $18,719 $48,152 −61% $36,880 −49% —
375 Digestive Malignancy With Cc $18,543 $33,697 −45% $27,125 −32% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $18,484 $55,298 −67% $43,266 −57% —
036 Carotid Artery Stent Procedures Without Cc/Mcc $18,112 $31,143 −42% $40,694 −55% —
841 Lymphoma And Non-Acute Leukemia With Cc $18,100 $43,611 −58% $30,224 −40% —
438 Disorders Of Pancreas Except Malignancy With Mcc $18,091 $39,072 −54% $32,417 −44% —
068 Precerebral Occlusion Without Infarction Without Mcc $17,838 $21,624 −18% $19,569 −9% —
815 Reticuloendothelial And Immunity Disorders With Cc $17,585 $23,388 −25% $18,005 −2% —
177 Respiratory Infections And Inflammations With Mcc $17,582 $47,454 −63% $31,754 −45% ≈245% of Medicare
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $17,500 $48,888 −64% $35,528 −51% —
254 Other Vascular Procedures Without Cc/Mcc $17,481 $51,021 −66% $38,836 −55% —
708 Major Male Pelvic Procedures Without Cc/Mcc $17,377 $48,189 −64% $32,911 −47% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $17,347 $19,845 −13% $22,231 −22% —
727 Inflammation Of The Male Reproductive System With Mcc $17,327 $22,265 −22% $25,786 −33% —
813 Coagulation Disorders $17,300 $44,051 −61% $30,128 −43% —
964 Other Multiple Significant Trauma With Cc $17,012 $46,575 −63% $25,854 −34% —
183 Major Chest Trauma With Mcc $17,002 $37,213 −54% $28,924 −41% —
054 Nervous System Neoplasms With Mcc $16,945 $46,151 −63% $29,049 −42% —
388 Gastrointestinal Obstruction With Mcc $16,934 $34,816 −51% $28,403 −40% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $16,926 $33,413 −49% $38,094 −56% —
862 Postoperative And Post-Traumatic Infections With Mcc $16,800 $30,298 −45% $29,867 −44% —
280 Acute Myocardial Infarction, Discharged Alive With Mcc $16,667 $49,043 −66% $28,802 −42% ≈272% of Medicare
637 Diabetes With Mcc $16,627 $39,978 −58% $28,772 −42% —
164 Major Chest Procedures With Cc $16,608 $58,838 −72% $53,141 −69% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $16,543 $44,483 −63% $29,011 −43% —
602 Cellulitis With Mcc $16,516 $41,052 −60% $29,347 −44% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $16,355 $58,326 −72% $34,876 −53% ≈251% of Medicare
138 Mouth Procedures Without Cc/Mcc $16,145 $26,445 −39% $17,383 −7% —
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $16,119 $27,713 −42% $33,415 −52% —
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $16,100 $42,832 −62% $34,564 −53% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $15,987 $40,079 −60% $35,375 −55% —
142 Major Head And Neck Procedures Without Cc/Mcc $15,804 $23,602 −33% $34,906 −55% —
086 Traumatic Stupor And Coma <1 Hour With Cc $15,622 $36,697 −57% $23,039 −32% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $15,443 $19,686 −22% $22,226 −31% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $15,321 $16,636 −8% $13,822 +11% —
291 Heart Failure And Shock With Mcc $15,161 $32,698 −54% $24,932 −39% ≈294% of Medicare
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $15,157 $37,079 −59% $27,369 −45% —
607 Minor Skin Disorders Without Mcc $15,098 $14,410 +5% $15,276 −1% —
307 Cardiac Congenital And Valvular Disorders Without Mcc $15,008 $25,975 −42% $18,323 −18% —
083 Traumatic Stupor And Coma >1 Hour With Cc $14,775 $31,933 −54% $24,118 −39% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $14,756 $55,658 −73% $45,916 −68% —
121 Acute Major Eye Infections With Cc/Mcc $14,572 $37,809 −61% $18,291 −20% —
549 Septic Arthritis With Cc $14,560 $27,124 −46% $20,808 −30% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $14,419 $61,292 −76% $48,801 −70% —
152 Otitis Media And Uri With Mcc $14,396 $36,209 −60% $19,657 −27% —
999 Ungroupable $14,387 $62,821 −77% $28,387 −49% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $14,305 $33,833 −58% $24,244 −41% ≈255% of Medicare
535 Fractures Of Hip And Pelvis With Mcc $14,155 $39,831 −64% $22,874 −38% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $13,974 $22,625 −38% $21,025 −34% —
558 Tendonitis, Myositis And Bursitis Without Mcc $13,849 $22,948 −40% $17,296 −20% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $13,814 $32,129 −57% $23,749 −42% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $13,791 $24,781 −44% $17,851 −23% —
445 Disorders Of The Biliary Tract With Cc $13,673 $34,380 −60% $21,666 −37% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $13,630 $39,491 −65% $22,010 −38% —
181 Respiratory Neoplasms With Cc $13,558 $20,728 −35% $22,065 −39% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $13,551 $35,420 −62% $31,190 −57% —
330 Major Small And Large Bowel Procedures With Cc $13,359 $76,837 −83% $58,713 −77% —
206 Other Respiratory System Diagnoses Without Mcc $13,160 $20,900 −37% $17,731 −26% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $13,059 $30,937 −58% $18,316 −29% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $12,922 $33,372 −61% $24,008 −46% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $12,712 $20,543 −38% $16,622 −24% —
783 Cesarean Section With Sterilization With Mcc $12,633 $38,356 −67% $28,375 −55% —
785 Cesarean Section With Sterilization Without Cc/Mcc $12,633 $27,571 −54% $19,815 −36% —
038 Extracranial Procedures With Cc $12,518 $52,372 −76% $35,770 −65% —
864 Fever And Inflammatory Conditions $12,505 $14,849 −16% $17,412 −28% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $12,501 $49,397 −75% $44,600 −72% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $12,468 $18,461 −32% $15,923 −22% —
439 Disorders Of Pancreas Except Malignancy With Cc $12,392 $27,856 −56% $19,096 −35% —
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $12,380 $23,796 −48% $15,818 −22% —
312 Syncope And Collapse $12,373 $28,324 −56% $19,342 −36% —
384 Uncomplicated Peptic Ulcer Without Mcc $12,286 $26,184 −53% $19,305 −36% —
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $12,264 $18,133 −32% $18,133 −32% —
071 Other Cerebrovascular Disorders With Cc $12,263 $34,256 −64% $23,396 −48% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $12,165 $26,192 −54% $18,288 −33% —
158 Dental And Oral Diseases With Cc $11,963 $30,573 −61% $17,751 −33% —
694 Urinary Stones Without Mcc $11,934 $22,050 −46% $16,451 −27% —
176 Pulmonary Embolism Without Mcc $11,889 $26,477 −55% $17,693 −33% —
394 Other Digestive System Diagnoses With Cc $11,857 $28,002 −58% $18,815 −37% —
863 Postoperative And Post-Traumatic Infections Without Mcc $11,842 $32,504 −64% $20,007 −41% —
603 Cellulitis Without Mcc $11,751 $26,407 −56% $18,359 −36% —
185 Major Chest Trauma Without Cc/Mcc $11,742 $21,977 −47% $15,858 −26% —
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $11,718 $17,778 −34% $13,485 −13% —
150 Epistaxis With Mcc $11,707 $21,133 −45% $21,133 −45% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $11,625 $33,060 −65% $22,610 −49% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $11,607 $22,563 −49% $13,303 −13% —
552 Medical Back Problems Without Mcc $11,549 $31,330 −63% $20,632 −44% —
031 Ventricular Shunt Procedures With Mcc $11,462 $57,584 −80% $68,590 −83% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $11,257 $19,287 −42% $19,287 −42% —
377 Gastrointestinal Hemorrhage With Mcc $11,194 $58,617 −81% $37,842 −70% —
123 Neurological Eye Disorders $11,186 $24,612 −55% $17,831 −37% —
159 Dental And Oral Diseases Without Cc/Mcc $11,144 $19,875 −44% $13,362 −17% —
303 Atherosclerosis Without Mcc $11,100 $22,255 −50% $14,927 −26% —
683 Renal Failure With Cc $11,007 $26,850 −59% $18,322 −40% ≈306% of Medicare
191 Chronic Obstructive Pulmonary Disease With Cc $10,770 $27,927 −61% $18,104 −41% —
866 Viral Illness Without Mcc $10,742 $24,453 −56% $16,348 −34% —
812 Red Blood Cell Disorders Without Mcc $10,725 $29,514 −64% $20,408 −47% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $10,671 $53,102 −80% $33,236 −68% —
918 Poisoning And Toxic Effects Of Drugs Without Mcc $10,571 $15,418 −31% $15,045 −30% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $10,554 $24,482 −57% $18,243 −42% —
313 Chest Pain $10,496 $20,378 −48% $15,837 −34% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $10,433 $35,255 −70% $20,837 −50% —
916 Allergic Reactions Without Mcc $10,331 $14,486 −29% $13,890 −26% —
202 Bronchitis And Asthma With Cc/Mcc $10,289 $19,597 −47% $17,183 −40% —
387 Inflammatory Bowel Disease Without Cc/Mcc $10,239 $15,323 −33% $14,880 −31% —
690 Kidney And Urinary Tract Infections Without Mcc $9,942 $23,926 −58% $17,379 −43% —
304 Hypertension With Mcc $9,828 $33,511 −71% $23,945 −59% —
645 Endocrine Disorders Without Cc/Mcc $9,816 $17,277 −43% $14,166 −31% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $9,782 $45,698 −79% $33,137 −70% —
950 Aftercare Without Cc/Mcc $9,485 $11,329 −16% $13,527 −30% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $9,483 $22,375 −58% $19,483 −51% —
116 Intraocular Procedures With Cc/Mcc $9,402 $21,347 −56% $28,103 −67% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $9,338 $13,068 −29% $12,205 −23% —
306 Cardiac Congenital And Valvular Disorders With Mcc $9,256 $26,161 −65% $24,450 −62% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $9,077 $83,214 −89% $63,310 −86% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $8,978 $24,033 −63% $16,645 −46% —
921 Complications Of Treatment Without Cc/Mcc $8,958 $22,352 −60% $14,012 −36% —
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $8,802 $39,204 −78% $26,098 −66% —
536 Fractures Of Hip And Pelvis Without Mcc $8,681 $26,360 −67% $17,754 −51% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $8,624 $33,283 −74% $22,623 −62% —
390 Gastrointestinal Obstruction Without Cc/Mcc $8,435 $17,785 −53% $13,318 −37% —
917 Poisoning And Toxic Effects Of Drugs With Mcc $8,418 $35,486 −76% $28,001 −70% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $8,249 $38,140 −78% $27,041 −69% —
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $8,198 $32,046 −74% $22,850 −64% —
315 Other Circulatory System Diagnoses With Cc $8,032 $31,282 −74% $20,716 −61% —
281 Acute Myocardial Infarction, Discharged Alive With Cc $8,015 $30,579 −74% $20,463 −61% —
386 Inflammatory Bowel Disease With Cc $7,861 $29,842 −74% $20,917 −62% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $7,756 $19,537 −60% $12,895 −40% —
689 Kidney And Urinary Tract Infections With Mcc $7,695 $29,922 −74% $22,870 −66% —
596 Major Skin Disorders Without Mcc $7,668 $17,226 −55% $17,226 −55% —
784 Cesarean Section With Sterilization With Cc $7,650 $35,205 −78% $22,587 −66% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $7,650 $35,388 −78% $26,158 −71% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $7,600 $16,444 −54% $16,104 −53% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $7,519 $28,547 −74% $19,001 −60% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $7,435 $18,188 −59% $13,384 −44% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $7,425 $36,333 −80% $51,985 −86% —
935 Non-Extensive Burns $7,267 $31,701 −77% $29,458 −75% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $7,253 $22,506 −68% $17,006 −57% —
189 Pulmonary Edema And Respiratory Failure $7,161 $40,228 −82% $24,603 −71% ≈260% of Medicare
067 Precerebral Occlusion Without Infarction With Mcc $7,100 $34,298 −79% $24,874 −71% —
305 Hypertension Without Mcc $7,100 $24,403 −71% $16,897 −58% —
378 Gastrointestinal Hemorrhage With Cc $7,100 $32,061 −78% $21,886 −68% —
393 Other Digestive System Diagnoses With Mcc $7,100 $44,413 −84% $32,689 −78% —
551 Medical Back Problems With Mcc $7,100 $42,807 −83% $31,067 −77% —
292 Heart Failure And Shock With Cc $7,049 $23,340 −70% $15,878 −56% —
029 Spinal Procedures With Cc Or Spinal Neurostimulators $7,037 $59,774 −88% $62,790 −89% —
125 Other Disorders Of The Eye Without Mcc $6,970 $15,300 −54% $15,876 −56% —
811 Red Blood Cell Disorders With Mcc $6,963 $39,626 −82% $27,674 −75% —
787 Cesarean Section Without Sterilization With Cc $6,885 $34,116 −80% $23,571 −71% —
100 Seizures With Mcc $6,861 $28,961 −76% $35,194 −81% —
103 Headaches Without Mcc $6,829 $27,638 −75% $20,076 −66% —
947 Signs And Symptoms With Mcc $6,674 $32,843 −80% $25,474 −74% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $6,626 $11,421 −42% $11,421 −42% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $6,556 $41,744 −84% $43,775 −85% —
698 Other Kidney And Urinary Tract Diagnoses With Mcc $6,474 $30,058 −78% $29,929 −78% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $6,467 $34,027 −81% $30,275 −79% —
885 Psychoses $6,291 $22,469 −72% $21,489 −71% —
204 Respiratory Signs And Symptoms $6,276 $22,897 −73% $16,804 −63% —
682 Renal Failure With Mcc $5,916 $38,760 −85% $27,640 −79% ≈265% of Medicare
502 Soft Tissue Procedures Without Cc/Mcc $5,845 $39,954 −85% $29,777 −80% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $5,845 $21,239 −72% $16,718 −65% —
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $5,845 $17,388 −66% $14,210 −59% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $5,845 $31,044 −81% $31,044 −81% —
951 Other Factors Influencing Health Status $5,845 $5,751 +2% $9,385 −38% —
091 Other Disorders Of Nervous System With Mcc $5,760 $35,990 −84% $35,990 −84% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $5,734 $58,809 −90% $54,772 −90% —
193 Simple Pneumonia And Pleurisy With Mcc $5,728 $35,026 −84% $25,766 −78% ≈259% of Medicare
699 Other Kidney And Urinary Tract Diagnoses With Cc $5,728 $33,151 −83% $20,732 −72% —
920 Complications Of Treatment With Cc $5,618 $33,021 −83% $20,879 −73% —
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $5,605 $20,246 −72% $13,747 −59% —
382 Complicated Peptic Ulcer Without Cc/Mcc $5,592 $24,358 −77% $16,634 −66% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $5,537 $24,106 −77% $24,277 −77% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $5,484 $32,980 −83% $25,243 −78% —
069 Transient Ischemia Without Thrombolytic $5,407 $26,012 −79% $20,253 −73% —
948 Signs And Symptoms Without Mcc $5,366 $25,630 −79% $17,719 −70% —
460 Spinal Fusion Except Cervical Without Mcc $5,328 $83,613 −94% $50,815 −90% —
203 Bronchitis And Asthma Without Cc/Mcc $4,796 $15,167 −68% $12,275 −61% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $4,773 $52,248 −91% $29,409 −84% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $4,419 $17,159 −74% $17,719 −75% —
153 Otitis Media And Uri Without Mcc $4,418 $21,412 −79% $14,251 −69% —
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $4,307 $10,795 −60% $9,063 −52% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $4,153 $27,641 −85% $20,076 −79% —
949 Aftercare With Cc/Mcc $4,096 $35,072 −88% $23,953 −83% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $4,014 $29,643 −86% $18,150 −78% —
779 Abortion Without D&C $3,958 $17,738 −78% $15,327 −74% —
638 Diabetes With Cc $3,795 $27,005 −86% $18,763 −80% —
056 Degenerative Nervous System Disorders With Mcc $3,558 $35,694 −90% $39,409 −91% —
554 Bone Diseases And Arthropathies Without Mcc $3,339 $27,131 −88% $17,579 −81% —
908 Other O.R. Procedures For Injuries With Cc $3,234 $43,181 −93% $41,660 −92% —
639 Diabetes Without Cc/Mcc $3,183 $19,891 −84% $13,910 −77% —
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $3,019 $38,050 −92% $34,886 −91% —
793 Full Term Neonate With Major Problems $2,985 $26,990 −89% $16,708 −82% —
792 Prematurity Without Major Problems $2,890 $9,520 −70% $11,633 −75% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $2,853 $33,422 −91% $23,400 −88% —
389 Gastrointestinal Obstruction With Cc $2,587 $26,061 −90% $17,345 −85% —
788 Cesarean Section Without Sterilization Without Cc/Mcc $2,494 $29,419 −92% $20,084 −88% —
446 Disorders Of The Biliary Tract Without Cc/Mcc $2,407 $25,622 −91% $17,700 −86% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $2,025 $15,636 −87% $15,636 −87% —
141 Major Head And Neck Procedures With Cc $1,999 $47,416 −96% $34,900 −94% —
184 Major Chest Trauma With Cc $1,830 $22,961 −92% $20,842 −91% —
300 Peripheral Vascular Disorders With Cc $1,681 $21,345 −92% $19,448 −91% —
102 Headaches With Mcc $1,569 $25,386 −94% $21,983 −93% —
190 Chronic Obstructive Pulmonary Disease With Mcc $1,496 $36,515 −96% $24,103 −94% —
794 Neonate With Other Significant Problems $1,412 $8,330 −83% $7,896 −82% —
712 Testes Procedures Without Cc/Mcc $1,325 $17,076 −92% $18,898 −93% —
194 Simple Pneumonia And Pleurisy With Cc $1,255 $26,656 −95% $18,204 −93% —

Procedures with negotiated rates only

These 350 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
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $105,968 – $210,844 · median $166,599 22 plans
005 Liver Transplant With Mcc Or Intestinal Transplant $96,935 – $192,871 · median $152,398 22 plans
006 Liver Transplant Without Mcc $46,757 – $93,031 · median $73,509 22 plans
008 Simultaneous Pancreas And Kidney Transplant $55,314 – $110,059 · median $86,963 22 plans
010 Pancreas Transplant $69,210 – $137,706 · median $108,809 22 plans
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $31,233 – $62,144 · median $49,103 22 plans
014 Allogeneic Bone Marrow Transplant $112,036 – $222,918 · median $176,140 22 plans
016 Autologous Bone Marrow Transplant With Cc/Mcc $58,190 – $115,780 · median $91,484 22 plans
017 Autologous Bone Marrow Transplant Without Cc/Mcc $53,791 – $107,026 · median $84,568 22 plans
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $387,672 – $771,347 · median $609,484 22 plans
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $68,846 – $136,983 · median $108,238 22 plans
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $52,566 – $104,589 · median $82,642 22 plans
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $33,847 – $67,345 · median $53,213 22 plans
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $45,958 – $91,442 · median $72,253 22 plans
032 Ventricular Shunt Procedures With Cc $24,592 – $48,931 · median $38,663 22 plans
033 Ventricular Shunt Procedures Without Cc/Mcc $20,452 – $40,694 · median $32,154 22 plans
037 Extracranial Procedures With Mcc $34,862 – $69,364 · median $54,808 22 plans
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $39,895 – $79,379 · median $62,722 22 plans
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $21,025 – $41,834 · median $33,055 22 plans
053 Spinal Disorders And Injuries Without Cc/Mcc $14,405 – $28,662 · median $22,648 22 plans
057 Degenerative Nervous System Disorders Without Mcc $17,204 – $34,230 · median $27,047 22 plans
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $20,864 – $41,514 · median $32,802 22 plans
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $13,880 – $27,617 · median $21,822 22 plans
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $21,286 – $42,353 · median $33,466 22 plans
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $18,161 – $36,134 · median $28,552 22 plans
070 Other Cerebrovascular Disorders With Mcc $20,469 – $40,727 · median $32,181 22 plans
072 Other Cerebrovascular Disorders Without Cc/Mcc $12,433 – $24,738 · median $19,547 22 plans
074 Cranial And Peripheral Nerve Disorders Without Mcc $14,862 – $29,570 · median $23,365 22 plans
075 Viral Meningitis With Cc/Mcc $22,704 – $45,174 · median $35,695 22 plans
076 Viral Meningitis Without Cc/Mcc $13,043 – $25,952 · median $20,506 22 plans
081 Nontraumatic Stupor And Coma Without Mcc $13,666 – $27,191 · median $21,485 22 plans
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $14,198 – $28,251 · median $22,322 22 plans
085 Traumatic Stupor And Coma <1 Hour With Mcc $25,839 – $51,411 · median $40,623 22 plans
088 Concussion With Mcc $17,701 – $35,219 · median $27,829 22 plans
089 Concussion With Cc $15,461 – $30,763 · median $24,308 22 plans
090 Concussion Without Cc/Mcc $13,026 – $25,917 · median $20,479 22 plans
092 Other Disorders Of Nervous System With Cc $14,793 – $29,433 · median $23,257 22 plans
093 Other Disorders Of Nervous System Without Cc/Mcc $12,788 – $25,444 · median $20,104 22 plans
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $36,872 – $73,364 · median $57,969 22 plans
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $28,556 – $56,819 · median $44,895 22 plans
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $28,556 – $56,819 · median $44,895 22 plans
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $37,689 – $74,990 · median $59,254 22 plans
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $17,795 – $35,406 · median $27,976 22 plans
101 Seizures Without Mcc $13,728 – $27,314 · median $21,583 22 plans
115 Extraocular Procedures Except Orbit $19,320 – $38,441 · median $30,375 22 plans
117 Intraocular Procedures Without Cc/Mcc $15,340 – $30,522 · median $24,117 22 plans
122 Acute Major Eye Infections Without Cc/Mcc $12,695 – $25,259 · median $19,958 22 plans
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $17,447 – $34,714 · median $27,430 22 plans
135 Sinus And Mastoid Procedures With Cc/Mcc $24,937 – $49,618 · median $39,206 22 plans
136 Sinus And Mastoid Procedures Without Cc/Mcc $14,725 – $29,298 · median $23,150 22 plans
137 Mouth Procedures With Cc/Mcc $18,951 – $37,707 · median $29,795 22 plans
139 Salivary Gland Procedures $16,674 – $33,176 · median $26,214 22 plans
147 Ear, Nose, Mouth And Throat Malignancy With Cc $16,991 – $33,806 · median $26,712 22 plans
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $12,795 – $25,458 · median $20,116 22 plans
149 Dysequilibrium $12,392 – $24,657 · median $19,483 22 plans
151 Epistaxis Without Mcc $12,237 – $24,347 · median $19,238 22 plans
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $19,573 – $38,945 · median $30,772 22 plans
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $11,857 – $23,592 · median $18,642 22 plans
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $17,830 – $35,476 · median $28,032 22 plans
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $32,069 – $63,808 · median $50,419 22 plans
179 Respiratory Infections And Inflammations Without Cc/Mcc $12,422 – $24,717 · median $19,530 22 plans
182 Respiratory Neoplasms Without Cc/Mcc $12,412 – $24,696 · median $19,514 22 plans
187 Pleural Effusion With Cc $14,493 – $28,837 · median $22,785 22 plans
188 Pleural Effusion Without Cc/Mcc $12,088 – $24,052 · median $19,005 22 plans
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $11,423 – $22,728 · median $17,959 22 plans
197 Interstitial Lung Disease With Cc $14,139 – $28,133 · median $22,229 22 plans
198 Interstitial Lung Disease Without Cc/Mcc $12,079 – $24,034 · median $18,991 22 plans
200 Pneumothorax With Cc $15,468 – $30,776 · median $24,318 22 plans
209 Complex Aortic Arch Procedures $105,853 – $210,615 · median $166,419 22 plans
213 Endovascular Abdominal Aorta With Iliac Branch Procedures $56,219 – $111,859 · median $88,386 22 plans
215 Other Heart Assist System Implant $93,809 – $186,651 · median $147,483 22 plans
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $63,900 – $127,141 · median $100,461 22 plans
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $63,900 – $127,141 · median $100,461 22 plans
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $73,655 – $146,551 · median $115,798 22 plans
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $52,910 – $105,275 · median $83,184 22 plans
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $50,323 – $100,126 · median $79,115 22 plans
232 Coronary Bypass With Ptca Without Mcc $59,365 – $118,118 · median $93,332 22 plans
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $54,059 – $107,561 · median $84,990 22 plans
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $49,275 – $98,041 · median $77,468 22 plans
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $30,956 – $61,593 · median $48,668 22 plans
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $17,989 – $35,793 · median $28,282 22 plans
242 Permanent Cardiac Pacemaker Implant With Mcc $33,983 – $67,616 · median $53,428 22 plans
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $21,731 – $43,238 · median $34,165 22 plans
245 Aicd Generator Procedures $46,097 – $91,718 · median $72,472 22 plans
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $20,762 – $41,310 · median $32,641 22 plans
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $15,405 – $30,651 · median $24,219 22 plans
258 Cardiac Pacemaker Device Replacement With Mcc $33,535 – $66,724 · median $52,723 22 plans
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $20,160 – $40,113 · median $31,696 22 plans
265 Aicd Lead Procedures $37,746 – $75,103 · median $59,343 22 plans
274 Percutaneous And Other Intracardiac Procedures Without Mcc $34,858 – $69,357 · median $54,803 22 plans
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $37,641 – $74,895 · median $59,179 22 plans
283 Acute Myocardial Infarction, Expired With Mcc $23,264 – $46,288 · median $36,575 22 plans
284 Acute Myocardial Infarction, Expired With Cc $11,867 – $23,612 · median $18,657 22 plans
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $11,042 – $21,970 · median $17,360 22 plans
288 Acute And Subacute Endocarditis With Mcc $29,680 – $59,053 · median $46,661 22 plans
289 Acute And Subacute Endocarditis With Cc $20,841 – $41,468 · median $32,766 22 plans
290 Acute And Subacute Endocarditis Without Cc/Mcc $13,968 – $27,791 · median $21,959 22 plans
293 Heart Failure And Shock Without Cc/Mcc $10,751 – $21,391 · median $16,902 22 plans
296 Cardiac Arrest, Unexplained With Mcc $19,559 – $38,916 · median $30,750 22 plans
297 Cardiac Arrest, Unexplained With Cc $11,352 – $22,588 · median $17,848 22 plans
298 Cardiac Arrest, Unexplained Without Cc/Mcc $9,770 – $19,439 · median $15,360 22 plans
299 Peripheral Vascular Disorders With Mcc $20,185 – $40,162 · median $31,735 22 plans
301 Peripheral Vascular Disorders Without Cc/Mcc $12,110 – $24,096 · median $19,039 22 plans
302 Atherosclerosis With Mcc $16,328 – $32,488 · median $25,671 22 plans
311 Angina Pectoris $11,953 – $23,782 · median $18,792 22 plans
316 Other Circulatory System Diagnoses Without Cc/Mcc $11,778 – $23,434 · median $18,517 22 plans
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $64,883 – $129,097 · median $102,007 22 plans
318 Percutaneous Coronary Atherectomy Without Intraluminal Device $27,168 – $54,056 · median $42,712 22 plans
319 Other Endovascular Cardiac Valve Procedures With Mcc $45,217 – $89,967 · median $71,088 22 plans
320 Other Endovascular Cardiac Valve Procedures Without Mcc $27,018 – $53,758 · median $42,477 22 plans
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $34,139 – $67,926 · median $53,672 22 plans
332 Rectal Resection With Mcc $37,768 – $75,147 · median $59,377 22 plans
333 Rectal Resection With Cc $26,460 – $52,648 · median $41,600 22 plans
334 Rectal Resection Without Cc/Mcc $20,231 – $40,254 · median $31,807 22 plans
337 Peritoneal Adhesiolysis Without Cc/Mcc $19,321 – $38,443 · median $30,376 22 plans
344 Minor Small And Large Bowel Procedures With Mcc $28,588 – $56,882 · median $44,946 22 plans
345 Minor Small And Large Bowel Procedures With Cc $19,053 – $37,910 · median $29,955 22 plans
347 Anal And Stomal Procedures With Mcc $26,048 – $51,828 · median $40,952 22 plans
349 Anal And Stomal Procedures Without Cc/Mcc $13,445 – $26,751 · median $21,138 22 plans
350 Inguinal And Femoral Hernia Procedures With Mcc $27,784 – $55,282 · median $43,682 22 plans
351 Inguinal And Femoral Hernia Procedures With Cc $19,228 – $38,258 · median $30,230 22 plans
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $16,073 – $31,981 · median $25,270 22 plans
358 Other Digestive System O.R. Procedures Without Cc/Mcc $18,109 – $36,030 · median $28,470 22 plans
359 Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc $36,157 – $71,942 · median $56,845 22 plans
360 Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc $27,098 – $53,917 · median $42,603 22 plans
370 Major Esophageal Disorders Without Cc/Mcc $11,943 – $23,763 · median $18,777 22 plans
376 Digestive Malignancy Without Cc/Mcc $13,920 – $27,696 · median $21,884 22 plans
379 Gastrointestinal Hemorrhage Without Cc/Mcc $11,320 – $22,524 · median $17,798 22 plans
381 Complicated Peptic Ulcer With Cc $15,328 – $30,498 · median $24,098 22 plans
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $12,640 – $25,150 · median $19,872 22 plans
395 Other Digestive System Diagnoses Without Cc/Mcc $11,485 – $22,852 · median $18,056 22 plans
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $41,304 – $82,182 · median $64,937 22 plans
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $25,002 – $49,746 · median $39,307 22 plans
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $19,787 – $39,370 · median $31,109 22 plans
411 Cholecystectomy With C.D.E. With Mcc $34,961 – $69,561 · median $54,964 22 plans
412 Cholecystectomy With C.D.E. With Cc $24,340 – $48,430 · median $38,267 22 plans
413 Cholecystectomy With C.D.E. Without Cc/Mcc $20,431 – $40,652 · median $32,121 22 plans
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $37,254 – $74,124 · median $58,570 22 plans
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $24,024 – $47,800 · median $37,769 22 plans
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $17,803 – $35,422 · median $27,989 22 plans
421 Hepatobiliary Diagnostic Procedures With Cc $21,112 – $42,007 · median $33,192 22 plans
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $18,123 – $36,059 · median $28,492 22 plans
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $42,476 – $84,514 · median $66,779 22 plans
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $25,096 – $49,933 · median $39,455 22 plans
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $19,014 – $37,832 · median $29,894 22 plans
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $103,221 – $205,378 · median $162,281 22 plans
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $69,589 – $138,461 · median $109,406 22 plans
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $55,468 – $110,365 · median $87,205 22 plans
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $85,430 – $169,979 · median $134,309 22 plans
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $56,752 – $112,918 · median $89,223 22 plans
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $12,047 – $23,969 · median $18,939 22 plans
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $13,292 – $26,447 · median $20,897 22 plans
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $11,241 – $22,366 · median $17,672 22 plans
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $21,618 – $43,013 · median $33,987 22 plans
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $11,933 – $23,744 · median $18,761 22 plans
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $64,840 – $129,011 · median $101,939 22 plans
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $43,252 – $86,059 · median $68,000 22 plans
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $52,882 – $105,219 · median $83,139 22 plans
451 Single Level Spinal Fusion Except Cervical Without Mcc $34,316 – $68,278 · median $53,950 22 plans
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $58,485 – $116,367 · median $91,948 22 plans
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $54,593 – $108,623 · median $85,829 22 plans
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $29,271 – $58,240 · median $46,019 22 plans
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $30,049 – $59,789 · median $47,243 22 plans
472 Cervical Spinal Fusion With Cc $31,801 – $63,275 · median $49,997 22 plans
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $34,287 – $68,220 · median $53,904 22 plans
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $24,240 – $48,229 · median $38,109 22 plans
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $19,597 – $38,992 · median $30,810 22 plans
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $21,390 – $42,559 · median $33,628 22 plans
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $15,622 – $31,084 · median $24,561 22 plans
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $38,218 – $76,042 · median $60,085 22 plans
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $37,812 – $75,235 · median $59,447 22 plans
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $16,432 – $32,694 · median $25,833 22 plans
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $23,565 – $46,886 · median $37,048 22 plans
503 Foot Procedures With Mcc $30,431 – $60,548 · median $47,842 22 plans
504 Foot Procedures With Cc $22,277 – $44,324 · median $35,023 22 plans
506 Major Thumb Or Joint Procedures $17,678 – $35,173 · median $27,792 22 plans
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $21,722 – $43,219 · median $34,150 22 plans
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $19,139 – $38,081 · median $30,090 22 plans
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $32,460 – $64,584 · median $51,032 22 plans
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $24,136 – $48,023 · median $37,946 22 plans
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $20,386 – $40,562 · median $32,050 22 plans
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $24,475 – $48,697 · median $38,478 22 plans
533 Fractures Of Femur With Mcc $19,610 – $39,019 · median $30,831 22 plans
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $14,185 – $28,224 · median $22,301 22 plans
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $12,116 – $24,106 · median $19,048 22 plans
539 Osteomyelitis With Mcc $23,166 – $46,093 · median $36,420 22 plans
540 Osteomyelitis With Cc $17,210 – $34,243 · median $27,057 22 plans
541 Osteomyelitis Without Cc/Mcc $12,709 – $25,287 · median $19,981 22 plans
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $12,419 – $24,710 · median $19,525 22 plans
545 Connective Tissue Disorders With Mcc $27,694 – $55,103 · median $43,540 22 plans
547 Connective Tissue Disorders Without Cc/Mcc $13,141 – $26,146 · median $20,659 22 plans
548 Septic Arthritis With Mcc $22,823 – $45,410 · median $35,881 22 plans
550 Septic Arthritis Without Cc/Mcc $13,476 – $26,813 · median $21,186 22 plans
553 Bone Diseases And Arthropathies With Mcc $17,210 – $34,243 · median $27,057 22 plans
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $13,091 – $26,047 · median $20,581 22 plans
557 Tendonitis, Myositis And Bursitis With Mcc $18,896 – $37,597 · median $29,707 22 plans
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $22,239 – $44,249 · median $34,963 22 plans
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $19,397 – $38,594 · median $30,496 22 plans
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $14,363 – $28,578 · median $22,581 22 plans
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $12,372 – $24,617 · median $19,451 22 plans
572 Skin Debridement Without Cc/Mcc $15,883 – $31,603 · median $24,971 22 plans
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $63,688 – $126,720 · median $100,128 22 plans
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $36,447 – $72,519 · median $57,301 22 plans
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $21,638 – $43,054 · median $34,019 22 plans
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $49,093 – $97,680 · median $77,183 22 plans
582 Mastectomy For Malignancy With Cc/Mcc $22,785 – $45,334 · median $35,821 22 plans
583 Mastectomy For Malignancy Without Cc/Mcc $20,996 – $41,776 · median $33,010 22 plans
592 Skin Ulcers With Mcc $22,862 – $45,487 · median $35,942 22 plans
593 Skin Ulcers With Cc $16,237 – $32,307 · median $25,527 22 plans
594 Skin Ulcers Without Cc/Mcc $13,411 – $26,684 · median $21,085 22 plans
595 Major Skin Disorders With Mcc $24,501 – $48,750 · median $38,520 22 plans
597 Malignant Breast Disorders With Mcc $20,489 – $40,768 · median $32,213 22 plans
598 Malignant Breast Disorders With Cc $15,751 – $31,339 · median $24,763 22 plans
599 Malignant Breast Disorders Without Cc/Mcc $12,550 – $24,970 · median $19,730 22 plans
600 Non-Malignant Breast Disorders With Cc/Mcc $14,957 – $29,760 · median $23,515 22 plans
601 Non-Malignant Breast Disorders Without Cc/Mcc $11,096 – $22,077 · median $17,444 22 plans
606 Minor Skin Disorders With Mcc $19,128 – $38,059 · median $30,073 22 plans
615 Adrenal And Pituitary Procedures Without Cc/Mcc $18,121 – $36,055 · median $28,489 22 plans
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $36,589 – $72,801 · median $57,524 22 plans
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $18,289 – $36,389 · median $28,753 22 plans
619 O.R. Procedures For Obesity With Mcc $31,282 – $62,242 · median $49,181 22 plans
620 O.R. Procedures For Obesity With Cc $19,899 – $39,592 · median $31,284 22 plans
621 O.R. Procedures For Obesity Without Cc/Mcc $19,086 – $37,975 · median $30,006 22 plans
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $37,224 – $74,064 · median $58,522 22 plans
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $16,817 – $33,461 · median $26,440 22 plans
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $32,456 – $64,577 · median $51,026 22 plans
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $17,493 – $34,806 · median $27,502 22 plans
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $38,706 – $77,014 · median $60,853 22 plans
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $18,653 – $37,114 · median $29,326 22 plans
644 Endocrine Disorders With Cc $14,810 – $29,468 · median $23,285 22 plans
650 Kidney Transplant With Hemodialysis With Mcc $47,326 – $94,164 · median $74,404 22 plans
651 Kidney Transplant With Hemodialysis Without Mcc $38,521 – $76,644 · median $60,561 22 plans
652 Kidney Transplant $34,308 – $68,262 · median $53,938 22 plans
656 Kidney And Ureter Procedures For Neoplasm With Mcc $33,904 – $67,458 · median $53,302 22 plans
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $17,435 – $34,689 · median $27,410 22 plans
662 Minor Bladder Procedures With Mcc $32,822 – $65,306 · median $51,602 22 plans
663 Minor Bladder Procedures With Cc $19,190 – $38,183 · median $30,170 22 plans
664 Minor Bladder Procedures Without Cc/Mcc $15,004 – $29,854 · median $23,589 22 plans
665 Prostatectomy With Mcc $33,350 – $66,356 · median $52,432 22 plans
666 Prostatectomy With Cc $21,216 – $42,214 · median $33,356 22 plans
667 Prostatectomy Without Cc/Mcc $15,529 – $30,897 · median $24,414 22 plans
669 Transurethral Procedures With Cc $19,471 – $38,742 · median $30,612 22 plans
670 Transurethral Procedures Without Cc/Mcc $14,389 – $28,629 · median $22,621 22 plans
671 Urethral Procedures With Cc/Mcc $21,621 – $43,018 · median $33,991 22 plans
672 Urethral Procedures Without Cc/Mcc $15,293 – $30,427 · median $24,042 22 plans
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $20,262 – $40,315 · median $31,855 22 plans
684 Renal Failure Without Cc/Mcc $11,054 – $21,995 · median $17,379 22 plans
686 Kidney And Urinary Tract Neoplasms With Mcc $21,698 – $43,172 · median $34,112 22 plans
687 Kidney And Urinary Tract Neoplasms With Cc $15,012 – $29,869 · median $23,602 22 plans
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $12,735 – $25,338 · median $20,021 22 plans
693 Urinary Stones With Mcc $17,636 – $35,091 · median $27,727 22 plans
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $15,861 – $31,559 · median $24,936 22 plans
697 Urethral Stricture $15,277 – $30,397 · median $24,019 22 plans
707 Major Male Pelvic Procedures With Cc/Mcc $23,436 – $46,631 · median $36,846 22 plans
709 Penis Procedures With Cc/Mcc $26,327 – $52,382 · median $41,390 22 plans
710 Penis Procedures Without Cc/Mcc $18,138 – $36,089 · median $28,516 22 plans
711 Testes Procedures With Cc/Mcc $24,175 – $48,101 · median $38,007 22 plans
713 Transurethral Prostatectomy With Cc/Mcc $19,042 – $37,887 · median $29,937 22 plans
714 Transurethral Prostatectomy Without Cc/Mcc $15,097 – $30,038 · median $23,735 22 plans
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $25,533 – $50,802 · median $40,141 22 plans
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $18,755 – $37,317 · median $29,486 22 plans
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $22,465 – $44,699 · median $35,319 22 plans
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $17,624 – $35,066 · median $27,708 22 plans
722 Malignancy, Male Reproductive System With Mcc $21,751 – $43,277 · median $34,196 22 plans
723 Malignancy, Male Reproductive System With Cc $15,851 – $31,540 · median $24,921 22 plans
724 Malignancy, Male Reproductive System Without Cc/Mcc $11,544 – $22,969 · median $18,149 22 plans
725 Benign Prostatic Hypertrophy With Mcc $16,095 – $32,023 · median $25,304 22 plans
726 Benign Prostatic Hypertrophy Without Mcc $12,131 – $24,136 · median $19,071 22 plans
728 Inflammation Of The Male Reproductive System Without Mcc $12,920 – $25,706 · median $20,312 22 plans
729 Other Male Reproductive System Diagnoses With Cc/Mcc $15,109 – $30,061 · median $23,753 22 plans
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $11,688 – $23,256 · median $18,376 22 plans
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $24,584 – $48,914 · median $38,649 22 plans
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $17,645 – $35,108 · median $27,741 22 plans
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $37,359 – $74,334 · median $58,735 22 plans
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $18,733 – $37,273 · median $29,451 22 plans
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $37,433 – $74,480 · median $58,850 22 plans
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $21,750 – $43,275 · median $34,194 22 plans
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $15,805 – $31,448 · median $24,849 22 plans
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $21,109 – $42,000 · median $33,186 22 plans
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $13,348 – $26,559 · median $20,986 22 plans
748 Female Reproductive System Reconstructive Procedures $18,015 – $35,844 · median $28,322 22 plans
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $28,454 – $56,614 · median $44,734 22 plans
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $18,798 – $37,401 · median $29,553 22 plans
754 Malignancy, Female Reproductive System With Mcc $22,034 – $43,840 · median $34,641 22 plans
755 Malignancy, Female Reproductive System With Cc $15,366 – $30,573 · median $24,158 22 plans
756 Malignancy, Female Reproductive System Without Cc/Mcc $14,240 – $28,333 · median $22,388 22 plans
757 Infections, Female Reproductive System With Mcc $18,409 – $36,629 · median $28,942 22 plans
758 Infections, Female Reproductive System With Cc $14,404 – $28,659 · median $22,645 22 plans
759 Infections, Female Reproductive System Without Cc/Mcc $11,614 – $23,108 · median $18,259 22 plans
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $14,656 – $29,160 · median $23,041 22 plans
786 Cesarean Section Without Sterilization With Mcc $20,334 – $40,458 · median $31,968 22 plans
795 Normal Newborn $7,512 – $14,947 · median $11,810 22 plans
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $14,210 – $28,273 · median $22,340 22 plans
800 Splenic Procedures With Cc $30,592 – $60,870 · median $48,096 22 plans
801 Splenic Procedures Without Cc/Mcc $22,628 – $45,023 · median $35,575 22 plans
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $17,738 – $35,293 · median $27,887 22 plans
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $15,290 – $30,422 · median $24,038 22 plans
806 Vaginal Delivery Without Sterilization Or D&C With Cc $12,414 – $24,699 · median $19,516 22 plans
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $11,708 – $23,295 · median $18,407 22 plans
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $25,544 – $50,825 · median $40,159 22 plans
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $16,394 – $32,618 · median $25,773 22 plans
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $46,295 – $92,112 · median $72,783 22 plans
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $25,783 – $51,300 · median $40,535 22 plans
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $17,680 – $35,177 · median $27,795 22 plans
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $47,117 – $93,749 · median $74,076 22 plans
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $20,814 – $41,414 · median $32,723 22 plans
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $19,056 – $37,915 · median $29,959 22 plans
836 Acute Leukemia Without Cc/Mcc $16,531 – $32,891 · median $25,989 22 plans
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $48,236 – $95,975 · median $75,835 22 plans
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $18,515 – $36,840 · median $29,109 22 plans
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $14,681 – $29,211 · median $23,082 22 plans
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $16,512 – $32,854 · median $25,960 22 plans
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $13,277 – $26,417 · median $20,873 22 plans
849 Radiotherapy $29,709 – $59,112 · median $46,707 22 plans
850 Acute Leukemia With Other Procedures $82,333 – $163,818 · median $129,441 22 plans
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $49,424 – $98,338 · median $77,703 22 plans
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $23,417 – $46,593 · median $36,815 22 plans
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $18,987 – $37,778 · median $29,850 22 plans
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $45,976 – $91,477 · median $72,281 22 plans
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $18,064 – $35,942 · median $28,400 22 plans
865 Viral Illness With Mcc $18,997 – $37,797 · median $29,866 22 plans
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $12,199 – $24,272 · median $19,178 22 plans
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $39,928 – $79,444 · median $62,773 22 plans
881 Depressive Neuroses $14,067 – $27,988 · median $22,115 22 plans
882 Neuroses Except Depressive $15,242 – $30,327 · median $23,963 22 plans
883 Disorders Of Personality And Impulse Control $23,136 – $46,033 · median $36,373 22 plans
884 Organic Disturbances And Intellectual Disability $19,975 – $39,744 · median $31,404 22 plans
886 Behavioral And Developmental Disorders $24,100 – $47,951 · median $37,889 22 plans
887 Other Mental Disorder Diagnoses $15,216 – $30,276 · median $23,923 22 plans
894 Alcohol, Drug Abuse Or Dependence, Left Ama $11,201 – $22,287 · median $17,610 22 plans
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $18,265 – $36,342 · median $28,716 22 plans
901 Wound Debridements For Injuries With Mcc $42,861 – $85,281 · median $67,385 22 plans
903 Wound Debridements For Injuries Without Cc/Mcc $16,089 – $32,013 · median $25,295 22 plans
905 Skin Grafts For Injuries Without Cc/Mcc $18,865 – $37,535 · median $29,659 22 plans
906 Hand Procedures For Injuries $23,118 – $45,998 · median $36,345 22 plans
915 Allergic Reactions With Mcc $20,618 – $41,023 · median $32,414 22 plans
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $194,578 – $387,150 · median $305,908 22 plans
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $40,187 – $79,959 · median $63,180 22 plans
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $23,679 – $47,113 · median $37,227 22 plans
945 Rehabilitation With Cc/Mcc $19,441 – $38,682 · median $30,565 22 plans
946 Rehabilitation Without Cc/Mcc $15,888 – $31,612 · median $24,978 22 plans
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $31,784 – $63,240 · median $49,969 22 plans
965 Other Multiple Significant Trauma Without Cc/Mcc $14,063 – $27,981 · median $22,110 22 plans
969 Hiv With Extensive O.R. Procedures With Mcc $59,884 – $119,151 · median $94,148 22 plans
970 Hiv With Extensive O.R. Procedures Without Mcc $29,071 – $57,843 · median $45,705 22 plans
974 Hiv With Major Related Condition With Mcc $31,270 – $62,218 · median $49,162 22 plans
976 Hiv With Major Related Condition Without Cc/Mcc $13,729 – $27,316 · median $21,584 22 plans
977 Hiv With Or Without Other Related Condition $17,222 – $34,267 · median $27,076 22 plans
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $47,241 – $93,995 · median $74,271 22 plans
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $16,351 – $32,534 · median $25,707 22 plans
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