Jps Health Network — Pricing
825 procedures published in this hospital's Machine-Readable File (MRF) — 490 with a comparable price, 335 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
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.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 825 procedures
Published charges
Showing all 490 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 27 procedures, this hospital's negotiated rates average ≈90% of what Medicare pays.
| DRG | Description | Published price | vs. TX median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|
| 576 | Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc | $222,293 | $73,030 | +204% | $90,401 | +146% | — |
| 099 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc | $179,487 | $21,277 | +744% | $27,119 | +562% | — |
| 928 | Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc | $146,279 | $89,353 | +64% | $89,353 | +64% | — |
| 003 | Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major | $132,655 | $502,678 | −74% | $371,366 | −64% | — |
| 002 | Heart Transplant Or Implant Of Heart Assist System Without Mcc | $131,473 | $155,461 | −15% | $194,769 | −32% | — |
| 001 | Heart Transplant Or Implant Of Heart Assist System With Mcc | $109,040 | $362,617 | −70% | $461,389 | −76% | — |
| 456 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $107,887 | $112,119 | −4% | $153,282 | −30% | — |
| 233 | Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc | $104,406 | $103,817 | +1% | $144,569 | −28% | — |
| 028 | Spinal Procedures With Mcc | $103,740 | $81,731 | +27% | $113,077 | −8% | — |
| 216 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc | $102,878 | $127,148 | −19% | $188,171 | −45% | — |
| 428 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc | $102,635 | $74,414 | +38% | $105,899 | −3% | — |
| 004 | Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. | $101,186 | $207,315 | −51% | $248,521 | −59% | ≈126% of Medicare |
| 427 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc | $96,529 | $94,742 | +2% | $132,794 | −27% | — |
| 268 | Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc | $94,280 | $89,209 | +6% | $125,242 | −25% | — |
| 020 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc | $92,998 | $106,929 | −13% | $148,686 | −37% | — |
| 722 | Malignancy, Male Reproductive System With Mcc | $90,691 | $25,633 | +254% | $29,826 | +204% | — |
| 219 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc | $89,425 | $102,814 | −13% | $143,242 | −38% | — |
| 653 | Major Bladder Procedures With Mcc | $88,633 | $88,633 | +0% | $104,583 | −15% | — |
| 283 | Acute Myocardial Infarction, Expired With Mcc | $88,583 | $63,565 | +39% | $39,955 | +122% | — |
| 276 | Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator | $87,899 | $83,192 | +6% | $117,280 | −25% | — |
| 058 | Multiple Sclerosis And Cerebellar Ataxia With Mcc | $83,740 | $27,152 | +208% | $30,243 | +177% | — |
| 834 | Acute Leukemia With Mcc | $82,441 | $74,709 | +10% | $85,566 | −4% | — |
| 625 | Thyroid, Parathyroid And Thyroglossal Procedures With Mcc | $76,995 | $40,406 | +91% | $59,031 | +30% | — |
| 901 | Wound Debridements For Injuries With Mcc | $73,266 | $60,697 | +21% | $70,177 | +4% | — |
| 820 | Lymphoma And Leukemia With Major O.R. Procedures With Mcc | $72,292 | $78,460 | −8% | $96,192 | −25% | — |
| 140 | Major Head And Neck Procedures With Mcc | $71,927 | $58,085 | +24% | $60,098 | +20% | — |
| 827 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc | $70,365 | $33,823 | +108% | $50,498 | +39% | — |
| 739 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc | $70,091 | $54,862 | +28% | $62,300 | +13% | — |
| 628 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc | $69,654 | $54,405 | +28% | $71,795 | −3% | — |
| 146 | Ear, Nose, Mouth And Throat Malignancy With Mcc | $68,550 | $32,969 | +108% | $40,108 | +71% | — |
| 405 | Pancreas, Liver And Shunt Procedures With Mcc | $65,144 | $73,455 | −11% | $102,128 | −36% | — |
| 242 | Permanent Cardiac Pacemaker Implant With Mcc | $64,641 | $47,218 | +37% | $70,132 | −8% | — |
| 663 | Minor Bladder Procedures With Cc | $64,022 | $23,018 | +178% | $33,103 | +93% | — |
| 870 | Septicemia Or Severe Sepsis With Mv >96 Hours | $63,910 | $143,949 | −56% | $148,832 | −57% | — |
| 482 | Hip And Femur Procedures Except Major Joint Without Cc/Mcc | $63,906 | $43,631 | +46% | $41,955 | +52% | — |
| 939 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc | $63,849 | $44,389 | +44% | $55,289 | +15% | — |
| 668 | Transurethral Procedures With Mcc | $61,803 | $41,045 | +51% | $51,608 | +20% | — |
| 466 | Revision Of Hip Or Knee Replacement With Mcc | $61,298 | $69,206 | −11% | $96,507 | −36% | — |
| 173 | Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism | $60,786 | $43,021 | +41% | $60,407 | +1% | — |
| 426 | Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made | $60,621 | $137,630 | −56% | $142,326 | −57% | — |
| 063 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc | $60,542 | $21,427 | +183% | $39,887 | +52% | — |
| 143 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc | $60,116 | $53,584 | +12% | $52,908 | +14% | — |
| 407 | Pancreas, Liver And Shunt Procedures Without Cc/Mcc | $59,184 | $30,914 | +91% | $46,727 | +27% | — |
| 430 | Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc | $59,126 | $73,986 | −20% | $101,618 | −42% | — |
| 061 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc | $58,983 | $38,281 | +54% | $62,264 | −5% | — |
| 477 | Biopsies Of Musculoskeletal System And Connective Tissue With Mcc | $58,185 | $47,828 | +22% | $68,653 | −15% | — |
| 317 | Concomitant Left Atrial Appendage Closure And Cardiac Ablation | $57,818 | $83,090 | −30% | $88,566 | −35% | — |
| 288 | Acute And Subacute Endocarditis With Mcc | $57,625 | $38,646 | +49% | $50,618 | +14% | — |
| 447 | Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody | $57,602 | $89,681 | −36% | $126,098 | −54% | — |
| 011 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc | $57,224 | $73,038 | −22% | $101,576 | −44% | — |
| 503 | Foot Procedures With Mcc | $56,657 | $37,544 | +51% | $47,540 | +19% | — |
| 534 | Fractures Of Femur Without Mcc | $56,244 | $23,132 | +143% | $17,559 | +220% | — |
| 673 | Other Kidney And Urinary Tract Procedures With Mcc | $56,062 | $57,570 | −3% | $77,990 | −28% | — |
| 463 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $56,047 | $73,103 | −23% | $89,207 | −37% | — |
| 266 | Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc | $55,990 | $80,603 | −31% | $113,855 | −51% | — |
| 336 | Peritoneal Adhesiolysis With Cc | $52,794 | $58,311 | −9% | $50,463 | +5% | — |
| 415 | Cholecystectomy Except By Laparoscope Without C.D.E. With Cc | $52,063 | $28,868 | +80% | $43,913 | +19% | — |
| 486 | Knee Procedures With Principal Diagnosis Of Infection With Cc | $52,001 | $30,721 | +69% | $49,351 | +5% | — |
| 655 | Major Bladder Procedures Without Cc/Mcc | $51,687 | $30,155 | +71% | $43,174 | +20% | — |
| 080 | Nontraumatic Stupor And Coma With Mcc | $51,626 | $28,993 | +78% | $36,249 | +42% | — |
| 542 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc | $51,576 | $27,401 | +88% | $36,792 | +40% | — |
| 326 | Stomach, Esophageal And Duodenal Procedures With Mcc | $51,539 | $69,008 | −25% | $80,793 | −36% | — |
| 855 | Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc | $50,594 | $24,292 | +108% | $28,202 | +79% | — |
| 380 | Complicated Peptic Ulcer With Mcc | $50,475 | $28,169 | +79% | $39,627 | +27% | — |
| 075 | Viral Meningitis With Cc/Mcc | $50,431 | $25,549 | +97% | $30,447 | +66% | — |
| 955 | Craniotomy For Multiple Significant Trauma | $50,356 | $91,253 | −45% | $102,600 | −51% | — |
| 559 | Aftercare, Musculoskeletal System And Connective Tissue With Mcc | $49,735 | $27,287 | +82% | $33,047 | +50% | — |
| 220 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc | $49,188 | $71,776 | −31% | $111,320 | −56% | — |
| 507 | Major Shoulder Or Elbow Joint Procedures With Cc/Mcc | $49,062 | $28,350 | +73% | $37,240 | +32% | — |
| 070 | Other Cerebrovascular Disorders With Mcc | $48,750 | $44,532 | +9% | $31,951 | +53% | — |
| 042 | Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc | $48,671 | $26,006 | +87% | $39,018 | +25% | — |
| 180 | Respiratory Neoplasms With Mcc | $48,615 | $56,813 | −14% | $36,658 | +33% | — |
| 351 | Inguinal And Femoral Hernia Procedures With Cc | $48,160 | $22,721 | +112% | $36,505 | +32% | — |
| 512 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc | $47,569 | $34,591 | +38% | $35,692 | +33% | — |
| 250 | Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc | $47,454 | $33,209 | +43% | $59,629 | −20% | — |
| 669 | Transurethral Procedures With Cc | $47,316 | $45,520 | +4% | $34,354 | +38% | — |
| 828 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C | $47,310 | $23,998 | +97% | $35,584 | +33% | — |
| 913 | Traumatic Injury With Mcc | $47,182 | $24,198 | +95% | $24,198 | +95% | — |
| 675 | Other Kidney And Urinary Tract Procedures Without Cc/Mcc | $46,980 | $46,980 | +0% | $34,749 | +35% | — |
| 067 | Precerebral Occlusion Without Infarction With Mcc | $46,813 | $22,077 | +112% | $24,941 | +88% | — |
| 506 | Major Thumb Or Joint Procedures | $46,667 | $22,651 | +106% | $30,557 | +53% | — |
| 138 | Mouth Procedures Without Cc/Mcc | $46,625 | $19,558 | +138% | $19,119 | +144% | — |
| 713 | Transurethral Prostatectomy With Cc/Mcc | $46,293 | $42,921 | +8% | $32,100 | +44% | — |
| 508 | Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc | $46,034 | $19,945 | +131% | $22,811 | +102% | — |
| 137 | Mouth Procedures With Cc/Mcc | $46,029 | $22,342 | +106% | $27,861 | +65% | — |
| 573 | Skin Graft For Skin Ulcer Or Cellulitis With Mcc | $45,340 | $82,731 | −45% | $98,912 | −54% | — |
| 535 | Fractures Of Hip And Pelvis With Mcc | $45,277 | $21,244 | +113% | $24,552 | +84% | — |
| 221 | Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M | $44,916 | $62,801 | −28% | $90,331 | −50% | — |
| 039 | Extracranial Procedures Without Cc/Mcc | $44,819 | $29,439 | +52% | $26,618 | +68% | — |
| 040 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc | $44,751 | $52,152 | −14% | $74,257 | −40% | — |
| 487 | Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc | $44,678 | $44,678 | +0% | $35,074 | +27% | — |
| 803 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc | $44,127 | $26,296 | +68% | $39,515 | +12% | — |
| 549 | Septic Arthritis With Cc | $44,007 | $18,835 | +134% | $24,056 | +83% | — |
| 618 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $43,970 | $19,354 | +127% | $19,354 | +127% | — |
| 695 | Kidney And Urinary Tract Signs And Symptoms With Mcc | $43,397 | $22,344 | +94% | $24,566 | +77% | — |
| 055 | Nervous System Neoplasms Without Mcc | $43,124 | $17,354 | +148% | $20,926 | +106% | — |
| 024 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc | $42,498 | $52,536 | −19% | $74,755 | −43% | — |
| 714 | Transurethral Prostatectomy Without Cc/Mcc | $42,459 | $15,390 | +176% | $17,934 | +137% | — |
| 402 | Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical | $42,237 | $53,970 | −22% | $79,116 | −47% | — |
| 474 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc | $41,840 | $61,401 | −32% | $84,692 | −51% | — |
| 520 | Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc | $41,645 | $23,459 | +78% | $35,465 | +17% | — |
| 234 | Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc | $41,571 | $72,075 | −42% | $102,573 | −59% | — |
| 324 | Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc | $41,536 | $44,663 | −7% | $71,464 | −42% | — |
| 957 | Other O.R. Procedures For Multiple Significant Trauma With Mcc | $41,091 | $99,339 | −59% | $120,573 | −66% | — |
| 616 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc | $40,068 | $71,596 | −44% | $66,685 | −40% | — |
| 504 | Foot Procedures With Cc | $39,139 | $25,972 | +51% | $38,960 | +0% | — |
| 381 | Complicated Peptic Ulcer With Cc | $38,991 | $35,404 | +10% | $24,177 | +61% | — |
| 031 | Ventricular Shunt Procedures With Mcc | $38,216 | $57,584 | −34% | $72,962 | −48% | — |
| 906 | Hand Procedures For Injuries | $37,689 | $31,520 | +20% | $32,065 | +18% | — |
| 329 | Major Small And Large Bowel Procedures With Mcc | $37,181 | $74,889 | −50% | $88,050 | −58% | — |
| 856 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc | $37,125 | $61,750 | −40% | $76,001 | −51% | — |
| 840 | Lymphoma And Non-Acute Leukemia With Mcc | $36,979 | $44,584 | −17% | $49,710 | −26% | — |
| 544 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc | $36,953 | $20,636 | +79% | $16,776 | +120% | — |
| 398 | Appendix Procedures With Cc | $36,569 | $46,799 | −22% | $40,162 | −9% | — |
| 406 | Pancreas, Liver And Shunt Procedures With Cc | $36,509 | $39,644 | −8% | $58,043 | −37% | — |
| 159 | Dental And Oral Diseases Without Cc/Mcc | $35,563 | $11,755 | +203% | $13,633 | +161% | — |
| 736 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc | $35,286 | $54,300 | −35% | $61,832 | −43% | — |
| 034 | Carotid Artery Stent Procedures With Mcc | $35,254 | $53,665 | −34% | $76,219 | −54% | — |
| 270 | Other Major Cardiovascular Procedures With Mcc | $35,149 | $69,695 | −50% | $99,423 | −65% | — |
| 086 | Traumatic Stupor And Coma <1 Hour With Cc | $34,814 | $20,217 | +72% | $27,043 | +29% | — |
| 622 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc | $34,630 | $51,761 | −33% | $61,470 | −44% | — |
| 037 | Extracranial Procedures With Mcc | $34,500 | $46,296 | −25% | $66,666 | −48% | — |
| 032 | Ventricular Shunt Procedures With Cc | $33,802 | $30,912 | +9% | $46,724 | −28% | — |
| 457 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $32,578 | $77,406 | −58% | $107,355 | −70% | — |
| 263 | Vein Ligation And Stripping | $32,063 | $38,005 | −16% | $51,253 | −37% | — |
| 382 | Complicated Peptic Ulcer Without Cc/Mcc | $31,870 | $23,477 | +36% | $16,634 | +92% | — |
| 239 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc | $31,588 | $72,798 | −57% | $93,390 | −66% | — |
| 467 | Revision Of Hip Or Knee Replacement With Cc | $31,410 | $47,649 | −34% | $70,847 | −56% | — |
| 252 | Other Vascular Procedures With Mcc | $30,832 | $47,717 | −35% | $68,508 | −55% | — |
| 518 | Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator | $30,575 | $49,711 | −38% | $71,092 | −57% | — |
| 656 | Kidney And Ureter Procedures For Neoplasm With Mcc | $30,449 | $45,479 | −33% | $65,608 | −54% | — |
| 095 | Bacterial And Tuberculous Infections Of Nervous System With Cc | $30,433 | $34,307 | −11% | $47,583 | −36% | — |
| 035 | Carotid Artery Stent Procedures With Cc | $30,416 | $32,719 | −7% | $49,066 | −38% | — |
| 717 | Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc | $30,366 | $28,821 | +5% | $36,670 | −17% | — |
| 275 | Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc | $30,067 | $94,288 | −68% | $131,961 | −77% | — |
| 958 | Other O.R. Procedures For Multiple Significant Trauma With Cc | $29,914 | $56,535 | −47% | $73,120 | −59% | — |
| 543 | Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc | $29,823 | $25,280 | +18% | $23,551 | +27% | — |
| 468 | Revision Of Hip Or Knee Replacement Without Cc/Mcc | $29,780 | $37,242 | −20% | $54,929 | −46% | — |
| 448 | Multiple Level Spinal Fusion Except Cervical Without Mcc | $29,765 | $56,194 | −47% | $81,998 | −64% | — |
| 600 | Non-Malignant Breast Disorders With Cc/Mcc | $29,221 | $16,953 | +72% | $16,700 | +75% | — |
| 488 | Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc | $28,957 | $28,703 | +1% | $43,631 | −34% | — |
| 801 | Splenic Procedures Without Cc/Mcc | $28,886 | $24,502 | +18% | $36,445 | −21% | — |
| 867 | Other Infectious And Parasitic Diseases Diagnoses With Mcc | $28,410 | $31,025 | −8% | $38,070 | −25% | — |
| 253 | Other Vascular Procedures With Cc | $28,400 | $36,329 | −22% | $57,454 | −51% | — |
| 384 | Uncomplicated Peptic Ulcer Without Mcc | $28,223 | $14,480 | +95% | $19,305 | +46% | — |
| 974 | Hiv With Major Related Condition With Mcc | $27,813 | $41,952 | −34% | $46,402 | −40% | — |
| 271 | Other Major Cardiovascular Procedures With Cc | $27,691 | $47,899 | −42% | $71,014 | −61% | ≈145% of Medicare |
| 521 | Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc | $27,315 | $77,071 | −65% | $70,467 | −61% | — |
| 030 | Spinal Procedures Without Cc/Mcc | $26,948 | $32,077 | −16% | $45,866 | −41% | — |
| 553 | Bone Diseases And Arthropathies With Mcc | $26,817 | $20,145 | +33% | $26,051 | +3% | — |
| 904 | Skin Grafts For Injuries With Cc/Mcc | $26,403 | $53,307 | −50% | $59,594 | −56% | — |
| 023 | Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla | $26,275 | $76,970 | −66% | $106,778 | −75% | — |
| 749 | Other Female Reproductive System O.R. Procedures With Cc/Mcc | $26,100 | $36,791 | −29% | $45,167 | −42% | — |
| 187 | Pleural Effusion With Cc | $26,021 | $21,455 | +21% | $21,789 | +19% | — |
| 026 | Craniotomy And Endovascular Intracranial Procedures With Cc | $25,945 | $42,891 | −40% | $64,523 | −60% | — |
| 483 | Major Joint Or Limb Reattachment Procedures Of Upper Extremities | $25,893 | $36,267 | −29% | $58,707 | −56% | — |
| 515 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc | $25,740 | $43,330 | −41% | $62,821 | −59% | — |
| 574 | Skin Graft For Skin Ulcer Or Cellulitis With Cc | $25,645 | $48,165 | −47% | $52,036 | −51% | — |
| 654 | Major Bladder Procedures With Cc | $25,399 | $39,822 | −36% | $58,274 | −56% | — |
| 480 | Hip And Femur Procedures Except Major Joint With Mcc | $25,314 | $78,250 | −68% | $65,653 | −61% | ≈121% of Medicare |
| 987 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $25,282 | $60,312 | −58% | $66,068 | −62% | — |
| 115 | Extraocular Procedures Except Orbit | $25,262 | $23,065 | +10% | $25,703 | −2% | — |
| 630 | Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc | $24,918 | $21,381 | +17% | $22,393 | +11% | — |
| 579 | Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc | $24,424 | $45,498 | −46% | $58,745 | −58% | — |
| 922 | Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc | $24,213 | $25,121 | −4% | $31,563 | −23% | — |
| 814 | Reticuloendothelial And Immunity Disorders With Mcc | $23,608 | $30,326 | −22% | $33,851 | −30% | — |
| 800 | Splenic Procedures With Cc | $23,486 | $41,012 | −43% | $49,184 | −52% | — |
| 539 | Osteomyelitis With Mcc | $22,890 | $46,459 | −51% | $37,609 | −39% | — |
| 100 | Seizures With Mcc | $22,535 | $28,961 | −22% | $35,481 | −36% | — |
| 269 | Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc | $22,472 | $57,196 | −61% | $85,159 | −74% | — |
| 494 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc | $22,451 | $36,790 | −39% | $47,711 | −53% | — |
| 244 | Permanent Cardiac Pacemaker Implant Without Cc/Mcc | $22,278 | $26,617 | −16% | $41,591 | −46% | — |
| 956 | Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma | $22,266 | $54,372 | −59% | $75,103 | −70% | — |
| 473 | Cervical Spinal Fusion Without Cc/Mcc | $22,126 | $37,343 | −41% | $50,624 | −56% | — |
| 141 | Major Head And Neck Procedures With Cc | $21,842 | $31,079 | −30% | $37,267 | −41% | — |
| 545 | Connective Tissue Disorders With Mcc | $21,798 | $35,990 | −39% | $40,362 | −46% | — |
| 715 | Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc | $21,794 | $32,504 | −33% | $38,998 | −44% | — |
| 356 | Other Digestive System O.R. Procedures With Mcc | $21,661 | $103,308 | −79% | $82,561 | −74% | — |
| 385 | Inflammatory Bowel Disease With Mcc | $21,633 | $24,282 | −11% | $27,617 | −22% | — |
| 082 | Traumatic Stupor And Coma >1 Hour With Mcc | $21,612 | $33,308 | −35% | $36,489 | −41% | — |
| 981 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc | $21,343 | $127,999 | −83% | $90,775 | −76% | — |
| 564 | Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc | $21,159 | $24,869 | −15% | $33,653 | −37% | — |
| 166 | Other Respiratory System O.R. Procedures With Mcc | $21,064 | $98,765 | −79% | $75,573 | −72% | — |
| 243 | Permanent Cardiac Pacemaker Implant With Cc | $21,055 | $49,705 | −58% | $50,011 | −58% | — |
| 842 | Lymphoma And Non-Acute Leukemia Without Cc/Mcc | $20,962 | $16,847 | +24% | $19,657 | +7% | — |
| 235 | Coronary Bypass Without Cardiac Catheterization With Mcc | $20,939 | $79,247 | −74% | $112,062 | −81% | — |
| 377 | Gastrointestinal Hemorrhage With Mcc | $20,912 | $52,925 | −60% | $37,842 | −45% | ≈88% of Medicare |
| 734 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc | $20,733 | $30,486 | −32% | $42,795 | −52% | — |
| 286 | Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc | $20,649 | $31,920 | −35% | $46,283 | −55% | ≈120% of Medicare |
| 228 | Other Cardiothoracic Procedures With Mcc | $20,564 | $67,791 | −70% | $96,905 | −79% | — |
| 959 | Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc | $20,538 | $37,509 | −45% | $41,422 | −50% | — |
| 012 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc | $20,488 | $56,456 | −64% | $79,836 | −74% | — |
| 614 | Adrenal And Pituitary Procedures With Cc/Mcc | $20,451 | $32,773 | −38% | $48,349 | −58% | — |
| 085 | Traumatic Stupor And Coma <1 Hour With Mcc | $20,369 | $32,604 | −38% | $41,892 | −51% | — |
| 052 | Spinal Disorders And Injuries With Cc/Mcc | $20,228 | $29,314 | −31% | $32,031 | −37% | — |
| 585 | Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc | $20,161 | $28,958 | −30% | $32,574 | −38% | — |
| 808 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $20,093 | $32,919 | −39% | $39,181 | −49% | — |
| 804 | Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc | $20,044 | $17,544 | +14% | $24,544 | −18% | — |
| 737 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc | $19,983 | $29,131 | −31% | $44,363 | −55% | — |
| 144 | Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc | $19,883 | $25,994 | −24% | $30,553 | −35% | — |
| 374 | Digestive Malignancy With Mcc | $19,710 | $30,598 | −36% | $39,958 | −51% | — |
| 025 | Craniotomy And Endovascular Intracranial Procedures With Mcc | $19,570 | $61,240 | −68% | $88,307 | −78% | ≈155% of Medicare |
| 420 | Hepatobiliary Diagnostic Procedures With Mcc | $19,520 | $49,003 | −60% | $50,919 | −62% | — |
| 963 | Other Multiple Significant Trauma With Mcc | $19,475 | $38,454 | −49% | $43,491 | −55% | — |
| 799 | Splenic Procedures With Mcc | $19,377 | $64,885 | −70% | $82,218 | −76% | — |
| 368 | Major Esophageal Disorders With Mcc | $19,289 | $34,595 | −44% | $33,876 | −43% | — |
| 821 | Lymphoma And Leukemia With Major O.R. Procedures With Cc | $19,149 | $32,168 | −40% | $47,789 | −60% | — |
| 741 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc | $18,931 | $21,022 | −10% | $30,493 | −38% | — |
| 522 | Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc | $18,906 | $50,580 | −63% | $58,280 | −68% | — |
| 577 | Skin Graft Except For Skin Ulcer Or Cellulitis With Cc | $18,892 | $37,754 | −50% | $47,945 | −61% | — |
| 500 | Soft Tissue Procedures With Mcc | $18,809 | $44,320 | −58% | $61,872 | −70% | — |
| 259 | Cardiac Pacemaker Device Replacement Without Mcc | $18,706 | $26,007 | −28% | $39,020 | −52% | — |
| 236 | Coronary Bypass Without Cardiac Catheterization Without Mcc | $18,530 | $56,565 | −67% | $82,247 | −77% | — |
| 186 | Pleural Effusion With Mcc | $18,508 | $42,937 | −57% | $33,834 | −45% | — |
| 262 | Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc | $18,410 | $22,893 | −20% | $33,694 | −45% | — |
| 229 | Other Cardiothoracic Procedures Without Mcc | $18,332 | $43,510 | −58% | $65,325 | −72% | — |
| 064 | Intracranial Hemorrhage Or Cerebral Infarction With Mcc | $17,807 | $42,233 | −58% | $39,106 | −54% | ≈96% of Medicare |
| 726 | Benign Prostatic Hypertrophy Without Mcc | $17,700 | $12,855 | +38% | $15,019 | +18% | — |
| 451 | Single Level Spinal Fusion Except Cervical Without Mcc | $17,680 | $43,247 | −59% | $65,216 | −73% | — |
| 335 | Peritoneal Adhesiolysis With Mcc | $17,658 | $69,965 | −75% | $71,755 | −75% | — |
| 686 | Kidney And Urinary Tract Neoplasms With Mcc | $17,624 | $31,093 | −43% | $37,844 | −53% | — |
| 337 | Peritoneal Adhesiolysis Without Cc/Mcc | $17,491 | $30,317 | −42% | $39,211 | −55% | — |
| 296 | Cardiac Arrest, Unexplained With Mcc | $17,445 | $24,458 | −29% | $33,661 | −48% | — |
| 854 | Infectious And Parasitic Diseases With O.R. Procedures With Cc | $17,337 | $40,019 | −57% | $43,943 | −61% | ≈101% of Medicare |
| 977 | Hiv With Or Without Other Related Condition | $17,303 | $21,908 | −21% | $22,525 | −23% | — |
| 438 | Disorders Of Pancreas Except Malignancy With Mcc | $17,177 | $24,787 | −31% | $32,628 | −47% | — |
| 388 | Gastrointestinal Obstruction With Mcc | $17,160 | $31,484 | −45% | $30,571 | −44% | — |
| 909 | Other O.R. Procedures For Injuries Without Cc/Mcc | $17,065 | $32,858 | −48% | $28,156 | −39% | — |
| 036 | Carotid Artery Stent Procedures Without Cc/Mcc | $17,056 | $26,986 | −37% | $40,694 | −58% | — |
| 077 | Hypertensive Encephalopathy With Mcc | $16,894 | $23,263 | −27% | $24,550 | −31% | — |
| 969 | Hiv With Extensive O.R. Procedures With Mcc | $16,783 | $84,844 | −80% | $109,331 | −85% | — |
| 167 | Other Respiratory System O.R. Procedures With Cc | $16,781 | $26,909 | −38% | $40,642 | −59% | — |
| 513 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc | $16,748 | $22,735 | −26% | $33,424 | −50% | — |
| 322 | Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc | $16,739 | $26,676 | −37% | $58,809 | −72% | — |
| 479 | Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc | $16,597 | $26,242 | −37% | $34,276 | −52% | — |
| 041 | Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator | $16,527 | $32,503 | −49% | $49,418 | −67% | — |
| 510 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc | $16,415 | $40,289 | −59% | $49,839 | −67% | — |
| 643 | Endocrine Disorders With Mcc | $16,386 | $28,618 | −43% | $33,563 | −51% | — |
| 441 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc | $16,273 | $34,624 | −53% | $33,985 | −52% | — |
| 147 | Ear, Nose, Mouth And Throat Malignancy With Cc | $16,182 | $19,350 | −16% | $22,851 | −29% | — |
| 712 | Testes Procedures Without Cc/Mcc | $16,067 | $17,076 | −6% | $18,898 | −15% | — |
| 727 | Inflammation Of The Male Reproductive System With Mcc | $15,941 | $22,265 | −28% | $26,463 | −40% | — |
| 698 | Other Kidney And Urinary Tract Diagnoses With Mcc | $15,710 | $25,010 | −37% | $32,496 | −52% | ≈80% of Medicare |
| 178 | Respiratory Infections And Inflammations With Cc | $15,582 | $25,704 | −39% | $22,024 | −29% | — |
| 397 | Appendix Procedures With Mcc | $15,483 | $35,353 | −56% | $53,257 | −71% | — |
| 424 | Other Hepatobiliary Or Pancreas O.R. Procedures With Cc | $15,199 | $32,829 | −54% | $42,415 | −64% | — |
| 492 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc | $15,191 | $66,511 | −77% | $70,564 | −78% | — |
| 346 | Minor Small And Large Bowel Procedures Without Cc/Mcc | $15,190 | $19,357 | −22% | $27,297 | −44% | — |
| 165 | Major Chest Procedures Without Cc/Mcc | $15,150 | $27,387 | −45% | $46,340 | −67% | — |
| 511 | Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc | $14,871 | $28,648 | −48% | $43,538 | −66% | — |
| 489 | Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc | $14,861 | $19,267 | −23% | $28,320 | −48% | — |
| 696 | Kidney And Urinary Tract Signs And Symptoms Without Mcc | $14,601 | $12,173 | +20% | $14,689 | −1% | — |
| 829 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc | $14,448 | $43,218 | −67% | $53,864 | −73% | — |
| 124 | Other Disorders Of The Eye With Mcc Or Thrombolytic Agent | $14,368 | $20,117 | −29% | $21,894 | −34% | — |
| 205 | Other Respiratory System Diagnoses With Mcc | $14,303 | $27,695 | −48% | $33,255 | −57% | — |
| 164 | Major Chest Procedures With Cc | $14,166 | $35,862 | −60% | $56,755 | −75% | — |
| 841 | Lymphoma And Non-Acute Leukemia With Cc | $14,112 | $23,545 | −40% | $33,633 | −58% | — |
| 815 | Reticuloendothelial And Immunity Disorders With Cc | $14,068 | $16,382 | −14% | $19,264 | −27% | — |
| 054 | Nervous System Neoplasms With Mcc | $13,996 | $22,651 | −38% | $30,502 | −54% | — |
| 240 | Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc | $13,973 | $40,991 | −66% | $59,790 | −77% | — |
| 476 | Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc | $13,957 | $18,290 | −24% | $23,443 | −40% | — |
| 846 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc | $13,943 | $36,339 | −62% | $38,878 | −64% | — |
| 604 | Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc | $13,885 | $22,477 | −38% | $28,140 | −51% | — |
| 965 | Other Multiple Significant Trauma Without Cc/Mcc | $13,655 | $15,039 | −9% | $20,259 | −33% | — |
| 299 | Peripheral Vascular Disorders With Mcc | $13,602 | $24,189 | −44% | $27,316 | −50% | — |
| 519 | Back And Neck Procedures Except Spinal Fusion With Cc | $13,376 | $28,787 | −54% | $44,139 | −70% | — |
| 560 | Aftercare, Musculoskeletal System And Connective Tissue With Cc | $13,371 | $17,973 | −26% | $25,279 | −47% | — |
| 858 | Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc | $13,309 | $19,916 | −33% | $25,748 | −48% | — |
| 097 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc | $13,296 | $49,718 | −73% | $59,533 | −78% | — |
| 735 | Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc | $13,274 | $18,949 | −30% | $26,948 | −51% | — |
| 116 | Intraocular Procedures With Cc/Mcc | $13,124 | $24,851 | −47% | $29,126 | −55% | — |
| 472 | Cervical Spinal Fusion With Cc | $13,034 | $40,797 | −68% | $59,537 | −78% | — |
| 241 | Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc | $12,943 | $22,791 | −43% | $30,770 | −58% | — |
| 418 | Laparoscopic Cholecystectomy Without C.D.E. With Cc | $12,765 | $42,173 | −70% | $44,606 | −71% | — |
| 056 | Degenerative Nervous System Disorders With Mcc | $12,762 | $35,694 | −64% | $39,973 | −68% | — |
| 615 | Adrenal And Pituitary Procedures Without Cc/Mcc | $12,755 | $21,793 | −41% | $32,833 | −61% | — |
| 907 | Other O.R. Procedures For Injuries With Mcc | $12,333 | $69,779 | −82% | $77,817 | −84% | — |
| 935 | Non-Extensive Burns | $12,265 | $31,701 | −61% | $31,701 | −61% | — |
| 949 | Aftercare With Cc/Mcc | $12,180 | $17,496 | −30% | $23,953 | −49% | — |
| 354 | Hernia Procedures Except Inguinal And Femoral With Cc | $12,040 | $40,492 | −70% | $43,477 | −72% | — |
| 902 | Wound Debridements For Injuries With Cc | $12,008 | $27,823 | −57% | $40,562 | −70% | — |
| 087 | Traumatic Stupor And Coma <1 Hour Without Cc/Mcc | $11,934 | $14,668 | −19% | $16,520 | −28% | — |
| 485 | Knee Procedures With Principal Diagnosis Of Infection With Mcc | $11,911 | $44,977 | −74% | $72,424 | −84% | — |
| 809 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $11,706 | $19,268 | −39% | $22,458 | −48% | — |
| 417 | Laparoscopic Cholecystectomy Without C.D.E. With Mcc | $11,610 | $55,862 | −79% | $53,451 | −78% | — |
| 321 | Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal | $11,493 | $40,142 | −71% | $81,706 | −86% | — |
| 493 | Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc | $11,416 | $51,950 | −78% | $59,651 | −81% | ≈129% of Medicare |
| 729 | Other Male Reproductive System Diagnoses With Cc/Mcc | $11,375 | $17,483 | −35% | $17,483 | −35% | — |
| 982 | Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $11,331 | $36,333 | −69% | $51,985 | −78% | — |
| 183 | Major Chest Trauma With Mcc | $11,330 | $23,796 | −52% | $29,933 | −62% | — |
| 154 | Other Ear, Nose, Mouth And Throat Diagnoses With Mcc | $11,276 | $24,302 | −54% | $27,633 | −59% | — |
| 710 | Penis Procedures Without Cc/Mcc | $11,163 | $22,681 | −51% | $26,436 | −58% | — |
| 947 | Signs And Symptoms With Mcc | $11,069 | $19,887 | −44% | $27,401 | −60% | — |
| 330 | Major Small And Large Bowel Procedures With Cc | $11,023 | $71,920 | −85% | $59,500 | −81% | — |
| 862 | Postoperative And Post-Traumatic Infections With Mcc | $10,954 | $27,058 | −60% | $32,859 | −67% | — |
| 071 | Other Cerebrovascular Disorders With Cc | $10,760 | $20,656 | −48% | $23,488 | −54% | — |
| 818 | Other Antepartum Diagnoses With O.R. Procedures With Cc | $10,722 | $19,911 | −46% | $26,870 | −60% | — |
| 029 | Spinal Procedures With Cc Or Spinal Neurostimulators | $10,645 | $46,760 | −77% | $67,268 | −84% | — |
| 811 | Red Blood Cell Disorders With Mcc | $10,608 | $21,454 | −51% | $28,226 | −62% | — |
| 744 | D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc | $10,601 | $28,555 | −63% | $38,861 | −73% | — |
| 117 | Intraocular Procedures Without Cc/Mcc | $10,440 | $17,193 | −39% | $17,193 | −39% | — |
| 481 | Hip And Femur Procedures Except Major Joint With Cc | $10,152 | $48,834 | −79% | $52,751 | −81% | ≈95% of Medicare |
| 419 | Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc | $10,038 | $40,675 | −75% | $36,937 | −73% | — |
| 883 | Disorders Of Personality And Impulse Control | $10,000 | $16,996 | −41% | $23,206 | −57% | — |
| 740 | Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc | $9,987 | $26,794 | −63% | $40,365 | −75% | — |
| 598 | Malignant Breast Disorders With Cc | $9,977 | $17,197 | −42% | $19,073 | −48% | — |
| 546 | Connective Tissue Disorders With Cc | $9,876 | $18,220 | −46% | $25,700 | −62% | — |
| 478 | Biopsies Of Musculoskeletal System And Connective Tissue With Cc | $9,809 | $61,582 | −84% | $50,139 | −80% | — |
| 073 | Cranial And Peripheral Nerve Disorders With Mcc | $9,787 | $23,254 | −58% | $30,010 | −67% | — |
| 083 | Traumatic Stupor And Coma >1 Hour With Cc | $9,785 | $21,240 | −54% | $27,285 | −64% | ≈70% of Medicare |
| 272 | Other Major Cardiovascular Procedures Without Cc/Mcc | $9,753 | $35,670 | −73% | $55,162 | −82% | — |
| 700 | Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc | $9,692 | $12,204 | −21% | $14,797 | −34% | — |
| 755 | Malignancy, Female Reproductive System With Cc | $9,612 | $17,602 | −45% | $18,459 | −48% | — |
| 081 | Nontraumatic Stupor And Coma Without Mcc | $9,579 | $14,937 | −36% | $16,552 | −42% | — |
| 181 | Respiratory Neoplasms With Cc | $9,483 | $17,604 | −46% | $23,573 | −60% | — |
| 123 | Neurological Eye Disorders | $9,429 | $13,618 | −31% | $19,745 | −52% | — |
| 606 | Minor Skin Disorders With Mcc | $9,420 | $24,094 | −61% | $27,975 | −66% | — |
| 496 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc | $9,406 | $28,801 | −67% | $43,800 | −79% | — |
| 516 | Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc | $9,406 | $29,304 | −68% | $46,090 | −80% | — |
| 557 | Tendonitis, Myositis And Bursitis With Mcc | $9,369 | $24,506 | −62% | $32,877 | −72% | — |
| 432 | Cirrhosis And Alcoholic Hepatitis With Mcc | $9,344 | $35,662 | −74% | $40,213 | −77% | ≈90% of Medicare |
| 203 | Bronchitis And Asthma Without Cc/Mcc | $9,330 | $13,136 | −29% | $12,252 | −24% | — |
| 617 | Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc | $9,329 | $45,184 | −79% | $42,881 | −78% | — |
| 602 | Cellulitis With Mcc | $9,296 | $33,339 | −72% | $30,598 | −70% | — |
| 687 | Kidney And Urinary Tract Neoplasms With Cc | $9,280 | $16,857 | −45% | $20,232 | −54% | — |
| 660 | Kidney And Ureter Procedures For Non-Neoplasm With Cc | $9,235 | $35,339 | −74% | $31,264 | −70% | — |
| 823 | Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc | $9,232 | $63,928 | −86% | $87,761 | −89% | — |
| 659 | Kidney And Ureter Procedures For Non-Neoplasm With Mcc | $9,193 | $36,735 | −75% | $52,178 | −82% | — |
| 072 | Other Cerebrovascular Disorders Without Cc/Mcc | $9,112 | $22,134 | −59% | $19,037 | −52% | — |
| 282 | Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc | $9,086 | $23,571 | −61% | $19,227 | −53% | — |
| 964 | Other Multiple Significant Trauma With Cc | $9,069 | $22,664 | −60% | $27,394 | −67% | — |
| 868 | Other Infectious And Parasitic Diseases Diagnoses With Cc | $9,046 | $16,823 | −46% | $22,763 | −60% | — |
| 113 | Orbital Procedures With Cc/Mcc | $9,029 | $32,482 | −72% | $36,167 | −75% | — |
| 810 | Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders | $8,943 | $15,547 | −42% | $18,316 | −51% | — |
| 796 | Vaginal Delivery With Sterilization And/Or D&C With Mcc | $8,889 | $16,434 | −46% | $22,557 | −61% | — |
| 629 | Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc | $8,665 | $32,385 | −73% | $47,737 | −82% | — |
| 158 | Dental And Oral Diseases With Cc | $8,638 | $26,461 | −67% | $18,466 | −53% | — |
| 371 | Major Gastrointestinal Disorders And Peritoneal Infections With Mcc | $8,529 | $25,881 | −67% | $33,555 | −75% | — |
| 184 | Major Chest Trauma With Cc | $8,291 | $17,057 | −51% | $22,432 | −63% | — |
| 844 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc | $8,275 | $18,707 | −56% | $21,847 | −62% | — |
| 975 | Hiv With Major Related Condition With Cc | $8,203 | $21,642 | −62% | $27,808 | −71% | — |
| 580 | Other Skin, Subcutaneous Tissue And Breast Procedures With Cc | $8,119 | $34,882 | −77% | $38,101 | −79% | — |
| 857 | Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc | $8,060 | $35,375 | −77% | $45,333 | −82% | — |
| 869 | Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc | $8,052 | $12,534 | −36% | $12,559 | −36% | — |
| 562 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc | $8,022 | $39,254 | −80% | $29,743 | −73% | — |
| 033 | Ventricular Shunt Procedures Without Cc/Mcc | $7,870 | $23,902 | −67% | $35,419 | −78% | — |
| 373 | Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc | $7,770 | $12,609 | −38% | $16,767 | −54% | — |
| 876 | O.R. Procedures With Principal Diagnosis Of Mental Illness | $7,747 | $54,196 | −86% | $54,196 | −86% | — |
| 682 | Renal Failure With Mcc | $7,690 | $26,063 | −70% | $29,064 | −74% | ≈77% of Medicare |
| 196 | Interstitial Lung Disease With Mcc | $7,677 | $34,856 | −78% | $32,637 | −76% | — |
| 379 | Gastrointestinal Hemorrhage Without Cc/Mcc | $7,659 | $17,320 | −56% | $15,038 | −49% | — |
| 084 | Traumatic Stupor And Coma >1 Hour Without Cc/Mcc | $7,633 | $15,603 | −51% | $19,924 | −62% | — |
| 327 | Stomach, Esophageal And Duodenal Procedures With Cc | $7,446 | $34,708 | −79% | $59,421 | −87% | — |
| 155 | Other Ear, Nose, Mouth And Throat Diagnoses With Cc | $7,445 | $15,311 | −51% | $16,968 | −56% | — |
| 091 | Other Disorders Of Nervous System With Mcc | $7,359 | $30,855 | −76% | $37,387 | −80% | — |
| 554 | Bone Diseases And Arthropathies Without Mcc | $7,301 | $17,028 | −57% | $18,528 | −61% | — |
| 102 | Headaches With Mcc | $7,225 | $18,243 | −60% | $25,740 | −72% | — |
| 074 | Cranial And Peripheral Nerve Disorders Without Mcc | $7,210 | $23,404 | −69% | $23,141 | −69% | — |
| 121 | Acute Major Eye Infections With Cc/Mcc | $7,201 | $18,291 | −61% | $19,412 | −63% | — |
| 251 | Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc | $7,093 | $23,475 | −70% | $46,295 | −85% | — |
| 847 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc | $7,042 | $19,686 | −64% | $23,498 | −70% | — |
| 151 | Epistaxis Without Mcc | $7,009 | $13,119 | −47% | $13,032 | −46% | — |
| 790 | Extreme Immaturity Or Respiratory Distress Syndrome, Neonate | $7,000 | $80,018 | −91% | $80,018 | −91% | — |
| 443 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc | $6,985 | $19,436 | −64% | $15,600 | −55% | — |
| 571 | Skin Debridement With Cc | $6,971 | $33,638 | −79% | $37,169 | −81% | — |
| 062 | Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc | $6,931 | $36,928 | −81% | $52,075 | −87% | — |
| 065 | Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours | $6,893 | $30,153 | −77% | $23,940 | −71% | ≈57% of Medicare |
| 059 | Multiple Sclerosis And Cerebellar Ataxia With Cc | $6,757 | $32,998 | −80% | $27,163 | −75% | — |
| 442 | Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc | $6,552 | $22,434 | −71% | $21,449 | −69% | — |
| 060 | Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc | $6,507 | $14,776 | −56% | $22,148 | −71% | — |
| 057 | Degenerative Nervous System Disorders Without Mcc | $6,484 | $23,482 | −72% | $27,543 | −76% | — |
| 884 | Organic Disturbances And Intellectual Disability | $6,484 | $24,871 | −74% | $26,682 | −76% | ≈164% of Medicare |
| 311 | Angina Pectoris | $6,476 | $12,257 | −47% | $15,502 | −58% | — |
| 395 | Other Digestive System Diagnoses Without Cc/Mcc | $6,387 | $18,366 | −65% | $14,128 | −55% | — |
| 179 | Respiratory Infections And Inflammations Without Cc/Mcc | $6,374 | $15,583 | −59% | $14,648 | −56% | — |
| 280 | Acute Myocardial Infarction, Discharged Alive With Mcc | $6,373 | $32,707 | −81% | $30,828 | −79% | ≈79% of Medicare |
| 988 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc | $6,273 | $32,647 | −81% | $38,094 | −84% | — |
| 742 | Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc | $6,272 | $44,660 | −86% | $40,552 | −85% | — |
| 386 | Inflammatory Bowel Disease With Cc | $6,234 | $23,876 | −74% | $22,033 | −72% | — |
| 919 | Complications Of Treatment With Mcc | $6,187 | $26,862 | −77% | $31,105 | −80% | — |
| 584 | Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc | $5,954 | $29,767 | −80% | $35,030 | −83% | — |
| 825 | Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc | $5,930 | $19,169 | −69% | $27,323 | −78% | — |
| 723 | Malignancy, Male Reproductive System With Cc | $5,864 | $17,768 | −67% | $19,815 | −70% | — |
| 759 | Infections, Female Reproductive System Without Cc/Mcc | $5,760 | $11,501 | −50% | $14,250 | −60% | — |
| 684 | Renal Failure Without Cc/Mcc | $5,677 | $12,380 | −54% | $13,642 | −58% | — |
| 536 | Fractures Of Hip And Pelvis Without Mcc | $5,600 | $21,255 | −74% | $18,002 | −69% | — |
| 302 | Atherosclerosis With Mcc | $5,481 | $18,292 | −70% | $22,446 | −76% | — |
| 786 | Cesarean Section Without Sterilization With Mcc | $5,394 | $25,517 | −79% | $27,152 | −80% | — |
| 565 | Other Musculoskeletal System And Connective Tissue Diagnoses With Cc | $5,362 | $29,044 | −82% | $22,506 | −76% | — |
| 300 | Peripheral Vascular Disorders With Cc | $5,280 | $21,345 | −75% | $20,422 | −74% | — |
| 273 | Percutaneous And Other Intracardiac Procedures With Mcc | $5,163 | $53,945 | −90% | $78,852 | −93% | — |
| 208 | Respiratory System Diagnosis With Ventilator Support <=96 Hours | $5,145 | $55,830 | −91% | $52,405 | −90% | ≈132% of Medicare |
| 638 | Diabetes With Cc | $5,107 | $24,114 | −79% | $19,661 | −74% | ≈51% of Medicare |
| 357 | Other Digestive System O.R. Procedures With Cc | $5,036 | $32,423 | −84% | $48,682 | −90% | — |
| 914 | Traumatic Injury Without Mcc | $4,900 | $15,088 | −68% | $15,855 | −69% | — |
| 142 | Major Head And Neck Procedures Without Cc/Mcc | $4,840 | $23,602 | −79% | $34,906 | −86% | — |
| 078 | Hypertensive Encephalopathy With Cc | $4,838 | $16,146 | −70% | $17,698 | −73% | — |
| 872 | Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc | $4,750 | $24,139 | −80% | $22,888 | −79% | ≈56% of Medicare |
| 200 | Pneumothorax With Cc | $4,743 | $23,361 | −80% | $21,368 | −78% | — |
| 153 | Otitis Media And Uri Without Mcc | $4,724 | $12,822 | −63% | $14,583 | −68% | — |
| 831 | Other Antepartum Diagnoses Without O.R. Procedures With Mcc | $4,720 | $18,133 | −74% | $18,133 | −74% | — |
| 195 | Simple Pneumonia And Pleurisy Without Cc/Mcc | $4,685 | $19,336 | −76% | $13,824 | −66% | — |
| 191 | Chronic Obstructive Pulmonary Disease With Cc | $4,283 | $25,666 | −83% | $18,807 | −77% | — |
| 983 | Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $4,232 | $24,846 | −83% | $34,607 | −88% | — |
| 445 | Disorders Of The Biliary Tract With Cc | $4,167 | $20,434 | −80% | $23,319 | −82% | — |
| 783 | Cesarean Section With Sterilization With Mcc | $4,125 | $23,620 | −83% | $29,221 | −86% | — |
| 331 | Major Small And Large Bowel Procedures Without Cc/Mcc | $4,104 | $30,691 | −87% | $44,117 | −91% | — |
| 605 | Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc | $4,006 | $17,235 | −77% | $20,506 | −80% | — |
| 915 | Allergic Reactions With Mcc | $3,950 | $38,632 | −90% | $32,645 | −88% | — |
| 570 | Skin Debridement With Mcc | $3,927 | $42,263 | −91% | $52,435 | −93% | — |
| 920 | Complications Of Treatment With Cc | $3,926 | $18,678 | −79% | $22,468 | −83% | — |
| 389 | Gastrointestinal Obstruction With Cc | $3,893 | $20,930 | −81% | $17,578 | −78% | — |
| 813 | Coagulation Disorders | $3,840 | $23,285 | −84% | $33,296 | −88% | — |
| 548 | Septic Arthritis With Mcc | $3,700 | $29,341 | −87% | $31,346 | −88% | — |
| 639 | Diabetes Without Cc/Mcc | $3,700 | $15,635 | −76% | $13,910 | −73% | — |
| 894 | Alcohol, Drug Abuse Or Dependence, Left Ama | $3,687 | $11,294 | −67% | $12,324 | −70% | — |
| 581 | Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc | $3,681 | $21,873 | −83% | $26,932 | −86% | — |
| 446 | Disorders Of The Biliary Tract Without Cc/Mcc | $3,640 | $23,067 | −84% | $17,700 | −79% | — |
| 880 | Acute Adjustment Reaction And Psychosocial Dysfunction | $3,625 | $15,636 | −77% | $17,733 | −80% | — |
| 264 | Other Circulatory System O.R. Procedures | $3,625 | $48,557 | −93% | $51,953 | −93% | — |
| 787 | Cesarean Section Without Sterilization With Cc | $3,616 | $20,957 | −83% | $23,571 | −85% | — |
| 784 | Cesarean Section With Sterilization With Cc | $3,599 | $26,505 | −86% | $23,283 | −85% | — |
| 199 | Pneumothorax With Mcc | $3,569 | $35,165 | −90% | $33,787 | −89% | — |
| 122 | Acute Major Eye Infections Without Cc/Mcc | $3,557 | $11,997 | −70% | $11,997 | −70% | — |
| 093 | Other Disorders Of Nervous System Without Cc/Mcc | $3,551 | $13,438 | −74% | $17,620 | −80% | — |
| 743 | Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc | $3,498 | $25,936 | −87% | $30,784 | −89% | — |
| 558 | Tendonitis, Myositis And Bursitis Without Mcc | $3,490 | $19,342 | −82% | $18,602 | −81% | — |
| 201 | Pneumothorax Without Cc/Mcc | $3,488 | $19,308 | −82% | $14,053 | −75% | — |
| 769 | Postpartum And Post Abortion Diagnoses With O.R. Procedures | $3,416 | $21,228 | −84% | $25,094 | −86% | — |
| 683 | Renal Failure With Cc | $3,404 | $22,590 | −85% | $19,130 | −82% | ≈52% of Medicare |
| 896 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc | $3,321 | $26,307 | −87% | $31,159 | −89% | — |
| 797 | Vaginal Delivery With Sterilization And/Or D&C With Cc | $3,166 | $13,602 | −77% | $19,962 | −84% | — |
| 387 | Inflammatory Bowel Disease Without Cc/Mcc | $3,161 | $11,894 | −73% | $16,288 | −81% | — |
| 202 | Bronchitis And Asthma With Cc/Mcc | $3,082 | $15,741 | −80% | $17,724 | −83% | — |
| 785 | Cesarean Section With Sterilization Without Cc/Mcc | $3,057 | $19,121 | −84% | $19,846 | −85% | — |
| 307 | Cardiac Congenital And Valvular Disorders Without Mcc | $3,055 | $15,217 | −80% | $20,566 | −85% | — |
| 885 | Psychoses | $3,034 | $21,489 | −86% | $21,729 | −86% | ≈154% of Medicare |
| 788 | Cesarean Section Without Sterilization Without Cc/Mcc | $2,971 | $18,430 | −84% | $20,084 | −85% | — |
| 309 | Cardiac Arrhythmia And Conduction Disorders With Cc | $2,955 | $23,675 | −88% | $17,303 | −83% | — |
| 824 | Lymphoma And Non-Acute Leukemia With Other Procedures With Cc | $2,944 | $31,740 | −91% | $41,608 | −93% | — |
| 068 | Precerebral Occlusion Without Infarction Without Mcc | $2,851 | $14,635 | −81% | $19,569 | −85% | — |
| 798 | Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc | $2,678 | $13,602 | −80% | $18,452 | −85% | — |
| 989 | Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc | $2,548 | $18,191 | −86% | $25,652 | −90% | — |
| 152 | Otitis Media And Uri With Mcc | $2,548 | $25,161 | −90% | $20,247 | −87% | — |
| 871 | Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc | $2,433 | $37,479 | −94% | $35,628 | −93% | ≈90% of Medicare |
| 886 | Behavioral And Developmental Disorders | $2,407 | $26,510 | −91% | $26,510 | −91% | — |
| 190 | Chronic Obstructive Pulmonary Disease With Mcc | $2,359 | $32,208 | −93% | $24,386 | −90% | ≈64% of Medicare |
| 291 | Heart Failure And Shock With Mcc | $2,275 | $25,917 | −91% | $26,776 | −92% | ≈69% of Medicare |
| 308 | Cardiac Arrhythmia And Conduction Disorders With Mcc | $2,262 | $27,247 | −92% | $26,770 | −92% | — |
| 440 | Disorders Of Pancreas Except Malignancy Without Cc/Mcc | $2,208 | $15,493 | −86% | $15,183 | −85% | — |
| 789 | Neonates, Died Or Transferred To Another Acute Care Facility | $2,183 | $26,590 | −92% | $16,351 | −87% | — |
| 304 | Hypertension With Mcc | $2,168 | $27,407 | −92% | $26,080 | −92% | — |
| 254 | Other Vascular Procedures Without Cc/Mcc | $2,156 | $25,899 | −92% | $38,836 | −94% | — |
| 881 | Depressive Neuroses | $2,154 | $15,058 | −86% | $15,058 | −86% | — |
| 372 | Major Gastrointestinal Disorders And Peritoneal Infections With Cc | $2,139 | $25,590 | −92% | $22,850 | −91% | — |
| 768 | Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C | $2,135 | $14,778 | −86% | $16,846 | −87% | — |
| 806 | Vaginal Delivery Without Sterilization Or D&C With Cc | $2,135 | $13,039 | −84% | $13,275 | −84% | — |
| 807 | Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc | $1,910 | $12,044 | −84% | $12,078 | −84% | — |
| 923 | Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc | $1,889 | $23,439 | −92% | $17,601 | −89% | — |
| 607 | Minor Skin Disorders Without Mcc | $1,799 | $14,410 | −88% | $15,889 | −89% | — |
| 791 | Prematurity With Major Problems | $1,768 | $55,887 | −97% | $42,679 | −96% | — |
| 563 | Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc | $1,759 | $24,482 | −93% | $19,842 | −91% | — |
| 645 | Endocrine Disorders Without Cc/Mcc | $1,752 | $13,317 | −87% | $15,428 | −89% | — |
| 641 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc | $1,684 | $15,729 | −89% | $17,038 | −90% | — |
| 148 | Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc | $1,684 | $13,586 | −88% | $13,586 | −88% | — |
| 436 | Malignancy Of Hepatobiliary System Or Pancreas With Cc | $1,684 | $31,799 | −95% | $25,034 | −93% | — |
| 916 | Allergic Reactions Without Mcc | $1,684 | $11,813 | −86% | $13,942 | −88% | — |
| 287 | Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc | $1,678 | $18,141 | −91% | $32,021 | −95% | — |
| 206 | Other Respiratory System Diagnoses Without Mcc | $1,665 | $14,950 | −89% | $18,488 | −91% | — |
| 658 | Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc | $1,665 | $35,669 | −95% | $36,253 | −95% | — |
| 776 | Postpartum And Post Abortion Diagnoses Without O.R. Procedures | $1,665 | $12,978 | −87% | $12,454 | −87% | — |
| 642 | Inborn And Other Disorders Of Metabolism | $1,655 | $23,438 | −93% | $20,727 | −92% | — |
| 292 | Heart Failure And Shock With Cc | $1,640 | $14,525 | −89% | $16,371 | −90% | — |
| 761 | Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc | $1,594 | $11,421 | −86% | $11,421 | −86% | — |
| 390 | Gastrointestinal Obstruction Without Cc/Mcc | $1,553 | $17,752 | −91% | $13,361 | −88% | — |
| 603 | Cellulitis Without Mcc | $1,509 | $21,536 | −93% | $18,530 | −92% | ≈49% of Medicare |
| 566 | Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc | $1,500 | $19,244 | −92% | $14,716 | −90% | — |
| 864 | Fever And Inflammatory Conditions | $1,474 | $14,849 | −90% | $18,640 | −92% | — |
| 770 | Abortion With D&C, Aspiration Curettage Or Hysterotomy | $1,463 | $17,159 | −91% | $18,956 | −92% | — |
| 812 | Red Blood Cell Disorders Without Mcc | $1,449 | $23,780 | −94% | $20,488 | −93% | — |
| 066 | Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc | $1,449 | $19,759 | −93% | $20,781 | −93% | — |
| 897 | Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc | $1,406 | $15,553 | −91% | $16,699 | −92% | — |
| 204 | Respiratory Signs And Symptoms | $1,355 | $13,720 | −90% | $18,004 | −92% | — |
| 948 | Signs And Symptoms Without Mcc | $1,325 | $21,286 | −94% | $17,921 | −93% | — |
| 069 | Transient Ischemia Without Thrombolytic | $1,296 | $16,134 | −92% | $21,056 | −94% | — |
| 281 | Acute Myocardial Infarction, Discharged Alive With Cc | $1,143 | $29,965 | −96% | $20,463 | −94% | — |
| 833 | Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc | $1,108 | $9,940 | −89% | $9,940 | −89% | — |
| 918 | Poisoning And Toxic Effects Of Drugs Without Mcc | $1,012 | $14,675 | −93% | $15,452 | −93% | ≈48% of Medicare |
| 793 | Full Term Neonate With Major Problems | $821 | $39,640 | −98% | $18,649 | −96% | — |
| 794 | Neonate With Other Significant Problems | $476 | $8,330 | −94% | $8,445 | −94% | — |
Procedures with negotiated rates only
These 335 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 |
|---|---|---|---|
| 005 | Liver Transplant With Mcc Or Intestinal Transplant | $123,726 – $216,521 · median $156,273 | 13 plans |
| 006 | Liver Transplant Without Mcc | $55,644 – $138,097 · median $97,377 | 13 plans |
| 007 | Lung Transplant | $155,402 – $271,954 · median $182,455 | 13 plans |
| 008 | Simultaneous Pancreas And Kidney Transplant | $67,255 – $151,350 · median $109,598 | 13 plans |
| 010 | Pancreas Transplant | $86,108 – $172,869 · median $125,181 | 13 plans |
| 013 | Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc | $19,539 – $114,056 · median $60,518 | 13 plans |
| 014 | Allogeneic Bone Marrow Transplant | $144,215 – $252,376 · median $173,208 | 13 plans |
| 016 | Autologous Bone Marrow Transplant With Cc/Mcc | $71,156 – $155,803 · median $112,823 | 13 plans |
| 017 | Autologous Bone Marrow Transplant Without Cc/Mcc | $65,188 – $148,990 · median $107,889 | 13 plans |
| 018 | Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies | $459,348 – $906,839 · median $518,194 | 13 plans |
| 019 | Simultaneous Pancreas And Kidney Transplant With Hemodialysis | $85,615 – $172,306 · median $124,773 | 13 plans |
| 021 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc | $63,526 – $147,093 · median $101,443 | 13 plans |
| 022 | Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc | $38,129 – $118,105 · median $66,725 | 13 plans |
| 027 | Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc | $20,422 – $109,140 · median $52,981 | 13 plans |
| 038 | Extracranial Procedures With Cc | $16,565 – $96,809 · median $34,075 | 13 plans |
| 053 | Spinal Disorders And Injuries Without Cc/Mcc | $9,780 – $87,996 · median $20,563 | 13 plans |
| 076 | Viral Meningitis Without Cc/Mcc | $6,936 – $85,887 · median $17,329 | 13 plans |
| 088 | Concussion With Mcc | $14,244 – $93,100 · median $28,388 | 13 plans |
| 089 | Concussion With Cc | $10,848 – $89,632 · median $23,071 | 13 plans |
| 090 | Concussion Without Cc/Mcc | $7,845 – $85,860 · median $17,287 | 13 plans |
| 092 | Other Disorders Of Nervous System With Cc | $10,209 – $88,596 · median $21,483 | 13 plans |
| 094 | Bacterial And Tuberculous Infections Of Nervous System With Mcc | $35,719 – $122,789 · median $73,907 | 13 plans |
| 096 | Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc | $25,590 – $109,911 · median $54,163 | 13 plans |
| 098 | Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc | $20,257 – $106,017 · median $48,193 | 13 plans |
| 101 | Seizures Without Mcc | $7,717 – $86,947 · median $18,955 | 13 plans |
| 103 | Headaches Without Mcc | $6,964 – $86,039 · median $17,562 | 13 plans |
| 114 | Orbital Procedures Without Cc/Mcc | $10,902 – $93,116 · median $28,413 | 13 plans |
| 125 | Other Disorders Of The Eye Without Mcc | $5,721 – $85,101 · median $16,124 | 13 plans |
| 135 | Sinus And Mastoid Procedures With Cc/Mcc | $19,921 – $104,306 · median $45,570 | 13 plans |
| 136 | Sinus And Mastoid Procedures Without Cc/Mcc | $11,769 – $88,491 · median $21,321 | 13 plans |
| 139 | Salivary Gland Procedures | $9,829 – $91,509 · median $25,950 | 13 plans |
| 145 | Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc | $14,428 – $91,052 · median $62,794 | 13 plans |
| 149 | Dysequilibrium | $7,464 – $84,879 · median $15,784 | 13 plans |
| 150 | Epistaxis With Mcc | $15,111 – $92,822 · median $27,962 | 13 plans |
| 156 | Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc | $5,371 – $84,050 · median $14,513 | 13 plans |
| 157 | Dental And Oral Diseases With Mcc | $17,103 – $98,099 · median $36,053 | 13 plans |
| 163 | Major Chest Procedures With Mcc | $39,194 – $135,971 · median $93,773 | 13 plans |
| 168 | Other Respiratory System O.R. Procedures Without Cc/Mcc | $14,032 – $93,300 · median $28,694 | 13 plans |
| 175 | Pulmonary Embolism With Mcc Or Acute Cor Pulmonale | $14,403 – $93,398 · median $28,846 | 13 plans |
| 176 | Pulmonary Embolism Without Mcc | $9,660 – $85,610 · median $16,905 | 13 plans |
| 177 | Respiratory Infections And Inflammations With Mcc | $18,752 – $95,988 · median $32,817 | 13 plans |
| 182 | Respiratory Neoplasms Without Cc/Mcc | $7,893 – $84,909 · median $15,830 | 13 plans |
| 185 | Major Chest Trauma Without Cc/Mcc | $9,041 – $85,357 · median $16,517 | 13 plans |
| 188 | Pleural Effusion Without Cc/Mcc | $7,012 – $84,408 · median $15,061 | 13 plans |
| 189 | Pulmonary Edema And Respiratory Failure | $14,825 – $91,505 · median $25,943 | 13 plans |
| 192 | Chronic Obstructive Pulmonary Disease Without Cc/Mcc | $6,815 – $83,378 · median $13,482 | 13 plans |
| 193 | Simple Pneumonia And Pleurisy With Mcc | $15,382 – $92,587 · median $27,602 | 13 plans |
| 194 | Simple Pneumonia And Pleurisy With Cc | $8,320 – $85,623 · median $16,924 | 13 plans |
| 197 | Interstitial Lung Disease With Cc | $11,389 – $87,584 · median $19,931 | 13 plans |
| 198 | Interstitial Lung Disease Without Cc/Mcc | $8,254 – $84,394 · median $15,040 | 13 plans |
| 207 | Respiratory System Diagnosis With Ventilator Support >96 Hours | $62,650 – $162,720 · median $112,220 | 13 plans |
| 209 | Complex Aortic Arch Procedures | $135,826 – $237,695 · median $166,274 | 13 plans |
| 212 | Concomitant Aortic And Mitral Valve Procedures | $130,489 – $228,356 · median $161,863 | 13 plans |
| 213 | Endovascular Abdominal Aorta With Iliac Branch Procedures | $68,483 – $152,751 · median $110,613 | 13 plans |
| 215 | Other Heart Assist System Implant | $119,484 – $224,952 · median $153,495 | 13 plans |
| 217 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc | $62,277 – $164,645 · median $113,549 | 13 plans |
| 218 | Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc | $60,872 – $164,645 · median $113,549 | 13 plans |
| 231 | Coronary Bypass With Ptca With Mcc | $82,470 – $190,048 · median $131,067 | 13 plans |
| 232 | Coronary Bypass With Ptca Without Mcc | $60,630 – $157,623 · median $108,705 | 13 plans |
| 245 | Aicd Generator Procedures | $41,204 – $137,075 · median $94,534 | 13 plans |
| 255 | Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc | $24,942 – $111,530 · median $56,645 | 13 plans |
| 256 | Upper Limb And Toe Amputation For Circulatory System Disorders With Cc | $16,231 – $97,840 · median $35,656 | 13 plans |
| 257 | Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc | $10,785 – $89,544 · median $22,936 | 13 plans |
| 258 | Cardiac Pacemaker Device Replacement With Mcc | $30,720 – $117,621 · median $65,984 | 13 plans |
| 260 | Cardiac Pacemaker Revision Except Device Replacement With Mcc | $35,315 – $119,137 · median $68,309 | 13 plans |
| 261 | Cardiac Pacemaker Revision Except Device Replacement With Cc | $18,169 – $100,478 · median $39,701 | 13 plans |
| 265 | Aicd Lead Procedures | $22,601 – $124,142 · median $75,982 | 13 plans |
| 267 | Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc | $57,130 – $139,792 · median $99,977 | 13 plans |
| 274 | Percutaneous And Other Intracardiac Procedures Without Mcc | $39,500 – $119,670 · median $82,531 | 13 plans |
| 277 | Cardiac Defibrillator Implant Without Mcc | $55,422 – $137,843 · median $96,989 | 13 plans |
| 278 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc | $66,794 – $150,824 · median $109,217 | 13 plans |
| 279 | Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc | $43,277 – $123,981 · median $85,504 | 13 plans |
| 284 | Acute Myocardial Infarction, Expired With Cc | $8,306 – $84,065 · median $14,536 | 13 plans |
| 285 | Acute Myocardial Infarction, Expired Without Cc/Mcc | $7,187 – $82,787 · median $12,577 | 13 plans |
| 289 | Acute And Subacute Endocarditis With Cc | $19,001 – $97,963 · median $35,845 | 13 plans |
| 290 | Acute And Subacute Endocarditis Without Cc/Mcc | $11,156 – $87,318 · median $19,524 | 13 plans |
| 293 | Heart Failure And Shock Without Cc/Mcc | $6,600 – $82,337 · median $11,886 | 13 plans |
| 297 | Cardiac Arrest, Unexplained With Cc | $7,608 – $83,268 · median $13,314 | 13 plans |
| 298 | Cardiac Arrest, Unexplained Without Cc/Mcc | $5,461 – $80,818 · median $9,557 | 13 plans |
| 301 | Peripheral Vascular Disorders Without Cc/Mcc | $5,187 – $84,442 · median $15,114 | 13 plans |
| 303 | Atherosclerosis Without Mcc | $6,377 – $83,805 · median $14,137 | 13 plans |
| 305 | Hypertension Without Mcc | $6,701 – $84,927 · median $15,857 | 13 plans |
| 306 | Cardiac Congenital And Valvular Disorders With Mcc | $18,910 – $96,168 · median $46,726 | 13 plans |
| 310 | Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc | $5,388 – $82,338 · median $11,888 | 13 plans |
| 312 | Syncope And Collapse | $8,009 – $86,522 · median $18,304 | 13 plans |
| 313 | Chest Pain | $6,388 – $84,446 · median $15,120 | 13 plans |
| 314 | Other Circulatory System Diagnoses With Mcc | $18,438 – $103,145 · median $43,789 | 13 plans |
| 315 | Other Circulatory System Diagnoses With Cc | $10,029 – $87,778 · median $20,229 | 13 plans |
| 316 | Other Circulatory System Diagnoses Without Cc/Mcc | $6,271 – $83,927 · median $14,324 | 13 plans |
| 318 | Percutaneous Coronary Atherectomy Without Intraluminal Device | $29,066 – $107,761 · median $74,318 | 13 plans |
| 319 | Other Endovascular Cardiac Valve Procedures With Mcc | $53,555 – $135,712 · median $93,721 | 13 plans |
| 320 | Other Endovascular Cardiac Valve Procedures Without Mcc | $28,864 – $107,529 · median $74,158 | 13 plans |
| 323 | Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc | $51,929 – $133,856 · median $92,315 | 13 plans |
| 325 | Coronary Intravascular Lithotripsy Without Intraluminal Device | $38,525 – $118,557 · median $81,763 | 13 plans |
| 328 | Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc | $14,298 – $96,531 · median $33,648 | 13 plans |
| 332 | Rectal Resection With Mcc | $33,540 – $124,177 · median $76,035 | 13 plans |
| 333 | Rectal Resection With Cc | $20,059 – $106,665 · median $49,186 | 13 plans |
| 334 | Rectal Resection Without Cc/Mcc | $16,802 – $97,018 · median $34,396 | 13 plans |
| 344 | Minor Small And Large Bowel Procedures With Mcc | $24,497 – $109,961 · median $54,239 | 13 plans |
| 345 | Minor Small And Large Bowel Procedures With Cc | $13,145 – $95,194 · median $31,599 | 13 plans |
| 347 | Anal And Stomal Procedures With Mcc | $17,491 – $106,027 · median $48,208 | 13 plans |
| 348 | Anal And Stomal Procedures With Cc | $10,363 – $92,511 · median $27,485 | 13 plans |
| 349 | Anal And Stomal Procedures Without Cc/Mcc | $7,467 – $86,509 · median $18,283 | 13 plans |
| 350 | Inguinal And Femoral Hernia Procedures With Mcc | $25,393 – $108,716 · median $52,330 | 13 plans |
| 352 | Inguinal And Femoral Hernia Procedures Without Cc/Mcc | $9,397 – $90,579 · median $24,524 | 13 plans |
| 353 | Hernia Procedures Except Inguinal And Femoral With Mcc | $24,847 – $114,333 · median $60,942 | 13 plans |
| 355 | Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc | $11,499 – $93,007 · median $28,245 | 13 plans |
| 358 | Other Digestive System O.R. Procedures Without Cc/Mcc | $12,366 – $93,731 · median $29,356 | 13 plans |
| 359 | Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc | $41,263 – $121,682 · median $83,919 | 13 plans |
| 360 | Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc | $28,972 – $107,653 · median $74,243 | 13 plans |
| 369 | Major Esophageal Disorders With Cc | $9,354 – $88,284 · median $21,004 | 13 plans |
| 370 | Major Esophageal Disorders Without Cc/Mcc | $6,747 – $84,183 · median $14,717 | 13 plans |
| 375 | Digestive Malignancy With Cc | $11,663 – $91,152 · median $25,402 | 13 plans |
| 376 | Digestive Malignancy Without Cc/Mcc | $8,373 – $87,244 · median $19,410 | 13 plans |
| 378 | Gastrointestinal Hemorrhage With Cc | $8,907 – $88,017 · median $20,595 | 13 plans |
| 383 | Uncomplicated Peptic Ulcer With Mcc | $14,050 – $93,496 · median $28,995 | 13 plans |
| 391 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc | $10,154 – $91,956 · median $26,634 | 13 plans |
| 392 | Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc | $6,491 – $85,262 · median $16,372 | 13 plans |
| 393 | Other Digestive System Diagnoses With Mcc | $16,219 – $96,490 · median $33,585 | 13 plans |
| 394 | Other Digestive System Diagnoses With Cc | $8,445 – $87,400 · median $19,650 | 13 plans |
| 399 | Appendix Procedures Without Cc/Mcc | $13,736 – $90,263 · median $62,250 | 13 plans |
| 408 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc | $31,878 – $123,422 · median $74,878 | 13 plans |
| 409 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc | $18,583 – $104,406 · median $45,723 | 13 plans |
| 410 | Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc | $14,519 – $96,331 · median $33,342 | 13 plans |
| 411 | Cholecystectomy With C.D.E. With Mcc | $30,130 – $119,829 · median $69,369 | 13 plans |
| 412 | Cholecystectomy With C.D.E. With Cc | $22,434 – $103,382 · median $44,153 | 13 plans |
| 413 | Cholecystectomy With C.D.E. Without Cc/Mcc | $15,138 – $97,328 · median $34,871 | 13 plans |
| 414 | Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc | $26,997 – $123,381 · median $74,815 | 13 plans |
| 416 | Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc | $12,916 – $93,257 · median $28,629 | 13 plans |
| 421 | Hepatobiliary Diagnostic Procedures With Cc | $17,328 – $98,383 · median $36,488 | 13 plans |
| 422 | Hepatobiliary Diagnostic Procedures Without Cc/Mcc | $14,105 – $93,753 · median $29,390 | 13 plans |
| 423 | Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc | $40,650 – $131,467 · median $87,213 | 13 plans |
| 425 | Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc | $15,122 – $95,134 · median $31,506 | 13 plans |
| 429 | Combined Anterior And Posterior Cervical Spinal Fusion With Mcc | $108,115 – $197,988 · median $143,370 | 13 plans |
| 433 | Cirrhosis And Alcoholic Hepatitis With Cc | $9,089 – $89,051 · median $22,180 | 13 plans |
| 434 | Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc | $7,923 – $84,343 · median $14,963 | 13 plans |
| 435 | Malignancy Of Hepatobiliary System Or Pancreas With Mcc | $17,133 – $99,741 · median $38,571 | 13 plans |
| 437 | Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc | $8,996 – $86,272 · median $17,919 | 13 plans |
| 439 | Disorders Of Pancreas Except Malignancy With Cc | $9,297 – $86,106 · median $17,665 | 13 plans |
| 444 | Disorders Of The Biliary Tract With Mcc | $13,549 – $97,470 · median $35,089 | 13 plans |
| 450 | Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F | $63,955 – $147,583 · median $106,871 | 13 plans |
| 458 | Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With | $47,446 – $131,736 · median $87,625 | 13 plans |
| 461 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc | $40,611 – $150,232 · median $103,608 | 13 plans |
| 462 | Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc | $31,920 – $111,018 · median $55,860 | 13 plans |
| 464 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $29,646 – $117,246 · median $65,409 | 13 plans |
| 465 | Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit | $18,246 – $99,563 · median $38,298 | 13 plans |
| 469 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl | $28,801 – $116,130 · median $63,697 | 13 plans |
| 470 | Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc | $20,476 – $101,004 · median $40,507 | 13 plans |
| 471 | Cervical Spinal Fusion With Mcc | $35,774 – $140,722 · median $97,050 | 13 plans |
| 475 | Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc | $16,504 – $105,754 · median $47,790 | 13 plans |
| 495 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc | $34,112 – $124,245 · median $76,140 | 13 plans |
| 497 | Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc | $10,754 – $91,134 · median $25,374 | 13 plans |
| 498 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc | $17,550 – $115,905 · median $63,353 | 13 plans |
| 499 | Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc | $9,330 – $102,181 · median $42,311 | 13 plans |
| 501 | Soft Tissue Procedures With Cc | $15,168 – $98,528 · median $36,710 | 13 plans |
| 502 | Soft Tissue Procedures Without Cc/Mcc | $10,284 – $93,019 · median $28,264 | 13 plans |
| 505 | Foot Procedures Without Cc/Mcc | $10,318 – $99,140 · median $37,649 | 13 plans |
| 514 | Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc | $8,508 – $88,587 · median $21,468 | 13 plans |
| 517 | Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc | $16,459 – $95,632 · median $32,271 | 13 plans |
| 533 | Fractures Of Femur With Mcc | $18,812 – $96,057 · median $32,922 | 13 plans |
| 537 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc | $11,452 – $87,655 · median $20,040 | 13 plans |
| 538 | Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc | $6,431 – $84,450 · median $15,126 | 13 plans |
| 540 | Osteomyelitis With Cc | $15,556 – $92,340 · median $27,222 | 13 plans |
| 541 | Osteomyelitis Without Cc/Mcc | $8,814 – $85,369 · median $16,535 | 13 plans |
| 547 | Connective Tissue Disorders Without Cc/Mcc | $10,034 – $86,038 · median $17,560 | 13 plans |
| 550 | Septic Arthritis Without Cc/Mcc | $7,807 – $86,557 · median $18,356 | 13 plans |
| 551 | Medical Back Problems With Mcc | $13,999 – $97,542 · median $35,198 | 13 plans |
| 552 | Medical Back Problems Without Mcc | $7,871 – $87,751 · median $20,187 | 13 plans |
| 555 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc | $15,742 – $92,689 · median $27,758 | 13 plans |
| 556 | Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc | $7,198 – $85,961 · median $17,443 | 13 plans |
| 561 | Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc | $6,657 – $85,595 · median $16,882 | 13 plans |
| 572 | Skin Debridement Without Cc/Mcc | $8,662 – $90,285 · median $24,072 | 13 plans |
| 575 | Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc | $12,882 – $99,198 · median $37,737 | 13 plans |
| 578 | Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc | $16,929 – $96,587 · median $33,734 | 13 plans |
| 582 | Mastectomy For Malignancy With Cc/Mcc | $18,109 – $100,973 · median $40,459 | 13 plans |
| 583 | Mastectomy For Malignancy Without Cc/Mcc | $17,408 – $98,203 · median $36,212 | 13 plans |
| 592 | Skin Ulcers With Mcc | $23,224 – $101,092 · median $40,641 | 13 plans |
| 593 | Skin Ulcers With Cc | $8,314 – $90,833 · median $24,912 | 13 plans |
| 594 | Skin Ulcers Without Cc/Mcc | $7,824 – $86,457 · median $18,203 | 13 plans |
| 595 | Major Skin Disorders With Mcc | $15,679 – $103,631 · median $44,535 | 13 plans |
| 596 | Major Skin Disorders Without Mcc | $6,369 – $89,411 · median $22,733 | 13 plans |
| 597 | Malignant Breast Disorders With Mcc | $16,687 – $97,418 · median $35,009 | 13 plans |
| 599 | Malignant Breast Disorders Without Cc/Mcc | $7,769 – $85,123 · median $16,157 | 13 plans |
| 601 | Non-Malignant Breast Disorders Without Cc/Mcc | $5,101 – $82,871 · median $12,705 | 13 plans |
| 619 | O.R. Procedures For Obesity With Mcc | $31,123 – $114,133 · median $60,635 | 13 plans |
| 620 | O.R. Procedures For Obesity With Cc | $19,204 – $96,503 · median $33,606 | 13 plans |
| 621 | O.R. Procedures For Obesity Without Cc/Mcc | $18,101 – $95,245 · median $31,676 | 13 plans |
| 623 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc | $18,183 – $99,155 · median $37,672 | 13 plans |
| 624 | Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc | $12,864 – $91,731 · median $26,290 | 13 plans |
| 626 | Thyroid, Parathyroid And Thyroglossal Procedures With Cc | $12,181 – $95,121 · median $31,487 | 13 plans |
| 627 | Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc | $8,998 – $92,778 · median $27,894 | 13 plans |
| 637 | Diabetes With Mcc | $14,287 – $94,263 · median $30,171 | 13 plans |
| 640 | Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc | $10,474 – $92,878 · median $28,048 | 13 plans |
| 644 | Endocrine Disorders With Cc | $8,186 – $88,624 · median $21,525 | 13 plans |
| 650 | Kidney Transplant With Hemodialysis With Mcc | $56,417 – $138,979 · median $98,729 | 13 plans |
| 651 | Kidney Transplant With Hemodialysis Without Mcc | $44,470 – $125,342 · median $86,443 | 13 plans |
| 652 | Kidney Transplant | $38,754 – $118,818 · median $81,944 | 13 plans |
| 657 | Kidney And Ureter Procedures For Neoplasm With Cc | $17,303 – $99,650 · median $38,430 | 13 plans |
| 661 | Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc | $12,159 – $88,766 · median $21,743 | 13 plans |
| 662 | Minor Bladder Procedures With Mcc | $28,422 – $116,517 · median $64,292 | 13 plans |
| 664 | Minor Bladder Procedures Without Cc/Mcc | $10,189 – $88,924 · median $21,985 | 13 plans |
| 665 | Prostatectomy With Mcc | $28,539 – $117,335 · median $65,545 | 13 plans |
| 666 | Prostatectomy With Cc | $15,155 – $98,544 · median $36,735 | 13 plans |
| 667 | Prostatectomy Without Cc/Mcc | $8,542 – $89,736 · median $23,230 | 13 plans |
| 670 | Transurethral Procedures Without Cc/Mcc | $8,628 – $87,970 · median $20,523 | 13 plans |
| 671 | Urethral Procedures With Cc/Mcc | $11,426 – $99,170 · median $37,695 | 13 plans |
| 672 | Urethral Procedures Without Cc/Mcc | $7,039 – $89,370 · median $22,670 | 13 plans |
| 674 | Other Kidney And Urinary Tract Procedures With Cc | $20,630 – $106,616 · median $49,111 | 13 plans |
| 688 | Kidney And Urinary Tract Neoplasms Without Cc/Mcc | $6,649 – $85,409 · median $16,596 | 13 plans |
| 689 | Kidney And Urinary Tract Infections With Mcc | $10,894 – $90,477 · median $24,366 | 13 plans |
| 690 | Kidney And Urinary Tract Infections Without Mcc | $6,099 – $85,672 · median $17,000 | 13 plans |
| 693 | Urinary Stones With Mcc | $11,314 – $93,000 · median $28,235 | 13 plans |
| 694 | Urinary Stones Without Mcc | $6,182 – $85,291 · median $16,416 | 13 plans |
| 697 | Urethral Stricture | $7,043 – $89,347 · median $22,634 | 13 plans |
| 699 | Other Kidney And Urinary Tract Diagnoses With Cc | $9,308 – $88,487 · median $21,315 | 13 plans |
| 707 | Major Male Pelvic Procedures With Cc/Mcc | $15,958 – $101,982 · median $42,006 | 13 plans |
| 708 | Major Male Pelvic Procedures Without Cc/Mcc | $13,306 – $95,598 · median $32,218 | 13 plans |
| 709 | Penis Procedures With Cc/Mcc | $19,295 – $106,458 · median $48,869 | 13 plans |
| 711 | Testes Procedures With Cc/Mcc | $13,903 – $103,126 · median $43,760 | 13 plans |
| 716 | Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc | $14,286 – $94,732 · median $30,891 | 13 plans |
| 718 | Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc | $8,473 – $92,981 · median $28,205 | 13 plans |
| 724 | Malignancy, Male Reproductive System Without Cc/Mcc | $7,868 – $83,565 · median $13,770 | 13 plans |
| 725 | Benign Prostatic Hypertrophy With Mcc | $10,536 – $90,612 · median $24,574 | 13 plans |
| 728 | Inflammation Of The Male Reproductive System Without Mcc | $5,793 – $85,695 · median $17,035 | 13 plans |
| 730 | Other Male Reproductive System Diagnoses Without Cc/Mcc | $4,704 – $83,789 · median $14,112 | 13 plans |
| 738 | Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc | $13,229 – $94,698 · median $30,839 | 13 plans |
| 745 | D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc | $7,813 – $90,164 · median $23,888 | 13 plans |
| 746 | Vagina, Cervix And Vulva Procedures With Cc/Mcc | $11,360 – $98,377 · median $36,479 | 13 plans |
| 747 | Vagina, Cervix And Vulva Procedures Without Cc/Mcc | $7,501 – $86,359 · median $18,054 | 13 plans |
| 748 | Female Reproductive System Reconstructive Procedures | $9,197 – $93,586 · median $29,133 | 13 plans |
| 750 | Other Female Reproductive System O.R. Procedures Without Cc/Mcc | $10,262 – $94,798 · median $30,992 | 13 plans |
| 754 | Malignancy, Female Reproductive System With Mcc | $18,638 – $99,810 · median $38,676 | 13 plans |
| 756 | Malignancy, Female Reproductive System Without Cc/Mcc | $4,829 – $87,740 · median $20,171 | 13 plans |
| 757 | Infections, Female Reproductive System With Mcc | $15,748 – $94,197 · median $30,070 | 13 plans |
| 758 | Infections, Female Reproductive System With Cc | $7,921 – $87,994 · median $20,559 | 13 plans |
| 760 | Menstrual And Other Female Reproductive System Disorders With Cc/Mcc | $6,317 – $88,384 · median $21,158 | 13 plans |
| 779 | Abortion Without D&C | $3,831 – $86,107 · median $17,667 | 13 plans |
| 792 | Prematurity Without Major Problems | $29,390 – $108,131 · median $74,573 | 13 plans |
| 795 | Normal Newborn | $934 – $77,321 · median $4,196 | 13 plans |
| 802 | Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc | $32,638 – $129,154 · median $83,666 | 13 plans |
| 805 | Vaginal Delivery Without Sterilization Or D&C With Mcc | $12,950 – $89,366 · median $61,632 | 13 plans |
| 816 | Reticuloendothelial And Immunity Disorders Without Cc/Mcc | $5,929 – $83,241 · median $13,272 | 13 plans |
| 817 | Other Antepartum Diagnoses With O.R. Procedures With Mcc | $27,379 – $105,835 · median $72,990 | 13 plans |
| 819 | Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc | $10,319 – $86,362 · median $59,560 | 13 plans |
| 822 | Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc | $12,693 – $91,075 · median $25,284 | 13 plans |
| 826 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc | $50,804 – $138,656 · median $95,624 | 13 plans |
| 830 | Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc | $11,145 – $95,198 · median $31,605 | 13 plans |
| 832 | Other Antepartum Diagnoses Without O.R. Procedures With Cc | $8,659 – $84,468 · median $58,254 | 13 plans |
| 835 | Acute Leukemia With Cc | $25,030 – $103,153 · median $50,624 | 13 plans |
| 836 | Acute Leukemia Without Cc/Mcc | $14,634 – $91,288 · median $27,010 | 13 plans |
| 837 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc | $52,879 – $140,388 · median $96,819 | 13 plans |
| 838 | Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent | $21,178 – $103,175 · median $43,835 | 13 plans |
| 839 | Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $11,270 – $94,361 · median $30,322 | 13 plans |
| 843 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc | $16,741 – $101,907 · median $41,891 | 13 plans |
| 845 | Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc | $8,538 – $86,249 · median $17,884 | 13 plans |
| 848 | Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc | $9,143 – $86,218 · median $17,837 | 13 plans |
| 849 | Radiotherapy | $8,188 – $111,696 · median $56,900 | 13 plans |
| 850 | Acute Leukemia With Other Procedures | $103,914 – $193,192 · median $139,898 | 13 plans |
| 853 | Infectious And Parasitic Diseases With O.R. Procedures With Mcc | $49,434 – $142,228 · median $98,088 | 13 plans |
| 863 | Postoperative And Post-Traumatic Infections Without Mcc | $7,653 – $88,252 · median $20,956 | 13 plans |
| 865 | Viral Illness With Mcc | $14,615 – $95,106 · median $31,464 | 13 plans |
| 866 | Viral Illness Without Mcc | $5,931 – $86,495 · median $18,262 | 13 plans |
| 882 | Neuroses Except Depressive | $12,886 – $89,292 · median $61,581 | 13 plans |
| 887 | Other Mental Disorder Diagnoses | $12,851 – $89,252 · median $61,553 | 13 plans |
| 895 | Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy | $16,987 – $93,974 · median $64,809 | 13 plans |
| 903 | Wound Debridements For Injuries Without Cc/Mcc | $10,229 – $90,604 · median $24,562 | 13 plans |
| 905 | Skin Grafts For Injuries Without Cc/Mcc | $13,143 – $94,902 · median $31,151 | 13 plans |
| 908 | Other O.R. Procedures For Injuries With Cc | $16,165 – $101,912 · median $41,899 | 13 plans |
| 917 | Poisoning And Toxic Effects Of Drugs With Mcc | $13,109 – $96,066 · median $32,936 | 13 plans |
| 921 | Complications Of Treatment Without Cc/Mcc | $5,543 – $84,013 · median $14,456 | 13 plans |
| 927 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft | $253,117 – $448,361 · median $267,038 | 13 plans |
| 929 | Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc | $38,650 – $118,699 · median $81,861 | 13 plans |
| 933 | Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft | $46,730 – $127,923 · median $88,223 | 13 plans |
| 934 | Full Thickness Burn Without Skin Graft Or Inhalation Injury | $26,527 – $104,863 · median $72,319 | 13 plans |
| 940 | O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc | $18,077 – $106,592 · median $49,075 | 13 plans |
| 941 | O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc | $14,964 – $102,357 · median $42,582 | 13 plans |
| 945 | Rehabilitation With Cc/Mcc | $18,583 – $95,795 · median $66,066 | 13 plans |
| 946 | Rehabilitation Without Cc/Mcc | $13,762 – $90,292 · median $62,270 | 13 plans |
| 950 | Aftercare Without Cc/Mcc | $7,046 – $83,182 · median $13,182 | 13 plans |
| 951 | Other Factors Influencing Health Status | $3,866 – $82,200 · median $11,676 | 13 plans |
| 970 | Hiv With Extensive O.R. Procedures Without Mcc | $31,649 – $110,708 · median $55,385 | 13 plans |
| 976 | Hiv With Major Related Condition Without Cc/Mcc | $10,832 – $86,948 · median $18,957 | 13 plans |
| 079 | Hypertensive Encephalopathy Without Cc/Mcc | $6,820 – $14,001 · median $8,000 | 4 plans |
| 222 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock With Mcc | $79,173 – $160,789 · median $91,879 | 4 plans |
| 223 | Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock Without Mcc | $62,624 – $109,593 · median $67,843 | 4 plans |
| 224 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock With Mcc | $72,347 – $148,873 · median $85,070 | 4 plans |
| 225 | Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Shock Without Mcc | $52,445 – $106,212 · median $60,692 | 4 plans |
| 226 | Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc | $59,664 – $134,419 · median $76,811 | 4 plans |
| 227 | Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc | $45,497 – $105,435 · median $60,248 | 4 plans |
| 246 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $33,334 – $62,903 · median $38,321 | 4 plans |
| 247 | Percutaneous Cardiovascular Procedures With Drug-Eluting Stent Without Mcc | $22,914 – $40,100 · median $24,824 | 4 plans |
| 248 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent With Mcc Or 4+ Arteries Or Stents | $32,884 – $63,206 · median $37,804 | 4 plans |
| 249 | Percutaneous Cardiovascular Procedures With Non-Drug-Eluting Stent Without Mcc | $21,800 – $38,151 · median $23,617 | 4 plans |
| 294 | Deep Vein Thrombophlebitis With Cc/Mcc | $9,589 – $25,786 · median $14,735 | 4 plans |
| 295 | Deep Vein Thrombophlebitis Without Cc/Mcc | $4,479 – $16,586 · median $9,478 | 4 plans |
| 338 | Appendectomy With Complicated Principal Diagnosis With Mcc | $24,389 – $55,787 · median $31,878 | 4 plans |
| 339 | Appendectomy With Complicated Principal Diagnosis With Cc | $17,003 – $34,196 · median $19,547 | 4 plans |
| 340 | Appendectomy With Complicated Principal Diagnosis Without Cc/Mcc | $12,565 – $25,198 · median $14,445 | 4 plans |
| 341 | Appendectomy Without Complicated Principal Diagnosis With Mcc | $16,835 – $47,439 · median $27,108 | 4 plans |
| 342 | Appendectomy Without Complicated Principal Diagnosis With Cc | $12,481 – $30,517 · median $17,438 | 4 plans |
| 343 | Appendectomy Without Complicated Principal Diagnosis Without Cc/Mcc | $9,958 – $22,947 · median $13,112 | 4 plans |
| 453 | Combined Anterior And Posterior Spinal Fusion With Mcc | $92,959 – $186,089 · median $106,866 | 4 plans |
| 454 | Combined Anterior And Posterior Spinal Fusion With Cc | $59,966 – $128,442 · median $73,396 | 4 plans |
| 455 | Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc | $46,828 – $96,718 · median $55,267 | 4 plans |
| 459 | Spinal Fusion Except Cervical With Mcc | $52,436 – $139,278 · median $79,588 | 4 plans |
| 460 | Spinal Fusion Except Cervical Without Mcc | $34,058 – $76,816 · median $43,895 | 4 plans |
| 509 | Arthroscopy | $8,986 – $36,887 · median $21,078 | 4 plans |
| 129 | Major Head & Neck Procedures W Cc/Mcc Or Major Device | $18,359 – $21,105 · median $19,732 | 1 plans |
| 130 | Major Head & Neck Procedures W/O Cc/Mcc | $13,233 – $15,212 · median $14,223 | 1 plans |
| 131 | Cranial/Facial Procedures W Cc/Mcc | $19,883 – $22,857 · median $21,370 | 1 plans |
| 132 | Cranial/Facial Procedures W/O Cc/Mcc | $16,797 – $19,310 · median $18,053 | 1 plans |
| 133 | Other Ear, Nose, Mouth & Throat O.R. Procedures W Cc/Mcc | $14,556 – $16,733 · median $15,645 | 1 plans |
| 134 | Other Ear, Nose, Mouth & Throat O.R. Procedures W/O Cc/Mcc | $8,539 – $9,816 · median $9,177 | 1 plans |
| 230 | Other cardiothoracic procedures w/o CC/MCC | $30,980 – $35,615 · median $33,298 | 1 plans |
| 237 | Major cardiovasc procedures w MCC | $43,648 – $50,177 · median $46,913 | 1 plans |
| 238 | Major cardiovasc procedures w/o MCC | $23,981 – $27,568 · median $25,775 | 1 plans |
| 484 | Major joint & limb reattachment proc of upper extremity w/o CC/MCC | $19,014 – $21,858 · median $20,436 | 1 plans |
| 490 | Back & neck proc exc spinal fusion w CC/MCC or disc device/neurostim | $16,306 – $18,745 · median $17,525 | 1 plans |
| 491 | Back & neck proc exc spinal fusion w/o CC/MCC | $10,195 – $11,720 · median $10,957 | 1 plans |
| 685 | Admit For Renal Dialysis | $7,059 – $8,116 · median $7,587 | 1 plans |
| 691 | Urinary Stones W Esw Lithotripsy W Cc/Mcc | $12,802 – $14,718 · median $13,760 | 1 plans |
| 692 | Urinary Stones W Esw Lithotripsy W/O Cc/Mcc | $10,140 – $11,657 · median $10,898 | 1 plans |
| 765 | Cesarean Section W Cc/Mcc | $7,120 – $8,185 · median $7,652 | 1 plans |
| 766 | Cesarean Section W/O Cc/Mcc | $5,850 – $6,725 · median $6,288 | 1 plans |
| 767 | Vaginal Delivery W Sterilization &/Or D&C | $6,000 – $6,898 · median $6,449 | 1 plans |
| 774 | Vaginal Delivery W Complicating Diagnoses | $4,512 – $5,187 · median $4,849 | 1 plans |
| 775 | Vaginal Delivery W/O Complicating Diagnoses | $3,679 – $4,229 · median $3,954 | 1 plans |
| 777 | Ectopic Pregnancy | $8,522 – $9,797 · median $9,160 | 1 plans |
| 778 | Threatened Abortion | $3,904 – $4,489 · median $4,197 | 1 plans |
| 780 | False Labor | $1,478 – $1,699 · median $1,588 | 1 plans |
| 781 | Other Antepartum Diagnoses W Medical Complications | $4,123 – $4,739 · median $4,431 | 1 plans |
| 782 | Other Antepartum Diagnoses W/O Medical Complications | $3,335 – $3,834 · median $3,584 | 1 plans |
| 984 | Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Mcc | $44,539 – $51,201 · median $47,870 | 1 plans |
| 985 | Prostatic O.R. Procedure Unrelated To Principal Diagnosis W Cc | $18,091 – $20,797 · median $19,444 | 1 plans |
| 986 | Prostatic O.R. Procedure Unrelated To Principal Diagnosis W/O Cc/Mcc | $7,789 – $8,954 · median $8,371 | 1 plans |
No procedures match that keyword.