Montefiore St. Luke's Cornwall — Pricing

770 procedures published in this hospital's Machine-Readable File (MRF) — 757 with a comparable price, 13 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 770
Lowest published price $1,606
Average published price $18,164
Highest published price $293,431

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 770 procedures

Published charges

Showing all 757 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.

DRG Description Published price Cash price vs. NY median vs. National median
018 Chimeric antigen receptor CAR T cell and other immunotherapies $293,431 $293,431 $483,987 −39% $498,715 −41%
001 Heart transplant or implant of heart assist system with MCC $215,825 $215,825 $362,617 −40% $431,073 −50%
927 Extensive burns or full thickness burns w MV 96 hours w skin graft $209,932 $209,932 $306,087 −31% $306,087 −31%
003 ECMO or trach w MV 96 hrs or PDX exc face mouth neck w maj O R $169,804 $169,804 $276,951 −39% $371,366 −54%
004 Trach w MV 96 hrs or PDX exc face mouth neck w o maj O R $117,077 $117,077 $184,103 −36% $248,230 −53%
007 Lung transplant $97,695 $97,695 $170,608 −43% $170,608 −43%
002 Heart transplant or implant of heart assist system without MCC $97,517 $97,517 $155,461 −37% $194,769 −50%
014 Allogeneic bone marrow transplant $91,279 $91,279 $171,028 −47% $182,314 −50%
212 Concomitant aortic and mitral valve procedures $85,782 $85,782 $142,952 −40% $171,338 −50%
005 Liver transplant with MCC or intestinal transplant $82,432 $82,432 $139,842 −41% $164,641 −50%
215 Other heart assist system implant $81,355 $81,355 $139,148 −42% $191,314 −57%
216 Cardiac valve oth maj cardiothoracic proc w cardiac cath w MCC $77,297 $77,297 $127,148 −39% $175,437 −56%
020 Intracranial vascular procedures with PDX hemorrhage w MCC $67,318 $67,318 $106,929 −37% $148,686 −55%
456 Spinal fusion exc cerv w spinal curv malig infec ext fusion w MCC $67,135 $67,135 $112,119 −40% $153,282 −56%
231 Coronary bypass with PTCA with MCC $64,633 $64,633 $112,178 −42% $147,083 −56%
019 Simultaneous pancreas and kidney transplant with hemodialysis $63,664 $63,664 $105,228 −39% $105,228 −39%
233 Coronary bypass with cardiac cath or open ablation with MCC $62,119 $62,119 $103,817 −40% $144,569 −57%
219 Cardiac valve oth maj cardiothoracic proc w o cardiac cath w MCC $61,415 $61,415 $102,814 −40% $143,242 −57%
957 Other O R procedures for multiple significant trauma with MCC $57,603 $57,603 $99,339 −42% $120,587 −52%
275 Cardiac defibrillator implant with cardiac catheterization and MCC $56,036 $56,036 $94,288 −41% $131,961 −58%
870 Septicemia or severe sepsis with MV 96 hours $55,471 $55,471 $92,883 −40% $143,871 −61%
928 Full thickness burn w skin graft or inhalation injury w CC MCC $55,111 $55,111 $89,353 −38% $89,353 −38%
207 Respiratory system diagnosis with ventilator support 96 hours $55,018 $55,018 $86,661 −37% $116,058 −53%
969 HIV with extensive O R procedures with MCC $54,736 $54,736 $84,844 −35% $109,331 −50%
268 Aortic and heart assist procedures except pulsation balloon w MCC $54,594 $54,594 $89,209 −39% $125,242 −56%
461 Bilateral or multiple major joint procs of lower extremity w MCC $54,305 $54,305 $82,458 −34% $108,472 −50%
217 Cardiac valve oth maj cardiothoracic proc w cardiac cath w CC $50,696 $50,696 $86,542 −41% $121,714 −58%
266 Endovascular cardiac valve replacement supplement procedure w MCC $49,747 $49,747 $80,603 −38% $113,855 −56%
573 Skin graft for skin ulcer or cellulitis with MCC $49,524 $49,524 $82,731 −40% $98,912 −50%
276 Cardiac defibrillator implant with MCC or carotid sinus neurostimulators $49,461 $49,461 $83,192 −41% $117,280 −58%
016 Autologous bone marrow transplant with CC MCC $49,196 $49,196 $81,176 −39% $98,260 −50%
017 Autologous bone marrow transplant without CC MCC $49,196 $49,196 $81,176 −39% $81,176 −39%
021 Intracranial vascular procedures with PDX hemorrhage w CC $48,913 $48,913 $74,709 −35% $106,057 −54%
955 Craniotomy for multiple significant trauma $48,505 $48,505 $91,253 −47% $107,532 −55%
457 Spinal fusion exc cerv w spinal curv malig infec ext fusion w CC $48,386 $48,386 $77,406 −37% $107,355 −55%
820 Lymphoma and leukemia with major O R procedures with MCC $48,158 $48,158 $78,460 −39% $96,192 −50%
028 Spinal procedures with MCC $47,994 $47,994 $81,731 −41% $104,702 −54%
790 Extreme immaturity or respiratory distress syndrome neonate $47,787 $47,787 $80,018 −40% $80,018 −40%
232 Coronary bypass with PTCA without MCC $47,377 $47,377 $82,102 −42% $108,151 −56%
235 Coronary bypass without cardiac catheterization with MCC $46,836 $46,836 $79,247 −41% $112,062 −58%
218 Cardiac valve oth maj cardiothoracic proc w card cath w o CC MCC $45,371 $45,371 $80,075 −43% $91,266 −50%
576 Skin graft except for skin ulcer or cellulitis with MCC $45,263 $45,263 $73,030 −38% $82,527 −45%
023 Craniot w maj dev impl acute CNS PDX w MCC or chemo epilep w neuros $45,149 $45,149 $76,970 −41% $106,778 −58%
463 Wnd debride skn grft exc hand for musculoskel conn tis dis w MCC $45,108 $45,108 $73,103 −38% $89,207 −49%
834 Acute leukemia with MCC $44,593 $44,593 $74,709 −40% $86,389 −48%
405 Pancreas liver and shunt procedures with MCC $43,846 $43,846 $73,455 −40% $94,478 −54%
653 Major bladder procedures with MCC $43,116 $43,116 $75,310 −43% $100,871 −57%
008 Simultaneous pancreas and kidney transplant $41,906 $41,906 $86,459 −52% $86,459 −52%
220 Cardiac valve oth maj cardiothoracic proc w o cardiac cath w CC $41,770 $41,770 $71,776 −42% $102,177 −59%
234 Coronary bypass with cardiac cath or open ablation without MCC $41,398 $41,398 $72,075 −43% $102,573 −60%
466 Revision of hip or knee replacement with MCC $41,308 $41,308 $69,206 −40% $96,507 −57%
011 Tracheostomy for face mouth neck diagnoses or laryngectomy w MCC $41,067 $41,067 $73,038 −44% $87,031 −53%
326 Stomach esophageal and duodenal procedures with MCC $40,451 $40,451 $69,008 −41% $80,793 −50%
270 Other major cardiovascular procedures with MCC $40,275 $40,275 $69,695 −42% $99,423 −59%
228 Other cardiothoracic procedures with MCC $40,130 $40,130 $67,791 −41% $96,905 −59%
853 Infectious and parasitic diseases with O R procedures with MCC $39,817 $39,817 $68,020 −41% $91,511 −56%
799 Splenic procedures with MCC $39,461 $39,461 $64,885 −39% $78,821 −50%
471 Cervical spinal fusion with MCC $39,177 $39,177 $66,189 −41% $92,515 −58%
267 Endovascular cardiac valve replace supplement procedure w o MCC $38,868 $38,868 $64,248 −40% $92,217 −58%
837 Chemo w acute leukemia as SDX or w high dose chemo agent w MCC $38,580 $38,580 $68,095 −43% $76,910 −50%
006 Liver transplant without MCC $38,523 $38,523 $84,407 −54% $84,407 −54%
010 Pancreas transplant $38,338 $38,338 $99,940 −62% $99,940 −62%
239 Amputation for circulatory sys disorders exc upper limb toe w MCC $38,283 $38,283 $68,473 −44% $91,116 −58%
277 Cardiac defibrillator implant without MCC $38,089 $38,089 $63,571 −40% $91,329 −58%
981 Extensive O R procedures unrelated to principal diagnosis w MCC $37,755 $37,755 $64,874 −42% $87,201 −57%
163 Major chest procedures with MCC $37,541 $37,541 $81,818 −54% $88,341 −58%
221 Cardiac valve oth maj cardiothorac proc w o card cath w o CC MCC $37,023 $37,023 $62,801 −41% $90,331 −59%
826 Myeloprolif disord or poorly diff neopl w maj O R proc w MCC $36,857 $36,857 $65,149 −43% $88,691 −58%
245 AICD generator procedures $36,090 $36,090 $66,564 −46% $72,076 −50%
458 Spinal fus exc cerv w spinal curv malig infec ext fusion w o CC MCC $36,087 $36,087 $59,237 −39% $83,441 −57%
329 Major small and large bowel procedures with MCC $35,974 $35,974 $62,792 −43% $88,050 −59%
823 Lymphoma and non acute leukemia with other procedures with MCC $35,855 $35,855 $63,928 −44% $81,439 −56%
650 Kidney transplant with hemodialysis with MCC $35,820 $35,820 $62,992 −43% $71,551 −50%
278 US accelerated other thrombolysis of peripheral vasc structures w MCC $35,525 $35,525 $68,045 −48% $79,126 −55%
856 Postoperative or post traumatic infections w O R procedures w MCC $35,270 $35,270 $61,750 −43% $76,458 −54%
025 Craniotomy and endovascular intracranial procedures with MCC $35,171 $35,171 $61,240 −43% $88,307 −60%
319 Other endovascular cardiac valve procedures with MCC $34,740 $34,740 $60,208 −42% $69,388 −50%
901 Wound debridements for injuries with MCC $34,468 $34,468 $60,697 −43% $68,847 −50%
474 Amputation for musculoskeletal syst connective tissue dis w MCC $34,269 $34,269 $61,401 −44% $74,665 −54%
356 Other digestive system O R procedures with MCC $34,077 $34,077 $58,558 −42% $82,561 −59%
793 Full term neonate with major problems $33,525 $33,525 $47,346 −29% $23,091 +45%
269 Aortic and heart assist procedures except pulsation balloon w o MCC $33,121 $33,121 $57,196 −42% $83,065 −60%
323 Coronary intravascular lithotripsy with intraluminal device with MCC $32,973 $32,973 $58,476 −44% $91,884 −64%
031 Ventricular shunt procedures with MCC $32,786 $32,786 $57,584 −43% $68,659 −52%
791 Prematurity with major problems $32,636 $32,636 $46,122 −29% $51,969 −37%
166 Other respiratory system O R procedures with MCC $32,318 $32,318 $55,354 −42% $75,141 −57%
958 Other O R procedures for multiple significant trauma with CC $32,214 $32,214 $56,535 −43% $70,455 −54%
236 Coronary bypass without cardiac catheterization without MCC $32,186 $32,186 $56,565 −43% $82,247 −61%
628 Other endocrine nutritional and metabolic O R procedures with MCC $31,973 $31,973 $54,405 −41% $71,235 −55%
012 Tracheostomy for face mouth neck diagnoses or laryngectomy w CC $31,897 $31,897 $56,456 −44% $79,020 −60%
616 Amputation lower limb for endocrine nutrit metabolic disord w MCC $31,521 $31,521 $53,357 −41% $68,118 −54%
022 Intracranial vascular procedures with PDX hemorrhage w o CC MCC $31,242 $31,242 $49,015 −36% $66,852 −53%
423 Other hepatobiliary or pancreas O R procedures with MCC $31,148 $31,148 $55,985 −44% $75,180 −59%
034 Carotid artery stent procedures with MCC $31,072 $31,072 $53,665 −42% $76,219 −59%
273 Percutaneous and other intracardiac procedures with MCC $31,037 $31,037 $53,945 −42% $78,852 −61%
736 Uterine adnexa procedures for ovarian or adnexal malignancy w MCC $30,959 $30,959 $54,300 −43% $61,832 −50%
956 Limb reattachment hip femur proc for multiple significant trauma $30,888 $30,888 $52,805 −42% $75,103 −59%
040 Peripheral cranial nerve and other nervous system procedures w MCC $30,667 $30,667 $52,152 −41% $74,257 −59%
622 Skin grafts wound debride for endocrine nutrit metab disord w MCC $30,469 $30,469 $51,761 −41% $65,264 −53%
024 Craniotomy w major device implant or acute complex CNS PDX w o MCC $30,176 $30,176 $52,536 −43% $74,755 −60%
140 Major head and neck procedures with MCC $30,090 $30,090 $58,085 −48% $60,098 −50%
876 O R procedures with principal diagnosis of mental illness $29,719 $29,719 $54,196 −45% $54,196 −45%
408 Biliary tract proc except only cholecystect w or w o C D E w MCC $29,645 $29,645 $48,637 −39% $59,207 −50%
907 Other O R procedures for injuries with MCC $29,624 $29,624 $54,898 −46% $77,817 −62%
673 Other kidney and urinary tract procedures with MCC $29,452 $29,452 $57,570 −49% $79,387 −63%
332 Rectal resection with MCC $29,104 $29,104 $48,214 −40% $58,125 −50%
518 Back neck proc exc spinal fusion w MCC or disc device neurostim $29,084 $29,084 $49,711 −41% $71,092 −59%
097 Non bacterial infect of nervous syst except viral meningitis w MCC $28,966 $28,966 $49,718 −42% $57,855 −50%
094 Bacterial and tuberculous infections of nervous system with MCC $28,853 $28,853 $50,550 −43% $66,578 −57%
739 Uterine adnexa proc for non ovarian non adnexal malignancy w MCC $28,802 $28,802 $54,862 −48% $57,521 −50%
495 Local excision removal inter fixation dev exc hip femur w MCC $28,522 $28,522 $48,887 −42% $56,964 −50%
335 Peritoneal adhesiolysis with MCC $28,473 $28,473 $50,222 −43% $71,755 −60%
265 AICD lead procedures $28,147 $28,147 $49,492 −43% $63,092 −55%
414 Cholecystectomy except by laparoscope without C D E with MCC $28,076 $28,076 $48,670 −42% $69,743 −60%
467 Revision of hip or knee replacement with CC $27,766 $27,766 $47,649 −42% $68,880 −60%
492 Lower extremity humerus procedures exc hip foot and femur w MCC $27,574 $27,574 $49,285 −44% $70,540 −61%
651 Kidney transplant with hemodialysis without MCC $27,544 $27,544 $56,242 −51% $56,242 −51%
271 Other major cardiovascular procedures with CC $27,527 $27,527 $47,899 −43% $71,014 −61%
242 Permanent cardiac pacemaker implant with MCC $27,518 $27,518 $47,218 −42% $70,132 −61%
802 Other O R procedures of the blood and blood forming organs w MCC $27,324 $27,324 $49,721 −45% $60,628 −55%
029 Spinal procedures with CC or spinal neurostimulators $27,304 $27,304 $46,760 −42% $67,268 −59%
574 Skin graft for skin ulcer or cellulitis with CC $27,125 $27,125 $48,165 −44% $51,137 −47%
987 Non extensive O R proc unrelated to principal diagnosis w MCC $26,893 $26,893 $48,655 −45% $67,124 −60%
037 Extracranial procedures with MCC $26,885 $26,885 $46,296 −42% $66,666 −60%
477 Biopsies of musculoskeletal system and connective tissue with MCC $26,832 $26,832 $50,390 −47% $64,132 −58%
252 Other vascular procedures with MCC $26,711 $26,711 $47,717 −44% $68,508 −61%
579 Other skin subcutaneous tissue and breast procedures with MCC $26,619 $26,619 $45,498 −41% $56,769 −53%
469 Maj hip knee jnt replace reattach low extrem w MCC or tot ank repl $26,520 $26,520 $45,618 −42% $65,788 −60%
143 Other ear nose mouth and throat O R procedures with MCC $26,486 $26,486 $46,049 −42% $52,908 −50%
260 Cardiac pacemaker revision except device replacement with MCC $26,404 $26,404 $47,403 −44% $69,425 −62%
485 Knee procedures with principal diagnosis of infection with MCC $26,235 $26,235 $44,977 −42% $64,956 −60%
264 Other circulatory system O R procedures $26,012 $26,012 $48,557 −46% $53,069 −51%
904 Skin grafts for injuries with CC MCC $25,934 $25,934 $53,307 −51% $55,084 −53%
500 Soft tissue procedures with MCC $25,827 $25,827 $44,320 −42% $61,861 −58%
274 Percutaneous and other intracardiac procedures without MCC $25,811 $25,811 $43,701 −41% $65,573 −61%
929 Full thickness burn w skin graft or inhalation injury w o CC MCC $25,610 $25,610 $44,472 −42% $44,472 −42%
939 O R procedure w diagnoses of other contact w health services w MCC $25,608 $25,608 $44,389 −42% $51,904 −51%
420 Hepatobiliary diagnostic procedures with MCC $25,493 $25,493 $49,003 −48% $50,919 −50%
279 US accelerated other thrombolysis of peripheral vasc structures w o MCC $25,491 $25,491 $44,783 −43% $61,567 −59%
229 Other cardiothoracic procedures without MCC $25,324 $25,324 $43,510 −42% $65,325 −61%
515 Other musculoskeletal system connective tissue O R proc w MCC $25,180 $25,180 $43,330 −42% $62,821 −60%
829 Myeloprolif disord or poorly diff neopl w oth proc w CC MCC $25,118 $25,118 $43,218 −42% $59,349 −58%
656 Kidney and ureter procedures for neoplasm with MCC $24,989 $24,989 $45,479 −45% $64,724 −61%
840 Lymphoma and non acute leukemia with MCC $24,890 $24,890 $44,584 −44% $49,710 −50%
665 Prostatectomy with MCC $24,603 $24,603 $47,758 −48% $54,072 −54%
173 Ultrasound accelerated and oth thrombolysis with PDX pulmonary embolism $24,491 $24,491 $43,021 −43% $48,915 −50%
411 Cholecystectomy with C D E with MCC $24,215 $24,215 $38,709 −37% $48,358 −50%
933 Extensive burns or full thick burns w MV 96 hours w o skin graft $24,148 $24,148 $59,352 −59% $59,352 −59%
652 Kidney transplant $23,928 $23,928 $54,720 −56% $54,720 −56%
464 Wnd debride skn grft exc hand for musculoskel conn tis dis w CC $23,904 $23,904 $41,464 −42% $60,402 −60%
662 Minor bladder procedures with MCC $23,867 $23,867 $43,683 −45% $54,483 −56%
521 Hip replacement with principal diagnosis of hip fracture with MCC $23,847 $23,847 $49,560 −52% $71,958 −67%
324 Coronary intravascular lithotripsy with intraluminal device without MCC $23,643 $23,643 $44,663 −47% $71,464 −67%
472 Cervical spinal fusion with CC $23,538 $23,538 $40,797 −42% $59,537 −60%
026 Craniotomy and endovascular intracranial procedures with CC $23,520 $23,520 $42,891 −45% $64,523 −64%
480 Hip and femur procedures except major joint with MCC $23,486 $23,486 $50,209 −53% $64,732 −64%
353 Hernia procedures except inguinal and femoral with MCC $23,290 $23,290 $41,261 −44% $60,140 −61%
570 Skin debridement with MCC $23,274 $23,274 $42,263 −45% $59,564 −61%
625 Thyroid parathyroid and thyroglossal procedures with MCC $23,266 $23,266 $40,406 −42% $59,031 −61%
974 HIV with major related condition with MCC $23,228 $23,228 $41,952 −45% $46,402 −50%
406 Pancreas liver and shunt procedures with CC $22,996 $22,996 $39,644 −42% $58,043 −60%
321 Perc CV proc with intralum device with MCC or 4 arteries intralum dev $22,895 $22,895 $61,766 −63% $81,946 −72%
462 Bilateral or multiple major joint procs of lower extremity w o MCC $22,669 $22,669 $40,363 −44% $56,758 −60%
263 Vein ligation and stripping $22,501 $22,501 $38,005 −41% $49,774 −55%
668 Transurethral procedures with MCC $22,444 $22,444 $41,045 −45% $49,836 −55%
800 Splenic procedures with CC $22,441 $22,441 $41,012 −45% $49,184 −54%
817 Other antepartum diagnoses with O R procedures with MCC $22,434 $22,434 $31,159 −28% $39,767 −44%
240 Amputation for circulatory sys disorders exc upper limb toe w CC $22,374 $22,374 $40,991 −45% $59,790 −63%
061 Ischemic stroke precereb occl trans ischemia w thrombolyt agt w MCC $22,323 $22,323 $38,281 −42% $53,011 −58%
970 HIV with extensive O R procedures without MCC $22,138 $22,138 $37,631 −41% $44,057 −50%
255 Upper limb toe amputation for circulatory system disorders w MCC $21,881 $21,881 $37,153 −41% $45,541 −52%
344 Minor small and large bowel procedures with MCC $21,826 $21,826 $38,166 −43% $47,362 −54%
654 Major bladder procedures with CC $21,803 $21,803 $42,660 −49% $58,274 −63%
963 Other multiple significant trauma with MCC $21,777 $21,777 $38,454 −43% $43,785 −50%
510 Shoulder elbow or forearm procedures exc major joint proc w MCC $21,668 $21,668 $40,289 −46% $49,955 −57%
258 Cardiac pacemaker device replacement with MCC $21,572 $21,572 $39,606 −46% $52,986 −59%
208 Respiratory system diagnosis with ventilator support 96 hours $21,534 $21,534 $40,183 −46% $52,405 −59%
849 Radiotherapy $21,435 $21,435 $37,862 −43% $37,862 −43%
013 Tracheostomy for face mouth neck diag or laryngectomy w o CC MCC $21,390 $21,390 $37,588 −43% $47,729 −55%
503 Foot procedures with MCC $21,360 $21,360 $37,544 −43% $46,155 −54%
468 Revision of hip or knee replacement without CC MCC $21,262 $21,262 $37,242 −43% $54,929 −61%
135 Sinus and mastoid procedures with CC MCC $21,122 $21,122 $34,487 −39% $42,186 −50%
577 Skin graft except for skin ulcer or cellulitis with CC $21,099 $21,099 $37,754 −44% $47,945 −56%
325 Coronary intravascular lithotripsy without intraluminal device $21,060 $21,060 $40,341 −48% $56,593 −63%
498 Local excision removal inter fixation dev hip femur w CC MCC $20,795 $20,795 $35,964 −42% $46,197 −55%
619 O R procedures for obesity with MCC $20,727 $20,727 $38,581 −46% $44,973 −54%
288 Acute and subacute endocarditis with MCC $20,652 $20,652 $38,646 −47% $46,888 −56%
659 Kidney and ureter procedures for non neoplasm with MCC $20,619 $20,619 $36,735 −44% $52,178 −60%
253 Other vascular procedures with CC $20,318 $20,318 $36,329 −44% $54,009 −62%
164 Major chest procedures with CC $20,312 $20,312 $36,508 −44% $53,455 −62%
347 Anal and stomal procedures with MCC $20,302 $20,302 $33,912 −40% $40,548 −50%
959 Other O R procedures for multiple significant trauma w o CC MCC $20,169 $20,169 $37,509 −46% $40,277 −50%
749 Other female reproductive system O R procedures with CC MCC $20,048 $20,048 $36,791 −46% $42,815 −53%
113 Orbital procedures with CC MCC $19,969 $19,969 $32,482 −39% $39,880 −50%
327 Stomach esophageal and duodenal procedures with CC $19,890 $19,890 $34,708 −43% $59,668 −67%
545 Connective tissue disorders with MCC $19,857 $19,857 $42,955 −54% $42,895 −54%
483 Major joint or limb reattachment procedures of upper extremities $19,785 $19,785 $36,267 −45% $60,369 −67%
792 Prematurity without major problems $19,692 $19,692 $28,309 −30% $15,256 +29%
473 Cervical spinal fusion without CC MCC $19,597 $19,597 $33,920 −42% $50,624 −61%
846 Chemotherapy without acute leukemia as secondary diagnosis with MCC $19,465 $19,465 $36,339 −46% $38,878 −50%
272 Other major cardiovascular procedures without CC MCC $19,429 $19,429 $35,670 −46% $55,162 −65%
027 Craniotomy and endovascular intracranial procedures without CC MCC $19,377 $19,377 $35,224 −45% $54,583 −65%
493 Lower extremity humerus procedures exc hip foot and femur w CC $19,128 $19,128 $39,683 −52% $58,203 −67%
350 Inguinal and femoral hernia procedures with MCC $19,115 $19,115 $34,586 −45% $49,835 −62%
056 Degenerative nervous system disorders with MCC $19,067 $19,067 $35,694 −47% $39,973 −52%
095 Bacterial and tuberculous infections of nervous system with CC $18,989 $18,989 $34,307 −45% $47,583 −60%
478 Biopsies of musculoskeletal system and connective tissue with CC $18,985 $18,985 $33,546 −43% $50,139 −62%
674 Other kidney and urinary tract procedures with CC $18,973 $18,973 $33,155 −43% $49,631 −62%
330 Major small and large bowel procedures with CC $18,892 $18,892 $33,872 −44% $64,664 −71%
250 Percutaneous cardiovascular proc w o intraluminal device with MCC $18,723 $18,723 $45,947 −59% $59,629 −69%
030 Spinal procedures without CC MCC $18,469 $18,469 $32,077 −42% $48,235 −62%
417 Laparoscopic cholecystectomy without C D E with MCC $18,460 $18,460 $34,039 −46% $56,005 −67%
827 Myeloprolif disord or poorly diff neopl w maj O R proc w CC $18,455 $18,455 $33,823 −45% $49,924 −63%
035 Carotid artery stent procedures with CC $18,314 $18,314 $32,719 −44% $49,066 −63%
082 Traumatic stupor and coma 1 hour with MCC $18,145 $18,145 $33,308 −46% $36,237 −50%
243 Permanent cardiac pacemaker implant with CC $18,140 $18,140 $32,433 −44% $50,011 −64%
085 Traumatic stupor and coma 1 hour with MCC $18,102 $18,102 $32,604 −44% $41,892 −57%
629 Other endocrine nutritional and metabolic O R procedures with CC $18,022 $18,022 $32,385 −44% $46,579 −61%
614 Adrenal and pituitary procedures with CC MCC $17,939 $17,939 $32,773 −45% $49,077 −63%
397 Appendix procedures with MCC $17,893 $17,893 $35,353 −49% $54,751 −67%
835 Acute leukemia with CC $17,804 $17,804 $33,001 −46% $35,569 −50%
824 Lymphoma and non acute leukemia with other procedures with CC $17,784 $17,784 $31,740 −44% $39,687 −55%
821 Lymphoma and leukemia with major O R procedures with CC $17,777 $17,777 $32,168 −45% $48,353 −63%
041 Periph cranial nerve other nerv syst proc w CC or periph neurost $17,766 $17,766 $32,503 −45% $47,820 −63%
320 Other endovascular cardiac valve procedures without MCC $17,729 $17,729 $33,237 −47% $35,410 −50%
080 Nontraumatic stupor and coma with MCC $17,591 $17,591 $28,993 −39% $35,752 −51%
715 Other male reproductive system O R proc for malignancy w CC MCC $17,581 $17,581 $32,504 −46% $38,998 −55%
357 Other digestive system O R procedures with CC $17,496 $17,496 $51,679 −66% $48,682 −64%
808 Major hematol immun diag exc sickle cell crisis coagul dis w MCC $17,443 $17,443 $32,919 −47% $39,181 −55%
096 Bacterial and tuberculous infections of nervous system w o CC MCC $17,360 $17,360 $34,307 −49% $41,442 −58%
595 Major skin disorders with MCC $17,323 $17,323 $30,646 −43% $32,488 −47%
734 Pelvic evisceration rad hysterectomy and rad vulvectomy w CC MCC $17,311 $17,311 $30,486 −43% $40,891 −58%
709 Penis procedures with CC MCC $17,289 $17,289 $32,359 −47% $34,535 −50%
940 O R procedure w diagnoses of other contact w health services w CC $17,256 $17,256 $30,598 −44% $39,044 −56%
286 Circulatory disorders except AMI w cardiac catheterization w MCC $17,168 $17,168 $31,920 −46% $46,658 −63%
098 Non bacterial infect of nervous system except viral meningitis w CC $17,159 $17,159 $31,349 −45% $43,749 −61%
032 Ventricular shunt procedures with CC $17,154 $17,154 $30,912 −45% $46,724 −63%
407 Pancreas liver and shunt procedures without CC MCC $17,131 $17,131 $30,914 −45% $40,596 −58%
475 Amputation for musculoskeletal syst connective tissue dis w CC $17,081 $17,081 $31,193 −45% $47,089 −64%
857 Postoperative or post traumatic infections w O R procedures w CC $17,010 $17,010 $33,279 −49% $47,426 −64%
424 Other hepatobiliary or pancreas O R procedures with CC $16,978 $16,978 $32,829 −48% $39,893 −57%
507 Major shoulder or elbow joint procedures with CC MCC $16,978 $16,978 $28,350 −40% $37,744 −55%
814 Reticuloendothelial and immunity disorders with MCC $16,949 $16,949 $30,326 −44% $33,851 −50%
711 Testes procedures with CC MCC $16,908 $16,908 $27,991 −40% $37,960 −55%
522 Hip replacement with principal diagnosis of hip fracture w o MCC $16,822 $16,822 $42,942 −61% $61,176 −73%
146 Ear nose mouth and throat malignancy with MCC $16,813 $16,813 $45,648 −63% $39,247 −57%
655 Major bladder procedures without CC MCC $16,787 $16,787 $30,155 −44% $44,153 −62%
488 Knee procedures without principal diagnosis of infection w CC MCC $16,778 $16,778 $28,703 −42% $43,631 −62%
336 Peritoneal adhesiolysis with CC $16,767 $16,767 $30,609 −45% $53,373 −69%
374 Digestive malignancy with MCC $16,717 $16,717 $30,598 −45% $42,775 −61%
314 Other circulatory system diagnoses with MCC $16,674 $16,674 $31,144 −46% $40,916 −59%
934 Full thickness burn without skin graft or inhalation injury $16,666 $16,666 $31,044 −46% $31,044 −46%
867 Other infectious and parasitic diseases diagnoses with MCC $16,664 $16,664 $31,025 −46% $39,461 −58%
592 Skin ulcers with MCC $16,646 $16,646 $29,882 −44% $33,246 −50%
333 Rectal resection with CC $16,562 $16,562 $30,778 −46% $34,352 −52%
481 Hip and femur procedures except major joint with CC $16,525 $16,525 $39,333 −58% $57,107 −71%
141 Major head and neck procedures with CC $16,500 $16,500 $31,079 −47% $39,141 −58%
412 Cholecystectomy with C D E with CC $16,455 $16,455 $30,860 −47% $37,834 −57%
575 Skin graft for skin ulcer or cellulitis without CC MCC $16,295 $16,295 $29,109 −44% $30,097 −46%
935 Non extensive burns $16,256 $16,256 $31,701 −49% $31,701 −49%
516 Other musculoskeletal system connective tissue O R proc w CC $16,254 $16,254 $29,304 −45% $47,347 −66%
854 Infectious and parasitic diseases with O R procedures with CC $16,233 $16,233 $31,591 −49% $44,357 −63%
486 Knee procedures with principal diagnosis of infection with CC $15,995 $15,995 $35,549 −55% $47,529 −66%
908 Other O R procedures for injuries with CC $15,961 $15,961 $29,374 −46% $43,874 −64%
064 Intracranial hemorrhage or cerebral infarction with MCC $15,953 $15,953 $31,353 −49% $39,106 −59%
838 Chemo w acute leukemia as SDX w CC or high dose chemo agent $15,942 $15,942 $29,518 −46% $31,311 −49%
511 Shoulder elbow or forearm procedures exc major joint proc w CC $15,879 $15,879 $28,648 −45% $43,538 −64%
496 Local excision removal inter fixation dev exc hip femur w CC $15,829 $15,829 $28,801 −45% $43,800 −64%
617 Amputation lower limb for endocrine nutrit metabolic disord w CC $15,805 $15,805 $28,264 −44% $42,881 −63%
539 Osteomyelitis with MCC $15,805 $15,805 $29,443 −46% $37,126 −57%
871 Septicemia or severe sepsis without MV 96 hours with MCC $15,790 $15,790 $33,946 −53% $37,479 −58%
100 Seizures with MCC $15,789 $15,789 $28,961 −45% $36,405 −57%
415 Cholecystectomy except by laparoscope without C D E with CC $15,736 $15,736 $28,868 −45% $43,913 −64%
737 Uterine adnexa procedures for ovarian or adnexal malignancy w CC $15,720 $15,720 $29,131 −46% $44,363 −65%
283 Acute myocardial infarction expired with MCC $15,701 $15,701 $29,109 −46% $38,837 −60%
519 Back neck procedures except spinal fusion with CC $15,679 $15,679 $28,787 −46% $44,132 −64%
707 Major male pelvic procedures with CC MCC $15,625 $15,625 $28,381 −45% $43,080 −64%
584 Breast biopsy local excision and other breast procedures w CC MCC $15,599 $15,599 $29,767 −48% $34,089 −54%
409 Biliary tract proc except only cholecystectomy w or w o C D E w CC $15,589 $15,589 $30,404 −49% $46,066 −66%
548 Septic arthritis with MCC $15,529 $15,529 $29,341 −47% $31,019 −50%
380 Complicated peptic ulcer with MCC $15,519 $15,519 $28,169 −45% $39,627 −61%
052 Spinal disorders and injuries with CC MCC $15,487 $15,487 $29,314 −47% $31,319 −51%
432 Cirrhosis and alcoholic hepatitis with MCC $15,260 $15,260 $30,687 −50% $38,851 −61%
075 Viral meningitis with CC MCC $15,242 $15,242 $25,549 −40% $30,447 −50%
196 Interstitial lung disease with MCC $15,096 $15,096 $27,647 −45% $33,507 −55%
902 Wound debridements for injuries with CC $15,011 $15,011 $27,823 −46% $36,416 −59%
744 D C conization laparoscopy and tubal interruption with CC MCC $14,992 $14,992 $28,555 −47% $36,862 −59%
261 Cardiac pacemaker revision except device replacement with CC $14,987 $14,987 $44,454 −66% $42,126 −64%
470 Major hip knee joint replace or reattach lower extremity w o MCC $14,987 $14,987 $35,994 −58% $51,133 −71%
906 Hand procedures for injuries $14,986 $14,986 $31,520 −52% $31,685 −53%
165 Major chest procedures without CC MCC $14,944 $14,944 $27,387 −45% $41,380 −64%
883 Disorders of personality and impulse control $14,936 $14,936 $27,256 −45% $26,905 −44%
722 Malignancy male reproductive system with MCC $14,932 $14,932 $25,633 −42% $29,826 −50%
062 Ischemic stroke precereb occl trans ischemia w thrombolyt agt w CC $14,907 $14,907 $34,548 −57% $54,619 −73%
465 Wnd debride skn grft exc hand for musculo conn tis dis w o CC MCC $14,900 $14,900 $25,727 −42% $34,528 −57%
494 Lower extremity humerus proc exc hip foot and femur w o CC MCC $14,887 $14,887 $27,664 −46% $48,901 −70%
259 Cardiac pacemaker device replacement without MCC $14,866 $14,866 $26,007 −43% $36,091 −59%
479 Biopsies of musculoskeletal system and connective tissue w o CC MCC $14,846 $14,846 $26,242 −43% $33,388 −56%
623 Skin grafts wound debride for endocrine nutrit metab disord w CC $14,825 $14,825 $28,893 −49% $37,223 −60%
843 Other myeloprolif disord or poorly diff neoplastic diagnoses w MCC $14,819 $14,819 $27,943 −47% $39,105 −62%
803 Other O R procedures of the blood and blood forming organs w CC $14,799 $14,799 $26,296 −44% $33,495 −56%
941 O R proc w diagnoses of other contact w health services w o CC MCC $14,782 $14,782 $28,559 −48% $29,524 −50%
754 Malignancy female reproductive system with MCC $14,754 $14,754 $26,677 −45% $29,481 −50%
559 Aftercare musculoskeletal system and connective tissue with MCC $14,738 $14,738 $27,287 −46% $31,789 −54%
657 Kidney and ureter procedures for neoplasm with CC $14,688 $14,688 $26,921 −45% $44,833 −67%
862 Postoperative and post traumatic infections with MCC $14,670 $14,670 $27,058 −46% $32,792 −55%
686 Kidney and urinary tract neoplasms with MCC $14,650 $14,650 $30,841 −52% $36,025 −59%
116 Intraocular procedures with CC MCC $14,581 $14,581 $24,851 −41% $29,126 −50%
244 Permanent cardiac pacemaker implant without CC MCC $14,571 $14,571 $26,617 −45% $40,063 −64%
441 Disorders of liver exc malignancy cirrhosis or alc hepatitis w MCC $14,561 $14,561 $27,729 −47% $34,987 −58%
919 Complications of treatment with MCC $14,533 $14,533 $26,862 −46% $31,917 −54%
542 Pathological fractures musculoskeletal conn tissue malig w MCC $14,525 $14,525 $27,401 −47% $36,792 −61%
322 Perc CV procedures with intraluminal device without MCC $14,522 $14,522 $26,676 −46% $58,809 −75%
167 Other respiratory system O R procedures with CC $14,494 $14,494 $26,909 −46% $40,563 −64%
789 Neonates died or transferred to another acute care facility $14,490 $14,490 $21,150 −31% $18,632 −22%
717 Other male reproductive system O R proc except malignancy w CC MCC $14,445 $14,445 $27,276 −47% $34,894 −59%
205 Other respiratory system diagnoses with MCC $14,418 $14,418 $27,695 −48% $33,894 −57%
036 Carotid artery stent procedures without CC MCC $14,401 $14,401 $26,986 −47% $40,694 −65%
377 Gastrointestinal hemorrhage with MCC $14,259 $14,259 $26,792 −47% $38,041 −63%
801 Splenic procedures without CC MCC $14,254 $14,254 $24,502 −42% $28,634 −50%
070 Nonspecific cerebrovascular disorders with MCC $14,252 $14,252 $25,761 −45% $33,652 −58%
091 Other disorders of nervous system with MCC $14,250 $14,250 $26,853 −47% $37,921 −62%
740 Uterine adnexa proc for non ovarian non adnexal malignancy w CC $14,232 $14,232 $26,794 −47% $39,589 −64%
742 Uterine and adnexa procedures for non malignancy with CC MCC $14,192 $14,192 $26,903 −47% $41,113 −65%
896 Alcohol drug abuse or dependence w o rehabilitation therapy w MCC $14,162 $14,162 $26,307 −46% $32,212 −56%
199 Pneumothorax with MCC $14,130 $14,130 $26,106 −46% $34,228 −59%
915 Allergic reactions with MCC $14,129 $14,129 $25,750 −45% $32,645 −57%
783 Cesarean section with sterilization with MCC $14,111 $14,111 $22,780 −38% $29,112 −52%
435 Malignancy of hepatobiliary system or pancreas with MCC $14,017 $14,017 $27,591 −49% $37,950 −63%
884 Organic disturbances and intellectual disability $13,993 $13,993 $24,871 −44% $27,002 −48%
786 Cesarean section without sterilization with MCC $13,934 $13,934 $20,702 −33% $27,838 −50%
371 Major gastrointestinal disorders and peritoneal infections with MCC $13,919 $13,919 $33,555 −59% $35,017 −60%
580 Other skin subcutaneous tissue and breast procedures with CC $13,911 $13,911 $26,206 −47% $39,360 −65%
922 Other injury poisoning and toxic effect diagnoses with MCC $13,897 $13,897 $25,121 −45% $31,839 −56%
582 Mastectomy for malignancy with CC MCC $13,868 $13,868 $25,923 −47% $35,206 −61%
042 Peripheral cranial nerve other nervous system proc w o CC MCC $13,857 $13,857 $26,006 −47% $39,018 −64%
180 Respiratory neoplasms with MCC $13,844 $13,844 $25,879 −47% $36,658 −62%
501 Soft tissue procedures with CC $13,824 $13,824 $26,358 −48% $39,619 −65%
254 Other vascular procedures without CC MCC $13,819 $13,819 $26,341 −48% $38,836 −64%
144 Other ear nose mouth and throat O R procedures with CC $13,782 $13,782 $25,994 −47% $30,033 −54%
058 Multiple sclerosis and cerebellar ataxia with MCC $13,762 $13,762 $27,152 −49% $29,609 −54%
504 Foot procedures with CC $13,755 $13,755 $25,972 −47% $38,960 −65%
354 Hernia procedures except inguinal and femoral with CC $13,681 $13,681 $32,218 −58% $43,477 −69%
666 Prostatectomy with CC $13,678 $13,678 $24,574 −44% $32,253 −58%
671 Urethral procedures with CC MCC $13,634 $13,634 $25,566 −47% $27,233 −50%
421 Hepatobiliary diagnostic procedures with CC $13,616 $13,616 $24,448 −44% $36,354 −63%
157 Dental and oral diseases with MCC $13,595 $13,595 $24,447 −44% $32,211 −58%
505 Foot procedures without CC MCC $13,585 $13,585 $25,972 −48% $33,900 −60%
551 Medical back problems with MCC $13,555 $13,555 $25,341 −47% $34,920 −61%
855 Infectious and parasitic diseases with O R procedures w o CC MCC $13,554 $13,554 $23,720 −43% $27,261 −50%
177 Respiratory infections and inflammations with MCC $13,511 $13,511 $33,068 −59% $34,448 −61%
571 Skin debridement with CC $13,475 $13,475 $24,925 −46% $37,012 −64%
585 Breast biopsy local excision other breast procedures w o CC MCC $13,412 $13,412 $28,958 −54% $32,209 −58%
886 Behavioral and developmental disorders $13,394 $13,394 $26,510 −49% $26,510 −49%
746 Vagina cervix and vulva procedures with CC MCC $13,349 $13,349 $24,928 −46% $31,836 −58%
331 Major small and large bowel procedures without CC MCC $13,317 $13,317 $33,515 −60% $46,249 −71%
438 Disorders of pancreas except malignancy with MCC $13,291 $13,291 $24,787 −46% $33,814 −61%
698 Other kidney and urinary tract diagnoses with MCC $13,176 $13,176 $30,494 −57% $33,051 −60%
368 Major esophageal disorders with MCC $13,157 $13,157 $29,165 −55% $35,349 −63%
262 Cardiac pacemaker revision except device replacement without CC MCC $13,104 $13,104 $22,893 −43% $33,694 −61%
643 Endocrine disorders with MCC $13,102 $13,102 $24,704 −47% $33,909 −61%
828 Myeloprolif disord or poorly diff neopl w maj O R proc w o CC MCC $13,065 $13,065 $23,998 −46% $35,584 −63%
865 Viral illness with MCC $13,061 $13,061 $22,350 −42% $26,088 −50%
256 Upper limb toe amputation for circulatory system disorders w CC $13,059 $13,059 $22,282 −41% $31,216 −58%
983 Extensive O R proc unrelated to principal diagnosis w o CC MCC $13,023 $13,023 $24,846 −48% $33,754 −61%
418 Laparoscopic cholecystectomy without C D E with CC $13,019 $13,019 $24,718 −47% $47,027 −72%
444 Disorders of the biliary tract with MCC $13,007 $13,007 $30,811 −58% $35,591 −63%
533 Fractures of femur with MCC $12,993 $12,993 $22,986 −43% $25,945 −50%
033 Ventricular shunt procedures without CC MCC $12,925 $12,925 $23,902 −46% $35,419 −64%
620 O R procedures for obesity with CC $12,920 $12,920 $23,921 −46% $35,453 −64%
513 Hand or wrist procedures exc major thumb or joint proc w CC MCC $12,910 $12,910 $22,735 −43% $33,424 −61%
727 Inflammation of the male reproductive system with MCC $12,910 $12,910 $22,265 −42% $25,786 −50%
393 Other digestive system diagnoses with MCC $12,899 $12,899 $24,687 −48% $34,192 −62%
512 Shoulder elbow or forearm proc exc major joint proc w o CC MCC $12,853 $12,853 $24,061 −47% $35,692 −64%
578 Skin graft except for skin ulcer or cellulitis without CC MCC $12,827 $12,827 $25,133 −49% $34,423 −63%
895 Alcohol drug abuse or dependence with rehabilitation therapy $12,813 $12,813 $21,986 −42% $21,986 −42%
334 Rectal resection without CC MCC $12,784 $12,784 $24,721 −48% $32,213 −60%
296 Cardiac arrest unexplained with MCC $12,769 $12,769 $24,458 −48% $33,031 −61%
425 Other hepatobiliary or pancreas O R procedures without CC MCC $12,758 $12,758 $23,257 −45% $25,999 −51%
597 Malignant breast disorders with MCC $12,747 $12,747 $25,994 −51% $34,128 −63%
038 Extracranial procedures with CC $12,742 $12,742 $24,107 −47% $35,770 −64%
328 Stomach esophageal and duodenal procedures without CC MCC $12,722 $12,722 $23,876 −47% $37,183 −66%
917 Poisoning and toxic effects of drugs with MCC $12,710 $12,710 $26,258 −52% $33,289 −62%
482 Hip and femur procedures except major joint without CC MCC $12,651 $12,651 $29,598 −57% $43,248 −71%
251 Percutaneous cardiovascular proc w o intraluminal device without MCC $12,639 $12,639 $23,475 −46% $47,083 −73%
280 Acute myocardial infarction discharged alive with MCC $12,636 $12,636 $24,497 −48% $32,530 −61%
675 Other kidney and urinary tract procedures without CC MCC $12,636 $12,636 $23,510 −46% $34,749 −64%
606 Minor skin disorders with MCC $12,630 $12,630 $24,094 −48% $26,751 −53%
905 Skin grafts for injuries without CC MCC $12,613 $12,613 $24,586 −49% $25,197 −50%
830 Myeloprolif disord or poorly diff neopl w oth proc w o CC MCC $12,593 $12,593 $22,175 −43% $25,149 −50%
299 Peripheral vascular disorders with MCC $12,554 $12,554 $30,993 −59% $26,686 −53%
183 Major chest trauma with MCC $12,540 $12,540 $23,796 −47% $31,295 −60%
841 Lymphoma and non acute leukemia with CC $12,532 $12,532 $23,545 −47% $33,633 −63%
385 Inflammatory bowel disease with MCC $12,479 $12,479 $24,282 −49% $27,617 −55%
410 Biliary tract proc except only cholecyst w or w o C D E w o CC MCC $12,466 $12,466 $23,326 −47% $34,434 −64%
115 Extraocular procedures except orbit $12,460 $12,460 $23,065 −46% $26,850 −54%
564 Other musculoskeletal system and connective tissue diagnoses w MCC $12,440 $12,440 $23,560 −47% $33,653 −63%
813 Coagulation disorders $12,425 $12,425 $23,285 −47% $32,182 −61%
557 Tendonitis myositis and bursitis with MCC $12,399 $12,399 $23,307 −47% $33,325 −63%
186 Pleural effusion with MCC $12,362 $12,362 $23,701 −48% $33,834 −63%
142 Major head and neck procedures without CC MCC $12,305 $12,305 $23,602 −48% $34,906 −65%
487 Knee procedures with principal diagnosis of infection w o CC MCC $12,304 $12,304 $23,703 −48% $35,074 −65%
769 Postpartum and post abortion diagnoses with O R procedures $12,296 $12,296 $21,228 −42% $25,347 −51%
345 Minor small and large bowel procedures with CC $12,270 $12,270 $22,516 −46% $31,772 −61%
154 Other ear nose mouth and throat diagnoses with MCC $12,251 $12,251 $24,302 −50% $24,465 −50%
306 Cardiac congenital and valvular disorders with MCC $12,240 $12,240 $22,628 −46% $25,599 −52%
669 Transurethral procedures with CC $12,222 $12,222 $32,675 −63% $34,354 −64%
088 Concussion with MCC $12,216 $12,216 $21,503 −43% $24,402 −50%
583 Mastectomy for malignancy without CC MCC $12,121 $12,121 $24,514 −51% $31,566 −62%
562 Fracture sprain strain disloc exc femur hip pelvis thigh w MCC $12,111 $12,111 $22,189 −45% $30,328 −60%
621 O R procedures for obesity without CC MCC $12,084 $12,084 $22,167 −45% $32,451 −63%
398 Appendix procedures with CC $12,053 $12,053 $24,671 −51% $41,614 −71%
073 Cranial and peripheral nerve disorders with MCC $12,050 $12,050 $23,254 −48% $29,635 −59%
077 Hypertensive encephalopathy with MCC $12,033 $12,033 $23,263 −48% $24,036 −50%
413 Cholecystectomy with C D E without CC MCC $12,023 $12,023 $24,771 −51% $28,585 −58%
945 Rehabilitation with CC MCC $12,022 $12,022 $23,834 −50% $23,834 −50%
604 Trauma to the skin subcutaneous tissue and breast with MCC $11,996 $11,996 $22,477 −47% $30,537 −61%
137 Mouth procedures with CC MCC $11,984 $11,984 $21,346 −44% $24,906 −52%
964 Other multiple significant trauma with CC $11,955 $11,955 $22,664 −47% $27,394 −56%
682 Renal failure with MCC $11,953 $11,953 $22,687 −47% $31,184 −62%
337 Peritoneal adhesiolysis without CC MCC $11,918 $11,918 $24,154 −51% $39,857 −70%
913 Traumatic injury with MCC $11,903 $11,903 $24,198 −51% $24,198 −51%
517 Other musculoskeletal system conn tissue O R proc w o CC MCC $11,902 $11,902 $22,568 −47% $33,137 −64%
626 Thyroid parathyroid and thyroglossal procedures with CC $11,882 $11,882 $22,783 −48% $32,093 −63%
757 Infections female reproductive system with MCC $11,880 $11,880 $21,563 −45% $24,829 −52%
794 Neonate with other significant problems $11,866 $11,866 $17,540 −32% $8,633 +37%
602 Cellulitis with MCC $11,847 $11,847 $23,634 −50% $31,269 −62%
063 Ischemic stroke precereb occ trans ischemia w thromb agt w o CC MCC $11,842 $11,842 $21,427 −45% $37,324 −68%
658 Kidney and ureter procedures for neoplasm without CC MCC $11,791 $11,791 $22,714 −48% $38,106 −69%
289 Acute and subacute endocarditis with CC $11,769 $11,769 $23,658 −50% $31,324 −62%
054 Nervous system neoplasms with MCC $11,736 $11,736 $22,651 −48% $30,447 −61%
615 Adrenal and pituitary procedures without CC MCC $11,716 $11,716 $21,793 −46% $31,812 −63%
506 Major thumb or joint procedures $11,649 $11,649 $22,651 −49% $29,565 −61%
663 Minor bladder procedures with CC $11,620 $11,620 $23,018 −50% $32,018 −64%
708 Major male pelvic procedures without CC MCC $11,616 $11,616 $22,435 −48% $39,617 −71%
351 Inguinal and femoral hernia procedures with CC $11,593 $11,593 $22,721 −49% $34,748 −67%
388 Gastrointestinal obstruction with MCC $11,576 $11,576 $22,272 −48% $30,897 −63%
713 Transurethral prostatectomy with CC MCC $11,554 $11,554 $21,961 −47% $32,100 −64%
637 Diabetes with MCC $11,543 $11,543 $26,435 −56% $31,433 −63%
508 Major shoulder or elbow joint procedures without CC MCC $11,421 $11,421 $19,945 −43% $22,811 −50%
520 Back neck procedures except spinal fusion without CC MCC $11,401 $11,401 $21,795 −48% $33,374 −66%
818 Other antepartum diagnoses with O R procedures with CC $11,398 $11,398 $19,911 −43% $28,593 −60%
497 Local excision removl int fixation dev exc hip femur w o CC MCC $11,368 $11,368 $20,619 −45% $29,805 −62%
716 Other male reproductive system O R proc for malignancy w o CC MCC $11,327 $11,327 $21,615 −48% $21,800 −48%
796 Vaginal delivery with sterilization and or D C with MCC $11,297 $11,297 $16,434 −31% $22,557 −50%
067 Nonspecific CVA and precerebral occlusion without infarction w MCC $11,285 $11,285 $22,077 −49% $28,622 −61%
693 Urinary stones with MCC $11,280 $11,280 $22,278 −49% $23,654 −52%
977 HIV with or without other related condition $11,278 $11,278 $21,908 −49% $22,525 −50%
836 Acute leukemia without CC MCC $11,245 $11,245 $19,686 −43% $19,686 −43%
422 Hepatobiliary diagnostic procedures without CC MCC $11,238 $11,238 $22,265 −50% $25,766 −56%
748 Female reproductive system reconstructive procedures $11,189 $11,189 $20,875 −46% $30,242 −63%
811 Red blood cell disorders with MCC $11,179 $11,179 $30,960 −64% $28,113 −60%
175 Pulmonary embolism with MCC or acute cor pulmonale $11,174 $11,174 $22,929 −51% $30,959 −64%
555 Signs and symptoms of musculoskeletal system conn tissue w MCC $11,142 $11,142 $21,500 −48% $26,179 −57%
383 Uncomplicated peptic ulcer with MCC $11,136 $11,136 $19,602 −43% $28,065 −60%
630 Other endocrine nutritional metabolic O R procedures w o CC MCC $11,121 $11,121 $21,381 −48% $24,601 −55%
241 Amputation for circ sys disorders exc upper limb toe w o CC MCC $11,102 $11,102 $22,791 −51% $25,972 −57%
502 Soft tissue procedures without CC MCC $11,012 $11,012 $21,328 −48% $31,017 −64%
885 Psychoses $10,883 $10,883 $21,489 −49% $21,729 −50%
509 Arthroscopy $10,880 $10,880 $25,994 −58% $25,994 −58%
738 Uterine adnexa proc for ovarian or adnexal malignancy w o CC MCC $10,868 $10,868 $22,882 −53% $33,674 −68%
975 HIV with major related condition with CC $10,858 $10,858 $21,642 −50% $27,741 −61%
057 Degenerative nervous system disorders without MCC $10,857 $10,857 $20,513 −47% $27,621 −61%
355 Hernia procedures except inguinal and femoral without CC MCC $10,852 $10,852 $20,497 −47% $34,468 −69%
750 Other female reproductive system O R procedures without CC MCC $10,832 $10,832 $19,930 −46% $24,145 −55%
083 Traumatic stupor and coma 1 hour with CC $10,803 $10,803 $21,240 −49% $26,398 −59%
909 Other O R procedures for injuries without CC MCC $10,802 $10,802 $19,655 −45% $28,156 −62%
168 Other respiratory system O R procedures without CC MCC $10,797 $10,797 $20,766 −48% $28,950 −63%
553 Bone diseases and arthropathies with MCC $10,764 $10,764 $22,304 −52% $26,765 −60%
581 Other skin subcutaneous tissue and breast procedures w o CC MCC $10,726 $10,726 $21,873 −51% $26,932 −60%
660 Kidney and ureter procedures for non neoplasm with CC $10,719 $10,719 $20,586 −48% $31,667 −66%
416 Cholecystectomy except by laparoscope without C D E without CC MCC $10,666 $10,666 $20,978 −49% $30,418 −65%
193 Simple pneumonia and pleurisy with MCC $10,566 $10,566 $22,641 −53% $29,171 −64%
124 Other disorders of the eye with MCC or thrombolytic agent $10,528 $10,528 $20,117 −48% $21,029 −50%
099 Non bacterial infect of nervous sys exc viral meningitis w o CC MCC $10,515 $10,515 $21,277 −51% $27,119 −61%
086 Traumatic stupor and coma 1 hour with CC $10,490 $10,490 $20,217 −48% $24,623 −57%
640 Misc disorders of nutrition metabolism fluids electrolyte w MCC $10,475 $10,475 $20,430 −49% $28,162 −63%
150 Epistaxis with MCC $10,469 $10,469 $21,133 −50% $21,230 −51%
419 Laparoscopic cholecystectomy without C D E without CC MCC $10,459 $10,459 $26,784 −61% $36,937 −72%
642 Inborn and other disorders of metabolism $10,380 $10,380 $19,302 −46% $20,727 −50%
839 Chemotherapy w acute leukemia as secondary DX without CC MCC $10,378 $10,378 $20,980 −51% $20,980 −51%
348 Anal and stomal procedures with CC $10,365 $10,365 $19,533 −47% $27,947 −63%
741 Uterine adnexa proc for non ovarian non adnexal malig w o CC MCC $10,348 $10,348 $21,022 −51% $30,493 −66%
540 Osteomyelitis with CC $10,339 $10,339 $19,990 −48% $27,453 −62%
710 Penis procedures without CC MCC $10,332 $10,332 $22,681 −54% $24,531 −58%
535 Fractures of hip and pelvis with MCC $10,327 $10,327 $20,455 −50% $23,311 −56%
887 Other mental disorder diagnoses $10,319 $10,319 $18,631 −45% $20,616 −50%
825 Lymphoma and non acute leukemia with other procedures w o CC MCC $10,285 $10,285 $19,169 −46% $27,323 −62%
499 Local excision removal inter fixation dev hip femur w o CC MCC $10,273 $10,273 $18,260 −44% $21,230 −52%
346 Minor small and large bowel procedures without CC MCC $10,257 $10,257 $19,357 −47% $27,645 −63%
291 Heart failure and shock with MCC $10,226 $10,226 $22,625 −55% $27,864 −63%
858 Postop or post traumatic infections w O R procedures w o CC MCC $10,222 $10,222 $19,916 −49% $26,222 −61%
121 Acute major eye infections with CC MCC $10,204 $10,204 $18,291 −44% $18,291 −44%
358 Other digestive system O R procedures without CC MCC $10,203 $10,203 $20,782 −51% $30,083 −66%
391 Esophagitis gastroenteritis misc digestive disorders w MCC $10,160 $10,160 $26,164 −61% $28,515 −64%
735 Pelvic evisceration rad hysterectomy and rad vulvectomy w o CC MCC $10,037 $10,037 $18,949 −47% $26,948 −63%
947 Signs and symptoms with MCC $9,968 $9,968 $19,887 −50% $27,070 −63%
903 Wound debridements for injuries without CC MCC $9,888 $9,888 $19,017 −48% $23,588 −58%
725 Benign prostatic hypertrophy with MCC $9,883 $9,883 $19,581 −50% $20,739 −52%
822 Lymphoma and leukemia with major O R procedures without CC MCC $9,866 $9,866 $18,038 −45% $25,390 −61%
489 Knee procedures without principal diagnosis of infection w o CC MCC $9,858 $9,858 $19,267 −49% $27,711 −64%
627 Thyroid parathyroid and thyroglossal procedures without CC MCC $9,844 $9,844 $19,637 −50% $28,125 −65%
147 Ear nose mouth and throat malignancy with CC $9,842 $9,842 $19,350 −49% $21,876 −55%
189 Pulmonary edema and respiratory failure $9,812 $9,812 $21,525 −54% $27,470 −64%
114 Orbital procedures without CC MCC $9,811 $9,811 $18,536 −47% $19,598 −50%
145 Other ear nose mouth and throat O R procedures without CC MCC $9,725 $9,725 $18,572 −48% $23,405 −58%
768 Vaginal delivery with O R procedures exc sterilization and or D C $9,701 $9,701 $14,778 −34% $19,258 −50%
847 Chemotherapy without acute leukemia as secondary diagnosis with CC $9,658 $9,658 $19,686 −51% $22,726 −58%
804 Other O R procedures of blood and blood forming organs w o CC MCC $9,640 $9,640 $17,544 −45% $24,544 −61%
593 Skin ulcers with CC $9,636 $9,636 $19,063 −49% $23,072 −58%
102 Headaches with MCC $9,610 $9,610 $18,243 −47% $25,440 −62%
549 Septic arthritis with CC $9,607 $9,607 $18,835 −49% $21,668 −56%
809 Major hematol immun diag exc sickle cell crisis coagulat dis w CC $9,592 $9,592 $19,268 −50% $23,515 −59%
308 Cardiac arrhythmia and conduction disorders with MCC $9,575 $9,575 $21,678 −56% $26,770 −64%
546 Connective tissue disorders with CC $9,552 $9,552 $22,094 −57% $25,700 −63%
598 Malignant breast disorders with CC $9,548 $9,548 $17,197 −44% $19,150 −50%
117 Intraocular procedures without CC MCC $9,545 $9,545 $17,193 −44% $19,057 −50%
375 Digestive malignancy with CC $9,544 $9,544 $19,141 −50% $27,277 −65%
695 Kidney and urinary tract signs and symptoms with MCC $9,525 $9,525 $17,832 −47% $21,550 −56%
712 Testes procedures without CC MCC $9,465 $9,465 $17,076 −45% $18,898 −50%
152 Otitis media and URI with MCC $9,463 $9,463 $17,922 −47% $19,971 −53%
139 Salivary gland procedures $9,459 $9,459 $21,014 −55% $21,014 −55%
059 Multiple sclerosis and cerebellar ataxia with CC $9,455 $9,455 $19,075 −50% $27,163 −65%
476 Amputation for musculoskeletal syst conn tissue dis w o CC MCC $9,373 $9,373 $18,290 −49% $23,443 −60%
718 Other male reproductive system O R proc exc malignancy w o CC MCC $9,365 $9,365 $19,183 −51% $21,556 −57%
689 Kidney and urinary tract infections with MCC $9,353 $9,353 $20,718 −55% $25,980 −64%
743 Uterine and adnexa procedures for non malignancy without CC MCC $9,255 $9,255 $23,274 −60% $32,593 −72%
618 Amputation lower limb for endocrine nutrit metabolic dis w o CC MCC $9,251 $9,251 $19,354 −52% $19,354 −52%
844 Other myeloprolif disord or poorly diff neoplastic diagnoses w CC $9,216 $9,216 $18,707 −51% $21,153 −56%
089 Concussion with CC $9,158 $9,158 $17,109 −46% $18,821 −51%
304 Hypertension with MCC $9,151 $9,151 $22,816 −60% $26,080 −65%
039 Extracranial procedures without CC MCC $9,087 $9,087 $17,967 −49% $25,267 −64%
572 Skin debridement without CC MCC $9,076 $9,076 $18,021 −50% $24,841 −63%
560 Aftercare musculoskeletal system and connective tissue with CC $9,017 $9,017 $17,973 −50% $25,279 −64%
302 Atherosclerosis with MCC $8,929 $8,929 $18,292 −51% $22,223 −60%
624 Skin grafts wound debride for endocr nutrit metab dis w o CC MCC $8,876 $8,876 $16,213 −45% $17,737 −50%
723 Malignancy male reproductive system with CC $8,875 $8,875 $17,768 −50% $19,968 −56%
399 Appendix procedures without CC MCC $8,865 $8,865 $17,780 −50% $32,462 −73%
697 Urethral stricture $8,865 $8,865 $16,196 −45% $17,705 −50%
352 Inguinal and femoral hernia procedures without CC MCC $8,833 $8,833 $20,862 −58% $24,957 −65%
190 Chronic obstructive pulmonary disease with MCC $8,777 $8,777 $22,279 −61% $24,930 −65%
181 Respiratory neoplasms with CC $8,770 $8,770 $20,199 −57% $23,084 −62%
436 Malignancy of hepatobiliary system or pancreas with CC $8,766 $8,766 $17,830 −51% $25,034 −65%
294 Deep vein thrombophlebitis with CC MCC $8,711 $8,711 $19,132 −54% $19,132 −54%
543 Pathological fractures musculoskeletal conn tissue malig w CC $8,687 $8,687 $16,963 −49% $23,551 −63%
445 Disorders of the biliary tract with CC $8,656 $8,656 $17,269 −50% $24,075 −64%
868 Other infectious and parasitic diseases diagnoses with CC $8,645 $8,645 $16,823 −49% $23,312 −63%
290 Acute and subacute endocarditis without CC MCC $8,642 $8,642 $15,901 −46% $15,901 −46%
755 Malignancy female reproductive system with CC $8,639 $8,639 $17,602 −51% $19,510 −56%
287 Circulatory disorders except AMI w cardiac catheterization w o MCC $8,614 $8,614 $17,337 −50% $33,023 −74%
989 Non extensive O R proc unrelated to principal diagnosis w o CC MCC $8,604 $8,604 $18,191 −53% $25,652 −66%
200 Pneumothorax with CC $8,578 $8,578 $17,568 −51% $22,059 −61%
831 Other antepartum diagnoses without O R procedures with MCC $8,564 $8,564 $18,133 −53% $18,133 −53%
055 Nervous system neoplasms without MCC $8,547 $8,547 $17,354 −51% $20,926 −59%
381 Complicated peptic ulcer with CC $8,546 $8,546 $17,329 −51% $24,177 −65%
949 Aftercare with CC MCC $8,544 $8,544 $17,198 −50% $23,953 −64%
300 Peripheral vascular disorders with CC $8,498 $8,498 $17,089 −50% $19,416 −56%
842 Lymphoma and non acute leukemia without CC MCC $8,493 $8,493 $16,847 −50% $18,134 −53%
071 Nonspecific cerebrovascular disorders with CC $8,457 $8,457 $19,047 −56% $26,190 −68%
644 Endocrine disorders with CC $8,456 $8,456 $16,765 −50% $23,198 −64%
664 Minor bladder procedures without CC MCC $8,455 $8,455 $17,209 −51% $19,371 −56%
184 Major chest trauma with CC $8,378 $8,378 $17,057 −51% $22,688 −63%
787 Cesarean section without sterilization with CC $8,371 $8,371 $15,613 −46% $23,571 −64%
667 Prostatectomy without CC MCC $8,359 $8,359 $16,534 −49% $16,703 −50%
661 Kidney and ureter procedures for non neoplasm without CC MCC $8,350 $8,350 $16,518 −49% $27,533 −70%
687 Kidney and urinary tract neoplasms with CC $8,325 $8,325 $16,857 −51% $19,514 −57%
136 Sinus and mastoid procedures without CC MCC $8,317 $8,317 $15,890 −48% $17,411 −52%
372 Major gastrointestinal disorders and peritoneal infections with CC $8,301 $8,301 $16,553 −50% $22,850 −64%
514 Hand or wrist procedures exc major thumb or joint proc w o CC MCC $8,295 $8,295 $16,427 −50% $22,635 −63%
745 D C conization laparoscopy and tubal interruption without CC MCC $8,250 $8,250 $16,495 −50% $18,201 −55%
920 Complications of treatment with CC $8,234 $8,234 $16,379 −50% $20,764 −60%
433 Cirrhosis and alcoholic hepatitis with CC $8,211 $8,211 $17,079 −52% $23,749 −65%
872 Septicemia or severe sepsis without MV 96 hours without MCC $8,203 $8,203 $18,541 −56% $22,888 −64%
074 Cranial and peripheral nerve disorders without MCC $8,173 $8,173 $19,840 −59% $24,527 −67%
092 Other disorders of nervous system with CC $8,172 $8,172 $22,889 −64% $24,914 −67%
600 Non malignant breast disorders with CC MCC $8,168 $8,168 $15,610 −48% $17,061 −52%
784 Cesarean section with sterilization with CC $8,156 $8,156 $15,808 −48% $24,042 −66%
699 Other kidney and urinary tract diagnoses with CC $8,130 $8,130 $17,534 −54% $21,275 −62%
078 Hypertensive encephalopathy with CC $8,099 $8,099 $16,146 −50% $17,607 −54%
065 Intracranial hemorrhage or cerebral infarction w CC or tPA in 24 hr $8,095 $8,095 $26,594 −70% $26,044 −69%
946 Rehabilitation without CC MCC $8,066 $8,066 $17,685 −54% $17,685 −54%
923 Other injury poisoning and toxic effect diagnoses without MCC $8,055 $8,055 $16,431 −51% $17,111 −53%
596 Major skin disorders without MCC $8,036 $8,036 $17,226 −53% $17,226 −53%
805 Vaginal delivery without sterilization OR D C with MCC $8,030 $8,030 $13,876 −42% $16,035 −50%
863 Postoperative and post traumatic infections without MCC $8,008 $8,008 $16,171 −50% $21,151 −62%
810 Major hematol immun diag exc sickle cell crisis coagul w o CC MCC $8,000 $8,000 $18,908 −58% $19,270 −58%
729 Other male reproductive system diagnoses with CC MCC $7,995 $7,995 $17,483 −54% $17,483 −54%
565 Other musculoskeletal system and connective tissue diagnoses w CC $7,960 $7,960 $18,771 −58% $22,005 −64%
197 Interstitial lung disease with CC $7,945 $7,945 $17,431 −54% $20,480 −61%
187 Pleural effusion with CC $7,935 $7,935 $16,225 −51% $22,288 −64%
797 Vaginal delivery with sterilization and or D C with CC $7,932 $7,932 $13,602 −42% $20,765 −62%
760 Menstrual and other female reproductive system disorders w CC MCC $7,928 $7,928 $15,986 −50% $20,895 −62%
815 Reticuloendothelial and immunity disorders with CC $7,918 $7,918 $16,382 −52% $18,601 −57%
758 Infections female reproductive system with CC $7,905 $7,905 $16,423 −52% $21,407 −63%
257 Upper limb toe amputation for circ sys disorders w o CC MCC $7,893 $7,893 $14,770 −47% $15,764 −50%
756 Malignancy female reproductive system without CC MCC $7,882 $7,882 $15,589 −49% $15,589 −49%
779 Abortion without D C $7,878 $7,878 $15,327 −49% $15,327 −49%
369 Major esophageal disorders with CC $7,871 $7,871 $18,210 −57% $25,774 −69%
178 Respiratory infections and inflammations with CC $7,858 $7,858 $20,548 −62% $22,140 −65%
053 Spinal disorders and injuries without CC MCC $7,835 $7,835 $15,153 −48% $20,313 −61%
378 Gastrointestinal hemorrhage with CC $7,835 $7,835 $21,005 −63% $22,098 −65%
349 Anal and stomal procedures without CC MCC $7,772 $7,772 $14,627 −47% $19,854 −61%
386 Inflammatory bowel disease with CC $7,738 $7,738 $16,173 −52% $22,033 −65%
315 Other circulatory system diagnoses with CC $7,704 $7,704 $16,477 −53% $21,363 −64%
537 Sprains strains dislocations of hip pelvis and thigh w CC MCC $7,702 $7,702 $15,121 −49% $16,582 −54%
552 Medical back problems without MCC $7,696 $7,696 $15,703 −51% $21,396 −64%
670 Transurethral procedures without CC MCC $7,667 $7,667 $15,598 −51% $20,371 −62%
714 Transurethral prostatectomy without CC MCC $7,634 $7,634 $15,390 −50% $18,363 −58%
202 Bronchitis and asthma with CC MCC $7,626 $7,626 $15,741 −52% $18,887 −60%
965 Other multiple significant trauma without CC MCC $7,613 $7,613 $15,039 −49% $20,259 −62%
880 Acute adjustment reaction and psychosocial dysfunction $7,603 $7,603 $16,308 −53% $16,001 −52%
442 Disorders of liver exc malignancy cirrhosis or alc hepatitis w CC $7,578 $7,578 $15,734 −52% $21,449 −65%
155 Other ear nose mouth and throat diagnoses with CC $7,539 $7,539 $15,311 −51% $16,899 −55%
550 Septic arthritis without CC MCC $7,514 $7,514 $14,383 −48% $16,156 −53%
307 Cardiac congenital and valvular disorders without MCC $7,507 $7,507 $15,217 −51% $19,532 −62%
882 Neuroses except depressive $7,481 $7,481 $15,680 −52% $15,680 −52%
158 Dental and oral diseases with CC $7,475 $7,475 $15,402 −51% $18,267 −59%
672 Urethral procedures without CC MCC $7,467 $7,467 $17,398 −57% $17,398 −57%
394 Other digestive system diagnoses with CC $7,462 $7,462 $18,918 −61% $20,635 −64%
090 Concussion without CC MCC $7,445 $7,445 $14,321 −48% $15,534 −52%
076 Viral meningitis without CC MCC $7,347 $7,347 $15,094 −51% $16,201 −55%
084 Traumatic stupor and coma 1 hour without CC MCC $7,325 $7,325 $15,603 −53% $20,226 −64%
866 Viral illness without MCC $7,309 $7,309 $14,678 −50% $17,294 −58%
206 Other respiratory system diagnoses without MCC $7,276 $7,276 $14,950 −51% $18,722 −61%
281 Acute myocardial infarction discharged alive with CC $7,272 $7,272 $15,158 −52% $20,463 −64%
101 Seizures without MCC $7,244 $7,244 $15,157 −52% $20,461 −65%
081 Nontraumatic stupor and coma without MCC $7,244 $7,244 $14,937 −52% $15,159 −52%
605 Trauma to the skin subcutaneous tissue and breast without MCC $7,238 $7,238 $15,183 −52% $20,506 −65%
914 Traumatic injury without MCC $7,229 $7,229 $15,088 −52% $16,295 −56%
819 Other antepartum diagnoses with O R procedures without CC MCC $7,225 $7,225 $13,791 −48% $18,098 −60%
881 Depressive neuroses $7,220 $7,220 $15,058 −52% $15,058 −52%
683 Renal failure with CC $7,174 $7,174 $18,485 −61% $19,733 −64%
812 Red blood cell disorders without MCC $7,174 $7,174 $18,646 −62% $20,488 −65%
638 Diabetes with CC $7,163 $7,163 $19,029 −62% $20,361 −65%
060 Multiple sclerosis and cerebellar ataxia without CC MCC $7,147 $7,147 $14,776 −52% $23,079 −69%
563 Fracture sprain strain dislo exc femur hip pelvis thigh w o MCC $7,133 $7,133 $14,795 −52% $19,842 −64%
607 Minor skin disorders without MCC $7,116 $7,116 $14,410 −51% $16,097 −56%
376 Digestive malignancy without CC MCC $7,099 $7,099 $14,654 −52% $15,745 −55%
148 Ear nose mouth and throat malignancy without CC MCC $7,086 $7,086 $13,586 −48% $13,586 −48%
747 Vagina cervix and vulva procedures without CC MCC $7,066 $7,066 $15,591 −55% $19,594 −64%
087 Traumatic stupor and coma 1 hour without CC MCC $7,058 $7,058 $14,668 −52% $16,545 −57%
603 Cellulitis without MCC $7,046 $7,046 $14,626 −52% $19,553 −64%
864 Fever and inflammatory conditions $7,031 $7,031 $14,849 −53% $18,591 −62%
558 Tendonitis myositis and bursitis without MCC $6,996 $6,996 $14,405 −51% $18,602 −62%
384 Uncomplicated peptic ulcer without MCC $6,974 $6,974 $14,480 −52% $19,305 −64%
068 Nonspecific CVA and precerebral occlusion w o infarction w o MCC $6,937 $6,937 $14,635 −53% $19,569 −65%
785 Cesarean section with sterilization without CC MCC $6,900 $6,900 $13,884 −50% $20,473 −66%
138 Mouth procedures without CC MCC $6,895 $6,895 $13,752 −50% $19,492 −65%
845 Other myeloprolif disord or poorly diff neoplastic diag w o CC MCC $6,888 $6,888 $14,055 −51% $14,055 −51%
312 Syncope and collapse $6,877 $6,877 $21,363 −68% $19,517 −65%
918 Poisoning and toxic effects of drugs without MCC $6,857 $6,857 $14,675 −53% $15,642 −56%
541 Osteomyelitis without CC MCC $6,833 $6,833 $14,549 −53% $14,549 −53%
292 Heart failure and shock with CC $6,822 $6,822 $15,779 −57% $17,958 −62%
897 Alcohol drug abuse or dependence w o rehabilitation thrpy w o MCC $6,814 $6,814 $14,644 −53% $16,765 −59%
439 Disorders of pancreas except malignancy with CC $6,811 $6,811 $16,427 −59% $20,093 −66%
788 Cesarean section without sterilization without CC MCC $6,810 $6,810 $14,171 −52% $20,139 −66%
191 Chronic obstructive pulmonary disease with CC $6,762 $6,762 $14,344 −53% $19,072 −65%
976 HIV with major related condition without CC MCC $6,732 $6,732 $16,212 −58% $16,212 −58%
103 Headaches without MCC $6,709 $6,709 $17,457 −62% $20,630 −67%
848 Chemotherapy w o acute leukemia as secondary diagnosis w o CC MCC $6,660 $6,660 $13,822 −52% $13,822 −52%
798 Vaginal delivery with sterilization and or D C without CC MCC $6,651 $6,651 $13,602 −51% $20,021 −67%
437 Malignancy of hepatobiliary system or pancreas without CC MCC $6,619 $6,619 $13,385 −51% $13,385 −51%
556 Signs and symptoms of musculoskeletal system conn tissue w o MCC $6,566 $6,566 $15,576 −58% $18,126 −64%
547 Connective tissue disorders without CC MCC $6,557 $6,557 $12,879 −49% $16,565 −60%
204 Respiratory signs and symptoms $6,554 $6,554 $13,720 −52% $17,498 −63%
194 Simple pneumonia and pleurisy with CC $6,548 $6,548 $13,837 −53% $18,961 −65%
554 Bone diseases and arthropathies without MCC $6,545 $6,545 $14,026 −53% $18,528 −65%
176 Pulmonary embolism without MCC $6,496 $6,496 $16,701 −61% $18,081 −64%
534 Fractures of femur without MCC $6,451 $6,451 $13,759 −53% $18,070 −64%
724 Malignancy male reproductive system without CC MCC $6,447 $6,447 $12,650 −49% $12,650 −49%
690 Kidney and urinary tract infections without MCC $6,426 $6,426 $16,665 −61% $17,817 −64%
123 Neurological eye disorders $6,403 $6,403 $16,821 −62% $17,831 −64%
446 Disorders of the biliary tract without CC MCC $6,383 $6,383 $16,405 −61% $17,700 −64%
948 Signs and symptoms without MCC $6,380 $6,380 $14,665 −56% $17,962 −64%
728 Inflammation of the male reproductive system without MCC $6,372 $6,372 $13,799 −54% $18,139 −65%
182 Respiratory neoplasms without CC MCC $6,362 $6,362 $14,064 −55% $14,064 −55%
069 Transient ischemia without thrombolytic $6,361 $6,361 $18,694 −66% $21,254 −70%
770 Abortion with D C aspiration curettage or hysterotomy $6,361 $6,361 $15,769 −60% $18,817 −66%
125 Other disorders of the eye without MCC $6,352 $6,352 $13,911 −54% $16,191 −61%
295 Deep vein thrombophlebitis without CC MCC $6,348 $6,348 $13,445 −53% $13,445 −53%
389 Gastrointestinal obstruction with CC $6,343 $6,343 $16,402 −61% $17,747 −64%
594 Skin ulcers without CC MCC $6,271 $6,271 $14,110 −56% $14,209 −56%
536 Fractures of hip and pelvis without MCC $6,269 $6,269 $18,887 −67% $18,002 −65%
392 Esophagitis gastroenteritis misc digestive disorders w o MCC $6,257 $6,257 $13,902 −55% $17,322 −64%
072 Nonspecific cerebrovascular disorders without CC MCC $6,236 $6,236 $12,931 −52% $18,054 −65%
694 Urinary stones without MCC $6,234 $6,234 $13,336 −53% $17,347 −64%
641 Misc disorder of nutrition metabolism fluid electrolyte w o MCC $6,223 $6,223 $15,665 −60% $17,186 −64%
688 Kidney and urinary tract neoplasms without CC MCC $6,219 $6,219 $12,593 −51% $12,593 −51%
561 Aftercare musculoskeletal system and connective tissue w o CC MCC $6,214 $6,214 $13,806 −55% $18,150 −66%
198 Interstitial lung disease without CC MCC $6,198 $6,198 $12,284 −50% $14,785 −58%
093 Other disorders of nervous system without CC MCC $6,168 $6,168 $17,570 −65% $17,522 −65%
151 Epistaxis without MCC $6,138 $6,138 $13,032 −53% $13,119 −53%
544 Pathological fractures musculoskel conn tiss malig w o CC MCC $6,113 $6,113 $13,002 −53% $16,776 −64%
179 Respiratory infections and inflammations without CC MCC $6,079 $6,079 $13,184 −54% $16,470 −63%
645 Endocrine disorders without CC MCC $6,060 $6,060 $13,300 −54% $15,428 −61%
382 Complicated peptic ulcer without CC MCC $6,030 $6,030 $12,919 −53% $16,634 −64%
185 Major chest trauma without CC MCC $6,019 $6,019 $13,288 −55% $16,983 −65%
305 Hypertension without MCC $6,001 $6,001 $15,686 −62% $17,930 −67%
566 Other musculoskeletal system connective tiss diagnoses w o CC MCC $5,977 $5,977 $12,903 −54% $14,716 −59%
806 Vaginal delivery without sterilization OR D C with CC $5,947 $5,947 $11,355 −48% $13,652 −56%
188 Pleural effusion without CC MCC $5,945 $5,945 $12,723 −53% $14,514 −59%
149 Dysequilibrium $5,931 $5,931 $18,236 −67% $17,203 −66%
309 Cardiac arrhythmia and conduction disorders with CC $5,931 $5,931 $15,499 −62% $17,477 −66%
122 Acute major eye infections without CC MCC $5,930 $5,930 $11,997 −51% $11,997 −51%
370 Major esophageal disorders without CC MCC $5,923 $5,923 $12,253 −52% $15,495 −62%
079 Hypertensive encephalopathy without CC MCC $5,900 $5,900 $11,847 −50% $11,847 −50%
284 Acute myocardial infarction expired with CC $5,891 $5,891 $12,811 −54% $14,343 −59%
832 Other antepartum diagnoses without O R procedures with CC $5,875 $5,875 $12,895 −54% $12,895 −54%
153 Otitis media and URI without MCC $5,852 $5,852 $12,431 −53% $14,684 −60%
726 Benign prostatic hypertrophy without MCC $5,821 $5,821 $12,855 −55% $14,249 −59%
297 Cardiac arrest unexplained with CC $5,803 $5,803 $12,336 −53% $12,336 −53%
313 Chest pain $5,763 $5,763 $16,220 −64% $16,440 −65%
282 Acute myocardial infarction discharged alive without CC MCC $5,719 $5,719 $12,605 −55% $21,270 −73%
776 Postpartum and post abortion diagnoses without O R procedures $5,708 $5,708 $12,454 −54% $12,454 −54%
373 Major gastrointestinal disorders peritoneal infections w o CC MCC $5,707 $5,707 $12,609 −55% $17,527 −67%
443 Disorders of liver exc malignancy cirr or alc hepatitis w o CC MCC $5,692 $5,692 $12,314 −54% $15,600 −64%
816 Reticuloendothelial and immunity disorders without CC MCC $5,656 $5,656 $11,752 −52% $13,613 −58%
301 Peripheral vascular disorders without CC MCC $5,653 $5,653 $12,453 −55% $15,837 −64%
538 Sprains strains dislocations of hip pelvis thigh w o CC MCC $5,648 $5,648 $11,909 −53% $11,909 −53%
700 Other kidney and urinary tract diagnoses without CC MCC $5,641 $5,641 $12,204 −54% $13,303 −58%
201 Pneumothorax without CC MCC $5,624 $5,624 $11,982 −53% $13,405 −58%
311 Angina pectoris $5,560 $5,560 $12,257 −55% $15,502 −64%
921 Complications of treatment without CC MCC $5,558 $5,558 $12,120 −54% $14,565 −62%
203 Bronchitis and asthma without CC MCC $5,534 $5,534 $12,235 −55% $12,511 −56%
316 Other circulatory system diagnoses without CC MCC $5,517 $5,517 $12,055 −54% $12,840 −57%
696 Kidney and urinary tract signs and symptoms without MCC $5,512 $5,512 $12,173 −55% $15,040 −63%
869 Other infectious and parasitic diseases diagnoses without CC MCC $5,501 $5,501 $12,534 −56% $12,559 −56%
066 Intracranial hemorrhage or cerebral infarction without CC MCC $5,476 $5,476 $20,781 −74% $21,905 −75%
387 Inflammatory bowel disease without CC MCC $5,448 $5,448 $12,199 −55% $16,453 −67%
159 Dental and oral diseases without CC MCC $5,378 $5,378 $11,755 −54% $13,987 −62%
599 Malignant breast disorders without CC MCC $5,358 $5,358 $14,290 −63% $14,290 −63%
434 Cirrhosis and alcoholic hepatitis without CC MCC $5,332 $5,332 $12,234 −56% $12,381 −57%
916 Allergic reactions without MCC $5,247 $5,247 $11,813 −56% $13,890 −62%
303 Atherosclerosis without MCC $5,241 $5,241 $11,921 −56% $14,927 −65%
156 Other ear nose mouth and throat diagnoses without CC MCC $5,221 $5,221 $11,921 −56% $13,497 −61%
807 Vaginal delivery without sterilization OR D C without CC MCC $5,211 $5,211 $10,563 −51% $12,551 −58%
395 Other digestive system diagnoses without CC MCC $5,157 $5,157 $11,454 −55% $14,128 −63%
759 Infections female reproductive system without CC MCC $5,147 $5,147 $11,501 −55% $14,208 −64%
192 Chronic obstructive pulmonary disease without CC MCC $5,112 $5,112 $14,824 −66% $14,368 −64%
950 Aftercare without CC MCC $5,086 $5,086 $10,801 −53% $13,527 −62%
601 Non malignant breast disorders without CC MCC $5,045 $5,045 $10,975 −54% $10,975 −54%
379 Gastrointestinal hemorrhage without CC MCC $5,043 $5,043 $11,458 −56% $14,843 −66%
195 Simple pneumonia and pleurisy without CC MCC $4,983 $4,983 $11,276 −56% $13,824 −64%
639 Diabetes without CC MCC $4,958 $4,958 $13,005 −62% $14,668 −66%
730 Other male reproductive system diagnoses without CC MCC $4,951 $4,951 $11,071 −55% $11,071 −55%
440 Disorders of pancreas except malignancy without CC MCC $4,903 $4,903 $11,957 −59% $15,907 −69%
684 Renal failure without CC MCC $4,846 $4,846 $11,276 −57% $13,642 −64%
761 Menstrual and other female reproductive system disorders w o CC MCC $4,823 $4,823 $11,421 −58% $11,421 −58%
951 Other factors influencing health status $4,699 $4,699 $10,553 −55% $10,553 −55%
894 Alcohol drug abuse or dependence left AMA $4,576 $4,576 $11,294 −59% $12,324 −63%
293 Heart failure and shock without CC MCC $4,472 $4,472 $10,316 −57% $12,758 −65%
390 Gastrointestinal obstruction without CC MCC $4,452 $4,452 $12,158 −63% $13,414 −67%
310 Cardiac arrhythmia and conduction disorders without CC MCC $4,404 $4,404 $11,325 −61% $13,384 −67%
833 Other antepartum diagnoses without O R procedures without CC MCC $4,076 $4,076 $7,650 −47% $9,940 −59%
285 Acute myocardial infarction expired without CC MCC $3,892 $3,892 $10,480 −63% $10,480 −63%
298 Cardiac arrest unexplained without CC MCC $3,502 $3,502 $8,927 −61% $8,927 −61%
795 Normal newborn $1,606 $1,606 $5,302 −70% $5,293 −70%

Procedures with negotiated rates only

These 13 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
317 Concomitant left atrial appendage closure and cardiac ablation $49,444 – $61,311 · median $50,927 6 plans
402 Single level combined anterior and posterior spinal fusion exc cervical $31,406 – $38,943 · median $32,348 6 plans
426 Mult lvl comb ant pst spin fsn exc cerv w MCC or cust anat des fus dev $83,778 – $103,885 · median $86,292 6 plans
427 Multiple level comb ant pst spinal fusion except cervical with CC $56,739 – $70,357 · median $58,441 6 plans
428 Multiple level comb ant pst spinal fusion except cervical w o CC MCC $44,002 – $54,563 · median $45,323 6 plans
429 Combine anterior and posterior cervical spinal fusion with MCC $66,661 – $82,659 · median $68,661 6 plans
430 combine anterior and posterior cervical spinal fusion without MCC $43,722 – $54,215 · median $45,034 6 plans
447 Mult lvl spin fus exc cerv w MCC or vust anatom des interbody fus dev $53,586 – $66,447 · median $55,194 6 plans
448 Multiple level spinal fusion except cervical without MCC $32,637 – $40,469 · median $33,616 6 plans
450 Sing lvl spin fus exc cerv w MCC or cust anatom design inter fus dev $41,161 – $51,040 · median $42,396 6 plans
451 Single level spinal fusion except cervical without MCC $24,664 – $30,584 · median $25,404 6 plans
850 Acute Leukemia with other procedures $73,625 – $91,295 · median $75,834 6 plans
982 Extensive O R procedures unrelated to principal diagnosis w CC $19,571 – $24,268 · median $20,158 6 plans
← Back to Montefiore St. Luke's Cornwall profile