Average Charges by DRG

DRG DRG Description Average Charge By DRG
1 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM W MCC $576,177.00
3 Bone marrow transplant $674,979.00
4 TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R. $543,403.22
11 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W MCC $215,518.11
12 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W CC $193,577.83
13 TRACHEOSTOMY FOR FACE,MOUTH & NECK DIAGNOSES W/O CC/MCC $129,684.53
20 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC $465,235.98
21 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W CC $457,557.14
22 INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W/O CC/MCC $288,287.60
23 CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE CNS PDX W MCC OR CHEMOTHE $285,136.65
24 CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC $216,413.91
25 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC $238,833.74
26 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC $153,612.68
27 CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC $127,730.35
28 SPINAL PROCEDURES W MCC $309,305.24
29 SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS $152,234.83
30 SPINAL PROCEDURES W/O CC/MCC $97,565.20
31 VENTRICULAR SHUNT PROCEDURES W MCC $90,596.78
32 VENTRICULAR SHUNT PROCEDURES W CC $92,070.41
33 VENTRICULAR SHUNT PROCEDURES W/O CC/MCC $77,900.21
34 CAROTID ARTERY STENT PROCEDURE W MCC $203,244.50
35 CAROTID ARTERY STENT PROCEDURE W CC $124,534.89
36 CAROTID ARTERY STENT PROCEDURE W/O CC/MCC $102,844.71
37 EXTRACRANIAL PROCEDURES W MCC $331,101.98
38 EXTRACRANIAL PROCEDURES W CC $102,666.60
39 EXTRACRANIAL PROCEDURES W/O CC/MCC $75,745.34
40 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W MCC $235,193.92
41 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM $130,749.13
42 PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC $105,952.85
46 Nonspecific CVA & precerebral occlusion w/o infarct $520,316.90
52 SPINAL DISORDERS & INJURIES W CC/MCC $74,841.14
53 SPINAL DISORDERS & INJURIES W/O CC/MCC $27,678.96
54 NERVOUS SYSTEM NEOPLASMS W MCC $69,063.86
55 NERVOUS SYSTEM NEOPLASMS W/O MCC $53,228.47
56 DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC $106,914.06
57 DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC $90,986.84
58 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC $109,975.67
59 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC $52,278.50
60 MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC $47,835.92
61 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROM $196,112.28
62 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROM $139,067.46
63 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROM $123,341.35
64 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC $96,284.05
65 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS $56,428.29
66 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC $45,558.33
67 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W MCC $63,095.33
68 NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT W/O MCC $49,847.23
69 TRANSIENT ISCHEMIA W/O THROMBOLYTIC $39,619.39
70 NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC $72,888.63
71 NONSPECIFIC CEREBROVASCULAR DISORDERS W CC $46,410.76
72 NONSPECIFIC CEREBROVASCULAR DISORDERS W/O CC/MCC $35,927.05
73 CRANIAL & PERIPHERAL NERVE DISORDERS W MCC $76,760.11
74 CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC $53,326.57
75 VIRAL MENINGITIS W CC/MCC $30,367.51
76 VIRAL MENINGITIS W/O CC/MCC $26,255.95
77 HYPERTENSIVE ENCEPHALOPATHY W MCC $80,142.87
78 HYPERTENSIVE ENCEPHALOPATHY W CC $46,290.74
79 HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC $31,291.83
80 NONTRAUMATIC STUPOR & COMA W MCC $49,089.00
81 NONTRAUMATIC STUPOR & COMA W/O MCC $32,509.60
82 Eye infections and other eye disorders $172,017.00
83 TRAUMATIC STUPOR & COMA, COMA >1 HR W CC $61,989.07
84 TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC $26,670.41
85 TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC $81,099.72
86 TRAUMATIC STUPOR & COMA, COMA <1 HR W CC $51,384.81
87 TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC $24,559.78
88 CONCUSSION W MCC $51,808.38
89 CONCUSSION W CC $49,219.07
90 CONCUSSION W/O CC/MCC $20,429.00
91 OTHER DISORDERS OF NERVOUS SYSTEM W MCC $79,845.58
92 OTHER DISORDERS OF NERVOUS SYSTEM W CC $51,496.11
93 OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC $46,042.14
94 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W MCC $147,789.77
95 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W CC $141,205.08
96 BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM W/O CC/MCC $123,350.03
97 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W MCC $148,986.87
98 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC $59,785.39
99 NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W/O CC/MCC $54,860.89
100 SEIZURES W MCC $66,121.37
101 SEIZURES W/O MCC $28,867.71
102 HEADACHES W MCC $40,192.94
103 HEADACHES W/O MCC $35,961.45
110 Ear, nose, mouth, throat, cranial/facial malignancies $25,240.00
113 ORBITAL PROCEDURES W CC/MCC $134,448.29
114 ORBITAL PROCEDURES W/O CC/MCC $61,686.86
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $82,221.78
116 INTRAOCULAR PROCEDURES W CC/MCC $75,547.52
117 INTRAOCULAR PROCEDURES W/O CC/MCC $56,949.33
120 Major respiratory & chest procedures $200,588.00
121 ACUTE MAJOR EYE INFECTIONS W CC/MCC $51,055.44
122 ACUTE MAJOR EYE INFECTIONS W/O CC/MCC $9,549.25
123 NEUROLOGICAL EYE DISORDERS $40,876.52
124 OTHER DISORDERS OF THE EYE W MCC $63,827.75
125 OTHER DISORDERS OF THE EYE W/O MCC $33,293.19
129 MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE $101,498.22
130 MAJOR HEAD & NECK PROCEDURES W/O CC/MCC $86,571.94
131 CRANIAL/FACIAL PROCEDURES W CC/MCC $111,974.71
132 CRANIAL/FACIAL PROCEDURES W/O CC/MCC $103,972.28
133 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC $93,507.17
134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC $48,774.31
135 SINUS & MASTOID PROCEDURES W CC/MCC $123,348.00
136 Respiratory malignancy $55,384.12
137 MOUTH PROCEDURES W CC/MCC $51,100.20
138 MOUTH PROCEDURES W/O CC/MCC $49,436.27
139 SALIVARY GLAND PROCEDURES $56,359.55
146 EAR, NOSE, MOUTH & THROAT MALIGNANCY W MCC $61,158.17
147 EAR, NOSE, MOUTH & THROAT MALIGNANCY W CC $68,731.65
148 EAR, NOSE, MOUTH & THROAT MALIGNANCY W/O CC/MCC $38,249.68
149 DYSEQUILIBRIUM $33,554.32
150 EPISTAXIS W MCC $52,505.25
151 EPISTAXIS W/O MCC $28,444.00
152 OTITIS MEDIA & URI W MCC $47,371.27
153 OTITIS MEDIA & URI W/O MCC $25,438.90
154 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC $67,663.33
155 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC $37,127.64
156 OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC $32,262.50
157 DENTAL & ORAL DISEASES W MCC $62,582.59
158 DENTAL & ORAL DISEASES W CC $43,268.84
159 DENTAL & ORAL DISEASES W/O CC/MCC $40,691.22
162 Cardiac valve procedures w AMI or complex PDX $168,301.00
163 Cardiac valve procedures w/o AMI or complex PDX $240,853.00
164 MAJOR CHEST PROCEDURES W CC $143,450.87
165 MAJOR CHEST PROCEDURES W/O CC/MCC $130,442.76
166 OTHER RESP SYSTEM O.R. PROCEDURES W MCC $204,737.70
167 OTHER RESP SYSTEM O.R. PROCEDURES W CC $104,995.01
168 OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC $91,812.23
169 Major abdominal vascular procedures $27,528.00
175 PULMONARY EMBOLISM W MCC $80,002.13
176 Cardiac pacemaker & defibrillator device replacement $114,137.00
177 RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC $103,370.93
178 RESPIRATORY INFECTIONS & INFLAMMATIONS W CC $70,788.32
179 RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC $82,268.79
180 RESPIRATORY NEOPLASMS W MCC $90,876.23
181 RESPIRATORY NEOPLASMS W CC $66,076.45
182 RESPIRATORY NEOPLASMS W/O CC/MCC $55,545.66
183 MAJOR CHEST TRAUMA W MCC $81,845.15
184 MAJOR CHEST TRAUMA W CC $48,265.46
185 MAJOR CHEST TRAUMA W/O CC/MCC $31,608.50
186 PLEURAL EFFUSION W MCC $64,280.48
187 PLEURAL EFFUSION W CC $52,148.73
188 PLEURAL EFFUSION W/O CC/MCC $38,000.44
189 PULMONARY EDEMA & RESPIRATORY FAILURE $65,763.22
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC $61,011.16
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC $49,050.44
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC $38,476.66
193 Acute & subacute endocarditis $54,973.00
194 Heart failure $24,798.58
195 SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC $26,597.30
196 Cardiac arrest & shock $8,598.00
197 INTERSTITIAL LUNG DISEASE W CC $44,927.99
198 INTERSTITIAL LUNG DISEASE W/O CC/MCC $32,958.51
199 PNEUMOTHORAX W MCC $67,724.43
200 PNEUMOTHORAX W CC $49,439.44
201 PNEUMOTHORAX W/O CC/MCC $27,957.58
202 BRONCHITIS & ASTHMA W CC/MCC $43,872.37
203 BRONCHITIS & ASTHMA W/O CC/MCC $25,480.80
204 RESPIRATORY SIGNS & SYMPTOMS $29,526.73
205 OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC $60,143.63
206 OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC $36,390.03
207 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS $298,020.30
208 RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS $118,178.82
215 OTHER HEART ASSIST SYSTEM IMPLANT $393,198.64
216 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC $566,352.82
217 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W CC $353,287.94
218 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W/O CC/MCC $300,788.50
219 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC $402,016.07
220 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC $309,467.64
221 CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W/O CC/MCC $267,976.67
222 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W MCC $510,166.16
223 CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC $395,258.91
224 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W MCC $477,562.38
225 CARDIAC DEFIB IMPLANT W CARDIAC CATH W/O AMI/HF/SHOCK W/O MCC $379,976.07
226 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC $406,865.23
227 CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC $339,509.24
228 OTHER CARDIOTHORACIC PROCEDURES W MCC $491,371.64
229 OTHER CARDIOTHORACIC PROCEDURES W/O MCC $293,253.54
231 CORONARY BYPASS W PTCA W MCC $502,242.00
232 CORONARY BYPASS W PTCA W/O MCC $360,367.73
233 CORONARY BYPASS W CARDIAC CATH W MCC $395,442.51
234 CORONARY BYPASS W CARDIAC CATH W/O MCC $280,286.24
235 CORONARY BYPASS W/O CARDIAC CATH W MCC $296,866.40
236 CORONARY BYPASS W/O CARDIAC CATH W/O MCC $245,452.77
239 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC $207,054.77
240 AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC $158,862.89
242 PERMANENT CARDIAC PACEMAKER IMPLANT W MCC $198,687.76
243 PERMANENT CARDIAC PACEMAKER IMPLANT W CC $161,292.32
244 PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC $126,165.75
245 AICD GENERATOR PROCEDURES $325,773.83
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR $227,020.02
247 PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC $156,916.79
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MC $195,869.58
249 PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC $125,293.81
250 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC $192,287.64
251 PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC $122,080.44
252 Malfunction, reaction & complication of GI device or procedure $33,965.00
253 OTHER VASCULAR PROCEDURES W CC $173,975.95
254 OTHER VASCULAR PROCEDURES W/O CC/MCC $140,366.34
255 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC $187,174.33
256 UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC $104,201.63
258 CARDIAC PACEMAKER DEVICE REPLACEMENT W MCC $193,336.75
259 CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC $114,665.73
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W MCC $161,436.27
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC $113,423.23
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W/O CC/MCC $118,104.11
263 VEIN LIGATION & STRIPPING $181,892.33
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $156,773.83
265 AICD LEAD PROCEDURES $228,464.62
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W MCC $380,999.28
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT W/O MCC $290,845.10
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W MCC $340,410.00
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC $214,965.32
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC $277,996.57
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC $229,796.83
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC $166,201.76
273 PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC $276,424.88
274 PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC $189,036.51
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC $82,206.31
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC $52,312.11
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC $47,037.08
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC $99,469.44
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC $18,175.00
286 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC $103,506.51
287 CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC $65,697.67
288 ACUTE & SUBACUTE ENDOCARDITIS W MCC $147,508.67
289 ACUTE & SUBACUTE ENDOCARDITIS W CC $46,557.29
290 ACUTE & SUBACUTE ENDOCARDITIS W/O CC/MCC $35,798.00
291 HEART FAILURE & SHOCK W MCC $58,425.38
292 HEART FAILURE & SHOCK W CC $39,885.00
293 HEART FAILURE & SHOCK W/O CC/MCC $29,070.03
294 DEEP VEIN THROMBOPHLEBITIS W CC/MCC $55,460.33
296 CARDIAC ARREST, UNEXPLAINED W MCC $74,011.91
297 CARDIAC ARREST, UNEXPLAINED W CC $19,321.00
298 CARDIAC ARREST, UNEXPLAINED W/O CC/MCC $9,175.00
299 PERIPHERAL VASCULAR DISORDERS W MCC $61,058.96
300 PERIPHERAL VASCULAR DISORDERS W CC $49,300.51
301 Hip joint replacement $50,427.50
302 ATHEROSCLEROSIS W MCC $50,909.17
303 ATHEROSCLEROSIS W/O MCC $33,399.51
304 Dorsal & lumbar fusion proc except for curvature of back $118,599.00
305 HYPERTENSION W/O MCC $33,944.88
306 CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC $120,685.05
307 CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC $33,379.79
308 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC $50,948.72
309 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC $36,714.57
310 CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC $26,610.63
311 ANGINA PECTORIS $34,292.66
312 SYNCOPE & COLLAPSE $34,535.90
313 CHEST PAIN $31,472.91
314 OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC $89,617.48
315 OTHER CIRCULATORY SYSTEM DIAGNOSES W CC $49,340.98
316 Hand & wrist procedures $11,779.00
317 Tendon, muscle & other soft tissue procedures $25,422.00
320 Other musculoskeletal system & connective tissue procedures $48,426.00
321 Cervical spinal fusion & other back/neck proc exc disc excis/decomp $59,584.00
322 Shoulder & elbow joint replacement $51,480.00
326 STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC $311,270.65
327 STOMACH, ESOPHAGEAL & DUODENAL PROC W CC $163,325.64
328 STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC $98,950.41
329 MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC $295,410.76
330 MAJOR SMALL & LARGE BOWEL PROCEDURES W CC $159,159.58
331 MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $118,063.96
332 RECTAL RESECTION W MCC $128,243.00
333 RECTAL RESECTION W CC $162,703.25
334 RECTAL RESECTION W/O CC/MCC $154,745.33
335 PERITONEAL ADHESIOLYSIS W MCC $129,766.28
336 PERITONEAL ADHESIOLYSIS W CC $154,874.31
337 PERITONEAL ADHESIOLYSIS W/O CC/MCC $98,142.88
338 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W MCC $136,570.57
339 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC $92,585.06
340 APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC $61,086.54
341 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC $87,914.86
342 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC $70,392.32
343 APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC $53,615.59
344 MINOR SMALL & LARGE BOWEL PROCEDURES W MCC $139,712.86
345 MINOR SMALL & LARGE BOWEL PROCEDURES W CC $89,506.44
346 MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC $44,718.38
347 ANAL & STOMAL PROCEDURES W MCC $104,799.63
348 ANAL & STOMAL PROCEDURES W CC $76,092.73
349 ANAL & STOMAL PROCEDURES W/O CC/MCC $51,997.07
350 INGUINAL & FEMORAL HERNIA PROCEDURES W MCC $80,325.88
351 INGUINAL & FEMORAL HERNIA PROCEDURES W CC $74,259.57
352 INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC $49,487.63
353 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC $217,782.22
354 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC $91,184.55
355 HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC $68,017.25
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC $159,298.74
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC $124,353.06
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $80,366.03
363 Breast procedures except mastectomy $64,674.00
368 MAJOR ESOPHAGEAL DISORDERS W MCC $79,125.90
369 MAJOR ESOPHAGEAL DISORDERS W CC $47,899.24
370 MAJOR ESOPHAGEAL DISORDERS W/O CC/MCC $44,375.72
371 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC $67,836.67
372 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC $43,233.31
373 MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC $32,803.65
374 DIGESTIVE MALIGNANCY W MCC $100,068.96
375 DIGESTIVE MALIGNANCY W CC $61,262.68
376 DIGESTIVE MALIGNANCY W/O CC/MCC $59,656.14
377 G.I. HEMORRHAGE W MCC $76,725.13
378 G.I. HEMORRHAGE W CC $48,451.77
379 G.I. HEMORRHAGE W/O CC/MCC $36,213.65
380 COMPLICATED PEPTIC ULCER W MCC $86,964.07
381 COMPLICATED PEPTIC ULCER W CC $48,390.75
382 COMPLICATED PEPTIC ULCER W/O CC/MCC $44,633.77
383 UNCOMPLICATED PEPTIC ULCER W MCC $70,086.93
384 UNCOMPLICATED PEPTIC ULCER W/O MCC $44,392.99
385 INFLAMMATORY BOWEL DISEASE W MCC $66,322.54
386 INFLAMMATORY BOWEL DISEASE W CC $54,436.25
387 INFLAMMATORY BOWEL DISEASE W/O CC/MCC $38,824.14
388 G.I. OBSTRUCTION W MCC $64,023.95
389 G.I. OBSTRUCTION W CC $38,756.89
390 G.I. OBSTRUCTION W/O CC/MCC $27,420.96
391 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC $51,189.53
392 ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC $35,016.86
393 OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC $92,501.92
394 OTHER DIGESTIVE SYSTEM DIAGNOSES W CC $48,231.86
395 OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC $37,975.18
403 Procedures for obesity $383,485.00
405 PANCREAS, LIVER & SHUNT PROCEDURES W MCC $294,104.26
406 PANCREAS, LIVER & SHUNT PROCEDURES W CC $211,142.31
407 PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC $156,389.35
408 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W MCC $298,074.01
409 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W CC $178,635.20
410 BILIARY TRACT PROC EXCEPT ONLY CHOLECYST W OR W/O C.D.E. W/O CC/MCC $118,112.29
411 CHOLECYSTECTOMY W C.D.E. W MCC $247,361.00
412 CHOLECYSTECTOMY W C.D.E. W CC $223,453.33
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W MCC $238,404.31
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC $122,438.87
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC $86,001.66
417 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC $113,815.70
418 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC $88,556.51
419 LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC $71,418.66
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC $527,479.75
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC $105,688.67
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC $90,975.24
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W MCC $145,089.00
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W CC $108,530.00
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES W/O CC/MCC $135,741.00
432 CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC $76,218.12
433 CIRRHOSIS & ALCOHOLIC HEPATITIS W CC $45,136.82
434 CIRRHOSIS & ALCOHOLIC HEPATITIS W/O CC/MCC $32,540.61
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC $98,995.65
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC $65,578.09
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC $59,548.43
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC $78,610.19
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC $47,535.42
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC $32,119.28
441 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC $72,646.81
442 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC $44,546.01
443 DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC $34,173.04
444 DISORDERS OF THE BILIARY TRACT W MCC $87,782.16
445 DISORDERS OF THE BILIARY TRACT W CC $61,369.01
446 DISORDERS OF THE BILIARY TRACT W/O CC/MCC $44,759.97
453 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC $703,905.73
454 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC $355,499.73
455 COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC $205,462.90
456 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC $400,902.73
457 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC $297,559.61
458 SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W/O CC/MCC $232,583.04
459 SPINAL FUSION EXCEPT CERVICAL W MCC $296,391.08
460 SPINAL FUSION EXCEPT CERVICAL W/O MCC $181,007.24
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W MCC $338,273.80
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC $158,400.90
463 Kidney & urinary tract infections $123,357.50
464 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC $151,192.33
465 WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC $87,865.00
466 REVISION OF HIP OR KNEE REPLACEMENT W MCC $219,743.13
467 REVISION OF HIP OR KNEE REPLACEMENT W CC $155,908.65
468 Other kidney & urinary tract diagnoses, signs & symptoms $143,248.00
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM $147,359.73
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREM $94,732.41
471 CERVICAL SPINAL FUSION W MCC $275,858.95
472 CERVICAL SPINAL FUSION W CC $146,273.50
473 CERVICAL SPINAL FUSION W/O CC/MCC $109,292.22
474 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC $193,947.01
475 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC $128,506.32
476 AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC $60,522.38
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $219,686.83
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $116,880.82
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $89,240.23
480 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC $164,923.44
481 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC $104,506.31
482 HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC $83,260.97
483 MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES $113,836.20
485 KNEE PROCEDURES W PDX OF INFECTION W MCC $164,199.00
486 KNEE PROCEDURES W PDX OF INFECTION W CC $134,706.52
487 KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC $64,881.38
488 KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC $107,093.91
489 KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC $76,674.99
492 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC $159,301.84
493 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC $119,833.13
494 LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC $78,364.83
495 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W MCC $76,771.67
496 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W CC $107,737.76
497 LOCAL EXCISION & REMOVAL INT FIX DEVICES EXC HIP & FEMUR W/O CC/MCC $78,051.67
498 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W CC/MCC $135,956.35
499 LOCAL EXCISION & REMOVAL INT FIX DEVICES OF HIP & FEMUR W/O CC/MCC $103,904.00
500 SOFT TISSUE PROCEDURES W MCC $86,408.45
501 SOFT TISSUE PROCEDURES W CC $88,415.08
502 SOFT TISSUE PROCEDURES W/O CC/MCC $63,426.78
503 FOOT PROCEDURES W MCC $124,748.46
504 FOOT PROCEDURES W CC $106,241.34
505 FOOT PROCEDURES W/O CC/MCC $76,328.99
506 MAJOR THUMB OR JOINT PROCEDURES $85,418.43
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W CC/MCC $132,316.00
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES W/O CC/MCC $63,701.91
509 ARTHROSCOPY $57,716.00
510 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W MCC $125,409.12
511 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC $102,211.12
512 SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W/O CC/MCC $64,462.37
513 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W CC/MCC $77,112.77
514 HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC W/O CC/MCC $56,500.78
515 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC $173,009.57
516 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC $122,942.52
517 OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC $102,360.60
518 BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM $158,963.12
519 BACK & NECK PROC EXC SPINAL FUSION W CC $128,329.93
520 BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC $84,059.86
533 FRACTURES OF FEMUR W MCC $42,329.72
534 FRACTURES OF FEMUR W/O MCC $26,119.30
535 FRACTURES OF HIP & PELVIS W MCC $43,553.04
536 FRACTURES OF HIP & PELVIS W/O MCC $33,754.88
537 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W CC/MCC $38,802.39
538 SPRAINS, STRAINS, & DISLOCATIONS OF HIP, PELVIS & THIGH W/O CC/MCC $28,138.00
539 OSTEOMYELITIS W MCC $94,651.49
540 OSTEOMYELITIS W CC $67,968.41
541 OSTEOMYELITIS W/O CC/MCC $52,207.02
542 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC $96,569.42
543 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC $57,199.53
544 PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC $41,005.14
545 CONNECTIVE TISSUE DISORDERS W MCC $133,684.63
546 CONNECTIVE TISSUE DISORDERS W CC $57,363.24
547 CONNECTIVE TISSUE DISORDERS W/O CC/MCC $36,770.34
548 SEPTIC ARTHRITIS W MCC $137,026.66
549 SEPTIC ARTHRITIS W CC $62,668.38
550 SEPTIC ARTHRITIS W/O CC/MCC $34,806.73
551 MEDICAL BACK PROBLEMS W MCC $69,681.24
552 MEDICAL BACK PROBLEMS W/O MCC $42,979.10
553 BONE DISEASES & ARTHROPATHIES W MCC $95,962.33
554 BONE DISEASES & ARTHROPATHIES W/O MCC $36,184.79
555 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W MCC $75,629.27
556 SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC $34,959.76
557 TENDONITIS, MYOSITIS & BURSITIS W MCC $68,894.84
558 TENDONITIS, MYOSITIS & BURSITIS W/O MCC $34,467.33
559 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC $85,661.50
560 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC $87,678.93
561 AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC $62,861.00
562 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC $62,764.06
563 FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC $35,735.63
564 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC $66,720.76
565 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC $41,636.13
566 OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC $45,580.28
570 SKIN DEBRIDEMENT W MCC $135,855.81
571 SKIN DEBRIDEMENT W CC $100,259.34
572 SKIN DEBRIDEMENT W/O CC/MCC $119,977.37
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W MCC $121,676.57
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC $117,991.00
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $65,691.33
576 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W MCC $220,376.60
577 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W CC $141,316.74
578 SKIN GRAFT EXC FOR SKIN ULCER OR CELLULITIS W/O CC/MCC $131,490.93
579 OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC $109,584.45
580 Neonate, transferred <5 days old, not born here $65,170.00
581 OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC $98,971.52
582 MASTECTOMY FOR MALIGNANCY W CC/MCC $74,050.28
583 MASTECTOMY FOR MALIGNANCY W/O CC/MCC $131,186.53
584 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W CC/MCC $131,652.53
585 BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC $128,097.93
588 Neonate bwt <1500g w major procedure $84,909.00
589 Neonate bwt <500g or GA <24 weeks $46,625.75
592 SKIN ULCERS W MCC $58,746.31
593 SKIN ULCERS W CC $45,387.37
594 SKIN ULCERS W/O CC/MCC $29,392.00
595 MAJOR SKIN DISORDERS W MCC $156,408.51
596 MAJOR SKIN DISORDERS W/O MCC $33,668.84
597 MALIGNANT BREAST DISORDERS W MCC $68,671.50
598 MALIGNANT BREAST DISORDERS W CC $43,930.06
599 MALIGNANT BREAST DISORDERS W/O CC/MCC $28,499.00
600 NON-MALIGNANT BREAST DISORDERS W CC/MCC $44,230.64
601 NON-MALIGNANT BREAST DISORDERS W/O CC/MCC $27,431.63
602 CELLULITIS W MCC $54,424.88
603 CELLULITIS W/O MCC $33,939.79
604 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC $69,277.17
605 TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC $34,199.75
606 MINOR SKIN DISORDERS W MCC $52,311.79
607 MINOR SKIN DISORDERS W/O MCC $30,688.73
612 Neonate bwt 1500-1999g w resp dist synd/oth maj resp cond $30,554.50
614 ADRENAL & PITUITARY PROCEDURES W CC/MCC $161,487.09
615 ADRENAL & PITUITARY PROCEDURES W/O CC/MCC $101,139.47
616 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC $168,032.29
617 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC $114,012.11
618 AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W/O CC/MCC $95,361.00
619 O.R. PROCEDURES FOR OBESITY W MCC $205,613.83
620 O.R. PROCEDURES FOR OBESITY W CC $123,351.83
621 O.R. PROCEDURES FOR OBESITY W/O CC/MCC $107,564.41
622 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC $249,063.25
623 Neonate bwt 2000-2499g w congenital/perinatal infection $136,667.00
624 SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W/O CC/MCC $33,077.00
625 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W MCC $116,709.03
626 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC $101,601.34
627 THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC $67,618.86
628 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC $187,732.96
629 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC $122,310.02
630 OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W/O CC/MCC $108,310.59
631 Neonate birthwt >2499g w other major procedure $28,250.00
633 Neonate birthwt >2499g w major anomaly $24,198.50
636 Neonate birthwt >2499g w congenital/perinatal infection $38,285.00
637 DIABETES W MCC $60,867.17
638 DIABETES W CC $34,517.15
639 DIABETES W/O CC/MCC $22,841.94
640 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC $46,972.35
641 MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC $29,373.03
642 INBORN AND OTHER DISORDERS OF METABOLISM $80,163.38
643 ENDOCRINE DISORDERS W MCC $63,456.89
644 ENDOCRINE DISORDERS W CC $44,543.76
645 ENDOCRINE DISORDERS W/O CC/MCC $31,608.76
653 MAJOR BLADDER PROCEDURES W MCC $246,688.70
654 MAJOR BLADDER PROCEDURES W CC $181,668.80
655 MAJOR BLADDER PROCEDURES W/O CC/MCC $104,261.50
656 KIDNEY & URETER PROCEDURES FOR NEOPLASM W MCC $385,564.31
657 KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC $127,217.85
658 KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC $85,411.55
659 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC $235,110.88
660 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC $96,685.60
661 KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC $91,233.58
662 MINOR BLADDER PROCEDURES W MCC $160,379.50
663 MINOR BLADDER PROCEDURES W CC $98,927.20
664 MINOR BLADDER PROCEDURES W/O CC/MCC $43,822.50
665 PROSTATECTOMY W MCC $102,734.87
666 PROSTATECTOMY W CC $84,856.71
667 PROSTATECTOMY W/O CC/MCC $59,821.78
668 TRANSURETHRAL PROCEDURES W MCC $190,405.60
669 TRANSURETHRAL PROCEDURES W CC $59,186.32
670 TRANSURETHRAL PROCEDURES W/O CC/MCC $56,102.96
671 URETHRAL PROCEDURES W CC/MCC $72,201.00
672 URETHRAL PROCEDURES W/O CC/MCC $29,809.00
673 OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC $184,980.35
674 OTHER KIDNEY & URINARY TRACT PROCEDURES W CC $130,699.42
675 OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC $66,552.00
680 Major O.R. procedures for lymphatic/hematopoietic/other neoplasms $234,952.00
682 RENAL FAILURE W MCC $55,751.75
683 RENAL FAILURE W CC $38,212.97
684 RENAL FAILURE W/O CC/MCC $27,485.55
686 KIDNEY & URINARY TRACT NEOPLASMS W MCC $82,626.50
687 KIDNEY & URINARY TRACT NEOPLASMS W CC $33,765.97
688 KIDNEY & URINARY TRACT NEOPLASMS W/O CC/MCC $82,864.00
689 KIDNEY & URINARY TRACT INFECTIONS W MCC $46,994.61
690 KIDNEY & URINARY TRACT INFECTIONS W/O MCC $32,945.95
691 URINARY STONES W ESW LITHOTRIPSY W CC/MCC $48,245.78
692 RADIOTHERAPY $98,666.00
693 URINARY STONES W/O ESW LITHOTRIPSY W MCC $72,095.38
694 URINARY STONES W/O ESW LITHOTRIPSY W/O MCC $39,742.73
695 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W MCC $28,477.14
696 KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC $25,714.77
697 URETHRAL STRICTURE $51,645.75
698 OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC $73,037.06
699 OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC $46,828.58
700 OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC $39,529.68
707 MAJOR MALE PELVIC PROCEDURES W CC/MCC $93,878.44
708 MAJOR MALE PELVIC PROCEDURES W/O CC/MCC $103,575.19
709 PENIS PROCEDURES W CC/MCC $104,965.67
710 PENIS PROCEDURES W/O CC/MCC $71,972.64
711 TESTES PROCEDURES W CC/MCC $87,564.93
712 TESTES PROCEDURES W/O CC/MCC $64,848.56
713 TRANSURETHRAL PROSTATECTOMY W CC/MCC $68,823.27
714 TRANSURETHRAL PROSTATECTOMY W/O CC/MCC $54,551.61
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W CC/MCC $99,406.33
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC $92,117.33
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC EXC MALIGNANCY W CC/MCC $85,887.40
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W MCC $113,868.51
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC $61,313.34
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM W/O CC/MCC $46,538.00
725 BENIGN PROSTATIC HYPERTROPHY W MCC $46,588.50
726 BENIGN PROSTATIC HYPERTROPHY W/O MCC $38,465.61
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W MCC $57,782.05
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC $36,462.25
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W CC/MCC $45,355.04
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES W/O CC/MCC $45,473.33
734 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W CC/MCC $146,072.67
735 PELVIC EVISCERATION, RAD HYSTERECTOMY & RAD VULVECTOMY W/O CC/MCC $95,865.67
736 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W MCC $246,690.60
737 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC $100,229.94
738 UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W/O CC/MCC $80,860.33
739 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W MCC $128,165.64
740 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC $101,899.98
741 UTERINE,ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC $80,243.82
742 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC $90,511.55
743 UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC $69,040.75
744 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC $66,251.48
745 D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC $37,122.75
746 VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC $89,241.57
747 VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC $43,260.71
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $74,832.31
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W CC/MCC $147,940.80
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC $129,052.61
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC $65,509.72
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC $44,331.06
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $49,936.86
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W MCC $46,749.00
758 Behavioral disorders $48,585.00
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC $31,368.57
760 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC $31,385.10
761 MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W/O CC/MCC $23,959.43
765 CESAREAN SECTION W CC/MCC $64,354.74
766 CESAREAN SECTION W/O CC/MCC $47,249.62
767 VAGINAL DELIVERY W STERILIZATION &/OR D&C $48,318.01
768 VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C $46,023.56
769 POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE $57,388.35
770 ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $42,903.49
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $36,250.95
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $30,137.71
776 Other drug abuse & dependence $38,360.00
777 ECTOPIC PREGNANCY $49,735.31
778 THREATENED ABORTION $23,648.93
779 ABORTION W/O D&C $21,566.66
780 FALSE LABOR $17,794.88
781 OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS $31,943.82
782 OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS $24,165.40
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $264,572.31
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $607,403.90
791 PREMATURITY W MAJOR PROBLEMS $182,822.06
792 PREMATURITY W/O MAJOR PROBLEMS $59,409.06
793 FULL TERM NEONATE W MAJOR PROBLEMS $44,926.89
794 NEONATE W OTHER SIGNIFICANT PROBLEMS $12,202.54
795 NORMAL NEWBORN $8,496.90
799 SPLENECTOMY W MCC $209,780.25
800 SPLENECTOMY W CC $143,725.71
801 SPLENECTOMY W/O CC/MCC $97,460.30
802 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC $96,211.01
803 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC $108,290.74
804 OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W/O CC/MCC $74,566.87
808 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC $81,770.04
809 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC $48,854.51
810 MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC $62,295.64
811 RED BLOOD CELL DISORDERS W MCC $53,030.73
812 RED BLOOD CELL DISORDERS W/O MCC $34,061.77
813 COAGULATION DISORDERS $114,493.65
814 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W MCC $58,822.97
815 Other injury, poisoning & toxic effect diagnoses $49,439.00
816 RETICULOENDOTHELIAL & IMMUNITY DISORDERS W/O CC/MCC $34,797.45
820 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W MCC $351,562.72
821 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC $228,384.90
822 LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W/O CC/MCC $86,259.28
823 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC $231,394.36
824 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W CC $125,784.90
825 LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W/O CC/MCC $94,615.79
826 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W MCC $301,880.21
827 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W CC $180,310.56
828 MYELOPROLIF DISORD OR POORLY DIFF NEOPL W MAJ O.R. PROC W/O CC/MCC $133,889.61
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OT $217,990.86
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS W OT $62,441.03
834 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC $301,083.99
835 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W CC $184,588.82
836 ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W/O CC/MCC $86,551.00
837 CHEMO W ACUTE LEUKEMIA AS SDX OR W HIGH DOSE CHEMO AGENT W MCC $258,845.86
838 CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT $101,112.97
839 CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC $62,278.10
840 LYMPHOMA & NON-ACUTE LEUKEMIA W MCC $185,706.61
841 Extensive 3rd degree burns w skin graft $29,626.00
842 LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC $82,564.82
843 Extensive 3rd degree or full thickness burns w/o skin graft $26,386.00
844 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W CC $55,001.44
845 OTHER MYELOPROLIF DIS OR POORLY DIFF NEOPL DIAG W/O CC/MCC $63,851.67
846 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC $119,648.60
847 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC $77,721.48
848 CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W/O CC/MCC $54,077.60
849 RADIOTHERAPY $76,575.09
853 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC $252,333.47
854 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC $117,729.78
855 INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W/O CC/MCC $57,429.88
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC $173,698.98
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC $129,612.49
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC $76,019.00
860 Rehabilitation $47,445.00
862 POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC $85,834.66
863 Neonatal aftercare $21,563.00
864 FEVER $29,961.81
865 VIRAL ILLNESS W MCC $56,519.73
866 VIRAL ILLNESS W/O MCC $25,782.19
867 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W MCC $66,740.74
868 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC $43,822.97
869 OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W/O CC/MCC $27,233.66
870 SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS $323,772.35
871 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC $89,526.43
872 SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC $46,797.80
876 O.R. PROCEDURE W PRINCIPAL DIAGNOSES OF MENTAL ILLNESS $31,193.43
880 ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION $33,089.84
881 DEPRESSIVE NEUROSES $16,212.24
882 NEUROSES EXCEPT DEPRESSIVE $18,882.63
883 DISORDERS OF PERSONALITY & IMPULSE CONTROL $29,365.67
884 ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY $48,152.22
885 PSYCHOSES $24,522.69
886 BEHAVIORAL & DEVELOPMENTAL DISORDERS $14,946.25
887 OTHER MENTAL DISORDER DIAGNOSES $18,254.03
892 HIV w major HIV related condition $44,257.43
894 ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA $30,884.73
896 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC $76,283.11
897 ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC $35,304.93
901 WOUND DEBRIDEMENTS FOR INJURIES W MCC $378,728.00
902 WOUND DEBRIDEMENTS FOR INJURIES W CC $93,967.04
903 WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC $89,705.18
904 SKIN GRAFTS FOR INJURIES W CC/MCC $106,713.00
905 SKIN GRAFTS FOR INJURIES W/O CC/MCC $70,678.67
906 HAND PROCEDURES FOR INJURIES $85,652.16
907 OTHER O.R. PROCEDURES FOR INJURIES W MCC $224,501.48
908 OTHER O.R. PROCEDURES FOR INJURIES W CC $100,977.19
909 OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC $78,784.95
913 TRAUMATIC INJURY W MCC $52,383.38
914 TRAUMATIC INJURY W/O MCC $32,142.67
915 ALLERGIC REACTIONS W MCC $81,118.03
916 ALLERGIC REACTIONS W/O MCC $26,126.19
917 POISONING & TOXIC EFFECTS OF DRUGS W MCC $59,278.62
918 POISONING & TOXIC EFFECTS OF DRUGS W/O MCC $27,163.85
919 COMPLICATIONS OF TREATMENT W MCC $78,635.11
920 COMPLICATIONS OF TREATMENT W CC $43,713.78
921 COMPLICATIONS OF TREATMENT W/O CC/MCC $37,278.03
922 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W MCC $58,811.58
923 OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC $24,667.68
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W SKIN GRAFT $667,860.67
928 FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W CC/MCC $207,787.29
929 FULL THICKNESS BURN W SKIN GRAFT OR INHAL INJ W/O CC/MCC $102,506.03
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS W MV >96 HRS W/O SKIN GRAFT $367,022.20
934 FULL THICKNESS BURN W/O SKIN GRFT OR INHAL INJ $73,939.64
935 NON-EXTENSIVE BURNS $41,091.68
939 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W MCC $215,858.50
940 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W CC $124,445.95
941 O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC $80,255.22
947 SIGNS & SYMPTOMS W MCC $72,526.98
948 SIGNS & SYMPTOMS W/O MCC $37,476.44
949 AFTERCARE W CC/MCC $122,396.92
950 AFTERCARE W/O CC/MCC $68,687.60
951 OTHER FACTORS INFLUENCING HEALTH STATUS $22,502.38
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $373,910.92
956 LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA $237,826.86
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC $333,031.22
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC $201,799.11
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $126,258.69
963 OTHER MULTIPLE SIGNIFICANT TRAUMA W MCC $146,145.42
964 OTHER MULTIPLE SIGNIFICANT TRAUMA W CC $63,655.33
965 OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC $34,576.47
969 HIV W EXTENSIVE O.R. PROCEDURE W MCC $312,465.47
974 HIV W MAJOR RELATED CONDITION W MCC $169,226.46
975 HIV W MAJOR RELATED CONDITION W CC $76,766.71
976 HIV W MAJOR RELATED CONDITION W/O CC/MCC $46,416.04
977 HIV W OR W/O OTHER RELATED CONDITION $63,070.63
981 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $232,229.70
982 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC $133,389.05
983 EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $90,436.11
987 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC $158,466.09
988 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC $89,140.21
989 NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC $73,011.96
999 UNGROUPABLE $123,660.25