MS-DRGs Standard Charges - Peterson Health,
Based on CMS Adjudicated Claims through 06/30/2024,
,
DRG Code and Description,Average Billed Charges
"003 - ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES","$505,932.88 "
038 - EXTRACRANIAL PROCEDURES WITH CC,"$36,056.15 "
039 - EXTRACRANIAL PROCEDURES WITHOUT CC/MCC,"$30,611.70 "
"040 - PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC","$145,823.15 "
056 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC,"$110,099.78 "
057 - DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC,"$47,834.30 "
060 - MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC,"$27,920.70 "
064 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC,"$30,976.83 "
065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,"$59,337.28 "
065 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS,"$35,510.79 "
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,"$29,932.05 "
066 - INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC,"$32,438.97 "
070 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC,"$89,760.30 "
071 - NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,"$31,443.70 "
072 - NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC,"$24,367.00 "
074 - CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC,"$24,210.90 "
076 - VIRAL MENINGITIS WITHOUT CC/MCC,"$29,361.25 "
091 - OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC,"$54,449.95 "
092 - OTHER DISORDERS OF NERVOUS SYSTEM W CC,"$15,183.90 "
092 - OTHER DISORDERS OF NERVOUS SYSTEM WITH CC,"$22,254.92 "
093 - OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,"$24,283.75 "
096 - BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC,"$125,667.75 "
098 - NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC,"$43,180.70 "
100 - SEIZURES W MCC,"$34,473.58 "
100 - SEIZURES WITH MCC,"$79,040.40 "
101 - SEIZURES WITHOUT MCC,"$18,000.44 "
102 - HEADACHES WITH MCC,"$49,510.90 "
103 - HEADACHES WITHOUT MCC,"$34,983.53 "
"134 - OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES W/O CC/MCC","$47,320.70 "
153 - OTITIS MEDIA AND URI WITHOUT MCC,"$29,118.43 "
"155 - OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC","$29,339.80 "
166 - OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC,"$110,974.55 "
175 - PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE,"$30,081.53 "
176 - PULMONARY EMBOLISM WITHOUT MCC,"$33,273.15 "
177 - RESPIRATORY INFECTIONS AND INFLAMMATIONS W MCC,"$43,303.12 "
177 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC,"$49,076.72 "
178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS W CC,"$21,315.40 "
178 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC,"$22,437.16 "
179 - RESPIRATORY INFECTIONS AND INFLAMMATIONS W/O CC/MCC,"$44,470.95 "
179 - RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC,"$19,926.68 "
184 - MAJOR CHEST TRAUMA WITH CC,"$23,483.07 "
189 - PULMONARY EDEMA AND RESPIRATORY FAILURE,"$38,989.05 "
190 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC,"$29,107.73 "
191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,"$21,831.70 "
191 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC,"$20,833.51 "
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,"$35,347.80 "
192 - CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC,"$17,183.60 "
193 - SIMPLE PNEUMONIA AND PLEURISY W MCC,"$52,988.38 "
193 - SIMPLE PNEUMONIA AND PLEURISY WITH MCC,"$37,948.24 "
194 - SIMPLE PNEUMONIA AND PLEURISY W CC,"$39,464.55 "
194 - SIMPLE PNEUMONIA AND PLEURISY WITH CC,"$31,185.11 "
195 - SIMPLE PNEUMONIA AND PLEURISY W/O CC/MCC,"$29,425.10 "
195 - SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC,"$19,553.14 "
196 - INTERSTITIAL LUNG DISEASE WITH MCC,"$30,379.43 "
199 - PNEUMOTHORAX WITH MCC,"$43,632.08 "
200 - PNEUMOTHORAX W CC,"$41,180.65 "
200 - PNEUMOTHORAX WITH CC,"$8,648.00 "
201 - PNEUMOTHORAX WITHOUT CC/MCC,"$26,510.61 "
202 - BRONCHITIS AND ASTHMA W CC/MCC,"$24,162.05 "
202 - BRONCHITIS AND ASTHMA WITH CC/MCC,"$21,853.93 "
203 - BRONCHITIS AND ASTHMA W/O CC/MCC,"$13,924.25 "
203 - BRONCHITIS AND ASTHMA WITHOUT CC/MCC,"$14,683.45 "
204 - RESPIRATORY SIGNS AND SYMPTOMS,"$48,459.15 "
205 - OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC,"$41,339.65 "
207 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,"$182,281.43 "
207 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS,"$229,829.85 "
208 - RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,"$66,934.72 "
208 - RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS,"$66,582.59 "
215 - OTHER HEART ASSIST SYSTEM IMPLANT,"$186,245.90 "
239 - AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB AND TOE W MCC,"$67,853.56 "
240 - AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC,"$53,912.34 "
243 - PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC,"$161,005.13 "
244 - PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,"$87,713.95 "
244 - PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC,"$87,581.38 "
246 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,"$151,031.75 "
246 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS,"$139,950.33 "
247 - PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,"$95,753.93 "
247 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC,"$102,713.75 "
249 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC,"$65,209.70 "
250 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC,"$89,846.15 "
251 - PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC,"$51,084.30 "
251 - PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC,"$74,633.25 "
252 - OTHER VASCULAR PROCEDURES WITH MCC,"$179,677.09 "
253 - OTHER VASCULAR PROCEDURES W CC,"$76,669.88 "
253 - OTHER VASCULAR PROCEDURES WITH CC,"$71,946.41 "
254 - OTHER VASCULAR PROCEDURES WITHOUT CC/MCC,"$98,855.15 "
256 - UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC,"$26,533.96 "
260 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC,"$52,785.25 "
261 - CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC,"$39,796.40 "
268 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC,"$231,576.11 "
269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC,"$158,357.95 "
269 - AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC,"$44,214.10 "
270 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC,"$159,462.34 "
271 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC,"$162,149.84 "
272 - OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC,"$66,433.53 "
"280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","$63,167.95 "
"280 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC","$48,948.88 "
"281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC","$46,807.95 "
"281 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC","$37,163.89 "
"282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC","$39,320.94 "
"282 - ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC","$45,358.52 "
"283 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC","$73,642.20 "
"284 - ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC","$22,826.65 "
"286 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC","$84,822.66 "
"286 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC","$64,575.92 "
"287 - CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC","$48,184.24 "
"287 - CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC","$57,143.75 "
291 - HEART FAILURE AND SHOCK W MCC,"$32,870.23 "
291 - HEART FAILURE AND SHOCK WITH MCC,"$37,728.44 "
292 - HEART FAILURE AND SHOCK W CC,"$19,210.80 "
292 - HEART FAILURE AND SHOCK WITH CC,"$27,781.99 "
293 - HEART FAILURE AND SHOCK W/O CC/MCC,"$34,173.30 "
300 - PERIPHERAL VASCULAR DISORDERS WITH CC,"$84,141.28 "
301 - PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC,"$43,000.50 "
304 - HYPERTENSION WITH MCC,"$47,527.61 "
305 - HYPERTENSION W/O MCC,"$24,150.57 "
305 - HYPERTENSION WITHOUT MCC,"$21,957.25 "
306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS W MCC,"$38,971.90 "
306 - CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC,"$25,165.90 "
308 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC,"$43,288.26 "
309 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W CC,"$25,118.43 "
309 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC,"$26,552.20 "
310 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS W/O CC/MCC,"$17,408.97 "
310 - CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC,"$19,145.09 "
311 - ANGINA PECTORIS,"$36,290.20 "
312 - SYNCOPE AND COLLAPSE,"$32,730.55 "
313 - CHEST PAIN,"$30,688.20 "
314 - OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,"$32,630.35 "
314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC,"$88,966.65 "
315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC,"$13,085.10 "
316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC,"$16,520.55 "
"328 - STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC","$27,602.58 "
329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES W MCC,"$55,573.07 "
329 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC,"$115,413.96 "
330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES W CC,"$111,490.71 "
330 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,"$84,653.57 "
331 - MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC,"$63,271.95 "
335 - PERITONEAL ADHESIOLYSIS WITH MCC,"$64,484.85 "
336 - PERITONEAL ADHESIOLYSIS WITH CC,"$66,574.25 "
337 - PERITONEAL ADHESIOLYSIS W/O CC/MCC,"$34,303.70 "
337 - PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC,"$40,086.70 "
339 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC,"$54,995.10 "
340 - APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,"$37,513.70 "
342 - APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,"$30,203.51 "
342 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC,"$36,534.66 "
343 - APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,"$27,794.85 "
345 - MINOR SMALL AND LARGE BOWEL PROCEDURES W CC,"$51,203.50 "
345 - MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC,"$81,340.10 "
348 - ANAL AND STOMAL PROCEDURES W CC,"$22,234.00 "
351 - INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC,"$80,824.55 "
353 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC,"$82,109.80 "
354 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL W CC,"$36,640.34 "
355 - HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC,"$33,440.02 "
356 - OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC,"$180,532.46 "
368 - MAJOR ESOPHAGEAL DISORDERS W MCC,"$46,155.88 "
368 - MAJOR ESOPHAGEAL DISORDERS WITH MCC,"$61,834.05 "
369 - MAJOR ESOPHAGEAL DISORDERS W CC,"$96,383.64 "
369 - MAJOR ESOPHAGEAL DISORDERS WITH CC,"$41,584.00 "
371 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC,"$71,376.50 "
372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS W CC,"$33,706.75 "
372 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC,"$31,433.33 "
373 - MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC,"$19,131.05 "
377 - G.I. HEMORRHAGE W MCC,"$58,545.15 "
377 - GASTROINTESTINAL HEMORRHAGE WITH MCC,"$43,700.07 "
378 - G.I. HEMORRHAGE W CC,"$30,533.59 "
378 - GASTROINTESTINAL HEMORRHAGE WITH CC,"$31,406.02 "
379 - GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC,"$28,275.68 "
381 - COMPLICATED PEPTIC ULCER WITH CC,"$18,784.10 "
386 - INFLAMMATORY BOWEL DISEASE W CC,"$30,505.18 "
386 - INFLAMMATORY BOWEL DISEASE WITH CC,"$28,956.34 "
387 - INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC,"$20,944.01 "
388 - GASTROINTESTINAL OBSTRUCTION WITH MCC,"$32,736.65 "
389 - G.I. OBSTRUCTION W CC,"$39,159.17 "
389 - GASTROINTESTINAL OBSTRUCTION WITH CC,"$27,982.40 "
390 - G.I. OBSTRUCTION W/O CC/MCC,"$11,675.09 "
390 - GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC,"$16,296.95 "
"391 - ESOPHAGITIS, GASTROENT AND MISC DIGEST DISORDERS W MCC","$17,236.48 "
"391 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC","$21,460.78 "
"392 - ESOPHAGITIS, GASTROENT AND MISC DIGEST DISORDERS W/O MCC","$19,790.93 "
"392 - ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC","$21,975.84 "
393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC,"$43,805.66 "
394 - OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,"$20,733.72 "
394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC,"$25,100.72 "
395 - OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,"$19,144.32 "
417 - LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,"$38,010.12 "
417 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC,"$121,745.63 "
418 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC,"$52,490.76 "
419 - LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC,"$45,946.00 "
424 - OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC,"$116,291.18 "
432 - CIRRHOSIS AND ALCOHOLIC HEPATITIS W MCC,"$43,296.19 "
432 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC,"$59,532.93 "
433 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC,"$21,048.05 "
434 - CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC,"$20,176.85 "
435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC,"$42,643.65 "
438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,"$194,381.48 "
438 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC,"$56,806.85 "
439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,"$19,400.13 "
439 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC,"$25,238.41 "
440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,"$15,166.68 "
440 - DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC,"$20,785.04 "
"441 - DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC","$30,698.70 "
"441 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC","$50,315.65 "
"442 - DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC","$27,710.34 "
"443 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC","$26,547.48 "
444 - DISORDERS OF THE BILIARY TRACT WITH MCC,"$43,775.15 "
445 - DISORDERS OF THE BILIARY TRACT W CC,"$46,253.48 "
445 - DISORDERS OF THE BILIARY TRACT WITH CC,"$33,321.26 "
446 - DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC,"$31,363.40 "
"463 - WND DEBRID AND SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC","$22,037.95 "
463 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC,"$84,210.15 "
464 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC,"$42,106.54 "
465 - WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC,"$57,815.50 "
467 - REVISION OF HIP OR KNEE REPLACEMENT WITH CC,"$99,410.29 "
469 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT,"$56,779.40 "
470 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,"$42,172.45 "
470 - MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC,"$49,107.86 "
480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,"$204,686.65 "
480 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC,"$47,279.18 "
481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,"$64,147.36 "
481 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC,"$59,409.30 "
482 - HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC,"$52,858.56 "
483 - MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES,"$66,900.85 "
483 - MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,"$65,564.75 "
"494 - LOWER EXTREM AND HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC","$72,955.66 "
501 - SOFT TISSUE PROCEDURES W CC,"$104,594.11 "
505 - FOOT PROCEDURES WITHOUT CC/MCC,"$13,422.75 "
508 - MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC,"$75,831.35 "
"512 - SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC","$29,469.78 "
"513 - HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC","$60,715.63 "
516 - OTHER MUSCULOSKELET SYS AND CONN TISS O.R. PROC W CC,"$28,317.70 "
521 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC,"$69,301.27 "
522 - HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC,"$51,933.57 "
536 - FRACTURES OF HIP AND PELVIS WITHOUT MCC,"$27,071.25 "
540 - OSTEOMYELITIS WITH CC,"$27,392.00 "
543 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC,"$27,686.72 "
544 - PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC,"$21,181.20 "
545 - CONNECTIVE TISSUE DISORDERS WITH MCC,"$45,392.60 "
546 - CONNECTIVE TISSUE DISORDERS W CC,"$18,918.71 "
552 - MEDICAL BACK PROBLEMS WITHOUT MCC,"$18,928.71 "
553 - BONE DISEASES AND ARTHROPATHIES WITH MCC,"$46,083.88 "
554 - BONE DISEASES AND ARTHROPATHIES W/O MCC,"$13,593.65 "
556 - SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC,"$40,364.65 "
"557 - TENDONITIS, MYOSITIS AND BURSITIS WITH MCC","$33,707.00 "
"558 - TENDONITIS, MYOSITIS AND BURSITIS W/O MCC","$33,863.22 "
"558 - TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC","$23,159.88 "
"559 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC","$17,524.75 "
"560 - AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC","$7,814.77 "
"562 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC","$29,328.88 "
"563 - FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC","$27,937.00 "
564 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC,"$37,953.99 "
565 - OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC,"$29,855.55 "
570 - SKIN DEBRIDEMENT WITH MCC,"$71,491.12 "
571 - SKIN DEBRIDEMENT WITH CC,"$45,174.48 "
"580 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC","$44,190.31 "
"581 - OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC","$13,043.40 "
"585 - BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC","$18,203.61 "
602 - CELLULITIS W MCC,"$24,675.85 "
602 - CELLULITIS WITH MCC,"$28,336.77 "
603 - CELLULITIS W/O MCC,"$23,283.34 "
603 - CELLULITIS WITHOUT MCC,"$20,656.17 "
"605 - TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC","$18,476.56 "
"616 - AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, AND METABOL DIS W MCC","$42,431.40 "
"616 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC","$37,573.68 "
"617 - AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, AND METABOL DIS W CC","$39,344.62 "
"617 - AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC","$50,108.68 "
637 - DIABETES W MCC,"$24,324.03 "
637 - DIABETES WITH MCC,"$51,854.93 "
638 - DIABETES W CC,"$25,860.12 "
638 - DIABETES WITH CC,"$21,991.76 "
639 - DIABETES W/O CC/MCC,"$18,886.45 "
639 - DIABETES WITHOUT CC/MCC,"$17,898.41 "
"640 - MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC","$34,869.51 "
"640 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC","$23,179.41 "
"641 - MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC","$39,037.77 "
"641 - MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC","$22,711.31 "
643 - ENDOCRINE DISORDERS WITH MCC,"$27,471.88 "
644 - ENDOCRINE DISORDERS W CC,"$33,616.86 "
644 - ENDOCRINE DISORDERS WITH CC,"$16,426.55 "
657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC,"$58,314.95 "
658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,"$46,683.42 "
658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC,"$38,704.90 "
659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC,"$95,259.20 "
660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC,"$32,698.73 "
661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC,"$44,344.15 "
668 - TRANSURETHRAL PROCEDURES WITH MCC,"$47,440.00 "
669 - TRANSURETHRAL PROCEDURES WITH CC,"$47,624.59 "
673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES W MCC,"$39,104.95 "
673 - OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC,"$38,376.30 "
682 - RENAL FAILURE W MCC,"$42,203.06 "
682 - RENAL FAILURE WITH MCC,"$47,004.06 "
683 - RENAL FAILURE W CC,"$16,756.10 "
683 - RENAL FAILURE WITH CC,"$18,085.89 "
684 - RENAL FAILURE W/O CC/MCC,"$20,291.30 "
684 - RENAL FAILURE WITHOUT CC/MCC,"$29,957.78 "
689 - KIDNEY AND URINARY TRACT INFECTIONS W MCC,"$24,114.40 "
689 - KIDNEY AND URINARY TRACT INFECTIONS WITH MCC,"$26,121.73 "
690 - KIDNEY AND URINARY TRACT INFECTIONS W/O MCC,"$18,446.31 "
690 - KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC,"$24,528.00 "
696 - KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC,"$21,463.50 "
698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES W MCC,"$31,398.52 "
698 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC,"$37,434.69 "
699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES W CC,"$32,164.82 "
699 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC,"$23,411.65 "
700 - OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC,"$16,733.75 "
707 - MAJOR MALE PELVIC PROCEDURES W CC/MCC,"$253,891.00 "
708 - MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC,"$66,184.56 "
718 - OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC,"$18,827.40 "
742 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC,"$35,647.43 "
743 - UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC,"$24,239.53 "
"744 - DANDC, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION W CC/MCC","$20,212.35 "
"747 - VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC","$16,797.00 "
"755 - MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC","$18,579.55 "
768 - VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR DANDC,"$27,435.33 "
776 - POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES,"$10,868.25 "
779 - ABORTION WITHOUT DANDC,"$14,553.10 "
783 - CESAREAN SECTION W STERILIZATION W MCC,"$31,223.35 "
784 - CESAREAN SECTION W STERILIZATION W CC,"$23,888.15 "
784 - CESAREAN SECTION WITH STERILIZATION WITH CC,"$27,590.45 "
785 - CESAREAN SECTION W STERILIZATION W/O CC/MCC,"$21,774.30 "
785 - CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC,"$20,041.37 "
786 - CESAREAN SECTION WITHOUT STERILIZATION WITH MCC,"$47,176.28 "
787 - CESAREAN SECTION WITHOUT STERILIZATION WITH CC,"$30,656.32 "
788 - CESAREAN SECTION W/O STERILIZATION W/O CC/MCC,"$20,898.36 "
788 - CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC,"$25,276.12 "
"789 - NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY","$5,674.91 "
792 - PREMATURITY W/O MAJOR PROBLEMS,"$11,006.85 "
792 - PREMATURITY WITHOUT MAJOR PROBLEMS,"$7,482.93 "
793 - FULL TERM NEONATE W MAJOR PROBLEMS,"$11,358.08 "
793 - FULL TERM NEONATE WITH MAJOR PROBLEMS,"$7,926.14 "
794 - NEONATE W OTHER SIGNIFICANT PROBLEMS,"$5,986.29 "
794 - NEONATE WITH OTHER SIGNIFICANT PROBLEMS,"$5,530.93 "
795 - NORMAL NEWBORN,"$4,623.92 "
797 - VAGINAL DELIVERY WITH STERILIZATION AND/OR DANDC WITH CC,"$13,349.50 "
805 - VAGINAL DELIVERY W/O STERILIZATION/DANDC W MCC,"$19,662.90 "
805 - VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITH MCC,"$16,554.35 "
806 - VAGINAL DELIVERY W/O STERILIZATION/DANDC W CC,"$17,761.78 "
806 - VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITH CC,"$21,809.90 "
807 - VAGINAL DELIVERY W/O STERILIZATION/DANDC W/O CC/MCC,"$16,453.63 "
807 - VAGINAL DELIVERY WITHOUT STERILIZATION OR DANDC WITHOUT CC/MCC,"$17,143.76 "
809 - MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS AND COAGUL W CC,"$45,144.95 "
809 - MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC,"$49,540.00 "
811 - RED BLOOD CELL DISORDERS WITH MCC,"$33,361.48 "
812 - RED BLOOD CELL DISORDERS W/O MCC,"$23,199.79 "
812 - RED BLOOD CELL DISORDERS WITHOUT MCC,"$27,261.93 "
813 - COAGULATION DISORDERS,"$37,172.90 "
815 - RETICULOENDOTHELIAL AND IMMUNITY DISORDERS W CC,"$58,248.85 "
818 - OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC,"$80,842.20 "
842 - LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC,"$34,217.55 "
853 - INFECTIOUS AND PARASITIC DISEASES W O.R. PROCEDURE W MCC,"$89,146.12 "
853 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC,"$108,282.62 "
854 - INFECTIOUS AND PARASITIC DISEASES W O.R. PROCEDURE W CC,"$41,092.27 "
854 - INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC,"$84,939.21 "
862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS W MCC,"$22,661.20 "
862 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC,"$38,114.75 "
863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS W/O MCC,"$18,653.91 "
863 - POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC,"$34,871.35 "
864 - FEVER AND INFLAMMATORY CONDITIONS,"$36,708.80 "
868 - OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC,"$16,886.58 "
870 - SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,"$134,164.75 "
870 - SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS,"$164,941.28 "
871 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,"$48,246.30 "
871 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC,"$61,960.42 "
872 - SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,"$22,142.02 "
872 - SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC,"$31,121.65 "
885 - PSYCHOSES,"$58,107.80 "
"894 - ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA","$19,271.58 "
"894 - ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA","$15,805.95 "
"896 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC","$38,077.01 "
896 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,"$17,987.30 "
"897 - ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC","$17,077.52 "
897 - ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,"$14,332.79 "
902 - WOUND DEBRIDEMENTS FOR INJURIES WITH CC,"$40,618.54 "
908 - OTHER O.R. PROCEDURES FOR INJURIES WITH CC,"$39,451.60 "
913 - TRAUMATIC INJURY WITH MCC,"$45,711.45 "
916 - ALLERGIC REACTIONS W/O MCC,"$30,232.15 "
917 - POISONING AND TOXIC EFFECTS OF DRUGS W MCC,"$26,157.19 "
917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC,"$42,400.37 "
918 - POISONING AND TOXIC EFFECTS OF DRUGS W/O MCC,"$31,643.95 "
918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC,"$20,586.78 "
"922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC","$51,423.75 "
948 - SIGNS AND SYMPTOMS WITHOUT MCC,"$14,093.87 "
951 - OTHER FACTORS INFLUENCING HEALTH STATUS,"$26,519.25 "
"956 - LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA","$64,536.15 "
974 - HIV W MAJOR RELATED CONDITION W MCC,"$69,445.20 "
975 - HIV W MAJOR RELATED CONDITION W CC,"$23,045.80 "
981 - EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,"$486,252.61 "
981 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,"$162,989.52 "
982 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,"$94,548.33 "
983 - EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC,"$75,753.15 "
987 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC,"$88,575.70 "
988 - NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,"$72,362.20 "
988 - NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC,"$49,560.61 "