Updated 12/19/2019,,
DRGs with fewer than 11 discharges have been suppressed,,
,,
DRG Code,Description,Average Charges
770,"ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY","$32,469"
779,ABORTION W/O D&C,"$19,822"
880,ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION,"$26,718"
834,ACUTE LEUKEMIA W/O MAJOR O.R. PROCEDURE W MCC,"$384,611"
281,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC","$58,936"
280,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC","$86,576"
282,"ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC","$40,698"
283,"ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC","$108,467"
614,ADRENAL & PITUITARY PROCEDURES W CC/MCC,"$197,374"
949,AFTERCARE W CC/MCC,"$73,011"
560,"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC","$62,427"
559,"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC","$76,161"
561,"AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC","$48,541"
896,ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC,"$101,296"
897,ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC,"$33,826"
916,ALLERGIC REACTIONS W/O MCC,"$19,778"
617,"AMPUTAT OF LOWER LIMB FOR ENDOCRINE, NUTRIT, & METABOL DIS W CC","$79,088"
240,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC,"$138,339"
239,AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC,"$204,242"
348,ANAL & STOMAL PROCEDURES W CC,"$62,680"
349,ANAL & STOMAL PROCEDURES W/O CC/MCC,"$44,566"
311,ANGINA PECTORIS,"$33,102"
269,AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC,"$128,796"
339,APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC,"$71,542"
340,APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC,"$44,344"
342,APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC,"$46,353"
343,APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC,"$34,518"
302,ATHEROSCLEROSIS W MCC,"$51,447"
303,ATHEROSCLEROSIS W/O MCC,"$30,716"
519,BACK & NECK PROC EXC SPINAL FUSION W CC,"$76,583"
518,BACK & NECK PROC EXC SPINAL FUSION W MCC OR DISC DEVICE/NEUROSTIM,"$103,151"
520,BACK & NECK PROC EXC SPINAL FUSION W/O CC/MCC,"$52,732"
726,BENIGN PROSTATIC HYPERTROPHY W/O MCC,"$27,557"
462,BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC,"$91,516"
478,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC,"$77,508"
479,BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC,"$51,453"
554,BONE DISEASES & ARTHROPATHIES W/O MCC,"$27,732"
585,"BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC","$76,383"
202,BRONCHITIS & ASTHMA W CC/MCC,"$41,285"
203,BRONCHITIS & ASTHMA W/O CC/MCC,"$25,252"
309,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC,"$35,633"
308,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC,"$68,032"
310,CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC,"$25,703"
306,CARDIAC CONGENITAL & VALVULAR DISORDERS W MCC,"$48,825"
307,CARDIAC CONGENITAL & VALVULAR DISORDERS W/O MCC,"$31,006"
226,CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC,"$219,808"
227,CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC,"$134,375"
261,CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT W CC,"$113,283"
216,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W CARD CATH W MCC,"$544,755"
220,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W CC,"$241,059"
219,CARDIAC VALVE & OTH MAJ CARDIOTHORACIC PROC W/O CARD CATH W MCC,"$362,400"
36,CAROTID ARTERY STENT PROCEDURE W/O CC/MCC,"$64,035"
602,CELLULITIS W MCC,"$55,329"
603,CELLULITIS W/O MCC,"$30,178"
472,CERVICAL SPINAL FUSION W CC,"$90,762"
473,CERVICAL SPINAL FUSION W/O CC/MCC,"$66,101"
784,CESAREAN SECTION W STERILIZATION W CC,"$52,863"
783,CESAREAN SECTION W STERILIZATION W MCC,"$76,487"
785,CESAREAN SECTION W STERILIZATION W/O CC/MCC,"$42,698"
787,CESAREAN SECTION W/O STERILIZATION W CC,"$51,652"
786,CESAREAN SECTION W/O STERILIZATION W MCC,"$71,307"
788,CESAREAN SECTION W/O STERILIZATION W/O CC/MCC,"$45,331"
838,CHEMO W ACUTE LEUKEMIA AS SDX W CC OR HIGH DOSE CHEMO AGENT,"$117,171"
839,CHEMO W ACUTE LEUKEMIA AS SDX W/O CC/MCC,"$55,744"
847,CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W CC,"$64,871"
846,CHEMOTHERAPY W/O ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS W MCC,"$134,020"
313,CHEST PAIN,"$30,772"
191,CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC,"$42,663"
190,CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC,"$61,136"
192,CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC,"$35,284"
286,"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC","$108,858"
287,"CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC","$60,880"
433,CIRRHOSIS & ALCOHOLIC HEPATITIS W CC,"$45,441"
432,CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC,"$65,643"
813,COAGULATION DISORDERS,"$114,897"
454,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W CC,"$186,250"
453,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W MCC,"$333,093"
455,COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC,"$133,839"
381,COMPLICATED PEPTIC ULCER W CC,"$47,129"
380,COMPLICATED PEPTIC ULCER W MCC,"$89,659"
920,COMPLICATIONS OF TREATMENT W CC,"$34,615"
919,COMPLICATIONS OF TREATMENT W MCC,"$83,097"
921,COMPLICATIONS OF TREATMENT W/O CC/MCC,"$20,204"
546,CONNECTIVE TISSUE DISORDERS W CC,"$54,246"
545,CONNECTIVE TISSUE DISORDERS W MCC,"$149,148"
547,CONNECTIVE TISSUE DISORDERS W/O CC/MCC,"$38,872"
233,CORONARY BYPASS W CARDIAC CATH W MCC,"$337,569"
234,CORONARY BYPASS W CARDIAC CATH W/O MCC,"$263,466"
235,CORONARY BYPASS W/O CARDIAC CATH W MCC,"$255,501"
236,CORONARY BYPASS W/O CARDIAC CATH W/O MCC,"$205,399"
73,CRANIAL & PERIPHERAL NERVE DISORDERS W MCC,"$64,067"
74,CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC,"$53,305"
132,CRANIAL/FACIAL PROCEDURES W/O CC/MCC,"$64,859"
24,CRANIO W MAJOR DEV IMPL/ACUTE COMPLEX CNS PDX W/O MCC,"$159,582"
26,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC,"$144,980"
25,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W MCC,"$198,744"
27,CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC,"$97,440"
23,CRANIOTOMY W MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PDX W MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY W NEUROSTIMULATOR,"$243,773"
744,"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W CC/MCC","$176,377"
745,"D&C, CONIZATION, LAPAROSCOPY & TUBAL INTERRUPTION W/O CC/MCC","$132,987"
56,DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC,"$96,258"
57,DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC,"$80,546"
158,DENTAL & ORAL DISEASES W CC,"$30,624"
159,DENTAL & ORAL DISEASES W/O CC/MCC,"$18,718"
638,DIABETES W CC,"$36,476"
637,DIABETES W MCC,"$68,265"
639,DIABETES W/O CC/MCC,"$27,668"
375,DIGESTIVE MALIGNANCY W CC,"$53,767"
374,DIGESTIVE MALIGNANCY W MCC,"$99,507"
442,"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W CC","$37,135"
441,"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W MCC","$86,728"
443,"DISORDERS OF LIVER EXCEPT MALIG, CIRR, ALC HEPA W/O CC/MCC","$24,994"
439,DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC,"$42,854"
438,DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC,"$101,292"
440,DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC,"$30,170"
445,DISORDERS OF THE BILIARY TRACT W CC,"$51,073"
444,DISORDERS OF THE BILIARY TRACT W MCC,"$89,177"
446,DISORDERS OF THE BILIARY TRACT W/O CC/MCC,"$36,403"
149,DYSEQUILIBRIUM,"$40,320"
3,"ECMO OR TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W MAJ O.R.","$697,682"
644,ENDOCRINE DISORDERS W CC,"$44,760"
643,ENDOCRINE DISORDERS W MCC,"$64,039"
645,ENDOCRINE DISORDERS W/O CC/MCC,"$32,419"
266,ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W MCC,"$207,385"
267,ENDOVASCULAR CARDIAC VALVE REPLACEMENT & SUPPLEMENT PROCEDURES W/O MCC,"$166,343"
391,"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC","$59,556"
392,"ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC","$30,741"
982,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC,"$108,633"
981,EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC,"$154,872"
38,EXTRACRANIAL PROCEDURES W CC,"$89,465"
39,EXTRACRANIAL PROCEDURES W/O CC/MCC,"$63,571"
790,"EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE","$573,756"
748,FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES,"$45,080"
864,FEVER AND INFLAMMATORY CONDITIONS,"$42,560"
504,FOOT PROCEDURES W CC,"$83,714"
535,FRACTURES OF HIP & PELVIS W MCC,"$70,971"
536,FRACTURES OF HIP & PELVIS W/O MCC,"$28,656"
793,FULL TERM NEONATE W MAJOR PROBLEMS,"$47,878"
562,"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC","$55,465"
563,"FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC","$34,551"
378,G.I. HEMORRHAGE W CC,"$44,735"
377,G.I. HEMORRHAGE W MCC,"$77,252"
379,G.I. HEMORRHAGE W/O CC/MCC,"$29,805"
389,G.I. OBSTRUCTION W CC,"$38,180"
388,G.I. OBSTRUCTION W MCC,"$51,614"
390,G.I. OBSTRUCTION W/O CC/MCC,"$26,927"
103,HEADACHES W/O MCC,"$35,942"
292,HEART FAILURE & SHOCK W CC,"$47,052"
291,HEART FAILURE & SHOCK W MCC,"$66,529"
293,HEART FAILURE & SHOCK W/O CC/MCC,"$31,169"
354,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC,"$69,568"
355,HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC,"$51,430"
481,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC,"$79,929"
480,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC,"$143,897"
482,HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC,"$65,323"
974,HIV W MAJOR RELATED CONDITION W MCC,"$184,893"
304,HYPERTENSION W MCC,"$63,232"
305,HYPERTENSION W/O MCC,"$36,365"
854,INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC,"$87,973"
853,INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC,"$226,564"
728,INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC,"$33,804"
386,INFLAMMATORY BOWEL DISEASE W CC,"$41,163"
385,INFLAMMATORY BOWEL DISEASE W MCC,"$94,010"
387,INFLAMMATORY BOWEL DISEASE W/O CC/MCC,"$36,041"
351,INGUINAL & FEMORAL HERNIA PROCEDURES W CC,"$59,038"
352,INGUINAL & FEMORAL HERNIA PROCEDURES W/O CC/MCC,"$42,701"
196,INTERSTITIAL LUNG DISEASE W MCC,"$70,155"
65,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS,"$64,806"
64,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC,"$100,005"
66,INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC,"$49,714"
20,INTRACRANIAL VASCULAR PROCEDURES W PDX HEMORRHAGE W MCC,"$504,436"
62,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W CC","$107,751"
61,"ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC","$141,495"
657,KIDNEY & URETER PROCEDURES FOR NEOPLASM W CC,"$88,998"
658,KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC,"$67,399"
660,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC,"$56,379"
659,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC,"$114,985"
661,KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC,"$44,053"
689,KIDNEY & URINARY TRACT INFECTIONS W MCC,"$46,269"
690,KIDNEY & URINARY TRACT INFECTIONS W/O MCC,"$30,860"
686,KIDNEY & URINARY TRACT NEOPLASMS W MCC,"$94,194"
696,KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC,"$29,414"
489,KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC,"$63,571"
418,LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC,"$67,471"
417,LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC,"$97,655"
419,LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC,"$51,592"
956,"LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA","$160,295"
493,"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC","$92,124"
492,"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W MCC","$153,136"
494,"LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W/O CC/MCC","$56,938"
841,LYMPHOMA & NON-ACUTE LEUKEMIA W CC,"$78,757"
840,LYMPHOMA & NON-ACUTE LEUKEMIA W MCC,"$115,731"
823,LYMPHOMA & NON-ACUTE LEUKEMIA W OTHER PROC W MCC,"$240,527"
842,LYMPHOMA & NON-ACUTE LEUKEMIA W/O CC/MCC,"$50,835"
164,MAJOR CHEST PROCEDURES W CC,"$108,323"
163,MAJOR CHEST PROCEDURES W MCC,"$171,344"
165,MAJOR CHEST PROCEDURES W/O CC/MCC,"$84,386"
184,MAJOR CHEST TRAUMA W CC,"$46,895"
183,MAJOR CHEST TRAUMA W MCC,"$46,404"
369,MAJOR ESOPHAGEAL DISORDERS W CC,"$55,545"
368,MAJOR ESOPHAGEAL DISORDERS W MCC,"$94,035"
372,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC,"$40,494"
371,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC,"$62,445"
373,MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC,"$31,988"
809,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC,"$60,448"
808,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC,"$133,716"
810,MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC,"$43,348"
469,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT,"$162,084"
470,MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC,"$59,779"
483,MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES,"$72,359"
708,MAJOR MALE PELVIC PROCEDURES W/O CC/MCC,"$66,808"
596,MAJOR SKIN DISORDERS W/O MCC,"$40,854"
330,MAJOR SMALL & LARGE BOWEL PROCEDURES W CC,"$97,762"
329,MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC,"$206,409"
331,MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,"$73,999"
436,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC,"$60,509"
435,MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC,"$65,987"
755,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC","$110,294"
756,"MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W/O CC/MCC","$158,621"
583,MASTECTOMY FOR MALIGNANCY W/O CC/MCC,"$55,603"
551,MEDICAL BACK PROBLEMS W MCC,"$58,336"
552,MEDICAL BACK PROBLEMS W/O MCC,"$40,030"
760,MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC,"$26,802"
607,MINOR SKIN DISORDERS W/O MCC,"$25,736"
345,MINOR SMALL & LARGE BOWEL PROCEDURES W CC,"$59,538"
346,MINOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC,"$40,787"
640,"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W MCC","$53,355"
641,"MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES W/O MCC","$32,432"
59,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC,"$51,387"
60,MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC,"$48,843"
794,NEONATE W OTHER SIGNIFICANT PROBLEMS,"$13,534"
789,"NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY","$105,105"
54,NERVOUS SYSTEM NEOPLASMS W MCC,"$59,076"
123,NEUROLOGICAL EYE DISORDERS,"$47,141"
98,NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS W CC,"$109,390"
988,NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC,"$84,648"
71,NONSPECIFIC CEREBROVASCULAR DISORDERS W CC,"$45,879"
70,NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC,"$79,756"
795,NORMAL NEWBORN,"$6,589"
620,O.R. PROCEDURES FOR OBESITY W CC,"$49,118"
621,O.R. PROCEDURES FOR OBESITY W/O CC/MCC,"$42,902"
884,ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY,"$79,704"
818,OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W CC,"$37,534"
819,OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC,"$28,687"
832,OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC,"$22,007"
831,OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC,"$37,540"
833,OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC,"$18,655"
228,OTHER CARDIOTHORACIC PROCEDURES W MCC,"$205,100"
229,OTHER CARDIOTHORACIC PROCEDURES W/O MCC,"$148,413"
315,OTHER CIRCULATORY SYSTEM DIAGNOSES W CC,"$38,703"
314,OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC,"$83,076"
264,OTHER CIRCULATORY SYSTEM O.R. PROCEDURES,"$118,879"
394,OTHER DIGESTIVE SYSTEM DIAGNOSES W CC,"$43,865"
393,OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC,"$78,452"
395,OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC,"$29,832"
357,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC,"$83,973"
356,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W MCC,"$171,278"
358,OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,"$57,429"
92,OTHER DISORDERS OF NERVOUS SYSTEM W CC,"$47,508"
91,OTHER DISORDERS OF NERVOUS SYSTEM W MCC,"$88,498"
93,OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC,"$39,993"
125,OTHER DISORDERS OF THE EYE W/O MCC,"$27,297"
155,"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W CC","$31,089"
156,"OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W/O CC/MCC","$28,621"
133,"OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W CC/MCC","$80,491"
134,"OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC","$31,645"
629,"OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC","$101,823"
951,OTHER FACTORS INFLUENCING HEALTH STATUS,"$16,863"
750,OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC,"$51,333"
215,OTHER HEART ASSIST SYSTEM IMPLANT,"$411,601"
923,"OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC","$24,616"
699,OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC,"$44,323"
698,OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC,"$74,755"
700,OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC,"$18,567"
674,OTHER KIDNEY & URINARY TRACT PROCEDURES W CC,"$78,312"
673,OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC,"$140,397"
271,OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC,"$135,732"
270,OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC,"$226,931"
272,OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC,"$107,177"
716,OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC,"$180,638"
964,OTHER MULTIPLE SIGNIFICANT TRAUMA W CC,"$79,235"
516,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC,"$76,671"
515,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W MCC,"$145,479"
517,OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W/O CC/MCC,"$48,829"
565,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC,"$41,705"
564,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC,"$56,749"
566,OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W/O CC/MCC,"$34,904"
908,OTHER O.R. PROCEDURES FOR INJURIES W CC,"$82,073"
907,OTHER O.R. PROCEDURES FOR INJURIES W MCC,"$207,720"
909,OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC,"$40,246"
958,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W CC,"$204,684"
957,OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W MCC,"$283,998"
167,OTHER RESP SYSTEM O.R. PROCEDURES W CC,"$86,590"
166,OTHER RESP SYSTEM O.R. PROCEDURES W MCC,"$189,814"
168,OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC,"$62,644"
205,OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC,"$82,240"
206,OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC,"$38,842"
580,"OTHER SKIN, SUBCUT TISS & BREAST PROC W CC","$77,812"
579,"OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC","$101,335"
581,"OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC","$77,321"
253,OTHER VASCULAR PROCEDURES W CC,"$110,840"
252,OTHER VASCULAR PROCEDURES W MCC,"$137,743"
254,OTHER VASCULAR PROCEDURES W/O CC/MCC,"$72,916"
153,OTITIS MEDIA & URI W/O MCC,"$24,290"
406,"PANCREAS, LIVER & SHUNT PROCEDURES W CC","$108,830"
405,"PANCREAS, LIVER & SHUNT PROCEDURES W MCC","$312,655"
407,"PANCREAS, LIVER & SHUNT PROCEDURES W/O CC/MCC","$65,337"
543,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC,"$71,665"
542,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W MCC,"$81,677"
544,PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W/O CC/MCC,"$38,518"
247,PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC,"$99,954"
249,PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC,"$90,771"
251,PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC,"$83,772"
246,PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,"$156,996"
248,PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTERIES OR STENTS,"$155,867"
273,PERCUTANEOUS INTRACARDIAC PROCEDURES W MCC,"$206,276"
274,PERCUTANEOUS INTRACARDIAC PROCEDURES W/O MCC,"$115,364"
41,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM,"$116,239"
42,PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC,"$73,661"
300,PERIPHERAL VASCULAR DISORDERS W CC,"$50,394"
299,PERIPHERAL VASCULAR DISORDERS W MCC,"$50,407"
301,PERIPHERAL VASCULAR DISORDERS W/O CC/MCC,"$34,914"
336,PERITONEAL ADHESIOLYSIS W CC,"$95,090"
335,PERITONEAL ADHESIOLYSIS W MCC,"$144,273"
337,PERITONEAL ADHESIOLYSIS W/O CC/MCC,"$60,198"
243,PERMANENT CARDIAC PACEMAKER IMPLANT W CC,"$86,487"
242,PERMANENT CARDIAC PACEMAKER IMPLANT W MCC,"$148,105"
244,PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC,"$72,165"
187,PLEURAL EFFUSION W CC,"$41,511"
186,PLEURAL EFFUSION W MCC,"$74,727"
200,PNEUMOTHORAX W CC,"$39,127"
199,PNEUMOTHORAX W MCC,"$73,426"
201,PNEUMOTHORAX W/O CC/MCC,"$28,710"
917,POISONING & TOXIC EFFECTS OF DRUGS W MCC,"$68,267"
918,POISONING & TOXIC EFFECTS OF DRUGS W/O MCC,"$24,923"
862,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC,"$68,744"
863,POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC,"$39,205"
857,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC,"$91,078"
856,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC,"$150,116"
858,POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W/O CC/MCC,"$54,388"
769,POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE,"$37,219"
776,POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE,"$24,230"
791,PREMATURITY W MAJOR PROBLEMS,"$156,471"
792,PREMATURITY W/O MAJOR PROBLEMS,"$62,637"
885,PSYCHOSES,"$50,542"
189,PULMONARY EDEMA & RESPIRATORY FAILURE,"$69,939"
175,PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE,"$72,329"
176,PULMONARY EMBOLISM W/O MCC,"$48,636"
811,RED BLOOD CELL DISORDERS W MCC,"$57,705"
812,RED BLOOD CELL DISORDERS W/O MCC,"$33,639"
945,REHABILITATION W CC/MCC,"$105,422"
683,RENAL FAILURE W CC,"$40,286"
682,RENAL FAILURE W MCC,"$69,859"
684,RENAL FAILURE W/O CC/MCC,"$29,899"
178,RESPIRATORY INFECTIONS & INFLAMMATIONS W CC,"$75,312"
177,RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC,"$80,888"
179,RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC,"$52,056"
181,RESPIRATORY NEOPLASMS W CC,"$65,554"
180,RESPIRATORY NEOPLASMS W MCC,"$91,485"
204,RESPIRATORY SIGNS & SYMPTOMS,"$30,464"
208,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <=96 HOURS,"$130,857"
207,RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS,"$248,399"
815,RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC,"$81,589"
467,REVISION OF HIP OR KNEE REPLACEMENT W CC,"$131,132"
466,REVISION OF HIP OR KNEE REPLACEMENT W MCC,"$236,273"
468,REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC,"$97,685"
100,SEIZURES W MCC,"$90,032"
101,SEIZURES W/O MCC,"$38,977"
870,SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS,"$349,700"
871,SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC,"$90,230"
872,SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC,"$44,908"
511,"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W CC","$76,975"
512,"SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC W/O CC/MCC","$38,681"
556,SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC,"$43,745"
947,SIGNS & SYMPTOMS W MCC,"$54,912"
948,SIGNS & SYMPTOMS W/O MCC,"$33,385"
194,SIMPLE PNEUMONIA & PLEURISY W CC,"$39,186"
193,SIMPLE PNEUMONIA & PLEURISY W MCC,"$67,957"
195,SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC,"$29,880"
571,SKIN DEBRIDEMENT W CC,"$54,916"
623,"SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC","$78,413"
593,SKIN ULCERS W CC,"$41,906"
501,SOFT TISSUE PROCEDURES W CC,"$65,134"
502,SOFT TISSUE PROCEDURES W/O CC/MCC,"$51,816"
457,SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W CC,"$197,298"
456,SPINAL FUS EXC CERV W SPINAL CURV/MALIG/INFEC OR EXT FUS W MCC,"$294,368"
459,SPINAL FUSION EXCEPT CERVICAL W MCC,"$199,553"
460,SPINAL FUSION EXCEPT CERVICAL W/O MCC,"$111,428"
29,SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS,"$113,330"
28,SPINAL PROCEDURES W MCC,"$283,933"
327,"STOMACH, ESOPHAGEAL & DUODENAL PROC W CC","$110,659"
326,"STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC","$237,074"
328,"STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC","$60,982"
312,SYNCOPE & COLLAPSE,"$39,934"
558,"TENDONITIS, MYOSITIS & BURSITIS W/O MCC","$36,084"
626,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W CC","$64,391"
627,"THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC","$46,192"
4,"TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.","$584,170"
69,TRANSIENT ISCHEMIA W/O THROMBOLYTIC,"$44,040"
669,TRANSURETHRAL PROCEDURES W CC,"$55,905"
713,TRANSURETHRAL PROSTATECTOMY W CC/MCC,"$45,217"
714,TRANSURETHRAL PROSTATECTOMY W/O CC/MCC,"$33,830"
604,"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W MCC","$107,634"
605,"TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC","$39,733"
914,TRAUMATIC INJURY W/O MCC,"$40,903"
86,"TRAUMATIC STUPOR & COMA, COMA <1 HR W CC","$58,256"
85,"TRAUMATIC STUPOR & COMA, COMA <1 HR W MCC","$108,980"
87,"TRAUMATIC STUPOR & COMA, COMA <1 HR W/O CC/MCC","$40,410"
83,"TRAUMATIC STUPOR & COMA, COMA >1 HR W CC","$85,339"
82,"TRAUMATIC STUPOR & COMA, COMA >1 HR W MCC","$94,128"
84,"TRAUMATIC STUPOR & COMA, COMA >1 HR W/O CC/MCC","$46,784"
384,UNCOMPLICATED PEPTIC ULCER W/O MCC,"$34,995"
694,URINARY STONES W/O MCC,"$23,779"
742,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC,"$71,354"
743,UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC,"$48,764"
737,UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY W CC,"$123,050"
740,"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W CC","$106,905"
741,"UTERINE, ADNEXA PROC FOR NON-OVARIAN/ADNEXAL MALIG W/O CC/MCC","$67,960"
747,"VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC","$37,183"
768,VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C,"$31,582"
798,VAGINAL DELIVERY W STERILIZATION/D&C W/O CC/MCC,"$40,420"
806,VAGINAL DELIVERY W/O STERILIZATION/D&C W CC,"$24,321"
805,VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC,"$34,203"
807,VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC,"$21,716"
33,VENTRICULAR SHUNT PROCEDURES W/O CC/MCC,"$54,498"
865,VIRAL ILLNESS W MCC,"$38,864"
866,VIRAL ILLNESS W/O MCC,"$28,059"
464,"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W CC","$96,223"
463,"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC","$197,086"
465,"WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W/O CC/MCC","$47,734"