DRG Code|DRG Description|Average Charges Per Case
004|TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK W/O MAJ O.R.|$16,793
026|CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W CC|$21,162
027|CRANIOTOMY & ENDOVASCULAR INTRACRANIAL PROCEDURES W/O CC/MCC|$24,102
038|EXTRACRANIAL PROCEDURES W CC|$24,386
039|EXTRACRANIAL PROCEDURES W/O CC/MCC|$22,599
041|PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W CC OR PERIPH NEUROSTIM|$30,495
042|PERIPH/CRANIAL NERVE & OTHER NERV SYST PROC W/O CC/MCC|$33,199
055|NERVOUS SYSTEM NEOPLASMS W/O MCC|$14,684
056|DEGENERATIVE NERVOUS SYSTEM DISORDERS W MCC|$31,836
057|DEGENERATIVE NERVOUS SYSTEM DISORDERS W/O MCC|$16,885
058|MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W MCC|$24,004
059|MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W CC|$12,681
060|MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA W/O CC/MCC|$38,063
061|ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGEN|$48,880
064|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W MCC|$41,323
065|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W CC OR TPA IN 24 HRS|$28,567
066|INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION W/O CC/MCC|$23,797
069|TRANSIENT ISCHEMIA W/O THROMBOLYTIC|$26,012
070|NONSPECIFIC CEREBROVASCULAR DISORDERS W MCC|$48,582
071|NONSPECIFIC CEREBROVASCULAR DISORDERS W CC|$20,824
073|CRANIAL & PERIPHERAL NERVE DISORDERS W MCC|$60,150
074|CRANIAL & PERIPHERAL NERVE DISORDERS W/O MCC|$19,130
075|VIRAL MENINGITIS W CC/MCC|$27,191
076|VIRAL MENINGITIS W/O CC/MCC|$15,935
078|HYPERTENSIVE ENCEPHALOPATHY W CC|$26,881
079|HYPERTENSIVE ENCEPHALOPATHY W/O CC/MCC|$16,899
083|TRAUMATIC STUPOR & COMA, COMA >1 HR W CC|$27,559
089|CONCUSSION W CC|$7,732
091|OTHER DISORDERS OF NERVOUS SYSTEM W MCC|$35,987
092|OTHER DISORDERS OF NERVOUS SYSTEM W CC|$18,856
093|OTHER DISORDERS OF NERVOUS SYSTEM W/O CC/MCC|$9,548
100|SEIZURES W MCC|$19,572
101|SEIZURES W/O MCC|$13,463
103|HEADACHES W/O MCC|$32,233
112|OTITIS MEDIA & URI AGE 0-17|$7,688
115|EXTRAOCULAR PROCEDURES EXCEPT ORBIT|$13,023
119|DENTAL & ORAL DISEASES AGE 0-17|$11,178
120|RESPIRATORY INFECTIONS & INFLAMMATIONS AGE 0-17|$15,737
121|ACUTE MAJOR EYE INFECTIONS W CC/MCC|$14,515
140|SIMPLE PNEUMONIA & PLEURISY AGE 0-17|$9,095
141|BRONCHITIS & ASTHMA AGE 0-17|$7,741
145|ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS AGE 0-17|$9,432
149|DYSEQUILIBRIUM|$15,191
153|OTITIS MEDIA & URI W/O MCC|$14,342
154|OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES W MCC|$13,365
163|MAJOR CHEST PROCEDURES W MCC|$33,550
164|MAJOR CHEST PROCEDURES W CC|$48,875
165|MAJOR CHEST PROCEDURES W/O CC/MCC|$49,618
166|OTHER RESP SYSTEM O.R. PROCEDURES W MCC|$51,332
167|OTHER RESP SYSTEM O.R. PROCEDURES W CC|$54,746
168|OTHER RESP SYSTEM O.R. PROCEDURES W/O CC/MCC|$41,540
170|CELLULITIS AGE 0-17|$9,953
172|MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES 0-17|$7,280
174|KIDNEY & URINARY TRACT INFECTIONS AGE 0-17|$7,097
175|PULMONARY EMBOLISM W MCC OR ACUTE COR PULMONALE|$26,086
176|PULMONARY EMBOLISM W/O MCC|$21,720
177|RESPIRATORY INFECTIONS & INFLAMMATIONS W MCC|$43,498
178|RESPIRATORY INFECTIONS & INFLAMMATIONS W CC|$41,316
179|RESPIRATORY INFECTIONS & INFLAMMATIONS W/O CC/MCC|$30,713
180|RESPIRATORY NEOPLASMS W MCC|$11,198
181|RESPIRATORY NEOPLASMS W CC|$22,393
182|RESPIRATORY NEOPLASMS W/O CC/MCC|$6,851
186|PLEURAL EFFUSION W MCC|$26,550
187|PLEURAL EFFUSION W CC|$26,993
189|PULMONARY EDEMA & RESPIRATORY FAILURE|$25,971
190|CHRONIC OBSTRUCTIVE PULMONARY DISEASE W MCC|$28,574
191|CHRONIC OBSTRUCTIVE PULMONARY DISEASE W CC|$24,920
192|CHRONIC OBSTRUCTIVE PULMONARY DISEASE W/O CC/MCC|$19,294
193|SIMPLE PNEUMONIA & PLEURISY W MCC|$38,732
194|SIMPLE PNEUMONIA & PLEURISY W CC|$25,599
195|SIMPLE PNEUMONIA & PLEURISY W/O CC/MCC|$16,872
196|INTERSTITIAL LUNG DISEASE W MCC|$12,117
197|INTERSTITIAL LUNG DISEASE W CC|$14,062
199|PNEUMOTHORAX W MCC|$80,931
200|PNEUMOTHORAX W CC|$31,831
201|PNEUMOTHORAX W/O CC/MCC|$39,257
202|BRONCHITIS & ASTHMA W CC/MCC|$23,083
203|BRONCHITIS & ASTHMA W/O CC/MCC|$18,372
204|RESPIRATORY SIGNS & SYMPTOMS|$18,218
205|OTHER RESPIRATORY SYSTEM DIAGNOSES W MCC|$24,253
206|OTHER RESPIRATORY SYSTEM DIAGNOSES W/O MCC|$10,179
207|RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT >96 HOURS OR PERIPHERAL EXTRAC|$75,490
208|RESPIRATORY SYSTEM DIAGNOSIS W VENTILATOR SUPPORT <96 HOURS|$47,536
214|RED BLOOD CELL DISORDERS AGE 0-17|$10,100
223|CARDIAC DEFIB IMPLANT W CARDIAC CATH W AMI/HF/SHOCK W/O MCC|$158,805
226|CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W MCC|$170,323
227|CARDIAC DEFIBRILLATOR IMPLANT W/O CARDIAC CATH W/O MCC|$125,885
229|OTHER CARDIOTHORACIC PROCEDURES W/O MCC|$66,156
239|AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W MCC|$39,625
240|AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W CC|$56,119
241|AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE W/O CC/MCC|$26,698
242|PERMANENT CARDIAC PACEMAKER IMPLANT W MCC|$84,877
243|PERMANENT CARDIAC PACEMAKER IMPLANT W CC|$52,391
244|PERMANENT CARDIAC PACEMAKER IMPLANT W/O CC/MCC|$43,571
246|PERCUTANEOUS CARDIOVASCULAR PROCEDURES W DRUG-ELUTING STENT W MCC OR 4+ ARTERIES|$95,280
247|PERC CARDIOVASC PROC W DRUG-ELUTING STENT W/O MCC|$69,705
248|PERCUTANEOUS CARDIOVASCULAR PROCEDURES W NON-DRUG-ELUTING STENT W MCC OR 4+ ARTE|$115,275
249|PERC CARDIOVASC PROC W NON-DRUG-ELUTING STENT W/O MCC|$53,218
250|PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W MCC|$51,809
251|PERC CARDIOVASC PROC W/O CORONARY ARTERY STENT W/O MCC|$40,959
252|OTHER VASCULAR PROCEDURES W MCC|$83,601
253|OTHER VASCULAR PROCEDURES W CC|$66,385
254|OTHER VASCULAR PROCEDURES W/O CC/MCC|$35,860
255|UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W MCC|$96,771
256|UPPER LIMB & TOE AMPUTATION FOR CIRC SYSTEM DISORDERS W CC|$53,845
259|CARDIAC PACEMAKER DEVICE REPLACEMENT W/O MCC|$35,312
264|OTHER CIRCULATORY SYSTEM O.R. PROCEDURES|$53,175
267|VIRAL ILLNESS & FEVER AGE 0-17|$11,737
269|AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON W/O MCC|$82,472
270|OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC|$130,250
271|OTHER MAJOR CARDIOVASCULAR PROCEDURES W CC|$80,923
272|OTHER MAJOR CARDIOVASCULAR PROCEDURES W/O CC/MCC|$94,386
277|OTHER MAJOR CARDIOVASCULAR PROCEDURES W MCC|$219,818
280|ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W MCC|$34,712
281|ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W CC|$27,877
282|ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE W/O CC/MCC|$28,311
283|ACUTE MYOCARDIAL INFARCTION, EXPIRED W MCC|$33,507
284|ACUTE MYOCARDIAL INFARCTION, EXPIRED W CC|$28,024
286|CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W MCC|$46,840
287|CIRCULATORY DISORDERS EXCEPT AMI, W CARD CATH W/O MCC|$40,063
291|HEART FAILURE & SHOCK W MCC|$33,868
292|HEART FAILURE & SHOCK W CC|$22,666
293|HEART FAILURE & SHOCK W/O CC/MCC|$15,666
296|CARDIAC ARREST, UNEXPLAINED W MCC|$47,252
297|CARDIAC ARREST, UNEXPLAINED W CC|$24,155
299|PERIPHERAL VASCULAR DISORDERS W MCC|$32,192
300|PERIPHERAL VASCULAR DISORDERS W CC|$21,394
301|PERIPHERAL VASCULAR DISORDERS W/O CC/MCC|$27,960
302|ATHEROSCLEROSIS W MCC|$17,708
303|ATHEROSCLEROSIS W/O MCC|$15,744
304|HYPERTENSION W MCC|$42,399
305|HYPERTENSION W/O MCC|$32,262
308|CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W MCC|$41,821
309|CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W CC|$21,630
310|CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS W/O CC/MCC|$14,857
311|ANGINA PECTORIS|$14,570
312|SYNCOPE & COLLAPSE|$21,769
313|CHEST PAIN|$21,890
314|OTHER CIRCULATORY SYSTEM DIAGNOSES W MCC|$43,360
315|OTHER CIRCULATORY SYSTEM DIAGNOSES W CC|$19,739
316|OTHER CIRCULATORY SYSTEM DIAGNOSES W/O CC/MCC|$16,083
326|STOMACH, ESOPHAGEAL & DUODENAL PROC W MCC|$51,345
328|STOMACH, ESOPHAGEAL & DUODENAL PROC W/O CC/MCC|$36,390
329|MAJOR SMALL & LARGE BOWEL PROCEDURES W MCC|$77,316
330|MAJOR SMALL & LARGE BOWEL PROCEDURES W CC|$46,494
331|MAJOR SMALL & LARGE BOWEL PROCEDURES W/O CC/MCC|$27,511
336|PERITONEAL ADHESIOLYSIS W CC|$44,294
337|PERITONEAL ADHESIOLYSIS W/O CC/MCC|$38,836
339|APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W CC|$39,131
340|APPENDECTOMY W COMPLICATED PRINCIPAL DIAG W/O CC/MCC|$34,043
341|APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W MCC|$54,978
342|APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W CC|$43,426
343|APPENDECTOMY W/O COMPLICATED PRINCIPAL DIAG W/O CC/MCC|$36,652
345|MINOR SMALL & LARGE BOWEL PROCEDURES W CC|$25,539
349|ANAL & STOMAL PROCEDURES W/O CC/MCC|$27,798
351|INGUINAL & FEMORAL HERNIA PROCEDURES W CC|$31,319
353|HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W MCC|$57,340
354|HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W CC|$31,720
355|HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL W/O CC/MCC|$72,511
357|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W CC|$52,432
358|OTHER DIGESTIVE SYSTEM O.R. PROCEDURES W/O CC/MCC|$38,564
369|MAJOR ESOPHAGEAL DISORDERS W CC|$31,661
371|MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W MCC|$31,535
372|MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W CC|$27,279
373|MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECTIONS W/O CC/MCC|$18,152
374|DIGESTIVE MALIGNANCY W MCC|$27,859
375|DIGESTIVE MALIGNANCY W CC|$14,006
376|DIGESTIVE MALIGNANCY W/O CC/MCC|$3,325
377|G.I. HEMORRHAGE W MCC|$28,344
378|G.I. HEMORRHAGE W CC|$25,799
379|G.I. HEMORRHAGE W/O CC/MCC|$19,824
380|COMPLICATED PEPTIC ULCER W MCC|$37,062
382|COMPLICATED PEPTIC ULCER W/O CC/MCC|$12,685
385|INFLAMMATORY BOWEL DISEASE W MCC|$44,205
386|INFLAMMATORY BOWEL DISEASE W CC|$25,388
388|G.I. OBSTRUCTION W MCC|$20,402
389|G.I. OBSTRUCTION W CC|$17,947
390|G.I. OBSTRUCTION W/O CC/MCC|$15,822
391|ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W MCC|$29,251
392|ESOPHAGITIS, GASTROENT & MISC DIGEST DISORDERS W/O MCC|$17,148
393|OTHER DIGESTIVE SYSTEM DIAGNOSES W MCC|$28,441
394|OTHER DIGESTIVE SYSTEM DIAGNOSES W CC|$28,037
395|OTHER DIGESTIVE SYSTEM DIAGNOSES W/O CC/MCC|$11,558
415|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W CC|$39,697
416|CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE W/O C.D.E. W/O CC/MCC|$20,872
417|LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W MCC|$47,027
418|LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W CC|$49,569
419|LAPAROSCOPIC CHOLECYSTECTOMY W/O C.D.E. W/O CC/MCC|$40,346
420|HEPATOBILIARY DIAGNOSTIC PROCEDURES W MCC|$42,765
421|HEPATOBILIARY DIAGNOSTIC PROCEDURES W CC|$44,659
422|HEPATOBILIARY DIAGNOSTIC PROCEDURES W/O CC/MCC|$29,628
432|CIRRHOSIS & ALCOHOLIC HEPATITIS W MCC|$20,944
433|CIRRHOSIS & ALCOHOLIC HEPATITIS W CC|$21,065
435|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W MCC|$22,539
436|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W CC|$9,349
437|MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS W/O CC/MCC|$1,970
438|DISORDERS OF PANCREAS EXCEPT MALIGNANCY W MCC|$38,716
439|DISORDERS OF PANCREAS EXCEPT MALIGNANCY W CC|$18,978
440|DISORDERS OF PANCREAS EXCEPT MALIGNANCY W/O CC/MCC|$15,760
441|DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W MCC|$36,799
442|DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W CC|$27,204
443|DISORDERS OF LIVER EXCEPT MALIG,CIRR,ALC HEPA W/O CC/MCC|$9,019
444|DISORDERS OF THE BILIARY TRACT W MCC|$32,357
445|DISORDERS OF THE BILIARY TRACT W CC|$27,302
446|DISORDERS OF THE BILIARY TRACT W/O CC/MCC|$42,855
455|COMBINED ANTERIOR/POSTERIOR SPINAL FUSION W/O CC/MCC|$214,592
459|SPINAL FUSION EXCEPT CERVICAL W MCC|$242,918
460|SPINAL FUSION EXCEPT CERVICAL W/O MCC|$212,097
462|BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY W/O MCC|$41,533
463|WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS W MCC|$106,249
466|REVISION OF HIP OR KNEE REPLACEMENT W MCC|$135,923
468|REVISION OF HIP OR KNEE REPLACEMENT W/O CC/MCC|$83,535
469|MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR|$85,923
470|MAJOR JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W/O MCC|$64,617
474|AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W MCC|$64,819
475|AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W CC|$31,645
476|AMPUTATION FOR MUSCULOSKELETAL SYS & CONN TISSUE DIS W/O CC/MCC|$21,968
479|BIOPSIES OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W/O CC/MCC|$62,067
480|HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W MCC|$92,555
481|HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W CC|$67,972
482|HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT W/O CC/MCC|$54,835
483|MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES|$64,308
487|KNEE PROCEDURES W PDX OF INFECTION W/O CC/MCC|$58,912
488|KNEE PROCEDURES W/O PDX OF INFECTION W CC/MCC|$45,436
489|KNEE PROCEDURES W/O PDX OF INFECTION W/O CC/MCC|$48,819
492|LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W MCC|$98,618
493|LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W CC|$69,676
494|LOWER EXTREM & HUMER PROC EXCEPT HIP,FOOT,FEMUR W/O CC/MCC|$56,284
500|SOFT TISSUE PROCEDURES W MCC|$41,789
501|SOFT TISSUE PROCEDURES W CC|$47,158
502|SOFT TISSUE PROCEDURES W/O CC/MCC|$51,111
503|FOOT PROCEDURES W MCC|$115,594
504|FOOT PROCEDURES W CC|$32,742
511|SHOULDER,ELBOW OR FOREARM PROC,EXC MAJOR JOINT PROC W CC|$53,579
516|OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC W CC|$58,059
534|FRACTURES OF FEMUR W/O MCC|$24,555
535|FRACTURES OF HIP & PELVIS W MCC|$34,775
536|FRACTURES OF HIP & PELVIS W/O MCC|$7,307
539|OSTEOMYELITIS W MCC|$26,226
543|PATHOLOGICAL FRACTURES & MUSCULOSKELET & CONN TISS MALIG W CC|$36,389
548|SEPTIC ARTHRITIS W MCC|$52,848
549|SEPTIC ARTHRITIS W CC|$28,855
552|MEDICAL BACK PROBLEMS W/O MCC|$19,491
554|BONE DISEASES & ARTHROPATHIES W/O MCC|$14,244
556|SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONN TISSUE W/O MCC|$19,207
557|TENDONITIS, MYOSITIS & BURSITIS W MCC|$22,482
558|TENDONITIS, MYOSITIS & BURSITIS W/O MCC|$17,339
559|AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W MCC|$46,349
560|AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE W CC|$15,853
562|FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W MCC|$27,817
563|FX, SPRN, STRN & DISL EXCEPT FEMUR, HIP, PELVIS & THIGH W/O MCC|$18,584
564|OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W MCC|$62,083
565|OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES W CC|$14,453
570|SKIN DEBRIDEMENT W MCC|$30,898
571|SKIN DEBRIDEMENT W CC|$35,115
572|SKIN DEBRIDEMENT W/O CC/MCC|$22,345
574|SKIN GRAFT FOR SKIN ULCER OR CELLULITIS W CC|$109,279
579|OTHER SKIN, SUBCUT TISS & BREAST PROC W MCC|$71,406
580|OTHER SKIN, SUBCUT TISS & BREAST PROC W CC|$31,833
581|OTHER SKIN, SUBCUT TISS & BREAST PROC W/O CC/MCC|$21,363
585|BREAST BIOPSY, LOCAL EXCISION & OTHER BREAST PROCEDURES W/O CC/MCC|$21,939
592|SKIN ULCERS W MCC|$36,542
593|SKIN ULCERS W CC|$14,323
594|SKIN ULCERS W/O CC/MCC|$20,272
596|MAJOR SKIN DISORDERS W/O MCC|$12,734
600|NON-MALIGNANT BREAST DISORDERS W CC/MCC|$14,985
602|CELLULITIS W MCC|$34,275
603|CELLULITIS W/O MCC|$18,979
605|TRAUMA TO THE SKIN, SUBCUT TISS & BREAST W/O MCC|$26,491
607|MINOR SKIN DISORDERS W/O MCC|$16,715
610|NEONATE, DIED W/IN ONE DAY OF BIRTH|$3,028
611|NEONATE, TRANSFERRED <5 DAYS OLD|$5,456
616|AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W MCC|$156,970
617|AMPUTAT OF LOWER LIMB FOR ENDOCRINE,NUTRIT,& METABOL DIS W CC|$57,386
622|SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W MCC|$42,001
623|SKIN GRAFTS & WOUND DEBRID FOR ENDOC, NUTRIT & METAB DIS W CC|$26,430
627|THYROID, PARATHYROID & THYROGLOSSAL PROCEDURES W/O CC/MCC|$55,607
628|OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W MCC|$66,159
629|OTHER ENDOCRINE, NUTRIT & METAB O.R. PROC W CC|$32,643
637|DIABETES W MCC|$41,852
638|DIABETES W CC|$16,194
639|DIABETES W/O CC/MCC|$12,758
640|MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W MCC|$29,157
641|MISC DISORDERS OF NUTRITION,METABOLISM,FLUIDS/ELECTROLYTES W/O MCC|$18,324
642|INBORN AND OTHER DISORDERS OF METABOLISM|$1,880
643|ENDOCRINE DISORDERS W MCC|$27,515
644|ENDOCRINE DISORDERS W CC|$19,339
645|ENDOCRINE DISORDERS W/O CC/MCC|$14,370
650|NEONATE, BIRTHWT 1500-1999G, W/O SIGNIF O.R. PROC, W OTHER PROB|$17,467
658|KIDNEY & URETER PROCEDURES FOR NEOPLASM W/O CC/MCC|$53,233
659|KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W MCC|$54,371
660|KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W CC|$29,890
661|KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM W/O CC/MCC|$26,730
663|MINOR BLADDER PROCEDURES W CC|$41,080
670|TRANSURETHRAL PROCEDURES W/O CC/MCC|$22,390
673|OTHER KIDNEY & URINARY TRACT PROCEDURES W MCC|$83,722
674|OTHER KIDNEY & URINARY TRACT PROCEDURES W CC|$49,383
675|OTHER KIDNEY & URINARY TRACT PROCEDURES W/O CC/MCC|$29,938
680|NEONATE, BIRTHWT 2000-2499G, W/O SIGNIF O.R. PROC, W OTHER PROB|$4,628
682|RENAL FAILURE W MCC|$41,650
683|RENAL FAILURE W CC|$22,868
684|RENAL FAILURE W/O CC/MCC|$12,382
686|KIDNEY & URINARY TRACT NEOPLASMS W MCC|$217,522
689|KIDNEY & URINARY TRACT INFECTIONS W MCC|$29,561
690|KIDNEY & URINARY TRACT INFECTIONS W/O MCC|$20,591
693|URINARY STONES W/O ESW LITHOTRIPSY W MCC|$32,890
694|URINARY STONES W/O MCC|$14,385
696|KIDNEY & URINARY TRACT SIGNS & SYMPTOMS W/O MCC|$16,467
698|OTHER KIDNEY & URINARY TRACT DIAGNOSES W MCC|$23,184
699|OTHER KIDNEY & URINARY TRACT DIAGNOSES W CC|$32,101
700|OTHER KIDNEY & URINARY TRACT DIAGNOSES W/O CC/MCC|$23,582
708|MAJOR MALE PELVIC PROCEDURES W/O CC/MCC|$31,166
714|TRANSURETHRAL PROSTATECTOMY W/O CC/MCC|$20,544
716|OTHER MALE REPRODUCTIVE SYSTEM O.R. PROC FOR MALIGNANCY W/O CC/MCC|$28,797
723|MALIGNANCY, MALE REPRODUCTIVE SYSTEM W CC|$9,323
728|INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM W/O MCC|$26,461
742|UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W CC/MCC|$24,601
743|UTERINE & ADNEXA PROC FOR NON-MALIGNANCY W/O CC/MCC|$22,581
746|VAGINA, CERVIX & VULVA PROCEDURES W CC/MCC|$34,482
747|VAGINA, CERVIX & VULVA PROCEDURES W/O CC/MCC|$17,429
754|MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W MCC|$15,681
755|MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM W CC|$7,453
758|INFECTIONS, FEMALE REPRODUCTIVE SYSTEM W CC|$21,266
760|MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS W CC/MCC|$13,729
765|CESAREAN SECTION W CC/MCC|$18,518
766|CESAREAN SECTION W/O CC/MCC|$16,437
767|VAGINAL DELIVERY W STERILIZATION &/OR D&C|$15,718
768|VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C|$9,711
769|POSTPARTUM & POST ABORTION DIAGNOSES W O.R. PROCEDURE|$34,370
770|ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY|$13,619
774|VAGINAL DELIVERY W COMPLICATING DIAGNOSES|$8,146
775|VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES|$7,088
776|POSTPARTUM & POST ABORTION DIAGNOSES W/O O.R. PROCEDURE|$5,948
778|THREATENED ABORTION|$7,153
779|ABORTION W/O D&C|$8,440
781|OTHER ANTEPARTUM DIAGNOSES W MEDICAL COMPLICATIONS|$14,709
782|OTHER ANTEPARTUM DIAGNOSES W/O MEDICAL COMPLICATIONS|$5,359
784|CESAREAN SECTION W STERILIZATION W CC|$17,237
785|CESAREAN SECTION W STERILIZATION W/O CC/MCC|$15,563
786|CESAREAN SECTION W/O STERILIZATION W MCC|$18,682
787|CESAREAN SECTION W/O STERILIZATION W CC|$16,263
788|CESAREAN SECTION W/O STERILIZATION W/O CC/MCC|$15,868
789|NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY|$5,985
790|NEONATE, BIRTHWT >2499G, W/O SIGNIF O.R. PROC, W MAJOR PROB|$5,127
791|PREMATURITY W MAJOR PROBLEMS|$7,179
792|PREMATURITY W/O MAJOR PROBLEMS|$4,284
793|FULL TERM NEONATE W MAJOR PROBLEMS|$6,137
794|NEONATE W OTHER SIGNIFICANT PROBLEMS|$4,348
795|NORMAL NEWBORN|$3,023
798|VAGINAL DELIVERY W STERILIZATION/D&C W/O CC/MCC|$15,831
802|OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W MCC|$72,549
803|OTHER O.R. PROC OF THE BLOOD & BLOOD FORMING ORGANS W CC|$30,316
805|VAGINAL DELIVERY W/O STERILIZATION/D&C W MCC|$7,504
806|VAGINAL DELIVERY W/O STERILIZATION/D&C W CC|$10,569
807|VAGINAL DELIVERY W/O STERILIZATION/D&C W/O CC/MCC|$6,778
808|MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W MCC|$71,205
809|MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W CC|$28,290
810|MAJOR HEMATOL/IMMUN DIAG EXC SICKLE CELL CRISIS & COAGUL W/O CC/MCC|$13,542
811|RED BLOOD CELL DISORDERS W MCC|$34,011
812|RED BLOOD CELL DISORDERS W/O MCC|$19,621
813|COAGULATION DISORDERS|$32,366
815|RETICULOENDOTHELIAL & IMMUNITY DISORDERS W CC|$20,162
819|OTHER ANTEPARTUM DIAGNOSES W O.R. PROCEDURE W/O CC/MCC|$27,632
821|LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE W CC|$51,539
831|OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W MCC|$8,674
832|OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W CC|$9,769
833|OTHER ANTEPARTUM DIAGNOSES W/O O.R. PROCEDURE W/O CC/MCC|$7,354
853|INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W MCC|$85,537
854|INFECTIOUS & PARASITIC DISEASES W O.R. PROCEDURE W CC|$56,503
856|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W MCC|$59,899
857|POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC W CC|$55,158
862|POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W MCC|$22,372
863|POSTOPERATIVE & POST-TRAUMATIC INFECTIONS W/O MCC|$21,284
864|FEVER AND INFLAMMATORY CONDITIONS|$25,071
866|VIRAL ILLNESS AGE >17 W/O MCC|$11,316
868|OTHER INFECTIOUS & PARASITIC DISEASES DIAGNOSES W CC|$20,339
870|SEPTICEMIA OR SEVERE SEPSIS W MV >96 HOURS OR PERIPHERAL EXTRACORPOREAL MEMBRANE|$108,998
871|SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W MCC|$47,548
872|SEPTICEMIA OR SEVERE SEPSIS W/O MV >96 HOURS W/O MCC|$25,775
880|ACUTE ADJUSTMENT REACTION & PSYCHOSOCIAL DYSFUNCTION|$13,958
881|DEPRESSIVE NEUROSES|$11,138
884|ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY|$15,467
886|BEHAVIORAL & DEVELOPMENTAL DISORDERS|$13,854
894|ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA|$14,642
896|ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W MCC|$25,975
897|ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY W/O MCC|$16,179
898|ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY AGE >21 W/O MCC|$14,772
902|WOUND DEBRIDEMENTS FOR INJURIES W CC|$19,758
903|WOUND DEBRIDEMENTS FOR INJURIES W/O CC/MCC|$13,267
907|OTHER O.R. PROCEDURES FOR INJURIES W MCC|$31,845
908|OTHER O.R. PROCEDURES FOR INJURIES W CC|$53,336
909|OTHER O.R. PROCEDURES FOR INJURIES W/O CC/MCC|$111,364
914|TRAUMATIC INJURY W/O MCC|$7,428
915|ALLERGIC REACTIONS W MCC|$25,335
916|ALLERGIC REACTIONS W/O MCC|$8,521
917|POISONING & TOXIC EFFECTS OF DRUGS W MCC|$27,926
918|POISONING & TOXIC EFFECTS OF DRUGS W/O MCC|$12,957
919|COMPLICATIONS OF TREATMENT W MCC|$66,676
920|COMPLICATIONS OF TREATMENT W CC|$34,496
921|COMPLICATIONS OF TREATMENT W/O CC/MCC|$12,312
923|OTHER INJURY, POISONING & TOXIC EFFECT DIAG W/O MCC|$7,653
935|NON-EXTENSIVE BURNS|$12,312
941|O.R. PROC W DIAGNOSES OF OTHER CONTACT W HEALTH SERVICES W/O CC/MCC|$19,043
947|SIGNS & SYMPTOMS W MCC|$22,229
948|SIGNS & SYMPTOMS W/O MCC|$18,515
951|OTHER FACTORS INFLUENCING HEALTH STATUS|$5,943
956|LIMB REATTACHMENT, HIP & FEMUR PROC FOR MULTIPLE SIGNIFICANT TRAUMA|$62,986
959|OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC|$66,584
965|OTHER MULTIPLE SIGNIFICANT TRAUMA W/O CC/MCC|$20,979
975|HIV W MAJOR RELATED CONDITION W CC|$32,020
981|EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W MCC|$75,657
982|EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W CC|$66,291
983|EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC|$44,647
987|NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W MCC|$60,927
988|NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W CC|$44,560
989|NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS W/O CC/MCC|$28,128