Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
—
—
$200,242
18
clean
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
—
—
$148,510
18
clean
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
—
—
$149,946
21
clean
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
—
—
$189,882
21
clean
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
—
—
$88,431
18
clean
LIVER TRANSPLANT WITHOUT MCC
—
—
$105,807
18
clean
LUNG TRANSPLANT
—
—
$444,545
18
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
—
—
$102,747
18
clean
PANCREAS TRANSPLANT
—
—
$58,975
18
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
—
—
$39,444
21
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
—
—
$30,491
21
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
—
—
$20,842
21
clean
ALLOGENEIC BONE MARROW TRANSPLANT
—
—
$85,893
18
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
—
—
$41,916
18
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
—
—
$37,820
18
clean
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
—
—
$634,797
21
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
—
—
$50,426
21
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
—
—
$65,065
21
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
—
—
$56,474
21
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
—
—
$50,331
21
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
—
—
$41,440
21
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
—
—
$28,292
21
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
—
—
$32,148
21
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
—
—
$21,996
21
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$18,014
21
clean
SPINAL PROCEDURES WITH MCC
—
—
$42,471
21
clean
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
—
—
$24,131
21
clean
SPINAL PROCEDURES WITHOUT CC/MCC
—
—
$15,540
21
clean
VENTRICULAR SHUNT PROCEDURES WITH MCC
—
—
$31,681
21
clean
VENTRICULAR SHUNT PROCEDURES WITH CC
—
—
$15,087
21
clean
VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
—
—
$11,781
21
clean
CAROTID ARTERY STENT PROCEDURES WITH MCC
—
—
$27,994
21
clean
CAROTID ARTERY STENT PROCEDURES WITH CC
—
—
$17,289
21
clean
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
—
—
$13,757
21
clean
EXTRACRANIAL PROCEDURES WITH MCC
—
—
$23,809
21
clean
EXTRACRANIAL PROCEDURES WITH CC
—
—
$11,735
21
clean
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$8,338
21
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
—
—
$27,307
21
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
—
—
$15,902
21
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
—
—
$12,324
21
clean
SPINAL DISORDERS AND INJURIES WITH CC/MCC
—
—
$13,100
21
clean
SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
—
—
$7,082
21
clean
NERVOUS SYSTEM NEOPLASMS WITH MCC
—
—
$10,820
21
clean
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
—
—
$7,237
21
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
—
—
$16,812
20
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
—
—
$9,384
20
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
—
—
$12,110
21
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
—
—
$8,800
21
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
—
—
$6,532
21
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
—
—
$19,940
21
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
—
—
$12,709
21
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
—
—
$10,153
21
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
—
—
$14,239
21
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
—
—
$7,171
21
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
—
—
$4,950
21
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
—
—
$10,622
21
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
—
—
$6,252
21
clean
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
—
—
$5,678
21
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
—
—
$12,040
21
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
—
—
$7,420
21
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
—
—
$5,469
21
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
—
—
$11,367
21
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
—
—
$7,316
21
clean
VIRAL MENINGITIS WITH CC/MCC
—
—
$13,579
21
clean
VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$5,864
21
clean
HYPERTENSIVE ENCEPHALOPATHY WITH MCC
—
—
$10,888
14
clean
HYPERTENSIVE ENCEPHALOPATHY WITH CC
—
—
$7,033
14
clean
HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
—
—
$4,705
14
clean
NONTRAUMATIC STUPOR AND COMA WITH MCC
—
—
$12,955
20
clean
NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
—
—
$6,492
20
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
—
—
$16,530
21
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
—
—
$10,095
21
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
—
—
$6,786
21
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
—
—
$16,082
21
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
—
—
$9,237
21
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
—
—
$6,496
21
clean
CONCUSSION WITH MCC
—
—
$9,777
21
clean
CONCUSSION WITH CC
—
—
$7,795
21
clean
CONCUSSION WITHOUT CC/MCC
—
—
$5,954
21
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
—
—
$12,469
21
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
—
—
$7,399
21
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$5,759
21
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
—
—
$25,453
21
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
—
—
$18,654
21
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$18,252
21
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
—
—
$26,122
21
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
—
—
$16,244
21
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$9,658
21
clean
SEIZURES WITH MCC
—
—
$13,715
21
clean
SEIZURES WITHOUT MCC
—
—
$6,411
21
clean
HEADACHES WITH MCC
—
—
$8,107
21
clean
HEADACHES WITHOUT MCC
—
—
$6,048
21
clean
ORBITAL PROCEDURES WITH CC/MCC
—
—
$17,004
21
clean
ORBITAL PROCEDURES WITHOUT CC/MCC
—
—
$9,785
21
clean
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
—
—
$11,101
21
clean
INTRAOCULAR PROCEDURES WITH CC/MCC
—
—
$13,077
21
clean
INTRAOCULAR PROCEDURES WITHOUT CC/MCC
—
—
$7,846
21
clean
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
—
—
$8,413
21
clean
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
—
—
$5,683
21
clean
NEUROLOGICAL EYE DISORDERS
—
—
$5,776
21
clean
OTHER DISORDERS OF THE EYE WITH MCC
—
—
$9,569
21
clean
OTHER DISORDERS OF THE EYE WITHOUT MCC
—
—
$5,526
21
clean
SINUS AND MASTOID PROCEDURES WITH CC/MCC
—
—
$15,694
21
clean
SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
—
—
$7,343
21
clean
MOUTH PROCEDURES WITH CC/MCC
—
—
$10,582
21
clean
MOUTH PROCEDURES WITHOUT CC/MCC
—
—
$6,307
21
clean
SALIVARY GLAND PROCEDURES
—
—
$8,763
21
clean
MAJOR HEAD AND NECK PROCEDURES WITH MCC
—
—
$30,848
21
clean
MAJOR HEAD AND NECK PROCEDURES WITH CC
—
—
$15,774
21
clean
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
—
—
$11,546
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
—
—
$26,497
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
—
—
$12,275
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
—
—
$8,527
21
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
—
—
$15,314
21
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
—
—
$9,196
21
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
—
—
$5,765
21
clean
DYSEQUILIBRIUM
—
—
$5,436
21
clean
EPISTAXIS WITH MCC
—
—
$9,630
21
clean
EPISTAXIS WITHOUT MCC
—
—
$5,309
21
clean
OTITIS MEDIA AND URI WITH MCC
—
—
$8,385
21
clean
OTITIS MEDIA AND URI WITHOUT MCC
—
—
$5,250
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
—
—
$11,308
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
—
—
$6,509
21
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
—
—
$4,917
21
clean
DENTAL AND ORAL DISEASES WITH MCC
—
—
$12,161
21
clean
DENTAL AND ORAL DISEASES WITH CC
—
—
$6,462
21
clean
DENTAL AND ORAL DISEASES WITHOUT CC/MCC
—
—
$5,040
21
clean
MAJOR CHEST PROCEDURES WITH MCC
—
—
$73,318
21
clean
MAJOR CHEST PROCEDURES WITH CC
—
—
$18,254
21
clean
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
—
—
$13,555
21
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
—
—
$26,435
21
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
—
—
$13,043
21
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
—
—
$9,882
21
clean
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
—
—
$21,058
21
clean
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
—
—
$9,737
21
clean
PULMONARY EMBOLISM WITHOUT MCC
—
—
$5,822
21
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
—
—
$11,073
21
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
—
—
$7,059
21
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
—
—
$5,368
21
clean
RESPIRATORY NEOPLASMS WITH MCC
—
—
$12,509
21
clean
RESPIRATORY NEOPLASMS WITH CC
—
—
$7,600
21
clean
RESPIRATORY NEOPLASMS WITHOUT CC/MCC
—
—
$5,452
21
clean
MAJOR CHEST TRAUMA WITH MCC
—
—
$10,841
21
clean
MAJOR CHEST TRAUMA WITH CC
—
—
$7,551
21
clean
MAJOR CHEST TRAUMA WITHOUT CC/MCC
—
—
$5,641
21
clean
PLEURAL EFFUSION WITH MCC
—
—
$11,043
21
clean
PLEURAL EFFUSION WITH CC
—
—
$7,022
21
clean
PLEURAL EFFUSION WITHOUT CC/MCC
—
—
$5,187
21
clean
PULMONARY EDEMA AND RESPIRATORY FAILURE
—
—
$8,761
21
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
—
—
$7,859
21
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
—
—
$6,056
21
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
—
—
$4,643
21
clean
SIMPLE PNEUMONIA AND PLEURISY WITH MCC
—
—
$9,319
21
clean
SIMPLE PNEUMONIA AND PLEURISY WITH CC
—
—
$5,829
21
clean
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
—
—
$4,475
21
clean
INTERSTITIAL LUNG DISEASE WITH MCC
—
—
$13,462
21
clean
INTERSTITIAL LUNG DISEASE WITH CC
—
—
$33,716
21
clean
INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
—
—
$5,180
21
clean
PNEUMOTHORAX WITH MCC
—
—
$12,495
21
clean
PNEUMOTHORAX WITH CC
—
—
$7,800
21
clean
PNEUMOTHORAX WITHOUT CC/MCC
—
—
$5,086
21
clean
BRONCHITIS AND ASTHMA WITH CC/MCC
—
—
$6,895
21
clean
BRONCHITIS AND ASTHMA WITHOUT CC/MCC
—
—
$4,768
21
clean
RESPIRATORY SIGNS AND SYMPTOMS
—
—
$5,738
21
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
—
—
$12,968
21
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
—
—
$6,683
21
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
—
—
$96,772
21
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
—
—
$19,449
21
clean
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17
—
—
$78,606
21
clean
OTHER HEART ASSIST SYSTEM IMPLANT
—
—
$70,360
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
—
—
$69,130
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
—
—
$47,388
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$46,476
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$54,266
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
—
—
$37,700
21
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$35,634
21
clean
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
—
—
$35,781
21
clean
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
—
—
$22,778
21
clean
CORONARY BYPASS WITH PTCA WITH MCC
—
—
$60,946
21
clean
CORONARY BYPASS WITH PTCA WITHOUT MCC
—
—
$43,841
21
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
—
—
$54,033
21
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
—
—
$38,618
21
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$41,485
21
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
—
—
$29,621
21
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
—
—
$34,797
21
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
—
—
$20,168
21
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
—
—
$10,012
21
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
—
—
$23,091
21
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
—
—
$15,411
21
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
—
—
$13,072
21
clean
AICD GENERATOR PROCEDURES
—
—
$32,997
21
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC
—
—
$15,785
21
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC
—
—
$10,809
21
clean
OTHER VASCULAR PROCEDURES WITH MCC
—
—
$25,228
21
clean
OTHER VASCULAR PROCEDURES WITH CC
—
—
$18,772
21
clean
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
—
—
$12,886
21
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
—
—
$19,087
21
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
—
—
$12,028
21
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
—
—
$7,753
21
clean
CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
—
—
$22,725
21
clean
Showing the first 200 of 766 code–setting items in the file, verified codes first —
every row as JSON →