Service
Code
Listed
Cash
Negotiated
Rates
Checks
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC
—
—
$312,503
18
clean
HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC
—
—
$234,436
18
clean
ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES
—
—
$226,822
20
clean
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES
—
—
$257,385
20
clean
LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT
—
—
$113,481
19
clean
LIVER TRANSPLANT WITHOUT MCC
—
—
$51,376
19
clean
LUNG TRANSPLANT
—
—
$133,412
19
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT
—
—
$58,514
19
clean
PANCREAS TRANSPLANT
—
—
$60,825
19
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC
—
—
$65,364
20
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC
—
—
$48,440
20
clean
TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC
—
—
$31,882
20
clean
ALLOGENEIC BONE MARROW TRANSPLANT
—
—
$90,873
18
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC
—
—
$44,837
18
clean
AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC
—
—
$32,312
18
clean
CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES
—
—
$359,410
17
clean
SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS
—
—
$59,381
17
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC
—
—
$120,200
20
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC
—
—
$104,277
20
clean
INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC
—
—
$91,143
20
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR
—
—
$79,215
20
clean
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC
—
—
$29,580
20
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC
—
—
$32,541
20
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC
—
—
$22,241
20
clean
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$18,619
20
clean
SPINAL PROCEDURES WITH MCC
—
—
$42,010
20
clean
SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS
—
—
$24,403
20
clean
SPINAL PROCEDURES WITHOUT CC/MCC
—
—
$14,699
20
clean
VENTRICULAR SHUNT PROCEDURES WITH MCC
—
—
$38,353
20
clean
VENTRICULAR SHUNT PROCEDURES WITH CC
—
—
$17,194
20
clean
VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC
—
—
$11,123
20
clean
CAROTID ARTERY STENT PROCEDURES WITH MCC
—
—
$30,458
20
clean
CAROTID ARTERY STENT PROCEDURES WITH CC
—
—
$18,076
20
clean
CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC
—
—
$14,907
20
clean
EXTRACRANIAL PROCEDURES WITH MCC
—
—
$23,418
20
clean
EXTRACRANIAL PROCEDURES WITH CC
—
—
$13,919
20
clean
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC
—
—
$7,365
20
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC
—
—
$54,310
20
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR
—
—
$16,625
20
clean
PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC
—
—
$18,818
20
clean
SPINAL DISORDERS AND INJURIES WITH CC/MCC
—
—
$21,660
20
clean
SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC
—
—
$6,581
20
clean
NERVOUS SYSTEM NEOPLASMS WITH MCC
—
—
$8,965
20
clean
NERVOUS SYSTEM NEOPLASMS WITHOUT MCC
—
—
$6,769
20
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
—
—
$17,525
20
clean
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC
—
—
$11,117
20
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC
—
—
$11,265
20
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC
—
—
$7,437
20
clean
MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC
—
—
$5,712
20
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC
—
—
$22,319
20
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC
—
—
$13,287
20
clean
ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC
—
—
$11,112
20
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
—
—
$12,330
20
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS
—
—
$6,798
20
clean
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC
—
—
$4,735
20
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC
—
—
$11,842
20
clean
NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC
—
—
$5,713
20
clean
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC
—
—
$5,015
20
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC
—
—
$37,572
20
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC
—
—
$8,808
20
clean
NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC
—
—
$4,902
20
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC
—
—
$9,693
20
clean
CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC
—
—
$6,666
20
clean
VIRAL MENINGITIS WITH CC/MCC
—
—
$15,191
20
clean
VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$5,444
20
clean
HYPERTENSIVE ENCEPHALOPATHY WITH MCC
—
—
$13,265
20
clean
HYPERTENSIVE ENCEPHALOPATHY WITH CC
—
—
$8,567
20
clean
HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC
—
—
$5,729
20
clean
NONTRAUMATIC STUPOR AND COMA WITH MCC
—
—
$12,306
20
clean
NONTRAUMATIC STUPOR AND COMA WITHOUT MCC
—
—
$6,772
20
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC
—
—
$24,772
20
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC
—
—
$10,427
20
clean
TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC
—
—
$6,991
20
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC
—
—
$18,870
20
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC
—
—
$8,046
20
clean
TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC
—
—
$5,613
20
clean
CONCUSSION WITH MCC
—
—
$8,927
20
clean
CONCUSSION WITH CC
—
—
$6,835
20
clean
CONCUSSION WITHOUT CC/MCC
—
—
$5,150
20
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC
—
—
$12,807
20
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITH CC
—
—
$8,782
20
clean
OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$4,933
20
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC
—
—
$29,986
20
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC
—
—
$19,503
20
clean
BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC
—
—
$15,695
20
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC
—
—
$27,311
20
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC
—
—
$13,639
20
clean
NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC
—
—
$18,604
20
clean
SEIZURES WITH MCC
—
—
$11,437
20
clean
SEIZURES WITHOUT MCC
—
—
$5,503
20
clean
HEADACHES WITH MCC
—
—
$9,621
20
clean
HEADACHES WITHOUT MCC
—
—
$5,133
20
clean
ORBITAL PROCEDURES WITH CC/MCC
—
—
$17,778
20
clean
ORBITAL PROCEDURES WITHOUT CC/MCC
—
—
$27,378
20
clean
EXTRAOCULAR PROCEDURES EXCEPT ORBIT
—
—
$12,914
20
clean
INTRAOCULAR PROCEDURES WITH CC/MCC
—
—
$16,697
20
clean
INTRAOCULAR PROCEDURES WITHOUT CC/MCC
—
—
$8,203
20
clean
ACUTE MAJOR EYE INFECTIONS WITH CC/MCC
—
—
$8,796
20
clean
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC
—
—
$4,786
20
clean
NEUROLOGICAL EYE DISORDERS
—
—
$5,095
20
clean
OTHER DISORDERS OF THE EYE WITH MCC
—
—
$11,134
20
clean
OTHER DISORDERS OF THE EYE WITHOUT MCC
—
—
$5,690
20
clean
SINUS AND MASTOID PROCEDURES WITH CC/MCC
—
—
$16,913
20
clean
SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC
—
—
$8,716
20
clean
MOUTH PROCEDURES WITH CC/MCC
—
—
$9,528
20
clean
MOUTH PROCEDURES WITHOUT CC/MCC
—
—
$5,642
20
clean
SALIVARY GLAND PROCEDURES
—
—
$8,295
20
clean
MAJOR HEAD AND NECK PROCEDURES WITH MCC
—
—
$35,500
17
clean
MAJOR HEAD AND NECK PROCEDURES WITH CC
—
—
$18,153
17
clean
MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC
—
—
$13,287
17
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC
—
—
$25,477
17
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC
—
—
$13,105
17
clean
OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC
—
—
$9,396
17
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC
—
—
$14,135
20
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC
—
—
$8,341
20
clean
EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC
—
—
$6,846
20
clean
DYSEQUILIBRIUM
—
—
$4,690
20
clean
EPISTAXIS WITH MCC
—
—
$8,929
20
clean
EPISTAXIS WITHOUT MCC
—
—
$4,733
20
clean
OTITIS MEDIA AND URI WITH MCC
—
—
$7,389
20
clean
OTITIS MEDIA AND URI WITHOUT MCC
—
—
$4,401
20
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC
—
—
$11,822
20
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC
—
—
$5,891
20
clean
OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC
—
—
$4,470
20
clean
DENTAL AND ORAL DISEASES WITH MCC
—
—
$10,578
20
clean
DENTAL AND ORAL DISEASES WITH CC
—
—
$5,821
20
clean
DENTAL AND ORAL DISEASES WITHOUT CC/MCC
—
—
$4,375
20
clean
MAJOR CHEST PROCEDURES WITH MCC
—
—
$110,929
20
clean
MAJOR CHEST PROCEDURES WITH CC
—
—
$19,085
20
clean
MAJOR CHEST PROCEDURES WITHOUT CC/MCC
—
—
$12,261
20
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
—
—
$26,522
20
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
—
—
$12,640
20
clean
OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
—
—
$8,755
20
clean
ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM
—
—
$24,773
17
clean
PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE
—
—
$11,558
20
clean
PULMONARY EMBOLISM WITHOUT MCC
—
—
$5,851
20
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC
—
—
$17,620
20
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC
—
—
$12,028
20
clean
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC
—
—
$5,647
20
clean
RESPIRATORY NEOPLASMS WITH MCC
—
—
$11,321
20
clean
RESPIRATORY NEOPLASMS WITH CC
—
—
$7,379
20
clean
RESPIRATORY NEOPLASMS WITHOUT CC/MCC
—
—
$5,419
20
clean
MAJOR CHEST TRAUMA WITH MCC
—
—
$9,871
20
clean
MAJOR CHEST TRAUMA WITH CC
—
—
$6,833
20
clean
MAJOR CHEST TRAUMA WITHOUT CC/MCC
—
—
$4,958
20
clean
PLEURAL EFFUSION WITH MCC
—
—
$10,288
20
clean
PLEURAL EFFUSION WITH CC
—
—
$6,803
20
clean
PLEURAL EFFUSION WITHOUT CC/MCC
—
—
$4,937
20
clean
PULMONARY EDEMA AND RESPIRATORY FAILURE
—
—
$9,677
20
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC
—
—
$8,631
20
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
—
—
$5,827
20
clean
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
—
—
$4,509
20
clean
SIMPLE PNEUMONIA AND PLEURISY WITH MCC
—
—
$8,993
20
clean
SIMPLE PNEUMONIA AND PLEURISY WITH CC
—
—
$5,819
20
clean
SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC
—
—
$4,399
20
clean
INTERSTITIAL LUNG DISEASE WITH MCC
—
—
$11,590
20
clean
INTERSTITIAL LUNG DISEASE WITH CC
—
—
$59,632
20
clean
INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC
—
—
$26,852
20
clean
PNEUMOTHORAX WITH MCC
—
—
$19,545
20
clean
PNEUMOTHORAX WITH CC
—
—
$7,361
20
clean
PNEUMOTHORAX WITHOUT CC/MCC
—
—
$6,026
20
clean
BRONCHITIS AND ASTHMA WITH CC/MCC
—
—
$6,155
20
clean
BRONCHITIS AND ASTHMA WITHOUT CC/MCC
—
—
$4,409
20
clean
RESPIRATORY SIGNS AND SYMPTOMS
—
—
$5,064
20
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC
—
—
$15,401
20
clean
OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC
—
—
$5,795
20
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS
—
—
$142,650
20
clean
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS
—
—
$19,682
20
clean
HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT AGE 0-17
—
—
$90,505
17
clean
OTHER HEART ASSIST SYSTEM IMPLANT
—
—
$139,300
19
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC
—
—
$123,273
19
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC
—
—
$56,944
20
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$39,707
20
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$92,148
20
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC
—
—
$39,249
20
clean
CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC
—
—
$42,581
20
clean
OTHER CARDIOTHORACIC PROCEDURES WITH MCC
—
—
$40,861
20
clean
OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC
—
—
$26,964
20
clean
CORONARY BYPASS WITH PTCA WITH MCC
—
—
$124,450
19
clean
CORONARY BYPASS WITH PTCA WITHOUT MCC
—
—
$71,851
19
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC
—
—
$82,264
19
clean
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC
—
—
$52,607
19
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC
—
—
$42,085
20
clean
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC
—
—
$31,579
20
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC
—
—
$56,343
20
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC
—
—
$20,376
20
clean
AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC
—
—
$11,878
20
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC
—
—
$42,932
20
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC
—
—
$16,113
20
clean
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC
—
—
$15,204
20
clean
AICD GENERATOR PROCEDURES
—
—
$34,601
20
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC
—
—
$35,860
19
clean
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC
—
—
$16,607
19
clean
OTHER VASCULAR PROCEDURES WITH MCC
—
—
$34,319
20
clean
OTHER VASCULAR PROCEDURES WITH CC
—
—
$27,960
20
clean
OTHER VASCULAR PROCEDURES WITHOUT CC/MCC
—
—
$13,472
20
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC
—
—
$17,472
20
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC
—
—
$11,884
20
clean
UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC
—
—
$8,008
20
clean
CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC
—
—
$23,759
20
clean
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