Estimated Insurance Payments *
Rank	APR- DRG	Description	Median   Charge	Private Insurance	Medicare
1	640	Normal Newborn, Birthweight 2500g+	$5,321	$3,086	$745
2	560	Vaginal Delivery	$15,759	$9,140	$2,206
3	720	Blood Infection/Septicemia	$20,471	$11,873	$2,866
4	194	Heart Failure	$20,217	$11,726	$2,830
5	751	Psychoses	$14,476	$8,396	$2,027
6	540	Cesarean Delivery	$25,598	$14,847	$3,584
7	301	Hip Replacement	$60,509	$35,095	$8,471
8	302	Knee Replacement	$58,952	$34,192	$8,253
9	139	Pneumonia	$15,196	$8,813	$2,127
10	753	Bipolar Disorders	$18,212	$10,563	$2,550
11	775	Alcohol Abuse/Dependence	$9,848	$5,712	$1,379
12	201	Heart Abnormal Rhythm and Conduction Disorders	$13,150	$7,627	$1,841
13	133	Respiratory failure	NR	NR	NR
14	045	Stroke and Precerebral Occlusion with Infarct	$29,699	$17,225	$4,158
15	140	Chronic Obstructive Pulmonary Disease	$15,975	$9,265	$2,236
16	469	Acute Kidney Injury	$16,302	$9,455	$2,282
17	463	Kidney/Urinary Tract Infection	$20,657	$11,981	$2,892
18	383	Cellulitis & other skin infections	$10,657	$6,181	$1,492
19	174	Percutaneous coronary intervention w AMI	$57,133	$33,137	$7,999
20	750	Schizophrenia	$18,573	$10,772	$2,600
21	420	Diabetes	$13,474	$7,815	$1,886
22	247	Intestinal Obstruction without Surgery	$20,788	$12,057	$2,910
23	282	Disorders of Pancreas Except Malignancy	$17,907	$10,386	$2,507
24	308	Hip & femur fracture repair	$54,103	$31,380	$7,574
25	231	Major large bowel procedures	$81,308	$47,158	$11,383
26	190	Circulatory Disorders with Heart Attack	$30,408	$17,636	$4,257
27	175	Percutaneous coronary intervention w/o AMI	$93,680	$54,335	$13,115
28	058	Other Disorders of Nervous System	$25,215	$14,625	$3,530
29	304	Dorsal and Lumbar Fusion Without Principal Diagnosis of Back Curvature	$143,671	$83,329	$20,114
30	754	Depression	$12,025	$6,975	$1,684
31	254	Other Digestive System Diagnoses	$22,126	$12,833	$3,098
32	466	Malfunction, reaction, complic of genitourinary device or proc	NR	NR	NR
33	137	Respiratory Infections and Inflammations	$21,193	$12,292	$2,967
34	053	Seizure	$23,040	$13,363	$3,226
35	192	Cardiac catheterization for other non-coronary conditions	$38,399	$22,272	$5,376
36	134	Pulmonary Embolism	$19,707	$11,430	$2,759
37	710	Infectious & parasitic diseases including HIV w O.R. procedure	$27,359	$15,868	$3,830
38	241	Peptic Ulcer/Gastritis	$17,381	$10,081	$2,433
39	244	Diverticulitis & Diverticulosis	$19,399	$11,251	$2,716
40	322	Shoulder & Elbow Joint Replacement	$81,405	$47,215	$11,397
41	263	Laparoscopic Cholecystectomy	$57,939	$33,605	$8,111
42	249	Other gastroenteritis, nausea & vomiting	$20,843	$12,089	$2,918
43	773	Opioid Abuse/Dependence	$11,501	$6,670	$1,610
44	862	Other Factors Influencing Health Status	NR	NR	NR
45	230	Major small bowel procedures	$64,403	$37,354	$9,016
46	313	Other Knee/Lower Leg Surgery	$57,252	$33,206	$8,015
47	347	Other Back/Neck Disorders, Fractures, Injuries	$22,617	$13,118	$3,166
48	861	Signs & Symptoms	$13,440	$7,795	$1,882
49	253	Other and Unspecified Gastrointestinal Hemorrhage	$16,135	$9,359	$2,259
50	426	Non-hypovolemic sodium disorders	$25,153	$14,589	$3,521
51	052	Nontraumatic stupor & coma	$41,766	$24,225	$5,847
52	113	Epiglottitis, Ear Infection, URI and Laryngotracheitis	$21,062	$12,216	$2,949
53	351	Other Musculoskeletal System and Connective Tissue Diagnoses	$16,144	$9,364	$2,260
54	248	Major G.I. Bacterial Infections	$20,556	$11,922	$2,878
55	566	Other Antepartum Diagnoses	$10,374	$6,017	$1,452
56	024	Extracranial Vascular Procedures	$54,056	$31,352	$7,568
57	663	Red Blood Cell Disorders Except Sickle Cell Anemia Crisis	$19,495	$11,307	$2,729
58	021	Craniotomy Except For Trauma	$74,350	$43,123	$10,409
59	055	Head trauma w coma >1 hr or hemorrhage	$17,748	$10,294	$2,485
60	755	Neuroses Other Than Depression	$6,958	$4,036	$974
61	166	Coronary bypass w/o AMI or complex PDX	$182,065	$105,598	$25,489
62	721	Postoperative and Post-Traumatic Infections	$16,299	$9,453	$2,282
63	182	Other Peripheral Vascular Procedures	$75,773	$43,948	$10,608
64	812	Poisoning of Medicinal Agents	$13,332	$7,732	$1,866
65	181	Lower Extremity Arterial Procedures	$88,026	$51,055	$12,324
66	143	Other respiratory diagnoses except signs, symptoms & minor diagnoses	$28,794	$16,701	$4,031
67	171	Pacemaker Implant without Heart Attack, Heart Failure or Shock	$53,572	$31,072	$7,500
68	280	Alcoholic Liver Disease	NR	NR	NR
69	321	Upper Spinal Fusion	$94,764	$54,963	$13,267
70	425	Other Electrolyte Disorders	$24,052	$13,950	$3,367
71	163	Cardiac valve procedures w/o AMI or complex PDX	$255,160	$147,993	$35,722
72	197	Peripheral and Other Vascular Disorders	$32,930	$19,100	$4,610
73	284	Disorders of gallbladder & biliary tract	$30,031	$17,418	$4,204
74	696	Other Chemotherapy	NR	NR	NR
75	042	Degenerative nervous system disorders exc mult sclerosis	$21,336	$12,375	$2,987

NR = No Cases Reported This report was produced in part by using computer software created, owned and licensed by the 3M Company. All copyrights in and to the 3M™ APR DRG Software, and to the 3M™ APR DRG Classification System(s) (including the selection, coordination and arrangement of all codes) are owned by 3M. All rights reserved.

	With No Other Procedures			With 1 or More Additional Procedures
Principal Procedure	Median Charge	Average Commercial Insurance Payment	Average Medicare Insurance Payment*	Median Charge	Average Commercial Insurance Payment	Average Medicare Insurance Payment*
Cataract Surgery with Intraocular Lens - Stage 1 66984)	NR	NR	NR	NR	NR	NR
Colonoscopy and Biopsy 45380)	$7,868	$4,564	$1,102	$12,498	$7,249	$1,750
Lesion Removal Colonoscopy by Snare Technique 45385)	$8,109	$4,703	$1,135	$11,313	$6,562	$1,584
Upper GI Endoscopy with Biopsy 43239)	$7,624	$4,422	$1,067	$10,505	$6,093	$1,471
Diagnostic Colonoscopy 45378)	$6,387	$3,704	$894	$10,446	$6,059	$1,462
Injection into Lumbar or Sacral Area, Single Level 64483)	NR	NR	NR	NR	NR	NR
Injection into Paravertebral Facet Joint w Image Guidance, Lumbar or Sacral 64493)	NR	NR	NR	NR	NR	NR
Inj/Drainage or Aspiration, Spine/Spinal Cord w/ Img Guidancee 62323)	NR	NR	NR	NR	NR	NR
Colorectal Cancer Screening ; Colonoscopy, High Risk G0105)	$6,519	$3,781	$913	$9,110	$5,284	$1,275
Colorectal Cancer Screening; Colonscopy, Not High Risk G0121)	$6,485	$3,761	$908	NR	NR	NR
Destruction by Neurolytic Agent w Imaging, Lumbar or Sacral 64635)	NR	NR	NR	NR	NR	NR
Carpal Tunnel Surgery 64721)	$10,414	$6,040	$1,458	$12,370	$7,175	$1,732
Uppr GI Endoscopy- Diagnostic 43235)	$6,119	$3,549	$857	$8,504	$4,933	$1,191
Knee Arthroscopy/Surgery with Medial or Lateral Meniscectomy 29881)	$16,625	$9,643	$2,328	$51,423	$29,826	$7,199
Drain/Inject Major Joint or Bursa 20610)	NR	NR	NR	NR	NR	NR
Left Heart Artery/Ventricle Angiography 93458)	$18,222	$10,569	$2,551	$19,121	$11,090	$2,677
Creation of Eardrum Opening 69436)	$8,028	$4,656	$1,124	$7,924	$4,596	$1,109
Inj/Drainage or Aspiration, Spine/Spinal Cord w/o Img Guidance 62321)	NR	NR	NR	NR	NR	NR
Total Knee Arthroscopy 27447)	$54,540	$31,633	$7,636	$54,594	$31,664	$7,643
Unlisted Dental Surgery Procedure 41899)	$13,033	$7,559	$1,825	NR	NR	NR
Injection into Paravertebral Facet Joint w Image Guidance, Cervical or Thor 64490)	NR	NR	NR	NR	NR	NR
Esophageal Endoscopy with Dilation 43249)	$8,095	$4,695	$1,133	$9,974	$5,785	$1,396
Laparoscopic Cholecystectomy 47562)	$25,578	$14,835	$3,581	$27,082	$15,708	$3,792
Arthroscopic Rotator Cuff Repair 29827)	NR	NR	NR	$53,281	$30,903	$7,459
After Cataract Laser Surgery 66821)	NR	NR	NR	NR	NR	NR
Cystourethroscopy with Lithotripsy and Stent 52356)	$22,665	$13,146	$3,173	$31,135	$18,058	$4,359
Lesion Removal Colonoscopy by Hot Biopsy or Cautery 45384)	$8,197	$4,754	$1,148	$11,522	$6,683	$1,613
Hysteroscopy with Biopsy 58558)	$18,614	$10,796	$2,606	$22,504	$13,052	$3,151
Cataract Surgery- Complex 66982)	NR	NR	NR	NR	NR	NR
Removal of Tonsils And Adenoids - < Age 12 42820)	$12,905	$7,485	$1,807	$13,636	$7,909	$1,909
Laparoscopic Hernia Repair - Initial 49650)	$34,110	$19,784	$4,775	$32,887	$19,075	$4,604
Uppr GI Endoscopy with Guide Wire 43248)	$7,070	$4,100	$990	$8,397	$4,870	$1,176
Incision of Finger Tendon Sheath 26055)	$11,123	$6,451	$1,557	$11,392	$6,607	$1,595
ABD Paracentesis w/Imaging 49083)	NR	NR	NR	NR	NR	NR
Destruction by neurolytic agent w imaging, cervical or thoracic 64633)	NR	NR	NR	NR	NR	NR
Biopsy, Breast w/Ultrasound Image; 1 Lesion 19083)	NR	NR	NR	NR	NR	NR
Removal of Support Implant (barred wire, pin, screw, metal band, nail, rod) 20680)	$12,726	$7,381	$1,782	$14,805	$8,587	$2,073
Laparoscopy - Removal of Adnexal Structures 58661)	$23,961	$13,898	$3,355	$33,566	$19,469	$4,699
Laparoscopy, Removal of Tubes & Ovaries 58571)	$38,205	$22,159	$5,349	$56,623	$32,841	$7,927
Laparoscopic Appendectomy 44970)	$31,657	$18,361	$4,432	$36,186	$20,988	$5,066
Unlisted Cystourethoscopy 52000)	$6,640	$3,851	$930	$10,811	$6,270	$1,514
Mastectomy, Partial 19301)	$16,095	$9,335	$2,253	$25,786	$14,956	$3,610
Cystourethroscopy with Stent 52332)	$12,420	$7,203	$1,739	$15,983	$9,270	$2,238
Repair Initial Ingunial Hernia, > = 5 years, Reducible 49505)	$28,534	$16,550	$3,995	$27,307	$15,838	$3,823
Coronary Artery Angio S&I 93454)	$18,428	$10,688	$2,580	$23,828	$13,820	$3,336
Angioplasty - peripheral segment of the dialysis circuit 36902)	NR	NR	NR	NR	NR	NR
Knee Arthroscopy/Surgery w Medical and Lateral Meniscectomy 29880)	$18,135	$10,518	$2,539	NR	NR	NR
Laparoscopic Cholecystectomy w X-ray of Liver and Bile Duct 47563)	$28,275	$16,400	$3,959	$37,369	$21,674	$5,232
Wrist Endoscopy/Surgery 29848)	NR	NR	NR	NR	NR	NR
FNA BX W/US GDN 1ST LES 10005)	NR	NR	NR	NR	NR	NR
Debridement Skin/Tissue 11042)	$13,249	$7,684	$1,855	$35,378	$20,519	$4,953
Removal of Tonsils 42826)	$14,035	$8,140	$1,965	$15,937	$9,243	$2,231
Biopsy breast w/stereotactic image; 1 lesion 19081)	NR	NR	NR	NR	NR	NR
Low Back Disk Surgery 63030)	$31,153	$18,069	$4,361	$47,338	$27,456	$6,627
Knee Arthroscopy/Surgery with Anterior Cruciate Ligament Repair 29888)	$60,446	$35,059	$8,462	$46,615	$27,037	$6,526
Fragmenting of Kidney Stone 50590)	$18,643	$10,813	$2,610	$20,586	$11,940	$2,882
Repair Umbilical Hernia, > = 5 Yrs - Reducible 49585)	$17,661	$10,244	$2,473	$24,828	$14,400	$3,476
Repair of Nasal Septum 30520)	$16,585	$9,619	$2,322	$21,682	$12,576	$3,036
Decompression of Ulnar Nerve at Elbow 64718)	$18,631	$10,806	$2,608	$17,531	$10,168	$2,454
Removal of Adenoids 42830)	NR	NR	NR	$10,155	$5,890	$1,422
Right and Left Heart Artery/Ventricle Angiography 93460)	$22,355	$12,966	$3,130	$23,270	$13,496	$3,258
DX BONE MARROW BX & ASPIR 38222)	$14,033	$8,139	$1,965	NR	NR	NR
TOTAL HIP ARTHROPLASTY 27130)	$53,607	$31,092	$7,505	NR	NR	NR
SHOULDER ARTHROSCOPY/SURGERY 29823)	$25,581	$14,837	$3,581	$36,116	$20,947	$5,056
ESOPHAGUS MOTILITY STUDY 91010)	NR	NR	NR	NR	NR	NR
Hysteroscopy with Ablation 58563)	$21,862	$12,680	$3,061	$28,931	$16,780	$4,050
Repair of wrist joints 25447)	NR	NR	NR	$25,235	$14,637	$3,533
Implant Neuroelectrodes 63650)	$136,178	$78,983	$19,065	NR	NR	NR
Repair of upper eyelid with excessive skin 15823)	NR	NR	NR	NR	NR	NR
Upper GI Endoscopy w Removal of Foreign Body 43247)	$8,597	$4,986	$1,204	$9,863	$5,721	$1,381
INSERT ANT SEGMENT DRAIN INT 0191T)	NR	NR	NR	NR	NR	NR
TX ATRIAL FIB PULM VEIN ISOL 93656)	NR	NR	NR	$103,507	$60,034	$14,491
REMOVAL OF SPINAL LAMINA 63047)	$31,453	$18,243	$4,403	$50,593	$29,344	$7,083
REMOVAL OF TURBINATE BONES 30140)	$13,856	$8,036	$1,940	$14,697	$8,524	$2,058
Excision Breast Lesion with Preoperative Placement Radiological Marker 19125)	$15,699	$9,106	$2,198	$18,844	$10,930	$2,638

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