Alaska Native Medical Center — Pricing
552 procedures published in this hospital's Machine-Readable File (MRF) — 548 with a comparable price, 4 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 552
Lowest published price $4,998
Average published price $91,893
Highest published price $1,150,761
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 552 procedures
Published charges
Showing all 548 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.
Across 38 procedures, this hospital's negotiated rates average ≈333% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. AK median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $1,150,761 | $1,150,761 | $459,298 | +151% | $245,241 | +369% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,059,512 | $1,059,512 | $486,794 | +118% | $371,366 | +185% | — |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $736,762 | $736,762 | $736,762 | +0% | $306,087 | +141% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $578,726 | $578,726 | $130,938 | +342% | $94,927 | +510% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $478,703 | — | $83,010 | +477% | $38,878 | +1131% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $477,833 | $477,833 | $184,616 | +159% | $116,058 | +312% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $453,819 | — | $62,554 | +625% | $36,641 | +1139% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $437,062 | $437,062 | $348,605 | +25% | $151,029 | +189% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $430,822 | — | $53,124 | +711% | $36,334 | +1086% | — |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $420,997 | $420,997 | $221,956 | +90% | $105,612 | +299% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $408,379 | $408,379 | $140,513 | +191% | $86,390 | +373% | ≈624% of Medicare |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $398,482 | $398,482 | $239,454 | — | $80,427 | +395% | — |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $387,049 | — | $53,575 | +622% | $25,197 | +1436% | — |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $355,417 | $355,417 | $217,100 | +64% | $89,353 | +298% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $340,855 | $340,855 | $94,044 | +262% | $62,961 | +441% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $335,118 | $335,118 | $197,663 | +70% | $138,008 | +143% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $330,528 | $330,528 | $134,024 | +147% | $87,018 | +280% | ≈451% of Medicare |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $330,304 | $330,304 | $53,257 | +520% | $30,910 | +969% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $312,143 | $312,143 | $175,562 | +78% | $78,582 | +297% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $303,354 | $303,354 | $84,304 | +260% | $50,919 | +496% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $295,034 | $295,034 | $206,053 | +43% | $120,587 | +145% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $293,726 | $293,726 | $146,411 | +101% | $87,565 | +235% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $289,157 | $289,157 | $82,409 | +251% | $36,097 | +701% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $285,549 | $285,549 | $122,754 | +133% | $80,885 | +253% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $282,109 | $282,109 | $178,921 | +58% | $86,953 | +224% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $276,979 | $276,979 | $124,249 | +123% | $75,103 | +269% | — |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $271,706 | $271,706 | $62,163 | +337% | $44,053 | +517% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $266,801 | $266,801 | $157,888 | +69% | $92,515 | +188% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $264,932 | $264,932 | $70,499 | +276% | $36,850 | +619% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $261,805 | $261,805 | $137,883 | +90% | $96,192 | +172% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $256,816 | $256,816 | $152,971 | +68% | $118,589 | +117% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $252,683 | $252,683 | $149,263 | +69% | $88,050 | +187% | ≈385% of Medicare |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $236,338 | $236,338 | $149,823 | +58% | $88,341 | +168% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $234,437 | $234,437 | $48,160 | +387% | $34,089 | +588% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $232,514 | $232,514 | $79,180 | +194% | $45,818 | +407% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $232,004 | $232,004 | $131,264 | +77% | $80,747 | +187% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $228,351 | $228,351 | $28,622 | +698% | $17,831 | +1181% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $223,985 | $223,985 | $152,317 | +47% | $43,491 | +415% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $219,057 | $219,057 | $138,087 | +59% | $65,383 | +235% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $218,979 | $218,979 | $114,142 | +92% | $72,859 | +201% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $211,349 | $211,349 | $99,117 | +113% | $44,600 | +374% | — |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $207,442 | $207,442 | $68,940 | +201% | $49,055 | +323% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $205,021 | $205,021 | $113,053 | +81% | $62,524 | +228% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $202,382 | $202,382 | $132,210 | +53% | $72,011 | +181% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $201,787 | $201,787 | $97,067 | +108% | $46,402 | +335% | — |
| 263 | VEIN LIGATION AND STRIPPING | $200,613 | $200,613 | $87,181 | +130% | $44,938 | +346% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $198,656 | $198,656 | $128,283 | +55% | $68,006 | +192% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $198,001 | $198,001 | $54,911 | +261% | $29,409 | +573% | — |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $196,518 | $196,518 | $140,649 | +40% | $59,352 | +231% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $195,013 | $195,013 | $73,886 | +164% | $71,701 | +172% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $190,583 | $190,583 | $173,784 | +10% | $99,423 | +92% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $188,586 | $188,586 | $77,253 | +144% | $52,313 | +260% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $188,119 | $188,119 | $99,420 | +89% | $63,475 | +196% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $184,446 | $184,446 | $149,283 | +24% | $90,331 | +104% | — |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $179,696 | $179,696 | $179,696 | +0% | $109,331 | +64% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $177,432 | $177,432 | $111,968 | +58% | $71,014 | +150% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $177,272 | $177,272 | $48,189 | +268% | $32,911 | +439% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $173,396 | $173,396 | $173,396 | +0% | $82,527 | +110% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $169,034 | $169,034 | $130,051 | +30% | $60,140 | +181% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $166,605 | $166,605 | $48,840 | +241% | $41,651 | +300% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $166,105 | $166,105 | $50,880 | +226% | $32,490 | +411% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $165,976 | $165,976 | $84,142 | +97% | $41,703 | +298% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $163,401 | $163,401 | $96,888 | +69% | $72,945 | +124% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $161,472 | $161,472 | $121,707 | +33% | $60,861 | +165% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $159,525 | $159,525 | $78,958 | +102% | $25,426 | +527% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $159,204 | $159,204 | $94,831 | +68% | $64,465 | +147% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $158,426 | $158,426 | $69,487 | +128% | $53,817 | +194% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $158,128 | $158,128 | $64,063 | +147% | $49,710 | +218% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $157,809 | $157,809 | $81,814 | +93% | $53,141 | +197% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $157,447 | $157,447 | $94,122 | +67% | $68,880 | +129% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $157,134 | $157,134 | $91,378 | +72% | $30,814 | +410% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $156,803 | $156,803 | $99,175 | +58% | $82,561 | +90% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $154,359 | $154,359 | $58,067 | +166% | $46,066 | +235% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $154,175 | $154,175 | $32,666 | +372% | $18,478 | +734% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $152,002 | $152,002 | $127,991 | +19% | $61,832 | +146% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $151,037 | $151,037 | $138,272 | +9% | $55,097 | +174% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $150,731 | $150,731 | $65,894 | +129% | $35,114 | +329% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $150,669 | $150,669 | $150,669 | +0% | $63,984 | +135% | ≈354% of Medicare |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $150,332 | $150,332 | $50,505 | +198% | $53,868 | +179% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $149,899 | $149,899 | $77,099 | +94% | $32,204 | +365% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $149,388 | $149,388 | $46,483 | +221% | $32,689 | +357% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $148,853 | $148,853 | $113,386 | +31% | $47,583 | +213% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $147,381 | $147,381 | $102,170 | — | $56,960 | +159% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $147,336 | $147,336 | $58,002 | +154% | $36,375 | +305% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $146,359 | $146,359 | $34,141 | +329% | $23,141 | +532% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $146,174 | $146,174 | $92,277 | +58% | $36,933 | +296% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $146,029 | $146,029 | $145,372 | +0% | $88,307 | +65% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $145,786 | $145,786 | $56,832 | +157% | $31,758 | +359% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $145,574 | $145,574 | $37,734 | +286% | $22,532 | +546% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $144,740 | $144,740 | $109,111 | +33% | $64,152 | +126% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $143,982 | $143,982 | $83,465 | +73% | $58,043 | +148% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $142,931 | $142,931 | $54,225 | +164% | $33,607 | +325% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $142,556 | $142,556 | $133,884 | +6% | $83,065 | +72% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $142,336 | $142,336 | $71,924 | +98% | $62,821 | +127% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $142,258 | $142,258 | $84,133 | +69% | $52,908 | +169% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $141,693 | $141,693 | $72,843 | +95% | $80,018 | +77% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $140,633 | $140,633 | $47,005 | +199% | $29,109 | +383% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $138,427 | $138,427 | $133,588 | +4% | $66,853 | +107% | — |
| 813 | COAGULATION DISORDERS | $136,791 | $136,791 | $50,318 | +172% | $30,128 | +354% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $136,233 | $136,233 | $69,419 | +96% | $45,622 | +199% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $135,928 | $135,928 | $63,841 | +113% | $48,680 | +179% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $135,881 | — | $27,503 | +394% | $17,226 | +689% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $135,229 | $135,229 | $110,188 | +23% | $67,764 | +100% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $134,178 | $134,178 | $67,056 | +100% | $44,363 | +202% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $131,913 | $131,913 | $140,814 | −6% | $54,320 | +143% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $131,572 | $131,572 | $48,842 | +169% | $17,715 | +643% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $131,468 | $131,468 | $105,538 | +25% | $70,540 | +86% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $131,354 | $131,354 | $45,071 | +191% | $36,239 | +262% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $130,206 | $130,206 | $35,386 | +268% | $28,140 | +363% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $130,038 | $130,038 | $63,565 | +105% | $35,014 | +271% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $128,720 | $128,720 | $128,720 | +0% | $50,815 | +153% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $127,775 | $127,775 | $44,378 | +188% | $33,490 | +282% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $127,426 | $127,426 | $103,921 | +23% | $71,755 | +78% | — |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $126,363 | $126,363 | $52,103 | +143% | $35,584 | +255% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $125,575 | $125,575 | $65,392 | +92% | $45,817 | +174% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $123,745 | $123,745 | $54,459 | +127% | $29,633 | +318% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $123,538 | $123,538 | $84,970 | +45% | $58,832 | +110% | ≈378% of Medicare |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $122,741 | $122,741 | $91,260 | +34% | $39,409 | +211% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $121,733 | $121,733 | $77,812 | +56% | $55,162 | +121% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $119,566 | $119,566 | $88,041 | +36% | $42,126 | +184% | — |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $118,539 | $118,539 | $103,379 | +15% | $44,472 | +167% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $118,374 | $118,374 | $158,599 | −25% | $69,101 | +71% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $115,872 | $115,872 | $49,016 | +136% | $30,058 | +285% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $114,413 | $114,413 | $90,625 | +26% | $51,172 | +124% | ≈379% of Medicare |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $113,061 | $113,061 | $92,452 | +22% | $52,405 | +116% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $112,815 | $112,815 | $115,773 | −3% | $51,953 | +117% | — |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $112,749 | $112,749 | $39,457 | +186% | $23,297 | +384% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $112,409 | $112,409 | $50,524 | +122% | $29,924 | +276% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $112,171 | $112,171 | $41,965 | +167% | $30,394 | +269% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $112,125 | $112,125 | $94,173 | +19% | $59,537 | +88% | — |
| 100 | SEIZURES WITH MCC | $110,650 | $110,650 | $64,280 | +72% | $35,194 | +214% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $109,849 | $109,849 | $87,677 | +25% | $64,749 | +70% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $109,662 | $109,662 | $56,429 | +94% | $32,839 | +234% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $108,970 | $108,970 | $48,888 | +123% | $35,528 | +207% | — |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $108,886 | $108,886 | $69,422 | +57% | $40,232 | +171% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $108,371 | $108,371 | $46,479 | +133% | $40,583 | +167% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $108,240 | $108,240 | $53,299 | +103% | $28,134 | +285% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $107,790 | $107,790 | $50,396 | +114% | $43,080 | +150% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $106,219 | $106,219 | $63,615 | +67% | $54,313 | +96% | — |
| 102 | HEADACHES WITH MCC | $105,589 | $105,589 | $34,736 | +204% | $22,544 | +368% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $105,098 | $105,098 | $107,681 | −2% | $70,132 | +50% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $104,986 | $104,986 | $41,304 | +154% | $22,275 | +371% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $104,978 | $104,978 | $51,568 | +104% | $39,018 | +169% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $104,876 | $104,876 | $138,991 | −25% | $76,954 | +36% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $104,752 | $104,752 | $59,757 | +75% | $34,900 | +200% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $103,587 | $103,587 | $44,751 | +131% | $35,459 | +192% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $102,944 | $102,944 | $53,142 | +94% | $28,252 | +264% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $102,702 | $102,702 | $53,669 | +91% | $44,117 | +133% | ≈443% of Medicare |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $102,342 | $102,342 | $102,342 | +0% | $60,098 | +70% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $101,796 | $101,796 | $70,830 | +44% | $24,348 | +318% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $100,534 | $100,534 | $64,660 | +55% | $35,714 | +181% | ≈353% of Medicare |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $100,415 | $100,415 | $60,323 | +66% | $41,520 | +142% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $99,673 | $99,673 | $96,380 | +3% | $56,758 | +76% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $99,063 | $99,063 | $66,217 | +50% | $53,746 | +84% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $98,602 | $98,602 | $51,797 | +90% | $35,375 | +179% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $98,208 | $98,208 | $50,461 | +95% | $28,578 | +244% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $97,822 | $97,822 | $97,822 | +0% | $54,929 | +78% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $97,657 | $97,657 | $67,288 | +45% | $49,470 | +97% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $97,085 | $97,085 | $53,775 | +81% | $38,357 | +153% | ≈340% of Medicare |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $95,928 | $95,928 | $95,928 | +0% | $73,029 | +31% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $95,668 | $95,668 | $40,042 | +139% | $20,147 | +375% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $95,660 | $95,660 | $76,015 | +26% | $50,139 | +91% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $95,657 | $95,657 | $95,657 | +0% | $72,908 | +31% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $95,052 | $95,052 | $45,195 | +110% | $24,118 | +294% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $94,808 | $94,808 | $59,378 | +60% | $40,552 | +134% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $94,075 | $94,075 | $24,181 | +289% | $19,305 | +387% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $93,958 | $93,958 | $83,528 | +12% | $50,624 | +86% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $93,401 | $93,401 | $64,956 | +44% | $43,524 | +115% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $93,371 | $93,371 | $61,022 | +53% | $37,950 | +146% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $93,111 | $93,111 | $68,938 | +35% | $46,477 | +100% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $92,687 | $92,687 | $48,387 | +92% | $24,465 | +279% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $92,564 | $92,564 | $33,151 | +179% | $20,732 | +346% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $91,918 | $91,918 | $99,084 | −7% | $65,254 | +41% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $91,662 | $91,662 | $60,032 | +53% | $31,840 | +188% | ≈375% of Medicare |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $90,812 | $90,812 | $92,756 | −2% | $68,399 | +33% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $90,538 | $90,538 | $33,261 | +172% | $25,434 | +256% | — |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $90,324 | $90,324 | $37,175 | +143% | $25,390 | +256% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $90,214 | $90,214 | $60,052 | +50% | $52,332 | +72% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $89,615 | $89,615 | $40,351 | +122% | $31,978 | +180% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $89,584 | $89,584 | $57,723 | +55% | $31,909 | +181% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $89,462 | $89,462 | $47,791 | +87% | $36,333 | +146% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $89,105 | $89,105 | $96,681 | −8% | $64,776 | +38% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $86,054 | $86,054 | $32,703 | +163% | $24,022 | +258% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $85,211 | $85,211 | $39,554 | +115% | $25,267 | +237% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $84,894 | $84,894 | $78,050 | +9% | $56,394 | +51% | ≈244% of Medicare |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $83,783 | $83,783 | $59,101 | +42% | $37,842 | +121% | ≈333% of Medicare |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $83,057 | $83,057 | $83,057 | +0% | $36,242 | +129% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $82,955 | $82,955 | $53,913 | +54% | $42,119 | +97% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $81,741 | $81,741 | $65,314 | +25% | $56,964 | +43% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $81,616 | $81,616 | $68,284 | +20% | $16,571 | +393% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $81,563 | $81,563 | $61,489 | +33% | $33,137 | +146% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $81,543 | $81,543 | $56,759 | +44% | $28,967 | +182% | ≈383% of Medicare |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $81,356 | $81,356 | $64,095 | +27% | $43,775 | +86% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $81,159 | $81,159 | $55,887 | +45% | $39,563 | +105% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $81,058 | $81,058 | $63,061 | +29% | $35,237 | +130% | ≈277% of Medicare |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $81,042 | $81,042 | $81,042 | +0% | $57,149 | +42% | ≈226% of Medicare |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $80,847 | $80,847 | $51,278 | +58% | $43,266 | +87% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $80,587 | $80,587 | $34,814 | +131% | $18,191 | +343% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $80,415 | $80,415 | $64,291 | +25% | $38,885 | +107% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $80,291 | $80,291 | $73,502 | +9% | $41,900 | +92% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $80,140 | $80,140 | $54,208 | +48% | $25,020 | +220% | ≈416% of Medicare |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $79,200 | $79,200 | $94,661 | −16% | $54,475 | +45% | — |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $78,101 | $78,101 | $54,040 | +45% | $27,548 | +184% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $77,820 | $77,820 | $39,573 | +97% | $28,780 | +170% | — |
| 504 | FOOT PROCEDURES WITH CC | $77,542 | $77,542 | $68,406 | +13% | $36,598 | +112% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $77,510 | $77,510 | $54,040 | +43% | $32,996 | +135% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $77,236 | $77,236 | $56,642 | +36% | $37,975 | +103% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $76,810 | $76,810 | $144,014 | −47% | $68,847 | +12% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $76,513 | $76,513 | $35,133 | +118% | $31,812 | +141% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $76,495 | $76,495 | $54,705 | +40% | $32,483 | +135% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $76,264 | $76,264 | $100,725 | −24% | $72,782 | +5% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $75,926 | $75,926 | $68,650 | +11% | $43,538 | +74% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $75,496 | $75,496 | $73,356 | +3% | $35,642 | +112% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $75,492 | $75,492 | $61,448 | +23% | $32,399 | +133% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $75,387 | $75,387 | $75,245 | +0% | $51,985 | +45% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $74,983 | $74,983 | $69,730 | +8% | $48,094 | +56% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $74,978 | $74,978 | $48,723 | +54% | $25,474 | +194% | — |
| 682 | RENAL FAILURE WITH MCC | $74,339 | $74,339 | $55,243 | +35% | $27,854 | +167% | ≈352% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $74,333 | $74,333 | $41,226 | +80% | $28,156 | +164% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $74,326 | $74,326 | $57,889 | +28% | $30,275 | +146% | ≈284% of Medicare |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $74,068 | $74,068 | $75,855 | −2% | $57,855 | +28% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $74,018 | $74,018 | $61,292 | +21% | $45,963 | +61% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $73,890 | $73,890 | $19,989 | +270% | $20,602 | +259% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $73,144 | $73,144 | $44,869 | +63% | $35,692 | +105% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $73,050 | $73,050 | $34,133 | +114% | $22,231 | +229% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $72,707 | $72,707 | $50,214 | +45% | $26,488 | +174% | ≈404% of Medicare |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $72,640 | $72,640 | $72,640 | +0% | $45,432 | +60% | — |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $72,601 | $72,601 | $40,007 | +81% | $27,321 | +166% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $72,124 | $72,124 | $72,124 | +0% | $88,691 | −19% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $71,584 | $71,584 | $46,918 | +53% | $31,716 | +126% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $71,258 | $71,258 | $25,519 | +179% | $17,550 | +306% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $70,776 | $70,776 | $79,782 | −11% | $45,497 | +56% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $70,390 | $70,390 | $59,218 | +19% | $31,816 | +121% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $70,131 | $70,131 | $44,759 | +57% | $28,983 | +142% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $69,920 | $69,920 | $57,102 | +22% | $29,558 | +137% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $69,909 | $69,909 | $51,603 | +35% | $35,542 | +97% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $69,726 | $69,726 | $69,924 | −0% | $44,553 | +57% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $69,422 | $69,422 | $31,607 | +120% | $20,777 | +234% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $68,570 | $68,570 | $68,570 | +0% | $43,800 | +57% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $68,489 | $68,489 | $47,934 | +43% | $27,118 | +153% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $68,330 | $68,330 | $52,396 | +30% | $25,704 | +166% | ≈373% of Medicare |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $68,320 | $68,320 | $59,211 | +15% | $39,747 | +72% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $68,208 | $68,208 | $49,088 | +39% | $24,202 | +182% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $68,048 | $68,048 | $55,031 | +24% | $30,358 | +124% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $67,923 | $67,923 | $34,988 | +94% | $11,633 | +484% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $67,860 | $67,860 | $62,362 | +9% | $38,836 | +75% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $67,772 | $67,772 | $69,694 | −3% | $36,658 | +85% | ≈268% of Medicare |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $67,742 | $67,742 | $39,555 | +71% | $23,749 | +185% | — |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $67,694 | $67,694 | $67,694 | +0% | $35,686 | +90% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $67,546 | $67,546 | $24,721 | +173% | $17,731 | +281% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $66,871 | $66,871 | $31,064 | +115% | $20,371 | +228% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $65,268 | $65,268 | $69,344 | −6% | $44,989 | +45% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $65,085 | $65,085 | $57,072 | +14% | $27,279 | +139% | — |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $64,655 | $64,655 | $35,937 | +80% | $24,544 | +163% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $64,305 | $64,305 | $52,404 | +23% | $29,371 | +119% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $64,131 | $64,131 | $54,086 | +19% | $32,502 | +97% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $64,100 | $64,100 | $36,098 | +78% | $24,177 | +165% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $63,938 | $63,938 | $41,877 | +53% | $24,190 | +164% | ≈383% of Medicare |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $63,836 | $63,836 | $46,508 | +37% | $26,158 | +144% | ≈333% of Medicare |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $63,649 | $63,649 | $52,291 | +22% | $24,480 | +160% | ≈330% of Medicare |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $63,530 | $63,530 | $38,963 | +63% | $27,369 | +132% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $63,273 | $63,273 | $42,636 | +48% | $23,115 | +174% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $63,067 | $63,067 | $64,317 | −2% | $41,660 | +51% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $63,052 | $63,052 | $44,419 | +42% | $34,887 | +81% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $62,979 | $62,979 | $21,539 | +192% | $13,890 | +353% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $62,782 | $62,782 | $61,292 | +2% | $49,197 | +28% | ≈239% of Medicare |
| 637 | DIABETES WITH MCC | $62,536 | $62,536 | $52,825 | +18% | $28,819 | +117% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $62,533 | $62,533 | $56,512 | +11% | $30,766 | +103% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $62,386 | $62,386 | $62,386 | +0% | $31,086 | +101% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $62,373 | $62,373 | $59,878 | +4% | $28,375 | +120% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $62,326 | $62,326 | $43,657 | +43% | $29,805 | +109% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $61,854 | $61,854 | $28,636 | +116% | $19,854 | +212% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $61,826 | $61,826 | $47,806 | +29% | $25,854 | +139% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $61,765 | $61,765 | $59,164 | +4% | $36,237 | +70% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $61,588 | $61,588 | $33,021 | +87% | $21,181 | +191% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $61,218 | $61,218 | $34,744 | +76% | $22,431 | +173% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $60,962 | $60,962 | $48,122 | +27% | $23,396 | +161% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $60,321 | $60,321 | $51,961 | +16% | $19,579 | +208% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $59,884 | $59,884 | $30,573 | +96% | $17,700 | +238% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $59,320 | $59,320 | $37,039 | +60% | $29,031 | +104% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $59,244 | $59,244 | $15,217 | +289% | $18,608 | +218% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $59,131 | $59,131 | $45,806 | +29% | $29,757 | +99% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $59,000 | $59,000 | $27,453 | +115% | $29,524 | +100% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $58,541 | $58,541 | $43,358 | +35% | $29,374 | +99% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $58,488 | $58,488 | $34,793 | +68% | $25,243 | +132% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $58,413 | $58,413 | $36,241 | +61% | $20,844 | +180% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $58,157 | $58,157 | $51,226 | +14% | $34,852 | +67% | — |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $57,856 | $57,856 | $57,856 | +0% | $40,947 | +41% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $57,701 | $57,701 | $90,605 | −36% | $54,129 | +7% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $57,399 | $57,399 | $29,188 | +97% | $17,585 | +226% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $57,366 | $57,366 | $35,251 | +63% | $21,806 | +163% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $57,250 | $57,250 | $65,240 | −12% | $50,011 | +14% | — |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $57,145 | $57,145 | $49,307 | +16% | $30,972 | +85% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $56,957 | $56,957 | $31,527 | +81% | $16,703 | +241% | — |
| 935 | NON-EXTENSIVE BURNS | $56,764 | $56,764 | $44,233 | +28% | $29,458 | +93% | — |
| 694 | URINARY STONES WITHOUT MCC | $56,475 | $56,475 | $25,401 | +122% | $16,531 | +242% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $56,315 | $56,315 | $35,063 | +61% | $23,571 | +139% | — |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $56,311 | $56,311 | $56,311 | +0% | $31,044 | +81% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $56,248 | $56,248 | $71,435 | −21% | $74,257 | −24% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $56,129 | $56,129 | $54,758 | +3% | $31,128 | +80% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $56,001 | $56,001 | $82,071 | −32% | $46,659 | +20% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $55,903 | $55,903 | $24,358 | +130% | $16,634 | +236% | — |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $55,764 | $55,764 | $53,367 | +4% | $28,634 | +95% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $55,720 | $55,720 | $30,357 | +84% | $19,815 | +181% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $55,703 | $55,703 | $55,703 | +0% | $41,380 | +35% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $55,524 | $55,524 | $48,410 | +15% | $31,062 | +79% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $55,104 | $55,104 | $34,718 | +59% | $20,842 | +164% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $54,707 | $54,707 | $54,707 | +0% | $52,435 | +4% | — |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $54,490 | $54,490 | $41,954 | +30% | $22,811 | +139% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $54,470 | $54,470 | $36,415 | +50% | $25,623 | +113% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $54,355 | $54,355 | $59,394 | −8% | $40,563 | +34% | — |
| 199 | PNEUMOTHORAX WITH MCC | $54,014 | $54,014 | $60,022 | −10% | $31,491 | +72% | — |
| 089 | CONCUSSION WITH CC | $53,980 | $53,980 | $53,586 | +1% | $18,293 | +195% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $53,467 | $53,467 | $64,854 | −18% | $56,519 | −5% | ≈175% of Medicare |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $53,256 | $53,256 | $109,304 | −51% | $64,956 | −18% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $52,917 | $52,917 | $52,917 | +0% | $39,253 | +35% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $52,809 | $52,809 | $39,944 | +32% | $27,492 | +92% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $52,748 | $52,748 | $52,748 | +0% | $27,244 | +94% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $52,553 | $52,553 | $44,316 | +19% | $25,786 | +104% | — |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $52,453 | $52,453 | $36,148 | +45% | $15,901 | +230% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $51,888 | $51,888 | $28,651 | +81% | $18,081 | +187% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $51,651 | $51,651 | $42,225 | +22% | $20,463 | +152% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $51,554 | $51,554 | $43,487 | +19% | $31,190 | +65% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $51,533 | $51,533 | $61,978 | −17% | $23,469 | +120% | ≈357% of Medicare |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $51,417 | $51,417 | $51,417 | +0% | $24,432 | +110% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $51,351 | $51,351 | $51,351 | +0% | $33,424 | +54% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $51,324 | $51,324 | $45,416 | +13% | $30,006 | +71% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $51,292 | $51,292 | $30,222 | +70% | $17,383 | +195% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $51,280 | $51,280 | $77,635 | −34% | $37,064 | +38% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $50,357 | $50,357 | $23,864 | +111% | $14,110 | +257% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $50,304 | $50,304 | $65,418 | −23% | $30,940 | +63% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $50,284 | $50,284 | $32,642 | +54% | $20,084 | +150% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $49,969 | $49,969 | $41,809 | +20% | $22,850 | +119% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $49,116 | $49,116 | $31,048 | +58% | $19,326 | +154% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $48,655 | $48,655 | $42,465 | +15% | $24,136 | +102% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $48,574 | $48,574 | $33,959 | +43% | $19,096 | +154% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $48,373 | $48,373 | $27,927 | +73% | $18,278 | +165% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $48,315 | $48,315 | $53,950 | −10% | $40,694 | +19% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $48,109 | $48,109 | $39,928 | +20% | $24,316 | +98% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $47,963 | $47,963 | $64,326 | −25% | $42,881 | +12% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $47,888 | $47,888 | $47,430 | +1% | $33,165 | +44% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $47,610 | $47,610 | $47,610 | +0% | $22,982 | +107% | ≈273% of Medicare |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $47,522 | $47,522 | $34,964 | +36% | $22,560 | +111% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $47,425 | $47,425 | $60,314 | −21% | $48,682 | −3% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $47,382 | $47,382 | $25,301 | +87% | $13,824 | +243% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $47,286 | $47,286 | $77,788 | −39% | $39,093 | +21% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $47,058 | $47,058 | $35,456 | +33% | $16,866 | +179% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $46,988 | $46,988 | $66,018 | −29% | $43,697 | +8% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $46,976 | $46,976 | $25,914 | +81% | $16,104 | +192% | — |
| 200 | PNEUMOTHORAX WITH CC | $46,414 | $46,414 | $33,057 | +40% | $20,573 | +126% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $46,195 | $46,195 | $40,339 | +15% | $23,496 | +97% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $45,845 | $45,845 | $42,383 | +8% | $21,029 | +118% | — |
| 602 | CELLULITIS WITH MCC | $45,821 | $45,821 | $52,777 | −13% | $29,347 | +56% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $45,730 | $45,730 | $45,730 | +0% | $30,974 | +48% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $45,677 | $45,677 | $73,024 | −37% | $54,824 | −17% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $45,569 | $45,569 | $28,658 | +59% | $19,569 | +133% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $45,530 | $45,530 | $43,920 | +4% | $21,213 | +115% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $45,355 | $45,355 | $50,263 | −10% | $24,036 | +89% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $45,178 | $45,178 | $31,147 | +45% | $17,103 | +164% | — |
| 103 | HEADACHES WITHOUT MCC | $44,923 | $44,923 | $36,280 | +24% | $20,111 | +123% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $44,874 | $44,874 | $64,684 | −31% | $34,901 | +29% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $44,582 | $44,582 | $39,398 | +13% | $19,483 | +129% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $44,483 | $44,483 | $31,257 | +42% | $22,713 | +96% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $44,322 | $44,322 | $26,458 | +68% | $18,133 | +144% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $44,095 | $44,095 | $47,200 | −7% | $34,354 | +28% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $43,924 | $43,924 | $43,924 | +0% | $31,520 | +39% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $43,915 | $43,915 | $35,229 | +25% | $17,928 | +145% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $43,312 | $43,312 | $43,312 | +0% | $20,309 | +113% | — |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $43,249 | $43,249 | $26,620 | +62% | $13,822 | +213% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $43,237 | $43,237 | $43,237 | +0% | $16,745 | +158% | ≈379% of Medicare |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $43,173 | $43,173 | $43,173 | +0% | $30,930 | +40% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $43,011 | $43,011 | $32,504 | +32% | $20,007 | +115% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $42,688 | $42,688 | $35,206 | +21% | $26,020 | +64% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $42,599 | $42,599 | $40,885 | +4% | $20,938 | +103% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $42,543 | $42,543 | $42,543 | +0% | $28,924 | +47% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $42,504 | $42,504 | $42,504 | +0% | $37,902 | +12% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $42,489 | $42,489 | $102,999 | −59% | $57,479 | −26% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $42,411 | $42,411 | $29,009 | +46% | $21,261 | +99% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $42,237 | $42,237 | $31,556 | +34% | $24,980 | +69% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $42,197 | $42,197 | $41,701 | +1% | $21,886 | +93% | ≈293% of Medicare |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $41,902 | $41,902 | $50,376 | −17% | $28,646 | +46% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $41,900 | $41,900 | $32,179 | +30% | $20,106 | +108% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $41,784 | $41,784 | $29,105 | +44% | $16,212 | +158% | ≈314% of Medicare |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $40,860 | $40,860 | $38,521 | +6% | $22,781 | +79% | ≈285% of Medicare |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $40,737 | $40,737 | $38,240 | +7% | $18,002 | +126% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $40,604 | $40,604 | $37,831 | +7% | $18,291 | +122% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $40,362 | $40,362 | $42,585 | −5% | $39,657 | +2% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $40,108 | $40,108 | $30,544 | +31% | $17,108 | +134% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $40,054 | $40,054 | $31,425 | +27% | $17,273 | +132% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $39,814 | $39,814 | $29,917 | +33% | $16,049 | +148% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $39,776 | $39,776 | $31,032 | +28% | $15,593 | +155% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $39,767 | $39,767 | $32,299 | +23% | $18,238 | +118% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $39,737 | $39,737 | $31,867 | +25% | $20,080 | +98% | — |
| 503 | FOOT PROCEDURES WITH MCC | $39,428 | $39,428 | $86,030 | −54% | $43,901 | −10% | — |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $39,384 | $39,384 | $39,384 | +0% | $28,103 | +40% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $39,249 | $39,249 | $25,915 | +51% | $17,700 | +122% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $39,203 | $39,203 | $41,718 | −6% | $29,729 | +32% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $38,887 | $38,887 | $44,326 | −12% | $24,879 | +56% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $38,595 | $38,595 | $24,384 | +58% | $16,654 | +132% | — |
| 187 | PLEURAL EFFUSION WITH CC | $38,503 | $38,503 | $32,634 | +18% | $21,467 | +79% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $38,190 | $38,190 | $42,400 | −10% | $27,934 | +37% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $38,051 | $38,051 | $38,051 | +0% | $20,727 | +84% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $38,034 | $38,034 | $38,034 | +0% | $27,219 | +40% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $37,989 | $37,989 | $32,036 | +19% | $18,282 | +108% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $37,825 | $37,825 | $29,974 | +26% | $17,943 | +111% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $37,451 | $37,451 | $28,378 | +32% | $23,588 | +59% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $37,338 | $37,338 | $21,681 | +72% | $16,719 | +123% | — |
| 304 | HYPERTENSION WITH MCC | $37,248 | $37,248 | $47,503 | −22% | $24,185 | +54% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $37,239 | $37,239 | $36,539 | +2% | $25,162 | +48% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $37,238 | $37,238 | $32,941 | +13% | $25,010 | +49% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $37,204 | $37,204 | $33,013 | +13% | $22,024 | +69% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $37,190 | $37,190 | $32,093 | +16% | $18,918 | +97% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $37,125 | $37,125 | $35,478 | +5% | $19,795 | +88% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $37,034 | $37,034 | $25,864 | +43% | $15,045 | +146% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $36,853 | $36,853 | $35,174 | +5% | $24,452 | +51% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $36,816 | $36,816 | $33,426 | +10% | $19,001 | +94% | — |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $36,593 | $36,593 | $36,593 | +0% | $22,557 | +62% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $36,585 | $36,585 | $36,585 | +0% | $14,880 | +146% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $36,528 | $36,528 | $30,263 | +21% | $17,388 | +110% | ≈304% of Medicare |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $36,344 | $36,344 | $28,899 | +26% | $17,367 | +109% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $36,315 | $36,315 | $30,065 | +21% | $17,195 | +111% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $36,113 | $36,113 | $25,278 | +43% | $15,858 | +128% | — |
| 539 | OSTEOMYELITIS WITH MCC | $36,061 | $36,061 | $53,348 | −32% | $33,746 | +7% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $35,980 | $35,980 | $29,000 | +24% | $16,642 | +116% | — |
| 638 | DIABETES WITH CC | $35,548 | $35,548 | $29,816 | +19% | $18,821 | +89% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $35,410 | $35,410 | $20,288 | +75% | $12,013 | +195% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $35,300 | $35,300 | $46,983 | −25% | $40,063 | −12% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $35,167 | $35,167 | $33,122 | +6% | $23,924 | +47% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $35,138 | $35,138 | $45,246 | −22% | $25,208 | +39% | — |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $35,101 | $35,101 | $30,512 | +15% | $34,264 | +2% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $34,993 | $34,993 | $23,545 | +49% | $18,623 | +88% | — |
| 312 | SYNCOPE AND COLLAPSE | $34,978 | $34,978 | $32,579 | +7% | $19,342 | +81% | — |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $34,878 | $34,878 | $34,878 | +0% | $37,654 | −7% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $34,849 | $34,849 | $23,016 | +51% | $14,166 | +146% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $34,618 | $34,618 | $26,511 | +31% | $20,842 | +66% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $34,516 | $34,516 | $29,602 | +17% | $18,017 | +92% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $34,020 | $34,020 | $36,655 | −7% | $24,017 | +42% | — |
| 683 | RENAL FAILURE WITH CC | $33,990 | $33,990 | $33,211 | +2% | $18,620 | +83% | ≈254% of Medicare |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $33,985 | $33,985 | $33,985 | +0% | $29,663 | +15% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $33,895 | $33,895 | $28,252 | +20% | $14,337 | +136% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $33,551 | $33,551 | $21,480 | +56% | $13,081 | +156% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $33,326 | $33,326 | $41,414 | −20% | $40,065 | −17% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $32,980 | $32,980 | $22,809 | +45% | $19,091 | +73% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $32,861 | $32,861 | $24,820 | +32% | $16,865 | +95% | ≈296% of Medicare |
| 150 | EPISTAXIS WITH MCC | $32,834 | $32,834 | $38,881 | −16% | $21,133 | +55% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $32,411 | $32,411 | $55,782 | −42% | $38,094 | −15% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $32,325 | $32,325 | $32,483 | −0% | $20,488 | +58% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $32,198 | $32,198 | $28,249 | +14% | $16,156 | +99% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $32,127 | $32,127 | $32,127 | +0% | $28,527 | +13% | — |
| 639 | DIABETES WITHOUT CC/MCC | $31,881 | $31,881 | $25,780 | +24% | $13,910 | +129% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $31,731 | $31,731 | $26,736 | +19% | $25,307 | +25% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $31,439 | $31,439 | $40,176 | −22% | $33,792 | −7% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $31,090 | $31,090 | $24,416 | +27% | $18,253 | +70% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $30,935 | $30,935 | $26,422 | +17% | $15,600 | +98% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $30,877 | $30,877 | $32,011 | −4% | $21,545 | +43% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $30,829 | $30,829 | $30,667 | +1% | $17,322 | +78% | ≈268% of Medicare |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $30,790 | $30,790 | $28,683 | +7% | $18,204 | +69% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $30,538 | $30,538 | $20,754 | +47% | $14,208 | +115% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $30,458 | $30,458 | $25,019 | +22% | $19,894 | +53% | — |
| 548 | SEPTIC ARTHRITIS WITH MCC | $29,996 | $29,996 | $65,486 | −54% | $31,019 | −3% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $29,978 | $29,978 | $30,859 | −3% | $38,382 | −22% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $29,927 | $29,927 | $18,114 | +65% | $13,623 | +120% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $29,741 | $29,741 | $25,427 | +17% | $15,070 | +97% | — |
| 603 | CELLULITIS WITHOUT MCC | $29,614 | $29,614 | $32,700 | −9% | $18,530 | +60% | ≈230% of Medicare |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $29,487 | $29,487 | $30,870 | −4% | $14,861 | +98% | — |
| 101 | SEIZURES WITHOUT MCC | $29,457 | $29,457 | $29,946 | −2% | $19,954 | +48% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $29,038 | $29,038 | $20,694 | +40% | $14,134 | +105% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $28,795 | $28,795 | $28,795 | +0% | $24,450 | +18% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $28,774 | $28,774 | $26,925 | +7% | $24,561 | +17% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $28,694 | $28,694 | $26,442 | +9% | $25,731 | +12% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $28,557 | $28,557 | $31,986 | −11% | $20,278 | +41% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $28,545 | $28,545 | $28,662 | −0% | $22,941 | +24% | — |
| 540 | OSTEOMYELITIS WITH CC | $28,514 | $28,514 | $28,514 | +0% | $23,494 | +21% | — |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $28,310 | $28,310 | $28,310 | +0% | $16,495 | +72% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $28,286 | $28,286 | $56,264 | −50% | $30,944 | −9% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $27,850 | $27,850 | $54,473 | −49% | $29,484 | −6% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $27,741 | $27,741 | $47,065 | −41% | $29,211 | −5% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $27,418 | $27,418 | $49,006 | −44% | $32,936 | −17% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $27,295 | $27,295 | $32,028 | −15% | $17,466 | +56% | ≈232% of Medicare |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $27,286 | $27,286 | $28,593 | −5% | $18,150 | +50% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $27,173 | $27,173 | $26,841 | +1% | $24,836 | +9% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $27,077 | $27,077 | $27,077 | +0% | $21,449 | +26% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $27,044 | $27,044 | $23,389 | +16% | $12,537 | +116% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $26,917 | $26,917 | $26,917 | +0% | $15,869 | +70% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $26,494 | $26,494 | $44,107 | −40% | $40,548 | −35% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $26,304 | $26,304 | $27,746 | −5% | $17,412 | +51% | — |
| 881 | DEPRESSIVE NEUROSES | $26,212 | $26,212 | $17,544 | +49% | $15,058 | +74% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $26,151 | $26,151 | $26,151 | +0% | $20,968 | +25% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $26,056 | $26,056 | $23,187 | +12% | $15,607 | +67% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $25,788 | $25,788 | $25,361 | +2% | $15,876 | +62% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $25,717 | $25,717 | $27,767 | −7% | $26,146 | −2% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $25,582 | $25,582 | $34,325 | −25% | $17,727 | +44% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $25,470 | $25,470 | $26,590 | −4% | $14,284 | +78% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $24,976 | $24,976 | $26,680 | −6% | $15,474 | +61% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $24,829 | $24,829 | $30,027 | −17% | $19,287 | +29% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $24,767 | $24,767 | $59,072 | −58% | $32,981 | −25% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $24,602 | $24,602 | $26,511 | −7% | $19,868 | +24% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $24,574 | $24,574 | $22,129 | +11% | $13,198 | +86% | — |
| 885 | PSYCHOSES | $24,340 | $24,340 | $23,861 | +2% | $21,489 | +13% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $24,251 | $24,251 | $34,190 | −29% | $35,569 | −32% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $23,976 | $23,976 | $18,715 | +28% | $13,384 | +79% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $23,588 | $23,588 | $25,225 | −6% | $15,370 | +53% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $23,275 | $23,275 | $38,304 | −39% | $32,468 | −28% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $22,951 | $22,951 | $20,483 | +12% | $12,405 | +85% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $22,882 | $22,882 | $22,708 | +1% | $13,090 | +75% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $22,743 | $22,743 | $69,660 | −67% | $59,207 | −62% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $22,350 | $22,350 | $21,519 | +4% | $14,128 | +58% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $22,349 | $22,349 | $31,460 | −29% | $49,631 | −55% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $21,976 | $21,976 | $24,666 | −11% | $9,385 | +134% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $21,970 | $21,970 | $17,784 | +24% | $12,895 | +70% | — |
| 313 | CHEST PAIN | $21,808 | $21,808 | $24,891 | −12% | $15,962 | +37% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $21,280 | $21,280 | $21,280 | +0% | $15,655 | +36% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $21,207 | $21,207 | $26,305 | −19% | $27,457 | −23% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $20,833 | $20,833 | $21,663 | −4% | $14,473 | +44% | — |
| 779 | ABORTION WITHOUT D&C | $20,607 | $20,607 | $21,552 | −4% | $15,327 | +34% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $20,569 | $20,569 | $20,569 | +0% | $12,279 | +68% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $20,229 | $20,229 | $32,704 | −38% | $18,803 | +8% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $19,860 | $19,860 | $17,417 | +14% | $12,381 | +60% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $19,764 | $19,764 | $27,900 | −29% | $15,636 | +26% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $19,664 | $19,664 | $23,853 | −18% | $13,318 | +48% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $19,020 | $19,020 | $19,685 | −3% | $12,044 | +58% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $18,977 | $18,977 | $19,032 | −0% | $15,077 | +26% | — |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $18,965 | $18,965 | $18,965 | +0% | $11,997 | +58% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $18,756 | $18,756 | $18,756 | +0% | $13,485 | +39% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $18,487 | $18,487 | $31,547 | −41% | $17,522 | +6% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $18,264 | $18,264 | $20,475 | −11% | $15,072 | +21% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $18,096 | $18,096 | $27,303 | −34% | $26,322 | −31% | — |
| 865 | VIRAL ILLNESS WITH MCC | $17,577 | $17,577 | $33,152 | −47% | $26,088 | −33% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $17,489 | $17,489 | $17,489 | +0% | $12,797 | +37% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $17,106 | $17,106 | $23,356 | −27% | $22,698 | −25% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $16,600 | $16,600 | $21,940 | −24% | $18,428 | −10% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $16,498 | $16,498 | $15,038 | +10% | $9,076 | +82% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $15,528 | $15,528 | $26,435 | −41% | $29,853 | −48% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $15,462 | $15,462 | $22,774 | −32% | $15,284 | +1% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $14,533 | $14,533 | $20,215 | −28% | $13,368 | +9% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $14,511 | $14,511 | $9,534 | +52% | $7,961 | +82% | — |
| 149 | DYSEQUILIBRIUM | $14,464 | $14,464 | $23,758 | −39% | $17,203 | −16% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $12,687 | $12,687 | $19,060 | −33% | $11,955 | +6% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $11,937 | $11,937 | $24,566 | −51% | $16,776 | −29% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,476 | $11,476 | $26,520 | −57% | $16,391 | −30% | — |
| 795 | NORMAL NEWBORN | $10,965 | $10,965 | $5,256 | +109% | $4,530 | +142% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $10,598 | $10,598 | $22,636 | −53% | $14,441 | −27% | — |
| 697 | URETHRAL STRICTURE | $9,274 | $9,274 | $16,196 | −43% | $17,705 | −48% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $7,166 | $7,166 | $12,583 | −43% | $13,303 | −46% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $7,121 | $7,121 | $17,942 | −60% | $16,837 | −58% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $6,201 | $6,201 | $17,835 | −65% | $13,527 | −54% | — |
| 593 | SKIN ULCERS WITH CC | $5,993 | $5,993 | $39,743 | −85% | $20,470 | −71% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $4,998 | $4,998 | $16,241 | −69% | $14,444 | −65% | — |
Procedures with negotiated rates only
These 4 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | — | 13 plans |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | — | 12 plans |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $17,659 – $17,659 · median $17,659 | 1 plans |
| 592 | SKIN ULCERS WITH MCC | $26,877 – $26,877 · median $26,877 | 1 plans |
No procedures match that keyword.