Fairbanks Memorial Hospital — Pricing
522 procedures published in this hospital's Machine-Readable File (MRF) — 519 with a comparable price, 3 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 522
Lowest published price $364
Average published price $69,554
Highest published price $529,962
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
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
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 522 procedures
Published charges
Showing all 519 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 30 procedures, this hospital's negotiated rates average ≈264% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. AK median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 592 | SKIN ULCERS WITH MCC | $529,962 | — | $62,415 | +749% | $32,662 | +1523% | — |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $491,695 | $467,110 | $251,508 | +95% | $143,242 | +243% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $450,639 | $428,107 | $459,298 | −2% | $245,241 | +84% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $421,919 | $400,823 | $348,605 | +21% | $151,029 | +179% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $400,080 | $380,076 | $229,712 | +74% | $131,961 | +203% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $373,611 | $354,931 | $144,014 | +159% | $68,847 | +443% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $350,088 | $332,584 | $197,663 | +77% | $138,008 | +154% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $305,684 | $290,400 | $184,616 | +66% | $116,058 | +163% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $293,010 | $278,359 | $45,730 | +541% | $30,974 | +846% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $292,390 | $277,771 | $94,044 | +211% | $62,961 | +364% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $254,981 | $242,232 | $94,122 | +171% | $68,880 | +270% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $251,349 | $238,781 | $54,707 | +359% | $52,435 | +379% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $251,065 | $238,512 | $134,024 | +87% | $87,018 | +189% | ≈293% of Medicare |
| 548 | SEPTIC ARTHRITIS WITH MCC | $247,355 | $234,987 | $65,486 | +278% | $31,019 | +697% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $234,211 | $222,501 | $158,599 | +48% | $69,101 | +239% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $226,731 | $215,394 | $140,513 | +61% | $86,390 | +162% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $224,106 | $212,901 | $94,794 | +136% | $47,277 | +374% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $216,324 | $205,508 | $152,317 | +42% | $43,491 | +397% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $211,490 | $200,915 | $173,784 | +22% | $99,423 | +113% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $208,490 | $198,066 | $111,506 | +87% | $68,508 | +204% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $207,530 | $197,154 | $133,588 | +55% | $66,853 | +210% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $205,809 | $195,519 | $97,067 | +112% | $46,402 | +344% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $202,980 | $192,831 | $73,648 | +176% | $36,202 | +461% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $202,401 | $192,281 | $130,051 | +56% | $60,140 | +237% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $195,112 | $185,356 | $102,999 | +89% | $57,479 | +239% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $193,433 | $183,761 | $151,230 | +28% | $91,329 | +112% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $191,628 | $182,047 | $150,669 | +27% | $63,984 | +199% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $189,821 | $180,330 | $128,283 | +48% | $68,006 | +179% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $187,524 | $178,148 | $138,272 | +36% | $55,097 | +240% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $185,667 | $176,383 | $172,168 | +8% | $102,177 | +82% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $185,592 | $176,313 | $53,124 | +249% | $36,334 | +411% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $184,743 | $175,506 | $140,814 | +31% | $54,320 | +240% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $182,446 | $173,323 | $178,921 | +2% | $86,953 | +110% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $181,138 | $172,081 | $47,200 | +284% | $34,354 | +427% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $178,325 | $169,409 | $94,661 | +88% | $54,475 | +227% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $176,263 | $167,449 | $99,175 | +78% | $82,561 | +113% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $174,741 | $166,004 | $115,773 | +51% | $51,953 | +236% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $172,854 | $164,211 | $92,538 | +87% | $74,274 | +133% | ≈348% of Medicare |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $169,482 | $161,008 | $206,053 | −18% | $120,587 | +41% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $167,292 | $158,928 | $111,968 | +49% | $71,014 | +136% | — |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $167,265 | $158,902 | $99,745 | +68% | $53,555 | +212% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $165,393 | $157,123 | $107,681 | +54% | $70,132 | +136% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $164,795 | $156,555 | $138,087 | +19% | $65,383 | +152% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $162,250 | $154,138 | $90,605 | +79% | $54,129 | +200% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $160,403 | $152,383 | $149,263 | +7% | $88,050 | +82% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $159,869 | $151,876 | $56,264 | +184% | $30,944 | +417% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $155,439 | $147,667 | $113,386 | +37% | $47,583 | +227% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $154,144 | $146,436 | $64,063 | +141% | $49,710 | +210% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $153,315 | $145,649 | $50,376 | +204% | $28,646 | +435% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $153,039 | $145,387 | $94,173 | +63% | $59,537 | +157% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $149,973 | $142,474 | $83,498 | +80% | $62,269 | +141% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $149,710 | $142,225 | $96,681 | +55% | $64,776 | +131% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $149,670 | $142,186 | $82,071 | +82% | $46,659 | +221% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $147,902 | $140,507 | $128,720 | +15% | $50,815 | +191% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $145,072 | $137,818 | $114,142 | +27% | $72,859 | +99% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $141,466 | $134,392 | $103,861 | +36% | $66,819 | +112% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $136,731 | $129,895 | $77,788 | +76% | $39,093 | +250% | — |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $135,838 | $129,046 | $135,838 | +0% | $84,861 | +60% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $134,827 | $128,086 | $100,725 | +34% | $72,782 | +85% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $132,821 | $126,180 | $131,264 | +1% | $80,747 | +64% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $132,526 | $125,900 | $133,884 | −1% | $83,065 | +60% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $132,206 | $125,596 | $138,991 | −5% | $76,954 | +72% | — |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $132,069 | $125,465 | $83,026 | — | $33,983 | +289% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $131,205 | $124,645 | $63,615 | +106% | $54,313 | +142% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $130,519 | $123,993 | $58,809 | +122% | $54,772 | +138% | ≈488% of Medicare |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $130,420 | $123,899 | $113,053 | +15% | $62,524 | +109% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $129,100 | $122,645 | $146,411 | −12% | $87,565 | +47% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $128,266 | $121,853 | $68,650 | +87% | $43,538 | +195% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $126,286 | $119,972 | $99,117 | +27% | $44,600 | +183% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $126,235 | $119,924 | $91,378 | +38% | $30,814 | +310% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $125,967 | $119,668 | $65,240 | +93% | $50,011 | +152% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $125,193 | $118,933 | $81,814 | +53% | $53,141 | +136% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $124,666 | $118,433 | $104,160 | +20% | $57,277 | +118% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $124,512 | $118,287 | $50,263 | +148% | $24,036 | +418% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $121,654 | $115,572 | $92,452 | +32% | $52,405 | +132% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $120,560 | $114,532 | $75,245 | +60% | $51,985 | +132% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $119,508 | $113,533 | $119,508 | +0% | $83,441 | +43% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $119,390 | $113,420 | $87,874 | +36% | $57,963 | +106% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $115,590 | $109,810 | $110,188 | +5% | $67,764 | +71% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $114,402 | $108,682 | $88,041 | +30% | $42,126 | +172% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $113,868 | $108,175 | $75,855 | +50% | $57,855 | +97% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $113,818 | $108,127 | $109,304 | +4% | $64,956 | +75% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $111,340 | $105,773 | $46,983 | +137% | $40,063 | +178% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $110,194 | $104,684 | $83,057 | +33% | $36,242 | +204% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $109,357 | $103,889 | $53,950 | +103% | $40,694 | +169% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $108,073 | $102,669 | $50,793 | +113% | $41,380 | +161% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $107,603 | $102,223 | $77,635 | +39% | $37,064 | +190% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $107,285 | $101,921 | $61,870 | +73% | $36,280 | +196% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $105,341 | $100,074 | $56,759 | +86% | $28,967 | +264% | ≈411% of Medicare |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $103,921 | $98,724 | $103,921 | +0% | $71,755 | +45% | — |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $101,261 | $96,198 | $91,196 | +11% | $48,907 | +107% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $99,960 | $94,962 | $62,554 | +60% | $36,641 | +173% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $99,753 | $94,765 | $175,562 | −43% | $78,582 | +27% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $99,531 | $94,554 | $124,249 | −20% | $75,103 | +33% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $98,941 | $93,994 | $64,684 | +53% | $34,901 | +183% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $98,091 | $93,186 | $60,314 | +63% | $48,682 | +101% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $96,777 | $91,938 | $109,111 | −11% | $64,152 | +51% | — |
| 503 | FOOT PROCEDURES WITH MCC | $96,527 | $91,700 | $86,030 | +12% | $43,901 | +120% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $96,198 | $91,389 | $70,830 | +36% | $24,348 | +295% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $95,643 | $90,861 | $105,538 | −9% | $70,540 | +36% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $95,063 | $90,310 | $64,299 | +48% | $43,398 | +119% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $94,125 | $89,419 | $75,179 | +25% | $51,339 | +83% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $93,120 | $88,464 | $31,547 | +195% | $17,522 | +431% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $93,075 | $88,422 | $54,911 | +70% | $29,409 | +216% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $92,833 | $88,192 | $77,099 | +20% | $32,204 | +188% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $91,260 | $86,697 | $91,260 | +0% | $39,409 | +132% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $90,625 | $86,094 | $90,625 | +0% | $51,172 | +77% | ≈271% of Medicare |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $90,213 | $85,702 | $64,854 | +39% | $56,519 | +60% | ≈266% of Medicare |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $89,745 | $85,258 | $73,024 | +23% | $54,824 | +64% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $89,296 | $84,831 | $45,246 | +97% | $25,208 | +254% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $89,186 | $84,727 | $69,694 | +28% | $36,658 | +143% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $87,803 | $83,413 | $55,887 | +57% | $39,563 | +122% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $87,389 | $83,019 | $486,794 | −82% | $371,366 | −76% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $86,622 | $82,291 | $71,435 | +21% | $74,257 | +17% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $86,531 | $82,204 | $66,018 | +31% | $43,697 | +98% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $86,218 | $81,908 | $45,806 | +88% | $29,757 | +190% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $86,021 | $81,720 | $24,085 | +257% | $13,282 | +548% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $85,766 | $81,477 | $45,416 | +89% | $30,006 | +186% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $85,414 | $81,144 | $130,938 | −35% | $94,927 | −10% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $84,970 | $80,721 | $84,970 | +0% | $58,832 | +44% | ≈257% of Medicare |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $84,360 | $80,142 | $62,362 | +35% | $38,836 | +117% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $84,026 | $79,824 | $53,257 | +58% | $30,910 | +172% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $83,961 | $79,763 | $40,885 | +105% | $20,938 | +301% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $83,755 | $79,567 | $42,225 | +98% | $20,463 | +309% | — |
| 504 | FOOT PROCEDURES WITH CC | $83,701 | $79,516 | $68,406 | +22% | $36,598 | +129% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $83,692 | $79,507 | $78,050 | +7% | $56,394 | +48% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $83,528 | $79,351 | $83,528 | +0% | $50,624 | +65% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $82,717 | $78,581 | $73,886 | +12% | $71,701 | +15% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $82,650 | $78,517 | $64,326 | +28% | $42,881 | +93% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $82,500 | $78,375 | $47,610 | +73% | $22,982 | +259% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $81,809 | $77,718 | $83,874 | −2% | $40,277 | +103% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $81,351 | $77,283 | $52,404 | +55% | $29,371 | +177% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $80,823 | $76,781 | $21,539 | +275% | $13,890 | +482% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $79,709 | $75,724 | $69,660 | +14% | $59,207 | +35% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $78,993 | $75,044 | $61,022 | +29% | $37,950 | +108% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $78,134 | $74,227 | $54,473 | +43% | $29,484 | +165% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $78,008 | $74,108 | $68,284 | +14% | $16,571 | +371% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $77,838 | $73,946 | $63,061 | +23% | $35,237 | +121% | ≈241% of Medicare |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $77,603 | $73,723 | $64,660 | +20% | $35,714 | +117% | ≈242% of Medicare |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $77,112 | $73,257 | $43,487 | +77% | $31,190 | +147% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $76,175 | $72,366 | $73,502 | +4% | $41,900 | +82% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $75,644 | $71,862 | $83,465 | −9% | $58,043 | +30% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $75,440 | $71,668 | $64,956 | +16% | $43,524 | +73% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $75,419 | $71,648 | $64,317 | +17% | $41,660 | +81% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $74,398 | $70,678 | $57,135 | +30% | $35,673 | +109% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $74,290 | $70,576 | $77,812 | −5% | $55,162 | +35% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $73,714 | $70,029 | $48,410 | +52% | $31,062 | +137% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $73,457 | $69,784 | $55,782 | +32% | $38,094 | +93% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $72,168 | $68,560 | $34,744 | +108% | $22,431 | +222% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $72,157 | $68,549 | $65,152 | +11% | $52,319 | +38% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $71,297 | $67,732 | $70,499 | +1% | $36,850 | +93% | — |
| 539 | OSTEOMYELITIS WITH MCC | $70,434 | $66,913 | $53,348 | +32% | $33,746 | +109% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $70,300 | $66,785 | $46,104 | +52% | $18,459 | +281% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $69,947 | $66,450 | $37,806 | +85% | $21,062 | +232% | — |
| 100 | SEIZURES WITH MCC | $69,835 | $66,343 | $64,280 | +9% | $35,194 | +98% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $69,793 | $66,303 | $63,841 | +9% | $48,680 | +43% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $69,628 | $66,147 | $67,257 | +4% | $78,821 | −12% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $69,035 | $65,583 | $54,225 | +27% | $33,607 | +105% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $68,787 | $65,347 | $26,590 | +159% | $14,284 | +382% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $68,666 | $65,233 | $52,748 | +30% | $27,244 | +152% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $67,737 | $64,350 | $53,299 | +27% | $28,134 | +141% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $67,563 | $64,185 | $92,756 | −27% | $68,399 | −1% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $67,514 | $64,138 | $48,122 | +40% | $23,396 | +189% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $67,408 | $64,038 | $87,677 | −23% | $64,749 | +4% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $67,192 | $63,833 | $42,400 | +58% | $27,934 | +141% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $67,066 | $63,713 | $44,541 | +51% | $30,418 | +120% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $66,672 | $63,339 | $54,758 | +22% | $31,128 | +114% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $66,217 | $62,906 | $66,217 | +0% | $53,746 | +23% | — |
| 304 | HYPERTENSION WITH MCC | $66,054 | $62,751 | $47,503 | +39% | $24,185 | +173% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $65,908 | $62,613 | $67,288 | −2% | $49,470 | +33% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $65,901 | $62,606 | $30,573 | +116% | $17,700 | +272% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $65,669 | $62,386 | $72,843 | −10% | $80,018 | −18% | — |
| 813 | COAGULATION DISORDERS | $65,586 | $62,307 | $50,318 | +30% | $30,128 | +118% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $65,287 | $62,022 | $76,015 | −14% | $50,139 | +30% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $65,273 | $62,009 | $60,032 | +9% | $31,840 | +105% | ≈251% of Medicare |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $64,735 | $61,498 | $39,229 | +65% | $23,734 | +173% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $64,478 | $61,254 | $69,730 | −8% | $48,094 | +34% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $64,365 | $61,147 | $137,883 | −53% | $96,192 | −33% | — |
| 593 | SKIN ULCERS WITH CC | $64,038 | $60,836 | $39,743 | +61% | $20,470 | +213% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $63,756 | $60,568 | $59,101 | +8% | $37,842 | +68% | ≈214% of Medicare |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $63,749 | $60,561 | $65,894 | −3% | $35,114 | +82% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $63,703 | $60,518 | $43,920 | +45% | $21,213 | +200% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $63,641 | $60,459 | $51,417 | +24% | $24,432 | +160% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $63,401 | $60,231 | $45,071 | +41% | $36,239 | +75% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $63,077 | $59,923 | $52,291 | +21% | $24,480 | +158% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $62,410 | $59,289 | $57,889 | +8% | $30,275 | +106% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $62,192 | $59,083 | $92,277 | −33% | $36,933 | +68% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $61,978 | $58,880 | $61,978 | +0% | $23,469 | +164% | ≈401% of Medicare |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $61,876 | $58,783 | $21,673 | +186% | $11,847 | +422% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $61,866 | $58,773 | $41,546 | +49% | $31,846 | +94% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $61,746 | $58,659 | $51,278 | +20% | $43,266 | +43% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $61,545 | $58,467 | $43,231 | +42% | $23,350 | +164% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $61,496 | $58,422 | $74,709 | −18% | $76,583 | −20% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $60,938 | $57,891 | $84,133 | −28% | $52,908 | +15% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $60,132 | $57,125 | $34,988 | +72% | $11,633 | +417% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $60,073 | $57,069 | $77,253 | −22% | $52,313 | +15% | — |
| 199 | PNEUMOTHORAX WITH MCC | $60,022 | $57,021 | $60,022 | +0% | $31,491 | +91% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $59,765 | $56,777 | $36,098 | +66% | $24,177 | +147% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $59,744 | $56,757 | $59,744 | +0% | $49,065 | +22% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $59,723 | $56,737 | $56,832 | +5% | $31,758 | +88% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $59,397 | $56,428 | $42,543 | +40% | $28,924 | +105% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $59,272 | $56,309 | $26,925 | +120% | $24,561 | +141% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $59,219 | $56,258 | $47,516 | +25% | $32,451 | +82% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $58,961 | $56,013 | $25,864 | +128% | $15,045 | +292% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $58,133 | $55,227 | $32,093 | +81% | $18,918 | +207% | — |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $57,215 | $54,354 | $37,844 | — | $18,474 | +210% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $56,759 | $53,921 | $60,323 | −6% | $41,520 | +37% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $56,672 | $53,839 | $30,551 | +86% | $22,032 | +157% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $56,570 | $53,741 | $38,304 | +48% | $32,468 | +74% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $56,464 | $53,641 | $43,924 | +29% | $31,520 | +79% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $56,213 | $53,402 | $51,351 | +9% | $33,424 | +68% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $56,108 | $53,303 | $26,305 | +113% | $27,457 | +104% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $55,601 | $52,821 | $48,723 | +14% | $25,474 | +118% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $55,306 | $52,540 | $54,086 | +2% | $32,502 | +70% | — |
| 682 | RENAL FAILURE WITH MCC | $55,243 | $52,480 | $55,243 | +0% | $27,854 | +98% | ≈246% of Medicare |
| 885 | PSYCHOSES | $55,187 | $52,427 | $23,861 | +131% | $21,489 | +157% | ≈198% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MCC | $55,094 | $52,340 | $54,040 | +2% | $32,996 | +67% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $54,856 | $52,113 | $50,214 | +9% | $26,488 | +107% | — |
| 602 | CELLULITIS WITH MCC | $54,832 | $52,091 | $52,777 | +4% | $29,347 | +87% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $54,813 | $52,072 | $28,899 | +90% | $17,367 | +216% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $54,733 | $51,997 | $43,657 | +25% | $29,805 | +84% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $54,302 | $51,587 | $44,107 | +23% | $40,548 | +34% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $53,775 | $51,086 | $53,775 | +0% | $38,357 | +40% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $53,655 | $50,972 | $38,521 | +39% | $22,781 | +136% | ≈312% of Medicare |
| 139 | SALIVARY GLAND PROCEDURES | $53,385 | $50,716 | $44,629 | +20% | $21,014 | +154% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $53,245 | $50,583 | $58,002 | −8% | $36,375 | +46% | — |
| 089 | CONCUSSION WITH CC | $53,192 | $50,533 | $53,586 | −1% | $18,293 | +191% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $53,142 | $50,485 | $53,142 | +0% | $28,252 | +88% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $53,131 | $50,474 | $56,512 | −6% | $30,766 | +73% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $53,051 | $50,399 | $61,292 | −13% | $49,197 | +8% | — |
| 103 | HEADACHES WITHOUT MCC | $52,630 | $49,999 | $36,280 | +45% | $20,111 | +162% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $52,622 | $49,991 | $24,820 | +112% | $16,865 | +212% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $52,396 | $49,776 | $52,396 | +0% | $25,704 | +104% | ≈287% of Medicare |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $52,322 | $49,706 | $23,545 | +122% | $18,623 | +181% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $52,280 | $49,666 | $61,292 | −15% | $45,963 | +14% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $52,078 | $49,474 | $81,042 | −36% | $57,149 | −9% | — |
| 637 | DIABETES WITH MCC | $51,717 | $49,131 | $52,825 | −2% | $28,819 | +79% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $51,636 | $49,054 | $23,356 | +121% | $22,698 | +127% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $51,603 | $49,023 | $51,603 | +0% | $35,542 | +45% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $51,491 | $48,916 | $31,064 | +66% | $20,371 | +153% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $51,123 | $48,567 | $61,489 | −17% | $33,137 | +54% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $50,990 | $48,441 | $59,211 | −14% | $39,747 | +28% | ≈221% of Medicare |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $50,644 | $48,112 | $39,600 | +28% | $33,050 | +53% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $50,505 | $47,979 | $50,505 | +0% | $53,868 | −6% | — |
| 200 | PNEUMOTHORAX WITH CC | $50,234 | $47,722 | $33,057 | +52% | $20,573 | +144% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $49,911 | $47,416 | $40,339 | +24% | $23,496 | +112% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $49,678 | $47,194 | $59,757 | −17% | $34,900 | +42% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $49,320 | $46,854 | $64,291 | −23% | $38,885 | +27% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $49,142 | $46,685 | $40,176 | +22% | $33,792 | +45% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $49,129 | $46,673 | $42,585 | +15% | $39,657 | +24% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $49,126 | $46,670 | $78,958 | −38% | $25,426 | +93% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $48,842 | $46,400 | $48,842 | +0% | $17,715 | +176% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $48,340 | $45,923 | $41,414 | +17% | $40,065 | +21% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $48,334 | $45,918 | $48,334 | +0% | $35,770 | +35% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $48,065 | $45,662 | $53,669 | −10% | $44,117 | +9% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $47,989 | $45,590 | $58,067 | −17% | $46,066 | +4% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $47,927 | $45,531 | $34,325 | +40% | $17,727 | +170% | — |
| 312 | SYNCOPE AND COLLAPSE | $47,850 | $45,458 | $32,579 | +47% | $19,342 | +147% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $47,384 | $45,015 | $47,934 | −1% | $27,118 | +75% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $47,215 | $44,855 | $54,208 | −13% | $25,020 | +89% | ≈229% of Medicare |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $47,159 | $44,801 | $46,508 | +1% | $26,158 | +80% | ≈226% of Medicare |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $47,076 | $44,722 | $42,636 | +10% | $23,115 | +104% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $47,028 | $44,677 | $62,386 | −25% | $31,086 | +51% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $47,002 | $44,652 | $49,006 | −4% | $32,936 | +43% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $46,977 | $44,629 | $38,240 | +23% | $18,002 | +161% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $46,973 | $44,624 | $47,430 | −1% | $33,165 | +42% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $46,852 | $44,510 | $38,495 | — | $30,138 | +55% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $46,845 | $44,503 | $47,806 | −2% | $25,854 | +81% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $46,656 | $44,323 | $46,656 | +0% | $32,213 | +45% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $46,550 | $44,222 | $47,065 | −1% | $29,211 | +59% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $46,545 | $44,218 | $30,870 | +51% | $14,861 | +213% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $46,483 | $44,159 | $46,483 | +0% | $32,689 | +42% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $46,253 | $43,941 | $41,877 | +10% | $24,190 | +91% | ≈261% of Medicare |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $46,230 | $43,919 | $30,027 | +54% | $19,287 | +140% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $46,046 | $43,744 | $31,607 | +46% | $20,777 | +122% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $46,006 | $43,705 | $44,419 | +4% | $34,887 | +32% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $46,004 | $43,704 | $51,568 | −11% | $39,018 | +18% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $45,976 | $43,677 | $50,461 | −9% | $28,578 | +61% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $45,954 | $43,656 | $56,642 | −19% | $37,975 | +21% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $45,894 | $43,599 | $33,122 | +39% | $23,924 | +92% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $45,875 | $43,581 | $33,426 | +37% | $19,001 | +141% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $45,734 | $43,448 | $68,938 | −34% | $46,477 | −2% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $45,423 | $43,152 | $46,351 | −2% | $39,107 | +16% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $45,288 | $43,024 | $35,251 | +28% | $21,806 | +108% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $45,203 | $42,943 | $41,226 | +10% | $28,156 | +61% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $45,185 | $42,926 | $59,164 | −24% | $36,237 | +25% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $45,092 | $42,837 | $41,701 | +8% | $21,886 | +106% | ≈312% of Medicare |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $44,975 | $42,726 | $68,940 | −35% | $49,055 | −8% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $44,830 | $42,589 | $48,387 | −7% | $24,465 | +83% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $44,759 | $42,521 | $44,759 | +0% | $28,983 | +54% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $44,522 | $42,296 | $28,593 | +56% | $18,150 | +145% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $44,249 | $42,036 | $25,361 | +74% | $15,876 | +179% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $44,235 | $42,023 | $43,173 | +2% | $30,930 | +43% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $44,234 | $42,022 | $41,718 | +6% | $29,729 | +49% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $44,093 | $41,889 | $42,465 | +4% | $24,136 | +83% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $43,923 | $41,727 | $43,237 | +2% | $16,745 | +162% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $43,905 | $41,710 | $50,524 | −13% | $29,924 | +47% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $43,611 | $41,431 | $40,920 | +7% | $27,947 | +56% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $43,602 | $41,422 | $51,961 | −16% | $19,579 | +123% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $43,506 | $41,331 | $34,190 | +27% | $35,569 | +22% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $43,433 | $41,262 | $96,888 | −55% | $72,945 | −40% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $43,391 | $41,222 | $49,016 | −11% | $30,058 | +44% | ≈163% of Medicare |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $43,304 | $41,138 | $36,541 | +19% | $30,314 | +43% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $43,229 | $41,067 | $29,105 | +49% | $16,212 | +167% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $43,154 | $40,997 | $36,539 | +18% | $25,162 | +72% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $43,074 | $40,920 | $50,396 | −15% | $43,080 | −0% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $42,865 | $40,722 | $61,448 | −30% | $32,399 | +32% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $42,511 | $40,385 | $40,351 | +5% | $31,978 | +33% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $42,350 | $40,233 | $47,791 | −11% | $36,333 | +17% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $42,108 | $40,002 | $39,554 | +6% | $25,267 | +67% | ≈258% of Medicare |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $41,809 | $39,719 | $41,809 | +0% | $22,850 | +83% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $41,739 | $39,652 | $44,378 | −6% | $33,490 | +25% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $41,445 | $39,373 | $32,704 | +27% | $18,803 | +120% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $41,411 | $39,340 | $27,077 | +53% | $21,449 | +93% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $41,307 | $39,242 | $41,307 | +0% | $29,609 | +40% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $40,470 | $38,446 | $110,659 | −63% | $96,222 | −58% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $40,396 | $38,376 | $35,063 | +15% | $23,571 | +71% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $40,311 | $38,295 | $41,965 | −4% | $30,394 | +33% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $40,264 | $38,251 | $53,913 | −25% | $42,119 | −4% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $39,685 | $37,701 | $39,398 | +1% | $19,483 | +104% | ≈401% of Medicare |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $39,555 | $37,577 | $39,555 | +0% | $23,749 | +67% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $39,505 | $37,529 | $34,964 | +13% | $22,560 | +75% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $39,347 | $37,380 | $19,060 | +106% | $11,955 | +229% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $39,317 | $37,351 | $36,585 | +7% | $14,880 | +164% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $39,088 | $37,134 | $49,088 | −20% | $24,202 | +62% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $38,969 | $37,020 | $33,959 | +15% | $19,096 | +104% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $38,552 | $36,624 | $34,814 | +11% | $18,191 | +112% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $38,509 | $36,584 | $31,425 | +23% | $17,273 | +123% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $38,391 | $36,471 | $38,051 | +1% | $20,727 | +85% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $38,385 | $36,466 | $38,385 | +0% | $34,906 | +10% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $38,358 | $36,440 | $45,195 | −15% | $24,118 | +59% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $38,341 | $36,424 | $58,501 | −34% | $46,591 | −18% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $38,275 | $36,361 | $28,662 | +34% | $22,941 | +67% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $38,206 | $36,296 | $33,013 | +16% | $22,024 | +73% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $38,065 | $36,162 | $31,867 | +19% | $20,080 | +90% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $37,852 | $35,960 | $37,831 | +0% | $18,291 | +107% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $37,564 | $35,686 | $90,965 | −59% | $54,196 | −31% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $37,477 | $35,603 | $44,869 | −16% | $35,692 | +5% | — |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $37,306 | $35,440 | $54,040 | −31% | $27,548 | +35% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $37,258 | $35,395 | $35,478 | +5% | $19,795 | +88% | — |
| 638 | DIABETES WITH CC | $37,066 | $35,213 | $29,816 | +24% | $18,821 | +97% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $36,803 | $34,963 | $36,655 | +0% | $24,017 | +53% | — |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $36,590 | $34,760 | $14,355 | +155% | $8,927 | +310% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $36,121 | $34,315 | $52,377 | −31% | $38,420 | −6% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $35,865 | $34,072 | $32,642 | +10% | $20,084 | +79% | — |
| 603 | CELLULITIS WITHOUT MCC | $35,786 | $33,997 | $32,700 | +9% | $18,530 | +93% | ≈268% of Medicare |
| 305 | HYPERTENSION WITHOUT MCC | $35,721 | $33,935 | $35,721 | +0% | $17,144 | +108% | — |
| 665 | PROSTATECTOMY WITH MCC | $35,695 | $33,911 | $49,239 | −28% | $54,072 | −34% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $35,520 | $33,744 | $38,963 | −9% | $27,369 | +30% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $35,456 | $33,683 | $35,456 | +0% | $16,866 | +110% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $35,353 | $33,586 | $32,504 | +9% | $20,007 | +77% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $35,207 | $33,447 | $55,031 | −36% | $30,358 | +16% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $35,043 | $33,291 | $43,358 | −19% | $29,374 | +19% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $34,926 | $33,180 | $59,378 | −41% | $40,552 | −14% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $34,875 | $33,131 | $20,475 | +70% | $15,072 | +131% | — |
| 683 | RENAL FAILURE WITH CC | $34,820 | $33,079 | $33,211 | +5% | $18,620 | +87% | ≈249% of Medicare |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $34,793 | $33,053 | $34,793 | +0% | $25,243 | +38% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $34,628 | $32,896 | $29,917 | +16% | $16,049 | +116% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $34,614 | $32,883 | $24,384 | +42% | $16,654 | +108% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $34,553 | $32,826 | $33,083 | +4% | $19,686 | +76% | — |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $34,475 | $32,752 | $34,475 | +0% | $17,193 | +101% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $34,422 | $32,701 | $39,573 | −13% | $28,780 | +20% | — |
| 881 | DEPRESSIVE NEUROSES | $34,351 | $32,633 | $17,544 | +96% | $15,058 | +128% | ≈247% of Medicare |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $33,998 | $32,299 | $30,222 | +12% | $17,383 | +96% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $33,838 | $32,146 | $28,636 | +18% | $19,854 | +70% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $33,561 | $31,883 | $25,915 | +30% | $17,700 | +90% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $33,534 | $31,857 | $46,479 | −28% | $40,583 | −17% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $33,483 | $31,809 | $32,483 | +3% | $20,488 | +63% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $33,261 | $31,598 | $33,261 | +0% | $25,434 | +31% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $33,219 | $31,558 | $32,028 | +4% | $17,466 | +90% | ≈337% of Medicare |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $33,216 | $31,555 | $25,301 | +31% | $13,824 | +140% | — |
| 865 | VIRAL ILLNESS WITH MCC | $33,152 | $31,495 | $33,152 | +0% | $26,088 | +27% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $33,130 | $31,474 | $38,034 | −13% | $27,219 | +22% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $33,125 | $31,469 | $32,299 | +3% | $18,238 | +82% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $33,051 | $31,399 | $29,831 | +11% | $15,680 | +111% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $32,995 | $31,345 | $25,427 | +30% | $15,070 | +119% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $32,807 | $31,167 | $57,102 | −43% | $29,558 | +11% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $32,787 | $31,147 | $58,812 | −44% | $29,476 | +11% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $32,740 | $31,103 | $50,968 | −36% | $31,059 | +5% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $32,553 | $30,926 | $28,683 | +13% | $18,204 | +79% | ≈267% of Medicare |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $32,508 | $30,883 | $26,151 | +24% | $20,968 | +55% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $32,492 | $30,868 | $16,116 | +102% | $10,975 | +196% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $32,274 | $30,660 | $30,357 | +6% | $19,815 | +63% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $32,116 | $30,510 | $32,116 | +0% | $21,860 | +47% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $32,024 | $30,423 | $32,179 | −0% | $20,106 | +59% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $31,986 | $30,387 | $31,986 | +0% | $20,278 | +58% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $31,979 | $30,380 | $48,888 | −35% | $35,528 | −10% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $31,650 | $30,067 | $36,415 | −13% | $25,623 | +24% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $31,429 | $29,858 | $32,703 | −4% | $24,022 | +31% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $31,341 | $29,774 | $17,489 | +79% | $12,797 | +145% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $31,333 | $29,767 | $26,917 | +16% | $15,869 | +97% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $31,283 | $29,719 | $26,680 | +17% | $15,474 | +102% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $31,257 | $29,695 | $31,257 | +0% | $22,713 | +38% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $31,242 | $29,679 | $31,048 | +1% | $19,326 | +62% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $31,183 | $29,624 | $27,927 | +12% | $18,278 | +71% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $31,074 | $29,520 | $27,900 | +11% | $15,636 | +99% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $30,805 | $29,265 | $31,147 | −1% | $17,103 | +80% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $30,667 | $29,134 | $30,667 | +0% | $17,322 | +77% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $30,641 | $29,109 | $30,641 | +0% | $29,916 | +2% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $30,473 | $28,949 | $32,036 | −5% | $18,282 | +67% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $30,383 | $28,864 | $39,944 | −24% | $27,492 | +11% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $30,263 | $28,750 | $30,263 | +0% | $17,388 | +74% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $30,193 | $28,684 | $31,032 | −3% | $15,593 | +94% | — |
| 639 | DIABETES WITHOUT CC/MCC | $30,061 | $28,558 | $25,780 | +17% | $13,910 | +116% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $29,793 | $28,303 | $33,021 | −10% | $21,181 | +41% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $29,719 | $28,233 | $29,719 | +0% | $17,483 | +70% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $29,597 | $28,117 | $34,718 | −15% | $20,842 | +42% | — |
| 101 | SEIZURES WITHOUT MCC | $29,567 | $28,089 | $29,946 | −1% | $19,954 | +48% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $29,091 | $27,636 | $28,622 | +2% | $17,831 | +63% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $28,713 | $27,278 | $29,188 | −2% | $17,585 | +63% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $28,651 | $27,218 | $28,651 | +0% | $18,081 | +58% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $28,474 | $27,050 | $28,249 | +1% | $16,156 | +76% | — |
| 102 | HEADACHES WITH MCC | $28,275 | $26,861 | $34,736 | −19% | $22,544 | +25% | — |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $28,228 | $26,817 | $38,709 | −27% | $48,358 | −42% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $28,136 | $26,729 | $23,294 | +21% | $14,012 | +101% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $28,033 | $26,631 | $32,773 | −14% | $43,586 | −36% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $27,963 | $26,564 | $18,114 | +54% | $13,623 | +105% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $27,891 | $26,497 | $26,520 | +5% | $16,391 | +70% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $27,867 | $26,474 | $37,039 | −25% | $29,031 | −4% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $27,799 | $26,409 | $20,288 | +37% | $12,013 | +131% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $27,767 | $26,379 | $27,767 | +0% | $26,146 | +6% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $27,356 | $25,988 | $24,666 | +11% | $9,385 | +191% | ≈306% of Medicare |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $26,862 | $25,519 | $25,225 | +6% | $15,370 | +75% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $26,753 | $25,416 | $23,853 | +12% | $13,318 | +101% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $26,737 | $25,400 | $23,187 | +15% | $15,607 | +71% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $26,511 | $25,185 | $26,511 | +0% | $20,842 | +27% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $26,458 | $25,135 | $26,458 | +0% | $18,133 | +46% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $26,365 | $25,047 | $25,278 | +4% | $15,858 | +66% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $26,292 | $24,977 | $26,292 | +0% | $14,927 | +76% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $26,173 | $24,865 | $29,602 | −12% | $18,017 | +45% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $26,125 | $24,819 | $24,181 | +8% | $19,305 | +35% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $25,914 | $24,618 | $25,914 | +0% | $16,104 | +61% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $25,738 | $24,451 | $24,416 | +5% | $18,253 | +41% | — |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $25,661 | $24,378 | $30,646 | −16% | $31,785 | −19% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $25,642 | $24,360 | $27,453 | −7% | $29,524 | −13% | — |
| 313 | CHEST PAIN | $25,614 | $24,334 | $24,891 | +3% | $15,962 | +60% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $25,575 | $24,296 | $34,141 | −25% | $23,141 | +11% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $25,476 | $24,203 | $21,663 | +18% | $14,473 | +76% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $25,026 | $23,775 | $21,519 | +16% | $14,128 | +77% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $24,828 | $23,587 | $17,784 | +40% | $12,895 | +93% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $24,721 | $23,485 | $24,721 | +0% | $17,731 | +39% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,520 | $23,294 | $69,487 | −65% | $53,817 | −54% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $24,365 | $23,147 | $22,129 | +10% | $13,198 | +85% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $23,950 | $22,753 | $24,566 | −3% | $16,776 | +43% | — |
| 693 | URINARY STONES WITH MCC | $23,892 | $22,697 | $23,892 | +0% | $22,525 | +6% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $23,718 | $22,532 | $20,694 | +15% | $14,134 | +68% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $23,686 | $22,502 | $35,133 | −33% | $31,812 | −26% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $23,579 | $22,400 | $23,864 | −1% | $14,110 | +67% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $23,484 | $22,309 | $22,708 | +3% | $13,090 | +79% | — |
| 149 | DYSEQUILIBRIUM | $23,217 | $22,056 | $23,758 | −2% | $17,203 | +35% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $23,185 | $22,026 | $28,658 | −19% | $19,569 | +18% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $23,151 | $21,993 | $30,544 | −24% | $17,108 | +35% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $22,932 | $21,785 | $18,715 | +23% | $13,384 | +71% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $22,809 | $21,669 | $22,809 | +0% | $19,091 | +19% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $22,786 | $21,647 | $22,636 | +1% | $14,441 | +58% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $22,774 | $21,636 | $22,774 | +0% | $15,284 | +49% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $22,645 | $21,513 | $22,986 | −1% | $25,945 | −13% | — |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $22,609 | $21,478 | $30,512 | −26% | $34,264 | −34% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $22,434 | $21,312 | $33,151 | −32% | $20,732 | +8% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $22,332 | $21,215 | $32,011 | −30% | $21,545 | +4% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $22,330 | $21,213 | $21,039 | +6% | $14,368 | +55% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $22,275 | $21,162 | $29,000 | −23% | $16,642 | +34% | — |
| 540 | OSTEOMYELITIS WITH CC | $22,003 | $20,903 | $28,514 | −23% | $23,494 | −6% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $21,967 | $20,869 | $27,303 | −20% | $26,322 | −17% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $21,946 | $20,848 | $26,442 | −17% | $25,731 | −15% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $21,681 | $20,597 | $21,681 | +0% | $16,719 | +30% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $21,601 | $20,521 | $47,005 | −54% | $29,109 | −26% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $21,558 | $20,480 | $26,841 | −20% | $24,836 | −13% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $21,414 | $20,344 | $21,940 | −2% | $18,428 | +16% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $21,270 | $20,206 | $26,422 | −20% | $15,600 | +36% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $21,226 | $20,165 | $19,685 | +8% | $12,044 | +76% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $21,047 | $19,995 | $21,047 | +0% | $14,549 | +45% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $20,955 | $19,907 | $21,480 | −2% | $13,081 | +60% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $20,754 | $19,717 | $20,754 | +0% | $14,208 | +46% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $20,616 | $19,585 | $23,016 | −10% | $14,166 | +46% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $20,014 | $19,013 | $35,206 | −43% | $26,020 | −23% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $19,465 | $18,492 | $19,989 | −3% | $20,602 | −6% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $19,298 | $18,333 | $16,241 | +19% | $14,444 | +34% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $19,265 | $18,302 | $33,985 | −43% | $29,663 | −35% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $19,203 | $18,243 | $21,280 | −10% | $15,655 | +23% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $19,088 | $18,134 | $19,032 | +0% | $15,077 | +27% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $18,987 | $18,038 | $20,215 | −6% | $13,368 | +42% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $18,788 | $17,848 | $25,019 | −25% | $19,894 | −6% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $18,527 | $17,601 | $31,556 | −41% | $24,980 | −26% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,497 | $17,572 | $35,174 | −47% | $24,452 | −24% | — |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $18,325 | $17,409 | $18,325 | +0% | $17,398 | +5% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $18,077 | $17,173 | $17,942 | +1% | $16,837 | +7% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $18,017 | $17,116 | $24,358 | −26% | $16,634 | +8% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $17,870 | $16,976 | $17,870 | +0% | $15,589 | +15% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $17,536 | $16,659 | $20,569 | −15% | $12,279 | +43% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $17,417 | $16,546 | $17,417 | +0% | $12,381 | +41% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $17,100 | $16,245 | $32,666 | −48% | $18,478 | −7% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $17,025 | $16,174 | $18,816 | −10% | $11,421 | +49% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $16,959 | $16,111 | $30,065 | −44% | $17,195 | −1% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $16,772 | $15,933 | $152,971 | −89% | $118,589 | −86% | — |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $16,448 | $15,625 | $16,448 | +0% | $12,593 | +31% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $16,222 | $15,411 | $25,519 | −36% | $17,550 | −8% | — |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $16,140 | $15,333 | $16,140 | +0% | $15,890 | +2% | — |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $15,596 | $14,817 | $15,596 | +0% | $12,650 | +23% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $15,384 | $14,615 | $22,042 | −30% | $15,608 | −1% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $15,038 | $14,287 | $15,038 | +0% | $9,076 | +66% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $14,954 | $14,206 | $24,195 | −38% | $13,892 | +8% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $13,504 | $12,829 | $31,304 | −57% | $23,956 | −44% | — |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $12,797 | $12,158 | $14,290 | −10% | $14,290 | −10% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $11,804 | $11,214 | $28,795 | −59% | $24,450 | −52% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $11,652 | $11,069 | $14,064 | −17% | $14,064 | −17% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $11,380 | $10,811 | $12,583 | −10% | $13,303 | −14% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,286 | $10,722 | $26,511 | −57% | $19,868 | −43% | — |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $10,491 | $9,966 | $19,807 | −47% | $13,586 | −23% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $10,106 | $9,601 | $28,378 | −64% | $23,588 | −57% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $9,676 | $9,192 | $18,707 | −48% | $20,421 | −53% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,534 | $9,058 | $9,534 | +0% | $7,961 | +20% | — |
| 694 | URINARY STONES WITHOUT MCC | $8,866 | $8,423 | $25,401 | −65% | $16,531 | −46% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $7,671 | $7,288 | $15,217 | −50% | $18,608 | −59% | — |
| 935 | NON-EXTENSIVE BURNS | $6,753 | $6,416 | $44,233 | −85% | $29,458 | −77% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $6,408 | $6,088 | $13,385 | −52% | $13,385 | −52% | — |
| 795 | NORMAL NEWBORN | $5,256 | $4,993 | $5,256 | +0% | $4,530 | +16% | — |
| 999 | UNGROUPABLE | $577 | — | $577 | — | $28,822 | −98% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $364 | — | $11,071 | −97% | $11,071 | −97% | — |
Procedures with negotiated rates only
These 3 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 |
|---|---|---|---|
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | — | 10 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | — | 10 plans |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $1,500 – $32,814 | 10 plans |
No procedures match that keyword.