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.

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% $245,189 +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% $137,160 +155%
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% $30,681 +855%
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% $68,421 +273%
570 SKIN DEBRIDEMENT WITH MCC $251,349 $238,781 $54,707 +359% $51,501 +388%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $251,065 $238,512 $134,024 +87% $86,938 +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% $84,825 +167%
668 TRANSURETHRAL PROCEDURES WITH MCC $224,106 $212,901 $94,794 +136% $47,126 +376%
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% $57,181 +241%
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% $68,331 +178%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $187,524 $178,148 $138,272 +36% $55,002 +241%
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% $36,195 +413%
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% $120,573 +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% $53,763 +202%
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% $28,385 +440%
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% $61,353 +144%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $149,710 $142,225 $96,681 +55% $64,488 +132%
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% $72,843 +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% $72,274 +87%
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% $61,206 +113%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $129,100 $122,645 $146,411 −12% $87,575 +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% $57,030 +109%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $115,590 $109,810 $110,188 +5% $66,765 +73%
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% $36,355 +203%
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% $40,801 +165%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $107,603 $102,223 $77,635 +39% $36,318 +196%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $107,285 $101,921 $61,870 +73% $36,241 +196%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $105,341 $100,074 $56,759 +86% $28,802 +266% ≈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% $36,537 +174%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $99,753 $94,765 $175,562 −43% $78,327 +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% $34,773 +185%
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% $62,790 +54%
503 FOOT PROCEDURES WITH MCC $96,527 $91,700 $86,030 +12% $43,982 +119%
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% $41,847 +127%
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% $31,743 +192%
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% $50,998 +78% ≈271% of Medicare
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $90,213 $85,702 $64,854 +39% $55,147 +64% ≈266% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $89,745 $85,258 $73,024 +23% $54,681 +64%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $89,296 $84,831 $45,246 +97% $25,146 +255%
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% $39,254 +124%
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% $29,521 +192%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $86,021 $81,720 $24,085 +257% $13,278 +548%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $85,766 $81,477 $45,416 +89% $29,777 +188%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $85,414 $81,144 $130,938 −35% $95,375 −10%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $84,970 $80,721 $84,970 +0% $58,713 +45% ≈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% $30,768 +173%
549 SEPTIC ARTHRITIS WITH CC $83,961 $79,763 $40,885 +105% $20,808 +304%
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% $36,519 +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% $71,519 +16%
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% $22,870 +261%
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% $29,891 +172%
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% $29,049 +169%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $78,008 $74,108 $68,284 +14% $16,431 +375%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $77,838 $73,946 $63,061 +23% $34,876 +123% ≈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% $41,114 +85%
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% $43,444 +74%
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% $22,065 +227%
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% $33,614 +110%
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% $21,025 +233%
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% $47,635 +47%
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% $33,339 +107%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $68,787 $65,347 $26,590 +159% $14,121 +387%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $68,666 $65,233 $52,748 +30% $27,041 +154%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $67,737 $64,350 $53,299 +27% $28,001 +142%
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% $27,674 +143%
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% $31,029 +115%
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% $23,945 +176%
336 PERITONEAL ADHESIOLYSIS WITH CC $65,908 $62,613 $67,288 −2% $49,071 +34%
158 DENTAL AND ORAL DISEASES WITH CC $65,901 $62,606 $30,573 +116% $17,751 +271%
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% $31,754 +106% ≈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% $47,574 +36%
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% $34,886 +83%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $63,703 $60,518 $43,920 +45% $20,632 +209%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $63,641 $60,459 $51,417 +24% $24,426 +161%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $63,401 $60,231 $45,071 +41% $35,961 +76%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $63,077 $59,923 $52,291 +21% $24,244 +160%
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% $36,880 +69%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $61,978 $58,880 $61,978 +0% $22,610 +174% ≈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% $22,874 +169%
834 ACUTE LEUKEMIA WITH MCC $61,496 $58,422 $74,709 −18% $76,004 −19%
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% $51,950 +16%
199 PNEUMOTHORAX WITH MCC $60,022 $57,021 $60,022 +0% $31,085 +93%
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% $48,745 +23%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $59,723 $56,737 $56,832 +5% $31,627 +89%
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% $18,815 +209%
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% $22,010 +157%
186 PLEURAL EFFUSION WITH MCC $56,570 $53,741 $38,304 +48% $32,385 +75%
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% $32,417 +71%
682 RENAL FAILURE WITH MCC $55,243 $52,480 $55,243 +0% $27,640 +100% ≈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% $32,953 +67%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $54,856 $52,113 $50,214 +9% $26,098 +110%
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% $17,296 +217%
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% $38,166 +41%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $53,655 $50,972 $38,521 +39% $22,623 +137% ≈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% $35,990 +48%
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% $30,362 +75%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $53,051 $50,399 $61,292 −13% $48,801 +9%
103 HEADACHES WITHOUT MCC $52,630 $49,999 $36,280 +45% $20,076 +162%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $52,622 $49,991 $24,820 +112% $16,645 +216%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $52,396 $49,776 $52,396 +0% $24,603 +113% ≈287% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $52,322 $49,706 $23,545 +122% $18,288 +186%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $52,280 $49,666 $61,292 −15% $45,916 +14%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $52,078 $49,474 $81,042 −36% $56,197 −7%
637 DIABETES WITH MCC $51,717 $49,131 $52,825 −2% $28,772 +80%
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% $35,693 +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% $39,675 +29% ≈221% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $50,644 $48,112 $39,600 +28% $32,901 +54%
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% $23,400 +113%
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% $33,790 +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% $25,412 +93%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $48,842 $46,400 $48,842 +0% $17,562 +178%
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% $44,087 +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% $17,719 +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% $24,932 +89% ≈229% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $47,159 $44,801 $46,508 +1% $25,766 +83% ≈226% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $47,076 $44,722 $42,636 +10% $23,039 +104%
551 MEDICAL BACK PROBLEMS WITH MCC $47,028 $44,677 $62,386 −25% $31,067 +51%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $47,002 $44,652 $49,006 −4% $32,804 +43%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $46,977 $44,629 $38,240 +23% $17,754 +165%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $46,973 $44,624 $47,430 −1% $33,236 +41%
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% $29,011 +60%
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% $24,103 +92% ≈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% $20,716 +122%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $46,006 $43,705 $44,419 +4% $34,564 +33%
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% $23,474 +96%
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% $38,574 +18%
445 DISORDERS OF THE BILIARY TRACT WITH CC $45,288 $43,024 $35,251 +28% $21,666 +109%
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% $29,671 +49%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $44,093 $41,889 $42,465 +4% $24,000 +84%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $43,923 $41,727 $43,237 +2% $16,718 +163%
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% $19,448 +124%
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% $72,879 −40%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $43,391 $41,222 $49,016 −11% $29,929 +45% ≈163% of Medicare
399 APPENDIX PROCEDURES WITHOUT CC/MCC $43,304 $41,138 $36,541 +19% $30,259 +43%
292 HEART FAILURE AND SHOCK WITH CC $43,229 $41,067 $29,105 +49% $15,878 +172%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $43,154 $40,997 $36,539 +18% $25,038 +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% $31,913 +34%
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% $33,425 +25%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $41,445 $39,373 $32,704 +27% $18,243 +127%
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% $94,320 −57%
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% $29,867 +35%
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% $22,587 +75%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $39,347 $37,380 $19,060 +106% $11,826 +233%
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% $24,146 +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% $18,060 +113%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $38,509 $36,584 $31,425 +23% $17,183 +124%
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% $45,937 −17%
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% $20,076 +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% $27,277 +37%
152 OTITIS MEDIA AND URI WITH MCC $37,258 $35,395 $35,478 +5% $19,657 +90%
638 DIABETES WITH CC $37,066 $35,213 $29,816 +24% $18,763 +98%
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% $37,839 −5%
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% $18,359 +95% ≈268% of Medicare
305 HYPERTENSION WITHOUT MCC $35,721 $33,935 $35,721 +0% $16,897 +111%
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% $16,804 +111%
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% $29,957 +18%
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% $18,322 +90% ≈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% $15,923 +117%
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% $28,403 +21%
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% $20,408 +64%
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% $17,379 +91% ≈337% of Medicare
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $33,216 $31,555 $25,301 +31% $13,747 +142%
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% $27,125 +22%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $33,125 $31,469 $32,299 +3% $18,038 +84%
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% $14,770 +123%
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% $30,224 +8%
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% $20,917 +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% $20,105 +59%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $31,986 $30,387 $31,986 +0% $20,253 +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% $25,621 +24%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $31,429 $29,858 $32,703 −4% $24,008 +31%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $31,341 $29,774 $17,489 +79% $12,794 +145%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $31,333 $29,767 $26,917 +16% $15,818 +98%
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% $22,590 +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% $18,104 +72%
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% $17,006 +81%
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% $18,199 +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% $17,345 +74%
914 TRAUMATIC INJURY WITHOUT MCC $30,193 $28,684 $31,032 −3% $15,586 +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% $20,879 +43%
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% $19,930 +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% $17,693 +62%
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% $21,983 +29%
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% $43,313 −35%
684 RENAL FAILURE WITHOUT CC/MCC $27,963 $26,564 $18,114 +54% $13,455 +108%
866 VIRAL ILLNESS WITHOUT MCC $27,891 $26,497 $26,520 +5% $16,348 +71%
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% $15,598 +71%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $26,511 $25,185 $26,511 +0% $20,837 +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% $18,005 +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% $17,579 +46%
595 MAJOR SKIN DISORDERS WITH MCC $25,661 $24,378 $30,646 −16% $31,772 −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% $15,837 +62%
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% $14,251 +79%
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% $14,252 +65%
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% $14,210 +60%
607 MINOR SKIN DISORDERS WITHOUT MCC $22,774 $21,636 $22,774 +0% $15,276 +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% $34,158 −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% $21,499 +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% $16,622 +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% $26,158 −16%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $21,946 $20,848 $26,442 −17% $25,596 −14%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $21,681 $20,597 $21,681 +0% $16,708 +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% $24,447 −12%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $21,414 $20,344 $21,940 −2% $18,316 +17%
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% $11,957 +78%
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% $25,998 −23%
887 OTHER MENTAL DISORDER DIAGNOSES $19,465 $18,492 $19,989 −3% $20,557 −5%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $19,298 $18,333 $16,241 +19% $14,411 +34%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $19,265 $18,302 $33,985 −43% $29,630 −35%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $19,203 $18,243 $21,280 −10% $15,594 +23%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $19,088 $18,134 $19,032 +0% $15,007 +27%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $18,987 $18,038 $20,215 −6% $13,362 +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% $24,928 −26%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $18,497 $17,572 $35,174 −47% $24,277 −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% $16,622 +9%
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% $12,275 +43%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $17,417 $16,546 $17,417 +0% $12,205 +43%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $17,100 $16,245 $32,666 −48% $18,000 −5%
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% $17,194 −1%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $16,772 $15,933 $152,971 −89% $115,937 −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% $17,308 −6%
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% $9,063 +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% $20,148 −52%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $9,534 $9,058 $9,534 +0% $7,896 +21%
694 URINARY STONES WITHOUT MCC $8,866 $8,423 $25,401 −65% $16,451 −46%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,671 $7,288 $15,217 −50% $18,323 −58%
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% $4,521 +16%
999 UNGROUPABLE $577 $577 $28,387 −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