Procedures published 522
Lowest published price $4,269
Average published price $99,268
Highest published price $941,121

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 521 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 37 procedures, this hospital's negotiated rates average ≈226% of what Medicare pays.

DRG Description Published price Cash price vs. AZ median vs. National median vs Medicare
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $941,121 $329,392 $339,144 +177% $371,366 +153% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $586,966 $205,438 $233,838 +151% $245,241 +139% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $479,887 $167,960 $68,847 +597% $68,847 +597% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $453,129 $158,595 $115,058 +294% $120,587 +276% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $447,170 $156,509 $110,795 +304% $138,008 +224% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $444,726 $155,654 $109,888 +305% $116,058 +283% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $405,725 $142,004 $61,259 +562% $74,257 +446% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $388,515 $135,980 $57,632 +574% $62,524 +521% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $375,514 $131,430 $59,175 +535% $71,701 +424% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $324,234 $113,482 $48,915 +563% $53,555 +505% —
163 MAJOR CHEST PROCEDURES WITH MCC $311,183 $108,914 $74,987 +315% $88,341 +252% ≈190% of Medicare
265 AICD LEAD PROCEDURES $300,499 $105,175 $56,216 +435% $56,695 +430% —
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $300,217 $105,076 $23,643 +1170% $86,864 +246% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $294,406 $103,042 $80,793 +264% $80,747 +265% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $288,482 $100,969 $62,214 +364% $72,011 +301% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $282,088 $98,731 $71,853 +293% $88,050 +220% ≈210% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $279,566 $97,848 $68,449 +308% $76,954 +263% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $272,316 $95,311 $38,814 +602% $55,162 +394% —
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $268,703 $94,046 $23,643 +1037% $34,146 +687% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $268,655 $94,029 $55,071 +388% $70,540 +281% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $261,188 $91,416 $111,924 +133% $131,961 +98% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $258,390 $90,437 $61,832 +318% $61,832 +318% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $251,886 $88,160 $52,733 +378% $67,901 +271% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $246,450 $86,257 $64,552 +282% $72,782 +239% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $245,187 $85,816 $58,825 +317% $72,945 +236% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $244,772 $85,670 $82,018 +198% $86,953 +181% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $244,281 $85,499 $52,971 +361% $65,254 +274% —
397 APPENDIX PROCEDURES WITH MCC $243,581 $85,253 $35,744 +581% $52,319 +366% —
668 TRANSURETHRAL PROCEDURES WITH MCC $242,898 $85,014 $44,827 +442% $47,277 +414% —
037 EXTRACRANIAL PROCEDURES WITH MCC $239,969 $83,989 $53,703 +347% $64,749 +271% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $238,014 $83,305 $37,923 +528% $47,583 +400% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $234,076 $81,927 $79,521 +194% $87,018 +169% ≈203% of Medicare
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $233,611 $81,764 $45,734 +411% $74,274 +215% ≈251% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $231,008 $80,853 $39,721 +482% $54,824 +321% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $230,527 $80,684 $68,067 +239% $82,561 +179% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $229,191 $80,217 $80,443 +185% $99,423 +131% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $226,289 $79,201 $33,533 +575% $41,651 +443% —
164 MAJOR CHEST PROCEDURES WITH CC $223,279 $78,148 $40,564 +450% $53,141 +320% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $220,261 $77,091 $54,960 +301% $70,132 +214% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $219,750 $76,912 $45,272 +385% $56,758 +287% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $218,418 $76,446 $29,842 +632% $41,380 +428% —
570 SKIN DEBRIDEMENT WITH MCC $218,357 $76,425 $46,481 +370% $52,435 +316% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $216,053 $75,618 $33,914 +537% $36,202 +497% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $207,757 $72,715 $80,157 +159% $96,905 +114% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $207,016 $72,456 $98,784 +110% $117,280 +77% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $206,737 $72,358 $73,619 +181% $88,691 +133% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $206,422 $72,248 $75,210 +174% $86,390 +139% —
253 OTHER VASCULAR PROCEDURES WITH CC $204,470 $71,564 $40,580 +404% $53,746 +280% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $203,873 $71,356 $37,891 +438% $49,631 +311% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $203,663 $71,282 $51,953 +292% $51,953 +292% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $197,370 $69,080 $36,857 +435% $47,546 +315% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $197,031 $68,961 $24,450 +706% $24,450 +706% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $195,872 $68,555 $38,082 +414% $39,409 +397% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $195,603 $68,461 $53,592 +265% $62,269 +214% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $195,428 $68,400 $39,514 +395% $57,149 +242% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $194,990 $68,246 $76,069 +156% $91,329 +114% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $194,608 $68,113 $18,405 +957% $20,421 +853% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $193,322 $67,663 $90,099 +115% $78,582 +146% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $184,551 $64,593 $50,172 +268% $53,817 +243% —
333 RECTAL RESECTION WITH CC $183,338 $64,168 $33,087 +454% $34,352 +434% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $183,106 $64,087 $33,294 +450% $31,044 +490% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $178,928 $62,625 $54,976 +225% $71,014 +152% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $178,519 $62,482 $33,914 +426% $39,253 +355% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $178,055 $62,319 $55,453 +221% $68,880 +159% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $176,474 $61,766 $34,678 +409% $39,093 +351% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $175,585 $61,455 $47,627 +269% $67,764 +159% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $175,124 $61,293 $53,719 +226% $65,383 +168% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $174,708 $61,148 $65,856 +165% $88,049 +98% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $173,295 $60,653 $38,209 +354% $56,394 +207% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $167,030 $58,461 $56,869 +194% $71,755 +133% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $165,394 $57,888 $31,322 +428% $43,775 +278% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $164,479 $57,568 $37,732 +336% $58,832 +180% ≈226% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $163,722 $57,303 $26,279 +523% $33,607 +387% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $163,454 $57,209 $42,934 +281% $52,405 +212% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $162,688 $56,941 $82,511 +97% $96,222 +69% —
252 OTHER VASCULAR PROCEDURES WITH MCC $162,176 $56,761 $53,353 +204% $68,508 +137% —
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $159,047 $55,666 $23,643 +573% $59,206 +169% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $158,970 $55,639 $47,229 +237% $66,819 +138% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $158,484 $55,469 $45,924 +245% $58,043 +173% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $158,371 $55,430 $42,059 +277% $53,551 +196% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $157,779 $55,223 $46,911 +236% $63,984 +147% ≈202% of Medicare
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $157,501 $55,125 $25,674 +513% $35,692 +341% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $155,640 $54,474 $22,207 +601% $24,452 +537% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $155,542 $54,440 $29,524 +427% $29,524 +427% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $152,245 $53,286 $29,254 +420% $32,981 +362% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $151,956 $53,185 $28,999 +424% $54,772 +177% ≈267% of Medicare
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $151,786 $53,125 $34,837 +336% $36,334 +318% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $149,790 $52,427 $26,597 +463% $44,117 +240% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $149,684 $52,389 $59,031 +154% $58,968 +154% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $148,861 $52,101 $36,237 +311% $50,011 +198% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $148,695 $52,043 $25,245 +489% $41,380 +259% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $147,589 $51,656 $50,919 +190% $57,277 +158% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $146,501 $51,275 $22,811 +542% $22,811 +542% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $144,748 $50,662 $29,444 +392% $30,974 +367% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $143,392 $50,187 $50,919 +182% $50,919 +182% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $142,864 $50,002 $21,682 +559% $25,426 +462% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $142,253 $49,789 $31,353 +354% $35,014 +306% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $141,287 $49,450 $76,467 +85% $87,565 +61% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $140,090 $49,032 $32,865 +326% $37,654 +272% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $139,466 $48,813 $23,400 +496% $31,812 +338% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $138,800 $48,580 $43,586 +218% $44,839 +210% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $138,576 $48,502 $34,948 +297% $48,682 +185% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $138,141 $48,349 $42,473 +225% $54,929 +151% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $137,977 $48,292 $31,131 +343% $46,066 +200% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $137,410 $48,093 $43,697 +214% $43,697 +214% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $137,404 $48,091 $31,624 +334% $43,800 +214% —
500 SOFT TISSUE PROCEDURES WITH MCC $136,214 $47,675 $51,587 +164% $57,479 +137% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $136,189 $47,666 $64,345 +112% $66,853 +104% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $135,681 $47,488 $70,438 +93% $72,859 +86% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $133,500 $46,725 $42,139 +217% $45,432 +194% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $132,877 $46,507 $33,596 +296% $56,519 +135% ≈229% of Medicare
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $132,851 $46,498 $23,734 +460% $27,279 +387% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $131,679 $46,088 $37,923 +247% $50,139 +163% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $131,604 $46,061 $29,731 +343% $45,963 +186% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $131,556 $46,044 $36,873 +257% $52,313 +151% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $131,384 $45,985 $35,505 +270% $44,053 +198% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $130,444 $45,655 $28,426 +359% $36,597 +256% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $129,673 $45,386 $61,689 +110% $75,103 +73% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $129,033 $45,162 $34,296 +276% $44,600 +189% —
906 HAND PROCEDURES FOR INJURIES $127,588 $44,656 $29,938 +326% $31,520 +305% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $127,245 $44,536 $29,938 +325% $49,197 +159% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $126,423 $44,248 $63,709 +98% $73,029 +73% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $126,000 $44,100 $39,546 +219% $51,985 +142% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $125,210 $43,824 $32,467 +286% $45,817 +173% —
835 ACUTE LEUKEMIA WITH CC $123,432 $43,201 $35,569 +247% $35,569 +247% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $123,019 $43,057 $34,121 +261% $44,553 +176% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $122,685 $42,940 $29,079 +322% $32,399 +279% —
947 SIGNS AND SYMPTOMS WITH MCC $122,163 $42,757 $19,916 +513% $25,474 +380% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $122,086 $42,730 $40,548 +201% $40,548 +201% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $121,654 $42,579 $35,823 +240% $43,586 +179% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $121,479 $42,518 $44,811 +171% $36,097 +237% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $121,425 $42,499 $33,008 +268% $51,172 +137% ≈215% of Medicare
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $121,336 $42,468 $23,289 +421% $25,628 +373% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $120,859 $42,301 $30,478 +297% $36,933 +227% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $120,498 $42,174 $28,458 +323% $36,375 +231% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $120,489 $42,171 $32,419 +272% $43,524 +177% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $120,488 $42,171 $24,847 +385% $32,936 +266% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $120,191 $42,067 $31,719 +279% $43,538 +176% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $119,937 $41,978 $47,738 +151% $54,313 +121% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $119,200 $41,720 $28,283 +321% $30,275 +294% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $119,174 $41,711 $41,248 +189% $45,497 +162% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $118,621 $41,517 $26,008 +356% $42,119 +182% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $118,230 $41,381 $26,088 +353% $35,584 +232% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $117,916 $41,271 $24,036 +391% $24,036 +391% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $116,687 $40,841 $37,398 +212% $51,339 +127% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $116,123 $40,643 $35,139 +230% $35,139 +230% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $115,024 $40,258 $29,604 +289% $33,165 +247% —
914 TRAUMATIC INJURY WITHOUT MCC $114,941 $40,229 $14,444 +696% $15,593 +637% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $114,631 $40,121 $27,599 +315% $38,836 +195% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $114,485 $40,070 $29,779 +284% $48,680 +135% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $113,691 $39,792 $40,039 +184% $41,703 +173% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $112,959 $39,535 $28,474 +297% $37,842 +199% ≈215% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $112,828 $39,490 $17,514 +544% $24,017 +370% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $112,804 $39,481 $12,694 +789% $15,876 +611% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $112,248 $39,287 $38,178 +194% $46,591 +141% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $109,532 $38,336 $25,977 +322% $31,128 +252% —
186 PLEURAL EFFUSION WITH MCC $109,442 $38,305 $24,688 +343% $32,468 +237% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $108,055 $37,819 $29,110 +271% $40,063 +170% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $107,117 $37,491 $29,985 +257% $35,459 +202% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $106,692 $37,342 $31,862 +235% $35,714 +199% ≈219% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $106,476 $37,267 $20,950 +408% $23,115 +361% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $105,788 $37,026 $46,513 +127% $60,140 +76% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $105,570 $36,950 $44,588 +137% $57,963 +82% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $105,373 $36,881 $26,549 +297% $32,502 +224% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $105,180 $36,813 $27,997 +276% $37,950 +177% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $104,345 $36,521 $27,695 +277% $34,264 +205% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $103,634 $36,272 $24,068 +331% $28,252 +267% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $103,370 $36,179 $31,878 +224% $41,660 +148% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $103,369 $36,179 $24,513 +322% $31,062 +233% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $102,970 $36,040 $27,679 +272% $39,018 +164% —
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $102,555 $35,894 $23,643 +334% $80,427 +28% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $102,043 $35,715 $25,404 +302% $35,375 +188% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $101,148 $35,402 $25,261 +300% $39,747 +154% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $100,964 $35,337 $39,657 +155% $39,657 +155% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $100,056 $35,020 $23,654 +323% $35,542 +182% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $99,762 $34,917 $29,301 +240% $30,394 +228% —
380 COMPLICATED PEPTIC ULCER WITH MCC $99,601 $34,860 $31,003 +221% $36,641 +172% —
643 ENDOCRINE DISORDERS WITH MCC $98,482 $34,469 $26,168 +276% $32,996 +198% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $97,917 $34,271 $31,544 +210% $35,237 +178% ≈201% of Medicare
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $97,908 $34,268 $63,868 +53% $68,006 +44% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $96,354 $33,724 $60,861 +58% $60,861 +58% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $95,967 $33,589 $31,576 +204% $42,881 +124% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $95,735 $33,507 $21,507 +345% $23,956 +300% —
398 APPENDIX PROCEDURES WITH CC $95,659 $33,481 $24,068 +297% $39,107 +145% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $94,452 $33,058 $62,961 +50% $62,961 +50% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $94,273 $32,996 $13,092 +620% $14,861 +534% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $94,224 $32,979 $12,026 +684% $15,858 +494% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $93,628 $32,770 $27,329 +243% $43,266 +116% —
374 DIGESTIVE MALIGNANCY WITH MCC $93,622 $32,768 $33,389 +180% $38,885 +141% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $93,585 $32,755 $36,889 +154% $45,818 +104% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $93,460 $32,711 $39,148 +139% $50,624 +85% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $93,263 $32,642 $41,184 +126% $48,094 +94% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $92,702 $32,446 $28,951 +220% $40,563 +129% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $92,662 $32,432 $23,447 +295% $29,484 +214% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $91,672 $32,085 $25,245 +263% $28,967 +216% ≈226% of Medicare
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $91,667 $32,084 $23,766 +286% $33,137 +177% —
571 SKIN DEBRIDEMENT WITH CC $91,257 $31,940 $26,915 +239% $34,901 +161% —
504 FOOT PROCEDURES WITH CC $91,015 $31,855 $27,472 +231% $36,598 +149% —
100 SEIZURES WITH MCC $90,000 $31,500 $31,544 +185% $35,194 +156% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $89,591 $31,357 $12,455 +619% $16,654 +438% —
915 ALLERGIC REACTIONS WITH MCC $89,543 $31,340 $28,220 +217% $30,944 +189% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $89,037 $31,163 $19,248 +363% $24,544 +263% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $88,935 $31,127 $23,956 +271% $28,140 +216% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $88,783 $31,074 $27,488 +223% $29,609 +200% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $87,626 $30,669 $17,212 +409% $31,190 +181% ≈243% of Medicare
533 FRACTURES OF FEMUR WITH MCC $87,369 $30,579 $25,945 +237% $25,945 +237% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $87,072 $30,475 $28,347 +207% $40,552 +115% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $86,780 $30,373 $26,311 +230% $30,058 +189% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $86,516 $30,281 $13,935 +521% $19,305 +348% —
551 MEDICAL BACK PROBLEMS WITH MCC $86,347 $30,221 $27,074 +219% $31,086 +178% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $86,310 $30,209 $22,318 +287% $29,757 +190% ≈221% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $86,170 $30,159 $24,195 +256% $29,211 +195% —
548 SEPTIC ARTHRITIS WITH MCC $85,831 $30,041 $31,019 +177% $31,019 +177% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $85,160 $29,806 $16,082 +430% $16,571 +414% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $85,070 $29,774 $53,162 +60% $54,129 +57% —
919 COMPLICATIONS OF TREATMENT WITH MCC $84,134 $29,447 $29,031 +190% $29,031 +190% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $84,012 $29,404 $33,310 +152% $38,357 +119% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $83,912 $29,369 $27,806 +202% $31,758 +164% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $83,818 $29,336 $17,641 +375% $25,162 +233% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $83,595 $29,258 $30,144 +177% $30,766 +172% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $83,593 $29,257 $23,797 +251% $36,239 +131% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $83,105 $29,087 $20,886 +298% $34,887 +138% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $82,916 $29,021 $31,942 +160% $46,477 +78% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $82,912 $29,019 $20,918 +296% $24,480 +239% ≈260% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $82,441 $28,854 $33,485 +146% $49,470 +67% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $82,358 $28,825 $25,499 +223% $30,910 +166% —
693 URINARY STONES WITH MCC $82,064 $28,722 $22,525 +264% $22,525 +264% —
602 CELLULITIS WITH MCC $81,107 $28,387 $23,670 +243% $29,347 +176% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $81,003 $28,351 $19,693 +311% $27,492 +195% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $80,975 $28,341 $20,298 +299% $27,244 +197% ≈207% of Medicare
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $80,847 $28,296 $108,472 −25% $108,472 −25% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $80,746 $28,261 $40,277 +100% $40,277 +100% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $80,548 $28,192 $35,998 +124% $45,059 +79% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $80,443 $28,155 $15,891 +406% $21,545 +273% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $79,978 $27,992 $14,523 +451% $20,463 +291% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $79,655 $27,879 $33,978 +134% $41,900 +90% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $79,401 $27,790 $19,661 +304% $25,623 +210% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $79,189 $27,716 $23,161 +242% $33,792 +134% —
663 MINOR BLADDER PROCEDURES WITH CC $78,627 $27,519 $23,209 +239% $29,924 +163% —
885 PSYCHOSES $78,518 $27,481 $21,729 +261% $21,489 +265% —
381 COMPLICATED PEPTIC ULCER WITH CC $78,348 $27,422 $17,069 +359% $24,177 +224% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $78,267 $27,393 $16,003 +389% $20,007 +291% —
811 RED BLOOD CELL DISORDERS WITH MCC $77,840 $27,244 $22,334 +249% $27,934 +179% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $77,724 $27,203 $29,476 +164% $29,476 +164% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $77,503 $27,126 $10,737 +622% $13,368 +480% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $77,201 $27,020 $24,465 +216% $24,465 +216% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $77,059 $26,971 $29,826 +158% $29,826 +158% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $76,960 $26,936 $16,623 +363% $18,478 +316% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $76,875 $26,906 $25,070 +207% $25,731 +199% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $76,866 $26,903 $23,082 +233% $29,663 +159% —
662 MINOR BLADDER PROCEDURES WITH MCC $76,434 $26,752 $47,674 +60% $54,483 +40% —
637 DIABETES WITH MCC $76,383 $26,734 $23,050 +231% $28,819 +165% —
682 RENAL FAILURE WITH MCC $76,380 $26,733 $23,877 +220% $27,854 +174% ≈224% of Medicare
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $76,325 $26,714 $20,536 +272% $27,321 +179% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $76,295 $26,703 $29,015 +163% $35,114 +117% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $76,206 $26,672 $26,979 +182% $31,840 +139% ≈226% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $75,857 $26,550 $25,388 +199% $28,134 +170% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $75,659 $26,480 $28,856 +162% $32,538 +133% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $74,773 $26,171 $27,758 +169% $29,409 +154% —
540 OSTEOMYELITIS WITH CC $74,744 $26,160 $20,648 +262% $23,494 +218% —
304 HYPERTENSION WITH MCC $74,637 $26,123 $18,278 +308% $24,185 +209% —
302 ATHEROSCLEROSIS WITH MCC $74,580 $26,103 $17,832 +318% $20,844 +258% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $74,392 $26,037 $24,768 +200% $28,646 +160% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $74,277 $25,997 $15,653 +375% $21,886 +239% ≈234% of Medicare
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $74,265 $25,993 $17,100 +334% $18,133 +310% —
549 SEPTIC ARTHRITIS WITH CC $74,249 $25,987 $19,184 +287% $20,938 +255% —
200 PNEUMOTHORAX WITH CC $74,194 $25,968 $17,132 +333% $20,573 +261% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $74,049 $25,917 $24,927 +197% $26,020 +185% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $73,805 $25,832 $27,790 +166% $36,242 +104% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $73,651 $25,778 $16,162 +356% $23,469 +214% ≈274% of Medicare
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $73,494 $25,723 $23,129 +218% $28,780 +155% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $73,484 $25,720 $28,792 +155% $32,204 +128% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $73,336 $25,668 $26,995 +172% $38,094 +93% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $73,026 $25,559 $17,705 +312% $30,314 +141% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $72,839 $25,494 $27,949 +161% $25,208 +189% ≈187% of Medicare
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $72,803 $25,481 $29,604 +146% $36,280 +101% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $72,779 $25,473 $28,474 +156% $30,814 +136% —
180 RESPIRATORY NEOPLASMS WITH MCC $72,759 $25,466 $27,647 +163% $36,658 +98% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $72,249 $25,287 $15,366 +370% $21,213 +241% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $71,778 $25,122 $12,742 +463% $17,727 +305% —
103 HEADACHES WITHOUT MCC $71,071 $24,875 $13,394 +431% $20,111 +253% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $70,729 $24,755 $29,938 +136% $42,126 +68% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $70,620 $24,717 $21,682 +226% $31,978 +121% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $70,512 $24,679 $17,291 +308% $21,806 +223% —
501 SOFT TISSUE PROCEDURES WITH CC $70,355 $24,624 $27,615 +155% $37,975 +85% —
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $70,218 $24,576 $23,289 +202% $30,138 +133% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $70,006 $24,502 $35,489 +97% $44,989 +56% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $69,651 $24,378 $59,366 +17% $54,196 +29% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $69,280 $24,248 $50,299 +38% $62,821 +10% —
598 MALIGNANT BREAST DISORDERS WITH CC $68,883 $24,109 $19,073 +261% $19,073 +261% —
183 MAJOR CHEST TRAUMA WITH MCC $68,692 $24,042 $25,054 +174% $28,924 +137% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $68,685 $24,040 $25,786 +166% $33,424 +105% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $68,473 $23,965 $16,321 +320% $24,136 +184% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $68,159 $23,856 $19,121 +256% $26,488 +157% ≈214% of Medicare
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $68,129 $23,845 $16,400 +315% $23,749 +187% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $67,944 $23,780 $43,093 +58% $48,907 +39% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $67,602 $23,661 $21,411 +216% $30,358 +123% —
813 COAGULATION DISORDERS $67,572 $23,650 $24,815 +172% $30,128 +124% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $67,252 $23,538 $15,716 +328% $22,713 +196% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $67,242 $23,535 $25,770 +161% $32,689 +106% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $67,109 $23,488 $29,763 +125% $32,839 +104% —
291 HEART FAILURE AND SHOCK WITH MCC $66,695 $23,343 $20,425 +227% $25,020 +167% ≈214% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $66,603 $23,311 $20,632 +223% $23,350 +185% —
375 DIGESTIVE MALIGNANCY WITH CC $66,565 $23,298 $19,057 +249% $27,219 +145% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $66,525 $23,284 $14,269 +366% $21,261 +213% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $66,386 $23,235 $22,175 +199% $24,229 +174% —
669 TRANSURETHRAL PROCEDURES WITH CC $66,368 $23,229 $24,418 +172% $34,354 +93% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $65,424 $22,898 $11,421 +473% $18,623 +251% —
123 NEUROLOGICAL EYE DISORDERS $65,249 $22,837 $12,789 +410% $17,831 +266% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $65,127 $22,794 $16,241 +301% $20,732 +214% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $64,888 $22,711 $21,427 +203% $25,243 +157% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $64,861 $22,701 $57,855 +12% $57,855 +12% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $64,704 $22,646 $15,001 +331% $18,608 +248% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $64,207 $22,472 $12,519 +413% $18,002 +257% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $64,101 $22,435 $20,409 +214% $23,924 +168% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $63,960 $22,386 $22,000 +191% $30,006 +113% —
199 PNEUMOTHORAX WITH MCC $63,901 $22,365 $28,220 +126% $31,491 +103% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $63,543 $22,240 $16,894 +276% $23,396 +172% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $63,540 $22,239 $14,253 +346% $18,803 +238% —
292 HEART FAILURE AND SHOCK WITH CC $63,491 $22,222 $13,633 +366% $16,212 +292% —
506 MAJOR THUMB OR JOINT PROCEDURES $62,917 $22,021 $23,272 +170% $28,983 +117% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $62,696 $21,944 $46,402 +35% $46,402 +35% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $62,150 $21,753 $17,355 +258% $23,496 +165% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $62,087 $21,730 $26,756 +132% $24,836 +150% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $61,616 $21,565 $26,088 +136% $29,729 +107% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $61,375 $21,481 $18,007 +241% $24,452 +151% —
694 URINARY STONES WITHOUT MCC $61,277 $21,447 $12,455 +392% $16,531 +271% —
920 COMPLICATIONS OF TREATMENT WITH CC $61,152 $21,403 $16,448 +272% $21,181 +189% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $61,085 $21,380 $34,471 +77% $38,420 +59% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $60,993 $21,348 $18,675 +227% $22,982 +165% ≈206% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $60,945 $21,331 $16,321 +273% $23,141 +163% —
503 FOOT PROCEDURES WITH MCC $60,887 $21,311 $42,663 +43% $43,901 +39% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $60,511 $21,179 $18,882 +220% $26,322 +130% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $60,412 $21,144 $13,855 +336% $19,569 +209% —
312 SYNCOPE AND COLLAPSE $59,868 $20,954 $13,744 +336% $19,342 +210% —
204 RESPIRATORY SIGNS AND SYMPTOMS $59,402 $20,791 $13,092 +354% $16,866 +252% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $59,366 $20,778 $14,682 +304% $15,474 +284% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $59,061 $20,671 $16,289 +263% $22,560 +162% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $59,043 $20,665 $11,596 +409% $12,336 +379% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $58,815 $20,585 $16,178 +264% $17,434 +237% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $58,596 $20,508 $13,601 +331% $19,096 +207% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $58,345 $20,421 $11,294 +417% $15,607 +274% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $58,246 $20,386 $16,671 +249% $24,022 +142% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $58,152 $20,353 $9,147 +536% $12,013 +384% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $58,077 $20,327 $19,598 +196% $25,704 +126% ≈248% of Medicare
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $57,846 $20,246 $10,213 +466% $14,368 +303% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $57,808 $20,233 $21,109 +174% $26,158 +121% ≈204% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $57,773 $20,220 $17,530 +230% $24,190 +139% ≈225% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $57,112 $19,989 $11,008 +419% $14,441 +295% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $57,001 $19,950 $27,838 +105% $27,118 +110% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $56,771 $19,870 $13,617 +317% $16,049 +254% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $56,654 $19,829 $16,385 +246% $22,781 +149% ≈284% of Medicare
088 CONCUSSION WITH MCC $56,548 $19,792 $24,402 +132% $24,402 +132% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $56,323 $19,713 $15,462 +264% $20,968 +169% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $56,315 $19,710 $17,259 +226% $18,459 +205% —
505 FOOT PROCEDURES WITHOUT CC/MCC $56,279 $19,698 $27,138 +107% $31,716 +77% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $55,943 $19,580 $11,883 +371% $14,110 +296% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $55,801 $19,530 $25,038 +123% $31,059 +80% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $55,478 $19,417 $20,489 +171% $26,146 +112% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $55,323 $19,363 $19,152 +189% $22,032 +151% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $55,305 $19,357 $29,699 +86% $35,673 +55% —
176 PULMONARY EMBOLISM WITHOUT MCC $55,009 $19,253 $12,980 +324% $18,081 +204% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $54,989 $19,246 $13,696 +301% $15,045 +265% —
644 ENDOCRINE DISORDERS WITH CC $54,965 $19,238 $16,894 +225% $22,941 +140% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $54,960 $19,236 $12,105 +354% $14,166 +288% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $54,728 $19,155 $19,661 +178% $21,860 +150% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $54,680 $19,138 $29,556 +85% $33,564 +63% —
683 RENAL FAILURE WITH CC $54,299 $19,005 $14,333 +279% $18,620 +192% ≈274% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $54,269 $18,994 $13,076 +315% $18,253 +197% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $54,028 $18,910 $14,905 +262% $18,918 +186% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $53,982 $18,894 $15,017 +259% $16,156 +234% —
834 ACUTE LEUKEMIA WITH MCC $53,862 $18,852 $89,065 −40% $76,583 −30% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $53,840 $18,844 $31,401 +71% $44,363 +21% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $53,467 $18,713 $17,069 +213% $19,868 +169% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $53,238 $18,633 $16,575 +221% $22,850 +133% —
593 SKIN ULCERS WITH CC $53,119 $18,592 $19,248 +176% $20,470 +159% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $52,893 $18,513 $20,998 +152% $25,666 +106% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $52,644 $18,425 $16,973 +210% $19,579 +169% —
592 SKIN ULCERS WITH MCC $52,469 $18,364 $33,246 +58% $32,662 +61% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $52,330 $18,316 $10,069 +420% $14,134 +270% —
187 PLEURAL EFFUSION WITH CC $51,990 $18,197 $15,844 +228% $21,467 +142% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $51,586 $18,055 $13,967 +269% $17,367 +197% —
348 ANAL AND STOMAL PROCEDURES WITH CC $51,471 $18,015 $20,695 +149% $27,947 +84% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $51,302 $17,956 $15,382 +234% $20,777 +147% —
603 CELLULITIS WITHOUT MCC $51,262 $17,942 $14,078 +264% $18,530 +177% ≈245% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $51,036 $17,863 $33,851 +51% $32,483 +57% —
638 DIABETES WITH CC $50,858 $17,800 $14,301 +256% $18,821 +170% ≈242% of Medicare
184 MAJOR CHEST TRAUMA WITH CC $50,817 $17,786 $16,735 +204% $20,842 +144% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $50,706 $17,747 $12,137 +318% $14,444 +251% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $50,170 $17,560 $10,944 +358% $19,483 +158% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $50,092 $17,532 $16,719 +200% $23,571 +113% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $49,936 $17,478 $11,628 +329% $13,892 +259% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $49,856 $17,449 $11,851 +321% $16,865 +196% ≈242% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $49,843 $17,445 $16,575 +201% $20,080 +148% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $49,770 $17,420 $20,727 +140% $20,727 +140% —
305 HYPERTENSION WITHOUT MCC $49,628 $17,370 $11,994 +314% $17,144 +189% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $49,584 $17,354 $12,503 +297% $17,322 +186% ≈253% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $49,514 $17,330 $12,710 +290% $20,278 +144% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $49,435 $17,302 $18,484 +167% $27,369 +81% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $49,426 $17,299 $14,460 +242% $19,287 +156% —
539 OSTEOMYELITIS WITH MCC $49,214 $17,225 $31,560 +56% $33,746 +46% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $49,120 $17,192 $17,180 +186% $25,307 +94% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $48,971 $17,140 $36,157 +35% $37,064 +32% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $48,848 $17,097 $25,786 +89% $25,786 +89% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $48,560 $16,996 $10,435 +365% $13,198 +268% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $48,499 $16,975 $20,377 +138% $29,374 +65% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $48,314 $16,910 $27,536 +75% $29,558 +63% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $48,273 $16,896 $10,658 +353% $12,405 +289% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $48,272 $16,895 $10,308 +368% $14,128 +242% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $48,053 $16,819 $13,601 +253% $20,084 +139% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $47,885 $16,760 $14,333 +234% $20,488 +134% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $47,622 $16,668 $22,445 +112% $25,152 +89% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $47,564 $16,647 $16,050 +196% $17,226 +176% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $47,336 $16,568 $12,042 +293% $16,634 +185% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $47,004 $16,451 $17,403 +170% $19,132 +146% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $46,702 $16,346 $13,776 +239% $19,815 +136% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $46,597 $16,309 $24,561 +90% $24,561 +90% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $46,588 $16,306 $9,799 +375% $15,070 +209% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $46,490 $16,272 $11,262 +313% $13,303 +249% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $46,165 $16,158 $8,892 +419% $13,318 +247% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $46,124 $16,143 $12,662 +264% $17,388 +165% ≈259% of Medicare
101 SEIZURES WITHOUT MCC $44,780 $15,673 $14,476 +209% $19,954 +124% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $44,679 $15,638 $51,794 −14% $55,097 −19% —
866 VIRAL ILLNESS WITHOUT MCC $44,316 $15,511 $14,603 +203% $16,391 +170% —
639 DIABETES WITHOUT CC/MCC $44,294 $15,503 $9,910 +347% $13,910 +218% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $44,226 $15,479 $27,074 +63% $27,168 +63% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $43,797 $15,329 $31,162 +41% $34,089 +28% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $43,260 $15,141 $15,971 +171% $17,483 +147% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $43,240 $15,134 $28,188 +53% $28,375 +52% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $42,885 $15,010 $33,278 +29% $36,850 +16% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $42,539 $14,889 $22,763 +87% $24,316 +75% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $42,304 $14,806 $15,828 +167% $18,282 +131% —
149 DYSEQUILIBRIUM $42,006 $14,702 $11,851 +254% $17,203 +144% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $41,955 $14,684 $12,424 +238% $16,745 +151% ≈234% of Medicare
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $41,898 $14,664 $14,428 +190% $17,928 +134% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $41,876 $14,657 $12,837 +226% $17,466 +140% ≈237% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $41,802 $14,631 $15,144 +176% $21,449 +95% —
916 ALLERGIC REACTIONS WITHOUT MCC $41,567 $14,549 $10,483 +297% $13,890 +199% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $41,006 $14,352 $13,108 +213% $17,715 +131% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $40,805 $14,282 $13,283 +207% $18,238 +124% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $40,425 $14,149 $10,992 +268% $12,537 +222% —
102 HEADACHES WITH MCC $40,087 $14,031 $19,200 +109% $22,544 +78% —
541 OSTEOMYELITIS WITHOUT CC/MCC $39,047 $13,666 $13,648 +186% $14,549 +168% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $38,890 $13,612 $16,480 +136% $16,495 +136% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $38,822 $13,588 $13,505 +187% $18,278 +112% —
158 DENTAL AND ORAL DISEASES WITH CC $38,706 $13,547 $14,937 +159% $17,700 +119% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $38,226 $13,379 $13,760 +178% $14,055 +172% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $38,199 $13,370 $11,278 +239% $11,909 +221% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $38,106 $13,337 $12,312 +209% $17,522 +117% —
201 PNEUMOTHORAX WITHOUT CC/MCC $37,906 $13,267 $11,231 +238% $13,081 +190% —
594 SKIN ULCERS WITHOUT CC/MCC $37,774 $13,221 $12,519 +202% $14,209 +166% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $37,236 $13,033 $12,710 +193% $17,943 +108% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $37,007 $12,953 $8,797 +321% $13,384 +176% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $36,814 $12,885 $13,076 +182% $18,204 +102% —
313 CHEST PAIN $36,647 $12,827 $11,517 +218% $15,962 +130% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $36,492 $12,772 $15,701 +132% $22,024 +66% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $36,064 $12,622 $49,710 −27% $49,710 −27% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $35,960 $12,586 $11,024 +226% $12,797 +181% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $35,630 $12,471 $17,275 +106% $22,231 +60% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $35,605 $12,462 $12,758 +179% $17,700 +101% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $35,465 $12,413 $15,987 +122% $18,428 +92% —
607 MINOR SKIN DISORDERS WITHOUT MCC $35,321 $12,363 $14,221 +148% $15,284 +131% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $35,304 $12,356 $14,094 +150% $15,869 +122% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $35,049 $12,267 $11,946 +193% $14,337 +144% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $35,012 $12,254 $17,259 +103% $15,901 +120% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $34,564 $12,097 $26,788 +29% $29,633 +17% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $34,363 $12,027 $43,491 −21% $43,491 −21% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $34,360 $12,026 $15,191 +126% $15,636 +120% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $34,313 $12,010 $15,382 +123% $16,352 +110% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $34,168 $11,959 $10,881 +214% $14,880 +130% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $33,915 $11,870 $15,207 +123% $17,585 +93% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $33,724 $11,803 $23,734 +42% $23,734 +42% —
534 FRACTURES OF FEMUR WITHOUT MCC $33,388 $11,686 $12,885 +159% $17,195 +94% —
684 RENAL FAILURE WITHOUT CC/MCC $33,210 $11,624 $9,688 +243% $13,623 +144% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $33,151 $11,603 $11,740 +182% $12,895 +157% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $33,067 $11,573 $18,134 +82% $24,432 +35% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $32,643 $11,425 $11,374 +187% $15,600 +109% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $32,455 $11,359 $15,239 +113% $17,273 +88% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $32,207 $11,273 $15,796 +104% $19,091 +69% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $32,074 $11,226 $22,700 +41% $29,805 +8% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $31,760 $11,116 $15,844 +100% $19,001 +67% —
075 VIRAL MENINGITIS WITH CC/MCC $31,573 $11,050 $30,447 +4% $29,853 +6% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $31,558 $11,045 $8,940 +253% $11,955 +164% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $31,114 $10,890 $19,741 +58% $19,894 +56% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $30,880 $10,808 $20,377 +52% $18,291 +69% —
311 ANGINA PECTORIS $30,636 $10,723 $11,103 +176% $15,165 +102% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $29,733 $10,407 $12,726 +134% $16,837 +77% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $29,401 $10,290 $11,851 +148% $11,997 +145% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $27,964 $9,787 $11,883 +135% $13,090 +114% —
799 SPLENIC PROCEDURES WITH MCC $25,930 $9,076 $78,821 −67% $78,821 −67% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $25,439 $8,903 $16,035 +59% $15,370 +66% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $25,371 $8,880 $33,580 −24% $37,080 −32% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $25,244 $8,835 $11,103 +127% $14,012 +80% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $25,084 $8,779 $21,682 +16% $25,010 +0% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $24,532 $8,586 $19,375 +27% $17,103 +43% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $23,426 $8,199 $24,020 −2% $27,548 −15% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $22,652 $7,928 $9,958 +127% $13,824 +64% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $22,598 $7,909 $14,539 +55% $17,731 +27% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $22,208 $7,773 $10,403 +113% $12,044 +84% —
153 OTITIS MEDIA AND URI WITHOUT MCC $21,757 $7,615 $11,692 +86% $14,473 +50% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $20,494 $7,173 $10,085 +103% $10,975 +87% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $20,457 $7,160 $9,385 +118% $9,385 +118% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $20,455 $7,159 $16,321 +25% $16,418 +25% —
791 PREMATURITY WITH MAJOR PROBLEMS $20,172 $7,060 $65,188 −69% $39,563 −49% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $20,061 $7,021 $29,826 −33% $22,698 −12% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $19,809 $6,933 $8,145 +143% $9,076 +118% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $19,158 $6,705 $11,406 +68% $12,381 +55% —
157 DENTAL AND ORAL DISEASES WITH MCC $18,373 $6,431 $27,154 −32% $27,457 −33% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $16,513 $5,780 $21,570 −23% $24,118 −32% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $14,274 $4,996 $11,056 +29% $12,279 +16% —
779 ABORTION WITHOUT D&C $13,746 $4,811 $15,732 −13% $15,327 −10% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $13,592 $4,757 $23,511 −42% $29,371 −54% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $13,023 $4,558 $48,358 −73% $48,358 −73% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $11,781 $4,123 $95,444 −88% $80,018 −85% —
303 ATHEROSCLEROSIS WITHOUT MCC $9,952 $3,483 $10,467 −5% $14,927 −33% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $9,721 $3,402 $66,954 −85% $16,719 −42% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $9,518 $3,331 $26,168 −64% $33,694 −72% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $9,337 $3,268 $28,935 −68% $14,284 −35% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $8,934 $3,127 $39,339 −77% $11,633 −23% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $6,057 $2,120 $23,702 −74% $7,961 −24% —
795 NORMAL NEWBORN $4,269 $1,494 $3,213 +33% $4,530 −6% —

Procedures with negotiated rates only

These 1 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
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC — 30 plans