Kingman Regional Hospital — Pricing
522 procedures published in this hospital's Machine-Readable File (MRF) — 521 with a comparable price, 1 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 522
Lowest published price $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.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 522 procedures
Published charges
Showing all 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% | $245,189 | +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% | $120,573 | +276% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $447,170 | $156,509 | $110,795 | +304% | $137,160 | +226% | — |
| 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% | $61,206 | +535% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $375,514 | $131,430 | $59,175 | +535% | $71,519 | +425% | — |
| 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% | $56,216 | +435% | — |
| 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% | $71,873 | +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% | $67,215 | +275% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $246,450 | $86,257 | $64,552 | +282% | $72,274 | +241% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $245,187 | $85,816 | $58,825 | +317% | $72,879 | +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% | $64,468 | +279% | — |
| 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% | $47,126 | +415% | — |
| 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% | $86,938 | +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% | $54,681 | +322% | — |
| 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% | $41,701 | +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% | $51,501 | +324% | — |
| 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% | $85,882 | +141% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $206,422 | $72,248 | $75,210 | +174% | $84,825 | +143% | — |
| 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% | $61,353 | +219% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $195,428 | $68,400 | $39,514 | +395% | $56,197 | +248% | — |
| 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% | $20,148 | +866% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $193,322 | $67,663 | $90,099 | +115% | $78,327 | +147% | — |
| 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% | $68,421 | +160% | — |
| 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% | $66,765 | +163% | — |
| 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% | $87,495 | +100% | — |
| 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% | $58,713 | +180% | ≈226% of Medicare |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $163,722 | $57,303 | $26,279 | +523% | $33,339 | +391% | — |
| 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% | $94,320 | +72% | — |
| 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% | $53,787 | +194% | — |
| 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% | $23,456 | +564% | — |
| 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% | $32,976 | +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% | $36,195 | +319% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $149,790 | $52,427 | $26,597 | +463% | $44,087 | +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% | $40,801 | +264% | — |
| 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% | $30,681 | +372% | — |
| 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% | $25,412 | +462% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $142,253 | $49,789 | $31,353 | +354% | $35,108 | +305% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $141,287 | $49,450 | $76,467 | +85% | $87,575 | +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% | $43,252 | +218% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $136,214 | $47,675 | $51,587 | +164% | $57,181 | +138% | — |
| 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% | $72,843 | +86% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $133,500 | $46,725 | $42,139 | +217% | $45,271 | +195% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $132,877 | $46,507 | $33,596 | +296% | $55,147 | +141% | ≈229% of Medicare |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $132,851 | $46,498 | $23,734 | +460% | $26,998 | +392% | — |
| 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% | $45,916 | +187% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $131,556 | $46,044 | $36,873 | +257% | $51,950 | +153% | — |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $131,384 | $45,985 | $35,505 | +270% | $44,022 | +198% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $130,444 | $45,655 | $28,426 | +359% | $35,989 | +262% | — |
| 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% | $48,801 | +161% | — |
| 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% | $45,594 | +175% | — |
| 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% | $31,913 | +284% | — |
| 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% | $43,313 | +181% | — |
| 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% | $50,998 | +138% | ≈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% | $36,880 | +228% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $120,498 | $42,174 | $28,458 | +323% | $35,990 | +235% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $120,489 | $42,171 | $32,419 | +272% | $43,444 | +177% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $120,488 | $42,171 | $24,847 | +385% | $32,804 | +267% | — |
| 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% | $33,236 | +246% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $114,941 | $40,229 | $14,444 | +696% | $15,586 | +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% | $47,635 | +140% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $113,691 | $39,792 | $40,039 | +184% | $41,596 | +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% | $45,937 | +144% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $109,532 | $38,336 | $25,977 | +322% | $31,029 | +253% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $109,442 | $38,305 | $24,688 | +343% | $32,385 | +238% | — |
| 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% | $35,029 | +206% | — |
| 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% | $23,039 | +362% | — |
| 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% | $57,030 | +85% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $105,373 | $36,881 | $26,549 | +297% | $32,417 | +225% | — |
| 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% | $34,158 | +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% | $39,675 | +155% | — |
| 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% | $35,693 | +180% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $99,762 | $34,917 | $29,301 | +240% | $29,867 | +234% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $99,601 | $34,860 | $31,003 | +221% | $36,537 | +173% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $98,482 | $34,469 | $26,168 | +276% | $32,953 | +199% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $97,917 | $34,271 | $31,544 | +210% | $34,876 | +181% | ≈201% of Medicare |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $97,908 | $34,268 | $63,868 | +53% | $68,331 | +43% | — |
| 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% | $38,574 | +148% | — |
| 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% | $45,842 | +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% | $47,574 | +96% | — |
| 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% | $29,049 | +219% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $91,672 | $32,085 | $25,245 | +263% | $28,802 | +218% | ≈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% | $34,773 | +162% | — |
| 504 | FOOT PROCEDURES WITH CC | $91,015 | $31,855 | $27,472 | +231% | $36,519 | +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% | $27,597 | +222% | — |
| 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% | $29,929 | +190% | — |
| 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% | $31,067 | +178% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $86,310 | $30,209 | $22,318 | +287% | $29,521 | +192% | ≈221% of Medicare |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $86,170 | $30,159 | $24,195 | +256% | $29,011 | +197% | — |
| 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% | $16,431 | +418% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $85,070 | $29,774 | $53,162 | +60% | $53,763 | +58% | — |
| 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% | $38,166 | +120% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $83,912 | $29,369 | $27,806 | +202% | $31,627 | +165% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $83,818 | $29,336 | $17,641 | +375% | $25,038 | +235% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $83,595 | $29,258 | $30,144 | +177% | $30,362 | +175% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $83,593 | $29,257 | $23,797 | +251% | $35,961 | +132% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $83,105 | $29,087 | $20,886 | +298% | $34,564 | +140% | — |
| 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% | $24,244 | +242% | ≈260% of Medicare |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $82,441 | $28,854 | $33,485 | +146% | $49,071 | +68% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $82,358 | $28,825 | $25,499 | +223% | $30,768 | +168% | — |
| 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% | $27,041 | +199% | ≈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% | $44,927 | +79% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $80,443 | $28,155 | $15,891 | +406% | $21,499 | +274% | — |
| 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% | $41,114 | +94% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $79,401 | $27,790 | $19,661 | +304% | $25,621 | +210% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $79,189 | $27,716 | $23,161 | +242% | $33,790 | +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% | $27,674 | +181% | — |
| 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% | $13,362 | +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% | $18,000 | +328% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $76,875 | $26,906 | $25,070 | +207% | $25,596 | +200% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $76,866 | $26,903 | $23,082 | +233% | $29,630 | +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% | $28,772 | +165% | — |
| 682 | RENAL FAILURE WITH MCC | $76,380 | $26,733 | $23,877 | +220% | $27,640 | +176% | ≈224% of Medicare |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $76,325 | $26,714 | $20,536 | +272% | $27,319 | +179% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $76,295 | $26,703 | $29,015 | +163% | $34,886 | +119% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $76,206 | $26,672 | $26,979 | +182% | $31,754 | +140% | ≈226% of Medicare |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $75,857 | $26,550 | $25,388 | +199% | $28,001 | +171% | — |
| 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% | $23,945 | +212% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $74,580 | $26,103 | $17,832 | +318% | $20,810 | +258% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $74,392 | $26,037 | $24,768 | +200% | $28,385 | +162% | — |
| 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% | $20,808 | +257% | — |
| 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% | $25,998 | +185% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $73,805 | $25,832 | $27,790 | +166% | $36,355 | +103% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $73,651 | $25,778 | $16,162 | +356% | $22,610 | +226% | ≈274% of Medicare |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $73,494 | $25,723 | $23,129 | +218% | $28,403 | +159% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $73,484 | $25,720 | $28,792 | +155% | $31,743 | +131% | — |
| 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% | $30,259 | +141% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $72,839 | $25,494 | $27,949 | +161% | $25,146 | +190% | ≈187% of Medicare |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $72,803 | $25,481 | $29,604 | +146% | $36,241 | +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% | $20,632 | +250% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $71,778 | $25,122 | $12,742 | +463% | $17,719 | +305% | — |
| 103 | HEADACHES WITHOUT MCC | $71,071 | $24,875 | $13,394 | +431% | $20,076 | +254% | — |
| 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% | $21,666 | +225% | — |
| 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% | $62,266 | +11% | — |
| 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% | $24,000 | +185% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $68,159 | $23,856 | $19,121 | +256% | $26,098 | +161% | ≈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% | $29,957 | +126% | — |
| 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% | $22,590 | +198% | — |
| 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% | $24,932 | +168% | ≈214% of Medicare |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $66,603 | $23,311 | $20,632 | +223% | $22,874 | +191% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $66,565 | $23,298 | $19,057 | +249% | $27,125 | +145% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $66,525 | $23,284 | $14,269 | +366% | $21,323 | +212% | — |
| 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% | $18,288 | +258% | — |
| 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% | $18,323 | +253% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $64,207 | $22,472 | $12,519 | +413% | $17,754 | +262% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $64,101 | $22,435 | $20,409 | +214% | $23,474 | +173% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $63,960 | $22,386 | $22,000 | +191% | $29,777 | +115% | — |
| 199 | PNEUMOTHORAX WITH MCC | $63,901 | $22,365 | $28,220 | +126% | $31,085 | +106% | — |
| 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% | $18,243 | +248% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $63,491 | $22,222 | $13,633 | +366% | $15,878 | +300% | — |
| 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% | $23,400 | +166% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $62,087 | $21,730 | $26,756 | +132% | $24,447 | +154% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $61,616 | $21,565 | $26,088 | +136% | $29,671 | +108% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $61,375 | $21,481 | $18,007 | +241% | $24,277 | +153% | — |
| 694 | URINARY STONES WITHOUT MCC | $61,277 | $21,447 | $12,455 | +392% | $16,451 | +272% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $61,152 | $21,403 | $16,448 | +272% | $20,879 | +193% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $61,085 | $21,380 | $34,471 | +77% | $37,839 | +61% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $60,993 | $21,348 | $18,675 | +227% | $22,870 | +167% | ≈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% | $43,982 | +38% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $60,511 | $21,179 | $18,882 | +220% | $26,158 | +131% | — |
| 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% | $16,804 | +253% | — |
| 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% | $22,587 | +161% | — |
| 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% | $17,268 | +241% | — |
| 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% | $15,598 | +274% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $58,246 | $20,386 | $16,671 | +249% | $24,008 | +143% | — |
| 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% | $24,603 | +136% | ≈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% | $25,766 | +124% | ≈204% of Medicare |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $57,773 | $20,220 | $17,530 | +230% | $24,103 | +140% | ≈225% of Medicare |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $57,112 | $19,989 | $11,008 | +419% | $14,210 | +302% | — |
| 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% | $15,923 | +257% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $56,654 | $19,829 | $16,385 | +246% | $22,623 | +150% | ≈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% | $20,917 | +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% | $14,252 | +293% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $55,801 | $19,530 | $25,038 | +123% | $30,224 | +85% | — |
| 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% | $22,010 | +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% | $17,693 | +211% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $54,989 | $19,246 | $13,696 | +301% | $15,045 | +266% | — |
| 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% | $33,415 | +64% | — |
| 683 | RENAL FAILURE WITH CC | $54,299 | $19,005 | $14,333 | +279% | $18,322 | +196% | ≈274% of Medicare |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $54,269 | $18,994 | $13,076 | +315% | $17,579 | +209% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $54,028 | $18,910 | $14,905 | +262% | $18,815 | +187% | — |
| 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% | $76,004 | −29% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $53,840 | $18,844 | $31,401 | +71% | $43,320 | +24% | — |
| 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% | $19,448 | +171% | — |
| 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% | $17,296 | +198% | — |
| 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% | $20,716 | +148% | — |
| 603 | CELLULITIS WITHOUT MCC | $51,262 | $17,942 | $14,078 | +264% | $18,359 | +179% | ≈245% of Medicare |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $51,036 | $17,863 | $33,851 | +51% | $32,506 | +57% | — |
| 638 | DIABETES WITH CC | $50,858 | $17,800 | $14,301 | +256% | $18,763 | +171% | ≈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% | $14,411 | +252% | — |
| 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% | $16,645 | +200% | ≈242% of Medicare |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $49,843 | $17,445 | $16,575 | +201% | $20,076 | +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% | $16,897 | +194% | — |
| 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% | $20,253 | +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% | $33,614 | +46% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $49,120 | $17,192 | $17,180 | +186% | $25,206 | +95% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $48,971 | $17,140 | $36,157 | +35% | $36,318 | +35% | — |
| 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% | $20,408 | +135% | — |
| 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% | $14,770 | +215% | — |
| 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% | $17,345 | +166% | ≈259% of Medicare |
| 101 | SEIZURES WITHOUT MCC | $44,780 | $15,673 | $14,476 | +209% | $19,930 | +125% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $44,679 | $15,638 | $51,794 | −14% | $55,002 | −19% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $44,316 | $15,511 | $14,603 | +203% | $16,348 | +171% | — |
| 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% | $27,074 | +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% | $23,646 | +80% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $42,304 | $14,806 | $15,828 | +167% | $18,199 | +132% | — |
| 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% | $16,718 | +151% | ≈234% of Medicare |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $41,898 | $14,664 | $14,428 | +190% | $17,851 | +135% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $41,876 | $14,657 | $12,837 | +226% | $17,379 | +141% | ≈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% | $17,562 | +133% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $40,805 | $14,282 | $13,283 | +207% | $18,038 | +126% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $40,425 | $14,149 | $10,992 | +268% | $12,536 | +222% | — |
| 102 | HEADACHES WITH MCC | $40,087 | $14,031 | $19,200 | +109% | $21,983 | +82% | — |
| 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% | $18,104 | +114% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $38,706 | $13,547 | $14,937 | +159% | $17,751 | +118% | — |
| 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% | $17,719 | +110% | — |
| 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% | $15,837 | +131% | — |
| 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% | $12,794 | +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% | $18,316 | +94% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $35,321 | $12,363 | $14,221 | +148% | $15,276 | +131% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $35,304 | $12,356 | $14,094 | +150% | $15,818 | +123% | — |
| 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% | $29,598 | +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% | $17,194 | +94% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $33,210 | $11,624 | $9,688 | +243% | $13,455 | +147% | — |
| 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% | $24,426 | +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% | $17,183 | +89% | — |
| 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% | $29,751 | +6% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $31,558 | $11,045 | $8,940 | +253% | $11,826 | +167% | — |
| 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% | $16,622 | +79% | — |
| 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% | $25,071 | +0% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $24,532 | $8,586 | $19,375 | +27% | $17,006 | +44% | — |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $23,426 | $8,199 | $24,020 | −2% | $27,277 | −14% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $22,652 | $7,928 | $9,958 | +127% | $13,747 | +65% | — |
| 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% | $11,957 | +86% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $21,757 | $7,615 | $11,692 | +86% | $14,251 | +53% | — |
| 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% | $39,254 | −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% | $9,063 | +119% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $19,158 | $6,705 | $11,406 | +68% | $12,205 | +57% | — |
| 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% | $12,275 | +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% | $29,891 | −55% | — |
| 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% | $16,708 | −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% | $14,121 | −34% | — |
| 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% | $7,896 | −23% | — |
| 795 | NORMAL NEWBORN | $4,269 | $1,494 | $3,213 | +33% | $4,521 | −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 |
No procedures match that keyword.