Adventist Health and Rideout — Pricing
530 procedures published in this hospital's Machine-Readable File (MRF) — 528 with a comparable price, 2 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 530
Lowest published price $7,086
Average published price $115,198
Highest published price $1,002,949
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 530 procedures
Published charges
Showing all 528 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 81 procedures, this hospital's negotiated rates average ≈472% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $1,002,949 | $220,649 | $155,631 | +544% | $147,227 | +581% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $899,166 | $197,817 | $191,314 | +370% | $208,939 | +330% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $821,255 | $180,676 | $62,821 | +1207% | $62,821 | +1207% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $737,380 | $162,224 | $371,366 | +99% | $371,366 | +99% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $643,601 | $141,592 | $79,225 | +712% | $79,225 | +712% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $603,198 | $132,704 | $70,175 | +760% | $50,919 | +1085% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $591,396 | $130,107 | $248,521 | +138% | $248,521 | +138% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $529,491 | $116,488 | $32,445 | +1532% | $24,586 | +2054% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $513,365 | $112,940 | $144,569 | +255% | $144,569 | +255% | ≈425% of Medicare |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $471,163 | $103,656 | $131,961 | +257% | $131,961 | +257% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $464,268 | $102,139 | $102,573 | +353% | $102,573 | +353% | — |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $441,475 | $97,124 | $115,839 | +281% | $115,839 | +281% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $441,340 | $97,095 | $75,103 | +488% | $75,103 | +488% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $432,175 | $95,078 | $102,177 | +323% | $111,320 | +288% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $423,396 | $93,147 | $34,613 | +1123% | $27,633 | +1432% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $418,048 | $91,971 | $108,750 | +284% | $96,192 | +335% | — |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $399,698 | $87,934 | $23,643 | +1591% | $86,864 | +360% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $388,852 | $85,548 | $124,290 | +213% | $148,832 | +161% | ≈399% of Medicare |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $378,579 | $83,287 | $36,230 | +945% | $30,447 | +1143% | — |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $368,398 | $81,048 | $112,062 | +229% | $112,062 | +229% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $357,024 | $78,545 | $90,331 | +295% | $90,331 | +295% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $353,469 | $77,763 | $91,329 | +287% | $91,329 | +287% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $349,003 | $76,781 | $28,065 | +1144% | $27,426 | +1173% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $348,637 | $76,700 | $82,247 | +324% | $82,247 | +324% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $346,361 | $76,199 | $99,423 | +248% | $99,423 | +248% | ≈454% of Medicare |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $313,305 | $68,927 | $117,280 | +167% | $117,280 | +167% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $309,951 | $68,189 | $88,050 | +252% | $88,050 | +252% | ≈443% of Medicare |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $302,490 | $66,548 | $41,380 | +631% | $46,340 | +553% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $297,714 | $65,497 | $71,014 | +319% | $71,014 | +319% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $290,990 | $64,018 | $64,956 | +348% | $72,424 | +302% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $289,087 | $63,599 | $136,374 | +112% | $120,573 | +140% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $288,519 | $63,474 | $83,065 | +247% | $85,159 | +239% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $287,728 | $63,300 | $94,937 | +203% | $93,172 | +209% | ≈350% of Medicare |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $286,355 | $62,998 | $47,583 | +502% | $41,620 | +588% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $268,222 | $59,009 | $65,325 | +311% | $65,325 | +311% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $261,348 | $57,497 | $90,775 | +188% | $90,775 | +188% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $259,842 | $57,165 | $64,105 | +305% | $61,872 | +320% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $252,666 | $55,586 | $55,162 | +358% | $55,162 | +358% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $248,409 | $54,650 | $35,675 | +596% | $31,563 | +687% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $246,919 | $54,322 | $57,493 | +329% | $46,402 | +432% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $241,607 | $53,154 | $52,735 | +358% | $62,264 | +288% | — |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $240,389 | $52,886 | $23,643 | +917% | $33,983 | +607% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $240,339 | $52,875 | $116,058 | +107% | $116,058 | +107% | ≈248% of Medicare |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $238,723 | $52,519 | $77,817 | +207% | $77,817 | +207% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $236,227 | $51,970 | $85,334 | +177% | $70,177 | +237% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $233,107 | $51,284 | $60,959 | +282% | $81,706 | +185% | ≈570% of Medicare |
| 799 | SPLENIC PROCEDURES WITH MCC | $231,115 | $50,845 | $90,790 | +155% | $82,218 | +181% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $230,959 | $50,811 | $70,026 | +230% | $56,964 | +305% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $230,740 | $50,763 | $82,561 | +179% | $82,561 | +179% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $228,656 | $50,304 | $44,730 | +411% | $42,914 | +433% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $218,794 | $48,135 | $67,560 | +224% | $59,533 | +268% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $218,655 | $48,104 | $23,643 | +825% | $56,960 | +284% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $216,674 | $47,668 | $39,515 | +448% | $39,515 | +448% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $214,429 | $47,174 | $53,746 | +299% | $57,454 | +273% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $214,189 | $47,122 | $40,150 | +433% | $39,955 | +436% | ≈520% of Medicare |
| 503 | FOOT PROCEDURES WITH MCC | $213,053 | $46,872 | $55,321 | +285% | $47,540 | +348% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $210,531 | $46,317 | $70,132 | +200% | $70,132 | +200% | ≈334% of Medicare |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $209,960 | $46,191 | $51,487 | +308% | $50,046 | +320% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $208,827 | $45,942 | $96,245 | +117% | $80,793 | +158% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $208,260 | $45,817 | $70,540 | +195% | $70,564 | +195% | — |
| 539 | OSTEOMYELITIS WITH MCC | $205,977 | $45,315 | $41,277 | +399% | $37,609 | +448% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $205,344 | $45,176 | $45,785 | +348% | $39,181 | +424% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $201,644 | $44,362 | $68,508 | +194% | $68,508 | +194% | ≈404% of Medicare |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $201,330 | $44,293 | $88,341 | +128% | $90,195 | +123% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $196,788 | $43,293 | $52,405 | +276% | $52,405 | +276% | ≈502% of Medicare |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $195,503 | $43,011 | $46,332 | +322% | $50,463 | +287% | — |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $193,370 | $42,542 | $58,880 | +228% | $49,839 | +288% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $190,800 | $41,976 | $81,281 | +135% | $77,990 | +145% | ≈356% of Medicare |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $186,079 | $40,937 | $65,631 | +184% | $58,745 | +217% | — |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $183,822 | $40,441 | $38,265 | +380% | $27,233 | +575% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $182,887 | $40,235 | $40,163 | +355% | $58,809 | +211% | ≈737% of Medicare |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $182,791 | $40,214 | $68,421 | +167% | $70,847 | +158% | ≈379% of Medicare |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $180,383 | $39,684 | $78,852 | +129% | $78,852 | +129% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $179,131 | $39,409 | $43,631 | +311% | $43,631 | +311% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $178,505 | $39,271 | $70,371 | +154% | $70,371 | +154% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $178,268 | $39,219 | $31,063 | +474% | $26,280 | +578% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $177,786 | $39,113 | $73,751 | +141% | $61,470 | +189% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $177,659 | $39,085 | $50,131 | +254% | $49,418 | +260% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $176,981 | $38,936 | $51,339 | +245% | $59,629 | +197% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $176,598 | $38,852 | $96,507 | +83% | $96,507 | +83% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $174,372 | $38,362 | $43,913 | +297% | $43,913 | +297% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $173,137 | $38,090 | $62,334 | +178% | $70,467 | +146% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $172,539 | $37,958 | $44,489 | +288% | $46,283 | +273% | ≈589% of Medicare |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $171,779 | $37,791 | $69,743 | +146% | $69,743 | +146% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $169,893 | $37,376 | $76,907 | +121% | $54,196 | +213% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $169,749 | $37,345 | $74,257 | +129% | $74,257 | +129% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $169,018 | $37,184 | $66,819 | +153% | $71,464 | +137% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $168,602 | $37,092 | $75,573 | +123% | $75,573 | +123% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $168,564 | $37,084 | $50,562 | +233% | $59,500 | +183% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $167,312 | $36,809 | $40,563 | +312% | $40,642 | +312% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $167,297 | $36,805 | $43,483 | +285% | $38,666 | +333% | ≈509% of Medicare |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $165,784 | $36,472 | $27,552 | +502% | $20,727 | +700% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $164,587 | $36,209 | $21,129 | +679% | $18,316 | +799% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $163,529 | $35,976 | $69,724 | +135% | $66,068 | +148% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $160,913 | $35,401 | $30,493 | +428% | $30,493 | +428% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $159,562 | $35,104 | $37,921 | +321% | $37,387 | +327% | ≈648% of Medicare |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $158,345 | $34,836 | $33,256 | +376% | $30,010 | +428% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $157,306 | $34,607 | $51,645 | +205% | $59,421 | +165% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $157,060 | $34,553 | $175,437 | −10% | $188,171 | −17% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $156,058 | $34,333 | $18,004 | +767% | $18,004 | +767% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $155,831 | $34,283 | $29,894 | +421% | $24,127 | +546% | — |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $154,821 | $34,061 | $23,643 | +555% | $20,610 | +651% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $154,667 | $34,027 | $60,274 | +157% | $65,653 | +136% | ≈372% of Medicare |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $153,328 | $33,732 | $24,644 | +522% | $18,459 | +731% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $152,973 | $33,654 | $53,666 | +185% | $58,707 | +161% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $152,604 | $33,573 | $48,682 | +213% | $48,682 | +213% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $151,414 | $33,311 | $54,273 | +179% | $52,178 | +190% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $150,718 | $33,158 | $35,243 | +328% | $32,628 | +362% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $150,688 | $33,151 | $96,905 | +56% | $96,905 | +56% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $149,612 | $32,915 | $36,491 | +310% | $32,645 | +358% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $149,073 | $32,796 | $79,939 | +86% | $73,120 | +104% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $148,735 | $32,722 | $100,245 | +48% | $85,566 | +74% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $148,382 | $32,644 | $27,947 | +431% | $27,947 | +431% | — |
| 813 | COAGULATION DISORDERS | $146,912 | $32,321 | $33,296 | +341% | $33,296 | +341% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $145,861 | $32,089 | $25,192 | +479% | $20,247 | +620% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $145,482 | $32,006 | $51,189 | +184% | $59,651 | +144% | ≈433% of Medicare |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $145,370 | $31,982 | $41,857 | +247% | $50,607 | +187% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $143,018 | $31,464 | $53,141 | +169% | $56,755 | +152% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $142,748 | $31,405 | $46,317 | +208% | $43,650 | +227% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $141,637 | $31,160 | $86,246 | +64% | $84,692 | +67% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $140,359 | $30,879 | $46,288 | +203% | $36,489 | +285% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $139,185 | $30,621 | $50,777 | +174% | $53,451 | +160% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $138,718 | $30,518 | $49,382 | +181% | $39,973 | +247% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $138,009 | $30,362 | $37,764 | +265% | $43,477 | +217% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $137,540 | $30,259 | $33,325 | +313% | $32,877 | +318% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $137,027 | $30,146 | $50,139 | +173% | $50,139 | +173% | — |
| 150 | EPISTAXIS WITH MCC | $135,593 | $29,831 | $30,507 | +344% | $23,171 | +485% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $134,848 | $29,667 | $45,849 | +194% | $40,108 | +236% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $134,658 | $29,625 | $40,213 | +235% | $40,213 | +235% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $133,068 | $29,275 | $101,662 | +31% | $89,207 | +49% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $132,932 | $29,245 | $42,775 | +211% | $39,958 | +233% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $132,696 | $29,193 | $46,799 | +184% | $58,280 | +128% | ≈451% of Medicare |
| 397 | APPENDIX PROCEDURES WITH MCC | $131,778 | $28,991 | $54,751 | +141% | $53,257 | +147% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $130,702 | $28,754 | $33,388 | +291% | $36,253 | +261% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $130,135 | $28,630 | $34,689 | +275% | $46,295 | +181% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $129,052 | $28,391 | $86,699 | +49% | $76,001 | +70% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $127,812 | $28,119 | $50,011 | +156% | $50,011 | +156% | ≈324% of Medicare |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $127,710 | $28,096 | $42,837 | +198% | $34,598 | +269% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $127,699 | $28,094 | $44,357 | +188% | $43,943 | +191% | ≈453% of Medicare |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $125,803 | $27,677 | $40,263 | +212% | $35,628 | +253% | ≈447% of Medicare |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $125,253 | $27,556 | $41,855 | +199% | $47,711 | +163% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $124,781 | $27,452 | $114,401 | +9% | $98,912 | +26% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $124,536 | $27,398 | $33,399 | +273% | $36,505 | +241% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $124,462 | $27,382 | $27,645 | +350% | $27,297 | +356% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $123,561 | $27,183 | $30,056 | +311% | $29,949 | +313% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $123,243 | $27,114 | $38,951 | +216% | $32,637 | +278% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $123,003 | $27,061 | $54,929 | +124% | $54,929 | +124% | ≈329% of Medicare |
| 186 | PLEURAL EFFUSION WITH MCC | $121,578 | $26,747 | $33,834 | +259% | $33,834 | +259% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $121,493 | $26,729 | $46,066 | +164% | $46,066 | +164% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $121,148 | $26,653 | $34,588 | +250% | $27,617 | +339% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $120,661 | $26,545 | $36,661 | +229% | $33,555 | +260% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $119,847 | $26,366 | $31,017 | +286% | $31,017 | +286% | — |
| 865 | VIRAL ILLNESS WITH MCC | $119,790 | $26,354 | $32,083 | +273% | $26,910 | +345% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $119,348 | $26,257 | $34,316 | +248% | $26,598 | +349% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $117,041 | $25,749 | $45,703 | +156% | $52,751 | +122% | ≈403% of Medicare |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $116,905 | $25,719 | $34,839 | +236% | $30,235 | +287% | ≈508% of Medicare |
| 711 | TESTES PROCEDURES WITH CC/MCC | $115,633 | $25,439 | $42,414 | +173% | $38,343 | +202% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $115,304 | $25,367 | $37,842 | +205% | $37,842 | +205% | ≈454% of Medicare |
| 606 | MINOR SKIN DISORDERS WITH MCC | $115,177 | $25,339 | $34,344 | +235% | $27,975 | +312% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $115,060 | $25,313 | $25,825 | +346% | $22,446 | +413% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $114,355 | $25,158 | $51,985 | +120% | $51,985 | +120% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $114,220 | $25,128 | $28,156 | +306% | $28,156 | +306% | — |
| 199 | PNEUMOTHORAX WITH MCC | $113,857 | $25,048 | $36,952 | +208% | $33,787 | +237% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $113,830 | $25,043 | $38,308 | +197% | $30,243 | +276% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $113,648 | $25,003 | $40,719 | +179% | $39,106 | +191% | ≈379% of Medicare |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $113,155 | $24,894 | $24,191 | +368% | $32,021 | +253% | ≈783% of Medicare |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $112,803 | $24,817 | $68,639 | +64% | $68,639 | +64% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $111,774 | $24,590 | $47,089 | +137% | $45,877 | +144% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $111,655 | $24,564 | $23,396 | +377% | $23,488 | +375% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $111,512 | $24,533 | $34,817 | +220% | $33,661 | +231% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $111,341 | $24,495 | $65,788 | +69% | $65,788 | +69% | — |
| 666 | PROSTATECTOMY WITH CC | $111,334 | $24,493 | $36,569 | +204% | $31,906 | +249% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $110,939 | $24,407 | $35,217 | +215% | $41,955 | +164% | ≈520% of Medicare |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $109,140 | $24,011 | $95,536 | +14% | $93,390 | +17% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $108,091 | $23,780 | $38,541 | +180% | $32,443 | +233% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $108,049 | $23,771 | $64,523 | +67% | $64,523 | +67% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $107,842 | $23,725 | $38,187 | +182% | $32,859 | +228% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $107,684 | $23,690 | $26,753 | +303% | $24,056 | +348% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $107,287 | $23,603 | $31,166 | +244% | $27,808 | +286% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $107,044 | $23,550 | $36,658 | +192% | $36,658 | +192% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $106,869 | $23,511 | $32,490 | +229% | $27,394 | +290% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $106,737 | $23,482 | $34,448 | +210% | $33,707 | +217% | ≈457% of Medicare |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $106,730 | $23,481 | $23,643 | +351% | $34,146 | +213% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $106,484 | $23,427 | $41,111 | +159% | $32,031 | +232% | — |
| 694 | URINARY STONES WITHOUT MCC | $106,065 | $23,334 | $17,347 | +511% | $17,345 | +512% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $105,899 | $23,298 | $49,765 | +113% | $40,362 | +162% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $105,327 | $23,172 | $39,013 | +170% | $33,255 | +217% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $105,095 | $23,121 | $37,933 | +177% | $31,105 | +238% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $105,037 | $23,108 | $40,063 | +162% | $41,591 | +153% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $103,986 | $22,877 | $37,033 | +181% | $34,607 | +200% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $103,891 | $22,856 | $23,289 | +346% | $30,138 | +245% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $103,776 | $22,831 | $42,126 | +146% | $40,562 | +156% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $103,283 | $22,722 | $34,867 | +196% | $30,828 | +235% | ≈466% of Medicare |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $102,885 | $22,635 | $69,597 | +48% | $51,953 | +98% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $102,756 | $22,606 | $37,213 | +176% | $31,159 | +230% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $102,299 | $22,506 | $75,820 | +35% | $66,685 | +53% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $102,262 | $22,498 | $53,208 | +92% | $50,618 | +102% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $102,215 | $22,487 | $42,423 | +141% | $33,851 | +202% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $101,846 | $22,406 | $42,881 | +138% | $42,881 | +138% | ≈405% of Medicare |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $100,802 | $22,176 | $37,214 | +171% | $52,075 | +94% | ≈398% of Medicare |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $100,248 | $22,054 | $60,140 | +67% | $60,170 | +67% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $99,913 | $21,981 | $35,692 | +180% | $35,692 | +180% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $99,467 | $21,883 | $63,279 | +57% | $54,562 | +82% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $99,177 | $21,819 | $14,638 | +578% | $14,638 | +578% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $99,151 | $21,813 | $27,494 | +261% | $22,458 | +342% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $99,089 | $21,800 | $35,532 | +179% | $32,496 | +205% | ≈412% of Medicare |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $98,689 | $21,712 | $27,277 | +262% | $27,277 | +262% | — |
| 682 | RENAL FAILURE WITH MCC | $98,677 | $21,709 | $32,520 | +203% | $29,064 | +240% | ≈475% of Medicare |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $98,077 | $21,577 | $34,078 | +188% | $39,211 | +150% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $97,752 | $21,505 | $58,043 | +68% | $58,043 | +68% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $97,244 | $21,394 | $65,573 | +48% | $65,573 | +48% | ≈212% of Medicare |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $96,924 | $21,323 | $46,477 | +109% | $49,351 | +96% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $96,367 | $21,201 | $37,169 | +159% | $37,169 | +159% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $96,355 | $21,198 | $17,265 | +458% | $17,124 | +463% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $95,846 | $21,086 | $30,959 | +210% | $30,959 | +210% | ≈498% of Medicare |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $95,606 | $21,033 | $33,957 | +182% | $29,933 | +219% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $95,590 | $21,030 | $47,513 | +101% | $32,065 | +198% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $94,181 | $20,720 | $36,816 | +156% | $44,606 | +111% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $94,069 | $20,695 | $27,470 | +242% | $26,580 | +254% | ≈556% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MCC | $93,896 | $20,657 | $35,135 | +167% | $33,563 | +180% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $93,795 | $20,635 | $30,887 | +204% | $39,887 | +135% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $93,592 | $20,590 | $33,653 | +178% | $33,653 | +178% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $92,848 | $20,427 | $39,627 | +134% | $39,627 | +134% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $92,691 | $20,392 | $32,907 | +182% | $25,945 | +257% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $92,534 | $20,357 | $35,453 | +161% | $35,453 | +161% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $91,592 | $20,150 | $35,961 | +155% | $34,017 | +169% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $91,561 | $20,143 | $47,797 | +92% | $41,608 | +120% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $91,394 | $20,107 | $31,982 | +186% | $30,571 | +199% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $91,363 | $20,100 | $43,749 | +109% | $42,901 | +113% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $90,950 | $20,009 | $29,805 | +205% | $29,805 | +205% | — |
| 304 | HYPERTENSION WITH MCC | $90,703 | $19,955 | $26,080 | +248% | $26,080 | +248% | ≈588% of Medicare |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $90,671 | $19,948 | $29,252 | +210% | $27,275 | +232% | ≈461% of Medicare |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $90,618 | $19,936 | $36,807 | +146% | $33,386 | +171% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $90,581 | $19,928 | $60,905 | +49% | $49,710 | +82% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $89,813 | $19,759 | $17,087 | +426% | $14,648 | +513% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $89,785 | $19,753 | $20,401 | +340% | $18,072 | +397% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $89,679 | $19,729 | $23,369 | +284% | $20,232 | +343% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $89,656 | $19,724 | $16,097 | +457% | $19,227 | +366% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $89,378 | $19,663 | $64,194 | +39% | $55,289 | +62% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $89,067 | $19,595 | $62,677 | +42% | $53,864 | +65% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $88,921 | $19,563 | $29,747 | +199% | $31,264 | +184% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $88,590 | $19,490 | $33,137 | +167% | $33,393 | +165% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $88,331 | $19,433 | $39,020 | +126% | $39,020 | +126% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $88,100 | $19,382 | $25,980 | +239% | $23,617 | +273% | ≈557% of Medicare |
| 540 | OSTEOMYELITIS WITH CC | $87,497 | $19,249 | $28,728 | +205% | $26,676 | +228% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $87,489 | $19,248 | $22,790 | +284% | $25,970 | +237% | — |
| 913 | TRAUMATIC INJURY WITH MCC | $87,206 | $19,185 | $34,479 | +153% | $24,198 | +260% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $86,635 | $19,060 | $38,998 | +122% | $30,553 | +184% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $86,498 | $19,030 | $24,930 | +247% | $24,386 | +255% | ≈581% of Medicare |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $86,440 | $19,017 | $31,974 | +170% | $26,463 | +227% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $86,342 | $18,995 | $37,599 | +130% | $32,944 | +162% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $85,896 | $18,897 | $28,515 | +201% | $28,050 | +206% | ≈490% of Medicare |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $85,572 | $18,826 | $34,802 | +146% | $31,300 | +173% | — |
| 089 | CONCUSSION WITH CC | $85,078 | $18,717 | $23,800 | +257% | $18,821 | +352% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $84,268 | $18,539 | $27,492 | +207% | $28,320 | +198% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $83,994 | $18,479 | $39,057 | +115% | $33,985 | +147% | ≈321% of Medicare |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $83,755 | $18,426 | $39,619 | +111% | $39,619 | +111% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $83,564 | $18,384 | $29,481 | +183% | $25,463 | +228% | ≈436% of Medicare |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $83,216 | $18,308 | $48,634 | +71% | $47,737 | +74% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $83,149 | $18,293 | $35,375 | +135% | $39,006 | +113% | — |
| 779 | ABORTION WITHOUT D&C | $82,812 | $18,219 | $20,752 | +299% | $15,327 | +440% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $81,826 | $18,002 | $43,384 | +89% | $29,524 | +177% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $81,782 | $17,992 | $35,770 | +129% | $35,770 | +129% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $81,297 | $17,885 | $28,966 | +181% | $26,776 | +204% | ≈433% of Medicare |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $81,279 | $17,881 | $24,648 | +230% | $23,573 | +245% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $81,006 | $17,821 | $32,451 | +150% | $32,451 | +150% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $80,715 | $17,757 | $25,267 | +219% | $26,618 | +203% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $80,350 | $17,677 | $53,274 | +51% | $49,423 | +63% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $80,096 | $17,621 | $23,749 | +237% | $23,749 | +237% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $79,609 | $17,514 | $35,872 | +122% | $27,152 | +193% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $79,546 | $17,500 | $29,623 | +169% | $27,543 | +189% | ≈472% of Medicare |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $79,460 | $17,481 | $77,178 | +3% | $71,795 | +11% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $79,333 | $17,453 | $23,551 | +237% | $23,551 | +237% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $78,518 | $17,274 | $33,048 | +138% | $33,048 | +138% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $78,463 | $17,262 | $23,312 | +237% | $22,763 | +245% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $78,423 | $17,253 | $20,488 | +283% | $20,488 | +283% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $78,303 | $17,227 | $32,100 | +144% | $32,100 | +144% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $78,106 | $17,183 | $52,959 | +47% | $43,491 | +80% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $77,931 | $17,145 | $47,452 | +64% | $45,333 | +72% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $77,496 | $17,049 | $25,552 | +203% | $18,133 | +327% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $77,416 | $17,031 | $25,700 | +201% | $25,700 | +201% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $77,270 | $16,999 | $29,523 | +162% | $24,552 | +215% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $76,773 | $16,890 | $21,977 | +249% | $21,941 | +250% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $76,117 | $16,746 | $22,850 | +233% | $22,850 | +233% | ≈548% of Medicare |
| 100 | SEIZURES WITH MCC | $75,768 | $16,669 | $40,653 | +86% | $35,481 | +114% | ≈271% of Medicare |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $75,766 | $16,668 | $34,354 | +121% | $34,354 | +121% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $75,643 | $16,641 | $16,607 | +355% | $14,716 | +414% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $75,541 | $16,619 | $29,250 | +158% | $36,937 | +105% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $75,002 | $16,500 | $20,463 | +267% | $20,463 | +267% | ≈652% of Medicare |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $74,850 | $16,467 | $20,259 | +269% | $20,259 | +269% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $74,821 | $16,461 | $29,117 | +157% | $27,043 | +177% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $74,223 | $16,329 | $36,820 | +102% | $36,820 | +102% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $74,142 | $16,311 | $14,134 | +425% | $15,038 | +393% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $73,848 | $16,247 | $37,950 | +95% | $37,950 | +95% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $73,721 | $16,219 | $18,139 | +306% | $17,118 | +331% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $73,565 | $16,184 | $42,463 | +73% | $34,459 | +113% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $73,452 | $16,160 | $23,711 | +210% | $22,432 | +227% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $73,166 | $16,097 | $17,522 | +318% | $17,620 | +315% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $72,933 | $16,045 | $20,355 | +258% | $17,135 | +326% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $72,921 | $16,043 | $22,628 | +222% | $20,901 | +249% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $72,706 | $15,995 | $14,743 | +393% | $13,942 | +422% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $72,685 | $15,991 | $71,755 | +1% | $71,755 | +1% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $72,678 | $15,989 | $26,770 | +171% | $26,770 | +171% | ≈467% of Medicare |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $72,251 | $15,895 | $24,439 | +196% | $17,483 | +313% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $72,209 | $15,886 | $22,575 | +220% | $23,940 | +202% | ≈554% of Medicare |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $72,196 | $15,883 | $22,024 | +228% | $22,024 | +228% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $72,119 | $15,866 | $23,503 | +207% | $24,914 | +189% | ≈552% of Medicare |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $71,765 | $15,788 | $23,141 | +210% | $23,141 | +210% | — |
| 504 | FOOT PROCEDURES WITH CC | $71,576 | $15,747 | $38,960 | +84% | $38,960 | +84% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $71,558 | $15,743 | $40,894 | +75% | $29,221 | +145% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $71,262 | $15,678 | $60,402 | +18% | $58,228 | +22% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $71,119 | $15,646 | $16,654 | +327% | $19,037 | +274% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $71,039 | $15,629 | $24,042 | +195% | $23,283 | +205% | — |
| 637 | DIABETES WITH MCC | $70,858 | $15,589 | $31,753 | +123% | $30,100 | +135% | ≈352% of Medicare |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $70,600 | $15,532 | $24,075 | +193% | $23,319 | +203% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $70,555 | $15,522 | $35,349 | +100% | $33,876 | +108% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $70,295 | $15,465 | $16,634 | +323% | $16,634 | +323% | — |
| 312 | SYNCOPE AND COLLAPSE | $70,040 | $15,409 | $19,342 | +262% | $19,342 | +262% | ≈597% of Medicare |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $69,855 | $15,368 | $21,205 | +229% | $19,594 | +257% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $69,757 | $15,347 | $36,340 | +92% | $29,826 | +134% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $69,448 | $15,279 | $22,557 | +208% | $19,264 | +261% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $68,885 | $15,155 | $19,602 | +251% | $16,998 | +305% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $68,775 | $15,130 | $55,594 | +24% | $47,945 | +43% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $68,561 | $15,083 | $25,361 | +170% | $24,944 | +175% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $68,446 | $15,058 | $39,360 | +74% | $38,101 | +80% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $68,364 | $15,040 | $38,094 | +79% | $38,094 | +79% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $68,050 | $14,971 | $31,874 | +113% | $29,743 | +129% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $67,531 | $14,857 | $21,449 | +215% | $21,449 | +215% | ≈519% of Medicare |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $67,076 | $14,757 | $21,363 | +214% | $21,363 | +214% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $66,900 | $14,718 | $38,631 | +73% | $36,792 | +82% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $66,717 | $14,678 | $33,592 | +99% | $40,162 | +66% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $66,654 | $14,664 | $22,641 | +194% | $21,275 | +213% | ≈486% of Medicare |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $66,605 | $14,653 | $30,922 | +115% | $28,226 | +136% | ≈360% of Medicare |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $66,504 | $14,631 | $25,034 | +166% | $25,034 | +166% | — |
| 602 | CELLULITIS WITH MCC | $66,476 | $14,625 | $31,970 | +108% | $30,598 | +117% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $65,897 | $14,497 | $24,948 | +164% | $31,321 | +110% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $65,736 | $14,462 | $39,105 | +68% | $36,431 | +80% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $65,036 | $14,308 | $32,473 | +100% | $30,502 | +113% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $64,898 | $14,278 | $19,815 | +228% | $19,846 | +227% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $64,500 | $14,190 | $22,888 | +182% | $22,888 | +182% | ≈500% of Medicare |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $64,423 | $14,173 | $23,571 | +173% | $23,571 | +173% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $64,274 | $14,140 | $20,084 | +220% | $20,084 | +220% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $64,071 | $14,096 | $44,639 | +44% | $46,090 | +39% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $64,057 | $14,093 | $21,225 | +202% | $19,924 | +222% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $63,944 | $14,068 | $15,799 | +305% | $14,583 | +338% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $63,774 | $14,030 | $23,352 | +173% | $19,657 | +224% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $63,765 | $14,028 | $17,638 | +262% | $17,921 | +256% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $63,296 | $13,925 | $40,365 | +57% | $40,365 | +57% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $63,228 | $13,910 | $20,896 | +203% | $20,181 | +213% | — |
| 200 | PNEUMOTHORAX WITH CC | $63,184 | $13,901 | $24,586 | +157% | $21,368 | +196% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $63,087 | $13,879 | $18,204 | +247% | $18,204 | +247% | ≈602% of Medicare |
| 101 | SEIZURES WITHOUT MCC | $62,324 | $13,711 | $20,461 | +205% | $20,461 | +205% | ≈524% of Medicare |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $61,622 | $13,557 | $27,163 | +127% | $27,163 | +127% | — |
| 885 | PSYCHOSES | $61,593 | $13,551 | $30,968 | +99% | $21,729 | +183% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $61,397 | $13,507 | $25,652 | +139% | $25,652 | +139% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $61,333 | $13,493 | $23,767 | +158% | $20,422 | +200% | ≈434% of Medicare |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $61,266 | $13,478 | $22,033 | +178% | $22,033 | +178% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $61,252 | $13,475 | $17,762 | +245% | $21,056 | +191% | ≈621% of Medicare |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $61,229 | $13,470 | $20,881 | +193% | $18,466 | +232% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $60,981 | $13,416 | $18,081 | +237% | $18,081 | +237% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $60,941 | $13,407 | $22,941 | +166% | $23,198 | +163% | ≈426% of Medicare |
| 593 | SKIN ULCERS WITH CC | $60,918 | $13,402 | $27,143 | +124% | $22,886 | +166% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $60,908 | $13,400 | $33,267 | +83% | $24,550 | +148% | — |
| 103 | HEADACHES WITHOUT MCC | $60,898 | $13,397 | $18,874 | +223% | $21,280 | +186% | — |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $60,445 | $13,298 | $19,914 | +204% | $15,764 | +283% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $60,412 | $13,291 | $22,552 | +168% | $22,468 | +169% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $60,394 | $13,287 | $19,584 | +208% | $16,699 | +262% | — |
| 683 | RENAL FAILURE WITH CC | $60,320 | $13,270 | $19,733 | +206% | $19,130 | +215% | ≈511% of Medicare |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $60,251 | $13,255 | $32,248 | +87% | $28,140 | +114% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $59,922 | $13,183 | $20,861 | +187% | $17,934 | +234% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $59,586 | $13,109 | $56,278 | +6% | $39,173 | +52% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $59,584 | $13,109 | $19,096 | +212% | $19,096 | +212% | ≈550% of Medicare |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $59,294 | $13,045 | $33,519 | +77% | $30,770 | +93% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $59,252 | $13,035 | $21,886 | +171% | $22,098 | +168% | ≈465% of Medicare |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $59,236 | $13,032 | $49,631 | +19% | $50,394 | +18% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $59,214 | $13,027 | $19,072 | +210% | $18,807 | +215% | ≈552% of Medicare |
| 570 | SKIN DEBRIDEMENT WITH MCC | $58,941 | $12,967 | $63,709 | −7% | $52,435 | +12% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $58,812 | $12,939 | $35,113 | +67% | $34,192 | +72% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $58,731 | $12,921 | $17,817 | +230% | $17,674 | +232% | ≈585% of Medicare |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $58,719 | $12,918 | $20,506 | +186% | $20,506 | +186% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $58,649 | $12,903 | $15,280 | +284% | $20,781 | +182% | ≈720% of Medicare |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $58,637 | $12,900 | $19,492 | +201% | $19,119 | +207% | — |
| 693 | URINARY STONES WITH MCC | $58,413 | $12,851 | $31,990 | +83% | $23,892 | +144% | — |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $58,257 | $12,817 | $31,108 | +87% | $22,393 | +160% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $58,164 | $12,796 | $19,642 | +196% | $17,081 | +241% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $57,938 | $12,746 | $14,368 | +303% | $14,368 | +303% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $57,597 | $12,671 | $15,156 | +280% | $13,651 | +322% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $57,259 | $12,597 | $22,197 | +158% | $20,957 | +173% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $57,119 | $12,566 | $15,411 | +271% | $14,797 | +286% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $57,032 | $12,547 | $33,633 | +70% | $33,633 | +70% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $56,848 | $12,507 | $13,527 | +320% | $13,527 | +320% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $56,213 | $12,367 | $18,126 | +210% | $18,126 | +210% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $55,614 | $12,235 | $68,653 | −19% | $68,653 | −19% | — |
| 305 | HYPERTENSION WITHOUT MCC | $55,274 | $12,160 | $16,665 | +232% | $18,086 | +206% | ≈598% of Medicare |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $54,722 | $12,039 | $19,624 | +179% | $16,520 | +231% | — |
| 187 | PLEURAL EFFUSION WITH CC | $54,294 | $11,945 | $22,288 | +144% | $21,789 | +149% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $54,212 | $11,927 | $18,126 | +199% | $18,126 | +199% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $54,060 | $11,893 | $31,812 | +70% | $32,833 | +65% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $53,980 | $11,876 | $26,611 | +103% | $30,784 | +75% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $53,614 | $11,795 | $22,590 | +137% | $25,303 | +112% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $53,425 | $11,754 | $33,694 | +59% | $33,694 | +59% | — |
| 088 | CONCUSSION WITH MCC | $53,122 | $11,687 | $30,986 | +71% | $24,402 | +118% | — |
| 333 | RECTAL RESECTION WITH CC | $53,090 | $11,680 | $46,551 | +14% | $37,154 | +43% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $53,012 | $11,663 | $21,396 | +148% | $21,396 | +148% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $52,819 | $11,620 | $34,434 | +53% | $34,434 | +53% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $51,756 | $11,386 | $17,795 | +191% | $17,578 | +194% | ≈518% of Medicare |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $51,631 | $11,359 | $29,596 | +74% | $32,841 | +57% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $51,480 | $11,326 | $30,418 | +69% | $30,418 | +69% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $51,241 | $11,273 | $35,352 | +45% | $26,682 | +92% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $51,196 | $11,263 | $28,553 | +79% | $27,401 | +87% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $50,889 | $11,196 | $21,236 | +140% | $16,700 | +205% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $50,824 | $11,181 | $34,467 | +47% | $27,316 | +86% | ≈234% of Medicare |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $50,789 | $11,174 | $22,635 | +124% | $22,635 | +124% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $50,102 | $11,023 | $19,118 | +162% | $16,371 | +206% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $50,047 | $11,010 | $16,412 | +205% | $17,303 | +189% | ≈577% of Medicare |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $50,012 | $11,003 | $24,337 | +105% | $16,846 | +197% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $50,005 | $11,001 | $13,855 | +261% | $12,324 | +306% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $49,893 | $10,976 | $22,155 | +125% | $15,370 | +225% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $49,711 | $10,936 | $19,032 | +161% | $15,412 | +223% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $49,707 | $10,935 | $17,831 | +179% | $19,745 | +152% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $49,445 | $10,878 | $36,087 | +37% | $28,202 | +75% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $49,287 | $10,843 | $16,450 | +200% | $16,450 | +200% | — |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $49,268 | $10,839 | $22,268 | +121% | $17,737 | +178% | — |
| 603 | CELLULITIS WITHOUT MCC | $49,256 | $10,836 | $19,553 | +152% | $18,530 | +166% | ≈440% of Medicare |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $49,102 | $10,802 | $19,842 | +147% | $19,842 | +147% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $48,885 | $10,755 | $22,637 | +116% | $22,506 | +117% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $48,627 | $10,698 | $17,347 | +180% | $17,038 | +185% | ≈492% of Medicare |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $48,490 | $10,668 | $14,128 | +243% | $14,128 | +243% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $48,389 | $10,646 | $41,191 | +17% | $36,670 | +32% | — |
| 102 | HEADACHES WITH MCC | $48,359 | $10,639 | $25,740 | +88% | $25,740 | +88% | — |
| 638 | DIABETES WITH CC | $48,197 | $10,603 | $20,361 | +137% | $19,661 | +145% | ≈411% of Medicare |
| 311 | ANGINA PECTORIS | $47,708 | $10,496 | $15,502 | +208% | $15,502 | +208% | — |
| 935 | NON-EXTENSIVE BURNS | $47,661 | $10,486 | $43,274 | +10% | $31,701 | +50% | — |
| 149 | DYSEQUILIBRIUM | $47,657 | $10,484 | $16,594 | +187% | $18,096 | +163% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $47,536 | $10,458 | $36,651 | +30% | $44,117 | +8% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $47,469 | $10,443 | $15,358 | +209% | $14,689 | +223% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $47,363 | $10,420 | $24,177 | +96% | $24,177 | +96% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $47,101 | $10,362 | $16,299 | +189% | $14,514 | +225% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $47,058 | $10,353 | $37,692 | +25% | $32,433 | +45% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $47,017 | $10,344 | $17,322 | +171% | $17,322 | +171% | ≈475% of Medicare |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $46,752 | $10,286 | $38,483 | +21% | $33,047 | +41% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $46,713 | $10,277 | $23,887 | +96% | $18,956 | +146% | — |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $46,662 | $10,266 | $27,641 | +69% | $19,354 | +141% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $46,567 | $10,245 | $15,495 | +201% | $15,495 | +201% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $46,163 | $10,156 | $19,638 | +135% | $15,452 | +199% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $45,357 | $9,979 | $17,287 | +162% | $15,428 | +194% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $45,239 | $9,953 | $107,269 | −58% | $80,018 | −43% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $45,109 | $9,924 | $38,960 | +16% | $34,937 | +29% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $44,909 | $9,880 | $28,602 | +57% | $25,748 | +74% | — |
| 313 | CHEST PAIN | $44,407 | $9,770 | $15,837 | +180% | $16,440 | +170% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $44,274 | $9,740 | $36,506 | +21% | $31,951 | +39% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $43,981 | $9,676 | $14,927 | +195% | $14,927 | +195% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $43,931 | $9,665 | $16,776 | +162% | $16,776 | +162% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $43,853 | $9,648 | $26,533 | +65% | $21,847 | +101% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $43,742 | $9,623 | $33,424 | +31% | $33,424 | +31% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $43,623 | $9,597 | $21,494 | +103% | $19,962 | +119% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $43,507 | $9,572 | $16,104 | +170% | $16,767 | +159% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $42,845 | $9,426 | $19,569 | +119% | $19,569 | +119% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $42,780 | $9,412 | $15,464 | +177% | $12,252 | +249% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $42,597 | $9,371 | $59,790 | −29% | $59,790 | −29% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $42,451 | $9,339 | $54,815 | −23% | $46,453 | −9% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $42,226 | $9,290 | $19,138 | +121% | $19,138 | +121% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $41,939 | $9,227 | $16,525 | +154% | $15,019 | +179% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $41,792 | $9,194 | $35,591 | +17% | $34,273 | +22% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $41,526 | $9,136 | $27,348 | +52% | $19,270 | +115% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $41,439 | $9,117 | $14,643 | +183% | $13,633 | +204% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $41,370 | $9,101 | $19,176 | +116% | $18,602 | +122% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $41,310 | $9,088 | $18,070 | +129% | $17,559 | +135% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $41,200 | $9,064 | $13,425 | +207% | $10,160 | +306% | ≈551% of Medicare |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $41,159 | $9,055 | $14,208 | +190% | $14,250 | +189% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $40,725 | $8,960 | $15,839 | +157% | $12,454 | +227% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $40,469 | $8,903 | $25,820 | +57% | $23,443 | +73% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $40,318 | $8,870 | $16,565 | +143% | $16,565 | +143% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $40,248 | $8,855 | $13,384 | +201% | $13,384 | +201% | ≈678% of Medicare |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $40,162 | $8,836 | $14,880 | +170% | $16,288 | +147% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $39,908 | $8,780 | $43,328 | −8% | $38,070 | +5% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $39,762 | $8,748 | $15,837 | +151% | $15,837 | +151% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $39,748 | $8,745 | $24,000 | +66% | $17,226 | +131% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $39,081 | $8,598 | $21,280 | +84% | $17,733 | +120% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $38,734 | $8,521 | $19,811 | +96% | $22,148 | +75% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $38,717 | $8,518 | $20,108 | +93% | $18,488 | +109% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $38,677 | $8,509 | $18,002 | +115% | $18,002 | +115% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $38,224 | $8,409 | $13,683 | +179% | $15,183 | +152% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $38,213 | $8,407 | $69,701 | −45% | $62,583 | −39% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $38,176 | $8,399 | $15,462 | +147% | $12,460 | +206% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $37,691 | $8,292 | $16,064 | +135% | $13,275 | +184% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $37,340 | $8,215 | $30,846 | +21% | $25,094 | +49% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $36,663 | $8,066 | $57,323 | −36% | $18,649 | +97% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $36,276 | $7,981 | $25,822 | +40% | $19,412 | +87% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $36,243 | $7,974 | $70,373 | −48% | $42,679 | −15% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $36,207 | $7,966 | $15,031 | +141% | $14,053 | +158% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $36,167 | $7,957 | $21,460 | +69% | $17,724 | +104% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $35,188 | $7,741 | $21,201 | +66% | $15,589 | +126% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $34,970 | $7,693 | $19,935 | +75% | $18,640 | +88% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $34,764 | $7,648 | $20,725 | +68% | $16,968 | +105% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $34,725 | $7,639 | $22,641 | +53% | $17,601 | +97% | — |
| 639 | DIABETES WITHOUT CC/MCC | $34,320 | $7,550 | $13,910 | +147% | $13,910 | +147% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $34,160 | $7,515 | $17,700 | +93% | $17,700 | +93% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $33,448 | $7,359 | $13,824 | +142% | $13,824 | +142% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $33,202 | $7,304 | $25,279 | +31% | $25,279 | +31% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $33,175 | $7,299 | $13,318 | +149% | $13,361 | +148% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $32,676 | $7,189 | $14,148 | +131% | $12,078 | +171% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $31,891 | $7,016 | $34,749 | −8% | $34,749 | −8% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $31,561 | $6,943 | $21,880 | +44% | $20,895 | +51% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $31,458 | $6,921 | $13,326 | +136% | $12,999 | +142% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $31,350 | $6,897 | $13,642 | +130% | $13,642 | +130% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $30,440 | $6,697 | $31,950 | −5% | $26,932 | +13% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $29,802 | $6,556 | $34,988 | −15% | $12,229 | +144% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $29,454 | $6,480 | $14,072 | +109% | $11,421 | +158% | — |
| 592 | SKIN ULCERS WITH MCC | $29,055 | $6,392 | $41,848 | −31% | $33,246 | −13% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $28,861 | $6,349 | $18,592 | +55% | $14,064 | +105% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $27,735 | $6,102 | $18,528 | +50% | $18,528 | +50% | — |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $26,536 | $5,838 | $21,733 | +22% | $15,901 | +67% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $26,044 | $5,730 | $23,951 | +9% | $19,073 | +37% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $23,957 | $5,271 | $18,330 | +31% | $17,298 | +38% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $22,710 | $4,996 | $15,267 | +49% | $14,415 | +58% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $21,541 | $4,739 | $37,175 | −42% | $29,916 | −28% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $20,603 | $4,533 | $11,539 | +79% | $9,940 | +107% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $20,277 | $4,461 | $16,592 | +22% | $12,895 | +57% | — |
| 151 | EPISTAXIS WITHOUT MCC | $18,315 | $4,029 | $16,827 | +9% | $13,032 | +41% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $18,312 | $4,029 | $28,935 | −37% | $16,351 | +12% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $16,788 | $3,693 | $19,185 | −12% | $15,889 | +6% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $11,318 | $2,490 | $17,665 | −36% | $8,445 | +34% | — |
| 795 | NORMAL NEWBORN | $8,852 | $1,947 | $6,664 | +33% | $4,720 | +88% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $8,465 | $1,862 | $17,953 | −53% | $15,215 | −44% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $8,268 | $1,819 | $20,344 | −59% | $15,855 | −48% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $7,562 | — | $43,538 | −83% | $43,538 | −83% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $7,086 | $1,559 | $18,150 | −61% | $18,150 | −61% | — |
Procedures with negotiated rates only
These 2 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 |
|---|---|---|---|
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | — | 25 plans |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | — | 20 plans |
No procedures match that keyword.