Adventist Health Hanford — Pricing
485 procedures published in this hospital's Machine-Readable File (MRF) — 484 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 485
Lowest published price $3,573
Average published price $69,188
Highest published price $973,865
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
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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 485 procedures
Published charges
Showing all 484 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 39 procedures, this hospital's negotiated rates average ≈207% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CA 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 | $973,865 | $185,034 | $371,366 | +162% | $371,366 | +162% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $516,147 | $98,068 | $248,521 | +108% | $248,521 | +108% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $337,598 | $64,144 | $131,961 | +156% | $131,961 | +156% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $289,047 | $54,919 | $82,561 | +250% | $82,561 | +250% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $286,442 | $54,424 | $116,058 | +147% | $116,058 | +147% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $285,955 | $54,331 | $124,290 | +130% | $148,832 | +92% | ≈132% of Medicare |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $280,255 | $53,248 | $102,128 | +174% | $102,128 | +174% | — |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $276,256 | $52,489 | $117,280 | +136% | $117,280 | +136% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $274,792 | $52,211 | $36,491 | +653% | $32,645 | +742% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $267,144 | $50,757 | $23,289 | +1047% | $56,836 | +370% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $261,886 | $49,758 | $67,560 | +288% | $59,533 | +340% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $256,162 | $48,671 | $49,382 | +419% | $39,973 | +541% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $228,618 | $43,438 | $35,675 | +541% | $31,563 | +624% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $213,700 | $40,603 | $68,639 | +211% | $68,639 | +211% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $209,620 | $39,828 | $35,899 | +484% | $51,625 | +306% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $198,079 | $37,635 | $88,341 | +124% | $90,195 | +120% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $195,479 | $37,141 | $38,951 | +402% | $32,637 | +499% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $192,406 | $36,557 | $70,132 | +174% | $70,132 | +174% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $191,086 | $36,306 | $49,137 | +289% | $48,349 | +295% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $187,974 | $35,715 | $68,421 | +175% | $70,847 | +165% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $186,844 | $35,500 | $96,245 | +94% | $80,793 | +131% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $185,938 | $35,328 | $57,493 | +223% | $46,402 | +301% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $185,082 | $35,166 | $43,328 | +327% | $38,070 | +386% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $176,841 | $33,600 | $48,682 | +263% | $48,682 | +263% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $174,878 | $33,227 | $96,507 | +81% | $96,507 | +81% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $172,165 | $32,711 | $90,775 | +90% | $90,775 | +90% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $170,496 | $32,394 | $96,905 | +76% | $96,905 | +76% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $164,430 | $31,242 | $59,859 | +175% | $51,608 | +219% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $162,236 | $30,825 | $37,692 | +330% | $32,433 | +400% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $158,585 | $30,131 | $68,508 | +131% | $68,508 | +131% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $157,708 | $29,965 | $50,624 | +212% | $50,624 | +212% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $156,508 | $29,736 | $90,790 | +72% | $82,218 | +90% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $155,370 | $29,520 | $94,937 | +64% | $93,172 | +67% | ≈141% of Medicare |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $155,248 | $29,497 | $88,050 | +76% | $88,050 | +76% | — |
| 509 | ARTHROSCOPY | $152,737 | $29,020 | $38,998 | +292% | $25,994 | +488% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $151,812 | $28,844 | $71,755 | +112% | $71,755 | +112% | — |
| 102 | HEADACHES WITH MCC | $151,452 | $28,776 | $25,740 | +488% | $25,740 | +488% | — |
| 263 | VEIN LIGATION AND STRIPPING | $150,214 | $28,541 | $55,918 | +169% | $51,253 | +193% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $145,667 | $27,677 | $53,208 | +174% | $50,618 | +188% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $145,333 | $27,613 | $71,014 | +105% | $71,014 | +105% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $144,968 | $27,544 | $95,536 | +52% | $93,390 | +55% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $144,289 | $27,415 | $53,746 | +168% | $57,454 | +151% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $142,720 | $27,117 | $43,080 | +231% | $43,080 | +231% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $142,075 | $26,994 | $65,788 | +116% | $65,788 | +116% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $138,955 | $26,402 | $81,281 | +71% | $77,990 | +78% | ≈174% of Medicare |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $135,740 | $25,791 | $86,699 | +57% | $76,001 | +79% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $133,080 | $25,285 | $58,043 | +129% | $58,043 | +129% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $128,128 | $24,344 | $33,957 | +277% | $29,933 | +328% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $127,039 | $24,137 | $50,011 | +154% | $50,011 | +154% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $123,074 | $23,384 | $40,563 | +203% | $40,642 | +203% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $122,288 | $23,235 | $77,817 | +57% | $77,817 | +57% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $121,815 | $23,145 | $52,735 | +131% | $62,264 | +96% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $121,062 | $23,002 | $53,666 | +126% | $58,707 | +106% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $118,974 | $22,605 | $46,288 | +157% | $36,489 | +226% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $118,886 | $22,588 | $65,631 | +81% | $58,745 | +102% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $117,313 | $22,290 | $40,695 | +188% | $36,249 | +224% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $116,731 | $22,179 | $60,905 | +92% | $49,710 | +135% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $115,948 | $22,030 | $39,619 | +193% | $39,619 | +193% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $114,038 | $21,667 | $42,775 | +167% | $39,958 | +185% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $113,446 | $21,555 | $64,956 | +75% | $72,424 | +57% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $112,841 | $21,440 | $71,092 | +59% | $71,092 | +59% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $112,167 | $21,312 | $51,645 | +117% | $59,421 | +89% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $111,537 | $21,192 | $101,662 | +10% | $89,207 | +25% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $110,248 | $20,947 | $32,911 | +235% | $36,988 | +198% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $109,575 | $20,819 | $26,753 | +310% | $24,056 | +355% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $109,184 | $20,745 | $60,402 | +81% | $58,228 | +88% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $109,018 | $20,713 | $86,246 | +26% | $84,692 | +29% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $107,939 | $20,508 | $58,274 | +85% | $58,274 | +85% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $107,848 | $20,491 | $29,523 | +265% | $24,552 | +339% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $106,771 | $20,286 | $44,639 | +139% | $46,090 | +132% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $105,712 | $20,085 | $70,540 | +50% | $70,564 | +50% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $105,185 | $19,985 | $77,178 | +36% | $71,795 | +47% | — |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $104,826 | $19,917 | $104,583 | +0% | $104,583 | +0% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $103,490 | $19,663 | $43,483 | +138% | $38,666 | +168% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $102,254 | $19,428 | $65,608 | +56% | $65,608 | +56% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $101,245 | $19,237 | $40,063 | +153% | $41,591 | +143% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $101,029 | $19,196 | $37,214 | +171% | $52,075 | +94% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $100,927 | $19,176 | $35,243 | +186% | $32,628 | +209% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $100,604 | $19,115 | $53,141 | +89% | $56,755 | +77% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $100,145 | $19,028 | $46,477 | +115% | $49,351 | +103% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $100,019 | $19,004 | $75,103 | +33% | $75,103 | +33% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $99,855 | $18,972 | $60,274 | +66% | $65,653 | +52% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $95,750 | $18,193 | $47,089 | +103% | $45,877 | +109% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $95,738 | $18,190 | $33,256 | +188% | $30,010 | +219% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $95,503 | $18,145 | $38,541 | +148% | $32,443 | +194% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $95,231 | $18,094 | $45,743 | +108% | $43,174 | +121% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $94,864 | $18,024 | $62,334 | +52% | $70,467 | +35% | — |
| 200 | PNEUMOTHORAX WITH CC | $94,624 | $17,979 | $24,586 | +285% | $21,368 | +343% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $94,429 | $17,941 | $50,562 | +87% | $59,500 | +59% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $93,703 | $17,804 | $52,405 | +79% | $52,405 | +79% | ≈155% of Medicare |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $93,315 | $17,730 | $30,242 | +209% | $30,242 | +209% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $93,237 | $17,715 | $43,187 | +116% | $35,569 | +162% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $93,178 | $17,704 | $34,839 | +167% | $30,235 | +208% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $93,035 | $17,677 | $41,857 | +122% | $50,607 | +84% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $92,602 | $17,594 | $73,751 | +26% | $61,470 | +51% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $91,572 | $17,399 | $37,921 | +141% | $37,387 | +145% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $91,227 | $17,333 | $40,583 | +125% | $43,298 | +111% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $91,079 | $17,305 | $36,820 | +147% | $36,820 | +147% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $90,995 | $17,289 | $46,799 | +94% | $58,280 | +56% | ≈164% of Medicare |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $90,762 | $17,245 | $41,111 | +121% | $32,031 | +183% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $90,742 | $17,241 | $33,694 | +169% | $33,694 | +169% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $90,693 | $17,232 | $36,506 | +148% | $31,951 | +184% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $90,501 | $17,195 | $46,066 | +96% | $46,066 | +96% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $90,210 | $17,140 | $36,354 | +148% | $36,354 | +148% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $89,784 | $17,059 | $44,489 | +102% | $46,283 | +94% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $89,039 | $16,917 | $69,724 | +28% | $66,068 | +35% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $88,804 | $16,873 | $49,631 | +79% | $50,394 | +76% | ≈169% of Medicare |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $88,657 | $16,845 | $70,175 | +26% | $50,919 | +74% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $87,438 | $16,613 | $108,750 | −20% | $96,192 | −9% | — |
| 665 | PROSTATECTOMY WITH MCC | $85,799 | $16,302 | $68,562 | +25% | $54,072 | +59% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $85,049 | $16,159 | $37,842 | +125% | $37,842 | +125% | ≈193% of Medicare |
| 533 | FRACTURES OF FEMUR WITH MCC | $84,981 | $16,146 | $32,907 | +158% | $25,945 | +228% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $84,325 | $16,022 | $66,976 | +26% | $63,928 | +32% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $83,635 | $15,891 | $42,126 | +99% | $40,562 | +106% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $82,927 | $15,756 | $37,213 | +123% | $31,159 | +166% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $82,562 | $15,687 | $35,349 | +134% | $33,876 | +144% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $82,555 | $15,686 | $47,452 | +74% | $45,333 | +82% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $82,160 | $15,610 | $51,189 | +61% | $59,651 | +38% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $82,144 | $15,607 | $79,225 | +4% | $79,225 | +4% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $82,009 | $15,582 | $40,719 | +101% | $39,106 | +110% | ≈176% of Medicare |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $81,688 | $15,521 | $125,432 | −35% | $89,353 | −9% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $81,323 | $15,451 | $38,187 | +113% | $32,859 | +147% | — |
| 150 | EPISTAXIS WITH MCC | $80,680 | $15,329 | $30,507 | +164% | $23,171 | +248% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $80,658 | $15,325 | $31,511 | +156% | $22,525 | +258% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $80,375 | $15,271 | $50,614 | +59% | $40,548 | +98% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $80,225 | $15,243 | $34,613 | +132% | $27,633 | +190% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $80,088 | $15,217 | $37,950 | +111% | $37,950 | +111% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $79,676 | $15,138 | $34,588 | +130% | $27,617 | +189% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $79,582 | $15,121 | $54,929 | +45% | $54,929 | +45% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $79,534 | $15,111 | $41,191 | +93% | $36,670 | +117% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $78,898 | $14,991 | $45,703 | +73% | $52,751 | +50% | ≈177% of Medicare |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $78,761 | $14,965 | $33,388 | +136% | $36,253 | +117% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $78,719 | $14,957 | $30,056 | +162% | $29,949 | +163% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $78,656 | $14,945 | $46,332 | +70% | $50,463 | +56% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $78,590 | $14,932 | $43,749 | +80% | $42,901 | +83% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $78,073 | $14,834 | $34,817 | +124% | $33,661 | +132% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $78,024 | $14,825 | $25,700 | +204% | $25,700 | +204% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $77,109 | $14,651 | $59,790 | +29% | $59,790 | +29% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $76,505 | $14,536 | $36,651 | +109% | $44,117 | +73% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $76,220 | $14,482 | $36,658 | +108% | $36,658 | +108% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $76,207 | $14,479 | $25,034 | +204% | $25,034 | +204% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $76,170 | $14,472 | $40,263 | +89% | $35,628 | +114% | ≈190% of Medicare |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $76,049 | $14,449 | $51,487 | +48% | $50,046 | +52% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $75,861 | $14,414 | $37,033 | +105% | $34,607 | +119% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $75,529 | $14,350 | $69,597 | +9% | $51,953 | +45% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $75,002 | $14,250 | $22,850 | +228% | $22,850 | +228% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $74,582 | $14,171 | $54,273 | +37% | $52,178 | +43% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $74,409 | $14,138 | $58,935 | +26% | $51,746 | +44% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $74,333 | $14,123 | $36,661 | +103% | $33,555 | +122% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $73,734 | $14,009 | $30,887 | +139% | $39,887 | +85% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $72,993 | $13,869 | $40,150 | +82% | $39,955 | +83% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $72,751 | $13,823 | $25,192 | +189% | $20,247 | +259% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $72,694 | $13,812 | $39,057 | +86% | $33,985 | +114% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $72,253 | $13,728 | $54,751 | +32% | $53,257 | +36% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $72,091 | $13,697 | $51,985 | +39% | $51,985 | +39% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $72,061 | $13,692 | $75,573 | −5% | $75,573 | −5% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $71,381 | $13,562 | $35,532 | +101% | $32,496 | +120% | ≈217% of Medicare |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $70,996 | $13,489 | $40,894 | +74% | $29,221 | +143% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $70,964 | $13,483 | $60,140 | +18% | $60,170 | +18% | — |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $70,787 | $13,450 | $33,674 | +110% | $33,674 | +110% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $70,336 | $13,364 | $45,785 | +54% | $39,181 | +80% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $69,792 | $13,260 | $35,591 | +96% | $34,273 | +104% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $69,789 | $13,260 | $43,538 | +60% | $43,538 | +60% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $69,501 | $13,205 | $23,369 | +197% | $20,232 | +244% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $69,257 | $13,159 | $75,820 | −9% | $66,685 | +4% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $68,370 | $12,990 | $34,448 | +98% | $33,707 | +103% | ≈201% of Medicare |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $68,205 | $12,959 | $29,596 | +130% | $32,841 | +108% | — |
| 139 | SALIVARY GLAND PROCEDURES | $68,018 | $12,923 | $30,480 | +123% | $23,612 | +188% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $67,942 | $12,909 | $45,849 | +48% | $40,108 | +69% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $67,328 | $12,792 | $25,267 | +166% | $26,618 | +153% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $67,216 | $12,771 | $35,770 | +88% | $35,770 | +88% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $66,849 | $12,701 | $28,515 | +134% | $28,050 | +138% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $66,716 | $12,676 | $54,815 | +22% | $46,453 | +44% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $66,195 | $12,577 | $33,506 | +98% | $33,454 | +98% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $66,172 | $12,573 | $44,730 | +48% | $42,914 | +54% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $65,927 | $12,526 | $22,024 | +199% | $22,024 | +199% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $65,740 | $12,491 | $33,325 | +97% | $32,877 | +100% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $65,394 | $12,425 | $41,855 | +56% | $47,711 | +37% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $64,779 | $12,308 | $35,113 | +84% | $34,192 | +89% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $64,739 | $12,300 | $35,217 | +84% | $41,955 | +54% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $64,705 | $12,294 | $37,764 | +71% | $43,477 | +49% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $64,382 | $12,233 | $27,277 | +136% | $27,277 | +136% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $64,262 | $12,210 | $44,357 | +45% | $43,943 | +46% | ≈166% of Medicare |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $64,215 | $12,201 | $27,947 | +130% | $27,947 | +130% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $64,112 | $12,181 | $22,635 | +183% | $22,635 | +183% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $63,988 | $12,158 | $66,666 | −4% | $66,666 | −4% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $63,903 | $12,142 | $33,399 | +91% | $36,505 | +75% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $63,711 | $12,105 | $43,631 | +46% | $43,631 | +46% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $62,829 | $11,938 | $30,922 | +103% | $28,226 | +123% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $62,776 | $11,927 | $42,881 | +46% | $42,881 | +46% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $62,705 | $11,914 | $38,094 | +65% | $38,094 | +65% | — |
| 693 | URINARY STONES WITH MCC | $62,627 | $11,899 | $31,990 | +96% | $23,892 | +162% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $62,364 | $11,849 | $34,867 | +79% | $30,828 | +102% | ≈198% of Medicare |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $62,065 | $11,792 | $40,213 | +54% | $40,213 | +54% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $61,975 | $11,775 | $21,216 | +192% | $20,911 | +196% | — |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $61,901 | $11,761 | $31,730 | +95% | $24,941 | +148% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $61,816 | $11,745 | $38,483 | +61% | $33,047 | +87% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $61,815 | $11,745 | $37,933 | +63% | $31,105 | +99% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $61,372 | $11,661 | $29,623 | +107% | $27,543 | +123% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $61,108 | $11,611 | $30,959 | +97% | $30,959 | +97% | ≈215% of Medicare |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $60,979 | $11,586 | $24,644 | +147% | $18,459 | +230% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $60,667 | $11,527 | $40,552 | +50% | $40,552 | +50% | — |
| 100 | SEIZURES WITH MCC | $60,652 | $11,524 | $40,653 | +49% | $35,481 | +71% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $60,269 | $11,451 | $38,960 | +55% | $34,937 | +73% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $60,028 | $11,405 | $34,078 | +76% | $39,211 | +53% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $59,862 | $11,374 | $35,135 | +70% | $33,563 | +78% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $59,697 | $11,342 | $20,506 | +191% | $20,506 | +191% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $59,696 | $11,342 | $17,831 | +235% | $19,745 | +202% | — |
| 637 | DIABETES WITH MCC | $58,321 | $11,081 | $31,753 | +84% | $30,100 | +94% | ≈200% of Medicare |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $58,065 | $11,032 | $26,770 | +117% | $26,770 | +117% | ≈207% of Medicare |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $57,366 | $10,900 | $19,138 | +200% | $19,138 | +200% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $57,006 | $10,831 | $50,777 | +12% | $53,451 | +7% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $56,253 | $10,688 | $21,396 | +163% | $21,396 | +163% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $55,990 | $10,638 | $19,935 | +181% | $18,640 | +200% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $55,875 | $10,616 | $33,137 | +69% | $33,393 | +67% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $55,808 | $10,604 | $29,252 | +91% | $27,275 | +105% | ≈220% of Medicare |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $55,736 | $10,590 | $39,627 | +41% | $39,627 | +41% | — |
| 304 | HYPERTENSION WITH MCC | $55,645 | $10,573 | $26,080 | +113% | $26,080 | +113% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $55,631 | $10,570 | $34,467 | +61% | $27,316 | +104% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $55,364 | $10,519 | $24,191 | +129% | $32,021 | +73% | — |
| 187 | PLEURAL EFFUSION WITH CC | $55,144 | $10,477 | $22,288 | +147% | $21,789 | +153% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $55,108 | $10,470 | $27,163 | +103% | $27,163 | +103% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $55,075 | $10,464 | $35,453 | +55% | $35,453 | +55% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $54,834 | $10,418 | $41,380 | +33% | $46,340 | +18% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $54,665 | $10,386 | $38,978 | +40% | $37,844 | +44% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $54,570 | $10,368 | $35,375 | +54% | $39,006 | +40% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $54,353 | $10,327 | $31,166 | +74% | $27,808 | +95% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $54,338 | $10,324 | $36,816 | +48% | $44,606 | +22% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $54,317 | $10,320 | $33,834 | +61% | $33,834 | +61% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $54,277 | $10,313 | $25,279 | +115% | $25,279 | +115% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $54,246 | $10,307 | $14,072 | +285% | $11,421 | +375% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $53,816 | $10,225 | $23,503 | +129% | $24,914 | +116% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $53,731 | $10,209 | $16,565 | +224% | $16,565 | +224% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $53,701 | $10,203 | $29,481 | +82% | $25,463 | +111% | ≈211% of Medicare |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $53,650 | $10,194 | $27,470 | +95% | $26,580 | +102% | ≈229% of Medicare |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $53,464 | $10,158 | $20,108 | +166% | $18,488 | +189% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $52,109 | $9,901 | $25,820 | +102% | $23,443 | +122% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $51,914 | $9,864 | $31,950 | +62% | $26,932 | +93% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $51,623 | $9,808 | $39,360 | +31% | $38,101 | +35% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $51,472 | $9,780 | $24,477 | +110% | $27,843 | +85% | — |
| 682 | RENAL FAILURE WITH MCC | $51,349 | $9,756 | $32,520 | +58% | $29,064 | +77% | ≈191% of Medicare |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $51,181 | $9,724 | $22,033 | +132% | $22,033 | +132% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $50,820 | $9,656 | $19,305 | +163% | $19,305 | +163% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $50,533 | $9,601 | $29,747 | +70% | $31,264 | +62% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $50,368 | $9,570 | $29,250 | +72% | $36,937 | +36% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $50,254 | $9,548 | $22,552 | +123% | $22,468 | +124% | — |
| 865 | VIRAL ILLNESS WITH MCC | $50,247 | $9,547 | $32,083 | +57% | $26,910 | +87% | — |
| 312 | SYNCOPE AND COLLAPSE | $50,047 | $9,509 | $19,342 | +159% | $19,342 | +159% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $49,978 | $9,496 | $69,089 | −28% | $52,036 | −4% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $49,960 | $9,492 | $33,633 | +49% | $33,633 | +49% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $49,494 | $9,404 | $33,048 | +50% | $33,048 | +50% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $49,395 | $9,385 | $32,451 | +52% | $32,451 | +52% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $49,389 | $9,384 | $22,941 | +115% | $23,198 | +113% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $49,141 | $9,337 | $25,980 | +89% | $23,617 | +108% | ≈247% of Medicare |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $49,047 | $9,319 | $24,648 | +99% | $23,573 | +108% | — |
| 602 | CELLULITIS WITH MCC | $48,904 | $9,292 | $31,970 | +53% | $30,598 | +60% | — |
| 593 | SKIN ULCERS WITH CC | $48,820 | $9,276 | $27,143 | +80% | $22,886 | +113% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $48,719 | $9,257 | $27,492 | +77% | $28,320 | +72% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $48,668 | $9,247 | $18,330 | +166% | $17,298 | +181% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $48,661 | $9,246 | $21,280 | +129% | $17,733 | +174% | — |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $48,642 | $9,242 | $27,261 | +78% | $19,132 | +154% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $48,453 | $9,206 | $20,896 | +132% | $20,181 | +140% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $47,953 | $9,111 | $22,790 | +110% | $25,970 | +85% | — |
| 540 | OSTEOMYELITIS WITH CC | $47,769 | $9,076 | $28,728 | +66% | $26,676 | +79% | — |
| 949 | AFTERCARE WITH CC/MCC | $47,759 | $9,074 | $23,953 | +99% | $23,953 | +99% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $47,584 | $9,041 | $15,156 | +214% | $13,651 | +249% | — |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $47,496 | $9,024 | $28,340 | +68% | $22,557 | +111% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $47,437 | $9,013 | $49,765 | −5% | $40,362 | +18% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $47,434 | $9,012 | $28,966 | +64% | $26,776 | +77% | ≈205% of Medicare |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $47,367 | $9,000 | $14,368 | +230% | $14,368 | +230% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $47,320 | $8,991 | $30,846 | +53% | $25,094 | +89% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $47,283 | $8,984 | $24,930 | +90% | $24,386 | +94% | ≈237% of Medicare |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $47,223 | $8,972 | $36,340 | +30% | $29,826 | +58% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $47,197 | $8,968 | $28,125 | +68% | $28,125 | +68% | — |
| 103 | HEADACHES WITHOUT MCC | $47,063 | $8,942 | $18,874 | +149% | $21,280 | +121% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $46,895 | $8,910 | $34,354 | +37% | $34,354 | +37% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $46,796 | $8,891 | $22,575 | +107% | $23,940 | +95% | ≈265% of Medicare |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $46,681 | $8,869 | $25,552 | +83% | $18,133 | +157% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $46,616 | $8,857 | $23,312 | +100% | $22,763 | +105% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $46,425 | $8,821 | $33,653 | +38% | $33,653 | +38% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $46,403 | $8,817 | $36,230 | +28% | $30,447 | +52% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $46,257 | $8,789 | $27,552 | +68% | $20,727 | +123% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $45,822 | $8,706 | $42,414 | +8% | $38,343 | +20% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $45,632 | $8,670 | $50,139 | −9% | $50,139 | −9% | — |
| 666 | PROSTATECTOMY WITH CC | $45,426 | $8,631 | $36,569 | +24% | $31,906 | +42% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $45,323 | $8,611 | $35,961 | +26% | $34,017 | +33% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $45,248 | $8,597 | $32,100 | +41% | $32,100 | +41% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $45,201 | $8,588 | $23,551 | +92% | $23,551 | +92% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $45,098 | $8,569 | $25,652 | +76% | $25,652 | +76% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $45,042 | $8,558 | $30,693 | +47% | $27,119 | +66% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $44,881 | $8,527 | $28,156 | +59% | $28,156 | +59% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $44,781 | $8,508 | $17,762 | +152% | $21,056 | +113% | ≈312% of Medicare |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $44,727 | $8,498 | $26,611 | +68% | $30,784 | +45% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $44,686 | $8,490 | $17,087 | +162% | $14,648 | +205% | — |
| 101 | SEIZURES WITHOUT MCC | $43,653 | $8,294 | $20,461 | +113% | $20,461 | +113% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $43,603 | $8,285 | $31,982 | +36% | $30,571 | +43% | ≈173% of Medicare |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $43,498 | $8,265 | $14,880 | +192% | $16,288 | +167% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $43,398 | $8,246 | $21,886 | +98% | $22,098 | +96% | ≈258% of Medicare |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $43,067 | $8,183 | $15,280 | +182% | $20,781 | +107% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $43,013 | $8,173 | $23,767 | +81% | $20,422 | +111% | ≈208% of Medicare |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $42,998 | $8,170 | $33,907 | +27% | $33,103 | +30% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $42,819 | $8,136 | $16,776 | +155% | $16,776 | +155% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $42,581 | $8,090 | $23,396 | +82% | $23,488 | +81% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $42,330 | $8,043 | $19,176 | +121% | $18,602 | +128% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $42,316 | $8,040 | $19,096 | +122% | $19,096 | +122% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $42,300 | $8,037 | $34,749 | +22% | $34,749 | +22% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $41,902 | $7,961 | $33,592 | +25% | $40,162 | +4% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $41,892 | $7,959 | $22,590 | +85% | $25,303 | +66% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $41,683 | $7,920 | $39,105 | +7% | $36,431 | +14% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $41,601 | $7,904 | $69,701 | −40% | $62,583 | −34% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $41,439 | $7,873 | $29,894 | +39% | $24,127 | +72% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $41,221 | $7,832 | $15,358 | +168% | $14,689 | +181% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $40,666 | $7,727 | $63,709 | −36% | $52,435 | −22% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $40,599 | $7,714 | $24,439 | +66% | $17,483 | +132% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $40,562 | $7,707 | $34,434 | +18% | $34,434 | +18% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $40,534 | $7,701 | $15,837 | +156% | $15,837 | +156% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $40,529 | $7,701 | $39,515 | +3% | $39,515 | +3% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $40,367 | $7,670 | $22,888 | +76% | $22,888 | +76% | ≈245% of Medicare |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $40,307 | $7,658 | $20,488 | +97% | $20,488 | +97% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $40,159 | $7,630 | $30,083 | +33% | $30,083 | +33% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $39,829 | $7,568 | $24,948 | +60% | $31,321 | +27% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $39,813 | $7,564 | $18,150 | +119% | $18,150 | +119% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $39,512 | $7,507 | $37,599 | +5% | $32,944 | +20% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $39,237 | $7,455 | $16,654 | +136% | $19,037 | +106% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $39,080 | $7,425 | $17,638 | +122% | $17,921 | +118% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $39,025 | $7,415 | $18,002 | +117% | $18,002 | +117% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $38,930 | $7,397 | $31,874 | +22% | $29,743 | +31% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $38,886 | $7,388 | $21,449 | +81% | $21,449 | +81% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $38,857 | $7,383 | $42,463 | −8% | $34,459 | +13% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $38,405 | $7,297 | $28,593 | +34% | $26,870 | +43% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $38,395 | $7,295 | $48,634 | −21% | $47,737 | −20% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $38,203 | $7,259 | $22,641 | +69% | $21,275 | +80% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $37,820 | $7,186 | $30,418 | +24% | $30,418 | +24% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $37,784 | $7,179 | $17,700 | +113% | $17,700 | +113% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $37,724 | $7,168 | $29,117 | +30% | $27,043 | +39% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $37,722 | $7,167 | $21,460 | +76% | $17,724 | +113% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $37,560 | $7,136 | $16,104 | +133% | $16,767 | +124% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $37,353 | $7,097 | $36,087 | +4% | $28,202 | +32% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $37,211 | $7,070 | $37,169 | +0% | $37,169 | +0% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $37,103 | $7,050 | $99,423 | −63% | $99,423 | −63% | — |
| 149 | DYSEQUILIBRIUM | $37,066 | $7,043 | $16,594 | +123% | $18,096 | +105% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $36,983 | $7,027 | $27,348 | +35% | $19,270 | +92% | — |
| 885 | PSYCHOSES | $36,960 | $7,022 | $30,968 | +19% | $21,729 | +70% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $36,797 | $6,992 | $35,872 | +3% | $27,152 | +36% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $36,635 | $6,961 | $17,322 | +111% | $17,322 | +111% | ≈289% of Medicare |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $36,628 | $6,959 | $23,289 | +57% | $25,628 | +43% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $36,620 | $6,958 | $17,795 | +106% | $17,578 | +108% | ≈271% of Medicare |
| 697 | URETHRAL STRICTURE | $36,291 | $6,895 | $22,239 | +63% | $18,428 | +97% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $36,214 | $6,881 | $24,177 | +50% | $24,177 | +50% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $36,062 | $6,852 | $39,013 | −8% | $33,255 | +8% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $35,970 | $6,834 | $24,075 | +49% | $23,319 | +54% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $35,627 | $6,769 | $22,197 | +61% | $20,957 | +70% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $35,471 | $6,740 | $23,289 | +52% | $13,613 | +161% | — |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $35,232 | $6,694 | $22,268 | +58% | $17,737 | +99% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $35,192 | $6,687 | $56,278 | −37% | $39,173 | −10% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $34,994 | $6,649 | $17,817 | +96% | $17,674 | +98% | ≈260% of Medicare |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $34,887 | $6,629 | $22,637 | +54% | $22,506 | +55% | — |
| 603 | CELLULITIS WITHOUT MCC | $34,790 | $6,610 | $19,553 | +78% | $18,530 | +88% | ≈246% of Medicare |
| 813 | COAGULATION DISORDERS | $34,753 | $6,603 | $33,296 | +4% | $33,296 | +4% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $34,685 | $6,590 | $18,081 | +92% | $18,081 | +92% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $34,473 | $6,550 | $16,634 | +107% | $16,634 | +107% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $34,382 | $6,532 | $18,126 | +90% | $18,126 | +90% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $34,172 | $6,493 | $23,571 | +45% | $23,571 | +45% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $34,046 | $6,469 | $15,600 | +118% | $15,600 | +118% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $33,959 | $6,452 | $23,749 | +43% | $23,749 | +43% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $33,813 | $6,424 | $35,352 | −4% | $26,682 | +27% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $33,397 | $6,345 | $17,347 | +93% | $17,038 | +96% | ≈248% of Medicare |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $33,221 | $6,312 | $17,522 | +90% | $17,620 | +89% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $33,052 | $6,280 | $18,204 | +82% | $18,204 | +82% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $32,939 | $6,258 | $22,641 | +45% | $17,601 | +87% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $32,879 | $6,247 | $20,566 | +60% | $20,566 | +60% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $32,861 | $6,244 | $20,463 | +61% | $20,463 | +61% | ≈205% of Medicare |
| 292 | HEART FAILURE AND SHOCK WITH CC | $32,835 | $6,239 | $19,118 | +72% | $16,371 | +101% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $32,705 | $6,214 | $20,725 | +58% | $16,968 | +93% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $32,397 | $6,155 | $18,070 | +79% | $17,559 | +85% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $32,339 | $6,144 | $16,607 | +95% | $14,716 | +120% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $32,247 | $6,127 | $16,525 | +95% | $15,019 | +115% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $32,157 | $6,110 | $21,880 | +47% | $20,895 | +54% | — |
| 592 | SKIN ULCERS WITH MCC | $32,083 | $6,096 | $41,848 | −23% | $33,246 | −3% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $32,077 | $6,095 | $27,645 | +16% | $27,297 | +18% | — |
| 683 | RENAL FAILURE WITH CC | $31,980 | $6,076 | $19,733 | +62% | $19,130 | +67% | ≈255% of Medicare |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $31,745 | $6,032 | $20,084 | +58% | $20,084 | +58% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $31,566 | $5,998 | $15,495 | +104% | $15,495 | +104% | — |
| 504 | FOOT PROCEDURES WITH CC | $31,497 | $5,984 | $38,960 | −19% | $38,960 | −19% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $31,166 | $5,922 | $21,494 | +45% | $19,962 | +56% | — |
| 313 | CHEST PAIN | $31,102 | $5,909 | $15,837 | +96% | $16,440 | +89% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $30,976 | $5,885 | $16,412 | +89% | $17,303 | +79% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $30,678 | $5,829 | $15,411 | +99% | $14,797 | +107% | — |
| 199 | PNEUMOTHORAX WITH MCC | $30,512 | $5,797 | $36,952 | −17% | $33,787 | −10% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $30,454 | $5,786 | $16,097 | +89% | $19,227 | +58% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $30,440 | $5,784 | $32,473 | −6% | $30,502 | −0% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $30,387 | $5,774 | $19,584 | +55% | $16,699 | +82% | ≈201% of Medicare |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $30,081 | $5,715 | $23,887 | +26% | $18,956 | +59% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $30,035 | $5,707 | $23,141 | +30% | $23,141 | +30% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $29,982 | $5,697 | $21,363 | +40% | $21,363 | +40% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $29,958 | $5,692 | $28,029 | +7% | $22,320 | +34% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $29,760 | $5,654 | $19,842 | +50% | $19,842 | +50% | — |
| 638 | DIABETES WITH CC | $29,735 | $5,650 | $20,361 | +46% | $19,661 | +51% | ≈209% of Medicare |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $29,611 | $5,626 | $50,131 | −41% | $49,418 | −40% | — |
| 305 | HYPERTENSION WITHOUT MCC | $29,289 | $5,565 | $16,665 | +76% | $18,086 | +62% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $29,033 | $5,516 | $19,854 | +46% | $19,854 | +46% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $28,997 | $5,509 | $32,490 | −11% | $27,394 | +6% | — |
| 151 | EPISTAXIS WITHOUT MCC | $28,968 | $5,504 | $16,827 | +72% | $13,032 | +122% | — |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $28,896 | $5,490 | $42,837 | −33% | $34,598 | −16% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $28,783 | $5,469 | $18,139 | +59% | $17,118 | +68% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $28,778 | $5,468 | $32,445 | −11% | $24,586 | +17% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $28,763 | $5,465 | $24,042 | +20% | $23,283 | +24% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $28,692 | $5,451 | $19,569 | +47% | $19,569 | +47% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $28,502 | $5,415 | $14,208 | +101% | $14,250 | +100% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $28,486 | $5,412 | $19,072 | +49% | $18,807 | +51% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $28,450 | $5,406 | $25,825 | +10% | $22,446 | +27% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $28,331 | $5,383 | $13,855 | +104% | $12,324 | +130% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $28,146 | $5,348 | $21,494 | +31% | $18,452 | +53% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $28,059 | $5,331 | $19,422 | +44% | $15,215 | +84% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $27,753 | $5,273 | $13,318 | +108% | $13,361 | +108% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $27,521 | $5,229 | $25,361 | +9% | $24,944 | +10% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $27,413 | $5,209 | $22,557 | +22% | $19,264 | +42% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $27,263 | $5,180 | $13,683 | +99% | $15,183 | +80% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $27,218 | $5,171 | $14,743 | +85% | $13,942 | +95% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $27,093 | $5,148 | $24,928 | +9% | $19,815 | +37% | — |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $26,815 | $5,095 | $16,077 | +67% | $12,593 | +113% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $26,455 | $5,026 | $14,128 | +87% | $14,128 | +87% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $26,385 | $5,013 | $20,344 | +30% | $15,855 | +66% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $26,350 | $5,007 | $29,805 | −12% | $29,805 | −12% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $26,332 | $5,003 | $23,711 | +11% | $22,432 | +17% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $25,977 | $4,936 | $43,384 | −40% | $29,524 | −12% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $25,941 | $4,929 | $19,638 | +32% | $15,452 | +68% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $25,836 | $4,909 | $19,642 | +32% | $17,081 | +51% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $25,701 | $4,883 | $19,815 | +30% | $19,846 | +30% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $25,572 | $4,859 | $47,513 | −46% | $32,065 | −20% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $25,549 | $4,854 | $16,299 | +57% | $14,514 | +76% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $25,053 | $4,760 | $33,330 | −25% | $26,436 | −5% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $24,130 | $4,585 | $21,977 | +10% | $21,941 | +10% | — |
| 311 | ANGINA PECTORIS | $23,802 | $4,522 | $15,502 | +54% | $15,502 | +54% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $23,431 | $4,452 | $22,155 | +6% | $15,370 | +52% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $23,303 | $4,428 | $13,642 | +71% | $13,642 | +71% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $23,267 | $4,421 | $13,824 | +68% | $13,824 | +68% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $23,213 | $4,411 | $17,287 | +34% | $15,428 | +50% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $22,681 | $4,309 | $54,345 | −58% | $45,167 | −50% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $22,575 | — | $77,041 | −71% | $61,832 | −63% | — |
| 639 | DIABETES WITHOUT CC/MCC | $22,511 | $4,277 | $13,910 | +62% | $13,910 | +62% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $22,364 | $4,249 | $14,643 | +53% | $13,633 | +64% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $22,008 | $4,182 | $13,384 | +64% | $13,384 | +64% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $21,989 | $4,178 | $15,267 | +44% | $14,415 | +53% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $21,638 | $4,111 | $18,004 | +20% | $18,004 | +20% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $21,612 | $4,106 | $18,126 | +19% | $18,126 | +19% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $20,644 | $3,922 | $24,337 | −15% | $16,846 | +23% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $20,502 | $3,895 | $14,134 | +45% | $15,038 | +36% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $20,038 | $3,807 | $13,599 | +47% | $10,975 | +83% | — |
| 779 | ABORTION WITHOUT D&C | $19,959 | $3,792 | $20,752 | −4% | $15,327 | +30% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $19,803 | $3,763 | $44,068 | −55% | $32,574 | −39% | — |
| 694 | URINARY STONES WITHOUT MCC | $19,593 | $3,723 | $17,347 | +13% | $17,345 | +13% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $19,490 | $3,703 | $28,553 | −32% | $27,401 | −29% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $19,363 | $3,679 | $16,064 | +21% | $13,275 | +46% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $19,212 | $3,650 | $16,592 | +16% | $12,895 | +49% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $18,990 | $3,608 | $15,839 | +20% | $12,454 | +52% | — |
| 539 | OSTEOMYELITIS WITH MCC | $18,957 | $3,602 | $41,277 | −54% | $37,609 | −50% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $18,065 | $3,432 | $14,148 | +28% | $12,078 | +50% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $18,040 | $3,428 | $38,998 | −54% | $30,553 | −41% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $17,664 | $3,356 | $22,628 | −22% | $20,901 | −15% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $17,649 | $3,353 | $18,841 | −6% | $14,209 | +24% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $17,457 | $3,317 | $20,881 | −16% | $18,466 | −5% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $17,125 | $3,254 | $13,425 | +28% | $10,160 | +69% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $16,859 | $3,203 | $15,799 | +7% | $14,583 | +16% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $16,046 | $3,049 | $14,927 | +7% | $14,549 | +10% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $15,177 | $2,884 | $15,464 | −2% | $12,252 | +24% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $14,066 | $2,673 | $47,797 | −71% | $41,608 | −66% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $13,095 | $2,488 | $32,248 | −59% | $28,140 | −53% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $12,379 | $2,352 | $17,953 | −31% | $15,215 | −19% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $11,524 | $2,190 | $28,209 | −59% | $19,686 | −41% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $11,253 | $2,138 | $34,344 | −67% | $27,975 | −60% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $10,651 | $2,024 | $11,539 | −8% | $9,940 | +7% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $10,599 | $2,014 | $18,528 | −43% | $18,528 | −43% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $9,164 | $1,741 | $14,927 | −39% | $14,927 | −39% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,651 | $1,454 | $34,988 | −78% | $12,229 | −37% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,435 | $1,413 | $26,404 | −72% | $20,616 | −64% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $6,486 | — | $33,267 | −81% | $24,550 | −74% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $6,481 | $1,231 | $57,323 | −89% | $18,649 | −65% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,782 | $1,099 | $17,665 | −67% | $8,445 | −32% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $5,174 | $983 | $70,373 | −93% | $42,679 | −88% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,963 | $943 | $28,935 | −83% | $16,351 | −70% | — |
| 795 | NORMAL NEWBORN | $4,914 | $934 | $6,664 | −26% | $4,720 | +4% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $3,728 | — | $23,352 | −84% | $19,657 | −81% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $3,573 | $679 | $107,269 | −97% | $80,018 | −96% | — |
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 |
|---|---|---|---|
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $3,108 – $60,006 · median $6,800 | 39 plans |
No procedures match that keyword.