Adventist Health Ukiah Valley — Pricing
403 procedures published in this hospital's Machine-Readable File (MRF) — 402 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 403
Lowest published price $3,260
Average published price $71,566
Highest published price $736,712
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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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 403 procedures
Published charges
Showing all 402 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 24 procedures, this hospital's negotiated rates average ≈105% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $736,712 | $147,342 | $248,521 | +196% | $245,241 | +200% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $500,691 | $100,138 | $96,507 | +419% | $96,222 | +420% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $474,433 | $94,887 | $124,290 | +282% | $138,008 | +244% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $301,998 | $60,400 | $99,423 | +204% | $99,423 | +204% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $296,990 | $59,398 | $70,175 | +323% | $50,919 | +483% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $271,145 | $54,229 | $49,765 | +445% | $39,657 | +584% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $263,483 | $52,697 | $75,573 | +249% | $72,782 | +262% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $233,397 | $46,679 | $95,536 | +144% | $87,565 | +167% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $232,734 | $46,547 | $90,775 | +156% | $86,390 | +169% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $232,498 | $46,500 | $64,956 | +258% | $64,956 | +258% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $229,612 | $45,922 | $116,058 | +98% | $116,058 | +98% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $199,648 | $39,930 | $94,937 | +110% | $87,018 | +129% | ≈91% of Medicare |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $198,477 | $39,695 | $65,788 | +202% | $65,254 | +204% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $197,726 | $39,545 | $70,540 | +180% | $70,540 | +180% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $193,735 | $38,747 | $52,735 | +267% | $57,963 | +234% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $192,459 | $38,492 | $86,699 | +122% | $72,859 | +164% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $189,987 | $37,997 | $69,597 | +173% | $51,953 | +266% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $188,257 | $37,651 | $75,103 | +151% | $75,103 | +151% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $185,979 | $37,196 | $81,281 | +129% | $72,945 | +155% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $181,105 | $36,221 | $75,754 | +139% | $55,097 | +229% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $180,928 | $36,186 | $35,243 | +413% | $32,502 | +457% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $175,015 | $35,003 | $33,267 | +426% | $24,036 | +628% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $172,320 | $34,464 | $29,894 | +476% | $23,723 | +626% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $171,736 | $34,347 | $71,755 | +139% | $71,755 | +139% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $160,499 | $32,100 | $52,405 | +206% | $52,405 | +206% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $159,089 | $31,818 | $58,935 | +170% | $44,973 | +254% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $155,952 | $31,190 | $96,245 | +62% | $80,747 | +93% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $154,559 | $30,912 | $51,985 | +197% | $51,985 | +197% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $151,724 | $30,345 | $71,014 | +114% | $71,014 | +114% | — |
| 813 | COAGULATION DISORDERS | $151,570 | $30,314 | $33,296 | +355% | $30,128 | +403% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $150,805 | $30,161 | $38,308 | +294% | $29,609 | +409% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $149,557 | $29,911 | $65,631 | +128% | $54,129 | +176% | — |
| 504 | FOOT PROCEDURES WITH CC | $148,333 | $29,667 | $38,960 | +281% | $36,598 | +305% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $147,861 | $29,572 | $30,693 | +382% | $25,666 | +476% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $147,506 | $29,501 | $68,653 | +115% | $62,269 | +137% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $147,449 | $29,490 | $48,600 | +203% | $34,535 | +327% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $146,536 | $29,307 | $52,959 | +177% | $43,491 | +237% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $138,023 | $27,605 | $64,105 | +115% | $57,479 | +140% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $137,759 | $27,552 | $53,141 | +159% | $53,141 | +159% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $137,197 | $27,440 | $53,666 | +156% | $57,149 | +140% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $135,976 | $27,195 | $62,334 | +118% | $67,764 | +101% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $135,212 | $27,042 | $63,709 | +112% | $52,435 | +158% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $134,730 | $26,946 | $46,799 | +188% | $56,519 | +138% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $132,941 | $26,588 | $60,274 | +121% | $63,984 | +108% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $132,759 | $26,552 | $68,421 | +94% | $68,880 | +93% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $132,324 | $26,465 | $67,268 | +97% | $64,152 | +106% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $128,754 | $25,751 | $40,150 | +221% | $35,014 | +268% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $125,930 | $25,186 | $37,599 | +235% | $29,729 | +324% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $123,910 | $24,782 | $45,703 | +171% | $51,172 | +142% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $122,598 | $24,520 | $41,857 | +193% | $49,197 | +149% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $119,041 | $23,808 | $50,777 | +134% | $52,313 | +128% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $118,218 | $23,644 | $60,905 | +94% | $49,710 | +138% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $115,630 | $23,126 | $45,849 | +152% | $37,080 | +212% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $114,050 | $22,810 | $101,662 | +12% | $78,582 | +45% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $112,935 | $22,587 | $35,675 | +217% | $29,409 | +284% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $111,119 | $22,224 | $53,746 | +107% | $53,746 | +107% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $110,944 | $22,189 | $25,279 | +339% | $24,452 | +354% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $110,198 | $22,040 | $75,820 | +45% | $62,961 | +75% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $109,342 | $21,868 | $37,214 | +194% | $48,680 | +125% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $108,489 | $21,698 | $27,277 | +298% | $27,219 | +299% | — |
| 539 | OSTEOMYELITIS WITH MCC | $108,267 | $21,653 | $41,277 | +162% | $33,746 | +221% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $106,701 | $21,340 | $46,477 | +130% | $46,477 | +130% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $105,107 | $21,021 | $88,050 | +19% | $88,050 | +19% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $104,356 | $20,871 | $53,208 | +96% | $45,497 | +129% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $102,458 | $20,492 | $51,189 | +100% | $56,394 | +82% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $101,375 | $20,275 | $59,859 | +69% | $47,277 | +114% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $101,313 | $20,263 | $36,651 | +176% | $44,117 | +130% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $100,941 | $20,188 | $49,382 | +104% | $39,409 | +156% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $100,274 | $20,055 | $45,376 | +121% | $37,064 | +171% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $99,694 | $19,939 | $49,631 | +101% | $49,631 | +101% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $99,691 | $19,938 | $48,634 | +105% | $45,059 | +121% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $99,491 | $19,898 | $50,011 | +99% | $50,011 | +99% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $95,369 | $19,074 | $21,880 | +336% | $18,282 | +422% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $94,602 | $18,920 | $43,913 | +115% | $43,398 | +118% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $93,318 | $18,664 | $35,217 | +165% | $39,747 | +135% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $92,770 | $18,554 | $36,807 | +152% | $31,846 | +191% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $92,449 | $18,490 | $42,881 | +116% | $42,881 | +116% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $91,861 | $18,372 | $50,562 | +82% | $58,832 | +56% | ≈104% of Medicare |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $91,635 | $18,327 | $26,770 | +242% | $26,488 | +246% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $90,277 | $18,055 | $38,951 | +132% | $30,766 | +193% | — |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $90,264 | $18,053 | $15,637 | +477% | $12,336 | +632% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $89,076 | $17,815 | $44,357 | +101% | $43,524 | +105% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $88,851 | $17,770 | $40,719 | +118% | $35,714 | +149% | ≈104% of Medicare |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $88,621 | $17,724 | $40,263 | +120% | $35,237 | +152% | ≈102% of Medicare |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $88,254 | $17,651 | $39,013 | +126% | $32,204 | +174% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $88,163 | $17,633 | $38,960 | +126% | $31,716 | +178% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $87,778 | $17,556 | $33,325 | +163% | $28,646 | +206% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $87,468 | $17,494 | $34,354 | +155% | $34,354 | +155% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $85,969 | $17,194 | $40,213 | +114% | $36,933 | +133% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $85,585 | $17,117 | $33,834 | +153% | $32,468 | +164% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $85,290 | $17,058 | $40,563 | +110% | $40,563 | +110% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $85,265 | $17,053 | $47,452 | +80% | $41,900 | +103% | — |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $85,020 | $17,004 | $18,577 | +358% | $14,055 | +505% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $84,797 | $16,959 | $36,661 | +131% | $31,758 | +167% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $83,968 | $16,794 | $51,645 | +63% | $54,824 | +53% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $83,169 | $16,634 | $33,633 | +147% | $31,059 | +168% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $82,993 | $16,599 | $40,695 | +104% | $35,139 | +136% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $82,469 | $16,494 | $35,872 | +130% | $27,118 | +204% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $81,843 | $16,369 | $34,448 | +138% | $31,840 | +157% | ≈97% of Medicare |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $80,619 | $16,124 | $34,078 | +137% | $36,239 | +122% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $80,332 | $16,066 | $28,125 | +186% | $25,623 | +214% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $79,920 | $15,984 | $33,048 | +142% | $31,062 | +157% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $79,741 | $15,948 | $36,340 | +119% | $29,826 | +167% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $79,658 | $15,932 | $45,785 | +74% | $36,334 | +119% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $79,423 | $15,885 | $33,957 | +134% | $28,924 | +175% | — |
| 333 | RECTAL RESECTION WITH CC | $79,414 | $15,883 | $46,551 | +71% | $34,352 | +131% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $78,439 | $15,688 | $47,089 | +67% | $44,553 | +76% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $78,312 | $15,662 | $68,639 | +14% | $62,524 | +25% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $77,916 | $15,583 | $48,682 | +60% | $48,682 | +60% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $77,896 | $15,579 | $29,523 | +164% | $23,350 | +234% | — |
| 666 | PROSTATECTOMY WITH CC | $77,054 | $15,411 | $36,569 | +111% | $30,016 | +157% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $76,395 | $15,279 | $37,213 | +105% | $30,275 | +152% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $75,824 | $15,165 | $37,921 | +100% | $36,375 | +108% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $75,782 | $15,156 | $37,933 | +100% | $29,031 | +161% | — |
| 637 | DIABETES WITH MCC | $75,056 | $15,011 | $31,753 | +136% | $28,819 | +160% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $74,928 | $14,986 | $59,817 | +25% | $49,184 | +52% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $74,851 | $14,970 | $37,764 | +98% | $43,266 | +73% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $74,764 | $14,953 | $36,354 | +106% | $36,333 | +106% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $74,303 | $14,861 | $32,490 | +129% | $25,854 | +187% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $73,467 | $14,693 | $29,252 | +151% | $26,158 | +181% | ≈106% of Medicare |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $73,219 | $14,644 | $46,332 | +58% | $49,470 | +48% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $73,196 | $14,639 | $27,470 | +166% | $25,704 | +185% | ≈102% of Medicare |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $73,076 | $14,615 | $30,083 | +143% | $29,374 | +149% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $72,493 | $14,499 | $35,453 | +104% | $35,453 | +104% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $72,460 | $14,492 | $23,571 | +207% | $23,571 | +207% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $72,225 | $14,445 | $43,328 | +67% | $36,850 | +96% | — |
| 199 | PNEUMOTHORAX WITH MCC | $72,128 | $14,426 | $36,952 | +95% | $31,491 | +129% | — |
| 865 | VIRAL ILLNESS WITH MCC | $71,878 | $14,376 | $32,083 | +124% | $26,088 | +176% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $71,862 | $14,372 | $30,493 | +136% | $29,050 | +147% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $71,799 | $14,360 | $42,775 | +68% | $38,885 | +85% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $71,683 | $14,337 | $30,887 | +132% | $35,542 | +102% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $71,597 | $14,319 | $42,463 | +69% | $33,165 | +116% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $71,497 | $14,299 | $31,982 | +124% | $28,780 | +148% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $71,237 | $14,247 | $40,552 | +76% | $40,552 | +76% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $71,023 | $14,205 | $13,642 | +421% | $13,623 | +421% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $70,531 | $14,106 | $35,532 | +98% | $30,058 | +135% | ≈93% of Medicare |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $70,287 | $14,057 | $29,117 | +141% | $23,115 | +204% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $70,090 | $14,018 | $22,850 | +207% | $22,850 | +207% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $70,039 | $14,008 | $19,935 | +251% | $17,412 | +302% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $69,971 | $13,994 | $38,836 | +80% | $38,836 | +80% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $69,319 | $13,864 | $32,451 | +114% | $32,451 | +114% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $68,885 | $13,777 | $29,596 | +133% | $31,978 | +115% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $67,980 | $13,596 | $82,561 | −18% | $82,561 | −18% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $67,973 | $13,595 | $35,349 | +92% | $33,607 | +102% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $67,634 | $13,527 | $54,273 | +25% | $48,094 | +41% | — |
| 682 | RENAL FAILURE WITH MCC | $67,501 | $13,500 | $32,520 | +108% | $27,854 | +142% | ≈111% of Medicare |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $67,416 | $13,483 | $24,177 | +179% | $24,177 | +179% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $67,359 | $13,472 | $28,966 | +133% | $25,020 | +169% | ≈103% of Medicare |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $67,230 | $13,446 | $32,248 | +108% | $28,140 | +139% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $67,077 | $13,415 | $44,730 | +50% | $41,660 | +61% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $66,419 | $13,284 | $36,087 | +84% | $27,168 | +144% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $66,407 | $13,281 | $39,057 | +70% | $32,399 | +105% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $66,403 | $13,281 | $22,641 | +193% | $20,732 | +220% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $66,375 | $13,275 | $54,345 | +22% | $41,703 | +59% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $66,325 | $13,265 | $28,515 | +133% | $27,244 | +143% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $66,304 | $13,261 | $34,867 | +90% | $28,967 | +129% | ≈103% of Medicare |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $66,188 | $13,238 | $43,483 | +52% | $38,357 | +73% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $65,580 | $13,116 | $39,619 | +66% | $37,975 | +73% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $65,136 | $13,027 | $37,169 | +75% | $34,901 | +87% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $64,966 | $12,993 | $26,611 | +144% | $27,369 | +137% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $64,926 | $12,985 | $14,927 | +335% | $14,927 | +335% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $64,770 | $12,954 | $35,113 | +84% | $32,689 | +98% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $64,383 | $12,877 | $22,024 | +192% | $22,024 | +192% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $64,369 | $12,874 | $29,747 | +116% | $30,358 | +112% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $63,322 | $12,664 | $24,928 | +154% | $19,317 | +228% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $63,048 | $12,610 | $33,256 | +90% | $28,252 | +123% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $62,990 | $12,598 | $36,816 | +71% | $42,119 | +50% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $62,897 | $12,579 | $69,701 | −10% | $59,207 | +6% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $62,440 | $12,488 | $24,337 | +157% | $17,103 | +265% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $62,283 | $12,457 | $29,250 | +113% | $34,887 | +79% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $62,235 | $12,447 | $54,751 | +14% | $52,319 | +19% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $61,879 | $12,376 | $23,141 | +167% | $23,141 | +167% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $61,766 | $12,353 | $77,817 | −21% | $71,701 | −14% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $61,692 | $12,338 | $35,375 | +74% | $35,375 | +74% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $61,474 | $12,295 | $34,588 | +78% | $26,020 | +136% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $61,276 | $12,255 | $35,591 | +72% | $31,128 | +97% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $60,616 | $12,123 | $29,481 | +106% | $24,480 | +148% | ≈106% of Medicare |
| 885 | PSYCHOSES | $60,357 | $12,071 | $30,968 | +95% | $21,489 | +181% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $60,333 | $12,067 | $38,483 | +57% | $30,974 | +95% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $60,292 | $12,058 | $40,894 | +47% | $28,375 | +112% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $60,204 | $12,041 | $37,842 | +59% | $37,842 | +59% | ≈105% of Medicare |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $60,065 | $12,013 | $28,553 | +110% | $25,474 | +136% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $59,910 | $11,982 | $50,131 | +20% | $44,989 | +33% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $59,577 | $11,915 | $35,961 | +66% | $31,086 | +92% | — |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $59,459 | $11,892 | $48,353 | +23% | $44,053 | +35% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $59,404 | $11,881 | $21,494 | +176% | $18,238 | +226% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $59,359 | $11,872 | $13,855 | +328% | $12,013 | +394% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $58,754 | $11,751 | $19,815 | +197% | $19,815 | +197% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $58,609 | $11,722 | $47,513 | +23% | $31,520 | +86% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $58,019 | $11,604 | $37,692 | +54% | $29,476 | +97% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $57,176 | $11,435 | $20,084 | +185% | $20,084 | +185% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $57,092 | $11,418 | $23,749 | +140% | $23,749 | +140% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $56,947 | $11,389 | $22,197 | +157% | $20,007 | +185% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $56,664 | $11,333 | $24,948 | +127% | $30,314 | +87% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $56,217 | $11,243 | $23,503 | +139% | $24,136 | +133% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $55,926 | $11,185 | $30,922 | +81% | $27,934 | +100% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $55,890 | $11,178 | $42,423 | +32% | $32,483 | +72% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $55,763 | $11,153 | $23,551 | +137% | $23,496 | +137% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $55,619 | $11,124 | $38,187 | +46% | $30,394 | +83% | — |
| 102 | HEADACHES WITH MCC | $54,707 | $10,941 | $25,740 | +113% | $22,544 | +143% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $54,656 | $10,931 | $16,654 | +228% | $16,654 | +228% | — |
| 100 | SEIZURES WITH MCC | $54,386 | $10,877 | $40,653 | +34% | $35,194 | +55% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $54,329 | $10,866 | $41,855 | +30% | $45,963 | +18% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $54,212 | $10,842 | $17,087 | +217% | $14,444 | +275% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $54,042 | $10,808 | $24,930 | +117% | $24,190 | +123% | ≈103% of Medicare |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $53,544 | $10,709 | $20,488 | +161% | $20,488 | +161% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $53,537 | $10,707 | $23,887 | +124% | $17,943 | +198% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $53,379 | $10,676 | $24,477 | +118% | $25,162 | +112% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $52,997 | $10,600 | $34,839 | +52% | $28,134 | +88% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $52,609 | $10,522 | $25,652 | +105% | $25,307 | +108% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $52,520 | $10,504 | $32,907 | +60% | $25,945 | +102% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $52,175 | $10,435 | $19,584 | +166% | $16,049 | +225% | — |
| 935 | NON-EXTENSIVE BURNS | $51,954 | $10,391 | $43,274 | +20% | $29,458 | +76% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $51,879 | $10,376 | $30,959 | +68% | $29,757 | +74% | ≈103% of Medicare |
| 915 | ALLERGIC REACTIONS WITH MCC | $51,632 | $10,326 | $36,491 | +41% | $30,944 | +67% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $51,588 | $10,318 | $18,528 | +178% | $18,253 | +183% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $51,522 | $10,304 | $22,552 | +128% | $21,181 | +143% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $50,419 | $10,084 | $34,613 | +46% | $24,465 | +106% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $50,381 | $10,076 | $30,645 | +64% | $24,118 | +109% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $50,376 | $10,075 | $32,473 | +55% | $29,484 | +71% | — |
| 593 | SKIN ULCERS WITH CC | $50,018 | $10,004 | $27,143 | +84% | $20,470 | +144% | — |
| 540 | OSTEOMYELITIS WITH CC | $49,834 | $9,967 | $28,728 | +73% | $23,494 | +112% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $49,367 | $9,873 | $23,711 | +108% | $20,842 | +137% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $49,320 | $9,864 | $30,242 | +63% | $24,980 | +97% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $49,267 | $9,853 | $19,072 | +158% | $18,278 | +170% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $49,196 | $9,839 | $33,779 | +46% | $29,371 | +68% | — |
| 101 | SEIZURES WITHOUT MCC | $49,067 | $9,813 | $20,461 | +140% | $19,954 | +146% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $48,978 | $9,796 | $27,494 | +78% | $22,032 | +122% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $48,855 | $9,771 | $36,658 | +33% | $36,658 | +33% | — |
| 149 | DYSEQUILIBRIUM | $48,799 | $9,760 | $16,594 | +194% | $17,203 | +184% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $48,515 | $9,703 | $16,776 | +189% | $16,776 | +189% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $48,390 | $9,678 | $30,418 | +59% | $30,418 | +59% | — |
| 693 | URINARY STONES WITH MCC | $48,328 | $9,666 | $31,990 | +51% | $22,525 | +115% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $48,136 | $9,627 | $36,506 | +32% | $30,814 | +56% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $48,004 | $9,601 | $18,126 | +165% | $17,928 | +168% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $47,826 | $9,565 | $45,743 | +5% | $41,651 | +15% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $47,814 | $9,563 | $23,767 | +101% | $19,579 | +144% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $47,496 | $9,499 | $22,888 | +108% | $22,781 | +108% | ≈189% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MCC | $47,401 | $9,480 | $35,135 | +35% | $32,996 | +44% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $47,082 | $9,416 | $20,463 | +130% | $20,463 | +130% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $46,505 | $9,301 | $15,280 | +204% | $19,483 | +139% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $46,416 | $9,283 | $38,094 | +22% | $38,094 | +22% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $46,299 | $9,260 | $20,566 | +125% | $18,608 | +149% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $46,292 | $9,258 | $19,638 | +136% | $15,045 | +208% | — |
| 603 | CELLULITIS WITHOUT MCC | $46,220 | $9,244 | $19,553 | +136% | $18,530 | +149% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $46,067 | $9,213 | $39,360 | +17% | $36,242 | +27% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $45,931 | $9,186 | $20,881 | +120% | $17,700 | +160% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $45,717 | $9,143 | $27,163 | +68% | $26,322 | +74% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $45,382 | $9,076 | $19,842 | +129% | $18,803 | +141% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $45,312 | $9,062 | $22,790 | +99% | $24,022 | +89% | — |
| 602 | CELLULITIS WITH MCC | $45,282 | $9,056 | $31,970 | +42% | $29,347 | +54% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $45,180 | $9,036 | $22,575 | +100% | $23,469 | +93% | ≈106% of Medicare |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $45,093 | $9,019 | $22,033 | +105% | $20,968 | +115% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $44,808 | $8,962 | $19,854 | +126% | $19,854 | +126% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $44,720 | $8,944 | $19,096 | +134% | $19,096 | +134% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $44,633 | $8,927 | $21,460 | +108% | $17,273 | +158% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $44,624 | $8,925 | $43,378 | +3% | $33,050 | +35% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $44,595 | $8,919 | $21,225 | +110% | $18,191 | +145% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $44,533 | $8,907 | $16,299 | +173% | $14,110 | +216% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $44,346 | $8,869 | $56,278 | −21% | $36,097 | +23% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $44,284 | $8,857 | $38,631 | +15% | $35,114 | +26% | — |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $44,250 | $8,850 | $22,750 | +95% | $16,495 | +168% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $44,227 | $8,845 | $33,399 | +32% | $33,792 | +31% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $44,128 | $8,826 | $67,560 | −35% | $57,855 | −24% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $43,936 | $8,787 | $43,384 | +1% | $29,524 | +49% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $43,911 | $8,782 | $37,950 | +16% | $37,950 | +16% | — |
| 592 | SKIN ULCERS WITH MCC | $43,803 | $8,761 | $41,848 | +5% | $32,662 | +34% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $43,694 | $8,739 | $24,644 | +77% | $18,459 | +137% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $43,659 | $8,732 | $20,896 | +109% | $18,918 | +131% | — |
| 312 | SYNCOPE AND COLLAPSE | $43,602 | $8,720 | $19,342 | +125% | $19,342 | +125% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $43,556 | $8,711 | $17,795 | +145% | $17,388 | +150% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $43,489 | $8,698 | $17,762 | +145% | $20,278 | +114% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $43,478 | $8,696 | $20,506 | +112% | $19,287 | +125% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $43,468 | $8,694 | $18,204 | +139% | $18,204 | +139% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $43,257 | $8,651 | $62,821 | −31% | $62,821 | −31% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $43,046 | $8,609 | $31,063 | +39% | $23,734 | +81% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $43,020 | $8,604 | $18,081 | +138% | $18,081 | +138% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $42,743 | $8,549 | $21,216 | +101% | $20,371 | +110% | — |
| 103 | HEADACHES WITHOUT MCC | $42,462 | $8,492 | $18,874 | +125% | $20,111 | +111% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $42,231 | $8,446 | $32,445 | +30% | $24,450 | +73% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $42,139 | $8,428 | $34,344 | +23% | $25,434 | +66% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $41,951 | $8,390 | $22,941 | +83% | $22,941 | +83% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $41,855 | $8,371 | $25,980 | +61% | $22,982 | +82% | ≈152% of Medicare |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $41,703 | $8,341 | $17,322 | +141% | $17,322 | +141% | ≈108% of Medicare |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $41,490 | $8,298 | $20,344 | +104% | $15,593 | +166% | — |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $41,308 | $8,262 | $22,266 | +86% | $16,212 | +155% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $41,237 | $8,247 | $16,412 | +151% | $16,865 | +145% | ≈125% of Medicare |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $40,528 | $8,106 | $22,635 | +79% | $20,080 | +102% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $40,426 | $8,085 | $24,075 | +68% | $21,806 | +85% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $40,378 | $8,076 | $33,330 | +21% | $23,814 | +70% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $40,192 | $8,038 | $69,089 | −42% | $49,065 | −18% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $39,929 | $7,986 | $22,557 | +77% | $18,017 | +122% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $39,872 | $7,974 | $24,042 | +66% | $22,560 | +77% | — |
| 779 | ABORTION WITHOUT D&C | $39,815 | $7,963 | $20,752 | +92% | $15,327 | +160% | — |
| 683 | RENAL FAILURE WITH CC | $39,735 | $7,947 | $19,733 | +101% | $18,620 | +113% | ≈104% of Medicare |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $39,677 | $7,935 | $34,467 | +15% | $25,731 | +54% | — |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $39,615 | $7,923 | $46,727 | −15% | $40,232 | −2% | — |
| 200 | PNEUMOTHORAX WITH CC | $39,247 | $7,849 | $24,586 | +60% | $20,573 | +91% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $39,213 | $7,843 | $18,002 | +118% | $18,002 | +118% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $39,207 | $7,842 | $30,846 | +27% | $24,561 | +60% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $39,111 | $7,822 | $28,593 | +37% | $24,316 | +61% | — |
| 304 | HYPERTENSION WITH MCC | $39,046 | $7,809 | $26,080 | +50% | $24,185 | +61% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $38,905 | $7,781 | $19,032 | +104% | $14,873 | +162% | — |
| 638 | DIABETES WITH CC | $38,852 | $7,770 | $20,361 | +91% | $18,821 | +106% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $38,836 | $7,767 | $31,874 | +22% | $29,211 | +33% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $38,756 | $7,751 | $15,411 | +151% | $13,303 | +191% | — |
| 697 | URETHRAL STRICTURE | $38,715 | $7,743 | $22,239 | +74% | $17,705 | +119% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $38,712 | $7,742 | $23,312 | +66% | $22,231 | +74% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $38,419 | $7,684 | $21,886 | +76% | $21,886 | +76% | ≈105% of Medicare |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $38,286 | $7,657 | $21,396 | +79% | $21,213 | +80% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $37,957 | $7,591 | $14,368 | +164% | $14,368 | +164% | — |
| 694 | URINARY STONES WITHOUT MCC | $37,819 | $7,564 | $17,347 | +118% | $16,531 | +129% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $37,743 | $7,549 | $16,064 | +135% | $13,090 | +188% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $37,544 | $7,509 | $18,330 | +105% | $15,876 | +136% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $36,996 | $7,399 | $15,837 | +134% | $15,607 | +137% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $36,866 | $7,373 | $36,820 | +0% | $32,213 | +14% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $36,627 | $7,325 | $22,637 | +62% | $21,545 | +70% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $35,802 | $7,160 | $22,155 | +62% | $15,370 | +133% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $35,539 | $7,108 | $19,176 | +85% | $17,367 | +105% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $35,518 | $7,104 | $32,100 | +11% | $29,663 | +20% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $35,169 | $7,034 | $16,525 | +113% | $13,892 | +153% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $34,920 | $6,984 | $23,971 | +46% | $18,126 | +93% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $34,687 | $6,937 | $24,000 | +45% | $17,226 | +101% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $34,525 | $6,905 | $21,363 | +62% | $20,777 | +66% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $34,210 | $6,842 | $36,230 | −6% | $29,853 | +15% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $34,146 | $6,829 | $17,817 | +92% | $17,466 | +95% | ≈109% of Medicare |
| 835 | ACUTE LEUKEMIA WITH CC | $34,073 | $6,815 | $43,187 | −21% | $35,569 | −4% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $34,033 | $6,807 | $20,401 | +67% | $16,352 | +108% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $33,927 | $6,785 | $13,326 | +155% | $11,955 | +184% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $33,470 | $6,694 | $19,118 | +75% | $16,212 | +106% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $33,371 | $6,674 | $18,004 | +85% | $16,866 | +98% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $32,798 | $6,560 | $20,725 | +58% | $16,642 | +97% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $32,754 | $6,551 | $60,402 | −46% | $54,313 | −40% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $32,428 | $6,486 | $17,831 | +82% | $17,831 | +82% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $32,245 | $6,449 | $14,880 | +117% | $14,880 | +117% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $32,165 | $6,433 | $28,065 | +15% | $26,634 | +21% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $31,848 | $6,370 | $15,267 | +109% | $14,012 | +127% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $31,801 | $6,360 | $34,749 | −8% | $32,490 | −2% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $31,789 | $6,358 | $27,552 | +15% | $20,727 | +53% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $31,760 | $6,352 | $21,449 | +48% | $21,449 | +48% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $31,479 | $6,296 | $13,384 | +135% | $13,384 | +135% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $31,236 | $6,247 | $41,191 | −24% | $32,538 | −4% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $31,178 | $6,236 | $39,627 | −21% | $36,641 | −15% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $31,132 | $6,226 | $29,623 | +5% | $25,426 | +22% | — |
| 088 | CONCUSSION WITH MCC | $30,923 | $6,185 | $30,986 | −0% | $24,402 | +27% | — |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $30,518 | $6,104 | $23,745 | +29% | $18,898 | +61% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $30,416 | $6,083 | $22,590 | +35% | $22,713 | +34% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $30,115 | $6,023 | $15,464 | +95% | $12,279 | +145% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $29,794 | $5,959 | $17,347 | +72% | $16,745 | +78% | ≈106% of Medicare |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $29,720 | $5,944 | $13,318 | +123% | $13,318 | +123% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $29,357 | $5,871 | $17,700 | +66% | $17,700 | +66% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $29,326 | $5,865 | $14,134 | +107% | $14,134 | +107% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $28,637 | $5,727 | $54,815 | −48% | $43,697 | −34% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $28,246 | $5,649 | $14,148 | +100% | $12,044 | +135% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $28,022 | $5,604 | $24,648 | +14% | $22,431 | +25% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $27,920 | $5,584 | $25,034 | +12% | $24,017 | +16% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $27,547 | $5,509 | $15,031 | +83% | $13,081 | +111% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $27,295 | $5,459 | $100,245 | −73% | $76,583 | −64% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $26,517 | $5,303 | $14,208 | +87% | $14,208 | +87% | — |
| 311 | ANGINA PECTORIS | $26,250 | $5,250 | $15,502 | +69% | $15,165 | +73% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $25,990 | $5,198 | $25,192 | +3% | $19,795 | +31% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $25,961 | $5,192 | $24,439 | +6% | $17,483 | +48% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $25,417 | $5,083 | $13,683 | +86% | $15,070 | +69% | — |
| 639 | DIABETES WITHOUT CC/MCC | $24,588 | $4,918 | $13,910 | +77% | $13,910 | +77% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $24,214 | $4,843 | $14,128 | +71% | $14,128 | +71% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $24,147 | $4,829 | $18,126 | +33% | $17,715 | +36% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $23,976 | $4,795 | $21,205 | +13% | $19,326 | +24% | — |
| 305 | HYPERTENSION WITHOUT MCC | $23,760 | $4,752 | $16,665 | +43% | $17,144 | +39% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $23,212 | $4,642 | $15,549 | +49% | $13,654 | +70% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $22,052 | $4,410 | $13,824 | +60% | $13,824 | +60% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $21,783 | $4,357 | $17,287 | +26% | $14,166 | +54% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $21,404 | $4,281 | $13,425 | +59% | $9,385 | +128% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $21,278 | $4,256 | $15,839 | +34% | $12,381 | +72% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $20,957 | $4,191 | $43,538 | −52% | $43,538 | −52% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,771 | $4,154 | $17,522 | +19% | $17,522 | +19% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $20,375 | $4,075 | $14,743 | +38% | $13,890 | +47% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $20,014 | $4,003 | $16,592 | +21% | $12,895 | +55% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $19,723 | $3,945 | $20,108 | −2% | $17,731 | +11% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $19,550 | $3,910 | $18,139 | +8% | $16,837 | +16% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $18,936 | $3,787 | $16,097 | +18% | $18,623 | +2% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $18,773 | $3,755 | $25,552 | −27% | $18,133 | +4% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,568 | $3,714 | $50,614 | −63% | $40,548 | −54% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $18,558 | $3,712 | $13,599 | +36% | $10,975 | +69% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $17,995 | $3,599 | $23,396 | −23% | $23,396 | −23% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $16,420 | $3,284 | $33,653 | −51% | $32,936 | −50% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $15,532 | $3,106 | $24,220 | −36% | $19,868 | −22% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $15,404 | $3,081 | $15,799 | −3% | $14,473 | +6% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $15,097 | $3,019 | $11,539 | +31% | $9,076 | +66% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $14,070 | $2,814 | $19,138 | −26% | $16,156 | −13% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $14,054 | $2,811 | $47,583 | −70% | $47,583 | −70% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $14,048 | $2,810 | $32,578 | −57% | $14,284 | −2% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $12,892 | $2,578 | $75,557 | −83% | $39,563 | −67% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $12,767 | $2,553 | $28,993 | −56% | $23,956 | −47% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $11,405 | $2,281 | $21,129 | −46% | $18,428 | −38% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $11,377 | $2,275 | $22,628 | −50% | $19,091 | −40% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,823 | $1,965 | $19,185 | −49% | $15,284 | −36% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $9,179 | $1,836 | $17,953 | −49% | $15,655 | −41% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,013 | $1,803 | $19,642 | −54% | $16,391 | −45% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,111 | $1,622 | $57,323 | −86% | $16,719 | −51% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,997 | $1,199 | $34,603 | −83% | $11,633 | −48% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,836 | $967 | $16,713 | −71% | $7,961 | −39% | — |
| 795 | NORMAL NEWBORN | $3,260 | $652 | $6,880 | −53% | $4,530 | −28% | — |
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 |
|---|---|---|---|
| 799 | SPLENIC PROCEDURES WITH MCC | $8,031 – $93,519 · median $19,122 | 9 plans |
No procedures match that keyword.