Procedures published 498
Lowest published price $1,846
Average published price $51,256
Highest published price $645,301

Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.

Showing all 498 procedures

Published charges

Showing all 497 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.

DRG Description Published price Cash price vs. CA median vs. National median
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $645,301 $189,963 +240% $164,641 +292%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $494,278 $371,366 +33% $371,366 +33%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $387,624 $248,521 +56% $248,521 +56%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $308,913 $308,913 $77,178 +300% $71,795 +330%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $253,009 $46,317 +446% $43,650 +480%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $221,087 $45,376 +387% $41,892 +428%
163 MAJOR CHEST PROCEDURES WITH MCC $215,039 $88,341 +143% $90,195 +138%
215 OTHER HEART ASSIST SYSTEM IMPLANT $213,499 $191,314 +12% $208,939 +2%
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $207,435 $23,643 +777% $33,983 +510%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $203,917 $106,057 +92% $106,057 +92%
471 CERVICAL SPINAL FUSION WITH MCC $187,356 $92,515 +103% $92,515 +103%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $171,590 $46,477 +269% $49,351 +248%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $162,797 $88,307 +84% $88,307 +84%
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $160,629 $23,289 +590% $75,251 +113%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $152,069 $88,050 +73% $88,050 +73%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $147,331 $107,355 +37% $107,355 +37%
950 AFTERCARE WITHOUT CC/MCC $146,806 $13,527 +985% $13,527 +985%
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $146,632 $36,442 +302% $69,101 +112%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $142,825 $82,247 +74% $82,247 +74%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $141,109 $89,523 +58% $87,761 +61%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $137,160 $124,290 +10% $148,832 −8%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $134,930 $73,751 +83% $61,470 +120%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $134,436 $43,328 +210% $38,070 +253%
164 MAJOR CHEST PROCEDURES WITH CC $130,138 $53,141 +145% $56,755 +129%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $129,032 $69,724 +85% $66,068 +95%
231 CORONARY BYPASS WITH PTCA WITH MCC $128,641 $155,631 −17% $147,227 −13%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $128,409 $75,573 +70% $75,573 +70%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $128,120 $30,083 +326% $30,083 +326%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $128,089 $46,724 +174% $46,724 +174%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $125,277 $67,268 +86% $67,268 +86%
302 ATHEROSCLEROSIS WITH MCC $125,218 $25,825 +385% $22,446 +458%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $124,478 $148,686 −16% $148,686 −16%
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $123,940 $23,643 +424% $86,864 +43%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $123,303 $106,778 +15% $106,778 +15%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $121,028 $75,820 +60% $66,685 +81%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $118,939 $49,209 +142% $42,415 +180%
304 HYPERTENSION WITH MCC $117,122 $26,080 +349% $26,080 +349%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $115,438 $39,105 +195% $36,431 +217%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $115,423 $82,561 +40% $82,561 +40%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $112,071 $116,058 −3% $116,058 −3%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $111,978 $23,289 +381% $56,836 +97%
710 PENIS PROCEDURES WITHOUT CC/MCC $111,912 $33,330 +236% $26,436 +323%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $111,459 $75,103 +48% $75,103 +48%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $109,712 $94,937 +16% $93,172 +18%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $107,200 $35,899 +199% $51,625 +108%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $107,063 $54,583 +96% $54,583 +96%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $106,576 $57,493 +85% $46,402 +130%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $106,402 $51,645 +106% $59,421 +79%
472 CERVICAL SPINAL FUSION WITH CC $104,960 $59,537 +76% $59,537 +76%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $104,919 $74,755 +40% $74,755 +40%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $98,296 $62,334 +58% $70,467 +39%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $96,610 $102,128 −5% $102,128 −5%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $95,357 $48,682 +96% $48,682 +96%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $95,276 $74,257 +28% $74,257 +28%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $95,244 $44,639 +113% $46,090 +107%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $95,208 $47,583 +100% $47,583 +100%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $92,893 $25,390 +266% $25,390 +266%
037 EXTRACRANIAL PROCEDURES WITH MCC $92,207 $66,666 +38% $66,666 +38%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $91,673 $71,014 +29% $71,014 +29%
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $90,253 $23,643 +282% $21,663 +317%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $88,761 $41,111 +116% $32,031 +177%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $88,730 $86,246 +3% $84,692 +5%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $87,979 $69,597 +26% $51,953 +69%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $86,998 $70,540 +23% $70,564 +23%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $86,517 $69,743 +24% $69,743 +24%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $83,758 $70,132 +19% $70,132 +19%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $82,750 $39,018 +112% $39,018 +112%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $82,226 $43,538 +89% $43,538 +89%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $81,820 $99,423 −18% $99,423 −18%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $81,134 $90,775 −11% $90,775 −11%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $80,076 $55,162 +45% $55,162 +45%
669 TRANSURETHRAL PROCEDURES WITH CC $79,788 $34,354 +132% $34,354 +132%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $78,300 $37,599 +108% $32,944 +138%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $78,250 $43,913 +78% $43,913 +78%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $78,129 $65,325 +20% $65,325 +20%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $77,364 $51,985 +49% $51,985 +49%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $77,186 $68,421 +13% $70,847 +9%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $75,620 $50,624 +49% $50,624 +49%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $75,112 $144,569 −48% $144,569 −48%
711 TESTES PROCEDURES WITH CC/MCC $74,739 $42,414 +76% $38,343 +95%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $74,197 $23,396 +217% $23,488 +216%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $73,987 $22,790 +225% $25,970 +185%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $73,932 $17,087 +333% $14,648 +405%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $73,711 $30,959 +138% $30,959 +138%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $72,737 $58,975 +23% $58,975 +23%
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $72,334 $68,653 +5% $68,653 +5%
504 FOOT PROCEDURES WITH CC $72,174 $38,960 +85% $38,960 +85%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $71,852 $58,880 +22% $49,839 +44%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $70,934 $64,523 +10% $64,523 +10%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $70,780 $50,139 +41% $50,139 +41%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $70,517 $18,592 +279% $14,064 +401%
100 SEIZURES WITH MCC $70,200 $40,653 +73% $35,481 +98%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $70,160 $52,405 +34% $52,405 +34%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $70,138 $60,274 +16% $65,653 +7%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $69,410 $51,189 +36% $59,651 +16%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $69,376 $46,288 +50% $36,489 +90%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $68,591 $50,562 +36% $59,500 +15%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $68,129 $65,631 +4% $58,745 +16%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $68,111 $54,815 +24% $46,453 +47%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $67,424 $37,950 +78% $37,950 +78%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $65,045 $60,905 +7% $49,710 +31%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $64,578 $49,631 +30% $50,394 +28%
505 FOOT PROCEDURES WITHOUT CC/MCC $63,785 $38,960 +64% $34,937 +83%
643 ENDOCRINE DISORDERS WITH MCC $63,721 $35,135 +81% $33,563 +90%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $63,700 $50,011 +27% $50,011 +27%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $62,831 $13,425 +368% $10,160 +518%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $62,724 $46,799 +34% $58,280 +8%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $62,460 $34,448 +81% $33,707 +85%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $61,455 $40,719 +51% $39,106 +57%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $61,137 $59,790 +2% $59,790 +2%
180 RESPIRATORY NEOPLASMS WITH MCC $61,111 $36,658 +67% $36,658 +67%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $60,716 $27,323 +122% $27,323 +122%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $60,668 $62,821 −3% $62,821 −3%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $60,312 $42,881 +41% $42,881 +41%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $60,226 $44,357 +36% $43,943 +37%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $59,916 $35,080 +71% $35,074 +71%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $59,914 $48,634 +23% $47,737 +26%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $59,645 $95,536 −38% $93,390 −36%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $59,508 $81,281 −27% $77,990 −24%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $59,423 $50,777 +17% $53,451 +11%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $59,242 $75,754 −22% $59,594 −1%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $59,198 $36,506 +62% $31,951 +85%
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $59,163 $23,289 +154% $13,613 +335%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $59,093 $41,191 +43% $36,670 +61%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $59,084 $54,929 +8% $54,929 +8%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $58,946 $33,267 +77% $24,550 +140%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $58,914 $37,842 +56% $37,842 +56%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $58,618 $40,263 +46% $35,628 +65%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $58,257 $22,197 +162% $20,957 +178%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $57,745 $18,179 +218% $14,501 +298%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $57,732 $35,113 +64% $34,192 +69%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $57,622 $29,747 +94% $31,264 +84%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $57,525 $50,131 +15% $49,418 +16%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $57,522 $15,495 +271% $15,495 +271%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $57,482 $21,280 +170% $17,733 +224%
500 SOFT TISSUE PROCEDURES WITH MCC $56,883 $64,105 −11% $61,872 −8%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $56,545 $96,905 −42% $96,905 −42%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $56,327 $44,489 +27% $46,283 +22%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $55,686 $40,213 +38% $40,213 +38%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $55,369 $60,402 −8% $58,228 −5%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $55,350 $102,177 −46% $111,320 −50%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $55,178 $45,703 +21% $52,751 +5%
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $54,619 $37,214 +47% $52,075 +5%
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $54,600 $16,175 +238% $12,768 +328%
176 PULMONARY EMBOLISM WITHOUT MCC $53,929 $18,081 +198% $18,081 +198%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $53,531 $96,245 −44% $80,793 −34%
693 URINARY STONES WITH MCC $53,470 $31,990 +67% $23,892 +124%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $53,463 $28,209 +90% $19,686 +172%
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $53,346 $23,289 +129% $18,474 +189%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $52,888 $79,225 −33% $79,225 −33%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $52,787 $43,483 +21% $38,666 +37%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $52,711 $52,735 −0% $62,264 −15%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $52,191 $30,887 +69% $39,887 +31%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $52,112 $21,716 +140% $17,404 +199%
642 INBORN AND OTHER DISORDERS OF METABOLISM $52,059 $27,552 +89% $20,727 +151%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $52,011 $36,651 +42% $44,117 +18%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $51,992 $29,894 +74% $24,127 +115%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $51,095 $28,209 +81% $23,498 +117%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $51,079 $25,034 +104% $25,034 +104%
571 SKIN DEBRIDEMENT WITH CC $50,938 $37,169 +37% $37,169 +37%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $50,676 $22,024 +130% $22,024 +130%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $50,314 $34,749 +45% $34,749 +45%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $49,688 $71,092 −30% $71,092 −30%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $49,289 $22,575 +118% $23,940 +106%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $48,863 $23,503 +108% $24,914 +96%
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $48,795 $31,108 +57% $22,393 +118%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $48,565 $41,857 +16% $50,607 −4%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $48,306 $19,854 +143% $19,854 +143%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $48,095 $51,339 −6% $59,629 −19%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $47,839 $14,368 +233% $14,368 +233%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $47,740 $42,463 +12% $34,459 +39%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $47,419 $30,418 +56% $30,418 +56%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $47,396 $30,645 +55% $27,285 +74%
374 DIGESTIVE MALIGNANCY WITH MCC $47,287 $42,775 +11% $39,958 +18%
158 DENTAL AND ORAL DISEASES WITH CC $47,061 $20,881 +125% $18,466 +155%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $46,484 $34,817 +34% $33,661 +38%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $46,445 $34,867 +33% $30,828 +51%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $46,420 $38,187 +22% $32,859 +41%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $46,399 $29,117 +59% $27,043 +72%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $46,159 $34,467 +34% $27,316 +69%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $45,864 $20,455 +124% $20,455 +124%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $45,789 $51,359 −11% $42,186 +9%
252 OTHER VASCULAR PROCEDURES WITH MCC $45,693 $68,508 −33% $68,508 −33%
186 PLEURAL EFFUSION WITH MCC $45,402 $33,834 +34% $33,834 +34%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $45,229 $15,358 +195% $14,689 +208%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $45,162 $24,191 +87% $32,021 +41%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $44,719 $21,449 +108% $21,449 +108%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $44,672 $38,631 +16% $36,792 +21%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $44,542 $65,788 −32% $65,788 −32%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $44,450 $36,816 +21% $44,606 −0%
920 COMPLICATIONS OF TREATMENT WITH CC $44,421 $22,552 +97% $22,468 +98%
305 HYPERTENSION WITHOUT MCC $44,198 $16,665 +165% $18,086 +144%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $43,698 $60,140 −27% $60,170 −27%
551 MEDICAL BACK PROBLEMS WITH MCC $43,682 $35,961 +21% $34,017 +28%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $43,575 $40,063 +9% $41,591 +5%
662 MINOR BLADDER PROCEDURES WITH MCC $43,362 $63,279 −31% $54,562 −21%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $43,362 $24,220 +79% $20,926 +107%
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $43,344 $4,338,586 $23,643 +83% $34,146 +27%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $43,313 $37,526 +15% $29,079 +49%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $42,889 $31,017 +38% $31,017 +38%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $42,792 $35,591 +20% $34,273 +25%
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $42,631 $22,153 +92% $17,698 +141%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $42,529 $15,280 +178% $20,781 +105%
682 RENAL FAILURE WITH MCC $42,328 $32,520 +30% $29,064 +46%
181 RESPIRATORY NEOPLASMS WITH CC $41,904 $24,648 +70% $23,573 +78%
913 TRAUMATIC INJURY WITH MCC $41,491 $34,479 +20% $24,198 +71%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $41,484 $56,127 −26% $44,546 −7%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $41,414 $25,980 +59% $23,617 +75%
864 FEVER AND INFLAMMATORY CONDITIONS $41,380 $19,935 +108% $18,640 +122%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $41,305 $41,855 −1% $47,711 −13%
101 SEIZURES WITHOUT MCC $41,272 $20,461 +102% $20,461 +102%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $41,045 $26,770 +53% $26,770 +53%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $41,043 $33,633 +22% $33,633 +22%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $41,019 $37,921 +8% $37,387 +10%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $40,980 $29,250 +40% $36,937 +11%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $40,660 $29,252 +39% $27,275 +49%
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $40,621 $27,470 +48% $26,580 +53%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $40,571 $23,749 +71% $23,749 +71%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $40,475 $54,273 −25% $52,178 −22%
919 COMPLICATIONS OF TREATMENT WITH MCC $40,441 $37,933 +7% $31,105 +30%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $40,390 $31,974 +26% $26,463 +53%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $40,372 $38,998 +4% $30,553 +32%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $40,213 $77,817 −48% $77,817 −48%
834 ACUTE LEUKEMIA WITH MCC $39,957 $100,245 −60% $85,566 −53%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $39,632 $33,325 +19% $32,877 +21%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $39,614 $24,439 +62% $17,483 +127%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $39,562 $19,072 +107% $18,807 +110%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $39,455 $35,217 +12% $41,955 −6%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $39,414 $24,930 +58% $24,386 +62%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $39,392 $35,352 +11% $26,682 +48%
811 RED BLOOD CELL DISORDERS WITH MCC $39,390 $30,922 +27% $28,226 +40%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $39,368 $36,661 +7% $33,555 +17%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $39,309 $114,401 −66% $98,912 −60%
183 MAJOR CHEST TRAUMA WITH MCC $38,764 $33,957 +14% $29,933 +30%
386 INFLAMMATORY BOWEL DISEASE WITH CC $38,738 $22,033 +76% $22,033 +76%
593 SKIN ULCERS WITH CC $38,717 $27,143 +43% $22,886 +69%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $38,538 $23,571 +63% $23,571 +63%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $38,367 $49,382 −22% $39,973 −4%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $38,254 $53,666 −29% $58,707 −35%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $38,186 $17,762 +115% $21,056 +81%
263 VEIN LIGATION AND STRIPPING $38,080 $55,918 −32% $51,253 −26%
196 INTERSTITIAL LUNG DISEASE WITH MCC $37,687 $38,951 −3% $32,637 +15%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $37,492 $22,850 +64% $22,850 +64%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $37,342 $20,463 +82% $20,463 +82%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $37,264 $43,080 −14% $43,080 −14%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $37,198 $13,855 +168% $12,324 +202%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $37,057 $37,692 −2% $32,433 +14%
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $37,024 $20,108 +84% $18,488 +100%
668 TRANSURETHRAL PROCEDURES WITH MCC $36,998 $59,859 −38% $51,608 −28%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $36,634 $14,800 +148% $11,847 +209%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $36,595 $15,600 +135% $15,600 +135%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $36,486 $96,507 −62% $96,507 −62%
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $36,416 $23,289 +56% $16,487 +121%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $36,401 $31,874 +14% $29,743 +22%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $36,336 $19,176 +89% $18,602 +95%
666 PROSTATECTOMY WITH CC $35,784 $36,569 −2% $31,906 +12%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $35,307 $15,156 +133% $13,651 +159%
596 MAJOR SKIN DISORDERS WITHOUT MCC $35,222 $24,000 +47% $17,226 +104%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $35,088 $32,911 +7% $36,988 −5%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $35,061 $21,886 +60% $22,098 +59%
375 DIGESTIVE MALIGNANCY WITH CC $35,052 $27,277 +29% $27,277 +29%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $34,982 $19,569 +79% $19,569 +79%
184 MAJOR CHEST TRAUMA WITH CC $34,790 $23,711 +47% $22,432 +55%
885 PSYCHOSES $34,536 $30,968 +12% $21,729 +59%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $34,515 $19,624 +76% $16,520 +109%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $34,382 $22,637 +52% $22,506 +53%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $34,352 $30,242 +14% $30,242 +14%
637 DIABETES WITH MCC $34,269 $31,753 +8% $30,100 +14%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $34,257 $18,204 +88% $18,204 +88%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $34,070 $38,094 −11% $38,094 −11%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $34,067 $21,396 +59% $21,396 +59%
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $34,063 $23,289 +46% $12,397 +175%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $33,789 $31,982 +6% $30,571 +11%
137 MOUTH PROCEDURES WITH CC/MCC $33,730 $31,048 +9% $27,861 +21%
948 SIGNS AND SYMPTOMS WITHOUT MCC $33,729 $17,638 +91% $17,921 +88%
312 SYNCOPE AND COLLAPSE $33,662 $19,342 +74% $19,342 +74%
291 HEART FAILURE AND SHOCK WITH MCC $33,559 $28,966 +16% $26,776 +25%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $33,537 $40,552 −17% $40,552 −17%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $33,484 $24,544 +36% $24,544 +36%
380 COMPLICATED PEPTIC ULCER WITH MCC $33,463 $39,627 −16% $39,627 −16%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $33,113 $14,638 +126% $14,638 +126%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $32,936 $35,532 −7% $32,496 +1%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $32,935 $34,078 −3% $39,211 −16%
607 MINOR SKIN DISORDERS WITHOUT MCC $32,835 $19,185 +71% $15,889 +107%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $32,732 $22,590 +45% $25,303 +29%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $32,646 $27,645 +18% $27,297 +20%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $32,491 $27,494 +18% $22,458 +45%
292 HEART FAILURE AND SHOCK WITH CC $32,479 $19,118 +70% $16,371 +98%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $32,474 $38,308 −15% $30,243 +7%
663 MINOR BLADDER PROCEDURES WITH CC $32,465 $33,907 −4% $33,103 −2%
204 RESPIRATORY SIGNS AND SYMPTOMS $32,420 $18,004 +80% $18,004 +80%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $32,414 $32,473 −0% $30,502 +6%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $32,383 $84,217 −62% $60,098 −46%
200 PNEUMOTHORAX WITH CC $32,367 $24,586 +32% $21,368 +51%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $32,346 $33,424 −3% $33,424 −3%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $32,110 $29,623 +8% $27,543 +17%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $32,015 $35,675 −10% $31,563 +1%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $31,791 $39,360 −19% $38,101 −17%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $31,782 $16,104 +97% $16,767 +90%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $31,700 $29,596 +7% $32,841 −3%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $31,514 $26,533 +19% $21,847 +44%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $31,495 $56,278 −44% $39,173 −20%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $31,283 $35,349 −12% $33,876 −8%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $31,165 $68,616 −55% $52,908 −41%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $30,899 $25,652 +20% $25,652 +20%
149 DYSEQUILIBRIUM $30,880 $16,594 +86% $18,096 +71%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $30,860 $17,522 +76% $17,620 +75%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $30,771 $47,452 −35% $45,333 −32%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $30,721 $51,387 −40% $40,060 −23%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $30,666 $22,888 +34% $22,888 +34%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $30,541 $22,557 +35% $19,264 +59%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $30,330 $17,347 +75% $17,038 +78%
103 HEADACHES WITHOUT MCC $30,258 $18,874 +60% $21,280 +42%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $30,125 $102,573 −71% $102,573 −71%
197 INTERSTITIAL LUNG DISEASE WITH CC $30,106 $21,977 +37% $21,941 +37%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $29,990 $40,150 −25% $39,955 −25%
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $29,890 $34,839 −14% $30,235 −1%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $29,806 $33,519 −11% $30,770 −3%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $29,710 $20,896 +42% $20,181 +47%
347 ANAL AND STOMAL PROCEDURES WITH MCC $29,512 $50,614 −42% $40,548 −27%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $29,397 $45,785 −36% $39,181 −25%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $29,327 $23,369 +25% $20,232 +45%
638 DIABETES WITH CC $29,160 $20,361 +43% $19,661 +48%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $29,113 $20,566 +42% $20,566 +42%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $28,980 $23,141 +25% $23,141 +25%
813 COAGULATION DISORDERS $28,769 $33,296 −14% $33,296 −14%
683 RENAL FAILURE WITH CC $28,768 $19,733 +46% $19,130 +50%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $28,730 $39,057 −26% $33,985 −15%
199 PNEUMOTHORAX WITH MCC $28,707 $36,952 −22% $33,787 −15%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $28,697 $17,700 +62% $17,700 +62%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $28,411 $33,137 −14% $33,393 −15%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $28,318 $17,287 +64% $15,428 +84%
313 CHEST PAIN $28,149 $15,837 +78% $16,440 +71%
139 SALIVARY GLAND PROCEDURES $28,103 $30,480 −8% $23,612 +19%
501 SOFT TISSUE PROCEDURES WITH CC $28,066 $39,619 −29% $39,619 −29%
187 PLEURAL EFFUSION WITH CC $28,034 $22,288 +26% $21,789 +29%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $27,995 $28,515 −2% $28,050 −0%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $27,960 $22,641 +23% $21,275 +31%
915 ALLERGIC REACTIONS WITH MCC $27,945 $36,491 −23% $32,645 −14%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $27,937 $23,312 +20% $22,763 +23%
253 OTHER VASCULAR PROCEDURES WITH CC $27,934 $53,746 −48% $57,454 −51%
445 DISORDERS OF THE BILIARY TRACT WITH CC $27,892 $24,075 +16% $23,319 +20%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $27,680 $19,638 +41% $15,452 +79%
153 OTITIS MEDIA AND URI WITHOUT MCC $27,602 $15,799 +75% $14,583 +89%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $27,522 $16,412 +68% $17,303 +59%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $27,324 $43,775 −38% $44,139 −38%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $27,141 $32,620 −17% $25,073 +8%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $26,805 $17,265 +55% $17,124 +57%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $26,775 $20,488 +31% $20,488 +31%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $26,689 $35,692 −25% $35,692 −25%
303 ATHEROSCLEROSIS WITHOUT MCC $26,673 $14,927 +79% $14,927 +79%
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $26,598 $34,316 −22% $26,598 +0%
606 MINOR SKIN DISORDERS WITH MCC $26,341 $34,344 −23% $27,975 −6%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $26,314 $51,487 −49% $50,046 −47%
381 COMPLICATED PEPTIC ULCER WITH CC $26,252 $24,177 +9% $24,177 +9%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $26,114 $22,641 +15% $17,601 +48%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $26,087 $19,096 +37% $19,096 +37%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $25,993 $23,352 +11% $19,657 +32%
201 PNEUMOTHORAX WITHOUT CC/MCC $25,924 $15,031 +72% $14,053 +84%
245 AICD GENERATOR PROCEDURES $25,906 $95,281 −73% $72,076 −64%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $25,849 $34,588 −25% $27,617 −6%
866 VIRAL ILLNESS WITHOUT MCC $25,767 $19,642 +31% $17,081 +51%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $25,489 $49,765 −49% $40,362 −37%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $25,419 $21,225 +20% $19,924 +28%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $25,386 $15,549 +63% $15,549 +63%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $25,299 $38,836 −35% $38,836 −35%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $25,254 $18,002 +40% $18,002 +40%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $25,085 $33,048 −24% $33,048 −24%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $24,988 $13,384 +87% $13,384 +87%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $24,937 $21,236 +17% $16,700 +49%
548 SEPTIC ARTHRITIS WITH MCC $24,908 $41,146 −39% $31,346 −21%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $24,684 $19,842 +24% $19,842 +24%
535 FRACTURES OF HIP AND PELVIS WITH MCC $24,526 $29,523 −17% $24,552 −0%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $24,506 $21,494 +14% $18,452 +33%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $24,468 $28,065 −13% $27,426 −11%
684 RENAL FAILURE WITHOUT CC/MCC $24,430 $13,642 +79% $13,642 +79%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $24,363 $34,689 −30% $46,295 −47%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $24,185 $32,248 −25% $28,140 −14%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $24,161 $14,134 +71% $15,038 +61%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $24,113 $37,213 −35% $31,159 −23%
602 CELLULITIS WITH MCC $23,795 $31,970 −26% $30,598 −22%
916 ALLERGIC REACTIONS WITHOUT MCC $23,710 $14,743 +61% $13,942 +70%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $23,562 $33,399 −29% $36,505 −35%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $23,520 $17,817 +32% $17,674 +33%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $23,516 $42,423 −45% $33,851 −31%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $23,242 $43,378 −46% $38,861 −40%
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $23,025 $21,201 +9% $15,589 +48%
300 PERIPHERAL VASCULAR DISORDERS WITH CC $23,023 $23,767 −3% $20,422 +13%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $22,983 $24,644 −7% $18,459 +25%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $22,960 $43,384 −47% $29,524 −22%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $22,810 $44,730 −49% $42,914 −47%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $22,772 $16,634 +37% $16,634 +37%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $22,676 $35,243 −36% $32,628 −31%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $22,605 $16,450 +37% $16,450 +37%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $22,591 $20,506 +10% $20,506 +10%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $22,438 $16,565 +35% $16,565 +35%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $22,427 $32,100 −30% $32,100 −30%
540 OSTEOMYELITIS WITH CC $22,423 $28,728 −22% $26,676 −16%
697 URETHRAL STRICTURE $22,238 $22,239 −0% $18,428 +21%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $22,139 $16,097 +38% $19,227 +15%
906 HAND PROCEDURES FOR INJURIES $22,134 $47,513 −53% $32,065 −31%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $21,974 $17,322 +27% $17,322 +27%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $21,958 $31,508 −30% $22,620 −3%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $21,933 $18,126 +21% $18,126 +21%
123 NEUROLOGICAL EYE DISORDERS $21,769 $17,831 +22% $19,745 +10%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $21,616 $26,611 −19% $30,784 −30%
546 CONNECTIVE TISSUE DISORDERS WITH CC $21,598 $25,700 −16% $25,700 −16%
644 ENDOCRINE DISORDERS WITH CC $21,547 $22,941 −6% $23,198 −7%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $21,454 $18,150 +18% $18,150 +18%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $21,388 $15,837 +35% $15,837 +35%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $21,315 $101,662 −79% $89,207 −76%
534 FRACTURES OF FEMUR WITHOUT MCC $21,212 $18,070 +17% $17,559 +21%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $21,165 $15,464 +37% $12,252 +73%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $21,111 $70,175 −70% $50,919 −59%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $21,110 $36,354 −42% $36,354 −42%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $21,072 $28,593 −26% $26,870 −22%
539 OSTEOMYELITIS WITH MCC $21,054 $41,277 −49% $37,609 −44%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $21,031 $13,824 +52% $13,824 +52%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,990 $25,552 −18% $18,133 +16%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $20,895 $21,880 −5% $20,895 +0%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $20,681 $30,846 −33% $25,094 −18%
603 CELLULITIS WITHOUT MCC $20,573 $19,553 +5% $18,530 +11%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $20,316 $15,267 +33% $14,415 +41%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $20,262 $32,445 −38% $24,586 −18%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $20,185 $21,363 −6% $21,363 −6%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $20,088 $20,084 +0% $20,084 +0%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $19,582 $47,797 −59% $41,608 −53%
914 TRAUMATIC INJURY WITHOUT MCC $19,572 $20,344 −4% $15,855 +23%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $19,430 $16,776 +16% $16,776 +16%
947 SIGNS AND SYMPTOMS WITH MCC $19,238 $28,553 −33% $27,401 −30%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $19,182 $28,626 −33% $27,989 −31%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $19,031 $33,987 −44% $25,703 −26%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $19,018 $19,584 −3% $16,699 +14%
570 SKIN DEBRIDEMENT WITH MCC $18,985 $63,709 −70% $52,435 −64%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $18,975 $21,460 −12% $17,724 +7%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $18,858 $33,653 −44% $33,653 −44%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $18,797 $35,872 −48% $27,152 −31%
541 OSTEOMYELITIS WITHOUT CC/MCC $18,765 $19,422 −3% $15,215 +23%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $18,726 $14,128 +33% $14,128 +33%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $18,722 $18,139 +3% $17,118 +9%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $18,629 $18,528 +1% $18,528 +1%
949 AFTERCARE WITH CC/MCC $18,564 $23,953 −22% $23,953 −22%
639 DIABETES WITHOUT CC/MCC $18,424 $13,910 +32% $13,910 +32%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $18,263 $31,063 −41% $26,280 −31%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $18,203 $13,683 +33% $15,183 +20%
311 ANGINA PECTORIS $18,140 $15,502 +17% $15,502 +17%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $18,040 $19,305 −7% $19,305 −7%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $17,955 $20,861 −14% $17,934 +0%
694 URINARY STONES WITHOUT MCC $17,343 $17,347 −0% $17,345 −0%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $17,319 $39,013 −56% $33,255 −48%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $17,086 $20,725 −18% $16,968 +1%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $16,880 $17,795 −5% $17,578 −4%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $16,731 $31,166 −46% $27,808 −40%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $16,699 $18,126 −8% $18,126 −8%
598 MALIGNANT BREAST DISORDERS WITH CC $16,681 $23,951 −30% $19,073 −13%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $16,644 $47,696 −65% $37,267 −55%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $16,605 $21,216 −22% $20,911 −21%
935 NON-EXTENSIVE BURNS $16,536 $43,274 −62% $31,701 −48%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $16,476 $23,551 −30% $23,551 −30%
138 MOUTH PROCEDURES WITHOUT CC/MCC $15,948 $19,492 −18% $19,119 −17%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $15,892 $23,887 −33% $18,956 −16%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $15,129 $16,525 −8% $15,019 +1%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $14,957 $19,815 −25% $19,846 −25%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $14,805 $15,411 −4% $14,797 +0%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $14,521 $24,928 −42% $19,815 −27%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $14,323 $38,541 −63% $32,443 −56%
865 VIRAL ILLNESS WITH MCC $14,126 $32,083 −56% $26,910 −48%
113 ORBITAL PROCEDURES WITH CC/MCC $14,006 $48,760 −71% $36,167 −61%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,895 $36,340 −62% $29,826 −53%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $13,845 $13,318 +4% $13,361 +4%
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $13,510 $43,354 −69% $31,044 −56%
151 EPISTAXIS WITHOUT MCC $13,033 $16,827 −23% $13,032 +0%
882 NEUROSES EXCEPT DEPRESSIVE $12,799 $21,356 −40% $15,680 −18%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $12,523 $11,539 +9% $9,940 +26%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $12,040 $15,975 −25% $12,559 −4%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $11,955 $13,326 −10% $12,999 −8%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $11,562 $16,607 −30% $14,716 −21%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $11,244 $29,805 −62% $29,805 −62%
152 OTITIS MEDIA AND URI WITH MCC $11,243 $25,192 −55% $20,247 −44%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $10,945 $14,072 −22% $11,421 −4%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $10,858 $26,302 −59% $25,712 −58%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $9,986 $14,148 −29% $12,078 −17%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $9,861 $25,279 −61% $25,279 −61%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $9,719 $34,906 −72% $34,906 −72%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $9,398 $22,155 −58% $15,370 −39%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $8,894 $38,978 −77% $37,844 −76%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,745 $31,950 −73% $26,932 −68%
114 ORBITAL PROCEDURES WITHOUT CC/MCC $8,578 $26,242 −67% $19,598 −56%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,192 $21,129 −61% $18,316 −55%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $8,110 $29,481 −72% $25,463 −68%
779 ABORTION WITHOUT D&C $6,001 $20,752 −71% $15,327 −61%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $4,936 $18,330 −73% $17,298 −71%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $4,060 $406,353 $33,506 −88% $33,454 −88%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $3,933 $393,712 $34,988 −89% $12,229 −68%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $3,638 $364,126 $16,077 −77% $12,593 −71%
795 NORMAL NEWBORN $3,267 $6,664 −51% $4,720 −31%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $1,846 $17,665 −90% $8,445 −78%

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
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES 32 plans