Natividad Medical Center — Pricing
468 procedures published in this hospital's Machine-Readable File (MRF) — 467 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 468
Lowest published price $2,838
Average published price $133,076
Highest published price $1,330,884
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 468 procedures
Published charges
Showing all 467 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 28 procedures, this hospital's negotiated rates average ≈529% 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 | $1,330,884 | $1,330,884 | $248,521 | +436% | $248,521 | +436% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,311,217 | $1,311,217 | $371,366 | +253% | $371,366 | +253% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $761,872 | $761,872 | $136,374 | +459% | $120,573 | +532% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $759,025 | $759,025 | $36,442 | +1983% | $69,101 | +998% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $659,681 | $659,681 | $68,616 | +861% | $52,908 | +1147% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $589,267 | $589,267 | $106,778 | +452% | $106,778 | +452% | — |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $546,350 | $546,350 | $125,675 | +335% | $102,600 | +433% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $529,428 | $529,428 | $71,092 | +645% | $71,092 | +645% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $521,144 | $521,144 | $99,423 | +424% | $99,423 | +424% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $503,714 | $503,714 | $59,817 | +742% | $49,184 | +924% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $490,006 | $490,006 | $60,140 | +715% | $60,170 | +714% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $489,718 | $489,718 | $68,653 | +613% | $68,653 | +613% | — |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $460,196 | $460,196 | $23,289 | +1876% | $103,861 | +343% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $442,026 | $442,026 | $23,289 | +1798% | $75,251 | +487% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $438,045 | $438,045 | $96,245 | +355% | $80,793 | +442% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $437,779 | $437,779 | $75,103 | +483% | $75,103 | +483% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $424,464 | $424,464 | $83,441 | +409% | $83,441 | +409% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $422,785 | $422,785 | $124,290 | +240% | $148,832 | +184% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $389,213 | $389,213 | $77,041 | +405% | $61,832 | +529% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $383,512 | $383,512 | $88,307 | +334% | $88,307 | +334% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $376,711 | $376,711 | $107,269 | +251% | $80,018 | +371% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $365,064 | $365,064 | $55,594 | +557% | $47,945 | +661% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $356,095 | $356,095 | $52,959 | +572% | $43,491 | +719% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $355,485 | $355,485 | $58,043 | +512% | $58,043 | +512% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $343,697 | $343,697 | $35,899 | +857% | $51,625 | +566% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $339,889 | — | $45,376 | +649% | $41,892 | +711% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $339,428 | $339,428 | $116,058 | +192% | $116,058 | +192% | — |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $337,534 | $337,534 | $77,770 | +334% | $62,300 | +442% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $332,249 | $332,249 | $59,537 | +458% | $59,537 | +458% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $328,564 | $328,564 | $79,939 | +311% | $73,120 | +349% | — |
| 263 | VEIN LIGATION AND STRIPPING | $324,531 | $324,531 | $55,918 | +480% | $51,253 | +533% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $319,386 | — | $43,027 | +642% | $37,240 | +758% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $311,548 | $311,548 | $60,402 | +416% | $58,228 | +435% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $307,940 | $307,940 | $84,217 | +266% | $60,098 | +412% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $303,835 | $303,835 | $74,257 | +309% | $74,257 | +309% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $302,991 | $302,991 | $95,536 | +217% | $93,390 | +224% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $300,917 | $300,917 | $43,775 | +587% | $44,139 | +582% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $298,051 | $298,051 | $86,699 | +244% | $76,001 | +292% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $296,710 | $296,710 | $66,666 | +345% | $66,666 | +345% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $294,314 | $294,314 | $55,276 | +432% | $41,422 | +611% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $283,533 | $283,533 | $101,576 | +179% | $101,576 | +179% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $281,757 | $281,757 | $73,751 | +282% | $61,470 | +358% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $278,405 | $278,405 | $88,341 | +215% | $90,195 | +209% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $276,688 | — | $27,947 | +890% | $27,947 | +890% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $267,528 | $267,528 | $94,937 | +182% | $93,172 | +187% | ≈236% of Medicare |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $266,509 | $266,509 | $41,380 | +544% | $46,340 | +475% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $263,853 | $263,853 | $88,050 | +200% | $88,050 | +200% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $257,817 | $257,817 | $62,821 | +310% | $62,821 | +310% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $254,825 | $254,825 | $45,785 | +457% | $39,181 | +550% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $254,587 | $254,587 | $46,724 | +445% | $46,724 | +445% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $252,465 | $252,465 | $49,382 | +411% | $39,973 | +532% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $247,647 | $247,647 | $62,334 | +297% | $70,467 | +251% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $247,289 | $247,289 | $90,775 | +172% | $90,775 | +172% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $242,605 | $242,605 | $64,194 | +278% | $55,289 | +339% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $242,281 | — | $33,325 | +627% | $32,877 | +637% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $238,086 | $238,086 | $55,162 | +332% | $55,162 | +332% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $235,532 | $235,532 | $86,246 | +173% | $84,692 | +178% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $233,468 | $233,468 | $46,288 | +404% | $36,489 | +540% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $233,247 | $233,247 | $53,666 | +335% | $58,707 | +297% | — |
| 540 | OSTEOMYELITIS WITH CC | $233,181 | $233,181 | $28,728 | +712% | $26,676 | +774% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $231,699 | $231,699 | $69,701 | +232% | $62,583 | +270% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $230,481 | $230,481 | $71,014 | +225% | $71,014 | +225% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $230,466 | $230,466 | $68,639 | +236% | $68,639 | +236% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $229,656 | $229,656 | $33,256 | +591% | $30,010 | +665% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $225,690 | $225,690 | $30,959 | +629% | $30,959 | +629% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $225,666 | $225,666 | $43,800 | +415% | $43,800 | +415% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $225,623 | $225,623 | $92,515 | +144% | $92,515 | +144% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $220,497 | $220,497 | $52,735 | +318% | $62,264 | +254% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $219,138 | $219,138 | $101,566 | +116% | $90,401 | +142% | — |
| 504 | FOOT PROCEDURES WITH CC | $218,935 | $218,935 | $38,960 | +462% | $38,960 | +462% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $218,652 | $218,652 | $60,905 | +259% | $49,710 | +340% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $215,746 | $215,746 | $68,508 | +215% | $68,508 | +215% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $213,527 | $213,527 | $64,523 | +231% | $64,523 | +231% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $212,873 | $212,873 | $43,631 | +388% | $43,631 | +388% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $212,577 | $212,577 | $70,132 | +203% | $70,132 | +203% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $211,676 | $211,676 | $39,057 | +442% | $33,985 | +523% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $210,923 | $210,923 | $35,675 | +491% | $31,563 | +568% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $210,433 | $210,433 | $50,624 | +316% | $50,624 | +316% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $209,920 | $209,920 | $34,467 | +509% | $27,316 | +668% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $205,962 | — | $28,065 | +634% | $27,426 | +651% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $205,865 | $205,865 | $46,317 | +344% | $43,650 | +372% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $204,678 | $204,678 | $44,730 | +358% | $42,914 | +377% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $202,784 | $202,784 | $35,352 | +474% | $26,682 | +660% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $199,366 | $199,366 | $42,881 | +365% | $42,881 | +365% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $198,597 | $198,597 | $51,985 | +282% | $51,985 | +282% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $197,110 | $197,110 | $33,834 | +483% | $33,834 | +483% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $196,925 | $196,925 | $77,178 | +155% | $71,795 | +174% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $195,988 | $195,988 | $60,274 | +225% | $65,653 | +199% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $195,016 | $195,016 | $53,141 | +267% | $56,755 | +244% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $194,509 | $194,509 | $35,770 | +444% | $35,770 | +444% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $193,947 | $193,947 | $48,682 | +298% | $48,682 | +298% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $188,763 | $188,763 | $53,746 | +251% | $57,454 | +229% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $187,575 | $187,575 | $44,639 | +320% | $46,090 | +307% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $186,527 | $186,527 | $38,483 | +385% | $33,047 | +464% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $185,856 | $185,856 | $54,583 | +241% | $54,583 | +241% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $184,153 | $184,153 | $90,790 | +103% | $82,218 | +124% | — |
| 199 | PNEUMOTHORAX WITH MCC | $182,617 | $182,617 | $36,952 | +394% | $33,787 | +440% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $181,407 | $181,407 | $23,312 | +678% | $22,763 | +697% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $180,679 | $180,679 | $27,163 | +565% | $27,163 | +565% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $180,597 | $180,597 | $51,189 | +253% | $59,651 | +203% | ≈321% of Medicare |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $180,323 | $180,323 | $82,561 | +118% | $82,561 | +118% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $180,074 | $180,074 | $96,507 | +87% | $96,507 | +87% | — |
| 100 | SEIZURES WITH MCC | $179,619 | $179,619 | $40,653 | +342% | $35,481 | +406% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $179,513 | $179,513 | $70,540 | +154% | $70,564 | +154% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $179,346 | $179,346 | $34,448 | +421% | $33,707 | +432% | ≈529% of Medicare |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $175,562 | $175,562 | $43,749 | +301% | $42,901 | +309% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $174,997 | $174,997 | $44,357 | +295% | $43,943 | +298% | ≈610% of Medicare |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $174,995 | $174,995 | $58,880 | +197% | $49,839 | +251% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $174,233 | $174,233 | $27,492 | +534% | $28,320 | +515% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $174,146 | $174,146 | $41,111 | +324% | $32,031 | +444% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $171,563 | $171,563 | $50,562 | +239% | $59,500 | +188% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $170,118 | $170,118 | $49,631 | +243% | $50,394 | +238% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $168,610 | $168,610 | $35,591 | +374% | $34,273 | +392% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $167,429 | $167,429 | $102,128 | +64% | $102,128 | +64% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $165,875 | $165,875 | $46,477 | +257% | $49,351 | +236% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $165,281 | $165,281 | $36,506 | +353% | $31,951 | +417% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $164,180 | $164,180 | $37,213 | +341% | $31,159 | +427% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $163,280 | $163,280 | $40,263 | +306% | $35,628 | +358% | ≈325% of Medicare |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $160,225 | $160,225 | $52,405 | +206% | $52,405 | +206% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $158,384 | $158,384 | $23,643 | +570% | $56,960 | +178% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $156,541 | $156,541 | $24,220 | +546% | $20,926 | +648% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $154,403 | $154,403 | $64,105 | +141% | $61,872 | +150% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $154,154 | $154,154 | $30,922 | +399% | $28,226 | +446% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $152,460 | $152,460 | $40,563 | +276% | $40,642 | +275% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $152,092 | $152,092 | $33,987 | +347% | $25,703 | +492% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $149,571 | $149,571 | $89,523 | +67% | $87,761 | +70% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $148,869 | $148,869 | $43,538 | +242% | $43,538 | +242% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $147,819 | $147,819 | $45,703 | +223% | $52,751 | +180% | ≈342% of Medicare |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $147,714 | $147,714 | $54,273 | +172% | $52,178 | +183% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $147,671 | $147,671 | $48,760 | +203% | $36,167 | +308% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $145,454 | $145,454 | $30,645 | +375% | $27,285 | +433% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $144,415 | $144,415 | $77,817 | +86% | $77,817 | +86% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $144,239 | $144,239 | $50,131 | +188% | $49,418 | +192% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $143,801 | $143,801 | $47,583 | +202% | $47,583 | +202% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $141,610 | $141,610 | $32,445 | +336% | $24,586 | +476% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $140,484 | $140,484 | $46,799 | +200% | $58,280 | +141% | ≈214% of Medicare |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $140,296 | $140,296 | $37,842 | +271% | $37,842 | +271% | ≈303% of Medicare |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $140,151 | — | $22,628 | +519% | $20,901 | +571% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $140,134 | $140,134 | $35,961 | +290% | $34,017 | +312% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $139,405 | $139,405 | $35,113 | +297% | $34,192 | +308% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $139,217 | $139,217 | $50,139 | +178% | $50,139 | +178% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $139,028 | $139,028 | $34,613 | +302% | $27,633 | +403% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $138,971 | $138,971 | $69,743 | +99% | $69,743 | +99% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $138,789 | $138,789 | $39,013 | +256% | $33,255 | +317% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $138,557 | $138,557 | $23,369 | +493% | $20,232 | +585% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $137,385 | $137,385 | $25,700 | +435% | $25,700 | +435% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $135,901 | $135,901 | $47,452 | +186% | $45,333 | +200% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $132,988 | $132,988 | $51,645 | +158% | $59,421 | +124% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $132,737 | $132,737 | $22,557 | +488% | $19,264 | +589% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $131,925 | $131,925 | $35,419 | +272% | $35,419 | +272% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $131,665 | $131,665 | $33,048 | +298% | $33,048 | +298% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $130,386 | $130,386 | $37,599 | +247% | $32,944 | +296% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $130,330 | $130,330 | $20,455 | +537% | $20,455 | +537% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $130,009 | $130,009 | $47,696 | +173% | $37,267 | +249% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $129,922 | $129,922 | $34,078 | +281% | $39,211 | +231% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $129,459 | $129,459 | $50,777 | +155% | $53,451 | +142% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $129,038 | $129,038 | $47,089 | +174% | $45,877 | +181% | — |
| 682 | RENAL FAILURE WITH MCC | $129,037 | $129,037 | $32,520 | +297% | $29,064 | +344% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $128,814 | $128,814 | $22,941 | +462% | $23,198 | +455% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $127,804 | $127,804 | $20,259 | +531% | $20,259 | +531% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $127,124 | $127,124 | $37,033 | +243% | $34,607 | +267% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $126,826 | $126,826 | $35,375 | +259% | $39,006 | +225% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $126,579 | $126,579 | $23,503 | +439% | $24,914 | +408% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $125,995 | $125,995 | $18,150 | +594% | $18,150 | +594% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $125,828 | $125,828 | $26,753 | +370% | $24,056 | +423% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $123,093 | $123,093 | $23,711 | +419% | $22,432 | +449% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $122,877 | $122,877 | $36,807 | +234% | $33,386 | +268% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $122,807 | $122,807 | $32,490 | +278% | $27,394 | +348% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $122,552 | $122,552 | $69,597 | +76% | $51,953 | +136% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $122,539 | $122,539 | $43,483 | +182% | $38,666 | +217% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $122,377 | $122,377 | $29,117 | +320% | $27,043 | +353% | ≈332% of Medicare |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $121,927 | $121,927 | $48,634 | +151% | $47,737 | +155% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $121,686 | $121,686 | $38,094 | +219% | $38,094 | +219% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $120,407 | $120,407 | $56,278 | +114% | $39,173 | +207% | — |
| 539 | OSTEOMYELITIS WITH MCC | $120,166 | $120,166 | $41,277 | +191% | $37,609 | +220% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $119,214 | $119,214 | $31,812 | +275% | $32,833 | +263% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $119,178 | $119,178 | $31,816 | +275% | $35,465 | +236% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $118,971 | $118,971 | $39,619 | +200% | $39,619 | +200% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $117,868 | $117,868 | $38,960 | +203% | $34,937 | +237% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $116,944 | $116,944 | $35,217 | +232% | $41,955 | +179% | ≈220% of Medicare |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $116,555 | $116,555 | $36,651 | +218% | $44,117 | +164% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $116,129 | $116,129 | $40,213 | +189% | $40,213 | +189% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $115,702 | $115,702 | $34,906 | +231% | $34,906 | +231% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $115,581 | $115,581 | $23,396 | +394% | $23,488 | +392% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $115,247 | $115,247 | $27,470 | +320% | $26,580 | +334% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $114,951 | $114,951 | $27,277 | +321% | $27,277 | +321% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $114,645 | $114,645 | $41,855 | +174% | $47,711 | +140% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $113,323 | $113,323 | $33,137 | +242% | $33,393 | +239% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $112,085 | $112,085 | $38,836 | +189% | $38,836 | +189% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $112,026 | $112,026 | $57,493 | +95% | $46,402 | +141% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $111,984 | $111,984 | $28,156 | +298% | $28,156 | +298% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $111,924 | $111,924 | $40,719 | +175% | $39,106 | +186% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $110,969 | $110,969 | $41,191 | +169% | $36,670 | +203% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $110,946 | $110,946 | $29,252 | +279% | $27,275 | +307% | ≈309% of Medicare |
| 200 | PNEUMOTHORAX WITH CC | $109,966 | $109,966 | $24,586 | +347% | $21,368 | +415% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $109,470 | $109,470 | $22,635 | +384% | $22,635 | +384% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $108,863 | $108,863 | $44,363 | +145% | $44,363 | +145% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $107,601 | $107,601 | $70,373 | +53% | $42,679 | +152% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $107,215 | $107,215 | $41,857 | +156% | $50,607 | +112% | — |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $105,061 | $105,061 | $46,172 | +128% | $42,795 | +145% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $104,603 | $104,603 | $28,966 | +261% | $26,776 | +291% | ≈521% of Medicare |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $104,565 | $104,565 | $23,141 | +352% | $23,141 | +352% | — |
| 949 | AFTERCARE WITH CC/MCC | $104,479 | $104,479 | $23,953 | +336% | $23,953 | +336% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $104,183 | $104,183 | $69,724 | +49% | $66,068 | +58% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $103,989 | $103,989 | $29,623 | +251% | $27,543 | +278% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $103,223 | $103,223 | $35,692 | +189% | $35,692 | +189% | — |
| 637 | DIABETES WITH MCC | $103,199 | $103,199 | $31,753 | +225% | $30,100 | +243% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $102,152 | $102,152 | $36,661 | +179% | $33,555 | +204% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $101,886 | $101,886 | $24,930 | +309% | $24,386 | +318% | ≈582% of Medicare |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $101,074 | $101,074 | $38,187 | +165% | $32,859 | +208% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $101,001 | $101,001 | $19,032 | +431% | $15,412 | +555% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $100,501 | $100,501 | $46,332 | +117% | $50,463 | +99% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $100,399 | $100,399 | $19,096 | +426% | $19,096 | +426% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $99,611 | $99,611 | $42,126 | +136% | $42,126 | +136% | — |
| 683 | RENAL FAILURE WITH CC | $99,190 | $99,190 | $19,733 | +403% | $19,130 | +419% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $98,795 | $98,795 | $14,643 | +575% | $13,633 | +625% | — |
| 602 | CELLULITIS WITH MCC | $97,438 | $97,438 | $31,970 | +205% | $30,598 | +218% | — |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $95,965 | $95,965 | $23,289 | +312% | $18,474 | +419% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $95,642 | $95,642 | $42,463 | +125% | $34,459 | +178% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $95,539 | $95,539 | $39,018 | +145% | $39,018 | +145% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $95,528 | $95,528 | $37,921 | +152% | $37,387 | +156% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $95,338 | $95,338 | $19,185 | +397% | $15,889 | +500% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $95,272 | $95,272 | $43,384 | +120% | $29,524 | +223% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $95,206 | $95,206 | $34,839 | +173% | $30,235 | +215% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $95,192 | $95,192 | $20,506 | +364% | $20,506 | +364% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $94,833 | $94,833 | $17,087 | +455% | $14,648 | +547% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $94,432 | $94,432 | $34,802 | +171% | $31,300 | +202% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $93,932 | $93,932 | $39,020 | +141% | $39,020 | +141% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $93,875 | $93,875 | $75,754 | +24% | $59,594 | +58% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $93,531 | $93,531 | $19,624 | +377% | $16,520 | +466% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $92,464 | $92,464 | $42,775 | +116% | $39,958 | +131% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $92,285 | $92,285 | $40,552 | +128% | $40,552 | +128% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $91,880 | $91,880 | $33,519 | +174% | $30,770 | +199% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $91,867 | $91,867 | $33,424 | +175% | $33,424 | +175% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $91,844 | $91,844 | $31,017 | +196% | $31,017 | +196% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $91,115 | $91,115 | $50,011 | +82% | $50,011 | +82% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $90,197 | $90,197 | $37,764 | +139% | $43,477 | +107% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $90,049 | $90,049 | $36,816 | +145% | $44,606 | +102% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $89,967 | $89,967 | $39,360 | +129% | $38,101 | +136% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $88,889 | $88,889 | $20,896 | +325% | $20,181 | +340% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $88,888 | $88,888 | $35,453 | +151% | $35,453 | +151% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $88,733 | $88,733 | $22,552 | +293% | $22,468 | +295% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $88,635 | $88,635 | $23,289 | +281% | $30,138 | +194% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $88,423 | $88,423 | $21,886 | +304% | $22,098 | +300% | ≈551% of Medicare |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $87,657 | $87,657 | $37,950 | +131% | $37,950 | +131% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $87,478 | $87,478 | $19,176 | +356% | $18,602 | +370% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $87,466 | $87,466 | $21,225 | +312% | $19,924 | +339% | ≈474% of Medicare |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $86,862 | $86,862 | $101,662 | −15% | $89,207 | −3% | — |
| 089 | CONCUSSION WITH CC | $86,646 | $86,646 | $23,800 | +264% | $18,821 | +360% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $86,571 | $86,571 | $30,083 | +188% | $30,083 | +188% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $85,735 | $85,735 | $35,243 | +143% | $32,628 | +163% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $85,068 | $85,068 | $24,042 | +254% | $23,283 | +265% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $84,342 | $84,342 | $65,788 | +28% | $65,788 | +28% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $84,333 | $84,333 | $22,888 | +268% | $22,888 | +268% | ≈751% of Medicare |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $84,204 | $84,204 | $17,638 | +377% | $17,921 | +370% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $84,146 | $84,146 | $21,396 | +293% | $21,396 | +293% | ≈688% of Medicare |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $84,083 | $84,083 | $17,522 | +380% | $17,620 | +377% | — |
| 187 | PLEURAL EFFUSION WITH CC | $83,647 | $83,647 | $22,288 | +275% | $21,789 | +284% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $83,415 | $83,415 | $36,087 | +131% | $28,202 | +196% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $82,961 | $82,961 | $81,281 | +2% | $77,990 | +6% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $82,941 | $82,941 | $26,611 | +212% | $30,784 | +169% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $82,902 | $82,902 | $24,075 | +244% | $23,319 | +256% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $82,828 | $82,828 | $26,770 | +209% | $26,770 | +209% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $82,809 | $82,809 | $75,820 | +9% | $66,685 | +24% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $82,802 | $82,802 | $23,551 | +252% | $23,551 | +252% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $81,796 | $81,796 | $42,414 | +93% | $38,343 | +113% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $81,709 | $81,709 | $22,641 | +261% | $21,275 | +284% | — |
| 149 | DYSEQUILIBRIUM | $81,664 | $81,664 | $16,594 | +392% | $18,096 | +351% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $81,439 | $81,439 | $28,515 | +186% | $28,050 | +190% | — |
| 304 | HYPERTENSION WITH MCC | $80,858 | $80,858 | $26,080 | +210% | $26,080 | +210% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $80,462 | $80,462 | $21,449 | +275% | $21,449 | +275% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $80,424 | $80,424 | $23,749 | +239% | $23,749 | +239% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $80,297 | $80,297 | $29,481 | +172% | $25,463 | +215% | ≈626% of Medicare |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $80,184 | $80,184 | $33,674 | +138% | $33,674 | +138% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $79,704 | $79,704 | $18,002 | +343% | $18,002 | +343% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $79,689 | $79,689 | $23,289 | +242% | $13,613 | +485% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $79,119 | $79,119 | $31,982 | +147% | $30,571 | +159% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $78,723 | $78,723 | $70,026 | +12% | $56,964 | +38% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $78,607 | $78,607 | $17,831 | +341% | $19,745 | +298% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $78,439 | $78,439 | $32,451 | +142% | $32,451 | +142% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $78,004 | $78,004 | $25,279 | +209% | $25,279 | +209% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $77,278 | $77,278 | $16,412 | +371% | $17,303 | +347% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $76,692 | $76,692 | $49,765 | +54% | $40,362 | +90% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $76,596 | $76,596 | $15,280 | +401% | $20,781 | +269% | — |
| 885 | PSYCHOSES | $76,327 | $76,327 | $30,968 | +146% | $21,729 | +251% | ≈465% of Medicare |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $76,203 | $76,203 | $36,658 | +108% | $36,658 | +108% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $75,873 | $75,873 | $30,493 | +149% | $30,493 | +149% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $75,795 | $75,795 | $29,250 | +159% | $36,937 | +105% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $75,673 | $75,673 | $17,265 | +338% | $17,124 | +342% | — |
| 693 | URINARY STONES WITH MCC | $74,861 | $74,861 | $31,990 | +134% | $23,892 | +213% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $74,715 | $74,715 | $28,593 | +161% | $26,870 | +178% | — |
| 865 | VIRAL ILLNESS WITH MCC | $74,644 | $74,644 | $32,083 | +133% | $26,910 | +177% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $74,621 | $74,621 | $33,279 | +124% | $30,557 | +144% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $74,335 | $74,335 | $16,654 | +346% | $19,037 | +290% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $73,878 | $73,878 | $33,653 | +120% | $33,653 | +120% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $73,338 | $73,338 | $15,462 | +374% | $12,460 | +489% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $72,956 | $72,956 | $37,933 | +92% | $31,105 | +135% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $72,929 | $72,929 | $53,274 | +37% | $49,423 | +48% | — |
| 312 | SYNCOPE AND COLLAPSE | $72,210 | $72,210 | $19,342 | +273% | $19,342 | +273% | ≈754% of Medicare |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $72,143 | $72,143 | $25,980 | +178% | $23,617 | +205% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $71,901 | $71,901 | $22,641 | +218% | $17,601 | +309% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $71,856 | $71,856 | $22,024 | +226% | $22,024 | +226% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $71,699 | $71,699 | $23,289 | +208% | $16,487 | +335% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $71,392 | $71,392 | $28,946 | +147% | $21,894 | +226% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $71,161 | $71,161 | $38,631 | +84% | $36,792 | +93% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $71,091 | $71,091 | $47,513 | +50% | $32,065 | +122% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $70,908 | $70,908 | $59,790 | +19% | $59,790 | +19% | — |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $70,324 | $70,324 | $23,289 | +202% | $25,628 | +174% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $69,693 | $69,693 | $19,815 | +252% | $19,846 | +251% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $69,427 | $69,427 | $23,571 | +195% | $23,571 | +195% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $69,104 | $69,104 | $22,637 | +205% | $22,506 | +207% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $68,396 | $68,396 | $18,004 | +280% | $18,004 | +280% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $68,113 | $68,113 | $16,525 | +312% | $15,019 | +354% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $67,971 | $67,971 | $38,998 | +74% | $30,553 | +122% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $67,876 | $67,876 | $17,795 | +281% | $17,578 | +286% | ≈652% of Medicare |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $66,498 | $66,498 | $19,072 | +249% | $18,807 | +254% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $66,180 | $66,180 | $35,532 | +86% | $32,496 | +104% | — |
| 603 | CELLULITIS WITHOUT MCC | $66,136 | $66,136 | $19,553 | +238% | $18,530 | +257% | ≈776% of Medicare |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $65,842 | $65,842 | $53,208 | +24% | $50,618 | +30% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $65,554 | $65,554 | $25,825 | +154% | $22,446 | +192% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $65,413 | $65,413 | $13,824 | +373% | $13,824 | +373% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $65,354 | $65,354 | $22,850 | +186% | $22,850 | +186% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $65,289 | $65,289 | $18,126 | +260% | $18,126 | +260% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $65,261 | $65,261 | $29,596 | +121% | $32,841 | +99% | — |
| 638 | DIABETES WITH CC | $65,180 | $65,180 | $20,361 | +220% | $19,661 | +232% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $65,167 | $65,167 | $13,425 | +385% | $10,160 | +541% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $64,903 | $64,903 | $17,700 | +267% | $17,700 | +267% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $64,558 | $64,558 | $24,177 | +167% | $24,177 | +167% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $64,267 | $64,267 | $22,575 | +185% | $23,940 | +168% | ≈518% of Medicare |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $63,861 | $63,861 | $18,204 | +251% | $18,204 | +251% | ≈529% of Medicare |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $63,371 | $63,371 | $31,950 | +98% | $26,932 | +135% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $63,310 | $63,310 | $39,627 | +60% | $39,627 | +60% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $62,737 | $62,737 | $17,287 | +263% | $15,428 | +307% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $62,546 | $62,546 | $19,584 | +219% | $16,699 | +275% | ≈600% of Medicare |
| 292 | HEART FAILURE AND SHOCK WITH CC | $62,379 | $62,379 | $19,118 | +226% | $16,371 | +281% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $62,119 | $62,119 | $20,463 | +204% | $20,463 | +204% | — |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $62,011 | $62,011 | $23,745 | +161% | $18,898 | +228% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $61,793 | $61,793 | $25,652 | +141% | $25,652 | +141% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $61,293 | $61,293 | $33,399 | +84% | $36,505 | +68% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $61,081 | $61,081 | $35,080 | +74% | $35,074 | +74% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $61,078 | $61,078 | $22,590 | +170% | $25,303 | +141% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $60,551 | $60,551 | $19,638 | +208% | $15,452 | +292% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $60,093 | $60,093 | $43,378 | +39% | $38,861 | +55% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $59,798 | $59,798 | $28,553 | +109% | $27,401 | +118% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $59,382 | $59,382 | $18,081 | +228% | $18,081 | +228% | — |
| 101 | SEIZURES WITHOUT MCC | $59,246 | $59,246 | $20,461 | +190% | $20,461 | +190% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $59,030 | $59,030 | $20,355 | +190% | $17,135 | +244% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $59,011 | $59,011 | $20,488 | +188% | $20,488 | +188% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $58,745 | $58,745 | $29,523 | +99% | $24,552 | +139% | — |
| 139 | SALIVARY GLAND PROCEDURES | $58,285 | $58,285 | $30,480 | +91% | $23,612 | +147% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $58,220 | $58,220 | $76,907 | −24% | $54,196 | +7% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $57,579 | $57,579 | $15,549 | +270% | $15,549 | +270% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $57,350 | $57,350 | $17,817 | +222% | $17,674 | +224% | ≈676% of Medicare |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $57,264 | $57,264 | $19,842 | +189% | $19,842 | +189% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $57,213 | $57,213 | $21,205 | +170% | $19,594 | +192% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $57,044 | $57,044 | $20,881 | +173% | $18,466 | +209% | — |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $56,827 | $56,827 | $15,058 | +277% | $11,997 | +374% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $56,684 | $56,684 | $27,645 | +105% | $27,297 | +108% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $56,657 | $56,657 | $40,365 | +40% | $40,365 | +40% | — |
| 813 | COAGULATION DISORDERS | $56,534 | $56,534 | $33,296 | +70% | $33,296 | +70% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $56,500 | $56,500 | $20,725 | +173% | $16,968 | +233% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $56,461 | $56,461 | $35,349 | +60% | $33,876 | +67% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $56,204 | $56,204 | $18,139 | +210% | $17,118 | +228% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $56,091 | $56,091 | $27,348 | +105% | $19,270 | +191% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $55,370 | $55,370 | $19,305 | +187% | $19,305 | +187% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $53,827 | $53,827 | $20,344 | +165% | $15,855 | +239% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $53,737 | $53,737 | $14,134 | +280% | $15,038 | +257% | — |
| 305 | HYPERTENSION WITHOUT MCC | $53,713 | $53,713 | $16,665 | +222% | $18,086 | +197% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $53,397 | $53,397 | $14,927 | +258% | $14,927 | +258% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $53,118 | $53,118 | $14,128 | +276% | $14,128 | +276% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $53,106 | $53,106 | $23,289 | +128% | $12,397 | +328% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $52,933 | $52,933 | $22,197 | +138% | $20,957 | +153% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $52,487 | $52,487 | $17,347 | +203% | $17,038 | +208% | ≈693% of Medicare |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $52,248 | $52,248 | $30,846 | +69% | $25,094 | +108% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $52,221 | $52,221 | $22,033 | +137% | $22,033 | +137% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $52,161 | $52,161 | $34,867 | +50% | $30,828 | +69% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $52,147 | $52,147 | $25,192 | +107% | $20,247 | +158% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $51,763 | $51,763 | $17,322 | +199% | $17,322 | +199% | ≈860% of Medicare |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $51,249 | $51,249 | $23,767 | +116% | $20,422 | +151% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $51,154 | $51,154 | $14,880 | +244% | $16,288 | +214% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $50,834 | $50,834 | $35,872 | +42% | $27,152 | +87% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $50,457 | $50,457 | $22,790 | +121% | $25,970 | +94% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $50,027 | $50,027 | $16,097 | +211% | $19,227 | +160% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $49,339 | $49,339 | $17,762 | +178% | $21,056 | +134% | — |
| 313 | CHEST PAIN | $49,176 | $49,176 | $15,837 | +211% | $16,440 | +199% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $48,996 | $48,996 | $20,084 | +144% | $20,084 | +144% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $48,932 | $48,932 | $31,166 | +57% | $27,808 | +76% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $48,787 | $48,787 | $20,108 | +143% | $18,488 | +164% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $48,541 | $48,541 | $15,358 | +216% | $14,689 | +230% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $48,515 | $48,515 | $21,880 | +122% | $20,895 | +132% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $48,241 | $48,241 | $18,126 | +166% | $18,126 | +166% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $47,702 | $47,702 | $18,330 | +160% | $17,298 | +176% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $47,093 | $47,093 | $21,460 | +119% | $17,724 | +166% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $46,992 | $46,992 | $13,639 | +245% | $11,071 | +324% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $46,824 | $46,824 | $16,104 | +191% | $16,767 | +179% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $46,714 | $46,714 | $32,248 | +45% | $28,140 | +66% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $46,546 | $46,546 | $24,928 | +87% | $19,815 | +135% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $46,421 | $46,421 | $15,839 | +193% | $12,454 | +273% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $46,275 | $46,275 | $15,411 | +200% | $14,797 | +213% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $46,116 | $46,116 | $19,422 | +137% | $15,215 | +203% | — |
| 639 | DIABETES WITHOUT CC/MCC | $45,797 | $45,797 | $13,910 | +229% | $13,910 | +229% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $45,796 | $45,796 | $21,363 | +114% | $21,363 | +114% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $45,675 | $45,675 | $19,642 | +133% | $17,081 | +167% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $45,667 | $45,667 | $13,384 | +241% | $13,384 | +241% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $45,466 | $45,466 | $22,155 | +105% | $15,370 | +196% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $45,082 | $45,082 | $13,318 | +238% | $13,361 | +237% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $44,532 | $44,532 | $21,280 | +109% | $17,733 | +151% | — |
| 694 | URINARY STONES WITHOUT MCC | $43,906 | $43,906 | $17,347 | +153% | $17,345 | +153% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $43,871 | $43,871 | $25,552 | +72% | $18,133 | +142% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $43,438 | $43,438 | $14,368 | +202% | $14,368 | +202% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $43,388 | $43,388 | $16,592 | +162% | $12,895 | +236% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $42,983 | $42,983 | $16,607 | +159% | $14,716 | +192% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $42,909 | $42,909 | $13,683 | +214% | $15,183 | +183% | — |
| 103 | HEADACHES WITHOUT MCC | $42,434 | $42,434 | $18,874 | +125% | $21,280 | +99% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $42,159 | $42,159 | $27,494 | +53% | $22,458 | +88% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $41,469 | $41,469 | $28,626 | +45% | $27,989 | +48% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $40,741 | $40,741 | $21,356 | +91% | $15,680 | +160% | — |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $39,300 | $39,300 | $22,750 | +73% | $18,348 | +114% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $39,255 | $39,255 | $15,267 | +157% | $14,415 | +172% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $39,144 | $39,144 | $23,887 | +64% | $18,956 | +107% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $37,974 | $37,974 | $14,208 | +167% | $14,250 | +166% | — |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $37,828 | $37,828 | $17,533 | +116% | $13,445 | +181% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $37,704 | $37,704 | $11,539 | +227% | $9,940 | +279% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $37,518 | $37,518 | $15,600 | +141% | $15,600 | +141% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $37,403 | $37,403 | $15,031 | +149% | $14,053 | +166% | — |
| 311 | ANGINA PECTORIS | $37,202 | $37,202 | $15,502 | +140% | $15,502 | +140% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $37,016 | $37,016 | $15,799 | +134% | $14,583 | +154% | — |
| 779 | ABORTION WITHOUT D&C | $36,976 | $36,976 | $20,752 | +78% | $15,327 | +141% | — |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $36,645 | $36,645 | $27,323 | +34% | $27,323 | +34% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $35,521 | $35,521 | $13,326 | +167% | $12,999 | +173% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $33,614 | $33,614 | $24,337 | +38% | $16,846 | +100% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $33,273 | $33,273 | $19,138 | +74% | $19,138 | +74% | — |
| 881 | DEPRESSIVE NEUROSES | $33,057 | $33,057 | $20,293 | +63% | $15,058 | +120% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $32,912 | $32,912 | $24,000 | +37% | $17,226 | +91% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $32,674 | $32,674 | $20,566 | +59% | $20,566 | +59% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $32,407 | $32,407 | $38,443 | −16% | $23,206 | +40% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $32,356 | $32,356 | $14,148 | +129% | $12,078 | +168% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $32,040 | $32,040 | $13,642 | +135% | $13,642 | +135% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $31,486 | $31,486 | $18,528 | +70% | $18,528 | +70% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $31,270 | $31,270 | $16,565 | +89% | $16,565 | +89% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $31,180 | $31,180 | $37,175 | −16% | $29,916 | +4% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $30,890 | $30,890 | $13,527 | +128% | $13,527 | +128% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $30,890 | $30,890 | $15,156 | +104% | $13,651 | +126% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $30,720 | $30,720 | $14,638 | +110% | $14,638 | +110% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $30,307 | $30,307 | $13,599 | +123% | $10,975 | +176% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $28,796 | $28,796 | $15,837 | +82% | $15,837 | +82% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $28,038 | $28,038 | $14,743 | +90% | $13,942 | +101% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $27,220 | $27,220 | $18,070 | +51% | $17,559 | +55% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $26,664 | $26,664 | $113,077 | −76% | $113,077 | −76% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $25,401 | $25,401 | $16,064 | +58% | $13,275 | +91% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $24,109 | $24,109 | $19,602 | +23% | $16,998 | +42% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $23,989 | $23,989 | $21,236 | +13% | $16,700 | +44% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $23,954 | $23,954 | $29,747 | −19% | $31,264 | −23% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $23,289 | $23,289 | $17,953 | +30% | $15,215 | +53% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $22,911 | $22,911 | $33,633 | −32% | $33,633 | −32% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $21,344 | $21,344 | $34,988 | −39% | $12,229 | +75% | — |
| 151 | EPISTAXIS WITHOUT MCC | $20,756 | $20,756 | $16,827 | +23% | $13,032 | +59% | — |
| 935 | NON-EXTENSIVE BURNS | $20,650 | $20,650 | $43,274 | −52% | $31,701 | −35% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $19,793 | $19,793 | $19,935 | −1% | $18,640 | +6% | — |
| 593 | SKIN ULCERS WITH CC | $17,944 | $17,944 | $27,143 | −34% | $22,886 | −22% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $17,591 | $17,591 | $14,927 | +18% | $14,549 | +21% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $16,649 | $16,649 | $67,268 | −75% | $67,268 | −75% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,337 | $11,337 | $28,935 | −61% | $16,351 | −31% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $9,516 | $9,516 | $17,665 | −46% | $8,445 | +13% | — |
| 795 | NORMAL NEWBORN | $6,891 | $6,891 | $6,664 | +3% | $4,720 | +46% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $4,067 | $4,067 | $57,323 | −93% | $18,649 | −78% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $2,838 | $2,838 | $15,464 | −82% | $12,252 | −77% | — |
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 |
|---|---|---|---|
| 915 | ALLERGIC REACTIONS WITH MCC | — | 10 plans |
No procedures match that keyword.