Redlands Community Hospital — Pricing
605 procedures published in this hospital's Machine-Readable File (MRF) — 604 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 605
Lowest published price $5,194
Average published price $123,421
Highest published price $1,540,870
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 605 procedures
Published charges
Showing all 604 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 33 procedures, this hospital's negotiated rates average ≈122% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $1,540,870 | $369,809 | $108,750 | +1317% | $96,192 | +1502% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $1,244,944 | $298,787 | $91,138 | +1266% | $90,724 | +1272% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,189,968 | $285,592 | $371,366 | +220% | $371,366 | +220% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $719,695 | $172,727 | $248,521 | +190% | $248,521 | +190% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $641,088 | $153,861 | $88,307 | +626% | $88,307 | +626% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $590,973 | $141,834 | $107,269 | +451% | $80,018 | +639% | — |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $531,944 | $127,667 | $117,196 | +354% | $109,331 | +387% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $530,805 | $127,393 | $107,355 | +394% | $107,355 | +394% | — |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $512,386 | $122,973 | $189,963 | +170% | $164,641 | +211% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $494,889 | $118,773 | $67,268 | +636% | $67,268 | +636% | — |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $491,071 | $117,857 | $106,057 | +363% | $106,057 | +363% | — |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $458,912 | $110,139 | $148,686 | +209% | $148,686 | +209% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $413,451 | $99,228 | $64,523 | +541% | $64,523 | +541% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $409,869 | $98,369 | $106,778 | +284% | $106,778 | +284% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $403,744 | $96,899 | $47,583 | +749% | $47,583 | +749% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $387,027 | $92,887 | $73,751 | +425% | $61,470 | +530% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $374,817 | $89,956 | $83,065 | +351% | $85,159 | +340% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $366,477 | $87,955 | $53,208 | +589% | $50,618 | +624% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $365,978 | $87,835 | $124,290 | +194% | $148,832 | +146% | ≈124% of Medicare |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $349,842 | $83,962 | $48,353 | +624% | $47,789 | +632% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $347,590 | $83,422 | $40,563 | +757% | $40,642 | +755% | — |
| 332 | RECTAL RESECTION WITH MCC | $345,002 | $82,800 | $69,152 | +399% | $58,125 | +494% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $342,432 | $82,184 | $116,058 | +195% | $116,058 | +195% | ≈117% of Medicare |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $335,796 | $80,591 | $74,755 | +349% | $74,755 | +349% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $335,572 | $80,537 | $48,235 | +596% | $45,866 | +632% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $330,246 | $330,246 | $37,692 | +776% | $32,433 | +918% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $324,320 | $77,837 | $68,639 | +373% | $68,639 | +373% | — |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $313,832 | $75,320 | $91,495 | +243% | $77,055 | +307% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $307,851 | $73,884 | $86,246 | +257% | $84,692 | +263% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $298,603 | $71,665 | $95,536 | +213% | $93,390 | +220% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $297,606 | $71,425 | $77,817 | +282% | $77,817 | +282% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $294,210 | $70,610 | $94,937 | +210% | $93,172 | +216% | ≈122% of Medicare |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $289,872 | $69,569 | $102,128 | +184% | $102,128 | +184% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $281,206 | $67,489 | $23,289 | +1107% | $75,251 | +274% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $277,987 | $66,717 | $46,724 | +495% | $46,724 | +495% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $277,428 | $66,583 | $68,653 | +304% | $68,653 | +304% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $276,661 | $66,399 | $33,330 | +730% | $26,436 | +947% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $272,892 | $65,494 | $65,573 | +316% | $65,573 | +316% | — |
| 593 | SKIN ULCERS WITH CC | $266,109 | $63,866 | $27,143 | +880% | $22,886 | +1063% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $265,947 | $63,827 | $54,583 | +387% | $54,583 | +387% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $265,726 | $63,774 | $70,373 | +278% | $42,679 | +523% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $265,180 | $63,643 | $49,137 | +440% | $48,349 | +448% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $264,752 | $63,541 | $70,026 | +278% | $56,964 | +365% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $260,147 | $62,435 | $33,957 | +666% | $29,933 | +769% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $259,212 | $62,211 | $60,905 | +326% | $49,710 | +421% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $255,036 | $61,209 | $114,401 | +123% | $98,912 | +158% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $252,094 | $60,503 | $86,699 | +191% | $76,001 | +232% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $245,703 | $58,969 | $39,013 | +530% | $33,255 | +639% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $242,444 | $58,187 | $81,281 | +198% | $77,990 | +211% | — |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $238,719 | $57,293 | $23,643 | +910% | $86,864 | +175% | — |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $236,497 | $56,759 | $48,788 | +385% | $38,998 | +506% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $233,125 | $55,950 | $82,561 | +182% | $82,561 | +182% | — |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $230,085 | $55,220 | $72,461 | +218% | $66,848 | +244% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $229,916 | $55,180 | $52,735 | +336% | $62,264 | +269% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $228,620 | $54,869 | $88,050 | +160% | $88,050 | +160% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $227,753 | $54,661 | $43,749 | +421% | $42,901 | +431% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $225,074 | $54,018 | $75,573 | +198% | $75,573 | +198% | — |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $221,698 | $53,207 | $23,643 | +838% | $57,380 | +286% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $213,827 | $51,318 | $69,089 | +209% | $52,036 | +311% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $212,551 | $51,012 | $30,887 | +588% | $39,887 | +433% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $212,354 | $50,965 | $25,822 | +722% | $19,412 | +994% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $211,813 | $50,835 | $76,219 | +178% | $76,219 | +178% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $209,142 | $50,194 | $58,975 | +255% | $58,975 | +255% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $206,423 | $49,542 | $59,817 | +245% | $49,184 | +320% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $206,331 | $49,519 | $42,126 | +390% | $40,562 | +409% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $205,255 | $49,261 | $35,770 | +474% | $35,770 | +474% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $204,867 | $49,168 | $40,719 | +403% | $39,106 | +424% | ≈98% of Medicare |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $204,505 | $49,081 | $89,523 | +128% | $87,761 | +133% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $204,311 | $49,035 | $42,423 | +382% | $33,851 | +504% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $203,295 | $48,791 | $90,775 | +124% | $90,775 | +124% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $203,273 | $48,785 | $66,666 | +205% | $66,666 | +205% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $201,686 | $48,405 | $100,245 | +101% | $85,566 | +136% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $198,983 | $47,756 | $35,243 | +465% | $32,628 | +510% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $197,563 | $47,415 | $62,821 | +214% | $62,821 | +214% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $196,821 | $47,237 | $88,341 | +123% | $90,195 | +118% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $195,701 | $46,968 | $99,423 | +97% | $99,423 | +97% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $190,863 | $45,807 | $19,185 | +895% | $15,889 | +1101% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $188,563 | $45,255 | $71,014 | +166% | $71,014 | +166% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $188,236 | $45,177 | $36,442 | +417% | $69,101 | +172% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $187,995 | $45,119 | $60,274 | +212% | $65,653 | +186% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $187,919 | $45,101 | $84,725 | +122% | $101,510 | +85% | — |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $187,200 | $44,928 | $23,643 | +692% | $59,206 | +216% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $186,277 | $44,706 | $63,709 | +192% | $52,435 | +255% | — |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $186,043 | $44,650 | $61,217 | +204% | $61,217 | +204% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $184,912 | $44,379 | $40,694 | +354% | $40,694 | +354% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $184,501 | $44,280 | $32,620 | +466% | $25,073 | +636% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $184,453 | $44,269 | $43,538 | +324% | $43,538 | +324% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $183,792 | $44,110 | $50,218 | +266% | $38,878 | +373% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $181,193 | $43,486 | $36,820 | +392% | $36,820 | +392% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $180,407 | $43,298 | $37,599 | +380% | $32,944 | +448% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $179,639 | $43,113 | $101,566 | +77% | $90,401 | +99% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $179,037 | $42,969 | $37,169 | +382% | $37,169 | +382% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $179,024 | $42,966 | $39,515 | +353% | $39,515 | +353% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $178,639 | $42,873 | $68,421 | +161% | $70,847 | +152% | — |
| 100 | SEIZURES WITH MCC | $178,615 | $42,867 | $40,653 | +339% | $35,481 | +403% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $178,167 | $42,760 | $65,325 | +173% | $65,325 | +173% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $176,229 | $42,295 | $46,477 | +279% | $49,351 | +257% | — |
| 813 | COAGULATION DISORDERS | $175,028 | $42,007 | $33,296 | +426% | $33,296 | +426% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $174,887 | $41,973 | $45,849 | +281% | $40,108 | +336% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $173,522 | $41,645 | $54,273 | +220% | $52,178 | +233% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $173,145 | $41,555 | $92,515 | +87% | $92,515 | +87% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $173,026 | $41,526 | $46,288 | +274% | $36,489 | +374% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $172,911 | $41,499 | $49,066 | +252% | $49,066 | +252% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $172,388 | $41,373 | $36,087 | +378% | $28,202 | +511% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $172,228 | $41,335 | $35,961 | +379% | $34,017 | +406% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $172,068 | $41,296 | $131,961 | +30% | $131,961 | +30% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $170,420 | $40,901 | $64,105 | +166% | $61,872 | +175% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $169,984 | $40,796 | $155,631 | +9% | $147,227 | +15% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $169,504 | $40,681 | $25,652 | +561% | $25,652 | +561% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $169,322 | $40,637 | $75,820 | +123% | $66,685 | +154% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $169,252 | $40,620 | $34,467 | +391% | $27,316 | +520% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $168,948 | $40,548 | $51,487 | +228% | $50,046 | +238% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $166,850 | $40,044 | $37,214 | +348% | $52,075 | +220% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $166,338 | $39,921 | $66,976 | +148% | $63,928 | +160% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $164,901 | $39,576 | $53,746 | +207% | $57,454 | +187% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $164,420 | $39,461 | $62,334 | +164% | $70,467 | +133% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $164,235 | $39,416 | $24,648 | +566% | $23,573 | +597% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $163,244 | $39,179 | $45,376 | +260% | $41,892 | +290% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $163,214 | $39,171 | $69,724 | +134% | $66,068 | +147% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $162,599 | $39,024 | $53,274 | +205% | $49,423 | +229% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $162,465 | $38,992 | $26,753 | +507% | $24,056 | +575% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $162,451 | $38,988 | $13,527 | +1101% | $13,527 | +1101% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $161,510 | $38,763 | $35,532 | +355% | $32,496 | +397% | ≈130% of Medicare |
| 711 | TESTES PROCEDURES WITH CC/MCC | $161,001 | $38,640 | $42,414 | +280% | $38,343 | +320% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $160,875 | $38,610 | $25,267 | +537% | $26,618 | +504% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $160,205 | $38,449 | $34,354 | +366% | $34,354 | +366% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $159,084 | $38,180 | $18,592 | +756% | $14,064 | +1031% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $158,304 | $37,993 | $51,985 | +205% | $51,985 | +205% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $156,613 | $37,587 | $47,452 | +230% | $45,333 | +245% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $156,038 | $37,449 | $34,817 | +348% | $33,661 | +364% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $153,964 | $36,951 | $35,899 | +329% | $51,625 | +198% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $153,599 | $36,864 | $38,483 | +299% | $33,047 | +365% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $153,370 | $36,809 | $52,405 | +193% | $52,405 | +193% | ≈105% of Medicare |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $153,191 | $36,766 | $65,631 | +133% | $58,745 | +161% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $152,893 | $36,694 | $144,569 | +6% | $144,569 | +6% | — |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $152,850 | $36,684 | $36,907 | +314% | $29,316 | +421% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $152,818 | $36,676 | $46,332 | +230% | $50,463 | +203% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $152,623 | $36,630 | $42,463 | +259% | $34,459 | +343% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $152,551 | $36,612 | $49,631 | +207% | $50,394 | +203% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $151,587 | $36,381 | $96,507 | +57% | $96,507 | +57% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $150,614 | $36,147 | $50,562 | +198% | $59,500 | +153% | ≈104% of Medicare |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $149,649 | $35,916 | $143,242 | +4% | $143,242 | +4% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $149,619 | $35,908 | $39,360 | +280% | $38,101 | +293% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $148,272 | $35,585 | $49,209 | +201% | $42,415 | +250% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $147,483 | $35,396 | $40,263 | +266% | $35,628 | +314% | ≈116% of Medicare |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $147,405 | $35,377 | $96,245 | +53% | $80,793 | +82% | — |
| 602 | CELLULITIS WITH MCC | $146,987 | $35,277 | $31,970 | +360% | $30,598 | +380% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $146,320 | $35,117 | $42,881 | +241% | $42,881 | +241% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $146,184 | $35,084 | $34,839 | +320% | $30,235 | +383% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $145,931 | $35,024 | $45,785 | +219% | $39,181 | +272% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $145,250 | $34,860 | $47,089 | +208% | $45,877 | +217% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $143,710 | $34,490 | $39,422 | +265% | $34,276 | +319% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $143,669 | $34,481 | $34,448 | +317% | $33,707 | +326% | ≈120% of Medicare |
| 503 | FOOT PROCEDURES WITH MCC | $143,308 | $34,394 | $55,321 | +159% | $47,540 | +201% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $142,877 | $34,290 | $60,402 | +137% | $58,228 | +145% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $142,149 | $34,116 | $54,929 | +159% | $54,929 | +159% | ≈126% of Medicare |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $142,116 | $34,108 | $38,951 | +265% | $32,637 | +335% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $142,106 | $34,106 | $96,905 | +47% | $96,905 | +47% | — |
| 304 | HYPERTENSION WITH MCC | $141,920 | $34,061 | $26,080 | +444% | $26,080 | +444% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $141,290 | $33,910 | $90,790 | +56% | $82,218 | +72% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $141,192 | $33,886 | $60,959 | +132% | $81,706 | +73% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $141,098 | $33,863 | $71,755 | +97% | $71,755 | +97% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $140,513 | $33,723 | $34,906 | +303% | $34,906 | +303% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $140,475 | $33,714 | $91,329 | +54% | $91,329 | +54% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $139,198 | $33,408 | $35,113 | +296% | $34,192 | +307% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $139,097 | $33,383 | $23,289 | +497% | $56,836 | +145% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $138,970 | $33,353 | $36,661 | +279% | $33,555 | +314% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $137,169 | $32,921 | $74,257 | +85% | $74,257 | +85% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $136,863 | $32,847 | $31,812 | +330% | $32,833 | +317% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $136,798 | $32,832 | $71,092 | +92% | $71,092 | +92% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $136,447 | $32,747 | $36,506 | +274% | $31,951 | +327% | ≈121% of Medicare |
| 472 | CERVICAL SPINAL FUSION WITH CC | $134,028 | $32,167 | $59,537 | +125% | $59,537 | +125% | — |
| 682 | RENAL FAILURE WITH MCC | $133,965 | $32,152 | $32,520 | +312% | $29,064 | +361% | ≈121% of Medicare |
| 397 | APPENDIX PROCEDURES WITH MCC | $133,813 | $32,115 | $54,751 | +144% | $53,257 | +151% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $132,982 | $31,916 | $58,274 | +128% | $58,274 | +128% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $132,924 | $31,902 | $70,132 | +90% | $70,132 | +90% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $132,254 | $31,741 | $54,815 | +141% | $46,453 | +185% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $131,649 | $31,596 | $51,645 | +155% | $59,421 | +122% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $131,151 | $31,476 | $44,489 | +195% | $46,283 | +183% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $130,994 | $31,439 | $43,080 | +204% | $43,080 | +204% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $130,367 | $31,288 | $35,591 | +266% | $34,273 | +280% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $129,932 | $31,184 | $49,765 | +161% | $40,362 | +222% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $129,777 | $31,147 | $46,799 | +177% | $58,280 | +123% | ≈125% of Medicare |
| 637 | DIABETES WITH MCC | $129,394 | $31,055 | $31,753 | +307% | $30,100 | +330% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $128,830 | $30,919 | $16,654 | +674% | $19,037 | +577% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $128,271 | $30,785 | $55,162 | +133% | $55,162 | +133% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $128,162 | $30,759 | $53,666 | +139% | $58,707 | +118% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $128,097 | $30,743 | $20,506 | +525% | $20,506 | +525% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $127,748 | $30,660 | $68,508 | +86% | $68,508 | +86% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $127,368 | $30,568 | $35,352 | +260% | $26,682 | +377% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $127,267 | $30,544 | $45,703 | +178% | $52,751 | +141% | ≈140% of Medicare |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $127,013 | $30,483 | $40,163 | +216% | $58,809 | +116% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $126,135 | $30,272 | $19,602 | +543% | $16,998 | +642% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $125,776 | $30,186 | $50,777 | +148% | $53,451 | +135% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $124,062 | $29,775 | $75,103 | +65% | $75,103 | +65% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $123,864 | $29,727 | $49,382 | +151% | $39,973 | +210% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $123,496 | $29,639 | $32,473 | +280% | $30,502 | +305% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $123,233 | $29,576 | $43,378 | +184% | $38,861 | +217% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $123,133 | $29,552 | $31,048 | +297% | $27,861 | +342% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $123,009 | $29,522 | $102,177 | +20% | $111,320 | +11% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $122,722 | $29,453 | $66,819 | +84% | $71,464 | +72% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $122,254 | $29,341 | $44,730 | +173% | $42,914 | +185% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $122,149 | $29,316 | $41,380 | +195% | $46,340 | +164% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $122,037 | $29,289 | $19,569 | +524% | $19,569 | +524% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $122,030 | $29,287 | $24,220 | +404% | $20,926 | +483% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $121,753 | $29,221 | $36,658 | +232% | $36,658 | +232% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $121,611 | $29,187 | $37,921 | +221% | $37,387 | +225% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $120,788 | $28,989 | $20,401 | +492% | $18,072 | +568% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $120,758 | $28,982 | $22,575 | +435% | $23,940 | +404% | ≈136% of Medicare |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $119,922 | $28,781 | $37,526 | +220% | $29,079 | +312% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $118,914 | $28,539 | $83,441 | +43% | $83,441 | +43% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $118,897 | $28,535 | $69,597 | +71% | $51,953 | +129% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $118,656 | $28,478 | $30,922 | +284% | $28,226 | +320% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $118,252 | $28,380 | $34,988 | +238% | $12,229 | +867% | — |
| 693 | URINARY STONES WITH MCC | $117,896 | $28,295 | $31,990 | +269% | $23,892 | +393% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $116,629 | $27,991 | $38,978 | +199% | $37,844 | +208% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $116,536 | $27,969 | $43,483 | +168% | $38,666 | +201% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $116,175 | $27,882 | $59,790 | +94% | $59,790 | +94% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $116,007 | $27,842 | $77,041 | +51% | $61,832 | +88% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $115,684 | $27,764 | $48,682 | +138% | $48,682 | +138% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $115,049 | $27,612 | $36,651 | +214% | $44,117 | +161% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $114,829 | $27,559 | $31,982 | +259% | $30,571 | +276% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $114,606 | $27,505 | $18,070 | +534% | $17,559 | +553% | — |
| 139 | SALIVARY GLAND PROCEDURES | $114,568 | $27,496 | $30,480 | +276% | $23,612 | +385% | — |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $114,567 | $27,496 | $114,040 | +0% | $108,472 | +6% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $114,538 | $27,489 | $51,189 | +124% | $59,651 | +92% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $113,953 | $27,349 | $38,308 | +197% | $30,243 | +277% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $113,596 | $27,263 | $32,911 | +245% | $36,988 | +207% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $113,485 | $27,236 | $50,624 | +124% | $50,624 | +124% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $113,264 | $27,183 | $14,368 | +688% | $14,368 | +688% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $112,920 | $27,101 | $43,187 | +161% | $35,569 | +217% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $112,739 | $27,057 | $38,541 | +193% | $32,443 | +248% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $112,457 | $26,990 | $34,867 | +223% | $30,828 | +265% | ≈112% of Medicare |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $112,087 | $26,901 | $45,743 | +145% | $43,174 | +160% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $111,959 | $26,870 | $43,913 | +155% | $43,913 | +155% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $111,679 | $26,803 | $40,695 | +174% | $36,249 | +208% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $111,172 | $26,681 | $37,764 | +194% | $43,477 | +156% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $110,481 | $26,515 | $36,816 | +200% | $44,606 | +148% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $109,459 | $26,270 | $23,643 | +363% | $56,960 | +92% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $109,347 | $26,243 | $53,141 | +106% | $56,755 | +93% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $108,748 | $26,099 | $35,375 | +207% | $39,006 | +179% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $108,540 | $26,050 | $37,842 | +187% | $37,842 | +187% | ≈114% of Medicare |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $108,537 | $26,049 | $17,522 | +519% | $17,620 | +516% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $108,477 | $26,035 | $44,363 | +145% | $44,363 | +145% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $108,258 | $25,982 | $40,213 | +169% | $40,213 | +169% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $108,129 | $25,951 | $36,354 | +197% | $36,354 | +197% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $108,001 | $25,920 | $43,384 | +149% | $29,524 | +266% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $107,960 | $25,910 | $28,209 | +283% | $23,498 | +359% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $107,822 | $25,877 | $35,080 | +207% | $35,074 | +207% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $107,204 | $25,729 | $27,470 | +290% | $26,580 | +303% | ≈122% of Medicare |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $107,140 | $25,714 | $37,933 | +182% | $31,105 | +244% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $106,955 | $25,669 | $27,163 | +294% | $27,163 | +294% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $106,907 | $25,658 | $24,177 | +342% | $24,177 | +342% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $106,879 | $25,651 | $20,108 | +432% | $18,488 | +478% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $106,861 | $25,647 | $24,930 | +329% | $24,386 | +338% | ≈137% of Medicare |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $106,753 | $25,621 | $30,645 | +248% | $27,285 | +291% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $106,624 | $25,590 | $33,388 | +219% | $36,253 | +194% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $106,147 | $25,475 | $44,357 | +139% | $43,943 | +142% | — |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $105,883 | $25,412 | $31,730 | +234% | $24,941 | +325% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $105,631 | $25,352 | $36,340 | +191% | $29,826 | +254% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $105,361 | $105,361 | $16,776 | +528% | $16,776 | +528% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $104,804 | $25,153 | $29,523 | +255% | $24,552 | +327% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $104,796 | $25,151 | $37,950 | +176% | $37,950 | +176% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $104,526 | $25,086 | $22,850 | +357% | $22,850 | +357% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $103,955 | $24,949 | $41,857 | +148% | $50,607 | +105% | ≈121% of Medicare |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $103,733 | $24,896 | $39,018 | +166% | $39,018 | +166% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $103,651 | $24,876 | $32,451 | +219% | $32,451 | +219% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $103,580 | $24,859 | $21,363 | +385% | $21,363 | +385% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $103,544 | $24,851 | $35,135 | +195% | $33,563 | +209% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $103,452 | $24,829 | $39,057 | +165% | $33,985 | +204% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $103,334 | $24,800 | $35,453 | +191% | $35,453 | +191% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $103,224 | $24,774 | $29,252 | +253% | $27,275 | +278% | ≈122% of Medicare |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $102,014 | $24,483 | $21,716 | +370% | $17,404 | +486% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $101,726 | $24,414 | $30,959 | +229% | $30,959 | +229% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $101,590 | $24,382 | $34,588 | +194% | $27,617 | +268% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $101,229 | $24,295 | $48,634 | +108% | $47,737 | +112% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $101,228 | $24,295 | $48,760 | +108% | $36,167 | +180% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $101,193 | $24,286 | $23,312 | +334% | $22,763 | +345% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $100,873 | $24,210 | $28,966 | +248% | $26,776 | +277% | ≈129% of Medicare |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $100,676 | $24,162 | $28,515 | +253% | $28,050 | +259% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $99,984 | $23,996 | $27,348 | +266% | $19,270 | +419% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $99,831 | $23,959 | $41,855 | +139% | $47,711 | +109% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $99,410 | $23,858 | $50,139 | +98% | $50,139 | +98% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $97,462 | $23,391 | $34,344 | +184% | $27,975 | +248% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $97,366 | $23,368 | $40,150 | +143% | $39,955 | +144% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $97,061 | $23,295 | $54,345 | +79% | $45,167 | +115% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $96,885 | $23,252 | $29,894 | +224% | $24,127 | +302% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $96,640 | $23,194 | $39,627 | +144% | $39,627 | +144% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $96,483 | $23,156 | $29,117 | +231% | $27,043 | +257% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $96,142 | $23,074 | $69,743 | +38% | $69,743 | +38% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $96,134 | $23,072 | $44,068 | +118% | $32,574 | +195% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $95,547 | $22,931 | $19,624 | +387% | $16,520 | +478% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $95,134 | $22,832 | $25,980 | +266% | $23,617 | +303% | ≈126% of Medicare |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $95,095 | $22,823 | $33,048 | +188% | $33,048 | +188% | — |
| 885 | PSYCHOSES | $94,835 | $22,760 | $30,968 | +206% | $21,729 | +336% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $94,720 | $22,733 | $67,560 | +40% | $59,533 | +59% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $94,356 | $22,645 | $23,141 | +308% | $23,141 | +308% | — |
| 199 | PNEUMOTHORAX WITH MCC | $94,094 | $22,583 | $36,952 | +155% | $33,787 | +178% | — |
| 263 | VEIN LIGATION AND STRIPPING | $93,871 | $22,529 | $55,918 | +68% | $51,253 | +83% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $93,835 | $22,520 | $17,087 | +449% | $14,648 | +541% | — |
| 639 | DIABETES WITHOUT CC/MCC | $93,561 | $22,455 | $13,910 | +573% | $13,910 | +573% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $93,159 | $22,358 | $34,078 | +173% | $39,211 | +138% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $92,818 | $22,276 | $26,770 | +247% | $26,770 | +247% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $92,631 | $22,232 | $43,775 | +112% | $44,139 | +110% | — |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $92,629 | $22,231 | $16,175 | +473% | $12,768 | +625% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $92,463 | $22,191 | $21,396 | +332% | $21,396 | +332% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $92,299 | $22,152 | $40,552 | +128% | $40,552 | +128% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $92,239 | $22,137 | $20,488 | +350% | $20,488 | +350% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $92,178 | $22,123 | $40,063 | +130% | $41,591 | +122% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $91,989 | $22,077 | $30,083 | +206% | $30,083 | +206% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $91,562 | $21,975 | $27,277 | +236% | $27,277 | +236% | — |
| 305 | HYPERTENSION WITHOUT MCC | $91,558 | $21,974 | $16,665 | +449% | $18,086 | +406% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $91,516 | $21,964 | $20,463 | +347% | $20,463 | +347% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $91,007 | $21,842 | $24,075 | +278% | $23,319 | +290% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $90,883 | $21,812 | $23,767 | +282% | $20,422 | +345% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $90,679 | $21,763 | $24,477 | +270% | $27,843 | +226% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $90,563 | $21,735 | $84,217 | +8% | $60,098 | +51% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $90,201 | $21,648 | $70,540 | +28% | $70,564 | +28% | — |
| 548 | SEPTIC ARTHRITIS WITH MCC | $90,037 | $21,609 | $41,146 | +119% | $31,346 | +187% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $89,830 | $21,559 | $35,217 | +155% | $41,955 | +114% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $89,703 | $21,529 | $41,191 | +118% | $36,670 | +145% | — |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $89,599 | $21,504 | $51,387 | +74% | $40,060 | +124% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $89,591 | $21,502 | $65,788 | +36% | $65,788 | +36% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $89,275 | $21,426 | $23,396 | +282% | $23,488 | +280% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $89,021 | $21,365 | $20,086 | +343% | $16,552 | +438% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $88,924 | $21,342 | $42,775 | +108% | $39,958 | +123% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $88,696 | $21,287 | $50,011 | +77% | $50,011 | +77% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $87,500 | $21,000 | $31,017 | +182% | $31,017 | +182% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $87,408 | $20,978 | $38,187 | +129% | $32,859 | +166% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $87,282 | $20,948 | $25,037 | +249% | $24,566 | +255% | — |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $87,078 | $20,899 | $22,266 | +291% | $16,212 | +437% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $86,848 | $20,844 | $37,175 | +134% | $29,916 | +190% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $86,797 | $20,831 | $15,358 | +465% | $14,689 | +491% | — |
| 504 | FOOT PROCEDURES WITH CC | $86,516 | $20,764 | $38,960 | +122% | $38,960 | +122% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $86,223 | $20,694 | $70,175 | +23% | $50,919 | +69% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $85,677 | $20,563 | $55,594 | +54% | $47,945 | +79% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $85,667 | $20,560 | $40,365 | +112% | $40,365 | +112% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $84,966 | $20,392 | $21,460 | +296% | $17,724 | +379% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $84,685 | $20,324 | $15,600 | +443% | $15,600 | +443% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $84,679 | $20,323 | $64,194 | +32% | $55,289 | +53% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $84,672 | $20,321 | $15,837 | +435% | $15,837 | +435% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $84,240 | $20,218 | $27,645 | +205% | $27,297 | +209% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $83,933 | $20,144 | $24,928 | +237% | $19,815 | +324% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $83,844 | $20,123 | $21,449 | +291% | $21,449 | +291% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $83,296 | $19,991 | $19,305 | +331% | $19,305 | +331% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $83,288 | $19,989 | $37,213 | +124% | $31,159 | +167% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $82,604 | $19,825 | $15,280 | +441% | $20,781 | +298% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $82,262 | $19,743 | $38,094 | +116% | $38,094 | +116% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $82,173 | $19,722 | $19,811 | +315% | $22,148 | +271% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $81,843 | $19,642 | $18,204 | +350% | $18,204 | +350% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $81,837 | $19,641 | $21,225 | +286% | $19,924 | +311% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $81,507 | $19,562 | $17,762 | +359% | $21,056 | +287% | ≈126% of Medicare |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $81,498 | $19,559 | $18,081 | +351% | $18,081 | +351% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $81,111 | $19,467 | $29,250 | +177% | $36,937 | +120% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $80,989 | $19,437 | $22,888 | +254% | $22,888 | +254% | ≈133% of Medicare |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $80,777 | $19,387 | $18,330 | +341% | $17,298 | +367% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $80,096 | $19,223 | $33,399 | +140% | $36,505 | +119% | — |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $79,599 | $19,104 | $43,354 | +84% | $31,044 | +156% | — |
| 683 | RENAL FAILURE WITH CC | $79,580 | $19,099 | $19,733 | +303% | $19,130 | +316% | ≈129% of Medicare |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $79,543 | $19,090 | $41,111 | +93% | $32,031 | +148% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $79,348 | $19,044 | $25,361 | +213% | $24,944 | +218% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $79,338 | $19,041 | $31,063 | +155% | $26,280 | +202% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $79,036 | $18,969 | $31,874 | +148% | $29,743 | +166% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $78,582 | $18,860 | $101,662 | −23% | $89,207 | −12% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $78,471 | $18,833 | $33,592 | +134% | $40,162 | +95% | — |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $77,854 | $18,685 | $32,467 | +140% | $31,170 | +150% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $77,702 | $18,648 | $22,024 | +253% | $22,024 | +253% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $77,549 | $18,612 | $23,503 | +230% | $24,914 | +211% | — |
| 187 | PLEURAL EFFUSION WITH CC | $77,389 | $18,573 | $22,288 | +247% | $21,789 | +255% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $77,311 | $18,555 | $27,492 | +181% | $28,320 | +173% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $77,237 | $18,537 | $50,131 | +54% | $49,418 | +56% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $77,174 | $18,522 | $29,596 | +161% | $32,841 | +135% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $77,151 | $18,516 | $33,987 | +127% | $25,703 | +200% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $77,052 | $18,492 | $32,490 | +137% | $27,394 | +181% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $76,883 | $18,452 | $27,552 | +179% | $20,727 | +271% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $76,652 | $18,396 | $44,639 | +72% | $46,090 | +66% | — |
| 313 | CHEST PAIN | $76,490 | $18,358 | $15,837 | +383% | $16,440 | +365% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $76,381 | $18,331 | $23,749 | +222% | $23,749 | +222% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $76,259 | $18,302 | $68,616 | +11% | $52,908 | +44% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $76,121 | $18,269 | $20,881 | +265% | $18,466 | +312% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $75,703 | $18,169 | $19,854 | +281% | $19,854 | +281% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $75,675 | $18,162 | $24,191 | +213% | $32,021 | +136% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $75,611 | $18,147 | $50,614 | +49% | $40,548 | +86% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $75,491 | $18,118 | $35,349 | +114% | $33,876 | +123% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $75,197 | $18,047 | $28,602 | +163% | $25,748 | +192% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $74,981 | $17,995 | $29,623 | +153% | $27,543 | +172% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $74,854 | $17,965 | $43,631 | +72% | $43,631 | +72% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $74,456 | $17,869 | $13,824 | +439% | $13,824 | +439% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $74,408 | $17,858 | $22,637 | +229% | $22,506 | +231% | — |
| 694 | URINARY STONES WITHOUT MCC | $74,381 | $17,851 | $17,347 | +329% | $17,345 | +329% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $74,160 | $17,798 | $22,033 | +237% | $22,033 | +237% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $74,115 | $17,788 | $102,573 | −28% | $102,573 | −28% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $74,100 | $17,784 | $36,807 | +101% | $33,386 | +122% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $74,099 | $17,784 | $16,299 | +355% | $14,514 | +411% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $74,086 | $17,781 | $35,692 | +108% | $35,692 | +108% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $74,075 | $17,778 | $51,359 | +44% | $42,186 | +76% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $73,776 | $17,706 | $23,951 | +208% | $19,073 | +287% | — |
| 949 | AFTERCARE WITH CC/MCC | $73,738 | $17,697 | $23,953 | +208% | $23,953 | +208% | — |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $73,262 | $17,583 | $28,651 | +156% | $22,811 | +221% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $73,046 | $17,531 | $22,197 | +229% | $20,957 | +249% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $72,993 | $17,518 | $39,619 | +84% | $39,619 | +84% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $72,828 | $17,479 | $20,566 | +254% | $20,566 | +254% | — |
| 312 | SYNCOPE AND COLLAPSE | $72,793 | $17,470 | $19,342 | +276% | $19,342 | +276% | ≈124% of Medicare |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $72,762 | $17,463 | $15,464 | +371% | $12,252 | +494% | — |
| 865 | VIRAL ILLNESS WITH MCC | $72,758 | $17,462 | $32,083 | +127% | $26,910 | +170% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $72,712 | $17,451 | $23,971 | +203% | $22,314 | +226% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $71,959 | $17,270 | $33,834 | +113% | $33,834 | +113% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $71,825 | $17,238 | $20,896 | +244% | $20,181 | +256% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $71,790 | $17,230 | $25,192 | +185% | $20,247 | +255% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $71,692 | $17,206 | $33,325 | +115% | $32,877 | +118% | — |
| 638 | DIABETES WITH CC | $71,676 | $17,202 | $20,361 | +252% | $19,661 | +265% | ≈120% of Medicare |
| 101 | SEIZURES WITHOUT MCC | $71,427 | $17,142 | $20,461 | +249% | $20,461 | +249% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $71,149 | $17,076 | $18,002 | +295% | $18,002 | +295% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $71,056 | $17,053 | $20,455 | +247% | $20,455 | +247% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $70,903 | $17,017 | $63,279 | +12% | $54,562 | +30% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $70,869 | $17,008 | $21,880 | +224% | $20,895 | +239% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $70,422 | $16,901 | $25,820 | +173% | $23,443 | +200% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $70,282 | $16,868 | $33,694 | +109% | $33,694 | +109% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $69,837 | $16,761 | $17,831 | +292% | $19,745 | +254% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $69,786 | $16,749 | $21,886 | +219% | $22,098 | +216% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $69,388 | $16,653 | $56,127 | +24% | $44,546 | +56% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $69,159 | $16,598 | $39,020 | +77% | $39,020 | +77% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $68,819 | $16,516 | $33,424 | +106% | $33,424 | +106% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $68,396 | $16,415 | $31,950 | +114% | $26,932 | +154% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $68,257 | $16,382 | $29,747 | +129% | $31,264 | +118% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $67,933 | $16,304 | $26,533 | +156% | $21,847 | +211% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $67,828 | $16,279 | $33,907 | +100% | $33,103 | +105% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $67,640 | $16,234 | $21,205 | +219% | $19,594 | +245% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $67,575 | $16,218 | $17,347 | +290% | $17,038 | +297% | ≈142% of Medicare |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $67,267 | $16,144 | $17,795 | +278% | $17,578 | +283% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $67,157 | $16,118 | $15,549 | +332% | $15,549 | +332% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $67,117 | $16,108 | $24,948 | +169% | $31,321 | +114% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $66,884 | $16,052 | $59,859 | +12% | $51,608 | +30% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $66,884 | $16,052 | $22,628 | +196% | $20,901 | +220% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $66,830 | $16,039 | $22,790 | +193% | $25,970 | +157% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $66,768 | $16,024 | $19,072 | +250% | $18,807 | +255% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $66,697 | $16,007 | $18,004 | +270% | $18,004 | +270% | — |
| 603 | CELLULITIS WITHOUT MCC | $66,317 | $15,916 | $19,553 | +239% | $18,530 | +258% | ≈141% of Medicare |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $65,729 | $15,775 | $38,998 | +69% | $30,553 | +115% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $65,655 | $15,757 | $16,525 | +297% | $15,019 | +337% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $65,560 | $15,735 | $26,611 | +146% | $30,784 | +113% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $65,549 | $15,732 | $33,633 | +95% | $33,633 | +95% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $65,542 | $15,730 | $37,033 | +77% | $34,607 | +89% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $65,278 | $15,667 | $19,176 | +240% | $18,602 | +251% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $65,062 | $15,615 | $14,638 | +344% | $14,638 | +344% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $64,987 | $15,597 | $18,126 | +259% | $18,126 | +259% | — |
| 200 | PNEUMOTHORAX WITH CC | $64,970 | $15,593 | $24,586 | +164% | $21,368 | +204% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $64,775 | $15,546 | $22,941 | +182% | $23,198 | +179% | — |
| 149 | DYSEQUILIBRIUM | $64,743 | $15,538 | $16,594 | +290% | $18,096 | +258% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $64,473 | $15,473 | $16,412 | +293% | $17,303 | +273% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $64,188 | $15,405 | $22,552 | +185% | $22,468 | +186% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $63,966 | $15,352 | $38,631 | +66% | $36,792 | +74% | — |
| 245 | AICD GENERATOR PROCEDURES | $63,538 | $15,249 | $95,281 | −33% | $72,076 | −12% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $63,279 | $15,187 | $22,641 | +179% | $21,275 | +197% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $63,273 | $15,185 | $16,104 | +293% | $16,767 | +277% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $63,253 | $15,181 | $17,638 | +259% | $17,921 | +253% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $63,223 | $15,173 | $17,322 | +265% | $17,322 | +265% | ≈116% of Medicare |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $62,950 | $15,108 | $17,817 | +253% | $17,674 | +256% | ≈136% of Medicare |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $62,900 | $15,096 | $28,553 | +120% | $27,401 | +130% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $62,877 | $15,090 | $47,696 | +32% | $37,267 | +69% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $62,837 | $15,081 | $28,125 | +123% | $28,125 | +123% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $62,606 | $15,026 | $14,927 | +319% | $14,549 | +330% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $61,623 | $14,789 | $21,280 | +190% | $17,733 | +248% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $61,581 | $14,780 | $20,344 | +203% | $15,855 | +288% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $61,474 | $14,754 | $28,209 | +118% | $19,686 | +212% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $61,417 | $14,740 | $30,493 | +101% | $30,493 | +101% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $61,274 | $14,706 | $16,565 | +270% | $16,565 | +270% | — |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $61,058 | $14,654 | $16,077 | +280% | $12,593 | +385% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $60,873 | $14,610 | $13,384 | +355% | $13,384 | +355% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $60,842 | $14,602 | $16,097 | +278% | $19,227 | +216% | — |
| 539 | OSTEOMYELITIS WITH MCC | $60,720 | $14,573 | $41,277 | +47% | $37,609 | +61% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $60,670 | $14,561 | $22,817 | +166% | $16,703 | +263% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $60,630 | $14,551 | $32,100 | +89% | $32,100 | +89% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $60,519 | $14,525 | $18,528 | +227% | $18,528 | +227% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $60,191 | $14,446 | $31,166 | +93% | $27,808 | +116% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $60,119 | $14,429 | $36,491 | +65% | $32,645 | +84% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $60,073 | $14,418 | $22,590 | +166% | $25,303 | +137% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $59,986 | $14,397 | $16,634 | +261% | $16,634 | +261% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $59,724 | $14,334 | $27,063 | +121% | $25,581 | +133% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $59,644 | $14,314 | $38,836 | +54% | $38,836 | +54% | — |
| 697 | URETHRAL STRICTURE | $59,055 | $14,173 | $22,239 | +166% | $18,428 | +220% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $58,662 | $14,079 | $21,216 | +176% | $20,911 | +181% | — |
| 103 | HEADACHES WITHOUT MCC | $58,564 | $14,055 | $18,874 | +210% | $21,280 | +175% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $58,292 | $13,990 | $33,137 | +76% | $33,393 | +75% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $58,266 | $13,984 | $18,150 | +221% | $18,150 | +221% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $58,164 | $13,959 | $13,326 | +336% | $12,999 | +347% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $57,797 | $13,871 | $34,749 | +66% | $34,749 | +66% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $57,314 | $13,755 | $30,242 | +90% | $30,242 | +90% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $56,587 | $13,581 | $23,711 | +139% | $22,432 | +152% | — |
| 311 | ANGINA PECTORIS | $55,972 | $13,433 | $15,502 | +261% | $15,502 | +261% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $55,839 | $13,401 | $21,236 | +163% | $16,700 | +234% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $55,349 | $13,284 | $20,861 | +165% | $17,934 | +209% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $55,188 | $13,245 | $33,279 | +66% | $30,557 | +81% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $54,953 | $13,189 | $24,000 | +129% | $17,226 | +219% | — |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $54,637 | $13,113 | $23,643 | +131% | $34,146 | +60% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $54,166 | $13,000 | $19,638 | +176% | $15,452 | +251% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $53,949 | $12,948 | $17,287 | +212% | $15,428 | +250% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $53,840 | $12,922 | $19,842 | +171% | $19,842 | +171% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $53,838 | $12,921 | $21,129 | +155% | $18,316 | +194% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $53,800 | $12,912 | $15,156 | +255% | $13,651 | +294% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $53,651 | $12,876 | $33,506 | +60% | $33,454 | +60% | — |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $53,609 | $12,866 | $23,643 | +127% | $21,663 | +147% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $53,586 | $12,861 | $13,683 | +292% | $15,183 | +253% | — |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $53,099 | $12,744 | $18,577 | +186% | $14,055 | +278% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $52,933 | $12,704 | $22,635 | +134% | $22,635 | +134% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $52,466 | $12,592 | $18,841 | +178% | $14,209 | +269% | — |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $52,356 | $12,566 | $18,978 | +176% | $14,290 | +266% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $52,332 | $12,560 | $13,318 | +293% | $13,361 | +292% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $52,324 | $12,558 | $34,316 | +52% | $26,598 | +97% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $52,217 | $12,532 | $20,725 | +152% | $16,968 | +208% | — |
| 151 | EPISTAXIS WITHOUT MCC | $52,006 | $12,482 | $16,827 | +209% | $13,032 | +299% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $51,971 | $12,473 | $24,644 | +111% | $18,459 | +182% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $51,676 | $12,402 | $19,118 | +170% | $16,371 | +216% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $51,463 | $12,351 | $19,935 | +158% | $18,640 | +176% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $51,448 | $12,348 | $29,805 | +73% | $29,805 | +73% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $51,256 | $12,301 | $19,096 | +168% | $19,096 | +168% | — |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $51,033 | $12,248 | $23,289 | +119% | $25,628 | +99% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $50,922 | $12,221 | $25,034 | +103% | $25,034 | +103% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $50,401 | $12,096 | $13,642 | +269% | $13,642 | +269% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $50,350 | $12,084 | $35,872 | +40% | $27,152 | +85% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $50,324 | $12,078 | $15,267 | +230% | $14,415 | +249% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $49,998 | $12,000 | $22,641 | +121% | $17,601 | +184% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $49,650 | $11,916 | $19,584 | +154% | $16,699 | +197% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $49,497 | $11,879 | $15,031 | +229% | $14,053 | +252% | — |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $48,962 | $11,751 | $17,775 | +175% | $13,586 | +260% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $48,764 | $11,703 | $14,927 | +227% | $14,927 | +227% | — |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $48,538 | $11,649 | $36,467 | +33% | $35,831 | +35% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $48,054 | $11,533 | $28,065 | +71% | $27,426 | +75% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $47,540 | $11,410 | $65,608 | −28% | $65,608 | −28% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $47,126 | $11,310 | $25,552 | +84% | $18,133 | +160% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $46,858 | $11,246 | $18,139 | +158% | $17,118 | +174% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $45,395 | $10,895 | $57,323 | −21% | $18,649 | +143% | — |
| 666 | PROSTATECTOMY WITH CC | $45,134 | $10,832 | $36,569 | +23% | $31,906 | +41% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $45,120 | $10,829 | $14,880 | +203% | $16,288 | +177% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $44,555 | $10,693 | $28,626 | +56% | $27,989 | +59% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $44,409 | $10,658 | $46,317 | −4% | $43,650 | +2% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $43,701 | $10,488 | $19,422 | +125% | $15,215 | +187% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $43,667 | $10,480 | $32,248 | +35% | $28,140 | +55% | — |
| 540 | OSTEOMYELITIS WITH CC | $43,645 | $10,475 | $28,728 | +52% | $26,676 | +64% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $43,451 | $10,428 | $17,953 | +142% | $15,215 | +186% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $43,399 | $10,416 | $23,551 | +84% | $23,551 | +84% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $43,196 | $10,367 | $31,816 | +36% | $35,465 | +22% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $42,922 | $10,301 | $40,894 | +5% | $29,221 | +47% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $42,894 | $10,294 | $28,029 | +53% | $22,320 | +92% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $42,221 | $10,133 | $31,974 | +32% | $26,463 | +60% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $42,149 | $10,116 | $24,439 | +72% | $17,483 | +141% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $42,014 | $10,083 | $13,639 | +208% | $11,071 | +280% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $41,574 | $9,978 | $21,977 | +89% | $21,941 | +89% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $41,399 | $9,936 | $16,592 | +150% | $12,895 | +221% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $41,192 | $9,886 | $14,134 | +191% | $15,038 | +174% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $41,134 | $9,872 | $23,571 | +75% | $23,571 | +75% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $41,080 | $9,859 | $23,887 | +72% | $18,956 | +117% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $41,016 | $9,844 | $25,769 | +59% | $21,230 | +93% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $40,716 | $9,772 | $27,947 | +46% | $27,947 | +46% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $40,535 | $9,728 | $79,225 | −49% | $79,225 | −49% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $40,104 | $9,625 | $28,156 | +42% | $28,156 | +42% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $39,879 | $9,571 | $56,278 | −29% | $39,173 | +2% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $39,211 | $9,411 | $15,975 | +145% | $12,559 | +212% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $38,808 | $9,314 | $16,607 | +134% | $14,716 | +164% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $38,269 | $9,185 | $30,846 | +24% | $25,094 | +53% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $37,982 | $9,116 | $24,042 | +58% | $23,283 | +63% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $36,963 | $8,871 | $14,128 | +162% | $14,128 | +162% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $36,910 | $8,858 | $23,289 | +58% | $13,613 | +171% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $35,602 | $8,544 | $15,839 | +125% | $12,454 | +186% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $34,846 | $8,363 | $17,700 | +97% | $17,700 | +97% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $34,551 | $8,292 | $45,240 | −24% | $35,030 | −1% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $34,235 | $8,216 | $33,519 | +2% | $30,770 | +11% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $33,304 | $7,993 | $19,815 | +68% | $19,846 | +68% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $33,230 | $7,975 | $20,084 | +65% | $20,084 | +65% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $33,061 | $7,935 | $16,450 | +101% | $16,450 | +101% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $32,135 | $7,712 | $15,799 | +103% | $14,583 | +120% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $31,832 | $7,640 | $13,599 | +134% | $10,975 | +190% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $31,798 | $7,632 | $15,411 | +106% | $14,797 | +115% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $31,613 | $7,587 | $25,279 | +25% | $25,279 | +25% | — |
| 779 | ABORTION WITHOUT D&C | $31,515 | $7,564 | $20,752 | +52% | $15,327 | +106% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $31,280 | $7,507 | $22,557 | +39% | $19,264 | +62% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $29,525 | $7,086 | $28,593 | +3% | $26,870 | +10% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $28,981 | $6,955 | $22,155 | +31% | $15,370 | +89% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $27,669 | $6,641 | $34,802 | −20% | $31,300 | −12% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $26,644 | $6,395 | $26,302 | +1% | $25,712 | +4% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $26,043 | $6,250 | $13,425 | +94% | $10,160 | +156% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $25,057 | $6,014 | $16,064 | +56% | $13,275 | +89% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $24,932 | $5,984 | $24,337 | +2% | $16,846 | +48% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $24,821 | $5,957 | $25,700 | −3% | $25,700 | −3% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $24,383 | $5,852 | $13,855 | +76% | $12,324 | +98% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $22,541 | $5,410 | $33,653 | −33% | $33,653 | −33% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $22,500 | $5,400 | $19,642 | +15% | $17,081 | +32% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $21,766 | $5,224 | $14,743 | +48% | $13,942 | +56% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $21,571 | $5,177 | $19,138 | +13% | $19,138 | +13% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $21,294 | $5,111 | $23,369 | −9% | $20,232 | +5% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $21,223 | $5,093 | $11,539 | +84% | $9,940 | +114% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $21,084 | $5,060 | $29,481 | −28% | $25,463 | −17% | ≈122% of Medicare |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $20,242 | $4,858 | $14,148 | +43% | $12,078 | +68% | — |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $19,240 | $4,618 | $26,242 | −27% | $19,598 | −2% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $18,622 | $4,469 | $27,494 | −32% | $22,458 | −17% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $18,134 | $4,352 | $23,352 | −22% | $19,657 | −8% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $18,004 | $4,321 | $18,126 | −1% | $18,126 | −1% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $17,483 | $4,196 | $21,494 | −19% | $19,962 | −12% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $16,877 | $4,050 | $21,494 | −21% | $18,452 | −9% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $10,363 | $2,487 | $17,665 | −41% | $8,445 | +23% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $10,262 | $2,463 | $43,800 | −77% | $43,800 | −77% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,090 | $2,182 | $28,935 | −69% | $16,351 | −44% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $5,268 | — | $39,105 | −87% | $36,431 | −86% | — |
| 795 | NORMAL NEWBORN | $5,194 | $1,246 | $6,664 | −22% | $4,720 | +10% | — |
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 |
|---|---|---|---|
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | — | 29 plans |
No procedures match that keyword.