Tahoe Forest Hospital — Pricing
350 procedures published in this hospital's Machine-Readable File (MRF) — 348 with a comparable price, 2 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 350
Lowest published price $1,363
Average published price $42,108
Highest published price $250,233
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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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 350 procedures
Published charges
Showing all 348 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.
| DRG | Description | Published price | Cash price | vs. CA median | vs. National median | ||
|---|---|---|---|---|---|---|---|
| 509 | ARTHROSCOPY | $250,233 | $250,233 | $38,998 | +542% | $25,994 | +863% |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $193,403 | $193,403 | $124,290 | +56% | $148,832 | +30% |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $190,479 | $190,479 | $96,507 | +97% | $96,507 | +97% |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $182,031 | $182,031 | $114,040 | +60% | $108,472 | +68% |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $166,532 | $166,532 | $54,815 | +204% | $46,453 | +258% |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $159,623 | $159,623 | $96,245 | +66% | $80,793 | +98% |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $159,507 | $159,507 | $66,819 | +139% | $71,464 | +123% |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $157,187 | $157,187 | $56,127 | +180% | $44,546 | +253% |
| 503 | FOOT PROCEDURES WITH MCC | $156,725 | $156,725 | $55,321 | +183% | $47,540 | +230% |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $154,161 | $154,161 | $77,817 | +98% | $77,817 | +98% |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $143,930 | $143,930 | $38,960 | +269% | $34,937 | +312% |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $140,938 | $140,938 | $116,058 | +21% | $116,058 | +21% |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $138,596 | $138,596 | $43,384 | +219% | $29,524 | +369% |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $136,003 | $136,003 | $34,588 | +293% | $27,617 | +392% |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $134,063 | $134,063 | $64,956 | +106% | $72,424 | +85% |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $126,886 | $126,886 | $54,929 | +131% | $54,929 | +131% |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $126,748 | $126,748 | $69,597 | +82% | $51,953 | +144% |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $124,522 | $124,522 | $70,026 | +78% | $56,964 | +119% |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $123,316 | $123,316 | $75,103 | +64% | $75,103 | +64% |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $122,749 | $122,749 | $68,421 | +79% | $70,847 | +73% |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $122,608 | $122,608 | $60,274 | +103% | $65,653 | +87% |
| 711 | TESTES PROCEDURES WITH CC/MCC | $119,114 | $119,114 | $42,414 | +181% | $38,343 | +211% |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $118,277 | $118,277 | $29,805 | +297% | $29,805 | +297% |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $112,251 | $112,251 | $64,105 | +75% | $61,872 | +81% |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $110,232 | $110,232 | $33,424 | +230% | $33,424 | +230% |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $108,548 | $108,548 | $88,050 | +23% | $88,050 | +23% |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $106,683 | $106,683 | $29,250 | +265% | $36,937 | +189% |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $105,729 | $105,729 | $60,402 | +75% | $58,228 | +82% |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $104,965 | $104,965 | $58,975 | +78% | $58,975 | +78% |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $102,006 | $102,006 | $62,334 | +64% | $70,467 | +45% |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $96,916 | $96,916 | $70,540 | +37% | $70,564 | +37% |
| 263 | VEIN LIGATION AND STRIPPING | $95,604 | $95,604 | $55,918 | +71% | $51,253 | +87% |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $94,338 | $94,338 | $53,666 | +76% | $58,707 | +61% |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $93,338 | $93,338 | $44,730 | +109% | $42,914 | +117% |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $93,069 | $93,069 | $62,821 | +48% | $62,821 | +48% |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $90,891 | $90,891 | $43,538 | +109% | $43,538 | +109% |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $89,644 | $89,644 | $65,788 | +36% | $65,788 | +36% |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $89,172 | $89,172 | $46,332 | +92% | $50,463 | +77% |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $88,119 | $88,119 | $28,553 | +209% | $27,401 | +222% |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $85,858 | $85,858 | $51,387 | +67% | $40,060 | +114% |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $84,735 | $84,735 | $41,857 | +102% | $50,607 | +67% |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $84,355 | $84,355 | $47,452 | +78% | $45,333 | +86% |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $84,310 | $84,310 | $45,703 | +84% | $52,751 | +60% |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $83,333 | $83,333 | $50,562 | +65% | $59,500 | +40% |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $83,116 | $83,116 | $44,639 | +86% | $46,090 | +80% |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $82,485 | $82,485 | $50,011 | +65% | $50,011 | +65% |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $81,160 | $81,160 | $42,775 | +90% | $39,958 | +103% |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $80,933 | $80,933 | $50,777 | +59% | $53,451 | +51% |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $79,928 | $79,928 | $70,132 | +14% | $70,132 | +14% |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $79,503 | $79,503 | $58,274 | +36% | $58,274 | +36% |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $79,377 | $79,377 | $51,645 | +54% | $59,421 | +34% |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $78,629 | $78,629 | $51,189 | +54% | $59,651 | +32% |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $78,061 | $78,061 | $43,800 | +78% | $43,800 | +78% |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $77,324 | $77,324 | $51,487 | +50% | $50,046 | +55% |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $76,498 | $76,498 | $35,217 | +117% | $41,955 | +82% |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $73,234 | $73,234 | $101,662 | −28% | $89,207 | −18% |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $71,904 | $71,904 | $73,751 | −3% | $61,470 | +17% |
| 398 | APPENDIX PROCEDURES WITH CC | $71,772 | $71,772 | $33,592 | +114% | $40,162 | +79% |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $70,774 | $70,774 | $46,799 | +51% | $58,280 | +21% |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $70,559 | $70,559 | $71,092 | −1% | $71,092 | −1% |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $69,427 | $69,427 | $86,699 | −20% | $76,001 | −9% |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $69,010 | $69,010 | $41,855 | +65% | $47,711 | +45% |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $68,975 | $68,975 | $43,631 | +58% | $43,631 | +58% |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $67,401 | $67,401 | $28,593 | +136% | $26,870 | +151% |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $66,833 | $66,833 | $46,317 | +44% | $43,650 | +53% |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $64,497 | $64,497 | $37,933 | +70% | $31,105 | +107% |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $64,064 | $64,064 | $36,445 | +76% | $36,445 | +76% |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $63,460 | $63,460 | $35,872 | +77% | $27,152 | +134% |
| 592 | SKIN ULCERS WITH MCC | $62,753 | $62,753 | $41,848 | +50% | $33,246 | +89% |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $61,052 | $61,052 | $40,063 | +52% | $41,591 | +47% |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $60,918 | $60,918 | $64,194 | −5% | $55,289 | +10% |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $60,786 | $60,786 | $36,651 | +66% | $44,117 | +38% |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $60,754 | $60,754 | $33,633 | +81% | $33,633 | +81% |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $60,529 | $60,529 | $32,445 | +87% | $24,586 | +146% |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $60,121 | $60,121 | $44,357 | +36% | $43,943 | +37% |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $59,790 | $59,790 | $36,816 | +62% | $44,606 | +34% |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $58,562 | $58,562 | $24,220 | +142% | $20,926 | +180% |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $57,607 | $57,607 | $28,651 | +101% | $22,811 | +153% |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $57,602 | $57,602 | $25,034 | +130% | $25,034 | +130% |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $56,834 | $56,834 | $79,939 | −29% | $73,120 | −22% |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $56,767 | $56,767 | $21,363 | +166% | $21,363 | +166% |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $56,465 | $56,465 | $32,248 | +75% | $28,140 | +101% |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $56,231 | $56,231 | $35,591 | +58% | $34,273 | +64% |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $55,988 | $55,988 | $45,849 | +22% | $40,108 | +40% |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $54,823 | $54,823 | $28,209 | +94% | $23,498 | +133% |
| 906 | HAND PROCEDURES FOR INJURIES | $54,661 | $54,661 | $47,513 | +15% | $32,065 | +70% |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $54,571 | $54,571 | $38,541 | +42% | $32,443 | +68% |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $54,514 | $54,514 | $27,492 | +98% | $28,320 | +92% |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $54,206 | $54,206 | $75,820 | −29% | $66,685 | −19% |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $53,802 | $53,802 | $22,024 | +144% | $22,024 | +144% |
| 305 | HYPERTENSION WITHOUT MCC | $53,301 | $53,301 | $16,665 | +220% | $18,086 | +195% |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $53,285 | $53,285 | $39,057 | +36% | $33,985 | +57% |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $53,078 | $53,078 | $40,552 | +31% | $40,552 | +31% |
| 539 | OSTEOMYELITIS WITH MCC | $52,539 | $52,539 | $41,277 | +27% | $37,609 | +40% |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $51,647 | $51,647 | $40,894 | +26% | $29,221 | +77% |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $51,523 | $51,523 | $39,422 | +31% | $34,276 | +50% |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $51,246 | $51,246 | $39,619 | +29% | $39,619 | +29% |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $50,782 | $50,782 | $49,765 | +2% | $40,362 | +26% |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $50,532 | $50,532 | $39,360 | +28% | $38,101 | +33% |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $50,405 | $50,405 | $28,340 | +78% | $22,557 | +123% |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $48,948 | $48,948 | $86,246 | −43% | $84,692 | −42% |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $48,384 | $48,384 | $35,080 | +38% | $35,074 | +38% |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $48,351 | $48,351 | $27,552 | +75% | $20,727 | +133% |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $47,487 | $47,487 | $20,084 | +136% | $20,084 | +136% |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $47,081 | $47,081 | $29,747 | +58% | $31,264 | +51% |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $46,666 | $46,666 | $23,749 | +96% | $23,749 | +96% |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $46,018 | $46,018 | $42,126 | +9% | $42,126 | +9% |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $45,308 | $45,308 | $19,815 | +129% | $19,846 | +128% |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $45,131 | $45,131 | $39,013 | +16% | $33,255 | +36% |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $44,731 | $44,731 | $69,724 | −36% | $66,068 | −32% |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $44,200 | $44,200 | $35,375 | +25% | $39,006 | +13% |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $44,135 | $44,135 | $24,042 | +84% | $23,283 | +90% |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $43,828 | $43,828 | $47,797 | −8% | $41,608 | +5% |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $43,589 | $43,589 | $28,602 | +52% | $25,748 | +69% |
| 540 | OSTEOMYELITIS WITH CC | $43,497 | $43,497 | $28,728 | +51% | $26,676 | +63% |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $43,173 | $43,173 | $23,571 | +83% | $23,571 | +83% |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $42,786 | $42,786 | $37,842 | +13% | $37,842 | +13% |
| 637 | DIABETES WITH MCC | $42,690 | $42,690 | $31,753 | +34% | $30,100 | +42% |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $42,630 | $42,630 | $31,017 | +37% | $31,017 | +37% |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $42,341 | $42,341 | $33,907 | +25% | $33,103 | +28% |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $42,195 | $42,195 | $42,881 | −2% | $42,881 | −2% |
| 139 | SALIVARY GLAND PROCEDURES | $41,591 | $41,591 | $30,480 | +36% | $23,612 | +76% |
| 102 | HEADACHES WITH MCC | $40,984 | $40,984 | $25,740 | +59% | $25,740 | +59% |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $40,348 | $40,348 | $17,700 | +128% | $17,700 | +128% |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $39,690 | $39,690 | $20,259 | +96% | $20,259 | +96% |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $39,212 | $39,212 | $40,213 | −2% | $40,213 | −2% |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $39,168 | $39,168 | $24,337 | +61% | $16,846 | +133% |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $39,141 | $39,141 | $47,696 | −18% | $37,267 | +5% |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $39,134 | $39,134 | $94,937 | −59% | $93,172 | −58% |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $38,777 | $38,777 | $33,256 | +17% | $30,010 | +29% |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $38,369 | $38,369 | $25,361 | +51% | $24,944 | +54% |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $38,306 | $38,306 | $40,719 | −6% | $39,106 | −2% |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $38,178 | $38,178 | $19,842 | +92% | $19,842 | +92% |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $38,137 | $38,137 | $24,948 | +53% | $31,321 | +22% |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $37,773 | $37,773 | $53,274 | −29% | $49,423 | −24% |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $37,638 | $37,638 | $34,867 | +8% | $30,828 | +22% |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $37,137 | $37,137 | $33,399 | +11% | $36,505 | +2% |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $36,836 | $36,836 | $19,935 | +85% | $18,640 | +98% |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $36,423 | $36,423 | $23,289 | +56% | $12,397 | +194% |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $36,217 | $36,217 | $38,631 | −6% | $36,792 | −2% |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $36,050 | $36,050 | $48,788 | −26% | $38,998 | −8% |
| 602 | CELLULITIS WITH MCC | $36,018 | $36,018 | $31,970 | +13% | $30,598 | +18% |
| 834 | ACUTE LEUKEMIA WITH MCC | $35,840 | $35,840 | $100,245 | −64% | $85,566 | −58% |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $35,192 | $35,192 | $21,494 | +64% | $18,452 | +91% |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $35,191 | $35,191 | $42,463 | −17% | $34,459 | +2% |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $34,986 | $34,986 | $38,094 | −8% | $38,094 | −8% |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $34,720 | $34,720 | $47,089 | −26% | $45,877 | −24% |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $34,111 | $34,111 | $40,263 | −15% | $35,628 | −4% |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $33,822 | $33,822 | $23,141 | +46% | $23,141 | +46% |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $33,574 | $33,574 | $39,627 | −15% | $39,627 | −15% |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $33,400 | $33,400 | $37,213 | −10% | $31,159 | +7% |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $33,065 | $33,065 | $37,950 | −13% | $37,950 | −13% |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $32,832 | $32,832 | $35,961 | −9% | $34,017 | −3% |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $32,722 | $32,722 | $23,289 | +41% | $30,138 | +9% |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $32,676 | $32,676 | $23,767 | +37% | $20,422 | +60% |
| 915 | ALLERGIC REACTIONS WITH MCC | $31,990 | $31,990 | $36,491 | −12% | $32,645 | −2% |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $31,892 | $31,892 | $35,692 | −11% | $35,692 | −11% |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $31,889 | $31,889 | $35,243 | −10% | $32,628 | −2% |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $31,774 | $31,774 | $36,340 | −13% | $29,826 | +7% |
| 694 | URINARY STONES WITHOUT MCC | $31,522 | $31,522 | $17,347 | +82% | $17,345 | +82% |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $30,967 | $30,967 | $35,675 | −13% | $31,563 | −2% |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $30,793 | $30,793 | $22,635 | +36% | $22,635 | +36% |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $30,584 | $30,584 | $34,354 | −11% | $34,354 | −11% |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $30,532 | $30,532 | $37,764 | −19% | $43,477 | −30% |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $30,443 | $30,443 | $50,218 | −39% | $38,878 | −22% |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $30,309 | $30,309 | $36,506 | −17% | $31,951 | −5% |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $30,105 | $30,105 | $33,325 | −10% | $32,877 | −8% |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $29,466 | $29,466 | $33,279 | −11% | $30,557 | −4% |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $29,053 | $29,053 | $22,155 | +31% | $15,370 | +89% |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $28,900 | $28,900 | $18,126 | +59% | $18,126 | +59% |
| 504 | FOOT PROCEDURES WITH CC | $28,886 | $28,886 | $38,960 | −26% | $38,960 | −26% |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $28,712 | $28,712 | $29,252 | −2% | $27,275 | +5% |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $28,691 | $28,691 | $35,113 | −18% | $34,192 | −16% |
| 643 | ENDOCRINE DISORDERS WITH MCC | $28,562 | $28,562 | $35,135 | −19% | $33,563 | −15% |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $28,113 | $28,113 | $30,922 | −9% | $28,226 | −0% |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $28,054 | $28,054 | $59,790 | −53% | $59,790 | −53% |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $27,884 | $27,884 | $27,470 | +2% | $26,580 | +5% |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $27,756 | $27,756 | $28,966 | −4% | $26,776 | +4% |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $27,633 | $27,633 | $25,820 | +7% | $23,443 | +18% |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $27,600 | $27,600 | $24,177 | +14% | $24,177 | +14% |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $27,356 | $27,356 | $34,839 | −21% | $30,235 | −10% |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,350 | $27,350 | $38,483 | −29% | $33,047 | −17% |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $27,277 | $27,277 | $21,494 | +27% | $19,962 | +37% |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $27,088 | $27,088 | $28,515 | −5% | $28,050 | −3% |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $27,068 | $27,068 | $30,959 | −13% | $30,959 | −13% |
| 101 | SEIZURES WITHOUT MCC | $26,975 | $26,975 | $20,461 | +32% | $20,461 | +32% |
| 638 | DIABETES WITH CC | $26,901 | $26,901 | $20,361 | +32% | $19,661 | +37% |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $26,780 | $26,780 | $38,998 | −31% | $30,553 | −12% |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $25,977 | $25,977 | $14,148 | +84% | $12,078 | +115% |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $25,920 | $25,920 | $33,519 | −23% | $30,770 | −16% |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $25,892 | $25,892 | $34,448 | −25% | $33,707 | −23% |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $25,724 | $25,724 | $27,163 | −5% | $27,163 | −5% |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $25,702 | $25,702 | $16,064 | +60% | $13,275 | +94% |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $25,690 | $25,690 | $45,785 | −44% | $39,181 | −34% |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $25,440 | $25,440 | $22,888 | +11% | $22,888 | +11% |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $25,383 | $25,383 | $33,779 | −25% | $32,697 | −22% |
| 312 | SYNCOPE AND COLLAPSE | $25,254 | $25,254 | $19,342 | +31% | $19,342 | +31% |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $25,244 | $25,244 | $33,267 | −24% | $24,550 | +3% |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $25,108 | $25,108 | $15,031 | +67% | $14,053 | +79% |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $24,847 | $24,847 | $34,078 | −27% | $39,211 | −37% |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $24,506 | $24,506 | $18,126 | +35% | $18,126 | +35% |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $24,161 | $24,161 | $16,412 | +47% | $17,303 | +40% |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $24,070 | $24,070 | $51,985 | −54% | $51,985 | −54% |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $23,983 | $23,983 | $21,886 | +10% | $22,098 | +9% |
| 292 | HEART FAILURE AND SHOCK WITH CC | $23,953 | $23,953 | $19,118 | +25% | $16,371 | +46% |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $23,842 | $23,842 | $36,661 | −35% | $33,555 | −29% |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $23,787 | $23,787 | $22,641 | +5% | $17,601 | +35% |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $23,722 | $23,722 | $25,980 | −9% | $23,617 | +0% |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $23,656 | $23,656 | $20,896 | +13% | $20,181 | +17% |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $23,450 | $23,450 | $16,592 | +41% | $12,895 | +82% |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $23,403 | $23,403 | $17,322 | +35% | $17,322 | +35% |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $23,359 | $23,359 | $27,277 | −14% | $27,277 | −14% |
| 593 | SKIN ULCERS WITH CC | $23,244 | $23,244 | $27,143 | −14% | $22,886 | +2% |
| 603 | CELLULITIS WITHOUT MCC | $23,152 | $23,152 | $19,553 | +18% | $18,530 | +25% |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $23,044 | $23,044 | $34,802 | −34% | $31,300 | −26% |
| 571 | SKIN DEBRIDEMENT WITH CC | $22,984 | $22,984 | $37,169 | −38% | $37,169 | −38% |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $22,916 | $22,916 | $24,075 | −5% | $23,319 | −2% |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,789 | $22,789 | $20,488 | +11% | $20,488 | +11% |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $22,503 | $22,503 | $29,894 | −25% | $24,127 | −7% |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $22,480 | $22,480 | $28,156 | −20% | $28,156 | −20% |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $22,461 | $22,461 | $42,837 | −48% | $34,598 | −35% |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $22,360 | $22,360 | $19,638 | +14% | $15,452 | +45% |
| 199 | PNEUMOTHORAX WITH MCC | $21,997 | $21,997 | $36,952 | −40% | $33,787 | −35% |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $21,933 | $21,933 | $22,590 | −3% | $25,303 | −13% |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $21,866 | $21,866 | $13,599 | +61% | $10,975 | +99% |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $21,842 | $21,842 | $21,216 | +3% | $20,911 | +4% |
| 200 | PNEUMOTHORAX WITH CC | $21,581 | $21,581 | $24,586 | −12% | $21,368 | +1% |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $21,428 | $21,428 | $31,982 | −33% | $30,571 | −30% |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $21,277 | $21,277 | $35,532 | −40% | $32,496 | −35% |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $20,778 | $20,778 | $20,344 | +2% | $15,855 | +31% |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $20,621 | $20,621 | $17,638 | +17% | $17,921 | +15% |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $20,379 | $20,379 | $49,382 | −59% | $39,973 | −49% |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $20,205 | $20,205 | $32,490 | −38% | $27,394 | −26% |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $20,144 | $20,144 | $17,817 | +13% | $17,674 | +14% |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $20,109 | $20,109 | $21,449 | −6% | $21,449 | −6% |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $20,105 | $20,105 | $15,600 | +29% | $15,600 | +29% |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $20,084 | $20,084 | $48,634 | −59% | $47,737 | −58% |
| 949 | AFTERCARE WITH CC/MCC | $19,925 | $19,925 | $23,953 | −17% | $23,953 | −17% |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $19,556 | $19,556 | $21,280 | −8% | $17,733 | +10% |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $19,177 | $19,177 | $31,874 | −40% | $29,743 | −36% |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $19,085 | $19,085 | $19,584 | −3% | $16,699 | +14% |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $19,070 | $19,070 | $14,128 | +35% | $14,128 | +35% |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $19,034 | $19,034 | $18,002 | +6% | $18,002 | +6% |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $19,010 | $19,010 | $26,770 | −29% | $26,770 | −29% |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $18,827 | $18,827 | $36,658 | −49% | $36,658 | −49% |
| 548 | SEPTIC ARTHRITIS WITH MCC | $18,779 | $18,779 | $41,146 | −54% | $31,346 | −40% |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $18,749 | $18,749 | $11,539 | +62% | $9,940 | +89% |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $18,418 | $18,418 | $24,644 | −25% | $18,459 | −0% |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $18,227 | $18,227 | $21,460 | −15% | $17,724 | +3% |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $18,208 | $18,208 | $22,197 | −18% | $20,957 | −13% |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $18,071 | $18,071 | $25,279 | −29% | $25,279 | −29% |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $18,025 | $18,025 | $30,645 | −41% | $27,285 | −34% |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $17,991 | $17,991 | $22,850 | −21% | $22,850 | −21% |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $17,936 | $17,936 | $39,105 | −54% | $36,431 | −51% |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $17,403 | $17,403 | $56,278 | −69% | $39,173 | −56% |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $17,383 | $17,383 | $19,492 | −11% | $19,119 | −9% |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $17,297 | $17,297 | $22,790 | −24% | $25,970 | −33% |
| 950 | AFTERCARE WITHOUT CC/MCC | $16,987 | $16,987 | $13,527 | +26% | $13,527 | +26% |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $16,948 | $16,948 | $17,522 | −3% | $17,620 | −4% |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $16,723 | $16,723 | $29,481 | −43% | $25,463 | −34% |
| 881 | DEPRESSIVE NEUROSES | $16,543 | $16,543 | $20,293 | −18% | $15,058 | +10% |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $16,478 | $16,478 | $38,187 | −57% | $32,859 | −50% |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $16,476 | $16,476 | $13,384 | +23% | $13,384 | +23% |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $16,310 | $16,310 | $43,328 | −62% | $38,070 | −57% |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $16,248 | $16,248 | $35,584 | −54% | $35,584 | −54% |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $16,172 | $16,172 | $20,506 | −21% | $20,506 | −21% |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $16,142 | $16,142 | $40,150 | −60% | $39,955 | −60% |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $15,946 | $15,946 | $24,930 | −36% | $24,386 | −35% |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $15,843 | $15,843 | $15,462 | +2% | $12,460 | +27% |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $15,791 | $15,791 | $18,204 | −13% | $18,204 | −13% |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $15,752 | $15,752 | $22,628 | −30% | $20,901 | −25% |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $15,707 | $15,707 | $43,483 | −64% | $38,666 | −59% |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $15,703 | $15,703 | $19,176 | −18% | $18,602 | −16% |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $15,494 | $15,494 | $19,185 | −19% | $15,889 | −2% |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $15,453 | $15,453 | $17,347 | −11% | $17,038 | −9% |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $14,957 | $14,957 | $13,683 | +9% | $15,183 | −1% |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $14,920 | $14,920 | $22,575 | −34% | $23,940 | −38% |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $14,913 | $14,913 | $53,208 | −72% | $50,618 | −71% |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $14,592 | $14,592 | $39,018 | −63% | $39,018 | −63% |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $14,329 | $14,329 | $27,494 | −48% | $22,458 | −36% |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $14,179 | $14,179 | $32,473 | −56% | $30,502 | −54% |
| 779 | ABORTION WITHOUT D&C | $14,163 | $14,163 | $20,752 | −32% | $15,327 | −8% |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $14,157 | $14,157 | $37,921 | −63% | $37,387 | −62% |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $14,024 | $14,024 | $29,623 | −53% | $27,543 | −49% |
| 639 | DIABETES WITHOUT CC/MCC | $13,754 | $13,754 | $13,910 | −1% | $13,910 | −1% |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $13,705 | $13,705 | $22,641 | −39% | $21,275 | −36% |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $13,602 | $13,602 | $15,464 | −12% | $12,252 | +11% |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $13,336 | $13,336 | $16,634 | −20% | $16,634 | −20% |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $13,325 | $13,325 | $17,087 | −22% | $14,648 | −9% |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $13,163 | $13,163 | $23,396 | −44% | $23,488 | −44% |
| 549 | SEPTIC ARTHRITIS WITH CC | $13,161 | $13,161 | $26,753 | −51% | $24,056 | −45% |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,151 | $13,151 | $34,467 | −62% | $27,316 | −52% |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $13,071 | $13,071 | $21,396 | −39% | $21,396 | −39% |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $12,775 | $12,775 | $28,065 | −54% | $27,426 | −53% |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $12,707 | $12,707 | $22,153 | −43% | $17,698 | −28% |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $12,666 | $12,666 | $22,637 | −44% | $22,506 | −44% |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $12,507 | $12,507 | $28,029 | −55% | $22,320 | −44% |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $12,358 | $12,358 | $29,523 | −58% | $24,552 | −50% |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,320 | $12,320 | $22,941 | −46% | $23,198 | −47% |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $12,129 | $12,129 | $38,951 | −69% | $32,637 | −63% |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $12,049 | $12,049 | $19,072 | −37% | $18,807 | −36% |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $11,983 | $11,983 | $22,552 | −47% | $22,468 | −47% |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $11,750 | $11,750 | $23,352 | −50% | $19,657 | −40% |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $11,716 | $11,716 | $16,097 | −27% | $19,227 | −39% |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $11,671 | $11,671 | $17,795 | −34% | $17,578 | −34% |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $11,517 | $11,517 | $20,108 | −43% | $18,488 | −38% |
| 184 | MAJOR CHEST TRAUMA WITH CC | $11,464 | $11,464 | $23,711 | −52% | $22,432 | −49% |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $11,112 | $11,112 | $13,824 | −20% | $13,824 | −20% |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $11,093 | $11,093 | $28,935 | −62% | $16,351 | −32% |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $10,934 | $10,934 | $20,463 | −47% | $20,463 | −47% |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $10,775 | $10,775 | $15,280 | −29% | $20,781 | −48% |
| 304 | HYPERTENSION WITH MCC | $10,499 | $10,499 | $26,080 | −60% | $26,080 | −60% |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $10,315 | $10,315 | $15,839 | −35% | $12,454 | −17% |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $10,037 | $10,037 | $19,096 | −47% | $19,096 | −47% |
| 682 | RENAL FAILURE WITH MCC | $9,686 | $9,686 | $32,520 | −70% | $29,064 | −67% |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $9,664 | $9,664 | $35,352 | −73% | $26,682 | −64% |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $9,568 | $9,568 | $14,743 | −35% | $13,942 | −31% |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $9,361 | $9,361 | $20,881 | −55% | $18,466 | −49% |
| 866 | VIRAL ILLNESS WITHOUT MCC | $9,344 | $9,344 | $19,642 | −52% | $17,081 | −45% |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,949 | $8,949 | $57,323 | −84% | $18,649 | −52% |
| 683 | RENAL FAILURE WITH CC | $8,934 | $8,934 | $19,733 | −55% | $19,130 | −53% |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $8,927 | $8,927 | $13,326 | −33% | $12,999 | −31% |
| 149 | DYSEQUILIBRIUM | $8,569 | $8,569 | $16,594 | −48% | $18,096 | −53% |
| 813 | COAGULATION DISORDERS | $8,311 | $8,311 | $33,296 | −75% | $33,296 | −75% |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $8,138 | $8,138 | $45,376 | −82% | $41,892 | −81% |
| 088 | CONCUSSION WITH MCC | $8,025 | $8,025 | $30,986 | −74% | $24,402 | −67% |
| 152 | OTITIS MEDIA AND URI WITH MCC | $7,607 | $7,607 | $25,192 | −70% | $20,247 | −62% |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,334 | $7,334 | $18,330 | −60% | $17,298 | −58% |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $7,318 | $7,318 | $29,117 | −75% | $27,043 | −73% |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $7,148 | $7,148 | $13,318 | −46% | $13,361 | −46% |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $6,036 | $6,036 | $70,373 | −91% | $42,679 | −86% |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,771 | $5,771 | $13,425 | −57% | $10,160 | −43% |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $5,726 | $5,726 | $33,957 | −83% | $29,933 | −81% |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $5,035 | $5,035 | $25,700 | −80% | $25,700 | −80% |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $4,631 | $4,631 | $23,503 | −80% | $24,914 | −81% |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $4,545 | $4,545 | $16,104 | −72% | $16,767 | −73% |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,412 | $4,412 | $34,988 | −87% | $12,229 | −64% |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $3,992 | $3,992 | $13,855 | −71% | $12,324 | −68% |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,873 | $3,873 | $17,665 | −78% | $8,445 | −54% |
| 885 | PSYCHOSES | $3,575 | $3,575 | $30,968 | −88% | $21,729 | −84% |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $3,543 | $3,543 | $31,950 | −89% | $26,932 | −87% |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $3,266 | $3,266 | $18,081 | −82% | $18,081 | −82% |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $3,046 | $3,046 | $18,150 | −83% | $18,150 | −83% |
| 795 | NORMAL NEWBORN | $2,932 | $2,932 | $6,664 | −56% | $4,720 | −38% |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,828 | $2,828 | $24,000 | −88% | $17,226 | −84% |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $2,238 | $2,238 | $33,506 | −93% | $33,454 | −93% |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $2,189 | $2,189 | $18,528 | −88% | $18,528 | −88% |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $1,363 | $1,363 | $15,549 | −91% | $15,549 | −91% |
Procedures with negotiated rates only
These 2 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 |
|---|---|---|---|
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | — | 22 plans |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $19,857 – $26,410 · median $20,254 | 3 plans |
No procedures match that keyword.