Washington Health — Pricing
598 procedures published in this hospital's Machine-Readable File (MRF) — 597 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 598
Lowest published price $7,197
Average published price $163,122
Highest published price $1,577,126
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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Showing all 598 procedures
Published charges
Showing all 597 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 76 procedures, this hospital's negotiated rates average ≈110% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $1,577,126 | $1,025,132 | $196,346 | +703% | $196,346 | +703% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,281,288 | $832,837 | $371,366 | +245% | $371,366 | +245% | — |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $1,273,080 | — | $81,298 | +1466% | $72,962 | +1645% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $967,208 | $628,685 | $155,631 | +521% | $147,227 | +557% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $940,017 | $611,011 | $248,521 | +278% | $248,521 | +278% | — |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $890,991 | $579,144 | $23,289 | +3726% | $103,861 | +758% | — |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $877,464 | $570,352 | $23,643 | +3611% | $80,427 | +991% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $818,842 | $532,247 | $116,058 | +606% | $116,058 | +606% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $802,577 | $521,675 | $83,441 | +862% | $83,441 | +862% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $747,452 | $485,844 | $36,442 | +1951% | $69,101 | +982% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $742,947 | $482,915 | $191,314 | +288% | $208,939 | +256% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $724,245 | $470,759 | $153,282 | +372% | $153,282 | +372% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $710,281 | $461,682 | $89,523 | +693% | $87,761 | +709% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $667,726 | $434,022 | $124,290 | +437% | $148,832 | +349% | ≈57% of Medicare |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $659,813 | $428,878 | $121,714 | +442% | $123,995 | +432% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $656,120 | $426,478 | $107,355 | +511% | $107,355 | +511% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $642,181 | $417,418 | $92,515 | +594% | $92,515 | +594% | — |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $593,455 | $385,746 | $148,686 | +299% | $148,686 | +299% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $587,693 | $382,000 | $175,437 | +235% | $188,171 | +212% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $565,445 | $367,539 | $144,569 | +291% | $144,569 | +291% | — |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $551,653 | $358,574 | $71,106 | +676% | $66,711 | +727% | — |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $543,476 | $353,259 | $117,280 | +363% | $117,280 | +363% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $541,143 | $351,743 | $131,961 | +310% | $131,961 | +310% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $537,367 | $349,288 | $136,374 | +294% | $120,573 | +346% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $533,078 | $346,500 | $76,907 | +593% | $54,196 | +884% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $519,878 | $337,921 | $106,778 | +387% | $106,778 | +387% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $510,224 | $331,645 | $51,339 | +894% | $59,629 | +756% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $508,395 | $330,457 | $79,225 | +542% | $79,225 | +542% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $508,096 | $330,263 | $42,423 | +1098% | $33,851 | +1401% | — |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $489,737 | $318,329 | $23,643 | +1971% | $57,380 | +753% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $489,146 | $317,945 | $102,128 | +379% | $102,128 | +379% | — |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $485,201 | $315,381 | $143,242 | +239% | $143,242 | +239% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $480,959 | $312,623 | $53,208 | +804% | $50,618 | +850% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $468,529 | $304,544 | $67,560 | +593% | $59,533 | +687% | — |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $465,099 | $302,314 | $113,157 | +311% | $103,455 | +350% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $442,947 | $287,915 | $101,662 | +336% | $89,207 | +397% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $442,801 | $287,821 | $102,573 | +332% | $102,573 | +332% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $428,201 | $278,331 | $75,820 | +465% | $66,685 | +542% | — |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $423,815 | $275,480 | $23,643 | +1693% | $86,864 | +388% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $421,910 | $274,242 | $52,959 | +697% | $43,491 | +870% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $420,654 | $273,425 | $82,561 | +410% | $82,561 | +410% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $417,920 | $271,648 | $35,899 | +1064% | $51,625 | +710% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $409,531 | $266,195 | $90,775 | +351% | $90,775 | +351% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $400,140 | $260,091 | $75,103 | +433% | $75,103 | +433% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $393,333 | $255,666 | $23,289 | +1589% | $56,836 | +592% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $393,301 | — | $33,424 | +1077% | $33,424 | +1077% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $391,171 | $254,261 | $70,026 | +459% | $56,964 | +587% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $389,058 | $252,888 | $96,245 | +304% | $80,793 | +382% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $388,055 | $252,236 | $69,597 | +458% | $51,953 | +647% | — |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $387,721 | $252,019 | $112,062 | +246% | $112,062 | +246% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $383,790 | $249,464 | $125,242 | +206% | $125,242 | +206% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $378,427 | $245,977 | $64,956 | +483% | $72,424 | +423% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $372,612 | $242,198 | $90,331 | +312% | $90,331 | +312% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $363,556 | $236,312 | $102,177 | +256% | $111,320 | +227% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $360,643 | $234,418 | $108,750 | +232% | $96,192 | +275% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $359,690 | $233,799 | $88,307 | +307% | $88,307 | +307% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $352,715 | $229,264 | $79,939 | +341% | $73,120 | +382% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $348,761 | $226,695 | $94,937 | +267% | $93,172 | +274% | ≈92% of Medicare |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $346,269 | $225,075 | $96,507 | +259% | $96,507 | +259% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $345,657 | $224,677 | $48,235 | +617% | $45,866 | +654% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $341,912 | $222,243 | $74,755 | +357% | $74,755 | +357% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $341,538 | $222,000 | $60,140 | +468% | $60,170 | +468% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $340,938 | $221,610 | $71,014 | +380% | $71,014 | +380% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $332,727 | $216,273 | $99,423 | +235% | $99,423 | +235% | ≈471% of Medicare |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $329,193 | $213,976 | $113,855 | +189% | $113,855 | +189% | ≈378% of Medicare |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $327,860 | $213,109 | $114,040 | +187% | $108,472 | +202% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $327,300 | $212,745 | $69,724 | +369% | $66,068 | +395% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $323,959 | $210,573 | $55,276 | +486% | $41,422 | +682% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $322,795 | $209,817 | $82,247 | +292% | $82,247 | +292% | — |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $320,864 | $208,561 | $72,461 | +343% | $66,848 | +380% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $318,222 | $206,845 | $76,219 | +318% | $76,219 | +318% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $318,053 | $206,734 | $88,050 | +261% | $88,050 | +261% | ≈90% of Medicare |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $313,970 | $204,081 | $91,329 | +244% | $91,329 | +244% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $312,661 | $203,230 | $45,785 | +583% | $39,181 | +698% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $306,554 | $199,260 | $45,849 | +569% | $40,108 | +664% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $305,885 | $198,825 | $39,018 | +684% | $39,018 | +684% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $297,940 | $193,661 | $60,905 | +389% | $49,710 | +499% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $295,526 | $192,092 | $66,666 | +343% | $66,666 | +343% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $291,582 | $189,528 | $42,414 | +587% | $38,343 | +660% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $290,220 | $188,643 | $64,523 | +350% | $64,523 | +350% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $281,354 | $182,880 | $88,341 | +218% | $90,195 | +212% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $276,433 | $179,682 | $84,725 | +226% | $101,510 | +172% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $276,235 | $179,553 | $59,537 | +364% | $59,537 | +364% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $270,093 | $175,560 | $35,675 | +657% | $31,563 | +756% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $269,234 | $175,002 | $70,132 | +284% | $70,132 | +284% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $268,094 | $174,261 | $75,573 | +255% | $75,573 | +255% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $265,249 | $172,412 | $96,905 | +174% | $96,905 | +174% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $260,012 | $169,008 | $91,138 | +185% | $90,724 | +187% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $258,091 | $167,759 | $83,065 | +211% | $85,159 | +203% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $257,994 | $167,696 | $48,760 | +429% | $36,167 | +613% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $252,192 | $163,925 | $54,345 | +364% | $45,167 | +458% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $251,780 | $163,657 | $28,029 | +798% | $22,320 | +1028% | — |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $251,036 | $163,173 | $104,583 | +140% | $104,583 | +140% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $249,628 | $162,258 | $62,334 | +300% | $70,467 | +254% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $249,593 | $162,235 | $53,274 | +369% | $49,423 | +405% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $248,993 | $161,845 | $51,189 | +386% | $59,651 | +317% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $248,655 | $161,626 | $60,959 | +308% | $81,706 | +204% | ≈92% of Medicare |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $246,732 | $160,376 | $65,788 | +275% | $65,788 | +275% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $244,845 | $159,149 | $52,735 | +364% | $62,264 | +293% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $241,935 | $157,257 | $68,639 | +252% | $68,639 | +252% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $241,803 | $157,172 | $70,540 | +243% | $70,564 | +243% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $240,092 | $156,060 | $49,382 | +386% | $39,973 | +501% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $239,925 | $155,951 | $60,274 | +298% | $65,653 | +265% | — |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $239,729 | $155,824 | $79,836 | +200% | $79,836 | +200% | — |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $238,886 | $155,276 | $106,057 | +125% | $106,057 | +125% | — |
| 813 | COAGULATION DISORDERS | $238,870 | $155,266 | $33,296 | +617% | $33,296 | +617% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $235,042 | $152,777 | $107,269 | +119% | $80,018 | +194% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $232,766 | $151,298 | $53,141 | +338% | $56,755 | +310% | — |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $230,126 | $149,582 | $78,852 | +192% | $78,852 | +192% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $229,024 | $148,866 | $66,819 | +243% | $71,464 | +220% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $228,883 | $148,774 | $81,281 | +182% | $77,990 | +193% | ≈88% of Medicare |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $227,925 | $148,152 | $70,373 | +224% | $42,679 | +434% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $226,167 | $147,009 | $50,139 | +351% | $50,139 | +351% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $223,962 | $145,576 | $68,508 | +227% | $68,508 | +227% | ≈86% of Medicare |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $223,587 | $145,332 | $33,633 | +565% | $33,633 | +565% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $220,059 | $143,038 | $95,536 | +130% | $93,390 | +136% | — |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $218,833 | $142,241 | $125,675 | +74% | $102,600 | +113% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $218,820 | $142,233 | $43,538 | +403% | $43,538 | +403% | — |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $218,182 | $141,818 | $92,217 | +137% | $92,217 | +137% | ≈334% of Medicare |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $214,115 | $139,175 | $40,719 | +426% | $39,106 | +448% | ≈842% of Medicare |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $212,924 | $138,401 | $50,624 | +321% | $50,624 | +321% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $212,071 | $137,846 | $77,178 | +175% | $71,795 | +195% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $209,691 | $136,299 | $47,583 | +341% | $47,583 | +341% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $209,196 | $135,978 | $62,677 | +234% | $53,864 | +288% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $208,385 | $135,450 | $49,209 | +323% | $42,415 | +391% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $206,976 | $134,534 | $77,817 | +166% | $77,817 | +166% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $204,378 | $132,846 | $58,975 | +247% | $58,975 | +247% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $202,413 | $131,568 | $59,790 | +239% | $59,790 | +239% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $201,897 | $131,233 | $62,821 | +221% | $62,821 | +221% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $201,847 | $131,200 | $52,405 | +285% | $52,405 | +285% | ≈103% of Medicare |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $201,531 | $130,995 | $28,993 | +595% | $26,051 | +674% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $200,573 | $130,372 | $69,089 | +190% | $52,036 | +285% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $200,345 | $130,224 | $56,127 | +257% | $44,546 | +350% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $198,977 | $129,335 | $38,960 | +411% | $34,937 | +470% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $197,821 | $128,584 | $65,573 | +202% | $65,573 | +202% | ≈108% of Medicare |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $197,279 | $128,232 | $65,325 | +202% | $65,325 | +202% | ≈102% of Medicare |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $197,164 | $128,157 | $54,273 | +263% | $52,178 | +278% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $197,143 | $128,143 | $50,011 | +294% | $50,011 | +294% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $196,735 | $127,878 | $36,658 | +437% | $36,658 | +437% | — |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $195,995 | $127,397 | $42,837 | +358% | $34,598 | +466% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $194,946 | $126,715 | $20,259 | +862% | $20,259 | +862% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $194,553 | $126,460 | $63,279 | +207% | $54,562 | +257% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $194,075 | $126,149 | $39,105 | +396% | $36,431 | +433% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $193,481 | $125,763 | $43,800 | +342% | $43,800 | +342% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $193,332 | $125,666 | $39,013 | +396% | $33,255 | +481% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $192,338 | $125,019 | $42,775 | +350% | $39,958 | +381% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $192,086 | $124,856 | $51,985 | +270% | $51,985 | +270% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $191,772 | $124,652 | $48,682 | +294% | $48,682 | +294% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $191,037 | $124,174 | $53,746 | +255% | $57,454 | +233% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $187,886 | $122,126 | $45,703 | +311% | $52,751 | +256% | ≈110% of Medicare |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $187,109 | $121,621 | $32,248 | +480% | $28,140 | +565% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $184,260 | $119,769 | $45,376 | +306% | $41,892 | +340% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $183,278 | $119,131 | $71,092 | +158% | $71,092 | +158% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $183,055 | $118,986 | $28,626 | +539% | $27,989 | +554% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $182,734 | $118,777 | $68,653 | +166% | $68,653 | +166% | — |
| 088 | CONCUSSION WITH MCC | $182,211 | $118,437 | $30,986 | +488% | $24,402 | +647% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $181,221 | $117,793 | $31,974 | +467% | $26,463 | +585% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $179,633 | $116,762 | $68,421 | +163% | $70,847 | +154% | ≈131% of Medicare |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $179,599 | $116,740 | $34,817 | +416% | $33,661 | +434% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $179,489 | $116,668 | $71,755 | +150% | $71,755 | +150% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $178,340 | $115,921 | $43,775 | +307% | $44,139 | +304% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $178,260 | $115,869 | $33,256 | +436% | $30,010 | +494% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $178,194 | $115,826 | $86,246 | +107% | $84,692 | +110% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $178,038 | $115,725 | $44,489 | +300% | $46,283 | +285% | ≈101% of Medicare |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $177,522 | $115,389 | $44,639 | +298% | $46,090 | +285% | — |
| 665 | PROSTATECTOMY WITH MCC | $176,566 | $114,768 | $68,562 | +158% | $54,072 | +227% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $176,051 | $114,433 | $38,187 | +361% | $32,859 | +436% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $175,873 | $114,317 | $32,907 | +434% | $25,945 | +578% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $175,614 | $114,149 | $40,694 | +332% | $40,694 | +332% | — |
| 150 | EPISTAXIS WITH MCC | $174,249 | $113,262 | $30,507 | +471% | $23,171 | +652% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $173,842 | $112,997 | $20,455 | +750% | $20,455 | +750% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $173,297 | $112,643 | $37,921 | +357% | $37,387 | +364% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $171,051 | $111,183 | $37,214 | +360% | $52,075 | +228% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $171,027 | $111,167 | $34,613 | +394% | $27,633 | +519% | — |
| 199 | PNEUMOTHORAX WITH MCC | $170,565 | $110,867 | $36,952 | +362% | $33,787 | +405% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $168,496 | $109,523 | $35,770 | +371% | $35,770 | +371% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $168,022 | $109,215 | $46,799 | +259% | $58,280 | +188% | ≈113% of Medicare |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $166,553 | $108,260 | $35,217 | +373% | $41,955 | +297% | — |
| 100 | SEIZURES WITH MCC | $165,508 | $107,580 | $40,653 | +307% | $35,481 | +366% | ≈95% of Medicare |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $165,501 | $107,576 | $39,020 | +324% | $39,020 | +324% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $164,915 | $107,195 | $40,365 | +309% | $40,365 | +309% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $162,382 | $105,548 | $86,699 | +87% | $76,001 | +114% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $161,954 | $105,270 | $33,325 | +386% | $32,877 | +393% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $161,867 | $105,214 | $49,631 | +226% | $50,394 | +221% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $160,563 | $104,366 | $40,163 | +300% | $58,809 | +173% | ≈106% of Medicare |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $159,961 | $103,975 | $54,583 | +193% | $54,583 | +193% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $159,948 | $103,966 | $53,666 | +198% | $58,707 | +172% | ≈117% of Medicare |
| 504 | FOOT PROCEDURES WITH CC | $158,501 | $103,025 | $38,960 | +307% | $38,960 | +307% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $158,472 | $103,007 | $38,836 | +308% | $38,836 | +308% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $157,723 | $102,520 | $54,929 | +187% | $54,929 | +187% | ≈108% of Medicare |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $157,016 | $102,061 | $40,213 | +290% | $40,213 | +290% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $156,072 | $101,446 | $46,288 | +237% | $36,489 | +328% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $155,370 | $100,990 | $44,068 | +253% | $32,574 | +377% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $154,956 | $100,721 | $40,150 | +286% | $39,955 | +288% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $154,202 | $100,231 | $40,263 | +283% | $35,628 | +333% | ≈97% of Medicare |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $153,413 | $99,718 | $40,063 | +283% | $41,591 | +269% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $153,224 | $99,596 | $47,583 | +222% | $41,620 | +268% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $152,532 | $99,146 | $41,857 | +264% | $50,607 | +201% | ≈109% of Medicare |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $151,876 | $98,720 | $42,126 | +261% | $40,562 | +274% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $151,551 | $98,508 | $30,887 | +391% | $39,887 | +280% | — |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $151,302 | $98,346 | $51,387 | +194% | $40,060 | +278% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $150,582 | $97,878 | $48,634 | +210% | $47,737 | +215% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $150,283 | $97,684 | $46,332 | +224% | $50,463 | +198% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $148,835 | $96,742 | $41,191 | +261% | $36,670 | +306% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $148,107 | $96,270 | $33,653 | +340% | $33,653 | +340% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $148,092 | $96,260 | $46,317 | +220% | $43,650 | +239% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $147,733 | $96,027 | $42,126 | +251% | $42,126 | +251% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $146,552 | $95,259 | $100,245 | +46% | $85,566 | +71% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $146,103 | $94,967 | $27,470 | +432% | $26,580 | +450% | ≈92% of Medicare |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $146,090 | $94,959 | $42,881 | +241% | $42,881 | +241% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $145,982 | $94,888 | $35,375 | +313% | $39,006 | +274% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $145,836 | $94,793 | $34,689 | +320% | $46,295 | +215% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $144,137 | $93,689 | $35,113 | +310% | $34,192 | +322% | ≈102% of Medicare |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $142,523 | $92,640 | $30,846 | +362% | $25,094 | +468% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $142,410 | $92,567 | $63,709 | +124% | $52,435 | +172% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $142,059 | $92,338 | $44,357 | +220% | $43,943 | +223% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $141,493 | $91,970 | $34,588 | +309% | $27,617 | +412% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $141,035 | $91,672 | $44,730 | +215% | $42,914 | +229% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $140,689 | $91,448 | $36,506 | +285% | $31,951 | +340% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $139,181 | $90,467 | $39,619 | +251% | $39,619 | +251% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $137,993 | $89,696 | $70,371 | +96% | $70,371 | +96% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $137,766 | $89,548 | $37,950 | +263% | $37,950 | +263% | ≈108% of Medicare |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $137,295 | $89,242 | $46,724 | +194% | $46,724 | +194% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $137,040 | $89,076 | $43,483 | +215% | $38,666 | +254% | ≈103% of Medicare |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $136,571 | $88,771 | $46,477 | +194% | $49,351 | +177% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $135,764 | $88,246 | $75,754 | +79% | $59,594 | +128% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $135,593 | $88,135 | $30,959 | +338% | $30,959 | +338% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $135,315 | $87,955 | $50,777 | +166% | $53,451 | +153% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $134,748 | $87,586 | $35,692 | +278% | $35,692 | +278% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $134,262 | $87,270 | $54,751 | +145% | $53,257 | +152% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $132,640 | $86,216 | $33,779 | +293% | $32,697 | +306% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $132,513 | $86,133 | $28,946 | +358% | $21,894 | +505% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $131,706 | $85,609 | $40,583 | +225% | $43,298 | +204% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $131,641 | $85,567 | $35,349 | +272% | $33,876 | +289% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $131,479 | $85,462 | $25,267 | +420% | $26,618 | +394% | — |
| 682 | RENAL FAILURE WITH MCC | $131,468 | $85,454 | $32,520 | +304% | $29,064 | +352% | ≈83% of Medicare |
| 571 | SKIN DEBRIDEMENT WITH CC | $131,291 | $85,339 | $37,169 | +253% | $37,169 | +253% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $130,653 | $84,924 | $73,751 | +77% | $61,470 | +113% | — |
| 333 | RECTAL RESECTION WITH CC | $130,422 | $84,774 | $46,551 | +180% | $37,154 | +251% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $128,808 | $83,725 | $34,344 | +275% | $27,975 | +360% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $127,688 | $82,997 | $34,448 | +271% | $33,707 | +279% | ≈98% of Medicare |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $127,298 | $82,744 | $38,094 | +234% | $38,094 | +234% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $127,067 | $82,593 | $25,192 | +404% | $20,247 | +528% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $127,050 | $82,583 | $32,490 | +291% | $27,394 | +364% | — |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $126,965 | $82,527 | $64,691 | +96% | $60,407 | +110% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $126,010 | $81,907 | $33,388 | +277% | $36,253 | +248% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $126,009 | $81,906 | $34,867 | +261% | $30,828 | +309% | ≈109% of Medicare |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $125,641 | $81,666 | $21,356 | +488% | $15,680 | +701% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $125,375 | $81,494 | $47,089 | +166% | $45,877 | +173% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $125,049 | $81,282 | $60,402 | +107% | $58,228 | +115% | ≈155% of Medicare |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $124,865 | $81,162 | $33,957 | +268% | $29,933 | +317% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $124,455 | $80,895 | $43,913 | +183% | $43,913 | +183% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $124,099 | $80,664 | $35,419 | +250% | $35,419 | +250% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $124,097 | $80,663 | $50,131 | +148% | $49,418 | +151% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $123,953 | $80,569 | $15,975 | +676% | $12,559 | +887% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $123,026 | $79,967 | $21,880 | +462% | $20,895 | +489% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $122,904 | $79,888 | $55,594 | +121% | $47,945 | +156% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $122,550 | $79,658 | $37,213 | +229% | $31,159 | +293% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $121,852 | $79,204 | $35,532 | +243% | $32,496 | +275% | ≈107% of Medicare |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $121,399 | $78,910 | $50,562 | +140% | $59,500 | +104% | — |
| 539 | OSTEOMYELITIS WITH MCC | $121,291 | $78,839 | $41,277 | +194% | $37,609 | +223% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $121,231 | $78,800 | $38,978 | +211% | $37,844 | +220% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $121,031 | $78,670 | $41,855 | +189% | $47,711 | +154% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $120,759 | $78,493 | $14,638 | +725% | $14,638 | +725% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $120,679 | $78,441 | $35,961 | +236% | $34,017 | +255% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $120,388 | $78,252 | $35,591 | +238% | $34,273 | +251% | ≈105% of Medicare |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $120,243 | $78,158 | $38,541 | +212% | $32,443 | +271% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $119,584 | $77,730 | $36,661 | +226% | $33,555 | +256% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $119,310 | $77,552 | $39,422 | +203% | $34,276 | +248% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $119,282 | $77,533 | $39,057 | +205% | $33,985 | +251% | ≈112% of Medicare |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $118,232 | $76,851 | $35,243 | +235% | $32,628 | +262% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $118,139 | $76,790 | $38,483 | +207% | $33,047 | +257% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $117,593 | $76,436 | $34,467 | +241% | $27,316 | +330% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $117,285 | $76,235 | $37,033 | +217% | $34,607 | +239% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $116,977 | $76,035 | $38,951 | +200% | $32,637 | +258% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $116,660 | $75,829 | $28,065 | +316% | $27,426 | +325% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $116,615 | $75,799 | $33,137 | +252% | $33,393 | +249% | ≈112% of Medicare |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $115,944 | $75,364 | $34,839 | +233% | $30,235 | +283% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $115,226 | $74,897 | $33,399 | +245% | $36,505 | +216% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $114,578 | $74,475 | $27,947 | +310% | $27,947 | +310% | — |
| 637 | DIABETES WITH MCC | $114,318 | $74,307 | $31,753 | +260% | $30,100 | +280% | ≈104% of Medicare |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $114,290 | $74,289 | $55,162 | +107% | $55,162 | +107% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $113,988 | $74,092 | $43,749 | +161% | $42,901 | +166% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $113,702 | $73,906 | $43,027 | +164% | $37,240 | +205% | — |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $113,448 | $73,741 | $60,265 | +88% | $52,986 | +114% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $113,360 | $73,684 | $26,770 | +323% | $26,770 | +323% | ≈106% of Medicare |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $113,093 | $73,511 | $36,807 | +207% | $33,386 | +239% | — |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $112,806 | $73,324 | $46,727 | +141% | $46,727 | +141% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $112,625 | $73,206 | $37,599 | +200% | $32,944 | +242% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $112,496 | $73,122 | $56,278 | +100% | $39,173 | +187% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $112,219 | $72,942 | $22,575 | +397% | $23,940 | +369% | ≈992% of Medicare |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $112,100 | $72,865 | $77,041 | +46% | $61,832 | +81% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $111,472 | $72,457 | $42,463 | +163% | $34,459 | +223% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $111,293 | $72,341 | $84,217 | +32% | $60,098 | +85% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $111,190 | $72,273 | $37,842 | +194% | $37,842 | +194% | ≈111% of Medicare |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $110,633 | $71,911 | $39,627 | +179% | $39,627 | +179% | — |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $110,356 | $71,732 | $16,077 | +586% | $12,593 | +776% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $109,536 | $71,198 | $37,477 | +192% | $26,510 | +313% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $109,437 | $71,134 | $35,352 | +210% | $26,682 | +310% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $109,288 | $71,037 | $19,305 | +466% | $19,305 | +466% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $109,125 | $70,931 | $31,816 | +243% | $35,465 | +208% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $108,829 | $70,739 | $28,966 | +276% | $26,776 | +306% | ≈101% of Medicare |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $107,929 | $70,154 | $29,252 | +269% | $27,275 | +296% | ≈104% of Medicare |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $107,424 | $69,826 | $32,100 | +235% | $32,100 | +235% | — |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $107,124 | $69,630 | $58,880 | +82% | $49,839 | +115% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $107,045 | $69,579 | $25,980 | +312% | $23,617 | +353% | ≈553% of Medicare |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $106,270 | $69,075 | $30,645 | +247% | $27,285 | +289% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $106,150 | $68,998 | $34,078 | +211% | $39,211 | +171% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $105,748 | $68,736 | $39,360 | +169% | $38,101 | +178% | — |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $105,623 | $68,655 | $48,353 | +118% | $47,789 | +121% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $104,601 | $67,991 | $27,277 | +283% | $27,277 | +283% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $104,335 | $67,818 | $32,473 | +221% | $30,502 | +242% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $104,270 | $67,775 | $44,363 | +135% | $44,363 | +135% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $103,571 | $67,321 | $49,066 | +111% | $49,066 | +111% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $103,112 | $67,023 | $33,834 | +205% | $33,834 | +205% | — |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $102,947 | $66,915 | $32,467 | +217% | $31,170 | +230% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $102,642 | $66,717 | $40,563 | +153% | $40,642 | +153% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $102,331 | $66,515 | $28,515 | +259% | $28,050 | +265% | ≈107% of Medicare |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $102,188 | $66,422 | $24,930 | +310% | $24,386 | +319% | ≈107% of Medicare |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $102,150 | $66,398 | $24,191 | +322% | $32,021 | +219% | ≈107% of Medicare |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $101,612 | $66,048 | $19,569 | +419% | $19,569 | +419% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $101,309 | $65,851 | $27,494 | +268% | $22,458 | +351% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $101,181 | $65,767 | $31,982 | +216% | $30,571 | +231% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $100,721 | $65,469 | $37,933 | +166% | $31,105 | +224% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $100,545 | $65,354 | $23,503 | +328% | $24,914 | +304% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $100,490 | $65,319 | $41,380 | +143% | $46,340 | +117% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $100,480 | $65,312 | $19,032 | +428% | $15,412 | +552% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $99,570 | $64,720 | $49,137 | +103% | $48,349 | +106% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $99,202 | $64,482 | $24,477 | +305% | $27,843 | +256% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $99,084 | $64,404 | $29,747 | +233% | $31,264 | +217% | — |
| 885 | PSYCHOSES | $98,890 | $64,278 | $30,968 | +219% | $21,729 | +355% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $98,880 | $64,272 | $29,805 | +232% | $29,805 | +232% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $96,973 | $63,032 | $36,816 | +163% | $44,606 | +117% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $96,736 | $62,879 | $15,280 | +533% | $20,781 | +366% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $96,500 | $62,725 | $28,125 | +243% | $28,125 | +243% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $96,292 | $62,590 | $24,644 | +291% | $18,459 | +422% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $95,700 | $62,205 | $15,600 | +513% | $15,600 | +513% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $95,116 | $61,826 | $32,445 | +193% | $24,586 | +287% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $94,577 | $61,475 | $47,452 | +99% | $45,333 | +109% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $94,520 | $61,438 | $36,230 | +161% | $30,447 | +210% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $94,120 | $61,178 | $37,764 | +149% | $43,477 | +116% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $93,952 | $61,069 | $33,506 | +180% | $33,454 | +181% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $92,957 | $60,422 | $36,651 | +154% | $44,117 | +111% | ≈115% of Medicare |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $92,948 | $60,416 | $25,034 | +271% | $25,034 | +271% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $92,826 | $60,337 | $30,493 | +204% | $30,493 | +204% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $92,609 | $60,196 | $23,971 | +286% | $22,314 | +315% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $92,293 | $59,991 | $58,043 | +59% | $58,043 | +59% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $92,249 | $59,962 | $51,645 | +79% | $59,421 | +55% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $91,989 | $59,793 | $23,711 | +288% | $22,432 | +310% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $91,908 | $59,740 | $51,487 | +79% | $50,046 | +84% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $91,763 | $59,646 | $23,767 | +286% | $20,422 | +349% | ≈110% of Medicare |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $91,403 | $59,412 | $20,506 | +346% | $20,506 | +346% | ≈111% of Medicare |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $90,947 | $59,115 | $14,072 | +546% | $11,421 | +696% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $90,325 | $58,711 | $15,267 | +492% | $14,415 | +527% | — |
| 602 | CELLULITIS WITH MCC | $90,079 | $58,551 | $31,970 | +182% | $30,598 | +194% | ≈110% of Medicare |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $89,009 | $57,856 | $35,080 | +154% | $35,074 | +154% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $88,895 | $57,782 | $24,177 | +268% | $24,177 | +268% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $88,504 | $57,528 | $21,216 | +317% | $20,911 | +323% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $88,489 | $57,518 | $22,628 | +291% | $20,901 | +323% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $88,458 | $57,498 | $22,790 | +288% | $25,970 | +241% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $88,385 | $57,450 | $31,017 | +185% | $31,017 | +185% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $87,597 | $56,938 | $29,596 | +196% | $32,841 | +167% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $87,286 | $56,736 | $33,048 | +164% | $33,048 | +164% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $86,568 | $56,269 | $15,156 | +471% | $13,651 | +534% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $86,296 | $56,093 | $29,523 | +192% | $24,552 | +251% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $86,147 | $55,996 | $22,197 | +288% | $20,957 | +311% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $85,543 | $55,603 | $29,250 | +192% | $36,937 | +132% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $85,347 | $55,476 | $24,075 | +255% | $23,319 | +266% | ≈111% of Medicare |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $85,346 | $55,475 | $29,117 | +193% | $27,043 | +216% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $84,908 | $55,190 | $25,825 | +229% | $22,446 | +278% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $84,867 | $55,164 | $19,584 | +333% | $16,699 | +408% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $84,514 | $54,934 | $20,344 | +315% | $15,855 | +433% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $84,394 | $54,856 | $31,048 | +172% | $27,861 | +203% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $84,373 | $54,842 | $34,354 | +146% | $34,354 | +146% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $84,091 | $54,659 | $14,927 | +463% | $14,549 | +478% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $83,316 | $54,156 | $21,396 | +289% | $21,396 | +289% | ≈113% of Medicare |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $83,047 | $53,980 | $27,163 | +206% | $27,163 | +206% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $82,758 | $53,793 | $33,592 | +146% | $40,162 | +106% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $82,619 | $53,702 | $34,434 | +140% | $34,434 | +140% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $82,126 | $53,382 | $19,096 | +330% | $19,096 | +330% | ≈111% of Medicare |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $82,005 | $53,303 | $22,268 | +268% | $17,737 | +362% | — |
| 935 | NON-EXTENSIVE BURNS | $81,809 | $53,176 | $43,274 | +89% | $31,701 | +158% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $81,806 | $53,174 | $20,861 | +292% | $17,934 | +356% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $81,716 | $53,115 | $35,872 | +128% | $27,152 | +201% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $81,591 | $53,034 | $20,463 | +299% | $20,463 | +299% | ≈109% of Medicare |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $81,424 | $52,925 | $30,418 | +168% | $30,418 | +168% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $81,108 | $52,720 | $25,769 | +215% | $21,230 | +282% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $80,589 | $52,383 | $64,105 | +26% | $61,872 | +30% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $80,388 | $52,252 | $16,097 | +399% | $19,227 | +318% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $80,200 | $52,130 | $35,135 | +128% | $33,563 | +139% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $80,160 | $52,104 | $21,363 | +275% | $21,363 | +275% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $79,948 | $51,966 | $29,481 | +171% | $25,463 | +214% | ≈368% of Medicare |
| 149 | DYSEQUILIBRIUM | $79,032 | $51,371 | $16,594 | +376% | $18,096 | +337% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $79,003 | $51,352 | $43,187 | +83% | $35,569 | +122% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $78,814 | $51,229 | $19,935 | +295% | $18,640 | +323% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $78,561 | $51,065 | $22,590 | +248% | $25,303 | +210% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $78,307 | $50,899 | $20,566 | +281% | $20,566 | +281% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $78,078 | $50,751 | $23,551 | +232% | $23,551 | +232% | — |
| 304 | HYPERTENSION WITH MCC | $78,034 | $50,722 | $26,080 | +199% | $26,080 | +199% | — |
| 312 | SYNCOPE AND COLLAPSE | $77,915 | $50,644 | $19,342 | +303% | $19,342 | +303% | ≈108% of Medicare |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $77,800 | $50,570 | $33,267 | +134% | $24,550 | +217% | — |
| 666 | PROSTATECTOMY WITH CC | $77,603 | $50,442 | $36,569 | +112% | $31,906 | +143% | — |
| 540 | OSTEOMYELITIS WITH CC | $77,055 | $50,086 | $28,728 | +168% | $26,676 | +189% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $76,861 | $49,960 | $21,225 | +262% | $19,924 | +286% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $76,457 | $49,697 | $22,888 | +234% | $22,888 | +234% | ≈472% of Medicare |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $76,017 | $49,411 | $23,141 | +228% | $23,141 | +228% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $75,953 | $49,370 | $25,700 | +196% | $25,700 | +196% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $75,849 | $49,302 | $43,631 | +74% | $43,631 | +74% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $75,824 | $49,286 | $17,522 | +333% | $17,620 | +330% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $75,516 | $49,086 | $19,492 | +287% | $19,119 | +295% | — |
| 881 | DEPRESSIVE NEUROSES | $75,433 | $49,031 | $20,293 | +272% | $15,058 | +401% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $75,386 | $49,001 | $23,951 | +215% | $19,073 | +295% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $75,275 | $48,929 | $29,623 | +154% | $27,543 | +173% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $74,481 | $48,412 | $22,941 | +225% | $23,198 | +221% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $74,243 | $48,258 | $38,998 | +90% | $30,553 | +143% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $73,722 | $47,919 | $22,024 | +235% | $22,024 | +235% | ≈112% of Medicare |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $73,582 | $47,828 | $17,762 | +314% | $21,056 | +249% | ≈114% of Medicare |
| 638 | DIABETES WITH CC | $73,304 | $47,648 | $20,361 | +260% | $19,661 | +273% | ≈113% of Medicare |
| 593 | SKIN ULCERS WITH CC | $73,248 | $47,611 | $27,143 | +170% | $22,886 | +220% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $72,594 | $47,186 | $50,614 | +43% | $40,548 | +79% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $72,504 | $47,128 | $20,896 | +247% | $20,181 | +259% | ≈106% of Medicare |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $72,290 | $46,989 | $23,396 | +209% | $23,488 | +208% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $71,929 | $46,754 | $19,176 | +275% | $18,602 | +287% | — |
| 311 | ANGINA PECTORIS | $71,709 | $46,611 | $15,502 | +363% | $15,502 | +363% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $71,679 | $46,591 | $20,086 | +257% | $16,552 | +333% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $71,664 | $46,581 | $21,449 | +234% | $21,449 | +234% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $71,542 | $46,502 | $16,412 | +336% | $17,303 | +313% | ≈110% of Medicare |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $71,158 | $46,253 | $28,553 | +149% | $27,401 | +160% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $71,111 | $46,222 | $21,977 | +224% | $21,941 | +224% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $70,691 | $45,949 | $14,880 | +375% | $16,288 | +334% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $70,644 | $45,919 | $31,812 | +122% | $32,833 | +115% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $70,639 | $45,915 | $17,265 | +309% | $17,124 | +313% | — |
| 865 | VIRAL ILLNESS WITH MCC | $70,155 | $45,601 | $32,083 | +119% | $26,910 | +161% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $69,735 | $45,328 | $24,648 | +183% | $23,573 | +196% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $69,226 | $44,997 | $17,087 | +305% | $14,648 | +373% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $68,967 | $44,829 | $24,948 | +176% | $31,321 | +120% | — |
| 139 | SALIVARY GLAND PROCEDURES | $68,832 | $44,741 | $30,480 | +126% | $23,612 | +192% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $68,821 | $44,734 | $34,802 | +98% | $31,300 | +120% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $68,771 | $44,701 | $20,355 | +238% | $17,135 | +301% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $68,748 | $44,686 | $25,361 | +171% | $24,944 | +176% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $68,726 | $44,672 | $27,492 | +150% | $28,320 | +143% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $68,679 | $44,641 | $22,637 | +203% | $22,506 | +205% | — |
| 101 | SEIZURES WITHOUT MCC | $68,422 | $44,475 | $20,461 | +234% | $20,461 | +234% | ≈116% of Medicare |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $68,274 | $44,378 | $19,602 | +248% | $16,998 | +302% | — |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $68,182 | $44,319 | $36,907 | +85% | $29,316 | +133% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $68,166 | $44,308 | $22,641 | +201% | $21,275 | +220% | ≈109% of Medicare |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $68,090 | $44,258 | $18,592 | +266% | $14,064 | +384% | — |
| 693 | URINARY STONES WITH MCC | $68,005 | $44,203 | $31,990 | +113% | $23,892 | +185% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $67,852 | $44,104 | $22,552 | +201% | $22,468 | +202% | — |
| 592 | SKIN ULCERS WITH MCC | $67,765 | $44,047 | $41,848 | +62% | $33,246 | +104% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $67,735 | $44,028 | $38,631 | +75% | $36,792 | +84% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $67,618 | $43,952 | $20,108 | +236% | $18,488 | +266% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $67,574 | $43,923 | $22,850 | +196% | $22,850 | +196% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $67,547 | $43,906 | $19,624 | +244% | $16,520 | +309% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $67,469 | $43,855 | $18,126 | +272% | $18,126 | +272% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $66,947 | $43,516 | $20,881 | +221% | $18,466 | +263% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $66,869 | $43,465 | $18,528 | +261% | $18,528 | +261% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $66,736 | $43,378 | $16,565 | +303% | $16,565 | +303% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $66,698 | $43,354 | $19,842 | +236% | $19,842 | +236% | ≈118% of Medicare |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $66,575 | $43,274 | $40,552 | +64% | $40,552 | +64% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $66,297 | $43,093 | $21,886 | +203% | $22,098 | +200% | ≈113% of Medicare |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $66,133 | $42,986 | $17,775 | +272% | $13,586 | +387% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $66,097 | $42,963 | $22,033 | +200% | $22,033 | +200% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $66,058 | $42,937 | $16,776 | +294% | $16,776 | +294% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $66,000 | $42,900 | $23,571 | +180% | $23,571 | +180% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $65,839 | $42,796 | $25,822 | +155% | $19,412 | +239% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $65,541 | $42,601 | $16,654 | +294% | $19,037 | +244% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $65,522 | $42,589 | $19,072 | +244% | $18,807 | +248% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $65,348 | $42,476 | $24,042 | +172% | $23,283 | +181% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $65,189 | $42,373 | $28,209 | +131% | $23,498 | +177% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $64,749 | $42,087 | $17,322 | +274% | $17,322 | +274% | ≈513% of Medicare |
| 683 | RENAL FAILURE WITH CC | $64,744 | $42,084 | $19,733 | +228% | $19,130 | +238% | ≈107% of Medicare |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $64,637 | $42,014 | $24,220 | +167% | $20,926 | +209% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $64,447 | $41,891 | $19,815 | +225% | $19,846 | +225% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $63,831 | $41,490 | $31,950 | +100% | $26,932 | +137% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $63,815 | $41,480 | $17,831 | +258% | $19,745 | +223% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $63,339 | $41,171 | $17,817 | +255% | $17,674 | +258% | ≈112% of Medicare |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $63,319 | $41,157 | $22,557 | +181% | $19,264 | +229% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $63,012 | $40,958 | $31,874 | +98% | $29,743 | +112% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $62,222 | $40,444 | $18,081 | +244% | $18,081 | +244% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $62,218 | $40,442 | $43,328 | +44% | $38,070 | +63% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $61,809 | $40,176 | $23,749 | +160% | $23,749 | +160% | ≈103% of Medicare |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $61,566 | $40,018 | $23,369 | +163% | $20,232 | +204% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $61,223 | $39,795 | $20,084 | +205% | $20,084 | +205% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $61,194 | $39,776 | $17,700 | +246% | $17,700 | +246% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $60,797 | $39,518 | $50,218 | +21% | $38,878 | +56% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $60,192 | $39,125 | $26,611 | +126% | $30,784 | +96% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $59,933 | $38,957 | $19,811 | +203% | $22,148 | +171% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $59,858 | $38,908 | $19,138 | +213% | $19,138 | +213% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $59,798 | $38,869 | $28,209 | +112% | $19,686 | +204% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $59,432 | $38,631 | $18,204 | +226% | $18,204 | +226% | ≈473% of Medicare |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $59,369 | $38,590 | $19,638 | +202% | $15,452 | +284% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $59,069 | $38,395 | $21,460 | +175% | $17,724 | +233% | ≈403% of Medicare |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $58,590 | $38,084 | $21,494 | +173% | $19,962 | +194% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $58,533 | $38,047 | $14,927 | +292% | $14,927 | +292% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $58,123 | $37,780 | $43,384 | +34% | $29,524 | +97% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $58,077 | $37,750 | $15,837 | +267% | $15,837 | +267% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $57,828 | $37,588 | $27,645 | +109% | $27,297 | +112% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $57,812 | $37,578 | $19,118 | +202% | $16,371 | +253% | — |
| 603 | CELLULITIS WITHOUT MCC | $57,589 | $37,433 | $19,553 | +195% | $18,530 | +211% | ≈438% of Medicare |
| 200 | PNEUMOTHORAX WITH CC | $57,401 | $37,311 | $24,586 | +133% | $21,368 | +169% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $57,343 | $37,273 | $26,302 | +118% | $25,712 | +123% | — |
| 305 | HYPERTENSION WITHOUT MCC | $57,266 | $37,223 | $16,665 | +244% | $18,086 | +217% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $57,057 | $37,087 | $28,593 | +100% | $26,870 | +112% | — |
| 151 | EPISTAXIS WITHOUT MCC | $56,651 | $36,823 | $16,827 | +237% | $13,032 | +335% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $56,204 | $36,532 | $17,347 | +224% | $17,038 | +230% | ≈111% of Medicare |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $56,106 | $36,469 | $19,914 | +182% | $15,764 | +256% | — |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $55,955 | $36,371 | $18,577 | +201% | $14,055 | +298% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $55,910 | $36,342 | $17,638 | +217% | $17,921 | +212% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $55,810 | $36,277 | $18,002 | +210% | $18,002 | +210% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $55,749 | $36,237 | $21,280 | +162% | $17,733 | +214% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $55,746 | $36,235 | $26,533 | +110% | $21,847 | +155% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $55,093 | $35,810 | $20,725 | +166% | $16,968 | +225% | — |
| 639 | DIABETES WITHOUT CC/MCC | $54,862 | $35,660 | $13,910 | +294% | $13,910 | +294% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $54,794 | $35,616 | $34,988 | +57% | $12,229 | +348% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $53,495 | $34,772 | $21,494 | +149% | $18,452 | +190% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $53,489 | $34,768 | $13,683 | +291% | $15,183 | +252% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $53,078 | $34,501 | $19,854 | +167% | $19,854 | +167% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $53,067 | $34,494 | $16,104 | +230% | $16,767 | +217% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $52,837 | $34,344 | $20,488 | +158% | $20,488 | +158% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $52,492 | $34,120 | $49,765 | +5% | $40,362 | +30% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $51,872 | $33,717 | $40,894 | +27% | $29,221 | +78% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $51,610 | $33,546 | $30,922 | +67% | $28,226 | +83% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $51,009 | $33,156 | $23,312 | +119% | $22,763 | +124% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $50,989 | $33,143 | $17,287 | +195% | $15,428 | +231% | — |
| 103 | HEADACHES WITHOUT MCC | $50,512 | $32,833 | $18,874 | +168% | $21,280 | +137% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $50,401 | $32,761 | $25,279 | +99% | $25,279 | +99% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $50,229 | $32,649 | $15,411 | +226% | $14,797 | +239% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $49,622 | $32,254 | $19,185 | +159% | $15,889 | +212% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $49,410 | $32,116 | $17,795 | +178% | $17,578 | +181% | ≈116% of Medicare |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $48,626 | $31,607 | $22,155 | +119% | $15,370 | +216% | — |
| 313 | CHEST PAIN | $48,428 | $31,478 | $15,837 | +206% | $16,440 | +195% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $48,377 | $31,445 | $13,384 | +261% | $13,384 | +261% | ≈123% of Medicare |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $48,244 | $31,359 | $14,128 | +241% | $14,128 | +241% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $48,223 | $31,345 | $26,753 | +80% | $24,056 | +100% | — |
| 102 | HEADACHES WITH MCC | $48,112 | $31,273 | $25,740 | +87% | $25,740 | +87% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $47,845 | $31,099 | $21,205 | +126% | $19,594 | +144% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $47,400 | $30,810 | $18,126 | +162% | $18,126 | +162% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $46,990 | $30,543 | $15,358 | +206% | $14,689 | +220% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $46,656 | $30,327 | $27,634 | +69% | $22,851 | +104% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $46,495 | $30,222 | $14,368 | +224% | $14,368 | +224% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $46,307 | $30,099 | $15,549 | +198% | $15,549 | +198% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $46,306 | $30,099 | $18,139 | +155% | $17,118 | +171% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $46,128 | $29,983 | $15,839 | +191% | $12,454 | +270% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $45,970 | $29,880 | $23,352 | +97% | $19,657 | +134% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $45,566 | $29,618 | $13,855 | +229% | $12,324 | +270% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $45,542 | $29,602 | $24,337 | +87% | $16,846 | +170% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $45,418 | $29,521 | $16,064 | +183% | $13,275 | +242% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $45,338 | $29,470 | $21,129 | +115% | $18,316 | +148% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $45,333 | $29,467 | $37,692 | +20% | $32,433 | +40% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $44,836 | $29,144 | $18,330 | +145% | $17,298 | +159% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $43,425 | $28,226 | $28,935 | +50% | $16,351 | +166% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $42,776 | $27,805 | $18,150 | +136% | $18,150 | +136% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $42,527 | $27,643 | $23,887 | +78% | $18,956 | +124% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $42,212 | $27,438 | $13,639 | +209% | $11,071 | +281% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $42,125 | $27,381 | $17,953 | +135% | $15,215 | +177% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $41,698 | $27,103 | $19,642 | +112% | $17,081 | +144% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $41,565 | $27,017 | $13,318 | +212% | $13,361 | +211% | ≈118% of Medicare |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $41,251 | $26,813 | $14,134 | +192% | $15,038 | +174% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $40,145 | $26,095 | $13,824 | +190% | $13,824 | +190% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $39,896 | $25,933 | $14,743 | +171% | $13,942 | +186% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $39,640 | $25,766 | $24,000 | +65% | $17,226 | +130% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $38,435 | $24,983 | $15,799 | +143% | $14,583 | +164% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $38,308 | $24,900 | $16,299 | +135% | $14,514 | +164% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $38,051 | $24,733 | $14,148 | +169% | $12,078 | +215% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $38,047 | $24,731 | $13,642 | +179% | $13,642 | +179% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $36,855 | $23,956 | $27,552 | +34% | $20,727 | +78% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $36,734 | $23,877 | $14,643 | +151% | $13,633 | +169% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $36,633 | $23,811 | $15,031 | +144% | $14,053 | +161% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $36,591 | $23,784 | $15,464 | +137% | $12,252 | +199% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $36,394 | $23,656 | $15,495 | +135% | $15,495 | +135% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $36,304 | $23,597 | $18,004 | +102% | $18,004 | +102% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $36,296 | $23,592 | $24,928 | +46% | $19,815 | +83% | — |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $35,603 | $23,142 | $21,733 | +64% | $15,901 | +124% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $34,882 | $22,674 | $58,274 | −40% | $58,274 | −40% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $34,536 | $22,448 | $14,208 | +143% | $14,250 | +142% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $34,212 | $22,238 | $21,236 | +61% | $16,700 | +105% | — |
| 694 | URINARY STONES WITHOUT MCC | $33,652 | $21,874 | $17,347 | +94% | $17,345 | +94% | — |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $33,647 | $21,871 | $15,637 | +115% | $12,336 | +173% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $33,553 | $21,809 | $57,323 | −41% | $18,649 | +80% | — |
| 187 | PLEURAL EFFUSION WITH CC | $33,116 | $21,525 | $22,288 | +49% | $21,789 | +52% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $32,621 | $21,203 | $25,552 | +28% | $18,133 | +80% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $32,378 | $21,046 | $22,153 | +46% | $17,698 | +83% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $29,199 | $18,979 | $13,425 | +118% | $10,160 | +187% | — |
| 697 | URETHRAL STRICTURE | $29,100 | $18,915 | $22,239 | +31% | $18,428 | +58% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $28,182 | $18,319 | $17,431 | +62% | $14,014 | +101% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $26,334 | $17,117 | $16,592 | +59% | $12,895 | +104% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $26,181 | $17,018 | $13,326 | +96% | $12,999 | +101% | — |
| 779 | ABORTION WITHOUT D&C | $23,770 | $15,451 | $20,752 | +15% | $15,327 | +55% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $23,301 | $15,146 | $18,070 | +29% | $17,559 | +33% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $20,027 | $13,017 | $47,696 | −58% | $37,267 | −46% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $17,899 | $11,634 | $11,539 | +55% | $9,940 | +80% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $17,457 | $11,347 | $22,641 | −23% | $17,601 | −1% | — |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $14,553 | $9,459 | $15,058 | −3% | $11,997 | +21% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,143 | $8,543 | $17,665 | −26% | $8,445 | +56% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $7,659 | $4,978 | $32,451 | −76% | $32,451 | −76% | — |
| 795 | NORMAL NEWBORN | $7,197 | $4,678 | $6,664 | +8% | $4,720 | +52% | — |
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 |
|---|---|---|---|
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,940 – $7,940 · median $7,940 | 1 plans |
No procedures match that keyword.