Montrose Regional Health — Pricing
439 procedures published in this hospital's Machine-Readable File (MRF) — 438 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 439
Lowest published price $3,838
Average published price $42,914
Highest published price $352,007
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 439 procedures
Published charges
Showing all 438 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 12 procedures, this hospital's negotiated rates average ≈326% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CO median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $352,007 | $264,005 | $233,838 | +51% | $245,241 | +44% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $321,548 | $241,161 | $96,637 | +233% | $107,355 | +200% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $275,880 | $206,910 | $161,623 | — | $69,101 | +299% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $194,045 | $145,533 | $119,660 | — | $54,320 | +257% | — |
| 304 | HYPERTENSION WITH MCC | $176,365 | $132,274 | $18,278 | +865% | $24,185 | +629% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $165,651 | $124,238 | $46,402 | +257% | $46,402 | +257% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $160,213 | $120,160 | $65,188 | +146% | $39,563 | +305% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $157,568 | $118,176 | $51,587 | +205% | $57,479 | +174% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $153,025 | $114,769 | $53,719 | +185% | $65,383 | +134% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $145,305 | $108,979 | $80,793 | +80% | $80,747 | +80% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $143,592 | $107,694 | $50,299 | +185% | $62,821 | +129% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $128,424 | $96,318 | $26,279 | +389% | $33,607 | +282% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $126,865 | $95,149 | $80,443 | +58% | $99,423 | +28% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $124,561 | $93,420 | $115,058 | +8% | $120,587 | +3% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $121,024 | $90,768 | $82,018 | +48% | $86,953 | +39% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $119,886 | $89,915 | $54,976 | +118% | $71,014 | +69% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $117,677 | $88,258 | $66,159 | +78% | $83,065 | +42% | — |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $117,392 | $88,044 | $108,472 | +8% | $108,472 | +8% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $116,406 | $87,304 | $82,511 | +41% | $96,222 | +21% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $111,692 | $83,769 | $31,433 | +255% | $43,398 | +157% | — |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $110,443 | $82,833 | $48,915 | +126% | $53,555 | +106% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $104,712 | $78,534 | $41,248 | +154% | $45,497 | +130% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $102,953 | $77,215 | $59,207 | +74% | $59,207 | +74% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $100,914 | $75,685 | $41,184 | +145% | $48,094 | +110% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $99,991 | $74,993 | $45,734 | +119% | $74,274 | +35% | ≈465% of Medicare |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $97,206 | $72,905 | $97,206 | — | $33,983 | +186% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $95,892 | $71,919 | $59,175 | +62% | $71,701 | +34% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $94,918 | $71,189 | $29,938 | +217% | $49,197 | +93% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $94,507 | $70,881 | $45,272 | +109% | $56,758 | +67% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $93,646 | $70,235 | $17,721 | +428% | $19,317 | +385% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $93,335 | $70,002 | $34,121 | +174% | $44,553 | +109% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $91,233 | $68,425 | $36,873 | +147% | $52,313 | +74% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $90,902 | $68,177 | $42,702 | +113% | $50,815 | +79% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $90,309 | $67,732 | $47,006 | +92% | $59,537 | +52% | — |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $89,546 | $67,159 | $42,059 | +113% | $53,551 | +67% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $88,779 | $66,584 | $39,514 | +125% | $57,149 | +55% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $85,785 | $64,339 | $39,148 | +119% | $50,624 | +69% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $84,891 | $63,668 | $60,098 | +41% | $60,098 | +41% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $83,190 | $62,392 | $39,721 | +109% | $54,824 | +52% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $82,832 | $62,124 | $25,770 | +221% | $32,689 | +153% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $82,752 | $62,064 | $25,245 | +228% | $41,380 | +100% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $82,057 | $61,543 | $110,795 | −26% | $138,008 | −41% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $81,076 | $60,807 | $55,365 | — | $16,240 | +399% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $80,079 | $60,059 | $52,971 | +51% | $65,254 | +23% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $79,295 | $59,471 | $54,960 | +44% | $70,132 | +13% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $78,090 | $58,567 | $11,008 | +609% | $14,441 | +441% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $77,256 | $57,942 | $28,999 | +166% | $54,772 | +41% | ≈572% of Medicare |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $76,950 | $57,713 | $90,179 | −15% | $106,778 | −28% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $75,734 | $56,800 | $74,987 | +1% | $88,341 | −14% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $75,533 | $56,650 | $71,853 | +5% | $88,050 | −14% | ≈223% of Medicare |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $74,906 | $56,180 | $74,906 | — | $56,960 | +32% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $74,487 | $55,866 | $73,953 | +1% | $90,331 | −18% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $72,749 | $54,562 | $27,074 | +169% | $31,086 | +134% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $72,355 | $54,266 | $52,733 | +37% | $67,901 | +7% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $72,353 | $54,265 | $36,237 | +100% | $50,011 | +45% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $71,958 | $53,969 | $47,627 | +51% | $67,764 | +6% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $71,822 | $53,866 | $55,071 | +30% | $70,540 | +2% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $70,874 | $53,156 | $79,521 | −11% | $87,018 | −19% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $70,192 | $52,644 | $61,689 | +14% | $75,103 | −7% | — |
| 333 | RECTAL RESECTION WITH CC | $69,928 | $52,446 | $33,087 | +111% | $34,352 | +104% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $69,319 | $51,989 | $17,514 | +296% | $22,431 | +209% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $69,026 | $51,770 | $59,636 | — | $75,251 | −8% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $68,246 | $51,185 | $129,088 | −47% | $146,474 | −53% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $67,879 | $50,909 | $43,554 | +56% | $53,868 | +26% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $67,463 | $50,597 | $16,957 | +298% | $17,550 | +284% | — |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $67,153 | $50,365 | $63,709 | +5% | $73,029 | −8% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $66,349 | $49,762 | $46,911 | +41% | $63,984 | +4% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $66,233 | $49,675 | $52,399 | +26% | $64,956 | +2% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $64,885 | $48,664 | $26,549 | +144% | $32,502 | +100% | — |
| 311 | ANGINA PECTORIS | $64,657 | $48,493 | $11,103 | +482% | $15,165 | +326% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $64,138 | $48,103 | $40,564 | +58% | $53,141 | +21% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $62,903 | $47,177 | $33,978 | +85% | $41,900 | +50% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $62,383 | $46,788 | $18,405 | +239% | $20,421 | +205% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $61,639 | $46,229 | $31,353 | +97% | $35,014 | +76% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $61,358 | $46,018 | $37,398 | +64% | $51,339 | +20% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $60,980 | $45,735 | $10,737 | +468% | $13,368 | +356% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $60,947 | $45,710 | $38,209 | +60% | $56,394 | +8% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $60,764 | $45,573 | $29,079 | +109% | $32,399 | +88% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $60,571 | $45,428 | $18,150 | +234% | $25,267 | +140% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $60,334 | $45,251 | $40,277 | +50% | $40,277 | +50% | — |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $60,332 | $45,249 | $34,598 | +74% | $31,785 | +90% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $60,048 | $45,036 | $33,596 | +79% | $56,519 | +6% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $59,778 | $44,834 | $20,998 | +185% | $25,666 | +133% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $59,719 | $44,789 | $29,444 | +103% | $30,974 | +93% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $59,487 | $44,615 | $27,679 | +115% | $39,018 | +52% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $59,475 | $44,606 | $26,979 | +120% | $31,840 | +87% | ≈483% of Medicare |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $59,326 | $44,495 | $28,951 | +105% | $40,563 | +46% | — |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $59,183 | $44,388 | $19,709 | +200% | $25,390 | +133% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $59,154 | $44,365 | $42,473 | +39% | $54,929 | +8% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $59,025 | $44,269 | $42,186 | +40% | $40,065 | +47% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $58,621 | $43,965 | $29,604 | +98% | $33,165 | +77% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $58,541 | $43,906 | $37,891 | +54% | $49,631 | +18% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $58,239 | $43,680 | $29,985 | +94% | $35,459 | +64% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $58,222 | $43,667 | $30,940 | +88% | $30,940 | +88% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $57,742 | $43,306 | $55,453 | +4% | $68,880 | −16% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $57,480 | $43,110 | $29,333 | +96% | $40,583 | +42% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $57,208 | $42,906 | $23,511 | +143% | $29,371 | +95% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $57,111 | $42,833 | $16,321 | +250% | $24,136 | +137% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $56,891 | $42,668 | $32,419 | +75% | $43,524 | +31% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $55,961 | $41,970 | $37,732 | +48% | $58,832 | −5% | — |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $55,879 | $41,909 | $35,123 | +59% | $38,998 | +43% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $55,522 | $41,641 | $27,647 | +101% | $36,658 | +51% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $54,702 | $41,026 | $28,347 | +93% | $40,552 | +35% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $54,679 | $41,009 | $29,763 | +84% | $32,839 | +67% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $54,550 | $40,912 | $46,513 | +17% | $60,140 | −9% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $53,877 | $40,407 | $31,162 | +73% | $34,089 | +58% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $53,860 | $40,395 | $15,701 | +243% | $22,024 | +145% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $53,027 | $39,770 | $26,168 | +103% | $33,694 | +57% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $53,007 | $39,755 | $31,878 | +66% | $41,660 | +27% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $52,895 | $39,671 | $46,481 | +14% | $52,435 | +1% | — |
| 949 | AFTERCARE WITH CC/MCC | $52,720 | $39,540 | $17,069 | +209% | $23,953 | +120% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $52,679 | $39,509 | $12,408 | +325% | $18,150 | +190% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $52,671 | $39,503 | $38,082 | +38% | $39,409 | +34% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $52,366 | $39,275 | $64,345 | −19% | $66,853 | −22% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $52,268 | $39,201 | $15,844 | +230% | $19,001 | +175% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $52,026 | $39,020 | $33,008 | +58% | $51,172 | +2% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $51,414 | $38,561 | $17,180 | +199% | $25,307 | +103% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $51,316 | $38,487 | $33,485 | +53% | $49,470 | +4% | — |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $51,256 | $38,442 | $20,536 | +150% | $27,321 | +88% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $51,215 | $38,411 | $22,318 | +129% | $29,757 | +72% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $51,085 | $38,314 | $21,570 | +137% | $28,527 | +79% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $50,200 | $37,650 | $34,296 | +46% | $44,600 | +13% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $50,076 | $37,557 | $27,138 | +85% | $31,716 | +58% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $50,041 | $37,531 | $21,682 | +131% | $25,426 | +97% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $49,930 | $37,448 | $34,948 | +43% | $48,682 | +3% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $49,777 | $37,333 | $15,144 | +229% | $21,449 | +132% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $49,488 | $37,116 | $71,615 | −31% | $80,885 | −39% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $49,276 | $36,957 | $29,842 | +65% | $41,380 | +19% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $48,912 | $36,684 | $28,792 | +70% | $32,204 | +52% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $48,729 | $36,547 | $13,076 | +273% | $18,253 | +167% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $48,627 | $36,470 | $19,025 | +156% | $20,741 | +134% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $48,348 | $36,261 | $16,321 | +196% | $23,141 | +109% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $48,131 | $36,098 | $29,110 | +65% | $40,063 | +20% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $48,069 | $36,051 | $16,671 | +188% | $24,022 | +100% | — |
| 312 | SYNCOPE AND COLLAPSE | $48,067 | $36,050 | $13,744 | +250% | $19,342 | +149% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $47,755 | $35,816 | $23,209 | +106% | $32,911 | +45% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $47,542 | $35,657 | $29,938 | +59% | $42,126 | +13% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $47,013 | $35,260 | $31,719 | +48% | $43,538 | +8% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $46,821 | $35,116 | $26,597 | +76% | $44,117 | +6% | — |
| 602 | CELLULITIS WITH MCC | $46,366 | $34,774 | $23,670 | +96% | $29,347 | +58% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $46,012 | $34,509 | $19,661 | +134% | $25,623 | +80% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $46,004 | $34,503 | $26,008 | +77% | $42,119 | +9% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $45,942 | $34,457 | $19,741 | +133% | $19,894 | +131% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $45,749 | $34,312 | $16,894 | +171% | $22,941 | +99% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $45,450 | $34,088 | $44,827 | +1% | $49,184 | −8% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $45,156 | $33,867 | $26,168 | +73% | $32,996 | +37% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $44,983 | $33,737 | $24,068 | +87% | $39,107 | +15% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $44,575 | $33,431 | $24,577 | +81% | $34,906 | +28% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $44,520 | $33,390 | $26,915 | +65% | $34,901 | +28% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $44,399 | $33,300 | $23,766 | +87% | $33,137 | +34% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $44,365 | $33,274 | $52,908 | −16% | $52,908 | −16% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $44,127 | $33,095 | $31,862 | +38% | $35,714 | +24% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $43,975 | $32,981 | $98,912 | −56% | $98,912 | −56% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $43,878 | $32,909 | $16,448 | +167% | $21,181 | +107% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $43,268 | $32,451 | $33,389 | +30% | $38,885 | +11% | — |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $43,251 | $32,439 | $43,251 | — | $80,427 | −46% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $43,243 | $32,432 | $28,474 | +52% | $37,842 | +14% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $43,154 | $32,365 | $10,944 | +294% | $19,483 | +121% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $43,140 | $32,355 | $31,544 | +37% | $35,237 | +22% | ≈297% of Medicare |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $42,992 | $32,244 | $44,827 | −4% | $47,277 | −9% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $42,761 | $32,070 | $21,300 | +101% | $30,418 | +41% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $42,670 | $32,002 | $23,209 | +84% | $29,924 | +43% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $42,380 | $31,785 | $18,882 | +124% | $26,322 | +61% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $41,734 | $31,300 | $27,806 | +50% | $31,758 | +31% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $41,730 | $31,298 | $34,837 | +20% | $36,334 | +15% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $41,633 | $31,225 | $20,377 | +104% | $29,374 | +42% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $41,462 | $31,097 | $31,322 | +32% | $43,775 | −5% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $41,235 | $30,926 | $13,601 | +203% | $19,096 | +116% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $41,157 | $30,868 | $25,245 | +63% | $28,967 | +42% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $41,137 | $30,853 | $27,615 | +49% | $37,975 | +8% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $41,108 | $30,831 | $29,031 | +42% | $29,031 | +42% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $40,969 | $30,727 | $24,577 | +67% | $33,490 | +22% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $40,864 | $30,648 | $22,700 | +80% | $29,805 | +37% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $40,819 | $30,614 | $25,261 | +62% | $39,747 | +3% | — |
| 263 | VEIN LIGATION AND STRIPPING | $40,730 | $30,548 | $44,938 | −9% | $44,938 | −9% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $40,643 | $30,482 | $17,069 | +138% | $24,177 | +68% | — |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $40,617 | $30,463 | $11,596 | +250% | $12,336 | +229% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $40,261 | $30,196 | $33,517 | +20% | $41,520 | −3% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $40,090 | $30,067 | $30,107 | — | $13,735 | +192% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $40,080 | $30,060 | $12,312 | +226% | $17,522 | +129% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $39,857 | $29,893 | $23,797 | +67% | $36,239 | +10% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $39,769 | $29,827 | $16,703 | +138% | $16,703 | +138% | — |
| 199 | PNEUMOTHORAX WITH MCC | $39,696 | $29,772 | $28,220 | +41% | $31,491 | +26% | — |
| 129 | MAJOR HEAD & NECK PROCEDURES W CC/MCC OR MAJOR DEVICE | $39,423 | $29,567 | $39,423 | — | $23,289 | +69% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $39,415 | $29,561 | $12,980 | +204% | $18,081 | +118% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $39,091 | $29,318 | $23,543 | +66% | $35,528 | +10% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $38,811 | $29,108 | $20,852 | +86% | $27,369 | +42% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $38,448 | $28,836 | $24,513 | +57% | $31,062 | +24% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $38,208 | $28,656 | $24,688 | +55% | $32,468 | +18% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $37,981 | $28,486 | $27,758 | +37% | $29,409 | +29% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $37,648 | $28,236 | $31,576 | +19% | $42,881 | −12% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $37,476 | $28,107 | $30,478 | +23% | $36,933 | +1% | — |
| 313 | CHEST PAIN | $37,435 | $28,077 | $11,517 | +225% | $15,962 | +135% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $37,190 | $27,893 | $34,678 | +7% | $39,093 | −5% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $37,135 | $27,851 | $28,458 | +30% | $36,375 | +2% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $37,027 | $27,770 | $25,499 | +45% | $30,910 | +20% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $36,981 | $27,736 | $14,539 | +154% | $17,731 | +109% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $36,720 | $27,540 | $33,310 | +10% | $38,357 | −4% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $36,499 | $27,374 | $13,092 | +179% | $14,861 | +146% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $36,170 | $27,128 | $21,411 | +69% | $30,358 | +19% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $36,071 | $27,053 | $49,710 | −27% | $49,710 | −27% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $35,983 | $26,987 | $33,851 | +6% | $32,483 | +11% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $35,895 | $26,922 | $15,366 | +134% | $21,213 | +69% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $35,881 | $26,911 | $16,162 | +122% | $23,469 | +53% | — |
| 151 | EPISTAXIS WITHOUT MCC | $35,778 | $26,833 | $12,265 | +192% | $13,032 | +175% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $35,658 | $26,744 | $31,942 | +12% | $46,477 | −23% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $35,606 | $26,705 | $16,241 | +119% | $20,732 | +72% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $35,586 | $26,689 | $25,054 | +42% | $28,924 | +23% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $35,463 | $26,597 | $20,298 | +75% | $27,244 | +30% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $35,254 | $26,440 | $42,934 | −18% | $52,405 | −33% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $35,040 | $26,280 | $25,070 | +40% | $25,731 | +36% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $34,935 | $26,202 | $16,894 | +107% | $23,396 | +49% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $34,751 | $26,063 | $20,886 | +66% | $34,887 | −0% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $34,524 | $25,893 | $15,017 | +130% | $16,156 | +114% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $34,070 | $25,552 | $61,259 | −44% | $74,257 | −54% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $33,907 | $25,430 | $17,069 | +99% | $19,868 | +71% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $33,535 | $25,151 | $19,375 | +73% | $17,103 | +96% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $33,531 | $25,148 | $15,382 | +118% | $20,777 | +61% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $33,429 | $25,072 | $36,157 | −8% | $37,064 | −10% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $33,385 | $25,039 | $21,109 | +58% | $26,158 | +28% | ≈346% of Medicare |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $33,385 | $25,038 | $16,289 | +105% | $22,560 | +48% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $33,276 | $24,957 | $33,771 | −1% | $34,852 | −5% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $33,229 | $24,922 | $19,184 | +73% | $20,938 | +59% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $33,078 | $24,808 | $25,038 | +32% | $31,059 | +7% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $33,023 | $24,767 | $17,212 | +92% | $31,190 | +6% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $32,987 | $24,741 | $25,674 | +28% | $35,692 | −8% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $32,837 | $24,628 | $80,157 | −59% | $96,905 | −66% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $32,641 | $24,481 | $19,152 | +70% | $22,032 | +48% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $32,462 | $24,347 | $17,705 | +83% | $30,314 | +7% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $32,239 | $24,179 | $14,523 | +122% | $20,463 | +58% | — |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $32,004 | $24,003 | $32,004 | — | $25,628 | +25% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $31,993 | $23,995 | $25,388 | +26% | $28,134 | +14% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $31,829 | $23,872 | $21,682 | +47% | $31,978 | −0% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $31,389 | $23,542 | $12,710 | +147% | $20,278 | +55% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $31,278 | $23,459 | $24,927 | +25% | $26,020 | +20% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $31,166 | $23,375 | $13,633 | +129% | $16,212 | +92% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $31,136 | $23,352 | $51,953 | −40% | $51,953 | −40% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $30,974 | $23,230 | $20,632 | +50% | $23,814 | +30% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $30,809 | $23,107 | $19,598 | +57% | $25,704 | +20% | ≈333% of Medicare |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $30,753 | $23,065 | $28,474 | +8% | $30,814 | −0% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $30,637 | $22,978 | $15,526 | +97% | $19,854 | +54% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $30,608 | $22,956 | $21,570 | +42% | $28,156 | +9% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $30,540 | $22,905 | $24,768 | +23% | $28,646 | +7% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $30,490 | $22,868 | $17,530 | +74% | $24,190 | +26% | — |
| 504 | FOOT PROCEDURES WITH CC | $29,621 | $22,216 | $27,472 | +8% | $36,598 | −19% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $29,609 | $22,207 | $22,334 | +33% | $27,934 | +6% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $29,496 | $22,122 | $29,301 | +1% | $30,394 | −3% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $29,411 | $22,058 | $12,694 | +132% | $15,876 | +85% | — |
| 200 | PNEUMOTHORAX WITH CC | $29,281 | $21,961 | $17,132 | +71% | $20,573 | +42% | — |
| 088 | CONCUSSION WITH MCC | $28,838 | $21,628 | $24,402 | +18% | $24,402 | +18% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $28,741 | $21,556 | $24,068 | +19% | $28,252 | +2% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $28,735 | $21,551 | $27,838 | +3% | $27,118 | +6% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $28,727 | $21,546 | $16,719 | +72% | $23,571 | +22% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $28,561 | $21,421 | $25,404 | +12% | $35,375 | −19% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $28,479 | $21,359 | $11,883 | +140% | $14,110 | +102% | — |
| 682 | RENAL FAILURE WITH MCC | $28,252 | $21,189 | $23,877 | +18% | $27,854 | +1% | — |
| 813 | COAGULATION DISORDERS | $28,091 | $21,068 | $24,815 | +13% | $30,128 | −7% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,039 | $21,029 | $57,855 | −52% | $57,855 | −52% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $28,007 | $21,005 | $33,914 | −17% | $39,253 | −29% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $27,873 | $20,905 | $30,447 | −8% | $29,853 | −7% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $27,872 | $20,904 | $19,423 | +43% | $20,842 | +34% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $27,848 | $20,886 | $14,253 | +95% | $18,803 | +48% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,799 | $20,849 | $22,254 | +25% | $23,723 | +17% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $27,775 | $20,832 | $12,424 | +124% | $16,745 | +66% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $27,302 | $20,477 | $26,995 | +1% | $38,094 | −28% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $27,212 | $20,409 | $14,603 | +86% | $16,391 | +66% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $27,175 | $20,381 | $25,977 | +5% | $31,128 | −13% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $27,165 | $20,374 | $18,134 | +50% | $24,432 | +11% | — |
| 683 | RENAL FAILURE WITH CC | $27,055 | $20,291 | $14,333 | +89% | $18,620 | +45% | — |
| 149 | DYSEQUILIBRIUM | $26,825 | $20,119 | $11,851 | +126% | $17,203 | +56% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $26,795 | $20,097 | $13,108 | +104% | $17,715 | +51% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $26,710 | $20,032 | $19,916 | +34% | $25,474 | +5% | — |
| 540 | OSTEOMYELITIS WITH CC | $26,676 | $20,007 | $20,648 | +29% | $23,494 | +14% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $26,530 | $19,897 | $29,731 | −11% | $45,963 | −42% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $26,523 | $19,892 | $14,333 | +85% | $20,488 | +29% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $26,441 | $19,831 | $11,374 | +132% | $15,600 | +69% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $26,398 | $19,798 | $11,421 | +131% | $18,623 | +42% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,368 | $19,776 | $57,632 | −54% | $62,524 | −58% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $26,225 | $19,669 | $13,601 | +93% | $20,084 | +31% | — |
| 637 | DIABETES WITH MCC | $26,153 | $19,615 | $23,050 | +13% | $28,819 | −9% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $26,094 | $19,571 | $19,073 | +37% | $24,202 | +8% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $26,086 | $19,565 | $19,057 | +37% | $27,219 | −4% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $25,955 | $19,466 | $20,425 | +27% | $25,020 | +4% | ≈284% of Medicare |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $25,921 | $19,441 | $19,121 | +36% | $26,488 | −2% | ≈303% of Medicare |
| 539 | OSTEOMYELITIS WITH MCC | $25,831 | $19,373 | $31,560 | −18% | $33,746 | −23% | — |
| 694 | URINARY STONES WITHOUT MCC | $25,504 | $19,128 | $12,455 | +105% | $16,531 | +54% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $25,429 | $19,072 | $13,076 | +94% | $18,204 | +40% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $25,361 | $19,020 | $15,064 | +68% | $16,642 | +52% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $25,350 | $19,013 | $18,675 | +36% | $22,982 | +10% | ≈307% of Medicare |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $25,329 | $18,997 | $13,776 | +84% | $19,815 | +28% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $25,322 | $18,991 | $8,797 | +188% | $13,384 | +89% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $25,256 | $18,942 | $16,385 | +54% | $22,781 | +11% | — |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $25,058 | $18,793 | $25,058 | — | $57,380 | −56% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $24,978 | $18,734 | $32,960 | −24% | $34,900 | −28% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $24,676 | $18,507 | $16,400 | +50% | $23,749 | +4% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $24,582 | $18,436 | $22,000 | +12% | $30,006 | −18% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $24,404 | $18,303 | $35,998 | −32% | $45,059 | −46% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,300 | $18,225 | $15,207 | +60% | $17,585 | +38% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $24,261 | $18,195 | $11,262 | +115% | $13,303 | +82% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $24,149 | $18,112 | $50,919 | −53% | $50,919 | −53% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $23,960 | $17,970 | $12,042 | +99% | $16,634 | +44% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $23,921 | $17,941 | $11,024 | +117% | $12,797 | +87% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $23,860 | $17,895 | $14,428 | +65% | $17,928 | +33% | — |
| 935 | NON-EXTENSIVE BURNS | $23,802 | $17,852 | $32,467 | −27% | $29,458 | −19% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $23,324 | $17,493 | $15,653 | +49% | $21,886 | +7% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $23,269 | $17,452 | $13,648 | +70% | $14,549 | +60% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $23,231 | $17,423 | $13,855 | +68% | $19,569 | +19% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $22,905 | $17,179 | $24,847 | −8% | $32,936 | −30% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $22,894 | $17,171 | $22,175 | +3% | $24,229 | −6% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $22,857 | $17,143 | $13,967 | +64% | $17,367 | +32% | — |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $22,855 | $17,141 | $11,787 | +94% | $11,847 | +93% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $22,762 | $17,072 | $15,255 | +49% | $17,108 | +33% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $22,319 | $16,739 | $27,599 | −19% | $38,836 | −43% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $22,246 | $16,685 | $29,015 | −23% | $35,114 | −37% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $22,215 | $16,662 | $27,790 | −20% | $36,242 | −39% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,010 | $16,507 | $18,007 | +22% | $24,452 | −10% | — |
| 305 | HYPERTENSION WITHOUT MCC | $21,995 | $16,496 | $11,994 | +83% | $17,144 | +28% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $21,844 | $16,383 | $30,144 | −28% | $30,766 | −29% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $21,726 | $16,295 | $15,319 | +42% | $20,371 | +7% | — |
| 102 | HEADACHES WITH MCC | $21,426 | $16,069 | $19,200 | +12% | $22,544 | −5% | — |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $21,386 | $16,039 | $17,274 | — | $20,610 | +4% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $21,180 | $15,885 | $14,444 | +47% | $15,593 | +36% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $20,800 | $15,600 | $16,575 | +25% | $22,850 | −9% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $20,680 | $15,510 | $12,662 | +63% | $17,388 | +19% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $20,381 | $15,286 | $12,837 | +59% | $17,466 | +17% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $20,231 | $15,173 | $16,003 | +26% | $20,007 | +1% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,017 | $15,013 | $33,580 | −40% | $37,080 | −46% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $19,995 | $14,996 | $26,311 | −24% | $30,058 | −33% | — |
| 603 | CELLULITIS WITHOUT MCC | $19,990 | $14,992 | $14,078 | +42% | $18,530 | +8% | ≈319% of Medicare |
| 548 | SEPTIC ARTHRITIS WITH MCC | $19,953 | $14,965 | $31,019 | −36% | $31,019 | −36% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,901 | $14,926 | $90,099 | −78% | $78,582 | −75% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $19,780 | $14,835 | $13,505 | +46% | $18,278 | +8% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $19,761 | $14,821 | $12,455 | +59% | $16,654 | +19% | — |
| 639 | DIABETES WITHOUT CC/MCC | $19,636 | $14,727 | $9,910 | +98% | $13,910 | +41% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $19,629 | $14,721 | $12,503 | +57% | $17,322 | +13% | ≈379% of Medicare |
| 245 | AICD GENERATOR PROCEDURES | $19,581 | $14,686 | $72,076 | −73% | $72,076 | −73% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $19,529 | $14,647 | $17,291 | +13% | $21,806 | −10% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $19,506 | $14,630 | $21,570 | −10% | $24,118 | −19% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $19,453 | $14,590 | $14,046 | +38% | $17,412 | +12% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $19,131 | $14,348 | $23,129 | −17% | $28,780 | −34% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,030 | $14,273 | $28,283 | −33% | $30,275 | −37% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $18,776 | $14,082 | $24,561 | −24% | $24,561 | −24% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $18,646 | $13,984 | $16,735 | +11% | $20,842 | −11% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $18,596 | $13,947 | $40,548 | −54% | $40,548 | −54% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $18,583 | $13,937 | $28,856 | −36% | $32,538 | −43% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,467 | $13,850 | $27,949 | −34% | $25,208 | −27% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $18,330 | $13,747 | $14,460 | +27% | $19,287 | −5% | — |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $18,232 | $13,674 | $17,259 | +6% | $15,901 | +15% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $17,983 | $13,487 | $11,406 | +58% | $16,104 | +12% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $17,887 | $13,416 | $12,376 | +45% | $13,654 | +31% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $17,603 | $13,203 | $12,885 | +37% | $17,195 | +2% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $17,596 | $13,197 | $16,050 | +10% | $17,226 | +2% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $17,471 | $13,103 | $15,716 | +11% | $22,713 | −23% | — |
| 134 | OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC | $17,382 | $13,037 | $17,382 | — | $23,289 | −25% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $17,363 | $13,022 | $53,353 | −67% | $68,508 | −75% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $17,338 | $13,003 | $15,001 | +16% | $18,608 | −7% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $17,327 | $12,995 | $10,467 | +66% | $14,927 | +16% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $17,284 | $12,963 | $9,385 | +84% | $9,385 | +84% | — |
| 638 | DIABETES WITH CC | $17,283 | $12,962 | $14,301 | +21% | $18,821 | −8% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $17,208 | $12,906 | $12,789 | +35% | $17,831 | −3% | — |
| 139 | SALIVARY GLAND PROCEDURES | $17,129 | $12,846 | $18,898 | −9% | $21,014 | −18% | — |
| 913 | TRAUMATIC INJURY WITH MCC | $16,978 | $12,733 | $23,781 | −29% | $24,198 | −30% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $16,971 | $12,729 | $10,881 | +56% | $14,880 | +14% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $16,960 | $12,720 | $10,435 | +63% | $13,198 | +29% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,934 | $12,700 | $27,997 | −40% | $37,950 | −55% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $16,891 | $12,668 | $12,026 | +40% | $15,858 | +7% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $16,866 | $12,649 | $15,653 | +8% | $20,309 | −17% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $16,793 | $12,595 | $13,617 | +23% | $16,049 | +5% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $16,730 | $12,548 | $15,812 | +6% | $18,017 | −7% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,458 | $12,344 | $24,195 | −32% | $29,211 | −44% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $16,335 | $12,251 | $14,905 | +10% | $18,918 | −14% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $16,248 | $12,186 | $10,276 | +58% | $14,208 | +14% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,037 | $12,028 | $23,734 | −32% | $27,279 | −41% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,986 | $11,989 | $29,476 | −46% | $29,476 | −46% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $15,770 | $11,827 | $15,891 | −1% | $21,545 | −27% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $15,741 | $11,806 | $14,110 | +12% | $19,326 | −19% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $15,527 | $11,645 | $11,883 | +31% | $13,090 | +19% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $15,483 | $11,612 | $17,259 | −10% | $18,459 | −16% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $15,440 | $11,580 | $11,851 | +30% | $16,865 | −8% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $15,294 | $11,470 | $16,575 | −8% | $20,080 | −24% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $15,094 | $11,320 | $13,219 | +14% | $13,385 | +13% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $14,989 | $11,242 | $8,892 | +69% | $13,318 | +13% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $14,856 | $11,142 | $14,682 | +1% | $15,474 | −4% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $14,831 | $11,123 | $8,940 | +66% | $11,955 | +24% | — |
| 592 | SKIN ULCERS WITH MCC | $14,599 | $10,949 | $33,246 | −56% | $32,662 | −55% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $14,596 | $10,947 | $12,519 | +17% | $18,002 | −19% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $14,569 | $10,927 | $15,462 | −6% | $20,968 | −31% | — |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $14,437 | $10,828 | $14,437 | — | $21,663 | −33% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $14,175 | $10,631 | $11,406 | +24% | $12,381 | +14% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $14,159 | $10,620 | $15,239 | −7% | $17,273 | −18% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,920 | $10,440 | $39,880 | −65% | $35,642 | −61% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $13,864 | $10,398 | $16,035 | −14% | $15,370 | −10% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $13,693 | $10,270 | $20,950 | −35% | $23,115 | −41% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $13,590 | $10,192 | $11,835 | +15% | $15,072 | −10% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,445 | $10,084 | $24,879 | −46% | $24,879 | −46% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $13,282 | $9,961 | $10,165 | +31% | $13,527 | −2% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $13,062 | $9,796 | $58,094 | −78% | $64,776 | −80% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $12,826 | $9,619 | $11,771 | +9% | $13,282 | −3% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $12,584 | $9,438 | $12,584 | — | $15,589 | −19% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $12,398 | $9,298 | $10,403 | +19% | $12,044 | +3% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $12,237 | $9,178 | $50,919 | −76% | $57,277 | −79% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $12,078 | $9,058 | $12,105 | −0% | $14,166 | −15% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $11,709 | $8,782 | $35,569 | −67% | $35,569 | −67% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,471 | $8,603 | $22,238 | −48% | $26,634 | −57% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $11,339 | $8,504 | $10,213 | +11% | $14,368 | −21% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $11,313 | $8,485 | $11,231 | +1% | $13,081 | −14% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,060 | $8,295 | $12,710 | −13% | $17,943 | −38% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $11,006 | $8,255 | $10,069 | +9% | $14,134 | −22% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,772 | $8,079 | $21,507 | −50% | $23,956 | −55% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $10,370 | $7,777 | $12,742 | −19% | $17,727 | −42% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $10,251 | $7,688 | $24,131 | −58% | $32,451 | −68% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,220 | $7,665 | $66,954 | −85% | $16,719 | −39% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,135 | $7,601 | $20,489 | −51% | $26,146 | −61% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,041 | $7,530 | $44,811 | −78% | $36,097 | −72% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,788 | $7,341 | $11,946 | −18% | $14,337 | −32% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,778 | $7,334 | $23,941 | −59% | $24,348 | −60% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $9,735 | $7,301 | $10,483 | −7% | $13,890 | −30% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,676 | $7,257 | $13,776 | −30% | $17,383 | −44% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,930 | $6,698 | $11,056 | −19% | $12,279 | −27% | — |
| 885 | PSYCHOSES | $8,630 | $6,472 | $21,729 | −60% | $21,489 | −60% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,226 | $6,170 | $24,450 | −66% | $24,450 | −66% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $8,069 | $6,052 | $8,145 | −1% | $9,076 | −11% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,742 | $5,807 | $39,339 | −80% | $11,633 | −33% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,636 | $5,727 | $16,973 | −55% | $19,579 | −61% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,407 | $5,556 | $27,202 | −73% | $36,333 | −80% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,275 | $5,457 | $11,103 | −34% | $14,012 | −48% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,109 | $5,332 | $21,427 | −67% | $25,243 | −72% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $6,989 | $5,242 | $22,445 | −69% | $25,152 | −72% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $6,876 | $5,157 | $35,823 | −81% | $43,586 | −84% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $6,640 | $4,980 | $28,935 | −77% | $14,284 | −54% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,527 | $4,895 | $15,796 | −59% | $19,091 | −66% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,844 | $4,383 | $23,702 | −75% | $7,961 | −27% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $5,749 | $4,312 | $12,217 | −53% | $16,776 | −66% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $5,666 | $4,250 | $29,826 | −81% | $29,826 | −81% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $5,555 | $4,166 | $11,740 | −53% | $12,895 | −57% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $4,929 | $3,696 | $20,918 | −76% | $24,480 | −80% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $4,639 | $3,479 | $9,958 | −53% | $13,824 | −66% | — |
| 795 | NORMAL NEWBORN | $3,838 | $2,879 | $3,213 | +19% | $4,530 | −15% | — |
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 |
|---|---|---|---|
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | — | 15 plans |
No procedures match that keyword.