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
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 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% | $248,521 | +42% | — |
| 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 | — | $56,836 | +241% | — |
| 304 | HYPERTENSION WITH MCC | $176,365 | $132,274 | $18,278 | +865% | $26,080 | +576% | — |
| 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% | $42,679 | +275% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $157,568 | $118,176 | $51,587 | +205% | $61,872 | +155% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $153,025 | $114,769 | $53,719 | +185% | $66,068 | +132% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $145,305 | $108,979 | $80,793 | +80% | $80,793 | +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% | $33,876 | +279% | — |
| 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% | $120,573 | +3% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $121,024 | $90,768 | $82,018 | +48% | $101,576 | +19% | — |
| 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% | $85,159 | +38% | — |
| 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% | $96,507 | +21% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $111,692 | $83,769 | $31,433 | +255% | $43,913 | +154% | — |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $110,443 | $82,833 | $48,915 | +126% | $60,407 | +83% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $104,712 | $78,534 | $41,248 | +154% | $50,618 | +107% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $102,953 | $77,215 | $59,207 | +74% | $62,583 | +65% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $100,914 | $75,685 | $41,184 | +145% | $52,178 | +93% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $99,991 | $74,993 | $45,734 | +119% | $81,706 | +22% | ≈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% | $77,817 | +23% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $94,918 | $71,189 | $29,938 | +217% | $50,607 | +88% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $94,507 | $70,881 | $45,272 | +109% | $58,975 | +60% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $93,646 | $70,235 | $17,721 | +428% | $19,815 | +373% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $93,335 | $70,002 | $34,121 | +174% | $45,877 | +103% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $91,233 | $68,425 | $36,873 | +147% | $53,451 | +71% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $90,902 | $68,177 | $42,702 | +113% | $51,625 | +76% | — |
| 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% | $61,217 | +46% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $88,779 | $66,584 | $39,514 | +125% | $58,707 | +51% | — |
| 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% | $59,421 | +40% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $82,832 | $62,124 | $25,770 | +221% | $34,192 | +142% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $82,752 | $62,064 | $25,245 | +228% | $46,295 | +79% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $82,057 | $61,543 | $110,795 | −26% | $148,832 | −45% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $81,076 | $60,807 | $55,365 | — | $13,613 | +496% | — |
| 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% | $65,788 | +22% | — |
| 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% | $14,689 | +432% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $77,256 | $57,942 | $28,999 | +166% | $58,809 | +31% | ≈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% | $90,195 | −16% | — |
| 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% | $34,017 | +114% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $72,355 | $54,266 | $52,733 | +37% | $70,371 | +3% | — |
| 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% | $70,467 | +2% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $71,822 | $53,866 | $55,071 | +30% | $70,564 | +2% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $70,874 | $53,156 | $79,521 | −11% | $93,172 | −24% | — |
| 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% | $37,154 | +88% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $69,319 | $51,989 | $17,514 | +296% | $23,573 | +194% | — |
| 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% | $147,227 | −54% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $67,879 | $50,909 | $43,554 | +56% | $58,274 | +16% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $67,463 | $50,597 | $16,957 | +298% | $19,657 | +243% | — |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $67,153 | $50,365 | $63,709 | +5% | $79,836 | −16% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $66,349 | $49,762 | $46,911 | +41% | $65,653 | +1% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $66,233 | $49,675 | $52,399 | +26% | $72,424 | −9% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $64,885 | $48,664 | $26,549 | +144% | $32,628 | +99% | — |
| 311 | ANGINA PECTORIS | $64,657 | $48,493 | $11,103 | +482% | $15,502 | +317% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $64,138 | $48,103 | $40,564 | +58% | $56,755 | +13% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $62,903 | $47,177 | $33,978 | +85% | $45,333 | +39% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $62,383 | $46,788 | $18,405 | +239% | $21,847 | +186% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $61,639 | $46,229 | $31,353 | +97% | $39,955 | +54% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $61,358 | $46,018 | $37,398 | +64% | $59,629 | +3% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $60,980 | $45,735 | $10,737 | +468% | $13,633 | +347% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $60,947 | $45,710 | $38,209 | +60% | $59,651 | +2% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $60,764 | $45,573 | $29,079 | +109% | $33,985 | +79% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $60,571 | $45,428 | $18,150 | +234% | $26,618 | +128% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $60,334 | $45,251 | $40,277 | +50% | $41,422 | +46% | — |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $60,332 | $45,249 | $34,598 | +74% | $34,598 | +74% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $60,048 | $45,036 | $33,596 | +79% | $58,280 | +3% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $59,778 | $44,834 | $20,998 | +185% | $27,119 | +120% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $59,719 | $44,789 | $29,444 | +103% | $33,047 | +81% | — |
| 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% | $33,707 | +76% | ≈483% of Medicare |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $59,326 | $44,495 | $28,951 | +105% | $40,642 | +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% | $42,186 | +40% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $58,621 | $43,965 | $29,604 | +98% | $34,459 | +70% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $58,541 | $43,906 | $37,891 | +54% | $50,394 | +16% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $58,239 | $43,680 | $29,985 | +94% | $40,562 | +44% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $58,222 | $43,667 | $30,940 | +88% | $32,031 | +82% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $57,742 | $43,306 | $55,453 | +4% | $70,847 | −18% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $57,480 | $43,110 | $29,333 | +96% | $43,298 | +33% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $57,208 | $42,906 | $23,511 | +143% | $32,697 | +75% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $57,111 | $42,833 | $16,321 | +250% | $24,914 | +129% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $56,891 | $42,668 | $32,419 | +75% | $43,943 | +29% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $55,961 | $41,970 | $37,732 | +48% | $59,500 | −6% | — |
| 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% | $32,443 | +69% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $54,550 | $40,912 | $46,513 | +17% | $60,170 | −9% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $53,877 | $40,407 | $31,162 | +73% | $35,030 | +54% | — |
| 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% | $42,914 | +24% | — |
| 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% | $39,973 | +32% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $52,366 | $39,275 | $64,345 | −19% | $73,120 | −28% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $52,268 | $39,201 | $15,844 | +230% | $19,962 | +162% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $52,026 | $39,020 | $33,008 | +58% | $52,751 | −1% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $51,414 | $38,561 | $17,180 | +199% | $25,652 | +100% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $51,316 | $38,487 | $33,485 | +53% | $50,463 | +2% | — |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $51,256 | $38,442 | $20,536 | +150% | $27,323 | +88% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $51,215 | $38,411 | $22,318 | +129% | $30,959 | +65% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $51,085 | $38,314 | $21,570 | +137% | $29,949 | +71% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $50,200 | $37,650 | $34,296 | +46% | $46,283 | +8% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $50,076 | $37,557 | $27,138 | +85% | $34,937 | +43% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $50,041 | $37,531 | $21,682 | +131% | $27,543 | +82% | — |
| 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% | $87,761 | −44% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $49,276 | $36,957 | $29,842 | +65% | $46,340 | +6% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $48,912 | $36,684 | $28,792 | +70% | $33,255 | +47% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $48,729 | $36,547 | $13,076 | +273% | $18,528 | +163% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $48,627 | $36,470 | $19,025 | +156% | $24,566 | +98% | — |
| 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% | $41,591 | +16% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $48,069 | $36,051 | $16,671 | +188% | $25,970 | +85% | — |
| 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% | $36,988 | +29% | — |
| 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% | $30,598 | +52% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $46,012 | $34,509 | $19,661 | +134% | $28,125 | +64% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $46,004 | $34,503 | $26,008 | +77% | $44,606 | +3% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $45,942 | $34,457 | $19,741 | +133% | $22,320 | +106% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $45,749 | $34,312 | $16,894 | +171% | $23,198 | +97% | — |
| 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% | $33,563 | +35% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $44,983 | $33,737 | $24,068 | +87% | $40,162 | +12% | — |
| 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% | $37,169 | +20% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $44,399 | $33,300 | $23,766 | +87% | $33,393 | +33% | — |
| 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% | $39,106 | +13% | — |
| 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% | $22,468 | +95% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $43,268 | $32,451 | $33,389 | +30% | $39,958 | +8% | — |
| 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% | $20,781 | +108% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $43,140 | $32,355 | $31,544 | +37% | $35,628 | +21% | ≈297% of Medicare |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $42,992 | $32,244 | $44,827 | −4% | $51,608 | −17% | — |
| 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% | $33,103 | +29% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $42,380 | $31,785 | $18,882 | +124% | $27,163 | +56% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $41,734 | $31,300 | $27,806 | +50% | $33,555 | +24% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $41,730 | $31,298 | $34,837 | +20% | $39,181 | +7% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $41,633 | $31,225 | $20,377 | +104% | $30,083 | +38% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $41,462 | $31,097 | $31,322 | +32% | $44,139 | −6% | — |
| 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% | $30,828 | +34% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $41,137 | $30,853 | $27,615 | +49% | $39,619 | +4% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $41,108 | $30,831 | $29,031 | +42% | $31,105 | +32% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $40,969 | $30,727 | $24,577 | +67% | $35,074 | +17% | — |
| 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% | $41,955 | −3% | — |
| 263 | VEIN LIGATION AND STRIPPING | $40,730 | $30,548 | $44,938 | −9% | $51,253 | −21% | — |
| 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% | $43,631 | −8% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $40,090 | $30,067 | $30,107 | — | $12,397 | +223% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $40,080 | $30,060 | $12,312 | +226% | $17,620 | +127% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $39,857 | $29,893 | $23,797 | +67% | $39,211 | +2% | — |
| 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% | $33,787 | +17% | — |
| 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% | $36,253 | +8% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $38,811 | $29,108 | $20,852 | +86% | $30,784 | +26% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $38,448 | $28,836 | $24,513 | +57% | $33,048 | +16% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $38,208 | $28,656 | $24,688 | +55% | $33,834 | +13% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $37,981 | $28,486 | $27,758 | +37% | $31,563 | +20% | — |
| 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% | $40,213 | −7% | — |
| 313 | CHEST PAIN | $37,435 | $28,077 | $11,517 | +225% | $16,440 | +128% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $37,190 | $27,893 | $34,678 | +7% | $41,620 | −11% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $37,135 | $27,851 | $28,458 | +30% | $37,387 | −1% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $37,027 | $27,770 | $25,499 | +45% | $33,661 | +10% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $36,981 | $27,736 | $14,539 | +154% | $18,488 | +100% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $36,720 | $27,540 | $33,310 | +10% | $38,666 | −5% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $36,499 | $27,374 | $13,092 | +179% | $16,565 | +120% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $36,170 | $27,128 | $21,411 | +69% | $31,264 | +16% | — |
| 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% | $33,851 | +6% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $35,895 | $26,922 | $15,366 | +134% | $21,396 | +68% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $35,881 | $26,911 | $16,162 | +122% | $23,940 | +50% | — |
| 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% | $49,351 | −28% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $35,606 | $26,705 | $16,241 | +119% | $21,275 | +67% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $35,586 | $26,689 | $25,054 | +42% | $29,933 | +19% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $35,463 | $26,597 | $20,298 | +75% | $28,050 | +26% | — |
| 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% | $27,316 | +28% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $34,935 | $26,202 | $16,894 | +107% | $23,488 | +49% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $34,751 | $26,063 | $20,886 | +66% | $36,937 | −6% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $34,524 | $25,893 | $15,017 | +130% | $19,138 | +80% | — |
| 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% | $20,926 | +62% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $33,535 | $25,151 | $19,375 | +73% | $16,846 | +99% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $33,531 | $25,148 | $15,382 | +118% | $21,363 | +57% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $33,429 | $25,072 | $36,157 | −8% | $41,892 | −20% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $33,385 | $25,039 | $21,109 | +58% | $27,275 | +22% | ≈346% of Medicare |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $33,385 | $25,038 | $16,289 | +105% | $23,283 | +43% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $33,276 | $24,957 | $33,771 | −1% | $38,343 | −13% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $33,229 | $24,922 | $19,184 | +73% | $24,056 | +38% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $33,078 | $24,808 | $25,038 | +32% | $33,633 | −2% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $33,023 | $24,767 | $17,212 | +92% | $32,021 | +3% | — |
| 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% | $22,458 | +45% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $32,462 | $24,347 | $17,705 | +83% | $31,321 | +4% | — |
| 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% | $30,235 | +6% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $31,829 | $23,872 | $21,682 | +47% | $32,841 | −3% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $31,389 | $23,542 | $12,710 | +147% | $21,056 | +49% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $31,278 | $23,459 | $24,927 | +25% | $27,617 | +13% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $31,166 | $23,375 | $13,633 | +129% | $16,371 | +90% | — |
| 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% | $26,436 | +17% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $30,809 | $23,107 | $19,598 | +57% | $26,580 | +16% | ≈333% of Medicare |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $30,753 | $23,065 | $28,474 | +8% | $31,951 | −4% | — |
| 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% | $32,877 | −7% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $30,490 | $22,868 | $17,530 | +74% | $24,386 | +25% | — |
| 504 | FOOT PROCEDURES WITH CC | $29,621 | $22,216 | $27,472 | +8% | $38,960 | −24% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $29,609 | $22,207 | $22,334 | +33% | $28,226 | +5% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $29,496 | $22,122 | $29,301 | +1% | $32,859 | −10% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $29,411 | $22,058 | $12,694 | +132% | $17,298 | +70% | — |
| 200 | PNEUMOTHORAX WITH CC | $29,281 | $21,961 | $17,132 | +71% | $21,368 | +37% | — |
| 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% | $30,010 | −4% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $28,735 | $21,551 | $27,838 | +3% | $27,152 | +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% | $39,006 | −27% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $28,479 | $21,359 | $11,883 | +140% | $14,514 | +96% | — |
| 682 | RENAL FAILURE WITH MCC | $28,252 | $21,189 | $23,877 | +18% | $29,064 | −3% | — |
| 813 | COAGULATION DISORDERS | $28,091 | $21,068 | $24,815 | +13% | $33,296 | −16% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $28,039 | $21,029 | $57,855 | −52% | $59,533 | −53% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $28,007 | $21,005 | $33,914 | −17% | $42,415 | −34% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $27,873 | $20,905 | $30,447 | −8% | $30,447 | −8% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $27,872 | $20,904 | $19,423 | +43% | $25,712 | +8% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $27,848 | $20,886 | $14,253 | +95% | $19,842 | +40% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $27,799 | $20,849 | $22,254 | +25% | $24,127 | +15% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $27,775 | $20,832 | $12,424 | +124% | $17,038 | +63% | — |
| 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% | $17,081 | +59% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $27,175 | $20,381 | $25,977 | +5% | $34,273 | −21% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $27,165 | $20,374 | $18,134 | +50% | $24,944 | +9% | — |
| 683 | RENAL FAILURE WITH CC | $27,055 | $20,291 | $14,333 | +89% | $19,130 | +41% | — |
| 149 | DYSEQUILIBRIUM | $26,825 | $20,119 | $11,851 | +126% | $18,096 | +48% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $26,795 | $20,097 | $13,108 | +104% | $18,126 | +48% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $26,710 | $20,032 | $19,916 | +34% | $27,401 | −3% | — |
| 540 | OSTEOMYELITIS WITH CC | $26,676 | $20,007 | $20,648 | +29% | $26,676 | +0% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $26,530 | $19,897 | $29,731 | −11% | $47,711 | −44% | — |
| 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% | $19,227 | +37% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $26,368 | $19,776 | $57,632 | −54% | $68,639 | −62% | — |
| 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% | $30,100 | −13% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $26,094 | $19,571 | $19,073 | +37% | $25,700 | +2% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $26,086 | $19,565 | $19,057 | +37% | $27,277 | −4% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $25,955 | $19,466 | $20,425 | +27% | $26,776 | −3% | ≈284% of Medicare |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $25,921 | $19,441 | $19,121 | +36% | $26,770 | −3% | ≈303% of Medicare |
| 539 | OSTEOMYELITIS WITH MCC | $25,831 | $19,373 | $31,560 | −18% | $37,609 | −31% | — |
| 694 | URINARY STONES WITHOUT MCC | $25,504 | $19,128 | $12,455 | +105% | $17,345 | +47% | — |
| 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% | $16,968 | +49% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $25,350 | $19,013 | $18,675 | +36% | $23,617 | +7% | ≈307% of Medicare |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $25,329 | $18,997 | $13,776 | +84% | $19,846 | +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% | $22,888 | +10% | — |
| 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% | $37,267 | −33% | — |
| 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% | $31,017 | −21% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $24,404 | $18,303 | $35,998 | −32% | $47,737 | −49% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $24,300 | $18,225 | $15,207 | +60% | $20,259 | +20% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $24,261 | $18,195 | $11,262 | +115% | $14,797 | +64% | — |
| 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% | $13,651 | +75% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $23,860 | $17,895 | $14,428 | +65% | $18,126 | +32% | — |
| 935 | NON-EXTENSIVE BURNS | $23,802 | $17,852 | $32,467 | −27% | $31,701 | −25% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $23,324 | $17,493 | $15,653 | +49% | $22,098 | +6% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $23,269 | $17,452 | $13,648 | +70% | $15,215 | +53% | — |
| 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% | $33,653 | −32% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $22,894 | $17,171 | $22,175 | +3% | $30,770 | −26% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $22,857 | $17,143 | $13,967 | +64% | $18,602 | +23% | — |
| 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% | $17,934 | +27% | — |
| 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% | $36,792 | −40% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $22,215 | $16,662 | $27,790 | −20% | $38,101 | −42% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,010 | $16,507 | $18,007 | +22% | $25,279 | −13% | — |
| 305 | HYPERTENSION WITHOUT MCC | $21,995 | $16,496 | $11,994 | +83% | $18,086 | +22% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $21,844 | $16,383 | $30,144 | −28% | $32,637 | −33% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $21,726 | $16,295 | $15,319 | +42% | $20,911 | +4% | — |
| 102 | HEADACHES WITH MCC | $21,426 | $16,069 | $19,200 | +12% | $25,740 | −17% | — |
| 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% | $15,855 | +34% | — |
| 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% | $17,578 | +18% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $20,381 | $15,286 | $12,837 | +59% | $17,674 | +15% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $20,231 | $15,173 | $16,003 | +26% | $20,957 | −3% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $20,017 | $15,013 | $33,580 | −40% | $40,108 | −50% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $19,995 | $14,996 | $26,311 | −24% | $32,496 | −38% | — |
| 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% | $31,346 | −36% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $19,901 | $14,926 | $90,099 | −78% | $89,207 | −78% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $19,780 | $14,835 | $13,505 | +46% | $18,807 | +5% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $19,761 | $14,821 | $12,455 | +59% | $19,037 | +4% | — |
| 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% | $23,319 | −16% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $19,506 | $14,630 | $21,570 | −10% | $27,285 | −29% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $19,453 | $14,590 | $14,046 | +38% | $18,640 | +4% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $19,131 | $14,348 | $23,129 | −17% | $30,571 | −37% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $19,030 | $14,273 | $28,283 | −33% | $31,159 | −39% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $18,776 | $14,082 | $24,561 | −24% | $25,094 | −25% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $18,646 | $13,984 | $16,735 | +11% | $22,432 | −17% | — |
| 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% | $36,670 | −49% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $18,467 | $13,850 | $27,949 | −34% | $26,682 | −31% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $18,330 | $13,747 | $14,460 | +27% | $20,506 | −11% | — |
| 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% | $16,767 | +7% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $17,887 | $13,416 | $12,376 | +45% | $15,549 | +15% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $17,603 | $13,203 | $12,885 | +37% | $17,559 | +0% | — |
| 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% | $25,303 | −31% | — |
| 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% | $20,566 | −16% | — |
| 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% | $10,160 | +70% | — |
| 638 | DIABETES WITH CC | $17,283 | $12,962 | $14,301 | +21% | $19,661 | −12% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $17,208 | $12,906 | $12,789 | +35% | $19,745 | −13% | — |
| 139 | SALIVARY GLAND PROCEDURES | $17,129 | $12,846 | $18,898 | −9% | $23,612 | −27% | — |
| 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% | $16,288 | +4% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $16,960 | $12,720 | $10,435 | +63% | $14,549 | +17% | — |
| 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% | $17,124 | −1% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $16,866 | $12,649 | $15,653 | +8% | $20,455 | −18% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $16,793 | $12,595 | $13,617 | +23% | $16,699 | +1% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $16,730 | $12,548 | $15,812 | +6% | $19,264 | −13% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,458 | $12,344 | $24,195 | −32% | $29,743 | −45% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $16,335 | $12,251 | $14,905 | +10% | $20,181 | −19% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $16,248 | $12,186 | $10,276 | +58% | $14,250 | +14% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $16,037 | $12,028 | $23,734 | −32% | $33,454 | −52% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $15,986 | $11,989 | $29,476 | −46% | $32,433 | −51% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $15,770 | $11,827 | $15,891 | −1% | $22,506 | −30% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $15,741 | $11,806 | $14,110 | +12% | $19,594 | −20% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $15,527 | $11,645 | $11,883 | +31% | $13,275 | +17% | — |
| 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% | $17,303 | −11% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $15,294 | $11,470 | $16,575 | −8% | $22,635 | −32% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $15,094 | $11,320 | $13,219 | +14% | $14,014 | +8% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $14,989 | $11,242 | $8,892 | +69% | $13,361 | +12% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $14,856 | $11,142 | $14,682 | +1% | $17,135 | −13% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $14,831 | $11,123 | $8,940 | +66% | $12,999 | +14% | — |
| 592 | SKIN ULCERS WITH MCC | $14,599 | $10,949 | $33,246 | −56% | $33,246 | −56% | — |
| 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% | $22,033 | −34% | — |
| 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% | $12,454 | +14% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $14,159 | $10,620 | $15,239 | −7% | $17,724 | −20% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $13,920 | $10,440 | $39,880 | −65% | $36,167 | −62% | — |
| 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% | $27,043 | −49% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $13,590 | $10,192 | $11,835 | +15% | $15,495 | −12% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $13,445 | $10,084 | $24,879 | −46% | $25,703 | −48% | — |
| 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% | $71,092 | −82% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $12,826 | $9,619 | $11,771 | +9% | $16,450 | −22% | — |
| 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% | $12,078 | +3% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $12,237 | $9,178 | $50,919 | −76% | $63,928 | −81% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $12,078 | $9,058 | $12,105 | −0% | $15,428 | −22% | — |
| 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% | $27,426 | −58% | — |
| 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% | $14,053 | −19% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $11,060 | $8,295 | $12,710 | −13% | $18,956 | −42% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $11,006 | $8,255 | $10,069 | +9% | $15,038 | −27% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $10,772 | $8,079 | $21,507 | −50% | $26,051 | −59% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $10,370 | $7,777 | $12,742 | −19% | $17,921 | −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% | $18,649 | −45% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $10,135 | $7,601 | $20,489 | −51% | $27,297 | −63% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $10,041 | $7,530 | $44,811 | −78% | $39,173 | −74% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,788 | $7,341 | $11,946 | −18% | $14,716 | −33% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $9,778 | $7,334 | $23,941 | −59% | $27,861 | −65% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $9,735 | $7,301 | $10,483 | −7% | $13,942 | −30% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,676 | $7,257 | $13,776 | −30% | $19,119 | −49% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $8,930 | $6,698 | $11,056 | −19% | $12,252 | −27% | — |
| 885 | PSYCHOSES | $8,630 | $6,472 | $21,729 | −60% | $21,729 | −60% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $8,226 | $6,170 | $24,450 | −66% | $24,586 | −67% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $8,069 | $6,052 | $8,145 | −1% | $9,940 | −19% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $7,742 | $5,807 | $39,339 | −80% | $12,229 | −37% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $7,636 | $5,727 | $16,973 | −55% | $20,422 | −63% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,407 | $5,556 | $27,202 | −73% | $36,354 | −80% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $7,275 | $5,457 | $11,103 | −34% | $14,415 | −50% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $7,109 | $5,332 | $21,427 | −67% | $26,932 | −74% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $6,989 | $5,242 | $22,445 | −69% | $25,073 | −72% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $6,876 | $5,157 | $35,823 | −81% | $48,349 | −86% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $6,640 | $4,980 | $28,935 | −77% | $16,351 | −59% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,527 | $4,895 | $15,796 | −59% | $20,901 | −69% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,844 | $4,383 | $14,773 | −60% | $8,445 | −31% | — |
| 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% | $25,463 | −81% | — |
| 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% | $4,720 | −19% | — |
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.