Larkin Community Hospital Palm Springs Campus — Pricing
438 procedures published in this hospital's Machine-Readable File (MRF) — 436 with a comparable price, 2 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 438
Lowest published price $1,210
Average published price $83,981
Highest published price $474,966
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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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 438 procedures
Published charges
Showing all 436 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 ≈86% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. FL 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 | $474,966 | $332,476 | $416,323 | +14% | $248,521 | +91% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $464,286 | — | $42,840 | +984% | $33,555 | +1284% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $433,364 | $303,355 | $61,996 | +599% | $37,387 | +1059% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $367,355 | $257,149 | $120,531 | +205% | $80,793 | +355% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $346,535 | — | $30,428 | +1039% | $19,412 | +1685% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $336,807 | $235,765 | $164,137 | +105% | $90,775 | +271% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $301,959 | $211,372 | $103,890 | +191% | $49,423 | +511% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $299,293 | $209,505 | $244,465 | +22% | $148,832 | +101% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $288,395 | $201,876 | $121,038 | +138% | $75,573 | +282% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $288,201 | $201,741 | $84,547 | +241% | $40,108 | +619% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $278,239 | $194,767 | $65,611 | +324% | $50,394 | +452% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $263,568 | $184,498 | $181,307 | +45% | $90,195 | +192% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $262,004 | $183,403 | $154,667 | +69% | $93,172 | +181% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $261,048 | $182,734 | $114,033 | +129% | $60,170 | +334% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $253,261 | $177,283 | $159,548 | +59% | $116,058 | +118% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $249,432 | $174,602 | $110,988 | +125% | $77,817 | +221% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $244,619 | $171,233 | $122,337 | +100% | $56,755 | +331% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $240,904 | $168,633 | $203,654 | +18% | $99,423 | +142% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $234,055 | $163,838 | $134,019 | +75% | $74,257 | +215% | — |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $232,447 | $162,713 | $232,447 | +0% | $80,427 | +189% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $230,776 | $161,543 | $539,739 | −57% | $371,366 | −38% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $230,518 | $161,363 | $68,024 | +239% | $32,100 | +618% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $217,036 | $151,925 | $136,641 | +59% | $75,251 | +188% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $210,015 | $147,010 | $139,861 | +50% | $82,561 | +154% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $206,642 | $144,649 | $165,691 | +25% | $96,507 | +114% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $205,745 | $144,022 | $200,833 | +2% | $106,778 | +93% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $202,383 | $141,668 | $69,421 | +192% | $27,394 | +639% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $196,979 | $137,885 | $50,967 | +286% | $33,103 | +495% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $191,658 | $134,160 | $103,492 | +85% | $56,836 | +237% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $187,092 | $130,965 | $95,488 | +96% | $43,080 | +334% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $183,395 | $128,377 | $115,121 | +59% | $77,990 | +135% | — |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $178,804 | $125,163 | $178,804 | +0% | $72,962 | +145% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $178,066 | $124,646 | $76,373 | +133% | $39,106 | +355% | — |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $176,615 | $123,630 | $73,349 | +141% | $44,222 | +299% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $175,293 | $122,705 | $130,750 | +34% | $70,132 | +150% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $173,909 | $121,736 | $63,349 | +175% | $51,985 | +235% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $170,230 | $119,161 | $100,393 | +70% | $44,546 | +282% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $168,012 | $117,608 | $58,414 | +188% | $40,552 | +314% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $167,431 | $117,202 | $96,199 | +74% | $51,953 | +222% | — |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $165,270 | $115,689 | $81,365 | +103% | $27,233 | +507% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $164,313 | $115,019 | $83,905 | +96% | $52,405 | +214% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $164,154 | $114,908 | $19,440 | +744% | $26,598 | +517% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $163,723 | $114,606 | $133,724 | +22% | $71,755 | +128% | — |
| 813 | COAGULATION DISORDERS | $162,232 | $113,562 | $50,736 | +220% | $33,296 | +387% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $161,913 | $113,339 | $97,778 | +66% | $61,872 | +162% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $161,686 | $113,180 | $89,754 | +80% | $59,421 | +172% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $159,263 | $111,484 | $87,879 | +81% | $33,454 | +376% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $157,988 | $110,592 | $124,795 | +27% | $71,795 | +120% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $157,908 | $110,536 | $68,753 | +130% | $43,800 | +261% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $157,777 | $110,444 | $51,703 | +205% | $28,226 | +459% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $157,004 | $109,903 | $116,268 | +35% | $68,653 | +129% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $154,194 | $107,936 | $131,756 | +17% | $51,608 | +199% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $153,604 | $107,523 | $144,456 | +6% | $88,050 | +74% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $150,962 | $105,673 | $94,328 | +60% | $49,351 | +206% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $150,481 | $105,336 | $127,874 | +18% | $70,847 | +112% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $149,735 | $104,814 | $101,650 | +47% | $50,139 | +199% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $148,151 | $103,705 | $41,881 | +254% | $31,105 | +376% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $147,406 | $103,184 | $73,605 | +100% | $41,620 | +254% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $146,361 | $102,453 | $66,777 | +119% | $40,562 | +261% | — |
| 245 | AICD GENERATOR PROCEDURES | $146,203 | $102,342 | $134,153 | +9% | $72,076 | +103% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $145,616 | $101,931 | $94,030 | +55% | $49,710 | +193% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $144,109 | $100,877 | $41,798 | +245% | $25,279 | +470% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $141,683 | $99,178 | $50,249 | +182% | $26,436 | +436% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $139,219 | $97,453 | $88,195 | +58% | $52,036 | +168% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $139,007 | $97,305 | $45,890 | +203% | $35,030 | +297% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $138,697 | $97,088 | $151,781 | −9% | $98,912 | +40% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $138,453 | $96,917 | $76,702 | +81% | $39,955 | +247% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $135,808 | $95,066 | $107,108 | +27% | $69,101 | +97% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $135,495 | $94,847 | $48,455 | +180% | $25,463 | +432% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $134,277 | $93,994 | $100,372 | +34% | $59,594 | +125% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $132,043 | $92,430 | $89,872 | +47% | $52,751 | +150% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $131,966 | $92,376 | $104,590 | +26% | $54,562 | +142% | — |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $131,945 | $92,361 | $127,939 | +3% | $104,583 | +26% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $131,347 | $91,943 | $111,748 | +18% | $58,228 | +126% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $128,759 | $90,131 | $70,805 | +82% | $39,619 | +225% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $128,607 | $90,025 | $128,607 | +0% | $76,001 | +69% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $128,398 | $89,879 | $46,593 | +176% | $26,463 | +385% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $128,245 | $89,772 | $71,764 | +79% | $46,090 | +178% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $124,879 | $87,415 | $124,879 | +0% | $70,564 | +77% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $123,606 | $86,524 | $74,820 | +65% | $43,943 | +181% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $123,070 | $86,149 | $93,523 | +32% | $58,280 | +111% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $122,260 | $85,582 | $42,616 | +187% | $24,127 | +407% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $122,109 | $85,477 | $111,887 | +9% | $62,821 | +94% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $121,416 | $84,991 | $59,663 | +104% | $33,707 | +260% | ≈108% of Medicare |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $121,410 | $84,987 | $61,960 | +96% | $51,625 | +135% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $121,081 | $84,757 | $69,215 | +75% | $35,628 | +240% | ≈91% of Medicare |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $120,341 | $84,239 | $52,392 | +130% | $27,277 | +341% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $118,747 | $83,123 | $115,896 | +2% | $65,653 | +81% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $118,650 | $83,055 | $34,304 | +246% | $37,240 | +219% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $118,579 | $83,006 | $82,361 | +44% | $46,453 | +155% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $117,133 | $81,993 | $117,133 | +0% | $96,905 | +21% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $116,334 | $81,434 | $113,067 | +3% | $50,919 | +128% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $114,641 | $80,249 | $114,641 | +0% | $66,685 | +72% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $113,521 | $79,465 | $91,177 | +25% | $53,451 | +112% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $113,235 | $79,265 | $47,377 | +139% | $36,431 | +211% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $112,622 | $78,835 | $112,622 | +0% | $58,274 | +93% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $111,587 | $78,111 | $86,593 | +29% | $54,929 | +103% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $111,220 | $77,854 | $46,206 | +141% | $33,633 | +231% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $109,726 | $76,808 | $38,781 | +183% | $24,056 | +356% | — |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $109,484 | $76,639 | $147,852 | −26% | $109,331 | +0% | — |
| 263 | VEIN LIGATION AND STRIPPING | $108,786 | $76,150 | $108,786 | +0% | $51,253 | +112% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $108,096 | $75,668 | $75,116 | +44% | $51,746 | +109% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $107,662 | $75,363 | $42,676 | +152% | $31,951 | +237% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $107,423 | $75,196 | $58,148 | +85% | $34,192 | +214% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $106,996 | $74,897 | $42,644 | +151% | $27,043 | +296% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $106,612 | $74,629 | $106,612 | +0% | $75,103 | +42% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $106,471 | $74,530 | $88,880 | +20% | $34,906 | +205% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $106,257 | $74,380 | $50,903 | +109% | $36,658 | +190% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $104,012 | $72,808 | $104,012 | +0% | $64,523 | +61% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $103,521 | $72,464 | $43,842 | +136% | $30,502 | +239% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $103,285 | $72,299 | $66,172 | +56% | $32,443 | +218% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $102,833 | $71,983 | $102,833 | +0% | $70,371 | +46% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $101,940 | $71,358 | $47,290 | +116% | $27,297 | +273% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $101,395 | $70,976 | $75,816 | +34% | $45,333 | +124% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $100,584 | $70,408 | $75,572 | +33% | $48,682 | +107% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $99,629 | $69,740 | $71,606 | +39% | $38,101 | +161% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $99,225 | $69,458 | $99,225 | +0% | $50,046 | +98% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $98,147 | $68,703 | $90,905 | +8% | $47,737 | +106% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $97,662 | $68,363 | $39,991 | +144% | $30,571 | +219% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $97,578 | $68,305 | $71,079 | +37% | $29,805 | +227% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $96,836 | $67,785 | $71,647 | +35% | $39,181 | +147% | — |
| 504 | FOOT PROCEDURES WITH CC | $95,952 | $67,166 | $94,231 | +2% | $38,960 | +146% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $95,230 | $66,661 | $63,830 | +49% | $42,881 | +122% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $95,052 | $66,536 | $32,463 | +193% | $54,196 | +75% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $94,837 | $66,386 | $60,382 | +57% | $40,213 | +136% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $94,059 | $65,841 | $92,159 | +2% | $37,267 | +152% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $93,640 | $65,548 | $55,881 | +68% | $33,386 | +180% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $93,304 | $65,313 | $81,066 | +15% | $43,631 | +114% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $93,169 | $65,218 | $34,687 | +169% | $21,847 | +326% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $92,774 | $64,942 | $92,774 | +0% | $70,467 | +32% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $92,405 | $64,684 | $49,639 | +86% | $27,316 | +238% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $91,643 | $64,150 | $110,939 | −17% | $70,177 | +31% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $90,308 | $63,216 | $61,714 | +46% | $38,666 | +134% | — |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $90,178 | $63,125 | $65,658 | +37% | $38,998 | +131% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $89,760 | $62,832 | $89,760 | +0% | $65,788 | +36% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $89,501 | $62,651 | $66,824 | +34% | $44,606 | +101% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $88,578 | $62,005 | $64,202 | +38% | $36,249 | +144% | — |
| 602 | CELLULITIS WITH MCC | $88,260 | $61,782 | $42,228 | +109% | $30,598 | +188% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $87,760 | $61,432 | $43,603 | +101% | $27,543 | +219% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $87,194 | $61,036 | $79,537 | +10% | $47,711 | +83% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $87,122 | $60,985 | $87,122 | +0% | $89,207 | −2% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $86,762 | $60,734 | $55,905 | +55% | $27,861 | +211% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $86,293 | $60,405 | $81,152 | +6% | $25,073 | +244% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $86,182 | $60,328 | $41,210 | +109% | $22,320 | +286% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $85,826 | $60,078 | $64,761 | +33% | $30,828 | +178% | ≈96% of Medicare |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $85,157 | $59,610 | $74,373 | +14% | $36,670 | +132% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $83,672 | $58,570 | $65,442 | +28% | $41,955 | +99% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $83,393 | $58,375 | $27,341 | +205% | $17,559 | +375% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $83,244 | $58,271 | $42,560 | +96% | $25,703 | +224% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $82,073 | $57,451 | $48,581 | +69% | $29,743 | +176% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $81,527 | $57,069 | $76,863 | +6% | $35,465 | +130% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $81,117 | $56,782 | $24,207 | +235% | $18,640 | +335% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $80,960 | $56,672 | $29,865 | +171% | $26,770 | +202% | — |
| 637 | DIABETES WITH MCC | $80,416 | $56,292 | $38,920 | +107% | $30,100 | +167% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $79,986 | $55,990 | $76,182 | +5% | $34,749 | +130% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $79,864 | $55,905 | $36,417 | +119% | $16,634 | +380% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $79,506 | $55,654 | $79,506 | +0% | $59,500 | +34% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $79,234 | $55,464 | $29,310 | +170% | $26,776 | +196% | ≈92% of Medicare |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $78,697 | $55,088 | $43,125 | +82% | $23,551 | +234% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $78,557 | $54,990 | $68,344 | +15% | $33,694 | +133% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $77,553 | $54,287 | $40,704 | +91% | $27,275 | +184% | ≈89% of Medicare |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $77,269 | $54,088 | $92,106 | −16% | $68,508 | +13% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $76,844 | $53,791 | $76,844 | +0% | $13,613 | +464% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $76,759 | $53,731 | $62,621 | +23% | $37,844 | +103% | — |
| 199 | PNEUMOTHORAX WITH MCC | $76,161 | $53,313 | $47,278 | +61% | $33,787 | +125% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $76,062 | $53,244 | $76,062 | +0% | $57,454 | +32% | — |
| 865 | VIRAL ILLNESS WITH MCC | $76,053 | $53,237 | $34,511 | +120% | $26,910 | +183% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $75,995 | $53,197 | $75,995 | +0% | $43,538 | +75% | — |
| 089 | CONCUSSION WITH CC | $75,977 | $53,184 | $32,325 | +135% | $18,821 | +304% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $75,844 | $53,091 | $69,905 | +8% | $38,836 | +95% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $75,703 | $52,992 | $77,531 | −2% | $52,178 | +45% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $75,621 | $52,935 | $62,383 | +21% | $36,792 | +106% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $75,584 | $52,909 | $75,584 | +0% | $46,724 | +62% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $75,551 | $52,886 | $75,551 | +0% | $34,937 | +116% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $75,537 | $52,876 | $65,831 | +15% | $37,169 | +103% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $75,523 | $52,866 | $75,523 | +0% | $46,402 | +63% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $74,921 | $52,445 | $74,921 | +0% | $46,340 | +62% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $73,873 | $51,711 | $31,558 | +134% | $16,450 | +349% | — |
| 592 | SKIN ULCERS WITH MCC | $73,664 | $51,565 | $41,440 | +78% | $33,246 | +122% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $73,369 | $51,358 | $41,685 | +76% | $22,458 | +227% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $73,124 | $51,187 | $47,106 | +55% | $19,270 | +279% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $72,952 | $51,067 | $54,418 | +34% | $39,018 | +87% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $72,874 | $51,012 | $33,593 | +117% | $19,264 | +278% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $72,222 | $50,556 | $95,116 | −24% | $147,227 | −51% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $72,065 | $50,446 | $63,218 | +14% | $35,074 | +105% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $71,685 | $50,179 | $26,161 | +174% | $15,215 | +371% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $71,568 | $50,097 | $52,058 | +37% | $33,851 | +111% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $71,552 | $50,086 | $98,774 | −28% | $84,692 | −16% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $71,491 | $50,044 | $25,257 | +183% | $17,724 | +303% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $71,259 | $49,881 | $45,419 | +57% | $33,563 | +112% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $70,922 | $49,646 | $70,922 | +0% | $44,139 | +61% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $70,823 | $49,576 | $36,072 | +96% | $32,496 | +118% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $70,715 | $49,500 | $26,473 | +167% | $17,118 | +313% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $70,704 | $49,493 | $70,704 | +0% | $34,354 | +106% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $70,404 | $49,283 | $67,776 | +4% | $29,826 | +136% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $70,348 | $49,244 | $24,481 | +187% | $18,002 | +291% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $70,199 | $49,139 | $86,214 | −19% | $93,390 | −25% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $69,958 | $48,970 | $60,046 | +17% | $31,264 | +124% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $69,729 | $48,810 | $69,729 | +0% | $52,435 | +33% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $69,589 | $48,712 | $69,589 | +0% | $43,913 | +58% | — |
| 682 | RENAL FAILURE WITH MCC | $69,576 | $48,703 | $48,136 | +45% | $29,064 | +139% | — |
| 187 | PLEURAL EFFUSION WITH CC | $69,567 | $48,697 | $48,849 | +42% | $21,789 | +219% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $69,485 | $48,639 | $43,755 | +59% | $31,321 | +122% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $68,966 | $48,276 | $35,344 | +95% | $23,198 | +197% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $68,866 | $48,206 | $46,930 | +47% | $32,841 | +110% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $68,364 | $47,855 | $58,067 | +18% | $44,117 | +55% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $68,213 | $47,749 | $53,056 | +29% | $27,808 | +145% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $67,081 | $46,956 | $67,081 | +0% | $37,950 | +77% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $66,681 | $46,676 | $41,965 | +59% | $24,386 | +173% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $66,615 | $46,631 | $76,167 | −13% | $58,745 | +13% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $66,226 | $46,358 | $27,341 | +142% | $20,895 | +217% | — |
| 666 | PROSTATECTOMY WITH CC | $65,854 | $46,098 | $45,559 | +45% | $31,906 | +106% | — |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $65,704 | $45,993 | $39,078 | +68% | $18,898 | +248% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $65,594 | $45,916 | $65,594 | +0% | $50,463 | +30% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $65,519 | $45,863 | $34,923 | +88% | $21,275 | +208% | — |
| 638 | DIABETES WITH CC | $65,282 | $45,698 | $24,363 | +168% | $19,661 | +232% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $65,282 | $45,697 | $65,282 | +0% | $47,945 | +36% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $64,846 | $45,392 | $33,347 | +94% | $23,749 | +173% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $64,798 | $45,359 | $60,423 | +7% | $40,362 | +61% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $64,727 | $45,309 | $37,031 | +75% | $33,653 | +92% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $64,088 | $44,862 | $50,709 | +26% | $32,859 | +95% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $63,817 | $44,672 | $37,105 | +72% | $20,926 | +205% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $63,804 | $44,663 | $40,745 | +57% | $21,941 | +191% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $63,386 | $44,370 | $63,386 | +0% | $28,320 | +124% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $63,006 | $44,104 | $44,329 | +42% | $23,141 | +172% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $62,558 | $43,790 | $62,558 | +0% | $50,011 | +25% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $62,523 | $43,766 | $69,407 | −10% | $59,790 | +5% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $61,784 | $43,248 | $99,946 | −38% | $88,307 | −30% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $61,770 | $43,239 | $37,994 | +63% | $19,227 | +221% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $61,402 | $42,981 | $61,930 | −1% | $38,861 | +58% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $61,241 | $42,868 | $32,703 | +87% | $22,468 | +173% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $61,194 | $42,836 | $47,860 | +28% | $20,463 | +199% | — |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $60,870 | $42,609 | $59,359 | +3% | $16,212 | +275% | — |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $60,442 | $42,309 | $60,442 | +0% | $66,848 | −10% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $60,284 | $42,199 | $55,988 | +8% | $36,937 | +63% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $60,160 | $42,112 | $31,966 | +88% | $18,081 | +233% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $60,017 | $42,012 | $36,493 | +64% | $23,617 | +154% | ≈80% of Medicare |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $59,879 | $41,916 | $18,605 | +222% | $12,454 | +381% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $59,799 | $41,859 | $23,223 | +158% | $18,204 | +228% | ≈81% of Medicare |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $59,557 | $41,690 | $47,503 | +25% | $27,843 | +114% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $59,263 | $41,484 | $39,350 | +51% | $31,159 | +90% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $59,034 | $41,324 | $59,034 | +0% | $37,842 | +56% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $59,018 | $41,313 | $32,487 | +82% | $17,303 | +241% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $58,624 | $41,037 | $22,569 | +160% | $15,183 | +286% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $58,612 | $41,028 | $28,801 | +104% | $22,098 | +165% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $58,434 | $40,904 | $35,076 | +67% | $25,034 | +133% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $58,395 | $40,876 | $58,395 | +0% | $54,583 | +7% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $58,186 | $40,730 | $58,272 | −0% | $56,964 | +2% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $58,182 | $40,727 | $30,014 | +94% | $16,371 | +255% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $58,005 | $40,603 | $58,005 | +0% | $33,393 | +74% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $57,856 | $40,499 | $30,075 | +92% | $17,483 | +231% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $57,195 | $40,036 | $37,010 | +55% | $22,024 | +160% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $56,731 | $39,712 | $56,731 | +0% | $39,173 | +45% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $56,280 | $39,396 | $34,103 | +65% | $22,888 | +146% | ≈76% of Medicare |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $56,250 | $39,375 | $23,760 | +137% | $14,689 | +283% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $56,242 | $39,369 | $19,993 | +181% | $25,945 | +117% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $56,043 | $39,230 | $56,043 | +0% | $43,477 | +29% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $56,023 | $39,216 | $56,023 | +0% | $35,419 | +58% | — |
| 100 | SEIZURES WITH MCC | $55,589 | $38,913 | $55,589 | +0% | $35,481 | +57% | — |
| 304 | HYPERTENSION WITH MCC | $55,568 | $38,897 | $47,999 | +16% | $26,080 | +113% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $55,290 | $38,703 | $34,902 | +58% | $19,073 | +190% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $55,176 | $38,623 | $37,258 | +48% | $26,580 | +108% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $54,763 | $38,334 | $47,804 | +15% | $23,319 | +135% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $54,438 | $38,107 | $33,096 | +64% | $22,850 | +138% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $54,154 | $37,908 | $37,486 | +44% | $20,455 | +165% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $54,048 | $37,834 | $37,251 | +45% | $28,050 | +93% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $53,976 | $37,783 | $53,976 | +0% | $49,418 | +9% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $53,519 | $37,464 | $49,527 | +8% | $25,970 | +106% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $53,344 | $37,341 | $50,701 | +5% | $22,635 | +136% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $53,312 | $37,318 | $53,312 | +0% | $42,415 | +26% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $52,941 | $37,059 | $32,521 | +63% | $20,181 | +162% | — |
| 693 | URINARY STONES WITH MCC | $52,881 | $37,017 | $39,855 | +33% | $23,892 | +121% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $52,760 | $36,932 | $52,760 | +0% | $32,574 | +62% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $52,499 | $36,749 | $52,499 | +0% | $69,743 | −25% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $52,464 | $36,725 | $23,613 | +122% | $13,651 | +284% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $52,366 | $36,656 | $49,488 | +6% | $31,017 | +69% | — |
| 603 | CELLULITIS WITHOUT MCC | $51,496 | $36,047 | $24,682 | +109% | $18,530 | +178% | ≈80% of Medicare |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $51,216 | $35,852 | $30,316 | +69% | $15,889 | +222% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $50,635 | $35,445 | $35,345 | +43% | $18,488 | +174% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $50,612 | $35,428 | $29,460 | +72% | $16,968 | +198% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $50,573 | $35,401 | $50,573 | +0% | $41,591 | +22% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $50,391 | $35,274 | $45,325 | +11% | $27,285 | +85% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $50,118 | $35,083 | $50,118 | +0% | $27,947 | +79% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $50,062 | $35,044 | $33,385 | +50% | $19,096 | +162% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $50,027 | $35,019 | $46,815 | +7% | $19,854 | +152% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $49,560 | $34,692 | $39,751 | +25% | $21,396 | +132% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $49,490 | $34,643 | $37,492 | +32% | $19,037 | +160% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $49,251 | $34,476 | $25,599 | +92% | $22,763 | +116% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $48,937 | $34,256 | $46,699 | +5% | $25,712 | +90% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $48,679 | $34,075 | $34,293 | +42% | $20,422 | +138% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $47,758 | $33,430 | $41,351 | +15% | $22,148 | +116% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $47,730 | $33,411 | $47,730 | +0% | $24,944 | +91% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $47,682 | $33,378 | $27,540 | +73% | $15,019 | +217% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $47,636 | $33,345 | $26,127 | +82% | $14,648 | +225% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $47,553 | $33,287 | $31,833 | +49% | $32,877 | +45% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $47,267 | $33,087 | $18,608 | +154% | $20,566 | +130% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $47,185 | $33,030 | $43,521 | +8% | $27,617 | +71% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $46,945 | $32,862 | $43,378 | +8% | $26,932 | +74% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $46,879 | $32,815 | $43,859 | +7% | $25,700 | +82% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $46,841 | $32,789 | $46,841 | +0% | $39,211 | +19% | — |
| 139 | SALIVARY GLAND PROCEDURES | $46,708 | $32,696 | $45,732 | +2% | $23,612 | +98% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $46,693 | $32,685 | $46,693 | +0% | $38,094 | +23% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $46,508 | $32,556 | $46,508 | +0% | $30,784 | +51% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $46,504 | $32,553 | $46,504 | +0% | $34,276 | +36% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $46,231 | $32,362 | $36,319 | +27% | $18,807 | +146% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $46,010 | $32,207 | $32,461 | +42% | $17,298 | +166% | — |
| 683 | RENAL FAILURE WITH CC | $45,893 | $32,125 | $27,364 | +68% | $19,130 | +140% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $45,585 | $31,910 | $18,420 | +147% | $15,452 | +195% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $45,462 | $31,823 | $28,331 | +60% | $20,247 | +125% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $45,434 | $31,804 | $29,358 | +55% | $17,674 | +157% | ≈73% of Medicare |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $45,240 | $31,668 | $41,089 | +10% | $21,056 | +115% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $45,210 | $31,647 | $48,720 | −7% | $33,047 | +37% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $44,674 | $31,272 | $44,674 | +0% | $31,300 | +43% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $44,653 | $31,257 | $23,084 | +93% | $14,053 | +218% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $44,556 | $31,189 | $30,373 | +47% | $15,600 | +186% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $44,348 | $31,044 | $45,750 | −3% | $39,627 | +12% | — |
| 593 | SKIN ULCERS WITH CC | $44,270 | $30,989 | $32,139 | +38% | $22,886 | +93% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $44,233 | $30,963 | $21,438 | +106% | $17,081 | +159% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $44,210 | $30,947 | $44,210 | +0% | $27,975 | +58% | — |
| 088 | CONCUSSION WITH MCC | $44,145 | $30,902 | $44,145 | +0% | $24,402 | +81% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $43,938 | $30,757 | $26,840 | +64% | $15,837 | +177% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $43,877 | $30,714 | $30,713 | +43% | $15,428 | +184% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $43,840 | $30,688 | $31,296 | +40% | $18,528 | +137% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $43,252 | $30,276 | $33,249 | +30% | $15,038 | +188% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $42,771 | $29,940 | $42,771 | +0% | $23,488 | +82% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $42,719 | $29,903 | $31,594 | +35% | $17,322 | +147% | ≈82% of Medicare |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $42,687 | $29,881 | $16,694 | +156% | $18,466 | +131% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $42,600 | $29,820 | $29,612 | +44% | $21,363 | +99% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $42,063 | $29,444 | $29,899 | +41% | $17,578 | +139% | — |
| 305 | HYPERTENSION WITHOUT MCC | $41,936 | $29,355 | $31,871 | +32% | $18,086 | +132% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $41,859 | $29,301 | $25,841 | +62% | $20,506 | +104% | — |
| 103 | HEADACHES WITHOUT MCC | $41,722 | $29,205 | $33,850 | +23% | $21,280 | +96% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $41,606 | $29,124 | $22,509 | +85% | $20,957 | +99% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $41,341 | $28,939 | $41,341 | +0% | $33,424 | +24% | — |
| 694 | URINARY STONES WITHOUT MCC | $41,172 | $28,821 | $28,782 | +43% | $17,345 | +137% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $40,839 | $28,587 | $40,839 | +0% | $34,273 | +19% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $40,771 | $28,540 | $40,771 | +0% | $27,401 | +49% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $40,668 | $28,467 | $40,668 | +0% | $30,959 | +31% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $40,619 | $28,433 | $17,115 | +137% | $13,824 | +194% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $39,852 | $27,897 | $20,204 | +97% | $14,583 | +173% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $39,518 | $27,662 | $39,518 | +0% | $23,940 | +65% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $39,473 | $27,631 | $39,473 | +0% | $32,637 | +21% | — |
| 311 | ANGINA PECTORIS | $38,966 | $27,276 | $35,326 | +10% | $15,502 | +151% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $38,755 | $27,129 | $60,577 | −36% | $60,098 | −36% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $38,744 | $27,121 | $44,769 | −13% | $40,548 | −4% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $38,702 | $27,091 | $27,096 | +43% | $12,999 | +198% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $38,408 | $26,886 | $38,408 | +0% | $20,232 | +90% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $38,301 | $26,810 | $31,944 | +20% | $18,956 | +102% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $37,759 | $26,432 | $25,672 | +47% | $18,602 | +103% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $37,612 | $26,328 | $34,174 | +10% | $20,781 | +81% | — |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $37,493 | $26,245 | $37,493 | +0% | $24,941 | +50% | — |
| 101 | SEIZURES WITHOUT MCC | $37,467 | $26,227 | $31,557 | +19% | $20,461 | +83% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $37,337 | $26,136 | $26,306 | +42% | $14,927 | +150% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $37,092 | $25,964 | $37,092 | +0% | $15,412 | +141% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $37,075 | $25,953 | $37,075 | +0% | $22,033 | +68% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $36,847 | $25,793 | $29,369 | +25% | $17,921 | +106% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $36,772 | $25,740 | $38,127 | −4% | $22,525 | +63% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $36,680 | $25,676 | $20,393 | +80% | $14,549 | +152% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $36,066 | $25,246 | $30,131 | +20% | $20,488 | +76% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $35,333 | $24,733 | $29,525 | +20% | $19,842 | +78% | — |
| 540 | OSTEOMYELITIS WITH CC | $35,008 | $24,505 | $35,008 | +0% | $26,676 | +31% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $34,343 | $24,040 | $28,392 | +21% | $17,038 | +102% | — |
| 913 | TRAUMATIC INJURY WITH MCC | $34,309 | $24,016 | $34,309 | +0% | $24,198 | +42% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $34,019 | $23,813 | $26,661 | +28% | $16,767 | +103% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $33,984 | $23,788 | $26,598 | +28% | $13,361 | +154% | — |
| 312 | SYNCOPE AND COLLAPSE | $33,674 | $23,572 | $23,207 | +45% | $19,342 | +74% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $33,667 | $23,567 | $32,802 | +3% | $14,368 | +134% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $33,089 | $23,162 | $28,865 | +15% | $38,878 | −15% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $33,074 | $23,152 | $58,728 | −44% | $50,607 | −35% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $32,825 | $22,977 | $25,270 | +30% | $26,682 | +23% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $32,751 | $22,926 | $40,754 | −20% | $39,973 | −18% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $32,112 | $22,478 | $38,973 | −18% | $40,365 | −20% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $31,971 | $22,380 | $29,056 | +10% | $14,797 | +116% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $31,805 | $22,264 | $26,277 | +21% | $13,642 | +133% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $31,576 | $22,103 | $31,576 | +0% | $32,628 | −3% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $31,429 | $22,000 | $31,429 | +0% | $30,235 | +4% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $30,693 | $21,485 | $30,693 | +0% | $20,259 | +51% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $30,648 | $21,453 | $29,833 | +3% | $17,733 | +73% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $30,608 | $21,426 | $30,608 | +0% | $27,426 | +12% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $30,211 | $21,148 | $30,211 | +0% | $16,776 | +80% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $29,959 | $20,971 | $31,658 | −5% | $32,451 | −8% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $29,379 | $20,565 | $23,833 | +23% | $15,549 | +89% | — |
| 885 | PSYCHOSES | $29,334 | $20,534 | $26,024 | +13% | $21,729 | +35% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $29,170 | $20,419 | $29,170 | +0% | $22,506 | +30% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $29,068 | $20,347 | $13,863 | +110% | $16,699 | +74% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $28,755 | $20,128 | $36,656 | −22% | $20,911 | +38% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $28,737 | $20,116 | $28,737 | +0% | $17,934 | +60% | — |
| 639 | DIABETES WITHOUT CC/MCC | $27,977 | $19,584 | $24,779 | +13% | $13,910 | +101% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $27,899 | $19,529 | $27,899 | +0% | $42,914 | −35% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $27,792 | $19,454 | $27,792 | +0% | $28,156 | −1% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $27,597 | $19,318 | $27,597 | +0% | $23,573 | +17% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $27,558 | $19,291 | $27,558 | +0% | $14,128 | +95% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $27,541 | $19,279 | $30,449 | −10% | $29,916 | −8% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $27,509 | $19,256 | $23,464 | +17% | $13,384 | +106% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $27,421 | $19,195 | $28,665 | −4% | $32,031 | −14% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $27,409 | $19,186 | $35,607 | −23% | $36,505 | −25% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $27,354 | $19,148 | $27,354 | +0% | $33,255 | −18% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $27,043 | $18,930 | $27,043 | +0% | $18,126 | +49% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $26,768 | $18,738 | $23,335 | +15% | $11,421 | +134% | — |
| 313 | CHEST PAIN | $26,595 | $18,617 | $26,595 | +0% | $16,440 | +62% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $26,484 | $18,539 | $18,896 | +40% | $16,288 | +63% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $26,336 | $18,435 | $25,323 | +4% | $14,638 | +80% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $26,263 | $18,384 | $26,263 | +0% | $32,065 | −18% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $25,739 | $18,017 | $25,739 | +0% | $27,989 | −8% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $25,321 | $17,725 | $25,321 | +0% | $15,589 | +62% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $24,395 | $17,077 | $32,974 | −26% | $35,569 | −31% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $24,205 | $16,944 | $21,625 | +12% | $17,601 | +38% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $23,972 | $16,781 | $23,972 | +0% | $24,914 | −4% | — |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $23,739 | $16,618 | $14,256 | +67% | $21,986 | +8% | ≈96% of Medicare |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $23,724 | $16,607 | $23,724 | +0% | $18,004 | +32% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $22,801 | $15,960 | $22,801 | +0% | $31,563 | −28% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $22,566 | $15,796 | $19,065 | +18% | $12,324 | +83% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $22,324 | $15,627 | $18,290 | +22% | $10,975 | +103% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $22,140 | $15,498 | $22,140 | +0% | $11,071 | +100% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $21,390 | $14,973 | $13,534 | +58% | $14,209 | +51% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $17,396 | $12,177 | $17,396 | +0% | $25,303 | −31% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $17,322 | $12,125 | $17,175 | +1% | $13,633 | +27% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $16,312 | $11,418 | $22,003 | −26% | $29,079 | −44% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $16,185 | $11,329 | $24,390 | −34% | $18,150 | −11% | — |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $16,071 | $11,250 | $16,071 | +0% | $12,768 | +26% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $16,002 | $11,201 | $33,371 | −52% | $19,815 | −19% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $15,477 | $10,834 | $15,477 | +0% | $14,415 | +7% | — |
| 881 | DEPRESSIVE NEUROSES | $15,091 | $10,563 | $12,838 | +18% | $15,058 | +0% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $14,753 | $10,327 | $14,753 | +0% | $16,520 | −11% | — |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $14,052 | $9,836 | $8,987 | +56% | $8,927 | +57% | — |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $10,946 | $7,662 | $69,863 | −84% | $65,216 | −83% | — |
| 935 | NON-EXTENSIVE BURNS | $9,403 | $6,582 | $12,401 | −24% | $31,701 | −70% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $9,034 | $6,324 | $10,261 | −12% | $15,680 | −42% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $8,758 | $6,131 | $8,915 | −2% | $17,700 | −51% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $8,502 | $5,951 | $6,799 | +25% | $10,160 | −16% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $5,570 | $3,899 | $37,402 | −85% | $32,433 | −83% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $3,816 | $2,671 | $10,147 | −62% | $15,855 | −76% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $2,781 | $1,947 | $11,841 | −77% | $23,206 | −88% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $2,609 | $1,827 | $12,483 | −79% | $17,620 | −85% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $1,400 | $980 | $11,777 | −88% | $15,495 | −91% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $1,210 | $847 | $7,421 | −84% | $13,527 | −91% | — |
Procedures with negotiated rates only
These 2 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 539 | OSTEOMYELITIS WITH MCC | — | 82 plans |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | — | 76 plans |
No procedures match that keyword.