Larkin Community Hospital — 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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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 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 ≈71% 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% | ≈94% of Medicare |
| 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% | — |
| 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% | ≈80% 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% | — |
| 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% | ≈83% 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% | — |
| 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% | ≈75% of Medicare |
| 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% | ≈72% 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% | — |
| 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% | ≈78% 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% | — |
| 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% | ≈65% of Medicare |
| 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% | ≈65% 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% | ≈69% 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% | ≈63% of Medicare |
| 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% | ≈70% of Medicare |
| 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% | ≈65% of Medicare |
| 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% | — |
| 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.