Adventist Health Castle — Pricing
415 procedures published in this hospital's Machine-Readable File (MRF) — 413 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 415
Lowest published price $2,716
Average published price $53,988
Highest published price $399,256
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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
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 415 procedures
Published charges
Showing all 413 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 26 procedures, this hospital's negotiated rates average ≈157% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. HI median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $399,256 | $127,762 | $250,726 | +59% | $175,437 | +128% | — |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $375,897 | $120,287 | $250,726 | +50% | $92,238 | +308% | — |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $344,343 | $110,190 | $250,726 | +37% | $121,714 | +183% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $281,957 | $90,226 | $296,497 | −5% | $245,241 | +15% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $267,734 | $85,675 | $71,004 | +277% | $70,540 | +280% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $264,349 | $84,592 | $178,000 | +49% | $151,029 | +75% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $225,150 | $72,048 | $225,150 | +0% | $116,058 | +94% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $221,122 | $70,759 | $70,095 | +215% | $88,049 | +151% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $214,325 | $68,584 | $144,293 | +49% | $99,423 | +116% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $208,288 | $66,652 | $165,096 | +26% | $138,868 | +50% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $207,727 | $66,473 | $82,265 | +153% | $88,341 | +135% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $198,357 | $63,474 | $63,315 | +213% | $38,836 | +411% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $192,219 | $61,510 | $71,298 | +170% | $72,945 | +164% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $179,759 | $57,523 | $73,972 | +143% | $74,274 | +142% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $172,336 | $55,148 | $99,208 | +74% | $96,192 | +79% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $164,033 | $52,491 | $164,033 | +0% | $87,018 | +89% | ≈155% of Medicare |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $162,296 | $51,935 | $92,300 | +76% | $64,152 | +153% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $162,263 | $51,924 | $124,524 | +30% | $83,065 | +95% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $158,554 | $50,737 | $27,942 | +467% | $26,020 | +509% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $156,580 | $50,106 | $59,645 | +163% | $50,624 | +209% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $144,773 | $46,327 | $115,490 | — | $75,251 | +92% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $143,238 | $45,836 | $87,578 | +64% | $53,746 | +167% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $140,358 | $44,915 | $140,358 | +0% | $118,589 | +18% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $138,678 | $44,377 | $82,335 | +68% | $72,782 | +91% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $138,414 | $44,293 | $138,414 | +0% | $138,008 | +0% | — |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $137,676 | $44,056 | $133,558 | +3% | $117,280 | +17% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $132,252 | $42,321 | $117,180 | +13% | $82,247 | +61% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $129,698 | $41,503 | $55,726 | +133% | $46,659 | +178% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $123,888 | $39,644 | $60,694 | +104% | $53,817 | +130% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $123,568 | $39,542 | $81,718 | +51% | $82,561 | +50% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $120,563 | $38,580 | $60,120 | +101% | $64,776 | +86% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $119,992 | $38,397 | $95,226 | +26% | $88,691 | +35% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $116,300 | $37,216 | $84,244 | +38% | $92,515 | +26% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $110,565 | $35,381 | $28,108 | +293% | $33,607 | +229% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $108,789 | $34,812 | $75,309 | +44% | $44,989 | +142% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $108,114 | $34,597 | $57,254 | +89% | $64,956 | +66% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $107,570 | $34,422 | $94,344 | — | $50,815 | +112% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $107,528 | $34,409 | $112,905 | — | $69,101 | +56% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $105,827 | $33,864 | $105,827 | +0% | $102,177 | +4% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $104,972 | $33,591 | $78,833 | +33% | $52,435 | +100% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $103,278 | $33,049 | $103,278 | +0% | $90,331 | +14% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $101,438 | $32,460 | $99,195 | +2% | $86,390 | +17% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $100,309 | $32,099 | $29,419 | +241% | $40,552 | +147% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $100,274 | $32,088 | $66,979 | +50% | $58,043 | +73% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $98,715 | $31,589 | $108,498 | — | $54,320 | +82% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $97,623 | $31,239 | $100,874 | −3% | $66,853 | +46% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $91,051 | $29,136 | $62,338 | +46% | $59,207 | +54% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $90,414 | $28,933 | $50,009 | +81% | $43,398 | +108% | — |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $88,716 | $28,389 | $69,247 | +28% | $78,852 | +13% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $87,751 | $28,080 | $94,532 | −7% | $43,524 | +102% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $86,820 | $27,782 | $86,820 | +0% | $71,014 | +22% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $86,041 | $27,533 | $74,665 | +15% | $76,954 | +12% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $85,632 | $27,402 | $52,486 | +63% | $54,772 | +56% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $84,012 | $26,884 | $368,609 | −77% | $371,366 | −77% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $83,773 | $26,807 | $83,773 | +0% | $58,832 | +42% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $83,097 | $26,591 | $60,708 | +37% | $54,129 | +54% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $82,657 | $26,450 | $67,631 | +22% | $72,859 | +13% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $81,992 | $26,238 | $59,744 | +37% | $33,165 | +147% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $81,463 | $26,068 | $42,224 | +93% | $35,139 | +132% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $81,012 | $25,924 | $81,012 | +0% | $68,508 | +18% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $80,556 | $25,778 | $79,660 | +1% | $62,821 | +28% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $79,749 | $25,520 | $44,604 | +79% | $30,766 | +159% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $79,360 | $25,395 | $61,570 | +29% | $71,701 | +11% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $78,984 | $25,275 | $31,787 | +148% | $28,252 | +180% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $78,297 | $25,055 | $78,297 | +0% | $96,222 | −19% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $78,014 | $24,964 | $71,298 | +9% | $49,631 | +57% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $77,575 | $24,824 | $62,286 | +25% | $68,399 | +13% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $77,313 | $24,740 | $73,353 | +5% | $68,880 | +12% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $76,569 | $24,502 | $99,880 | −23% | $106,778 | −28% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $75,651 | $24,208 | $75,651 | +0% | $54,824 | +38% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $75,109 | $24,035 | $75,109 | +0% | $88,050 | −15% | ≈148% of Medicare |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $74,893 | $23,966 | $57,254 | +31% | $46,477 | +61% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $74,279 | $23,769 | $62,011 | +20% | $50,139 | +48% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $73,573 | $23,543 | $25,967 | +183% | $27,369 | +169% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $73,573 | $23,543 | $51,366 | +43% | $29,409 | +150% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $73,118 | $23,398 | $53,586 | +36% | $36,933 | +98% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $72,806 | $23,298 | $50,047 | +45% | $38,420 | +89% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $72,798 | $23,295 | $71,004 | +3% | $56,394 | +29% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $72,542 | $23,213 | $139,622 | −48% | $75,103 | −3% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $72,394 | $23,166 | $41,926 | +73% | $45,963 | +58% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $71,788 | $22,972 | $71,788 | +0% | $48,682 | +47% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $71,383 | $22,843 | $44,460 | +61% | $47,277 | +51% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $71,180 | $22,778 | $41,887 | +70% | $52,313 | +36% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $70,588 | $22,588 | $70,588 | +0% | $38,885 | +82% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $69,855 | $22,354 | $79,552 | −12% | $80,747 | −13% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $69,783 | $22,331 | $36,486 | +91% | $32,911 | +112% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $69,695 | $22,302 | $46,596 | +50% | $36,658 | +90% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $69,202 | $22,144 | $95,090 | −27% | $86,953 | −20% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $68,850 | $22,032 | $68,850 | +0% | $70,132 | −2% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $68,630 | $21,962 | $172,333 | −60% | $191,314 | −64% | — |
| 693 | URINARY STONES WITH MCC | $68,471 | $21,911 | $21,069 | +225% | $22,525 | +204% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $68,401 | $21,888 | $28,095 | +143% | $30,394 | +125% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $68,141 | $21,805 | $36,117 | +89% | $45,059 | +51% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $67,817 | $21,702 | $61,925 | +10% | $48,094 | +41% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $67,330 | $21,546 | $40,142 | +68% | $43,080 | +56% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $67,179 | $21,497 | $62,240 | +8% | $51,339 | +31% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $66,886 | $21,403 | $47,830 | +40% | $56,519 | +18% | ≈145% of Medicare |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $66,386 | $21,244 | $53,903 | — | $21,663 | +206% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $66,169 | $21,174 | $66,169 | +0% | $71,755 | −8% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $66,030 | $21,130 | $38,767 | +70% | $33,792 | +95% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $65,507 | $20,962 | $59,183 | +11% | $51,985 | +26% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $65,164 | $20,852 | $64,995 | +0% | $59,537 | +9% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $65,111 | $20,835 | $67,465 | −3% | $74,257 | −12% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $64,927 | $20,777 | $79,353 | −18% | $88,307 | −26% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $64,490 | $20,637 | $31,592 | +104% | $31,716 | +103% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $63,990 | $20,477 | $63,990 | +0% | $48,680 | +31% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $63,787 | $20,412 | $44,498 | +43% | $52,319 | +22% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $63,528 | $20,329 | $49,302 | +29% | $38,094 | +67% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $63,512 | $20,324 | $36,057 | +76% | $49,197 | +29% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $63,499 | $20,320 | $75,741 | −16% | $87,565 | −27% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $63,468 | $20,310 | $57,121 | +11% | $51,142 | +24% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $63,430 | $20,297 | $63,430 | +0% | $67,764 | −6% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $62,694 | $20,062 | $45,340 | +38% | $39,747 | +58% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $62,162 | $19,892 | $28,516 | +118% | $22,850 | +172% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $61,784 | $19,771 | $35,652 | +73% | $16,866 | +266% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $61,483 | $19,674 | $29,299 | +110% | $30,275 | +103% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $60,871 | $19,479 | $51,499 | +18% | $38,357 | +59% | — |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $60,850 | $19,472 | $60,694 | +0% | $25,149 | +142% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $60,186 | $19,260 | $57,194 | +5% | $30,930 | +95% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $60,097 | $19,231 | $57,538 | +4% | $41,660 | +44% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $59,798 | $19,135 | $59,798 | +0% | $54,929 | +9% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $59,730 | $19,114 | $59,730 | +0% | $35,014 | +71% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $59,589 | $19,068 | $54,653 | +9% | $25,267 | +136% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $59,560 | $19,059 | $59,560 | +0% | $57,479 | +4% | — |
| 102 | HEADACHES WITH MCC | $59,374 | $19,000 | $20,316 | +192% | $22,544 | +163% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $58,986 | $18,876 | $58,986 | +0% | $45,817 | +29% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $58,893 | $18,846 | $74,510 | −21% | $82,527 | −29% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $58,855 | $18,834 | $30,617 | +92% | $31,978 | +84% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $58,590 | $18,749 | $66,213 | −12% | $32,839 | +78% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $58,580 | $18,746 | $34,543 | +70% | $20,777 | +182% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $58,375 | $18,680 | $34,492 | +69% | $43,538 | +34% | — |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $58,222 | $18,631 | $69,782 | −17% | $68,659 | −15% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $58,003 | $18,561 | $51,241 | +13% | $65,383 | −11% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $57,951 | $18,544 | $48,695 | +19% | $37,902 | +53% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $57,791 | $18,493 | $57,791 | +0% | $52,405 | +10% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $57,655 | $18,449 | $32,203 | +79% | $37,842 | +52% | ≈121% of Medicare |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $57,370 | $18,358 | $47,282 | +21% | $20,602 | +178% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $57,367 | $18,357 | $57,367 | +0% | $63,984 | −10% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $56,736 | $18,156 | $104,702 | −46% | $95,858 | −41% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $56,721 | $18,151 | $36,976 | +53% | $40,548 | +40% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $56,179 | $17,977 | $56,179 | +0% | $43,775 | +28% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $55,541 | $17,773 | $34,530 | +61% | $36,641 | +52% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $55,378 | $17,721 | $21,943 | +152% | $21,029 | +163% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $55,309 | $17,699 | $44,254 | +25% | $44,600 | +24% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $55,056 | $17,618 | $55,056 | +0% | $35,542 | +55% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $54,975 | $17,592 | $54,975 | +0% | $50,011 | +10% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $54,637 | $17,484 | $54,637 | +0% | $68,006 | −20% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $54,336 | $17,387 | $54,336 | +0% | $40,063 | +36% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $54,183 | $17,339 | $54,183 | +0% | $35,453 | +53% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $54,145 | $17,326 | $54,145 | +0% | $40,563 | +33% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $53,250 | $17,040 | $23,314 | +128% | $28,140 | +89% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $52,688 | $16,860 | $22,629 | +133% | $18,002 | +193% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $52,614 | $16,837 | $33,241 | +58% | $31,128 | +69% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $52,373 | $16,759 | $59,589 | −12% | $50,919 | +3% | — |
| 199 | PNEUMOTHORAX WITH MCC | $52,124 | $16,680 | $27,222 | +91% | $31,491 | +66% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $51,770 | $16,566 | $51,770 | +0% | $35,528 | +46% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $51,719 | $16,550 | $47,500 | +9% | $43,697 | +18% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $51,424 | $16,456 | $34,990 | +47% | $42,119 | +22% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $51,063 | $16,340 | $20,753 | +146% | $25,162 | +103% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $50,689 | $16,220 | $27,286 | +86% | $25,623 | +98% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $50,455 | $16,146 | $24,395 | +107% | $29,663 | +70% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $50,422 | $16,135 | $50,422 | +0% | $34,852 | +45% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $50,202 | $16,065 | $72,518 | −31% | $54,313 | −8% | — |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $50,026 | $16,008 | $48,288 | +4% | $49,055 | +2% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $50,001 | $16,000 | $17,696 | +183% | $19,091 | +162% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $49,768 | $15,926 | $65,691 | −24% | $63,475 | −22% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $49,506 | $15,842 | $89,302 | −45% | $76,583 | −35% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $48,961 | $15,668 | $48,961 | +0% | $51,172 | −4% | ≈157% of Medicare |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $48,871 | $15,639 | $48,871 | +0% | $35,237 | +39% | ≈153% of Medicare |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $48,839 | $15,628 | $48,839 | +0% | $30,358 | +61% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $48,799 | $15,616 | $48,799 | +0% | $49,470 | −1% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $48,678 | $15,577 | $48,678 | +0% | $35,770 | +36% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $48,612 | $15,556 | $24,187 | +101% | $34,887 | +39% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $48,037 | $15,372 | $48,037 | +0% | $25,704 | +87% | ≈164% of Medicare |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $48,008 | $15,363 | $44,614 | +8% | $35,714 | +34% | ≈166% of Medicare |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $47,862 | $15,316 | $47,500 | +1% | $29,729 | +61% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $47,688 | $15,260 | $53,440 | −11% | $54,196 | −12% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $47,592 | $15,229 | $47,592 | +0% | $32,490 | +46% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $47,504 | $15,201 | $47,504 | +0% | $29,476 | +61% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $47,463 | $15,188 | $20,385 | +133% | $15,045 | +215% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $46,546 | $14,895 | $21,025 | +121% | $23,723 | +96% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $46,465 | $14,869 | $46,465 | +0% | $32,451 | +43% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $46,401 | $14,848 | $32,574 | +42% | $21,806 | +113% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $46,153 | $14,769 | $47,544 | −3% | $42,881 | +8% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $45,927 | $14,697 | $45,927 | +0% | $27,219 | +69% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $45,513 | $14,564 | $41,091 | +11% | $39,107 | +16% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $45,153 | $14,449 | $45,153 | +0% | $36,237 | +25% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $45,116 | $14,437 | $31,582 | +43% | $29,924 | +51% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $44,792 | $14,333 | $44,792 | +0% | $31,846 | +41% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $44,387 | $14,204 | $36,268 | +22% | $30,814 | +44% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $44,151 | $14,128 | $21,468 | +106% | $17,700 | +149% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $44,055 | $14,098 | $44,055 | +0% | $33,137 | +33% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $43,819 | $14,022 | $43,819 | +0% | $40,583 | +8% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $43,687 | $13,980 | $43,687 | +0% | $44,117 | −1% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $43,625 | $13,960 | $27,089 | +61% | $24,136 | +81% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $43,559 | $13,939 | $29,235 | +49% | $30,974 | +41% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $43,298 | $13,855 | $43,298 | +0% | $45,818 | −5% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $43,203 | $13,825 | $43,203 | +0% | $43,800 | −1% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $42,728 | $13,673 | $36,416 | +17% | $35,459 | +21% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $42,647 | $13,647 | $42,647 | +0% | $28,967 | +47% | ≈130% of Medicare |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $42,298 | $13,535 | $16,069 | +163% | $18,253 | +132% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $41,800 | $13,376 | $41,800 | +0% | $36,239 | +15% | — |
| 865 | VIRAL ILLNESS WITH MCC | $41,799 | $13,376 | $31,564 | +32% | $26,088 | +60% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $41,792 | $13,373 | $41,792 | +0% | $44,553 | −6% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $41,790 | $13,373 | $41,790 | +0% | $35,375 | +18% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $41,755 | $13,362 | $32,330 | +29% | $27,492 | +52% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $41,511 | $13,284 | $28,813 | +44% | $35,692 | +16% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $41,380 | $13,242 | $32,369 | +28% | $32,502 | +27% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $41,331 | $13,226 | $41,331 | +0% | $35,114 | +18% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $41,280 | $13,209 | $34,593 | +19% | $26,146 | +58% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $41,160 | $13,171 | $30,680 | +34% | $30,314 | +36% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $41,135 | $13,163 | $40,392 | +2% | $24,022 | +71% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $41,075 | $13,144 | $34,034 | +21% | $23,396 | +76% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $41,035 | $13,131 | $22,096 | +86% | $23,115 | +78% | — |
| 779 | ABORTION WITHOUT D&C | $40,557 | $12,978 | $15,893 | +155% | $15,327 | +165% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $40,232 | $12,874 | $20,704 | +94% | $23,956 | +68% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $39,997 | $12,799 | $39,997 | +0% | $23,469 | +70% | ≈173% of Medicare |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $39,913 | $12,772 | $27,075 | +47% | $18,238 | +119% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $39,289 | $12,573 | $38,773 | +1% | $31,816 | +23% | — |
| 694 | URINARY STONES WITHOUT MCC | $39,096 | $12,511 | $15,196 | +157% | $16,531 | +137% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $38,902 | $12,448 | $22,238 | +75% | $13,303 | +192% | — |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $38,698 | $12,383 | $36,907 | — | $18,474 | +109% | — |
| 100 | SEIZURES WITH MCC | $38,651 | $12,368 | $29,471 | +31% | $35,194 | +10% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $38,362 | $12,276 | $26,712 | +44% | $28,134 | +36% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $38,357 | $12,274 | $38,357 | +0% | $14,549 | +164% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $38,334 | $12,267 | $38,334 | +0% | $30,940 | +24% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $38,083 | $12,186 | $25,442 | +50% | $19,305 | +97% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $38,080 | $12,186 | $25,631 | +49% | $28,646 | +33% | — |
| 103 | HEADACHES WITHOUT MCC | $37,857 | $12,114 | $20,316 | +86% | $20,111 | +88% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $37,855 | $12,114 | $18,260 | +107% | $14,927 | +154% | — |
| 637 | DIABETES WITH MCC | $37,779 | $12,089 | $22,777 | +66% | $28,819 | +31% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $37,733 | $12,075 | $37,733 | +0% | $31,190 | +21% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $36,842 | $11,789 | $36,842 | +0% | $32,399 | +14% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $36,647 | $11,727 | $36,647 | +0% | $17,585 | +108% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $35,403 | $11,329 | $39,668 | −11% | $37,064 | −4% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $35,401 | $11,328 | $35,401 | +0% | $31,840 | +11% | ≈144% of Medicare |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $35,283 | $11,291 | $37,052 | −5% | $39,657 | −11% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $35,178 | $11,257 | $32,330 | +9% | $41,520 | −15% | — |
| 305 | HYPERTENSION WITHOUT MCC | $35,050 | $11,216 | $17,751 | +97% | $17,144 | +104% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $34,928 | $11,177 | $34,928 | +0% | $32,468 | +8% | — |
| 101 | SEIZURES WITHOUT MCC | $34,919 | $11,174 | $25,442 | +37% | $19,954 | +75% | — |
| 304 | HYPERTENSION WITH MCC | $34,894 | $11,166 | $19,786 | +76% | $24,185 | +44% | — |
| 602 | CELLULITIS WITH MCC | $34,698 | $11,103 | $31,113 | +12% | $29,347 | +18% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $34,685 | $11,099 | $21,234 | +63% | $14,134 | +145% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $34,579 | $11,065 | $34,579 | +0% | $20,309 | +70% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $34,310 | $10,979 | $34,310 | +0% | $25,020 | +37% | ≈157% of Medicare |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $34,277 | $10,969 | $29,688 | +15% | $30,006 | +14% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $34,145 | $10,927 | $21,951 | +56% | $20,084 | +70% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $34,130 | $10,921 | $17,057 | +100% | $18,803 | +82% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $34,123 | $10,919 | $34,123 | +0% | $36,242 | −6% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $33,569 | $10,742 | $21,951 | +53% | $19,815 | +69% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $33,467 | $10,710 | $33,467 | +0% | $22,032 | +52% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $33,349 | $10,672 | $22,629 | +47% | $23,350 | +43% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $33,323 | $10,663 | $27,690 | +20% | $21,886 | +52% | ≈162% of Medicare |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $33,065 | $10,581 | $54,622 | −39% | $49,710 | −33% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $33,033 | $10,570 | $33,033 | +0% | $29,031 | +14% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $32,973 | $10,551 | $25,075 | +31% | $22,713 | +45% | — |
| 151 | EPISTAXIS WITHOUT MCC | $32,801 | $10,496 | $13,479 | +143% | $13,032 | +152% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $32,742 | $10,477 | $31,934 | +3% | $26,158 | +25% | ≈148% of Medicare |
| 644 | ENDOCRINE DISORDERS WITH CC | $32,545 | $10,414 | $25,149 | +29% | $22,941 | +42% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $32,172 | $10,295 | $32,172 | +0% | $19,894 | +62% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $32,022 | $10,247 | $19,521 | +64% | $18,291 | +75% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $32,011 | $10,243 | $102,861 | — | $80,018 | −60% | — |
| 539 | OSTEOMYELITIS WITH MCC | $31,895 | $10,206 | $31,895 | +0% | $33,746 | −5% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $31,294 | $10,014 | $24,775 | +26% | $22,560 | +39% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $31,052 | $9,937 | $31,052 | +0% | $36,375 | −15% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $30,955 | $9,906 | $26,473 | +17% | $19,569 | +58% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $30,936 | $9,900 | $27,446 | +13% | $34,354 | −10% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $30,783 | $9,851 | $24,775 | +24% | $23,571 | +31% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $30,729 | $9,833 | $28,408 | +8% | $30,058 | +2% | ≈133% of Medicare |
| 292 | HEART FAILURE AND SHOCK WITH CC | $30,582 | $9,786 | $30,582 | +0% | $16,212 | +89% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $30,368 | $9,718 | $26,223 | +16% | $24,480 | +24% | ≈158% of Medicare |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $30,155 | $9,650 | $30,155 | +0% | $20,463 | +47% | ≈153% of Medicare |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $29,882 | $9,562 | $29,882 | +0% | $15,600 | +92% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $29,740 | $9,517 | $29,740 | +0% | $25,731 | +16% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $29,594 | $9,470 | $17,696 | +67% | $14,208 | +108% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $29,498 | $9,439 | $29,498 | +0% | $19,096 | +54% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,792 | $9,214 | $61,537 | −53% | $62,524 | −54% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $28,769 | $9,206 | $28,769 | +0% | $17,731 | +62% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $28,627 | $9,161 | $28,627 | +0% | $17,412 | +64% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $28,536 | $9,132 | $27,907 | +2% | $28,924 | −1% | — |
| 813 | COAGULATION DISORDERS | $28,234 | $9,035 | $28,234 | +0% | $30,128 | −6% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $28,194 | $9,022 | $20,664 | +36% | $16,703 | +69% | — |
| 187 | PLEURAL EFFUSION WITH CC | $28,052 | $8,977 | $28,052 | +0% | $21,467 | +31% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $28,009 | $8,963 | $28,009 | +0% | $17,928 | +56% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $27,994 | $8,958 | $20,225 | +38% | $25,474 | +10% | — |
| 639 | DIABETES WITHOUT CC/MCC | $27,520 | $8,806 | $19,214 | +43% | $13,910 | +98% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $27,285 | $8,731 | $27,841 | −2% | $24,118 | +13% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $27,180 | $8,698 | $13,682 | +99% | $14,473 | +88% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $27,134 | $8,683 | $28,201 | −4% | $22,781 | +19% | ≈164% of Medicare |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $27,091 | $8,669 | $24,552 | +10% | $13,824 | +96% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $27,054 | $8,657 | $22,496 | +20% | $27,244 | −1% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $26,788 | $8,572 | $25,624 | +5% | $20,842 | +29% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $26,737 | $8,556 | $23,969 | +12% | $24,190 | +11% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $26,720 | $8,551 | $23,780 | +12% | $25,434 | +5% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $26,707 | $8,546 | $26,707 | +0% | $18,623 | +43% | — |
| 683 | RENAL FAILURE WITH CC | $26,682 | $8,538 | $26,682 | +0% | $18,620 | +43% | ≈177% of Medicare |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $26,612 | $8,516 | $33,493 | −21% | $39,409 | −32% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $26,510 | $8,483 | $38,503 | −31% | $34,901 | −24% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $26,376 | $8,440 | $26,376 | +0% | $25,243 | +4% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $26,098 | $8,351 | $26,098 | +0% | $26,488 | −1% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $26,065 | $8,341 | $21,611 | +21% | $17,388 | +50% | ≈164% of Medicare |
| 149 | DYSEQUILIBRIUM | $26,021 | $8,327 | $16,500 | +58% | $17,203 | +51% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $25,894 | $8,286 | $25,894 | +0% | $19,868 | +30% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $25,681 | $8,218 | $25,681 | +0% | $28,780 | −11% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $25,619 | $8,198 | $25,619 | +0% | $29,757 | −14% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $25,562 | $8,180 | $25,562 | +0% | $19,483 | +31% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $25,297 | $8,095 | $25,946 | −2% | $18,191 | +39% | — |
| 638 | DIABETES WITH CC | $25,108 | $8,035 | $19,360 | +30% | $18,821 | +33% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,921 | $7,975 | $28,441 | −12% | $25,854 | −4% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $24,856 | $7,954 | $24,856 | +0% | $18,204 | +37% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $24,506 | $7,842 | $24,506 | +0% | $19,579 | +25% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $24,036 | $7,692 | $19,692 | +22% | $13,384 | +80% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $24,021 | $7,687 | $21,625 | +11% | $21,545 | +11% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $23,902 | $7,649 | $19,721 | +21% | $15,869 | +51% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $23,850 | $7,632 | $17,547 | +36% | $12,279 | +94% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,711 | $7,587 | $107,886 | −78% | $51,953 | −54% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $23,685 | $7,579 | $25,149 | −6% | $32,996 | −28% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $23,567 | $7,541 | $30,613 | −23% | $32,538 | −28% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $23,298 | $7,455 | $23,298 | +0% | $23,496 | −1% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $23,276 | $7,448 | $22,743 | +2% | $22,982 | +1% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $23,240 | $7,437 | $23,240 | +0% | $18,918 | +23% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $23,143 | $7,406 | $23,143 | +0% | $18,081 | +28% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $22,954 | $7,345 | $17,727 | +29% | $17,727 | +29% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $22,751 | $7,280 | $22,751 | +0% | $14,444 | +58% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $22,653 | $7,249 | $22,653 | +0% | $27,934 | −19% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $22,510 | $7,203 | $27,367 | −18% | $25,208 | −11% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $22,140 | $7,085 | $18,874 | +17% | $17,322 | +28% | ≈168% of Medicare |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $22,131 | $7,082 | $22,131 | +0% | $23,141 | −4% | ≈133% of Medicare |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $22,127 | $7,081 | $22,127 | +0% | $17,273 | +28% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,051 | $7,056 | $21,565 | +2% | $20,488 | +8% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $21,508 | $6,883 | $19,092 | +13% | $19,287 | +12% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $21,185 | $6,779 | $21,185 | +0% | $18,278 | +16% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $21,086 | $6,748 | $22,900 | −8% | $21,449 | −2% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $20,952 | $6,705 | $23,794 | −12% | $17,226 | +22% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $20,814 | $6,660 | $55,322 | −62% | $20,727 | +0% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $20,763 | $6,644 | $20,414 | +2% | $16,745 | +24% | ≈156% of Medicare |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $20,489 | $6,557 | $18,986 | +8% | $21,213 | −3% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,261 | $6,483 | $20,261 | +0% | $24,836 | −18% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $19,782 | $6,330 | $19,782 | +0% | $15,070 | +31% | — |
| 603 | CELLULITIS WITHOUT MCC | $19,534 | $6,251 | $19,534 | +0% | $18,530 | +5% | ≈204% of Medicare |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $19,520 | $6,246 | $19,520 | +0% | $20,732 | −6% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $19,452 | $6,225 | $19,452 | +0% | $14,880 | +31% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $18,941 | $6,061 | $18,941 | +0% | $15,607 | +21% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $18,905 | $6,050 | $18,905 | +0% | $24,316 | −22% | — |
| 885 | PSYCHOSES | $18,785 | $6,011 | $20,438 | −8% | $21,489 | −13% | ≈110% of Medicare |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,732 | $5,994 | $18,732 | +0% | $18,150 | +3% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $18,699 | $5,984 | $18,699 | +0% | $16,865 | +11% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $18,522 | $5,927 | $18,522 | +0% | $17,831 | +4% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $18,401 | $5,888 | $18,401 | +0% | $15,858 | +16% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $18,379 | $5,881 | $24,983 | −26% | $18,428 | −0% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,083 | $5,787 | $42,553 | −58% | $45,497 | −60% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $18,042 | $5,773 | $18,042 | +0% | $17,466 | +3% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $17,819 | $5,702 | $22,727 | −22% | $16,571 | +8% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $17,385 | $5,563 | $17,213 | +1% | $13,318 | +31% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $17,228 | $5,513 | $17,228 | +0% | $14,128 | +22% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $17,134 | $5,483 | $17,432 | −2% | $20,968 | −18% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $17,005 | $5,442 | $12,089 | +41% | $12,895 | +32% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,627 | $5,321 | $32,354 | −49% | $37,950 | −56% | — |
| 540 | OSTEOMYELITIS WITH CC | $16,603 | $5,313 | $26,038 | −36% | $23,494 | −29% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,515 | $5,285 | $53,606 | −69% | $60,861 | −73% | — |
| 312 | SYNCOPE AND COLLAPSE | $16,433 | $5,259 | $16,433 | +0% | $19,342 | −15% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $16,131 | $5,162 | $16,131 | +0% | $13,081 | +23% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $16,051 | $5,136 | $13,186 | +22% | $13,090 | +23% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $15,728 | $5,033 | $18,689 | −16% | $16,049 | −2% | — |
| 682 | RENAL FAILURE WITH MCC | $15,428 | $4,937 | $23,229 | −34% | $27,854 | −45% | ≈198% of Medicare |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $15,199 | $4,864 | $15,199 | +0% | $17,195 | −12% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $15,005 | $4,802 | $15,005 | +0% | $15,370 | −2% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,004 | $4,801 | $19,208 | −22% | $24,465 | −39% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $14,946 | $4,783 | $14,946 | +0% | $13,368 | +12% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $14,626 | $4,680 | $14,357 | +2% | $12,044 | +21% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $14,209 | $4,547 | $14,354 | −1% | $20,278 | −30% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $14,022 | $4,487 | $16,197 | −13% | $17,103 | −18% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $13,696 | $4,383 | $18,235 | −25% | $16,156 | −15% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $13,645 | $4,366 | $22,048 | −38% | $12,797 | +7% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,569 | $4,342 | $28,237 | −52% | $32,689 | −58% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $13,395 | $4,286 | $11,199 | +20% | $12,013 | +12% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $13,186 | $4,219 | $15,110 | −13% | $14,441 | −9% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,639 | $4,044 | $12,639 | +0% | $18,133 | −30% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $12,326 | $3,944 | $12,326 | +0% | $13,890 | −11% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $12,168 | $3,894 | $15,991 | −24% | $17,367 | −30% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,920 | $3,814 | $27,383 | −56% | $22,698 | −47% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $11,409 | $3,651 | $21,769 | −48% | $14,166 | −19% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $11,195 | $3,583 | $11,195 | +0% | $15,876 | −29% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,983 | $3,515 | $12,142 | −10% | $10,975 | +0% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $10,867 | $3,477 | $17,798 | −39% | $13,892 | −22% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,509 | $3,363 | $15,857 | −34% | $15,593 | −33% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $10,188 | $3,260 | $11,854 | −14% | $12,381 | −18% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,991 | $3,197 | $15,118 | −34% | $15,636 | −36% | — |
| 881 | DEPRESSIVE NEUROSES | $9,798 | $3,135 | $12,981 | −25% | $15,058 | −35% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,760 | $3,123 | $17,268 | −43% | $20,007 | −51% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,416 | $3,013 | $22,969 | −59% | $25,426 | −63% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,054 | $2,897 | $26,981 | −66% | $29,484 | −69% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,471 | $2,711 | $12,351 | −31% | $15,680 | −46% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $8,114 | $2,596 | $8,114 | — | $15,655 | −48% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,521 | — | $52,486 | −86% | $66,819 | −89% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,072 | $2,263 | $15,554 | −55% | $18,282 | −61% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,535 | $2,091 | $34,191 | −81% | $36,334 | −82% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $6,305 | $2,018 | $63,033 | −90% | $39,563 | −84% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,444 | $1,742 | $12,439 | −56% | $14,012 | −61% | — |
| 200 | PNEUMOTHORAX WITH CC | $5,290 | $1,693 | $17,468 | −70% | $20,573 | −74% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,233 | $1,674 | $32,445 | — | $16,719 | −69% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,134 | $1,643 | $14,813 | −65% | $9,385 | −45% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,072 | $1,623 | $14,569 | −65% | $16,837 | −70% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,955 | $1,586 | $22,415 | −78% | $16,776 | −70% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,874 | $1,560 | $28,729 | −83% | $22,024 | −78% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,819 | $1,542 | $25,089 | — | $14,284 | −66% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,123 | $1,319 | $20,649 | — | $11,633 | −65% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,731 | $1,194 | $19,809 | −81% | $20,938 | −82% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,541 | $1,133 | $11,884 | −70% | $9,076 | −61% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,366 | $1,077 | $4,398 | −23% | $7,961 | −58% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,886 | $924 | $25,653 | −89% | $22,431 | −87% | — |
| 795 | NORMAL NEWBORN | $2,716 | $869 | $3,680 | −26% | $4,530 | −40% | — |
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 |
|---|---|---|---|
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $17,055 – $28,140 · median $19,778 | 6 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $26,662 – $43,992 · median $32,151 | 6 plans |
No procedures match that keyword.