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.
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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 ≈253% 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 | $202,612 | +97% | $188,171 | +112% | — |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $375,897 | $120,287 | $196,146 | +92% | $103,455 | +263% | — |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $344,343 | $110,190 | $196,146 | +76% | $123,995 | +178% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $281,957 | $90,226 | $289,227 | −3% | $248,521 | +13% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $267,734 | $85,675 | $67,590 | +296% | $70,564 | +279% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $264,349 | $84,592 | $162,120 | +63% | $153,282 | +72% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $225,150 | $72,048 | $180,715 | +25% | $116,058 | +94% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $221,122 | $70,759 | $64,286 | +244% | $101,510 | +118% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $214,325 | $68,584 | $113,950 | +88% | $99,423 | +116% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $208,288 | $66,652 | $143,764 | +45% | $144,569 | +44% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $207,727 | $66,473 | $78,429 | +165% | $90,195 | +130% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $198,357 | $63,474 | $49,881 | +298% | $38,836 | +411% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $192,219 | $61,510 | $67,784 | +184% | $77,990 | +146% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $179,759 | $57,523 | $60,829 | +196% | $81,706 | +120% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $172,336 | $55,148 | $91,855 | +88% | $96,192 | +79% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $164,033 | $52,491 | $130,506 | +26% | $93,172 | +76% | ≈366% of Medicare |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $162,296 | $51,935 | $75,984 | +114% | $67,268 | +141% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $162,263 | $51,924 | $99,790 | +63% | $85,159 | +91% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $158,554 | $50,737 | $26,567 | +497% | $27,617 | +474% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $156,580 | $50,106 | $51,242 | +206% | $50,624 | +209% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $144,773 | $46,327 | $86,206 | +68% | $75,251 | +92% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $143,238 | $45,836 | $67,301 | +113% | $57,454 | +149% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $140,358 | $44,915 | $123,588 | +14% | $125,242 | +12% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $138,678 | $44,377 | $71,970 | +93% | $75,573 | +84% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $138,414 | $44,293 | $125,656 | +10% | $148,832 | −7% | — |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $137,676 | $44,056 | $115,725 | +19% | $117,280 | +17% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $132,252 | $42,321 | $95,163 | +39% | $82,247 | +61% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $129,698 | $41,503 | $54,273 | +139% | $49,423 | +162% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $123,888 | $39,644 | $53,957 | +130% | $53,864 | +130% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $123,568 | $39,542 | $71,888 | +72% | $82,561 | +50% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $120,563 | $38,580 | $58,476 | +106% | $71,092 | +70% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $119,992 | $38,397 | $82,647 | +45% | $90,724 | +32% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $116,300 | $37,216 | $82,261 | +41% | $92,515 | +26% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $110,565 | $35,381 | $26,591 | +316% | $33,876 | +226% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $108,789 | $34,812 | $59,511 | +83% | $49,418 | +120% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $108,114 | $34,597 | $56,861 | +90% | $72,424 | +49% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $107,570 | $34,422 | $81,119 | +33% | $51,625 | +108% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $107,528 | $34,409 | $107,528 | +0% | $69,101 | +56% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $105,827 | $33,864 | $100,837 | +5% | $111,320 | −5% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $104,972 | $33,591 | $62,114 | +69% | $52,435 | +100% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $103,278 | $33,049 | $99,336 | +4% | $90,331 | +14% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $101,438 | $32,460 | $85,079 | +19% | $90,775 | +12% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $100,309 | $32,099 | $29,156 | +244% | $40,552 | +147% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $100,274 | $32,088 | $62,546 | +60% | $58,043 | +73% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $98,715 | $31,589 | $98,715 | +0% | $56,836 | +74% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $97,623 | $31,239 | $99,248 | −2% | $73,120 | +34% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $91,051 | $29,136 | $61,147 | +49% | $62,583 | +45% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $90,414 | $28,933 | $43,176 | +109% | $43,913 | +106% | — |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $88,716 | $28,389 | $68,612 | +29% | $78,852 | +13% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $87,751 | $28,080 | $91,142 | −4% | $43,943 | +100% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $86,820 | $27,782 | $76,860 | +13% | $71,014 | +22% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $86,041 | $27,533 | $68,033 | +26% | $84,692 | +2% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $85,632 | $27,402 | $42,060 | +104% | $58,809 | +46% | — |
| 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 | $322,780 | −74% | $371,366 | −77% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $83,773 | $26,807 | $66,245 | +26% | $59,500 | +41% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $83,097 | $26,591 | $54,998 | +51% | $58,745 | +41% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $82,657 | $26,450 | $64,690 | +28% | $76,001 | +9% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $81,992 | $26,238 | $46,023 | +78% | $34,459 | +138% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $81,463 | $26,068 | $36,046 | +126% | $36,249 | +125% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $81,012 | $25,924 | $68,825 | +18% | $68,508 | +18% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $80,556 | $25,778 | $65,008 | +24% | $62,821 | +28% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $79,749 | $25,520 | $38,616 | +107% | $32,637 | +144% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $79,360 | $25,395 | $59,824 | +33% | $77,817 | +2% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $78,984 | $25,275 | $30,055 | +163% | $30,010 | +163% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $78,297 | $25,055 | $75,825 | +3% | $96,507 | −19% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $78,014 | $24,964 | $55,270 | +41% | $50,394 | +55% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $77,575 | $24,824 | $58,006 | +34% | $69,743 | +11% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $77,313 | $24,740 | $67,507 | +15% | $70,847 | +9% | — |
| 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 | $88,425 | −13% | $106,778 | −28% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $75,651 | $24,208 | $69,198 | +9% | $59,421 | +27% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $75,109 | $24,035 | $70,548 | +6% | $88,050 | −15% | ≈197% of Medicare |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $74,893 | $23,966 | $47,010 | +59% | $49,351 | +52% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $74,279 | $23,769 | $52,580 | +41% | $50,139 | +48% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $73,573 | $23,543 | $23,992 | +207% | $30,784 | +139% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $73,573 | $23,543 | $39,436 | +87% | $31,563 | +133% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $73,118 | $23,398 | $44,110 | +66% | $40,213 | +82% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $72,806 | $23,298 | $44,783 | +63% | $43,650 | +67% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $72,798 | $23,295 | $57,744 | +26% | $59,651 | +22% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $72,542 | $23,213 | $106,082 | −32% | $75,103 | −3% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $72,394 | $23,166 | $38,612 | +87% | $47,711 | +52% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $71,788 | $22,972 | $58,046 | +24% | $48,682 | +47% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $71,383 | $22,843 | $42,752 | +67% | $51,608 | +38% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $71,180 | $22,778 | $40,132 | +77% | $53,451 | +33% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $70,588 | $22,588 | $56,399 | +25% | $39,958 | +77% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $69,855 | $22,354 | $74,704 | −6% | $80,793 | −14% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $69,783 | $22,331 | $31,797 | +119% | $36,988 | +89% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $69,695 | $22,302 | $38,285 | +82% | $36,658 | +90% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $69,202 | $22,144 | $84,064 | −18% | $101,576 | −32% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $68,850 | $22,032 | $59,931 | +15% | $70,132 | −2% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $68,630 | $21,962 | $155,741 | −56% | $208,939 | −67% | — |
| 693 | URINARY STONES WITH MCC | $68,471 | $21,911 | $21,673 | +216% | $23,892 | +187% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $68,401 | $21,888 | $28,013 | +144% | $32,859 | +108% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $68,141 | $21,805 | $35,445 | +92% | $47,737 | +43% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $67,817 | $21,702 | $50,268 | +35% | $52,178 | +30% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $67,330 | $21,546 | $36,528 | +84% | $43,080 | +56% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $67,179 | $21,497 | $48,615 | +38% | $59,629 | +13% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $66,886 | $21,403 | $41,185 | +62% | $58,280 | +15% | ≈191% of Medicare |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $66,386 | $21,244 | $41,419 | +60% | $21,663 | +206% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $66,169 | $21,174 | $59,328 | +12% | $71,755 | −8% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $66,030 | $21,130 | $32,853 | +101% | $36,505 | +81% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $65,507 | $20,962 | $57,243 | +14% | $51,985 | +26% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $65,164 | $20,852 | $58,294 | +12% | $59,537 | +9% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $65,111 | $20,835 | $66,288 | −2% | $74,257 | −12% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $64,927 | $20,777 | $72,140 | −10% | $88,307 | −26% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $64,490 | $20,637 | $30,848 | +109% | $34,937 | +85% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $63,990 | $20,477 | $50,720 | +26% | $52,075 | +23% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $63,787 | $20,412 | $43,266 | +47% | $53,257 | +20% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $63,528 | $20,329 | $38,397 | +65% | $38,094 | +67% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $63,512 | $20,324 | $35,005 | +81% | $50,607 | +26% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $63,499 | $20,320 | $72,107 | −12% | $93,390 | −32% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $63,468 | $20,310 | $53,584 | +18% | $55,289 | +15% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $63,430 | $20,297 | $55,016 | +15% | $70,467 | −10% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $62,694 | $20,062 | $37,063 | +69% | $41,955 | +49% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $62,162 | $19,892 | $23,361 | +166% | $22,850 | +172% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $61,784 | $19,771 | $26,575 | +132% | $18,004 | +243% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $61,483 | $19,674 | $27,926 | +120% | $31,159 | +97% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $60,871 | $19,479 | $47,311 | +29% | $38,666 | +57% | — |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $60,850 | $19,472 | $46,584 | +31% | $31,170 | +95% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $60,186 | $19,260 | $48,232 | +25% | $34,607 | +74% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $60,097 | $19,231 | $44,654 | +35% | $42,914 | +40% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $59,798 | $19,135 | $53,978 | +11% | $54,929 | +9% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $59,730 | $19,114 | $47,427 | +26% | $39,955 | +49% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $59,589 | $19,068 | $42,181 | +41% | $26,618 | +124% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $59,560 | $19,059 | $57,474 | +4% | $61,872 | −4% | — |
| 102 | HEADACHES WITH MCC | $59,374 | $19,000 | $20,128 | +195% | $25,740 | +131% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $58,986 | $18,876 | $50,681 | +16% | $46,090 | +28% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $58,893 | $18,846 | $73,770 | −20% | $90,401 | −35% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $58,855 | $18,834 | $27,222 | +116% | $32,841 | +79% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $58,590 | $18,749 | $62,402 | −6% | $32,443 | +81% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $58,580 | $18,746 | $28,078 | +109% | $21,363 | +174% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $58,375 | $18,680 | $32,268 | +81% | $43,538 | +34% | — |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $58,222 | $18,631 | $64,002 | −9% | $72,962 | −20% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $58,003 | $18,561 | $50,272 | +15% | $66,068 | −12% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $57,951 | $18,544 | $41,098 | +41% | $42,901 | +35% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $57,791 | $18,493 | $55,521 | +4% | $52,405 | +10% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $57,655 | $18,449 | $29,946 | +93% | $37,842 | +52% | ≈178% of Medicare |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $57,370 | $18,358 | $35,525 | +61% | $20,616 | +178% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $57,367 | $18,357 | $54,187 | +6% | $65,653 | −13% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $56,736 | $18,156 | $93,216 | −39% | $113,077 | −50% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $56,721 | $18,151 | $35,444 | +60% | $40,548 | +40% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $56,179 | $17,977 | $44,914 | +25% | $44,139 | +27% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $55,541 | $17,773 | $32,697 | +70% | $39,627 | +40% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $55,378 | $17,721 | $21,287 | +160% | $21,894 | +153% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $55,309 | $17,699 | $38,775 | +43% | $46,283 | +20% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $55,056 | $17,618 | $45,389 | +21% | $39,887 | +38% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $54,975 | $17,592 | $47,099 | +17% | $50,011 | +10% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $54,637 | $17,484 | $54,521 | +0% | $71,795 | −24% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $54,336 | $17,387 | $44,076 | +23% | $41,591 | +31% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $54,183 | $17,339 | $45,464 | +19% | $35,453 | +53% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $54,145 | $17,326 | $47,599 | +14% | $40,642 | +33% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $53,250 | $17,040 | $23,267 | +129% | $28,140 | +89% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $52,688 | $16,860 | $18,567 | +184% | $18,002 | +193% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $52,614 | $16,837 | $31,360 | +68% | $34,273 | +54% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $52,373 | $16,759 | $55,981 | −6% | $50,919 | +3% | — |
| 199 | PNEUMOTHORAX WITH MCC | $52,124 | $16,680 | $26,664 | +95% | $33,787 | +54% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $51,770 | $16,566 | $41,978 | +23% | $36,253 | +43% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $51,719 | $16,550 | $44,950 | +15% | $46,453 | +11% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $51,424 | $16,456 | $32,413 | +59% | $44,606 | +15% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $51,063 | $16,340 | $20,400 | +150% | $27,843 | +83% | — |
| 627 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $50,689 | $16,220 | $26,128 | +94% | $28,125 | +80% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $50,455 | $16,146 | $23,661 | +113% | $32,100 | +57% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $50,422 | $16,135 | $42,634 | +18% | $38,343 | +32% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $50,202 | $16,065 | $61,360 | −18% | $58,228 | −14% | — |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $50,026 | $16,008 | $44,288 | +13% | $49,839 | +0% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $50,001 | $16,000 | $17,060 | +193% | $20,901 | +139% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $49,768 | $15,926 | $57,730 | −14% | $64,523 | −23% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $49,506 | $15,842 | $82,005 | −40% | $85,566 | −42% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $48,961 | $15,668 | $43,381 | +13% | $52,751 | −7% | ≈276% of Medicare |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $48,871 | $15,639 | $39,285 | +24% | $35,628 | +37% | ≈244% of Medicare |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $48,839 | $15,628 | $40,032 | +22% | $31,264 | +56% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $48,799 | $15,616 | $44,716 | +9% | $50,463 | −3% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $48,678 | $15,577 | $43,674 | +11% | $35,770 | +36% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $48,612 | $15,556 | $23,411 | +108% | $36,937 | +32% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $48,037 | $15,372 | $38,547 | +25% | $26,580 | +81% | ≈458% of Medicare |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $48,008 | $15,363 | $39,995 | +20% | $39,106 | +23% | ≈215% of Medicare |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $47,862 | $15,316 | $37,244 | +29% | $32,944 | +45% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $47,688 | $15,260 | $53,818 | −11% | $54,196 | −12% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $47,592 | $15,229 | $43,025 | +11% | $34,749 | +37% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $47,504 | $15,201 | $42,697 | +11% | $32,433 | +46% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $47,463 | $15,188 | $17,875 | +166% | $15,452 | +207% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $46,546 | $14,895 | $20,848 | +123% | $24,127 | +93% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $46,465 | $14,869 | $41,541 | +12% | $32,451 | +43% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $46,401 | $14,848 | $26,131 | +78% | $23,319 | +99% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $46,153 | $14,769 | $46,849 | −1% | $42,881 | +8% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $45,927 | $14,697 | $41,430 | +11% | $27,277 | +68% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $45,513 | $14,564 | $33,921 | +34% | $40,162 | +13% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $45,153 | $14,449 | $42,612 | +6% | $36,489 | +24% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $45,116 | $14,437 | $28,067 | +61% | $33,103 | +36% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $44,792 | $14,333 | $39,924 | +12% | $33,386 | +34% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $44,387 | $14,204 | $33,650 | +32% | $31,951 | +39% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $44,151 | $14,128 | $18,158 | +143% | $17,700 | +149% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $44,055 | $14,098 | $35,603 | +24% | $33,393 | +32% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $43,819 | $14,022 | $38,003 | +15% | $43,298 | +1% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $43,687 | $13,980 | $36,687 | +19% | $44,117 | −1% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $43,625 | $13,960 | $22,665 | +92% | $24,914 | +75% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $43,559 | $13,939 | $28,261 | +54% | $33,047 | +32% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $43,298 | $13,855 | $40,935 | +6% | $45,866 | −6% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $43,203 | $13,825 | $37,494 | +15% | $43,800 | −1% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $42,728 | $13,673 | $33,240 | +29% | $40,562 | +5% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $42,647 | $13,647 | $33,811 | +26% | $30,828 | +38% | ≈205% of Medicare |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $42,298 | $13,535 | $15,482 | +173% | $18,528 | +128% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $41,800 | $13,376 | $34,387 | +22% | $39,211 | +7% | — |
| 865 | VIRAL ILLNESS WITH MCC | $41,799 | $13,376 | $27,489 | +52% | $26,910 | +55% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $41,792 | $13,373 | $40,879 | +2% | $45,877 | −9% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $41,790 | $13,373 | $35,723 | +17% | $39,006 | +7% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $41,755 | $13,362 | $26,099 | +60% | $28,320 | +47% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $41,511 | $13,284 | $28,523 | +46% | $35,692 | +16% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $41,380 | $13,242 | $30,571 | +35% | $32,628 | +27% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $41,331 | $13,226 | $34,430 | +20% | $36,792 | +12% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $41,280 | $13,209 | $27,833 | +48% | $27,297 | +51% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $41,160 | $13,171 | $25,516 | +61% | $31,321 | +31% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $41,135 | $13,163 | $31,600 | +30% | $25,970 | +58% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $41,075 | $13,144 | $31,176 | +32% | $23,488 | +75% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $41,035 | $13,131 | $21,881 | +88% | $27,043 | +52% | — |
| 779 | ABORTION WITHOUT D&C | $40,557 | $12,978 | $15,610 | +160% | $15,327 | +165% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $40,232 | $12,874 | $20,425 | +97% | $26,051 | +54% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $39,997 | $12,799 | $32,262 | +24% | $23,940 | +67% | ≈446% of Medicare |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $39,913 | $12,772 | $23,065 | +73% | $18,452 | +116% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $39,289 | $12,573 | $32,591 | +21% | $35,465 | +11% | — |
| 694 | URINARY STONES WITHOUT MCC | $39,096 | $12,511 | $14,626 | +167% | $17,345 | +125% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $38,902 | $12,448 | $17,829 | +118% | $14,797 | +163% | — |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $38,698 | $12,383 | $35,116 | +10% | $18,474 | +109% | — |
| 100 | SEIZURES WITH MCC | $38,651 | $12,368 | $29,216 | +32% | $35,481 | +9% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $38,362 | $12,276 | $25,594 | +50% | $30,235 | +27% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $38,357 | $12,274 | $32,198 | +19% | $15,215 | +152% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $38,334 | $12,267 | $35,124 | +9% | $32,031 | +20% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $38,083 | $12,186 | $20,425 | +86% | $19,305 | +97% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $38,080 | $12,186 | $24,509 | +55% | $32,877 | +16% | — |
| 103 | HEADACHES WITHOUT MCC | $37,857 | $12,114 | $17,660 | +114% | $21,280 | +78% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $37,855 | $12,114 | $15,218 | +149% | $14,927 | +154% | — |
| 637 | DIABETES WITH MCC | $37,779 | $12,089 | $22,436 | +68% | $30,100 | +26% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $37,733 | $12,075 | $30,043 | +26% | $32,021 | +18% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $36,842 | $11,789 | $34,234 | +8% | $33,985 | +8% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $36,647 | $11,727 | $35,709 | +3% | $20,259 | +81% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $35,403 | $11,329 | $37,536 | −6% | $41,892 | −15% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $35,401 | $11,328 | $33,498 | +6% | $33,707 | +5% | ≈295% of Medicare |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $35,283 | $11,291 | $36,521 | −3% | $40,362 | −13% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $35,178 | $11,257 | $31,754 | +11% | $43,631 | −19% | — |
| 305 | HYPERTENSION WITHOUT MCC | $35,050 | $11,216 | $15,673 | +124% | $18,086 | +94% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $34,928 | $11,177 | $30,439 | +15% | $33,834 | +3% | — |
| 101 | SEIZURES WITHOUT MCC | $34,919 | $11,174 | $20,807 | +68% | $20,461 | +71% | — |
| 304 | HYPERTENSION WITH MCC | $34,894 | $11,166 | $19,114 | +83% | $26,080 | +34% | — |
| 602 | CELLULITIS WITH MCC | $34,698 | $11,103 | $26,787 | +30% | $30,598 | +13% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $34,685 | $11,099 | $16,856 | +106% | $15,038 | +131% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $34,579 | $11,065 | $29,523 | +17% | $20,455 | +69% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $34,310 | $10,979 | $27,476 | +25% | $26,776 | +28% | ≈265% of Medicare |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $34,277 | $10,969 | $26,765 | +28% | $31,017 | +11% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $34,145 | $10,927 | $19,539 | +75% | $20,084 | +70% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $34,130 | $10,921 | $16,544 | +106% | $19,842 | +72% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $34,123 | $10,919 | $31,600 | +8% | $38,101 | −10% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $33,569 | $10,742 | $19,531 | +72% | $19,846 | +69% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $33,467 | $10,710 | $29,225 | +15% | $22,458 | +49% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $33,349 | $10,672 | $21,542 | +55% | $24,552 | +36% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $33,323 | $10,663 | $22,599 | +47% | $22,098 | +51% | ≈268% of Medicare |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $33,065 | $10,581 | $49,603 | −33% | $49,710 | −33% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $33,033 | $10,570 | $30,619 | +8% | $31,105 | +6% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $32,973 | $10,551 | $21,461 | +54% | $25,303 | +30% | — |
| 151 | EPISTAXIS WITHOUT MCC | $32,801 | $10,496 | $13,354 | +146% | $13,032 | +152% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $32,742 | $10,477 | $27,615 | +19% | $27,275 | +20% | ≈211% of Medicare |
| 644 | ENDOCRINE DISORDERS WITH CC | $32,545 | $10,414 | $21,086 | +54% | $23,198 | +40% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $32,172 | $10,295 | $25,876 | +24% | $22,320 | +44% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $32,022 | $10,247 | $18,906 | +69% | $19,412 | +65% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $32,011 | $10,243 | $80,018 | −60% | $80,018 | −60% | — |
| 539 | OSTEOMYELITIS WITH MCC | $31,895 | $10,206 | $31,633 | +1% | $37,609 | −15% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $31,294 | $10,014 | $21,580 | +45% | $23,283 | +34% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $31,052 | $9,937 | $31,005 | +0% | $37,387 | −17% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $30,955 | $9,906 | $21,188 | +46% | $19,569 | +58% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $30,936 | $9,900 | $26,028 | +19% | $34,354 | −10% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $30,783 | $9,851 | $21,936 | +40% | $23,571 | +31% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $30,729 | $9,833 | $27,239 | +13% | $32,496 | −5% | ≈182% of Medicare |
| 292 | HEART FAILURE AND SHOCK WITH CC | $30,582 | $9,786 | $24,803 | +23% | $16,371 | +87% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $30,368 | $9,718 | $23,582 | +29% | $25,463 | +19% | ≈200% of Medicare |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $30,155 | $9,650 | $25,091 | +20% | $20,463 | +47% | ≈365% of Medicare |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $29,882 | $9,562 | $23,245 | +29% | $15,600 | +92% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $29,740 | $9,517 | $28,213 | +5% | $27,316 | +9% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $29,594 | $9,470 | $14,852 | +99% | $14,250 | +108% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $29,498 | $9,439 | $23,930 | +23% | $19,096 | +54% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $28,792 | $9,214 | $56,044 | −49% | $68,639 | −58% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $28,769 | $9,206 | $25,817 | +11% | $18,488 | +56% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $28,627 | $9,161 | $22,928 | +25% | $18,640 | +54% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $28,536 | $9,132 | $27,470 | +4% | $29,933 | −5% | — |
| 813 | COAGULATION DISORDERS | $28,234 | $9,035 | $27,594 | +2% | $33,296 | −15% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $28,194 | $9,022 | $20,305 | +39% | $16,703 | +69% | — |
| 187 | PLEURAL EFFUSION WITH CC | $28,052 | $8,977 | $24,303 | +15% | $21,789 | +29% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $28,009 | $8,963 | $20,900 | +34% | $18,126 | +55% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $27,994 | $8,958 | $20,056 | +40% | $27,401 | +2% | — |
| 639 | DIABETES WITHOUT CC/MCC | $27,520 | $8,806 | $15,383 | +79% | $13,910 | +98% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $27,285 | $8,731 | $27,563 | −1% | $27,285 | +0% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $27,180 | $8,698 | $13,377 | +103% | $14,583 | +86% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $27,134 | $8,683 | $27,668 | −2% | $22,888 | +19% | ≈495% of Medicare |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $27,091 | $8,669 | $19,233 | +41% | $13,824 | +96% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $27,054 | $8,657 | $22,213 | +22% | $28,050 | −4% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $26,788 | $8,572 | $22,106 | +21% | $22,432 | +19% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $26,737 | $8,556 | $21,840 | +22% | $24,386 | +10% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $26,720 | $8,551 | $23,937 | +12% | $27,975 | −4% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $26,707 | $8,546 | $22,351 | +19% | $19,227 | +39% | — |
| 683 | RENAL FAILURE WITH CC | $26,682 | $8,538 | $23,357 | +14% | $19,130 | +39% | ≈459% of Medicare |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $26,612 | $8,516 | $34,594 | −23% | $39,973 | −33% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $26,510 | $8,483 | $32,506 | −18% | $37,169 | −29% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $26,376 | $8,440 | $25,952 | +2% | $26,932 | −2% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $26,098 | $8,351 | $22,513 | +16% | $26,770 | −3% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $26,065 | $8,341 | $17,904 | +46% | $17,578 | +48% | ≈262% of Medicare |
| 149 | DYSEQUILIBRIUM | $26,021 | $8,327 | $15,017 | +73% | $18,096 | +44% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $25,894 | $8,286 | $22,198 | +17% | $20,926 | +24% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $25,681 | $8,218 | $25,004 | +3% | $30,571 | −16% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $25,619 | $8,198 | $24,012 | +7% | $30,959 | −17% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $25,562 | $8,180 | $24,248 | +5% | $20,781 | +23% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $25,297 | $8,095 | $25,621 | −1% | $19,924 | +27% | — |
| 638 | DIABETES WITH CC | $25,108 | $8,035 | $17,229 | +46% | $19,661 | +28% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,921 | $7,975 | $26,681 | −7% | $27,394 | −9% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $24,856 | $7,954 | $21,190 | +17% | $18,204 | +37% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $24,506 | $7,842 | $20,900 | +17% | $20,422 | +20% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $24,036 | $7,692 | $15,591 | +54% | $13,384 | +80% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $24,021 | $7,687 | $19,027 | +26% | $22,506 | +7% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $23,902 | $7,649 | $17,819 | +34% | $16,520 | +45% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $23,850 | $7,632 | $14,891 | +60% | $12,252 | +95% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $23,711 | $7,587 | $78,221 | −70% | $51,953 | −54% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $23,685 | $7,579 | $24,926 | −5% | $33,563 | −29% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $23,567 | $7,541 | $28,945 | −19% | $36,670 | −36% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $23,298 | $7,455 | $22,857 | +2% | $23,551 | −1% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $23,276 | $7,448 | $20,826 | +12% | $23,617 | −1% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $23,240 | $7,437 | $19,984 | +16% | $20,181 | +15% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $23,143 | $7,406 | $22,235 | +4% | $18,081 | +28% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $22,954 | $7,345 | $16,055 | +43% | $17,921 | +28% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $22,751 | $7,280 | $22,695 | +0% | $14,648 | +55% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $22,653 | $7,249 | $22,567 | +0% | $28,226 | −20% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $22,510 | $7,203 | $26,119 | −14% | $26,682 | −16% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $22,140 | $7,085 | $16,447 | +35% | $17,322 | +28% | ≈238% of Medicare |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $22,131 | $7,082 | $20,254 | +9% | $23,141 | −4% | ≈218% of Medicare |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $22,127 | $7,081 | $19,735 | +12% | $17,724 | +25% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,051 | $7,056 | $18,995 | +16% | $20,488 | +8% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $21,508 | $6,883 | $17,739 | +21% | $20,506 | +5% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $21,185 | $6,779 | $18,062 | +17% | $18,807 | +13% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $21,086 | $6,748 | $21,993 | −4% | $21,449 | −2% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $20,952 | $6,705 | $22,373 | −6% | $17,226 | +22% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $20,814 | $6,660 | $38,068 | −45% | $20,727 | +0% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $20,763 | $6,644 | $17,205 | +21% | $17,038 | +22% | ≈240% of Medicare |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $20,489 | $6,557 | $18,079 | +13% | $21,396 | −4% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $20,261 | $6,483 | $23,385 | −13% | $26,510 | −24% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $19,782 | $6,330 | $18,535 | +7% | $15,183 | +30% | — |
| 603 | CELLULITIS WITHOUT MCC | $19,534 | $6,251 | $17,569 | +11% | $18,530 | +5% | ≈287% of Medicare |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $19,520 | $6,246 | $18,018 | +8% | $21,275 | −8% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $19,452 | $6,225 | $16,952 | +15% | $16,288 | +19% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $18,941 | $6,061 | $16,402 | +15% | $15,837 | +20% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $18,905 | $6,050 | $19,023 | −1% | $26,870 | −30% | — |
| 885 | PSYCHOSES | $18,785 | $6,011 | $20,964 | −10% | $21,729 | −14% | ≈173% of Medicare |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,732 | $5,994 | $16,587 | +13% | $18,150 | +3% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $18,699 | $5,984 | $16,817 | +11% | $17,303 | +8% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $18,522 | $5,927 | $16,651 | +11% | $19,745 | −6% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $18,401 | $5,888 | $16,359 | +12% | $17,124 | +7% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $18,379 | $5,881 | $21,681 | −15% | $18,316 | +0% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $18,083 | $5,787 | $40,599 | −55% | $50,618 | −64% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $18,042 | $5,773 | $16,290 | +11% | $17,674 | +2% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $17,819 | $5,702 | $20,273 | −12% | $17,601 | +1% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $17,385 | $5,563 | $13,758 | +26% | $13,361 | +30% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $17,228 | $5,513 | $14,987 | +15% | $14,128 | +22% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $17,134 | $5,483 | $17,283 | −1% | $22,033 | −22% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $17,005 | $5,442 | $12,492 | +36% | $12,895 | +32% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $16,627 | $5,321 | $29,615 | −44% | $37,950 | −56% | — |
| 540 | OSTEOMYELITIS WITH CC | $16,603 | $5,313 | $23,014 | −28% | $26,676 | −38% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $16,515 | $5,285 | $52,683 | −69% | $61,470 | −73% | — |
| 312 | SYNCOPE AND COLLAPSE | $16,433 | $5,259 | $16,025 | +3% | $19,342 | −15% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $16,131 | $5,162 | $14,516 | +11% | $14,053 | +15% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $16,051 | $5,136 | $13,158 | +22% | $13,275 | +21% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $15,728 | $5,033 | $17,209 | −9% | $16,699 | −6% | — |
| 682 | RENAL FAILURE WITH MCC | $15,428 | $4,937 | $22,958 | −33% | $29,064 | −47% | ≈265% of Medicare |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $15,199 | $4,864 | $14,839 | +2% | $17,559 | −13% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $15,005 | $4,802 | $14,440 | +4% | $15,370 | −2% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $15,004 | $4,801 | $21,755 | −31% | $27,633 | −46% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $14,946 | $4,783 | $14,906 | +0% | $13,633 | +10% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $14,626 | $4,680 | $13,087 | +12% | $12,078 | +21% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $14,209 | $4,547 | $14,281 | −1% | $21,056 | −33% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $14,022 | $4,487 | $15,488 | −9% | $16,846 | −17% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $13,696 | $4,383 | $16,309 | −16% | $19,138 | −28% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $13,645 | $4,366 | $17,847 | −24% | $13,651 | −0% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $13,569 | $4,342 | $26,462 | −49% | $34,192 | −60% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $13,395 | $4,286 | $11,246 | +19% | $12,324 | +9% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $13,186 | $4,219 | $14,148 | −7% | $14,689 | −10% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,639 | $4,044 | $15,386 | −18% | $18,133 | −30% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $12,326 | $3,944 | $12,190 | +1% | $13,942 | −12% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $12,168 | $3,894 | $15,198 | −20% | $18,602 | −35% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $11,920 | $3,814 | $27,319 | −56% | $23,206 | −49% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $11,409 | $3,651 | $17,535 | −35% | $15,428 | −26% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $11,195 | $3,583 | $12,505 | −10% | $17,298 | −35% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $10,983 | $3,515 | $11,562 | −5% | $10,975 | +0% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $10,867 | $3,477 | $15,327 | −29% | $15,019 | −28% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $10,509 | $3,363 | $15,472 | −32% | $15,855 | −34% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $10,188 | $3,260 | $12,150 | −16% | $12,454 | −18% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,991 | $3,197 | $15,377 | −35% | $17,733 | −44% | — |
| 881 | DEPRESSIVE NEUROSES | $9,798 | $3,135 | $14,019 | −30% | $15,058 | −35% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $9,760 | $3,123 | $16,720 | −42% | $20,957 | −53% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $9,416 | $3,013 | $21,741 | −57% | $27,543 | −66% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $9,054 | $2,897 | $24,816 | −64% | $30,502 | −70% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,471 | $2,711 | $14,015 | −40% | $15,680 | −46% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $8,114 | $2,596 | $8,114 | — | $15,215 | −47% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $7,521 | — | $48,575 | −85% | $71,464 | −89% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,072 | $2,263 | $15,696 | −55% | $20,895 | −66% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $6,535 | $2,091 | $33,555 | −81% | $39,181 | −83% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $6,305 | $2,018 | $59,460 | −89% | $42,679 | −85% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $5,444 | $1,742 | $12,279 | −56% | $14,415 | −62% | — |
| 200 | PNEUMOTHORAX WITH CC | $5,290 | $1,693 | $17,518 | −70% | $21,368 | −75% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $5,233 | $1,674 | $57,323 | −91% | $18,649 | −72% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,134 | $1,643 | $12,683 | −60% | $10,160 | −49% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $5,072 | $1,623 | $14,184 | −64% | $17,118 | −70% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $4,955 | $1,586 | $17,709 | −72% | $16,776 | −70% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $4,874 | $1,560 | $22,400 | −78% | $22,024 | −78% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,819 | $1,542 | $26,590 | −82% | $16,351 | −71% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,123 | $1,319 | $34,988 | −88% | $12,229 | −66% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $3,731 | $1,194 | $19,322 | −81% | $24,056 | −84% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $3,541 | $1,133 | $10,912 | −68% | $9,940 | −64% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,366 | $1,077 | $12,131 | −72% | $8,445 | −60% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $2,886 | $924 | $21,629 | −87% | $23,573 | −88% | — |
| 795 | NORMAL NEWBORN | $2,716 | $869 | $4,733 | −43% | $4,720 | −42% | — |
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 | $28,140 – $28,140 · median $28,140 | 1 plans |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $43,992 – $43,992 · median $43,992 | 1 plans |
No procedures match that keyword.