Sarah Bush Lincoln Health Center — Pricing
553 procedures published in this hospital's Machine-Readable File (MRF) — 550 with a comparable price, 3 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 553
Lowest published price $2,636
Average published price $48,724
Highest published price $334,804
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 553 procedures
Published charges
Showing all 550 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 59 procedures, this hospital's negotiated rates average ≈131% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. IL median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $334,804 | $334,804 | $232,444 | +44% | $107,355 | +212% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $330,993 | $330,993 | $162,170 | +104% | $113,077 | +193% | — |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $295,829 | $295,829 | $440,119 | −33% | $164,641 | +80% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $292,707 | $292,707 | $627,782 | −53% | $371,366 | −21% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $271,523 | $271,523 | $86,971 | +212% | $68,639 | +296% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $257,965 | $257,965 | $297,940 | −13% | $153,282 | +68% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $245,609 | — | $39,293 | +525% | $36,249 | +578% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $237,130 | $237,130 | $402,831 | −41% | $248,521 | −5% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $229,780 | $229,780 | $106,293 | +116% | $56,836 | +304% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $196,123 | $196,123 | $116,985 | +68% | $69,101 | +184% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $188,961 | $188,961 | $131,578 | +44% | $90,195 | +110% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $174,462 | $174,462 | $113,008 | +54% | $67,268 | +159% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $165,203 | $165,203 | $66,682 | +148% | $47,583 | +247% | — |
| 304 | HYPERTENSION WITH MCC | $146,385 | $146,385 | $34,828 | +320% | $26,080 | +461% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $143,286 | $143,286 | $90,636 | +58% | $77,817 | +84% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $136,769 | $136,769 | $209,861 | −35% | $125,242 | +9% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $133,005 | $133,005 | $136,366 | −2% | $93,390 | +42% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $132,353 | $132,353 | $119,344 | +11% | $87,761 | +51% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $129,084 | $129,084 | $204,360 | −37% | $148,832 | −13% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $125,689 | $125,689 | $69,489 | +81% | $50,618 | +148% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $125,255 | $125,255 | $135,829 | −8% | $99,423 | +26% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $122,513 | $122,513 | $78,323 | +56% | $66,068 | +85% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $122,004 | $122,004 | $206,693 | −41% | $96,192 | +27% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $121,040 | $121,040 | $67,596 | +79% | $48,682 | +149% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $119,889 | $119,889 | $81,376 | +47% | $41,620 | +188% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $119,542 | $119,542 | $112,325 | +6% | $51,625 | +132% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $117,429 | $117,429 | $144,630 | −19% | $83,441 | +41% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $116,441 | $116,441 | $78,884 | +48% | $43,800 | +166% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $116,067 | $116,067 | $90,312 | +29% | $59,537 | +95% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $113,912 | $113,912 | $97,650 | +17% | $65,573 | +74% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $113,368 | $113,368 | $110,844 | +2% | $76,001 | +49% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $108,560 | $108,560 | $137,012 | −21% | $88,050 | +23% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $107,909 | $107,909 | $87,318 | +24% | $71,795 | +50% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $106,086 | $106,086 | $102,730 | +3% | $81,706 | +30% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $105,555 | $105,555 | $113,047 | −7% | $59,533 | +77% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $104,192 | $104,192 | $45,028 | +131% | $30,010 | +247% | — |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $103,483 | $103,483 | $149,328 | −31% | $78,852 | +31% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $103,133 | $103,133 | $57,020 | +81% | $45,333 | +127% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $102,661 | $102,661 | $107,529 | −5% | $68,508 | +50% | — |
| 503 | FOOT PROCEDURES WITH MCC | $102,602 | $102,602 | $87,276 | +18% | $47,540 | +116% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $102,447 | $102,447 | $89,090 | +15% | $70,564 | +45% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $102,082 | $102,082 | $104,240 | −2% | $70,467 | +45% | — |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $101,431 | $101,431 | $170,767 | −41% | $79,836 | +27% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $100,786 | $100,786 | $227,248 | −56% | $131,961 | −24% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $100,256 | $100,256 | $190,786 | −47% | $96,905 | +3% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $100,081 | $100,081 | $73,646 | +36% | $65,653 | +52% | ≈119% of Medicare |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $99,789 | $99,789 | $46,189 | +116% | $29,805 | +235% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $99,186 | $99,186 | $25,492 | +289% | $13,651 | +627% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $99,180 | $99,180 | $99,664 | −0% | $75,573 | +31% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $98,087 | $98,087 | $106,345 | −8% | $58,975 | +66% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $97,023 | $97,023 | $88,076 | +10% | $77,990 | +24% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $96,774 | $96,774 | $86,012 | +13% | $75,251 | +29% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $96,706 | $96,706 | $145,249 | −33% | $92,515 | +5% | — |
| 332 | RECTAL RESECTION WITH MCC | $96,227 | $96,227 | $84,117 | +14% | $58,125 | +66% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $96,160 | $96,160 | $106,513 | −10% | $66,685 | +44% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $94,822 | $94,822 | $62,541 | +52% | $40,552 | +134% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $90,539 | $90,539 | $104,776 | −14% | $93,172 | −3% | ≈114% of Medicare |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $90,538 | $90,538 | $77,379 | +17% | $58,809 | +54% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $89,443 | $89,443 | $73,259 | +22% | $59,651 | +50% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $89,188 | $89,188 | $90,646 | −2% | $70,847 | +26% | ≈135% of Medicare |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $87,378 | $87,378 | $89,923 | −3% | $56,755 | +54% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $86,740 | $86,740 | $102,482 | −15% | $58,274 | +49% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $86,326 | $86,326 | $100,656 | −14% | $71,092 | +21% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $85,446 | $85,446 | $80,076 | +7% | $50,624 | +69% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $84,497 | $84,497 | $103,430 | −18% | $70,132 | +20% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $84,045 | $84,045 | $41,024 | +105% | $33,985 | +147% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $83,690 | $83,690 | $96,146 | −13% | $71,755 | +17% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $83,648 | $83,648 | $70,413 | +19% | $43,538 | +92% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $83,640 | $83,640 | $141,353 | −41% | $85,159 | −2% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $82,963 | $82,963 | $32,457 | +156% | $19,412 | +327% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $82,441 | $82,441 | $50,918 | +62% | $45,866 | +80% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $82,355 | $82,355 | $76,056 | +8% | $59,421 | +39% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $81,711 | $81,711 | $87,888 | −7% | $55,162 | +48% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $81,619 | $81,619 | $100,833 | −19% | $90,775 | −10% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $80,583 | $80,583 | $91,032 | −11% | $62,821 | +28% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $80,404 | $80,404 | $64,938 | +24% | $52,435 | +53% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $79,021 | $79,021 | $65,905 | +20% | $52,751 | +50% | ≈129% of Medicare |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $78,753 | $78,753 | $90,846 | −13% | $52,405 | +50% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $78,614 | $78,614 | $138,604 | −43% | $96,507 | −19% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $78,446 | $78,446 | $73,163 | +7% | $50,011 | +57% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $78,067 | $78,067 | $197,500 | −60% | $111,320 | −30% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $78,042 | $78,042 | $40,031 | +95% | $39,958 | +95% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $77,753 | $77,753 | $77,753 | +0% | $51,985 | +50% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $77,407 | $77,407 | $150,610 | −49% | $91,329 | −15% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $76,901 | $76,901 | $71,496 | +8% | $58,280 | +32% | ≈126% of Medicare |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $76,785 | $76,785 | $44,150 | +74% | $30,243 | +154% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $76,516 | $76,516 | $73,952 | +3% | $46,295 | +65% | — |
| 263 | VEIN LIGATION AND STRIPPING | $75,729 | $75,729 | $60,316 | +26% | $51,253 | +48% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $75,638 | $75,638 | $73,813 | +2% | $44,139 | +71% | — |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $75,620 | $75,620 | $86,222 | −12% | $40,060 | +89% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $75,486 | $75,486 | $60,531 | +25% | $29,916 | +152% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $75,359 | $75,359 | $121,651 | −38% | $80,793 | −7% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $75,138 | $75,138 | $72,407 | +4% | $45,167 | +66% | — |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $75,075 | $75,075 | $80,427 | −7% | $80,427 | −7% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $74,791 | $74,791 | $43,193 | +73% | $39,973 | +87% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $74,537 | $74,537 | $46,516 | +60% | $26,436 | +182% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $74,515 | $74,515 | $76,523 | −3% | $46,066 | +62% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $74,385 | $74,385 | $159,358 | −53% | $116,058 | −36% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $74,317 | $74,317 | $58,806 | +26% | $39,515 | +88% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $74,277 | $74,277 | $48,114 | +54% | $32,645 | +128% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $74,108 | $74,108 | $50,923 | +46% | $37,387 | +98% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $73,865 | $73,865 | $63,098 | +17% | $36,489 | +102% | — |
| 100 | SEIZURES WITH MCC | $73,663 | $73,663 | $46,610 | +58% | $35,481 | +108% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $72,207 | $72,207 | $119,821 | −40% | $101,510 | −29% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $71,720 | $71,720 | $19,992 | +259% | $13,942 | +414% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $71,681 | $71,681 | $58,661 | +22% | $39,955 | +79% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $71,522 | $71,522 | $101,493 | −30% | $57,454 | +24% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $70,235 | $70,235 | $55,522 | +26% | $30,553 | +130% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $70,198 | $70,198 | $67,660 | +4% | $46,090 | +52% | — |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $70,168 | $70,168 | $33,983 | +106% | $33,983 | +106% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $69,772 | $69,772 | $70,442 | −1% | $43,650 | +60% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $69,322 | $69,322 | $85,781 | −19% | $49,423 | +40% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $69,309 | $69,309 | $70,859 | −2% | $49,351 | +40% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $68,568 | $68,568 | $68,568 | +0% | $49,710 | +38% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $68,460 | $68,460 | $93,845 | −27% | $59,629 | +15% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $68,291 | $68,291 | $108,234 | −37% | $74,257 | −8% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $68,140 | $68,140 | $51,225 | +33% | $32,031 | +113% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $68,043 | $68,043 | $79,326 | −14% | $59,500 | +14% | ≈117% of Medicare |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $67,779 | $67,779 | $80,210 | −15% | $58,228 | +16% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $67,631 | $67,631 | $79,545 | −15% | $68,653 | −1% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $67,458 | $67,458 | $127,352 | −47% | $82,561 | −18% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $67,449 | $67,449 | $64,882 | +4% | $35,465 | +90% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $67,319 | $67,319 | $43,772 | +54% | $33,255 | +102% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $67,185 | $67,185 | $83,551 | −20% | $58,707 | +14% | ≈132% of Medicare |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $67,179 | $67,179 | $79,097 | −15% | $59,790 | +12% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $66,852 | $66,852 | $52,249 | +28% | $33,386 | +100% | — |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $65,720 | $65,720 | $21,663 | +203% | $21,663 | +203% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $65,481 | $65,481 | $62,233 | +5% | $41,591 | +57% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $64,698 | $64,698 | $43,506 | +49% | $32,877 | +97% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $64,118 | $64,118 | $51,179 | +25% | $36,937 | +74% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $63,320 | $63,320 | $70,540 | −10% | $46,283 | +37% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $63,138 | $63,138 | $21,571 | +193% | $16,487 | +283% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $62,848 | $62,848 | $79,513 | −21% | $49,184 | +28% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $62,245 | $62,245 | $67,557 | −8% | $40,694 | +53% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $62,095 | $62,095 | $51,006 | +22% | $39,106 | +59% | ≈128% of Medicare |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $61,914 | $61,914 | $92,150 | −33% | $60,170 | +3% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $61,763 | $61,763 | $49,730 | +24% | $21,230 | +191% | — |
| 539 | OSTEOMYELITIS WITH MCC | $61,683 | $61,683 | $48,883 | +26% | $37,609 | +64% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $61,098 | $61,098 | $56,492 | +8% | $41,955 | +46% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $60,905 | $60,905 | $55,568 | +10% | $39,619 | +54% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $60,702 | $60,702 | $58,265 | +4% | $39,181 | +55% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $60,552 | $60,552 | $81,116 | −25% | $65,788 | −8% | ≈109% of Medicare |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $60,440 | $60,440 | $44,641 | +35% | $27,808 | +117% | — |
| 504 | FOOT PROCEDURES WITH CC | $60,334 | $60,334 | $57,176 | +6% | $38,960 | +55% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $60,272 | $60,272 | $60,272 | +0% | $33,393 | +80% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $60,197 | $60,197 | $58,179 | +3% | $36,820 | +63% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $60,129 | $60,129 | $65,289 | −8% | $58,745 | +2% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $59,547 | $59,547 | $116,704 | −49% | $65,325 | −9% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $59,520 | $59,520 | $62,024 | −4% | $50,394 | +18% | — |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $58,492 | $58,492 | $42,221 | +39% | $17,404 | +236% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $58,027 | $58,027 | $62,832 | −8% | $47,711 | +22% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $57,943 | $57,943 | $54,177 | +7% | $43,943 | +32% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $57,854 | $57,854 | $42,174 | +37% | $31,264 | +85% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $57,796 | $57,796 | $79,783 | −28% | $53,451 | +8% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $57,786 | $57,786 | $75,509 | −23% | $50,139 | +15% | — |
| 813 | COAGULATION DISORDERS | $57,147 | $57,147 | $46,013 | +24% | $33,296 | +72% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $56,940 | $56,940 | $51,927 | +10% | $32,637 | +74% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $56,607 | $56,607 | $21,877 | +159% | $16,700 | +239% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $56,249 | $56,249 | $76,163 | −26% | $52,178 | +8% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $56,179 | $56,179 | $89,789 | −37% | $35,569 | +58% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $56,159 | $56,159 | $101,590 | −45% | $72,424 | −22% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $56,022 | $56,022 | $51,727 | +8% | $33,834 | +66% | — |
| 548 | SEPTIC ARTHRITIS WITH MCC | $55,548 | $55,548 | $47,693 | +16% | $31,346 | +77% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $55,195 | $55,195 | $35,435 | +56% | $25,970 | +113% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $55,163 | $55,163 | $43,470 | +27% | $32,451 | +70% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $55,111 | $55,111 | $86,468 | −36% | $63,928 | −14% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $54,154 | $54,154 | $53,823 | +1% | $32,841 | +65% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $53,982 | $53,982 | $69,606 | −22% | $52,075 | +4% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $53,634 | $53,634 | $64,201 | −16% | $38,836 | +38% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $53,566 | $53,566 | $63,301 | −15% | $50,607 | +6% | ≈132% of Medicare |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $53,552 | $53,552 | $57,500 | −7% | $43,477 | +23% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $53,473 | $53,473 | $25,441 | +110% | $16,767 | +219% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $52,474 | $52,474 | $55,788 | −6% | $35,453 | +48% | — |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $52,271 | $52,271 | $100,855 | −48% | $49,839 | +5% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $52,191 | $52,191 | $40,171 | +30% | $20,926 | +149% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $51,736 | $51,736 | $39,722 | +30% | $34,192 | +51% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $51,392 | $51,392 | $49,697 | +3% | $32,021 | +60% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $51,343 | $51,343 | $53,539 | −4% | $36,505 | +41% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $50,843 | $50,843 | $42,327 | +20% | $33,707 | +51% | ≈106% of Medicare |
| 245 | AICD GENERATOR PROCEDURES | $50,739 | $50,739 | $83,436 | −39% | $72,076 | −30% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $50,525 | $50,525 | $42,645 | +18% | $31,951 | +58% | ≈115% of Medicare |
| 571 | SKIN DEBRIDEMENT WITH CC | $50,524 | $50,524 | $49,277 | +3% | $37,169 | +36% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $50,474 | $50,474 | $60,813 | −17% | $42,881 | +18% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $49,873 | $49,873 | $45,494 | +10% | $35,628 | +40% | ≈123% of Medicare |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $49,749 | $49,749 | $56,233 | −12% | $44,606 | +12% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $49,293 | $49,293 | $51,935 | −5% | $33,047 | +49% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $49,277 | $49,277 | $43,659 | +13% | $36,658 | +34% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $49,036 | $49,036 | $41,164 | +19% | $34,017 | +44% | — |
| 199 | PNEUMOTHORAX WITH MCC | $48,714 | $48,714 | $47,123 | +3% | $33,787 | +44% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $48,705 | $48,705 | $80,060 | −39% | $49,418 | −1% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $48,408 | $48,408 | $57,686 | −16% | $44,117 | +10% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $48,349 | $48,349 | $75,577 | −36% | $54,929 | −12% | ≈116% of Medicare |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $47,969 | $47,969 | $64,007 | −25% | $39,887 | +20% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $47,902 | $47,902 | $54,278 | −12% | $51,746 | −7% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $47,898 | $47,898 | $29,674 | +61% | $23,573 | +103% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $47,619 | $47,619 | $107,055 | −56% | $59,594 | −20% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $47,408 | $47,408 | $42,121 | +13% | $33,555 | +41% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $47,087 | $47,087 | $30,333 | +55% | $18,640 | +153% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $47,073 | $47,073 | $84,654 | −44% | $50,498 | −7% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $46,361 | $46,361 | $36,586 | +27% | $25,581 | +81% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $46,286 | $46,286 | $58,279 | −21% | $61,872 | −25% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $46,248 | $46,248 | $46,542 | −1% | $38,666 | +20% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $46,201 | $46,201 | $40,982 | +13% | $27,277 | +69% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $46,150 | $46,150 | $40,849 | +13% | $28,156 | +64% | — |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $46,085 | $46,085 | $42,868 | +8% | $24,941 | +85% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $45,960 | $45,960 | $56,671 | −19% | $44,546 | +3% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $45,864 | $45,864 | $31,156 | +47% | $27,401 | +67% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $45,711 | $45,711 | $70,135 | −35% | $40,548 | +13% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $45,612 | $45,612 | $62,659 | −27% | $43,631 | +5% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $45,438 | $45,438 | $40,984 | +11% | $23,940 | +90% | ≈140% of Medicare |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $45,356 | $45,356 | $70,361 | −36% | $45,877 | −1% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $45,350 | $45,350 | $26,557 | +71% | $20,455 | +122% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $45,313 | $45,313 | $24,445 | +85% | $15,495 | +192% | — |
| 637 | DIABETES WITH MCC | $45,236 | $45,236 | $38,167 | +19% | $30,100 | +50% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $45,017 | $45,017 | $37,818 | +19% | $33,424 | +35% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $44,719 | $44,719 | $93,793 | −52% | $84,692 | −47% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $44,639 | $44,639 | $42,794 | +4% | $32,496 | +37% | ≈126% of Medicare |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $44,628 | $44,628 | $110,317 | −60% | $54,583 | −18% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $44,433 | $44,433 | $47,166 | −6% | $40,213 | +10% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $43,984 | $43,984 | $104,329 | −58% | $66,666 | −34% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $43,949 | $43,949 | $39,482 | +11% | $29,743 | +48% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $43,718 | $43,718 | $33,410 | +31% | $26,682 | +64% | ≈117% of Medicare |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $43,410 | $43,410 | $27,362 | +59% | $17,118 | +154% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $43,377 | $43,377 | $59,011 | −26% | $39,211 | +11% | — |
| 682 | RENAL FAILURE WITH MCC | $43,216 | $43,216 | $38,846 | +11% | $29,064 | +49% | ≈123% of Medicare |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $43,047 | $43,047 | $43,047 | +0% | $29,933 | +44% | — |
| 313 | CHEST PAIN | $43,032 | $43,032 | $23,778 | +81% | $16,440 | +162% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $42,898 | $42,898 | $44,158 | −3% | $27,617 | +55% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $42,504 | $42,504 | $40,660 | +5% | $26,770 | +59% | ≈126% of Medicare |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $42,239 | $42,239 | $63,997 | −34% | $26,598 | +59% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $42,084 | $42,084 | $45,920 | −8% | $33,653 | +25% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $41,975 | $41,975 | $37,811 | +11% | $31,159 | +35% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $41,431 | $41,431 | $122,582 | −66% | $71,014 | −42% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $41,264 | $41,264 | $44,135 | −7% | $27,394 | +51% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $41,192 | $41,192 | $37,775 | +9% | $22,458 | +83% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $41,170 | $41,170 | $33,860 | +22% | $20,781 | +98% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $41,160 | $41,160 | $64,836 | −37% | $40,362 | +2% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $40,838 | $40,838 | $53,262 | −23% | $41,892 | −3% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $40,779 | $40,779 | $50,080 | −19% | $30,828 | +32% | ≈125% of Medicare |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $40,721 | $40,721 | $34,002 | +20% | $21,056 | +93% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $40,643 | $40,643 | $43,994 | −8% | $28,226 | +44% | ≈118% of Medicare |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $40,639 | $40,639 | $71,276 | −43% | $50,463 | −19% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $40,544 | $40,544 | $197,141 | −79% | $102,573 | −60% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $40,207 | $40,207 | $33,255 | +21% | $23,551 | +71% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $40,169 | $40,169 | $49,576 | −19% | $32,100 | +25% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $40,023 | $40,023 | $39,206 | +2% | $30,959 | +29% | ≈137% of Medicare |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $39,885 | $39,885 | $292,478 | −86% | $147,227 | −73% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $39,864 | $39,864 | $39,864 | +0% | $20,463 | +95% | ≈133% of Medicare |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $39,754 | $39,754 | $61,421 | −35% | $36,167 | +10% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $39,730 | $39,730 | $54,264 | −27% | $29,524 | +35% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $39,589 | $39,589 | $28,520 | +39% | $15,600 | +154% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $39,420 | $39,420 | $32,693 | +21% | $19,745 | +100% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $39,043 | $39,043 | $49,029 | −20% | $32,944 | +19% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $38,745 | $38,745 | $73,783 | −47% | $50,046 | −23% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $38,679 | $38,679 | $33,560 | +15% | $27,275 | +42% | ≈129% of Medicare |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $38,580 | $38,580 | $55,058 | −30% | $39,627 | −3% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $38,363 | $38,363 | $35,646 | +8% | $28,050 | +37% | ≈129% of Medicare |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $38,248 | $38,248 | $51,644 | −26% | $37,842 | +1% | ≈133% of Medicare |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $38,223 | $38,223 | $31,413 | +22% | $21,363 | +79% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $38,204 | $38,204 | $25,702 | +49% | $16,371 | +133% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $38,186 | $38,186 | $28,537 | +34% | $22,024 | +73% | ≈139% of Medicare |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $37,697 | $37,697 | $44,574 | −15% | $25,748 | +46% | — |
| 103 | HEADACHES WITHOUT MCC | $37,439 | $37,439 | $30,383 | +23% | $21,280 | +76% | — |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $37,213 | $37,213 | $37,213 | +0% | $16,212 | +130% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $37,064 | $37,064 | $21,659 | +71% | $16,520 | +124% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $36,695 | $36,695 | $52,021 | −29% | $46,402 | −21% | — |
| 602 | CELLULITIS WITH MCC | $36,680 | $36,680 | $36,275 | +1% | $30,598 | +20% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $36,588 | $36,588 | $28,539 | +28% | $22,888 | +60% | ≈120% of Medicare |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $36,559 | $36,559 | $71,645 | −49% | $38,101 | −4% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $36,396 | $36,396 | $46,083 | −21% | $32,628 | +12% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $36,305 | $36,305 | $26,641 | +36% | $20,506 | +77% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $36,268 | $36,268 | $126,423 | −71% | $70,371 | −48% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $35,996 | $35,996 | $51,392 | −30% | $34,276 | +5% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $35,870 | $35,870 | $15,006 | +139% | $14,368 | +150% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $35,728 | $35,728 | $25,285 | +41% | $19,924 | +79% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $35,724 | $35,724 | $22,549 | +58% | $18,004 | +98% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $35,617 | $35,617 | $53,505 | −33% | $42,914 | −17% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $35,531 | $35,531 | $25,956 | +37% | $14,128 | +151% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $35,455 | $35,455 | $39,435 | −10% | $33,048 | +7% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $35,395 | $35,395 | $34,253 | +3% | $23,198 | +53% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $35,388 | $35,388 | $53,188 | −33% | $39,006 | −9% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $35,307 | $35,307 | $26,350 | +34% | $17,298 | +104% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $35,285 | $35,285 | $35,285 | +0% | $26,776 | +32% | ≈122% of Medicare |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $35,224 | $35,224 | $30,005 | +17% | $24,914 | +41% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $35,182 | $35,182 | $28,851 | +22% | $17,303 | +103% | ≈144% of Medicare |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $35,028 | $35,028 | $35,028 | +0% | $19,815 | +77% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $34,942 | $34,942 | $31,480 | +11% | $26,580 | +31% | ≈133% of Medicare |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $34,559 | $34,559 | $57,334 | −40% | $47,737 | −28% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $33,973 | $33,973 | $43,770 | −22% | $30,235 | +12% | — |
| 593 | SKIN ULCERS WITH CC | $33,739 | $33,739 | $30,984 | +9% | $22,886 | +47% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $33,726 | $33,726 | $51,335 | −34% | $30,502 | +11% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $33,692 | $33,692 | $63,842 | −47% | $35,770 | −6% | ≈142% of Medicare |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $33,630 | $33,630 | $47,052 | −29% | $34,354 | −2% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $33,559 | $33,559 | $35,450 | −5% | $23,488 | +43% | ≈122% of Medicare |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $33,458 | $33,458 | $12,397 | +170% | $12,397 | +170% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $33,286 | $33,286 | $58,108 | −43% | $38,094 | −13% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $33,172 | $33,172 | $26,453 | +25% | $16,634 | +99% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $33,008 | $33,008 | $33,008 | +0% | $22,033 | +50% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $32,940 | $32,940 | $57,626 | −43% | $36,792 | −10% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $32,801 | $32,801 | $62,690 | −48% | $30,493 | +8% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $32,791 | $32,791 | $45,749 | −28% | $37,950 | −14% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $32,723 | $32,723 | $27,468 | +19% | $20,957 | +56% | — |
| 305 | HYPERTENSION WITHOUT MCC | $32,552 | $32,552 | $29,315 | +11% | $18,086 | +80% | ≈153% of Medicare |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $32,536 | $32,536 | $29,928 | +9% | $26,870 | +21% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $32,524 | $32,524 | $83,997 | −61% | $75,103 | −57% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $32,498 | $32,498 | $48,547 | −33% | $26,618 | +22% | ≈143% of Medicare |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $32,481 | $32,481 | $39,329 | −17% | $32,859 | −1% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $32,470 | $32,470 | $32,470 | +0% | $24,386 | +33% | ≈132% of Medicare |
| 101 | SEIZURES WITHOUT MCC | $32,447 | $32,447 | $26,593 | +22% | $20,461 | +59% | ≈134% of Medicare |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $32,331 | $32,331 | $41,995 | −23% | $31,105 | +4% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $32,285 | $32,285 | $45,418 | −29% | $27,947 | +16% | — |
| 139 | SALIVARY GLAND PROCEDURES | $32,164 | $32,164 | $32,164 | +0% | $23,612 | +36% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $32,144 | $32,144 | $31,275 | +3% | $18,081 | +78% | ≈129% of Medicare |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $32,118 | $32,118 | $35,971 | −11% | $30,770 | +4% | — |
| 149 | DYSEQUILIBRIUM | $32,040 | $32,040 | $33,898 | −5% | $18,096 | +77% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $31,933 | $31,933 | $32,296 | −1% | $22,850 | +40% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $31,889 | $31,889 | $33,851 | −6% | $23,617 | +35% | ≈123% of Medicare |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $31,539 | $31,539 | $109,348 | −71% | $89,207 | −65% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $31,475 | $31,475 | $30,855 | +2% | $21,941 | +43% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $31,443 | $31,443 | $28,257 | +11% | $15,549 | +102% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $31,387 | $31,387 | $28,197 | +11% | $22,468 | +40% | — |
| 949 | AFTERCARE WITH CC/MCC | $31,372 | $31,372 | $40,709 | −23% | $23,953 | +31% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $31,359 | $31,359 | $27,113 | +16% | $18,528 | +69% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,216 | $31,216 | $125,275 | −75% | $74,755 | −58% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $31,168 | $31,168 | $17,351 | +80% | $14,415 | +116% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $30,860 | $30,860 | $36,372 | −15% | $28,320 | +9% | ≈120% of Medicare |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $30,638 | $30,638 | $32,177 | −5% | $23,319 | +31% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $30,601 | $30,601 | $60,253 | −49% | $34,607 | −12% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $30,572 | $30,572 | $30,243 | +1% | $21,396 | +43% | ≈139% of Medicare |
| 865 | VIRAL ILLNESS WITH MCC | $30,566 | $30,566 | $40,216 | −24% | $26,910 | +14% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $30,255 | $30,255 | $43,207 | −30% | $33,633 | −10% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $30,147 | $30,147 | $22,618 | +33% | $18,488 | +63% | — |
| 592 | SKIN ULCERS WITH MCC | $30,127 | $30,127 | $34,370 | −12% | $33,246 | −9% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $30,098 | $30,098 | $116,458 | −74% | $60,098 | −50% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $30,047 | $30,047 | $28,378 | +6% | $19,037 | +58% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $29,979 | $29,979 | $31,924 | −6% | $19,227 | +56% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $29,923 | $29,923 | $30,066 | −0% | $22,506 | +33% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $29,912 | $29,912 | $29,912 | +0% | $27,543 | +9% | ≈123% of Medicare |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $29,740 | $29,740 | $24,051 | +24% | $16,288 | +83% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $29,708 | $29,708 | $25,860 | +15% | $17,921 | +66% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $29,441 | $29,441 | $44,445 | −34% | $30,083 | −2% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $29,389 | $29,389 | $30,344 | −3% | $29,221 | +1% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $29,379 | $29,379 | $31,414 | −6% | $26,463 | +11% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $29,340 | $29,340 | $86,327 | −66% | $52,908 | −45% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $29,321 | $29,321 | $83,594 | −65% | $40,365 | −27% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $29,273 | $29,273 | $52,045 | −44% | $40,162 | −27% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $29,237 | $29,237 | $26,510 | +10% | $26,510 | +10% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $29,125 | $29,125 | $26,731 | +9% | $21,275 | +37% | ≈124% of Medicare |
| 312 | SYNCOPE AND COLLAPSE | $29,122 | $29,122 | $27,041 | +8% | $19,342 | +51% | ≈131% of Medicare |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $29,101 | $29,101 | $48,004 | −39% | $33,103 | −12% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $29,085 | $29,085 | $23,449 | +24% | $18,602 | +56% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $29,066 | $29,066 | $30,235 | −4% | $17,620 | +65% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $28,691 | $28,691 | $45,539 | −37% | $33,563 | −15% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $28,603 | $28,603 | $39,806 | −28% | $27,316 | +5% | — |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $28,501 | $28,501 | $63,204 | −55% | $29,316 | −3% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $28,410 | $28,410 | $28,359 | +0% | $18,807 | +51% | ≈134% of Medicare |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $28,402 | $28,402 | $35,295 | −20% | $20,911 | +36% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $28,402 | $28,402 | $38,531 | −26% | $30,571 | −7% | — |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $28,300 | $28,300 | $72,618 | −61% | $72,618 | −61% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $28,285 | $28,285 | $35,123 | −19% | $27,861 | +2% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $28,222 | $28,222 | $41,308 | −32% | $27,163 | +4% | — |
| 603 | CELLULITIS WITHOUT MCC | $28,175 | $28,175 | $23,062 | +22% | $18,530 | +52% | ≈140% of Medicare |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $28,116 | $28,116 | $49,661 | −43% | $32,433 | −13% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $28,076 | $28,076 | $27,057 | +4% | $18,204 | +54% | ≈143% of Medicare |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $28,017 | $28,017 | $41,796 | −33% | $24,177 | +16% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $27,934 | $27,934 | $21,206 | +32% | $17,483 | +60% | — |
| 089 | CONCUSSION WITH CC | $27,855 | $27,855 | $35,159 | −21% | $18,821 | +48% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $27,745 | $27,745 | $51,944 | −47% | $30,784 | −10% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $27,739 | $27,739 | $34,685 | −20% | $24,552 | +13% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $27,677 | $27,677 | $28,729 | −4% | $20,488 | +35% | ≈129% of Medicare |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $27,537 | $27,537 | $50,860 | −46% | $34,273 | −20% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $27,216 | $27,216 | $28,334 | −4% | $18,126 | +50% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $27,123 | $27,123 | $15,784 | +72% | $12,999 | +109% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $26,985 | $26,985 | $46,561 | −42% | $29,826 | −10% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $26,949 | $26,949 | $26,949 | +0% | $17,724 | +52% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $26,665 | $26,665 | $32,741 | −19% | $23,141 | +15% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $26,565 | $26,565 | $17,402 | +53% | $14,583 | +82% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $26,541 | $26,541 | $29,415 | −10% | $20,422 | +30% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $26,420 | $26,420 | $24,500 | +8% | $19,096 | +38% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $26,234 | $26,234 | $28,841 | −9% | $19,305 | +36% | — |
| 638 | DIABETES WITH CC | $26,133 | $26,133 | $25,980 | +1% | $19,661 | +33% | ≈131% of Medicare |
| 683 | RENAL FAILURE WITH CC | $26,088 | $26,088 | $27,058 | −4% | $19,130 | +36% | ≈131% of Medicare |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $26,056 | $26,056 | $44,090 | −41% | $31,321 | −17% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $25,985 | $25,985 | $25,383 | +2% | $17,578 | +48% | ≈144% of Medicare |
| 151 | EPISTAXIS WITHOUT MCC | $25,932 | $25,932 | $22,190 | +17% | $13,032 | +99% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $25,907 | $25,907 | $31,700 | −18% | $20,247 | +28% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $25,893 | $25,893 | $22,382 | +16% | $18,002 | +44% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $25,800 | $25,800 | $62,507 | −59% | $34,937 | −26% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $25,601 | $25,601 | $81,694 | −69% | $42,415 | −40% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $25,595 | $25,595 | $23,974 | +7% | $13,384 | +91% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $25,467 | $25,467 | $32,609 | −22% | $22,432 | +14% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $25,455 | $25,455 | $79,576 | −68% | $54,196 | −53% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $25,362 | $25,362 | $30,138 | −16% | $30,138 | −16% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $25,291 | $25,291 | $99,738 | −75% | $51,953 | −51% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $25,286 | $25,286 | $43,943 | −42% | $31,300 | −19% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $25,238 | $25,238 | $19,016 | +33% | $17,081 | +48% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $25,219 | $25,219 | $25,280 | −0% | $16,968 | +49% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $25,176 | $25,176 | $25,143 | +0% | $19,842 | +27% | ≈140% of Medicare |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $25,149 | $25,149 | $27,728 | −9% | $19,657 | +28% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $25,038 | $25,038 | $52,409 | −52% | $31,017 | −19% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $25,013 | $25,013 | $41,922 | −40% | $27,843 | −10% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $24,908 | $24,908 | $22,292 | +12% | $17,601 | +42% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $24,857 | $24,857 | $25,096 | −1% | $17,674 | +41% | ≈139% of Medicare |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $24,738 | $24,738 | $26,963 | −8% | $20,181 | +23% | ≈147% of Medicare |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $24,676 | $24,676 | $29,868 | −17% | $20,232 | +22% | — |
| 187 | PLEURAL EFFUSION WITH CC | $24,589 | $24,589 | $27,724 | −11% | $21,789 | +13% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $24,353 | $24,353 | $24,176 | +1% | $17,038 | +43% | ≈137% of Medicare |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $24,185 | $24,185 | $39,994 | −40% | $24,944 | −3% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $24,101 | $24,101 | $31,438 | −23% | $20,566 | +17% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $24,068 | $24,068 | $24,321 | −1% | $17,322 | +39% | ≈135% of Medicare |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $23,938 | $23,938 | $21,129 | +13% | $14,053 | +70% | — |
| 540 | OSTEOMYELITIS WITH CC | $23,849 | $23,849 | $31,469 | −24% | $26,676 | −11% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $23,809 | $23,809 | $34,797 | −32% | $25,700 | −7% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $23,703 | $23,703 | $36,087 | −34% | $35,074 | −32% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $23,521 | $23,521 | $41,862 | −44% | $28,140 | −16% | — |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $23,465 | $23,465 | $39,436 | −40% | $12,768 | +84% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $23,417 | $23,417 | $17,725 | +32% | $11,421 | +105% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $23,363 | $23,363 | $35,019 | −33% | $22,098 | +6% | ≈132% of Medicare |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $23,195 | $23,195 | $60,391 | −62% | $40,642 | −43% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $23,180 | $23,180 | $29,395 | −21% | $17,700 | +31% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,149 | $23,149 | $25,228 | −8% | $24,127 | −4% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $23,040 | $23,040 | $24,156 | −5% | $17,559 | +31% | — |
| 311 | ANGINA PECTORIS | $23,030 | $23,030 | $23,158 | −1% | $15,502 | +49% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $23,003 | $23,003 | $20,918 | +10% | $18,072 | +27% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $22,992 | $22,992 | $39,076 | −41% | $24,586 | −6% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $22,979 | $22,979 | $34,092 | −33% | $27,426 | −16% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $22,927 | $22,927 | $23,254 | −1% | $14,648 | +57% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $22,842 | $22,842 | $30,844 | −26% | $21,449 | +6% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $22,808 | $22,808 | $21,194 | +8% | $13,361 | +71% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $22,598 | $22,598 | $29,984 | −25% | $27,152 | −17% | — |
| 200 | PNEUMOTHORAX WITH CC | $22,517 | $22,517 | $29,354 | −23% | $21,368 | +5% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $22,399 | $22,399 | $31,275 | −28% | $25,303 | −11% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $22,399 | $22,399 | $33,302 | −33% | $27,989 | −20% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $22,201 | $22,201 | $31,093 | −29% | $19,854 | +12% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $22,096 | $22,096 | $18,149 | +22% | $15,215 | +45% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $22,090 | $22,090 | $39,269 | −44% | $26,051 | −15% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $22,000 | $22,000 | $26,434 | −17% | $14,638 | +50% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $21,972 | $21,972 | $21,972 | +0% | $15,428 | +42% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $21,967 | $21,967 | $73,615 | −70% | $54,562 | −60% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $21,866 | $21,866 | $18,105 | +21% | $15,019 | +46% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $21,652 | $21,652 | $81,876 | −74% | $50,919 | −57% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $21,425 | $21,425 | $32,735 | −35% | $22,763 | −6% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $21,223 | $21,223 | $22,833 | −7% | $14,927 | +42% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $21,221 | $21,221 | $25,728 | −18% | $18,466 | +15% | — |
| 666 | PROSTATECTOMY WITH CC | $21,203 | $21,203 | $44,512 | −52% | $31,906 | −34% | — |
| 694 | URINARY STONES WITHOUT MCC | $21,063 | $21,063 | $23,458 | −10% | $17,345 | +21% | — |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $21,004 | $21,004 | $40,151 | −48% | $25,197 | −17% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,902 | $20,902 | $47,275 | −56% | $34,459 | −39% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $20,797 | $20,797 | $21,870 | −5% | $16,450 | +26% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $20,768 | $20,768 | $19,206 | +8% | $14,689 | +41% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $20,559 | $20,559 | $19,923 | +3% | $12,460 | +65% | — |
| 935 | NON-EXTENSIVE BURNS | $20,534 | $20,534 | $26,118 | −21% | $31,701 | −35% | — |
| 885 | PSYCHOSES | $20,260 | $20,260 | $26,918 | −25% | $21,729 | −7% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $20,196 | $20,196 | $21,182 | −5% | $15,452 | +31% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $20,172 | $20,172 | $32,220 | −37% | $19,264 | +5% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $19,660 | $19,660 | $21,617 | −9% | $15,183 | +29% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $19,638 | $19,638 | $31,521 | −38% | $19,569 | +0% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $19,374 | $19,374 | $9,874 | +96% | $12,229 | +58% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $19,313 | $19,313 | $36,380 | −47% | $25,034 | −23% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $19,270 | $19,270 | $235,417 | −92% | $144,569 | −87% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $19,130 | $19,130 | $40,928 | −53% | $39,173 | −51% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $19,072 | $19,072 | $33,653 | −43% | $21,894 | −13% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $19,071 | $19,071 | $19,739 | −3% | $14,549 | +31% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $19,039 | $19,039 | $14,623 | +30% | $15,370 | +24% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $19,000 | $19,000 | $87,292 | −78% | $41,608 | −54% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $18,796 | $18,796 | $22,667 | −17% | $18,150 | +4% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,776 | $18,776 | $54,303 | −65% | $29,949 | −37% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $18,555 | $18,555 | $18,945 | −2% | $13,824 | +34% | ≈143% of Medicare |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $18,506 | $18,506 | $44,483 | −58% | $23,443 | −21% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $18,442 | $18,442 | $39,665 | −54% | $27,285 | −32% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $18,335 | $18,335 | $31,894 | −43% | $26,280 | −30% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $18,298 | $18,298 | $20,765 | −12% | $19,962 | −8% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $18,272 | $18,272 | $24,948 | −27% | $15,038 | +22% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $18,211 | $18,211 | $42,140 | −57% | $33,661 | −46% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $17,795 | $17,795 | $20,952 | −15% | $23,571 | −25% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $17,514 | $17,514 | $17,510 | +0% | $15,889 | +10% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $17,502 | $17,502 | $36,631 | −52% | $27,633 | −37% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $17,460 | $17,460 | $10,280 | +70% | $9,940 | +76% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $17,149 | $17,149 | $18,081 | −5% | $20,084 | −15% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $17,135 | $17,135 | $26,099 | −34% | $17,135 | +0% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $17,030 | $17,030 | $18,257 | −7% | $18,452 | −8% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $16,805 | $16,805 | $16,372 | +3% | $15,215 | +10% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $16,801 | $16,801 | $16,303 | +3% | $14,514 | +16% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $16,630 | $16,630 | $42,998 | −61% | $33,876 | −51% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $16,614 | $16,614 | $16,665 | −0% | $15,680 | +6% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,611 | $16,611 | $27,408 | −39% | $25,279 | −34% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $16,578 | $16,578 | $15,829 | +5% | $16,846 | −2% | — |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $16,574 | $16,574 | $31,598 | −48% | $19,598 | −15% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $16,195 | $16,195 | $18,156 | −11% | $19,846 | −18% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $16,033 | $16,033 | $34,431 | −53% | $23,749 | −32% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $15,965 | $15,965 | $37,342 | −57% | $22,148 | −28% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $15,930 | $15,930 | $23,421 | −32% | $17,733 | −10% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $15,908 | $15,908 | $37,681 | −58% | $17,934 | −11% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $15,839 | $15,839 | $20,005 | −21% | $15,837 | +0% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $15,811 | $15,811 | $55,082 | −71% | $40,108 | −61% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $15,664 | $15,664 | $52,649 | −70% | $25,073 | −38% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $15,348 | $15,348 | $23,989 | −36% | $16,776 | −9% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $15,338 | $15,338 | $22,190 | −31% | $14,250 | +8% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $15,113 | $15,113 | $24,629 | −39% | $18,956 | −20% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $14,784 | $14,784 | $13,275 | +11% | $13,275 | +11% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $14,591 | $14,591 | $15,808 | −8% | $23,283 | −37% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $14,518 | $14,518 | $12,078 | +20% | $12,078 | +20% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $14,370 | $14,370 | $18,352 | −22% | $16,699 | −14% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $14,243 | $14,243 | $15,152 | −6% | $12,324 | +16% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $13,816 | $13,816 | $20,059 | −31% | $13,642 | +1% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $13,409 | $13,409 | $56,763 | −76% | $30,242 | −56% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $13,369 | $13,369 | $26,858 | −50% | $15,855 | −16% | — |
| 693 | URINARY STONES WITH MCC | $13,336 | $13,336 | $39,639 | −66% | $23,892 | −44% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $13,328 | $13,328 | $18,098 | −26% | $18,126 | −26% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $12,940 | $12,940 | $13,840 | −7% | $14,716 | −12% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,864 | $12,864 | $24,973 | −48% | $17,226 | −25% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $12,829 | $12,829 | $12,454 | +3% | $12,454 | +3% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,798 | $12,798 | $80,474 | −84% | $37,267 | −66% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $12,695 | $12,695 | $73,681 | −83% | $38,070 | −67% | — |
| 881 | DEPRESSIVE NEUROSES | $12,691 | $12,691 | $15,521 | −18% | $15,058 | −16% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $12,200 | $12,200 | $14,113 | −14% | $12,252 | −0% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $12,083 | $12,083 | $12,083 | +0% | $16,351 | −26% | — |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $11,956 | $11,956 | $23,208 | −48% | $11,909 | +0% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $11,870 | $11,870 | $32,107 | −63% | $27,043 | −56% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $11,375 | $11,375 | $70,677 | −84% | $29,079 | −61% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $10,928 | $10,928 | $37,284 | −71% | $25,712 | −57% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,682 | $10,682 | $11,858 | −10% | $18,649 | −43% | — |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $10,637 | $10,637 | $20,367 | −48% | $17,737 | −40% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $10,541 | $10,541 | $61,438 | −83% | $19,686 | −46% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,495 | $10,495 | $38,640 | −73% | $18,459 | −43% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $10,274 | $10,274 | $55,728 | −82% | $36,354 | −72% | — |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $10,123 | $10,123 | $11,847 | −15% | $11,847 | −15% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $10,013 | $10,013 | $113,798 | −91% | $80,018 | −87% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $9,796 | $9,796 | $55,076 | −82% | $26,932 | −64% | — |
| 639 | DIABETES WITHOUT CC/MCC | $9,665 | $9,665 | $20,118 | −52% | $13,910 | −31% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $9,548 | $9,548 | $26,905 | −65% | $23,206 | −59% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $9,207 | $9,207 | $20,958 | −56% | $15,589 | −41% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $9,117 | $9,117 | $25,263 | −64% | $19,119 | −52% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $8,863 | $8,863 | $36,597 | −76% | $21,847 | −59% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,858 | $8,858 | $34,674 | −74% | $25,463 | −65% | ≈125% of Medicare |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $8,254 | $8,254 | $20,930 | −61% | $22,320 | −63% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $7,890 | $7,890 | $23,679 | −67% | $17,124 | −54% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $7,311 | $7,311 | $15,350 | −52% | $13,527 | −46% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $7,287 | $7,287 | $43,505 | −83% | $31,563 | −77% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $7,260 | $7,260 | $33,518 | −78% | $20,616 | −65% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $6,810 | $6,810 | $12,454 | −45% | $12,895 | −47% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $6,050 | $6,050 | $64,315 | −91% | $33,454 | −82% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $5,096 | $5,096 | $67,416 | −92% | $61,470 | −92% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $4,883 | $4,883 | $24,255 | −80% | $42,679 | −89% | — |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $4,803 | $4,803 | $75,288 | −94% | $48,358 | −90% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $4,392 | $4,392 | $20,735 | −79% | $18,133 | −76% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,222 | $4,222 | $7,112 | −41% | $8,445 | −50% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $3,705 | $3,705 | $27,194 | −86% | $20,901 | −82% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $3,214 | $3,214 | $10,553 | −70% | $10,160 | −68% | — |
| 795 | NORMAL NEWBORN | $2,636 | $2,636 | $5,755 | −54% | $4,720 | −44% | — |
Procedures with negotiated rates only
These 3 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 |
|---|---|---|---|
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $33,412 – $33,412 · median $33,412 | 1 plans |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $8,225 – $8,225 · median $8,225 | 1 plans |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $54,154 – $54,154 · median $54,154 | 1 plans |
No procedures match that keyword.