MHP Major Hospital — Pricing
380 procedures published in this hospital's Machine-Readable File (MRF) — 379 with a comparable price, 1 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 380
Lowest published price $4,100
Average published price $49,787
Highest published price $551,650
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 380 procedures
Published charges
Showing all 379 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 10 procedures, this hospital's negotiated rates average ≈215% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. IN median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $551,650 | $176,528 | $148,017 | +273% | $248,521 | +122% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $429,760 | $137,523 | $139,909 | +207% | $107,355 | +300% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $349,480 | $111,834 | $99,133 | +253% | $99,423 | +252% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $291,643 | $93,326 | $77,786 | +275% | $80,793 | +261% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $217,095 | $69,471 | $68,416 | +217% | $68,639 | +216% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $212,705 | $68,066 | $254,263 | −16% | $371,366 | −43% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $196,099 | $62,752 | $60,848 | +222% | $38,070 | +415% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $191,543 | $61,294 | $97,764 | +96% | $51,625 | +271% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $191,312 | $61,220 | $139,746 | +37% | $92,515 | +107% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $187,740 | $60,077 | $36,862 | +409% | $58,745 | +220% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $187,692 | $60,061 | $48,429 | +288% | $84,692 | +122% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $178,616 | $57,157 | $145,633 | +23% | $148,832 | +20% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $161,734 | $51,755 | $50,224 | +222% | $61,470 | +163% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $160,339 | $51,308 | $70,866 | +126% | $90,775 | +77% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $146,104 | $46,753 | $75,669 | +93% | $93,172 | +57% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $144,117 | $46,118 | $73,565 | +96% | $59,594 | +142% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $143,762 | $46,004 | $77,988 | +84% | $65,788 | +119% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $140,851 | $45,072 | $83,759 | +68% | $71,092 | +98% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $137,609 | $44,035 | $62,958 | +119% | $71,795 | +92% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $133,266 | $42,645 | $35,063 | +280% | $38,101 | +250% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $132,610 | $42,435 | $75,169 | +76% | $88,050 | +51% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $130,272 | $41,687 | $26,932 | +384% | $26,932 | +384% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $118,417 | $37,893 | $92,818 | +28% | $59,421 | +99% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $118,161 | $37,812 | $78,075 | +51% | $96,507 | +22% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $117,078 | $37,465 | $114,847 | +2% | $58,975 | +99% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $116,996 | $37,439 | $62,003 | +89% | $66,068 | +77% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $115,860 | $37,075 | $76,170 | +52% | $72,424 | +60% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $113,896 | $36,447 | $93,613 | +22% | $116,058 | −2% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $110,030 | $35,209 | $22,993 | +379% | $27,617 | +298% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $109,162 | $34,932 | $100,000 | +9% | $56,836 | +92% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $107,121 | $34,279 | $41,310 | +159% | $89,207 | +20% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $106,685 | $34,139 | $56,607 | +88% | $32,100 | +232% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $105,811 | $33,860 | $57,776 | +83% | $43,650 | +142% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $99,536 | $31,852 | $12,006 | +729% | $14,053 | +608% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $98,981 | $31,674 | $96,072 | +3% | $59,537 | +66% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $97,828 | $31,305 | $64,448 | +52% | $50,607 | +93% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $97,780 | $31,289 | $48,930 | +100% | $50,394 | +94% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $96,118 | $30,758 | $89,207 | +8% | $70,847 | +36% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $94,071 | $30,103 | $45,940 | +105% | $36,505 | +158% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $92,891 | $29,725 | $84,330 | +10% | $70,467 | +32% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $92,801 | $29,696 | $28,849 | +222% | $31,951 | +190% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $92,042 | $29,453 | $94,618 | −3% | $71,014 | +30% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $89,384 | $28,603 | $22,955 | +289% | $29,079 | +207% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $89,348 | $28,591 | $47,575 | +88% | $52,178 | +71% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $88,017 | $28,166 | $34,877 | +152% | $49,710 | +77% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $87,585 | $28,027 | $142,501 | −39% | $113,077 | −23% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $87,446 | $27,983 | $30,907 | +183% | $39,181 | +123% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $87,368 | $27,958 | $36,294 | +141% | $42,914 | +104% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $87,356 | $27,954 | $45,176 | +93% | $52,036 | +68% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $84,819 | $27,142 | $52,123 | +63% | $59,533 | +42% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $82,613 | $26,436 | $37,975 | +118% | $39,619 | +109% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $82,562 | $26,420 | $56,394 | +46% | $59,651 | +38% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $82,444 | $26,382 | $52,676 | +57% | $44,117 | +87% | — |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $81,208 | $25,987 | $81,208 | +0% | $59,031 | +38% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $80,686 | $25,819 | $73,549 | +10% | $54,929 | +47% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $80,483 | $25,755 | $72,364 | +11% | $65,653 | +23% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $80,350 | $25,712 | $71,862 | +12% | $32,433 | +148% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $79,819 | $25,542 | $38,695 | +106% | $27,975 | +185% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $79,168 | $25,334 | $50,177 | +58% | $52,405 | +51% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $78,864 | $25,237 | $78,864 | +0% | $90,195 | −13% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $78,424 | $25,096 | $65,920 | +19% | $58,280 | +35% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $75,363 | $24,116 | $60,746 | +24% | $77,990 | −3% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $74,581 | $23,866 | $63,468 | +18% | $59,500 | +25% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $72,995 | $23,358 | $28,005 | +161% | $39,627 | +84% | — |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $72,822 | $23,303 | $111,166 | −34% | $89,353 | −19% | — |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $72,503 | $23,201 | $60,582 | +20% | $35,831 | +102% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $72,241 | $23,117 | $51,570 | +40% | $70,177 | +3% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $71,988 | $23,036 | $31,113 | +131% | $28,156 | +156% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $70,916 | $22,693 | $70,916 | +0% | $57,454 | +23% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $70,000 | $22,400 | $42,863 | +63% | $40,642 | +72% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $69,088 | $22,108 | $51,435 | +34% | $75,573 | −9% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $68,953 | $22,065 | $68,953 | +0% | $51,953 | +33% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $68,620 | $21,958 | $49,793 | +38% | $45,333 | +51% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $68,381 | $21,882 | $61,982 | +10% | $46,090 | +48% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $66,749 | $21,360 | $57,107 | +17% | $52,751 | +27% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $66,681 | $21,338 | $29,851 | +123% | $30,010 | +122% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $66,511 | $21,284 | $39,069 | +70% | $67,268 | −1% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $66,488 | $21,276 | $66,488 | +0% | $45,866 | +45% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $65,832 | $21,066 | $82,519 | −20% | $90,401 | −27% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $65,557 | $20,978 | $59,634 | +10% | $53,451 | +23% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $65,331 | $20,906 | $44,694 | +46% | $36,937 | +77% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $65,071 | $20,823 | $44,099 | +48% | $46,402 | +40% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $64,183 | $20,538 | $51,858 | +24% | $43,631 | +47% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $63,707 | $20,386 | $97,090 | −34% | $98,912 | −36% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $63,451 | $20,304 | $63,451 | +0% | $68,508 | −7% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $63,196 | $20,223 | $34,039 | +86% | $35,030 | +80% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $63,070 | $20,182 | $65,024 | −3% | $44,139 | +43% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $62,904 | $20,129 | $62,904 | +0% | $69,101 | −9% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $61,863 | $19,796 | $70,837 | −13% | $56,964 | +9% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $61,049 | $19,536 | $29,025 | +110% | $30,138 | +103% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $60,903 | $19,489 | $43,841 | +39% | $39,211 | +55% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $60,449 | $19,344 | $55,188 | +10% | $49,351 | +22% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $59,437 | $19,020 | $34,438 | +73% | $32,944 | +80% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $59,317 | $18,982 | $40,191 | +48% | $43,477 | +36% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $59,080 | $18,906 | $69,636 | −15% | $62,264 | −5% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $58,643 | $18,766 | $40,591 | +44% | $36,354 | +61% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $58,420 | $18,694 | $63,964 | −9% | $77,817 | −25% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $58,034 | $18,571 | $33,829 | +72% | $33,563 | +73% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $57,964 | $18,548 | $38,879 | +49% | $27,843 | +108% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $57,959 | $18,547 | $18,645 | +211% | $22,033 | +163% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $57,248 | $18,319 | $58,044 | −1% | $53,257 | +7% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $56,845 | $18,190 | $83,255 | −32% | $49,184 | +16% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $56,141 | $17,965 | $46,231 | +21% | $43,943 | +28% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $56,070 | $17,942 | $36,148 | +55% | $37,169 | +51% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $56,030 | $17,930 | $56,683 | −1% | $71,755 | −22% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $55,847 | $17,871 | $33,778 | +65% | $37,842 | +48% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $55,451 | $17,744 | $60,626 | −9% | $60,170 | −8% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $55,212 | $17,668 | $43,545 | +27% | $58,228 | −5% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $54,979 | $17,593 | $24,139 | +128% | $28,140 | +95% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $54,819 | $17,542 | $50,545 | +8% | $44,606 | +23% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $54,674 | $17,496 | $35,076 | +56% | $35,692 | +53% | — |
| 199 | PNEUMOTHORAX WITH MCC | $54,670 | $17,494 | $25,438 | +115% | $33,787 | +62% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $54,596 | $17,471 | $25,866 | +111% | $36,792 | +48% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $54,399 | $17,408 | $34,866 | +56% | $45,167 | +20% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $54,378 | $17,401 | $45,897 | +18% | $41,955 | +30% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $54,289 | $17,372 | $30,046 | +81% | $30,447 | +78% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $53,598 | $17,151 | $49,576 | +8% | $76,001 | −29% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $53,063 | $16,980 | $29,397 | +81% | $27,152 | +95% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $52,648 | $16,847 | $30,641 | +72% | $39,958 | +32% | — |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $51,925 | $16,616 | $48,275 | +8% | $18,474 | +181% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $51,365 | $16,437 | $33,068 | +55% | $16,487 | +212% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $51,226 | $16,392 | $37,942 | +35% | $34,459 | +49% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $50,969 | $16,310 | $35,795 | +42% | $52,435 | −3% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $50,574 | $16,184 | $30,168 | +68% | $39,106 | +29% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $50,351 | $16,112 | $48,238 | +4% | $40,162 | +25% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $49,819 | $15,942 | $49,163 | +1% | $32,443 | +54% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $49,240 | $15,757 | $27,589 | +78% | $23,571 | +109% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $48,479 | $15,513 | $37,320 | +30% | $43,800 | +11% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $48,025 | $15,368 | $17,207 | +179% | $16,634 | +189% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $47,906 | $15,330 | $36,392 | +32% | $45,877 | +4% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $47,743 | $15,278 | $61,861 | −23% | $61,872 | −23% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $47,645 | $15,246 | $46,180 | +3% | $59,790 | −20% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $47,432 | $15,178 | $25,326 | +87% | $23,749 | +100% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $47,383 | $15,163 | $40,749 | +16% | $12,397 | +282% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $47,318 | $15,142 | $35,359 | +34% | $33,653 | +41% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $47,171 | $15,095 | $38,221 | +23% | $40,213 | +17% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $46,727 | $14,953 | $32,661 | +43% | $49,418 | −5% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $46,638 | $14,924 | $80,045 | −42% | $51,746 | −10% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $46,020 | $14,726 | $42,892 | +7% | $40,552 | +13% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $45,972 | $14,711 | $62,733 | −27% | $52,075 | −12% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $45,758 | $14,643 | $47,006 | −3% | $50,463 | −9% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $45,688 | $14,620 | $39,349 | +16% | $40,562 | +13% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $44,729 | $14,313 | $31,182 | +43% | $29,221 | +53% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $44,726 | $14,312 | $69,061 | −35% | $75,103 | −40% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $44,354 | $14,193 | $47,197 | −6% | $51,985 | −15% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $44,311 | $14,180 | $26,390 | +68% | $25,303 | +75% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $44,080 | $14,106 | $35,914 | +23% | $33,048 | +33% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $43,941 | $14,061 | $25,516 | +72% | $20,084 | +119% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $43,935 | $14,059 | $40,977 | +7% | $31,321 | +40% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $43,921 | $14,055 | $40,727 | +8% | $42,881 | +2% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $43,714 | $13,989 | $26,958 | +62% | $23,283 | +88% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $43,616 | $13,957 | $26,643 | +64% | $26,770 | +63% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $43,381 | $13,882 | $23,597 | +84% | $33,985 | +28% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $42,539 | $13,612 | $30,648 | +39% | $36,658 | +16% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $42,041 | $13,453 | $28,256 | +49% | $39,973 | +5% | — |
| 149 | DYSEQUILIBRIUM | $41,820 | $13,382 | $14,987 | +179% | $18,096 | +131% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $41,795 | $13,374 | $63,604 | −34% | $40,365 | +4% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $41,695 | $13,342 | $24,208 | +72% | $30,959 | +35% | — |
| 602 | CELLULITIS WITH MCC | $41,197 | $13,183 | $23,631 | +74% | $30,598 | +35% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $40,650 | $13,008 | $31,452 | +29% | $33,707 | +21% | ≈215% of Medicare |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $40,426 | $12,936 | $26,502 | +53% | $19,846 | +104% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $40,379 | $12,921 | $34,624 | +17% | $31,017 | +30% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $39,785 | $12,731 | $21,407 | +86% | $20,901 | +90% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $39,760 | $12,723 | $29,037 | +37% | $39,955 | −0% | — |
| 813 | COAGULATION DISORDERS | $39,642 | $12,685 | $20,984 | +89% | $33,296 | +19% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $39,372 | $12,599 | $29,532 | +33% | $34,192 | +15% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $39,137 | $12,524 | $46,075 | −15% | $43,538 | −10% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $39,129 | $12,521 | $16,674 | +135% | $20,181 | +94% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,795 | $12,414 | $58,044 | −33% | $66,685 | −42% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $38,786 | $12,412 | $23,406 | +66% | $30,235 | +28% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $38,500 | $12,320 | $21,815 | +76% | $28,050 | +37% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $38,184 | $12,219 | $32,245 | +18% | $35,628 | +7% | ≈208% of Medicare |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $38,108 | $12,194 | $32,509 | +17% | $25,970 | +47% | — |
| 504 | FOOT PROCEDURES WITH CC | $37,729 | $12,073 | $38,409 | −2% | $38,960 | −3% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $37,407 | $11,970 | $19,885 | +88% | $20,247 | +85% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $37,394 | $11,966 | $36,194 | +3% | $30,784 | +21% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $37,220 | $11,910 | $20,631 | +80% | $15,495 | +140% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $36,536 | $11,692 | $26,999 | +35% | $31,105 | +17% | — |
| 100 | SEIZURES WITH MCC | $36,165 | $11,573 | $24,430 | +48% | $35,481 | +2% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $36,042 | $11,533 | $31,233 | +15% | $32,628 | +10% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $35,885 | $11,483 | $22,178 | +62% | $32,645 | +10% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $35,587 | $11,388 | $35,724 | −0% | $30,493 | +17% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $35,226 | $11,272 | $22,270 | +58% | $22,098 | +59% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $34,859 | $11,155 | $19,895 | +75% | $30,553 | +14% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $34,751 | $11,120 | $17,659 | +97% | $27,543 | +26% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $34,456 | $11,026 | $33,180 | +4% | $37,387 | −8% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $34,020 | $10,886 | $40,675 | −16% | $68,653 | −50% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $34,020 | $10,886 | $14,799 | +130% | $15,370 | +121% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $34,001 | $10,880 | $36,228 | −6% | $38,094 | −11% | — |
| 102 | HEADACHES WITH MCC | $33,839 | $10,829 | $21,983 | +54% | $25,740 | +31% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $33,706 | $10,786 | $30,680 | +10% | $34,937 | −4% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $33,620 | $10,758 | $30,570 | +10% | $36,489 | −8% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $33,491 | $10,717 | $22,927 | +46% | $32,496 | +3% | ≈227% of Medicare |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $33,425 | $10,696 | $33,425 | +0% | $33,386 | +0% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $33,339 | $10,668 | $26,927 | +24% | $33,876 | −2% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $33,203 | $10,625 | $15,730 | +111% | $16,371 | +103% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $33,187 | $10,620 | $14,066 | +136% | $12,252 | +171% | — |
| 682 | RENAL FAILURE WITH MCC | $32,979 | $10,553 | $23,912 | +38% | $29,064 | +13% | ≈205% of Medicare |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $32,873 | $10,519 | $18,567 | +77% | $34,017 | −3% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $32,846 | $10,511 | $23,231 | +41% | $30,571 | +7% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $32,278 | $10,329 | $32,089 | +1% | $85,566 | −62% | — |
| 637 | DIABETES WITH MCC | $32,186 | $10,299 | $28,920 | +11% | $30,100 | +7% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $32,091 | $10,269 | $25,823 | +24% | $22,635 | +42% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $32,085 | $10,267 | $21,192 | +51% | $22,888 | +40% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $31,884 | $10,203 | $21,721 | +47% | $24,177 | +32% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $31,458 | $10,066 | $21,824 | +44% | $26,776 | +17% | ≈215% of Medicare |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $31,357 | $10,034 | $27,642 | +13% | $33,255 | −6% | — |
| 089 | CONCUSSION WITH CC | $30,772 | $9,847 | $21,831 | +41% | $18,821 | +64% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $30,473 | $9,752 | $30,079 | +1% | $41,892 | −27% | — |
| 304 | HYPERTENSION WITH MCC | $30,381 | $9,722 | $21,606 | +41% | $26,080 | +16% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $30,056 | $9,618 | $28,853 | +4% | $32,877 | −9% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $29,908 | $9,571 | $46,086 | −35% | $48,682 | −39% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $29,555 | $9,458 | $24,026 | +23% | $27,275 | +8% | ≈205% of Medicare |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $29,276 | $9,368 | $26,070 | +12% | $24,944 | +17% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $28,937 | $9,260 | $34,388 | −16% | $30,828 | −6% | — |
| 312 | SYNCOPE AND COLLAPSE | $28,776 | $9,208 | $20,238 | +42% | $19,342 | +49% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $28,670 | $9,174 | $15,819 | +81% | $15,889 | +80% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $28,634 | $9,163 | $29,027 | −1% | $25,094 | +14% | — |
| 885 | PSYCHOSES | $28,566 | $9,141 | $11,724 | +144% | $21,729 | +31% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $28,317 | $9,061 | $40,303 | −30% | $26,280 | +8% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $28,251 | $9,040 | $22,647 | +25% | $27,277 | +4% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $28,176 | $9,016 | $19,687 | +43% | $23,617 | +19% | ≈219% of Medicare |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $28,151 | $9,008 | $21,488 | +31% | $22,024 | +28% | — |
| 913 | TRAUMATIC INJURY WITH MCC | $27,864 | $8,917 | $14,729 | +89% | $24,198 | +15% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $27,848 | $8,911 | $20,244 | +38% | $21,396 | +30% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $27,838 | $8,908 | $22,179 | +26% | $19,962 | +39% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $27,806 | $8,898 | $14,674 | +89% | $16,552 | +68% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $27,694 | $8,862 | $26,030 | +6% | $26,580 | +4% | ≈218% of Medicare |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $27,610 | $8,835 | $22,628 | +22% | $21,056 | +31% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $27,396 | $8,767 | $26,132 | +5% | $23,940 | +14% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $27,167 | $8,694 | $18,396 | +48% | $21,363 | +27% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $26,688 | $8,540 | $19,084 | +40% | $20,422 | +31% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $26,422 | $8,455 | $14,548 | +82% | $18,602 | +42% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $26,281 | $8,410 | $17,194 | +53% | $16,968 | +55% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $26,245 | $8,398 | $14,806 | +77% | $18,002 | +46% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $26,090 | $8,349 | $25,115 | +4% | $33,834 | −23% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $26,075 | $8,344 | $36,188 | −28% | $30,557 | −15% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $26,051 | $8,336 | $23,983 | +9% | $23,141 | +13% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $25,979 | $8,313 | $27,338 | −5% | $24,566 | +6% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $25,853 | $8,273 | $22,038 | +17% | $20,781 | +24% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $25,721 | $8,231 | $17,175 | +50% | $19,096 | +35% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $25,373 | $8,119 | $80,268 | −68% | $47,583 | −47% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $25,273 | $8,087 | $10,291 | +146% | $12,895 | +96% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $25,183 | $8,059 | $27,112 | −7% | $36,249 | −31% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $25,094 | $8,030 | $24,761 | +1% | $24,386 | +3% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $24,953 | $7,985 | $25,372 | −2% | $50,618 | −51% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $24,912 | $7,972 | $17,693 | +41% | $18,081 | +38% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $24,876 | $7,960 | $22,484 | +11% | $32,637 | −24% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $24,773 | $7,927 | $24,773 | +0% | $34,273 | −28% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $24,717 | $7,910 | $16,884 | +46% | $17,081 | +45% | — |
| 313 | CHEST PAIN | $24,431 | $7,818 | $17,984 | +36% | $16,440 | +49% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $24,405 | $7,810 | $16,174 | +51% | $21,275 | +15% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $24,385 | $7,803 | $28,580 | −15% | $31,563 | −23% | — |
| 101 | SEIZURES WITHOUT MCC | $24,331 | $7,786 | $18,712 | +30% | $20,461 | +19% | — |
| 603 | CELLULITIS WITHOUT MCC | $23,976 | $7,672 | $17,246 | +39% | $18,530 | +29% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $23,952 | $7,665 | $29,266 | −18% | $33,555 | −29% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $23,831 | $7,626 | $13,191 | +81% | $14,716 | +62% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $23,776 | $7,608 | $14,740 | +61% | $18,640 | +28% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $23,714 | $7,588 | $22,350 | +6% | $32,859 | −28% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $23,623 | $7,559 | $19,872 | +19% | $22,468 | +5% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $23,489 | $7,517 | $19,292 | +22% | $19,227 | +22% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $23,369 | $7,478 | $43,424 | −46% | $33,047 | −29% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $23,200 | $7,424 | $27,285 | −15% | $28,226 | −18% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $23,175 | $7,416 | $14,064 | +65% | $16,846 | +38% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $23,175 | $7,416 | $19,453 | +19% | $25,463 | −9% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $23,084 | $7,387 | $19,583 | +18% | $23,573 | −2% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $23,079 | $7,385 | $17,464 | +32% | $23,319 | −1% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $22,933 | $7,339 | $27,781 | −17% | $18,316 | +25% | — |
| 200 | PNEUMOTHORAX WITH CC | $22,867 | $7,317 | $16,159 | +42% | $21,368 | +7% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $22,616 | $7,237 | $14,987 | +51% | $13,942 | +62% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $22,499 | $7,200 | $20,754 | +8% | $23,488 | −4% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $22,410 | $7,171 | $18,000 | +24% | $18,204 | +23% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $22,398 | $7,167 | $8,572 | +161% | $9,940 | +125% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $22,208 | $7,107 | $19,816 | +12% | $21,449 | +4% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $22,001 | $7,040 | $15,999 | +38% | $17,322 | +27% | — |
| 187 | PLEURAL EFFUSION WITH CC | $21,866 | $6,997 | $25,494 | −14% | $21,789 | +0% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $21,840 | $6,989 | $19,186 | +14% | $18,807 | +16% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $21,756 | $6,962 | $17,431 | +25% | $26,682 | −18% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $21,751 | $6,960 | $16,367 | +33% | $19,842 | +10% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $21,747 | $6,959 | $15,836 | +37% | $14,415 | +51% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $21,710 | $6,947 | $29,499 | −26% | $19,138 | +13% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $21,705 | $6,946 | $21,767 | −0% | $29,933 | −27% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $21,693 | $6,942 | $18,924 | +15% | $22,458 | −3% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $21,661 | $6,932 | $14,907 | +45% | $17,578 | +23% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $21,613 | $6,916 | $16,290 | +33% | $17,674 | +22% | ≈247% of Medicare |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $21,565 | $6,901 | $37,988 | −43% | $25,703 | −16% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $21,495 | $6,878 | $16,409 | +31% | $26,051 | −17% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $21,487 | $6,876 | $25,607 | −16% | $20,463 | +5% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $21,438 | $6,860 | $24,947 | −14% | $38,666 | −45% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $21,369 | $6,838 | $21,369 | +0% | $23,551 | −9% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $21,304 | $6,817 | $29,400 | −28% | $27,426 | −22% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $21,203 | $6,785 | $14,751 | +44% | $17,038 | +24% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $21,193 | $6,782 | $31,997 | −34% | $37,844 | −44% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $20,966 | $6,709 | $36,069 | −42% | $26,463 | −21% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $20,946 | $6,703 | $24,904 | −16% | $24,914 | −16% | — |
| 865 | VIRAL ILLNESS WITH MCC | $20,919 | $6,694 | $15,617 | +34% | $26,910 | −22% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $20,796 | $6,655 | $30,200 | −31% | $54,196 | −62% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $20,775 | $6,648 | $19,278 | +8% | $22,850 | −9% | — |
| 305 | HYPERTENSION WITHOUT MCC | $20,637 | $6,604 | $16,897 | +22% | $18,086 | +14% | — |
| 639 | DIABETES WITHOUT CC/MCC | $20,237 | $6,476 | $15,521 | +30% | $13,910 | +45% | — |
| 638 | DIABETES WITH CC | $20,184 | $6,459 | $18,991 | +6% | $19,661 | +3% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $20,116 | $6,437 | $13,215 | +52% | $17,559 | +15% | — |
| 694 | URINARY STONES WITHOUT MCC | $20,041 | $6,413 | $14,291 | +40% | $17,345 | +16% | — |
| 540 | OSTEOMYELITIS WITH CC | $19,987 | $6,396 | $22,921 | −13% | $26,676 | −25% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $19,951 | $6,384 | $17,772 | +12% | $17,303 | +15% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $19,693 | $6,302 | $27,704 | −29% | $22,446 | −12% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $19,660 | $6,291 | $25,731 | −24% | $25,034 | −21% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $19,646 | $6,287 | $16,912 | +16% | $17,118 | +15% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $19,449 | $6,224 | $23,288 | −16% | $37,950 | −49% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $19,435 | $6,219 | $20,890 | −7% | $22,432 | −13% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $19,358 | $6,195 | $19,358 | +0% | $23,198 | −17% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $19,070 | $6,102 | $19,589 | −3% | $27,163 | −30% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $19,038 | $6,092 | $14,145 | +35% | $12,324 | +54% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $18,794 | $6,014 | $15,535 | +21% | $16,699 | +13% | — |
| 683 | RENAL FAILURE WITH CC | $18,737 | $5,996 | $17,869 | +5% | $19,130 | −2% | ≈207% of Medicare |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $18,443 | $5,902 | $26,020 | −29% | $31,159 | −41% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $18,366 | $5,877 | $15,345 | +20% | $13,275 | +38% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $18,283 | $5,850 | $14,449 | +27% | $13,642 | +34% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $18,208 | $5,827 | $27,636 | −34% | $29,743 | −39% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $18,171 | $5,815 | $20,030 | −9% | $20,488 | −11% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $18,041 | $5,773 | $97,675 | −82% | $79,225 | −77% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $17,902 | $5,728 | $15,045 | +19% | $15,452 | +16% | — |
| 949 | AFTERCARE WITH CC/MCC | $17,783 | $5,690 | $19,197 | −7% | $23,953 | −26% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $17,729 | $5,673 | $19,710 | −10% | $16,767 | +6% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $17,711 | $5,668 | $15,663 | +13% | $17,921 | −1% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $17,550 | $5,616 | $23,798 | −26% | $20,895 | −16% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $17,525 | $5,608 | $22,019 | −20% | $27,401 | −36% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $17,495 | $5,599 | $17,495 | +0% | $24,056 | −27% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $17,373 | $5,559 | $16,523 | +5% | $17,724 | −2% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $16,588 | $5,308 | $35,219 | −53% | $14,638 | +13% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $16,545 | $5,294 | $10,060 | +64% | $16,520 | +0% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $16,453 | $5,265 | $14,740 | +12% | $16,288 | +1% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $16,231 | $5,194 | $14,118 | +15% | $18,528 | −12% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $16,116 | $5,157 | $29,263 | −45% | $47,737 | −66% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $16,068 | $5,142 | $21,556 | −25% | $27,394 | −41% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $16,049 | $5,136 | $12,519 | +28% | $12,078 | +33% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,010 | $5,123 | $13,738 | +17% | $25,279 | −37% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $15,607 | $4,994 | $15,590 | +0% | $15,837 | −1% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $15,510 | $4,963 | $13,914 | +11% | $13,361 | +16% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $15,356 | $4,914 | $22,368 | −31% | $22,506 | −32% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $15,262 | $4,884 | $20,270 | −25% | $27,316 | −44% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $14,768 | $4,726 | $15,674 | −6% | $17,483 | −16% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $14,715 | $4,709 | $23,145 | −36% | $17,700 | −17% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $14,534 | $4,651 | $18,909 | −23% | $17,601 | −17% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $14,403 | $4,609 | $15,264 | −6% | $15,183 | −5% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $14,154 | $4,529 | $9,287 | +52% | $11,421 | +24% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $13,158 | $4,210 | $13,400 | −2% | $13,384 | −2% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $13,051 | $4,176 | $21,269 | −39% | $21,941 | −41% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $13,017 | $4,165 | $17,731 | −27% | $18,488 | −30% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $12,861 | $4,116 | $12,861 | +0% | $18,133 | −29% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $12,806 | $4,098 | $8,829 | +45% | $12,999 | −1% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $12,176 | $3,896 | $10,601 | +15% | $12,454 | −2% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $11,682 | $3,738 | $23,906 | −51% | $33,661 | −65% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $11,591 | $3,709 | $18,107 | −36% | $17,620 | −34% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $11,280 | $3,609 | $26,109 | −57% | $35,569 | −68% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $11,255 | $3,602 | $15,718 | −28% | $14,368 | −22% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $11,125 | $3,560 | $13,967 | −20% | $14,583 | −24% | — |
| 151 | EPISTAXIS WITHOUT MCC | $10,805 | $3,458 | $10,805 | +0% | $13,032 | −17% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $10,735 | $3,435 | $16,455 | −35% | $20,957 | −49% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $10,676 | $3,416 | $14,438 | −26% | $14,927 | −28% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $10,073 | $3,223 | $15,157 | −34% | $13,824 | −27% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $9,603 | $3,073 | $52,871 | −82% | $50,139 | −81% | — |
| 539 | OSTEOMYELITIS WITH MCC | $9,527 | $3,048 | $28,715 | −67% | $37,609 | −75% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $9,066 | $2,901 | $12,821 | −29% | $17,733 | −49% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $9,025 | $2,888 | $9,025 | +0% | $10,975 | −18% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $8,853 | $2,833 | $15,247 | −42% | $15,428 | −43% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $8,817 | $2,821 | $19,305 | −54% | $42,679 | −79% | — |
| 103 | HEADACHES WITHOUT MCC | $8,445 | $2,702 | $18,016 | −53% | $21,280 | −60% | — |
| 779 | ABORTION WITHOUT D&C | $7,925 | $2,536 | $12,448 | −36% | $15,327 | −48% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,634 | $2,443 | $6,968 | +10% | $10,160 | −25% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,555 | $2,418 | $13,839 | −45% | $18,649 | −59% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,493 | $2,398 | $18,011 | −58% | $20,506 | −63% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $7,434 | $2,379 | $22,345 | −67% | $19,745 | −62% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $7,348 | $2,351 | $30,687 | −76% | $36,431 | −80% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $5,546 | $1,775 | $9,040 | −39% | $16,351 | −66% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $5,489 | $1,756 | $45,844 | −88% | $80,018 | −93% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,422 | $1,735 | $10,367 | −48% | $12,229 | −56% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,947 | $1,583 | $5,773 | −14% | $8,445 | −41% | — |
| 795 | NORMAL NEWBORN | $4,100 | $1,312 | $4,894 | −16% | $4,720 | −13% | — |
Procedures with negotiated rates only
These 1 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 |
|---|---|---|---|
| 150 | EPISTAXIS WITH MCC | — | 13 plans |
No procedures match that keyword.