Murray-Calloway County Hospital (Acute Care) — Pricing
387 procedures published in this hospital's Machine-Readable File (MRF) — 386 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 387
Lowest published price $4,004
Average published price $45,934
Highest published price $267,913
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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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 387 procedures
Published charges
Showing all 386 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 25 procedures, this hospital's negotiated rates average ≈109% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. KY median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $267,913 | $174,144 | $86,542 | +210% | $121,714 | +120% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $237,294 | $154,241 | $89,209 | +166% | $118,589 | +100% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $237,188 | $154,172 | $43,235 | +449% | $44,839 | +429% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $223,318 | $145,156 | $73,103 | +205% | $78,582 | +184% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $216,802 | $140,921 | $67,791 | +220% | $96,905 | +124% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $209,958 | $136,473 | $108,745 | +93% | $66,819 | +214% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $208,214 | $135,339 | $43,510 | +379% | $65,325 | +219% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $189,364 | $123,087 | $189,364 | +0% | $138,008 | +37% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $153,508 | $99,780 | $139,148 | +10% | $191,314 | −20% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $141,278 | $91,831 | $20,001 | +606% | $24,836 | +469% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $131,793 | $85,666 | $128,333 | +3% | $74,274 | +77% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $129,849 | $84,402 | $343,325 | −62% | $371,366 | −65% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $129,009 | $83,856 | $121,510 | +6% | $72,945 | +77% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $124,971 | $81,231 | $117,172 | +7% | $87,018 | +44% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $122,478 | $79,611 | $99,813 | +23% | $80,885 | +51% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $119,847 | $77,901 | $120,476 | −1% | $88,050 | +36% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $114,909 | $74,691 | $114,483 | +0% | $86,390 | +33% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $114,318 | $74,306 | $146,941 | −22% | $99,423 | +15% | — |
| 539 | OSTEOMYELITIS WITH MCC | $114,235 | $74,253 | $38,824 | +194% | $33,746 | +239% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $113,776 | $73,954 | $102,313 | +11% | $54,772 | +108% | ≈174% of Medicare |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $110,970 | $72,131 | $155,184 | −28% | $39,093 | +184% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $109,558 | $71,213 | $43,196 | +154% | $30,910 | +254% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $107,670 | $69,986 | $32,930 | +227% | $29,853 | +261% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $100,920 | $65,598 | $29,948 | +237% | $30,275 | +233% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $100,721 | $65,469 | $119,602 | −16% | $71,014 | +42% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $100,305 | $65,198 | $78,750 | +27% | $83,065 | +21% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $98,736 | $64,179 | $37,030 | +167% | $27,947 | +253% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $97,723 | $63,520 | $54,813 | +78% | $48,094 | +103% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $97,410 | $63,316 | $87,107 | +12% | $70,540 | +38% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $97,068 | $63,094 | $121,319 | −20% | $88,341 | +10% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $93,462 | $60,750 | $88,934 | +5% | $51,339 | +82% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $91,871 | $59,716 | $109,863 | −16% | $70,132 | +31% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $90,252 | $58,664 | $80,880 | +12% | $71,755 | +26% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $88,238 | $57,355 | $36,315 | +143% | $32,996 | +167% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $87,924 | $57,151 | $35,986 | +144% | $28,375 | +210% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $85,604 | $55,643 | $80,515 | +6% | $76,954 | +11% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $84,435 | $54,883 | $37,627 | +124% | $53,141 | +59% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $82,046 | $53,330 | $91,063 | −10% | $44,989 | +82% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $81,231 | $52,800 | $33,823 | +140% | $47,546 | +71% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $81,211 | $52,787 | $80,371 | +1% | $63,984 | +27% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $79,000 | $51,350 | $60,309 | +31% | $68,508 | +15% | — |
| 313 | CHEST PAIN | $78,758 | $51,192 | $17,918 | +340% | $15,962 | +393% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $78,597 | $51,088 | $22,265 | +253% | $25,786 | +205% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $77,530 | $50,394 | $118,849 | −35% | $55,162 | +41% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $77,460 | $50,349 | $77,786 | −0% | $80,747 | −4% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $76,947 | $50,015 | $17,337 | +344% | $17,412 | +342% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $76,108 | $49,470 | $89,568 | −15% | $53,746 | +42% | — |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $74,481 | $48,413 | $25,628 | +191% | $25,628 | +191% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $74,325 | $48,311 | $41,895 | +77% | $33,792 | +120% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $73,986 | $48,091 | $38,806 | +91% | $35,014 | +111% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $73,816 | $47,981 | $42,329 | +74% | $51,985 | +42% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $73,758 | $47,942 | $71,689 | +3% | $56,394 | +31% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $73,438 | $47,735 | $37,242 | +97% | $54,929 | +34% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $72,683 | $47,244 | $63,571 | +14% | $91,329 | −20% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $71,791 | $46,664 | $30,179 | +138% | $27,492 | +161% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $71,710 | $46,612 | $59,500 | +21% | $58,832 | +22% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $71,703 | $46,607 | $78,680 | −9% | $60,140 | +19% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $71,361 | $46,385 | $34,579 | +106% | $35,114 | +103% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $71,228 | $46,298 | $87,317 | −18% | $75,103 | −5% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $70,885 | $46,075 | $111,058 | −36% | $50,011 | +42% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $70,560 | $45,864 | $40,642 | +74% | $40,563 | +74% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $69,635 | $45,263 | $51,708 | +35% | $46,477 | +50% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $69,406 | $45,114 | $38,581 | +80% | $44,973 | +54% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $69,103 | $44,917 | $37,502 | +84% | $28,140 | +146% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $68,517 | $44,536 | $100,074 | −32% | $67,764 | +1% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $68,307 | $44,400 | $35,433 | +93% | $32,502 | +110% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $67,948 | $44,166 | $67,948 | +0% | $52,405 | +30% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $67,019 | $43,563 | $40,240 | +67% | $32,689 | +105% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $66,797 | $43,418 | $41,045 | +63% | $47,277 | +41% | — |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $65,458 | $42,547 | $38,709 | +69% | $48,358 | +35% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $65,439 | $42,535 | $78,716 | −17% | $51,172 | +28% | ≈110% of Medicare |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $65,322 | $42,459 | $21,120 | +209% | $23,396 | +179% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $63,571 | $41,321 | $28,160 | +126% | $30,006 | +112% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $63,239 | $41,105 | $40,991 | +54% | $54,475 | +16% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $62,896 | $40,883 | $54,596 | +15% | $64,749 | −3% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $62,641 | $40,717 | $107,108 | −42% | $40,063 | +56% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $62,316 | $40,505 | $33,284 | +87% | $41,520 | +50% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $61,935 | $40,258 | $56,995 | +9% | $43,524 | +42% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $61,759 | $40,143 | $31,740 | +95% | $38,382 | +61% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $61,268 | $39,824 | $57,572 | +6% | $42,119 | +45% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $61,094 | $39,711 | $46,455 | +32% | $38,094 | +60% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $60,966 | $39,628 | $41,464 | +47% | $54,313 | +12% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $60,685 | $39,445 | $52,152 | +16% | $74,257 | −18% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $60,369 | $39,240 | $129,077 | −53% | $57,149 | +6% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $59,453 | $38,645 | $79,739 | −25% | $49,197 | +21% | ≈104% of Medicare |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $59,023 | $38,365 | $59,023 | +0% | $44,600 | +32% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $58,929 | $38,304 | $67,497 | −13% | $41,380 | +42% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $58,905 | $38,288 | $56,960 | +3% | $56,960 | +3% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $58,134 | $37,787 | $25,727 | +126% | $32,839 | +77% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $57,327 | $37,262 | $15,636 | +267% | $15,636 | +267% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $56,809 | $36,926 | $41,952 | +35% | $46,402 | +22% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $56,568 | $36,769 | $66,620 | −15% | $52,313 | +8% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $56,455 | $36,696 | $56,455 | +0% | $39,107 | +44% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $55,956 | $36,371 | $67,011 | −16% | $43,266 | +29% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $55,931 | $36,355 | $38,186 | +46% | $38,357 | +46% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $55,850 | $36,302 | $29,314 | +91% | $30,940 | +81% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $55,565 | $36,117 | $52,815 | +5% | $37,842 | +47% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $55,500 | $36,075 | $29,304 | +89% | $45,817 | +21% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $53,999 | $35,099 | $94,948 | −43% | $54,824 | −2% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $53,481 | $34,762 | $50,550 | +6% | $62,524 | −14% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $52,725 | $34,271 | $51,962 | +1% | $44,117 | +20% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $52,405 | $34,064 | $40,130 | +31% | $33,165 | +58% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $52,075 | $33,849 | $26,986 | +93% | $40,694 | +28% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $51,626 | $33,557 | $41,251 | +25% | $36,641 | +41% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $51,608 | $33,546 | $23,907 | +116% | $31,062 | +66% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $51,519 | $33,488 | $32,719 | +57% | $46,430 | +11% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $51,108 | $33,220 | $53,658 | −5% | $49,470 | +3% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $50,852 | $33,054 | $32,091 | +58% | $28,134 | +81% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $50,783 | $33,009 | $54,898 | −7% | $71,701 | −29% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $50,602 | $32,891 | $44,310 | +14% | $36,239 | +40% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $50,525 | $32,841 | $53,357 | −5% | $62,961 | −20% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $50,522 | $32,839 | $75,489 | −33% | $56,519 | −11% | ≈103% of Medicare |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $50,119 | $32,577 | $30,326 | +65% | $32,483 | +54% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $50,020 | $32,513 | $30,568 | +64% | $35,714 | +40% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $49,948 | $32,466 | $24,733 | +102% | $27,934 | +79% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $49,931 | $32,455 | $31,037 | +61% | $35,453 | +41% | — |
| 504 | FOOT PROCEDURES WITH CC | $49,899 | $32,434 | $39,089 | +28% | $36,598 | +36% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $49,655 | $32,276 | $47,637 | +4% | $65,254 | −24% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $49,483 | $32,164 | $82,731 | −40% | $98,912 | −50% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $48,858 | $31,758 | $28,666 | +70% | $31,840 | +53% | ≈105% of Medicare |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $48,397 | $31,458 | $43,210 | +12% | $42,126 | +15% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $47,984 | $31,190 | $34,165 | +40% | $30,358 | +58% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $47,889 | $31,128 | $60,868 | −21% | $39,747 | +20% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $47,680 | $30,992 | $35,355 | +35% | $35,237 | +35% | ≈98% of Medicare |
| 397 | APPENDIX PROCEDURES WITH MCC | $47,356 | $30,781 | $41,355 | +15% | $52,319 | −9% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $47,068 | $30,594 | $33,098 | +42% | $31,128 | +51% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $46,977 | $30,535 | $41,406 | +13% | $36,658 | +28% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $46,576 | $30,274 | $53,665 | −13% | $72,908 | −36% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $46,412 | $30,168 | $37,880 | +23% | $24,017 | +93% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $46,249 | $30,062 | $30,138 | +53% | $30,138 | +53% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $46,071 | $29,946 | $34,854 | +32% | $36,242 | +27% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $45,875 | $29,819 | $25,633 | +79% | $29,826 | +54% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $45,871 | $29,816 | $37,362 | +23% | $29,757 | +54% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $45,530 | $29,595 | $43,683 | +4% | $54,483 | −16% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $45,324 | $29,461 | $45,324 | +0% | $19,868 | +128% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $45,317 | $29,456 | $38,517 | +18% | $26,488 | +71% | ≈105% of Medicare |
| 949 | AFTERCARE WITH CC/MCC | $45,273 | $29,428 | $37,741 | +20% | $23,953 | +89% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $45,232 | $29,401 | $19,384 | +133% | $22,941 | +97% | — |
| 693 | URINARY STONES WITH MCC | $44,829 | $29,139 | $31,040 | +44% | $22,525 | +99% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $44,807 | $29,124 | $48,653 | −8% | $52,435 | −15% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $44,732 | $29,076 | $65,428 | −32% | $38,836 | +15% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $44,549 | $28,957 | $68,276 | −35% | $65,383 | −32% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $44,468 | $28,904 | $56,308 | −21% | $51,953 | −14% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $44,408 | $28,865 | $19,203 | +131% | $19,579 | +127% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $44,317 | $28,806 | $25,832 | +72% | $22,982 | +93% | ≈105% of Medicare |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $44,086 | $28,656 | $27,768 | +59% | $25,426 | +73% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $43,988 | $28,592 | $29,306 | +50% | $15,284 | +188% | — |
| 503 | FOOT PROCEDURES WITH MCC | $43,901 | $28,536 | $73,699 | −40% | $43,901 | +0% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $43,892 | $28,530 | $43,892 | +0% | $39,409 | +11% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $43,865 | $28,512 | $36,937 | +19% | $34,887 | +26% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $43,745 | $28,434 | $31,173 | +40% | $24,136 | +81% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $43,643 | $28,368 | $27,810 | +57% | $29,211 | +49% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $43,483 | $28,264 | $78,561 | −45% | $36,280 | +20% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $42,742 | $27,782 | $40,534 | +5% | $31,190 | +37% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $42,528 | $27,643 | $48,482 | −12% | $35,375 | +20% | — |
| 602 | CELLULITIS WITH MCC | $42,429 | $27,579 | $33,511 | +27% | $29,347 | +45% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $42,424 | $27,575 | $38,677 | +10% | $28,967 | +46% | ≈104% of Medicare |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $42,055 | $27,336 | $32,891 | +28% | $30,394 | +38% | — |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $41,349 | $26,877 | $24,502 | +69% | $28,634 | +44% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $41,251 | $26,813 | $27,647 | +49% | $30,766 | +34% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $41,249 | $26,812 | $44,110 | −6% | $32,451 | +27% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $40,994 | $26,646 | $31,283 | +31% | $21,806 | +88% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $40,545 | $26,354 | $30,767 | +32% | $28,780 | +41% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $40,481 | $26,312 | $42,239 | −4% | $42,881 | −6% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $40,356 | $26,231 | $18,707 | +116% | $20,421 | +98% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $40,005 | $26,003 | $50,105 | −20% | $31,978 | +25% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $39,961 | $25,975 | $44,618 | −10% | $48,682 | −18% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $39,750 | $25,838 | $32,778 | +21% | $30,814 | +29% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $39,638 | $25,765 | $21,697 | +83% | $18,150 | +118% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $39,592 | $25,735 | $36,384 | +9% | $27,369 | +45% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $39,289 | $25,538 | $39,289 | +0% | $32,468 | +21% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $39,265 | $25,522 | $26,052 | +51% | $25,474 | +54% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $39,261 | $25,519 | $28,178 | +39% | $31,059 | +26% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $38,980 | $25,337 | $29,730 | +31% | $24,480 | +59% | ≈100% of Medicare |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $38,914 | $25,294 | $38,914 | +0% | $30,974 | +26% | — |
| 682 | RENAL FAILURE WITH MCC | $38,898 | $25,283 | $34,605 | +12% | $27,854 | +40% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $38,759 | $25,194 | $20,537 | +89% | $24,452 | +59% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $38,585 | $25,081 | $26,381 | +46% | $24,177 | +60% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $38,459 | $24,999 | $12,234 | +214% | $12,405 | +210% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $38,226 | $24,847 | $24,382 | +57% | $33,424 | +14% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $37,974 | $24,683 | $36,581 | +4% | $29,924 | +27% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $37,511 | $24,382 | $53,307 | −30% | $55,097 | −32% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $37,464 | $24,352 | $14,627 | +156% | $19,854 | +89% | — |
| 305 | HYPERTENSION WITHOUT MCC | $37,403 | $24,312 | $22,806 | +64% | $17,144 | +118% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $37,367 | $24,289 | $49,467 | −24% | $31,758 | +18% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $37,214 | $24,189 | $42,499 | −12% | $30,314 | +23% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $37,035 | $24,072 | $36,835 | +1% | $35,770 | +4% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $36,772 | $23,902 | $35,019 | +5% | $30,058 | +22% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $36,375 | $23,644 | $34,724 | +5% | $36,375 | +0% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $36,196 | $23,527 | $20,766 | +74% | $28,527 | +27% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $36,036 | $23,424 | $32,532 | +11% | $18,623 | +94% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $35,778 | $23,255 | $29,484 | +21% | $25,704 | +39% | ≈100% of Medicare |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $35,375 | $22,994 | $21,642 | +63% | $25,010 | +41% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $35,368 | $22,989 | $31,193 | +13% | $44,553 | −21% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $35,358 | $22,983 | $47,283 | −25% | $45,497 | −22% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $35,276 | $22,929 | $17,967 | +96% | $25,267 | +40% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $35,264 | $22,921 | $17,209 | +105% | $18,126 | +95% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $35,159 | $22,853 | $27,917 | +26% | $20,463 | +72% | ≈119% of Medicare |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $34,989 | $22,743 | $15,310 | +129% | $18,253 | +92% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $34,836 | $22,643 | $28,893 | +21% | $24,190 | +44% | ≈109% of Medicare |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $34,695 | $22,552 | $25,610 | +35% | $20,968 | +65% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $34,674 | $22,538 | $28,258 | +23% | $26,158 | +33% | ≈101% of Medicare |
| 100 | SEIZURES WITH MCC | $34,546 | $22,455 | $34,570 | −0% | $35,194 | −2% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $34,450 | $22,392 | $20,826 | +65% | $17,727 | +94% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $34,319 | $22,307 | $29,296 | +17% | $21,886 | +57% | ≈105% of Medicare |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $34,317 | $22,306 | $29,109 | +18% | $29,109 | +18% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $34,073 | $22,148 | $15,461 | +120% | $15,607 | +118% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $33,995 | $22,096 | $19,916 | +71% | $23,924 | +42% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $33,991 | $22,094 | $74,709 | −55% | $76,583 | −56% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $33,968 | $22,079 | $21,013 | +62% | $13,527 | +151% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $33,836 | $21,994 | $16,382 | +107% | $18,017 | +88% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $33,800 | $21,970 | $30,811 | +10% | $35,459 | −5% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $33,545 | $21,804 | $29,332 | +14% | $31,086 | +8% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $33,236 | $21,604 | $34,460 | −4% | $41,900 | −21% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $32,938 | $21,410 | $27,183 | +21% | $18,278 | +80% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $32,743 | $21,283 | $11,308 | +190% | $14,064 | +133% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $32,739 | $21,280 | $30,915 | +6% | $35,569 | −8% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $32,649 | $21,222 | $43,162 | −24% | $34,901 | −6% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $32,447 | $21,090 | $26,677 | +22% | $29,476 | +10% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $32,406 | $21,064 | $45,946 | −29% | $43,800 | −26% | — |
| 637 | DIABETES WITH MCC | $32,199 | $20,929 | $32,199 | +0% | $28,819 | +12% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $32,006 | $20,804 | $19,242 | +66% | $19,483 | +64% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $31,898 | $20,734 | $26,649 | +20% | $30,930 | +3% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $31,706 | $20,609 | $15,641 | +103% | $17,367 | +83% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $31,543 | $20,503 | $21,475 | +47% | $19,287 | +64% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $31,413 | $20,419 | $17,477 | +80% | $19,091 | +65% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $31,357 | $20,382 | $32,206 | −3% | $23,469 | +34% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $31,342 | $20,372 | $34,577 | −9% | $17,700 | +77% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $31,267 | $20,323 | $25,939 | +21% | $22,024 | +42% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $31,101 | $20,215 | $31,101 | +0% | $27,244 | +14% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $30,962 | $20,125 | $27,970 | +11% | $25,731 | +20% | — |
| 813 | COAGULATION DISORDERS | $30,914 | $20,094 | $24,365 | +27% | $30,128 | +3% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $30,908 | $20,090 | $22,580 | +37% | $24,432 | +27% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $30,845 | $20,049 | $21,278 | +45% | $16,212 | +90% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $30,641 | $19,917 | $18,680 | +64% | $22,781 | +35% | ≈113% of Medicare |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $30,601 | $19,891 | $15,484 | +98% | $17,388 | +76% | ≈121% of Medicare |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $30,390 | $19,754 | $18,969 | +60% | $17,731 | +71% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $30,387 | $19,752 | $25,512 | +19% | $25,020 | +21% | ≈99% of Medicare |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $30,090 | $19,558 | $37,509 | −20% | $40,277 | −25% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $30,071 | $19,546 | $18,635 | +61% | $18,081 | +66% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $29,825 | $19,386 | $25,500 | +17% | $23,749 | +26% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $29,822 | $19,385 | $18,220 | +64% | $24,202 | +23% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $29,765 | $19,347 | $33,278 | −11% | $41,703 | −29% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $29,756 | $19,341 | $25,562 | +16% | $20,278 | +47% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $29,543 | $19,203 | $24,815 | +19% | $18,918 | +56% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $29,467 | $19,154 | $17,227 | +71% | $17,522 | +68% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $29,344 | $19,074 | $17,494 | +68% | $17,466 | +68% | ≈138% of Medicare |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $29,240 | $19,006 | $23,796 | +23% | $28,924 | +1% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $29,078 | $18,900 | $27,695 | +5% | $32,204 | −10% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $28,984 | $18,840 | $17,559 | +65% | $17,195 | +69% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $28,969 | $18,830 | $28,969 | +0% | $23,141 | +25% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $28,943 | $18,813 | $21,693 | +33% | $22,713 | +27% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $28,780 | $18,707 | $31,207 | −8% | $25,162 | +14% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $28,623 | $18,605 | $21,071 | +36% | $20,147 | +42% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $28,531 | $18,545 | $20,206 | +41% | $16,837 | +69% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $28,506 | $18,529 | $39,660 | −28% | $32,399 | −12% | — |
| 245 | AICD GENERATOR PROCEDURES | $28,115 | $18,275 | $66,564 | −58% | $72,076 | −61% | — |
| 885 | PSYCHOSES | $27,866 | $18,113 | $21,489 | +30% | $21,489 | +30% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $27,724 | $18,021 | $21,421 | +29% | $22,032 | +26% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $27,507 | $17,879 | $21,039 | +31% | $18,204 | +51% | ≈118% of Medicare |
| 101 | SEIZURES WITHOUT MCC | $27,377 | $17,795 | $15,448 | +77% | $19,954 | +37% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $27,244 | $17,708 | $30,304 | −10% | $24,022 | +13% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $27,241 | $17,707 | $36,329 | −25% | $29,031 | −6% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $27,011 | $17,557 | $14,600 | +85% | $17,322 | +56% | ≈133% of Medicare |
| 312 | SYNCOPE AND COLLAPSE | $26,970 | $17,531 | $19,517 | +38% | $19,342 | +39% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $26,828 | $17,438 | $29,153 | −8% | $25,243 | +6% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $26,794 | $17,416 | $16,427 | +63% | $20,080 | +33% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $26,756 | $17,391 | $53,166 | −50% | $68,880 | −61% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $26,716 | $17,365 | $24,326 | +10% | $21,213 | +26% | ≈192% of Medicare |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $26,641 | $17,317 | $23,842 | +12% | $14,880 | +79% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $26,433 | $17,182 | $21,228 | +25% | $24,561 | +8% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $26,425 | $17,176 | $28,079 | −6% | $31,846 | −17% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $26,276 | $17,080 | $27,276 | −4% | $32,538 | −19% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $25,995 | $16,897 | $20,531 | +27% | $21,449 | +21% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $25,948 | $16,866 | $52,243 | −50% | $72,859 | −64% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $25,947 | $16,865 | $31,562 | −18% | $37,975 | −32% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $25,879 | $16,821 | $18,398 | +41% | $20,732 | +25% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $25,684 | $16,695 | $17,477 | +47% | $16,865 | +52% | ≈113% of Medicare |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $25,679 | $16,691 | $24,871 | +3% | $25,208 | +2% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $25,422 | $16,525 | $23,559 | +8% | $22,850 | +11% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $25,348 | $16,476 | $25,176 | +1% | $29,729 | −15% | — |
| 304 | HYPERTENSION WITH MCC | $24,698 | $16,054 | $20,946 | +18% | $24,185 | +2% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $24,618 | $16,002 | $16,925 | +45% | $16,654 | +48% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $24,587 | $15,981 | $20,571 | +20% | $23,571 | +4% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $24,530 | $15,945 | $17,711 | +39% | $19,096 | +28% | — |
| 149 | DYSEQUILIBRIUM | $24,407 | $15,864 | $19,068 | +28% | $17,203 | +42% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $24,200 | $15,730 | $12,173 | +99% | $14,441 | +68% | — |
| 603 | CELLULITIS WITHOUT MCC | $24,155 | $15,701 | $19,438 | +24% | $18,530 | +30% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $24,127 | $15,682 | $18,290 | +32% | $21,062 | +15% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $24,004 | $15,602 | $17,614 | +36% | $20,777 | +16% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $24,003 | $15,602 | $13,720 | +75% | $16,866 | +42% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,822 | $15,484 | $36,341 | −34% | $40,548 | −41% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $23,643 | $15,368 | $26,308 | −10% | $31,716 | −25% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $23,623 | $15,355 | $12,055 | +96% | $12,797 | +85% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $23,492 | $15,269 | $23,492 | +0% | $22,231 | +6% | — |
| 638 | DIABETES WITH CC | $23,244 | $15,108 | $18,552 | +25% | $18,821 | +23% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $23,219 | $15,092 | $25,121 | −8% | $29,409 | −21% | — |
| 683 | RENAL FAILURE WITH CC | $23,155 | $15,051 | $16,455 | +41% | $18,620 | +24% | ≈110% of Medicare |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $23,097 | $15,013 | $21,367 | +8% | $17,273 | +34% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $22,879 | $14,871 | $47,008 | −51% | $41,660 | −45% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $22,582 | $14,678 | $22,651 | −0% | $29,484 | −23% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $22,437 | $14,584 | $21,277 | +5% | $25,666 | −13% | — |
| 694 | URINARY STONES WITHOUT MCC | $22,421 | $14,573 | $22,004 | +2% | $16,531 | +36% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $22,339 | $14,520 | $21,605 | +3% | $21,545 | +4% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $22,284 | $14,485 | $28,621 | −22% | $36,933 | −40% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $22,240 | $14,456 | $17,630 | +26% | $16,745 | +33% | ≈131% of Medicare |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $22,229 | $14,449 | $27,668 | −20% | $23,350 | −5% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $22,205 | $14,434 | $21,261 | +4% | $23,496 | −5% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $22,109 | $14,371 | $13,791 | +60% | $17,715 | +25% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $22,015 | $14,310 | $25,129 | −12% | $22,560 | −2% | — |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $21,941 | $14,262 | $21,381 | +3% | $24,452 | −10% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $21,825 | $14,186 | $18,325 | +19% | $18,459 | +18% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $21,651 | $14,073 | $17,768 | +22% | $19,317 | +12% | — |
| 592 | SKIN ULCERS WITH MCC | $21,599 | $14,040 | $29,882 | −28% | $32,662 | −34% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $21,510 | $13,981 | $30,556 | −30% | $34,354 | −37% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $21,464 | $13,952 | $34,193 | −37% | $26,146 | −18% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $21,421 | $13,924 | $18,064 | +19% | $18,002 | +19% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $21,369 | $13,890 | $27,118 | −21% | $27,118 | −21% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $21,230 | $13,799 | $21,775 | −3% | $19,815 | +7% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $20,885 | $13,575 | $17,809 | +17% | $13,384 | +56% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $20,870 | $13,566 | $29,405 | −29% | $37,950 | −45% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $20,709 | $13,461 | $20,139 | +3% | $20,084 | +3% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $20,642 | $13,417 | $16,139 | +28% | $15,070 | +37% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $20,533 | $13,347 | $16,482 | +25% | $14,473 | +42% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $20,532 | $13,346 | $22,569 | −9% | $20,488 | +0% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $20,504 | $13,328 | $37,644 | −46% | $38,885 | −47% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $20,451 | $13,293 | $18,292 | +12% | $20,844 | −2% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $20,232 | $13,151 | $19,581 | +3% | $19,894 | +2% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $19,646 | $12,770 | $19,581 | +0% | $14,368 | +37% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $19,596 | $12,737 | $15,311 | +28% | $16,642 | +18% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $19,239 | $12,505 | $19,655 | −2% | $28,156 | −32% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $19,147 | $12,446 | $19,462 | −2% | $20,007 | −4% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $19,060 | $12,389 | $12,903 | +48% | $14,337 | +33% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $18,913 | $12,294 | $20,270 | −7% | $14,927 | +27% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $18,658 | $12,127 | $12,454 | +50% | $12,381 | +51% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $18,645 | $12,119 | $13,184 | +41% | $14,444 | +29% | — |
| 311 | ANGINA PECTORIS | $18,257 | $11,867 | $18,257 | +0% | $15,165 | +20% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $18,253 | $11,864 | $24,270 | −25% | $27,219 | −33% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $18,246 | $11,860 | $13,574 | +34% | $16,049 | +14% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $18,181 | $11,818 | $14,825 | +23% | $13,318 | +37% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $18,159 | $11,803 | $19,381 | −6% | $18,803 | −3% | — |
| 639 | DIABETES WITHOUT CC/MCC | $17,424 | $11,325 | $18,007 | −3% | $13,910 | +25% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $17,268 | $11,224 | $58,587 | −71% | $17,434 | −1% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $17,162 | $11,155 | $24,869 | −31% | $33,607 | −49% | — |
| 200 | PNEUMOTHORAX WITH CC | $17,055 | $11,086 | $17,568 | −3% | $20,573 | −17% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $17,032 | $11,071 | $16,396 | +4% | $14,128 | +21% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $16,921 | $10,999 | $29,794 | −43% | $22,431 | −25% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $16,826 | $10,937 | $11,755 | +43% | $13,368 | +26% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $16,399 | $10,659 | $15,603 | +5% | $18,191 | −10% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $16,209 | $10,536 | $22,628 | −28% | $24,450 | −34% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $16,166 | $10,508 | $24,091 | −33% | $21,181 | −24% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $15,868 | $10,314 | $14,889 | +7% | $15,876 | −0% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $15,385 | $10,000 | $16,819 | −9% | $15,045 | +2% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $14,700 | $9,555 | $11,868 | +24% | $13,623 | +8% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $14,306 | $9,299 | $11,982 | +19% | $13,081 | +9% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $14,130 | $9,185 | $14,654 | −4% | $15,608 | −9% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $13,969 | $9,080 | $13,618 | +3% | $17,831 | −22% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $13,825 | $8,986 | $13,825 | +0% | $13,824 | +0% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $13,771 | $8,951 | $23,966 | −43% | $25,854 | −47% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $13,668 | $8,884 | $14,535 | −6% | $15,370 | −11% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $13,622 | $8,854 | $38,017 | −64% | $26,634 | −49% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $13,411 | $8,717 | $31,520 | −57% | $31,520 | −57% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $12,528 | $8,143 | $19,528 | −36% | $14,134 | −11% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $12,100 | $7,865 | $17,527 | −31% | $16,104 | −25% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $12,037 | $7,824 | $17,725 | −32% | $17,103 | −30% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,963 | $7,776 | $14,678 | −18% | $16,391 | −27% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,452 | $7,444 | $17,226 | −34% | $17,226 | −34% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $11,229 | $7,299 | $32,604 | −66% | $37,064 | −70% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $11,106 | $7,219 | $14,008 | −21% | $18,238 | −39% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $11,082 | $7,203 | $18,631 | −41% | $20,602 | −46% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $10,251 | $6,663 | $11,484 | −11% | $12,895 | −21% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $10,087 | $6,557 | $9,940 | +1% | $9,076 | +11% | — |
| 103 | HEADACHES WITHOUT MCC | $10,025 | $6,516 | $17,811 | −44% | $20,111 | −50% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $9,974 | $6,483 | $15,085 | −34% | $13,090 | −24% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $9,015 | $5,860 | $80,018 | −89% | $80,018 | −89% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,784 | $5,710 | $14,153 | −38% | $12,044 | −27% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $8,627 | $5,607 | $57,323 | −85% | $16,719 | −48% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $7,700 | $5,005 | $15,986 | −52% | $18,282 | −58% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $7,182 | $4,668 | $15,247 | −53% | $17,550 | −59% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $6,735 | $4,378 | $12,235 | −45% | $12,279 | −45% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,702 | $3,706 | $15,240 | −63% | $7,961 | −28% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $5,497 | $3,573 | $34,988 | −84% | $11,633 | −53% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $5,142 | $3,342 | $17,197 | −70% | $19,073 | −73% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $4,973 | $3,232 | $9,887 | −50% | $9,385 | −47% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,570 | $2,970 | $26,590 | −83% | $14,284 | −68% | — |
| 795 | NORMAL NEWBORN | $4,004 | $2,603 | $7,385 | −46% | $4,530 | −12% | — |
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 |
|---|---|---|---|
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | — | 27 plans |
No procedures match that keyword.