Holland Hospital — Pricing
541 procedures published in this hospital's Machine-Readable File (MRF) — 530 with a comparable price, 11 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 541
Lowest published price $3,521
Average published price $39,528
Highest published price $342,617
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Showing all 541 procedures
Published charges
Showing all 530 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 23 procedures, this hospital's negotiated rates average ≈297% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. MI median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $342,617 | $205,570 | $489,440 | −30% | $371,366 | −8% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $306,742 | $184,045 | $162,299 | +89% | $148,832 | +106% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $273,296 | $163,977 | $184,103 | +48% | $248,521 | +10% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $217,172 | $130,303 | $94,685 | +129% | $89,207 | +143% | — |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $207,076 | $124,246 | $86,864 | +138% | $86,864 | +138% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $199,793 | $119,876 | $117,187 | +70% | $116,058 | +72% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $163,719 | $98,231 | $111,366 | +47% | $79,225 | +107% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $161,559 | $96,935 | $114,073 | +42% | $82,561 | +96% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $144,534 | $86,720 | $149,784 | −4% | $120,573 | +20% | — |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $139,393 | $83,636 | $99,623 | +40% | $72,962 | +91% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $131,976 | $79,186 | $52,918 | +149% | $60,170 | +119% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $120,317 | $72,190 | $218,677 | −45% | $106,778 | +13% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $113,333 | $68,000 | $70,600 | +61% | $36,489 | +211% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $101,049 | $60,629 | $89,398 | +13% | $71,464 | +41% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $97,113 | $58,268 | $80,243 | +21% | $65,788 | +48% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $95,458 | $57,275 | $50,515 | +89% | $53,257 | +79% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $93,791 | $56,275 | $78,688 | +19% | $68,639 | +37% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $92,911 | $55,747 | $90,195 | +3% | $90,195 | +3% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $92,461 | $55,476 | $41,045 | +125% | $51,608 | +79% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $92,225 | $55,335 | $30,248 | +205% | $31,105 | +196% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $92,157 | $55,294 | $30,138 | +206% | $30,138 | +206% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $89,905 | $53,943 | $40,585 | +122% | $27,633 | +225% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $89,558 | $53,735 | $42,725 | +110% | $51,625 | +73% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $86,766 | $52,060 | $69,101 | +26% | $69,101 | +26% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $86,642 | $51,985 | $111,897 | −23% | $74,257 | +17% | — |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $86,342 | $51,805 | $33,983 | +154% | $33,983 | +154% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $84,458 | $50,675 | $52,229 | +62% | $68,508 | +23% | — |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $84,186 | $50,512 | $31,566 | +167% | $35,831 | +135% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $83,185 | $49,911 | $88,126 | −6% | $77,990 | +7% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $83,053 | $49,832 | $104,150 | −20% | $67,268 | +23% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $83,031 | $49,818 | $68,020 | +22% | $93,172 | −11% | ≈297% of Medicare |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $82,766 | $49,660 | $52,535 | +58% | $46,340 | +79% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $82,170 | $49,302 | $99,486 | −17% | $81,706 | +1% | — |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $80,898 | $48,539 | $34,146 | +137% | $34,146 | +137% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $79,393 | $47,636 | $75,429 | +5% | $54,562 | +46% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $78,939 | $47,364 | $279,095 | −72% | $208,939 | −62% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $78,715 | $47,229 | $83,778 | −6% | $72,424 | +9% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $78,701 | $47,221 | $103,661 | −24% | $84,692 | −7% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $78,680 | $47,208 | $87,798 | −10% | $71,795 | +10% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $78,050 | $46,830 | $28,559 | +173% | $29,524 | +164% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $77,804 | $46,682 | $73,066 | +6% | $58,745 | +32% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $77,428 | $46,457 | $45,416 | +70% | $43,477 | +78% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $77,246 | $46,347 | $22,651 | +241% | $30,557 | +153% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $77,200 | $46,320 | $92,754 | −17% | $47,583 | +62% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $75,931 | $45,559 | $139,593 | −46% | $101,510 | −25% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $75,816 | $45,489 | $33,334 | +127% | $30,083 | +152% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $75,606 | $45,364 | $75,606 | +0% | $76,001 | −1% | — |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $75,225 | $45,135 | $19,132 | +293% | $19,132 | +293% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $74,877 | $44,926 | $25,761 | +191% | $31,951 | +134% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $73,653 | $44,192 | $24,458 | +201% | $33,661 | +119% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $72,982 | $43,789 | $91,158 | −20% | $49,423 | +48% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $71,801 | $43,081 | $132,067 | −46% | $70,132 | +2% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $71,574 | $42,944 | $49,807 | +44% | $65,653 | +9% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $71,037 | $42,622 | $62,792 | +13% | $88,050 | −19% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $68,534 | $41,120 | $92,134 | −26% | $59,537 | +15% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $68,296 | $40,978 | $38,027 | +80% | $52,405 | +30% | — |
| 503 | FOOT PROCEDURES WITH MCC | $67,964 | $40,778 | $37,544 | +81% | $47,540 | +43% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $67,698 | $40,619 | $147,872 | −54% | $92,515 | −27% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $67,271 | $40,363 | $30,609 | +120% | $50,463 | +33% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $66,401 | $39,840 | $41,055 | +62% | $40,108 | +66% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $66,393 | $39,836 | $79,333 | −16% | $58,809 | +13% | ≈429% of Medicare |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $66,273 | $39,764 | $73,781 | −10% | $58,707 | +13% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $66,204 | $39,722 | $54,320 | +22% | $56,836 | +16% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $66,162 | $39,697 | $73,216 | −10% | $39,627 | +67% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $65,674 | $39,404 | $53,357 | +23% | $66,685 | −2% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $65,308 | $39,185 | $51,089 | +28% | $43,080 | +52% | — |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $65,246 | $39,148 | $43,999 | +48% | $35,584 | +83% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $64,821 | $38,893 | $64,821 | +0% | $66,068 | −2% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $64,711 | $38,826 | $64,711 | −0% | $71,755 | −10% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $64,558 | $38,735 | $77,121 | −16% | $59,629 | +8% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $64,494 | $38,696 | $101,135 | −36% | $57,454 | +12% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $64,131 | $38,478 | $65,590 | −2% | $56,755 | +13% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $63,924 | $38,354 | $76,123 | −16% | $50,624 | +26% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $63,589 | $38,153 | $88,436 | −28% | $62,821 | +1% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $63,369 | $38,021 | $28,621 | +121% | $40,213 | +58% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $62,065 | $37,239 | $65,663 | −5% | $61,872 | +0% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $61,445 | $36,867 | $24,787 | +148% | $32,628 | +88% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $61,287 | $36,772 | $147,597 | −58% | $88,307 | −31% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $61,237 | $36,742 | $69,053 | −11% | $59,790 | +2% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $61,088 | $36,653 | $47,899 | +28% | $71,014 | −14% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $60,904 | $36,542 | $60,904 | +0% | $70,847 | −14% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $60,844 | $36,506 | $45,703 | +33% | $70,467 | −14% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $60,507 | $36,304 | $32,120 | +88% | $37,387 | +62% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $60,354 | $36,212 | $55,502 | +9% | $77,817 | −22% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $60,352 | $36,211 | $28,264 | +114% | $42,881 | +41% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $60,142 | $36,085 | $58,069 | +4% | $49,351 | +22% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $59,497 | $35,698 | $88,561 | −33% | $63,928 | −7% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $58,552 | $35,131 | $21,706 | +170% | $24,552 | +138% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $58,444 | $35,066 | $77,884 | −25% | $99,423 | −41% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $58,375 | $35,025 | $41,878 | +39% | $40,552 | +44% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $58,159 | $34,896 | $87,832 | −34% | $50,011 | +16% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $57,165 | $34,299 | $64,911 | −12% | $90,775 | −37% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $56,840 | $34,104 | $56,840 | +0% | $48,682 | +17% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $56,307 | $33,784 | $42,239 | +33% | $39,018 | +44% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $56,067 | $33,640 | $37,242 | +51% | $54,929 | +2% | — |
| 592 | SKIN ULCERS WITH MCC | $55,923 | $33,554 | $32,662 | +71% | $33,246 | +68% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $55,796 | $33,477 | $48,129 | +16% | $35,465 | +57% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $55,641 | $33,385 | $48,610 | +14% | $59,421 | −6% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $55,501 | $33,301 | $67,264 | −17% | $41,591 | +33% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $55,235 | $33,141 | $56,535 | −2% | $73,120 | −24% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $54,986 | $32,991 | $44,512 | +24% | $53,451 | +3% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $54,971 | $32,982 | $47,329 | +16% | $43,298 | +27% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $54,568 | $32,741 | $44,989 | +21% | $49,418 | +10% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $54,507 | $32,704 | $73,453 | −26% | $42,901 | +27% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $54,236 | $32,541 | $14,383 | +277% | $19,138 | +183% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $54,061 | $32,437 | $121,672 | −56% | $71,092 | −24% | — |
| 602 | CELLULITIS WITH MCC | $53,793 | $32,276 | $22,262 | +142% | $30,598 | +76% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $53,716 | $32,230 | $19,868 | +170% | $15,889 | +238% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $53,381 | $32,029 | $40,762 | +31% | $46,066 | +16% | — |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $53,316 | $31,990 | $91,253 | −42% | $102,600 | −48% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $52,942 | $31,765 | $65,225 | −19% | $46,724 | +13% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $52,045 | $31,227 | $50,798 | +2% | $37,950 | +37% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $51,833 | $31,100 | $55,152 | −6% | $46,283 | +12% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $51,555 | $30,933 | $53,709 | −4% | $50,394 | +2% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $51,365 | $30,819 | $36,900 | +39% | $36,988 | +39% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $50,974 | $30,584 | $17,985 | +183% | $20,911 | +144% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $50,907 | $30,544 | $33,872 | +50% | $59,500 | −14% | ≈335% of Medicare |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $50,394 | $30,236 | $109,577 | −54% | $59,533 | −15% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $49,005 | $29,403 | $47,828 | +2% | $68,653 | −29% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $48,756 | $29,253 | $29,314 | +66% | $32,031 | +52% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $48,634 | $29,180 | $85,849 | −43% | $55,162 | −12% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $48,430 | $29,058 | $69,969 | −31% | $61,470 | −21% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $48,209 | $28,926 | $32,359 | +49% | $34,535 | +40% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $47,960 | $28,776 | $47,960 | +0% | $38,666 | +24% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $47,861 | $28,717 | $20,449 | +134% | $26,280 | +82% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $47,621 | $28,572 | $60,560 | −21% | $52,178 | −9% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $47,616 | $28,570 | $19,960 | +139% | $20,506 | +132% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $47,534 | $28,521 | $51,788 | −8% | $32,833 | +45% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $47,443 | $28,466 | $50,714 | −6% | $39,955 | +19% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $47,298 | $28,379 | $49,180 | −4% | $45,877 | +3% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $46,405 | $27,843 | $25,633 | +81% | $29,826 | +56% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $46,391 | $27,835 | $32,945 | +41% | $58,280 | −20% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $46,329 | $27,798 | $24,094 | +92% | $27,975 | +66% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $46,327 | $27,796 | $48,557 | −5% | $51,953 | −11% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $46,195 | $27,717 | $18,853 | +145% | $19,037 | +143% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $46,167 | $27,700 | $28,660 | +61% | $35,628 | +30% | ≈257% of Medicare |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $46,083 | $27,650 | $38,103 | +21% | $52,751 | −13% | ≈305% of Medicare |
| 835 | ACUTE LEUKEMIA WITH CC | $46,016 | $27,610 | $30,915 | +49% | $35,569 | +29% | — |
| 593 | SKIN ULCERS WITH CC | $46,015 | $27,609 | $20,470 | +125% | $22,886 | +101% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $46,007 | $27,604 | $65,531 | −30% | $46,295 | −1% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $45,639 | $27,384 | $15,390 | +197% | $17,934 | +154% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $45,591 | $27,354 | $30,979 | +47% | $50,607 | −10% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $45,548 | $27,329 | $63,989 | −29% | $52,435 | −13% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $45,535 | $27,321 | $45,535 | +0% | $27,285 | +67% | — |
| 504 | FOOT PROCEDURES WITH CC | $45,414 | $27,249 | $36,561 | +24% | $38,960 | +17% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $45,257 | $27,154 | $45,257 | +0% | $42,914 | +5% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $45,223 | $27,134 | $40,097 | +13% | $51,985 | −13% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $45,192 | $27,115 | $54,300 | −17% | $61,832 | −27% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $45,030 | $27,018 | $38,574 | +17% | $29,933 | +50% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $44,929 | $26,957 | $44,929 | +0% | $62,264 | −28% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $44,512 | $26,707 | $28,555 | +56% | $38,861 | +15% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $44,220 | $26,532 | $51,783 | −15% | $59,651 | −26% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $44,171 | $26,502 | $40,363 | +9% | $58,975 | −25% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $44,133 | $26,480 | $64,661 | −32% | $44,139 | −0% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $44,089 | $26,453 | $65,153 | −32% | $43,538 | +1% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $44,085 | $26,451 | $16,146 | +173% | $17,698 | +149% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $44,033 | $26,420 | $44,033 | +0% | $44,606 | −1% | — |
| 199 | PNEUMOTHORAX WITH MCC | $44,014 | $26,408 | $26,106 | +69% | $33,787 | +30% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $43,947 | $26,368 | $58,111 | −24% | $42,126 | +4% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $43,791 | $26,275 | $43,791 | +0% | $58,228 | −25% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $43,375 | $26,025 | $27,027 | +60% | $25,303 | +71% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $43,136 | $25,881 | $17,209 | +151% | $22,314 | +93% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $43,117 | $25,870 | $21,961 | +96% | $32,100 | +34% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $43,017 | $25,810 | $48,431 | −11% | $33,454 | +29% | — |
| 637 | DIABETES WITH MCC | $42,990 | $25,794 | $22,095 | +95% | $30,100 | +43% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,961 | $25,776 | $65,508 | −34% | $87,761 | −51% | — |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $42,795 | $25,677 | $55,339 | −23% | $42,795 | +0% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $42,770 | $25,662 | $19,302 | +122% | $20,727 | +106% | — |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $42,759 | $25,655 | $37,572 | +14% | $27,323 | +56% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $42,731 | $25,638 | $27,052 | +58% | $22,458 | +90% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $42,301 | $25,381 | $27,668 | +53% | $37,844 | +12% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $42,126 | $25,275 | $44,660 | −6% | $36,253 | +16% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $42,017 | $25,210 | $39,564 | +6% | $35,453 | +19% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $41,908 | $25,145 | $30,516 | +37% | $36,820 | +14% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $41,456 | $24,873 | $32,548 | +27% | $36,505 | +14% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $41,303 | $24,782 | $41,303 | +0% | $47,737 | −13% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $41,225 | $24,735 | $56,130 | −27% | $46,090 | −11% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $41,163 | $24,698 | $17,962 | +129% | $17,118 | +140% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $41,141 | $24,684 | $87,012 | −53% | $70,371 | −42% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $40,697 | $24,418 | $26,792 | +52% | $37,842 | +8% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $40,651 | $24,391 | $22,272 | +83% | $30,571 | +33% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $40,218 | $24,131 | $38,301 | +5% | $27,043 | +49% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $39,996 | $23,998 | $24,497 | +63% | $30,828 | +30% | ≈322% of Medicare |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $39,939 | $23,964 | $33,797 | +18% | $30,553 | +31% | — |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $39,822 | $23,893 | $18,474 | +116% | $18,474 | +116% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $39,710 | $23,826 | $30,065 | +32% | $40,162 | −1% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $39,679 | $23,807 | $32,494 | +22% | $28,156 | +41% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $39,368 | $23,621 | $39,687 | −1% | $31,017 | +27% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $39,318 | $23,591 | $67,013 | −41% | $38,836 | +1% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $39,103 | $23,462 | $26,308 | +49% | $52,075 | −25% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $39,032 | $23,419 | $81,021 | −52% | $29,079 | +34% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $39,011 | $23,407 | $28,841 | +35% | $23,443 | +66% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $38,966 | $23,379 | $48,637 | −20% | $62,583 | −38% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $38,813 | $23,288 | $46,309 | −16% | $24,586 | +58% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $38,800 | $23,280 | $19,254 | +102% | $26,580 | +46% | ≈262% of Medicare |
| 540 | OSTEOMYELITIS WITH CC | $38,777 | $23,266 | $30,974 | +25% | $26,676 | +45% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $38,752 | $23,251 | $29,012 | +34% | $39,106 | −1% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $38,623 | $23,174 | $33,930 | +14% | $33,424 | +16% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $38,504 | $23,102 | $26,053 | +48% | $22,763 | +69% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $38,327 | $22,996 | $38,327 | +0% | $32,451 | +18% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $38,322 | $22,993 | $38,322 | +0% | $33,985 | +13% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $38,308 | $22,985 | $38,308 | +0% | $47,711 | −20% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $38,265 | $22,959 | $23,307 | +64% | $32,877 | +16% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $37,970 | $22,782 | $95,914 | −60% | $64,523 | −41% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $37,953 | $22,772 | $152,432 | −75% | $74,755 | −49% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $37,715 | $22,629 | $37,509 | +1% | $41,422 | −9% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $37,668 | $22,601 | $15,684 | +140% | $21,363 | +76% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $37,647 | $22,588 | $25,937 | +45% | $26,682 | +41% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $37,507 | $22,504 | $13,438 | +179% | $17,620 | +113% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $37,466 | $22,479 | $30,625 | +22% | $41,955 | −11% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $37,072 | $22,243 | $24,622 | +51% | $44,117 | −16% | — |
| 999 | UNGROUPABLE | $37,054 | $22,232 | $131,836 | −72% | $29,674 | +25% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $36,800 | $22,080 | $48,468 | −24% | $40,365 | −9% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $36,539 | $21,924 | $33,569 | +9% | $39,958 | −9% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $36,531 | $21,919 | $23,902 | +53% | $35,419 | +3% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $36,487 | $21,892 | $19,865 | +84% | $28,050 | +30% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $36,476 | $21,885 | $59,928 | −39% | $43,174 | −16% | — |
| 694 | URINARY STONES WITHOUT MCC | $36,382 | $21,829 | $17,181 | +112% | $17,345 | +110% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $36,370 | $21,822 | $24,174 | +50% | $33,707 | +8% | ≈295% of Medicare |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $36,330 | $21,798 | $24,224 | +50% | $39,211 | −7% | — |
| 682 | RENAL FAILURE WITH MCC | $36,203 | $21,722 | $22,687 | +60% | $29,064 | +25% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $36,180 | $21,708 | $42,597 | −15% | $34,354 | +5% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $35,953 | $21,572 | $26,146 | +38% | $27,297 | +32% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $35,953 | $21,572 | $28,448 | +26% | $30,959 | +16% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $35,693 | $21,416 | $28,560 | +25% | $39,887 | −11% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,673 | $21,404 | $69,008 | −48% | $80,793 | −56% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $35,326 | $21,195 | $19,515 | +81% | $24,944 | +42% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $35,208 | $21,125 | $30,757 | +14% | $31,159 | +13% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,158 | $21,095 | $37,418 | −6% | $33,047 | +6% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $35,079 | $21,047 | $63,552 | −45% | $48,349 | −27% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $35,041 | $21,025 | $47,426 | −26% | $45,333 | −23% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $34,997 | $20,998 | $40,974 | −15% | $54,583 | −36% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $34,752 | $20,851 | $20,702 | +68% | $27,152 | +28% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $34,629 | $20,778 | $24,687 | +40% | $34,192 | +1% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $34,287 | $20,572 | $20,296 | +69% | $27,275 | +26% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $34,275 | $20,565 | $26,237 | +31% | $32,841 | +4% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $34,235 | $20,541 | $18,572 | +84% | $22,468 | +52% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $34,052 | $20,431 | $45,523 | −25% | $27,947 | +22% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $33,525 | $20,115 | $37,932 | −12% | $39,006 | −14% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $33,050 | $19,830 | $14,627 | +126% | $19,854 | +66% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $32,978 | $19,787 | $44,357 | −26% | $33,393 | −1% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $32,780 | $19,668 | $30,774 | +7% | $32,645 | +0% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $32,656 | $19,594 | $35,662 | −8% | $33,876 | −4% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $32,610 | $19,566 | $25,010 | +30% | $32,496 | +0% | — |
| 100 | SEIZURES WITH MCC | $32,542 | $19,525 | $39,040 | −17% | $35,481 | −8% | — |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $32,516 | $19,510 | $47,116 | −31% | $26,948 | +21% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $32,437 | $19,462 | $17,079 | +90% | $23,749 | +37% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $32,331 | $19,399 | $12,835 | +152% | $15,215 | +112% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $32,317 | $19,390 | $13,058 | +147% | $15,370 | +110% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $32,297 | $19,378 | $15,170 | +113% | $18,004 | +79% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,251 | $19,350 | $47,001 | −31% | $27,394 | +18% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $32,167 | $19,300 | $80,082 | −60% | $43,650 | −26% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $32,075 | $19,245 | $16,575 | +94% | $22,888 | +40% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $31,876 | $19,126 | $29,127 | +9% | $43,943 | −27% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $31,868 | $19,121 | $122,373 | −74% | $85,566 | −63% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $31,643 | $18,986 | $33,037 | −4% | $26,463 | +20% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $31,595 | $18,957 | $10,316 | +206% | $12,999 | +143% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $31,576 | $18,946 | $19,857 | +59% | $16,700 | +89% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $31,529 | $18,917 | $31,529 | +0% | $32,021 | −2% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $31,486 | $18,891 | $94,334 | −67% | $43,491 | −28% | — |
| 693 | URINARY STONES WITH MCC | $31,482 | $18,889 | $29,174 | +8% | $23,892 | +32% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $31,466 | $18,880 | $18,407 | +71% | $22,850 | +38% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $31,375 | $18,825 | $13,300 | +136% | $15,428 | +103% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $31,373 | $18,824 | $31,373 | +0% | $34,017 | −8% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $31,236 | $18,742 | $36,181 | −14% | $25,700 | +22% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $31,141 | $18,684 | $26,362 | +18% | $33,103 | −6% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $31,031 | $18,618 | $17,653 | +76% | $20,463 | +52% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $30,916 | $18,550 | $20,295 | +52% | $36,937 | −16% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $30,383 | $18,230 | $20,828 | +46% | $27,843 | +9% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $30,371 | $18,223 | $25,534 | +19% | $16,634 | +83% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $30,336 | $18,202 | $16,392 | +85% | $23,940 | +27% | ≈439% of Medicare |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $30,121 | $18,073 | $41,520 | −27% | $43,631 | −31% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $30,092 | $18,055 | $16,723 | +80% | $23,141 | +30% | — |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $30,048 | $18,029 | $12,336 | +144% | $12,336 | +144% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $29,999 | $17,999 | $29,208 | +3% | $31,264 | −4% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $29,960 | $17,976 | $33,076 | −9% | $33,653 | −11% | — |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $29,844 | $17,906 | $24,502 | +22% | $36,445 | −18% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $29,659 | $17,796 | $40,056 | −26% | $33,555 | −12% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,506 | $17,704 | $64,724 | −54% | $65,608 | −55% | — |
| 539 | OSTEOMYELITIS WITH MCC | $29,481 | $17,689 | $46,919 | −37% | $37,609 | −22% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $29,478 | $17,687 | $17,089 | +72% | $20,422 | +44% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $29,460 | $17,676 | $24,475 | +20% | $30,235 | −3% | — |
| 187 | PLEURAL EFFUSION WITH CC | $29,296 | $17,577 | $25,181 | +16% | $21,789 | +34% | — |
| 885 | PSYCHOSES | $29,210 | $17,526 | $21,802 | +34% | $21,729 | +34% | ≈257% of Medicare |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $29,083 | $17,450 | $28,020 | +4% | $34,459 | −16% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $28,792 | $17,275 | $22,265 | +29% | $25,073 | +15% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $28,695 | $17,217 | $14,372 | +100% | $16,371 | +75% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $28,657 | $17,194 | $27,276 | +5% | $36,670 | −22% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $28,483 | $17,090 | $24,704 | +15% | $33,563 | −15% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $28,459 | $17,075 | $28,459 | +0% | $34,273 | −17% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $28,433 | $17,060 | $28,433 | +0% | $38,094 | −25% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $28,270 | $16,962 | $29,257 | −3% | $19,594 | +44% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $28,217 | $16,930 | $15,741 | +79% | $17,724 | +59% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $28,121 | $16,873 | $24,317 | +16% | $27,543 | +2% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $28,072 | $16,843 | $39,936 | −30% | $36,792 | −24% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $27,986 | $16,791 | $21,873 | +28% | $26,932 | +4% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $27,976 | $16,785 | $29,537 | −5% | $25,279 | +11% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $27,923 | $16,754 | $29,032 | −4% | $27,316 | +2% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $27,907 | $16,744 | $18,631 | +50% | $20,616 | +35% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $27,898 | $16,739 | $17,770 | +57% | $24,386 | +14% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $27,631 | $16,579 | $18,383 | +50% | $23,617 | +17% | ≈257% of Medicare |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $27,615 | $16,569 | $27,232 | +1% | $27,401 | +1% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $27,588 | $16,553 | $14,358 | +92% | $19,096 | +44% | — |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $27,585 | $16,551 | $47,812 | −42% | $33,674 | −18% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,324 | $16,394 | $58,531 | −53% | $75,103 | −64% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $27,324 | $16,394 | $15,703 | +74% | $21,396 | +28% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $27,318 | $16,391 | $15,365 | +78% | $14,797 | +85% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $27,269 | $16,361 | $27,269 | +0% | $36,658 | −26% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $27,203 | $16,322 | $20,129 | +35% | $26,776 | +2% | ≈287% of Medicare |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $27,192 | $16,315 | $27,192 | +0% | $25,034 | +9% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $27,175 | $16,305 | $31,740 | −14% | $41,608 | −35% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $26,874 | $16,124 | $16,534 | +63% | $16,703 | +61% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $26,851 | $16,111 | $15,990 | +68% | $22,098 | +22% | ≈375% of Medicare |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $26,850 | $16,110 | $32,852 | −18% | $30,418 | −12% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $26,849 | $16,109 | $42,563 | −37% | $36,431 | −26% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $26,814 | $16,089 | $30,633 | −12% | $30,447 | −12% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $26,788 | $16,073 | $26,242 | +2% | $34,276 | −22% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $26,762 | $16,057 | $23,573 | +14% | $23,573 | +14% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $26,754 | $16,052 | $20,145 | +33% | $26,051 | +3% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $26,680 | $16,008 | $20,232 | +32% | $20,232 | +32% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $26,527 | $15,916 | $19,063 | +39% | $23,571 | +13% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $26,472 | $15,883 | $71,818 | −63% | $38,070 | −30% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $26,460 | $15,876 | $19,904 | +33% | $20,957 | +26% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $26,365 | $15,819 | $16,975 | +55% | $19,227 | +37% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $26,291 | $15,775 | $18,657 | +41% | $31,321 | −16% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $26,263 | $15,758 | $16,431 | +60% | $21,275 | +23% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $26,208 | $15,725 | $17,269 | +52% | $23,319 | +12% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $25,943 | $15,566 | $24,822 | +5% | $33,834 | −23% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,858 | $15,515 | $53,167 | −51% | $75,573 | −66% | — |
| 666 | PROSTATECTOMY WITH CC | $25,787 | $15,472 | $33,654 | −23% | $31,906 | −19% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $25,616 | $15,370 | $23,535 | +9% | $28,226 | −9% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $25,610 | $15,366 | $25,610 | +0% | $24,914 | +3% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $25,174 | $15,104 | $18,845 | +34% | $26,770 | −6% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $25,170 | $15,102 | $25,727 | −2% | $32,443 | −22% | — |
| 548 | SEPTIC ARTHRITIS WITH MCC | $25,162 | $15,097 | $29,341 | −14% | $31,346 | −20% | — |
| 813 | COAGULATION DISORDERS | $25,096 | $15,058 | $25,096 | +0% | $33,296 | −25% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $24,993 | $14,996 | $15,665 | +60% | $14,689 | +70% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $24,954 | $14,972 | $13,506 | +85% | $17,921 | +39% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,933 | $14,960 | $134,574 | −81% | $53,864 | −54% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $24,783 | $14,870 | $23,658 | +5% | $32,697 | −24% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $24,724 | $14,834 | $32,919 | −25% | $39,181 | −37% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $24,629 | $14,777 | $16,427 | +50% | $22,635 | +9% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $24,591 | $14,755 | $17,226 | +43% | $17,226 | +43% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $24,555 | $14,733 | $12,055 | +104% | $13,651 | +80% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $24,444 | $14,666 | $21,035 | +16% | $22,506 | +9% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $24,244 | $14,546 | $20,430 | +19% | $25,463 | −5% | ≈289% of Medicare |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $24,085 | $14,451 | $24,085 | +0% | $25,970 | −7% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $24,021 | $14,413 | $18,904 | +27% | $16,776 | +43% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $23,985 | $14,391 | $20,532 | +17% | $15,855 | +51% | — |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $23,913 | $14,348 | $13,445 | +78% | $13,445 | +78% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $23,874 | $14,324 | $15,734 | +52% | $21,449 | +11% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $23,707 | $14,224 | $16,607 | +43% | $23,198 | +2% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $23,588 | $14,153 | $22,591 | +4% | $24,177 | −2% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $23,562 | $14,137 | $13,321 | +77% | $17,322 | +36% | ≈313% of Medicare |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $23,557 | $14,134 | $21,228 | +11% | $25,094 | −6% | — |
| 313 | CHEST PAIN | $23,507 | $14,104 | $14,976 | +57% | $16,440 | +43% | — |
| 151 | EPISTAXIS WITHOUT MCC | $23,502 | $14,101 | $13,891 | +69% | $13,032 | +80% | — |
| 089 | CONCUSSION WITH CC | $23,461 | $14,077 | $45,136 | −48% | $18,821 | +25% | — |
| 304 | HYPERTENSION WITH MCC | $23,453 | $14,072 | $23,606 | −1% | $26,080 | −10% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $23,414 | $14,048 | $13,665 | +71% | $15,183 | +54% | — |
| 638 | DIABETES WITH CC | $23,318 | $13,991 | $19,208 | +21% | $19,661 | +19% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $23,313 | $13,988 | $13,598 | +71% | $17,578 | +33% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,239 | $13,944 | $68,549 | −66% | $40,548 | −43% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $23,191 | $13,915 | $31,216 | −26% | $32,944 | −30% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $22,992 | $13,795 | $12,789 | +80% | $17,303 | +33% | ≈328% of Medicare |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $22,871 | $13,723 | $13,602 | +68% | $18,452 | +24% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $22,867 | $13,720 | $17,293 | +32% | $22,024 | +4% | ≈321% of Medicare |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $22,851 | $13,711 | $16,213 | +41% | $17,737 | +29% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $22,792 | $13,675 | $18,722 | +22% | $18,488 | +23% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $22,751 | $13,651 | $96,785 | −76% | $40,562 | −44% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $22,682 | $13,609 | $58,847 | −61% | $34,937 | −35% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,601 | $13,561 | $15,172 | +49% | $20,488 | +10% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $22,572 | $13,543 | $14,480 | +56% | $19,305 | +17% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $22,569 | $13,541 | $35,694 | −37% | $39,973 | −44% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $22,562 | $13,537 | $18,267 | +24% | $18,466 | +22% | — |
| 312 | SYNCOPE AND COLLAPSE | $22,550 | $13,530 | $14,502 | +55% | $19,342 | +17% | ≈367% of Medicare |
| 603 | CELLULITIS WITHOUT MCC | $22,483 | $13,490 | $14,626 | +54% | $18,530 | +21% | ≈278% of Medicare |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $22,462 | $13,477 | $14,719 | +53% | $20,084 | +12% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $22,423 | $13,454 | $22,651 | −1% | $30,502 | −26% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $22,345 | $13,407 | $15,808 | +41% | $23,283 | −4% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $22,277 | $13,366 | $15,411 | +45% | $20,181 | +10% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $22,210 | $13,326 | $4,995 | +345% | $10,160 | +119% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $22,204 | $13,322 | $32,004 | −31% | $33,633 | −34% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $22,197 | $13,318 | $17,197 | +29% | $19,073 | +16% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $22,188 | $13,313 | $96,949 | −77% | $50,139 | −56% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $22,170 | $13,302 | $22,170 | +0% | $30,784 | −28% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $22,074 | $13,245 | $25,377 | −13% | $29,949 | −26% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $22,059 | $13,236 | $43,600 | −49% | $36,249 | −39% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $21,965 | $13,179 | $27,647 | −21% | $32,637 | −33% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $21,910 | $13,146 | $12,486 | +75% | $16,288 | +35% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $21,854 | $13,113 | $26,206 | −17% | $38,101 | −43% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $21,812 | $13,087 | $13,884 | +57% | $19,846 | +10% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $21,682 | $13,009 | $11,732 | +85% | $10,975 | +98% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $21,505 | $12,903 | $26,082 | −18% | $18,956 | +13% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $21,496 | $12,898 | $13,837 | +55% | $18,204 | +18% | ≈291% of Medicare |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $21,463 | $12,878 | $42,230 | −49% | $30,493 | −30% | — |
| 683 | RENAL FAILURE WITH CC | $21,321 | $12,792 | $14,731 | +45% | $19,130 | +11% | ≈279% of Medicare |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $21,264 | $12,759 | $15,094 | +41% | $17,135 | +24% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $21,225 | $12,735 | $23,203 | −9% | $17,733 | +20% | — |
| 881 | DEPRESSIVE NEUROSES | $21,076 | $12,646 | $15,058 | +40% | $15,058 | +40% | — |
| 103 | HEADACHES WITHOUT MCC | $21,068 | $12,641 | $21,068 | +0% | $21,280 | −1% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,919 | $12,551 | $140,604 | −85% | $49,710 | −58% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $20,873 | $12,524 | $19,183 | +9% | $19,270 | +8% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $20,847 | $12,508 | $18,398 | +13% | $20,901 | −0% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $20,819 | $12,491 | $20,270 | +3% | $22,033 | −6% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,807 | $12,484 | $45,617 | −54% | $43,913 | −53% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $20,578 | $12,347 | $20,480 | +0% | $21,941 | −6% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $20,557 | $12,334 | $13,336 | +54% | $17,038 | +21% | ≈300% of Medicare |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $20,486 | $12,291 | $19,941 | +3% | $15,837 | +29% | — |
| 639 | DIABETES WITHOUT CC/MCC | $20,478 | $12,287 | $11,327 | +81% | $13,910 | +47% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $20,475 | $12,285 | $23,313 | −12% | $22,148 | −8% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $20,393 | $12,236 | $15,311 | +33% | $16,968 | +20% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $20,353 | $12,212 | $14,644 | +39% | $16,699 | +22% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $20,260 | $12,156 | $12,013 | +69% | $12,324 | +64% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $20,211 | $12,126 | $26,358 | −23% | $39,619 | −49% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $20,125 | $12,075 | $11,077 | +82% | $13,642 | +48% | — |
| 149 | DYSEQUILIBRIUM | $20,036 | $12,022 | $16,466 | +22% | $18,096 | +11% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $20,019 | $12,012 | $15,547 | +29% | $18,316 | +9% | — |
| 101 | SEIZURES WITHOUT MCC | $20,004 | $12,003 | $19,954 | +0% | $20,461 | −2% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $19,955 | $11,973 | $12,127 | +65% | $20,781 | −4% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $19,914 | $11,948 | $13,611 | +46% | $17,674 | +13% | ≈294% of Medicare |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $19,765 | $11,859 | $22,285 | −11% | $19,119 | +3% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $19,645 | $11,787 | $19,645 | +0% | $15,600 | +26% | — |
| 865 | VIRAL ILLNESS WITH MCC | $19,622 | $11,773 | $34,426 | −43% | $26,910 | −27% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $19,611 | $11,767 | $16,872 | +16% | $23,488 | −17% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $19,539 | $11,724 | $17,167 | +14% | $19,842 | −2% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $19,497 | $11,698 | $26,051 | −25% | $27,277 | −29% | — |
| 311 | ANGINA PECTORIS | $19,427 | $11,656 | $15,842 | +23% | $15,502 | +25% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $19,269 | $11,561 | $19,269 | +0% | $15,680 | +23% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $19,263 | $11,558 | $12,595 | +53% | $14,583 | +32% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $19,257 | $11,554 | $19,510 | −1% | $14,648 | +31% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,214 | $11,529 | $61,143 | −69% | $41,892 | −54% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $19,048 | $11,429 | $19,048 | +0% | $12,460 | +53% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $18,903 | $11,342 | $15,817 | +20% | $18,126 | +4% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $18,747 | $11,248 | $18,835 | −0% | $24,056 | −22% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,627 | $11,176 | $27,058 | −31% | $32,859 | −43% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $18,589 | $11,153 | $26,894 | −31% | $28,320 | −34% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,521 | $11,112 | $15,032 | +23% | $12,229 | +51% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $18,455 | $11,073 | $19,815 | −7% | $19,264 | −4% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $18,313 | $10,988 | $15,928 | +15% | $17,700 | +3% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $18,301 | $10,981 | $31,616 | −42% | $27,426 | −33% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $18,075 | $10,845 | $13,719 | +32% | $18,002 | +0% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $17,976 | $10,786 | $14,344 | +25% | $18,807 | −4% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $17,927 | $10,756 | $15,753 | +14% | $21,056 | −15% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,924 | $10,754 | $25,580 | −30% | $42,679 | −58% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,782 | $10,669 | $27,695 | −36% | $33,255 | −47% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $17,704 | $10,623 | $13,765 | +29% | $18,081 | −2% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $17,659 | $10,595 | $18,130 | −3% | $18,602 | −5% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $17,597 | $10,558 | $15,063 | +17% | $15,452 | +14% | — |
| 305 | HYPERTENSION WITHOUT MCC | $17,488 | $10,493 | $12,937 | +35% | $18,086 | −3% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $17,402 | $10,441 | $38,371 | −55% | $20,926 | −17% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $17,372 | $10,423 | $18,586 | −7% | $14,250 | +22% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $17,348 | $10,409 | $17,922 | −3% | $20,247 | −14% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $17,308 | $10,385 | $12,609 | +37% | $16,767 | +3% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $17,027 | $10,216 | $14,937 | +14% | $16,552 | +3% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $16,788 | $10,073 | $22,056 | −24% | $16,520 | +2% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $16,700 | $10,020 | $16,700 | +0% | $18,528 | −10% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,655 | $9,993 | $20,117 | −17% | $21,894 | −24% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $16,592 | $9,955 | $20,619 | −20% | $29,805 | −44% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $16,555 | $9,933 | $30,326 | −45% | $33,851 | −51% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $16,547 | $9,928 | $11,594 | +43% | $14,368 | +15% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $16,497 | $9,898 | $12,534 | +32% | $12,559 | +31% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,433 | $9,860 | $22,189 | −26% | $29,743 | −45% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $16,328 | $9,797 | $18,133 | −10% | $18,133 | −10% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $16,240 | $9,744 | $23,263 | −30% | $24,550 | −34% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $15,927 | $9,556 | $13,890 | +15% | $13,942 | +14% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $15,884 | $9,531 | $16,616 | −4% | $17,081 | −7% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $15,809 | $9,486 | $10,296 | +54% | $13,361 | +18% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $15,616 | $9,370 | $11,454 | +36% | $14,128 | +11% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,595 | $9,357 | $24,846 | −37% | $34,607 | −55% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $15,583 | $9,350 | $15,447 | +1% | $14,927 | +4% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $15,212 | $9,127 | $14,778 | +3% | $16,846 | −10% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $15,203 | $9,122 | $18,291 | −17% | $19,412 | −22% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $15,172 | $9,103 | $16,963 | −11% | $23,551 | −36% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,144 | $9,086 | $25,121 | −40% | $31,563 | −52% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $15,097 | $9,058 | $10,456 | +44% | $13,384 | +13% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $14,907 | $8,944 | $29,133 | −49% | $19,569 | −24% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $14,802 | $8,881 | $15,121 | −2% | $18,072 | −18% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,789 | $8,873 | $26,510 | −44% | $26,510 | −44% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,682 | $8,809 | $20,741 | −29% | $24,566 | −40% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $14,499 | $8,700 | $16,932 | −14% | $15,038 | −4% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $14,482 | $8,689 | $18,932 | −24% | $14,716 | −2% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $14,324 | $8,595 | $22,827 | −37% | $22,851 | −37% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $14,222 | $8,533 | $17,057 | −17% | $22,432 | −37% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $14,146 | $8,488 | $12,855 | +10% | $15,019 | −6% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $14,046 | $8,428 | $24,384 | −42% | $18,459 | −24% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $13,874 | $8,324 | $15,271 | −9% | $14,415 | −4% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $13,455 | $8,073 | $20,483 | −34% | $17,124 | −21% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $13,246 | $7,947 | $16,431 | −19% | $17,601 | −25% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,232 | $7,939 | $37,064 | −64% | $40,362 | −67% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $13,189 | $7,913 | $11,927 | +11% | $13,275 | −1% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $13,160 | $7,896 | $25,756 | −49% | $19,745 | −33% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,020 | $7,812 | $23,493 | −45% | $19,815 | −34% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $13,019 | $7,811 | $11,982 | +9% | $14,053 | −7% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $12,997 | $7,798 | $12,136 | +7% | $13,824 | −6% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,983 | $7,790 | $19,980 | −35% | $25,712 | −50% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $12,651 | $7,591 | $14,394 | −12% | $14,514 | −13% | — |
| 150 | EPISTAXIS WITH MCC | $12,583 | $7,550 | $21,133 | −40% | $23,171 | −46% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $12,565 | $7,539 | $14,849 | −15% | $18,640 | −33% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $12,415 | $7,449 | $10,563 | +18% | $12,078 | +3% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $12,206 | $7,323 | $12,253 | −0% | $15,495 | −21% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $12,206 | $7,323 | $13,817 | −12% | $12,252 | −0% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $12,193 | $7,316 | $8,504 | +43% | $12,454 | −2% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,180 | $7,308 | $27,702 | −56% | $18,150 | −33% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $12,106 | $7,263 | $27,798 | −56% | $17,559 | −31% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $12,003 | $7,202 | $14,064 | −15% | $14,064 | −15% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $11,860 | $7,116 | $7,064 | +68% | $9,940 | +19% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,765 | $7,059 | $24,925 | −53% | $37,169 | −68% | — |
| 200 | PNEUMOTHORAX WITH CC | $11,332 | $6,799 | $17,568 | −35% | $21,368 | −47% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $11,114 | $6,669 | $12,390 | −10% | $14,638 | −24% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,091 | $6,655 | $26,699 | −58% | $30,010 | −63% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $11,022 | $6,613 | $13,911 | −21% | $17,298 | −36% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,361 | $6,217 | $21,642 | −52% | $27,808 | −63% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $10,227 | $6,136 | $12,895 | −21% | $12,895 | −21% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $9,842 | $5,905 | $14,237 | −31% | $16,565 | −41% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,296 | $5,578 | $53,084 | −82% | $40,642 | −77% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,913 | $5,348 | $16,121 | −45% | $14,549 | −39% | — |
| 779 | ABORTION WITHOUT D&C | $8,650 | $5,190 | $15,327 | −44% | $15,327 | −44% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $8,096 | $4,858 | $33,426 | −76% | $19,657 | −59% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,790 | $4,674 | $15,603 | −50% | $19,924 | −61% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,116 | $4,270 | $4,337 | +64% | $16,351 | −56% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,098 | $4,259 | $8,803 | −19% | $18,649 | −62% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $6,394 | $3,837 | $22,986 | −72% | $25,945 | −75% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $6,183 | $3,710 | $27,291 | −77% | $30,243 | −80% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $5,777 | $3,466 | $27,991 | −79% | $38,343 | −85% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,105 | $3,063 | $6,499 | −21% | $8,445 | −40% | — |
| 795 | NORMAL NEWBORN | $4,284 | $2,571 | $5,485 | −22% | $4,720 | −9% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $4,278 | $2,567 | $63,524 | −93% | $37,267 | −89% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $3,671 | $2,203 | $16,487 | −78% | $16,487 | −78% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,521 | $2,113 | $12,811 | −73% | $16,450 | −79% | — |
Procedures with negotiated rates only
These 11 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 |
|---|---|---|---|
| 090 | CONCUSSION WITHOUT CC/MCC | $21,427 – $21,427 · median $21,427 | 1 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $76,896 – $76,896 · median $76,896 | 1 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $83,362 – $83,362 · median $83,362 | 1 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $53,319 – $53,319 · median $53,319 | 1 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $42,101 – $42,101 · median $42,101 | 1 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $66,954 – $66,954 · median $66,954 | 1 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $48,783 – $48,783 · median $48,783 | 1 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $14,305 – $14,305 · median $14,305 | 1 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $26,904 – $26,904 · median $26,904 | 1 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $23,533 – $23,533 · median $23,533 | 1 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $25,333 – $25,333 · median $25,333 | 1 plans |
No procedures match that keyword.