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.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 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 ≈210% 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% | $138,008 | +122% | — |
| 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% | $245,241 | +11% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $217,172 | $130,303 | $94,685 | +129% | $78,582 | +176% | — |
| 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% | $72,011 | +127% | — |
| 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% | $120,587 | +20% | — |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $139,393 | $83,636 | $99,623 | +40% | $68,659 | +103% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $131,976 | $79,186 | $52,918 | +149% | $60,140 | +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% | $36,237 | +213% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $101,049 | $60,629 | $89,398 | +13% | $66,819 | +51% | — |
| 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% | $65,254 | +49% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $95,458 | $57,275 | $63,467 | +50% | $52,319 | +82% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $93,791 | $56,275 | $78,688 | +19% | $62,524 | +50% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $92,911 | $55,747 | $90,195 | +3% | $88,341 | +5% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $92,461 | $55,476 | $41,045 | +125% | $47,277 | +96% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $92,225 | $55,335 | $33,634 | +174% | $29,031 | +218% | — |
| 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% | $24,465 | +267% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $89,558 | $53,735 | $42,725 | +110% | $50,815 | +76% | — |
| 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% | $31,566 | +167% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $83,185 | $49,911 | $92,007 | −10% | $72,945 | +14% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $83,053 | $49,832 | $104,150 | −20% | $64,152 | +29% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $83,031 | $49,818 | $83,031 | +0% | $87,018 | −5% | ≈215% of Medicare |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $82,766 | $49,660 | $52,535 | +58% | $41,380 | +100% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $82,170 | $49,302 | $99,486 | −17% | $74,274 | +11% | — |
| 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% | $54,483 | +46% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $78,939 | $47,364 | $279,095 | −72% | $191,314 | −59% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $78,715 | $47,229 | $83,778 | −6% | $64,956 | +21% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $78,701 | $47,221 | $103,661 | −24% | $76,954 | +2% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $78,680 | $47,208 | $87,798 | −10% | $68,006 | +16% | — |
| 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% | $54,129 | +44% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $77,428 | $46,457 | $45,416 | +70% | $43,266 | +79% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $77,246 | $46,347 | $22,651 | +241% | $28,983 | +167% | — |
| 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% | $88,049 | −14% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $75,816 | $45,489 | $33,334 | +127% | $29,374 | +158% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $75,606 | $45,364 | $83,185 | −9% | $72,859 | +4% | — |
| 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 | $30,814 | +143% | $30,814 | +143% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $73,653 | $44,192 | $24,458 | +201% | $30,910 | +138% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $72,982 | $43,789 | $91,158 | −20% | $46,659 | +56% | — |
| 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 | $72,038 | −1% | $63,984 | +12% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $71,037 | $42,622 | $78,476 | −9% | $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 | $67,609 | +1% | $52,405 | +30% | — |
| 503 | FOOT PROCEDURES WITH MCC | $67,964 | $40,778 | $37,544 | +81% | $43,901 | +55% | — |
| 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 | $45,209 | +49% | $49,470 | +36% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $66,401 | $39,840 | $41,055 | +62% | $37,080 | +79% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $66,393 | $39,836 | $79,333 | −16% | $54,772 | +21% | ≈211% of Medicare |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $66,273 | $39,764 | $81,288 | −18% | $57,149 | +16% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $66,204 | $39,722 | $54,320 | +22% | $54,320 | +22% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $66,162 | $39,697 | $57,189 | +16% | $36,641 | +81% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $65,674 | $39,404 | $53,357 | +23% | $62,961 | +4% | — |
| 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 | $67,052 | −3% | $65,383 | −1% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $64,711 | $38,826 | $66,395 | −3% | $71,755 | −10% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $64,558 | $38,735 | $77,121 | −16% | $51,339 | +26% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $64,494 | $38,696 | $101,135 | −36% | $53,746 | +20% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $64,131 | $38,478 | $65,590 | −2% | $53,141 | +21% | — |
| 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 | $88,175 | −28% | $62,821 | +1% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $63,369 | $38,021 | $47,790 | +33% | $36,933 | +72% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $62,065 | $37,239 | $65,663 | −5% | $57,479 | +8% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $61,445 | $36,867 | $35,545 | +73% | $32,502 | +89% | — |
| 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% | $54,475 | +12% | — |
| 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 | $86,618 | −30% | $68,880 | −12% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $60,844 | $36,506 | $71,383 | −15% | $67,764 | −10% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $60,507 | $36,304 | $37,387 | +62% | $36,375 | +66% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $60,354 | $36,212 | $56,106 | +8% | $71,701 | −16% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $60,352 | $36,211 | $34,724 | +74% | $42,881 | +41% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $60,142 | $36,085 | $58,069 | +4% | $46,477 | +29% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $59,497 | $35,698 | $88,561 | −33% | $57,277 | +4% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $58,552 | $35,131 | $21,706 | +170% | $23,350 | +151% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $58,444 | $35,066 | $86,074 | −32% | $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 | $114,067 | −50% | $86,390 | −34% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $56,840 | $34,104 | $58,867 | −3% | $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 | $56,067 | +0% | $54,929 | +2% | — |
| 592 | SKIN ULCERS WITH MCC | $55,923 | $33,554 | $32,662 | +71% | $32,662 | +71% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $55,796 | $33,477 | $48,129 | +16% | $31,816 | +75% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $55,641 | $33,385 | $59,187 | −6% | $54,824 | +1% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $55,501 | $33,301 | $79,027 | −30% | $40,063 | +39% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $55,235 | $33,141 | $56,535 | −2% | $66,853 | −17% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $54,986 | $32,991 | $54,986 | +0% | $52,313 | +5% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $54,971 | $32,982 | $47,329 | +16% | $40,583 | +35% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $54,568 | $32,741 | $44,989 | +21% | $44,989 | +21% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $54,507 | $32,704 | $73,453 | −26% | $37,902 | +44% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $54,236 | $32,541 | $14,383 | +277% | $16,156 | +236% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $54,061 | $32,437 | $121,672 | −56% | $64,776 | −17% | — |
| 602 | CELLULITIS WITH MCC | $53,793 | $32,276 | $32,026 | +68% | $29,347 | +83% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $53,716 | $32,230 | $19,868 | +170% | $15,284 | +251% | — |
| 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% | $105,612 | −50% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $52,942 | $31,765 | $65,225 | −19% | $45,622 | +16% | — |
| 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 | $58,471 | −11% | $44,600 | +16% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $51,555 | $30,933 | $55,862 | −8% | $49,631 | +4% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $51,365 | $30,819 | $51,365 | +0% | $32,911 | +56% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $50,974 | $30,584 | $17,985 | +183% | $20,371 | +150% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $50,907 | $30,544 | $50,907 | +0% | $58,832 | −13% | ≈228% of Medicare |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $50,394 | $30,236 | $109,577 | −54% | $57,855 | −13% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $49,005 | $29,403 | $47,828 | +2% | $62,269 | −21% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $48,756 | $29,253 | $29,314 | +66% | $30,940 | +58% | — |
| 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% | $60,861 | −20% | — |
| 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 | $50,174 | −4% | $38,357 | +25% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $47,861 | $28,717 | $20,449 | +134% | $23,734 | +102% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $47,621 | $28,572 | $72,179 | −34% | $48,094 | −1% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $47,616 | $28,570 | $24,737 | +92% | $19,287 | +147% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $47,534 | $28,521 | $51,788 | −8% | $31,812 | +49% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $47,443 | $28,466 | $50,714 | −6% | $35,014 | +35% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $47,298 | $28,379 | $51,062 | −7% | $44,553 | +6% | — |
| 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 | $53,664 | −14% | $56,519 | −18% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $46,329 | $27,798 | $24,094 | +92% | $25,434 | +82% | — |
| 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 | $24,775 | +86% | $16,654 | +177% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $46,167 | $27,700 | $28,660 | +61% | $35,237 | +31% | ≈185% of Medicare |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $46,083 | $27,650 | $54,650 | −16% | $51,172 | −10% | ≈193% 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% | $20,470 | +125% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $46,007 | $27,604 | $65,531 | −30% | $41,380 | +11% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $45,639 | $27,384 | $15,390 | +197% | $17,108 | +167% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $45,591 | $27,354 | $39,942 | +14% | $49,197 | −7% | — |
| 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 | $44,193 | +3% | $24,118 | +89% | — |
| 504 | FOOT PROCEDURES WITH CC | $45,414 | $27,249 | $45,414 | +0% | $36,598 | +24% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $45,257 | $27,154 | $46,274 | −2% | $41,660 | +9% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $45,223 | $27,134 | $62,437 | −28% | $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% | $28,924 | +56% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $44,929 | $26,957 | $85,102 | −47% | $57,963 | −22% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $44,512 | $26,707 | $28,555 | +56% | $33,050 | +35% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $44,220 | $26,532 | $62,426 | −29% | $56,394 | −22% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $44,171 | $26,502 | $40,363 | +9% | $56,758 | −22% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $44,133 | $26,480 | $64,661 | −32% | $43,775 | +1% | — |
| 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% | $17,434 | +153% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $44,033 | $26,420 | $45,530 | −3% | $42,119 | +5% | — |
| 199 | PNEUMOTHORAX WITH MCC | $44,014 | $26,408 | $36,983 | +19% | $31,491 | +40% | — |
| 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% | $54,313 | −19% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $43,375 | $26,025 | $27,027 | +60% | $22,713 | +91% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $43,136 | $25,881 | $17,209 | +151% | $18,126 | +138% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $43,117 | $25,870 | $21,961 | +96% | $29,663 | +45% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $43,017 | $25,810 | $48,431 | −11% | $27,279 | +58% | — |
| 637 | DIABETES WITH MCC | $42,990 | $25,794 | $37,046 | +16% | $28,819 | +49% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $42,961 | $25,776 | $65,508 | −34% | $80,885 | −47% | — |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $42,795 | $25,677 | $55,339 | −23% | $35,686 | +20% | — |
| 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% | $27,321 | +57% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $42,731 | $25,638 | $34,836 | +23% | $22,032 | +94% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $42,301 | $25,381 | $27,668 | +53% | $32,981 | +28% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $42,126 | $25,275 | $44,660 | −6% | $35,528 | +19% | — |
| 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% | $32,213 | +30% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $41,456 | $24,873 | $32,548 | +27% | $33,792 | +23% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $41,303 | $24,782 | $44,267 | −7% | $45,059 | −8% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $41,225 | $24,735 | $71,035 | −42% | $45,817 | −10% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $41,163 | $24,698 | $21,059 | +95% | $16,837 | +144% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $41,141 | $24,684 | $87,012 | −53% | $67,901 | −39% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $40,697 | $24,418 | $40,697 | +0% | $37,842 | +8% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $40,651 | $24,391 | $29,098 | +40% | $28,780 | +41% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $40,218 | $24,131 | $38,301 | +5% | $23,115 | +74% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $39,996 | $23,998 | $24,497 | +63% | $28,967 | +38% | ≈224% of Medicare |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $39,939 | $23,964 | $33,797 | +18% | $29,558 | +35% | — |
| 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 | $37,297 | +6% | $39,107 | +2% | — |
| 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 | $39,527 | −0% | $30,006 | +31% | — |
| 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 | $53,482 | −27% | $48,680 | −20% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $39,032 | $23,419 | $81,021 | −52% | $28,578 | +37% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $39,011 | $23,407 | $28,841 | +35% | $21,062 | +85% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $38,966 | $23,379 | $48,637 | −20% | $59,207 | −34% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $38,813 | $23,288 | $45,294 | −14% | $24,450 | +59% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $38,800 | $23,280 | $19,254 | +102% | $25,704 | +51% | ≈189% of Medicare |
| 540 | OSTEOMYELITIS WITH CC | $38,777 | $23,266 | $30,974 | +25% | $23,494 | +65% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $38,752 | $23,251 | $38,752 | +0% | $35,714 | +9% | — |
| 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% | $22,231 | +73% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $38,327 | $22,996 | $38,599 | −1% | $32,451 | +18% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $38,322 | $22,993 | $45,926 | −17% | $32,399 | +18% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $38,308 | $22,985 | $47,978 | −20% | $45,963 | −17% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $38,265 | $22,959 | $23,410 | +63% | $28,646 | +34% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $37,970 | $22,782 | $95,914 | −60% | $63,475 | −40% | — |
| 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% | $40,277 | −6% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $37,668 | $22,601 | $18,854 | +100% | $20,777 | +81% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $37,647 | $22,588 | $27,002 | +39% | $25,208 | +49% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $37,507 | $22,504 | $25,791 | +45% | $17,522 | +114% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $37,466 | $22,479 | $42,554 | −12% | $39,747 | −6% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $37,072 | $22,243 | $37,072 | +0% | $44,117 | −16% | — |
| 999 | UNGROUPABLE | $37,054 | $22,232 | $131,836 | −72% | $28,822 | +29% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $36,800 | $22,080 | $48,468 | −24% | $36,597 | +1% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $36,539 | $21,924 | $42,233 | −13% | $38,885 | −6% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $36,531 | $21,919 | $23,902 | +53% | $33,984 | +7% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $36,487 | $21,892 | $29,454 | +24% | $27,244 | +34% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $36,476 | $21,885 | $59,928 | −39% | $41,651 | −12% | — |
| 694 | URINARY STONES WITHOUT MCC | $36,382 | $21,829 | $17,181 | +112% | $16,531 | +120% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $36,370 | $21,822 | $24,174 | +50% | $31,840 | +14% | ≈210% of Medicare |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $36,330 | $21,798 | $36,377 | −0% | $36,239 | +0% | — |
| 682 | RENAL FAILURE WITH MCC | $36,203 | $21,722 | $35,388 | +2% | $27,854 | +30% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $36,180 | $21,708 | $49,013 | −26% | $34,354 | +5% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $35,953 | $21,572 | $26,146 | +38% | $26,146 | +38% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $35,953 | $21,572 | $35,413 | +2% | $29,757 | +21% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $35,693 | $21,416 | $45,899 | −22% | $35,542 | +0% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $35,673 | $21,404 | $69,008 | −48% | $80,747 | −56% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $35,326 | $21,195 | $19,515 | +81% | $24,432 | +45% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $35,208 | $21,125 | $36,405 | −3% | $30,275 | +16% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,158 | $21,095 | $48,284 | −27% | $30,974 | +14% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $35,079 | $21,047 | $63,552 | −45% | $43,586 | −20% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $35,041 | $21,025 | $47,426 | −26% | $41,900 | −16% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $34,997 | $20,998 | $40,974 | −15% | $52,332 | −33% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $34,752 | $20,851 | $20,702 | +68% | $27,118 | +28% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $34,629 | $20,778 | $32,689 | +6% | $32,689 | +6% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $34,287 | $20,572 | $20,296 | +69% | $26,158 | +31% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $34,275 | $20,565 | $31,978 | +7% | $31,978 | +7% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $34,235 | $20,541 | $20,764 | +65% | $21,181 | +62% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $34,052 | $20,431 | $41,130 | −17% | $27,947 | +22% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $33,525 | $20,115 | $42,340 | −21% | $35,375 | −5% | — |
| 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% | $33,137 | −0% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $32,780 | $19,668 | $30,774 | +7% | $30,944 | +6% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $32,656 | $19,594 | $32,656 | +0% | $33,607 | −3% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $32,610 | $19,566 | $32,791 | −1% | $30,058 | +8% | — |
| 100 | SEIZURES WITH MCC | $32,542 | $19,525 | $44,206 | −26% | $35,194 | −8% | — |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $32,516 | $19,510 | $47,116 | −31% | $23,297 | +40% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $32,437 | $19,462 | $21,701 | +49% | $23,749 | +37% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $32,331 | $19,399 | $12,835 | +152% | $14,549 | +122% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $32,317 | $19,390 | $13,467 | +140% | $15,370 | +110% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $32,297 | $19,378 | $15,170 | +113% | $16,866 | +91% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $32,251 | $19,350 | $47,001 | −31% | $25,854 | +25% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $32,167 | $19,300 | $80,082 | −60% | $38,420 | −16% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $32,075 | $19,245 | $16,575 | +94% | $22,781 | +41% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $31,876 | $19,126 | $31,876 | +0% | $43,524 | −27% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $31,868 | $19,121 | $118,805 | −73% | $76,583 | −58% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $31,643 | $18,986 | $34,430 | −8% | $25,786 | +23% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $31,595 | $18,957 | $10,316 | +206% | $11,955 | +164% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $31,576 | $18,946 | $19,857 | +59% | $16,418 | +92% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $31,529 | $18,917 | $34,764 | −9% | $31,190 | +1% | — |
| 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% | $22,525 | +40% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $31,466 | $18,880 | $20,262 | +55% | $22,850 | +38% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $31,375 | $18,825 | $14,040 | +123% | $14,166 | +121% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $31,373 | $18,824 | $35,667 | −12% | $31,086 | +1% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $31,236 | $18,742 | $34,095 | −8% | $24,202 | +29% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $31,141 | $18,684 | $26,362 | +18% | $29,924 | +4% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $31,031 | $18,618 | $18,545 | +67% | $20,463 | +52% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $30,916 | $18,550 | $30,916 | +0% | $34,887 | −11% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $30,383 | $18,230 | $20,828 | +46% | $25,162 | +21% | — |
| 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 | $30,336 | +0% | $23,469 | +29% | ≈234% of Medicare |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $30,121 | $18,073 | $41,520 | −27% | $41,520 | −27% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $30,092 | $18,055 | $26,803 | +12% | $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% | $30,358 | −1% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $29,960 | $17,976 | $34,564 | −13% | $32,936 | −9% | — |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $29,844 | $17,906 | $24,502 | +22% | $28,634 | +4% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $29,659 | $17,796 | $43,802 | −32% | $31,758 | −7% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $29,506 | $17,704 | $64,724 | −54% | $64,465 | −54% | — |
| 539 | OSTEOMYELITIS WITH MCC | $29,481 | $17,689 | $48,849 | −40% | $33,746 | −13% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $29,478 | $17,687 | $26,375 | +12% | $19,579 | +51% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $29,460 | $17,676 | $32,035 | −8% | $28,134 | +5% | — |
| 187 | PLEURAL EFFUSION WITH CC | $29,296 | $17,577 | $25,181 | +16% | $21,467 | +36% | — |
| 885 | PSYCHOSES | $29,210 | $17,526 | $21,489 | +36% | $21,489 | +36% | ≈181% of Medicare |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $29,083 | $17,450 | $28,020 | +4% | $33,165 | −12% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $28,792 | $17,275 | $22,265 | +29% | $25,152 | +14% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $28,695 | $17,217 | $23,970 | +20% | $16,212 | +77% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $28,657 | $17,194 | $27,276 | +5% | $32,538 | −12% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $28,483 | $17,090 | $28,483 | +0% | $32,996 | −14% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $28,459 | $17,075 | $40,951 | −31% | $31,128 | −9% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $28,433 | $17,060 | $44,395 | −36% | $38,094 | −25% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $28,270 | $16,962 | $29,257 | −3% | $19,326 | +46% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $28,217 | $16,930 | $20,860 | +35% | $17,273 | +63% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $28,121 | $16,873 | $30,932 | −9% | $25,426 | +11% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $28,072 | $16,843 | $39,936 | −30% | $35,114 | −20% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $27,986 | $16,791 | $21,873 | +28% | $25,243 | +11% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $27,976 | $16,785 | $40,195 | −30% | $24,452 | +14% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $27,923 | $16,754 | $29,032 | −4% | $25,731 | +9% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $27,907 | $16,744 | $18,631 | +50% | $20,602 | +35% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $27,898 | $16,739 | $17,770 | +57% | $24,190 | +15% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $27,631 | $16,579 | $27,631 | +0% | $22,982 | +20% | ≈186% of Medicare |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $27,615 | $16,569 | $30,075 | −8% | $25,474 | +8% | — |
| 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% | $30,972 | −11% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $27,324 | $16,394 | $94,926 | −71% | $75,103 | −64% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $27,324 | $16,394 | $15,703 | +74% | $21,213 | +29% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $27,318 | $16,391 | $15,365 | +78% | $13,303 | +105% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $27,269 | $16,361 | $43,819 | −38% | $36,658 | −26% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $27,203 | $16,322 | $20,129 | +35% | $25,020 | +9% | ≈202% of Medicare |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $27,192 | $16,315 | $28,375 | −4% | $24,017 | +13% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $27,175 | $16,305 | $31,740 | −14% | $38,382 | −29% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $26,874 | $16,124 | $16,534 | +63% | $16,703 | +61% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $26,851 | $16,111 | $23,245 | +16% | $21,886 | +23% | ≈228% 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 | $57,360 | −53% | $36,280 | −26% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $26,814 | $16,089 | $30,633 | −12% | $29,853 | −10% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $26,788 | $16,073 | $26,242 | +2% | $31,909 | −16% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $26,762 | $16,057 | $23,573 | +14% | $22,431 | +19% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $26,754 | $16,052 | $20,145 | +33% | $23,956 | +12% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $26,680 | $16,008 | $20,232 | +32% | $18,478 | +44% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $26,527 | $15,916 | $20,108 | +32% | $23,571 | +13% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $26,472 | $15,883 | $71,818 | −63% | $36,850 | −28% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $26,460 | $15,876 | $23,637 | +12% | $20,007 | +32% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $26,365 | $15,819 | $21,345 | +24% | $18,623 | +42% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $26,291 | $15,775 | $27,046 | −3% | $30,314 | −13% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $26,263 | $15,758 | $20,732 | +27% | $20,732 | +27% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $26,208 | $15,725 | $25,218 | +4% | $21,806 | +20% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $25,943 | $15,566 | $40,919 | −37% | $32,468 | −20% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $25,858 | $15,515 | $73,201 | −65% | $72,782 | −64% | — |
| 666 | PROSTATECTOMY WITH CC | $25,787 | $15,472 | $34,978 | −26% | $30,016 | −14% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $25,616 | $15,370 | $33,589 | −24% | $27,934 | −8% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $25,610 | $15,366 | $29,557 | −13% | $24,136 | +6% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $25,174 | $15,104 | $25,174 | +0% | $26,488 | −5% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $25,170 | $15,102 | $25,727 | −2% | $32,839 | −23% | — |
| 548 | SEPTIC ARTHRITIS WITH MCC | $25,162 | $15,097 | $29,341 | −14% | $31,019 | −19% | — |
| 813 | COAGULATION DISORDERS | $25,096 | $15,058 | $40,774 | −38% | $30,128 | −17% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $24,993 | $14,996 | $15,665 | +60% | $14,441 | +73% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $24,954 | $14,972 | $13,506 | +85% | $17,727 | +41% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $24,933 | $14,960 | $134,574 | −81% | $53,817 | −54% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $24,783 | $14,870 | $23,658 | +5% | $29,371 | −16% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $24,724 | $14,834 | $45,199 | −45% | $36,334 | −32% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $24,629 | $14,777 | $16,427 | +50% | $20,080 | +23% | — |
| 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% | $12,797 | +92% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $24,444 | $14,666 | $21,035 | +16% | $21,545 | +13% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $24,244 | $14,546 | $24,244 | +0% | $24,480 | −1% | ≈195% of Medicare |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $24,085 | $14,451 | $26,174 | −8% | $24,022 | +0% | — |
| 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% | $15,593 | +54% | — |
| 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 | $23,781 | +0% | $21,449 | +11% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $23,707 | $14,224 | $17,393 | +36% | $22,941 | +3% | — |
| 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% | ≈226% of Medicare |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $23,557 | $14,134 | $21,228 | +11% | $24,561 | −4% | — |
| 313 | CHEST PAIN | $23,507 | $14,104 | $14,976 | +57% | $15,962 | +47% | — |
| 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% | $18,293 | +28% | — |
| 304 | HYPERTENSION WITH MCC | $23,453 | $14,072 | $23,759 | −1% | $24,185 | −3% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $23,414 | $14,048 | $16,152 | +45% | $15,070 | +55% | — |
| 638 | DIABETES WITH CC | $23,318 | $13,991 | $23,295 | +0% | $18,821 | +24% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $23,313 | $13,988 | $13,598 | +71% | $17,388 | +34% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $23,239 | $13,944 | $65,798 | −65% | $40,548 | −43% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $23,191 | $13,915 | $31,216 | −26% | $29,729 | −22% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $22,992 | $13,795 | $20,120 | +14% | $16,865 | +36% | ≈213% of Medicare |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $22,871 | $13,723 | $13,602 | +68% | $18,238 | +25% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $22,867 | $13,720 | $22,596 | +1% | $22,024 | +4% | ≈203% of Medicare |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $22,851 | $13,711 | $16,213 | +41% | $17,078 | +34% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $22,792 | $13,675 | $18,722 | +22% | $17,731 | +29% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $22,751 | $13,651 | $96,785 | −76% | $35,459 | −36% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $22,682 | $13,609 | $58,847 | −61% | $31,716 | −28% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,601 | $13,561 | $22,601 | +0% | $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% | $39,409 | −43% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $22,562 | $13,537 | $18,267 | +24% | $17,700 | +27% | — |
| 312 | SYNCOPE AND COLLAPSE | $22,550 | $13,530 | $22,408 | +1% | $19,342 | +17% | ≈226% of Medicare |
| 603 | CELLULITIS WITHOUT MCC | $22,483 | $13,490 | $14,626 | +54% | $18,530 | +21% | ≈201% 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 | $29,298 | −23% | $29,484 | −24% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $22,345 | $13,407 | $15,808 | +41% | $22,560 | −1% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $22,277 | $13,366 | $15,411 | +45% | $18,918 | +18% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $22,210 | $13,326 | $4,995 | +345% | $9,385 | +137% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $22,204 | $13,322 | $40,463 | −45% | $31,059 | −29% | — |
| 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 | $35,329 | −37% | $27,369 | −19% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $22,074 | $13,245 | $25,377 | −13% | $28,527 | −23% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $22,059 | $13,236 | $43,600 | −49% | $35,139 | −37% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $21,965 | $13,179 | $33,507 | −34% | $30,766 | −29% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $21,910 | $13,146 | $17,925 | +22% | $14,880 | +47% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $21,854 | $13,113 | $27,360 | −20% | $36,242 | −40% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $21,812 | $13,087 | $13,900 | +57% | $19,815 | +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 | $29,737 | −28% | $17,943 | +20% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $21,496 | $12,898 | $13,837 | +55% | $18,204 | +18% | ≈210% of Medicare |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $21,463 | $12,878 | $42,230 | −49% | $29,050 | −26% | — |
| 683 | RENAL FAILURE WITH CC | $21,321 | $12,792 | $14,731 | +45% | $18,620 | +15% | ≈201% of Medicare |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $21,264 | $12,759 | $15,094 | +41% | $15,474 | +37% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $21,225 | $12,735 | $25,181 | −16% | $15,636 | +36% | — |
| 881 | DEPRESSIVE NEUROSES | $21,076 | $12,646 | $15,058 | +40% | $15,058 | +40% | — |
| 103 | HEADACHES WITHOUT MCC | $21,068 | $12,641 | $21,911 | −4% | $20,111 | +5% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $20,919 | $12,551 | $104,142 | −80% | $49,710 | −58% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $20,873 | $12,524 | $19,183 | +9% | $20,147 | +4% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $20,847 | $12,508 | $18,398 | +13% | $19,091 | +9% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $20,819 | $12,491 | $20,270 | +3% | $20,968 | −1% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $20,807 | $12,484 | $45,617 | −54% | $43,398 | −52% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $20,578 | $12,347 | $20,480 | +0% | $20,106 | +2% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $20,557 | $12,334 | $13,336 | +54% | $16,745 | +23% | ≈210% of Medicare |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $20,486 | $12,291 | $19,941 | +3% | $15,607 | +31% | — |
| 639 | DIABETES WITHOUT CC/MCC | $20,478 | $12,287 | $15,855 | +29% | $13,910 | +47% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $20,475 | $12,285 | $26,150 | −22% | $21,261 | −4% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $20,393 | $12,236 | $15,311 | +33% | $16,642 | +23% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $20,353 | $12,212 | $18,673 | +9% | $16,049 | +27% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $20,260 | $12,156 | $12,013 | +69% | $12,013 | +69% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $20,211 | $12,126 | $31,874 | −37% | $37,975 | −47% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $20,125 | $12,075 | $19,104 | +5% | $13,623 | +48% | — |
| 149 | DYSEQUILIBRIUM | $20,036 | $12,022 | $22,999 | −13% | $17,203 | +16% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $20,019 | $12,012 | $15,547 | +29% | $18,428 | +9% | — |
| 101 | SEIZURES WITHOUT MCC | $20,004 | $12,003 | $19,954 | +0% | $19,954 | +0% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $19,955 | $11,973 | $19,955 | +0% | $19,483 | +2% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $19,914 | $11,948 | $19,156 | +4% | $17,466 | +14% | ≈212% of Medicare |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $19,765 | $11,859 | $22,285 | −11% | $17,383 | +14% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $19,645 | $11,787 | $20,472 | −4% | $15,600 | +26% | — |
| 865 | VIRAL ILLNESS WITH MCC | $19,622 | $11,773 | $34,426 | −43% | $26,088 | −25% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $19,611 | $11,767 | $23,710 | −17% | $23,396 | −16% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $19,539 | $11,724 | $20,974 | −7% | $18,803 | +4% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $19,497 | $11,698 | $32,262 | −40% | $27,219 | −28% | — |
| 311 | ANGINA PECTORIS | $19,427 | $11,656 | $20,709 | −6% | $15,165 | +28% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $19,269 | $11,561 | $19,727 | −2% | $15,680 | +23% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $19,263 | $11,558 | $12,595 | +53% | $14,473 | +33% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $19,257 | $11,554 | $19,257 | +0% | $14,444 | +33% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $19,214 | $11,529 | $61,143 | −69% | $37,064 | −48% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $19,048 | $11,429 | $19,048 | +0% | $12,405 | +54% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $18,903 | $11,342 | $15,817 | +20% | $17,715 | +7% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $18,747 | $11,248 | $18,835 | −0% | $20,938 | −10% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $18,627 | $11,176 | $35,511 | −48% | $30,394 | −39% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $18,589 | $11,153 | $26,894 | −31% | $27,492 | −32% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $18,521 | $11,112 | $16,776 | +10% | $11,633 | +59% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $18,455 | $11,073 | $19,815 | −7% | $18,017 | +2% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $18,313 | $10,988 | $23,165 | −21% | $17,700 | +3% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $18,301 | $10,981 | $31,616 | −42% | $26,634 | −31% | — |
| 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 | $17,324 | +4% | $18,278 | −2% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $17,927 | $10,756 | $23,015 | −22% | $20,278 | −12% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $17,924 | $10,754 | $25,580 | −30% | $39,563 | −55% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $17,782 | $10,669 | $37,588 | −53% | $32,204 | −45% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $17,704 | $10,623 | $14,964 | +18% | $18,081 | −2% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $17,659 | $10,595 | $17,659 | +0% | $17,367 | +2% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $17,597 | $10,558 | $15,452 | +14% | $15,045 | +17% | — |
| 305 | HYPERTENSION WITHOUT MCC | $17,488 | $10,493 | $12,937 | +35% | $17,144 | +2% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $17,402 | $10,441 | $38,371 | −55% | $19,868 | −12% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $17,372 | $10,423 | $19,800 | −12% | $14,208 | +22% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $17,348 | $10,409 | $18,569 | −7% | $19,795 | −12% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $17,308 | $10,385 | $17,308 | +0% | $16,104 | +7% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $17,027 | $10,216 | $14,937 | +14% | $15,077 | +13% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $16,788 | $10,073 | $27,323 | −39% | $15,869 | +6% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $16,700 | $10,020 | $16,700 | +0% | $18,253 | −9% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $16,655 | $9,993 | $20,117 | −17% | $21,029 | −21% | — |
| 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% | $32,483 | −49% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $16,547 | $9,928 | $12,659 | +31% | $14,368 | +15% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $16,497 | $9,898 | $12,534 | +32% | $12,537 | +32% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $16,433 | $9,860 | $36,493 | −55% | $29,211 | −44% | — |
| 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% | $24,036 | −32% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $15,927 | $9,556 | $13,890 | +15% | $13,890 | +15% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $15,884 | $9,531 | $17,349 | −8% | $16,391 | −3% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $15,809 | $9,486 | $14,359 | +10% | $13,318 | +19% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $15,616 | $9,370 | $14,744 | +6% | $14,128 | +11% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $15,595 | $9,357 | $24,846 | −37% | $30,930 | −50% | — |
| 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 | $14,995 | +1% | $17,103 | −11% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $15,203 | $9,122 | $18,291 | −17% | $18,291 | −17% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $15,172 | $9,103 | $22,551 | −33% | $23,496 | −35% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $15,144 | $9,086 | $25,121 | −40% | $29,409 | −49% | — |
| 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 | $28,075 | −47% | $19,569 | −24% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $14,802 | $8,881 | $15,121 | −2% | $16,352 | −9% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $14,789 | $8,873 | $26,510 | −44% | $24,836 | −40% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $14,682 | $8,809 | $20,741 | −29% | $20,741 | −29% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $14,499 | $8,700 | $18,428 | −21% | $14,134 | +3% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $14,482 | $8,689 | $18,932 | −24% | $14,337 | +1% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $14,324 | $8,595 | $22,827 | −37% | $21,860 | −34% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $14,222 | $8,533 | $32,330 | −56% | $20,842 | −32% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $14,146 | $8,488 | $12,855 | +10% | $13,892 | +2% | — |
| 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% | $14,012 | −1% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $13,455 | $8,073 | $20,483 | −34% | $15,858 | −15% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $13,246 | $7,947 | $16,431 | −19% | $16,571 | −20% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $13,232 | $7,939 | $37,064 | −64% | $39,657 | −67% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $13,189 | $7,913 | $12,499 | +6% | $13,090 | +1% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $13,160 | $7,896 | $25,756 | −49% | $17,831 | −26% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,020 | $7,812 | $23,493 | −45% | $19,317 | −33% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $13,019 | $7,811 | $11,982 | +9% | $13,081 | −0% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $12,997 | $7,798 | $13,182 | −1% | $13,824 | −6% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $12,983 | $7,790 | $19,980 | −35% | $20,842 | −38% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $12,651 | $7,591 | $14,394 | −12% | $14,110 | −10% | — |
| 150 | EPISTAXIS WITH MCC | $12,583 | $7,550 | $21,133 | −40% | $21,133 | −40% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $12,565 | $7,539 | $16,911 | −26% | $17,412 | −28% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $12,415 | $7,449 | $10,563 | +18% | $12,044 | +3% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $12,206 | $7,323 | $12,253 | −0% | $15,072 | −19% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $12,206 | $7,323 | $13,817 | −12% | $12,279 | −1% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $12,193 | $7,316 | $8,504 | +43% | $12,381 | −2% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $12,180 | $7,308 | $33,439 | −64% | $18,150 | −33% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $12,106 | $7,263 | $27,798 | −56% | $17,195 | −30% | — |
| 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% | $9,076 | +31% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $11,765 | $7,059 | $33,481 | −65% | $34,901 | −66% | — |
| 200 | PNEUMOTHORAX WITH CC | $11,332 | $6,799 | $20,573 | −45% | $20,573 | −45% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $11,114 | $6,669 | $13,027 | −15% | $13,485 | −18% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,091 | $6,655 | $30,144 | −63% | $28,252 | −61% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $11,022 | $6,613 | $13,911 | −21% | $15,876 | −31% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $10,361 | $6,217 | $21,642 | −52% | $25,010 | −59% | — |
| 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% | $14,861 | −34% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $9,296 | $5,578 | $53,084 | −82% | $40,563 | −77% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $8,913 | $5,348 | $16,121 | −45% | $13,198 | −32% | — |
| 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% | $17,550 | −54% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $7,790 | $4,674 | $25,321 | −69% | $18,191 | −57% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,116 | $4,270 | $4,337 | +64% | $14,284 | −50% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $7,098 | $4,259 | $8,803 | −19% | $16,719 | −58% | — |
| 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 | $27,430 | −77% | $29,609 | −79% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $5,777 | $3,466 | $27,991 | −79% | $34,852 | −83% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $5,105 | $3,063 | $6,499 | −21% | $7,961 | −36% | — |
| 795 | NORMAL NEWBORN | $4,284 | $2,571 | $5,485 | −22% | $4,530 | −5% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $4,278 | $2,567 | $63,524 | −93% | $34,900 | −88% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $3,671 | $2,203 | $16,487 | −78% | $19,454 | −81% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,521 | $2,113 | $12,811 | −73% | $13,282 | −73% | — |
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 | $5,500 – $21,427 · median $10,043 | 17 plans |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $25,032 – $76,896 · median $41,720 | 17 plans |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $32,883 – $83,362 · median $60,045 | 17 plans |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $17,256 – $53,319 · median $31,510 | 17 plans |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $16,649 – $42,101 · median $25,273 | 17 plans |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $23,802 – $66,954 · median $43,464 | 17 plans |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $15,000 – $48,783 · median $23,150 | 17 plans |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $5,745 – $14,305 · median $9,292 | 17 plans |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,003 – $26,904 · median $18,266 | 17 plans |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $9,306 – $23,533 · median $14,237 | 17 plans |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $7,814 – $25,333 · median $12,097 | 17 plans |
No procedures match that keyword.