Mercy Hospital Southeast — Pricing
401 procedures published in this hospital's Machine-Readable File (MRF) — 400 with a comparable price, 1 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 401
Lowest published price $2,415
Average published price $44,183
Highest published price $228,834
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 401 procedures
Published charges
Showing all 400 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 42 procedures, this hospital's negotiated rates average ≈267% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. MO median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $228,834 | $148,742 | $144,471 | +58% | $113,855 | +101% | — |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $185,446 | $120,540 | $71,412 | +160% | $92,217 | +101% | ≈375% of Medicare |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $169,363 | $110,086 | $132,218 | +28% | $138,008 | +23% | ≈263% of Medicare |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $156,532 | $101,746 | $156,532 | +0% | $131,961 | +19% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $152,019 | $98,812 | $71,017 | +114% | $57,963 | +162% | — |
| 245 | AICD GENERATOR PROCEDURES | $129,515 | $84,185 | $70,177 | +85% | $72,076 | +80% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $128,984 | $83,840 | $104,014 | +24% | $96,905 | +33% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $111,518 | $72,487 | $71,772 | +55% | $39,093 | +185% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $110,158 | $71,603 | $64,704 | +70% | $72,782 | +51% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $107,618 | $69,952 | $69,995 | +54% | $46,659 | +131% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $105,864 | $68,812 | $121,541 | −13% | $116,058 | −9% | — |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $104,590 | $67,983 | $103,747 | +1% | $65,216 | +60% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $104,501 | $67,926 | $71,975 | +45% | $67,764 | +54% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $103,630 | $67,359 | $63,024 | +64% | $72,945 | +42% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $103,271 | $67,126 | $95,039 | +9% | $99,423 | +4% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $102,027 | $66,318 | $89,532 | +14% | $66,819 | +53% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $100,767 | $65,498 | $71,377 | +41% | $59,537 | +69% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $100,293 | $65,190 | $60,673 | +65% | $68,880 | +46% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $99,706 | $64,809 | $61,750 | +61% | $72,859 | +37% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $99,490 | $64,669 | $96,742 | +3% | $74,274 | +34% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $97,378 | $63,296 | $69,829 | +39% | $53,746 | +81% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $96,032 | $62,421 | $53,866 | +78% | $62,269 | +54% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $94,041 | $61,127 | $89,854 | +5% | $86,390 | +9% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $93,777 | $60,955 | $55,822 | +68% | $53,141 | +76% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $93,688 | $60,897 | $77,429 | +21% | $87,018 | +8% | ≈165% of Medicare |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $93,465 | $60,753 | $70,218 | +33% | $63,984 | +46% | ≈317% of Medicare |
| 263 | VEIN LIGATION AND STRIPPING | $91,915 | $59,745 | $48,392 | +90% | $44,938 | +105% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $91,376 | $59,394 | $68,201 | +34% | $88,307 | +3% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $91,207 | $59,285 | $71,887 | +27% | $68,006 | +34% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $90,803 | $59,022 | $72,865 | +25% | $80,885 | +12% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $90,670 | $58,935 | $39,638 | +129% | $31,909 | +184% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $90,156 | $58,601 | $75,448 | +19% | $88,050 | +2% | ≈220% of Medicare |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $89,704 | $58,307 | $62,076 | +45% | $80,747 | +11% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $89,139 | $57,941 | $31,788 | +180% | $33,490 | +166% | — |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $89,103 | $57,917 | $38,596 | +131% | $40,947 | +118% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $88,549 | $57,557 | $34,284 | +158% | $36,237 | +144% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $88,326 | $57,412 | $46,529 | +90% | $45,059 | +96% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $87,581 | $56,928 | $31,965 | +174% | $45,622 | +92% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $87,532 | $56,895 | $36,878 | +137% | $51,985 | +68% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $86,942 | $56,513 | $72,936 | +19% | $57,149 | +52% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $86,665 | $56,332 | $58,613 | +48% | $71,755 | +21% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $86,624 | $56,305 | $35,895 | +141% | $30,910 | +180% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $84,657 | $55,027 | $43,800 | +93% | $47,277 | +79% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $84,213 | $54,738 | $63,314 | +33% | $56,519 | +49% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $83,879 | $54,522 | $60,535 | +39% | $74,257 | +13% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $83,548 | $54,306 | $59,303 | +41% | $56,394 | +48% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $82,253 | $53,465 | $60,197 | +37% | $62,821 | +31% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $81,894 | $53,231 | $39,849 | +106% | $40,583 | +102% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $81,293 | $52,840 | $52,273 | +56% | $49,197 | +65% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $80,873 | $52,567 | $57,746 | +40% | $41,380 | +95% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $80,286 | $52,186 | $30,359 | +164% | $29,805 | +169% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $80,061 | $52,039 | $68,421 | +17% | $54,772 | +46% | ≈68% of Medicare |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $80,055 | $52,035 | $80,581 | −1% | $50,624 | +58% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $79,902 | $51,936 | $30,005 | +166% | $43,080 | +85% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $79,552 | $51,709 | $58,467 | +36% | $57,855 | +38% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $79,159 | $51,453 | $48,493 | +63% | $49,631 | +59% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $78,834 | $51,242 | $64,285 | +23% | $71,701 | +10% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $77,744 | $50,533 | $50,084 | +55% | $50,919 | +53% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $77,500 | $50,375 | $49,333 | +57% | $51,953 | +49% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $76,180 | $49,517 | $76,836 | −1% | $51,339 | +48% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $76,068 | $49,444 | $21,860 | +248% | $20,938 | +263% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $76,045 | $49,429 | $41,574 | +83% | $58,043 | +31% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $75,818 | $49,282 | $41,231 | +84% | $52,405 | +45% | ≈287% of Medicare |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $74,280 | $48,282 | $51,096 | +45% | $51,172 | +45% | ≈382% of Medicare |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $73,102 | $47,516 | $26,083 | +180% | $35,528 | +106% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $72,798 | $47,319 | $65,996 | +10% | $48,680 | +50% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $72,544 | $47,153 | $38,722 | +87% | $54,824 | +32% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $71,840 | $46,696 | $28,604 | +151% | $32,204 | +123% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $71,495 | $46,472 | $38,549 | +85% | $37,975 | +88% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $71,389 | $46,403 | $60,873 | +17% | $44,989 | +59% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $71,238 | $46,305 | $56,314 | +27% | $41,380 | +72% | — |
| 333 | RECTAL RESECTION WITH CC | $70,931 | $46,105 | $31,512 | +125% | $34,352 | +106% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $70,671 | $45,936 | $70,277 | +1% | $43,775 | +61% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $70,560 | $45,864 | $36,982 | +91% | $55,162 | +28% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $70,251 | $45,663 | $32,668 | +115% | $38,878 | +81% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $69,691 | $45,299 | $47,703 | +46% | $41,660 | +67% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $68,100 | $44,265 | $20,175 | +238% | $23,588 | +189% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $67,627 | $43,957 | $60,051 | +13% | $58,832 | +15% | ≈287% of Medicare |
| 571 | SKIN DEBRIDEMENT WITH CC | $67,547 | $43,905 | $29,818 | +127% | $34,901 | +94% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $67,058 | $43,588 | $47,839 | +40% | $64,749 | +4% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $67,032 | $43,571 | $29,829 | +125% | $32,981 | +103% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $66,198 | $43,029 | $60,697 | +9% | $68,847 | −4% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $65,065 | $42,292 | $30,737 | +112% | $33,050 | +97% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $65,024 | $42,265 | $36,888 | +76% | $50,139 | +30% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $64,632 | $42,011 | $55,676 | +16% | $31,816 | +103% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $64,579 | $41,976 | $51,176 | +26% | $43,266 | +49% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $63,591 | $41,334 | $55,535 | +15% | $54,475 | +17% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $63,125 | $41,031 | $33,119 | +91% | $36,334 | +74% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $62,363 | $40,536 | $25,289 | +147% | $34,354 | +82% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $62,017 | $40,311 | $20,978 | +196% | $30,418 | +104% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $61,391 | $39,904 | $41,990 | +46% | $53,868 | +14% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $61,015 | $39,660 | $59,763 | +2% | $44,600 | +37% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $60,786 | $39,511 | $67,787 | −10% | $57,479 | +6% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $60,776 | $39,504 | $57,379 | +6% | $65,383 | −7% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $60,465 | $39,302 | $29,268 | +107% | $31,062 | +95% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $59,464 | $38,652 | $24,448 | +143% | $36,333 | +64% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $59,426 | $38,627 | $26,909 | +121% | $40,563 | +47% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $59,169 | $38,460 | $67,221 | −12% | $70,132 | −16% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $58,796 | $38,218 | $37,463 | +57% | $42,119 | +40% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $58,023 | $37,715 | $52,411 | +11% | $52,313 | +11% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $57,581 | $37,428 | $32,152 | +79% | $32,936 | +75% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $57,423 | $37,325 | $22,988 | +150% | $31,059 | +85% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $56,946 | $37,015 | $56,946 | +0% | $40,063 | +42% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $56,937 | $37,009 | $51,937 | +10% | $45,817 | +24% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $56,753 | $36,889 | $56,753 | +0% | $35,542 | +60% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $56,629 | $36,809 | $16,431 | +245% | $16,571 | +242% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $56,134 | $36,487 | $35,572 | +58% | $32,538 | +73% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $55,357 | $35,982 | $35,990 | +54% | $39,657 | +40% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $55,304 | $35,948 | $44,748 | +24% | $48,094 | +15% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $55,224 | $35,895 | $23,804 | +132% | $29,484 | +87% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $55,125 | $35,831 | $49,081 | +12% | $44,117 | +25% | ≈347% of Medicare |
| 593 | SKIN ULCERS WITH CC | $54,934 | $35,707 | $14,310 | +284% | $20,470 | +168% | — |
| 199 | PNEUMOTHORAX WITH MCC | $54,560 | $35,464 | $26,106 | +109% | $31,491 | +73% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $54,523 | $35,440 | $40,221 | +36% | $39,747 | +37% | — |
| 100 | SEIZURES WITH MCC | $54,456 | $35,397 | $28,935 | +88% | $35,194 | +55% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $53,947 | $35,065 | $25,994 | +108% | $31,846 | +69% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $53,689 | $34,898 | $35,601 | +51% | $34,887 | +54% | — |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $51,789 | $33,663 | $38,673 | +34% | $35,584 | +46% | — |
| 697 | URETHRAL STRICTURE | $51,659 | $33,578 | $22,153 | +133% | $17,705 | +192% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $51,585 | $33,530 | $32,359 | +59% | $34,535 | +49% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $50,865 | $33,062 | $35,228 | +44% | $39,107 | +30% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $50,803 | $33,022 | $27,175 | +87% | $36,242 | +40% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $50,690 | $32,948 | $36,791 | +38% | $41,703 | +22% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $50,589 | $32,883 | $45,468 | +11% | $45,963 | +10% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $50,581 | $32,878 | $28,270 | +79% | $35,459 | +43% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $50,533 | $32,847 | $34,224 | +48% | $36,097 | +40% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $50,476 | $32,809 | $20,643 | +145% | $35,139 | +44% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $50,324 | $32,710 | $17,494 | +188% | $20,741 | +143% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $50,307 | $32,699 | $46,993 | +7% | $53,817 | −7% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $50,290 | $32,689 | $22,891 | +120% | $25,474 | +97% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $50,228 | $32,649 | $17,613 | +185% | $27,118 | +85% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $50,106 | $32,569 | $25,525 | +96% | $31,128 | +61% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $49,880 | $32,422 | $29,433 | +69% | $36,641 | +36% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $49,677 | $32,290 | $22,523 | +121% | $26,146 | +90% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $49,080 | $31,902 | $29,127 | +69% | $42,881 | +14% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $48,847 | $31,750 | $30,262 | +61% | $32,502 | +50% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $48,279 | $31,381 | $47,162 | +2% | $43,538 | +11% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $47,996 | $31,197 | $24,339 | +97% | $35,770 | +34% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $47,732 | $31,026 | $55,758 | −14% | $50,011 | −5% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $47,671 | $30,986 | $17,967 | +165% | $25,267 | +89% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $47,557 | $30,912 | $24,122 | +97% | $25,434 | +87% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $47,341 | $30,772 | $41,991 | +13% | $49,470 | −4% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $47,247 | $30,710 | $30,146 | +57% | $32,839 | +44% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $47,117 | $30,626 | $47,117 | +0% | $46,066 | +2% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $46,756 | $30,391 | $40,831 | +15% | $35,714 | +31% | ≈248% of Medicare |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $46,148 | $29,996 | $14,472 | +219% | $20,463 | +126% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $45,992 | $29,894 | $27,974 | +64% | $30,974 | +48% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $45,870 | $29,816 | $37,170 | +23% | $32,468 | +41% | ≈281% of Medicare |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $45,416 | $29,520 | $44,886 | +1% | $31,190 | +46% | ≈160% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $45,307 | $29,450 | $28,204 | +61% | $28,156 | +61% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $45,019 | $29,263 | $82,102 | −45% | $95,858 | −53% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $44,280 | $28,782 | $29,138 | +52% | $35,237 | +26% | ≈227% of Medicare |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $43,807 | $28,475 | $16,164 | +171% | $19,894 | +120% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $43,219 | $28,092 | $16,145 | +168% | $22,231 | +94% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $43,049 | $27,982 | $42,048 | +2% | $52,319 | −18% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $42,955 | $27,921 | $26,677 | +61% | $29,476 | +46% | — |
| 813 | COAGULATION DISORDERS | $42,679 | $27,742 | $22,196 | +92% | $30,128 | +42% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $42,305 | $27,498 | $39,040 | +8% | $31,978 | +32% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $42,066 | $27,343 | $35,694 | +18% | $39,409 | +7% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $41,755 | $27,141 | $31,842 | +31% | $29,663 | +41% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $41,666 | $27,083 | $30,490 | +37% | $33,564 | +24% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $41,618 | $27,052 | $20,147 | +107% | $20,147 | +107% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $41,369 | $26,890 | $14,966 | +176% | $18,623 | +122% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $40,856 | $26,556 | $43,948 | −7% | $43,524 | −6% | ≈203% of Medicare |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $40,827 | $26,538 | $35,825 | +14% | $48,682 | −16% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $40,602 | $26,391 | $34,307 | +18% | $29,211 | +39% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $40,439 | $26,285 | $23,581 | +71% | $31,840 | +27% | ≈242% of Medicare |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $40,314 | $26,204 | $40,314 | +0% | $38,836 | +4% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $40,290 | $26,188 | $30,228 | +33% | $30,314 | +33% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $40,173 | $26,112 | $32,252 | +25% | $31,758 | +26% | — |
| 304 | HYPERTENSION WITH MCC | $39,562 | $25,715 | $22,669 | +75% | $24,185 | +64% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $39,022 | $25,364 | $26,949 | +45% | $35,114 | +11% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $38,581 | $25,078 | $32,604 | +18% | $37,064 | +4% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $38,559 | $25,063 | $25,993 | +48% | $25,731 | +50% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $38,161 | $24,805 | $32,284 | +18% | $27,934 | +37% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $38,000 | $24,700 | $24,187 | +57% | $25,152 | +51% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $37,788 | $24,562 | $21,923 | +72% | $24,452 | +55% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $37,504 | $24,378 | $36,403 | +3% | $30,944 | +21% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $37,368 | $24,289 | $29,558 | +26% | $29,031 | +29% | — |
| 602 | CELLULITIS WITH MCC | $37,282 | $24,233 | $21,559 | +73% | $29,347 | +27% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $37,158 | $24,153 | $23,378 | +59% | $30,940 | +20% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $37,024 | $24,066 | $30,256 | +22% | $36,933 | +0% | — |
| 637 | DIABETES WITH MCC | $36,993 | $24,045 | $23,106 | +60% | $28,819 | +28% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $36,962 | $24,025 | $21,760 | +70% | $25,243 | +46% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $36,794 | $23,916 | $14,627 | +152% | $19,854 | +85% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $36,313 | $23,603 | $35,226 | +3% | $25,162 | +44% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $36,265 | $23,573 | $17,730 | +105% | $14,012 | +159% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $36,081 | $23,453 | $19,028 | +90% | $17,715 | +104% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $36,069 | $23,445 | $14,635 | +146% | $19,569 | +84% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $35,972 | $23,382 | $33,617 | +7% | $41,900 | −14% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $35,885 | $23,325 | $24,065 | +49% | $28,252 | +27% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $35,756 | $23,241 | $47,637 | −25% | $54,313 | −34% | — |
| 503 | FOOT PROCEDURES WITH MCC | $35,736 | $23,228 | $35,266 | +1% | $43,901 | −19% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $35,601 | $23,141 | $25,633 | +39% | $20,421 | +74% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $35,560 | $23,114 | $13,719 | +159% | $18,002 | +98% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $35,448 | $23,042 | $16,752 | +112% | $23,571 | +50% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $35,441 | $23,037 | $33,069 | +7% | $36,658 | −3% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $34,961 | $22,725 | $34,642 | +1% | $30,358 | +15% | ≈284% of Medicare |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $34,883 | $22,674 | $30,224 | +15% | $27,492 | +27% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $34,788 | $22,612 | $19,755 | +76% | $22,941 | +52% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $34,738 | $22,580 | $16,723 | +108% | $23,141 | +50% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $34,618 | $22,502 | $24,936 | +39% | $29,757 | +16% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $34,588 | $22,482 | $25,926 | +33% | $26,488 | +31% | ≈317% of Medicare |
| 504 | FOOT PROCEDURES WITH CC | $34,391 | $22,354 | $25,972 | +32% | $36,598 | −6% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $34,292 | $22,290 | $25,341 | +35% | $31,086 | +10% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $34,082 | $22,153 | $34,082 | +0% | $38,357 | −11% | ≈164% of Medicare |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $34,043 | $22,128 | $21,799 | +56% | $18,081 | +88% | ≈444% of Medicare |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $33,953 | $22,069 | $15,696 | +116% | $17,412 | +95% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $33,322 | $21,659 | $12,879 | +159% | $14,861 | +124% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $33,118 | $21,526 | $21,246 | +56% | $26,158 | +27% | ≈253% of Medicare |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $33,115 | $21,525 | $14,126 | +134% | $19,815 | +67% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $33,088 | $21,507 | $19,443 | +70% | $21,213 | +56% | ≈334% of Medicare |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $32,684 | $21,245 | $15,875 | +106% | $18,803 | +74% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $32,567 | $21,168 | $14,276 | +128% | $20,084 | +62% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $32,532 | $21,146 | $26,727 | +22% | $25,704 | +27% | ≈271% of Medicare |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $32,400 | $21,060 | $31,899 | +2% | $36,850 | −12% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $32,261 | $20,969 | $27,782 | +16% | $25,426 | +27% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $32,251 | $20,963 | $13,608 | +137% | $13,527 | +138% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $32,126 | $20,882 | $32,126 | +0% | $36,280 | −11% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $32,001 | $20,801 | $14,121 | +127% | $14,134 | +126% | — |
| 885 | PSYCHOSES | $31,887 | $20,727 | $22,477 | +42% | $21,489 | +48% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $31,745 | $20,634 | $14,753 | +115% | $17,943 | +77% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $31,719 | $20,617 | $28,568 | +11% | $37,842 | −16% | ≈190% of Medicare |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $31,719 | $20,617 | $25,771 | +23% | $30,275 | +5% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $31,472 | $20,457 | $13,438 | +134% | $17,522 | +80% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $31,252 | $20,314 | $14,383 | +117% | $16,156 | +93% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $31,177 | $20,265 | $29,224 | +7% | $32,399 | −4% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $31,072 | $20,197 | $15,072 | +106% | $20,488 | +52% | ≈363% of Medicare |
| 184 | MAJOR CHEST TRAUMA WITH CC | $30,780 | $20,007 | $23,963 | +28% | $20,842 | +48% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $30,515 | $19,835 | $19,377 | +57% | $22,525 | +35% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $30,196 | $19,628 | $10,628 | +184% | $13,368 | +126% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $30,178 | $19,616 | $28,283 | +7% | $37,950 | −20% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $29,721 | $19,318 | $30,159 | −1% | $38,420 | −23% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $29,241 | $19,007 | $20,533 | +42% | $25,010 | +17% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $29,099 | $18,914 | $21,747 | +34% | $17,727 | +64% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $29,047 | $18,881 | $15,902 | +83% | $22,560 | +29% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $29,039 | $18,875 | $12,813 | +127% | $28,134 | +3% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $29,011 | $18,857 | $20,333 | +43% | $23,469 | +24% | ≈120% of Medicare |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $28,997 | $18,848 | $24,816 | +17% | $30,058 | −4% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $28,871 | $18,766 | $19,972 | +45% | $25,020 | +15% | ≈225% of Medicare |
| 200 | PNEUMOTHORAX WITH CC | $28,856 | $18,756 | $19,414 | +49% | $20,573 | +40% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $28,810 | $18,726 | $27,834 | +4% | $30,814 | −7% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $28,765 | $18,697 | $16,262 | +77% | $23,396 | +23% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,750 | $18,688 | $28,750 | +0% | $45,497 | −37% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $28,536 | $18,548 | $17,111 | +67% | $24,136 | +18% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $28,440 | $18,486 | $21,872 | +30% | $19,305 | +47% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $28,381 | $18,447 | $27,844 | +2% | $33,607 | −16% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $28,371 | $18,441 | $18,587 | +53% | $22,982 | +23% | ≈241% of Medicare |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $28,201 | $18,331 | $25,131 | +12% | $23,749 | +19% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $28,110 | $18,272 | $20,485 | +37% | $24,190 | +16% | — |
| 881 | DEPRESSIVE NEUROSES | $28,044 | $18,229 | $15,058 | +86% | $15,058 | +86% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $27,936 | $18,159 | $15,624 | +79% | $16,418 | +70% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $27,751 | $18,038 | $29,858 | −7% | $30,766 | −10% | — |
| 149 | DYSEQUILIBRIUM | $27,684 | $17,994 | $18,504 | +50% | $17,203 | +61% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $27,667 | $17,984 | $23,785 | +16% | $23,496 | +18% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $27,501 | $17,876 | $19,155 | +44% | $24,480 | +12% | ≈191% of Medicare |
| 305 | HYPERTENSION WITHOUT MCC | $27,482 | $17,863 | $18,086 | +52% | $17,144 | +60% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $27,321 | $17,759 | $26,013 | +5% | $32,996 | −17% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $27,294 | $17,741 | $27,294 | +0% | $38,094 | −28% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $27,268 | $17,724 | $24,621 | +11% | $21,886 | +25% | ≈285% of Medicare |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $27,038 | $17,575 | $27,207 | −1% | $30,394 | −11% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $27,034 | $17,572 | $20,777 | +30% | $21,449 | +26% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $26,983 | $17,539 | $21,224 | +27% | $18,428 | +46% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $26,965 | $17,527 | $33,393 | −19% | $26,322 | +2% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $26,743 | $17,383 | $27,837 | −4% | $22,024 | +21% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $26,511 | $17,232 | $19,483 | +36% | $19,483 | +36% | ≈186% of Medicare |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $26,389 | $17,153 | $15,714 | +68% | $16,866 | +56% | — |
| 103 | HEADACHES WITHOUT MCC | $26,203 | $17,032 | $21,901 | +20% | $20,111 | +30% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $26,193 | $17,025 | $12,714 | +106% | $15,876 | +65% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $26,168 | $17,009 | $17,360 | +51% | $20,278 | +29% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $26,162 | $17,005 | $22,855 | +14% | $28,967 | −10% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $26,145 | $16,994 | $37,536 | −30% | $33,694 | −22% | — |
| 312 | SYNCOPE AND COLLAPSE | $26,084 | $16,955 | $17,019 | +53% | $19,342 | +35% | ≈306% of Medicare |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $26,028 | $16,918 | $20,798 | +25% | $22,431 | +16% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $25,900 | $16,835 | $24,216 | +7% | $33,165 | −22% | — |
| 682 | RENAL FAILURE WITH MCC | $25,854 | $16,805 | $22,451 | +15% | $27,854 | −7% | ≈176% of Medicare |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $25,819 | $16,782 | $55,063 | −53% | $80,018 | −68% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $25,623 | $16,655 | $15,684 | +63% | $20,777 | +23% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $25,458 | $16,548 | $13,807 | +84% | $18,150 | +40% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $25,392 | $16,505 | $12,274 | +107% | $12,797 | +98% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $25,178 | $16,366 | $16,402 | +54% | $22,713 | +11% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $25,163 | $16,356 | $23,182 | +9% | $20,106 | +25% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,100 | $16,315 | $40,031 | −37% | $46,402 | −46% | — |
| 101 | SEIZURES WITHOUT MCC | $25,064 | $16,292 | $15,076 | +66% | $19,954 | +26% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $24,983 | $16,239 | $31,745 | −21% | $24,022 | +4% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $24,974 | $16,233 | $16,903 | +48% | $17,700 | +41% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $24,809 | $16,126 | $21,521 | +15% | $23,734 | +5% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $24,781 | $16,108 | $13,698 | +81% | $18,608 | +33% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $24,694 | $16,051 | $17,409 | +42% | $16,212 | +52% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,656 | $16,027 | $34,668 | −29% | $47,546 | −48% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $24,541 | $15,952 | $17,400 | +41% | $16,865 | +46% | ≈337% of Medicare |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $24,490 | $15,919 | $19,541 | +25% | $23,115 | +6% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $24,361 | $15,835 | $17,597 | +38% | $22,781 | +7% | ≈254% of Medicare |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $24,303 | $15,797 | $13,955 | +74% | $19,096 | +27% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $24,221 | $15,743 | $17,038 | +42% | $16,745 | +45% | ≈325% of Medicare |
| 949 | AFTERCARE WITH CC/MCC | $24,213 | $15,739 | $30,459 | −21% | $23,953 | +1% | — |
| 683 | RENAL FAILURE WITH CC | $24,209 | $15,736 | $14,966 | +62% | $18,620 | +30% | ≈286% of Medicare |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $24,168 | $15,709 | $17,526 | +38% | $19,579 | +23% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $24,056 | $15,636 | $16,644 | +45% | $15,607 | +54% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $23,780 | $15,457 | $24,786 | −4% | $20,844 | +14% | — |
| 540 | OSTEOMYELITIS WITH CC | $23,494 | $15,271 | $19,990 | +18% | $23,494 | +0% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $23,393 | $15,206 | $17,492 | +34% | $16,391 | +43% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $23,381 | $15,198 | $13,604 | +72% | $19,001 | +23% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $23,131 | $15,035 | $20,187 | +15% | $18,204 | +27% | ≈294% of Medicare |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $23,021 | $14,963 | $20,988 | +10% | $16,049 | +43% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $22,895 | $14,882 | $15,923 | +44% | $18,918 | +21% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $22,776 | $14,805 | $15,666 | +45% | $17,466 | +30% | ≈310% of Medicare |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $22,696 | $14,752 | $22,272 | +2% | $28,780 | −21% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $22,693 | $14,751 | $24,298 | −7% | $17,273 | +31% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $22,599 | $14,689 | $15,560 | +45% | $14,444 | +56% | — |
| 638 | DIABETES WITH CC | $22,470 | $14,606 | $14,856 | +51% | $18,821 | +19% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $22,449 | $14,592 | $19,323 | +16% | $20,727 | +8% | — |
| 694 | URINARY STONES WITHOUT MCC | $22,361 | $14,535 | $17,295 | +29% | $16,531 | +35% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $22,301 | $14,495 | $19,025 | +17% | $27,244 | −18% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $22,261 | $14,470 | $12,136 | +83% | $18,133 | +23% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $22,255 | $14,466 | $14,346 | +55% | $17,322 | +28% | ≈309% of Medicare |
| 152 | OTITIS MEDIA AND URI WITH MCC | $22,147 | $14,395 | $19,782 | +12% | $19,795 | +12% | — |
| 935 | NON-EXTENSIVE BURNS | $22,096 | $14,362 | $20,942 | +6% | $29,458 | −25% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $22,021 | $14,314 | $22,010 | +0% | $22,032 | −0% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $21,961 | $14,275 | $37,235 | −41% | $36,375 | −40% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,896 | $14,233 | $29,142 | −25% | $35,014 | −37% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $21,868 | $14,214 | $15,987 | +37% | $18,278 | +20% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $21,303 | $13,847 | $25,578 | −17% | $32,689 | −35% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $20,715 | $13,465 | $22,628 | −8% | $24,450 | −15% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $20,586 | $13,381 | $48,759 | −58% | $42,126 | −51% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $20,538 | $13,350 | $13,097 | +57% | $15,370 | +34% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $20,359 | $13,234 | $11,017 | +85% | $13,090 | +56% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $20,298 | $13,194 | $16,416 | +24% | $21,806 | −7% | — |
| 603 | CELLULITIS WITHOUT MCC | $20,280 | $13,182 | $15,793 | +28% | $18,530 | +9% | ≈249% of Medicare |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $20,259 | $13,168 | $21,937 | −8% | $22,850 | −11% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $20,248 | $13,161 | $26,219 | −23% | $27,219 | −26% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $20,215 | $13,140 | $14,238 | +42% | $17,103 | +18% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $20,040 | $13,026 | $20,040 | +0% | $23,350 | −14% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $20,025 | $13,016 | $20,025 | +0% | $22,275 | −10% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $19,859 | $12,908 | $23,197 | −14% | $18,253 | +9% | — |
| 102 | HEADACHES WITH MCC | $19,644 | $12,769 | $21,549 | −9% | $22,544 | −13% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,582 | $12,728 | $26,148 | −25% | $43,491 | −55% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,177 | $12,465 | $47,664 | −60% | $49,710 | −61% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $19,080 | $12,402 | $22,892 | −17% | $26,020 | −27% | — |
| 539 | OSTEOMYELITIS WITH MCC | $19,016 | $12,360 | $35,286 | −46% | $33,746 | −44% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $18,999 | $12,349 | $9,869 | +93% | $14,208 | +34% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $18,883 | $12,274 | $17,536 | +8% | $15,072 | +25% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $18,737 | $12,179 | $10,372 | +81% | $12,044 | +56% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $18,676 | $12,139 | $17,811 | +5% | $17,831 | +5% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $18,396 | $11,958 | $17,490 | +5% | $13,890 | +32% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $18,307 | $11,900 | $14,407 | +27% | $13,081 | +40% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $18,135 | $11,788 | $13,598 | +33% | $17,388 | +4% | — |
| 187 | PLEURAL EFFUSION WITH CC | $18,019 | $11,712 | $20,943 | −14% | $21,467 | −16% | — |
| 639 | DIABETES WITHOUT CC/MCC | $17,879 | $11,621 | $14,109 | +27% | $13,910 | +29% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $17,639 | $11,465 | $31,901 | −45% | $32,483 | −46% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $17,276 | $11,229 | $15,220 | +14% | $15,077 | +15% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $17,236 | $11,204 | $23,818 | −28% | $21,545 | −20% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $17,085 | $11,105 | $14,403 | +19% | $15,636 | +9% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $17,076 | $11,099 | $13,766 | +24% | $15,045 | +13% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $16,974 | $11,033 | $16,472 | +3% | $13,824 | +23% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $16,844 | $10,948 | $20,226 | −17% | $20,968 | −20% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $16,714 | $10,864 | $17,138 | −2% | $20,007 | −16% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $16,459 | $10,699 | $15,714 | +5% | $14,368 | +15% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $16,305 | $10,598 | $14,028 | +16% | $13,318 | +22% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $16,293 | $10,590 | $23,798 | −32% | $20,732 | −21% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $16,235 | $10,553 | $11,908 | +36% | $13,384 | +21% | ≈234% of Medicare |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $16,213 | $10,538 | $15,113 | +7% | $18,282 | −11% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $16,187 | $10,522 | $16,249 | −0% | $17,367 | −7% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $15,733 | $10,226 | $15,733 | +0% | $14,880 | +6% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $15,725 | $10,221 | $13,483 | +17% | $16,837 | −7% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $15,682 | $10,194 | $15,603 | +1% | $18,191 | −14% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $15,578 | $10,126 | $6,528 | +139% | $12,381 | +26% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,487 | $10,066 | $15,129 | +2% | $15,070 | +3% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,482 | $10,063 | $14,252 | +9% | $17,928 | −14% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $15,455 | $10,046 | $18,455 | −16% | $15,600 | −1% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $15,311 | $9,952 | $15,701 | −2% | $16,104 | −5% | — |
| 693 | URINARY STONES WITH MCC | $15,253 | $9,915 | $20,168 | −24% | $22,525 | −32% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $15,175 | $9,863 | $13,548 | +12% | $14,927 | +2% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $15,168 | $9,859 | $14,012 | +8% | $13,892 | +9% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $14,985 | $9,740 | $14,197 | +6% | $14,473 | +4% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $14,882 | $9,673 | $16,379 | −9% | $21,181 | −30% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $14,770 | $9,601 | $16,905 | −13% | $39,563 | −63% | — |
| 313 | CHEST PAIN | $14,560 | $9,464 | $12,453 | +17% | $15,962 | −9% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,766 | $8,948 | $13,766 | +0% | $19,091 | −28% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $13,725 | $8,921 | $5,877 | +134% | $9,076 | +51% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $13,391 | $8,704 | $5,861 | +128% | $12,895 | +4% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $13,373 | $8,692 | $13,557 | −1% | $19,287 | −31% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $13,029 | $8,469 | $16,967 | −23% | $24,017 | −46% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,946 | $8,415 | $18,696 | −31% | $23,723 | −45% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $12,146 | $7,895 | $11,525 | +5% | $14,166 | −14% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $11,786 | $7,661 | $11,786 | +0% | $15,680 | −25% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $11,636 | $7,563 | $10,480 | +11% | $13,623 | −15% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,456 | $7,446 | $30,598 | −63% | $38,885 | −71% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,349 | $7,377 | $20,937 | −46% | $24,118 | −53% | — |
| 865 | VIRAL ILLNESS WITH MCC | $11,220 | $7,293 | $22,927 | −51% | $26,088 | −57% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $11,107 | $7,220 | $16,498 | −33% | $12,279 | −10% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,892 | $7,080 | $11,173 | −3% | $14,128 | −23% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,450 | $6,792 | $11,085 | −6% | $14,284 | −27% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,162 | $6,605 | $11,804 | −14% | $16,719 | −39% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,056 | $2,636 | $10,836 | −63% | $11,633 | −65% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,987 | $2,592 | $8,202 | −51% | $7,961 | −50% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,849 | $2,502 | $14,533 | −74% | $17,731 | −78% | — |
| 795 | NORMAL NEWBORN | $2,682 | $1,744 | $5,787 | −54% | $4,530 | −41% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,419 | $1,572 | $12,919 | −81% | $16,634 | −85% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,415 | $1,570 | $7,382 | −67% | $12,013 | −80% | — |
Procedures with negotiated rates only
These 1 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.
| DRG | Description | Insurance rate range | Payers |
|---|---|---|---|
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $7,145 – $7,145 · median $7,145 | 1 plans |
No procedures match that keyword.