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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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 | $204,424 | +12% | $113,855 | +101% | — |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $185,446 | $120,540 | $174,023 | +7% | $92,217 | +101% | ≈375% of Medicare |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $169,363 | $110,086 | $186,861 | −9% | $148,832 | +14% | ≈263% of Medicare |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $156,532 | $101,746 | $227,248 | −31% | $131,961 | +19% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $152,019 | $98,812 | $93,250 | +63% | $62,264 | +144% | — |
| 245 | AICD GENERATOR PROCEDURES | $129,515 | $84,185 | $113,673 | +14% | $72,076 | +80% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $128,984 | $83,840 | $144,124 | −11% | $96,905 | +33% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $111,518 | $72,487 | $81,376 | +37% | $41,620 | +168% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $110,158 | $71,603 | $72,274 | +52% | $75,573 | +46% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $107,618 | $69,952 | $95,911 | +12% | $49,423 | +118% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $105,864 | $68,812 | $105,864 | +0% | $116,058 | −9% | — |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $104,590 | $67,983 | $122,079 | −14% | $65,216 | +60% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $104,501 | $67,926 | $99,833 | +5% | $70,467 | +48% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $103,630 | $67,359 | $88,076 | +18% | $77,990 | +33% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $103,271 | $67,126 | $86,237 | +20% | $99,423 | +4% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $102,027 | $66,318 | $108,332 | −6% | $71,464 | +43% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $100,767 | $65,498 | $100,767 | +0% | $59,537 | +69% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $100,293 | $65,190 | $54,916 | +83% | $70,847 | +42% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $99,706 | $64,809 | $80,728 | +24% | $76,001 | +31% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $99,490 | $64,669 | $99,374 | +0% | $81,706 | +22% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $97,378 | $63,296 | $54,994 | +77% | $57,454 | +69% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $96,032 | $62,421 | $79,545 | +21% | $68,653 | +40% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $94,041 | $61,127 | $97,437 | −3% | $90,775 | +4% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $93,777 | $60,955 | $92,767 | +1% | $56,755 | +65% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $93,688 | $60,897 | $85,558 | +10% | $93,172 | +1% | ≈165% of Medicare |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $93,465 | $60,753 | $70,053 | +33% | $65,653 | +42% | ≈317% of Medicare |
| 263 | VEIN LIGATION AND STRIPPING | $91,915 | $59,745 | $120,065 | −23% | $51,253 | +79% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $91,376 | $59,394 | $131,974 | −31% | $88,307 | +3% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $91,207 | $59,285 | $100,365 | −9% | $71,795 | +27% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $90,803 | $59,022 | $90,803 | +0% | $87,761 | +3% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $90,670 | $58,935 | $51,392 | +76% | $34,276 | +165% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $90,156 | $58,601 | $76,474 | +18% | $88,050 | +2% | ≈220% of Medicare |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $89,704 | $58,307 | $69,008 | +30% | $80,793 | +11% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $89,139 | $57,941 | $38,684 | +130% | $35,074 | +154% | — |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $89,103 | $57,917 | $47,354 | +88% | $44,222 | +101% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $88,549 | $57,557 | $83,776 | +6% | $36,489 | +143% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $88,326 | $57,412 | $32,385 | +173% | $47,737 | +85% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $87,581 | $56,928 | $79,513 | +10% | $46,724 | +87% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $87,532 | $56,895 | $34,970 | +150% | $51,985 | +68% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $86,942 | $56,513 | $83,551 | +4% | $58,707 | +48% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $86,665 | $56,332 | $63,645 | +36% | $71,755 | +21% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $86,624 | $56,305 | $71,913 | +20% | $33,661 | +157% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $84,657 | $55,027 | $84,657 | +0% | $51,608 | +64% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $84,213 | $54,738 | $62,922 | +34% | $58,280 | +44% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $83,879 | $54,522 | $88,051 | −5% | $74,257 | +13% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $83,548 | $54,306 | $55,527 | +50% | $59,651 | +40% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $82,253 | $53,465 | $82,253 | +0% | $62,821 | +31% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $81,894 | $53,231 | $50,635 | +62% | $43,298 | +89% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $81,293 | $52,840 | $52,273 | +56% | $50,607 | +61% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $80,873 | $52,567 | $73,299 | +10% | $46,295 | +75% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $80,286 | $52,186 | $54,556 | +47% | $29,805 | +169% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $80,061 | $52,039 | $77,379 | +3% | $58,809 | +36% | ≈68% of Medicare |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $80,055 | $52,035 | $80,055 | +0% | $50,624 | +58% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $79,902 | $51,936 | $79,902 | +0% | $43,080 | +85% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $79,552 | $51,709 | $100,045 | −20% | $59,533 | +34% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $79,159 | $51,453 | $72,710 | +9% | $50,394 | +57% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $78,834 | $51,242 | $69,815 | +13% | $77,817 | +1% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $77,744 | $50,533 | $81,876 | −5% | $50,919 | +53% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $77,500 | $50,375 | $48,557 | +60% | $51,953 | +49% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $76,180 | $49,517 | $90,048 | −15% | $59,629 | +28% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $76,068 | $49,444 | $38,317 | +99% | $24,056 | +216% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $76,045 | $49,429 | $87,333 | −13% | $58,043 | +31% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $75,818 | $49,282 | $49,471 | +53% | $52,405 | +45% | ≈287% of Medicare |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $74,280 | $48,282 | $48,731 | +52% | $52,751 | +41% | ≈382% of Medicare |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $73,102 | $47,516 | $44,138 | +66% | $36,253 | +102% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $72,798 | $47,319 | $69,397 | +5% | $52,075 | +40% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $72,544 | $47,153 | $72,544 | +0% | $59,421 | +22% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $71,840 | $46,696 | $25,707 | +179% | $33,255 | +116% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $71,495 | $46,472 | $32,168 | +122% | $39,619 | +80% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $71,389 | $46,403 | $80,060 | −11% | $49,418 | +44% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $71,238 | $46,305 | $70,500 | +1% | $46,340 | +54% | — |
| 333 | RECTAL RESECTION WITH CC | $70,931 | $46,105 | $70,931 | +0% | $37,154 | +91% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $70,671 | $45,936 | $70,671 | +0% | $44,139 | +60% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $70,560 | $45,864 | $53,115 | +33% | $55,162 | +28% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $70,251 | $45,663 | $70,251 | +0% | $38,878 | +81% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $69,691 | $45,299 | $54,412 | +28% | $42,914 | +62% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $68,100 | $44,265 | $43,011 | +58% | $25,581 | +166% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $67,627 | $43,957 | $61,448 | +10% | $59,500 | +14% | ≈287% of Medicare |
| 571 | SKIN DEBRIDEMENT WITH CC | $67,547 | $43,905 | $29,003 | +133% | $37,169 | +82% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $67,058 | $43,588 | $76,901 | −13% | $66,666 | +1% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $67,032 | $43,571 | $43,261 | +55% | $37,844 | +77% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $66,198 | $43,029 | $66,198 | +0% | $70,177 | −6% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $65,065 | $42,292 | $58,914 | +10% | $38,861 | +67% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $65,024 | $42,265 | $33,546 | +94% | $50,139 | +30% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $64,632 | $42,011 | $64,632 | +0% | $35,465 | +82% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $64,579 | $41,976 | $46,342 | +39% | $43,477 | +49% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $63,591 | $41,334 | $62,061 | +2% | $59,790 | +6% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $63,125 | $41,031 | $61,557 | +3% | $39,181 | +61% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $62,363 | $40,536 | $41,201 | +51% | $34,354 | +82% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $62,017 | $40,311 | $55,465 | +12% | $30,418 | +104% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $61,391 | $39,904 | $61,391 | +0% | $58,274 | +5% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $61,015 | $39,660 | $64,033 | −5% | $46,283 | +32% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $60,786 | $39,511 | $73,539 | −17% | $61,872 | −2% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $60,776 | $39,504 | $95,864 | −37% | $66,068 | −8% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $60,465 | $39,302 | $42,819 | +41% | $33,048 | +83% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $59,464 | $38,652 | $55,728 | +7% | $36,354 | +64% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $59,426 | $38,627 | $26,909 | +121% | $40,642 | +46% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $59,169 | $38,460 | $59,169 | +0% | $70,132 | −16% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $58,796 | $38,218 | $42,784 | +37% | $44,606 | +32% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $58,023 | $37,715 | $58,023 | +0% | $53,451 | +9% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $57,581 | $37,428 | $43,620 | +32% | $33,653 | +71% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $57,423 | $37,325 | $23,545 | +144% | $33,633 | +71% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $56,946 | $37,015 | $57,423 | −1% | $41,591 | +37% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $56,937 | $37,009 | $41,548 | +37% | $46,090 | +24% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $56,753 | $36,889 | $60,380 | −6% | $39,887 | +42% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $56,629 | $36,809 | $22,292 | +154% | $17,601 | +222% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $56,134 | $36,487 | $68,372 | −18% | $36,670 | +53% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $55,357 | $35,982 | $45,674 | +21% | $40,362 | +37% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $55,304 | $35,948 | $46,211 | +20% | $52,178 | +6% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $55,224 | $35,895 | $24,704 | +124% | $30,502 | +81% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $55,125 | $35,831 | $30,140 | +83% | $44,117 | +25% | ≈347% of Medicare |
| 593 | SKIN ULCERS WITH CC | $54,934 | $35,707 | $19,063 | +188% | $22,886 | +140% | — |
| 199 | PNEUMOTHORAX WITH MCC | $54,560 | $35,464 | $26,106 | +109% | $33,787 | +61% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $54,523 | $35,440 | $40,221 | +36% | $41,955 | +30% | — |
| 100 | SEIZURES WITH MCC | $54,456 | $35,397 | $46,610 | +17% | $35,481 | +53% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $53,947 | $35,065 | $53,947 | +0% | $33,386 | +62% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $53,689 | $34,898 | $26,486 | +103% | $36,937 | +45% | — |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $51,789 | $33,663 | $51,789 | +0% | $35,584 | +46% | — |
| 697 | URETHRAL STRICTURE | $51,659 | $33,578 | $35,686 | +45% | $18,428 | +180% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $51,585 | $33,530 | $64,473 | −20% | $34,535 | +49% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $50,865 | $33,062 | $33,615 | +51% | $40,162 | +27% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $50,803 | $33,022 | $26,206 | +94% | $38,101 | +33% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $50,690 | $32,948 | $88,185 | −43% | $45,167 | +12% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $50,589 | $32,883 | $40,029 | +26% | $47,711 | +6% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $50,581 | $32,878 | $31,786 | +59% | $40,562 | +25% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $50,533 | $32,847 | $38,512 | +31% | $39,173 | +29% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $50,476 | $32,809 | $50,476 | +0% | $36,249 | +39% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $50,324 | $32,710 | $41,411 | +22% | $24,566 | +105% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $50,307 | $32,699 | $50,307 | +0% | $53,864 | −7% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $50,290 | $32,689 | $30,086 | +67% | $27,401 | +84% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $50,228 | $32,649 | $15,575 | +223% | $27,152 | +85% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $50,106 | $32,569 | $25,056 | +100% | $34,273 | +46% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $49,880 | $32,422 | $49,880 | +0% | $39,627 | +26% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $49,677 | $32,290 | $21,147 | +135% | $27,297 | +82% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $49,080 | $31,902 | $29,990 | +64% | $42,881 | +14% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $48,847 | $31,750 | $30,808 | +59% | $32,628 | +50% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $48,279 | $31,381 | $43,966 | +10% | $43,538 | +11% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $47,996 | $31,197 | $55,919 | −14% | $35,770 | +34% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $47,732 | $31,026 | $51,703 | −8% | $50,011 | −5% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $47,671 | $30,986 | $48,109 | −1% | $26,618 | +79% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $47,557 | $30,912 | $48,606 | −2% | $27,975 | +70% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $47,341 | $30,772 | $34,655 | +37% | $50,463 | −6% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $47,247 | $30,710 | $36,487 | +29% | $32,443 | +46% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $47,117 | $30,626 | $76,523 | −38% | $46,066 | +2% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $46,756 | $30,391 | $40,831 | +15% | $39,106 | +20% | ≈248% of Medicare |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $46,148 | $29,996 | $15,158 | +204% | $20,463 | +126% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $45,992 | $29,894 | $27,287 | +69% | $33,047 | +39% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $45,870 | $29,816 | $42,602 | +8% | $33,834 | +36% | ≈281% of Medicare |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $45,416 | $29,520 | $47,557 | −5% | $32,021 | +42% | ≈160% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $45,307 | $29,450 | $39,185 | +16% | $28,156 | +61% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $45,019 | $29,263 | $181,065 | −75% | $113,077 | −60% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $44,280 | $28,782 | $28,660 | +55% | $35,628 | +24% | ≈227% of Medicare |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $43,807 | $28,475 | $24,648 | +78% | $22,320 | +96% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $43,219 | $28,092 | $16,823 | +157% | $22,763 | +90% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $43,049 | $27,982 | $41,047 | +5% | $53,257 | −19% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $42,955 | $27,921 | $47,954 | −10% | $32,433 | +32% | — |
| 813 | COAGULATION DISORDERS | $42,679 | $27,742 | $23,285 | +83% | $33,296 | +28% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $42,305 | $27,498 | $35,774 | +18% | $32,841 | +29% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $42,066 | $27,343 | $43,193 | −3% | $39,973 | +5% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $41,755 | $27,141 | $41,755 | +0% | $32,100 | +30% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $41,666 | $27,083 | $57,051 | −27% | $39,515 | +5% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $41,618 | $27,052 | $35,795 | +16% | $19,270 | +116% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $41,369 | $26,890 | $14,712 | +181% | $19,227 | +115% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $40,856 | $26,556 | $29,127 | +40% | $43,943 | −7% | ≈203% of Medicare |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $40,827 | $26,538 | $36,625 | +11% | $48,682 | −16% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $40,602 | $26,391 | $39,482 | +3% | $29,743 | +37% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $40,439 | $26,285 | $24,174 | +67% | $33,707 | +20% | ≈242% of Medicare |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $40,314 | $26,204 | $43,030 | −6% | $38,836 | +4% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $40,290 | $26,188 | $29,680 | +36% | $31,321 | +29% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $40,173 | $26,112 | $40,173 | +0% | $33,555 | +20% | — |
| 304 | HYPERTENSION WITH MCC | $39,562 | $25,715 | $18,442 | +115% | $26,080 | +52% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $39,022 | $25,364 | $27,401 | +42% | $36,792 | +6% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $38,581 | $25,078 | $32,604 | +18% | $41,892 | −8% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $38,559 | $25,063 | $38,559 | +0% | $27,316 | +41% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $38,161 | $24,805 | $21,454 | +78% | $28,226 | +35% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $38,000 | $24,700 | $52,649 | −28% | $25,073 | +52% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $37,788 | $24,562 | $21,923 | +72% | $25,279 | +49% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $37,504 | $24,378 | $30,400 | +23% | $32,645 | +15% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $37,368 | $24,289 | $36,053 | +4% | $31,105 | +20% | — |
| 602 | CELLULITIS WITH MCC | $37,282 | $24,233 | $22,262 | +67% | $30,598 | +22% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $37,158 | $24,153 | $37,158 | +0% | $32,031 | +16% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $37,024 | $24,066 | $30,545 | +21% | $40,213 | −8% | — |
| 637 | DIABETES WITH MCC | $36,993 | $24,045 | $22,095 | +67% | $30,100 | +23% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $36,962 | $24,025 | $21,873 | +69% | $26,932 | +37% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $36,794 | $23,916 | $26,535 | +39% | $19,854 | +85% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $36,313 | $23,603 | $35,769 | +2% | $27,843 | +30% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $36,265 | $23,573 | $19,016 | +91% | $14,415 | +152% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $36,081 | $23,453 | $19,028 | +90% | $18,126 | +99% | — |
| 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 | $31,474 | +14% | $45,333 | −21% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $35,885 | $23,325 | $23,254 | +54% | $30,010 | +20% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $35,756 | $23,241 | $48,702 | −27% | $58,228 | −39% | — |
| 503 | FOOT PROCEDURES WITH MCC | $35,736 | $23,228 | $37,544 | −5% | $47,540 | −25% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $35,601 | $23,141 | $36,080 | −1% | $21,847 | +63% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $35,560 | $23,114 | $21,720 | +64% | $18,002 | +98% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $35,448 | $23,042 | $15,849 | +124% | $23,571 | +50% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $35,441 | $23,037 | $35,441 | +0% | $36,658 | −3% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $34,961 | $22,725 | $34,642 | +1% | $31,264 | +12% | ≈284% of Medicare |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $34,883 | $22,674 | $35,627 | −2% | $28,320 | +23% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $34,788 | $22,612 | $19,755 | +76% | $23,198 | +50% | — |
| 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 | $24,068 | +44% | $30,959 | +12% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $34,588 | $22,482 | $27,265 | +27% | $26,770 | +29% | ≈317% of Medicare |
| 504 | FOOT PROCEDURES WITH CC | $34,391 | $22,354 | $25,972 | +32% | $38,960 | −12% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $34,292 | $22,290 | $34,920 | −2% | $34,017 | +1% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $34,082 | $22,153 | $40,312 | −15% | $38,666 | −12% | ≈164% of Medicare |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $34,043 | $22,128 | $25,112 | +36% | $18,081 | +88% | ≈444% of Medicare |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $33,953 | $22,069 | $30,333 | +12% | $18,640 | +82% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $33,322 | $21,659 | $33,322 | +0% | $16,565 | +101% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $33,118 | $21,526 | $20,296 | +63% | $27,275 | +21% | ≈253% of Medicare |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $33,115 | $21,525 | $13,432 | +147% | $19,846 | +67% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $33,088 | $21,507 | $15,703 | +111% | $21,396 | +55% | ≈334% of Medicare |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $32,684 | $21,245 | $15,875 | +106% | $19,842 | +65% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $32,567 | $21,168 | $14,171 | +130% | $20,084 | +62% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $32,532 | $21,146 | $29,011 | +12% | $26,580 | +22% | ≈271% of Medicare |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $32,400 | $21,060 | $43,657 | −26% | $38,070 | −15% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $32,261 | $20,969 | $25,575 | +26% | $27,543 | +17% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $32,251 | $20,963 | $34,426 | −6% | $13,527 | +138% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $32,126 | $20,882 | $32,126 | +0% | $36,431 | −12% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $32,001 | $20,801 | $11,458 | +179% | $15,038 | +113% | — |
| 885 | PSYCHOSES | $31,887 | $20,727 | $21,489 | +48% | $21,729 | +47% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $31,745 | $20,634 | $17,159 | +85% | $18,956 | +67% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $31,719 | $20,617 | $28,021 | +13% | $37,842 | −16% | ≈190% of Medicare |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $31,719 | $20,617 | $26,307 | +21% | $31,159 | +2% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $31,472 | $20,457 | $13,438 | +134% | $17,620 | +79% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $31,252 | $20,314 | $19,148 | +63% | $19,138 | +63% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $31,177 | $20,265 | $29,423 | +6% | $33,985 | −8% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $31,072 | $20,197 | $15,172 | +105% | $20,488 | +52% | ≈363% of Medicare |
| 184 | MAJOR CHEST TRAUMA WITH CC | $30,780 | $20,007 | $31,456 | −2% | $22,432 | +37% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $30,515 | $19,835 | $30,162 | +1% | $22,525 | +35% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $30,196 | $19,628 | $17,198 | +76% | $13,633 | +121% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $30,178 | $19,616 | $26,875 | +12% | $37,950 | −20% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $29,721 | $19,318 | $30,598 | −3% | $43,650 | −32% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $29,241 | $19,007 | $21,642 | +35% | $27,808 | +5% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $29,099 | $18,914 | $29,995 | −3% | $17,921 | +62% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $29,047 | $18,881 | $14,447 | +101% | $23,283 | +25% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $29,039 | $18,875 | $24,475 | +19% | $30,235 | −4% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $29,011 | $18,857 | $16,392 | +77% | $23,940 | +21% | ≈120% of Medicare |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $28,997 | $18,848 | $25,010 | +16% | $32,496 | −11% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $28,871 | $18,766 | $20,129 | +43% | $26,776 | +8% | ≈225% of Medicare |
| 200 | PNEUMOTHORAX WITH CC | $28,856 | $18,756 | $17,568 | +64% | $21,368 | +35% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $28,810 | $18,726 | $27,286 | +6% | $31,951 | −10% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $28,765 | $18,697 | $16,872 | +70% | $23,488 | +22% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $28,750 | $18,688 | $38,646 | −26% | $50,618 | −43% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $28,536 | $18,548 | $16,958 | +68% | $24,914 | +15% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $28,440 | $18,486 | $21,543 | +32% | $19,305 | +47% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $28,381 | $18,447 | $28,112 | +1% | $33,876 | −16% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $28,371 | $18,441 | $18,587 | +53% | $23,617 | +20% | ≈241% of Medicare |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $28,201 | $18,331 | $28,201 | +0% | $23,749 | +19% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $28,110 | $18,272 | $20,485 | +37% | $24,386 | +15% | — |
| 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 | $24,994 | +12% | $16,700 | +67% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $27,751 | $18,038 | $27,751 | +0% | $32,637 | −15% | — |
| 149 | DYSEQUILIBRIUM | $27,684 | $17,994 | $27,684 | +0% | $18,096 | +53% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $27,667 | $17,984 | $23,416 | +18% | $23,551 | +17% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $27,501 | $17,876 | $19,793 | +39% | $25,463 | +8% | ≈191% of Medicare |
| 305 | HYPERTENSION WITHOUT MCC | $27,482 | $17,863 | $18,086 | +52% | $18,086 | +52% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $27,321 | $17,759 | $24,704 | +11% | $33,563 | −19% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $27,294 | $17,741 | $42,701 | −36% | $38,094 | −28% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $27,268 | $17,724 | $21,474 | +27% | $22,098 | +23% | ≈285% of Medicare |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $27,038 | $17,575 | $27,058 | −0% | $32,859 | −18% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $27,034 | $17,572 | $18,650 | +45% | $21,449 | +26% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $26,983 | $17,539 | $30,328 | −11% | $18,316 | +47% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $26,965 | $17,527 | $33,393 | −19% | $27,163 | −1% | — |
| 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% | $20,781 | +28% | ≈186% of Medicare |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $26,389 | $17,153 | $18,203 | +45% | $18,004 | +47% | — |
| 103 | HEADACHES WITHOUT MCC | $26,203 | $17,032 | $21,052 | +24% | $21,280 | +23% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $26,193 | $17,025 | $13,911 | +88% | $17,298 | +51% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $26,168 | $17,009 | $16,818 | +56% | $21,056 | +24% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $26,162 | $17,005 | $24,497 | +7% | $30,828 | −15% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $26,145 | $16,994 | $41,694 | −37% | $33,694 | −22% | — |
| 312 | SYNCOPE AND COLLAPSE | $26,084 | $16,955 | $14,502 | +80% | $19,342 | +35% | ≈306% of Medicare |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $26,028 | $16,918 | $29,674 | −12% | $23,573 | +10% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $25,900 | $16,835 | $26,960 | −4% | $34,459 | −25% | — |
| 682 | RENAL FAILURE WITH MCC | $25,854 | $16,805 | $22,687 | +14% | $29,064 | −11% | ≈176% of Medicare |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $25,819 | $16,782 | $80,018 | −68% | $80,018 | −68% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $25,623 | $16,655 | $15,684 | +63% | $21,363 | +20% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $25,458 | $16,548 | $21,292 | +20% | $18,150 | +40% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $25,392 | $16,505 | $18,723 | +36% | $13,651 | +86% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $25,178 | $16,366 | $16,402 | +54% | $25,303 | −0% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $25,163 | $16,356 | $35,919 | −30% | $21,941 | +15% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $25,100 | $16,315 | $41,952 | −40% | $46,402 | −46% | — |
| 101 | SEIZURES WITHOUT MCC | $25,064 | $16,292 | $15,157 | +65% | $20,461 | +22% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $24,983 | $16,239 | $31,208 | −20% | $25,970 | −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 | $36,106 | −31% | $26,280 | −6% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $24,781 | $16,108 | $15,217 | +63% | $20,566 | +20% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $24,694 | $16,051 | $17,409 | +42% | $16,371 | +51% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $24,656 | $16,027 | $33,823 | −27% | $50,498 | −51% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $24,541 | $15,952 | $16,523 | +49% | $17,303 | +42% | ≈337% of Medicare |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $24,490 | $15,919 | $20,217 | +21% | $27,043 | −9% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $24,361 | $15,835 | $16,909 | +44% | $22,888 | +6% | ≈254% of Medicare |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $24,303 | $15,797 | $14,358 | +69% | $19,096 | +27% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $24,221 | $15,743 | $17,038 | +42% | $17,038 | +42% | ≈325% of Medicare |
| 949 | AFTERCARE WITH CC/MCC | $24,213 | $15,739 | $40,275 | −40% | $23,953 | +1% | — |
| 683 | RENAL FAILURE WITH CC | $24,209 | $15,736 | $14,731 | +64% | $19,130 | +27% | ≈286% of Medicare |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $24,168 | $15,709 | $17,089 | +41% | $20,422 | +18% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $24,056 | $15,636 | $24,798 | −3% | $15,837 | +52% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $23,780 | $15,457 | $47,922 | −50% | $22,446 | +6% | — |
| 540 | OSTEOMYELITIS WITH CC | $23,494 | $15,271 | $23,494 | +0% | $26,676 | −12% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $23,393 | $15,206 | $14,678 | +59% | $17,081 | +37% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $23,381 | $15,198 | $13,606 | +72% | $19,962 | +17% | — |
| 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 | $16,699 | +38% | $16,699 | +38% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $22,895 | $14,882 | $15,923 | +44% | $20,181 | +13% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $22,776 | $14,805 | $15,666 | +45% | $17,674 | +29% | ≈310% of Medicare |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $22,696 | $14,752 | $22,484 | +1% | $30,571 | −26% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $22,693 | $14,751 | $27,315 | −17% | $17,724 | +28% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $22,599 | $14,689 | $17,372 | +30% | $14,648 | +54% | — |
| 638 | DIABETES WITH CC | $22,470 | $14,606 | $15,098 | +49% | $19,661 | +14% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $22,449 | $14,592 | $20,876 | +8% | $20,727 | +8% | — |
| 694 | URINARY STONES WITHOUT MCC | $22,361 | $14,535 | $16,822 | +33% | $17,345 | +29% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $22,301 | $14,495 | $19,865 | +12% | $28,050 | −20% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $22,261 | $14,470 | $18,133 | +23% | $18,133 | +23% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $22,255 | $14,466 | $13,321 | +67% | $17,322 | +28% | ≈309% of Medicare |
| 152 | OTITIS MEDIA AND URI WITH MCC | $22,147 | $14,395 | $17,922 | +24% | $20,247 | +9% | — |
| 935 | NON-EXTENSIVE BURNS | $22,096 | $14,362 | $32,265 | −32% | $31,701 | −30% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $22,021 | $14,314 | $22,010 | +0% | $22,458 | −2% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $21,961 | $14,275 | $60,611 | −64% | $37,387 | −41% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $21,896 | $14,233 | $28,573 | −23% | $39,955 | −45% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $21,868 | $14,214 | $15,987 | +37% | $18,807 | +16% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $21,303 | $13,847 | $24,687 | −14% | $34,192 | −38% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $20,715 | $13,465 | $22,628 | −8% | $24,586 | −16% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $20,586 | $13,381 | $62,258 | −67% | $42,126 | −51% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $20,538 | $13,350 | $12,686 | +62% | $15,370 | +34% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $20,359 | $13,234 | $11,355 | +79% | $13,275 | +53% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $20,298 | $13,194 | $17,269 | +18% | $23,319 | −13% | — |
| 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 | $30,615 | −34% | $27,277 | −26% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $20,215 | $13,140 | $14,881 | +36% | $16,846 | +20% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $20,040 | $13,026 | $20,455 | −2% | $24,552 | −18% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $20,025 | $13,016 | $35,136 | −43% | $23,498 | −15% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $19,859 | $12,908 | $24,616 | −19% | $18,528 | +7% | — |
| 102 | HEADACHES WITH MCC | $19,644 | $12,769 | $26,814 | −27% | $25,740 | −24% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $19,582 | $12,728 | $38,454 | −49% | $43,491 | −55% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $19,177 | $12,465 | $44,584 | −57% | $49,710 | −61% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $19,080 | $12,402 | $24,282 | −21% | $27,617 | −31% | — |
| 539 | OSTEOMYELITIS WITH MCC | $19,016 | $12,360 | $41,008 | −54% | $37,609 | −49% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $18,999 | $12,349 | $11,501 | +65% | $14,250 | +33% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $18,883 | $12,274 | $21,664 | −13% | $15,495 | +22% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $18,737 | $12,179 | $10,563 | +77% | $12,078 | +55% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $18,676 | $12,139 | $18,676 | +0% | $19,745 | −5% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $18,396 | $11,958 | $20,480 | −10% | $13,942 | +32% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $18,307 | $11,900 | $16,357 | +12% | $14,053 | +30% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $18,135 | $11,788 | $13,598 | +33% | $17,578 | +3% | — |
| 187 | PLEURAL EFFUSION WITH CC | $18,019 | $11,712 | $21,041 | −14% | $21,789 | −17% | — |
| 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 | $45,178 | −61% | $33,851 | −48% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $17,276 | $11,229 | $29,000 | −40% | $16,552 | +4% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $17,236 | $11,204 | $30,066 | −43% | $22,506 | −23% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $17,085 | $11,105 | $15,636 | +9% | $17,733 | −4% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $17,076 | $11,099 | $14,675 | +16% | $15,452 | +11% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $16,974 | $11,033 | $22,958 | −26% | $13,824 | +23% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $16,844 | $10,948 | $16,460 | +2% | $22,033 | −24% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $16,714 | $10,864 | $17,138 | −2% | $20,957 | −20% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $16,459 | $10,699 | $14,969 | +10% | $14,368 | +15% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $16,305 | $10,598 | $13,146 | +24% | $13,361 | +22% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $16,293 | $10,590 | $23,798 | −32% | $21,275 | −23% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $16,235 | $10,553 | $11,178 | +45% | $13,384 | +21% | ≈234% of Medicare |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $16,213 | $10,538 | $16,099 | +1% | $20,895 | −22% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $16,187 | $10,522 | $16,311 | −1% | $18,602 | −13% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $15,733 | $10,226 | $13,813 | +14% | $16,288 | −3% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $15,725 | $10,221 | $13,799 | +14% | $17,118 | −8% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $15,682 | $10,194 | $15,682 | +0% | $19,924 | −21% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $15,578 | $10,126 | $12,216 | +28% | $12,454 | +25% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $15,487 | $10,066 | $14,772 | +5% | $15,183 | +2% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $15,482 | $10,063 | $16,790 | −8% | $18,126 | −15% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $15,455 | $10,046 | $19,330 | −20% | $15,600 | −1% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $15,311 | $9,952 | $15,701 | −2% | $16,767 | −9% | — |
| 693 | URINARY STONES WITH MCC | $15,253 | $9,915 | $22,278 | −32% | $23,892 | −36% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $15,175 | $9,863 | $20,533 | −26% | $14,927 | +2% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $15,168 | $9,859 | $21,329 | −29% | $15,019 | +1% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $14,985 | $9,740 | $12,431 | +21% | $14,583 | +3% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $14,882 | $9,673 | $16,379 | −9% | $22,468 | −34% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $14,770 | $9,601 | $12,195 | +21% | $42,679 | −65% | — |
| 313 | CHEST PAIN | $14,560 | $9,464 | $12,453 | +17% | $16,440 | −11% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $13,766 | $8,948 | $16,423 | −16% | $20,901 | −34% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $13,725 | $8,921 | $4,734 | +190% | $9,940 | +38% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $13,391 | $8,704 | $12,454 | +8% | $12,895 | +4% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $13,373 | $8,692 | $13,373 | +0% | $20,506 | −35% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $13,029 | $8,469 | $17,830 | −27% | $25,034 | −48% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $12,946 | $8,415 | $20,672 | −37% | $24,127 | −46% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $12,146 | $7,895 | $12,146 | +0% | $15,428 | −21% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $11,786 | $7,661 | $15,680 | −25% | $15,680 | −25% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $11,636 | $7,563 | $11,356 | +2% | $13,642 | −15% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $11,456 | $7,446 | $34,614 | −67% | $39,958 | −71% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,349 | $7,377 | $21,240 | −47% | $27,285 | −58% | — |
| 865 | VIRAL ILLNESS WITH MCC | $11,220 | $7,293 | $31,784 | −65% | $26,910 | −58% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $11,107 | $7,220 | $14,809 | −25% | $12,252 | −9% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $10,892 | $7,080 | $11,454 | −5% | $14,128 | −23% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $10,450 | $6,792 | $9,084 | +15% | $16,351 | −36% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $10,162 | $6,605 | $9,638 | +5% | $18,649 | −46% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $4,056 | $2,636 | $7,061 | −43% | $12,229 | −67% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,987 | $2,592 | $7,112 | −44% | $8,445 | −53% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $3,849 | $2,502 | $14,950 | −74% | $18,488 | −79% | — |
| 795 | NORMAL NEWBORN | $2,682 | $1,744 | $5,787 | −54% | $4,720 | −43% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $2,419 | $1,572 | $19,686 | −88% | $16,634 | −85% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $2,415 | $1,570 | $10,205 | −76% | $12,324 | −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.