Frye Regional Medical Center — Pricing
459 procedures published in this hospital's Machine-Readable File (MRF) — 458 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 459
Lowest published price $4,292
Average published price $123,153
Highest published price $987,574
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
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 459 procedures
Published charges
Showing all 458 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 48 procedures, this hospital's negotiated rates average ≈141% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. NC median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 003 | ECMO TRACH MV >96 W OR | $987,574 | $395,030 | $525,648 | +88% | $371,366 | +166% | — |
| 957 | OR PX MULT SIG TRAMA W MCC | $767,556 | $307,022 | $198,739 | +286% | $120,587 | +537% | — |
| 023 | CRANIOTOMY W DEVICE W MCC | $676,041 | $270,416 | $223,937 | +202% | $106,778 | +533% | — |
| 216 | CV & PX W C CATH W MCC | $617,877 | $247,151 | $245,968 | +151% | $175,437 | +252% | — |
| 427 | NEUROSES EXCEPT DEPRESSIVE | $601,308 | $240,523 | $195,081 | +208% | $121,728 | +394% | — |
| 849 | RADIOTHERAPY | $560,732 | $224,293 | $59,196 | +847% | $37,862 | +1381% | — |
| 004 | TRACH/ MV >96 W/O MAJ OR | $555,152 | $222,061 | $388,023 | +43% | $245,241 | +126% | — |
| 217 | CV& PX W C CATH W CC | $543,339 | $217,336 | $168,862 | +222% | $121,714 | +346% | — |
| 215 | OTH HEART ASSIST SYS IMPL | $525,628 | $210,251 | $221,756 | +137% | $191,314 | +175% | — |
| 239 | AMP EXC UP LMB & TOE W MCC | $517,538 | $207,015 | $155,043 | +234% | $87,565 | +491% | — |
| 207 | RESP SYS DX W VENT >96 | $502,508 | $201,003 | $166,794 | +201% | $116,058 | +333% | — |
| 231 | CORN BYPASS W PTCA MCC | $478,264 | $191,306 | $169,463 | +182% | $146,474 | +227% | — |
| 233 | CORN BYPASS W CATH W MCC | $467,687 | $187,075 | $219,681 | +113% | $138,868 | +237% | — |
| 275 | BREAST MALIGNANCY | $457,047 | $182,819 | $265,903 | +72% | $131,961 | +246% | — |
| 235 | CORN BYPASS WO CATH W MCC | $412,934 | $165,173 | $189,145 | +118% | $112,062 | +268% | — |
| 228 | OTH CARDIOTHOR PX W MCC | $411,314 | $164,526 | $129,200 | +218% | $96,905 | +324% | — |
| 218 | CV & PX W C CATH WO CC/MCC | $403,703 | $161,481 | $155,536 | +160% | $92,238 | +338% | — |
| 276 | NONMALIGNANT BRST DISORDER | $394,694 | $157,877 | $167,196 | +136% | $117,280 | +237% | — |
| 269 | ART HRT X PULS BLM WO MCC | $371,995 | $148,798 | $148,324 | +151% | $83,065 | +348% | — |
| 267 | ENDO CARD VLV REPL W/O MCC | $364,036 | $145,614 | $107,983 | +237% | $92,217 | +295% | — |
| 266 | ENDO CARD VLV REPL W MCC | $359,901 | $143,960 | $184,253 | +95% | $113,855 | +216% | ≈100% of Medicare |
| 219 | CV & PX WO C CATH W MCC | $356,548 | $142,619 | $286,862 | +24% | $143,242 | +149% | — |
| 234 | CORN BYPASS W CATH WO MCC | $354,323 | $141,729 | $144,048 | +146% | $102,573 | +245% | ≈107% of Medicare |
| 296 | CARDIAC ARREST, UNEX W MCC | $350,549 | $140,220 | $68,185 | +414% | $30,910 | +1034% | — |
| 001 | HEART TRNPL/IMPL HAS W MCC | $342,402 | $136,961 | $379,558 | −10% | $431,073 | −21% | — |
| 245 | AICD GENERATOR PROCS | $339,483 | $135,793 | $67,840 | +400% | $72,076 | +371% | — |
| 265 | AICD LEAD PROCEDURES | $339,214 | $135,685 | $76,543 | +343% | $56,695 | +498% | — |
| 981 | EXT OR PX UNREL PDX W MCC | $334,892 | $133,957 | $69,289 | +383% | $86,390 | +288% | — |
| 220 | CV & MJ CT PX WO C CTH WCC | $334,615 | $133,846 | $160,160 | +109% | $102,177 | +227% | — |
| 221 | CV & PX WO C CTH WO CC/MCC | $329,857 | $131,943 | $110,670 | +198% | $90,331 | +265% | — |
| 028 | SPINAL PROC W MCC | $323,973 | $129,589 | $194,362 | +67% | $95,858 | +238% | — |
| 447 | ALLERGIC REACTIONS >17 | $321,198 | $128,479 | $223,102 | +44% | $114,914 | +180% | — |
| 453 | ANT/POS SPNAL FUSN W MCC | $314,299 | $125,720 | $538,381 | −42% | $103,861 | +203% | — |
| 329 | MAJ SM/LG BOWEL PX W MCC | $308,019 | $123,208 | $119,451 | +158% | $88,050 | +250% | — |
| 870 | SEPTI OR SEPSI W MV >96HRS | $307,948 | $123,179 | $170,734 | +80% | $138,008 | +123% | — |
| 429 | ORGANIC DIS/MENTAL RETARD | $301,017 | $120,407 | $201,505 | +49% | $120,174 | +150% | — |
| 236 | CORN BYPASS WO CATH WO MCC | $299,129 | $119,652 | $111,525 | +168% | $82,247 | +264% | — |
| 356 | OTH DIGEST PX W MCC | $293,669 | $117,468 | $113,837 | +158% | $82,561 | +256% | — |
| 277 | CELLULITIS >17CC | $292,646 | $117,058 | $116,842 | +150% | $91,329 | +220% | — |
| 843 | OT MYELO DIS DIF NEOP WMCC | $292,172 | $116,869 | $58,452 | +400% | $36,280 | +705% | — |
| 135 | SINUS/MAST PX W CC/MCC | $285,140 | $114,056 | $50,838 | +461% | $40,065 | +612% | — |
| 456 | SPI FUS X CER, FUS W MCC | $283,175 | $113,270 | $248,089 | +14% | $151,029 | +87% | — |
| 555 | S&S MUSC CONN TIS W MCC | $280,508 | $112,203 | $38,060 | +637% | $23,723 | +1082% | — |
| 094 | BAC/TB INF NERV SYS W MCC | $279,186 | $111,675 | $64,872 | +330% | $62,524 | +347% | — |
| 273 | PERC INTRACARDIAC W MCC | $271,246 | $108,498 | $131,675 | +106% | $78,852 | +244% | — |
| 907 | OTH OR PX FOR INJ W MCC | $260,974 | $104,390 | $106,316 | +145% | $71,701 | +264% | — |
| 853 | INF & PAR DIS OR PX W MCC | $252,717 | $101,087 | $93,172 | +171% | $87,018 | +190% | ≈111% of Medicare |
| 428 | PERSONALITY/IMPULSE CNTRL | $248,606 | $99,442 | $111,050 | +124% | $105,899 | +135% | — |
| 163 | MAJ CHEST PX W MCC | $248,502 | $99,401 | $133,292 | +86% | $88,341 | +181% | — |
| 255 | UP LIMB&TOE AMP CSD W MCC | $246,712 | $98,685 | $65,375 | +277% | $43,697 | +465% | — |
| 448 | ALLERGIC REACTIONS <18 | $238,150 | $95,260 | $103,464 | +130% | $81,998 | +190% | — |
| 323 | URINARY STONES W CC/ESWL | $236,193 | $94,477 | $133,868 | +76% | $88,049 | +168% | — |
| 325 | KIDN/URIN SIGNS/SYMP >17CC | $232,212 | $92,885 | $94,235 | +146% | $53,551 | +334% | — |
| 274 | PERC INTRACARDIAC W/O MCC | $230,113 | $92,045 | $117,171 | +96% | $65,573 | +251% | ≈106% of Medicare |
| 180 | RESP NEOP W MCC | $223,591 | $89,436 | $38,001 | +488% | $36,658 | +510% | — |
| 402 | LYMPH/N-ACUTE LEUK W/OR | $218,859 | $87,544 | $97,995 | +123% | $75,492 | +190% | — |
| 317 | ADMIT FOR RENAL DIALYSIS | $218,243 | $87,297 | $132,427 | +65% | $94,988 | +130% | — |
| 451 | POIS/TOXIC EFF DRUGS <18 | $218,181 | $87,272 | $71,159 | +207% | $65,216 | +235% | — |
| 454 | ANT/POS SPINAL FUSN W CC | $216,425 | $86,570 | $315,644 | −31% | $69,101 | +213% | — |
| 987 | NON-EXT OR UNREL PDX W MCC | $212,477 | $84,991 | $57,989 | +266% | $65,383 | +225% | — |
| 025 | CRAN & ENDOVAS IC PX W MCC | $212,036 | $84,814 | $105,834 | +100% | $88,307 | +140% | — |
| 037 | EX CRANIAL PX W MCC | $206,308 | $82,523 | $103,899 | +99% | $64,749 | +219% | — |
| 385 | INFL BOWEL DIS W MCC | $204,914 | $81,966 | $36,102 | +468% | $26,020 | +688% | — |
| 029 | SPINAL PROC W CC | $201,196 | $80,478 | $88,504 | +127% | $64,152 | +214% | — |
| 717 | MALE REP PX EX MALIG W CC | $199,672 | $79,869 | $37,257 | +436% | $32,538 | +514% | — |
| 264 | OTH CIRC SYS OR PX | $196,424 | $78,570 | $51,289 | +283% | $51,953 | +278% | — |
| 252 | OTH VASC PX W MCC | $195,802 | $78,321 | $120,467 | +63% | $68,508 | +186% | — |
| 260 | C PACE REV WO REPLCE W MCC | $194,783 | $77,913 | $99,638 | +95% | $67,901 | +187% | — |
| 166 | OTH RESP SYS PX W MCC | $194,122 | $77,649 | $128,104 | +52% | $72,782 | +167% | — |
| 455 | ANT/POS SPNAL FUSN WO CC | $193,765 | $77,506 | $187,375 | +3% | $54,320 | +257% | ≈207% of Medicare |
| 324 | URINARY STONES | $192,004 | $76,802 | $125,956 | +52% | $66,819 | +187% | — |
| 823 | LYMPH & NAL W PX W MCC | $191,076 | $76,430 | $142,820 | +34% | $80,885 | +136% | — |
| 521 | HIP REPL W PDX FX W MCC | $189,840 | $75,936 | $81,538 | +133% | $67,764 | +180% | — |
| 040 | PER/CRAN NRV + OTH W MCC | $189,218 | $75,687 | $118,406 | +60% | $74,257 | +155% | — |
| 271 | OTH MAJOR CARDIO W CC | $182,684 | $73,074 | $119,957 | +52% | $71,014 | +157% | — |
| 086 | TRAU STUPOR/COMA <1HR CC | $182,559 | $73,024 | $27,494 | +564% | $23,115 | +690% | — |
| 258 | CARD PACE DEV REPLCE W MCC | $180,634 | $72,254 | $70,055 | +158% | $48,907 | +269% | — |
| 480 | HIP/FEMUR PX X MJ W MCC | $180,426 | $72,170 | $89,377 | +102% | $63,984 | +182% | — |
| 321 | KIDN/URIN TRCT INFCT >17 | $177,887 | $71,155 | $103,961 | +71% | $74,274 | +140% | ≈197% of Medicare |
| 460 | SPNAL FUSN X CERVCAL WOMCC | $177,728 | $71,091 | $156,877 | +13% | $50,815 | +250% | ≈198% of Medicare |
| 270 | OTH MAJOR CARDIO W MCC | $177,622 | $71,049 | $162,376 | +9% | $99,423 | +79% | — |
| 409 | BIL TRAC PX EX CHOLE W CC | $176,771 | $70,708 | $76,658 | +131% | $46,066 | +284% | — |
| 813 | COAGULATION DISORDERS | $175,392 | $70,157 | $37,983 | +362% | $30,128 | +482% | — |
| 259 | CARD PACE DEV REPLCE WOMCC | $174,544 | $69,818 | $62,302 | +180% | $35,673 | +389% | — |
| 956 | LIMB REATT HIM&FEM MULT TR | $169,540 | $67,816 | $125,538 | +35% | $75,103 | +126% | — |
| 229 | OTH CARDIOTHOR PX W/O MCC | $169,151 | $67,660 | $93,180 | +82% | $65,325 | +159% | — |
| 537 | SPR STR & DISL NE W CC/MCC | $167,647 | $67,059 | $25,566 | +556% | $16,352 | +925% | — |
| 283 | ACUTE MI, EXP W MCC | $166,462 | $66,585 | $34,562 | +382% | $35,014 | +375% | — |
| 196 | INTERSTITAL LUNG DIS W MCC | $164,887 | $65,955 | $47,330 | +248% | $30,766 | +436% | — |
| 488 | KNEE PX WO INF PDX CC/MCC | $162,124 | $64,850 | $60,048 | +170% | $41,520 | +290% | — |
| 330 | MAJ SM/LG BOWEL PX W CC | $160,203 | $64,081 | $74,617 | +115% | $58,832 | +172% | — |
| 459 | SPINAL FUSN X CERVICAL MCC | $160,189 | $64,075 | $293,456 | −45% | $75,251 | +113% | — |
| 467 | REV HIP/KNEE REPL W CC | $160,011 | $64,004 | $95,410 | +68% | $68,880 | +132% | — |
| 357 | OTH DIGEST PX W CC | $159,923 | $63,969 | $69,395 | +130% | $48,682 | +229% | — |
| 673 | OTH KID/UT PX W MCC | $158,487 | $63,395 | $76,824 | +106% | $72,945 | +117% | — |
| 165 | MAJ CHEST PX WO CC/MCC | $158,052 | $63,221 | $56,867 | +178% | $41,380 | +282% | — |
| 335 | PERITON ADHES W MCC | $157,697 | $63,079 | $106,663 | +48% | $71,755 | +120% | — |
| 478 | BX MUSC & CONN TIS W CC | $157,659 | $63,064 | $69,519 | +127% | $50,139 | +214% | — |
| 560 | AFTCARE MUS CONN TISS W CC | $157,122 | $62,849 | $31,765 | +395% | $24,452 | +543% | — |
| 492 | LE & HUM PX W MCC | $156,406 | $62,562 | $107,896 | +45% | $70,540 | +122% | — |
| 417 | LAP CHOLE WO CDE W MCC | $153,982 | $61,593 | $85,978 | +79% | $52,313 | +194% | — |
| 208 | RESP SYS DX W VENT <=96 | $153,262 | $61,305 | $39,014 | +293% | $52,405 | +192% | — |
| 036 | CAROTID ARTRY PX WO CC/MCC | $152,957 | $61,183 | $74,218 | +106% | $40,694 | +276% | — |
| 493 | LE & HUM PX W CC | $151,687 | $60,675 | $72,194 | +110% | $56,394 | +169% | — |
| 570 | SKIN DEBRIDEMNT W MCC | $151,139 | $60,456 | $101,088 | +50% | $52,435 | +188% | — |
| 659 | KIDNY URTER PX NO-CA W MCC | $150,723 | $60,289 | $65,842 | +129% | $48,094 | +213% | — |
| 164 | MAJ CHEST PX W CC | $149,546 | $59,818 | $71,934 | +108% | $53,141 | +181% | — |
| 475 | AMP MUSC/TISS DIS W CC | $148,912 | $59,565 | $55,527 | +168% | $44,553 | +234% | — |
| 251 | PER CV PX WO STNT WO MCC | $148,465 | $59,386 | $58,415 | +154% | $41,380 | +259% | — |
| 628 | OT ENDO/METAB OR PX W MCC | $148,392 | $59,357 | $101,959 | +46% | $68,006 | +118% | — |
| 242 | PERM CARD PM IMP W MCC | $148,234 | $59,293 | $90,788 | +63% | $70,132 | +111% | ≈104% of Medicare |
| 374 | DIGEST MALIG W MCC | $147,148 | $58,859 | $46,856 | +214% | $38,885 | +278% | — |
| 253 | OTH VASC PX W CC | $146,352 | $58,541 | $113,961 | +28% | $53,746 | +172% | — |
| 674 | OTH KID/UT PX W CC | $145,066 | $58,026 | $80,027 | +81% | $49,631 | +192% | — |
| 240 | AMP EXC UP LMB & TOE W CC | $144,650 | $57,860 | $85,282 | +70% | $54,475 | +166% | — |
| 085 | TRAU STUPOR/COMA <1HR MCC | $143,617 | $57,447 | $35,133 | +309% | $37,064 | +287% | — |
| 256 | UP LIMB & TOE AMP CSD W CC | $142,512 | $57,005 | $29,362 | +385% | $29,729 | +379% | — |
| 468 | REV HIP/KNE REPL WO CC/MCC | $141,629 | $56,652 | $79,086 | +79% | $54,929 | +158% | — |
| 519 | B/N PX X SPN FUX W CC | $139,868 | $55,947 | $59,686 | +134% | $43,775 | +220% | — |
| 472 | CERVICAL SPN FUSN W CC | $138,069 | $55,228 | $87,747 | +57% | $59,537 | +132% | — |
| 515 | OT MUS CON TIS OR PX W MCC | $137,390 | $54,956 | $85,788 | +60% | $62,821 | +119% | — |
| 982 | EXT OR PX UNREL PDX W CC | $137,145 | $54,858 | $57,598 | +138% | $51,985 | +164% | — |
| 470 | MAJ JOIN REP/REAT LE W/O M | $135,427 | $54,171 | $57,719 | +135% | $49,197 | +175% | — |
| 351 | ING/FEM HERNIA PX W CC | $135,372 | $54,149 | $47,377 | +186% | $33,792 | +301% | — |
| 522 | HIP REPL W PDX FX WO MCC | $135,351 | $54,140 | $79,477 | +70% | $56,519 | +139% | ≈116% of Medicare |
| 002 | HEART TRNP/IMPL HAS WO MCC | $135,341 | $54,136 | $560,182 | −76% | $169,977 | −20% | — |
| 254 | OTH VASC PX WO CC/MCC | $135,324 | $54,130 | $60,105 | +125% | $38,836 | +248% | — |
| 543 | PATH FX/CON TIS MALIG W CC | $135,170 | $54,068 | $32,199 | +320% | $23,496 | +475% | — |
| 064 | IC HEM OR CEREB INF W MCC | $134,438 | $53,775 | $40,724 | +230% | $35,714 | +276% | ≈171% of Medicare |
| 167 | OTH RESP SYS PX W CC | $134,186 | $53,675 | $61,102 | +120% | $40,563 | +231% | — |
| 668 | TRANSURETHRAL PX W MCC | $133,281 | $53,312 | $59,497 | +124% | $47,277 | +182% | — |
| 657 | KID/URE PX FOR NEOP W CC | $132,970 | $53,188 | $49,195 | +170% | $40,583 | +228% | — |
| 205 | OTH RESP SYS DX W MCC | $132,755 | $53,102 | $33,894 | +292% | $32,204 | +312% | — |
| 032 | VENT SHUNT PX W CC | $132,661 | $53,064 | $84,712 | +57% | $45,622 | +191% | — |
| 593 | SKIN ULCERS W CC | $131,852 | $52,741 | $27,448 | +380% | $20,470 | +544% | — |
| 963 | OTH MULT SIG TRAUMA MCC | $131,758 | $52,703 | $55,519 | +137% | $43,491 | +203% | — |
| 250 | PER CV PX WO ST W MCC | $131,639 | $52,656 | $77,367 | +70% | $51,339 | +156% | — |
| 535 | HIP/PELVIS FRAC W MCC | $131,180 | $52,472 | $21,957 | +497% | $23,350 | +462% | — |
| 078 | HYP ENCEPH W CC | $131,096 | $52,438 | $24,630 | +432% | $17,434 | +652% | — |
| 038 | EX CRANIAL PX W CC | $129,065 | $51,626 | $66,487 | +94% | $35,770 | +261% | — |
| 322 | KIDN/URIN TRCT INFCT <18 | $127,795 | $51,118 | $78,348 | +63% | $54,772 | +133% | ≈219% of Medicare |
| 181 | RESP NEOP W CC | $127,380 | $50,952 | $24,396 | +422% | $22,431 | +468% | — |
| 829 | MYEL DIS/NEO W PX W CC/MCC | $127,377 | $50,951 | $103,833 | +23% | $53,817 | +137% | — |
| 432 | CIRR/ALC HEPATITIS MCC | $126,005 | $50,402 | $51,842 | +143% | $36,933 | +241% | — |
| 513 | HND/WRST PX W CC/MCC | $125,768 | $50,307 | $47,288 | +166% | $33,424 | +276% | — |
| 244 | PERM CARD PM IMP WO CC/MCC | $125,642 | $50,257 | $66,233 | +90% | $40,063 | +214% | ≈168% of Medicare |
| 306 | CARD CONG/VAL DIS W MCC | $125,492 | $50,197 | $29,055 | +332% | $24,450 | +413% | — |
| 844 | OT MYELO DIS DIF NEOP WCC | $124,854 | $49,941 | $23,954 | +421% | $20,421 | +511% | — |
| 658 | KID/URE PX FOR NEOP WO CC | $124,228 | $49,691 | $43,003 | +189% | $35,528 | +250% | — |
| 379 | GI HEM WO CC/MCC | $122,821 | $49,128 | $20,597 | +496% | $14,134 | +769% | — |
| 497 | LOC EX & REM IFD W/O CC | $122,597 | $49,039 | $42,205 | +190% | $29,805 | +311% | — |
| 418 | LAP CHOLE WO CDE W CC | $122,573 | $49,029 | $57,547 | +113% | $42,119 | +191% | — |
| 331 | MAJ SM/LG BOWEL PX WO CC | $121,706 | $48,682 | $66,342 | +83% | $44,117 | +176% | — |
| 009 | BONE MARROW TRANSPLANT | $120,314 | $48,125 | $120,314 | — | $487,874 | −75% | — |
| 539 | OSTEOMYELITIS W MCC | $120,195 | $48,078 | $42,316 | +184% | $33,746 | +256% | — |
| 473 | CERVCAL SPN FUSN WO CC/MCC | $119,873 | $47,949 | $73,402 | +63% | $50,624 | +137% | — |
| 746 | VAG/CERV/VUL PX W CCMCC | $118,613 | $47,445 | $47,200 | +151% | $29,916 | +296% | — |
| 304 | HYPERTENSION W MCC | $118,393 | $47,357 | $28,318 | +318% | $24,185 | +390% | — |
| 617 | AMP LOW LIMB W CC | $118,151 | $47,261 | $56,173 | +110% | $42,881 | +176% | — |
| 168 | OTH RESP SYS PX WOCC/MCC | $117,704 | $47,081 | $39,240 | +200% | $28,527 | +313% | — |
| 854 | INF & PAR DIS OR PX W CC | $117,647 | $47,059 | $61,169 | +92% | $43,524 | +170% | — |
| 542 | PTH FX/CON TIS MALIG WMCC | $116,957 | $46,783 | $49,731 | +135% | $35,114 | +233% | — |
| 358 | OTH DIGEST PX WO CC/MCC | $116,908 | $46,763 | $40,964 | +185% | $29,374 | +298% | — |
| 314 | OTH CIRC SYS DX W MCC | $115,649 | $46,260 | $50,001 | +131% | $38,357 | +202% | — |
| 856 | POSTOP/TRAMA INF WOR W MCC | $115,634 | $46,254 | $115,634 | +0% | $72,859 | +59% | — |
| 629 | OT ENDO/METAB OR PX W CC | $115,352 | $46,141 | $67,823 | +70% | $45,059 | +156% | — |
| 564 | OT MUS CONN TISS DX W MCC | $114,481 | $45,792 | $37,599 | +204% | $32,936 | +248% | — |
| 620 | OR PX FOR OBESITY W CC | $113,016 | $45,206 | $48,590 | +133% | $35,453 | +219% | — |
| 272 | OTH MAJOR CARDIO WO CC/MCC | $112,950 | $45,180 | $62,875 | +80% | $55,162 | +105% | — |
| 336 | PERITON ADHES W CC | $112,542 | $45,017 | $70,773 | +59% | $49,470 | +127% | — |
| 039 | EX CRANIAL PX WO CC/MCC | $112,044 | $44,817 | $39,527 | +183% | $25,267 | +343% | ≈113% of Medicare |
| 559 | AFTRCARE MUS CONN TIS WMCC | $111,968 | $44,787 | $28,567 | +292% | $30,974 | +261% | — |
| 596 | MAJ SKIN DIS W/O MCC | $111,725 | $44,690 | $22,967 | +386% | $17,226 | +549% | — |
| 482 | HIP/FEMUR PX W MJ WO CC | $111,534 | $44,614 | $56,307 | +98% | $39,747 | +181% | ≈119% of Medicare |
| 027 | CRAN & ENDOVAS IC PX WO CC | $111,184 | $44,474 | $64,694 | +72% | $52,332 | +112% | — |
| 983 | EXT OR PX UNREL PDX WO CC | $110,958 | $44,383 | $46,972 | +136% | $30,930 | +259% | — |
| 026 | CRAN & ENDOVAS IC PX W CC | $110,829 | $44,332 | $64,067 | +73% | $63,475 | +75% | — |
| 435 | MALIG HEPA OR PANCR W MCC | $110,643 | $44,257 | $57,456 | +93% | $37,950 | +192% | — |
| 243 | PERM CARD PM IMP W CC | $110,421 | $44,168 | $74,020 | +49% | $50,011 | +121% | ≈110% of Medicare |
| 463 | WND DEB & SG EX HAND WMCC | $109,588 | $43,835 | $102,617 | +7% | $78,582 | +39% | — |
| 393 | OTH DIGEST DX W MCC | $109,039 | $43,616 | $40,598 | +169% | $32,689 | +234% | — |
| 062 | ISC CVA W/THROMBO W CC | $108,979 | $43,592 | $71,229 | +53% | $48,680 | +124% | — |
| 481 | HIP/FEMUR PX X MJ W CC | $108,899 | $43,560 | $73,393 | +48% | $51,172 | +113% | ≈112% of Medicare |
| 485 | KNEE PX W INF PDX W MCC | $108,810 | $43,524 | $86,997 | +25% | $64,956 | +68% | — |
| 061 | ISC CVA W/THROMBO W MCC | $108,683 | $43,473 | $76,865 | +41% | $57,963 | +88% | — |
| 834 | AC LEUK WO MAJ OR PX W MCC | $108,614 | $43,446 | $78,441 | +38% | $76,583 | +42% | — |
| 005 | LIVER TRAN W MCC/INTES TRN | $107,116 | $42,847 | $139,842 | −23% | $159,181 | −33% | — |
| 247 | PERC CV PX W DE STNT WOMCC | $106,872 | $42,749 | $21,663 | +393% | $21,663 | +393% | — |
| 698 | OTH KID & UT DX W MCC | $106,817 | $42,727 | $39,789 | +168% | $30,058 | +255% | ≈108% of Medicare |
| 327 | GASTR, ESOPH,DUO PX W CC | $106,298 | $42,519 | $100,691 | +6% | $54,824 | +94% | — |
| 326 | GASTR, ESOPH,DUO PX W MCC | $105,437 | $42,175 | $68,265 | +54% | $80,747 | +31% | — |
| 055 | NERV SYS NEOP WO MCC | $105,326 | $42,130 | $36,165 | +191% | $19,868 | +430% | — |
| 380 | CMP PEPTIC ULCER W MCC | $105,245 | $42,098 | $44,130 | +138% | $36,641 | +187% | — |
| 419 | LAP CHOLE WO CDE WO CC | $105,184 | $42,074 | $51,019 | +106% | $34,887 | +202% | — |
| 606 | MIN SKIN DIS W MCC | $104,823 | $41,929 | $34,720 | +202% | $25,434 | +312% | — |
| 504 | FOOT PX W CC | $104,733 | $41,893 | $45,088 | +132% | $36,598 | +186% | — |
| 551 | MED BACK PROB W MCC | $104,580 | $41,832 | $38,941 | +169% | $31,086 | +236% | — |
| 643 | ENDO DIS W MCC | $104,463 | $41,785 | $41,195 | +154% | $32,996 | +217% | — |
| 571 | SKIN DEBRIDEMENT W CC | $103,294 | $41,318 | $25,326 | +308% | $34,901 | +196% | — |
| 355 | HERNIA PX X ING/FEM WO CC | $103,049 | $41,219 | $39,407 | +161% | $31,978 | +222% | — |
| 871 | SEPTI/SEPS WO MV>96HR WMCC | $102,650 | $41,060 | $43,335 | +137% | $35,237 | +191% | ≈184% of Medicare |
| 297 | CARDIAC ARREST, UNEX W CC | $102,408 | $40,963 | $32,284 | +217% | $12,336 | +730% | — |
| 518 | B/N X SP FUS MCC DXC NESTM | $101,891 | $40,756 | $85,869 | +19% | $64,776 | +57% | — |
| 286 | CIRC DIS NO MI W CATH WMCC | $101,053 | $40,421 | $70,940 | +42% | $44,600 | +127% | ≈143% of Medicare |
| 082 | TRAU STUPOR/COMA >1HR MCC | $100,167 | $40,067 | $42,709 | +135% | $36,237 | +176% | — |
| 501 | SOFT TISS PX W CC | $100,034 | $40,013 | $47,828 | +109% | $37,975 | +163% | — |
| 186 | PLEURAL EFF W MCC | $99,138 | $39,655 | $41,882 | +137% | $32,468 | +205% | — |
| 399 | RE/IMMUNITY DISORDER | $98,931 | $39,573 | $46,028 | +115% | $30,314 | +226% | — |
| 616 | AMP LOW LIMB W MCC | $97,218 | $38,887 | $97,218 | +0% | $62,961 | +54% | — |
| 602 | CELLULITIS W MCC | $97,139 | $38,855 | $38,507 | +152% | $29,347 | +231% | — |
| 622 | SKN GFT & DEBRIMT W MCC | $96,494 | $38,598 | $55,179 | +75% | $60,861 | +59% | — |
| 189 | PUL EDEMA/ RESP FAILURE | $96,179 | $38,471 | $32,457 | +196% | $25,704 | +274% | ≈111% of Medicare |
| 858 | POSTOP/TRAMA INF WOR WO CC | $95,719 | $38,287 | $52,937 | +81% | $23,924 | +300% | — |
| 517 | OT MUSC CONN TISS OR PX WO | $93,248 | $37,299 | $38,458 | +142% | $33,137 | +181% | — |
| 177 | RESP INF/INFLAM W MCC | $92,503 | $37,001 | $45,521 | +103% | $31,840 | +191% | ≈176% of Medicare |
| 896 | ALC/DRU ABU WO REHAB W MCC | $91,606 | $36,642 | $30,275 | +203% | $30,275 | +203% | — |
| 841 | LYMPH & NON AC LEUK W CC | $91,578 | $36,631 | $42,360 | +116% | $31,059 | +195% | — |
| 391 | ESOPH, GE & DIG DIS W MCC | $91,080 | $36,432 | $37,839 | +141% | $27,244 | +234% | — |
| 637 | DIABETES W MCC | $90,989 | $36,396 | $34,031 | +167% | $28,819 | +216% | — |
| 030 | SPINAL PROC W/O CC/MCC | $90,747 | $36,299 | $47,889 | +89% | $45,818 | +98% | — |
| 054 | NERV SYS NEOP W MCC | $89,868 | $35,947 | $36,604 | +146% | $29,484 | +205% | — |
| 193 | SIMP PNEU/PLEU W MCC | $89,516 | $35,807 | $32,566 | +175% | $26,158 | +242% | ≈194% of Medicare |
| 842 | LYMPH & NON AC LEUK WO CC | $89,452 | $35,781 | $30,572 | +193% | $17,550 | +410% | — |
| 621 | OR PX FOR OBESITY WO CC | $89,376 | $35,751 | $45,639 | +96% | $32,451 | +175% | — |
| 007 | LUNG TRANSPLANT | $89,339 | $35,736 | $170,608 | −48% | $170,608 | −48% | — |
| 465 | WND DEB & SG EX HAND WO CC | $87,706 | $35,082 | $35,010 | +151% | $32,839 | +167% | — |
| 520 | B/N PX X SPN FUS WO CC/MCC | $87,331 | $34,933 | $49,525 | +76% | $31,816 | +174% | — |
| 175 | PULM EMB W MCC OR AC COR P | $86,188 | $34,475 | $40,015 | +115% | $29,757 | +190% | — |
| 398 | RE/IMMUNITY DISORDER W CC | $86,074 | $34,429 | $53,293 | +62% | $39,107 | +120% | — |
| 348 | ANAL/STOMAL PX W CC | $85,604 | $34,242 | $38,286 | +124% | $27,947 | +206% | — |
| 197 | INTERSTITAL LUNG DIS W CC | $85,579 | $34,232 | $33,908 | +152% | $20,106 | +326% | — |
| 857 | POSTOP/TRAMA INF WOR W CC | $84,275 | $33,710 | $54,091 | +56% | $41,900 | +101% | — |
| 808 | MAJ HEMO/IMMO DX W MCC | $84,091 | $33,636 | $39,181 | +115% | $36,334 | +131% | — |
| 580 | OT SKIN,SBQ BRST PX W CC | $83,892 | $33,557 | $52,557 | +60% | $36,242 | +131% | — |
| 441 | DISDRS LIVER W MCC | $83,777 | $33,511 | $43,413 | +93% | $32,399 | +159% | — |
| 350 | ING/FEM HERNIA PX W MCC | $83,372 | $33,349 | $53,797 | +55% | $46,591 | +79% | — |
| 663 | MIN BLADDER PX W CC | $83,319 | $33,328 | $37,661 | +121% | $29,924 | +178% | — |
| 922 | INJ/POIS/TOX EFCT DX W MCC | $83,261 | $33,304 | $67,353 | +24% | $29,409 | +183% | — |
| 444 | DIS BILIARY TRACT W MCC | $83,125 | $33,250 | $36,617 | +127% | $31,128 | +167% | — |
| 743 | UTR/ADNEX PX NON MAL WO CC | $82,876 | $33,150 | $43,597 | +90% | $27,369 | +203% | — |
| 592 | SKIN ULCERS W MCC | $82,642 | $33,057 | $40,204 | +106% | $32,662 | +153% | — |
| 810 | MAJ HEMO/IMMO DX WO CC/MCC | $81,973 | $32,789 | $25,509 | +221% | $18,428 | +345% | — |
| 091 | OTH DIS NERV SYS W MCC | $81,905 | $32,762 | $48,165 | +70% | $36,375 | +125% | — |
| 438 | DIS PANCR X MALIG W MCC | $81,573 | $32,629 | $29,518 | +176% | $32,502 | +151% | — |
| 505 | FOOT PX WO CC/MCC | $81,420 | $32,568 | $46,679 | +74% | $31,716 | +157% | — |
| 377 | GI HEM W MCC | $81,043 | $32,417 | $49,956 | +62% | $37,842 | +114% | ≈116% of Medicare |
| 413 | CHOLECYST W CDE WO CC/MCC | $81,023 | $32,409 | $59,197 | +37% | $27,548 | +194% | — |
| 280 | ACUTE MI, DIS ALIV W MCC | $80,218 | $32,087 | $28,348 | +183% | $28,967 | +177% | ≈139% of Medicare |
| 840 | LYMPH & NON AC LEUK W MCC | $80,138 | $32,055 | $60,052 | +33% | $49,710 | +61% | — |
| 516 | OT MUS CON TISS OR PX W CC | $80,132 | $32,053 | $57,037 | +40% | $45,817 | +75% | — |
| 728 | INF MALE REPROD SYS WO MCC | $79,807 | $31,923 | $18,978 | +321% | $16,837 | +374% | — |
| 689 | KIDNEY/UTI W MCC | $79,469 | $31,787 | $35,833 | +122% | $22,982 | +246% | ≈121% of Medicare |
| 540 | OSTEOMYELITIS W CC | $79,218 | $31,687 | $31,763 | +149% | $23,494 | +237% | — |
| 008 | SIM PANCREAS/KIDNEY TRANS | $78,849 | $31,540 | $188,873 | −58% | $86,459 | −9% | — |
| 287 | CIRC DIS NO MI WCATH WOMCC | $78,303 | $31,321 | $46,222 | +69% | $31,190 | +151% | ≈210% of Medicare |
| 337 | PERITON ADHES WO CC/MCC | $78,130 | $31,252 | $56,127 | +39% | $36,239 | +116% | — |
| 070 | NS CEREB DIS W MCC | $78,056 | $31,222 | $49,551 | +58% | $30,814 | +153% | ≈118% of Medicare |
| 742 | UTER/ADNX PX NON MAL W CC | $77,901 | $31,160 | $50,414 | +55% | $40,552 | +92% | — |
| 811 | RBC DIS W MCC | $77,312 | $30,925 | $33,985 | +127% | $27,934 | +177% | — |
| 908 | OTH OR PX FOR INJ W CC | $77,254 | $30,902 | $43,820 | +76% | $41,660 | +85% | — |
| 100 | SEIZURES W MCC | $75,901 | $30,361 | $42,679 | +78% | $35,194 | +116% | — |
| 288 | ACU/SUBA ENDOC W MCC | $75,345 | $30,138 | $75,345 | +0% | $45,497 | +66% | — |
| 069 | TRANS ISCHEMIA W/O THROMB | $74,894 | $29,958 | $30,031 | +149% | $20,278 | +269% | — |
| 067 | NS CVA/ PRE OCCL - INF MCC | $74,822 | $29,929 | $23,958 | +212% | $24,941 | +200% | — |
| 915 | ALLERGIC REAC W MCC | $74,555 | $29,822 | $30,420 | +145% | $30,944 | +141% | — |
| 865 | VIRAL ILLNESS W MCC | $74,464 | $29,785 | $31,371 | +137% | $26,088 | +185% | — |
| 056 | DEG NRV SYS DIS W MCC | $73,819 | $29,527 | $39,632 | +86% | $39,409 | +87% | — |
| 917 | POIS/TOX EFF OF DRUG W MCC | $73,712 | $29,485 | $37,550 | +96% | $28,134 | +162% | — |
| 477 | BX MUSC & CONN TIS W MCC | $73,538 | $29,415 | $72,530 | +1% | $62,269 | +18% | — |
| 352 | ING/FEM HRNIA PX WO CC/MCC | $73,427 | $29,371 | $36,875 | +99% | $25,162 | +192% | — |
| 988 | NON-EXT OR UNREL PDX W CC | $73,422 | $29,369 | $56,403 | +30% | $38,094 | +93% | — |
| 354 | HERNIA PX X ING/FEM CC | $72,865 | $29,146 | $59,374 | +23% | $43,266 | +68% | — |
| 604 | TRAM SKN, SUBQ, BRST W MC | $72,680 | $29,072 | $30,537 | +138% | $28,140 | +158% | — |
| 149 | DYSEQUILIBRIUM | $72,503 | $29,001 | $27,340 | +165% | $17,203 | +321% | — |
| 103 | HEADACHES WO MCC | $72,367 | $28,947 | $29,265 | +147% | $20,111 | +260% | — |
| 660 | KIDNY URETER PX NO-CA W CC | $72,328 | $28,931 | $47,114 | +54% | $30,358 | +138% | — |
| 835 | AC LEUK WO MAJ OR PX W CC | $72,143 | $28,857 | $30,915 | +133% | $35,569 | +103% | — |
| 289 | ACU/SUBA ENDOC W CC | $71,562 | $28,625 | $42,833 | +67% | $29,371 | +144% | — |
| 919 | COMPL OF TREAT W MCC | $70,166 | $28,066 | $41,533 | +69% | $29,031 | +142% | — |
| 614 | ADR & PITU PDX W CC/MCC | $69,893 | $27,957 | $61,165 | +14% | $43,586 | +60% | — |
| 562 | FX SPN STN DIS EX LE WMCC | $69,865 | $27,946 | $36,815 | +90% | $29,211 | +139% | — |
| 065 | IC HM OR CB INF W CC/TPA24 | $69,671 | $27,869 | $38,598 | +81% | $23,469 | +197% | ≈174% of Medicare |
| 863 | POSTOP POST TRAUM INF WOCC | $69,671 | $27,868 | $28,762 | +142% | $20,007 | +248% | — |
| 281 | ACUTE MI, DIS ALIV W CC | $69,270 | $27,708 | $31,917 | +117% | $20,463 | +239% | ≈129% of Medicare |
| 920 | COMPL OF TREAT W CC | $69,089 | $27,636 | $17,295 | +299% | $21,181 | +226% | — |
| 867 | OTH INF/PARA DX W MCC | $68,569 | $27,428 | $52,403 | +31% | $36,850 | +86% | — |
| 368 | MAJ ESOPH DIS W MCC | $68,495 | $27,398 | $56,538 | +21% | $33,607 | +104% | — |
| 884 | ORGAN DIST & INTELL DISAB | $68,367 | $27,347 | $27,174 | +152% | $25,208 | +171% | — |
| 052 | SPINAL DIS & INJ W CC/MCC | $68,325 | $27,330 | $46,252 | +48% | $30,940 | +121% | — |
| 378 | GI HEM W CC | $67,909 | $27,163 | $33,652 | +102% | $21,886 | +210% | ≈132% of Medicare |
| 291 | HEART FAIL/SHOCK W MCC | $67,617 | $27,047 | $31,339 | +116% | $25,020 | +170% | ≈203% of Medicare |
| 700 | OTH KID & UT DX W/O CC | $67,102 | $26,841 | $19,785 | +239% | $13,303 | +404% | — |
| 202 | BRONCH/ASTHMA W CC/MCC | $67,052 | $26,821 | $23,775 | +182% | $17,273 | +288% | — |
| 557 | TEND MYOSTIS BURSITIS WMCC | $66,738 | $26,695 | $49,779 | +34% | $28,646 | +133% | — |
| 074 | CRAN/PERI NRV DIS WO MCC | $66,482 | $26,593 | $31,306 | +112% | $23,141 | +187% | — |
| 661 | KIDNY URETR PX NON-CA WOCC | $65,543 | $26,217 | $34,686 | +89% | $24,022 | +173% | — |
| 565 | OT MUS CONN TISS DX W CC | $65,517 | $26,207 | $27,175 | +141% | $21,545 | +204% | — |
| 433 | CIRR/ALC HEPATITIS CC | $65,474 | $26,189 | $35,673 | +84% | $23,749 | +176% | — |
| 145 | OTH ENMT OR PX WO CC/MCC | $65,178 | $26,071 | $51,347 | +27% | $20,842 | +213% | — |
| 941 | OR PX W PDX OTH SVCS WOMCC | $64,917 | $25,967 | $52,321 | +24% | $29,524 | +120% | — |
| 372 | MAJ GI DIS&PERIT INF W CC | $64,499 | $25,800 | $28,476 | +127% | $22,850 | +182% | — |
| 947 | SIGNS & SYMPTOMS W MCC | $63,795 | $25,518 | $33,290 | +92% | $25,474 | +150% | — |
| 903 | WND DEBRID INJ WO CCMCC | $62,581 | $25,033 | $34,677 | +80% | $23,588 | +165% | — |
| 307 | CARD CONG/VAL DIS WO MCC | $62,428 | $24,971 | $23,261 | +168% | $18,608 | +235% | — |
| 375 | DIGEST MALIG W CC | $62,392 | $24,957 | $33,783 | +85% | $27,219 | +129% | — |
| 683 | RENAL FAILURE W CC | $62,218 | $24,887 | $26,395 | +136% | $18,620 | +234% | ≈204% of Medicare |
| 563 | FX SPN STN DIS EX LE WOMCC | $62,056 | $24,822 | $26,249 | +136% | $18,803 | +230% | — |
| 190 | CH OBST PULM DIS W MCC | $61,610 | $24,644 | $30,661 | +101% | $24,190 | +155% | ≈190% of Medicare |
| 089 | CONCUSSION W CC | $61,496 | $24,599 | $27,042 | +127% | $18,293 | +236% | — |
| 308 | CARD ARR/COND DIS W MCC | $61,317 | $24,527 | $30,579 | +101% | $26,488 | +131% | ≈165% of Medicare |
| 862 | POSTOP POST TRAM INF W MCC | $61,177 | $24,471 | $24,432 | +150% | $30,394 | +101% | — |
| 178 | RESP INF/INFLAM W CC | $60,769 | $24,308 | $30,601 | +99% | $22,024 | +176% | — |
| 494 | LE & HUM PX WO CC/MCC | $60,433 | $24,173 | $62,230 | −3% | $45,963 | +31% | — |
| 949 | AFTERCARE W CC/MCC | $59,931 | $23,972 | $36,227 | +65% | $23,953 | +150% | — |
| 638 | DIABETES W CC | $59,532 | $23,813 | $27,043 | +120% | $18,821 | +216% | — |
| 872 | SEPTI/SEPS WO MV >96 WO MC | $59,284 | $23,714 | $30,204 | +96% | $22,781 | +160% | ≈117% of Medicare |
| 556 | S&S MUSC CONN TIS WO MCC | $58,813 | $23,525 | $23,838 | +147% | $17,715 | +232% | — |
| 640 | MS DIS NUT,META,ELEC W MC | $58,639 | $23,456 | $32,902 | +78% | $24,480 | +140% | ≈143% of Medicare |
| 300 | PERI VASC DIS W CC | $58,347 | $23,339 | $19,416 | +201% | $19,579 | +198% | — |
| 057 | DEG NRV SYS DIS WO MCC | $58,262 | $23,305 | $29,713 | +96% | $25,426 | +129% | — |
| 445 | DIS BILIARY TRACT W CC | $58,030 | $23,212 | $29,507 | +97% | $21,806 | +166% | ≈117% of Medicare |
| 194 | SIMP PNEU/PLEU W CC | $57,977 | $23,191 | $27,087 | +114% | $18,204 | +218% | ≈125% of Medicare |
| 787 | CESAREAN SEC WO STER W CC | $57,905 | $23,162 | $27,710 | +109% | $23,571 | +146% | — |
| 536 | HIP/PELVIS FRAC WO MCC | $57,748 | $23,099 | $24,925 | +132% | $18,002 | +221% | — |
| 552 | MED BACK PROB W/O MCC | $57,706 | $23,082 | $30,459 | +89% | $21,213 | +172% | ≈125% of Medicare |
| 948 | SIGNS & SYMPTOMS W/O MCC | $57,337 | $22,935 | $25,689 | +123% | $17,727 | +223% | — |
| 153 | OTITIS MEDIA/URI WO MCC | $56,838 | $22,735 | $18,842 | +202% | $14,473 | +293% | — |
| 187 | PLEURAL EFF W CC | $56,716 | $22,686 | $24,444 | +132% | $21,467 | +164% | — |
| 282 | ACUTE MI,DIS ALIV WOCC/MC | $56,599 | $22,639 | $30,314 | +87% | $18,623 | +204% | — |
| 682 | RENAL FAILURE W MCC | $56,567 | $22,627 | $32,167 | +76% | $27,854 | +103% | ≈112% of Medicare |
| 299 | PERI VASC DIS W MCC | $56,301 | $22,520 | $33,852 | +66% | $25,731 | +119% | — |
| 446 | DIS BILIRY TRACT WO CC/MCC | $56,297 | $22,519 | $18,172 | +210% | $17,700 | +218% | — |
| 371 | MAJ GI DIS&PERIT INF W MCC | $55,317 | $22,127 | $45,388 | +22% | $31,758 | +74% | — |
| 096 | BAC/TB INF NERV SYS WO CC | $55,313 | $22,125 | $55,313 | +0% | $39,093 | +41% | — |
| 093 | OTH DIS NERV SYS WO CC/MCC | $55,056 | $22,022 | $25,314 | +117% | $17,522 | +214% | — |
| 388 | GI OBST W MCC | $54,582 | $21,833 | $36,088 | +51% | $28,780 | +90% | — |
| 718 | MALE REP PX EX MALIG WO CC | $54,491 | $21,797 | $23,003 | +137% | $20,147 | +170% | — |
| 386 | INFL BOWEL DIS W CC | $54,111 | $21,644 | $27,178 | +99% | $20,968 | +158% | — |
| 087 | TRAU STUPOR/COMA <1HR WO | $53,960 | $21,584 | $20,329 | +165% | $15,869 | +240% | — |
| 206 | OTH RESP SYS DX WO MCC | $53,835 | $21,534 | $31,555 | +71% | $17,731 | +204% | — |
| 092 | OTH DIS NERV SYS W CC | $53,796 | $21,518 | $37,630 | +43% | $24,136 | +123% | — |
| 311 | ANGINA PECTORIS | $53,784 | $21,514 | $21,118 | +155% | $15,165 | +255% | — |
| 696 | KIDNEY URINARY S&S WOMCC | $53,754 | $21,502 | $22,158 | +143% | $14,441 | +272% | — |
| 373 | MAJ GI DIS&PERIT INF WO CC | $53,537 | $21,415 | $19,272 | +178% | $16,104 | +232% | — |
| 442 | DISDRS LIVER W CC | $53,395 | $21,358 | $28,889 | +85% | $21,449 | +149% | — |
| 603 | CELLULITIS W/O MCC | $52,756 | $21,102 | $24,429 | +116% | $18,530 | +185% | — |
| 302 | ATHEROSCLEROSIS W MCC | $52,708 | $21,083 | $32,132 | +64% | $20,844 | +153% | — |
| 880 | AC ADJ REAC & PSY DYS | $52,494 | $20,998 | $17,658 | +197% | $15,636 | +236% | — |
| 471 | CERVICAL SPN FUSN W MCC | $52,285 | $20,914 | $113,322 | −54% | $92,515 | −43% | — |
| 199 | PNEUMOTHORAX W MCC | $52,143 | $20,857 | $42,335 | +23% | $31,491 | +66% | — |
| 066 | IC HEM OR CEREB INF WO CC | $51,897 | $20,759 | $30,021 | +73% | $19,483 | +166% | — |
| 200 | PNEUMOTHORAX W CC | $51,485 | $20,594 | $22,299 | +131% | $20,573 | +150% | — |
| 913 | TRAUMATIC INJURY W MCC | $51,423 | $20,569 | $24,198 | +113% | $24,198 | +113% | — |
| 083 | TRAU STUPOR/COMA >1HR CC | $50,885 | $20,354 | $24,118 | +111% | $24,118 | +111% | — |
| 436 | MALIG HEPA OR PANCR W CC | $50,197 | $20,079 | $31,888 | +57% | $24,017 | +109% | — |
| 940 | OR PX PDX OTH SVCS W CC | $49,894 | $19,957 | $58,637 | −15% | $38,420 | +30% | — |
| 313 | CHEST PAIN | $49,688 | $19,875 | $22,190 | +124% | $15,962 | +211% | ≈186% of Medicare |
| 645 | ENDO DIS W/O CC/MCC | $49,465 | $19,786 | $12,844 | +285% | $14,166 | +249% | — |
| 312 | SYNCOPE & COLLAPSE | $49,435 | $19,774 | $28,759 | +72% | $19,342 | +156% | ≈188% of Medicare |
| 690 | KIDNEY/UTI WO MCC | $49,368 | $19,747 | $24,350 | +103% | $17,466 | +183% | ≈195% of Medicare |
| 006 | LIVER TRANSPLANT W/O MCC | $49,088 | $19,635 | $49,088 | +0% | $84,407 | −42% | — |
| 394 | OTH DIGEST DX W CC | $49,048 | $19,619 | $27,628 | +78% | $18,918 | +159% | — |
| 381 | CMP PEPTIC ULCER W CC | $48,847 | $19,539 | $32,085 | +52% | $24,177 | +102% | — |
| 641 | MS DIS NUT/META/ELEC WOMCC | $48,812 | $19,525 | $21,843 | +123% | $16,745 | +192% | ≈226% of Medicare |
| 439 | DIS PANCR X MALIG W CC | $48,543 | $19,417 | $29,363 | +65% | $19,096 | +154% | — |
| 198 | INTERSTITAL LUNG DIS WO CC | $48,218 | $19,287 | $38,663 | +25% | $13,654 | +253% | — |
| 191 | CH OBST PULM DIS W CC | $47,838 | $19,135 | $23,872 | +100% | $18,278 | +162% | — |
| 389 | GI OBST W CC | $47,806 | $19,122 | $26,993 | +77% | $17,388 | +175% | — |
| 600 | N-MAL BREAST DIS W CCMCC | $47,778 | $19,111 | $17,061 | +180% | $16,418 | +191% | — |
| 440 | DIS PANCR X MALIG WO CC | $47,394 | $18,958 | $25,509 | +86% | $15,070 | +214% | — |
| 581 | SKIN SUBC BRST PX WO CC | $46,832 | $18,733 | $37,422 | +25% | $25,243 | +86% | — |
| 392 | ESOPH, GE DIG DIS WO MCC | $46,366 | $18,546 | $23,545 | +97% | $17,322 | +168% | ≈205% of Medicare |
| 068 | NS CVA/PRE OCCL-INF WO MCC | $45,783 | $18,313 | $28,873 | +59% | $19,569 | +134% | — |
| 784 | CESAREAN SEC W STERIL W CC | $45,474 | $18,190 | $28,585 | +59% | $22,560 | +102% | — |
| 812 | RBC DIS W/O MCC | $45,163 | $18,065 | $30,125 | +50% | $20,488 | +120% | ≈132% of Medicare |
| 786 | CESAREAN SEC WO STER WMCC | $45,041 | $18,016 | $30,293 | +49% | $27,118 | +66% | — |
| 964 | OTH MULT SIG TRAUMA CC | $44,215 | $17,686 | $26,562 | +66% | $25,854 | +71% | — |
| 699 | OTH KID & UT DX W CC | $44,000 | $17,600 | $25,679 | +71% | $20,732 | +112% | — |
| 759 | INF FEM REPRO SYS WO CC | $43,939 | $17,575 | $20,962 | +110% | $14,208 | +209% | — |
| 176 | PULMONARY EMB WO MCC | $43,821 | $17,528 | $27,128 | +62% | $18,081 | +142% | — |
| 914 | TRAUMATIC INJURY W/O MCC | $43,753 | $17,501 | $26,297 | +66% | $15,593 | +181% | — |
| 770 | ABORTION W PROCEDURE | $43,715 | $17,486 | $24,486 | +79% | $17,943 | +144% | — |
| 292 | HEART FAIL/SHOCK W CC | $43,380 | $17,352 | $27,360 | +59% | $16,212 | +168% | — |
| 605 | TRAM SKN, SUBQ, BST WO MC | $43,345 | $17,338 | $34,059 | +27% | $19,287 | +125% | — |
| 184 | MAJ CHEST TRAUMA W CC | $43,286 | $17,314 | $26,116 | +66% | $20,842 | +108% | — |
| 301 | PERI VASC DIS WO CC/MCC | $43,004 | $17,202 | $18,322 | +135% | $15,607 | +176% | — |
| 309 | CARD ARR/COND DIS W CC | $42,387 | $16,955 | $25,748 | +65% | $16,865 | +151% | ≈209% of Medicare |
| 809 | MAJ HEMO/IMMO DX W CC | $41,950 | $16,780 | $29,636 | +42% | $22,032 | +90% | — |
| 965 | OTH MULT SIG TRAUMA W/O CC | $41,789 | $16,716 | $26,257 | +59% | $17,585 | +138% | — |
| 561 | AFTRCARE MUS CON TIS WO CC | $41,681 | $16,672 | $28,730 | +45% | $18,150 | +130% | — |
| 192 | CH OBST PULM DIS WO CC/MCC | $41,178 | $16,471 | $18,396 | +124% | $14,368 | +187% | — |
| 305 | HYPERTENSION WO MCC | $41,119 | $16,448 | $26,555 | +55% | $17,144 | +140% | — |
| 101 | SEIZURES WO MCC | $41,108 | $16,443 | $23,267 | +77% | $19,954 | +106% | — |
| 369 | MAJ ESOPH DIS W CC | $40,997 | $16,399 | $35,724 | +15% | $22,713 | +81% | — |
| 894 | ALC/DRUG ABUSE/DEP AMA | $40,681 | $16,273 | $14,896 | +173% | $12,013 | +239% | — |
| 443 | DISDRS LIVER WO CC/MCC | $40,613 | $16,245 | $24,654 | +65% | $15,600 | +160% | — |
| 315 | OTH CIRC SYS DX W CC | $40,159 | $16,064 | $28,370 | +42% | $20,777 | +93% | — |
| 071 | NS CEREB DIS W CC | $39,706 | $15,882 | $29,075 | +37% | $23,396 | +70% | — |
| 183 | MAJ CHEST TRAUMA W MCC | $39,667 | $15,867 | $39,667 | +0% | $28,924 | +37% | — |
| 788 | CESAREAN WO STER WO CC/MCC | $39,023 | $15,609 | $27,554 | +42% | $20,084 | +94% | — |
| 644 | ENDO DIS W CC | $38,468 | $15,387 | $29,544 | +30% | $22,941 | +68% | — |
| 881 | DEPRESSIVE NEUROSES | $38,220 | $15,288 | $15,058 | +154% | $15,058 | +154% | — |
| 923 | INJ/POIS/TOX EFT DX WO MCC | $38,191 | $15,276 | $20,348 | +88% | $16,571 | +130% | — |
| 806 | VAG DEL WO STER/DC W CC | $38,161 | $15,264 | $18,498 | +106% | $13,090 | +192% | — |
| 694 | URINARY STONES W/O MCC | $38,055 | $15,222 | $24,767 | +54% | $16,531 | +130% | — |
| 395 | OTH DIGEST DX WO CC/MCC | $37,655 | $15,062 | $14,382 | +162% | $14,128 | +167% | — |
| 918 | POIS/TOX EFF OF DRUG WO CC | $37,500 | $15,000 | $19,649 | +91% | $15,045 | +149% | — |
| 303 | ATHEROSCLEROSIS WO MCC | $37,484 | $14,994 | $20,298 | +85% | $14,927 | +151% | — |
| 607 | MIN SKIN DIS W/O MCC | $37,294 | $14,918 | $13,589 | +174% | $15,284 | +144% | — |
| 785 | CESAREAN W STER WO CC/MCC | $36,828 | $14,731 | $25,718 | +43% | $19,815 | +86% | — |
| 623 | SKN GFT & DEBRIMT W CC | $36,738 | $14,695 | $47,148 | −22% | $33,165 | +11% | — |
| 783 | CESAREAN SEC W STERIL W MC | $36,365 | $14,546 | $30,719 | +18% | $28,375 | +28% | — |
| 684 | RENAL FAILURE W/O CC/MCC | $36,224 | $14,490 | $21,444 | +69% | $13,623 | +166% | — |
| 080 | NT STUPOR/COMA W MCC | $35,762 | $14,305 | $35,762 | +0% | $35,139 | +2% | — |
| 558 | TEND MYOSTIS BURSTIS WOMCC | $35,743 | $14,297 | $13,756 | +160% | $17,367 | +106% | — |
| 185 | MAJ CHEST TRAUMA WO CC/MCC | $35,541 | $14,216 | $20,657 | +72% | $15,858 | +124% | — |
| 195 | SIMP PNEU/PLEU WO CC/MCC | $35,111 | $14,044 | $22,600 | +55% | $13,824 | +154% | — |
| 390 | GI OBST WO CC/MCC | $34,750 | $13,900 | $15,036 | +131% | $13,318 | +161% | — |
| 639 | DIABETES W/O CC/MCC | $34,504 | $13,802 | $19,853 | +74% | $13,910 | +148% | — |
| 768 | VAG DEL W OR PX | $34,484 | $13,794 | $21,114 | +63% | $17,103 | +102% | — |
| 885 | PSYCHOSES | $34,166 | $13,666 | $18,408 | +86% | $21,489 | +59% | — |
| 310 | CARD COND DIS WO CC/MCC | $33,902 | $13,561 | $15,445 | +119% | $13,384 | +153% | ≈247% of Medicare |
| 566 | OT MUS CONN TISS DX WO CC | $33,717 | $13,487 | $14,716 | +129% | $14,337 | +135% | — |
| 102 | HEADACHES W MCC | $33,181 | $13,272 | $25,874 | +28% | $22,544 | +47% | — |
| 125 | OTH DIS EYE W/O MCC | $32,695 | $13,078 | $19,791 | +65% | $15,876 | +106% | — |
| 791 | PREMATURITY W MAJ PROB | $32,624 | $13,049 | $28,043 | +16% | $39,563 | −18% | — |
| 203 | BRONCH/ASTHMA WO CC/MCC | $32,087 | $12,835 | $13,528 | +137% | $12,279 | +161% | — |
| 897 | ALC/DRU ABU WO REHAB WOMCC | $29,523 | $11,809 | $20,878 | +41% | $16,049 | +84% | — |
| 815 | RETICUL & IMMUN DIS W CC | $29,165 | $11,666 | $27,003 | +8% | $18,017 | +62% | — |
| 814 | RETICUL & IMMUN DIS W MCC | $29,118 | $11,647 | $32,814 | −11% | $32,483 | −10% | — |
| 831 | OTH ANTP DX WO OR W MCC | $29,030 | $11,612 | $17,773 | +63% | $18,133 | +60% | — |
| 316 | OTH CIRC SYS DX WO CC | $28,970 | $11,588 | $27,750 | +4% | $12,797 | +126% | — |
| 895 | ALC/DRUG ABUSE/DEP REHAB | $28,498 | $11,399 | $21,986 | +30% | $21,986 | +30% | — |
| 179 | RESP INF/INFLAM WO CC/MCC | $27,535 | $11,014 | $22,523 | +22% | $14,444 | +91% | — |
| 726 | BPH WO MCC | $27,092 | $10,837 | $15,705 | +73% | $13,892 | +95% | — |
| 387 | INFL BOWEL DIS WO CC/MCC | $26,051 | $10,420 | $22,581 | +15% | $14,880 | +75% | — |
| 807 | VAG DEL WO STER/DC WOCCMCC | $25,713 | $10,285 | $16,757 | +53% | $12,044 | +113% | — |
| 882 | NEUROSES X DEPRESSIVE | $24,646 | $9,858 | $14,551 | +69% | $15,680 | +57% | — |
| 201 | PNEUMOTHORAX WO CC/MCC | $24,309 | $9,724 | $15,949 | +52% | $13,081 | +86% | — |
| 553 | BONE DIS & ARTHROP W MCC | $24,304 | $9,722 | $38,165 | −36% | $23,956 | +1% | — |
| 916 | ALLERGIC REAC W/O MCC | $23,677 | $9,471 | $13,510 | +75% | $13,890 | +70% | — |
| 901 | WND DEBRID INJ W MCC | $23,508 | $9,403 | $152,630 | −85% | $68,847 | −66% | — |
| 805 | VAG DEL WO STER/DC W MCC | $21,885 | $8,754 | $20,849 | +5% | $15,370 | +42% | — |
| 797 | VAG DEL W STER/D&C W CC | $21,454 | $8,582 | $26,380 | −19% | $19,001 | +13% | — |
| 346 | MIN SM/LG BOWEL PX WO CC | $20,134 | $8,054 | $36,067 | −44% | $26,146 | −23% | — |
| 434 | CIRR/ALC HEPATITIS WO CC | $19,566 | $7,826 | $19,566 | +0% | $12,405 | +58% | — |
| 832 | OTH ANTP DX WO OR W CC | $17,497 | $6,999 | $12,895 | +36% | $12,895 | +36% | — |
| 776 | PP & POST AB DX WO OR PX | $17,386 | $6,954 | $12,640 | +38% | $12,381 | +40% | — |
| 779 | ABORTION W/O D&C | $16,735 | $6,694 | $14,464 | +16% | $15,327 | +9% | — |
| 951 | OT FACTS HEALTH STATUS | $16,325 | $6,530 | $8,532 | +91% | $9,385 | +74% | — |
| 790 | EXT IMMAT OR RD SYN NEONAT | $14,198 | $5,679 | $163,664 | −91% | $80,018 | −82% | — |
| 921 | COMPL OF TREAT WO CC/MCC | $13,983 | $5,593 | $14,430 | −3% | $14,012 | −0% | — |
| 059 | MS & CEREB ATAX W CC | $10,741 | $4,296 | $33,872 | −68% | $26,322 | −59% | — |
| 793 | FULL TERM NEO W MAJ PROB | $8,570 | $3,428 | $8,962 | −4% | $16,719 | −49% | — |
| 792 | PREMATURITY WO MAJ PROB | $7,327 | $2,931 | $5,399 | +36% | $11,633 | −37% | — |
| 789 | NEON DIED OR TRANS TO ACF | $5,921 | $2,368 | $4,889 | +21% | $14,284 | −59% | — |
| 794 | NEON W OTH SIG PROB | $5,322 | $2,129 | $4,134 | +29% | $7,961 | −33% | — |
| 795 | NORMAL NEWBORN | $4,292 | $1,717 | $3,473 | +24% | $4,530 | −5% | — |
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 |
|---|---|---|---|
| 975 | HIV W MJ REL COND W CC | — | 1 plans |
No procedures match that keyword.