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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 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 | $678,931 | +45% | $371,366 | +166% | — |
| 957 | OR PX MULT SIG TRAMA W MCC | $767,556 | $307,022 | $205,851 | +273% | $120,573 | +537% | — |
| 023 | CRANIOTOMY W DEVICE W MCC | $676,041 | $270,416 | $223,939 | +202% | $106,778 | +533% | — |
| 216 | CV & PX W C CATH W MCC | $617,877 | $247,151 | $245,968 | +151% | $188,171 | +228% | — |
| 427 | NEUROSES EXCEPT DEPRESSIVE | $601,308 | $240,523 | $195,081 | +208% | $132,794 | +353% | — |
| 849 | RADIOTHERAPY | $560,732 | $224,293 | $59,196 | +847% | $37,862 | +1381% | — |
| 004 | TRACH/ MV >96 W/O MAJ OR | $555,152 | $222,061 | $355,728 | +56% | $248,521 | +123% | — |
| 217 | CV& PX W C CATH W CC | $543,339 | $217,336 | $187,980 | +189% | $123,995 | +338% | — |
| 215 | OTH HEART ASSIST SYS IMPL | $525,628 | $210,251 | $227,466 | +131% | $208,939 | +152% | — |
| 239 | AMP EXC UP LMB & TOE W MCC | $517,538 | $207,015 | $155,053 | +234% | $93,390 | +454% | — |
| 207 | RESP SYS DX W VENT >96 | $502,508 | $201,003 | $169,372 | +197% | $116,058 | +333% | — |
| 231 | CORN BYPASS W PTCA MCC | $478,264 | $191,306 | $179,995 | +166% | $147,227 | +225% | — |
| 233 | CORN BYPASS W CATH W MCC | $467,687 | $187,075 | $219,702 | +113% | $144,569 | +224% | — |
| 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% | $103,455 | +290% | — |
| 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% | $85,159 | +337% | — |
| 267 | ENDO CARD VLV REPL W/O MCC | $364,036 | $145,614 | $141,583 | +157% | $92,217 | +295% | — |
| 266 | ENDO CARD VLV REPL W MCC | $359,901 | $143,960 | $201,810 | +78% | $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 | $154,205 | +130% | $102,573 | +245% | ≈107% of Medicare |
| 296 | CARDIAC ARREST, UNEX W MCC | $350,549 | $140,220 | $71,743 | +389% | $33,661 | +941% | — |
| 001 | HEART TRNPL/IMPL HAS W MCC | $342,402 | $136,961 | $461,389 | −26% | $461,389 | −26% | — |
| 245 | AICD GENERATOR PROCS | $339,483 | $135,793 | $104,346 | +225% | $72,076 | +371% | — |
| 265 | AICD LEAD PROCEDURES | $339,214 | $135,685 | $85,580 | +296% | $63,171 | +437% | — |
| 981 | EXT OR PX UNREL PDX W MCC | $334,892 | $133,957 | $69,289 | +383% | $90,775 | +269% | — |
| 220 | CV & MJ CT PX WO C CTH WCC | $334,615 | $133,846 | $164,594 | +103% | $111,320 | +201% | — |
| 221 | CV & PX WO C CTH WO CC/MCC | $329,857 | $131,943 | $166,424 | +98% | $90,331 | +265% | — |
| 028 | SPINAL PROC W MCC | $323,973 | $129,589 | $210,482 | +54% | $113,077 | +187% | — |
| 447 | ALLERGIC REACTIONS >17 | $321,198 | $128,479 | $241,996 | +33% | $126,098 | +155% | — |
| 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% | $148,832 | +107% | — |
| 429 | ORGANIC DIS/MENTAL RETARD | $301,017 | $120,407 | $292,526 | +3% | $144,774 | +108% | — |
| 236 | CORN BYPASS WO CATH WO MCC | $299,129 | $119,652 | $117,955 | +154% | $82,247 | +264% | — |
| 356 | OTH DIGEST PX W MCC | $293,669 | $117,468 | $121,712 | +141% | $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 | $52,577 | +456% | $36,431 | +702% | — |
| 135 | SINUS/MAST PX W CC/MCC | $285,140 | $114,056 | $58,281 | +389% | $42,186 | +576% | — |
| 456 | SPI FUS X CER, FUS W MCC | $283,175 | $113,270 | $265,632 | +7% | $153,282 | +85% | — |
| 555 | S&S MUSC CONN TIS W MCC | $280,508 | $112,203 | $38,060 | +637% | $24,127 | +1063% | — |
| 094 | BAC/TB INF NERV SYS W MCC | $279,186 | $111,675 | $77,910 | +258% | $68,639 | +307% | — |
| 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% | $77,817 | +235% | — |
| 853 | INF & PAR DIS OR PX W MCC | $252,717 | $101,087 | $93,172 | +171% | $93,172 | +171% | ≈111% of Medicare |
| 428 | PERSONALITY/IMPULSE CNTRL | $248,606 | $99,442 | $147,686 | +68% | $105,899 | +135% | — |
| 163 | MAJ CHEST PX W MCC | $248,502 | $99,401 | $133,292 | +86% | $90,195 | +176% | — |
| 255 | UP LIMB&TOE AMP CSD W MCC | $246,712 | $98,685 | $63,680 | +287% | $46,453 | +431% | — |
| 448 | ALLERGIC REACTIONS <18 | $238,150 | $95,260 | $79,254 | +200% | $81,998 | +190% | — |
| 323 | URINARY STONES W CC/ESWL | $236,193 | $94,477 | $133,868 | +76% | $101,510 | +133% | — |
| 325 | KIDN/URIN SIGNS/SYMP >17CC | $232,212 | $92,885 | $94,235 | +146% | $61,217 | +279% | — |
| 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% | $79,116 | +177% | — |
| 317 | ADMIT FOR RENAL DIALYSIS | $218,243 | $87,297 | $181,765 | +20% | $88,566 | +146% | — |
| 451 | POIS/TOXIC EFF DRUGS <18 | $218,181 | $87,272 | $75,564 | +189% | $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% | $66,068 | +222% | — |
| 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% | $66,666 | +209% | — |
| 385 | INFL BOWEL DIS W MCC | $204,914 | $81,966 | $43,821 | +368% | $27,617 | +642% | — |
| 029 | SPINAL PROC W CC | $201,196 | $80,478 | $90,621 | +122% | $67,268 | +199% | — |
| 717 | MALE REP PX EX MALIG W CC | $199,672 | $79,869 | $37,257 | +436% | $36,670 | +445% | — |
| 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 | $111,341 | +75% | $70,371 | +177% | — |
| 166 | OTH RESP SYS PX W MCC | $194,122 | $77,649 | $128,104 | +52% | $75,573 | +157% | — |
| 455 | ANT/POS SPNAL FUSN WO CC | $193,765 | $77,506 | $187,375 | +3% | $56,836 | +241% | ≈207% of Medicare |
| 324 | URINARY STONES | $192,004 | $76,802 | $125,956 | +52% | $71,464 | +169% | — |
| 823 | LYMPH & NAL W PX W MCC | $191,076 | $76,430 | $145,265 | +32% | $87,761 | +118% | — |
| 521 | HIP REPL W PDX FX W MCC | $189,840 | $75,936 | $83,323 | +128% | $70,467 | +169% | — |
| 040 | PER/CRAN NRV + OTH W MCC | $189,218 | $75,687 | $106,659 | +77% | $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 | $35,459 | +415% | $27,043 | +575% | — |
| 258 | CARD PACE DEV REPLCE W MCC | $180,634 | $72,254 | $70,055 | +158% | $52,986 | +241% | — |
| 480 | HIP/FEMUR PX X MJ W MCC | $180,426 | $72,170 | $90,438 | +100% | $65,653 | +175% | — |
| 321 | KIDN/URIN TRCT INFCT >17 | $177,887 | $71,155 | $108,418 | +64% | $81,706 | +118% | ≈197% of Medicare |
| 460 | SPNAL FUSN X CERVCAL WOMCC | $177,728 | $71,091 | $156,877 | +13% | $51,625 | +244% | ≈198% of Medicare |
| 270 | OTH MAJOR CARDIO W MCC | $177,622 | $71,049 | $168,543 | +5% | $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 | $34,947 | +402% | $33,296 | +427% | — |
| 259 | CARD PACE DEV REPLCE WOMCC | $174,544 | $69,818 | $62,302 | +180% | $39,020 | +347% | — |
| 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% | $18,072 | +828% | — |
| 283 | ACUTE MI, EXP W MCC | $166,462 | $66,585 | $34,204 | +387% | $39,955 | +317% | — |
| 196 | INTERSTITAL LUNG DIS W MCC | $164,887 | $65,955 | $48,779 | +238% | $32,637 | +405% | — |
| 488 | KNEE PX WO INF PDX CC/MCC | $162,124 | $64,850 | $58,215 | +178% | $43,631 | +272% | — |
| 330 | MAJ SM/LG BOWEL PX W CC | $160,203 | $64,081 | $74,617 | +115% | $59,500 | +169% | — |
| 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% | $70,847 | +126% | — |
| 357 | OTH DIGEST PX W CC | $159,923 | $63,969 | $60,207 | +166% | $48,682 | +229% | — |
| 673 | OTH KID/UT PX W MCC | $158,487 | $63,395 | $76,824 | +106% | $77,990 | +103% | — |
| 165 | MAJ CHEST PX WO CC/MCC | $158,052 | $63,221 | $56,867 | +178% | $46,340 | +241% | — |
| 335 | PERITON ADHES W MCC | $157,697 | $63,079 | $121,663 | +30% | $71,755 | +120% | — |
| 478 | BX MUSC & CONN TIS W CC | $157,659 | $63,064 | $76,409 | +106% | $50,139 | +214% | — |
| 560 | AFTCARE MUS CONN TISS W CC | $157,122 | $62,849 | $31,265 | +403% | $25,279 | +522% | — |
| 492 | LE & HUM PX W MCC | $156,406 | $62,562 | $116,549 | +34% | $70,564 | +122% | — |
| 417 | LAP CHOLE WO CDE W MCC | $153,982 | $61,593 | $85,978 | +79% | $53,451 | +188% | — |
| 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 | $88,387 | +72% | $59,651 | +154% | — |
| 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% | $52,178 | +189% | — |
| 164 | MAJ CHEST PX W CC | $149,546 | $59,818 | $71,945 | +108% | $56,755 | +163% | — |
| 475 | AMP MUSC/TISS DIS W CC | $148,912 | $59,565 | $53,121 | +180% | $45,877 | +225% | — |
| 251 | PER CV PX WO STNT WO MCC | $148,465 | $59,386 | $62,317 | +138% | $46,295 | +221% | — |
| 628 | OT ENDO/METAB OR PX W MCC | $148,392 | $59,357 | $117,337 | +26% | $71,795 | +107% | — |
| 242 | PERM CARD PM IMP W MCC | $148,234 | $59,293 | $91,781 | +62% | $70,132 | +111% | ≈104% of Medicare |
| 374 | DIGEST MALIG W MCC | $147,148 | $58,859 | $45,291 | +225% | $39,958 | +268% | — |
| 253 | OTH VASC PX W CC | $146,352 | $58,541 | $113,961 | +28% | $57,454 | +155% | — |
| 674 | OTH KID/UT PX W CC | $145,066 | $58,026 | $80,027 | +81% | $50,394 | +188% | — |
| 240 | AMP EXC UP LMB & TOE W CC | $144,650 | $57,860 | $85,282 | +70% | $59,790 | +142% | — |
| 085 | TRAU STUPOR/COMA <1HR MCC | $143,617 | $57,447 | $35,133 | +309% | $41,892 | +243% | — |
| 256 | UP LIMB & TOE AMP CSD W CC | $142,512 | $57,005 | $29,362 | +385% | $32,944 | +333% | — |
| 468 | REV HIP/KNE REPL WO CC/MCC | $141,629 | $56,652 | $85,697 | +65% | $54,929 | +158% | — |
| 519 | B/N PX X SPN FUX W CC | $139,868 | $55,947 | $59,686 | +134% | $44,139 | +217% | — |
| 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 | $90,442 | +52% | $62,821 | +119% | — |
| 982 | EXT OR PX UNREL PDX W CC | $137,145 | $54,858 | $50,832 | +170% | $51,985 | +164% | — |
| 470 | MAJ JOIN REP/REAT LE W/O M | $135,427 | $54,171 | $57,719 | +135% | $50,607 | +168% | — |
| 351 | ING/FEM HERNIA PX W CC | $135,372 | $54,149 | $43,086 | +214% | $36,505 | +271% | — |
| 522 | HIP REPL W PDX FX WO MCC | $135,351 | $54,140 | $79,477 | +70% | $58,280 | +132% | ≈116% of Medicare |
| 002 | HEART TRNP/IMPL HAS WO MCC | $135,341 | $54,136 | $560,182 | −76% | $194,769 | −31% | — |
| 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 | $30,132 | +349% | $23,551 | +474% | — |
| 064 | IC HEM OR CEREB INF W MCC | $134,438 | $53,775 | $40,724 | +230% | $39,106 | +244% | ≈171% of Medicare |
| 167 | OTH RESP SYS PX W CC | $134,186 | $53,675 | $61,102 | +120% | $40,642 | +230% | — |
| 668 | TRANSURETHRAL PX W MCC | $133,281 | $53,312 | $84,080 | +59% | $51,608 | +158% | — |
| 657 | KID/URE PX FOR NEOP W CC | $132,970 | $53,188 | $50,370 | +164% | $43,298 | +207% | — |
| 205 | OTH RESP SYS DX W MCC | $132,755 | $53,102 | $33,894 | +292% | $33,255 | +299% | — |
| 032 | VENT SHUNT PX W CC | $132,661 | $53,064 | $84,712 | +57% | $46,724 | +184% | — |
| 593 | SKIN ULCERS W CC | $131,852 | $52,741 | $27,448 | +380% | $22,886 | +476% | — |
| 963 | OTH MULT SIG TRAUMA MCC | $131,758 | $52,703 | $108,895 | +21% | $43,491 | +203% | — |
| 250 | PER CV PX WO ST W MCC | $131,639 | $52,656 | $81,168 | +62% | $59,629 | +121% | — |
| 535 | HIP/PELVIS FRAC W MCC | $131,180 | $52,472 | $21,957 | +497% | $24,552 | +434% | — |
| 078 | HYP ENCEPH W CC | $131,096 | $52,438 | $24,630 | +432% | $17,698 | +641% | — |
| 038 | EX CRANIAL PX W CC | $129,065 | $51,626 | $60,827 | +112% | $35,770 | +261% | — |
| 322 | KIDN/URIN TRCT INFCT <18 | $127,795 | $51,118 | $79,373 | +61% | $58,809 | +117% | ≈219% of Medicare |
| 181 | RESP NEOP W CC | $127,380 | $50,952 | $27,133 | +369% | $23,573 | +440% | — |
| 829 | MYEL DIS/NEO W PX W CC/MCC | $127,377 | $50,951 | $90,039 | +41% | $53,864 | +136% | — |
| 432 | CIRR/ALC HEPATITIS MCC | $126,005 | $50,402 | $44,870 | +181% | $40,213 | +213% | — |
| 513 | HND/WRST PX W CC/MCC | $125,768 | $50,307 | $42,273 | +198% | $33,424 | +276% | — |
| 244 | PERM CARD PM IMP WO CC/MCC | $125,642 | $50,257 | $66,680 | +88% | $41,591 | +202% | ≈168% of Medicare |
| 306 | CARD CONG/VAL DIS W MCC | $125,492 | $50,197 | $30,731 | +308% | $24,586 | +410% | — |
| 844 | OT MYELO DIS DIF NEOP WCC | $124,854 | $49,941 | $23,954 | +421% | $21,847 | +472% | — |
| 658 | KID/URE PX FOR NEOP WO CC | $124,228 | $49,691 | $42,812 | +190% | $36,253 | +243% | — |
| 379 | GI HEM WO CC/MCC | $122,821 | $49,128 | $20,597 | +496% | $15,038 | +717% | — |
| 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% | $44,606 | +175% | — |
| 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% | $37,609 | +220% | — |
| 473 | CERVCAL SPN FUSN WO CC/MCC | $119,873 | $47,949 | $70,578 | +70% | $50,624 | +137% | — |
| 746 | VAG/CERV/VUL PX W CCMCC | $118,613 | $47,445 | $46,206 | +157% | $29,916 | +296% | — |
| 304 | HYPERTENSION W MCC | $118,393 | $47,357 | $28,318 | +318% | $26,080 | +354% | — |
| 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 | $42,273 | +178% | $29,949 | +293% | — |
| 854 | INF & PAR DIS OR PX W CC | $117,647 | $47,059 | $58,653 | +101% | $43,943 | +168% | — |
| 542 | PTH FX/CON TIS MALIG WMCC | $116,957 | $46,783 | $38,570 | +203% | $36,792 | +218% | — |
| 358 | OTH DIGEST PX WO CC/MCC | $116,908 | $46,763 | $40,964 | +185% | $30,083 | +289% | — |
| 314 | OTH CIRC SYS DX W MCC | $115,649 | $46,260 | $40,116 | +188% | $38,666 | +199% | — |
| 856 | POSTOP/TRAMA INF WOR W MCC | $115,634 | $46,254 | $115,634 | +0% | $76,001 | +52% | — |
| 629 | OT ENDO/METAB OR PX W CC | $115,352 | $46,141 | $61,626 | +87% | $47,737 | +142% | — |
| 564 | OT MUS CONN TISS DX W MCC | $114,481 | $45,792 | $37,599 | +204% | $33,653 | +240% | — |
| 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% | $50,463 | +123% | — |
| 039 | EX CRANIAL PX WO CC/MCC | $112,044 | $44,817 | $41,370 | +171% | $26,618 | +321% | ≈113% of Medicare |
| 559 | AFTRCARE MUS CONN TIS WMCC | $111,968 | $44,787 | $28,567 | +292% | $33,047 | +239% | — |
| 596 | MAJ SKIN DIS W/O MCC | $111,725 | $44,690 | $21,959 | +409% | $17,226 | +549% | — |
| 482 | HIP/FEMUR PX W MJ WO CC | $111,534 | $44,614 | $56,307 | +98% | $41,955 | +166% | ≈119% of Medicare |
| 027 | CRAN & ENDOVAS IC PX WO CC | $111,184 | $44,474 | $64,694 | +72% | $54,583 | +104% | — |
| 983 | EXT OR PX UNREL PDX WO CC | $110,958 | $44,383 | $46,342 | +139% | $34,607 | +221% | — |
| 026 | CRAN & ENDOVAS IC PX W CC | $110,829 | $44,332 | $66,260 | +67% | $64,523 | +72% | — |
| 435 | MALIG HEPA OR PANCR W MCC | $110,643 | $44,257 | $54,859 | +102% | $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 | $95,645 | +15% | $89,207 | +23% | — |
| 393 | OTH DIGEST DX W MCC | $109,039 | $43,616 | $40,598 | +169% | $34,192 | +219% | — |
| 062 | ISC CVA W/THROMBO W CC | $108,979 | $43,592 | $71,229 | +53% | $52,075 | +109% | — |
| 481 | HIP/FEMUR PX X MJ W CC | $108,899 | $43,560 | $74,133 | +47% | $52,751 | +106% | ≈112% of Medicare |
| 485 | KNEE PX W INF PDX W MCC | $108,810 | $43,524 | $86,974 | +25% | $72,424 | +50% | — |
| 061 | ISC CVA W/THROMBO W MCC | $108,683 | $43,473 | $76,865 | +41% | $62,264 | +75% | — |
| 834 | AC LEUK WO MAJ OR PX W MCC | $108,614 | $43,446 | $93,528 | +16% | $85,566 | +27% | — |
| 005 | LIVER TRAN W MCC/INTES TRN | $107,116 | $42,847 | $153,761 | −30% | $164,641 | −35% | — |
| 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% | $32,496 | +229% | ≈108% of Medicare |
| 327 | GASTR, ESOPH,DUO PX W CC | $106,298 | $42,519 | $100,691 | +6% | $59,421 | +79% | — |
| 326 | GASTR, ESOPH,DUO PX W MCC | $105,437 | $42,175 | $68,265 | +54% | $80,793 | +31% | — |
| 055 | NERV SYS NEOP WO MCC | $105,326 | $42,130 | $33,527 | +214% | $20,926 | +403% | — |
| 380 | CMP PEPTIC ULCER W MCC | $105,245 | $42,098 | $44,130 | +138% | $39,627 | +166% | — |
| 419 | LAP CHOLE WO CDE WO CC | $105,184 | $42,074 | $51,019 | +106% | $36,937 | +185% | — |
| 606 | MIN SKIN DIS W MCC | $104,823 | $41,929 | $36,265 | +189% | $27,975 | +275% | — |
| 504 | FOOT PX W CC | $104,733 | $41,893 | $43,650 | +140% | $38,960 | +169% | — |
| 551 | MED BACK PROB W MCC | $104,580 | $41,832 | $37,053 | +182% | $34,017 | +207% | — |
| 643 | ENDO DIS W MCC | $104,463 | $41,785 | $38,587 | +171% | $33,563 | +211% | — |
| 571 | SKIN DEBRIDEMENT W CC | $103,294 | $41,318 | $25,326 | +308% | $37,169 | +178% | — |
| 355 | HERNIA PX X ING/FEM WO CC | $103,049 | $41,219 | $39,391 | +162% | $32,841 | +214% | — |
| 871 | SEPTI/SEPS WO MV>96HR WMCC | $102,650 | $41,060 | $42,652 | +141% | $35,628 | +188% | ≈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 | $85,866 | +19% | $71,092 | +43% | — |
| 286 | CIRC DIS NO MI W CATH WMCC | $101,053 | $40,421 | $70,940 | +42% | $46,283 | +118% | ≈143% of Medicare |
| 082 | TRAU STUPOR/COMA >1HR MCC | $100,167 | $40,067 | $35,666 | +181% | $36,489 | +175% | — |
| 501 | SOFT TISS PX W CC | $100,034 | $40,013 | $47,828 | +109% | $39,619 | +152% | — |
| 186 | PLEURAL EFF W MCC | $99,138 | $39,655 | $43,109 | +130% | $33,834 | +193% | — |
| 399 | RE/IMMUNITY DISORDER | $98,931 | $39,573 | $46,028 | +115% | $31,321 | +216% | — |
| 616 | AMP LOW LIMB W MCC | $97,218 | $38,887 | $58,687 | +66% | $66,685 | +46% | — |
| 602 | CELLULITIS W MCC | $97,139 | $38,855 | $37,206 | +161% | $30,598 | +217% | — |
| 622 | SKN GFT & DEBRIMT W MCC | $96,494 | $38,598 | $58,596 | +65% | $61,470 | +57% | — |
| 189 | PUL EDEMA/ RESP FAILURE | $96,179 | $38,471 | $31,521 | +205% | $26,580 | +262% | ≈111% of Medicare |
| 858 | POSTOP/TRAMA INF WOR WO CC | $95,719 | $38,287 | $52,937 | +81% | $25,748 | +272% | — |
| 517 | OT MUSC CONN TISS OR PX WO | $93,248 | $37,299 | $38,458 | +142% | $33,393 | +179% | — |
| 177 | RESP INF/INFLAM W MCC | $92,503 | $37,001 | $45,521 | +103% | $33,707 | +174% | ≈176% of Medicare |
| 896 | ALC/DRU ABU WO REHAB W MCC | $91,606 | $36,642 | $30,275 | +203% | $31,159 | +194% | — |
| 841 | LYMPH & NON AC LEUK W CC | $91,578 | $36,631 | $42,360 | +116% | $33,633 | +172% | — |
| 391 | ESOPH, GE & DIG DIS W MCC | $91,080 | $36,432 | $36,344 | +151% | $28,050 | +225% | — |
| 637 | DIABETES W MCC | $90,989 | $36,396 | $34,484 | +164% | $30,100 | +202% | — |
| 030 | SPINAL PROC W/O CC/MCC | $90,747 | $36,299 | $47,889 | +89% | $45,866 | +98% | — |
| 054 | NERV SYS NEOP W MCC | $89,868 | $35,947 | $30,650 | +193% | $30,502 | +195% | — |
| 193 | SIMP PNEU/PLEU W MCC | $89,516 | $35,807 | $32,566 | +175% | $27,275 | +228% | ≈194% of Medicare |
| 842 | LYMPH & NON AC LEUK WO CC | $89,452 | $35,781 | $42,277 | +112% | $19,657 | +355% | — |
| 621 | OR PX FOR OBESITY WO CC | $89,376 | $35,751 | $45,696 | +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 | $44,349 | +98% | $32,443 | +170% | — |
| 520 | B/N PX X SPN FUS WO CC/MCC | $87,331 | $34,933 | $54,949 | +59% | $35,465 | +146% | — |
| 175 | PULM EMB W MCC OR AC COR P | $86,188 | $34,475 | $40,015 | +115% | $30,959 | +178% | — |
| 398 | RE/IMMUNITY DISORDER W CC | $86,074 | $34,429 | $53,293 | +62% | $40,162 | +114% | — |
| 348 | ANAL/STOMAL PX W CC | $85,604 | $34,242 | $38,236 | +124% | $27,947 | +206% | — |
| 197 | INTERSTITAL LUNG DIS W CC | $85,579 | $34,232 | $22,530 | +280% | $21,941 | +290% | — |
| 857 | POSTOP/TRAMA INF WOR W CC | $84,275 | $33,710 | $54,091 | +56% | $45,333 | +86% | — |
| 808 | MAJ HEMO/IMMO DX W MCC | $84,091 | $33,636 | $39,181 | +115% | $39,181 | +115% | — |
| 580 | OT SKIN,SBQ BRST PX W CC | $83,892 | $33,557 | $52,557 | +60% | $38,101 | +120% | — |
| 441 | DISDRS LIVER W MCC | $83,777 | $33,511 | $36,795 | +128% | $33,985 | +147% | — |
| 350 | ING/FEM HERNIA PX W MCC | $83,372 | $33,349 | $53,797 | +55% | $50,046 | +67% | — |
| 663 | MIN BLADDER PX W CC | $83,319 | $33,328 | $37,661 | +121% | $33,103 | +152% | — |
| 922 | INJ/POIS/TOX EFCT DX W MCC | $83,261 | $33,304 | $71,679 | +16% | $31,563 | +164% | — |
| 444 | DIS BILIARY TRACT W MCC | $83,125 | $33,250 | $34,273 | +143% | $34,273 | +143% | — |
| 743 | UTR/ADNEX PX NON MAL WO CC | $82,876 | $33,150 | $43,597 | +90% | $30,784 | +169% | — |
| 592 | SKIN ULCERS W MCC | $82,642 | $33,057 | $40,195 | +106% | $33,246 | +149% | — |
| 810 | MAJ HEMO/IMMO DX WO CC/MCC | $81,973 | $32,789 | $25,509 | +221% | $18,316 | +348% | — |
| 091 | OTH DIS NERV SYS W MCC | $81,905 | $32,762 | $43,586 | +88% | $37,387 | +119% | — |
| 438 | DIS PANCR X MALIG W MCC | $81,573 | $32,629 | $29,518 | +176% | $32,628 | +150% | — |
| 505 | FOOT PX WO CC/MCC | $81,420 | $32,568 | $50,640 | +61% | $34,937 | +133% | — |
| 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% | $29,316 | +176% | — |
| 280 | ACUTE MI, DIS ALIV W MCC | $80,218 | $32,087 | $28,348 | +183% | $30,828 | +160% | ≈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% | $46,090 | +74% | — |
| 728 | INF MALE REPROD SYS WO MCC | $79,807 | $31,923 | $18,978 | +321% | $17,118 | +366% | — |
| 689 | KIDNEY/UTI W MCC | $79,469 | $31,787 | $35,833 | +122% | $23,617 | +236% | ≈121% of Medicare |
| 540 | OSTEOMYELITIS W CC | $79,218 | $31,687 | $29,401 | +169% | $26,676 | +197% | — |
| 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% | $32,021 | +145% | ≈210% of Medicare |
| 337 | PERITON ADHES WO CC/MCC | $78,130 | $31,252 | $56,127 | +39% | $39,211 | +99% | — |
| 070 | NS CEREB DIS W MCC | $78,056 | $31,222 | $49,551 | +58% | $31,951 | +144% | ≈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 | $32,589 | +137% | $28,226 | +174% | — |
| 908 | OTH OR PX FOR INJ W CC | $77,254 | $30,902 | $42,974 | +80% | $42,914 | +80% | — |
| 100 | SEIZURES W MCC | $75,901 | $30,361 | $38,584 | +97% | $35,481 | +114% | — |
| 288 | ACU/SUBA ENDOC W MCC | $75,345 | $30,138 | $75,345 | +0% | $50,618 | +49% | — |
| 069 | TRANS ISCHEMIA W/O THROMB | $74,894 | $29,958 | $29,920 | +150% | $21,056 | +256% | — |
| 067 | NS CVA/ PRE OCCL - INF MCC | $74,822 | $29,929 | $37,645 | +99% | $24,941 | +200% | — |
| 915 | ALLERGIC REAC W MCC | $74,555 | $29,822 | $32,645 | +128% | $32,645 | +128% | — |
| 865 | VIRAL ILLNESS W MCC | $74,464 | $29,785 | $30,489 | +144% | $26,910 | +177% | — |
| 056 | DEG NRV SYS DIS W MCC | $73,819 | $29,527 | $38,980 | +89% | $39,973 | +85% | — |
| 917 | POIS/TOX EFF OF DRUG W MCC | $73,712 | $29,485 | $37,673 | +96% | $30,235 | +144% | — |
| 477 | BX MUSC & CONN TIS W MCC | $73,538 | $29,415 | $88,155 | −17% | $68,653 | +7% | — |
| 352 | ING/FEM HRNIA PX WO CC/MCC | $73,427 | $29,371 | $36,875 | +99% | $27,843 | +164% | — |
| 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% | $43,477 | +68% | — |
| 604 | TRAM SKN, SUBQ, BRST W MC | $72,680 | $29,072 | $38,654 | +88% | $28,140 | +158% | — |
| 149 | DYSEQUILIBRIUM | $72,503 | $29,001 | $27,340 | +165% | $18,096 | +301% | — |
| 103 | HEADACHES WO MCC | $72,367 | $28,947 | $29,265 | +147% | $21,280 | +240% | — |
| 660 | KIDNY URETER PX NO-CA W CC | $72,328 | $28,931 | $47,114 | +54% | $31,264 | +131% | — |
| 835 | AC LEUK WO MAJ OR PX W CC | $72,143 | $28,857 | $51,529 | +40% | $35,569 | +103% | — |
| 289 | ACU/SUBA ENDOC W CC | $71,562 | $28,625 | $42,250 | +69% | $32,697 | +119% | — |
| 919 | COMPL OF TREAT W MCC | $70,166 | $28,066 | $31,120 | +125% | $31,105 | +126% | — |
| 614 | ADR & PITU PDX W CC/MCC | $69,893 | $27,957 | $61,165 | +14% | $48,349 | +45% | — |
| 562 | FX SPN STN DIS EX LE WMCC | $69,865 | $27,946 | $36,815 | +90% | $29,743 | +135% | — |
| 065 | IC HM OR CB INF W CC/TPA24 | $69,671 | $27,869 | $36,783 | +89% | $23,940 | +191% | ≈174% of Medicare |
| 863 | POSTOP POST TRAUM INF WOCC | $69,671 | $27,868 | $28,762 | +142% | $20,957 | +232% | — |
| 281 | ACUTE MI, DIS ALIV W CC | $69,270 | $27,708 | $33,736 | +105% | $20,463 | +239% | ≈129% of Medicare |
| 920 | COMPL OF TREAT W CC | $69,089 | $27,636 | $17,295 | +299% | $22,468 | +207% | — |
| 867 | OTH INF/PARA DX W MCC | $68,569 | $27,428 | $52,403 | +31% | $38,070 | +80% | — |
| 368 | MAJ ESOPH DIS W MCC | $68,495 | $27,398 | $56,538 | +21% | $33,876 | +102% | — |
| 884 | ORGAN DIST & INTELL DISAB | $68,367 | $27,347 | $27,174 | +152% | $26,682 | +156% | — |
| 052 | SPINAL DIS & INJ W CC/MCC | $68,325 | $27,330 | $46,252 | +48% | $32,031 | +113% | — |
| 378 | GI HEM W CC | $67,909 | $27,163 | $33,652 | +102% | $22,098 | +207% | ≈132% of Medicare |
| 291 | HEART FAIL/SHOCK W MCC | $67,617 | $27,047 | $31,308 | +116% | $26,776 | +153% | ≈203% of Medicare |
| 700 | OTH KID & UT DX W/O CC | $67,102 | $26,841 | $19,191 | +250% | $14,797 | +353% | — |
| 202 | BRONCH/ASTHMA W CC/MCC | $67,052 | $26,821 | $23,775 | +182% | $17,724 | +278% | — |
| 557 | TEND MYOSTIS BURSITIS WMCC | $66,738 | $26,695 | $44,595 | +50% | $32,877 | +103% | — |
| 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 | $34,439 | +90% | $25,970 | +152% | — |
| 565 | OT MUS CONN TISS DX W CC | $65,517 | $26,207 | $27,175 | +141% | $22,506 | +191% | — |
| 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% | $25,712 | +153% | — |
| 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% | $27,401 | +133% | — |
| 903 | WND DEBRID INJ WO CCMCC | $62,581 | $25,033 | $34,677 | +80% | $25,581 | +145% | — |
| 307 | CARD CONG/VAL DIS WO MCC | $62,428 | $24,971 | $21,011 | +197% | $20,566 | +204% | — |
| 375 | DIGEST MALIG W CC | $62,392 | $24,957 | $33,946 | +84% | $27,277 | +129% | — |
| 683 | RENAL FAILURE W CC | $62,218 | $24,887 | $26,395 | +136% | $19,130 | +225% | ≈204% of Medicare |
| 563 | FX SPN STN DIS EX LE WOMCC | $62,056 | $24,822 | $24,594 | +152% | $19,842 | +213% | — |
| 190 | CH OBST PULM DIS W MCC | $61,610 | $24,644 | $30,661 | +101% | $24,386 | +153% | ≈190% of Medicare |
| 089 | CONCUSSION W CC | $61,496 | $24,599 | $27,042 | +127% | $18,821 | +227% | — |
| 308 | CARD ARR/COND DIS W MCC | $61,317 | $24,527 | $30,579 | +101% | $26,770 | +129% | ≈165% of Medicare |
| 862 | POSTOP POST TRAM INF W MCC | $61,177 | $24,471 | $24,432 | +150% | $32,859 | +86% | — |
| 178 | RESP INF/INFLAM W CC | $60,769 | $24,308 | $31,191 | +95% | $22,024 | +176% | — |
| 494 | LE & HUM PX WO CC/MCC | $60,433 | $24,173 | $62,201 | −3% | $47,711 | +27% | — |
| 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% | $19,661 | +203% | — |
| 872 | SEPTI/SEPS WO MV >96 WO MC | $59,284 | $23,714 | $29,733 | +99% | $22,888 | +159% | ≈117% of Medicare |
| 556 | S&S MUSC CONN TIS WO MCC | $58,813 | $23,525 | $23,838 | +147% | $18,126 | +224% | — |
| 640 | MS DIS NUT,META,ELEC W MC | $58,639 | $23,456 | $32,902 | +78% | $25,463 | +130% | ≈143% of Medicare |
| 300 | PERI VASC DIS W CC | $58,347 | $23,339 | $19,416 | +201% | $20,422 | +186% | — |
| 057 | DEG NRV SYS DIS WO MCC | $58,262 | $23,305 | $33,673 | +73% | $27,543 | +112% | — |
| 445 | DIS BILIARY TRACT W CC | $58,030 | $23,212 | $29,507 | +97% | $23,319 | +149% | ≈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 | $22,742 | +154% | $18,002 | +221% | — |
| 552 | MED BACK PROB W/O MCC | $57,706 | $23,082 | $33,585 | +72% | $21,396 | +170% | ≈125% of Medicare |
| 948 | SIGNS & SYMPTOMS W/O MCC | $57,337 | $22,935 | $25,689 | +123% | $17,921 | +220% | — |
| 153 | OTITIS MEDIA/URI WO MCC | $56,838 | $22,735 | $18,842 | +202% | $14,583 | +290% | — |
| 187 | PLEURAL EFF W CC | $56,716 | $22,686 | $21,390 | +165% | $21,789 | +160% | — |
| 282 | ACUTE MI,DIS ALIV WOCC/MC | $56,599 | $22,639 | $30,314 | +87% | $19,227 | +194% | — |
| 682 | RENAL FAILURE W MCC | $56,567 | $22,627 | $32,167 | +76% | $29,064 | +95% | ≈112% of Medicare |
| 299 | PERI VASC DIS W MCC | $56,301 | $22,520 | $33,852 | +66% | $27,316 | +106% | — |
| 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% | $33,555 | +65% | — |
| 096 | BAC/TB INF NERV SYS WO CC | $55,313 | $22,125 | $45,133 | +23% | $41,620 | +33% | — |
| 093 | OTH DIS NERV SYS WO CC/MCC | $55,056 | $22,022 | $25,314 | +117% | $17,620 | +212% | — |
| 388 | GI OBST W MCC | $54,582 | $21,833 | $35,222 | +55% | $30,571 | +79% | — |
| 718 | MALE REP PX EX MALIG WO CC | $54,491 | $21,797 | $23,003 | +137% | $19,270 | +183% | — |
| 386 | INFL BOWEL DIS W CC | $54,111 | $21,644 | $21,795 | +148% | $22,033 | +146% | — |
| 087 | TRAU STUPOR/COMA <1HR WO | $53,960 | $21,584 | $23,065 | +134% | $16,520 | +227% | — |
| 206 | OTH RESP SYS DX WO MCC | $53,835 | $21,534 | $29,239 | +84% | $18,488 | +191% | — |
| 092 | OTH DIS NERV SYS W CC | $53,796 | $21,518 | $37,630 | +43% | $24,914 | +116% | — |
| 311 | ANGINA PECTORIS | $53,784 | $21,514 | $20,944 | +157% | $15,502 | +247% | — |
| 696 | KIDNEY URINARY S&S WOMCC | $53,754 | $21,502 | $20,313 | +165% | $14,689 | +266% | — |
| 373 | MAJ GI DIS&PERIT INF WO CC | $53,537 | $21,415 | $19,272 | +178% | $16,767 | +219% | — |
| 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% | $22,446 | +135% | — |
| 880 | AC ADJ REAC & PSY DYS | $52,494 | $20,998 | $18,315 | +187% | $17,733 | +196% | — |
| 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% | $33,787 | +54% | — |
| 066 | IC HEM OR CEREB INF WO CC | $51,897 | $20,759 | $30,021 | +73% | $20,781 | +150% | — |
| 200 | PNEUMOTHORAX W CC | $51,485 | $20,594 | $22,299 | +131% | $21,368 | +141% | — |
| 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% | $27,285 | +86% | — |
| 436 | MALIG HEPA OR PANCR W CC | $50,197 | $20,079 | $31,888 | +57% | $25,034 | +101% | — |
| 940 | OR PX PDX OTH SVCS W CC | $49,894 | $19,957 | $61,508 | −19% | $43,650 | +14% | — |
| 313 | CHEST PAIN | $49,688 | $19,875 | $21,293 | +133% | $16,440 | +202% | ≈186% of Medicare |
| 645 | ENDO DIS W/O CC/MCC | $49,465 | $19,786 | $12,844 | +285% | $15,428 | +221% | — |
| 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% | $17,674 | +179% | ≈195% of Medicare |
| 006 | LIVER TRANSPLANT W/O MCC | $49,088 | $19,635 | $84,407 | −42% | $84,407 | −42% | — |
| 394 | OTH DIGEST DX W CC | $49,048 | $19,619 | $27,628 | +78% | $20,181 | +143% | — |
| 381 | CMP PEPTIC ULCER W CC | $48,847 | $19,539 | $31,494 | +55% | $24,177 | +102% | — |
| 641 | MS DIS NUT/META/ELEC WOMCC | $48,812 | $19,525 | $21,355 | +129% | $17,038 | +186% | ≈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% | $15,549 | +210% | — |
| 191 | CH OBST PULM DIS W CC | $47,838 | $19,135 | $23,872 | +100% | $18,807 | +154% | — |
| 389 | GI OBST W CC | $47,806 | $19,122 | $26,993 | +77% | $17,578 | +172% | — |
| 600 | N-MAL BREAST DIS W CCMCC | $47,778 | $19,111 | $17,061 | +180% | $16,700 | +186% | — |
| 440 | DIS PANCR X MALIG WO CC | $47,394 | $18,958 | $25,509 | +86% | $15,183 | +212% | — |
| 581 | SKIN SUBC BRST PX WO CC | $46,832 | $18,733 | $38,993 | +20% | $26,932 | +74% | — |
| 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 | $26,014 | +76% | $19,569 | +134% | — |
| 784 | CESAREAN SEC W STERIL W CC | $45,474 | $18,190 | $28,585 | +59% | $23,283 | +95% | — |
| 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% | $27,152 | +66% | — |
| 964 | OTH MULT SIG TRAUMA CC | $44,215 | $17,686 | $35,742 | +24% | $27,394 | +61% | — |
| 699 | OTH KID & UT DX W CC | $44,000 | $17,600 | $25,679 | +71% | $21,275 | +107% | — |
| 759 | INF FEM REPRO SYS WO CC | $43,939 | $17,575 | $20,648 | +113% | $14,250 | +208% | — |
| 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 | $22,256 | +97% | $15,855 | +176% | — |
| 770 | ABORTION W PROCEDURE | $43,715 | $17,486 | $24,490 | +79% | $18,956 | +131% | — |
| 292 | HEART FAIL/SHOCK W CC | $43,380 | $17,352 | $27,360 | +59% | $16,371 | +165% | — |
| 605 | TRAM SKN, SUBQ, BST WO MC | $43,345 | $17,338 | $34,148 | +27% | $20,506 | +111% | — |
| 184 | MAJ CHEST TRAUMA W CC | $43,286 | $17,314 | $28,391 | +52% | $22,432 | +93% | — |
| 301 | PERI VASC DIS WO CC/MCC | $43,004 | $17,202 | $18,322 | +135% | $15,837 | +172% | — |
| 309 | CARD ARR/COND DIS W CC | $42,387 | $16,955 | $25,748 | +65% | $17,303 | +145% | ≈209% of Medicare |
| 809 | MAJ HEMO/IMMO DX W CC | $41,950 | $16,780 | $27,707 | +51% | $22,458 | +87% | — |
| 965 | OTH MULT SIG TRAUMA W/O CC | $41,789 | $16,716 | $26,257 | +59% | $20,259 | +106% | — |
| 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% | $18,086 | +127% | — |
| 101 | SEIZURES WO MCC | $41,108 | $16,443 | $23,267 | +77% | $20,461 | +101% | — |
| 369 | MAJ ESOPH DIS W CC | $40,997 | $16,399 | $35,392 | +16% | $25,303 | +62% | — |
| 894 | ALC/DRUG ABUSE/DEP AMA | $40,681 | $16,273 | $15,550 | +162% | $12,324 | +230% | — |
| 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 | $25,586 | +57% | $21,363 | +88% | — |
| 071 | NS CEREB DIS W CC | $39,706 | $15,882 | $29,075 | +37% | $23,488 | +69% | — |
| 183 | MAJ CHEST TRAUMA W MCC | $39,667 | $15,867 | $48,610 | −18% | $29,933 | +33% | — |
| 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 | $29,273 | +31% | $23,198 | +66% | — |
| 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% | $17,601 | +117% | — |
| 806 | VAG DEL WO STER/DC W CC | $38,161 | $15,264 | $18,498 | +106% | $13,275 | +187% | — |
| 694 | URINARY STONES W/O MCC | $38,055 | $15,222 | $26,930 | +41% | $17,345 | +119% | — |
| 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 | $18,908 | +98% | $15,452 | +143% | — |
| 303 | ATHEROSCLEROSIS WO MCC | $37,484 | $14,994 | $22,788 | +64% | $14,927 | +151% | — |
| 607 | MIN SKIN DIS W/O MCC | $37,294 | $14,918 | $13,589 | +174% | $15,889 | +135% | — |
| 785 | CESAREAN W STER WO CC/MCC | $36,828 | $14,731 | $25,718 | +43% | $19,846 | +86% | — |
| 623 | SKN GFT & DEBRIMT W CC | $36,738 | $14,695 | $49,701 | −26% | $34,459 | +7% | — |
| 783 | CESAREAN SEC W STERIL W MC | $36,365 | $14,546 | $30,719 | +18% | $29,221 | +24% | — |
| 684 | RENAL FAILURE W/O CC/MCC | $36,224 | $14,490 | $21,444 | +69% | $13,642 | +166% | — |
| 080 | NT STUPOR/COMA W MCC | $35,762 | $14,305 | $35,762 | +0% | $36,249 | −1% | — |
| 558 | TEND MYOSTIS BURSTIS WOMCC | $35,743 | $14,297 | $13,756 | +160% | $18,602 | +92% | — |
| 185 | MAJ CHEST TRAUMA WO CC/MCC | $35,541 | $14,216 | $20,657 | +72% | $17,124 | +108% | — |
| 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% | $13,361 | +160% | — |
| 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% | $16,846 | +105% | — |
| 885 | PSYCHOSES | $34,166 | $13,666 | $18,408 | +86% | $21,729 | +57% | — |
| 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% | $14,716 | +129% | — |
| 102 | HEADACHES W MCC | $33,181 | $13,272 | $25,874 | +28% | $25,740 | +29% | — |
| 125 | OTH DIS EYE W/O MCC | $32,695 | $13,078 | $27,354 | +20% | $17,298 | +89% | — |
| 791 | PREMATURITY W MAJ PROB | $32,624 | $13,049 | $30,459 | +7% | $42,679 | −24% | — |
| 203 | BRONCH/ASTHMA WO CC/MCC | $32,087 | $12,835 | $13,528 | +137% | $12,252 | +162% | — |
| 897 | ALC/DRU ABU WO REHAB WOMCC | $29,523 | $11,809 | $21,806 | +35% | $16,699 | +77% | — |
| 815 | RETICUL & IMMUN DIS W CC | $29,165 | $11,666 | $29,165 | +0% | $19,264 | +51% | — |
| 814 | RETICUL & IMMUN DIS W MCC | $29,118 | $11,647 | $48,039 | −39% | $33,851 | −14% | — |
| 831 | OTH ANTP DX WO OR W MCC | $29,030 | $11,612 | $17,734 | +64% | $18,133 | +60% | — |
| 316 | OTH CIRC SYS DX WO CC | $28,970 | $11,588 | $27,750 | +4% | $13,651 | +112% | — |
| 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 | $22,043 | +25% | $14,648 | +88% | — |
| 726 | BPH WO MCC | $27,092 | $10,837 | $15,705 | +73% | $15,019 | +80% | — |
| 387 | INFL BOWEL DIS WO CC/MCC | $26,051 | $10,420 | $22,581 | +15% | $16,288 | +60% | — |
| 807 | VAG DEL WO STER/DC WOCCMCC | $25,713 | $10,285 | $16,757 | +53% | $12,078 | +113% | — |
| 882 | NEUROSES X DEPRESSIVE | $24,646 | $9,858 | $14,798 | +67% | $15,680 | +57% | — |
| 201 | PNEUMOTHORAX WO CC/MCC | $24,309 | $9,724 | $16,175 | +50% | $14,053 | +73% | — |
| 553 | BONE DIS & ARTHROP W MCC | $24,304 | $9,722 | $38,165 | −36% | $26,051 | −7% | — |
| 916 | ALLERGIC REAC W/O MCC | $23,677 | $9,471 | $13,510 | +75% | $13,942 | +70% | — |
| 901 | WND DEBRID INJ W MCC | $23,508 | $9,403 | $152,630 | −85% | $70,177 | −67% | — |
| 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% | $19,962 | +7% | — |
| 346 | MIN SM/LG BOWEL PX WO CC | $20,134 | $8,054 | $36,054 | −44% | $27,297 | −26% | — |
| 434 | CIRR/ALC HEPATITIS WO CC | $19,566 | $7,826 | $19,796 | −1% | $12,460 | +57% | — |
| 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% | $12,454 | +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% | $10,160 | +61% | — |
| 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 | $13,947 | +0% | $14,415 | −3% | — |
| 059 | MS & CEREB ATAX W CC | $10,741 | $4,296 | $37,100 | −71% | $27,163 | −60% | — |
| 793 | FULL TERM NEO W MAJ PROB | $8,570 | $3,428 | $8,962 | −4% | $18,649 | −54% | — |
| 792 | PREMATURITY WO MAJ PROB | $7,327 | $2,931 | $5,399 | +36% | $12,229 | −40% | — |
| 789 | NEON DIED OR TRANS TO ACF | $5,921 | $2,368 | $4,889 | +21% | $16,351 | −64% | — |
| 794 | NEON W OTH SIG PROB | $5,322 | $2,129 | $4,134 | +29% | $8,445 | −37% | — |
| 795 | NORMAL NEWBORN | $4,292 | $1,717 | $3,473 | +24% | $4,720 | −9% | — |
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.