Grand Island Regional Medical Center — Pricing

699 procedures published in this hospital's Machine-Readable File (MRF) — 698 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 699
Lowest published price $1,692
Average published price $56,182
Highest published price $759,540

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.

Showing all 699 procedures

Published charges

Showing all 698 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. Cash-pay prices not published for this hospital.

Across 13 procedures, this hospital's negotiated rates average ≈120% of what Medicare pays.

DRG Description Published price vs. NE median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $759,540 $377,060 +101% $431,073 +76% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $504,793 $265,417 +90% $371,366 +36% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $343,184 $113,406 +203% $120,174 +186% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $320,941 $125,209 +156% $121,563 +164% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $320,417 $174,807 +83% $245,241 +31% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $319,823 $81,154 +294% $108,472 +195% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $265,523 $133,021 +100% $191,314 +39% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $255,115 $131,159 +95% $175,437 +45% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $238,295 $142,326 +67% $142,326 +67% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $236,353 $74,526 +217% $93,783 +152% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $207,065 $83,453 +148% $121,714 +70% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $204,917 $58,914 +248% $83,441 +146% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $204,664 $96,065 +113% $138,868 +47% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $202,026 $96,694 +109% $143,242 +41% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $196,445 $43,829 +348% $57,277 +243% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $196,277 $84,225 +133% $94,988 +107% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $195,158 $68,774 +184% $102,573 +90% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $194,089 $65,162 +198% $78,582 +147% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $192,319 $40,157 +379% $64,956 +196% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $189,961 $52,271 +263% $57,521 +230% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $188,896 $91,245 +107% $114,914 +64% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $187,511 $74,981 +150% $105,899 +77% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $185,390 $62,426 +197% $96,222 +93% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $180,595 $94,095 +92% $120,587 +50% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $179,123 $32,643 +449% $45,432 +294% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $177,665 $83,839 +112% $118,589 +50% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $177,415 $90,075 +97% $138,008 +29% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $174,997 $84,332 +108% $117,280 +49% —
653 MAJOR BLADDER PROCEDURES WITH MCC $172,888 $66,956 +158% $97,046 +78% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $172,608 $68,430 +152% $102,177 +69% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $171,384 $108,392 +58% $151,029 +13% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $171,132 $96,637 +77% $121,728 +41% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $167,556 $96,153 +74% $131,961 +27% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $167,183 $63,437 +164% $91,329 +83% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $166,254 $73,571 +126% $112,062 +48% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $160,387 $28,820 +457% $46,066 +248% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $156,775 $47,096 +233% $80,018 +96% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $155,145 $53,204 +192% $82,247 +89% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $153,889 $74,571 +106% $106,778 +44% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $153,332 $74,842 +105% $107,355 +43% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $151,903 $30,277 +402% $39,093 +289% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $151,770 $75,296 +102% $101,235 +50% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $147,575 $51,814 +185% $66,853 +121% —
245 AICD GENERATOR PROCEDURES $146,173 $63,550 +130% $72,076 +103% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $138,908 $86,536 +61% $105,612 +32% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $136,792 $82,650 +66% $116,058 +18% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $136,744 $67,002 +104% $96,905 +41% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $135,786 $80,064 +70% $113,855 +19% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $133,197 $49,217 +171% $74,755 +78% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $132,078 $63,954 +107% $92,217 +43% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $131,375 $66,830 +97% $99,423 +32% —
799 SPLENIC PROCEDURES WITH MCC $130,530 $58,624 +123% $78,821 +66% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $129,695 $58,120 +123% $88,049 +47% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $126,691 $61,111 +107% $86,390 +47% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $126,313 $55,737 +127% $81,998 +54% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $126,308 $47,553 +166% $78,852 +60% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $124,869 $51,416 +143% $83,065 +50% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $123,074 $27,116 +354% $40,232 +206% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $121,505 $41,219 +195% $65,254 +86% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $121,035 $45,305 +167% $68,880 +76% —
471 CERVICAL SPINAL FUSION WITH MCC $118,396 $61,944 +91% $92,515 +28% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $118,376 $36,207 +227% $58,043 +104% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $117,300 $44,309 +165% $59,207 +98% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $115,687 $43,522 +166% $70,132 +65% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $114,866 $53,120 +116% $76,954 +49% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $114,382 $65,668 +74% $86,953 +32% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $114,369 $70,186 +63% $79,944 +43% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $111,591 $37,925 +194% $58,968 +89% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $110,933 $52,201 +113% $75,103 +48% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $110,591 $57,049 +94% $88,050 +26% ≈108% of Medicare
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $110,571 $50,390 +119% $72,945 +52% —
263 VEIN LIGATION AND STRIPPING $108,596 $34,370 +216% $44,938 +142% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $108,414 $53,417 +103% $75,492 +44% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $107,267 $28,708 +274% $37,654 +185% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $107,158 $53,202 +101% $61,832 +73% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $107,020 $36,538 +193% $46,402 +131% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $106,377 $60,419 +76% $80,885 +32% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $106,325 $29,185 +264% $38,998 +173% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $105,301 $57,071 +85% $88,307 +19% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $104,342 $45,530 +129% $71,014 +47% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $104,076 $43,703 +138% $66,819 +56% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $103,275 $35,205 +193% $54,929 +88% —
570 SKIN DEBRIDEMENT WITH MCC $103,105 $35,145 +193% $52,435 +97% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $103,096 $67,767 +52% $94,927 +9% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $102,593 $30,277 +239% $47,583 +116% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $101,942 $108,323 −6% $134,914 −24% —
665 PROSTATECTOMY WITH MCC $101,581 $44,271 +129% $54,072 +88% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $100,335 $41,100 +144% $65,325 +54% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $100,112 $52,220 +92% $72,011 +39% —
163 MAJOR CHEST PROCEDURES WITH MCC $99,510 $59,423 +67% $88,341 +13% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $97,414 $38,516 +153% $54,129 +80% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $96,933 $62,135 +56% $87,018 +11% ≈65% of Medicare
654 MAJOR BLADDER PROCEDURES WITH CC $96,115 $35,205 +173% $53,868 +78% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $95,460 $27,668 +245% $41,651 +129% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $92,445 $48,245 +92% $62,404 +48% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $92,031 $38,984 +136% $74,274 +24% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $91,601 $39,566 +132% $65,573 +40% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $90,970 $45,535 +100% $71,755 +27% —
252 OTHER VASCULAR PROCEDURES WITH MCC $90,940 $45,120 +102% $68,508 +33% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $90,855 $37,622 +141% $54,313 +67% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $89,473 $76,757 +17% $96,192 −7% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $86,174 $41,184 +109% $52,908 +63% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $85,828 $35,500 +142% $44,973 +91% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $85,386 $49,399 +73% $71,701 +19% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $85,193 $47,286 +80% $70,540 +21% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $84,600 $16,356 +417% $27,321 +210% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $84,570 $19,422 +335% $34,906 +142% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $84,558 $42,839 +97% $57,855 +46% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $84,431 $46,739 +81% $50,919 +66% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $84,074 $43,017 +95% $51,953 +62% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $83,817 $38,743 +116% $67,764 +24% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $83,760 $20,118 +316% $41,380 +102% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $83,702 $20,923 +300% $28,103 +198% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $83,525 $24,928 +235% $54,772 +52% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $83,363 $42,427 +96% $68,399 +22% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $83,138 $41,989 +98% $53,555 +55% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $82,295 $49,827 +65% $68,659 +20% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $82,240 $40,668 +102% $64,465 +28% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $81,795 $64,123 +28% $88,691 −8% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $81,455 $43,219 +88% $67,901 +20% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $81,374 $35,996 +126% $60,140 +35% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $81,330 $32,331 +152% $55,162 +47% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $81,171 $24,704 +229% $38,420 +111% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $80,522 $37,713 +114% $54,475 +48% —
505 FOOT PROCEDURES WITHOUT CC/MCC $80,323 $21,739 +269% $31,716 +153% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $80,078 $46,711 +71% $74,257 +8% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $79,890 $24,469 +226% $35,459 +125% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $79,178 $53,657 +48% $72,859 +9% —
332 RECTAL RESECTION WITH MCC $78,690 $47,409 +66% $58,125 +35% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $78,468 $34,999 +124% $57,963 +35% —
472 CERVICAL SPINAL FUSION WITH CC $78,278 $36,828 +113% $59,537 +31% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $78,119 $29,059 +169% $51,339 +52% —
710 PENIS PROCEDURES WITHOUT CC/MCC $77,969 $18,649 +318% $23,814 +227% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $77,135 $52,814 +46% $60,098 +28% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $76,034 $38,512 +97% $63,984 +19% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $75,839 $40,817 +86% $64,152 +18% —
164 MAJOR CHEST PROCEDURES WITH CC $75,804 $32,506 +133% $53,141 +43% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $75,159 $33,075 +127% $57,149 +32% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $75,073 $12,887 +483% $20,309 +270% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $74,884 $25,938 +189% $37,902 +98% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $74,725 $29,243 +156% $52,313 +43% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $74,634 $47,999 +55% $62,524 +19% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $74,448 $29,810 +150% $50,624 +47% —
037 EXTRACRANIAL PROCEDURES WITH MCC $74,320 $40,137 +85% $64,749 +15% —
253 OTHER VASCULAR PROCEDURES WITH CC $74,213 $33,538 +121% $53,746 +38% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $73,840 $25,924 +185% $41,520 +78% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $73,565 $33,656 +119% $46,659 +58% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $73,271 $42,883 +71% $65,383 +12% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $72,800 $61,912 +18% $80,747 −10% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $72,303 $41,322 +75% $64,776 +12% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $72,076 $20,457 +252% $30,910 +133% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $71,967 $42,225 +70% $65,216 +10% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $71,754 $29,772 +141% $51,985 +38% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $71,645 $31,385 +128% $52,332 +37% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $70,975 $53,186 +33% $82,561 −14% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $70,822 $60,312 +17% $70,735 +0% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $70,426 $39,577 +78% $62,821 +12% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $69,502 $20,434 +240% $33,490 +108% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $69,401 $11,760 +490% $18,608 +273% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $68,613 $31,059 +121% $56,394 +22% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $68,234 $26,743 +155% $34,900 +96% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $67,139 $22,602 +197% $29,524 +127% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $66,949 $23,258 +188% $35,014 +91% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $66,878 $31,606 +112% $48,094 +39% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $66,769 $29,436 +127% $49,197 +36% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $66,596 $29,323 +127% $48,682 +37% —
999 UNGROUPABLE $65,897 $37,501 +76% $28,822 +129% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $65,855 $25,895 +154% $45,622 +44% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $65,799 $22,473 +193% $38,836 +69% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $65,519 $33,019 +98% $52,405 +25% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $65,447 $23,928 +174% $41,380 +58% —
028 SPINAL PROCEDURES WITH MCC $64,983 $73,130 −11% $95,858 −32% —
150 EPISTAXIS WITH MCC $64,932 $18,142 +258% $21,133 +207% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $64,921 $30,990 +109% $36,237 +79% —
333 RECTAL RESECTION WITH CC $64,641 $28,180 +129% $34,352 +88% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $64,225 $28,188 +128% $44,600 +44% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $64,160 $30,277 +112% $49,631 +29% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $64,118 $26,233 +144% $43,538 +47% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $63,859 $39,586 +61% $63,475 +1% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $63,744 $29,038 +120% $44,989 +42% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $63,436 $24,370 +160% $48,680 +30% —
088 CONCUSSION WITH MCC $63,404 $18,853 +236% $24,402 +160% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $62,629 $33,584 +86% $43,491 +44% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $62,611 $14,445 +333% $24,432 +156% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $62,509 $39,339 +59% $49,710 +26% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $62,227 $19,420 +220% $27,168 +129% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $62,108 $33,704 +84% $40,277 +54% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $61,869 $27,402 +126% $51,172 +21% —
913 TRAUMATIC INJURY WITH MCC $61,845 $21,509 +188% $24,198 +156% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $61,842 $46,499 +33% $68,006 −9% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $61,769 $11,384 +443% $21,261 +191% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $61,681 $30,372 +103% $58,832 +5% ≈118% of Medicare
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $61,567 $31,117 +98% $43,586 +41% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $61,534 $28,169 +118% $36,334 +69% —
374 DIGESTIVE MALIGNANCY WITH MCC $61,113 $26,427 +131% $38,885 +57% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $61,101 $30,440 +101% $47,546 +29% —
949 AFTERCARE WITH CC/MCC $60,659 $15,037 +303% $23,953 +153% —
800 SPLENIC PROCEDURES WITH CC $60,567 $34,637 +75% $49,184 +23% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $60,415 $41,023 +47% $62,269 −3% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $60,146 $29,172 +106% $46,430 +30% —
835 ACUTE LEUKEMIA WITH CC $60,030 $29,354 +105% $35,569 +69% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $59,882 $25,795 +132% $44,363 +35% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $59,676 $30,117 +98% $50,011 +19% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $59,635 $65,069 −8% $87,565 −32% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $59,403 $24,126 +146% $29,609 +101% —
336 PERITONEAL ADHESIOLYSIS WITH CC $59,258 $27,371 +117% $49,470 +20% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $58,775 $14,953 +293% $17,193 +242% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $58,682 $30,063 +95% $54,824 +7% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $58,280 $28,565 +104% $56,519 +3% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $58,206 $25,534 +128% $35,714 +63% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $57,961 $49,198 +18% $60,861 −5% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $57,854 $23,316 +148% $36,597 +58% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $57,812 $23,261 +149% $40,583 +42% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $57,740 $22,891 +152% $37,950 +52% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $57,688 $37,489 +54% $48,358 +19% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $57,625 $48,711 +18% $72,782 −21% —
139 SALIVARY GLAND PROCEDURES $57,507 $17,109 +236% $21,014 +174% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $57,437 $18,981 +203% $30,418 +89% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $57,211 $33,041 +73% $41,703 +37% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $57,046 $23,884 +139% $40,063 +42% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $56,685 $38,425 +48% $48,907 +16% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $56,541 $21,079 +168% $29,409 +92% —
834 ACUTE LEUKEMIA WITH MCC $56,122 $75,296 −25% $76,583 −27% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $56,084 $22,713 +147% $33,050 +70% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $56,028 $23,744 +136% $45,963 +22% —
199 PNEUMOTHORAX WITH MCC $56,003 $21,779 +157% $31,491 +78% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $55,842 $47,040 +19% $72,908 −23% —
592 SKIN ULCERS WITH MCC $55,690 $23,946 +133% $32,662 +71% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $55,480 $25,667 +116% $43,398 +28% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $55,470 $31,272 +77% $43,697 +27% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $55,414 $20,922 +165% $34,434 +61% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $55,409 $9,478 +485% $12,593 +340% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $55,260 $21,222 +160% $42,119 +31% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $55,249 $22,170 +149% $31,909 +73% —
667 PROSTATECTOMY WITHOUT CC/MCC $55,189 $12,872 +329% $16,703 +230% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $55,157 $21,335 +159% $32,490 +70% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $55,056 $23,261 +137% $33,564 +64% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $54,958 $16,863 +226% $34,887 +58% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $54,813 $24,788 +121% $43,775 +25% —
113 ORBITAL PROCEDURES WITH CC/MCC $54,423 $29,710 +83% $35,642 +53% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $54,053 $36,147 +50% $49,055 +10% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $54,011 $28,839 +87% $50,139 +8% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $53,782 $19,397 +177% $25,854 +108% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $53,643 $26,082 +106% $45,817 +17% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $53,603 $25,294 +112% $41,660 +29% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $53,466 $28,643 +87% $38,382 +39% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $53,034 $23,804 +123% $40,694 +30% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $52,994 $17,109 +210% $24,980 +112% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $52,690 $31,881 +65% $39,409 +34% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $52,681 $23,069 +128% $32,538 +62% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $52,639 $14,711 +258% $25,390 +107% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $52,201 $8,548 +511% $14,368 +263% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $52,170 $11,155 +368% $13,822 +277% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $52,111 $15,546 +235% $24,316 +114% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $52,024 $19,339 +169% $31,812 +64% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $51,985 $24,590 +111% $42,126 +23% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $51,710 $22,559 +129% $36,333 +42% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $51,197 $24,382 +110% $35,237 +45% ≈120% of Medicare
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $50,991 $20,643 +147% $35,584 +43% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $50,964 $24,490 +108% $42,881 +19% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $50,859 $22,209 +129% $33,607 +51% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $50,712 $17,884 +184% $31,816 +59% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $50,560 $16,678 +203% $21,860 +131% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $50,489 $22,824 +121% $37,842 +33% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $50,416 $15,635 +222% $19,598 +157% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $50,163 $15,394 +226% $25,623 +96% —
593 SKIN ULCERS WITH CC $50,105 $14,519 +245% $20,470 +145% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $49,702 $22,074 +125% $40,552 +23% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $49,413 $23,763 +108% $40,563 +22% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $49,275 $47,689 +3% $55,097 −11% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $49,096 $21,463 +129% $44,117 +11% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $49,052 $17,723 +177% $31,978 +53% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $48,287 $24,539 +97% $43,080 +12% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $48,207 $20,953 +130% $29,558 +63% —
197 INTERSTITIAL LUNG DISEASE WITH CC $48,147 $12,787 +277% $20,106 +139% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $48,093 $19,265 +150% $35,528 +35% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $47,617 $77,774 −39% $89,353 −47% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $47,416 $27,085 +75% $32,483 +46% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $47,254 $20,798 +127% $35,453 +33% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $47,156 $19,148 +146% $35,375 +33% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $47,079 $24,681 +91% $36,933 +27% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $47,067 $20,378 +131% $36,239 +30% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $47,056 $19,449 +142% $35,692 +32% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $46,569 $14,087 +231% $31,190 +49% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $46,391 $10,752 +331% $13,385 +247% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $46,334 $14,292 +224% $17,483 +165% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $46,317 $21,964 +111% $43,266 +7% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $46,315 $22,504 +106% $30,814 +50% —
137 MOUTH PROCEDURES WITH CC/MCC $46,263 $17,114 +170% $24,348 +90% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $46,241 $36,052 +28% $44,839 +3% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $45,687 $18,942 +141% $32,911 +39% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $45,655 $19,026 +140% $32,936 +39% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $45,587 $20,029 +128% $25,484 +79% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $45,558 $34,233 +33% $45,290 +1% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $45,521 $30,006 +52% $46,591 −2% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $45,447 $16,864 +169% $23,297 +95% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $45,412 $30,917 +47% $39,657 +15% —
334 RECTAL RESECTION WITHOUT CC/MCC $45,199 $21,181 +113% $32,213 +40% —
666 PROSTATECTOMY WITH CC $45,115 $20,637 +119% $30,016 +50% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $44,692 $10,310 +333% $17,700 +153% —
551 MEDICAL BACK PROBLEMS WITH MCC $44,691 $21,534 +108% $31,086 +44% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $44,686 $27,692 +61% $46,477 −4% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $44,662 $20,784 +115% $28,967 +54% ≈90% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $44,512 $20,566 +116% $39,747 +12% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $44,393 $25,956 +71% $36,202 +23% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $44,354 $19,828 +124% $33,984 +31% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $44,314 $29,128 +52% $36,097 +23% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $44,264 $14,257 +210% $21,806 +103% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $44,206 $28,340 +56% $45,818 −4% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $44,198 $25,228 +75% $43,524 +2% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $44,012 $37,517 +17% $53,817 −18% —
038 EXTRACRANIAL PROCEDURES WITH CC $43,889 $20,142 +118% $35,770 +23% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $43,811 $17,626 +149% $29,211 +50% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $43,667 $22,856 +91% $29,826 +46% —
123 NEUROLOGICAL EYE DISORDERS $43,388 $10,815 +301% $17,831 +143% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $43,361 $20,829 +108% $31,128 +39% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $43,345 $43,547 −0% $54,196 −20% —
180 RESPIRATORY NEOPLASMS WITH MCC $43,256 $22,232 +95% $36,658 +18% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $42,879 $21,097 +103% $32,502 +32% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $42,815 $27,292 +57% $38,357 +12% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $42,713 $8,952 +377% $15,600 +174% —
813 COAGULATION DISORDERS $42,710 $18,661 +129% $30,128 +42% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $42,659 $13,679 +212% $25,162 +70% —
100 SEIZURES WITH MCC $42,482 $23,300 +82% $35,194 +21% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $42,418 $33,589 +26% $45,497 −7% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $42,195 $27,118 +56% $37,064 +14% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $42,063 $18,904 +123% $33,792 +24% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $41,939 $23,090 +82% $36,375 +15% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $41,821 $23,457 +78% $35,673 +17% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $41,628 $23,440 +78% $30,766 +35% —
671 URETHRAL PROCEDURES WITH CC/MCC $41,603 $23,016 +81% $27,233 +53% —
380 COMPLICATED PEPTIC ULCER WITH MCC $41,546 $24,005 +73% $36,641 +13% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $41,356 $18,497 +124% $25,426 +63% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $41,079 $20,271 +103% $24,229 +70% —
304 HYPERTENSION WITH MCC $41,049 $14,467 +184% $24,185 +70% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $41,035 $22,292 +84% $30,394 +35% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $41,032 $18,428 +123% $28,646 +43% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $40,824 $23,495 +74% $30,974 +32% —
158 DENTAL AND ORAL DISEASES WITH CC $40,804 $11,933 +242% $17,700 +131% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $40,474 $42,740 −5% $51,142 −21% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $40,223 $19,024 +111% $25,208 +60% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $40,128 $17,909 +124% $29,050 +38% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $40,106 $21,071 +90% $31,840 +26% ≈130% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $39,896 $32,885 +21% $39,563 +1% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $39,857 $28,438 +40% $44,053 −10% —
500 SOFT TISSUE PROCEDURES WITH MCC $39,850 $38,233 +4% $57,479 −31% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $39,820 $19,190 +108% $24,941 +60% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $39,725 $16,072 +147% $21,029 +89% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $39,697 $27,968 +42% $45,059 −12% —
152 OTITIS MEDIA AND URI WITH MCC $39,685 $13,199 +201% $19,795 +100% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $39,640 $21,329 +86% $32,689 +21% —
265 AICD LEAD PROCEDURES $39,608 $45,583 −13% $56,695 −30% —
204 RESPIRATORY SIGNS AND SYMPTOMS $39,596 $9,985 +297% $16,866 +135% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $39,595 $20,952 +89% $39,018 +1% —
090 CONCUSSION WITHOUT CC/MCC $39,417 $10,279 +283% $14,873 +165% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $39,416 $19,269 +105% $32,451 +21% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $39,389 $24,350 +62% $30,661 +28% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $39,371 $7,238 +444% $10,039 +292% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $39,141 $28,441 +38% $44,553 −12% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $39,129 $17,557 +123% $28,527 +37% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $39,099 $19,501 +100% $25,731 +52% —
501 SOFT TISSUE PROCEDURES WITH CC $38,918 $22,112 +76% $37,975 +2% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $38,879 $11,736 +231% $20,463 +90% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $38,859 $12,503 +211% $16,571 +135% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $38,779 $31,113 +25% $40,065 −3% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $38,639 $14,894 +159% $24,544 +57% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $38,626 $21,633 +79% $36,242 +7% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $38,483 $17,591 +119% $30,006 +28% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $38,391 $15,983 +140% $25,704 +49% ≈116% of Medicare
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $38,382 $14,905 +158% $27,369 +40% —
711 TESTES PROCEDURES WITH CC/MCC $38,125 $26,016 +47% $34,852 +9% —
075 VIRAL MENINGITIS WITH CC/MCC $38,016 $20,207 +88% $29,853 +27% —
102 HEADACHES WITH MCC $37,975 $15,455 +146% $22,544 +68% —
811 RED BLOOD CELL DISORDERS WITH MCC $37,927 $18,172 +109% $27,934 +36% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $37,672 $16,885 +123% $24,561 +53% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $37,614 $15,779 +138% $23,115 +63% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $37,547 $20,072 +87% $29,916 +26% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $37,463 $19,684 +90% $33,137 +13% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $37,410 $23,684 +58% $35,114 +7% —
571 SKIN DEBRIDEMENT WITH CC $37,322 $20,752 +80% $34,901 +7% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $37,204 $11,814 +215% $16,352 +128% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $37,195 $18,433 +102% $28,375 +31% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $37,103 $12,900 +188% $16,212 +129% —
947 SIGNS AND SYMPTOMS WITH MCC $37,001 $16,584 +123% $25,474 +45% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $36,739 $49,709 −26% $73,029 −50% —
950 AFTERCARE WITHOUT CC/MCC $36,734 $7,925 +364% $13,527 +172% —
602 CELLULITIS WITH MCC $36,727 $19,032 +93% $29,347 +25% —
398 APPENDIX PROCEDURES WITH CC $36,585 $20,919 +75% $39,107 −6% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $36,525 $20,672 +77% $30,930 +18% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $36,472 $20,867 +75% $28,578 +28% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $36,466 $14,428 +153% $24,190 +51% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $36,404 $16,865 +116% $24,118 +51% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $36,393 $47,909 −24% $59,425 −39% —
186 PLEURAL EFFUSION WITH MCC $36,364 $20,008 +82% $32,468 +12% —
504 FOOT PROCEDURES WITH CC $36,356 $21,860 +66% $36,598 −1% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $36,259 $19,827 +83% $30,972 +17% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $36,087 $21,766 +66% $32,839 +10% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $36,063 $9,801 +268% $13,282 +172% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $36,047 $9,324 +287% $18,623 +94% —
397 APPENDIX PROCEDURES WITH MCC $36,034 $33,986 +6% $52,319 −31% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $35,818 $45,630 −22% $62,961 −43% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $35,723 $14,072 +154% $25,267 +41% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $35,702 $17,819 +100% $28,140 +27% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $35,531 $16,798 +112% $20,980 +69% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $35,445 $15,891 +123% $26,322 +35% —
643 ENDOCRINE DISORDERS WITH MCC $35,380 $20,254 +75% $32,996 +7% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $35,277 $25,537 +38% $43,800 −19% —
668 TRANSURETHRAL PROCEDURES WITH MCC $35,213 $34,513 +2% $47,277 −26% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $34,729 $16,729 +108% $26,158 +33% ≈122% of Medicare
103 HEADACHES WITHOUT MCC $34,613 $10,579 +227% $20,111 +72% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $34,541 $22,751 +52% $32,204 +7% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $34,536 $17,647 +96% $23,920 +44% —
920 COMPLICATIONS OF TREATMENT WITH CC $34,493 $13,362 +158% $21,181 +63% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $34,464 $15,845 +118% $24,452 +41% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $34,163 $16,527 +107% $19,686 +74% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $34,038 $20,705 +64% $24,450 +39% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $33,942 $26,751 +27% $41,900 −19% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $33,403 $20,431 +63% $27,279 +22% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $33,347 $10,323 +223% $18,150 +84% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $33,290 $20,834 +60% $30,058 +11% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $33,283 $21,496 +55% $31,566 +5% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $33,218 $11,126 +199% $14,055 +136% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $33,189 $18,016 +84% $29,757 +12% —
549 SEPTIC ARTHRITIS WITH CC $33,170 $14,903 +123% $20,938 +58% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $33,098 $15,697 +111% $24,017 +38% —
348 ANAL AND STOMAL PROCEDURES WITH CC $32,997 $16,263 +103% $27,947 +18% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $32,945 $13,971 +136% $23,749 +39% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $32,860 $10,062 +227% $14,861 +121% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $32,852 $8,469 +288% $14,208 +131% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $32,690 $21,850 +50% $30,275 +8% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $32,670 $9,576 +241% $14,166 +131% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $32,661 $14,977 +118% $20,741 +57% —
935 NON-EXTENSIVE BURNS $32,438 $23,994 +35% $29,458 +10% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $32,419 $13,219 +145% $23,396 +39% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $32,308 $17,650 +83% $29,663 +9% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $32,254 $23,299 +38% $36,280 −11% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $32,176 $58,203 −45% $68,847 −53% —
503 FOOT PROCEDURES WITH MCC $32,147 $35,027 −8% $43,901 −27% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $32,142 $15,236 +111% $20,727 +55% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $32,095 $17,280 +86% $29,374 +9% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $32,043 $22,166 +45% $31,758 +1% —
183 MAJOR CHEST TRAUMA WITH MCC $32,007 $19,154 +67% $28,924 +11% —
637 DIABETES WITH MCC $32,006 $18,231 +76% $28,819 +11% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $31,991 $12,877 +148% $21,886 +46% ≈131% of Medicare
682 RENAL FAILURE WITH MCC $31,960 $18,857 +69% $27,854 +15% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $31,895 $16,677 +91% $27,118 +18% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $31,748 $13,363 +138% $22,713 +40% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $31,664 $41,664 −24% $49,065 −35% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $31,598 $16,802 +88% $30,358 +4% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $31,229 $22,929 +36% $32,981 −5% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $31,228 $15,644 +100% $30,314 +3% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $31,060 $9,787 +217% $17,522 +77% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $31,031 $23,755 +31% $32,399 −4% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $30,888 $18,852 +64% $33,424 −8% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $30,854 $12,650 +144% $20,777 +48% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $30,850 $29,592 +4% $37,080 −17% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $30,822 $18,910 +63% $31,062 −1% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $30,765 $13,131 +134% $24,136 +27% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,467 $11,169 +173% $15,608 +95% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $30,388 $10,493 +190% $15,869 +91% —
157 DENTAL AND ORAL DISEASES WITH MCC $30,321 $20,336 +49% $27,457 +10% —
291 HEART FAILURE AND SHOCK WITH MCC $30,148 $16,902 +78% $25,020 +20% ≈90% of Medicare
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $30,134 $11,352 +165% $18,191 +66% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $30,094 $16,242 +85% $27,244 +10% —
089 CONCUSSION WITH CC $30,093 $13,664 +120% $18,293 +65% —
865 VIRAL ILLNESS WITH MCC $30,047 $17,772 +69% $26,088 +15% —
184 MAJOR CHEST TRAUMA WITH CC $30,006 $13,083 +129% $20,842 +44% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $29,965 $13,601 +120% $17,550 +71% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $29,951 $13,494 +122% $23,469 +28% —
541 OSTEOMYELITIS WITHOUT CC/MCC $29,872 $10,795 +177% $14,549 +105% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $29,513 $17,162 +72% $29,805 −1% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $29,409 $16,885 +74% $23,924 +23% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $29,216 $9,027 +224% $19,483 +50% —
709 PENIS PROCEDURES WITH CC/MCC $29,165 $29,991 −3% $34,535 −16% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $29,165 $22,771 +28% $38,094 −23% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $29,127 $11,315 +157% $17,731 +64% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $29,049 $12,509 +132% $21,449 +35% —
539 OSTEOMYELITIS WITH MCC $29,033 $25,097 +16% $33,746 −14% —
693 URINARY STONES WITH MCC $29,030 $17,580 +65% $22,525 +29% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $28,964 $12,230 +137% $17,585 +65% —
302 ATHEROSCLEROSIS WITH MCC $28,863 $14,003 +106% $20,844 +38% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $28,662 $10,874 +164% $15,077 +90% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $28,523 $11,971 +138% $19,569 +46% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $28,511 $12,930 +120% $22,781 +25% ≈123% of Medicare
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $28,510 $14,871 +92% $20,421 +40% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $28,464 $13,147 +117% $21,545 +32% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $28,388 $15,047 +89% $26,488 +7% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $28,376 $19,758 +44% $28,134 +1% —
292 HEART FAILURE AND SHOCK WITH CC $28,365 $11,583 +145% $16,212 +75% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $28,285 $15,444 +83% $22,032 +28% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $28,166 $15,746 +79% $28,156 +0% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $28,031 $9,838 +185% $16,634 +69% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $27,983 $9,469 +196% $14,880 +88% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $27,965 $12,563 +123% $23,571 +19% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $27,912 $14,682 +90% $22,982 +21% —
663 MINOR BLADDER PROCEDURES WITH CC $27,845 $18,391 +51% $29,924 −7% —
381 COMPLICATED PEPTIC ULCER WITH CC $27,548 $13,509 +104% $24,177 +14% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $27,544 $13,116 +110% $24,022 +15% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $27,500 $13,860 +98% $22,024 +25% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $27,446 $8,646 +217% $14,128 +94% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $27,357 $18,104 +51% $21,615 +27% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $27,143 $14,641 +85% $20,842 +30% —
506 MAJOR THUMB OR JOINT PROCEDURES $27,110 $18,639 +45% $28,983 −6% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $27,086 $13,082 +107% $22,850 +19% —
548 SEPTIC ARTHRITIS WITH MCC $27,084 $26,752 +1% $31,019 −13% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $27,069 $16,539 +64% $23,350 +16% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $27,016 $12,867 +110% $20,007 +35% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $27,009 $11,227 +141% $18,278 +48% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $26,991 $11,907 +127% $18,918 +43% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $26,989 $26,643 +1% $35,686 −24% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $26,939 $9,663 +179% $16,654 +62% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $26,828 $24,532 +9% $29,633 −9% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $26,634 $16,905 +58% $26,634 +0% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $26,600 $11,315 +135% $19,287 +38% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $26,566 $29,333 −9% $38,878 −32% —
598 MALIGNANT BREAST DISORDERS WITH CC $26,546 $12,870 +106% $19,073 +39% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $26,467 $23,863 +11% $33,165 −20% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $26,430 $16,679 +58% $24,480 +8% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $26,303 $10,757 +145% $16,837 +56% —
375 DIGESTIVE MALIGNANCY WITH CC $26,269 $15,792 +66% $27,219 −3% —
200 PNEUMOTHORAX WITH CC $26,199 $13,782 +90% $20,573 +27% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $26,160 $17,932 +46% $29,484 −11% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $26,047 $47,025 −45% $56,964 −54% —
176 PULMONARY EMBOLISM WITHOUT MCC $26,029 $10,641 +145% $18,081 +44% —
312 SYNCOPE AND COLLAPSE $26,026 $10,872 +139% $19,342 +35% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $26,019 $12,852 +102% $19,091 +36% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $25,890 $10,081 +157% $20,278 +28% —
919 COMPLICATIONS OF TREATMENT WITH MCC $25,855 $22,426 +15% $29,031 −11% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $25,850 $11,759 +120% $20,488 +26% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $25,809 $20,427 +26% $26,020 −1% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $25,724 $12,071 +113% $19,815 +30% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $25,626 $12,399 +107% $22,560 +14% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $25,498 $13,030 +96% $20,080 +27% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $25,485 $11,725 +117% $21,213 +20% ≈140% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $25,464 $12,832 +98% $18,017 +41% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $25,455 $10,081 +153% $17,727 +44% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $25,426 $13,964 +82% $19,579 +30% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $25,401 $20,443 +24% $31,059 −18% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $25,239 $13,231 +91% $20,732 +22% —
644 ENDOCRINE DISORDERS WITH CC $25,174 $12,655 +99% $22,941 +10% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $24,996 $17,317 +44% $25,243 −1% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $24,981 $11,166 +124% $19,096 +31% —
638 DIABETES WITH CC $24,905 $11,419 +118% $18,821 +32% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $24,669 $9,049 +173% $12,405 +99% —
313 CHEST PAIN $24,601 $8,822 +179% $15,962 +54% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $24,504 $9,209 +166% $15,858 +55% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $24,462 $11,860 +106% $17,273 +42% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $24,404 $12,425 +96% $19,326 +26% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $24,378 $13,981 +74% $18,459 +32% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $24,358 $10,514 +132% $18,204 +34% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $24,288 $21,812 +11% $25,197 −4% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $24,161 $8,742 +176% $13,368 +81% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $24,134 $17,134 +41% $25,010 −4% —
606 MINOR SKIN DISORDERS WITH MCC $24,110 $21,035 +15% $25,434 −5% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $24,108 $17,568 +37% $25,786 −7% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $23,969 $12,229 +96% $20,084 +19% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $23,770 $9,828 +142% $16,104 +48% —
669 TRANSURETHRAL PROCEDURES WITH CC $23,741 $19,958 +19% $34,354 −31% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $23,683 $8,929 +165% $15,607 +52% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $23,676 $13,663 +73% $23,141 +2% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $23,495 $13,871 +69% $18,133 +30% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $23,455 $15,522 +51% $24,202 −3% —
683 RENAL FAILURE WITH CC $23,376 $11,219 +108% $18,620 +26% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $23,208 $9,143 +154% $16,776 +38% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $23,185 $25,162 −8% $34,089 −32% —
305 HYPERTENSION WITHOUT MCC $23,142 $9,583 +141% $17,144 +35% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $23,093 $10,737 +115% $18,002 +28% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $22,933 $18,038 +27% $28,780 −20% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $22,829 $11,958 +91% $19,854 +15% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $22,736 $13,802 +65% $19,868 +14% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $22,625 $16,882 +34% $25,666 −12% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $22,585 $16,797 +34% $19,894 +14% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $22,422 $14,792 +52% $23,496 −5% —
603 CELLULITIS WITHOUT MCC $22,331 $11,068 +102% $18,530 +21% —
181 RESPIRATORY NEOPLASMS WITH CC $22,053 $14,012 +57% $22,431 −2% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $22,038 $12,502 +76% $15,764 +40% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $21,906 $10,099 +117% $17,466 +25% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $21,848 $10,525 +108% $18,253 +20% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $21,695 $8,450 +157% $14,012 +55% —
887 OTHER MENTAL DISORDER DIAGNOSES $21,610 $16,115 +34% $20,602 +5% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $21,577 $8,836 +144% $13,485 +60% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $21,545 $16,309 +32% $22,275 −3% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $21,506 $11,039 +95% $18,803 +14% —
694 URINARY STONES WITHOUT MCC $21,431 $9,706 +121% $16,531 +30% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $21,407 $14,579 +47% $20,147 +6% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $21,301 $10,569 +102% $13,586 +57% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $21,280 $9,151 +133% $14,110 +51% —
153 OTITIS MEDIA AND URI WITHOUT MCC $21,239 $8,595 +147% $14,473 +47% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $21,182 $9,898 +114% $17,322 +22% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $21,106 $19,802 +7% $33,694 −37% —
187 PLEURAL EFFUSION WITH CC $20,964 $13,249 +58% $21,467 −2% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $20,917 $13,286 +57% $20,968 −0% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $20,874 $19,681 +6% $24,465 −15% —
533 FRACTURES OF FEMUR WITH MCC $20,820 $19,862 +5% $25,945 −20% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $20,813 $11,789 +77% $16,642 +25% —
597 MALIGNANT BREAST DISORDERS WITH MCC $20,664 $22,910 −10% $31,846 −35% —
697 URETHRAL STRICTURE $20,651 $11,990 +72% $17,705 +17% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $20,616 $15,687 +31% $27,492 −25% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $20,472 $19,188 +7% $24,879 −18% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $20,404 $16,261 +25% $15,655 +30% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $20,272 $11,673 +74% $16,745 +21% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $19,784 $7,183 +175% $13,384 +48% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $19,744 $7,569 +161% $11,955 +65% —
101 SEIZURES WITHOUT MCC $19,578 $11,018 +78% $19,954 −2% —
534 FRACTURES OF FEMUR WITHOUT MCC $19,418 $9,636 +102% $17,195 +13% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $19,375 $8,325 +133% $15,070 +29% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $19,371 $12,203 +59% $20,371 −5% —
149 DYSEQUILIBRIUM $19,293 $9,507 +103% $17,203 +12% —
639 DIABETES WITHOUT CC/MCC $19,280 $8,091 +138% $13,910 +39% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $19,242 $10,779 +79% $18,238 +6% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $19,214 $10,516 +83% $17,388 +11% ≈122% of Medicare
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $19,049 $14,736 +29% $21,062 −10% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $18,703 $9,169 +104% $13,892 +35% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $18,595 $9,195 +102% $12,895 +44% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $18,583 $9,216 +102% $14,337 +30% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $18,574 $19,096 −3% $23,734 −22% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $18,572 $10,717 +73% $17,367 +7% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $18,518 $13,219 +40% $18,478 +0% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $18,513 $14,034 +32% $25,307 −27% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $18,510 $7,749 +139% $12,013 +54% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $18,373 $11,118 +65% $16,049 +14% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,307 $14,349 +28% $18,291 +0% —
684 RENAL FAILURE WITHOUT CC/MCC $17,969 $7,650 +135% $13,623 +32% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $17,944 $12,072 +49% $18,282 −2% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $17,405 $8,461 +106% $13,303 +31% —
864 FEVER AND INFLAMMATORY CONDITIONS $17,404 $11,064 +57% $17,412 −0% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $17,399 $7,182 +142% $13,318 +31% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $17,387 $13,487 +29% $22,231 −22% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $17,160 $16,938 +1% $23,956 −28% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $16,996 $8,285 +105% $14,134 +20% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $16,938 $11,588 +46% $19,305 −12% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $16,913 $9,057 +87% $11,909 +42% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $16,737 $12,030 +39% $18,428 −9% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $16,404 $7,277 +125% $10,975 +49% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $16,330 $6,511 +151% $9,076 +80% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $16,218 $26,677 −39% $35,139 −54% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $16,215 $10,609 +53% $17,383 −7% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $16,204 $12,829 +26% $17,943 −10% —
915 ALLERGIC REACTIONS WITH MCC $15,870 $21,129 −25% $30,944 −49% —
866 VIRAL ILLNESS WITHOUT MCC $15,847 $10,617 +49% $16,391 −3% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $15,840 $10,651 +49% $15,370 +3% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $15,833 $16,550 −4% $23,723 −33% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $15,784 $13,583 +16% $17,078 −8% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,741 $9,428 +67% $13,824 +14% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $15,594 $8,365 +86% $14,441 +8% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $15,573 $20,578 −24% $28,252 −45% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $15,537 $9,672 +61% $15,876 −2% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $15,438 $9,823 +57% $17,715 −13% —
885 PSYCHOSES $15,397 $16,497 −7% $21,489 −28% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $15,213 $8,667 +76% $12,797 +19% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,020 $9,410 +60% $12,650 +19% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $14,946 $10,847 +38% $14,444 +3% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $14,848 $13,861 +7% $18,126 −18% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $14,677 $17,759 −17% $22,525 −35% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $14,674 $11,403 +29% $15,636 −6% —
906 HAND PROCEDURES FOR INJURIES $14,332 $27,744 −48% $31,520 −55% —
914 TRAUMATIC INJURY WITHOUT MCC $14,332 $10,996 +30% $15,593 −8% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $14,296 $8,712 +64% $15,072 −5% —
881 DEPRESSIVE NEUROSES $14,197 $11,063 +28% $15,058 −6% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $14,186 $20,637 −31% $22,698 −38% —
662 MINOR BLADDER PROCEDURES WITH MCC $14,157 $40,758 −65% $54,483 −74% —
540 OSTEOMYELITIS WITH CC $14,072 $16,370 −14% $23,494 −40% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $14,035 $8,529 +65% $11,997 +17% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $13,798 $13,501 +2% $22,557 −39% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $13,743 $11,283 +22% $17,103 −20% —
882 NEUROSES EXCEPT DEPRESSIVE $13,388 $11,314 +18% $15,680 −15% —
916 ALLERGIC REACTIONS WITHOUT MCC $13,291 $8,405 +58% $13,890 −4% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $13,159 $12,710 +4% $17,226 −24% —
607 MINOR SKIN DISORDERS WITHOUT MCC $13,149 $10,404 +26% $15,284 −14% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $13,044 $10,914 +20% $19,001 −31% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $12,984 $22,413 −42% $29,476 −56% —
201 PNEUMOTHORAX WITHOUT CC/MCC $12,850 $8,983 +43% $13,081 −2% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $12,786 $10,572 +21% $15,045 −15% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $12,522 $15,690 −20% $23,588 −47% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $11,908 $14,779 −19% $19,317 −38% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $11,799 $25,599 −54% $30,940 −62% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $11,395 $8,371 +36% $13,090 −13% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $10,905 $7,810 +40% $12,044 −9% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,839 $20,030 −46% $24,836 −56% —
303 ATHEROSCLEROSIS WITHOUT MCC $10,800 $8,734 +24% $14,927 −28% —
779 ABORTION WITHOUT D&C $10,376 $10,999 −6% $15,327 −32% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $10,132 $8,559 +18% $12,279 −17% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $9,951 $11,054 −10% $15,474 −36% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $9,641 $12,804 −25% $16,418 −41% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $9,257 $9,011 +3% $12,537 −26% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,680 $8,540 +2% $12,381 −30% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $6,875 $33,719 −80% $16,719 −59% —
151 EPISTAXIS WITHOUT MCC $6,694 $8,941 −25% $13,032 −49% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $5,493 $13,105 −58% $7,961 −31% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $5,410 $10,945 −51% $14,064 −62% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $5,259 $30,262 −83% $39,253 −87% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $5,259 $20,745 −75% $11,633 −55% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,092 $7,624 −33% $11,421 −55% —
795 NORMAL NEWBORN $4,643 $3,122 +49% $4,530 +2% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $4,540 $8,761 −48% $13,198 −66% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $3,424 $7,118 −52% $9,385 −64% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $1,753 $9,418 −81% $16,865 −90% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $1,692 $18,632 −91% $14,284 −88% —

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
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,389 – $14,389 · median $14,389 2 plans
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