Mary Lanning Healthcare — Pricing
339 procedures published in this hospital's Machine-Readable File (MRF) — 334 with a comparable price, 5 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 339
Lowest published price $2,395
Average published price $34,813
Highest published price $314,525
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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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 339 procedures
Published charges
Showing all 334 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 14 procedures, this hospital's negotiated rates average ≈303% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. NE median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $314,525 | $283,072 | $174,807 | +80% | $248,521 | +27% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $230,360 | $207,324 | $65,668 | +251% | $101,576 | +127% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $181,504 | $163,354 | $23,299 | +679% | $36,431 | +398% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $163,840 | $147,456 | $66,830 | +145% | $99,423 | +65% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $160,712 | $144,641 | $30,277 | +431% | $47,583 | +238% | — |
| 694 | URINARY STONES WITHOUT MCC | $160,406 | $144,366 | $9,706 | +1553% | $17,345 | +825% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $139,084 | $125,176 | $21,129 | +558% | $32,645 | +326% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $137,529 | $123,776 | $82,650 | +66% | $116,058 | +19% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $133,709 | $120,338 | $17,647 | +658% | $27,989 | +378% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $133,151 | $119,836 | $38,516 | +246% | $58,745 | +127% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $123,045 | $110,741 | $26,082 | +372% | $46,090 | +167% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $122,347 | $110,113 | $90,075 | +36% | $148,832 | −18% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $122,140 | $109,926 | $16,309 | +649% | $23,498 | +420% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $119,525 | $107,572 | $58,120 | +106% | $101,510 | +18% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $116,862 | $105,176 | $61,111 | +91% | $90,775 | +29% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $106,349 | $95,714 | $35,205 | +202% | $58,274 | +82% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $101,732 | $91,559 | $43,703 | +133% | $71,464 | +42% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $99,132 | $89,219 | $33,019 | +200% | $52,405 | +89% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $96,301 | $86,671 | $45,120 | +113% | $68,508 | +41% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $92,512 | $83,261 | $24,928 | +271% | $58,809 | +57% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $92,232 | $83,009 | $33,538 | +175% | $57,454 | +61% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $91,722 | $82,550 | $57,049 | +61% | $88,050 | +4% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $91,625 | $82,463 | $35,145 | +161% | $52,435 | +75% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $91,015 | $81,914 | $48,711 | +87% | $75,573 | +20% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $90,000 | $81,000 | $62,135 | +45% | $93,172 | −3% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $87,643 | $78,879 | $49,399 | +77% | $77,817 | +13% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $86,952 | $78,257 | $38,984 | +123% | $81,706 | +6% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $81,167 | $73,051 | $29,059 | +179% | $59,629 | +36% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $80,799 | $72,719 | $34,999 | +131% | $62,264 | +30% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $76,992 | $69,293 | $31,117 | +147% | $48,349 | +59% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $75,656 | $68,090 | $27,522 | +175% | $69,101 | +9% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $74,276 | $66,849 | $20,008 | +271% | $33,834 | +120% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $71,657 | $64,491 | $22,771 | +215% | $38,094 | +88% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $70,627 | $63,565 | $27,968 | +153% | $47,737 | +48% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $70,541 | $63,487 | $19,880 | +255% | $51,625 | +37% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $68,969 | $62,072 | $20,254 | +241% | $33,563 | +105% | — |
| 199 | PNEUMOTHORAX WITH MCC | $68,755 | $61,880 | $21,779 | +216% | $33,787 | +103% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $67,592 | $60,833 | $33,075 | +104% | $58,707 | +15% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $67,538 | $60,784 | $24,370 | +177% | $52,075 | +30% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $66,418 | $59,776 | $38,743 | +71% | $70,467 | −6% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $65,044 | $58,540 | $52,201 | +25% | $75,103 | −13% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $64,304 | $57,874 | $40,758 | +58% | $54,562 | +18% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $63,321 | $56,989 | $25,938 | +144% | $42,901 | +48% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $57,618 | $51,856 | $28,565 | +102% | $58,280 | −1% | ≈347% of Medicare |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $57,393 | $51,654 | $35,205 | +63% | $54,929 | +4% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $55,948 | $50,353 | $23,763 | +135% | $40,642 | +38% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $55,627 | $50,065 | $47,096 | +18% | $80,018 | −30% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $55,376 | $49,838 | $45,305 | +22% | $70,847 | −22% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $54,610 | $49,149 | $30,117 | +81% | $50,011 | +9% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $54,598 | $49,139 | $24,788 | +120% | $44,139 | +24% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $54,275 | $48,847 | $20,118 | +170% | $46,295 | +17% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $53,933 | $48,540 | $21,633 | +149% | $38,101 | +42% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $52,234 | $47,011 | $52,220 | +0% | $79,225 | −34% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $51,080 | $45,972 | $19,024 | +169% | $26,682 | +91% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $50,789 | $45,710 | $31,272 | +62% | $46,453 | +9% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $50,289 | $45,260 | $27,402 | +84% | $52,751 | −5% | ≈313% of Medicare |
| 100 | SEIZURES WITH MCC | $49,856 | $44,870 | $23,300 | +114% | $35,481 | +41% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $48,801 | $43,920 | $49,198 | −1% | $61,470 | −21% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $48,624 | $43,761 | $20,378 | +139% | $39,211 | +24% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $48,372 | $43,535 | $23,744 | +104% | $47,711 | +1% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $48,261 | $43,435 | $27,692 | +74% | $49,351 | −2% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $48,220 | $43,398 | $23,090 | +109% | $37,387 | +29% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $47,569 | $42,812 | $25,228 | +89% | $43,943 | +8% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $44,701 | $40,230 | $23,755 | +88% | $33,985 | +32% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $44,665 | $40,199 | $22,232 | +101% | $36,658 | +22% | — |
| 602 | CELLULITIS WITH MCC | $44,455 | $40,010 | $19,032 | +134% | $30,598 | +45% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $44,327 | $39,894 | $21,222 | +109% | $44,606 | −1% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $44,290 | $39,861 | $43,547 | +2% | $54,196 | −18% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $44,206 | $39,785 | $53,657 | −18% | $76,001 | −42% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $43,952 | $39,556 | $31,059 | +42% | $59,651 | −26% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $43,891 | $39,502 | $33,041 | +33% | $45,167 | −3% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $43,459 | $39,113 | $25,534 | +70% | $39,106 | +11% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $43,118 | $38,807 | $22,504 | +92% | $31,951 | +35% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $42,834 | $38,550 | $29,243 | +46% | $53,451 | −20% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $42,806 | $38,525 | $16,584 | +158% | $27,401 | +56% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $42,720 | $38,448 | $38,512 | +11% | $65,653 | −35% | — |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $42,559 | $38,303 | $10,024 | +325% | $20,610 | +106% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $42,303 | $38,073 | $28,188 | +50% | $46,283 | −9% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $41,630 | $37,467 | $7,624 | +446% | $11,421 | +265% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $41,485 | $37,336 | $14,903 | +178% | $24,056 | +72% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $41,471 | $37,323 | $27,371 | +52% | $50,463 | −18% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $41,331 | $37,198 | $20,919 | +98% | $40,162 | +3% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $41,114 | $37,002 | $18,038 | +128% | $30,571 | +34% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $40,991 | $36,892 | $24,382 | +68% | $35,628 | +15% | ≈272% of Medicare |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $40,966 | $36,869 | $20,784 | +97% | $30,828 | +33% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $40,669 | $36,602 | $43,522 | −7% | $70,132 | −42% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $39,442 | $35,498 | $13,083 | +201% | $22,432 | +76% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $38,992 | $35,093 | $14,428 | +170% | $24,386 | +60% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $38,775 | $34,898 | $19,450 | +99% | $39,887 | −3% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $38,231 | $34,408 | $11,227 | +241% | $18,807 | +103% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $38,222 | $34,400 | $14,087 | +171% | $32,021 | +19% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $38,067 | $34,261 | $19,449 | +96% | $35,692 | +7% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $37,961 | $34,165 | $24,681 | +54% | $40,213 | −6% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $37,888 | $34,100 | $50,390 | −25% | $77,990 | −51% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $37,587 | $33,828 | $23,684 | +59% | $36,792 | +2% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $37,346 | $33,611 | $29,436 | +27% | $50,607 | −26% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $37,230 | $33,507 | $18,428 | +102% | $32,877 | +13% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $37,143 | $33,429 | $30,372 | +22% | $59,500 | −38% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $36,681 | $33,013 | $36,828 | −0% | $59,537 | −38% | — |
| 504 | FOOT PROCEDURES WITH CC | $36,519 | $32,867 | $21,860 | +67% | $38,960 | −6% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $36,221 | $32,599 | $22,112 | +64% | $39,619 | −9% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $36,199 | $32,579 | $16,902 | +114% | $26,776 | +35% | ≈373% of Medicare |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $36,097 | $32,488 | $20,834 | +73% | $32,496 | +11% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $36,018 | $32,416 | $16,865 | +114% | $27,285 | +32% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $35,759 | $32,183 | $43,017 | −17% | $51,953 | −31% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $34,473 | $31,026 | $22,824 | +51% | $37,842 | −9% | — |
| 693 | URINARY STONES WITH MCC | $33,989 | $30,590 | $17,580 | +93% | $23,892 | +42% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $33,355 | $30,020 | $20,566 | +62% | $41,955 | −20% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $33,345 | $30,011 | $29,128 | +14% | $39,173 | −15% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $33,145 | $29,830 | $21,534 | +54% | $34,017 | −3% | — |
| 949 | AFTERCARE WITH CC/MCC | $33,143 | $29,828 | $15,037 | +120% | $23,953 | +38% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $33,007 | $29,706 | $18,172 | +82% | $28,226 | +17% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $32,943 | $29,649 | $21,079 | +56% | $31,563 | +4% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $32,936 | $29,642 | $9,324 | +253% | $19,227 | +71% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $31,917 | $28,725 | $22,426 | +42% | $31,105 | +3% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $31,874 | $28,686 | $13,509 | +136% | $24,177 | +32% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $31,726 | $28,553 | $16,679 | +90% | $25,463 | +25% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $31,705 | $28,535 | $27,668 | +15% | $43,174 | −27% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $31,418 | $28,276 | $22,292 | +41% | $32,859 | −4% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $31,330 | $28,197 | $21,071 | +49% | $33,707 | −7% | ≈251% of Medicare |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $31,057 | $27,952 | $40,817 | −24% | $67,268 | −54% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $30,951 | $27,856 | $11,583 | +167% | $16,371 | +89% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $30,859 | $27,773 | $13,219 | +133% | $23,488 | +31% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $30,739 | $27,666 | $14,003 | +120% | $22,446 | +37% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $30,528 | $27,475 | $16,729 | +82% | $27,275 | +12% | ≈269% of Medicare |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $30,526 | $27,473 | $13,131 | +132% | $24,914 | +23% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $30,463 | $27,417 | $16,885 | +80% | $25,748 | +18% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $30,432 | $27,389 | $20,752 | +47% | $37,169 | −18% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $29,735 | $26,761 | $42,740 | −30% | $55,289 | −46% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $29,687 | $26,718 | $74,571 | −60% | $106,778 | −72% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $29,580 | $26,622 | $21,097 | +40% | $32,628 | −9% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $29,477 | $26,529 | $24,490 | +20% | $42,881 | −31% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $29,245 | $26,321 | $16,242 | +80% | $28,050 | +4% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $28,842 | $25,957 | $13,860 | +108% | $22,024 | +31% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $28,814 | $25,932 | $13,494 | +114% | $23,940 | +20% | ≈426% of Medicare |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $28,752 | $25,877 | $47,909 | −40% | $66,711 | −57% | — |
| 305 | HYPERTENSION WITHOUT MCC | $28,400 | $25,560 | $9,583 | +196% | $18,086 | +57% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $28,153 | $25,337 | $10,525 | +167% | $18,528 | +52% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $27,938 | $25,144 | $20,637 | +35% | $23,206 | +20% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $27,726 | $24,953 | $12,867 | +115% | $20,957 | +32% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $27,444 | $24,700 | $15,047 | +82% | $26,770 | +3% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $27,344 | $24,610 | $79,686 | −66% | $98,912 | −72% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $27,317 | $24,586 | $18,497 | +48% | $27,543 | −1% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $27,169 | $24,452 | $9,985 | +172% | $18,004 | +51% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $27,028 | $24,325 | $21,463 | +26% | $44,117 | −39% | ≈238% of Medicare |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $26,922 | $24,230 | $46,739 | −42% | $50,919 | −47% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $26,811 | $24,130 | $14,682 | +83% | $23,617 | +14% | ≈299% of Medicare |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $26,799 | $24,119 | $32,643 | −18% | $47,945 | −44% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $26,687 | $24,018 | $22,166 | +20% | $33,555 | −20% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $26,684 | $24,016 | $11,789 | +126% | $16,968 | +57% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $26,603 | $23,943 | $17,557 | +52% | $29,949 | −11% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $26,537 | $23,883 | $13,116 | +102% | $25,970 | +2% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $26,092 | $23,483 | $13,231 | +97% | $21,275 | +23% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $26,053 | $23,448 | $15,983 | +63% | $26,580 | −2% | ≈262% of Medicare |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $25,975 | $23,377 | $22,751 | +14% | $33,255 | −22% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $25,644 | $23,079 | $27,292 | −6% | $38,666 | −34% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $25,615 | $23,053 | $11,736 | +118% | $20,463 | +25% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $25,431 | $22,888 | $20,457 | +24% | $33,661 | −24% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $25,310 | $22,779 | $11,039 | +129% | $19,842 | +28% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $25,184 | $22,665 | $12,930 | +95% | $22,888 | +10% | ≈345% of Medicare |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $25,140 | $22,626 | $15,444 | +63% | $22,458 | +12% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $25,107 | $22,597 | $20,207 | +24% | $30,447 | −18% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $25,091 | $22,582 | $10,779 | +133% | $18,452 | +36% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $24,811 | $22,329 | $30,990 | −20% | $36,489 | −32% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $24,787 | $22,309 | $8,836 | +181% | $14,638 | +69% | — |
| 682 | RENAL FAILURE WITH MCC | $24,552 | $22,097 | $18,857 | +30% | $29,064 | −16% | ≈220% of Medicare |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $24,156 | $21,740 | $22,626 | +7% | $35,849 | −33% | — |
| 187 | PLEURAL EFFUSION WITH CC | $24,146 | $21,732 | $13,249 | +82% | $21,789 | +11% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $24,104 | $21,694 | $11,971 | +101% | $19,569 | +23% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $23,934 | $21,540 | $14,257 | +68% | $23,319 | +3% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $23,871 | $21,484 | $19,154 | +25% | $29,933 | −20% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $23,805 | $21,425 | $20,829 | +14% | $34,273 | −31% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $23,277 | $20,949 | $14,641 | +59% | $25,712 | −9% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $23,080 | $20,772 | $23,440 | −2% | $32,637 | −29% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $22,939 | $20,645 | $16,863 | +36% | $36,937 | −38% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $22,935 | $20,642 | $12,832 | +79% | $19,264 | +19% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $22,682 | $20,414 | $9,418 | +141% | $17,303 | +31% | ≈435% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $22,465 | $20,218 | $15,746 | +43% | $28,156 | −20% | — |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $22,462 | $20,216 | $29,404 | −24% | $59,206 | −62% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $22,369 | $20,132 | $11,673 | +92% | $17,038 | +31% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $22,219 | $19,997 | $10,514 | +111% | $18,204 | +22% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $21,966 | $19,770 | $11,907 | +84% | $20,181 | +9% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $21,918 | $19,726 | $11,064 | +98% | $18,640 | +18% | — |
| 885 | PSYCHOSES | $21,769 | $19,592 | $16,497 | +32% | $21,729 | +0% | — |
| 637 | DIABETES WITH MCC | $21,760 | $19,584 | $18,231 | +19% | $30,100 | −28% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $21,556 | $19,400 | $10,099 | +113% | $17,674 | +22% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $21,400 | $19,260 | $21,329 | +0% | $34,192 | −37% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $21,297 | $19,167 | $10,795 | +97% | $15,215 | +40% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $21,274 | $19,147 | $10,717 | +99% | $18,602 | +14% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $21,255 | $19,129 | $13,082 | +62% | $22,850 | −7% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $21,052 | $18,947 | $16,802 | +25% | $31,264 | −33% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $20,882 | $18,794 | $30,006 | −30% | $50,046 | −58% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $20,794 | $18,714 | $12,655 | +64% | $23,198 | −10% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,746 | $18,672 | $47,999 | −57% | $68,639 | −70% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $20,519 | $18,468 | $10,081 | +104% | $21,056 | −3% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $20,258 | $18,233 | $23,863 | −15% | $34,459 | −41% | — |
| 103 | HEADACHES WITHOUT MCC | $20,250 | $18,225 | $10,579 | +91% | $21,280 | −5% | — |
| 638 | DIABETES WITH CC | $20,148 | $18,133 | $11,419 | +76% | $19,661 | +2% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $20,059 | $18,053 | $12,877 | +56% | $22,098 | −9% | — |
| 683 | RENAL FAILURE WITH CC | $20,002 | $18,002 | $11,219 | +78% | $19,130 | +5% | ≈307% of Medicare |
| 540 | OSTEOMYELITIS WITH CC | $19,758 | $17,782 | $16,370 | +21% | $26,676 | −26% | — |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $19,709 | $17,738 | $18,752 | +5% | $34,146 | −42% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $19,485 | $17,537 | $12,507 | +56% | $17,698 | +10% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $19,462 | $17,516 | $18,904 | +3% | $36,505 | −47% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $19,429 | $17,486 | $32,885 | −41% | $42,679 | −54% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $19,380 | $17,442 | $10,641 | +82% | $18,081 | +7% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $19,346 | $17,411 | $10,516 | +84% | $17,578 | +10% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $19,306 | $17,376 | $18,016 | +7% | $30,959 | −38% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $19,211 | $17,290 | $11,860 | +62% | $17,724 | +8% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $19,104 | $17,193 | $13,147 | +45% | $22,506 | −15% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $19,062 | $17,156 | $16,905 | +13% | $27,426 | −30% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $18,977 | $17,079 | $20,431 | −7% | $33,454 | −43% | — |
| 813 | COAGULATION DISORDERS | $18,719 | $16,847 | $18,661 | +0% | $33,296 | −44% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $18,719 | $16,847 | $15,690 | +19% | $25,581 | −27% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $18,668 | $16,801 | $21,850 | −15% | $31,159 | −40% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $18,321 | $16,489 | $11,759 | +56% | $20,488 | −11% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $18,316 | $16,484 | $10,914 | +68% | $19,962 | −8% | — |
| 101 | SEIZURES WITHOUT MCC | $18,225 | $16,403 | $11,018 | +65% | $20,461 | −11% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $17,895 | $16,105 | $12,399 | +44% | $23,283 | −23% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $17,872 | $16,085 | $17,884 | −0% | $35,465 | −50% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $17,626 | $15,863 | $9,027 | +95% | $20,781 | −15% | — |
| 312 | SYNCOPE AND COLLAPSE | $17,607 | $15,846 | $10,872 | +62% | $19,342 | −9% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $17,358 | $15,622 | $12,650 | +37% | $21,363 | −19% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $17,340 | $15,606 | $9,898 | +75% | $17,322 | +0% | — |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $17,305 | $15,575 | $51,048 | −66% | $80,427 | −78% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $17,214 | $15,493 | $15,644 | +10% | $31,321 | −45% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $17,176 | $15,458 | $16,677 | +3% | $27,152 | −37% | — |
| 089 | CONCUSSION WITH CC | $17,154 | $15,438 | $13,664 | +26% | $18,821 | −9% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $17,151 | $15,436 | $12,229 | +40% | $20,084 | −15% | — |
| 593 | SKIN ULCERS WITH CC | $17,008 | $15,308 | $14,519 | +17% | $22,886 | −26% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $16,983 | $15,285 | $20,745 | −18% | $12,229 | +39% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $16,957 | $15,261 | $15,845 | +7% | $25,279 | −33% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $16,913 | $15,222 | $10,737 | +58% | $18,002 | −6% | — |
| 603 | CELLULITIS WITHOUT MCC | $16,850 | $15,165 | $11,068 | +52% | $18,530 | −9% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $16,818 | $15,137 | $26,171 | −36% | $56,960 | −70% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $16,752 | $15,076 | $10,734 | +56% | $14,209 | +18% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $16,696 | $15,027 | $19,758 | −15% | $30,235 | −45% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $16,685 | $15,017 | $18,433 | −9% | $29,221 | −43% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $16,554 | $14,898 | $12,071 | +37% | $19,846 | −17% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $16,391 | $14,752 | $13,663 | +20% | $23,141 | −29% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $16,011 | $14,410 | $22,413 | −29% | $32,433 | −51% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $15,922 | $14,330 | $14,792 | +8% | $23,551 | −32% | — |
| 539 | OSTEOMYELITIS WITH MCC | $15,535 | $13,981 | $25,097 | −38% | $37,609 | −59% | — |
| 666 | PROSTATECTOMY WITH CC | $15,442 | $13,898 | $20,637 | −25% | $31,906 | −52% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $15,432 | $13,889 | $14,445 | +7% | $24,944 | −38% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $15,424 | $13,882 | $20,705 | −26% | $24,586 | −37% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $15,411 | $13,870 | $22,559 | −32% | $36,354 | −58% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $15,386 | $13,847 | $9,428 | +63% | $13,824 | +11% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $15,262 | $13,736 | $13,362 | +14% | $22,468 | −32% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $15,159 | $13,643 | $10,874 | +39% | $16,552 | −8% | — |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $15,096 | $13,586 | $9,410 | +60% | $12,768 | +18% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $15,095 | $13,585 | $9,823 | +54% | $18,126 | −17% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $15,003 | $13,503 | $29,772 | −50% | $51,985 | −71% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $14,944 | $13,450 | $12,509 | +19% | $21,449 | −30% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $14,837 | $13,353 | $11,166 | +33% | $19,096 | −22% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $14,783 | $13,305 | $12,563 | +18% | $23,571 | −37% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $14,648 | $13,184 | $10,847 | +35% | $14,648 | +0% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $14,629 | $13,166 | $12,804 | +14% | $16,700 | −12% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $14,589 | $13,130 | $14,349 | +2% | $19,412 | −25% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $14,369 | $12,932 | $28,839 | −50% | $50,139 | −71% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $14,291 | $12,862 | $33,719 | −58% | $18,649 | −23% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $14,248 | $12,824 | $9,576 | +49% | $15,428 | −8% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $14,181 | $12,763 | $12,425 | +14% | $19,594 | −28% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $14,153 | $12,738 | $26,751 | −47% | $45,333 | −69% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,146 | $12,732 | $17,317 | −18% | $26,932 | −47% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $14,064 | $12,658 | $10,081 | +40% | $17,921 | −22% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $13,983 | $12,584 | $19,684 | −29% | $33,393 | −58% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $13,957 | $12,561 | $13,871 | +1% | $18,133 | −23% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $13,837 | $12,454 | $14,871 | −7% | $21,847 | −37% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $13,721 | $12,349 | $21,964 | −38% | $43,477 | −68% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $13,709 | $12,338 | $11,118 | +23% | $16,699 | −18% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $13,614 | $12,252 | $8,646 | +57% | $14,128 | −4% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $13,569 | $12,212 | $10,996 | +23% | $15,855 | −14% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $13,510 | $12,159 | $11,283 | +20% | $16,846 | −20% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $13,484 | $12,136 | $19,501 | −31% | $27,316 | −51% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $13,361 | $12,025 | $7,182 | +86% | $13,361 | +0% | — |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $13,293 | $11,963 | $10,733 | +24% | $21,663 | −39% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $12,891 | $11,602 | $8,371 | +54% | $13,275 | −3% | — |
| 139 | SALIVARY GLAND PROCEDURES | $12,843 | $11,559 | $17,109 | −25% | $23,612 | −46% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $12,674 | $11,406 | $11,315 | +12% | $20,506 | −38% | — |
| 313 | CHEST PAIN | $12,610 | $11,349 | $8,822 | +43% | $16,440 | −23% | — |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $12,600 | $11,340 | $37,925 | −67% | $59,031 | −79% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $12,336 | $11,102 | $17,932 | −31% | $30,502 | −60% | — |
| 149 | DYSEQUILIBRIUM | $12,193 | $10,974 | $9,507 | +28% | $18,096 | −33% | — |
| 881 | DEPRESSIVE NEUROSES | $12,047 | $10,843 | $11,063 | +9% | $15,058 | −20% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $11,875 | $10,687 | $9,209 | +29% | $17,124 | −31% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $11,775 | $10,598 | $10,609 | +11% | $19,119 | −38% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $11,744 | $10,570 | $9,828 | +20% | $16,767 | −30% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $11,709 | $10,538 | $16,539 | −29% | $24,552 | −52% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $11,666 | $10,499 | $22,209 | −47% | $33,876 | −66% | — |
| 639 | DIABETES WITHOUT CC/MCC | $11,659 | $10,493 | $8,091 | +44% | $13,910 | −16% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $11,614 | $10,452 | $7,810 | +49% | $12,078 | −4% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $11,513 | $10,362 | $10,617 | +8% | $17,081 | −33% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,408 | $10,267 | $13,964 | −18% | $20,422 | −44% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $11,364 | $10,228 | $8,734 | +30% | $14,927 | −24% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $10,983 | $9,885 | $75,296 | −85% | $85,566 | −87% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $10,823 | $9,741 | $9,143 | +18% | $16,776 | −35% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $10,813 | $9,732 | $11,725 | −8% | $21,396 | −49% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $10,697 | $9,628 | $8,952 | +20% | $15,600 | −31% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $10,482 | $9,434 | $7,183 | +46% | $13,384 | −22% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $10,446 | $9,401 | $14,905 | −30% | $30,784 | −66% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $10,437 | $9,394 | $13,981 | −25% | $18,459 | −43% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $10,327 | $9,294 | $7,650 | +35% | $13,642 | −24% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $9,992 | $8,992 | $19,862 | −50% | $25,945 | −61% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $9,808 | $8,827 | $8,742 | +12% | $13,633 | −28% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $8,690 | $7,821 | $6,511 | +33% | $9,940 | −13% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $8,583 | $7,725 | $11,314 | −24% | $15,680 | −45% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $8,397 | $7,557 | $8,667 | −3% | $13,651 | −38% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $7,958 | $7,162 | $11,315 | −30% | $18,488 | −57% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $7,697 | $6,927 | $31,881 | −76% | $39,973 | −81% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $7,522 | $6,769 | $23,258 | −68% | $39,955 | −81% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $7,447 | $6,702 | $9,469 | −21% | $16,288 | −54% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $7,348 | $6,613 | $10,572 | −31% | $15,452 | −52% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $7,254 | $6,529 | $9,672 | −25% | $17,298 | −58% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $7,229 | $6,506 | $7,118 | +2% | $10,160 | −29% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $7,138 | $6,424 | $11,403 | −37% | $17,733 | −60% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $7,062 | $6,356 | $18,632 | −62% | $16,351 | −57% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $7,027 | $6,325 | $12,411 | −43% | $15,589 | −55% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $6,959 | $6,263 | $26,594 | −74% | $38,070 | −82% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,768 | $6,091 | $13,105 | −48% | $8,445 | −20% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $6,705 | $6,034 | $12,852 | −48% | $20,901 | −68% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $6,601 | $5,941 | $15,861 | −58% | $27,297 | −76% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $6,385 | $5,746 | $9,216 | −31% | $14,716 | −57% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $6,149 | $5,534 | $8,365 | −26% | $14,689 | −58% | — |
| 795 | NORMAL NEWBORN | $5,805 | $5,225 | $3,122 | +86% | $4,720 | +23% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $5,688 | $5,119 | $10,651 | −47% | $15,370 | −63% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $5,504 | $4,954 | $20,030 | −73% | $26,510 | −79% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $5,203 | $4,683 | $8,559 | −39% | $12,252 | −58% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $4,671 | $4,203 | $10,279 | −55% | $15,412 | −70% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $4,633 | $4,169 | $19,397 | −76% | $27,394 | −83% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $4,066 | $3,660 | $12,503 | −67% | $17,601 | −77% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $3,635 | $3,271 | $9,801 | −63% | $16,450 | −78% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $2,954 | $2,659 | $10,310 | −71% | $17,700 | −83% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $2,395 | $2,155 | $8,325 | −71% | $15,183 | −84% | — |
Procedures with negotiated rates only
These 5 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 |
|---|---|---|---|
| 158 | DENTAL AND ORAL DISEASES WITH CC | — | 20 plans |
| 304 | HYPERTENSION WITH MCC | $990 – $9,017 · median $1,711 | 20 plans |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | — | 20 plans |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | — | 20 plans |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | — | 20 plans |
No procedures match that keyword.