Hudson Regional Hospital New Jersey — Pricing
348 procedures published in this hospital's Machine-Readable File (MRF) — 347 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 348
Lowest published price $1,738
Average published price $62,010
Highest published price $494,262
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 348 procedures
Published charges
Showing all 347 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.
| DRG | Description | Published price | Cash price | vs. NJ median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $494,262 | $494,262 | $260,247 | +90% | $371,366 | +33% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $472,748 | $472,748 | $111,108 | +325% | $151,029 | +213% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $410,173 | $410,173 | $69,568 | +490% | $107,355 | +282% | — |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $395,192 | $395,192 | $70,720 | +459% | $98,260 | +302% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $310,450 | $310,450 | $16,673 | +1762% | $41,520 | +648% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $308,783 | $308,783 | $16,579 | +1762% | $29,524 | +946% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $278,579 | $278,579 | $58,448 | +377% | $92,515 | +201% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $273,340 | $273,340 | $44,874 | +509% | $74,257 | +268% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $269,372 | $269,372 | $25,060 | +975% | $59,537 | +352% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $265,893 | — | $10,927 | +2333% | $24,316 | +993% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $244,857 | $244,857 | $79,734 | +207% | $69,101 | +254% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $240,885 | $240,885 | $20,281 | +1088% | $50,624 | +376% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $235,712 | $235,712 | $22,590 | +943% | $45,432 | +419% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $231,737 | $231,737 | $18,584 | +1147% | $37,902 | +511% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $229,405 | $229,405 | $17,623 | +1202% | $41,651 | +451% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $228,239 | $228,239 | $24,151 | +845% | $74,274 | +207% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $223,736 | $223,736 | $17,710 | +1163% | $34,089 | +556% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $200,991 | $200,991 | $48,736 | +312% | $72,782 | +176% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $199,647 | $199,647 | $58,617 | +241% | $54,320 | +268% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $199,103 | $199,103 | $42,905 | +364% | $59,207 | +236% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $196,529 | $196,529 | $43,918 | +347% | $70,132 | +180% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $184,127 | $184,127 | $50,803 | +262% | $50,815 | +262% | ≈167% of Medicare |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $175,253 | $175,253 | $16,902 | +937% | $33,050 | +430% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $169,875 | $169,875 | $75,879 | +124% | $75,251 | +126% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $169,837 | $169,837 | $15,497 | +996% | $40,552 | +319% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $166,957 | $166,957 | $18,879 | +784% | $45,818 | +264% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $163,911 | $163,911 | $63,003 | +160% | $78,821 | +108% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $158,356 | $158,356 | $16,783 | +844% | $36,933 | +329% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $156,815 | $156,815 | $42,633 | +268% | $68,508 | +129% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $144,693 | $144,693 | $30,072 | +381% | $71,014 | +104% | — |
| 304 | HYPERTENSION WITH MCC | $140,781 | $140,781 | $10,162 | +1285% | $24,185 | +482% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $133,479 | $133,479 | $17,136 | +679% | $43,775 | +205% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $132,424 | $132,424 | $81,678 | +62% | $138,008 | −4% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $132,422 | $132,422 | $14,973 | +784% | $36,658 | +261% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $130,878 | $130,878 | $16,152 | +710% | $45,963 | +185% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $129,895 | $129,895 | $28,596 | +354% | $52,313 | +148% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $127,404 | $127,404 | $20,052 | +535% | $58,832 | +117% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $125,392 | $125,392 | $11,390 | +1001% | $29,805 | +321% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $124,455 | $124,455 | $13,640 | +812% | $35,692 | +249% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $122,914 | $122,914 | $66,300 | +85% | $87,018 | +41% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $121,919 | $121,919 | $16,964 | +619% | $43,538 | +180% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $121,492 | $121,492 | $35,670 | +241% | $70,540 | +72% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $120,519 | $120,519 | $10,169 | +1085% | $27,369 | +340% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $120,140 | $120,140 | $16,841 | +613% | $29,633 | +305% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $118,276 | $118,276 | $50,907 | +132% | $72,859 | +62% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $118,247 | $118,247 | $13,023 | +808% | $33,424 | +254% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $116,728 | $116,728 | $28,756 | +306% | $64,152 | +82% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $116,330 | $116,330 | $14,152 | +722% | $30,930 | +276% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $113,452 | $113,452 | $65,645 | +73% | $96,222 | +18% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $111,475 | $111,475 | $22,768 | +390% | $52,405 | +113% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $111,170 | $111,170 | $15,120 | +635% | $31,758 | +250% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $110,889 | $110,889 | $18,104 | +513% | $45,817 | +142% | — |
| 263 | VEIN LIGATION AND STRIPPING | $109,233 | $109,233 | $23,200 | +371% | $44,938 | +143% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $108,900 | $108,900 | $5,117 | +2028% | $13,527 | +705% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $108,433 | $108,433 | $8,103 | +1238% | $19,326 | +461% | — |
| 504 | FOOT PROCEDURES WITH CC | $105,275 | $105,275 | $14,889 | +607% | $36,598 | +188% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $103,160 | $103,160 | $12,912 | +699% | $33,137 | +211% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $102,289 | $102,289 | $14,889 | +587% | $31,716 | +223% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $102,258 | $102,258 | $17,896 | +471% | $46,066 | +122% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $102,119 | $102,119 | $26,998 | +278% | $62,821 | +63% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $102,048 | $102,048 | $36,997 | +176% | $63,984 | +59% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $101,852 | $101,852 | $13,417 | +659% | $34,434 | +196% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $100,474 | $100,474 | $11,784 | +753% | $24,980 | +302% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $97,920 | $97,920 | $35,073 | +179% | $67,764 | +45% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $97,207 | $97,207 | $27,750 | +250% | $49,631 | +96% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $97,177 | $97,177 | $11,648 | +734% | $23,723 | +310% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $96,436 | $96,436 | $21,904 | +340% | $49,470 | +95% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $96,128 | $96,128 | $12,007 | +701% | $23,734 | +305% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $96,100 | $96,100 | $12,397 | +675% | $31,816 | +202% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $94,282 | $94,282 | $11,178 | +743% | $34,887 | +170% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $92,650 | $92,650 | $62,792 | +48% | $88,050 | +5% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $91,929 | $91,929 | $14,069 | +553% | $42,119 | +118% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $91,741 | $91,741 | $11,853 | +674% | $30,006 | +206% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $91,210 | $91,210 | $14,728 | +519% | $32,839 | +178% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $90,894 | $90,894 | $27,145 | +235% | $57,479 | +58% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $90,828 | $90,828 | $17,364 | +423% | $43,524 | +109% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $90,510 | $90,510 | $34,191 | +165% | $63,475 | +43% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $90,256 | $90,256 | $15,203 | +494% | $39,018 | +131% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $89,038 | $89,038 | $37,586 | +137% | $68,847 | +29% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $88,053 | $88,053 | $46,502 | +89% | $71,755 | +23% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $87,955 | $87,955 | $14,811 | +494% | $29,826 | +195% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $86,471 | $86,471 | $15,108 | +472% | $48,680 | +78% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $85,348 | $85,348 | $56,462 | +51% | $116,058 | −26% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $85,195 | $85,195 | $33,398 | +155% | $55,097 | +55% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $82,325 | $82,325 | $14,290 | +476% | $31,128 | +164% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $82,127 | $82,127 | $25,014 | +228% | $54,313 | +51% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $81,212 | $81,212 | $16,297 | +398% | $30,766 | +164% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $80,963 | $80,963 | $45,405 | +78% | $71,701 | +13% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $80,694 | $80,694 | $28,417 | +184% | $56,394 | +43% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $79,846 | $79,846 | $13,340 | +499% | $36,239 | +120% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $78,661 | $78,661 | $59,697 | +32% | $80,747 | −3% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $78,070 | $78,070 | $18,627 | +319% | $38,357 | +104% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $77,078 | $77,078 | $31,290 | +146% | $64,776 | +19% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $76,591 | $76,591 | $14,431 | +431% | $43,266 | +77% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $73,548 | $73,548 | $21,532 | +242% | $52,319 | +41% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $72,995 | $72,995 | $51,316 | +42% | $72,945 | +0% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $72,273 | $72,273 | $42,906 | +68% | $68,880 | +5% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $72,128 | $72,128 | $46,936 | +54% | $78,582 | −8% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $72,109 | $72,109 | $21,375 | +237% | $51,985 | +39% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $71,899 | $71,899 | $9,354 | +669% | $25,162 | +186% | — |
| 813 | COAGULATION DISORDERS | $69,124 | $69,124 | $13,132 | +426% | $30,128 | +129% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $68,858 | $68,858 | $15,140 | +355% | $54,772 | +26% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $67,801 | $67,801 | $15,782 | +330% | $37,950 | +79% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $67,371 | $67,371 | $17,642 | +282% | $56,519 | +19% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $66,919 | $66,919 | $19,545 | +242% | $45,059 | +49% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $66,505 | $66,505 | $105,048 | −37% | $146,474 | −55% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $66,233 | $66,233 | $9,291 | +613% | $21,806 | +204% | — |
| 200 | PNEUMOTHORAX WITH CC | $65,916 | $65,916 | $9,580 | +588% | $20,573 | +220% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $65,413 | $65,413 | $28,045 | +133% | $57,963 | +13% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $64,670 | $64,670 | $13,406 | +382% | $33,490 | +93% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $64,446 | $64,446 | $15,683 | +311% | $40,063 | +61% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $64,262 | $64,262 | $13,128 | +389% | $34,354 | +87% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $63,407 | $63,407 | $15,904 | +299% | $30,394 | +109% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $63,074 | $63,074 | $10,506 | +500% | $27,492 | +129% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $61,598 | $61,598 | $19,570 | +215% | $48,682 | +27% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $60,043 | $60,043 | $7,491 | +702% | $15,608 | +285% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $59,310 | $59,310 | $29,422 | +102% | $56,758 | +4% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $59,252 | $59,252 | $18,263 | +224% | $38,885 | +52% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $57,913 | $57,913 | $14,888 | +289% | $30,944 | +87% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $57,194 | $57,194 | $10,760 | +432% | $28,156 | +103% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $56,325 | $56,325 | $16,645 | +238% | $35,237 | +60% | ≈174% of Medicare |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $55,592 | $55,592 | $9,534 | +483% | $30,314 | +83% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $55,269 | $55,269 | $12,763 | +333% | $33,792 | +64% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $55,236 | $55,236 | $8,880 | +522% | $24,022 | +130% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $55,165 | $55,165 | $12,842 | +330% | $29,484 | +87% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $54,903 | $54,903 | $61,822 | −11% | $102,573 | −46% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $54,547 | $54,547 | $54,442 | +0% | $86,390 | −37% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $54,481 | $54,481 | $14,418 | +278% | $35,453 | +54% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $54,280 | $54,280 | $12,663 | +329% | $39,107 | +39% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $54,161 | $54,161 | $15,581 | +248% | $37,975 | +43% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $53,937 | $53,937 | $10,930 | +393% | $23,924 | +125% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $53,704 | $53,704 | $17,112 | +214% | $41,660 | +29% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $52,838 | $52,838 | $14,903 | +255% | $31,846 | +66% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $52,565 | $52,565 | $17,146 | +207% | $43,800 | +20% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $51,993 | $51,993 | $16,589 | +213% | $35,014 | +48% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $51,390 | $51,390 | $22,247 | +131% | $57,149 | −10% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $50,258 | $50,258 | $6,171 | +714% | $15,607 | +222% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $49,992 | $49,992 | $13,458 | +271% | $39,747 | +26% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $49,777 | $49,777 | $13,892 | +258% | $27,457 | +81% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,169 | $49,169 | $54,333 | −10% | $90,331 | −46% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $49,155 | $49,155 | $13,518 | +264% | $35,375 | +39% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $48,307 | $48,307 | $17,775 | +172% | $51,172 | −6% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $48,252 | $48,252 | $30,877 | +56% | $49,065 | −2% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $48,210 | $48,210 | $13,714 | +252% | $31,840 | +51% | ≈164% of Medicare |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $46,897 | $46,897 | $14,843 | +216% | $38,094 | +23% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $46,227 | $46,227 | $5,704 | +710% | $13,485 | +243% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $44,879 | $44,879 | $8,819 | +409% | $20,080 | +123% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $44,592 | $44,592 | $8,357 | +434% | $21,449 | +108% | — |
| 100 | SEIZURES WITH MCC | $44,430 | $44,430 | $17,172 | +159% | $35,194 | +26% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $44,338 | $44,338 | $20,663 | +115% | $40,548 | +9% | — |
| 102 | HEADACHES WITH MCC | $44,295 | $44,295 | $10,029 | +342% | $22,544 | +96% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $43,768 | $43,768 | $7,835 | +459% | $17,731 | +147% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $43,621 | $43,621 | $8,711 | +401% | $23,469 | +86% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $43,509 | $43,509 | $12,169 | +258% | $27,934 | +56% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $43,071 | $43,071 | $20,417 | +111% | $50,139 | −14% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $42,323 | $42,323 | $15,800 | +168% | $37,842 | +12% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $41,910 | $41,910 | $14,049 | +198% | $32,689 | +28% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $41,667 | $41,667 | $19,811 | +110% | $36,334 | +15% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $41,444 | $41,444 | $16,875 | +146% | $35,714 | +16% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $41,319 | $41,319 | $10,497 | +294% | $25,704 | +61% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $40,835 | $40,835 | $15,049 | +171% | $29,558 | +38% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $40,667 | $40,667 | $8,164 | +398% | $20,777 | +96% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $40,588 | $40,588 | $14,751 | +175% | $30,814 | +32% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $40,108 | $40,108 | $22,753 | +76% | $53,746 | −25% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $39,961 | $39,961 | $13,910 | +187% | $28,134 | +42% | — |
| 139 | SALIVARY GLAND PROCEDURES | $39,087 | $39,087 | $11,648 | +236% | $21,014 | +86% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $38,583 | $38,583 | $9,755 | +296% | $24,452 | +58% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $38,116 | $38,116 | $16,227 | +135% | $33,165 | +15% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $38,060 | $38,060 | $9,426 | +304% | $31,190 | +22% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $38,017 | $38,017 | $17,735 | +114% | $32,483 | +17% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $37,995 | $37,995 | $14,198 | +168% | $28,967 | +31% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $37,406 | $37,406 | $5,634 | +564% | $13,890 | +169% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $36,744 | $36,744 | $14,006 | +162% | $44,117 | −17% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $36,197 | $36,197 | $47,667 | −24% | $74,755 | −52% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $36,033 | $36,033 | $6,286 | +473% | $13,282 | +171% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $35,986 | $35,986 | $19,533 | +84% | $44,989 | −20% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $35,811 | $35,811 | $10,897 | +229% | $27,244 | +31% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $35,742 | $35,742 | $11,297 | +216% | $23,956 | +49% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $35,732 | $35,732 | $10,150 | +252% | $20,842 | +71% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $35,389 | $35,389 | $29,651 | +19% | $51,953 | −32% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $35,218 | $35,218 | $19,498 | +81% | $44,600 | −21% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $35,153 | $35,153 | $19,259 | +83% | $41,900 | −16% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $34,938 | $34,938 | $11,645 | +200% | $30,358 | +15% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $34,921 | $34,921 | $8,241 | +324% | $15,680 | +123% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $34,696 | $34,696 | $16,152 | +115% | $49,197 | −29% | ≈187% of Medicare |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $34,276 | $34,276 | $10,431 | +229% | $26,488 | +29% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $34,240 | $34,240 | $16,037 | +114% | $32,399 | +6% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $34,074 | $34,074 | $11,487 | +197% | $24,480 | +39% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $33,894 | $33,894 | $33,894 | +0% | $65,254 | −48% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $33,723 | $33,723 | $6,896 | +389% | $17,700 | +91% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $33,505 | $33,505 | $14,054 | +138% | $26,020 | +29% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $33,441 | $33,441 | $11,286 | +196% | $25,020 | +34% | ≈175% of Medicare |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $33,435 | $33,435 | $9,714 | +244% | $24,190 | +38% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $32,360 | $32,360 | $5,598 | +478% | $14,368 | +125% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $32,318 | $32,318 | $22,797 | +42% | $54,929 | −41% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $32,248 | $32,248 | $8,364 | +286% | $21,886 | +47% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $32,105 | $32,105 | $11,320 | +184% | $25,426 | +26% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $32,085 | $32,085 | $10,062 | +219% | $20,844 | +54% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $31,957 | $31,957 | $14,391 | +122% | $32,502 | −2% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $31,797 | $31,797 | $5,559 | +472% | $14,134 | +125% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $31,786 | $31,786 | $7,377 | +331% | $19,305 | +65% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $31,289 | $31,289 | $7,620 | +311% | $19,854 | +58% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,233 | $31,233 | $26,159 | +19% | $52,435 | −40% | — |
| 602 | CELLULITIS WITH MCC | $31,119 | $31,119 | $12,464 | +150% | $29,347 | +6% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $30,556 | $30,556 | $12,703 | +141% | $24,450 | +25% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $29,317 | $29,317 | $12,523 | +134% | $32,451 | −10% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $29,238 | $29,238 | $27,054 | +8% | $49,710 | −41% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $29,143 | $29,143 | $7,431 | +292% | $18,278 | +59% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $28,956 | $28,956 | $12,810 | +126% | $24,229 | +20% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $28,482 | $28,482 | $9,128 | +212% | $17,943 | +59% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $27,640 | $27,640 | $11,179 | +147% | $26,158 | +6% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $27,598 | $27,598 | $10,889 | +153% | $27,947 | −1% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $27,558 | $27,558 | $8,281 | +233% | $17,273 | +60% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $27,301 | $27,301 | $9,567 | +185% | $24,017 | +14% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $27,122 | $27,122 | $6,696 | +305% | $20,278 | +34% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $26,899 | $26,899 | $7,820 | +244% | $20,463 | +31% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $26,873 | $26,873 | $9,254 | +190% | $23,749 | +13% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $26,728 | $26,728 | $5,984 | +347% | $14,441 | +85% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $26,727 | $26,727 | $15,616 | +71% | $36,375 | −27% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $26,231 | $26,231 | $15,336 | +71% | $36,242 | −28% | — |
| 682 | RENAL FAILURE WITH MCC | $26,040 | $26,040 | $12,741 | +104% | $27,854 | −7% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $26,025 | $26,025 | $7,093 | +267% | $18,204 | +43% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $25,871 | $25,871 | $9,602 | +169% | $18,459 | +40% | — |
| 312 | SYNCOPE AND COLLAPSE | $25,750 | $25,750 | $7,537 | +242% | $19,342 | +33% | — |
| 199 | PNEUMOTHORAX WITH MCC | $25,378 | $25,378 | $15,123 | +68% | $31,491 | −19% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $25,079 | $25,079 | $7,045 | +256% | $18,081 | +39% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $24,348 | $24,348 | $7,618 | +220% | $17,412 | +40% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $24,213 | $24,213 | $7,306 | +231% | $16,212 | +49% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $24,170 | $24,170 | $6,333 | +282% | $16,865 | +43% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $24,112 | $24,112 | $13,212 | +83% | $29,924 | −19% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $23,985 | $23,985 | $5,283 | +354% | $13,824 | +74% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $23,153 | $23,153 | $7,571 | +206% | $21,261 | +9% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $22,880 | $22,880 | $9,692 | +136% | $24,432 | −6% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $22,632 | $22,632 | $13,302 | +70% | $31,059 | −27% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $22,592 | $22,592 | $12,188 | +85% | $29,757 | −24% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $22,295 | $22,295 | $15,813 | +41% | $29,609 | −25% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,254 | $22,254 | $34,907 | −36% | $60,098 | −63% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $22,105 | $22,105 | $13,114 | +69% | $25,484 | −13% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $22,080 | $22,080 | $6,058 | +264% | $13,654 | +62% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $21,579 | $21,579 | $6,025 | +258% | $12,279 | +76% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $21,554 | $21,554 | $10,380 | +108% | $26,322 | −18% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $20,991 | $20,991 | $12,424 | +69% | $25,243 | −17% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $20,710 | $20,710 | $8,420 | +146% | $20,968 | −1% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $20,361 | $20,361 | $13,241 | +54% | $28,252 | −28% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $20,361 | $20,361 | $8,843 | +130% | $23,141 | −12% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $19,901 | $19,901 | $16,722 | +19% | $36,641 | −46% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $19,831 | $19,831 | $7,369 | +169% | $19,096 | +4% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,368 | $19,368 | $6,762 | +186% | $17,522 | +11% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $19,266 | $19,266 | $6,038 | +219% | $14,473 | +33% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $19,157 | $19,157 | $7,893 | +143% | $20,309 | −6% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $18,975 | $18,975 | $8,176 | +132% | $21,213 | −11% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $18,862 | $18,862 | $6,272 | +201% | $18,623 | +1% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $18,418 | $18,418 | $29,942 | −38% | $50,919 | −64% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $18,327 | $18,327 | $28,012 | −35% | $52,908 | −65% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $18,101 | $18,101 | $16,015 | +13% | $32,204 | −44% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $17,969 | $17,969 | $6,537 | +175% | $16,776 | +7% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $17,877 | $17,877 | $6,685 | +167% | $17,322 | +3% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $17,848 | $17,848 | $13,243 | +35% | $24,879 | −28% | — |
| 313 | CHEST PAIN | $17,817 | $17,817 | $6,171 | +189% | $15,962 | +12% | — |
| 305 | HYPERTENSION WITHOUT MCC | $17,814 | $17,814 | $6,493 | +174% | $17,144 | +4% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,775 | $17,775 | $19,683 | −10% | $36,237 | −51% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $17,657 | $17,657 | $9,928 | +78% | $22,982 | −23% | ≈186% of Medicare |
| 638 | DIABETES WITH CC | $17,489 | $17,489 | $7,934 | +120% | $18,821 | −7% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $17,317 | $17,317 | $7,015 | +147% | $16,866 | +3% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $17,155 | $17,155 | $5,399 | +218% | $14,128 | +21% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $17,080 | $17,080 | $7,983 | +114% | $20,488 | −17% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $16,827 | $16,827 | $9,069 | +86% | $24,136 | −30% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,578 | $16,578 | $14,613 | +13% | $29,409 | −44% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $16,496 | $16,496 | $8,787 | +88% | $21,181 | −22% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $16,494 | $16,494 | $6,879 | +140% | $18,002 | −8% | — |
| 245 | AICD GENERATOR PROCEDURES | $16,463 | $16,463 | $61,075 | −73% | $72,076 | −77% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $16,428 | $16,428 | $5,562 | +195% | $14,208 | +16% | — |
| 593 | SKIN ULCERS WITH CC | $16,151 | $16,151 | $10,474 | +54% | $20,470 | −21% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $16,085 | $16,085 | $4,793 | +236% | $13,384 | +20% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $15,422 | $15,422 | $4,642 | +232% | $13,318 | +16% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $15,270 | $15,270 | $8,399 | +82% | $20,106 | −24% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $15,160 | $15,160 | $8,732 | +74% | $22,850 | −34% | — |
| 683 | RENAL FAILURE WITH CC | $15,036 | $15,036 | $7,689 | +96% | $18,620 | −19% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $14,961 | $14,961 | $7,583 | +97% | $18,803 | −20% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,950 | $14,950 | $14,950 | +0% | $38,836 | −62% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,751 | $14,751 | $11,881 | +24% | $29,050 | −49% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,705 | $14,705 | $11,503 | +28% | $23,350 | −37% | — |
| 101 | SEIZURES WITHOUT MCC | $14,552 | $14,552 | $7,819 | +86% | $19,954 | −27% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $14,485 | $14,485 | $7,986 | +81% | $18,918 | −23% | ≈183% of Medicare |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $14,271 | $14,271 | $8,918 | +60% | $22,781 | −37% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $14,094 | $14,094 | $5,948 | +137% | $14,012 | +1% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,053 | $14,053 | $17,073 | −18% | $30,940 | −55% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,049 | $14,049 | $14,260 | −1% | $30,058 | −53% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $13,936 | $13,936 | $6,154 | +126% | $16,104 | −13% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $13,787 | $13,787 | $4,790 | +188% | $11,955 | +15% | — |
| 639 | DIABETES WITHOUT CC/MCC | $13,526 | $13,526 | $5,316 | +154% | $13,910 | −3% | — |
| 311 | ANGINA PECTORIS | $13,398 | $13,398 | $5,924 | +126% | $15,165 | −12% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $13,336 | $13,336 | $9,083 | +47% | $22,231 | −40% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $13,291 | $13,291 | $5,839 | +128% | $19,483 | −32% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $13,197 | $13,197 | $8,483 | +56% | $20,007 | −34% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,195 | $13,195 | $9,526 | +39% | $19,317 | −32% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,970 | $12,970 | $5,370 | +142% | $15,070 | −14% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,786 | $12,786 | $9,261 | +38% | $17,226 | −26% | — |
| 637 | DIABETES WITH MCC | $12,597 | $12,597 | $12,597 | +0% | $28,819 | −56% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,399 | $12,399 | $8,941 | +39% | $23,396 | −47% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $12,376 | $12,376 | $8,416 | +47% | $22,024 | −44% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $12,277 | $12,277 | $13,256 | −7% | $41,380 | −70% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $12,204 | $12,204 | $6,872 | +78% | $17,727 | −31% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,151 | $12,151 | $8,939 | +36% | $22,941 | −47% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $12,103 | $12,103 | $5,798 | +109% | $14,880 | −19% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,725 | $11,725 | $9,260 | +27% | $19,579 | −40% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,689 | $11,689 | $12,466 | −6% | $25,152 | −54% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,450 | $11,450 | $8,292 | +38% | $15,636 | −27% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,401 | $11,401 | $14,169 | −20% | $25,208 | −55% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $11,378 | $11,378 | $7,219 | +58% | $18,253 | −38% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,745 | $10,745 | $6,809 | +58% | $17,466 | −38% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,705 | $10,705 | $6,800 | +57% | $17,388 | −38% | — |
| 885 | PSYCHOSES | $10,700 | $10,700 | $11,958 | −11% | $21,489 | −50% | — |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $10,676 | $10,676 | $10,028 | +6% | $19,598 | −46% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $10,633 | $10,633 | $7,990 | +33% | $19,287 | −45% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,194 | $10,194 | $7,484 | +36% | $16,049 | −36% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,173 | $10,173 | $7,873 | +29% | $16,352 | −38% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,130 | $10,130 | $6,927 | +46% | $17,715 | −43% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,953 | $9,953 | $15,107 | −34% | $30,275 | −67% | — |
| 694 | URINARY STONES WITHOUT MCC | $9,701 | $9,701 | $6,629 | +46% | $16,531 | −41% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,640 | $9,640 | $7,475 | +29% | $15,284 | −37% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $9,472 | $9,472 | $5,857 | +62% | $13,081 | −28% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,378 | $9,378 | $10,725 | −13% | $26,634 | −65% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,360 | $9,360 | $7,344 | +27% | $14,873 | −37% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,338 | $9,338 | $18,227 | −49% | $34,900 | −73% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,319 | $9,319 | $7,504 | +24% | $15,045 | −38% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,240 | $9,240 | $6,727 | +37% | $15,858 | −42% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,147 | $9,147 | $24,914 | −63% | $44,839 | −80% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,034 | $9,034 | $19,331 | −53% | $35,642 | −75% | — |
| 539 | OSTEOMYELITIS WITH MCC | $9,013 | $9,013 | $17,157 | −47% | $33,746 | −73% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,486 | $8,486 | $13,351 | −36% | $25,731 | −67% | — |
| 603 | CELLULITIS WITHOUT MCC | $8,011 | $8,011 | $7,472 | +7% | $18,530 | −57% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $7,981 | $7,981 | $19,842 | −60% | $39,253 | −80% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,962 | $7,962 | $16,098 | −51% | $35,459 | −78% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,750 | $7,750 | $8,651 | −10% | $21,545 | −64% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,723 | $7,723 | $7,328 | +5% | $17,367 | −56% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,692 | $7,692 | $9,255 | −17% | $19,868 | −61% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,076 | $7,076 | $5,704 | +24% | $14,927 | −53% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,726 | $6,726 | $4,950 | +36% | $9,385 | −28% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,307 | $6,307 | $6,629 | −5% | $16,745 | −62% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,159 | $6,159 | $6,744 | −9% | $16,837 | −63% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $4,630 | $4,630 | $19,487 | −76% | $46,430 | −90% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,722 | $3,722 | $5,186 | −28% | $10,975 | −66% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,239 | $3,239 | $7,506 | −57% | $16,391 | −80% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,597 | $2,597 | $10,090 | −74% | $20,602 | −87% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,792 | $1,792 | $8,689 | −79% | $18,478 | −90% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,738 | $1,738 | $9,394 | −81% | $25,267 | −93% | — |
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 |
|---|---|---|---|
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | — | 5 plans |
No procedures match that keyword.