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.
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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 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 | $252,455 | +96% | $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% | $153,282 | +208% | — |
| 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 | $51,205 | +672% | $98,260 | +302% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $310,450 | $310,450 | $16,673 | +1762% | $43,631 | +612% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $308,783 | — | $16,579 | +1762% | $29,524 | +946% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $278,579 | $278,579 | $56,466 | +393% | $92,515 | +201% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $273,340 | $273,340 | $44,359 | +516% | $74,257 | +268% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $269,372 | $269,372 | $24,578 | +996% | $59,537 | +352% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $265,893 | $265,893 | $10,927 | +2333% | $26,870 | +890% | — |
| 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 | $20,084 | +1099% | $50,624 | +376% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $235,712 | $235,712 | $22,590 | +943% | $47,945 | +392% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $231,737 | $231,737 | $18,403 | +1159% | $42,901 | +440% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $229,405 | $229,405 | $17,623 | +1202% | $43,174 | +431% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $228,239 | $228,239 | $24,151 | +845% | $81,706 | +179% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $223,736 | $223,736 | $17,369 | +1188% | $35,030 | +539% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $200,991 | $200,991 | $50,951 | +294% | $75,573 | +166% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $199,647 | $199,647 | $58,617 | +241% | $56,836 | +251% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $199,103 | $199,103 | $48,637 | +309% | $62,583 | +218% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $196,529 | $196,529 | $47,020 | +318% | $70,132 | +180% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $184,127 | $184,127 | $50,803 | +262% | $51,625 | +257% | ≈167% of Medicare |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $175,253 | $175,253 | $16,577 | +957% | $38,861 | +351% | — |
| 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% | $45,866 | +264% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $163,911 | $163,911 | $63,003 | +160% | $82,218 | +99% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $158,356 | $158,356 | $16,620 | +853% | $40,213 | +294% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $156,815 | $156,815 | $45,852 | +242% | $68,508 | +129% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $144,693 | $144,693 | $29,221 | +395% | $71,014 | +104% | — |
| 304 | HYPERTENSION WITH MCC | $140,781 | $140,781 | $9,966 | +1313% | $26,080 | +440% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $133,479 | $133,479 | $16,729 | +698% | $44,139 | +202% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $132,424 | $132,424 | $71,210 | +86% | $148,832 | −11% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $132,422 | $132,422 | $14,827 | +793% | $36,658 | +261% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $130,878 | $130,878 | $15,995 | +718% | $47,711 | +174% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $129,895 | $129,895 | $20,161 | +544% | $53,451 | +143% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $127,404 | $127,404 | $20,052 | +535% | $59,500 | +114% | — |
| 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% | $93,172 | +32% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $121,919 | $121,919 | $16,638 | +633% | $43,538 | +180% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $121,492 | $121,492 | $31,382 | +287% | $70,564 | +72% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $120,519 | $120,519 | $10,169 | +1085% | $30,784 | +292% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $120,140 | $120,140 | $16,841 | +613% | $32,574 | +269% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $118,276 | $118,276 | $38,274 | +209% | $76,001 | +56% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $118,247 | $118,247 | $12,773 | +826% | $33,424 | +254% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $116,728 | $116,728 | $41,267 | +183% | $67,268 | +74% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $116,330 | $116,330 | $14,152 | +722% | $34,607 | +236% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $113,452 | $113,452 | $67,426 | +68% | $96,507 | +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 | $14,829 | +650% | $33,555 | +231% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $110,889 | $110,889 | $17,066 | +550% | $46,090 | +141% | — |
| 263 | VEIN LIGATION AND STRIPPING | $109,233 | $109,233 | $22,754 | +380% | $51,253 | +113% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $108,900 | $108,900 | $4,972 | +2090% | $13,527 | +705% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $108,433 | $108,433 | $8,103 | +1238% | $19,594 | +453% | — |
| 504 | FOOT PROCEDURES WITH CC | $105,275 | $105,275 | $14,889 | +607% | $38,960 | +170% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $103,160 | $103,160 | $12,663 | +715% | $33,393 | +209% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $102,289 | $102,289 | $14,889 | +587% | $34,937 | +193% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $102,258 | $102,258 | $17,786 | +475% | $46,066 | +122% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $102,119 | $102,119 | $26,234 | +289% | $62,821 | +63% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $102,048 | $102,048 | $39,985 | +155% | $65,653 | +55% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $101,852 | $101,852 | $13,159 | +674% | $34,434 | +196% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $100,474 | $100,474 | $11,557 | +769% | $30,242 | +232% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $97,920 | $97,920 | $24,727 | +296% | $70,467 | +39% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $97,207 | $97,207 | $31,742 | +206% | $50,394 | +93% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $97,177 | $97,177 | $11,424 | +751% | $24,127 | +303% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $96,436 | $96,436 | $17,920 | +438% | $50,463 | +91% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $96,128 | $96,128 | $12,007 | +701% | $26,280 | +266% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $96,100 | $96,100 | $12,159 | +690% | $35,465 | +171% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $94,282 | $94,282 | $11,178 | +743% | $36,937 | +155% | — |
| 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% | $44,606 | +106% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $91,741 | $91,741 | $11,853 | +674% | $31,017 | +196% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $91,210 | $91,210 | $14,728 | +519% | $32,443 | +181% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $90,894 | $90,894 | $26,882 | +238% | $61,872 | +47% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $90,828 | $90,828 | $16,951 | +436% | $43,943 | +107% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $90,510 | $90,510 | $25,948 | +249% | $64,523 | +40% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $90,256 | $90,256 | $14,911 | +505% | $39,018 | +131% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $89,038 | $89,038 | $44,454 | +100% | $70,177 | +27% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $88,053 | $88,053 | $49,404 | +78% | $71,755 | +23% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $87,955 | $87,955 | $14,667 | +500% | $29,826 | +195% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $86,471 | $86,471 | $15,108 | +472% | $52,075 | +66% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $85,348 | $85,348 | $54,864 | +56% | $116,058 | −26% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $85,195 | $85,195 | $32,756 | +160% | $59,594 | +43% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $82,325 | $82,325 | $14,290 | +476% | $34,273 | +140% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $82,127 | $82,127 | $25,014 | +228% | $58,228 | +41% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $81,212 | $81,212 | $15,984 | +408% | $32,637 | +149% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $80,963 | $80,963 | $42,875 | +89% | $77,817 | +4% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $80,694 | $80,694 | $20,369 | +296% | $59,651 | +35% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $79,846 | $79,846 | $13,023 | +513% | $39,211 | +104% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $78,661 | $78,661 | $58,279 | +35% | $80,793 | −3% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $78,070 | $78,070 | $18,269 | +327% | $38,666 | +102% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $77,078 | $77,078 | $31,743 | +143% | $71,092 | +8% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $76,591 | $76,591 | $14,431 | +431% | $43,477 | +76% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $73,548 | $73,548 | $21,020 | +250% | $53,257 | +38% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $72,995 | $72,995 | $52,219 | +40% | $77,990 | −6% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $72,273 | $72,273 | $46,123 | +57% | $70,847 | +2% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $72,128 | $72,128 | $45,819 | +57% | $89,207 | −19% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $72,109 | $72,109 | $20,770 | +247% | $51,985 | +39% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $71,899 | $71,899 | $9,354 | +669% | $27,843 | +158% | — |
| 813 | COAGULATION DISORDERS | $69,124 | $69,124 | $13,132 | +426% | $33,296 | +108% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $68,858 | $68,858 | $15,348 | +349% | $58,809 | +17% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $67,801 | $67,801 | $15,479 | +338% | $37,950 | +79% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $67,371 | $67,371 | $17,884 | +277% | $58,280 | +16% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $66,919 | $66,919 | $19,080 | +251% | $47,737 | +40% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $66,505 | $66,505 | $100,406 | −34% | $147,227 | −55% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $66,233 | $66,233 | $9,200 | +620% | $23,319 | +184% | — |
| 200 | PNEUMOTHORAX WITH CC | $65,916 | $65,916 | $9,395 | +602% | $21,368 | +208% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $65,413 | $65,413 | $22,934 | +185% | $62,264 | +5% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $64,670 | $64,670 | $13,406 | +382% | $35,074 | +84% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $64,446 | $64,446 | $15,310 | +321% | $41,591 | +55% | — |
| 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 | $15,599 | +306% | $32,859 | +93% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $63,074 | $63,074 | $10,506 | +500% | $28,320 | +123% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $61,598 | $61,598 | $19,105 | +222% | $48,682 | +27% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $60,043 | $60,043 | $7,491 | +702% | $16,998 | +253% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $59,310 | $59,310 | $40,277 | +47% | $58,975 | +1% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $59,252 | $59,252 | $17,912 | +231% | $39,958 | +48% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $57,913 | $57,913 | $14,743 | +293% | $32,645 | +77% | — |
| 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% | $35,628 | +58% | ≈174% of Medicare |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $55,592 | $55,592 | $9,534 | +483% | $31,321 | +77% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $55,269 | $55,269 | $12,763 | +333% | $36,505 | +51% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $55,236 | $55,236 | $8,709 | +534% | $25,970 | +113% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $55,165 | $55,165 | $12,718 | +334% | $30,502 | +81% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $54,903 | $54,903 | $63,765 | −14% | $102,573 | −46% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $54,547 | $54,547 | $48,640 | +12% | $90,775 | −40% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $54,481 | $54,481 | $13,548 | +302% | $35,453 | +54% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $54,280 | $54,280 | $12,837 | +323% | $40,162 | +35% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $54,161 | $54,161 | $15,140 | +258% | $39,619 | +37% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $53,937 | $53,937 | $10,930 | +393% | $25,748 | +109% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $53,704 | $53,704 | $17,112 | +214% | $42,914 | +25% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $52,838 | $52,838 | $14,903 | +255% | $33,386 | +58% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $52,565 | $52,565 | $16,738 | +214% | $43,800 | +20% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $51,993 | $51,993 | $16,589 | +213% | $39,955 | +30% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $51,390 | $51,390 | $21,618 | +138% | $58,707 | −12% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $50,258 | $50,258 | $6,052 | +730% | $15,837 | +217% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $49,992 | $49,992 | $13,458 | +271% | $41,955 | +19% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $49,777 | $49,777 | $13,892 | +258% | $31,300 | +59% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $49,169 | $49,169 | $53,402 | −8% | $90,331 | −46% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $49,155 | $49,155 | $13,518 | +264% | $39,006 | +26% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $48,307 | $48,307 | $17,602 | +174% | $52,751 | −8% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $48,252 | $48,252 | $39,320 | +23% | $52,036 | −7% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $48,210 | $48,210 | $13,714 | +252% | $33,707 | +43% | ≈164% of Medicare |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $46,897 | $46,897 | $14,558 | +222% | $38,094 | +23% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $46,227 | $46,227 | $5,594 | +726% | $14,638 | +216% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $44,879 | $44,879 | $8,650 | +419% | $22,635 | +98% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $44,592 | $44,592 | $8,197 | +444% | $21,449 | +108% | — |
| 100 | SEIZURES WITH MCC | $44,430 | $44,430 | $16,842 | +164% | $35,481 | +25% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $44,338 | $44,338 | $20,079 | +121% | $40,548 | +9% | — |
| 102 | HEADACHES WITH MCC | $44,295 | $44,295 | $9,837 | +350% | $25,740 | +72% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $43,768 | $43,768 | $7,684 | +470% | $18,488 | +137% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $43,621 | $43,621 | $8,627 | +406% | $23,940 | +82% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $43,509 | $43,509 | $11,935 | +265% | $28,226 | +54% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $43,071 | $43,071 | $19,839 | +117% | $50,139 | −14% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $42,323 | $42,323 | $15,425 | +174% | $37,842 | +12% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $41,910 | $41,910 | $14,049 | +198% | $34,192 | +23% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $41,667 | $41,667 | $19,430 | +114% | $39,181 | +6% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $41,444 | $41,444 | $16,875 | +146% | $39,106 | +6% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $41,319 | $41,319 | $10,497 | +294% | $26,580 | +55% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $40,835 | $40,835 | $14,903 | +174% | $30,553 | +34% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $40,667 | $40,667 | $8,164 | +398% | $21,363 | +90% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $40,588 | $40,588 | $14,751 | +175% | $31,951 | +27% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $40,108 | $40,108 | $21,658 | +85% | $57,454 | −30% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $39,961 | $39,961 | $13,910 | +187% | $30,235 | +32% | — |
| 139 | SALIVARY GLAND PROCEDURES | $39,087 | $39,087 | $11,648 | +236% | $23,612 | +66% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $38,583 | $38,583 | $9,660 | +299% | $25,279 | +53% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $38,116 | $38,116 | $16,227 | +135% | $34,459 | +11% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $38,060 | $38,060 | $9,244 | +312% | $32,021 | +19% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $38,017 | $38,017 | $17,735 | +114% | $33,851 | +12% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $37,995 | $37,995 | $13,925 | +173% | $30,828 | +23% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $37,406 | $37,406 | $5,634 | +564% | $13,942 | +168% | — |
| 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 | $49,588 | −27% | $74,755 | −52% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $36,033 | $36,033 | $6,286 | +473% | $16,450 | +119% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $35,986 | $35,986 | $19,157 | +88% | $49,418 | −27% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $35,811 | $35,811 | $10,897 | +229% | $28,050 | +28% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $35,742 | $35,742 | $11,079 | +223% | $26,051 | +37% | — |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $35,732 | $35,732 | $10,051 | +255% | $25,712 | +39% | — |
| 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 | $18,776 | +88% | $46,283 | −24% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $35,153 | $35,153 | $18,485 | +90% | $45,333 | −22% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $34,938 | $34,938 | $11,368 | +207% | $31,264 | +12% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $34,921 | $34,921 | $8,161 | +328% | $15,680 | +123% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $34,696 | $34,696 | $15,996 | +117% | $50,607 | −31% | ≈187% of Medicare |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $34,276 | $34,276 | $10,230 | +235% | $26,770 | +28% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $34,240 | $34,240 | $16,037 | +114% | $33,985 | +1% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $34,074 | $34,074 | $11,266 | +202% | $25,463 | +34% | — |
| 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% | $65,788 | −48% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $33,723 | $33,723 | $6,764 | +399% | $17,700 | +91% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $33,505 | $33,505 | $13,784 | +143% | $27,617 | +21% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $33,441 | $33,441 | $11,069 | +202% | $26,776 | +25% | ≈175% of Medicare |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $33,435 | $33,435 | $9,527 | +251% | $24,386 | +37% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $32,360 | $32,360 | $5,491 | +489% | $14,368 | +125% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $32,318 | $32,318 | $22,255 | +45% | $54,929 | −41% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $32,248 | $32,248 | $8,364 | +286% | $22,098 | +46% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $32,105 | $32,105 | $11,320 | +184% | $27,543 | +17% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $32,085 | $32,085 | $9,869 | +225% | $22,446 | +43% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $31,957 | $31,957 | $14,114 | +126% | $32,628 | −2% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $31,797 | $31,797 | $5,401 | +489% | $15,038 | +111% | — |
| 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 | $7,473 | +319% | $19,854 | +58% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $31,233 | $31,233 | $25,537 | +22% | $52,435 | −40% | — |
| 602 | CELLULITIS WITH MCC | $31,119 | $31,119 | $12,464 | +150% | $30,598 | +2% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $30,556 | $30,556 | $12,703 | +141% | $24,586 | +24% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $29,317 | $29,317 | $12,401 | +136% | $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 | $7,288 | +300% | $18,807 | +55% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $28,956 | $28,956 | $12,809 | +126% | $30,770 | −6% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $28,482 | $28,482 | $9,128 | +212% | $18,956 | +50% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $27,640 | $27,640 | $11,179 | +147% | $27,275 | +1% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $27,598 | $27,598 | $10,680 | +158% | $27,947 | −1% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $27,558 | $27,558 | $8,201 | +236% | $17,724 | +55% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $27,301 | $27,301 | $9,567 | +185% | $25,034 | +9% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $27,122 | $27,122 | $6,788 | +300% | $21,056 | +29% | — |
| 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 | $9,076 | +196% | $23,749 | +13% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $26,728 | $26,728 | $5,869 | +355% | $14,689 | +82% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $26,727 | $26,727 | $15,465 | +73% | $37,387 | −29% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $26,231 | $26,231 | $15,041 | +74% | $38,101 | −31% | — |
| 682 | RENAL FAILURE WITH MCC | $26,040 | $26,040 | $12,741 | +104% | $29,064 | −10% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $26,025 | $26,025 | $6,956 | +274% | $18,204 | +43% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $25,871 | $25,871 | $9,418 | +175% | $18,459 | +40% | — |
| 312 | SYNCOPE AND COLLAPSE | $25,750 | $25,750 | $7,392 | +248% | $19,342 | +33% | — |
| 199 | PNEUMOTHORAX WITH MCC | $25,378 | $25,378 | $14,976 | +69% | $33,787 | −25% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $25,079 | $25,079 | $6,910 | +263% | $18,081 | +39% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $24,348 | $24,348 | $7,618 | +220% | $18,640 | +31% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $24,213 | $24,213 | $7,306 | +231% | $16,371 | +48% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $24,170 | $24,170 | $6,272 | +285% | $17,303 | +40% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $24,112 | $24,112 | $12,958 | +86% | $33,103 | −27% | — |
| 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% | $22,148 | +5% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $22,880 | $22,880 | $9,692 | +136% | $24,944 | −8% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $22,632 | $22,632 | $13,302 | +70% | $33,633 | −33% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $22,592 | $22,592 | $11,954 | +89% | $30,959 | −27% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $22,295 | $22,295 | $15,660 | +42% | $30,243 | −26% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $22,254 | $22,254 | $35,878 | −38% | $60,098 | −63% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $22,105 | $22,105 | $13,114 | +69% | $26,598 | −17% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $22,080 | $22,080 | $5,942 | +272% | $15,549 | +42% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $21,579 | $21,579 | $5,910 | +265% | $12,252 | +76% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $21,554 | $21,554 | $10,380 | +108% | $27,163 | −21% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $20,991 | $20,991 | $12,209 | +72% | $26,932 | −22% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $20,710 | $20,710 | $8,420 | +146% | $22,033 | −6% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $20,361 | $20,361 | $13,112 | +55% | $30,010 | −32% | — |
| 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 | $16,325 | +22% | $39,627 | −50% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $19,831 | $19,831 | $7,297 | +172% | $19,096 | +4% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $19,368 | $19,368 | $6,696 | +189% | $17,620 | +10% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $19,266 | $19,266 | $6,038 | +219% | $14,583 | +32% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $19,157 | $19,157 | $7,817 | +145% | $20,455 | −6% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $18,975 | $18,975 | $8,176 | +132% | $21,396 | −11% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $18,862 | $18,862 | $6,151 | +207% | $19,227 | −2% | — |
| 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% | $33,255 | −46% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $17,969 | $17,969 | $6,411 | +180% | $16,776 | +7% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $17,877 | $17,877 | $6,620 | +170% | $17,322 | +3% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $17,848 | $17,848 | $12,988 | +37% | $25,703 | −31% | — |
| 313 | CHEST PAIN | $17,817 | $17,817 | $6,052 | +194% | $16,440 | +8% | — |
| 305 | HYPERTENSION WITHOUT MCC | $17,814 | $17,814 | $6,369 | +180% | $18,086 | −2% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $17,775 | $17,775 | $19,683 | −10% | $36,489 | −51% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $17,657 | $17,657 | $9,928 | +78% | $23,617 | −25% | ≈186% of Medicare |
| 638 | DIABETES WITH CC | $17,489 | $17,489 | $7,781 | +125% | $19,661 | −11% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $17,317 | $17,317 | $6,880 | +152% | $18,004 | −4% | — |
| 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 | $7,829 | +118% | $20,488 | −17% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $16,827 | $16,827 | $8,981 | +87% | $24,914 | −32% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,578 | $16,578 | $14,332 | +16% | $31,563 | −47% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $16,496 | $16,496 | $8,618 | +91% | $22,468 | −27% | — |
| 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 | $57,711 | −71% | $72,076 | −77% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $16,428 | $16,428 | $5,429 | +203% | $14,250 | +15% | — |
| 593 | SKIN ULCERS WITH CC | $16,151 | $16,151 | $10,373 | +56% | $22,886 | −29% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $16,085 | $16,085 | $4,747 | +239% | $13,384 | +20% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $15,422 | $15,422 | $4,642 | +232% | $13,361 | +15% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $15,270 | $15,270 | $8,399 | +82% | $21,941 | −30% | — |
| 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 | $7,541 | +99% | $19,130 | −21% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $14,961 | $14,961 | $7,583 | +97% | $19,842 | −25% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $14,950 | $14,950 | $14,841 | +1% | $38,836 | −62% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $14,751 | $14,751 | $11,653 | +27% | $30,493 | −52% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $14,705 | $14,705 | $11,282 | +30% | $24,552 | −40% | — |
| 101 | SEIZURES WITHOUT MCC | $14,552 | $14,552 | $7,819 | +86% | $20,461 | −29% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $14,485 | $14,485 | $7,986 | +81% | $20,181 | −28% | ≈183% of Medicare |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $14,271 | $14,271 | $8,746 | +63% | $22,888 | −38% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $14,094 | $14,094 | $5,834 | +142% | $14,415 | −2% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,053 | $14,053 | $17,073 | −18% | $32,031 | −56% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $14,049 | $14,049 | $14,260 | −1% | $32,496 | −57% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $13,936 | $13,936 | $6,154 | +126% | $16,767 | −17% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $13,787 | $13,787 | $4,655 | +196% | $12,999 | +6% | — |
| 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% | $15,502 | −14% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $13,336 | $13,336 | $8,909 | +50% | $22,763 | −41% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $13,291 | $13,291 | $5,839 | +128% | $20,781 | −36% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $13,197 | $13,197 | $8,483 | +56% | $20,957 | −37% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,195 | $13,195 | $9,526 | +39% | $19,815 | −33% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $12,970 | $12,970 | $5,218 | +149% | $15,183 | −15% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $12,786 | $12,786 | $9,171 | +39% | $17,226 | −26% | — |
| 637 | DIABETES WITH MCC | $12,597 | $12,597 | $12,354 | +2% | $30,100 | −58% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $12,399 | $12,399 | $8,941 | +39% | $23,488 | −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% | $46,295 | −73% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $12,204 | $12,204 | $6,740 | +81% | $17,921 | −32% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $12,151 | $12,151 | $8,767 | +39% | $23,198 | −48% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $12,103 | $12,103 | $5,686 | +113% | $16,288 | −26% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $11,725 | $11,725 | $9,082 | +29% | $20,422 | −43% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $11,689 | $11,689 | $12,466 | −6% | $25,073 | −53% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $11,450 | $11,450 | $8,132 | +41% | $17,733 | −35% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $11,401 | $11,401 | $14,169 | −20% | $26,682 | −57% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $11,378 | $11,378 | $7,080 | +61% | $18,528 | −39% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $10,745 | $10,745 | $6,809 | +58% | $17,674 | −39% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $10,705 | $10,705 | $6,800 | +57% | $17,578 | −39% | — |
| 885 | PSYCHOSES | $10,700 | $10,700 | $11,958 | −11% | $21,729 | −51% | — |
| 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 | $7,836 | +36% | $20,506 | −48% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $10,194 | $10,194 | $7,484 | +36% | $16,699 | −39% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $10,173 | $10,173 | $7,796 | +30% | $18,072 | −44% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $10,130 | $10,130 | $6,927 | +46% | $18,126 | −44% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $9,953 | $9,953 | $15,107 | −34% | $31,159 | −68% | — |
| 694 | URINARY STONES WITHOUT MCC | $9,701 | $9,701 | $6,629 | +46% | $17,345 | −44% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $9,640 | $9,640 | $7,331 | +31% | $15,889 | −39% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $9,472 | $9,472 | $5,744 | +65% | $14,053 | −33% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $9,378 | $9,378 | $10,725 | −13% | $27,426 | −66% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $9,360 | $9,360 | $7,273 | +29% | $15,412 | −39% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $9,338 | $9,338 | $18,227 | −49% | $37,267 | −75% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $9,319 | $9,319 | $7,504 | +24% | $15,452 | −40% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $9,240 | $9,240 | $6,598 | +40% | $17,124 | −46% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $9,147 | $9,147 | $22,859 | −60% | $44,546 | −79% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,034 | $9,034 | $19,144 | −53% | $36,167 | −75% | — |
| 539 | OSTEOMYELITIS WITH MCC | $9,013 | $9,013 | $17,157 | −47% | $37,609 | −76% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $8,486 | $8,486 | $13,723 | −38% | $27,316 | −69% | — |
| 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 | $19,370 | −59% | $42,415 | −81% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $7,962 | $7,962 | $16,098 | −51% | $40,562 | −80% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $7,750 | $7,750 | $8,651 | −10% | $22,506 | −66% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $7,723 | $7,723 | $7,328 | +5% | $18,602 | −58% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $7,692 | $7,692 | $9,255 | −17% | $20,926 | −63% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $7,076 | $7,076 | $5,704 | +24% | $14,927 | −53% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $6,726 | $6,726 | $4,810 | +40% | $10,160 | −34% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $6,307 | $6,307 | $6,629 | −5% | $17,038 | −63% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $6,159 | $6,159 | $6,932 | −11% | $17,118 | −64% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $4,630 | $4,630 | $19,298 | −76% | $49,066 | −91% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $3,722 | $3,722 | $5,086 | −27% | $10,975 | −66% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $3,239 | $3,239 | $7,506 | −57% | $17,081 | −81% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $2,597 | $2,597 | $10,090 | −74% | $20,616 | −87% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $1,792 | $1,792 | $8,931 | −80% | $20,232 | −91% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $1,738 | $1,738 | $9,656 | −82% | $26,618 | −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.