Morristown Medical Center — Pricing
588 procedures published in this hospital's Machine-Readable File (MRF) — 586 with a comparable price, 2 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 588
Lowest published price $5,823
Average published price $113,447
Highest published price $1,729,175
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 588 procedures
Published charges
Showing all 586 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 178 procedures, this hospital's negotiated rates average ≈294% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. NJ median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 161 | IMPLANTABLE HEART ASSIST SYSTEMS,EXTREME | $1,729,175 | — | $1,729,175 | +0% | $1,181,300 | +46% | — |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $1,455,590 | $325,679 | $338,950 | +329% | $431,073 | +238% | ≈393% of Medicare |
| 588 | NEONATE BIRTH WEIGHT < 1500 GRAMS WITH MAJOR PROCEDURE,MAJOR | $1,196,961 | — | $1,196,961 | +0% | $1,196,961 | +0% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $1,063,584 | — | $19,437 | +5372% | $34,535 | +2980% | — |
| 005 | TRACHEOSTOMY WITH MV >96 HOURS WITHOUT EXTENSIVE PROCEDURE,EXTREME | $1,035,351 | — | $128,144 | +708% | $159,181 | +550% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $994,177 | $251,413 | $260,247 | +282% | $371,366 | +168% | ≈288% of Medicare |
| 169 | MAJOR ABDOMINAL VASCULAR PROCEDURES,MAJOR | $892,154 | — | $892,154 | +0% | $128,246 | +596% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $882,583 | — | $170,027 | +419% | $245,189 | +260% | ≈181% of Medicare |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $558,634 | $25,841 | $18,584 | +2906% | $37,681 | +1383% | — |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $552,097 | — | $96,999 | +469% | $135,380 | +308% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $484,792 | — | $113,415 | +327% | $175,437 | +176% | ≈309% of Medicare |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $416,900 | $108,605 | $78,149 | +433% | $121,563 | +243% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $414,976 | $92,198 | $99,484 | +317% | $138,868 | +199% | ≈281% of Medicare |
| 913 | TRAUMATIC INJURY WITH MCC | $383,876 | $19,459 | $13,729 | +2696% | $24,198 | +1486% | — |
| 110 | EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL MALIGNANCIES,EXTREME | $381,874 | — | $381,874 | +0% | $126,895 | +201% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $352,506 | $89,607 | $96,002 | +267% | $120,573 | +192% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $346,884 | — | $47,381 | +632% | $61,832 | +461% | — |
| 530 | FEMALE REPRODUCTIVE SYSTEM MALIGNANCY,MAJOR | $333,949 | — | $333,949 | +0% | $47,318 | +606% | — |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $326,499 | $41,780 | $48,061 | +579% | $62,404 | +423% | — |
| 304 | DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK,MODERATE | $315,546 | — | $10,162 | +3005% | $23,945 | +1218% | ≈385% of Medicare |
| 050 | NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS,MAJOR | $314,492 | — | $314,492 | +0% | $97,974 | +221% | — |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $314,071 | — | $73,928 | +325% | $92,238 | +241% | — |
| 165 | CORONARY BYPASS WITH AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MODERATE | $305,441 | — | $15,813 | +1832% | $41,380 | +638% | ≈348% of Medicare |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $305,139 | $40,761 | $30,072 | +915% | $71,014 | +330% | ≈297% of Medicare |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $299,351 | — | $61,822 | +384% | $102,573 | +192% | ≈310% of Medicare |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $291,744 | $55,614 | $56,801 | +414% | $92,217 | +216% | ≈276% of Medicare |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $288,877 | — | $46,152 | +526% | $75,585 | +282% | — |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $284,665 | $30,814 | $29,424 | +867% | $40,277 | +607% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $276,414 | $68,754 | $71,838 | +285% | $96,192 | +187% | — |
| 815 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES,MAJOR | $274,447 | — | $8,620 | +3084% | $18,005 | +1424% | — |
| 183 | PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES,MODERATE | $273,300 | — | $13,466 | +1930% | $28,924 | +845% | ≈379% of Medicare |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $270,181 | — | $270,181 | +0% | $57,380 | +371% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $269,671 | — | $46,891 | +475% | $76,004 | +255% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $266,047 | $12,443 | $10,664 | +2395% | $21,860 | +1117% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $266,040 | $29,739 | $21,745 | +1123% | $55,162 | +382% | — |
| 181 | LOWER VASCULAR PROCEDURES,MAJOR | $264,939 | — | $9,512 | +2685% | $22,065 | +1101% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $264,843 | — | $55,653 | +376% | $83,441 | +217% | — |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION,EXTREME | $261,633 | — | $261,633 | +0% | $77,914 | +236% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $257,266 | $50,341 | $55,014 | +368% | $87,495 | +194% | ≈279% of Medicare |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $255,487 | $25,529 | $18,382 | +1290% | $31,044 | +723% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $253,847 | $72,703 | $76,220 | +233% | $98,912 | +157% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $253,749 | — | $54,333 | +367% | $90,331 | +181% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $250,612 | $48,584 | $41,582 | +503% | $66,853 | +275% | — |
| 163 | CARDIAC VALVE PROCEDURES WITHOUT AMI OR COMPLEX PRINCIPAL DIAGNOSIS,MAJOR | $250,211 | — | $54,801 | +357% | $88,341 | +183% | ≈155% of Medicare |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $249,826 | $60,547 | $59,897 | +317% | $99,423 | +151% | ≈294% of Medicare |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $249,253 | $50,391 | $52,759 | +372% | $82,561 | +202% | ≈229% of Medicare |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $248,228 | $64,618 | $65,827 | +277% | $93,783 | +165% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $248,228 | — | $79,734 | +211% | $69,101 | +259% | ≈308% of Medicare |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $247,401 | $67,728 | $69,568 | +256% | $107,355 | +130% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $239,874 | $56,203 | $63,003 | +281% | $78,821 | +204% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $238,271 | $49,147 | $42,533 | +460% | $83,065 | +187% | ≈293% of Medicare |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $233,853 | $31,562 | $26,927 | +768% | $51,142 | +357% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $232,956 | $56,361 | $53,961 | +332% | $85,882 | +171% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $231,114 | — | $38,294 | +504% | $67,215 | +244% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $230,622 | — | $74,391 | +210% | $95,858 | +141% | — |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $225,710 | $64,893 | $66,231 | +241% | $105,899 | +113% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $225,142 | $55,318 | $58,079 | +288% | $80,885 | +178% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $224,853 | — | $50,907 | +342% | $72,843 | +209% | — |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $223,633 | — | $76,100 | +194% | $109,331 | +105% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $220,020 | $41,013 | $30,877 | +613% | $48,745 | +351% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $217,957 | $57,319 | $58,448 | +273% | $92,515 | +136% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $216,105 | $48,647 | $46,520 | +365% | $82,247 | +163% | ≈318% of Medicare |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $214,436 | $72,083 | $71,534 | +200% | $80,018 | +168% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $206,135 | $59,005 | $66,300 | +211% | $86,938 | +137% | ≈268% of Medicare |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $204,311 | $41,601 | $28,756 | +611% | $62,790 | +225% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $203,048 | $44,957 | $45,746 | +344% | $74,755 | +172% | — |
| 665 | PROSTATECTOMY WITH MCC | $199,539 | $40,639 | $41,317 | +383% | $54,072 | +269% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $197,013 | $43,417 | $36,817 | +435% | $61,206 | +222% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $196,868 | $35,407 | $25,951 | +659% | $46,402 | +324% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $196,708 | $28,612 | $23,718 | +729% | $43,491 | +352% | ≈228% of Medicare |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $193,830 | — | $18,841 | +929% | $38,382 | +405% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $193,096 | $48,941 | $48,943 | +295% | $71,873 | +169% | — |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS,MAJOR | $192,564 | — | $192,564 | +0% | $50,048 | +285% | — |
| 246 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $192,321 | — | $192,321 | +0% | $33,983 | +466% | — |
| 026 | OTHER NERVOUS SYSTEM AND RELATED PROCEDURES,MAJOR | $190,989 | — | $34,191 | +459% | $63,310 | +202% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $188,106 | $27,176 | $19,842 | +848% | $39,253 | +379% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $186,574 | $64,010 | $69,661 | +168% | $95,375 | +96% | ≈267% of Medicare |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $186,329 | $36,995 | $37,451 | +398% | $65,573 | +184% | ≈289% of Medicare |
| 193 | ACUTE AND SUBACUTE ENDOCARDITIS,EXTREME | $184,631 | — | $11,179 | +1552% | $25,766 | +617% | ≈238% of Medicare |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $179,933 | $46,237 | $33,189 | +442% | $75,492 | +138% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $179,547 | $40,548 | $42,906 | +318% | $68,421 | +162% | ≈330% of Medicare |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI,MAJOR | $179,426 | — | $179,426 | +0% | $74,377 | +141% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $178,537 | $23,962 | $17,073 | +946% | $30,940 | +477% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $176,872 | — | $45,405 | +290% | $71,519 | +147% | ≈306% of Medicare |
| 030 | PERCUTANEOUS INTRACRANIAL AND EXTRACRANIAL VASCULAR PROCEDURES,MODERATE | $173,799 | — | $18,879 | +821% | $45,842 | +279% | — |
| 175 | PERCUTANEOUS CARDIAC INTERVENTION WITHOUT AMI,MODERATE | $173,161 | — | $12,188 | +1321% | $29,521 | +487% | ≈353% of Medicare |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $172,693 | — | $50,459 | +242% | $68,590 | +152% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $172,441 | $41,714 | $43,922 | +293% | $56,964 | +203% | — |
| 021 | OPEN CRANIOTOMY EXCEPT TRAUMA,EXTREME | $171,613 | — | $57,383 | +199% | $101,280 | +69% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $168,743 | $33,315 | $24,059 | +601% | $58,043 | +191% | ≈302% of Medicare |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $168,417 | — | $22,044 | +664% | $46,659 | +261% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $167,515 | — | $51,316 | +226% | $72,879 | +130% | ≈220% of Medicare |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $165,553 | $36,351 | $32,419 | +411% | $53,555 | +209% | — |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $163,020 | $37,665 | $30,575 | +433% | $59,425 | +174% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $162,011 | $36,729 | $42,905 | +278% | $59,207 | +174% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $160,424 | — | $111,108 | +44% | $151,029 | +6% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $159,829 | $30,269 | $22,247 | +618% | $56,197 | +184% | ≈304% of Medicare |
| 325 | NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT,MODERATE | $159,139 | — | $24,988 | +537% | $53,787 | +196% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $158,149 | $45,685 | $34,783 | +355% | $62,961 | +151% | — |
| 137 | MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS,MODERATE | $157,112 | — | $11,981 | +1211% | $24,348 | +545% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $156,448 | — | $15,108 | +936% | $47,635 | +228% | ≈319% of Medicare |
| 472 | CERVICAL SPINAL FUSION WITH CC | $155,550 | — | $25,060 | +521% | $59,537 | +161% | ≈287% of Medicare |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $154,289 | $30,712 | $11,047 | +1297% | $23,920 | +545% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $153,268 | $27,470 | $19,811 | +674% | $51,339 | +199% | ≈273% of Medicare |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $152,407 | — | $15,241 | +900% | $24,447 | +523% | — |
| 509 | ARTHROSCOPY | $150,322 | $20,955 | $14,903 | +909% | $25,994 | +478% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $147,563 | $28,554 | $27,943 | +428% | $56,394 | +162% | ≈342% of Medicare |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $145,296 | $41,766 | $29,942 | +385% | $50,919 | +185% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $143,367 | $54,211 | $62,792 | +128% | $88,050 | +63% | ≈259% of Medicare |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $143,222 | — | $19,575 | +632% | $44,553 | +221% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $142,757 | — | $50,803 | +181% | $50,815 | +181% | ≈304% of Medicare |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $141,689 | $20,532 | $14,843 | +855% | $38,094 | +272% | ≈301% of Medicare |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE,MAJOR | $141,483 | — | $16,209 | +773% | $34,846 | +306% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $141,406 | $33,456 | $24,176 | +485% | $53,868 | +163% | — |
| 135 | MAJOR CHEST AND RESPIRATORY TRAUMA,MAJOR | $141,116 | — | $20,655 | +583% | $40,065 | +252% | — |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS,MAJOR | $139,112 | — | $139,112 | +0% | $51,822 | +168% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $139,000 | $15,455 | $13,128 | +959% | $34,354 | +305% | — |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $136,665 | $27,516 | $20,257 | +575% | $35,806 | +282% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $135,989 | $16,263 | $11,062 | +1129% | $21,029 | +547% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $135,619 | $59,915 | $59,697 | +127% | $80,747 | +68% | ≈311% of Medicare |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $135,562 | $23,336 | $16,589 | +717% | $35,108 | +286% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $133,328 | — | $11,918 | +1019% | $35,693 | +274% | — |
| 949 | AFTERCARE WITH CC/MCC | $133,243 | — | $9,243 | +1341% | $23,953 | +456% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $133,086 | $31,093 | $20,337 | +554% | $39,093 | +240% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $132,590 | $29,336 | $20,936 | +533% | $52,332 | +153% | — |
| 773 | OPIOID ABUSE AND DEPENDENCE,EXTREME | $130,556 | — | $130,556 | +0% | $87,384 | +49% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $130,430 | $29,453 | $21,532 | +506% | $52,319 | +149% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $130,265 | — | $20,663 | +530% | $40,548 | +221% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $129,469 | $63,734 | $46,886 | +176% | $82,527 | +57% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $128,541 | — | $25,343 | +407% | $47,126 | +173% | — |
| 661 | COAGULATION AND PLATELET DISORDERS,MAJOR | $128,165 | — | $8,880 | +1343% | $24,008 | +434% | ≈180% of Medicare |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $127,165 | $53,960 | $47,154 | +170% | $78,327 | +62% | ≈256% of Medicare |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $126,721 | — | $20,417 | +521% | $50,139 | +153% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $126,340 | — | $35,073 | +260% | $66,765 | +89% | ≈296% of Medicare |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $125,714 | $36,576 | $26,180 | +380% | $65,216 | +93% | ≈338% of Medicare |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $125,210 | — | $38,910 | +222% | $53,763 | +133% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $124,846 | — | $19,673 | +535% | $44,600 | +180% | — |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM,EXTREME | $123,919 | — | $15,813 | +684% | $29,609 | +319% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $122,671 | $38,731 | $33,894 | +262% | $64,468 | +90% | ≈304% of Medicare |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $121,881 | — | $38,991 | +213% | $65,383 | +86% | ≈257% of Medicare |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $121,115 | $21,365 | $17,190 | +605% | $41,847 | +189% | — |
| 231 | MAJOR LARGE BOWEL PROCEDURES,EXTREME | $120,412 | — | $105,048 | +15% | $145,864 | −17% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $120,057 | $36,631 | $26,998 | +345% | $62,266 | +93% | — |
| 314 | FOOT AND TOE PROCEDURES,MAJOR | $118,901 | — | $18,627 | +538% | $38,166 | +212% | ≈101% of Medicare |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $118,766 | $25,953 | $19,259 | +517% | $41,114 | +189% | ≈304% of Medicare |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $118,308 | — | $21,904 | +440% | $49,071 | +141% | ≈276% of Medicare |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE,MODERATE | $117,403 | — | $12,737 | +822% | $23,814 | +393% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $116,950 | — | $28,173 | +315% | $64,749 | +81% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $116,327 | — | $17,896 | +550% | $46,066 | +153% | — |
| 263 | VEIN LIGATION AND STRIPPING | $115,926 | $36,802 | $23,200 | +400% | $44,938 | +158% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $115,726 | $22,501 | $16,297 | +610% | $30,362 | +281% | ≈282% of Medicare |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $115,460 | $19,165 | $16,783 | +588% | $36,880 | +213% | ≈320% of Medicare |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $114,880 | $31,314 | $36,997 | +211% | $63,984 | +80% | ≈278% of Medicare |
| 813 | COAGULATION DISORDERS | $114,559 | $18,560 | $13,132 | +772% | $30,128 | +280% | ≈293% of Medicare |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $114,486 | — | $21,375 | +436% | $51,985 | +120% | ≈275% of Medicare |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $114,215 | — | $15,997 | +614% | $32,976 | +246% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $114,147 | $21,792 | $15,622 | +631% | $29,031 | +293% | ≈280% of Medicare |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $113,859 | — | $26,562 | +329% | $60,140 | +89% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $113,310 | — | $33,398 | +239% | $55,002 | +106% | — |
| 100 | SEIZURES WITH MCC | $112,285 | $23,058 | $17,172 | +554% | $35,194 | +219% | ≈267% of Medicare |
| 227 | HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL,MINOR | $112,006 | — | $66,898 | +67% | $56,960 | +97% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $111,638 | $17,291 | $12,424 | +799% | $25,243 | +342% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $111,110 | — | $14,391 | +672% | $32,417 | +243% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $110,503 | $45,526 | $48,736 | +127% | $72,274 | +53% | ≈265% of Medicare |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $110,256 | $21,020 | $17,943 | +514% | $31,772 | +247% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $109,845 | — | $17,146 | +541% | $43,252 | +154% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $109,590 | — | $18,104 | +505% | $45,594 | +140% | ≈284% of Medicare |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $109,517 | $33,945 | $29,422 | +272% | $56,758 | +93% | ≈292% of Medicare |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $108,936 | $21,804 | $15,782 | +590% | $37,950 | +187% | ≈267% of Medicare |
| 503 | FOOT PROCEDURES WITH MCC | $108,872 | $27,763 | $24,390 | +346% | $43,982 | +148% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $107,785 | — | $13,118 | +722% | $24,036 | +348% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $107,565 | — | $13,892 | +674% | $27,457 | +292% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $107,324 | $25,163 | $18,263 | +488% | $38,885 | +176% | ≈309% of Medicare |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $106,664 | — | $16,645 | +541% | $34,876 | +206% | ≈282% of Medicare |
| 533 | FRACTURES OF FEMUR WITH MCC | $106,505 | $18,230 | $12,936 | +723% | $25,945 | +311% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $106,483 | — | $12,232 | +771% | $22,525 | +373% | — |
| 206 | MALFUNCTION, REACTION, COMPLICATION OF CARDIAC OR VASCULAR DEVICE OR PROCEDURE,EXTREME | $106,398 | — | $7,835 | +1258% | $17,731 | +500% | ≈274% of Medicare |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $106,352 | $26,852 | $19,158 | +455% | $38,998 | +173% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $105,802 | $16,443 | $13,276 | +697% | $28,385 | +273% | — |
| 023 | SPINAL PROCEDURES,MODERATE | $105,734 | — | $74,760 | +41% | $106,778 | −1% | ≈56% of Medicare |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $104,983 | $38,218 | $27,054 | +288% | $49,710 | +111% | ≈234% of Medicare |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $104,736 | $41,260 | $33,337 | +214% | $54,196 | +93% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $104,455 | $21,200 | $15,336 | +581% | $36,355 | +187% | ≈378% of Medicare |
| 774 | COCAINE ABUSE AND DEPENDENCE,MAJOR | $104,414 | — | $10,753 | +871% | $3,032 | +3344% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $104,326 | $24,723 | $16,964 | +515% | $43,538 | +140% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $104,050 | $36,550 | $27,771 | +275% | $53,817 | +93% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $102,565 | $20,044 | $14,343 | +615% | $34,773 | +195% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $102,512 | — | $18,191 | +464% | $36,850 | +178% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $101,966 | $22,972 | $16,722 | +510% | $36,537 | +179% | ≈257% of Medicare |
| 592 | SKIN ULCERS WITH MCC | $101,467 | $24,477 | $17,616 | +476% | $32,662 | +211% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $101,458 | — | $46,502 | +118% | $71,755 | +41% | — |
| 324 | ELECTIVE HIP JOINT REPLACEMENT,MODERATE | $101,113 | — | $27,766 | +264% | $66,819 | +51% | ≈75% of Medicare |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $100,920 | — | $16,604 | +508% | $36,202 | +179% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $100,800 | — | $20,508 | +392% | $47,546 | +112% | ≈316% of Medicare |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $100,221 | $10,025 | $8,108 | +1136% | $20,371 | +392% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $99,544 | $27,117 | $19,713 | +405% | $43,313 | +130% | — |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $99,506 | — | $13,936 | +614% | $31,566 | +215% | — |
| 101 | SEIZURES WITHOUT MCC | $99,478 | $11,231 | $7,819 | +1172% | $19,930 | +399% | ≈336% of Medicare |
| 445 | OTHER BLADDER PROCEDURES,MAJOR | $99,338 | — | $9,291 | +969% | $21,666 | +359% | ≈219% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MCC | $98,774 | $19,839 | $14,060 | +603% | $32,953 | +200% | ≈288% of Medicare |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT,MAJOR | $98,651 | — | $19,331 | +410% | $35,642 | +177% | — |
| 043 | MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES,MODERATE | $98,362 | — | $98,362 | +0% | $46,703 | +111% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $97,994 | $28,114 | $20,281 | +383% | $50,624 | +94% | ≈334% of Medicare |
| 776 | OTHER DRUG ABUSE AND DEPENDENCE,MODERATE | $97,667 | — | $6,053 | +1514% | $12,205 | +700% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $96,780 | $23,556 | $17,057 | +467% | $43,775 | +121% | ≈290% of Medicare |
| 484 | OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES,MAJOR | $96,597 | — | $96,597 | +0% | $23,289 | +315% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $96,587 | $18,524 | $13,417 | +620% | $34,434 | +181% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $96,450 | $21,787 | $15,800 | +510% | $37,842 | +155% | ≈294% of Medicare |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $96,073 | $14,739 | $10,418 | +822% | $19,132 | +402% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $95,882 | $22,511 | $16,152 | +494% | $48,801 | +96% | ≈294% of Medicare |
| 622 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR | $95,695 | — | $46,834 | +104% | $60,861 | +57% | — |
| 204 | SYNCOPE AND COLLAPSE,MODERATE | $95,005 | — | $7,015 | +1254% | $16,804 | +465% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $94,809 | $26,965 | $19,224 | +393% | $36,318 | +161% | ≈243% of Medicare |
| 282 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY,MAJOR | $94,411 | — | $6,272 | +1405% | $18,288 | +416% | ≈232% of Medicare |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $94,358 | $13,072 | $9,153 | +931% | $19,073 | +395% | — |
| 381 | MAJOR SKIN DISORDERS,MODERATE | $94,309 | — | $9,239 | +921% | $24,177 | +290% | ≈74% of Medicare |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $94,284 | — | $18,227 | +417% | $34,900 | +170% | ≈44% of Medicare |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $94,281 | — | $28,596 | +230% | $51,950 | +81% | ≈294% of Medicare |
| 666 | PROSTATECTOMY WITH CC | $93,573 | — | $14,112 | +563% | $30,016 | +212% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $93,349 | — | $27,750 | +236% | $49,631 | +88% | ≈273% of Medicare |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $92,911 | $8,065 | $6,330 | +1368% | $14,861 | +525% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $92,549 | $14,931 | $10,668 | +768% | $26,146 | +254% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $92,303 | — | $14,811 | +523% | $29,826 | +209% | — |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $90,904 | — | $18,560 | +390% | $39,923 | +128% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $90,873 | $27,914 | $26,159 | +247% | $51,501 | +76% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $90,731 | — | $14,485 | +526% | $29,916 | +203% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $89,947 | $21,845 | $15,661 | +474% | $40,583 | +122% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $89,818 | $21,291 | $15,107 | +495% | $30,275 | +197% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $89,523 | $19,988 | $14,167 | +532% | $33,339 | +169% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $89,347 | $27,608 | $19,683 | +354% | $36,237 | +147% | ≈265% of Medicare |
| 540 | OSTEOMYELITIS WITH CC | $89,304 | $15,494 | $11,086 | +706% | $23,494 | +280% | — |
| 201 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS,MINOR | $89,228 | — | $5,857 | +1424% | $13,081 | +582% | — |
| 308 | HIP AND FEMUR FRACTURE REPAIR,MINOR | $88,742 | — | $10,431 | +751% | $26,098 | +240% | ≈163% of Medicare |
| 682 | RENAL FAILURE WITH MCC | $88,697 | — | $12,741 | +596% | $27,640 | +221% | ≈271% of Medicare |
| 317 | TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES,MAJOR | $88,538 | — | $74,441 | +19% | $93,934 | −6% | — |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $88,342 | $47,105 | $47,902 | +84% | $57,521 | +54% | — |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $87,371 | $25,344 | $18,686 | +368% | $37,654 | +132% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $86,845 | — | $14,973 | +480% | $36,658 | +137% | ≈205% of Medicare |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $86,610 | — | $14,198 | +510% | $28,802 | +201% | ≈267% of Medicare |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $86,464 | $17,900 | $14,613 | +492% | $29,409 | +194% | — |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $85,836 | $63,337 | $77,989 | +10% | $108,472 | −21% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $85,815 | — | $15,902 | +440% | $30,681 | +180% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $85,648 | $9,774 | $6,896 | +1142% | $17,700 | +384% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $85,621 | $23,274 | $16,902 | +407% | $32,901 | +160% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $85,568 | $24,406 | $17,710 | +383% | $34,089 | +151% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $85,394 | $21,337 | $15,581 | +448% | $37,975 | +125% | ≈298% of Medicare |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $85,019 | $18,414 | $13,340 | +537% | $35,961 | +136% | ≈363% of Medicare |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $84,717 | — | $14,071 | +502% | $32,213 | +163% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $84,441 | $18,539 | $13,487 | +526% | $29,891 | +182% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $84,394 | — | $14,618 | +477% | $31,067 | +172% | ≈267% of Medicare |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $84,284 | — | $14,152 | +496% | $30,930 | +172% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $83,685 | $20,793 | $14,751 | +467% | $30,814 | +172% | — |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $83,549 | $7,115 | $5,754 | +1352% | $11,997 | +596% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $83,309 | $13,902 | $11,297 | +637% | $23,956 | +248% | — |
| 539 | OSTEOMYELITIS WITH MCC | $82,920 | $12,845 | $17,157 | +383% | $33,614 | +147% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $82,852 | — | $12,726 | +551% | $25,854 | +220% | ≈285% of Medicare |
| 265 | AICD LEAD PROCEDURES | $82,548 | — | $31,144 | +165% | $56,216 | +47% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $82,467 | $19,794 | $14,728 | +460% | $32,839 | +151% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $81,622 | — | $15,616 | +423% | $35,990 | +127% | ≈300% of Medicare |
| 865 | VIRAL ILLNESS WITH MCC | $81,386 | $17,741 | $12,521 | +550% | $26,088 | +212% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $81,206 | — | $12,930 | +528% | $26,998 | +201% | — |
| 150 | EPISTAXIS WITH MCC | $80,876 | $13,818 | $11,841 | +583% | $21,133 | +283% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $80,544 | $19,549 | $14,036 | +474% | $30,768 | +162% | — |
| 252 | MALFUNCTION, REACTION AND COMPLICATION OF GASTROINTESTINAL DEVICE OR PROCEDURE,MAJOR | $80,422 | — | $42,633 | +89% | $68,508 | +17% | ≈37% of Medicare |
| 637 | DIABETES WITH MCC | $80,265 | — | $12,597 | +537% | $28,772 | +179% | ≈273% of Medicare |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $80,103 | — | $13,535 | +492% | $33,962 | +136% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $80,058 | — | $14,260 | +461% | $29,929 | +167% | ≈250% of Medicare |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $79,351 | $12,285 | $8,732 | +809% | $19,091 | +316% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $79,094 | $19,771 | $14,006 | +465% | $44,087 | +79% | ≈323% of Medicare |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $78,420 | — | $8,711 | +800% | $22,610 | +247% | ≈304% of Medicare |
| 775 | ALCOHOL ABUSE AND DEPENDENCE,MAJOR | $78,113 | — | $31,569 | +147% | $3,242 | +2310% | — |
| 561 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT PROCEDURE,EXTREME | $77,710 | — | $6,936 | +1020% | $18,150 | +328% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $77,362 | $17,900 | $13,212 | +486% | $29,924 | +159% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $77,354 | — | $7,990 | +868% | $19,287 | +301% | ≈302% of Medicare |
| 245 | INFLAMMATORY BOWEL DISEASE,MODERATE | $77,149 | — | $61,075 | +26% | $72,076 | +7% | — |
| 333 | RECTAL RESECTION WITH CC | $76,649 | — | $18,469 | +315% | $34,352 | +123% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $76,411 | — | $12,700 | +502% | $32,911 | +132% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $76,305 | $17,221 | $12,397 | +516% | $31,816 | +140% | — |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $76,249 | — | $23,780 | +221% | $48,358 | +58% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $76,109 | $9,680 | $6,762 | +1026% | $17,522 | +334% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $75,776 | $28,265 | $24,914 | +204% | $44,839 | +69% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $75,728 | — | $9,000 | +741% | $23,400 | +224% | ≈315% of Medicare |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $75,427 | — | $7,566 | +897% | $15,764 | +378% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $75,349 | — | $13,640 | +452% | $35,692 | +111% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $75,080 | $18,961 | $18,559 | +305% | $44,719 | +68% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $75,053 | $12,203 | $9,867 | +661% | $21,025 | +257% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $74,534 | — | $12,169 | +512% | $27,674 | +169% | ≈274% of Medicare |
| 466 | MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE,MAJOR | $74,484 | — | $65,645 | +13% | $94,320 | −21% | ≈23% of Medicare |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $74,338 | $27,258 | $19,811 | +275% | $36,195 | +105% | ≈249% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $74,229 | $15,290 | $10,760 | +590% | $28,156 | +164% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $74,173 | $24,957 | $17,271 | +329% | $29,109 | +155% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $73,966 | $20,907 | $15,120 | +389% | $31,627 | +134% | ≈298% of Medicare |
| 443 | KIDNEY AND URINARY TRACT PROCEDURES FOR NON-MALIGNANCY,MINOR | $73,812 | — | $6,020 | +1126% | $15,600 | +373% | — |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $73,727 | $14,772 | $10,441 | +606% | $27,319 | +170% | — |
| 662 | SICKLE CELL ANEMIA CRISIS,MODERATE | $73,717 | — | $30,960 | +138% | $54,483 | +35% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $73,507 | — | $9,254 | +694% | $23,749 | +210% | ≈319% of Medicare |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $73,313 | — | $9,426 | +678% | $31,190 | +135% | ≈301% of Medicare |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $73,280 | — | $8,941 | +720% | $23,396 | +213% | ≈295% of Medicare |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $72,792 | — | $13,114 | +455% | $25,484 | +186% | — |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $72,613 | $12,347 | $10,663 | +581% | $19,354 | +275% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $72,517 | — | $8,357 | +768% | $21,449 | +238% | ≈233% of Medicare |
| 382 | MALIGNANT BREAST DISORDERS,MAJOR | $72,383 | — | $6,357 | +1039% | $16,634 | +335% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $72,294 | — | $15,497 | +367% | $40,552 | +78% | ≈287% of Medicare |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $72,247 | $29,538 | $32,590 | +122% | $48,907 | +48% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $72,053 | $18,934 | $13,404 | +438% | $32,385 | +122% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $71,868 | — | $12,387 | +480% | $29,630 | +143% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $71,804 | $18,056 | $12,763 | +463% | $33,790 | +113% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $71,758 | $17,700 | $12,466 | +476% | $25,786 | +178% | — |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $71,262 | $34,012 | $24,323 | +193% | $58,968 | +21% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $71,261 | $13,597 | $9,534 | +647% | $30,259 | +136% | — |
| 120 | MAJOR RESPIRATORY AND CHEST PROCEDURES,MINOR | $71,194 | — | $71,194 | +0% | $71,194 | +0% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $71,164 | $17,301 | $14,888 | +378% | $30,944 | +130% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $71,059 | — | $12,884 | +452% | $35,528 | +100% | — |
| 103 | HEADACHES WITHOUT MCC | $70,426 | — | $7,213 | +876% | $20,076 | +251% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $70,398 | $16,006 | $12,876 | +447% | $33,694 | +109% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $70,336 | $16,036 | $11,487 | +512% | $24,244 | +190% | ≈296% of Medicare |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $70,308 | $11,134 | $7,893 | +791% | $20,313 | +246% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $70,298 | $18,808 | $13,312 | +428% | $32,804 | +114% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $70,094 | $15,318 | $10,780 | +550% | $22,226 | +215% | ≈309% of Medicare |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $70,083 | — | $12,604 | +456% | $27,597 | +154% | — |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $69,878 | $19,147 | $13,598 | +414% | $35,584 | +96% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $69,616 | — | $13,669 | +409% | $35,770 | +95% | ≈282% of Medicare |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $69,509 | $16,728 | $11,853 | +486% | $29,777 | +133% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $69,148 | — | $13,458 | +414% | $39,675 | +74% | ≈305% of Medicare |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $68,757 | — | $11,178 | +515% | $34,564 | +99% | ≈311% of Medicare |
| 593 | SKIN ULCERS WITH CC | $68,616 | $14,756 | $10,474 | +555% | $20,470 | +235% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $68,613 | $15,161 | $9,848 | +597% | $22,532 | +205% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $68,558 | — | $7,676 | +793% | $15,007 | +357% | — |
| 042 | DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS,MINOR | $68,513 | — | $15,203 | +351% | $39,018 | +76% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $68,247 | $12,641 | $8,843 | +672% | $23,141 | +195% | ≈301% of Medicare |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $68,133 | $17,575 | $12,416 | +449% | $29,011 | +135% | ≈308% of Medicare |
| 197 | PERIPHERAL AND OTHER VASCULAR DISORDERS,MODERATE | $67,863 | — | $8,399 | +708% | $20,105 | +238% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $67,793 | $14,826 | $10,526 | +544% | $27,125 | +150% | ≈331% of Medicare |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $67,634 | $40,159 | $43,918 | +54% | $70,132 | −4% | ≈266% of Medicare |
| 253 | OTHER AND UNSPECIFIED GASTROINTESTINAL HEMORRHAGE,MODERATE | $67,394 | — | $22,289 | +202% | $53,746 | +25% | ≈39% of Medicare |
| 816 | TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES,MAJOR | $67,194 | — | $5,704 | +1078% | $13,485 | +398% | — |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $67,127 | $26,494 | $19,834 | +238% | $35,381 | +90% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $66,774 | — | $17,219 | +288% | $42,126 | +59% | ≈264% of Medicare |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $66,770 | $11,075 | $7,850 | +751% | $15,586 | +328% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $66,655 | — | $13,893 | +380% | $36,333 | +83% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $66,645 | $16,073 | $11,503 | +479% | $22,874 | +191% | ≈308% of Medicare |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $66,585 | $10,510 | $7,369 | +804% | $19,096 | +249% | ≈325% of Medicare |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $66,551 | $19,990 | $14,169 | +370% | $25,146 | +165% | ≈259% of Medicare |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $66,193 | $9,139 | $7,253 | +813% | $14,290 | +363% | — |
| 745 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $66,115 | $12,350 | $8,779 | +653% | $16,495 | +301% | — |
| 638 | DIABETES WITH CC | $66,060 | $11,178 | $7,934 | +733% | $18,763 | +252% | ≈330% of Medicare |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $66,002 | $21,947 | $15,500 | +326% | $29,476 | +124% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $65,880 | $15,224 | $10,506 | +527% | $27,492 | +140% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $65,673 | $21,577 | $17,194 | +282% | $35,139 | +87% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $65,333 | $21,213 | $15,101 | +333% | $33,415 | +96% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $65,230 | — | $8,924 | +631% | $17,308 | +277% | — |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $65,171 | — | $14,064 | +363% | $28,554 | +128% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $65,051 | — | $11,018 | +490% | $25,474 | +155% | ≈283% of Medicare |
| 057 | CONCUSSION CLOSED SKULL FRACTURE NOS AND UNCOMPLICATED INTRACRANIAL INJURY COMA < 1 HOUR OR NO COMA,MODERATE | $65,017 | — | $11,320 | +474% | $25,412 | +156% | ≈88% of Medicare |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $64,896 | $15,431 | $11,286 | +475% | $24,932 | +160% | ≈275% of Medicare |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $64,796 | $13,213 | $9,255 | +600% | $19,868 | +226% | — |
| 693 | URINARY STONES WITH MCC | $64,730 | $15,616 | $12,474 | +419% | $22,525 | +187% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $64,697 | — | $11,784 | +449% | $24,928 | +160% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $64,656 | — | $10,889 | +494% | $27,947 | +131% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $64,579 | $13,639 | $9,567 | +575% | $24,017 | +169% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $64,457 | $11,663 | $8,292 | +677% | $15,636 | +312% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $64,230 | — | $16,841 | +281% | $29,598 | +117% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $64,200 | $16,495 | $13,339 | +381% | $34,906 | +84% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $63,833 | — | $11,881 | +437% | $29,029 | +120% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $63,681 | — | $9,061 | +603% | $20,842 | +206% | ≈309% of Medicare |
| 145 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $63,635 | $14,231 | $10,150 | +527% | $20,837 | +205% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $63,057 | — | $13,241 | +376% | $28,252 | +123% | — |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $62,928 | $6,786 | $5,697 | +1005% | $11,909 | +428% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $62,898 | $15,849 | $12,912 | +387% | $33,137 | +90% | ≈302% of Medicare |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $62,807 | — | $12,753 | +392% | $31,062 | +102% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $62,658 | — | $9,346 | +570% | $17,483 | +258% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $62,630 | $14,056 | $10,062 | +522% | $20,810 | +201% | — |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $62,418 | $18,135 | $12,869 | +385% | $30,888 | +102% | — |
| 187 | PLEURAL EFFUSION WITH CC | $62,197 | — | $8,517 | +630% | $21,467 | +190% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $62,067 | $21,835 | $15,653 | +297% | $40,563 | +53% | ≈315% of Medicare |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $62,034 | $18,801 | $15,065 | +312% | $31,909 | +94% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $61,962 | $9,901 | $6,927 | +795% | $17,562 | +253% | ≈293% of Medicare |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $61,679 | $12,511 | $8,918 | +592% | $22,623 | +173% | ≈316% of Medicare |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $61,570 | $9,451 | $6,594 | +834% | $14,411 | +327% | ≈316% of Medicare |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $61,334 | $13,535 | $11,609 | +428% | $29,374 | +109% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $60,920 | $11,983 | $8,364 | +628% | $21,886 | +178% | ≈303% of Medicare |
| 341 | FRACTURE OF PELVIS OR DISLOCATION OF HIP,EXTREME | $60,576 | — | $60,576 | +0% | $25,628 | +136% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $60,475 | $21,547 | $15,904 | +280% | $29,867 | +102% | ≈296% of Medicare |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $60,248 | $20,019 | $14,294 | +321% | $28,103 | +114% | — |
| 199 | PNEUMOTHORAX WITH MCC | $60,161 | $21,104 | $15,123 | +298% | $31,085 | +94% | — |
| 102 | HEADACHES WITH MCC | $60,029 | $13,934 | $10,029 | +499% | $21,983 | +173% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $59,995 | — | $11,310 | +430% | $31,978 | +88% | ≈286% of Medicare |
| 143 | OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MINOR | $59,715 | — | $28,012 | +113% | $52,908 | +13% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $59,674 | $14,713 | $10,444 | +471% | $23,588 | +153% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $59,659 | $12,835 | $9,069 | +558% | $24,000 | +149% | ≈298% of Medicare |
| 385 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST DISORDERS,MODERATE | $59,574 | — | $14,054 | +324% | $25,998 | +129% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $59,325 | $22,009 | $16,156 | +267% | $28,375 | +109% | — |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS,MINOR | $59,238 | — | $59,238 | +0% | $31,203 | +90% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $58,801 | — | $12,276 | +379% | $31,812 | +85% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $58,601 | $15,444 | $10,927 | +436% | $23,646 | +148% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $58,522 | $13,374 | $9,714 | +502% | $24,103 | +143% | ≈318% of Medicare |
| 251 | ABDOMINAL PAIN,MODERATE | $58,415 | — | $13,256 | +341% | $40,801 | +43% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $58,356 | — | $58,356 | +0% | $16,240 | +259% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $58,329 | — | $6,881 | +748% | $17,831 | +227% | — |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $58,217 | $11,860 | $8,380 | +595% | $15,890 | +266% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $58,035 | $17,235 | $13,926 | +317% | $27,074 | +114% | — |
| 312 | SYNCOPE AND COLLAPSE | $58,027 | $10,637 | $7,537 | +670% | $19,342 | +200% | ≈307% of Medicare |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $57,902 | $16,125 | $11,645 | +397% | $29,957 | +93% | ≈304% of Medicare |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $57,815 | — | $10,090 | +473% | $20,557 | +181% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $57,628 | — | $6,872 | +739% | $17,719 | +225% | ≈331% of Medicare |
| 088 | CONCUSSION WITH MCC | $57,593 | — | $11,968 | +381% | $24,402 | +136% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $57,386 | $12,334 | $8,787 | +553% | $20,879 | +175% | ≈236% of Medicare |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $57,380 | $17,650 | $12,592 | +356% | $28,403 | +102% | ≈309% of Medicare |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $57,359 | $9,404 | $7,073 | +711% | $15,876 | +261% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $57,315 | $12,202 | $9,868 | +481% | $18,291 | +213% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $57,310 | — | $11,795 | +386% | $24,118 | +138% | ≈287% of Medicare |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $57,285 | $17,483 | $12,529 | +357% | $25,149 | +128% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $56,852 | — | $8,732 | +551% | $22,850 | +149% | ≈295% of Medicare |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $56,701 | $11,558 | $8,305 | +583% | $15,901 | +257% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $56,699 | — | $13,661 | +315% | $25,434 | +123% | — |
| 047 | TRANSIENT ISCHEMIA,MODERATE | $56,677 | — | $56,677 | +0% | $56,677 | +0% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $56,599 | $18,768 | $13,279 | +326% | $32,189 | +76% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $56,419 | $12,905 | $9,260 | +509% | $19,448 | +190% | ≈316% of Medicare |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $56,387 | $11,245 | $7,983 | +606% | $20,408 | +176% | ≈309% of Medicare |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $56,263 | — | $9,083 | +519% | $22,231 | +153% | ≈295% of Medicare |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $56,145 | $20,071 | $16,098 | +249% | $35,029 | +60% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $56,125 | — | $8,176 | +586% | $20,632 | +172% | ≈305% of Medicare |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $56,009 | $6,661 | $5,651 | +891% | $13,362 | +319% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $55,992 | — | $7,873 | +611% | $16,352 | +242% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $55,545 | — | $6,333 | +777% | $16,645 | +234% | ≈319% of Medicare |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $55,510 | — | $7,045 | +688% | $17,693 | +214% | ≈307% of Medicare |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $54,636 | $19,139 | $14,418 | +279% | $35,453 | +54% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $54,179 | — | $8,737 | +520% | $20,732 | +161% | ≈280% of Medicare |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $53,976 | $11,542 | $8,111 | +565% | $18,060 | +199% | — |
| 054 | MIGRAINE AND OTHER HEADACHES,MINOR | $53,927 | — | $12,842 | +320% | $29,049 | +86% | ≈66% of Medicare |
| 224 | PERITONEAL ADHESIOLYSIS,MINOR | $53,680 | — | $53,680 | +0% | $80,427 | −33% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $53,390 | $14,126 | $11,648 | +358% | $23,646 | +126% | — |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $53,203 | $16,413 | $11,626 | +358% | $20,980 | +154% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $53,154 | — | $8,819 | +503% | $20,076 | +165% | — |
| 513 | GYNECOLOGIC PROCEDURES WITHOUT MALIGNANCY,MODERATE | $52,283 | — | $13,023 | +301% | $33,424 | +56% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $51,992 | $8,016 | $5,598 | +829% | $14,368 | +262% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $51,886 | $11,370 | $7,998 | +549% | $16,622 | +212% | ≈316% of Medicare |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $51,659 | $10,063 | $8,510 | +507% | $17,078 | +202% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $51,515 | — | $16,579 | +211% | $29,524 | +74% | — |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $51,367 | $12,571 | $9,250 | +455% | $18,126 | +183% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $51,227 | — | $8,195 | +525% | $16,418 | +212% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $51,194 | $14,941 | $10,507 | +387% | $22,010 | +133% | ≈272% of Medicare |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $50,984 | $8,393 | $6,727 | +658% | $15,858 | +222% | — |
| 683 | RENAL FAILURE WITH CC | $50,693 | — | $7,689 | +559% | $18,322 | +177% | ≈298% of Medicare |
| 403 | PROCEDURES FOR OBESITY,MINOR | $50,645 | — | $50,645 | +0% | $50,645 | +0% | — |
| 254 | OTHER DIGESTIVE SYSTEM DIAGNOSES,MINOR | $50,632 | — | $14,950 | +239% | $38,836 | +30% | ≈49% of Medicare |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $50,572 | $11,460 | $7,986 | +533% | $18,815 | +169% | ≈314% of Medicare |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $50,518 | — | $7,431 | +580% | $18,104 | +179% | ≈163% of Medicare |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $50,322 | — | $14,623 | +244% | $27,233 | +85% | — |
| 248 | MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS,MODERATE | $50,291 | — | $45,105 | +11% | $34,146 | +47% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $50,284 | — | $8,939 | +463% | $22,941 | +119% | ≈296% of Medicare |
| 207 | OTHER CIRCULATORY SYSTEM DIAGNOSES,MODERATE | $50,190 | — | $56,462 | −11% | $116,058 | −57% | ≈13% of Medicare |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS,MINOR | $50,140 | — | $40,209 | +25% | $57,277 | −12% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $49,896 | $11,452 | $7,980 | +525% | $17,751 | +181% | ≈325% of Medicare |
| 305 | HYPERTENSION WITHOUT MCC | $49,862 | — | $6,493 | +668% | $16,897 | +195% | ≈284% of Medicare |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $49,839 | $14,859 | $10,451 | +377% | $20,147 | +147% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $49,836 | $10,040 | $7,093 | +603% | $18,204 | +174% | ≈332% of Medicare |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $49,734 | $13,748 | $9,798 | +408% | $25,390 | +96% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $49,595 | $8,219 | $5,634 | +780% | $13,890 | +257% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $48,930 | $8,932 | $6,154 | +695% | $16,104 | +204% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $48,885 | $15,916 | $12,842 | +281% | $28,983 | +69% | — |
| 999 | UNGROUPABLE | $48,800 | $11,129 | $48,800 | +0% | $28,387 | +72% | — |
| 244 | DIVERTICULITIS AND DIVERTICULOSIS,MINOR | $48,780 | — | $15,683 | +211% | $40,063 | +22% | ≈38% of Medicare |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $48,742 | $13,719 | $10,930 | +346% | $23,474 | +108% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $48,514 | $10,760 | $7,478 | +549% | $19,569 | +148% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $48,450 | $9,575 | $6,685 | +625% | $17,322 | +180% | ≈317% of Medicare |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $48,296 | $13,689 | $9,755 | +395% | $24,277 | +99% | ≈368% of Medicare |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $47,828 | — | $7,169 | +567% | $14,055 | +240% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $47,711 | $11,684 | $8,598 | +455% | $19,001 | +151% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $47,478 | — | $5,948 | +698% | $14,012 | +239% | — |
| 241 | PEPTIC ULCER AND GASTRITIS,MODERATE | $47,463 | — | $12,810 | +271% | $24,229 | +96% | — |
| 313 | KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT,MINOR | $47,049 | — | $6,171 | +662% | $15,837 | +197% | ≈350% of Medicare |
| 696 | OTHER CHEMOTHERAPY,MODERATE | $46,671 | — | $5,984 | +680% | $14,210 | +228% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $46,663 | $10,297 | $7,219 | +546% | $17,579 | +165% | ≈297% of Medicare |
| 468 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES, SIGNS AND SYMPTOMS,MINOR | $46,639 | — | $22,903 | +104% | $54,929 | −15% | ≈31% of Medicare |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $46,505 | $18,301 | $13,243 | +251% | $24,879 | +87% | — |
| 422 | HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS,MAJOR | $46,155 | — | $12,466 | +270% | $25,152 | +84% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $45,820 | $7,754 | $5,483 | +736% | $11,421 | +301% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $45,379 | $10,209 | $8,075 | +462% | $18,316 | +148% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $45,297 | $7,192 | $5,117 | +785% | $13,527 | +235% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $45,228 | $7,695 | $5,370 | +742% | $14,770 | +206% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $45,159 | — | $45,159 | +0% | $39,254 | +15% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $45,123 | $7,820 | $5,562 | +711% | $14,208 | +218% | — |
| 200 | PNEUMOTHORAX WITH CC | $45,033 | $13,407 | $9,580 | +370% | $20,573 | +119% | ≈314% of Medicare |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $44,982 | — | $44,982 | +0% | $19,454 | +131% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $44,735 | — | $44,735 | +0% | $13,735 | +226% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $44,706 | — | $5,798 | +671% | $14,880 | +200% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $44,696 | $11,623 | $8,103 | +452% | $19,326 | +131% | — |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $44,654 | $8,399 | $6,793 | +557% | $13,586 | +229% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $44,482 | $8,791 | $6,171 | +621% | $15,598 | +185% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $44,196 | — | $10,169 | +335% | $27,369 | +61% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $43,833 | — | $5,792 | +657% | $12,794 | +243% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $43,597 | $9,186 | $6,537 | +567% | $16,776 | +160% | ≈303% of Medicare |
| 349 | MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE,MODERATE | $43,372 | — | $7,620 | +469% | $19,854 | +118% | — |
| 756 | ACUTE ANXIETY AND STRESS SYNDROMES,MAJOR | $43,321 | — | $8,181 | +430% | $15,589 | +178% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $43,086 | $9,824 | $6,800 | +534% | $17,345 | +148% | ≈328% of Medicare |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $43,004 | $7,702 | $6,229 | +590% | $14,252 | +202% | — |
| 779 | ABORTION WITHOUT D&C | $42,870 | $10,031 | $7,930 | +441% | $15,327 | +180% | — |
| 695 | CHEMOTHERAPY FOR ACUTE LEUKEMIA,MODERATE | $42,344 | — | $9,661 | +338% | $20,741 | +104% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $41,982 | — | $9,261 | +353% | $17,226 | +144% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $41,810 | $8,762 | $6,105 | +585% | $12,536 | +234% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $41,490 | — | $10,780 | +285% | $19,686 | +111% | — |
| 041 | NERVOUS SYSTEM MALIGNANCY,MAJOR | $41,406 | — | $19,533 | +112% | $44,989 | −8% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $41,365 | $7,539 | $6,058 | +583% | $13,654 | +203% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $41,311 | $11,073 | $7,779 | +431% | $15,474 | +167% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $40,907 | — | $8,281 | +394% | $17,183 | +138% | ≈284% of Medicare |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $40,875 | — | $5,559 | +635% | $14,134 | +189% | ≈334% of Medicare |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $40,865 | — | $4,790 | +753% | $11,826 | +246% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $40,583 | $8,207 | $5,760 | +605% | $13,198 | +208% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $40,141 | — | $6,671 | +502% | $14,166 | +183% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $39,834 | $10,848 | $7,499 | +431% | $15,818 | +152% | ≈349% of Medicare |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $39,614 | — | $8,241 | +381% | $15,680 | +153% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $39,447 | — | $9,692 | +307% | $24,426 | +61% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $39,446 | $20,175 | $14,340 | +175% | $28,578 | +38% | — |
| 541 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C,MODERATE | $39,425 | — | $7,495 | +426% | $14,549 | +171% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $39,425 | — | $10,124 | +289% | $18,038 | +119% | — |
| 230 | MAJOR SMALL BOWEL PROCEDURES,MINOR | $38,975 | — | $38,975 | +0% | $88,720 | −56% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $38,577 | $7,746 | $5,424 | +611% | $12,013 | +221% | — |
| 735 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $38,438 | $15,500 | $10,399 | +270% | $22,920 | +68% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $38,329 | $12,470 | $8,805 | +335% | $16,703 | +129% | — |
| 229 | OTHER DIGESTIVE SYSTEM AND ABDOMINAL PROCEDURES,MINOR | $38,140 | — | $37,378 | +2% | $65,325 | −42% | ≈47% of Medicare |
| 111 | VERTIGO AND OTHER LABYRINTH DISORDERS,MINOR | $37,981 | — | $37,981 | +0% | $32,376 | +17% | — |
| 757 | ORGANIC MENTAL HEALTH CONDITIONS AND DISTURBANCES,MODERATE | $37,860 | — | $12,007 | +215% | $23,734 | +60% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $37,439 | $12,871 | $9,775 | +283% | $23,571 | +59% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $37,435 | $13,437 | $9,602 | +290% | $18,459 | +103% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $37,241 | — | $6,661 | +459% | $13,385 | +178% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $37,232 | $9,164 | $7,344 | +407% | $14,873 | +150% | — |
| 531 | FEMALE REPRODUCTIVE SYSTEM INFECTIONS,MINOR | $37,084 | — | $37,084 | +0% | $37,084 | +0% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $36,964 | — | $5,274 | +601% | $11,071 | +234% | — |
| 384 | CONTUSION, OPEN WOUND AND OTHER TRAUMA TO SKIN AND SUBCUTANEOUS TISSUE,MAJOR | $36,589 | — | $7,377 | +396% | $19,305 | +90% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $35,967 | — | $4,793 | +650% | $13,384 | +169% | ≈493% of Medicare |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $35,930 | $9,724 | $6,144 | +485% | $12,593 | +185% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $35,816 | $13,887 | $9,899 | +262% | $25,206 | +42% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $35,661 | $6,535 | $5,186 | +588% | $10,975 | +225% | — |
| 760 | OTHER MENTAL HEALTH CONDITIONS AND DISORDERS,MODERATE | $35,376 | — | $8,361 | +323% | $18,199 | +94% | — |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS,MINOR | $35,306 | — | $35,306 | +0% | $47,150 | −25% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $35,043 | $10,557 | $7,475 | +369% | $15,276 | +129% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $34,865 | $13,275 | $11,271 | +209% | $17,006 | +105% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $34,568 | — | $6,927 | +399% | $17,851 | +94% | — |
| 243 | OTHER ESOPHAGEAL DISORDERS,MINOR | $33,796 | — | $19,668 | +72% | $50,011 | −32% | ≈32% of Medicare |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $33,666 | $8,911 | $9,343 | +260% | $13,090 | +157% | — |
| 770 | DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE,MODERATE | $33,469 | — | $9,128 | +267% | $17,719 | +89% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $33,437 | $12,124 | $10,576 | +216% | $15,370 | +118% | — |
| 724 | OTHER INFECTIOUS AND PARASITIC DISEASES,MINOR | $33,433 | — | $6,242 | +436% | $12,650 | +164% | — |
| 247 | INTESTINAL OBSTRUCTION,MAJOR | $32,933 | — | $31,429 | +5% | $21,663 | +52% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $32,837 | $11,032 | $8,017 | +310% | $20,084 | +63% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $32,566 | $10,848 | $8,652 | +276% | $16,431 | +98% | — |
| 151 | EPISTAXIS WITHOUT MCC | $32,401 | $8,188 | $6,494 | +399% | $13,032 | +149% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $32,083 | — | $6,038 | +431% | $14,251 | +125% | ≈313% of Medicare |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $31,987 | $9,293 | $6,341 | +404% | $12,895 | +148% | — |
| 697 | URETHRAL STRICTURE | $31,718 | — | $8,499 | +273% | $17,705 | +79% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $30,983 | $8,791 | $7,271 | +326% | $14,209 | +118% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $29,643 | — | $8,897 | +233% | $11,957 | +148% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $29,575 | — | $10,545 | +180% | $19,815 | +49% | — |
| 881 | DEPRESSIVE NEUROSES | $28,985 | $11,139 | $7,831 | +270% | $15,058 | +92% | — |
| 542 | VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C,MINOR | $28,114 | — | $15,978 | +76% | $34,886 | −19% | ≈33% of Medicare |
| 566 | ANTEPARTUM WITHOUT O.R. PROCEDURE,MODERATE | $27,729 | — | $6,409 | +333% | $14,337 | +93% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $27,652 | — | $8,050 | +243% | $17,108 | +62% | — |
| 144 | RESPIRATORY SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES,MAJOR | $27,515 | — | $15,049 | +83% | $29,558 | −7% | — |
| 621 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY,MODERATE | $26,664 | — | $12,523 | +113% | $32,451 | −18% | — |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $26,006 | — | $7,015 | +271% | $13,822 | +88% | — |
| 885 | PSYCHOSES | $25,976 | $16,944 | $11,958 | +117% | $21,489 | +21% | ≈66% of Medicare |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $25,075 | $16,638 | $11,903 | +111% | $24,561 | +2% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $24,779 | $9,222 | $6,364 | +289% | $16,654 | +49% | — |
| 753 | BIPOLAR DISORDERS,MODERATE | $24,612 | — | $24,612 | +0% | $34,651 | −29% | — |
| 956 | UNGROUPABLE | $23,757 | — | $35,111 | −32% | $75,103 | −68% | — |
| 138 | BRONCHIOLITIS AND RSV PNEUMONIA,MINOR | $23,503 | — | $6,969 | +237% | $17,383 | +35% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $23,503 | $8,595 | $6,025 | +290% | $12,275 | +91% | — |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS,MODERATE | $21,927 | — | $21,927 | +0% | $27,175 | −19% | — |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES,MINOR | $21,270 | — | $21,270 | +0% | $46,852 | −55% | — |
| 634 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR | $20,469 | — | $20,469 | +0% | $37,527 | −45% | — |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING,MAJOR | $20,082 | — | $20,346 | −1% | $20,610 | −3% | — |
| 226 | ANAL AND PERINEAL PROCEDURES,MINOR | $19,012 | — | $19,012 | +0% | $72,618 | −74% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $18,632 | — | $35,380 | −47% | $16,708 | +12% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $18,270 | $7,077 | $4,950 | +269% | $9,385 | +95% | — |
| 817 | INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE,MINOR | $17,794 | — | $18,088 | −2% | $36,097 | −51% | — |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $17,552 | — | $5,976 | +194% | $12,336 | +42% | — |
| 139 | OTHER PNEUMONIA,MINOR | $16,308 | — | $11,648 | +40% | $21,014 | −22% | — |
| 751 | DEPRESSIVE DISORDERS,MINOR | $15,939 | — | $15,939 | +0% | $33,812 | −53% | — |
| 532 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS,MODERATE | $15,829 | — | $15,829 | +0% | $23,165 | −32% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $14,954 | — | $4,496 | +233% | $9,063 | +65% | — |
| 427 | THYROID DISORDERS,MODERATE | $13,601 | — | $60,256 | −77% | $121,728 | −89% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $13,335 | $10,245 | $7,131 | +87% | $14,064 | −5% | — |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $12,341 | — | $3,989 | +209% | $8,927 | +38% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $11,633 | $11,633 | $20,782 | −44% | $11,633 | +0% | — |
| 795 | NORMAL NEWBORN | $5,823 | $2,771 | $3,492 | +67% | $4,521 | +29% | — |
Procedures with negotiated rates only
These 2 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 |
|---|---|---|---|
| 602 | NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY,MAJOR | $1,531 – $134,902 · median $112,418 | 15 plans |
| 694 | LYMPHATIC AND OTHER MALIGNANCIES AND NEOPLASMS OF UNCERTAIN BEHAVIOR,EXTREME | $24,217 – $29,060 · median $24,217 | 8 plans |
No procedures match that keyword.