Arnot Ogden Medical Center (Acute Care) — Pricing
544 procedures published in this hospital's Machine-Readable File (MRF) — 543 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 544
Lowest published price $1,276
Average published price $37,435
Highest published price $327,815
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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Showing all 544 procedures
Published charges
Showing all 543 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 33 procedures, this hospital's negotiated rates average ≈137% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. NY median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $327,815 | $327,815 | $65,839 | +398% | $75,573 | +334% | — |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $286,393 | $286,393 | $139,842 | +105% | $164,641 | +74% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $281,560 | $281,560 | $374,499 | −25% | $371,366 | −24% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $186,404 | $186,404 | $227,105 | −18% | $248,521 | −25% | — |
| 593 | SKIN ULCERS WITH CC | $184,893 | — | $23,101 | +700% | $22,886 | +708% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $164,325 | $164,325 | $69,008 | +138% | $80,793 | +103% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $159,545 | $159,545 | $30,138 | +429% | $30,138 | +429% | — |
| 222 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC | $158,535 | $158,535 | $86,864 | +83% | $86,864 | +83% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $157,830 | $157,830 | $108,198 | +46% | $82,561 | +91% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $154,646 | $154,646 | $122,419 | +26% | $106,778 | +45% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $149,949 | $149,949 | $79,183 | +89% | $83,441 | +80% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $145,396 | $145,396 | $75,408 | +93% | $77,817 | +87% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $138,268 | $138,268 | $56,742 | +144% | $71,755 | +93% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $136,278 | $136,278 | $200,973 | −32% | $188,171 | −28% | — |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $135,267 | $135,267 | $72,618 | +86% | $72,618 | +86% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $130,774 | $130,774 | $56,960 | +130% | $56,960 | +130% | — |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $114,409 | $114,409 | $118,645 | −4% | $106,057 | +8% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $113,941 | $113,941 | $100,570 | +13% | $116,058 | −2% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $112,287 | $112,287 | $175,904 | −36% | $148,832 | −25% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $109,568 | $109,568 | $102,713 | +7% | $85,159 | +29% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $106,244 | $106,244 | $28,179 | +277% | $30,447 | +249% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $104,836 | $104,836 | $99,515 | +5% | $153,282 | −32% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $102,363 | $102,363 | $176,641 | −42% | $125,242 | −18% | — |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $100,020 | $100,020 | $140,370 | −29% | $132,794 | −25% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $98,731 | $98,731 | $69,268 | +43% | $88,050 | +12% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $98,131 | $98,131 | $29,888 | +228% | $33,661 | +192% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $97,635 | $97,635 | $74,502 | +31% | $68,653 | +42% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $97,214 | $97,214 | $46,404 | +109% | $59,537 | +63% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $96,760 | $96,760 | $91,834 | +5% | $71,464 | +35% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $96,641 | $96,641 | $36,660 | +164% | $43,650 | +121% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $96,580 | $96,580 | $77,927 | +24% | $75,251 | +28% | — |
| 602 | CELLULITIS WITH MCC | $94,355 | $94,355 | $26,232 | +260% | $30,598 | +208% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $91,692 | $91,692 | $15,276 | +500% | $15,889 | +477% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $91,634 | $91,634 | $102,919 | −11% | $101,510 | −10% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $90,047 | $90,047 | $51,525 | +75% | $54,196 | +66% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $87,635 | $87,635 | $71,255 | +23% | $69,101 | +27% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $86,307 | $86,307 | $90,851 | −5% | $90,195 | −4% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $86,211 | $86,211 | $67,943 | +27% | $81,706 | +6% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $86,065 | $86,065 | $94,677 | −9% | $88,307 | −3% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $85,117 | $85,117 | $219,233 | −61% | $208,939 | −59% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $82,672 | $82,672 | $101,409 | −18% | $96,905 | −15% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $81,773 | $81,773 | $111,217 | −26% | $107,355 | −24% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $79,315 | $79,315 | $23,283 | +241% | $24,177 | +228% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $77,653 | $77,653 | $53,665 | +45% | $76,219 | +2% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $77,402 | $77,402 | $14,064 | +450% | $14,064 | +450% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $74,496 | $74,496 | $31,004 | +140% | $38,070 | +96% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $74,373 | $74,373 | $53,246 | +40% | $58,809 | +26% | ≈128% of Medicare |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $74,089 | $74,089 | $71,355 | +4% | $67,268 | +10% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $73,602 | $73,602 | $100,943 | −27% | $90,331 | −19% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $73,297 | $73,297 | $42,870 | +71% | $26,280 | +179% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $72,926 | $72,926 | $25,994 | +181% | $33,386 | +118% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $72,595 | $72,595 | $34,970 | +108% | $51,985 | +40% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $72,532 | $72,532 | $25,750 | +182% | $32,645 | +122% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $72,286 | $72,286 | $72,286 | +0% | $65,653 | +10% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $72,015 | $72,015 | $72,015 | +0% | $92,515 | −22% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $71,319 | $71,319 | $28,499 | +150% | $30,959 | +130% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $70,965 | $70,965 | $44,389 | +60% | $55,289 | +28% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $70,582 | $70,582 | $74,451 | −5% | $62,583 | +13% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $69,631 | $69,631 | $31,640 | +120% | $26,618 | +162% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $69,404 | $69,404 | $32,413 | +114% | $34,607 | +101% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $69,077 | $69,077 | $124,145 | −44% | $111,320 | −38% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $68,331 | $68,331 | $81,781 | −16% | $71,014 | −4% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $67,676 | $67,676 | $38,454 | +76% | $43,491 | +56% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $67,669 | $67,669 | $32,526 | +108% | $33,876 | +100% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $67,574 | $67,574 | $50,196 | +35% | $50,624 | +33% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $66,818 | $66,818 | $42,068 | +59% | $53,451 | +25% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $66,388 | $66,388 | $78,755 | −16% | $70,371 | −6% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $66,190 | $66,190 | $48,570 | +36% | $46,340 | +43% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $66,063 | $66,063 | $33,696 | +96% | $39,627 | +67% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $65,250 | $65,250 | $58,978 | +11% | $74,257 | −12% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $64,456 | $64,456 | $49,323 | +31% | $43,080 | +50% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $63,917 | $63,917 | $61,083 | +5% | $70,564 | −9% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $63,782 | $63,782 | $21,809 | +192% | $29,611 | +115% | — |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $63,672 | $63,672 | $75,492 | −16% | $79,116 | −20% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $63,554 | $63,554 | $23,815 | +167% | $23,198 | +174% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $63,366 | $63,366 | $32,276 | +96% | $37,240 | +70% | — |
| 694 | URINARY STONES WITHOUT MCC | $62,570 | $62,570 | $13,336 | +369% | $17,345 | +261% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $61,899 | $61,899 | $50,655 | +22% | $50,011 | +24% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $61,846 | $61,846 | $59,192 | +4% | $70,467 | −12% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $61,575 | $61,575 | $63,310 | −3% | $64,523 | −5% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $61,252 | $61,252 | $44,678 | +37% | $41,892 | +46% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $60,985 | $60,985 | $38,759 | +57% | $40,362 | +51% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $60,205 | $60,205 | $47,785 | +26% | $58,707 | +3% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $59,254 | $59,254 | $40,363 | +47% | $58,975 | +0% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $58,328 | $58,328 | $105,908 | −45% | $90,775 | −36% | — |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $58,137 | $58,137 | $104,086 | −44% | $78,852 | −26% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $57,899 | $57,899 | $46,269 | +25% | $39,887 | +45% | — |
| 247 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | $57,237 | $57,237 | $21,663 | +164% | $21,663 | +164% | — |
| 103 | HEADACHES WITHOUT MCC | $57,008 | $57,008 | $23,367 | +144% | $21,280 | +168% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $56,926 | $56,926 | $60,743 | −6% | $49,066 | +16% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $56,608 | $56,608 | $22,253 | +154% | $24,127 | +135% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $56,529 | $56,529 | $32,794 | +72% | $25,700 | +120% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $55,811 | $55,811 | $10,801 | +417% | $13,527 | +313% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $55,415 | $55,415 | $36,172 | +53% | $50,139 | +11% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $55,371 | $55,371 | $111,594 | −50% | $99,423 | −44% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $55,236 | $55,236 | $59,880 | −8% | $66,068 | −16% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $55,156 | $55,156 | $57,726 | −4% | $65,573 | −16% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $55,061 | $55,061 | $21,277 | +159% | $27,119 | +103% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $55,059 | $55,059 | $48,837 | +13% | $40,213 | +37% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $54,924 | $54,924 | $22,681 | +142% | $26,436 | +108% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $54,805 | $54,805 | $31,193 | +76% | $45,877 | +19% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $54,509 | $54,509 | $66,974 | −19% | $80,018 | −32% | — |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $54,503 | $54,503 | $140,167 | −61% | $148,686 | −63% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $53,904 | $53,904 | $33,198 | +62% | $36,988 | +46% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $53,662 | $53,662 | $30,993 | +73% | $27,316 | +96% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $52,467 | $52,467 | $56,193 | −7% | $58,228 | −10% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $52,406 | $52,406 | $61,750 | −15% | $76,001 | −31% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $52,287 | $52,287 | $67,651 | −23% | $62,264 | −16% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $52,006 | $52,006 | $51,930 | +0% | $49,710 | +5% | — |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $51,858 | $51,858 | $103,861 | −50% | $103,861 | −50% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $51,741 | $51,741 | $50,487 | +2% | $59,500 | −13% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $51,718 | $51,718 | $34,861 | +48% | $42,126 | +23% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $51,679 | $51,679 | $42,646 | +21% | $48,682 | +6% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $51,443 | $51,443 | $33,308 | +54% | $36,489 | +41% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $51,400 | $51,400 | $26,273 | +96% | $33,694 | +53% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $51,393 | $51,393 | $63,349 | −19% | $56,836 | −10% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $51,268 | $51,268 | $46,485 | +10% | $38,343 | +34% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $51,190 | $51,190 | $20,619 | +148% | $29,805 | +72% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $50,235 | $50,235 | $49,447 | +2% | $46,453 | +8% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $49,871 | $49,871 | $62,887 | −21% | $56,755 | −12% | — |
| 913 | TRAUMATIC INJURY WITH MCC | $49,844 | $49,844 | $24,198 | +106% | $24,198 | +106% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $49,703 | $49,703 | $38,932 | +28% | $45,333 | +10% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $49,114 | $49,114 | $48,557 | +1% | $51,953 | −5% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $48,896 | $48,896 | $28,020 | +75% | $34,459 | +42% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $48,656 | $48,656 | $13,799 | +253% | $17,118 | +184% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $47,917 | $47,917 | $71,258 | −33% | $54,583 | −12% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $47,589 | $47,589 | $37,711 | +26% | $46,724 | +2% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $47,367 | $47,367 | $16,487 | +187% | $16,487 | +187% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $47,148 | $47,148 | $44,619 | +6% | $46,283 | +2% | ≈137% of Medicare |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $47,112 | $47,112 | $17,431 | +170% | $21,941 | +115% | — |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $47,107 | $47,107 | $34,146 | +38% | $34,146 | +38% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $47,066 | $47,066 | $50,107 | −6% | $58,280 | −19% | ≈134% of Medicare |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $46,986 | $46,986 | $38,791 | +21% | $39,973 | +18% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $46,410 | $46,410 | $27,330 | +70% | $27,633 | +68% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $45,948 | $45,948 | $12,745 | +261% | $14,638 | +214% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $45,947 | $45,947 | $41,205 | +12% | $59,629 | −23% | — |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $45,630 | $45,630 | $39,606 | +15% | $52,986 | −14% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $45,367 | $45,367 | $26,242 | +73% | $34,276 | +32% | — |
| 539 | OSTEOMYELITIS WITH MCC | $45,234 | $45,234 | $45,071 | +0% | $37,609 | +20% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $45,069 | $45,069 | $36,359 | +24% | $34,354 | +31% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $44,833 | $44,833 | $50,338 | −11% | $52,751 | −15% | ≈132% of Medicare |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $44,731 | $44,731 | $21,770 | +105% | $15,600 | +187% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $44,600 | $44,600 | $62,843 | −29% | $70,132 | −36% | — |
| 304 | HYPERTENSION WITH MCC | $43,918 | $43,918 | $24,714 | +78% | $26,080 | +68% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $43,630 | $43,630 | $12,453 | +250% | $15,837 | +175% | — |
| 200 | PNEUMOTHORAX WITH CC | $43,197 | $43,197 | $18,636 | +132% | $21,368 | +102% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $42,859 | $42,859 | $37,473 | +14% | $33,048 | +30% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $42,776 | $42,776 | $32,044 | +33% | $43,943 | −3% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $42,386 | $42,386 | $38,599 | +10% | $44,117 | −4% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $42,214 | $42,214 | $44,554 | −5% | $52,178 | −19% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,048 | $42,048 | $55,985 | −25% | $79,225 | −47% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $41,919 | $41,919 | $33,595 | +25% | $34,273 | +22% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $41,767 | $41,767 | $61,840 | −32% | $59,651 | −30% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $41,705 | $41,705 | $50,777 | −18% | $51,625 | −19% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $41,678 | $41,678 | $32,613 | +28% | $27,947 | +49% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $41,014 | $41,014 | $21,279 | +93% | $22,446 | +83% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $40,917 | $40,917 | $37,317 | +10% | $37,169 | +10% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $40,792 | $40,792 | $19,865 | +105% | $28,050 | +45% | — |
| 187 | PLEURAL EFFUSION WITH CC | $40,608 | $40,608 | $20,440 | +99% | $21,789 | +86% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $40,269 | $40,269 | $36,710 | +10% | $43,538 | −8% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $40,183 | $40,183 | $59,696 | −33% | $52,405 | −23% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $40,166 | $40,166 | $36,319 | +11% | $36,431 | +10% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $40,143 | $40,143 | $92,826 | −57% | $62,821 | −36% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $39,878 | $39,878 | $41,640 | −4% | $40,642 | −2% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $39,873 | $39,873 | $61,356 | −35% | $75,103 | −47% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,584 | $39,584 | $68,473 | −42% | $93,390 | −58% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $39,260 | $39,260 | $22,819 | +72% | $31,159 | +26% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $39,007 | $39,007 | $30,326 | +29% | $33,851 | +15% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,900 | $38,900 | $51,761 | −25% | $61,470 | −37% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $38,865 | $38,865 | $30,494 | +27% | $32,496 | +20% | ≈126% of Medicare |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $38,814 | $38,814 | $33,707 | +15% | $33,707 | +15% | ≈127% of Medicare |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $38,648 | $38,648 | $21,141 | +83% | $21,396 | +81% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $38,478 | $38,478 | $21,045 | +83% | $16,351 | +135% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $38,460 | $38,460 | $36,465 | +5% | $35,628 | +8% | ≈135% of Medicare |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,455 | $38,455 | $54,631 | −30% | $66,685 | −42% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $38,434 | $38,434 | $26,469 | +45% | $26,051 | +48% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $38,358 | $38,358 | $38,919 | −1% | $42,914 | −11% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $38,286 | $38,286 | $46,130 | −17% | $48,349 | −21% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $38,198 | $38,198 | $28,993 | +32% | $36,249 | +5% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $38,075 | $38,075 | $34,183 | +11% | $39,958 | −5% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $37,633 | $37,633 | $51,445 | −27% | $52,075 | −28% | — |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $37,482 | $37,482 | $16,534 | +127% | $16,703 | +124% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $37,221 | $37,221 | $39,675 | −6% | $41,955 | −11% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $37,040 | $37,040 | $22,956 | +61% | $20,422 | +81% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $37,017 | $37,017 | $40,849 | −9% | $46,090 | −20% | — |
| 089 | CONCUSSION WITH CC | $36,841 | $36,841 | $17,109 | +115% | $18,821 | +96% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $36,680 | $36,680 | $30,500 | +20% | $30,828 | +19% | ≈145% of Medicare |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $36,658 | $36,658 | $44,278 | −17% | $43,174 | −15% | — |
| 895 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $36,594 | $36,594 | $34,171 | +7% | $21,986 | +66% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $36,480 | $36,480 | $67,788 | −46% | $70,847 | −49% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $36,105 | $36,105 | $28,798 | +25% | $27,285 | +32% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $36,000 | $36,000 | $26,862 | +34% | $31,105 | +16% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $35,994 | $35,994 | $43,106 | −17% | $50,607 | −29% | ≈137% of Medicare |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $35,907 | $35,907 | $29,997 | +20% | $33,555 | +7% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $35,776 | $35,776 | $32,289 | +11% | $39,020 | −8% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $35,385 | $35,385 | $38,041 | −7% | $37,842 | −6% | ≈133% of Medicare |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,240 | $35,240 | $30,389 | +16% | $33,047 | +7% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $35,108 | $35,108 | $41,301 | −15% | $47,711 | −26% | — |
| 263 | VEIN LIGATION AND STRIPPING | $34,911 | $34,911 | $38,005 | −8% | $51,253 | −32% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $34,805 | $34,805 | $42,071 | −17% | $39,106 | −11% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $34,702 | $34,702 | $34,049 | +2% | $40,552 | −14% | — |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $34,572 | $34,572 | $56,242 | −39% | $56,242 | −39% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $34,444 | $34,444 | $16,857 | +104% | $20,232 | +70% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $34,431 | $34,431 | $44,471 | −23% | $54,929 | −37% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $34,300 | $34,300 | $25,475 | +35% | $31,321 | +10% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $34,237 | $34,237 | $41,638 | −18% | $39,006 | −12% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $34,211 | $34,211 | $28,465 | +20% | $35,419 | −3% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $34,185 | $34,185 | $27,384 | +25% | $30,784 | +11% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $34,109 | $34,109 | $32,503 | +5% | $49,418 | −31% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $33,930 | $33,930 | $18,669 | +82% | $19,854 | +71% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $33,895 | $33,895 | $13,613 | +149% | $13,613 | +149% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,847 | $33,847 | $96,196 | −65% | $93,172 | −64% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $33,813 | $33,813 | $23,673 | +43% | $33,103 | +2% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $33,811 | $33,811 | $27,009 | +25% | $38,094 | −11% | — |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $33,516 | $33,516 | $48,725 | −31% | $65,216 | −49% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $33,190 | $33,190 | $33,190 | +0% | $30,418 | +9% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $33,153 | $33,153 | $32,077 | +3% | $45,866 | −28% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $33,119 | $33,119 | $24,435 | +36% | $20,463 | +62% | ≈140% of Medicare |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $33,071 | $33,071 | $33,278 | −1% | $44,606 | −26% | — |
| 592 | SKIN ULCERS WITH MCC | $33,016 | $33,016 | $29,882 | +10% | $33,246 | −1% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $33,001 | $33,001 | $36,186 | −9% | $35,569 | −7% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $32,742 | $32,742 | $46,352 | −29% | $50,046 | −35% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $32,651 | $32,651 | $24,325 | +34% | $19,037 | +72% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $32,622 | $32,622 | $10,208 | +220% | $12,229 | +167% | — |
| 225 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC | $32,574 | $32,574 | $57,380 | −43% | $57,380 | −43% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $32,469 | $32,469 | $32,469 | +0% | $39,211 | −17% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $32,459 | $32,459 | $16,173 | +101% | $18,204 | +78% | ≈141% of Medicare |
| 503 | FOOT PROCEDURES WITH MCC | $32,274 | $32,274 | $39,757 | −19% | $47,540 | −32% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $32,218 | $32,218 | $39,779 | −19% | $43,477 | −26% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $32,196 | $32,196 | $25,748 | +25% | $25,748 | +25% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $32,153 | $32,153 | $28,430 | +13% | $33,255 | −3% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $32,103 | $32,103 | $42,404 | −24% | $55,162 | −42% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $32,012 | $32,012 | $41,622 | −23% | $59,421 | −46% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $32,006 | $32,006 | $39,782 | −20% | $39,955 | −20% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,963 | $31,963 | $73,716 | −57% | $74,755 | −57% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $31,963 | $31,963 | $24,603 | +30% | $26,580 | +20% | ≈132% of Medicare |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $31,944 | $31,944 | $34,822 | −8% | $37,950 | −16% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $31,740 | $31,740 | $21,754 | +46% | $20,506 | +55% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $31,735 | $31,735 | $11,914 | +166% | $10,160 | +212% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $31,486 | $31,486 | $41,821 | −25% | $42,881 | −27% | — |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $31,350 | $31,350 | $21,381 | +47% | $22,393 | +40% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $30,942 | $30,942 | $45,042 | −31% | $44,139 | −30% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $30,916 | $30,916 | $30,798 | +0% | $27,975 | +11% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $30,745 | $30,745 | $27,854 | +10% | $32,021 | −4% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,683 | $30,683 | $38,166 | −20% | $44,546 | −31% | — |
| 245 | AICD GENERATOR PROCEDURES | $30,491 | $30,491 | $65,480 | −53% | $72,076 | −58% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,304 | $30,304 | $39,630 | −24% | $46,402 | −35% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,250 | $30,250 | $54,475 | −44% | $59,790 | −49% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $30,207 | $30,207 | $20,753 | +46% | $22,024 | +37% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $30,041 | $30,041 | $28,415 | +6% | $27,275 | +10% | ≈131% of Medicare |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $30,015 | $30,015 | $9,167 | +227% | $10,480 | +186% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $29,871 | $29,871 | $12,397 | +141% | $12,397 | +141% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $29,532 | $29,532 | $17,764 | +66% | $22,033 | +34% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $29,499 | $29,499 | $30,510 | −3% | $34,192 | −14% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $29,461 | $29,461 | $24,217 | +22% | $24,056 | +22% | — |
| 813 | COAGULATION DISORDERS | $29,446 | $29,446 | $32,291 | −9% | $33,296 | −12% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $29,289 | $29,289 | $28,480 | +3% | $30,010 | −2% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $29,086 | $29,086 | $31,148 | −7% | $33,393 | −13% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $29,075 | $29,075 | $29,843 | −3% | $29,949 | −3% | — |
| 697 | URETHRAL STRICTURE | $28,961 | $28,961 | $17,701 | +64% | $18,428 | +57% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $28,759 | $28,759 | $36,535 | −21% | $32,451 | −11% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $28,656 | $28,656 | $23,898 | +20% | $27,401 | +5% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $28,038 | $28,038 | $19,690 | +42% | $24,386 | +15% | ≈135% of Medicare |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $27,969 | $27,969 | $15,981 | +75% | $11,847 | +136% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $27,815 | $27,815 | $24,135 | +15% | $22,506 | +24% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $27,762 | $27,762 | $18,503 | +50% | $23,551 | +18% | — |
| 682 | RENAL FAILURE WITH MCC | $27,762 | $27,762 | $27,301 | +2% | $29,064 | −4% | ≈138% of Medicare |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,722 | $27,722 | $39,563 | −30% | $42,679 | −35% | — |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $27,619 | $27,619 | $56,194 | −51% | $81,998 | −66% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $27,615 | $27,615 | $22,272 | +24% | $30,571 | −10% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $27,487 | $27,487 | $25,176 | +9% | $32,944 | −17% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $27,449 | $27,449 | $20,142 | +36% | $23,319 | +18% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $27,447 | $27,447 | $13,719 | +100% | $18,002 | +52% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $27,419 | $27,419 | $18,849 | +45% | $20,926 | +31% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $27,338 | $27,338 | $55,123 | −50% | $40,694 | −33% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $27,308 | $27,308 | $36,603 | −25% | $36,937 | −26% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $27,271 | $27,271 | $21,600 | +26% | $27,861 | −2% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $27,257 | $27,257 | $40,745 | −33% | $35,453 | −23% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $26,960 | $26,960 | $26,826 | +0% | $18,640 | +45% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $26,594 | $26,594 | $26,059 | +2% | $23,940 | +11% | ≈177% of Medicare |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $26,584 | $26,584 | $28,020 | −5% | $30,083 | −12% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $26,499 | $26,499 | $22,477 | +18% | $28,140 | −6% | — |
| 637 | DIABETES WITH MCC | $26,435 | $26,435 | $29,918 | −12% | $30,100 | −12% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $26,405 | $26,405 | $16,255 | +62% | $17,724 | +49% | — |
| 666 | PROSTATECTOMY WITH CC | $26,389 | $26,389 | $29,763 | −11% | $31,906 | −17% | — |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $26,332 | $26,332 | $13,445 | +96% | $13,445 | +96% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $26,138 | $26,138 | $19,302 | +35% | $20,727 | +26% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $26,100 | $26,100 | $41,721 | −37% | $50,394 | −48% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $26,007 | $26,007 | $17,811 | +46% | $17,620 | +48% | — |
| 223 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC | $25,995 | $25,995 | $59,206 | −56% | $59,206 | −56% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $25,857 | $25,857 | $16,950 | +53% | $23,141 | +12% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $25,852 | $25,852 | $33,385 | −23% | $36,658 | −29% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $25,793 | $25,793 | $19,872 | +30% | $22,432 | +15% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $25,390 | $25,390 | $49,188 | −48% | $47,737 | −47% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $25,235 | $25,235 | $33,108 | −24% | $34,017 | −26% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $25,039 | $25,039 | $27,424 | −9% | $26,776 | −6% | ≈139% of Medicare |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,997 | $24,997 | $34,139 | −27% | $27,394 | −9% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $24,978 | $24,978 | $15,817 | +58% | $16,634 | +50% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $24,930 | $24,930 | $40,005 | −38% | $52,908 | −53% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $24,837 | $24,837 | $23,984 | +4% | $29,743 | −16% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,714 | $24,714 | $72,690 | −66% | $68,508 | −64% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $24,572 | $24,572 | $24,743 | −1% | $26,770 | −8% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $24,485 | $24,485 | $23,278 | +5% | $27,043 | −9% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $24,464 | $24,464 | $25,803 | −5% | $22,098 | +11% | ≈135% of Medicare |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $24,439 | $24,439 | $14,882 | +64% | $15,215 | +61% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $24,318 | $24,318 | $32,465 | −25% | $37,387 | −35% | — |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $24,224 | $24,224 | $23,224 | +4% | $19,598 | +24% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $24,223 | $24,223 | $12,703 | +91% | $15,183 | +60% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $24,026 | $24,026 | $13,089 | +84% | $14,053 | +71% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $24,016 | $24,016 | $25,858 | −7% | $24,552 | −2% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $23,993 | $23,993 | $24,143 | −1% | $28,202 | −15% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $23,919 | $23,919 | $22,791 | +5% | $30,770 | −22% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $23,873 | $23,873 | $24,926 | −4% | $25,652 | −7% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $23,726 | $23,726 | $24,768 | −4% | $33,985 | −30% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $23,688 | $23,688 | $20,494 | +16% | $19,657 | +21% | — |
| 305 | HYPERTENSION WITHOUT MCC | $23,682 | $23,682 | $19,959 | +19% | $18,086 | +31% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $23,480 | $23,480 | $43,831 | −46% | $38,836 | −40% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $23,432 | $23,432 | $14,644 | +60% | $16,699 | +40% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $23,417 | $23,417 | $20,927 | +12% | $27,163 | −14% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,307 | $23,307 | $41,045 | −43% | $51,608 | −55% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $23,220 | $23,220 | $44,395 | −48% | $50,463 | −54% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $23,135 | $23,135 | $26,769 | −14% | $31,264 | −26% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $23,023 | $23,023 | $16,845 | +37% | $17,081 | +35% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $22,949 | $22,949 | $14,668 | +56% | $16,520 | +39% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,947 | $22,947 | $57,750 | −60% | $65,325 | −65% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $22,778 | $22,778 | $17,685 | +29% | $18,081 | +26% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,727 | $22,727 | $16,909 | +34% | $20,488 | +11% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $22,720 | $22,720 | $22,720 | +0% | $18,004 | +26% | — |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $22,678 | $22,678 | $19,038 | +19% | $12,768 | +78% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $22,582 | $22,582 | $33,452 | −32% | $33,653 | −33% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $22,293 | $22,293 | $19,268 | +16% | $22,458 | −1% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $22,237 | $22,237 | $19,628 | +13% | $17,303 | +29% | ≈134% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MCC | $22,233 | $22,233 | $25,825 | −14% | $33,563 | −34% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,147 | $22,147 | $33,498 | −34% | $38,666 | −43% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $22,093 | $22,093 | $44,198 | −50% | $41,591 | −47% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $21,912 | $21,912 | $62,451 | −65% | $25,073 | −13% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $21,736 | $21,736 | $16,748 | +30% | $17,559 | +24% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $21,728 | $21,728 | $20,781 | +5% | $20,781 | +5% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $21,708 | $21,708 | $18,180 | +19% | $22,888 | −5% | ≈141% of Medicare |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $21,700 | $21,700 | $58,085 | −63% | $60,098 | −64% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $21,581 | $21,581 | $21,190 | +2% | $17,698 | +22% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,477 | $21,477 | $43,914 | −51% | $43,631 | −51% | — |
| 313 | CHEST PAIN | $21,427 | $21,427 | $15,639 | +37% | $16,440 | +30% | ≈139% of Medicare |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $21,422 | $21,422 | $26,798 | −20% | $30,235 | −29% | — |
| 312 | SYNCOPE AND COLLAPSE | $21,363 | $21,363 | $17,340 | +23% | $19,342 | +10% | ≈137% of Medicare |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,316 | $21,316 | $37,349 | −43% | $40,060 | −47% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $21,204 | $21,204 | $15,776 | +34% | $16,450 | +29% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $21,145 | $21,145 | $16,722 | +26% | $18,488 | +14% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $20,862 | $20,862 | $29,044 | −28% | $27,843 | −25% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $20,834 | $20,834 | $29,561 | −30% | $27,543 | −24% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $20,800 | $20,800 | $16,076 | +29% | $14,368 | +45% | — |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $20,766 | $20,766 | $13,441 | +54% | $11,909 | +74% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $20,718 | $20,718 | $18,916 | +10% | $23,617 | −12% | ≈144% of Medicare |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $20,692 | $20,692 | $18,918 | +9% | $20,181 | +3% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $20,602 | $20,602 | $18,631 | +11% | $20,616 | −0% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $20,594 | $20,594 | $19,686 | +5% | $19,686 | +5% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $20,517 | $20,517 | $15,088 | +36% | $15,855 | +29% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $20,344 | $20,344 | $17,944 | +13% | $17,934 | +13% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $20,294 | $20,294 | $35,088 | −42% | $24,586 | −17% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $20,199 | $20,199 | $30,260 | −33% | $23,573 | −14% | — |
| 100 | SEIZURES WITH MCC | $20,182 | $20,182 | $30,087 | −33% | $35,481 | −43% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $20,043 | $20,043 | $33,619 | −40% | $32,877 | −39% | — |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $20,030 | $20,030 | $25,628 | −22% | $25,628 | −22% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $19,899 | $19,899 | $29,789 | −33% | $24,550 | −19% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $19,762 | $19,762 | $22,682 | −13% | $30,502 | −35% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,662 | $19,662 | $31,016 | −37% | $32,637 | −40% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,520 | $19,520 | $49,467 | −61% | $49,351 | −60% | — |
| 149 | DYSEQUILIBRIUM | $19,517 | $19,517 | $23,926 | −18% | $18,096 | +8% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $19,489 | $19,489 | $16,890 | +15% | $21,056 | −7% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $19,470 | $19,470 | $16,731 | +16% | $17,700 | +10% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $19,303 | $19,303 | $12,284 | +57% | $15,549 | +24% | — |
| 683 | RENAL FAILURE WITH CC | $19,272 | $19,272 | $15,913 | +21% | $19,130 | +1% | ≈138% of Medicare |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,095 | $19,095 | $52,533 | −64% | $32,031 | −40% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,048 | $19,048 | $28,172 | −32% | $42,186 | −55% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $19,047 | $19,047 | $16,872 | +13% | $23,488 | −19% | — |
| 638 | DIABETES WITH CC | $19,029 | $19,029 | $18,494 | +3% | $19,661 | −3% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $19,013 | $19,013 | $20,236 | −6% | $21,363 | −11% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $18,908 | $18,908 | $21,101 | −10% | $18,316 | +3% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,905 | $18,905 | $19,930 | −5% | $27,989 | −32% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $18,807 | $18,807 | $14,338 | +31% | $18,807 | +0% | ≈134% of Medicare |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,783 | $18,783 | $26,578 | −29% | $39,018 | −52% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $18,736 | $18,736 | $12,411 | +51% | $14,689 | +28% | — |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,734 | $18,734 | $40,406 | −54% | $59,031 | −68% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $18,718 | $18,718 | $35,284 | −47% | $33,834 | −45% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $18,651 | $18,651 | $18,651 | +0% | $19,227 | −3% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $18,648 | $18,648 | $20,153 | −7% | $21,275 | −12% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $18,628 | $18,628 | $16,234 | +15% | $17,578 | +6% | ≈144% of Medicare |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $18,536 | $18,536 | $16,665 | +11% | $17,674 | +5% | ≈134% of Medicare |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $18,486 | $18,486 | $16,813 | +10% | $17,601 | +5% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $18,471 | $18,471 | $24,594 | −25% | $32,841 | −44% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $18,399 | $18,399 | $15,153 | +21% | $20,455 | −10% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $18,378 | $18,378 | $18,015 | +2% | $16,998 | +8% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $18,370 | $18,370 | $13,321 | +38% | $17,322 | +6% | ≈141% of Medicare |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,210 | $18,210 | $27,152 | −33% | $30,243 | −40% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $18,210 | $18,210 | $28,508 | −36% | $25,303 | −28% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,179 | $18,179 | $26,907 | −32% | $38,101 | −52% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $18,168 | $18,168 | $15,779 | +15% | $16,371 | +11% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $18,126 | $18,126 | $23,257 | −22% | $26,598 | −32% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $18,059 | $18,059 | $15,788 | +14% | $13,651 | +32% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $17,991 | $17,991 | $20,399 | −12% | $17,733 | +1% | — |
| 603 | CELLULITIS WITHOUT MCC | $17,984 | $17,984 | $14,803 | +21% | $18,530 | −3% | ≈126% of Medicare |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $17,945 | $17,945 | $14,866 | +21% | $12,460 | +44% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $17,921 | $17,921 | $21,742 | −18% | $17,921 | −0% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $17,790 | $17,790 | $17,051 | +4% | $18,126 | −2% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $17,577 | $17,577 | $22,213 | −21% | $20,566 | −15% | — |
| 885 | PSYCHOSES | $17,431 | $17,431 | $23,973 | −27% | $21,729 | −20% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $17,413 | $17,413 | $27,823 | −37% | $22,320 | −22% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,285 | $17,285 | $24,954 | −31% | $28,226 | −39% | — |
| 101 | SEIZURES WITHOUT MCC | $17,237 | $17,237 | $15,777 | +9% | $20,461 | −16% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $17,182 | $17,182 | $20,166 | −15% | $25,034 | −31% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,139 | $17,139 | $49,003 | −65% | $50,919 | −66% | — |
| 139 | SALIVARY GLAND PROCEDURES | $17,121 | $17,121 | $23,871 | −28% | $23,612 | −27% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,057 | $17,057 | $22,744 | −25% | $33,424 | −49% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,906 | $16,906 | $32,757 | −48% | $31,563 | −46% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,904 | $16,904 | $44,915 | −62% | $54,562 | −69% | — |
| 865 | VIRAL ILLNESS WITH MCC | $16,865 | $16,865 | $22,350 | −25% | $26,910 | −37% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $16,804 | $16,804 | $76,715 | −78% | $71,092 | −76% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,473 | $16,473 | $24,282 | −32% | $27,617 | −40% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $16,427 | $16,427 | $17,067 | −4% | $19,096 | −14% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $16,147 | $16,147 | $23,878 | −32% | $22,468 | −28% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $16,066 | $16,066 | $14,044 | +14% | $16,288 | −1% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $15,959 | $15,959 | $22,889 | −30% | $24,914 | −36% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,808 | $15,808 | $38,157 | −59% | $46,295 | −66% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,783 | $15,783 | $32,970 | −52% | $39,619 | −60% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,706 | $15,706 | $38,653 | −59% | $37,267 | −58% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,672 | $15,672 | $41,177 | −62% | $40,365 | −61% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $15,665 | $15,665 | $15,817 | −1% | $17,038 | −8% | ≈151% of Medicare |
| 151 | EPISTAXIS WITHOUT MCC | $15,617 | $15,617 | $13,032 | +20% | $13,032 | +20% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,572 | $15,572 | $39,731 | −61% | $42,901 | −64% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $15,516 | $15,516 | $20,087 | −23% | $18,466 | −16% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $15,446 | $15,446 | $30,392 | −49% | $27,277 | −43% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $15,326 | $15,326 | $16,728 | −8% | $17,124 | −10% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,300 | $15,300 | $14,554 | +5% | $18,150 | −16% | — |
| 639 | DIABETES WITHOUT CC/MCC | $15,265 | $15,265 | $15,601 | −2% | $13,910 | +10% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $15,258 | $15,258 | $18,154 | −16% | $17,298 | −12% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,143 | $15,143 | $25,727 | −41% | $32,443 | −53% | — |
| 311 | ANGINA PECTORIS | $15,105 | $15,105 | $14,117 | +7% | $15,502 | −3% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,065 | $15,065 | $29,667 | −49% | $38,861 | −61% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $14,985 | $14,985 | $15,122 | −1% | $12,559 | +19% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $14,962 | $14,962 | $19,672 | −24% | $18,602 | −20% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,957 | $14,957 | $36,790 | −59% | $33,633 | −56% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,935 | $14,935 | $28,808 | −48% | $32,100 | −53% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $14,849 | $14,849 | $13,910 | +7% | $13,824 | +7% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $14,824 | $14,824 | $11,276 | +31% | $13,642 | +9% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $14,797 | $14,797 | $17,159 | −14% | $18,956 | −22% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $14,745 | $14,745 | $9,835 | +50% | $12,454 | +18% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $14,729 | $14,729 | $16,427 | −10% | $22,635 | −35% | — |
| 224 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC | $14,673 | $14,673 | $80,427 | −82% | $80,427 | −82% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $14,520 | $14,520 | $11,294 | +29% | $12,324 | +18% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,365 | $14,365 | $22,149 | −35% | $26,932 | −47% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $14,274 | $14,274 | $18,935 | −25% | $25,970 | −45% | — |
| 199 | PNEUMOTHORAX WITH MCC | $14,212 | $14,212 | $33,787 | −58% | $33,787 | −58% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $14,202 | $14,202 | $10,472 | +36% | $13,361 | +6% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,174 | $14,174 | $27,270 | −48% | $34,937 | −59% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $14,073 | $14,073 | $14,098 | −0% | $12,252 | +15% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,049 | $14,049 | $40,302 | −65% | $57,454 | −76% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,966 | $13,966 | $28,985 | −52% | $36,505 | −62% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $13,944 | $13,944 | $16,936 | −18% | $18,072 | −23% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,860 | $13,860 | $33,575 | −59% | $30,553 | −55% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,752 | $13,752 | $23,681 | −42% | $35,465 | −61% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $13,750 | $13,750 | $18,854 | −27% | $19,842 | −31% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,691 | $13,691 | $25,761 | −47% | $31,951 | −57% | ≈131% of Medicare |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,617 | $13,617 | $17,768 | −23% | $19,815 | −31% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $13,598 | $13,598 | $14,596 | −7% | $14,648 | −7% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $13,577 | $13,577 | $21,908 | −38% | $22,525 | −40% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $13,546 | $13,546 | $12,015 | +13% | $13,384 | +1% | ≈181% of Medicare |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $13,421 | $13,421 | $15,680 | −14% | $15,680 | −14% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $13,390 | $13,390 | $18,290 | −27% | $23,443 | −43% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $13,236 | $13,236 | $17,796 | −26% | $19,305 | −31% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $13,202 | $13,202 | $40,799 | −68% | $34,906 | −62% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $13,160 | $13,160 | $28,559 | −54% | $29,524 | −55% | — |
| 999 | UNGROUPABLE | $12,814 | $12,814 | $13,627 | −6% | $29,674 | −57% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,777 | $12,777 | $21,375 | −40% | $32,628 | −61% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,671 | $12,671 | $19,264 | −34% | $19,264 | −34% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,592 | $12,592 | $17,504 | −28% | $22,763 | −45% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,554 | $12,554 | $33,224 | −62% | $32,859 | −62% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $12,546 | $12,546 | $13,602 | −8% | $15,019 | −16% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $12,539 | $12,539 | $19,424 | −35% | $18,528 | −32% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $12,531 | $12,531 | $20,241 | −38% | $19,569 | −36% | — |
| 504 | FOOT PROCEDURES WITH CC | $12,347 | $12,347 | $29,220 | −58% | $38,960 | −68% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $12,335 | $12,335 | $13,651 | −10% | $13,275 | −7% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,312 | $12,312 | $25,171 | −51% | $26,463 | −53% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $12,268 | $12,268 | $19,063 | −36% | $14,927 | −18% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $12,078 | $12,078 | $12,120 | −0% | $14,415 | −16% | — |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $12,072 | $12,072 | $12,336 | −2% | $12,336 | −2% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $11,956 | $11,956 | $19,320 | −38% | $22,850 | −48% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,657 | $11,657 | $21,076 | −45% | $27,426 | −57% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,558 | $11,558 | $12,276 | −6% | $15,452 | −25% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,494 | $11,494 | $33,912 | −66% | $40,548 | −72% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,128 | $11,128 | $36,743 | −70% | $39,181 | −72% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $11,118 | $11,118 | $19,783 | −44% | $19,846 | −44% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $11,005 | $11,005 | $17,226 | −36% | $17,226 | −36% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $10,830 | $10,830 | $74,690 | −86% | $89,207 | −88% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,790 | $10,790 | $24,376 | −56% | $23,571 | −54% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $10,599 | $10,599 | $45,618 | −77% | $65,788 | −84% | — |
| 949 | AFTERCARE WITH CC/MCC | $10,379 | $10,379 | $28,036 | −63% | $23,953 | −57% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,319 | $10,319 | $17,922 | −42% | $20,247 | −49% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $10,287 | $10,287 | $20,210 | −49% | $15,038 | −32% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,099 | $10,099 | $21,153 | −52% | $28,320 | −64% | — |
| 540 | OSTEOMYELITIS WITH CC | $10,092 | $10,092 | $19,990 | −50% | $26,676 | −62% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,940 | $9,940 | $21,094 | −53% | $23,749 | −58% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,905 | $9,905 | $17,602 | −44% | $18,459 | −46% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,824 | $9,824 | $26,167 | −62% | $19,924 | −51% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,797 | $9,797 | $28,026 | −65% | $22,851 | −57% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,670 | $9,670 | $23,065 | −58% | $25,703 | −62% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,464 | $9,464 | $34,886 | −73% | $36,792 | −74% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,455 | $9,455 | $45,171 | −79% | $36,167 | −74% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,210 | $9,210 | $15,792 | −42% | $14,716 | −37% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $9,200 | $9,200 | $44,472 | −79% | $42,415 | −78% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,965 | $8,965 | $19,304 | −54% | $20,957 | −57% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $8,873 | $8,873 | $80,478 | −89% | $96,507 | −91% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,823 | $8,823 | $24,125 | −63% | $26,682 | −67% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,731 | $8,731 | $12,588 | −31% | $12,078 | −28% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,726 | $8,726 | $13,750 | −37% | $13,942 | −37% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,572 | $8,572 | $23,785 | −64% | $25,279 | −66% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,527 | $8,527 | $25,547 | −67% | $33,454 | −75% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,974 | $7,974 | $13,002 | −39% | $16,776 | −52% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,959 | $7,959 | $64,566 | −88% | $36,354 | −78% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,929 | $7,929 | $13,752 | −42% | $19,119 | −59% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,599 | $7,599 | $15,731 | −52% | $10,975 | −31% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $7,276 | $7,276 | $14,901 | −51% | $15,215 | −52% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,249 | $7,249 | $19,855 | −63% | $16,565 | −56% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,211 | $7,211 | $26,677 | −73% | $32,433 | −78% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,109 | $7,109 | $21,303 | −67% | $20,084 | −65% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $7,002 | $7,002 | $8,048 | −13% | $9,940 | −30% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $6,760 | $6,760 | $23,010 | −71% | $25,463 | −73% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $6,539 | $6,539 | $15,589 | −58% | $15,589 | −58% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $6,287 | $6,287 | $15,092 | −58% | $23,206 | −73% | — |
| 693 | URINARY STONES WITH MCC | $6,271 | $6,271 | $22,278 | −72% | $23,892 | −74% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,103 | $6,103 | $10,316 | −41% | $12,999 | −53% | — |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $5,742 | $5,742 | $20,610 | −72% | $20,610 | −72% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $5,153 | $5,153 | $16,992 | −70% | $20,901 | −75% | — |
| 722 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC | $5,032 | $5,032 | $25,633 | −80% | $29,826 | −83% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,012 | $5,012 | $15,869 | −68% | $16,968 | −70% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,932 | $4,932 | $18,799 | −74% | $22,148 | −78% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,239 | $4,239 | $16,504 | −74% | $14,128 | −70% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,800 | $3,800 | $35,964 | −89% | $49,423 | −92% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,375 | $3,375 | $5,725 | −41% | $8,445 | −60% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,147 | $3,147 | $23,796 | −87% | $29,933 | −89% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,114 | $3,114 | $13,828 | −77% | $18,649 | −83% | — |
| 795 | NORMAL NEWBORN | $2,913 | $2,913 | $4,866 | −40% | $4,720 | −38% | — |
| 881 | DEPRESSIVE NEUROSES | $2,163 | $2,163 | $15,058 | −86% | $15,058 | −86% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $1,276 | $1,276 | $20,528 | −94% | $21,449 | −94% | — |
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 |
|---|---|---|---|
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $10,898 – $10,898 · median $10,898 | 1 plans |
No procedures match that keyword.