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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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 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 ≈104% 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 | $67,154 | +388% | $72,782 | +350% | — |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $286,393 | $286,393 | $139,842 | +105% | $159,181 | +80% | — |
| 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 | $389,239 | −28% | $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 | $256,977 | −27% | $245,241 | −24% | — |
| 593 | SKIN ULCERS WITH CC | $184,893 | $184,893 | $24,087 | +668% | $20,470 | +803% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $164,325 | $164,325 | $80,701 | +104% | $80,747 | +104% | — |
| 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 | $89,159 | +77% | $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 | $135,515 | +14% | $106,778 | +45% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $149,949 | $149,949 | $135,307 | +11% | $83,441 | +80% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $145,396 | $145,396 | $75,408 | +93% | $71,701 | +103% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $138,268 | $138,268 | $82,458 | +68% | $71,755 | +93% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $136,278 | $136,278 | $247,059 | −45% | $175,437 | −22% | — |
| 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 | $122,881 | −7% | $101,235 | +13% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $113,941 | $113,941 | $114,669 | −1% | $116,058 | −2% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $112,287 | $112,287 | $176,606 | −36% | $138,008 | −19% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $109,568 | $109,568 | $109,299 | +0% | $83,065 | +32% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $106,244 | $106,244 | $29,084 | +265% | $29,853 | +256% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $104,836 | $104,836 | $112,119 | −6% | $151,029 | −31% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $102,363 | $102,363 | $177,288 | −42% | $118,589 | −14% | — |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $100,020 | $100,020 | $107,442 | −7% | $121,728 | −18% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $98,731 | $98,731 | $75,766 | +30% | $88,050 | +12% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $98,131 | $98,131 | $27,987 | +251% | $30,910 | +217% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $97,635 | $97,635 | $76,169 | +28% | $62,269 | +57% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $97,214 | $97,214 | $59,171 | +64% | $59,537 | +63% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $96,760 | $96,760 | $91,834 | +5% | $66,819 | +45% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $96,641 | $96,641 | $35,473 | +172% | $38,420 | +152% | — |
| 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 | $27,789 | +240% | $29,347 | +222% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $91,692 | $91,692 | $19,884 | +361% | $15,284 | +500% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $91,634 | $91,634 | $112,108 | −18% | $88,049 | +4% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $90,047 | $90,047 | $52,861 | +70% | $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% | $88,341 | −2% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $86,211 | $86,211 | $76,734 | +12% | $74,274 | +16% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $86,065 | $86,065 | $97,799 | −12% | $88,307 | −3% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $85,117 | $85,117 | $201,916 | −58% | $191,314 | −56% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $82,672 | $82,672 | $111,145 | −26% | $96,905 | −15% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $81,773 | $81,773 | $115,045 | −29% | $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 | $95,318 | −19% | $72,908 | +7% | — |
| 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 | $37,707 | +98% | $36,850 | +102% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $74,373 | $74,373 | $59,784 | +24% | $54,772 | +36% | ≈110% of Medicare |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $74,089 | $74,089 | $60,497 | +22% | $64,152 | +15% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $73,602 | $73,602 | $81,713 | −10% | $90,331 | −19% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $73,297 | $73,297 | $21,563 | +240% | $23,734 | +209% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $72,926 | $72,926 | $35,093 | +108% | $31,846 | +129% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $72,595 | $72,595 | $58,553 | +24% | $51,985 | +40% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $72,532 | $72,532 | $25,750 | +182% | $30,944 | +134% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $72,286 | $72,286 | $64,529 | +12% | $63,984 | +13% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $72,015 | $72,015 | $80,569 | −11% | $92,515 | −22% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $71,319 | $71,319 | $33,894 | +110% | $29,757 | +140% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $70,965 | $70,965 | $44,389 | +60% | $51,142 | +39% | — |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $70,582 | $70,582 | $72,552 | −3% | $59,207 | +19% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $69,631 | $69,631 | $31,640 | +120% | $25,267 | +176% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $69,404 | $69,404 | $36,561 | +90% | $30,930 | +124% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $69,077 | $69,077 | $124,741 | −45% | $102,177 | −32% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $68,331 | $68,331 | $68,489 | −0% | $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% | $33,607 | +101% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $67,574 | $67,574 | $58,276 | +16% | $50,624 | +33% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $66,818 | $66,818 | $41,196 | +62% | $52,313 | +28% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $66,388 | $66,388 | $83,715 | −21% | $67,901 | −2% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $66,190 | $66,190 | $57,095 | +16% | $41,380 | +60% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $66,063 | $66,063 | $33,696 | +96% | $36,641 | +80% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $65,250 | $65,250 | $84,121 | −22% | $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 | $78,651 | −19% | $70,540 | −9% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $63,782 | $63,782 | $29,109 | +119% | $29,109 | +119% | — |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $63,672 | $63,672 | $75,492 | −16% | $75,492 | −16% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $63,554 | $63,554 | $24,428 | +160% | $22,941 | +177% | — |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $63,366 | $63,366 | $36,202 | +75% | $36,202 | +75% | — |
| 694 | URINARY STONES WITHOUT MCC | $62,570 | $62,570 | $14,472 | +332% | $16,531 | +279% | — |
| 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 | $63,485 | −3% | $67,764 | −9% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $61,575 | $61,575 | $61,575 | +0% | $63,475 | −3% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $61,252 | $61,252 | $47,618 | +29% | $37,064 | +65% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $60,985 | $60,985 | $43,431 | +40% | $39,657 | +54% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $60,205 | $60,205 | $51,101 | +18% | $57,149 | +5% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $59,254 | $59,254 | $59,254 | +0% | $56,758 | +4% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $58,328 | $58,328 | $110,658 | −47% | $86,390 | −32% | — |
| 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 | $48,180 | +20% | $35,542 | +63% | — |
| 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 | $21,111 | +170% | $20,111 | +183% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $56,926 | $56,926 | $61,008 | −7% | $46,430 | +23% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $56,608 | $56,608 | $23,338 | +143% | $23,723 | +139% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $56,529 | $56,529 | $31,617 | +79% | $24,202 | +134% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $55,811 | $55,811 | $18,599 | +200% | $13,527 | +313% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $55,415 | $55,415 | $38,036 | +46% | $50,139 | +11% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $55,371 | $55,371 | $115,907 | −52% | $99,423 | −44% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $55,236 | $55,236 | $69,526 | −21% | $65,383 | −16% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $55,156 | $55,156 | $87,436 | −37% | $65,573 | −16% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $55,061 | $55,061 | $36,948 | +49% | $25,666 | +115% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $55,059 | $55,059 | $49,473 | +11% | $36,933 | +49% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $54,924 | $54,924 | $30,970 | +77% | $23,814 | +131% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $54,805 | $54,805 | $39,369 | +39% | $44,553 | +23% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $54,509 | $54,509 | $80,018 | −32% | $80,018 | −32% | — |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $54,503 | $54,503 | $112,518 | −52% | $134,914 | −60% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $53,904 | $53,904 | $33,198 | +62% | $32,911 | +64% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $53,662 | $53,662 | $36,771 | +46% | $25,731 | +109% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $52,467 | $52,467 | $56,193 | −7% | $54,313 | −3% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $52,406 | $52,406 | $63,580 | −18% | $72,859 | −28% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $52,287 | $52,287 | $66,547 | −21% | $57,963 | −10% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $52,006 | $52,006 | $44,584 | +17% | $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 | $55,088 | −6% | $58,832 | −12% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $51,718 | $51,718 | $44,442 | +16% | $42,126 | +23% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $51,679 | $51,679 | $62,284 | −17% | $48,682 | +6% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $51,443 | $51,443 | $33,308 | +54% | $36,237 | +42% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $51,400 | $51,400 | $43,479 | +18% | $33,694 | +53% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $51,393 | $51,393 | $54,320 | −5% | $54,320 | −5% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $51,268 | $51,268 | $46,485 | +10% | $34,852 | +47% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $51,190 | $51,190 | $28,768 | +78% | $29,805 | +72% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $50,235 | $50,235 | $37,153 | +35% | $43,697 | +15% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $49,871 | $49,871 | $67,197 | −26% | $53,141 | −6% | — |
| 913 | TRAUMATIC INJURY WITH MCC | $49,844 | $49,844 | $36,618 | +36% | $24,198 | +106% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $49,703 | $49,703 | $42,315 | +17% | $41,900 | +19% | — |
| 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 | $28,893 | +69% | $33,165 | +47% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $48,656 | $48,656 | $13,799 | +253% | $16,837 | +189% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $47,917 | $47,917 | $57,419 | −17% | $52,332 | −8% | — |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $47,589 | $47,589 | $43,988 | +8% | $45,622 | +4% | — |
| 342 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $47,367 | $47,367 | $16,487 | +187% | $19,454 | +143% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $47,148 | $47,148 | $44,619 | +6% | $44,600 | +6% | ≈96% of Medicare |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $47,112 | $47,112 | $25,701 | +83% | $20,106 | +134% | — |
| 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 | $52,634 | −11% | $56,519 | −17% | ≈115% of Medicare |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $46,986 | $46,986 | $42,202 | +11% | $39,409 | +19% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $46,410 | $46,410 | $27,330 | +70% | $24,465 | +90% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $45,948 | $45,948 | $12,745 | +261% | $13,485 | +241% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $45,947 | $45,947 | $55,306 | −17% | $51,339 | −11% | — |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $45,630 | $45,630 | $39,606 | +15% | $48,907 | −7% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $45,367 | $45,367 | $43,492 | +4% | $31,909 | +42% | — |
| 539 | OSTEOMYELITIS WITH MCC | $45,234 | $45,234 | $45,071 | +0% | $33,746 | +34% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $45,069 | $45,069 | $47,653 | −5% | $34,354 | +31% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $44,833 | $44,833 | $53,106 | −16% | $51,172 | −12% | ≈106% of Medicare |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $44,731 | $44,731 | $18,925 | +136% | $15,600 | +187% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $44,600 | $44,600 | $69,584 | −36% | $70,132 | −36% | — |
| 304 | HYPERTENSION WITH MCC | $43,918 | $43,918 | $30,162 | +46% | $24,185 | +82% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $43,630 | $43,630 | $19,031 | +129% | $15,607 | +180% | — |
| 200 | PNEUMOTHORAX WITH CC | $43,197 | $43,197 | $25,705 | +68% | $20,573 | +110% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $42,859 | $42,859 | $31,758 | +35% | $31,062 | +38% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $42,776 | $42,776 | $38,023 | +13% | $43,524 | −2% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $42,386 | $42,386 | $42,815 | −1% | $44,117 | −4% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $42,214 | $42,214 | $43,429 | −3% | $48,094 | −12% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $42,048 | $42,048 | $92,292 | −54% | $72,011 | −42% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $41,919 | $41,919 | $34,124 | +23% | $31,128 | +35% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $41,767 | $41,767 | $54,832 | −24% | $56,394 | −26% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $41,705 | $41,705 | $42,901 | −3% | $50,815 | −18% | — |
| 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 | $23,828 | +72% | $20,844 | +97% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $40,917 | $40,917 | $37,246 | +10% | $34,901 | +17% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $40,792 | $40,792 | $27,007 | +51% | $27,244 | +50% | — |
| 187 | PLEURAL EFFUSION WITH CC | $40,608 | $40,608 | $20,494 | +98% | $21,467 | +89% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $40,269 | $40,269 | $39,545 | +2% | $43,538 | −8% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $40,183 | $40,183 | $54,297 | −26% | $52,405 | −23% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $40,166 | $40,166 | $34,120 | +18% | $36,280 | +11% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $40,143 | $40,143 | $51,311 | −22% | $62,821 | −36% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $39,878 | $39,878 | $41,820 | −5% | $40,563 | −2% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $39,873 | $39,873 | $55,689 | −28% | $75,103 | −47% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $39,584 | $39,584 | $91,116 | −57% | $87,565 | −55% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $39,260 | $39,260 | $26,307 | +49% | $30,275 | +30% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $39,007 | $39,007 | $35,509 | +10% | $32,483 | +20% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,900 | $38,900 | $51,761 | −25% | $60,861 | −36% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $38,865 | $38,865 | $30,494 | +27% | $30,058 | +29% | ≈66% of Medicare |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $38,814 | $38,814 | $34,944 | +11% | $31,840 | +22% | ≈80% of Medicare |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $38,648 | $38,648 | $21,141 | +83% | $21,213 | +82% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $38,478 | $38,478 | $26,590 | +45% | $14,284 | +169% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $38,460 | $38,460 | $35,115 | +10% | $35,237 | +9% | ≈64% of Medicare |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $38,455 | $38,455 | $53,357 | −28% | $62,961 | −39% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $38,434 | $38,434 | $27,100 | +42% | $23,956 | +60% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $38,358 | $38,358 | $40,387 | −5% | $41,660 | −8% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $38,286 | $38,286 | $46,130 | −17% | $43,586 | −12% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $38,198 | $38,198 | $28,993 | +32% | $35,139 | +9% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $38,075 | $38,075 | $38,075 | +0% | $38,885 | −2% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $37,633 | $37,633 | $53,594 | −30% | $48,680 | −23% | — |
| 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 | $39,285 | −5% | $39,747 | −6% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $37,040 | $37,040 | $22,925 | +62% | $19,579 | +89% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $37,017 | $37,017 | $46,090 | −20% | $45,817 | −19% | — |
| 089 | CONCUSSION WITH CC | $36,841 | $36,841 | $17,109 | +115% | $18,293 | +101% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $36,680 | $36,680 | $30,390 | +21% | $28,967 | +27% | ≈86% of Medicare |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $36,658 | $36,658 | $45,797 | −20% | $41,651 | −12% | — |
| 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 | $73,275 | −50% | $68,880 | −47% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $36,105 | $36,105 | $23,875 | +51% | $24,118 | +50% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $36,000 | $36,000 | $26,862 | +34% | $29,031 | +24% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $35,994 | $35,994 | $45,967 | −22% | $49,197 | −27% | ≈116% of Medicare |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $35,907 | $35,907 | $36,341 | −1% | $31,758 | +13% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $35,776 | $35,776 | $43,498 | −18% | $35,673 | +0% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $35,385 | $35,385 | $38,268 | −8% | $37,842 | −6% | ≈66% of Medicare |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,240 | $35,240 | $29,800 | +18% | $30,974 | +14% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $35,108 | $35,108 | $38,192 | −8% | $45,963 | −24% | — |
| 263 | VEIN LIGATION AND STRIPPING | $34,911 | $34,911 | $38,005 | −8% | $44,938 | −22% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $34,805 | $34,805 | $41,480 | −16% | $35,714 | −3% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $34,702 | $34,702 | $27,369 | +27% | $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 | $16,903 | +104% | $18,478 | +86% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $34,431 | $34,431 | $49,222 | −30% | $54,929 | −37% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $34,300 | $34,300 | $27,097 | +27% | $30,314 | +13% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $34,237 | $34,237 | $46,229 | −26% | $35,375 | −3% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $34,211 | $34,211 | $34,211 | +0% | $33,984 | +1% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $34,185 | $34,185 | $27,377 | +25% | $27,369 | +25% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $34,109 | $34,109 | $33,306 | +2% | $44,989 | −24% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $33,930 | $33,930 | $24,016 | +41% | $19,854 | +71% | — |
| 340 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $33,895 | $33,895 | $13,613 | +149% | $16,240 | +109% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,847 | $33,847 | $92,416 | −63% | $87,018 | −61% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $33,813 | $33,813 | $29,153 | +16% | $29,924 | +13% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $33,811 | $33,811 | $46,235 | −27% | $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 | $34,473 | −4% | $30,418 | +9% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $33,153 | $33,153 | $38,567 | −14% | $45,818 | −28% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $33,119 | $33,119 | $24,971 | +33% | $20,463 | +62% | ≈117% of Medicare |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $33,071 | $33,071 | $32,818 | +1% | $42,119 | −21% | — |
| 592 | SKIN ULCERS WITH MCC | $33,016 | $33,016 | $29,882 | +10% | $32,662 | +1% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $33,001 | $33,001 | $41,313 | −20% | $35,569 | −7% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $32,742 | $32,742 | $66,902 | −51% | $46,591 | −30% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $32,651 | $32,651 | $23,908 | +37% | $16,654 | +96% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $32,622 | $32,622 | $22,087 | +48% | $11,633 | +180% | — |
| 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 | $32,884 | −1% | $36,239 | −10% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $32,459 | $32,459 | $17,292 | +88% | $18,204 | +78% | ≈115% of Medicare |
| 503 | FOOT PROCEDURES WITH MCC | $32,274 | $32,274 | $58,830 | −45% | $43,901 | −26% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $32,218 | $32,218 | $40,400 | −20% | $43,266 | −26% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $32,196 | $32,196 | $29,484 | +9% | $23,924 | +35% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $32,153 | $32,153 | $27,695 | +16% | $32,204 | −0% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $32,103 | $32,103 | $46,501 | −31% | $55,162 | −42% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $32,012 | $32,012 | $49,647 | −36% | $54,824 | −42% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $32,006 | $32,006 | $31,582 | +1% | $35,014 | −9% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $31,963 | $31,963 | $85,781 | −63% | $74,755 | −57% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $31,963 | $31,963 | $24,336 | +31% | $25,704 | +24% | ≈86% 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 | $17,652 | +80% | $19,287 | +65% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $31,735 | $31,735 | $10,553 | +201% | $9,385 | +238% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $31,486 | $31,486 | $38,934 | −19% | $42,881 | −27% | — |
| 630 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $31,350 | $31,350 | $25,986 | +21% | $24,452 | +28% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $30,942 | $30,942 | $36,815 | −16% | $43,775 | −29% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $30,916 | $30,916 | $38,677 | −20% | $25,434 | +22% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $30,745 | $30,745 | $30,745 | +0% | $31,190 | −1% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $30,683 | $30,683 | $38,706 | −21% | $44,839 | −32% | — |
| 245 | AICD GENERATOR PROCEDURES | $30,491 | $30,491 | $66,564 | −54% | $72,076 | −58% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $30,304 | $30,304 | $46,103 | −34% | $46,402 | −35% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $30,250 | $30,250 | $54,475 | −44% | $54,475 | −44% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $30,207 | $30,207 | $20,666 | +46% | $22,024 | +37% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $30,041 | $30,041 | $24,801 | +21% | $26,158 | +15% | ≈68% of Medicare |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $30,015 | $30,015 | $10,480 | +186% | $10,039 | +199% | — |
| 343 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $29,871 | $29,871 | $12,397 | +141% | $13,735 | +117% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $29,532 | $29,532 | $19,528 | +51% | $20,968 | +41% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $29,499 | $29,499 | $30,510 | −3% | $32,689 | −10% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $29,461 | $29,461 | $27,777 | +6% | $20,938 | +41% | — |
| 813 | COAGULATION DISORDERS | $29,446 | $29,446 | $32,291 | −9% | $30,128 | −2% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $29,289 | $29,289 | $29,289 | +0% | $28,252 | +4% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $29,086 | $29,086 | $31,148 | −7% | $33,137 | −12% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $29,075 | $29,075 | $39,268 | −26% | $28,527 | +2% | — |
| 697 | URETHRAL STRICTURE | $28,961 | $28,961 | $21,435 | +35% | $17,705 | +64% | — |
| 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 | $30,911 | −7% | $25,474 | +12% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $28,038 | $28,038 | $21,554 | +30% | $24,190 | +16% | ≈83% of Medicare |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $27,969 | $27,969 | $13,350 | +110% | $11,847 | +136% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $27,815 | $27,815 | $22,525 | +23% | $21,545 | +29% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $27,762 | $27,762 | $17,733 | +57% | $23,496 | +18% | — |
| 682 | RENAL FAILURE WITH MCC | $27,762 | $27,762 | $24,994 | +11% | $27,854 | −0% | ≈70% of Medicare |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $27,722 | $27,722 | $49,057 | −43% | $39,563 | −30% | — |
| 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 | $27,615 | +0% | $28,780 | −4% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $27,487 | $27,487 | $26,332 | +4% | $29,729 | −8% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $27,449 | $27,449 | $21,478 | +28% | $21,806 | +26% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $27,447 | $27,447 | $18,887 | +45% | $18,002 | +52% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $27,419 | $27,419 | $20,673 | +33% | $19,868 | +38% | — |
| 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 | $30,820 | −11% | $34,887 | −22% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $27,271 | $27,271 | $34,700 | −21% | $24,348 | +12% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $27,257 | $27,257 | $37,027 | −26% | $35,453 | −23% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $26,960 | $26,960 | $24,489 | +10% | $17,412 | +55% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $26,594 | $26,594 | $28,079 | −5% | $23,469 | +13% | ≈118% of Medicare |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $26,584 | $26,584 | $28,020 | −5% | $29,374 | −9% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $26,499 | $26,499 | $26,971 | −2% | $28,140 | −6% | — |
| 637 | DIABETES WITH MCC | $26,435 | $26,435 | $26,438 | −0% | $28,819 | −8% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $26,405 | $26,405 | $15,954 | +66% | $17,273 | +53% | — |
| 666 | PROSTATECTOMY WITH CC | $26,389 | $26,389 | $33,815 | −22% | $30,016 | −12% | — |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $26,332 | $26,332 | $19,889 | +32% | $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 | $42,884 | −39% | $49,631 | −47% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $26,007 | $26,007 | $19,993 | +30% | $17,522 | +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 | $25,890 | −0% | $23,141 | +12% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $25,852 | $25,852 | $40,315 | −36% | $36,658 | −29% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $25,793 | $25,793 | $18,219 | +42% | $20,842 | +24% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $25,390 | $25,390 | $46,757 | −46% | $45,059 | −44% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $25,235 | $25,235 | $33,102 | −24% | $31,086 | −19% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $25,039 | $25,039 | $26,231 | −5% | $25,020 | +0% | ≈84% of Medicare |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $24,997 | $24,997 | $24,997 | +0% | $25,854 | −3% | — |
| 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 | $46,049 | −46% | $52,908 | −53% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $24,837 | $24,837 | $26,717 | −7% | $29,211 | −15% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $24,714 | $24,714 | $75,832 | −67% | $68,508 | −64% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $24,572 | $24,572 | $24,934 | −1% | $26,488 | −7% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $24,485 | $24,485 | $23,278 | +5% | $23,115 | +6% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $24,464 | $24,464 | $24,838 | −2% | $21,886 | +12% | ≈104% of Medicare |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $24,439 | $24,439 | $15,754 | +55% | $14,549 | +68% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $24,318 | $24,318 | $32,429 | −25% | $36,375 | −33% | — |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $24,224 | $24,224 | $30,056 | −19% | $19,598 | +24% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $24,223 | $24,223 | $15,474 | +57% | $15,070 | +61% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $24,026 | $24,026 | $13,089 | +84% | $13,081 | +84% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $24,016 | $24,016 | $25,858 | −7% | $23,350 | +3% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $23,993 | $23,993 | $24,292 | −1% | $27,168 | −12% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $23,919 | $23,919 | $23,738 | +1% | $24,229 | −1% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $23,873 | $23,873 | $26,556 | −10% | $25,307 | −6% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $23,726 | $23,726 | $27,729 | −14% | $32,399 | −27% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $23,688 | $23,688 | $24,574 | −4% | $17,550 | +35% | — |
| 305 | HYPERTENSION WITHOUT MCC | $23,682 | $23,682 | $24,338 | −3% | $17,144 | +38% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $23,480 | $23,480 | $47,265 | −50% | $38,836 | −40% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $23,432 | $23,432 | $15,819 | +48% | $16,049 | +46% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $23,417 | $23,417 | $22,337 | +5% | $26,322 | −11% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $23,307 | $23,307 | $49,739 | −53% | $47,277 | −51% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $23,220 | $23,220 | $44,395 | −48% | $49,470 | −53% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $23,135 | $23,135 | $24,370 | −5% | $30,358 | −24% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $23,023 | $23,023 | $19,085 | +21% | $16,391 | +40% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $22,949 | $22,949 | $16,456 | +39% | $15,869 | +45% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $22,947 | $22,947 | $79,460 | −71% | $65,325 | −65% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $22,778 | $22,778 | $21,913 | +4% | $18,081 | +26% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $22,727 | $22,727 | $19,481 | +17% | $20,488 | +11% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $22,720 | $22,720 | $22,926 | −1% | $16,866 | +35% | — |
| 724 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $22,678 | $22,678 | $15,546 | +46% | $12,650 | +79% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $22,582 | $22,582 | $30,064 | −25% | $32,936 | −31% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $22,293 | $22,293 | $22,707 | −2% | $22,032 | +1% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $22,237 | $22,237 | $22,237 | +0% | $16,865 | +32% | ≈112% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MCC | $22,233 | $22,233 | $27,741 | −20% | $32,996 | −33% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $22,147 | $22,147 | $33,498 | −34% | $38,357 | −42% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $22,093 | $22,093 | $44,198 | −50% | $40,063 | −45% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $21,912 | $21,912 | $39,028 | −44% | $25,152 | −13% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $21,736 | $21,736 | $21,585 | +1% | $17,195 | +26% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $21,728 | $21,728 | $22,530 | −4% | $19,483 | +12% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $21,708 | $21,708 | $18,541 | +17% | $22,781 | −5% | ≈115% 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 | $31,817 | −32% | $17,434 | +24% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $21,477 | $21,477 | $44,644 | −52% | $41,520 | −48% | — |
| 313 | CHEST PAIN | $21,427 | $21,427 | $20,854 | +3% | $15,962 | +34% | ≈87% of Medicare |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $21,422 | $21,422 | $30,645 | −30% | $28,134 | −24% | — |
| 312 | SYNCOPE AND COLLAPSE | $21,363 | $21,363 | $23,545 | −9% | $19,342 | +10% | ≈85% of Medicare |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $21,316 | $21,316 | $57,963 | −63% | $36,080 | −41% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $21,204 | $21,204 | $13,735 | +54% | $13,282 | +60% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $21,145 | $21,145 | $19,449 | +9% | $17,731 | +19% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $20,862 | $20,862 | $30,251 | −31% | $25,162 | −17% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $20,834 | $20,834 | $29,561 | −30% | $25,426 | −18% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $20,800 | $20,800 | $19,164 | +9% | $14,368 | +45% | — |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $20,766 | $20,766 | $21,957 | −5% | $11,909 | +74% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $20,718 | $20,718 | $20,718 | +0% | $22,982 | −10% | ≈78% of Medicare |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $20,692 | $20,692 | $20,595 | +0% | $18,918 | +9% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $20,602 | $20,602 | $18,631 | +11% | $20,602 | +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 | $16,946 | +21% | $15,593 | +32% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $20,344 | $20,344 | $23,601 | −14% | $17,108 | +19% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $20,294 | $20,294 | $28,689 | −29% | $24,450 | −17% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $20,199 | $20,199 | $27,871 | −28% | $22,431 | −10% | — |
| 100 | SEIZURES WITH MCC | $20,182 | $20,182 | $31,211 | −35% | $35,194 | −43% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $20,043 | $20,043 | $26,780 | −25% | $28,646 | −30% | — |
| 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 | $35,852 | −44% | $24,036 | −17% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $19,762 | $19,762 | $28,195 | −30% | $29,484 | −33% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $19,662 | $19,662 | $31,341 | −37% | $30,766 | −36% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $19,520 | $19,520 | $49,467 | −61% | $46,477 | −58% | — |
| 149 | DYSEQUILIBRIUM | $19,517 | $19,517 | $23,926 | −18% | $17,203 | +13% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $19,489 | $19,489 | $24,940 | −22% | $20,278 | −4% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $19,470 | $19,470 | $19,221 | +1% | $17,700 | +10% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $19,303 | $19,303 | $13,654 | +41% | $13,654 | +41% | — |
| 683 | RENAL FAILURE WITH CC | $19,272 | $19,272 | $20,765 | −7% | $18,620 | +4% | ≈106% of Medicare |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $19,095 | $19,095 | $29,314 | −35% | $30,940 | −38% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $19,048 | $19,048 | $29,979 | −36% | $40,065 | −52% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $19,047 | $19,047 | $21,138 | −10% | $23,396 | −19% | — |
| 638 | DIABETES WITH CC | $19,029 | $19,029 | $20,074 | −5% | $18,821 | +1% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $19,013 | $19,013 | $22,831 | −17% | $20,777 | −8% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $18,908 | $18,908 | $22,446 | −16% | $18,428 | +3% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $18,905 | $18,905 | $19,930 | −5% | $23,920 | −21% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $18,807 | $18,807 | $18,712 | +1% | $18,278 | +3% | ≈105% of Medicare |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $18,783 | $18,783 | $50,041 | −62% | $39,018 | −52% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $18,736 | $18,736 | $13,500 | +39% | $14,441 | +30% | — |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $18,734 | $18,734 | $40,406 | −54% | $58,968 | −68% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $18,718 | $18,718 | $30,373 | −38% | $32,468 | −42% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $18,651 | $18,651 | $19,367 | −4% | $18,623 | +0% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $18,648 | $18,648 | $19,401 | −4% | $20,732 | −10% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $18,628 | $18,628 | $18,664 | −0% | $17,388 | +7% | ≈117% of Medicare |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $18,536 | $18,536 | $18,046 | +3% | $17,466 | +6% | ≈98% of Medicare |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $18,486 | $18,486 | $17,649 | +5% | $16,571 | +12% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $18,471 | $18,471 | $28,482 | −35% | $31,978 | −42% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $18,399 | $18,399 | $15,286 | +20% | $20,309 | −9% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $18,378 | $18,378 | $23,883 | −23% | $15,608 | +18% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $18,370 | $18,370 | $14,681 | +25% | $17,322 | +6% | ≈117% of Medicare |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $18,210 | $18,210 | $27,853 | −35% | $29,609 | −38% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $18,210 | $18,210 | $26,899 | −32% | $22,713 | −20% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $18,179 | $18,179 | $34,662 | −48% | $36,242 | −50% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $18,168 | $18,168 | $19,303 | −6% | $16,212 | +12% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $18,126 | $18,126 | $26,477 | −32% | $25,484 | −29% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $18,059 | $18,059 | $18,090 | −0% | $12,797 | +41% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $17,991 | $17,991 | $19,792 | −9% | $15,636 | +15% | — |
| 603 | CELLULITIS WITHOUT MCC | $17,984 | $17,984 | $16,168 | +11% | $18,530 | −3% | ≈111% of Medicare |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $17,945 | $17,945 | $13,676 | +31% | $12,405 | +45% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $17,921 | $17,921 | $21,819 | −18% | $17,727 | +1% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $17,790 | $17,790 | $17,696 | +1% | $17,715 | +0% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $17,577 | $17,577 | $18,323 | −4% | $18,608 | −6% | — |
| 885 | PSYCHOSES | $17,431 | $17,431 | $21,489 | −19% | $21,489 | −19% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $17,413 | $17,413 | $19,581 | −11% | $19,894 | −12% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $17,285 | $17,285 | $28,682 | −40% | $27,934 | −38% | — |
| 101 | SEIZURES WITHOUT MCC | $17,237 | $17,237 | $17,204 | +0% | $19,954 | −14% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $17,182 | $17,182 | $21,786 | −21% | $24,017 | −28% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $17,139 | $17,139 | $49,003 | −65% | $50,919 | −66% | — |
| 139 | SALIVARY GLAND PROCEDURES | $17,121 | $17,121 | $25,144 | −32% | $21,014 | −19% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $17,057 | $17,057 | $27,447 | −38% | $33,424 | −49% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $16,906 | $16,906 | $28,798 | −41% | $29,409 | −43% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $16,904 | $16,904 | $55,854 | −70% | $54,483 | −69% | — |
| 865 | VIRAL ILLNESS WITH MCC | $16,865 | $16,865 | $22,350 | −25% | $26,088 | −35% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $16,804 | $16,804 | $49,711 | −66% | $64,776 | −74% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,473 | $16,473 | $24,282 | −32% | $26,020 | −37% | — |
| 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 | $23,173 | −30% | $21,181 | −24% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $16,066 | $16,066 | $15,055 | +7% | $14,880 | +8% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $15,959 | $15,959 | $27,612 | −42% | $24,136 | −34% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $15,808 | $15,808 | $42,413 | −63% | $41,380 | −62% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $15,783 | $15,783 | $45,517 | −65% | $37,975 | −58% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $15,706 | $15,706 | $38,653 | −59% | $34,900 | −55% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $15,672 | $15,672 | $48,949 | −68% | $36,597 | −57% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $15,665 | $15,665 | $16,822 | −7% | $16,745 | −6% | ≈118% of Medicare |
| 151 | EPISTAXIS WITHOUT MCC | $15,617 | $15,617 | $15,397 | +1% | $13,032 | +20% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $15,572 | $15,572 | $39,489 | −61% | $37,902 | −59% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $15,516 | $15,516 | $18,988 | −18% | $17,700 | −12% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $15,446 | $15,446 | $27,902 | −45% | $27,219 | −43% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $15,326 | $15,326 | $16,609 | −8% | $15,858 | −3% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $15,300 | $15,300 | $19,521 | −22% | $18,150 | −16% | — |
| 639 | DIABETES WITHOUT CC/MCC | $15,265 | $15,265 | $16,811 | −9% | $13,910 | +10% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $15,258 | $15,258 | $18,154 | −16% | $15,876 | −4% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,143 | $15,143 | $27,614 | −45% | $32,839 | −54% | — |
| 311 | ANGINA PECTORIS | $15,105 | $15,105 | $15,425 | −2% | $15,165 | −0% | — |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $15,065 | $15,065 | $31,344 | −52% | $33,050 | −54% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $14,985 | $14,985 | $24,076 | −38% | $12,537 | +20% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $14,962 | $14,962 | $20,995 | −29% | $17,367 | −14% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $14,957 | $14,957 | $30,877 | −52% | $31,059 | −52% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $14,935 | $14,935 | $28,811 | −48% | $29,663 | −50% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $14,849 | $14,849 | $14,132 | +5% | $13,824 | +7% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $14,824 | $14,824 | $12,049 | +23% | $13,623 | +9% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $14,797 | $14,797 | $17,159 | −14% | $17,943 | −18% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $14,745 | $14,745 | $12,381 | +19% | $12,381 | +19% | — |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $14,729 | $14,729 | $18,052 | −18% | $20,080 | −27% | — |
| 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 | $12,685 | +14% | $12,013 | +21% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $14,365 | $14,365 | $24,215 | −41% | $25,243 | −43% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $14,274 | $14,274 | $20,291 | −30% | $24,022 | −41% | — |
| 199 | PNEUMOTHORAX WITH MCC | $14,212 | $14,212 | $29,170 | −51% | $31,491 | −55% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $14,202 | $14,202 | $13,471 | +5% | $13,318 | +7% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $14,174 | $14,174 | $25,972 | −45% | $31,716 | −55% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $14,073 | $14,073 | $13,119 | +7% | $12,279 | +15% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $14,049 | $14,049 | $56,289 | −75% | $53,746 | −74% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $13,966 | $13,966 | $37,278 | −63% | $33,792 | −59% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $13,944 | $13,944 | $24,565 | −43% | $16,352 | −15% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $13,860 | $13,860 | $33,575 | −59% | $29,558 | −53% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $13,752 | $13,752 | $27,584 | −50% | $31,816 | −57% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $13,750 | $13,750 | $18,854 | −27% | $18,803 | −27% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $13,691 | $13,691 | $25,761 | −47% | $30,814 | −56% | ≈68% of Medicare |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $13,617 | $13,617 | $19,179 | −29% | $19,317 | −30% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $13,598 | $13,598 | $13,598 | +0% | $14,444 | −6% | — |
| 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 | $12,915 | +5% | $13,384 | +1% | ≈133% 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 | $23,274 | −42% | $21,062 | −36% | — |
| 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 | $35,817 | −63% | $29,524 | −55% | — |
| 999 | UNGROUPABLE | $12,814 | $12,814 | $13,627 | −6% | $28,822 | −56% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $12,777 | $12,777 | $25,581 | −50% | $32,502 | −61% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $12,671 | $12,671 | $19,264 | −34% | $18,017 | −30% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $12,592 | $12,592 | $18,889 | −33% | $22,231 | −43% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $12,554 | $12,554 | $32,602 | −61% | $30,394 | −59% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $12,546 | $12,546 | $12,855 | −2% | $13,892 | −10% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $12,539 | $12,539 | $18,143 | −31% | $18,253 | −31% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $12,531 | $12,531 | $21,569 | −42% | $19,569 | −36% | — |
| 504 | FOOT PROCEDURES WITH CC | $12,347 | $12,347 | $29,220 | −58% | $36,598 | −66% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $12,335 | $12,335 | $13,651 | −10% | $13,090 | −6% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $12,312 | $12,312 | $28,470 | −57% | $25,786 | −52% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $12,268 | $12,268 | $18,920 | −35% | $14,927 | −18% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $12,078 | $12,078 | $14,264 | −15% | $14,012 | −14% | — |
| 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 | $20,158 | −41% | $22,850 | −48% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,657 | $11,657 | $19,602 | −41% | $26,634 | −56% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $11,558 | $11,558 | $14,675 | −21% | $15,045 | −23% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $11,494 | $11,494 | $49,639 | −77% | $40,548 | −72% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $11,128 | $11,128 | $32,919 | −66% | $36,334 | −69% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $11,118 | $11,118 | $19,783 | −44% | $19,815 | −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 | $73,103 | −85% | $78,582 | −86% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $10,790 | $10,790 | $24,974 | −57% | $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 | $48,438 | −78% | $65,254 | −84% | — |
| 949 | AFTERCARE WITH CC/MCC | $10,379 | $10,379 | $21,946 | −53% | $23,953 | −57% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $10,319 | $10,319 | $21,226 | −51% | $19,795 | −48% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $10,287 | $10,287 | $20,210 | −49% | $14,134 | −27% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $10,099 | $10,099 | $36,311 | −72% | $27,492 | −63% | — |
| 540 | OSTEOMYELITIS WITH CC | $10,092 | $10,092 | $19,990 | −50% | $23,494 | −57% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $9,940 | $9,940 | $24,089 | −59% | $23,749 | −58% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $9,905 | $9,905 | $21,186 | −53% | $18,459 | −46% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $9,824 | $9,824 | $23,422 | −58% | $18,191 | −46% | — |
| 147 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC | $9,797 | $9,797 | $32,900 | −70% | $21,860 | −55% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $9,670 | $9,670 | $23,065 | −58% | $24,879 | −61% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $9,464 | $9,464 | $34,886 | −73% | $35,114 | −73% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $9,455 | $9,455 | $57,860 | −84% | $35,642 | −73% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,210 | $9,210 | $16,445 | −44% | $14,337 | −36% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $9,200 | $9,200 | $44,472 | −79% | $39,253 | −77% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $8,965 | $8,965 | $19,304 | −54% | $20,007 | −55% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $8,873 | $8,873 | $94,394 | −91% | $96,222 | −91% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $8,823 | $8,823 | $23,378 | −62% | $25,208 | −65% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $8,731 | $8,731 | $13,696 | −36% | $12,044 | −28% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,726 | $8,726 | $15,531 | −44% | $13,890 | −37% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $8,572 | $8,572 | $27,156 | −68% | $24,452 | −65% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $8,527 | $8,527 | $24,888 | −66% | $27,279 | −69% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $7,974 | $7,974 | $16,795 | −53% | $16,776 | −52% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $7,959 | $7,959 | $54,499 | −85% | $36,333 | −78% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $7,929 | $7,929 | $13,752 | −42% | $17,383 | −54% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $7,599 | $7,599 | $12,415 | −39% | $10,975 | −31% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $7,276 | $7,276 | $15,278 | −52% | $15,655 | −54% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $7,249 | $7,249 | $19,855 | −63% | $14,861 | −51% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $7,211 | $7,211 | $35,135 | −79% | $29,476 | −76% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $7,109 | $7,109 | $22,795 | −69% | $20,084 | −65% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $7,002 | $7,002 | $9,295 | −25% | $9,076 | −23% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $6,760 | $6,760 | $24,142 | −72% | $24,480 | −72% | — |
| 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 | $27,256 | −77% | $22,698 | −72% | — |
| 693 | URINARY STONES WITH MCC | $6,271 | $6,271 | $23,355 | −73% | $22,525 | −72% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $6,103 | $6,103 | $12,530 | −51% | $11,955 | −49% | — |
| 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 | $17,560 | −71% | $19,091 | −73% | — |
| 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 | $16,642 | −70% | $16,642 | −70% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $4,932 | $4,932 | $18,043 | −73% | $21,261 | −77% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $4,239 | $4,239 | $11,454 | −63% | $14,128 | −70% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $3,800 | $3,800 | $36,842 | −90% | $46,659 | −92% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $3,375 | $3,375 | $9,053 | −63% | $7,961 | −58% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $3,147 | $3,147 | $23,796 | −87% | $28,924 | −89% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $3,114 | $3,114 | $22,283 | −86% | $16,719 | −81% | — |
| 795 | NORMAL NEWBORN | $2,913 | $2,913 | $5,442 | −46% | $4,530 | −36% | — |
| 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 | $647 – $10,898 · median $8,317 | 18 plans |
No procedures match that keyword.