Aurelia Osborn Fox Memorial Hospital — Pricing

194 procedures published in this hospital's Machine-Readable File (MRF) — 194 with a comparable price, 0 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 194
Lowest published price $6,098
Average published price $27,585
Highest published price $101,751

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.

Showing all 194 procedures

Published charges

Showing all 194 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 18 procedures, this hospital's negotiated rates average ≈94% of what Medicare pays.

DRG Description Published price Cash price vs. NY median vs. National median vs Medicare
149 DYSEQUILIBRIUM $101,751 $27,473 $23,926 +325% $17,203 +491% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $101,518 $27,410 $18,854 +438% $18,803 +440% —
548 SEPTIC ARTHRITIS WITH MCC $88,284 $23,837 $34,947 +153% $31,019 +185% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $71,608 $19,334 $46,103 +55% $46,402 +54% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $71,560 $19,321 $19,528 +266% $20,968 +241% —
662 MINOR BLADDER PROCEDURES WITH MCC $68,502 $18,496 $55,854 +23% $54,483 +26% —
813 COAGULATION DISORDERS $60,306 $16,283 $32,291 +87% $30,128 +100% —
152 OTITIS MEDIA AND URI WITH MCC $60,060 $16,216 $21,226 +183% $19,795 +203% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $55,616 $15,016 $34,886 +59% $35,114 +58% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $53,055 $14,325 $15,817 +235% $16,634 +219% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $52,982 $14,305 $41,480 +28% $35,714 +48% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $49,690 $13,416 $28,768 +73% $29,805 +67% —
551 MEDICAL BACK PROBLEMS WITH MCC $47,902 $12,934 $33,102 +45% $31,086 +54% —
181 RESPIRATORY NEOPLASMS WITH CC $47,280 $12,766 $27,871 +70% $22,431 +111% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $47,172 $12,737 $34,822 +35% $37,950 +24% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $45,066 $12,168 $45,967 −2% $49,197 −8% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $43,430 $11,726 $36,341 +20% $31,758 +37% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $41,269 $11,143 $42,815 −4% $44,117 −6% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $40,937 $11,053 $41,196 −1% $52,313 −22% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $40,077 $10,821 $38,023 +5% $43,524 −8% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $39,504 $10,666 $38,454 +3% $43,491 −9% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,404 $10,639 $58,553 −33% $51,985 −24% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $39,032 $10,539 $24,282 +61% $26,020 +50% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $37,210 $10,047 $28,079 +33% $23,469 +59% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $36,931 $9,971 $37,707 −2% $36,850 +0% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $36,756 $9,924 $32,429 +13% $36,375 +1% —
200 PNEUMOTHORAX WITH CC $36,742 $9,920 $25,705 +43% $20,573 +79% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $36,644 $9,894 $22,337 +64% $26,322 +39% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $36,639 $9,892 $34,944 +5% $31,840 +15% ≈85% of Medicare
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $36,407 $9,830 $18,323 +99% $18,608 +96% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $35,931 $9,701 $48,438 −26% $65,254 −45% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $35,817 $9,670 $35,817 +0% $29,524 +21% —
303 ATHEROSCLEROSIS WITHOUT MCC $35,385 $9,554 $18,920 +87% $14,927 +137% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $35,182 $9,499 $66,547 −47% $57,963 −39% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $35,064 $9,467 $54,297 −35% $52,405 −33% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $35,058 $9,466 $27,729 +26% $32,399 +8% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $34,657 $9,358 $55,088 −37% $58,832 −41% —
864 FEVER AND INFLAMMATORY CONDITIONS $34,490 $9,312 $24,489 +41% $17,412 +98% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $33,841 $9,137 $48,557 −30% $51,953 −35% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $33,686 $9,095 $26,971 +25% $28,140 +20% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $33,624 $9,078 $25,858 +30% $23,350 +44% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $33,503 $9,046 $26,556 +26% $25,307 +32% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $33,239 $8,975 $23,422 +42% $18,191 +83% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $33,216 $8,968 $21,141 +57% $21,213 +57% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $32,876 $8,876 $21,138 +56% $23,396 +41% —
292 HEART FAILURE AND SHOCK WITH CC $32,808 $8,858 $19,303 +70% $16,212 +102% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $32,504 $8,776 $20,666 +57% $22,024 +48% —
336 PERITONEAL ADHESIOLYSIS WITH CC $32,392 $8,746 $44,395 −27% $49,470 −35% —
571 SKIN DEBRIDEMENT WITH CC $32,359 $8,737 $37,246 −13% $34,901 −7% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $32,029 $8,648 $18,712 +71% $18,278 +75% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $31,839 $8,597 $30,510 +4% $32,689 −3% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $31,693 $8,557 $27,615 +15% $28,780 +10% —
643 ENDOCRINE DISORDERS WITH MCC $31,450 $8,491 $27,741 +13% $32,996 −5% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $31,362 $8,468 $22,530 +39% $19,483 +61% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $31,232 $8,433 $23,378 +34% $25,208 +24% —
153 OTITIS MEDIA AND URI WITHOUT MCC $30,517 $8,240 $13,277 +130% $14,473 +111% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $30,383 $8,203 $35,115 −13% $35,237 −14% ≈47% of Medicare
305 HYPERTENSION WITHOUT MCC $30,091 $8,125 $24,338 +24% $17,144 +76% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $29,936 $8,083 $12,855 +133% $13,892 +115% —
602 CELLULITIS WITH MCC $29,648 $8,005 $27,789 +7% $29,347 +1% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $29,575 $7,985 $30,494 −3% $30,058 −2% ≈92% of Medicare
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $29,298 $7,911 $26,717 +10% $29,211 +0% —
291 HEART FAILURE AND SHOCK WITH MCC $29,012 $7,833 $26,231 +11% $25,020 +16% ≈94% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $28,700 $7,749 $28,682 +0% $27,934 +3% —
866 VIRAL ILLNESS WITHOUT MCC $28,607 $7,724 $19,085 +50% $16,391 +75% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $28,540 $7,706 $27,097 +5% $30,314 −6% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $28,331 $7,649 $38,268 −26% $37,842 −25% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $28,255 $7,629 $18,046 +57% $17,466 +62% ≈97% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $28,175 $7,607 $40,400 −30% $43,266 −35% —
684 RENAL FAILURE WITHOUT CC/MCC $28,146 $7,599 $12,049 +134% $13,623 +107% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $27,909 $7,535 $32,919 −15% $36,334 −23% —
180 RESPIRATORY NEOPLASMS WITH MCC $27,860 $7,522 $40,315 −31% $36,658 −24% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $27,763 $7,496 $24,940 +11% $20,278 +37% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $27,651 $7,466 $25,890 +7% $23,141 +19% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $27,577 $7,446 $20,595 +34% $18,918 +46% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $27,380 $7,393 $18,143 +51% $18,253 +50% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $27,287 $7,367 $22,525 +21% $21,545 +27% —
534 FRACTURES OF FEMUR WITHOUT MCC $27,278 $7,365 $21,585 +26% $17,195 +59% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $27,165 $7,334 $52,030 −48% $54,129 −50% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $27,010 $7,293 $20,718 +30% $22,982 +18% ≈93% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $27,007 $7,292 $27,007 +0% $27,244 −1% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $26,947 $7,276 $24,142 +12% $24,480 +10% ≈93% of Medicare
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $26,626 $7,189 $51,761 −49% $60,861 −56% —
683 RENAL FAILURE WITH CC $26,614 $7,186 $20,765 +28% $18,620 +43% ≈91% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $25,676 $6,933 $20,528 +25% $21,449 +20% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $25,581 $6,907 $25,581 +0% $32,502 −21% —
312 SYNCOPE AND COLLAPSE $25,501 $6,885 $23,545 +8% $19,342 +32% ≈95% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $25,412 $6,861 $29,561 −14% $25,426 −0% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $25,395 $6,857 $25,761 −1% $30,814 −18% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $24,971 $6,742 $24,971 +0% $20,463 +22% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $24,880 $6,718 $33,894 −27% $29,757 −16% —
865 VIRAL ILLNESS WITH MCC $24,809 $6,698 $22,350 +11% $26,088 −5% —
302 ATHEROSCLEROSIS WITH MCC $24,560 $6,631 $23,828 +3% $20,844 +18% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $24,479 $6,609 $30,390 −19% $28,967 −15% ≈95% of Medicare
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $24,346 $6,573 $42,202 −42% $39,409 −38% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $24,316 $6,565 $18,887 +29% $18,002 +35% —
123 NEUROLOGICAL EYE DISORDERS $24,247 $6,547 $24,443 −1% $17,831 +36% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $24,234 $6,543 $33,498 −28% $38,357 −37% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $24,188 $6,531 $22,256 +9% $24,432 −1% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $23,981 $6,475 $18,154 +32% $15,876 +51% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $23,959 $6,469 $28,195 −15% $29,484 −19% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $23,945 $6,465 $24,934 −4% $26,488 −10% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $23,875 $6,446 $23,875 +0% $24,118 −1% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $23,844 $6,438 $30,645 −22% $28,134 −15% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $23,782 $6,421 $18,664 +27% $17,388 +37% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $23,715 $6,403 $30,064 −21% $32,936 −28% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $23,678 $6,393 $17,733 +34% $23,496 +1% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $23,583 $6,368 $21,478 +10% $21,806 +8% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $23,438 $6,328 $22,707 +3% $22,032 +6% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $23,426 $6,325 $24,838 −6% $21,886 +7% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $23,361 $6,308 $24,076 −3% $12,537 +86% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $23,340 $6,302 $25,633 −9% $29,826 −22% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $23,327 $6,298 $12,551 +86% $13,303 +75% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $23,272 $6,284 $24,801 −6% $26,158 −11% ≈100% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $23,116 $6,241 $19,401 +19% $20,732 +11% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $22,993 $6,208 $18,925 +21% $15,600 +47% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $22,894 $6,181 $22,925 −0% $19,579 +17% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $22,874 $6,176 $24,336 −6% $25,704 −11% ≈94% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $22,802 $6,156 $22,237 +3% $16,865 +35% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $22,629 $6,110 $17,652 +28% $19,287 +17% —
183 MAJOR CHEST TRAUMA WITH MCC $22,624 $6,109 $23,796 −5% $28,924 −22% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $22,576 $6,096 $26,307 −14% $30,275 −25% —
682 RENAL FAILURE WITH MCC $22,514 $6,079 $24,994 −10% $27,854 −19% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $22,454 $6,063 $22,519 −0% $21,029 +7% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $22,309 $6,023 $20,158 +11% $22,850 −2% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $22,260 $6,010 $21,554 +3% $24,190 −8% ≈99% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $22,099 $5,967 $17,292 +28% $18,204 +21% ≈97% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $21,860 $5,902 $21,819 +0% $17,727 +23% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $21,821 $5,892 $20,995 +4% $17,367 +26% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $21,820 $5,891 $19,164 +14% $14,368 +52% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $21,705 $5,860 $15,819 +37% $16,049 +35% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $21,497 $5,804 $39,489 −46% $37,902 −43% —
158 DENTAL AND ORAL DISEASES WITH CC $21,321 $5,757 $18,988 +12% $17,700 +20% —
947 SIGNS AND SYMPTOMS WITH MCC $21,116 $5,701 $30,911 −32% $25,474 −17% —
694 URINARY STONES WITHOUT MCC $21,031 $5,678 $14,472 +45% $16,531 +27% —
101 SEIZURES WITHOUT MCC $21,026 $5,677 $17,204 +22% $19,954 +5% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $21,022 $5,676 $18,889 +11% $22,231 −5% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $21,006 $5,672 $17,696 +19% $17,715 +19% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $20,717 $5,593 $27,330 −24% $24,465 −15% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $20,585 $5,558 $27,612 −25% $24,136 −15% —
637 DIABETES WITH MCC $20,117 $5,432 $26,438 −24% $28,819 −30% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $20,070 $5,419 $15,474 +30% $15,070 +33% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $19,981 $5,395 $23,338 −14% $23,723 −16% —
919 COMPLICATIONS OF TREATMENT WITH MCC $19,973 $5,393 $26,862 −26% $29,031 −31% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $19,889 $5,370 $20,291 −2% $24,022 −17% —
313 CHEST PAIN $19,858 $5,362 $20,854 −5% $15,962 +24% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $19,689 $5,316 $13,471 +46% $13,318 +48% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $19,076 $5,151 $10,553 +81% $9,385 +103% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $19,028 $5,137 $16,609 +15% $15,858 +20% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $18,984 $5,126 $16,822 +13% $16,745 +13% ≈81% of Medicare
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $18,889 $5,100 $13,799 +37% $16,837 +12% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $18,838 $5,086 $19,367 −3% $18,623 +1% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $18,798 $5,076 $32,526 −42% $33,607 −44% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $18,580 $5,016 $19,481 −5% $20,488 −9% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $18,029 $4,868 $15,055 +20% $14,880 +21% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $17,846 $4,819 $26,780 −33% $28,646 −38% —
885 PSYCHOSES $17,819 $4,811 $21,489 −17% $21,489 −17% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $17,490 $4,722 $18,541 −6% $22,781 −23% ≈97% of Medicare
100 SEIZURES WITH MCC $16,729 $4,517 $31,211 −46% $35,194 −52% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $16,476 $4,449 $14,681 +12% $17,322 −5% ≈101% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $16,360 $4,417 $31,582 −48% $35,014 −53% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $16,336 $4,411 $15,954 +2% $17,273 −5% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $16,199 $4,374 $36,771 −56% $25,731 −37% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $16,115 $4,351 $16,795 −4% $16,776 −4% —
639 DIABETES WITHOUT CC/MCC $15,912 $4,296 $16,811 −5% $13,910 +14% —
176 PULMONARY EMBOLISM WITHOUT MCC $15,763 $4,256 $21,913 −28% $18,081 −13% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $15,657 $4,227 $19,221 −19% $17,700 −12% —
186 PLEURAL EFFUSION WITH MCC $15,536 $4,195 $30,373 −49% $32,468 −52% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $15,484 $4,181 $27,695 −44% $32,204 −52% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $15,252 $4,118 $19,264 −21% $18,017 −15% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,223 $4,110 $14,132 +8% $13,824 +10% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $15,110 $4,080 $18,043 −16% $21,261 −29% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $15,094 $4,075 $17,067 −12% $19,096 −21% —
199 PNEUMOTHORAX WITH MCC $14,968 $4,041 $29,170 −49% $31,491 −52% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $14,791 $3,993 $19,993 −26% $17,522 −16% —
603 CELLULITIS WITHOUT MCC $14,618 $3,947 $16,168 −10% $18,530 −21% ≈97% of Medicare
638 DIABETES WITH CC $14,614 $3,946 $20,074 −27% $18,821 −22% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $14,511 $3,918 $16,767 −13% $16,104 −10% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $14,466 — $92,416 −84% $87,018 −83% —
644 ENDOCRINE DISORDERS WITH CC $13,994 $3,778 $24,428 −43% $22,941 −39% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $13,949 $3,766 $14,675 −5% $15,045 −7% —
311 ANGINA PECTORIS $13,134 $3,546 $15,425 −15% $15,165 −13% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $12,844 $3,468 $12,915 −1% $13,384 −4% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $12,769 $3,448 $22,446 −43% $18,428 −31% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $12,685 $3,425 $12,685 +0% $12,013 +6% —
204 RESPIRATORY SIGNS AND SYMPTOMS $12,680 $3,424 $22,926 −45% $16,866 −25% —
540 OSTEOMYELITIS WITH CC $11,886 $3,209 $19,990 −41% $23,494 −49% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $11,622 $3,138 $12,895 −10% $12,895 −10% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $11,146 $3,009 $20,210 −45% $14,134 −21% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $10,128 $2,735 $20,616 −51% $14,166 −29% —
375 DIGESTIVE MALIGNANCY WITH CC $9,787 $2,643 $27,902 −65% $27,219 −64% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $8,500 $2,295 $13,598 −37% $14,444 −41% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,377 $1,722 $13,500 −53% $14,441 −56% —
103 HEADACHES WITHOUT MCC $6,098 $1,647 $21,111 −71% $20,111 −70% —
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