Mercy Hospital Ada (Acute Care) — Pricing

282 procedures published in this hospital's Machine-Readable File (MRF) — 282 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 282
Lowest published price $4,197
Average published price $34,431
Highest published price $409,402

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 282 procedures

Published charges

Showing all 282 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 26 procedures, this hospital's negotiated rates average ≈178% of what Medicare pays.

DRG Description Published price Cash price vs. OK median vs. National median vs Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $409,402 $266,111 $150,879 +171% $245,189 +67% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $205,699 $133,704 $23,374 +780% $37,681 +446% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $135,840 $88,296 $45,098 +201% $76,954 +77% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $119,315 $77,555 $46,799 +155% $72,843 +64% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $114,709 $74,561 $72,622 +58% $137,160 −16% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $110,911 $72,092 $54,752 +103% $86,938 +28% ≈158% of Medicare
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $92,785 $60,310 $35,020 +165% $46,402 +100% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $90,670 $58,935 $27,123 +234% $74,274 +22% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $84,794 $55,116 $27,679 +206% $46,659 +82% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $84,563 $54,966 $26,268 +222% $51,339 +65% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $84,313 $54,804 $58,250 +45% $88,050 −4% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $83,622 $54,354 $34,154 +145% $64,468 +30% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $82,769 $53,800 $41,261 +101% $60,140 +38% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $78,843 $51,248 $34,531 +128% $72,879 +8% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $78,117 $50,776 $24,955 +213% $48,682 +60% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $76,252 $49,564 $31,981 +138% $57,030 +34% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $75,222 $48,894 $22,004 +242% $47,635 +58% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $72,323 $47,010 $17,490 +314% $54,772 +32% ≈194% of Medicare
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $70,157 $45,602 $22,824 +207% $28,385 +147% —
999 UNGROUPABLE $70,157 $45,602 $2,892 +2326% $28,387 +147% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $69,962 $45,475 $59,494 +18% $116,058 −40% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $69,147 $44,946 $59,547 +16% $80,747 −14% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $67,866 $44,113 $25,381 +167% $52,405 +30% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $64,626 $42,007 $15,651 +313% $40,801 +58% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $64,420 $41,873 $41,612 +55% $65,383 −1% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $63,575 $41,324 $21,312 +198% $29,524 +115% —
398 APPENDIX PROCEDURES WITH CC $63,380 $41,197 $15,755 +302% $38,574 +64% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $61,838 $40,195 $16,503 +275% $33,790 +83% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $61,278 $39,831 $32,382 +89% $66,765 −8% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $60,618 $39,402 $21,886 +177% $44,600 +36% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $59,411 $38,617 $16,452 +261% $30,681 +94% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $58,182 $37,818 $41,424 +40% $51,953 +12% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $57,854 $37,605 $12,401 +367% $15,876 +264% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $57,546 $37,405 $30,404 +89% $46,066 +25% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $56,634 $36,812 $43,817 +29% $71,519 −21% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $56,609 $36,796 $20,366 +178% $35,961 +57% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $55,764 $36,247 $28,495 +96% $48,801 +14% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $55,581 $36,128 $23,107 +141% $55,147 +1% ≈183% of Medicare
882 NEUROSES EXCEPT DEPRESSIVE $54,583 $35,479 $9,594 +469% $15,680 +248% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $53,930 $35,055 $27,532 +96% $35,714 +51% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $53,751 $34,938 $16,292 +230% $24,277 +121% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $53,636 $34,863 $30,993 +73% $58,713 −9% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $53,528 $34,794 $18,936 +183% $44,087 +21% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $52,716 $34,265 $37,428 +41% $63,984 −18% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $52,632 $34,211 $25,747 +104% $56,394 −7% —
336 PERITONEAL ADHESIOLYSIS WITH CC $51,144 $33,244 $25,279 +102% $49,071 +4% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $51,093 $33,210 $31,049 +65% $54,929 −7% —
375 DIGESTIVE MALIGNANCY WITH CC $50,260 $32,669 $11,826 +325% $27,125 +85% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $50,085 $32,555 $23,002 +118% $45,916 +9% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $48,902 $31,786 $21,521 +127% $27,277 +79% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $48,507 $31,530 $11,978 +305% $31,190 +56% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $48,418 $31,472 $17,908 +170% $30,362 +59% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $48,038 $31,225 $20,895 +130% $40,552 +18% —
380 COMPLICATED PEPTIC ULCER WITH MCC $46,989 $30,543 $27,073 +74% $36,537 +29% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $45,798 $29,769 $21,194 +116% $43,538 +5% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $45,340 $29,471 $45,405 −0% $87,575 −48% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $44,609 $28,996 $42,618 +5% $75,103 −41% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $44,120 $28,678 $21,541 +105% $46,477 −5% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $43,530 $28,294 $14,100 +209% $23,749 +83% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $43,312 $28,153 $13,136 +230% $26,158 +66% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $42,859 $27,858 $10,566 +306% $20,463 +109% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $42,842 $27,847 $26,159 +64% $43,444 −1% —
643 ENDOCRINE DISORDERS WITH MCC $42,320 $27,508 $13,875 +205% $32,953 +28% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $41,825 $27,186 $14,097 +197% $17,078 +145% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $40,263 $26,171 $21,170 +90% $42,119 −4% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $40,166 $26,108 $26,358 +52% $49,631 −19% —
949 AFTERCARE WITH CC/MCC $39,240 $25,506 $17,135 +129% $23,953 +64% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $39,201 $25,481 $13,410 +192% $25,596 +53% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $39,054 $25,385 $31,014 +26% $44,839 −13% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $38,864 $25,262 $15,198 +156% $29,957 +30% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $38,122 $24,779 $27,106 +41% $54,475 −30% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $37,871 $24,616 $27,682 +37% $50,998 −26% ≈181% of Medicare
836 ACUTE LEUKEMIA WITHOUT CC/MCC $37,810 $24,577 $15,789 +139% $19,686 +92% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $37,484 $24,364 $16,121 +133% $28,802 +30% ≈172% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $37,294 $24,241 $12,207 +206% $28,924 +29% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $37,022 $24,064 $22,499 +65% $41,847 −12% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $36,449 $23,692 $28,722 +27% $39,409 −8% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $36,241 $23,556 $14,857 +144% $24,118 +50% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $35,999 $23,399 $13,037 +176% $23,396 +54% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $35,991 $23,394 $12,764 +182% $18,150 +98% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $35,774 $23,253 $30,380 +18% $51,950 −31% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $35,483 $23,064 $16,570 +114% $24,426 +45% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $35,438 $23,035 $18,791 +89% $27,369 +29% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $35,385 $23,001 $15,729 +125% $34,876 +1% ≈178% of Medicare
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $35,249 $22,912 $28,152 +25% $36,237 −3% —
663 MINOR BLADDER PROCEDURES WITH CC $35,226 $22,897 $20,339 +73% $29,924 +18% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $34,917 $22,696 $12,357 +183% $17,719 +97% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $34,490 $22,418 $29,507 +17% $47,574 −28% —
539 OSTEOMYELITIS WITH MCC $34,435 $22,383 $30,568 +13% $33,614 +2% —
666 PROSTATECTOMY WITH CC $34,356 $22,331 $19,204 +79% $30,016 +14% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $34,212 $22,238 $11,826 +189% $30,259 +13% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $33,770 $21,950 $20,804 +62% $29,867 +13% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $33,700 $21,905 $22,530 +50% $41,114 −18% —
947 SIGNS AND SYMPTOMS WITH MCC $33,671 $21,886 $17,151 +96% $25,474 +32% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $33,656 $21,876 $20,807 +62% $39,675 −15% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $33,322 $21,660 $16,936 +97% $31,978 +4% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $33,042 $21,477 $16,919 +95% $25,412 +30% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $32,860 $21,359 $24,290 +35% $44,553 −26% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $32,692 $21,249 $22,616 +45% $37,842 −14% ≈186% of Medicare
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $32,529 $21,144 $21,394 +52% $32,506 +0% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $32,418 $21,071 $18,163 +78% $33,425 −3% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $32,376 $21,044 $38,586 −16% $45,497 −29% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $32,349 $21,027 $16,583 +95% $34,564 −6% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $31,717 $20,616 $9,338 +240% $18,288 +73% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $31,704 $20,608 $37,498 −15% $84,825 −63% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $31,225 $20,296 $18,296 +71% $26,998 +16% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $31,062 $20,190 $23,570 +32% $33,236 −7% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $30,901 $20,086 $28,752 +7% $41,660 −26% —
811 RED BLOOD CELL DISORDERS WITH MCC $30,895 $20,081 $15,254 +103% $27,674 +12% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $30,859 $20,058 $11,345 +172% $15,858 +95% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $30,580 $19,877 $19,915 +54% $32,538 −6% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $30,542 $19,852 $21,069 +45% $29,011 +5% —
887 OTHER MENTAL DISORDER DIAGNOSES $30,382 $19,749 $11,944 +154% $20,557 +48% —
637 DIABETES WITH MCC $30,287 $19,687 $18,353 +65% $28,772 +5% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $30,102 $19,566 $19,743 +52% $43,266 −30% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $29,846 $19,400 $42,819 −30% $68,421 −56% —
100 SEIZURES WITH MCC $29,682 $19,294 $26,892 +10% $35,194 −16% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $29,657 $19,277 $12,373 +140% $24,008 +24% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $29,562 $19,216 $16,583 +78% $36,880 −20% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $29,547 $19,206 $11,826 +150% $19,305 +53% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $29,093 $18,910 $12,480 +133% $29,521 −1% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $28,917 $18,796 $13,536 +114% $21,666 +33% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $28,840 $18,746 $20,689 +39% $25,786 +12% —
602 CELLULITIS WITH MCC $28,803 $18,722 $20,839 +38% $29,347 −2% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $28,737 $18,679 $15,439 +86% $24,874 +16% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $28,732 $18,676 $16,078 +79% $21,860 +31% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $28,670 $18,635 $13,658 +110% $21,029 +36% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $28,458 $18,498 $15,367 +85% $31,754 −10% ≈146% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $28,287 $18,387 $20,421 +39% $38,885 −27% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $28,257 $18,367 $22,510 +26% $36,195 −22% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $28,072 $18,247 $18,628 +51% $31,743 −12% —
571 SKIN DEBRIDEMENT WITH CC $27,947 $18,166 $20,709 +35% $34,773 −20% —
644 ENDOCRINE DISORDERS WITH CC $27,903 $18,137 $9,885 +182% $22,941 +22% —
549 SEPTIC ARTHRITIS WITH CC $27,657 $17,977 $15,414 +79% $20,808 +33% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $27,621 $17,953 $11,249 +146% $17,562 +57% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $26,800 $17,420 $19,160 +40% $27,118 −1% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $26,712 $17,363 $15,105 +77% $20,632 +29% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $26,511 $17,232 $10,304 +157% $16,622 +59% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $26,453 $17,194 $15,227 +74% $22,610 +17% ≈180% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $26,449 $17,192 $11,440 +131% $19,483 +36% —
682 RENAL FAILURE WITH MCC $26,208 $17,035 $15,310 +71% $27,640 −5% ≈169% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $26,007 $16,905 $13,237 +96% $26,098 −0% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $25,934 $16,857 $9,695 +168% $21,886 +18% ≈179% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $25,917 $16,846 $13,299 +95% $24,244 +7% ≈176% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $25,609 $16,646 $25,341 +1% $31,067 −18% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $25,544 $16,603 $17,470 +46% $31,062 −18% —
184 MAJOR CHEST TRAUMA WITH CC $25,224 $16,396 $10,391 +143% $20,842 +21% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $25,175 $16,364 $13,383 +88% $23,141 +9% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $24,971 $16,231 $21,322 +17% $27,597 −10% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $24,877 $16,170 $22,110 +13% $36,355 −32% —
950 AFTERCARE WITHOUT CC/MCC $24,748 $16,086 $9,559 +159% $13,527 +83% —
292 HEART FAILURE AND SHOCK WITH CC $24,637 $16,014 $9,549 +158% $15,878 +55% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $24,575 $15,974 $10,576 +132% $22,870 +7% ≈160% of Medicare
149 DYSEQUILIBRIUM $24,458 $15,898 $11,826 +107% $17,203 +42% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $24,420 $15,873 $13,823 +77% $30,224 −19% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $24,368 $15,839 $15,403 +58% $27,041 −10% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $24,276 $15,779 $22,272 +9% $28,403 −15% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $24,267 $15,774 $16,359 +48% $29,929 −19% ≈174% of Medicare
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $24,055 $15,636 $8,544 +182% $17,754 +35% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $23,812 $15,478 $23,812 +0% $36,318 −34% —
311 ANGINA PECTORIS $23,800 $15,470 $6,608 +260% $15,165 +57% —
291 HEART FAILURE AND SHOCK WITH MCC $23,796 $15,467 $12,420 +92% $24,932 −5% ≈159% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $23,764 $15,447 $23,764 +0% $32,689 −27% —
123 NEUROLOGICAL EYE DISORDERS $23,754 $15,440 $11,951 +99% $17,831 +33% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $23,546 $15,305 $10,316 +128% $21,449 +10% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $23,442 $15,237 $12,479 +88% $22,623 +4% ≈182% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $23,410 $15,216 $15,116 +55% $25,766 −9% ≈178% of Medicare
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $23,308 $15,150 $11,191 +108% $16,634 +40% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $23,296 $15,142 $19,112 +22% $31,627 −26% —
920 COMPLICATIONS OF TREATMENT WITH CC $23,029 $14,969 $14,272 +61% $20,879 +10% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $22,833 $14,841 $14,929 +53% $24,603 −7% ≈173% of Medicare
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $22,755 $14,791 $11,826 +92% $16,776 +36% —
919 COMPLICATIONS OF TREATMENT WITH MCC $22,624 $14,706 $14,296 +58% $29,031 −22% —
200 PNEUMOTHORAX WITH CC $22,603 $14,692 $11,903 +90% $20,573 +10% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $22,577 $14,675 $11,952 +89% $19,096 +18% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $22,551 $14,658 $8,130 +177% $17,345 +30% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $22,475 $14,609 $13,466 +67% $25,998 −14% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $22,461 $14,600 $15,566 +44% $30,814 −27% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $22,399 $14,560 $15,343 +46% $22,024 +2% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $22,256 $14,466 $8,704 +156% $20,253 +10% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $22,192 $14,425 $9,749 +128% $14,128 +57% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $22,142 $14,393 $11,923 +86% $22,590 −2% —
304 HYPERTENSION WITH MCC $22,081 $14,353 $11,979 +84% $23,945 −8% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $21,958 $14,272 $11,352 +93% $20,732 +6% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $21,886 $14,226 $17,671 +24% $32,976 −34% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $21,853 $14,205 $10,046 +118% $13,485 +62% —
592 SKIN ULCERS WITH MCC $21,791 $14,164 $22,386 −3% $32,662 −33% —
683 RENAL FAILURE WITH CC $21,734 $14,127 $10,122 +115% $18,322 +19% ≈155% of Medicare
101 SEIZURES WITHOUT MCC $21,589 $14,033 $9,822 +120% $19,930 +8% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $21,379 $13,896 $13,376 +60% $17,579 +22% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $21,210 $13,787 $12,954 +64% $24,103 −12% ≈155% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $21,091 $13,709 $13,014 +62% $18,204 +16% ≈197% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $20,676 $13,440 $16,729 +24% $38,166 −46% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $20,621 $13,404 $13,509 +53% $17,483 +18% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $20,571 $13,371 $10,748 +91% $17,322 +19% ≈185% of Medicare
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $20,556 $13,362 $26,925 −24% $51,985 −60% —
180 RESPIRATORY NEOPLASMS WITH MCC $20,540 $13,351 $19,892 +3% $36,658 −44% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $20,533 $13,346 $11,325 +81% $20,007 +3% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $20,512 $13,333 $17,649 +16% $35,108 −42% —
313 CHEST PAIN $20,510 $13,332 $11,200 +83% $15,837 +30% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $20,504 $13,327 $12,250 +67% $19,569 +5% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $20,497 $13,323 $20,497 +0% $35,990 −43% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $20,409 $13,266 $12,120 +68% $18,133 +13% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $20,398 $13,259 $20,398 +0% $30,275 −33% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $20,302 $13,196 $13,180 +54% $25,146 −19% —
813 COAGULATION DISORDERS $20,293 $13,190 $13,514 +50% $30,128 −33% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $20,285 $13,185 $13,997 +45% $27,492 −26% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $20,148 $13,096 $11,678 +73% $20,408 −1% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $20,036 $13,023 $10,751 +86% $16,718 +20% ≈182% of Medicare
684 RENAL FAILURE WITHOUT CC/MCC $20,031 $13,020 $7,367 +172% $13,455 +49% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $19,996 $12,997 $12,319 +62% $16,645 +20% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $19,948 $12,966 $12,408 +61% $31,029 −36% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $19,921 $12,949 $10,681 +87% $22,850 −13% —
176 PULMONARY EMBOLISM WITHOUT MCC $19,918 $12,947 $7,786 +156% $17,693 +13% —
881 DEPRESSIVE NEUROSES $19,682 $12,793 $11,075 +78% $15,058 +31% —
638 DIABETES WITH CC $19,517 $12,686 $11,158 +75% $18,763 +4% ≈187% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $19,474 $12,658 $14,775 +32% $25,854 −25% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $19,332 $12,566 $12,890 +50% $28,001 −31% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $19,129 $12,434 $11,826 +62% $22,010 −13% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $19,049 $12,382 $11,689 +63% $23,400 −19% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $19,030 $12,370 $8,917 +113% $17,522 +9% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $19,019 $12,362 $8,299 +129% $12,794 +49% —
305 HYPERTENSION WITHOUT MCC $18,869 $12,265 $7,665 +146% $16,897 +12% —
603 CELLULITIS WITHOUT MCC $18,805 $12,223 $12,116 +55% $18,359 +2% ≈154% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $18,645 $12,119 $8,852 +111% $13,318 +40% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $18,456 $11,996 $11,826 +56% $18,323 +1% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $18,297 $11,893 $9,409 +94% $17,379 +5% ≈190% of Medicare
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $18,258 $11,868 $12,818 +42% $20,084 −9% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $18,091 $11,759 $15,449 +17% $23,571 −23% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $17,781 $11,557 $12,857 +38% $32,417 −45% —
303 ATHEROSCLEROSIS WITHOUT MCC $17,637 $11,464 $6,694 +163% $14,927 +18% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $17,608 $11,445 $11,996 +47% $18,243 −3% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $17,557 $11,412 $12,812 +37% $20,917 −16% —
639 DIABETES WITHOUT CC/MCC $17,418 $11,322 $6,257 +178% $13,910 +25% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $17,151 $11,148 $11,826 +45% $18,815 −9% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $17,146 $11,145 $11,095 +55% $16,104 +6% —
791 PREMATURITY WITH MAJOR PROBLEMS $17,014 $11,059 $25,551 −33% $39,254 −57% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $16,554 $10,760 $11,027 +50% $15,923 +4% —
885 PSYCHOSES $16,521 $10,739 $12,762 +29% $21,489 −23% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $16,424 $10,676 $14,691 +12% $19,448 −16% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $16,225 $10,546 $9,646 +68% $14,411 +13% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $16,203 $10,532 $10,064 +61% $14,134 +15% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $16,131 $10,485 $12,035 +34% $18,104 −11% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $16,107 $10,469 $7,814 +106% $14,770 +9% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $16,085 $10,455 $10,763 +49% $16,654 −3% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $16,070 $10,446 $12,395 +30% $17,719 −9% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $16,008 $10,405 $14,516 +10% $26,616 −40% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $15,852 $10,304 $9,827 +61% $17,183 −8% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $15,353 $9,979 $12,744 +20% $22,874 −33% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $14,945 $9,714 $15,261 −2% $36,241 −59% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $14,805 $9,623 $12,799 +16% $17,296 −14% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $14,501 $9,425 $11,701 +24% $15,636 −7% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $14,462 $9,401 $12,729 +14% $31,913 −55% —
534 FRACTURES OF FEMUR WITHOUT MCC $14,417 $9,371 $11,826 +22% $17,194 −16% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $14,258 $9,268 $11,990 +19% $14,337 −1% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $14,239 $9,256 $11,392 +25% $13,090 +9% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $13,673 $8,887 $11,826 +16% $15,370 −11% —
102 HEADACHES WITH MCC $13,620 $8,853 $13,186 +3% $21,983 −38% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $13,444 $8,738 $12,431 +8% $16,431 −18% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $13,376 $8,694 $11,267 +19% $19,091 −30% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $13,351 $8,678 $10,214 +31% $11,957 +12% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $13,191 $8,574 $12,086 +9% $19,287 −32% —
694 URINARY STONES WITHOUT MCC $13,121 $8,529 $11,436 +15% $16,451 −20% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $12,758 $8,292 $8,176 +56% $13,384 −5% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $12,469 $8,105 $11,826 +5% $22,557 −45% —
916 ALLERGIC REACTIONS WITHOUT MCC $12,442 $8,087 $8,796 +41% $13,890 −10% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $12,164 $7,906 $10,234 +19% $20,716 −41% —
153 OTITIS MEDIA AND URI WITHOUT MCC $12,111 $7,872 $9,376 +29% $14,251 −15% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $12,096 $7,863 $6,463 +87% $9,063 +33% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $11,430 $7,430 $9,870 +16% $15,045 −24% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $10,985 $7,140 $22,081 −50% $16,708 −34% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $10,275 $6,679 $9,455 +9% $12,895 −20% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $9,737 $6,329 $13,871 −30% $17,006 −43% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $9,309 $6,051 $13,176 −29% $11,633 −20% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $8,997 $5,848 $9,496 −5% $14,368 −37% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,453 $5,495 $10,953 −23% $17,226 −51% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $8,397 $5,458 $8,736 −4% $7,896 +6% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $8,043 $5,228 $7,759 +4% $14,210 −43% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,972 $5,182 $7,919 +1% $12,013 −34% —
795 NORMAL NEWBORN $6,744 $4,384 $2,718 +148% $4,521 +49% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $5,841 $3,797 $11,248 −48% $14,121 −59% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $4,197 $2,728 $6,435 −35% $12,205 −66% —
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