Adventist Health Portland — Pricing
428 procedures published in this hospital's Machine-Readable File (MRF) — 423 with a comparable price, 5 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 428
Lowest published price $3,361
Average published price $96,659
Highest published price $972,590
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.
Estimate your out-of-pocket cost
Enter what's left on your plan this year, then choose a procedure — click any row below or its “Estimate” button.
Leave blank if unsure — no cap will be applied.
No procedure selected yet — pick a row in the table below to see an estimate here.
Estimate only. Your plan's actual negotiated rate, network status, and benefit rules control what you pay — confirm with your insurer. Professional fees (surgeon, anesthesia) are usually billed separately.
Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
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 428 procedures
Published charges
Showing all 423 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 29 procedures, this hospital's negotiated rates average ≈184% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. OR median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $972,590 | $311,229 | $275,291 | +253% | $153,282 | +535% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $794,420 | $254,214 | $696,636 | +14% | $371,366 | +114% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $655,504 | $209,761 | $161,019 | +307% | $102,128 | +542% | — |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $640,512 | $204,964 | $354,104 | +81% | $196,346 | +226% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $602,509 | $192,803 | $453,173 | +33% | $248,521 | +142% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $587,971 | $188,151 | $122,611 | +380% | $74,257 | +692% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $444,630 | $142,282 | $313,708 | +42% | $188,171 | +136% | — |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $433,232 | $138,634 | $251,508 | +72% | $143,242 | +202% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $397,078 | $127,065 | $112,550 | +253% | $70,564 | +463% | — |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $358,957 | $114,866 | $915,612 | −61% | $461,389 | −22% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $343,314 | $109,861 | $104,160 | +230% | $63,928 | +437% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $327,017 | $104,645 | $327,017 | +0% | $208,939 | +57% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $321,542 | $102,893 | $125,507 | +156% | $59,594 | +440% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $318,630 | $101,962 | $254,070 | +25% | $144,569 | +120% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $309,486 | $99,036 | $172,168 | +80% | $111,320 | +178% | ≈185% of Medicare |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $308,510 | $98,723 | $198,564 | +55% | $115,839 | +166% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $298,765 | $95,605 | $157,888 | +89% | $92,515 | +223% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $295,424 | $94,536 | $110,746 | +167% | $70,371 | +320% | — |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $295,381 | $94,522 | $191,266 | +54% | $112,062 | +164% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $294,161 | $94,132 | $21,858 | +1246% | $14,927 | +1871% | — |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $283,445 | $90,703 | $194,731 | +46% | $113,855 | +149% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $273,513 | $87,524 | $172,935 | +58% | $102,573 | +167% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $266,811 | $85,379 | $111,115 | +140% | $77,817 | +243% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $246,692 | $78,941 | $137,802 | +79% | $84,692 | +191% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $239,369 | $76,598 | $64,618 | +270% | $36,249 | +560% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $236,862 | $75,796 | $97,528 | +143% | $51,953 | +356% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $236,800 | $75,776 | $229,712 | +3% | $131,961 | +79% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $236,312 | $75,620 | $133,663 | +77% | $82,247 | +187% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $234,449 | $75,024 | $226,137 | +4% | $148,832 | +58% | ≈175% of Medicare |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $234,436 | $75,019 | $162,630 | +44% | $93,238 | +151% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $232,077 | $74,265 | $134,976 | +72% | $90,775 | +156% | — |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $231,383 | $74,042 | $209,912 | +10% | $123,995 | +87% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $224,851 | $71,952 | $118,599 | +90% | $68,639 | +228% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $223,843 | $71,630 | $154,556 | +45% | $82,218 | +172% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $221,076 | $70,744 | $131,742 | +68% | $88,050 | +151% | — |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $214,660 | $68,691 | $201,350 | +7% | $117,280 | +83% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $214,188 | $68,540 | $64,959 | +230% | $44,363 | +383% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $205,576 | $65,784 | $156,626 | +31% | $99,423 | +107% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $205,161 | $65,651 | $209,791 | −2% | $116,058 | +77% | ≈191% of Medicare |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $203,929 | $65,257 | $186,559 | +9% | $107,355 | +90% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $202,502 | $64,801 | $102,318 | +98% | $76,001 | +166% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $197,967 | $63,350 | $128,338 | +54% | $93,172 | +112% | ≈195% of Medicare |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $195,208 | $62,467 | $61,364 | +218% | $33,255 | +487% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $194,163 | $62,132 | $100,239 | +94% | $53,864 | +260% | — |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $188,130 | $60,201 | $152,927 | +23% | $92,217 | +104% | ≈184% of Medicare |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $184,317 | $58,982 | $151,230 | +22% | $91,329 | +102% | — |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $174,071 | $55,703 | $181,202 | −4% | $104,583 | +66% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $171,548 | $54,895 | $63,080 | +172% | $43,080 | +298% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $162,656 | $52,050 | $63,565 | +156% | $39,955 | +307% | — |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $161,967 | $51,829 | $127,103 | +27% | $78,852 | +105% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $161,785 | $51,771 | $95,604 | +69% | $65,653 | +146% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $159,964 | $51,189 | $158,128 | +1% | $96,507 | +66% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $159,926 | $51,176 | $138,455 | +16% | $101,510 | +58% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $158,614 | $50,756 | $48,189 | +229% | $36,988 | +329% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $157,857 | $50,514 | $89,062 | +77% | $51,608 | +206% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $154,664 | $49,492 | $67,524 | +129% | $43,174 | +258% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $154,529 | $49,449 | $152,108 | +2% | $87,761 | +76% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $152,713 | $48,868 | $145,372 | +5% | $88,307 | +73% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $151,497 | $48,479 | $103,861 | +46% | $71,464 | +112% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $151,208 | $48,387 | $129,553 | +17% | $82,561 | +83% | — |
| 245 | AICD GENERATOR PROCEDURES | $149,761 | $47,924 | $158,847 | −6% | $72,076 | +108% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $149,595 | $47,871 | $135,243 | +11% | $85,159 | +76% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $148,839 | $47,628 | $105,899 | +41% | $65,608 | +127% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $147,281 | $47,130 | $149,823 | −2% | $90,195 | +63% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $146,504 | $46,881 | $48,803 | +200% | $26,436 | +454% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $144,196 | $46,143 | $100,519 | +43% | $62,821 | +130% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $144,194 | $46,142 | $58,022 | +149% | $39,619 | +264% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $141,763 | $45,364 | $101,449 | +40% | $65,573 | +116% | ≈197% of Medicare |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $141,407 | $45,250 | $43,387 | +226% | $27,543 | +413% | — |
| 333 | RECTAL RESECTION WITH CC | $141,381 | $45,242 | $69,081 | +105% | $37,154 | +281% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $140,839 | $45,069 | $104,790 | +34% | $72,424 | +94% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $140,788 | $45,052 | $46,004 | +206% | $26,280 | +436% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $140,718 | $45,030 | $140,718 | +0% | $96,905 | +45% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $139,281 | $44,570 | $94,173 | +48% | $59,537 | +134% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $138,650 | $44,368 | $31,161 | +345% | $17,733 | +682% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $137,902 | $44,129 | $102,999 | +34% | $61,872 | +123% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $135,422 | $43,335 | $56,865 | +138% | $38,836 | +249% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $135,293 | $43,294 | $77,920 | +74% | $47,583 | +184% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $135,211 | $43,268 | $82,196 | +64% | $57,454 | +135% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $134,370 | $42,999 | $103,171 | +30% | $55,289 | +143% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $132,898 | $42,527 | $127,991 | +4% | $61,832 | +115% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $131,531 | $42,090 | $94,746 | +39% | $70,467 | +87% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $131,509 | $42,083 | $91,732 | +43% | $58,274 | +126% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $131,287 | $42,012 | $111,506 | +18% | $68,508 | +92% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $130,534 | $41,771 | $59,665 | +119% | $36,670 | +256% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $129,954 | $41,585 | $55,651 | +134% | $30,447 | +327% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $127,905 | $40,930 | $170,495 | −25% | $89,207 | +43% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $127,435 | $40,779 | $155,229 | −18% | $90,724 | +40% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $127,316 | $40,741 | $68,668 | +85% | $50,463 | +152% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $126,168 | $40,374 | $134,276 | −6% | $77,990 | +62% | — |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $126,152 | $40,369 | $46,134 | +173% | $22,620 | +458% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $125,854 | $40,273 | $126,404 | −0% | $76,219 | +65% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $125,455 | $40,146 | $122,349 | +3% | $80,793 | +55% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $125,083 | $40,027 | $93,684 | +34% | $70,132 | +78% | ≈167% of Medicare |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $124,918 | $39,974 | $113,811 | +10% | $62,583 | +100% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $124,102 | $39,713 | $68,501 | +81% | $45,333 | +174% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $123,830 | $39,626 | $111,334 | +11% | $70,847 | +75% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $122,696 | $39,263 | $81,398 | +51% | $39,973 | +207% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $122,202 | $39,104 | $131,839 | −7% | $79,225 | +54% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $120,686 | $38,620 | $82,409 | +46% | $39,173 | +208% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $120,380 | $38,522 | $111,968 | +8% | $71,014 | +70% | ≈183% of Medicare |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $119,610 | $38,275 | $52,766 | +127% | $27,617 | +333% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $119,377 | $38,201 | $76,837 | +55% | $59,500 | +101% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $117,791 | $37,693 | $92,538 | +27% | $81,706 | +44% | ≈173% of Medicare |
| 503 | FOOT PROCEDURES WITH MCC | $116,967 | $37,430 | $86,030 | +36% | $47,540 | +146% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $115,848 | $37,072 | $88,142 | +31% | $58,228 | +99% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $115,504 | $36,961 | $116,109 | −1% | $71,755 | +61% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $115,453 | $36,945 | $51,010 | +126% | $33,653 | +243% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $115,188 | $36,860 | $63,721 | +81% | $50,394 | +129% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $115,037 | $36,812 | $88,628 | +30% | $51,746 | +122% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $113,721 | $36,391 | $59,394 | +91% | $40,642 | +180% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $113,068 | $36,182 | $61,679 | +83% | $40,562 | +179% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $112,405 | $35,970 | $74,559 | +51% | $52,178 | +115% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $112,226 | $35,912 | $54,086 | +107% | $32,628 | +244% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $111,041 | $35,533 | $68,532 | +62% | $58,280 | +91% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $110,320 | $35,302 | $77,253 | +43% | $53,451 | +106% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $110,297 | $35,295 | $87,874 | +26% | $62,264 | +77% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $110,198 | $35,263 | $85,273 | +29% | $54,929 | +101% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $109,558 | $35,059 | $74,077 | +48% | $48,349 | +127% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $108,177 | $34,617 | $128,283 | −16% | $71,795 | +51% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $108,020 | $34,566 | $48,296 | +124% | $28,140 | +284% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $107,887 | $34,524 | $81,814 | +32% | $56,755 | +90% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $107,848 | $34,511 | $62,219 | +73% | $34,459 | +213% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $107,432 | $34,378 | $118,676 | −9% | $75,103 | +43% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $105,921 | $33,895 | $149,837 | −29% | $93,390 | +13% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $104,937 | $33,580 | $51,862 | +102% | $35,419 | +196% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $104,532 | $33,450 | $71,114 | +47% | $46,283 | +126% | ≈210% of Medicare |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $103,715 | $33,189 | $63,516 | +63% | $38,861 | +167% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $103,220 | $33,030 | $87,587 | +18% | $44,546 | +132% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $103,128 | $33,001 | $53,669 | +92% | $44,117 | +134% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $102,606 | $32,834 | $60,337 | +70% | $33,047 | +210% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $102,174 | $32,696 | $149,283 | −32% | $90,331 | +13% | — |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $101,216 | $32,389 | $73,941 | +37% | $49,066 | +106% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $100,610 | $32,195 | $125,185 | −20% | $75,573 | +33% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $100,209 | $32,067 | $73,203 | +37% | $48,682 | +106% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $99,580 | $31,866 | $100,971 | −1% | $65,325 | +52% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $98,946 | $31,663 | $67,449 | +47% | $52,751 | +88% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $98,440 | $31,501 | $81,333 | +21% | $55,162 | +78% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $97,641 | $31,245 | $60,590 | +61% | $46,340 | +111% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $96,699 | $30,944 | $48,816 | +98% | $32,645 | +196% | — |
| 585 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $95,722 | $30,631 | $64,527 | +48% | $32,574 | +194% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $95,657 | $30,610 | $95,693 | −0% | $66,068 | +45% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $95,376 | $30,520 | $37,634 | +153% | $25,700 | +271% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $95,220 | $30,470 | $52,372 | +82% | $35,770 | +166% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $95,078 | $30,425 | $58,809 | +62% | $58,809 | +62% | ≈182% of Medicare |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $94,505 | $30,241 | $78,050 | +21% | $59,651 | +58% | — |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $94,456 | $30,226 | $59,423 | +59% | $43,298 | +118% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $93,855 | $30,034 | $84,345 | +11% | $59,790 | +57% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $93,517 | $29,926 | $95,337 | −2% | $60,170 | +55% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $93,373 | $29,879 | $61,292 | +52% | $47,711 | +96% | — |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $93,309 | $29,859 | $40,042 | +133% | $19,270 | +384% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $93,106 | $29,794 | $59,586 | +56% | $40,694 | +129% | — |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $92,874 | $29,720 | $75,241 | +23% | $40,060 | +132% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $92,798 | $29,695 | $94,932 | −2% | $46,402 | +100% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $92,515 | $29,605 | $91,319 | +1% | $49,710 | +86% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $92,002 | $29,441 | $33,886 | +172% | $23,141 | +298% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $91,984 | $29,435 | $71,642 | +28% | $47,737 | +93% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $89,577 | $28,665 | $55,782 | +61% | $38,094 | +135% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $88,011 | $28,163 | $65,392 | +35% | $46,090 | +91% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $87,764 | $28,084 | $45,169 | +94% | $25,094 | +250% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $87,742 | $28,078 | $79,594 | +10% | $51,985 | +69% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $86,611 | $27,716 | $75,179 | +15% | $59,629 | +45% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $85,819 | $27,462 | $47,002 | +83% | $32,100 | +167% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $85,750 | $27,440 | $35,839 | +139% | $27,843 | +208% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $85,334 | $27,307 | $42,832 | +99% | $36,937 | +131% | — |
| 504 | FOOT PROCEDURES WITH CC | $85,268 | $27,286 | $56,013 | +52% | $38,960 | +119% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $84,811 | $27,140 | $48,517 | +75% | $33,563 | +153% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $84,498 | $27,039 | $59,378 | +42% | $40,552 | +108% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $83,717 | $26,790 | $47,530 | +76% | $29,933 | +180% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $83,286 | $26,652 | $125,637 | −34% | $66,685 | +25% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $82,993 | $26,558 | $80,639 | +3% | $50,618 | +64% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $82,914 | $26,532 | $54,477 | +52% | $39,181 | +112% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $82,554 | $26,417 | $48,888 | +69% | $36,253 | +128% | — |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $82,002 | $26,241 | $99,420 | −18% | $64,523 | +27% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $81,802 | $26,177 | $37,000 | +121% | $26,618 | +207% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $81,692 | $26,141 | $73,044 | +12% | $34,535 | +137% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $81,689 | $26,140 | $78,931 | +3% | $59,421 | +37% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $81,653 | $26,129 | $49,193 | +66% | $40,162 | +103% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $81,478 | $26,073 | $31,408 | +159% | $21,449 | +280% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $81,433 | $26,058 | $84,783 | −4% | $52,405 | +55% | ≈181% of Medicare |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $81,182 | $25,978 | $57,889 | +40% | $52,075 | +56% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $81,137 | $25,964 | $46,184 | +76% | $33,555 | +142% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $80,570 | $25,782 | $51,797 | +56% | $39,006 | +107% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $80,418 | $25,734 | $54,654 | +47% | $36,792 | +119% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $80,096 | $25,631 | $52,262 | +53% | $35,692 | +124% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $79,737 | $25,516 | $64,034 | +25% | $42,914 | +86% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $79,646 | $25,487 | $53,913 | +48% | $44,606 | +79% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $78,452 | $25,104 | $63,760 | +23% | $43,538 | +80% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $77,669 | $24,854 | $41,226 | +88% | $28,156 | +176% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $77,533 | $24,811 | $40,504 | +91% | $34,192 | +127% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $77,458 | $24,786 | $76,015 | +2% | $50,139 | +54% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $77,185 | $24,699 | $60,081 | +28% | $37,844 | +104% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $76,741 | $24,557 | $48,520 | +58% | $33,393 | +130% | — |
| 666 | PROSTATECTOMY WITH CC | $76,138 | $24,364 | $52,370 | +45% | $31,906 | +139% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $75,635 | $24,203 | $106,250 | −29% | $65,788 | +15% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $75,627 | $24,201 | $50,240 | +51% | $30,010 | +152% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $75,394 | $24,126 | $69,702 | +8% | $38,070 | +98% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $75,075 | $24,024 | $51,569 | +46% | $41,955 | +79% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $74,658 | $23,890 | $43,556 | +71% | $31,264 | +139% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $74,612 | $23,876 | $41,869 | +78% | $26,870 | +178% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $74,236 | $23,755 | $46,639 | +59% | $31,951 | +132% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $74,179 | $23,737 | $37,734 | +97% | $21,230 | +249% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $73,197 | $23,423 | $61,019 | +20% | $42,881 | +71% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $72,480 | $23,193 | $46,173 | +57% | $38,101 | +90% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $70,293 | $22,494 | $43,578 | +61% | $27,152 | +159% | — |
| 540 | OSTEOMYELITIS WITH CC | $70,203 | $22,465 | $42,077 | +67% | $26,676 | +163% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $69,625 | $22,280 | $49,899 | +40% | $39,211 | +78% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $68,509 | $21,923 | $46,203 | +48% | $27,808 | +146% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $68,321 | $21,863 | $60,607 | +13% | $40,213 | +70% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $68,076 | $21,784 | $55,298 | +23% | $43,477 | +57% | — |
| 149 | DYSEQUILIBRIUM | $67,766 | $21,685 | $24,299 | +179% | $18,096 | +274% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $67,584 | $21,627 | $52,469 | +29% | $35,628 | +90% | ≈181% of Medicare |
| 682 | RENAL FAILURE WITH MCC | $67,319 | $21,542 | $40,410 | +67% | $29,064 | +132% | ≈198% of Medicare |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $67,009 | $21,443 | $76,951 | −13% | $50,624 | +32% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $67,006 | $21,442 | $71,880 | −7% | $50,011 | +34% | ≈174% of Medicare |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $66,875 | $21,400 | $77,666 | −14% | $58,745 | +14% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $65,836 | $21,068 | $57,725 | +14% | $32,637 | +102% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $65,755 | $21,042 | $64,735 | +2% | $43,943 | +50% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $65,750 | $21,040 | $23,187 | +184% | $15,837 | +315% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $65,602 | $20,993 | $53,100 | +24% | $38,666 | +70% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $65,066 | $20,821 | $47,516 | +37% | $32,451 | +101% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $64,940 | $20,781 | $51,911 | +25% | $35,453 | +83% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $63,546 | $20,335 | $50,305 | +26% | $34,354 | +85% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $63,513 | $20,324 | $64,592 | −2% | $39,958 | +59% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $63,248 | $20,240 | $31,539 | +101% | $23,283 | +172% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $62,848 | $20,111 | $48,914 | +28% | $36,505 | +72% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $62,696 | $20,063 | $37,136 | +69% | $24,944 | +151% | — |
| 199 | PNEUMOTHORAX WITH MCC | $62,695 | $20,062 | $57,382 | +9% | $33,787 | +86% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $62,435 | $19,979 | $52,587 | +19% | $27,316 | +129% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $61,757 | $19,762 | $29,009 | +113% | $22,148 | +179% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $61,440 | $19,661 | $64,095 | −4% | $44,139 | +39% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $61,222 | $19,591 | $48,940 | +25% | $33,424 | +83% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $60,698 | $19,423 | $34,516 | +76% | $23,571 | +158% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $60,646 | $19,407 | $38,963 | +56% | $30,784 | +97% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $60,268 | $19,286 | $55,054 | +9% | $32,944 | +83% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $60,168 | $19,254 | $61,292 | −2% | $50,607 | +19% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $60,075 | $19,224 | $41,020 | +46% | $30,235 | +99% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $59,702 | $19,105 | $46,777 | +28% | $30,828 | +94% | ≈182% of Medicare |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $59,636 | $19,084 | $31,907 | +87% | $20,957 | +185% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $58,991 | $18,877 | $56,813 | +4% | $36,658 | +61% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $58,499 | $18,720 | $50,793 | +15% | $46,295 | +26% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $58,196 | $18,623 | $29,445 | +98% | $18,488 | +215% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $58,014 | $18,564 | $48,732 | +19% | $30,502 | +90% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $57,901 | $18,528 | $43,335 | +34% | $32,841 | +76% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $57,829 | $18,505 | $47,911 | +21% | $32,877 | +76% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $57,570 | $18,422 | $57,070 | +1% | $34,937 | +65% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $57,292 | $18,333 | $34,484 | +66% | $27,275 | +110% | ≈191% of Medicare |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $57,129 | $18,281 | $63,977 | −11% | $39,106 | +46% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $57,023 | $18,248 | $57,099 | −0% | $33,386 | +71% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $56,807 | $18,178 | $44,392 | +28% | $28,226 | +101% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $56,717 | $18,149 | $54,284 | +4% | $33,876 | +67% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $56,576 | $18,104 | $34,256 | +65% | $23,488 | +141% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $56,116 | $17,957 | $48,410 | +16% | $33,048 | +70% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $55,555 | $17,778 | $48,676 | +14% | $24,586 | +126% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $55,111 | $17,635 | $55,111 | +0% | $37,842 | +46% | ≈185% of Medicare |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $54,628 | $17,481 | $67,730 | −19% | $33,851 | +61% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $54,131 | $17,322 | $74,320 | −27% | $36,489 | +48% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $54,049 | $17,296 | $57,671 | −6% | $39,627 | +36% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $53,960 | $17,267 | $45,979 | +17% | $37,387 | +44% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $53,862 | $17,236 | $27,927 | +93% | $18,807 | +186% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $53,634 | $17,163 | $44,598 | +20% | $33,985 | +58% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $53,402 | $17,089 | $58,666 | −9% | $41,591 | +28% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $53,170 | $17,014 | $49,296 | +8% | $32,859 | +62% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $52,813 | $16,900 | $35,251 | +50% | $23,319 | +126% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $52,577 | $16,825 | $38,613 | +36% | $26,776 | +96% | ≈184% of Medicare |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $51,968 | $16,630 | $52,740 | −1% | $42,126 | +23% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $51,244 | $16,398 | $57,675 | −11% | $37,950 | +35% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $51,012 | $16,324 | $26,682 | +91% | $17,724 | +188% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $50,816 | $16,261 | $29,419 | +73% | $20,084 | +153% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $50,552 | $16,177 | $50,968 | −1% | $33,633 | +50% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $50,242 | $16,077 | $41,808 | +20% | $27,401 | +83% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $50,048 | $16,015 | $51,361 | −3% | $33,834 | +48% | — |
| 637 | DIABETES WITH MCC | $49,622 | $15,879 | $43,946 | +13% | $30,100 | +65% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $49,530 | $15,850 | $38,880 | +27% | $25,463 | +95% | ≈183% of Medicare |
| 711 | TESTES PROCEDURES WITH CC/MCC | $49,485 | $15,835 | $62,108 | −20% | $38,343 | +29% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $49,196 | $15,743 | $35,420 | +39% | $32,021 | +54% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $48,950 | $15,664 | $28,441 | +72% | $19,846 | +147% | — |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $48,679 | $15,577 | $30,544 | +59% | $17,934 | +171% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $48,664 | $15,572 | $23,864 | +104% | $14,514 | +235% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $48,660 | $15,571 | $34,790 | +40% | $26,580 | +83% | ≈184% of Medicare |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $48,039 | $15,373 | $33,060 | +45% | $23,940 | +101% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $47,791 | $15,293 | $29,052 | +65% | $19,842 | +141% | — |
| 100 | SEIZURES WITH MCC | $47,689 | $15,261 | $46,619 | +2% | $35,481 | +34% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $46,966 | $15,029 | $43,123 | +9% | $32,496 | +45% | ≈198% of Medicare |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $46,766 | $14,965 | $50,866 | −8% | $34,273 | +36% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $46,661 | $14,932 | $29,965 | +56% | $20,463 | +128% | ≈225% of Medicare |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $46,649 | $14,928 | $44,951 | +4% | $33,707 | +38% | ≈180% of Medicare |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $46,611 | $14,915 | $33,079 | +41% | $25,303 | +84% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $45,897 | $14,687 | $35,404 | +30% | $24,177 | +90% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $45,613 | $14,596 | $40,920 | +11% | $27,947 | +63% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $45,380 | $14,522 | $54,911 | −17% | $31,563 | +44% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $45,260 | $14,483 | $33,372 | +36% | $25,970 | +74% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $44,577 | $14,265 | $40,701 | +10% | $30,571 | +46% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $44,436 | $14,220 | $41,624 | +7% | $30,959 | +44% | — |
| 602 | CELLULITIS WITH MCC | $43,911 | $14,051 | $40,841 | +8% | $30,598 | +44% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $43,834 | $14,027 | $34,950 | +25% | $28,050 | +56% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $43,438 | $13,900 | $38,659 | +12% | $26,770 | +62% | ≈182% of Medicare |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $43,125 | $13,800 | $48,728 | −11% | $30,557 | +41% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $43,037 | $13,772 | $34,419 | +25% | $24,914 | +73% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $42,627 | $13,641 | $26,110 | +63% | $19,745 | +116% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $42,614 | $13,636 | $41,365 | +3% | $24,552 | +74% | — |
| 312 | SYNCOPE AND COLLAPSE | $42,141 | $13,485 | $28,324 | +49% | $19,342 | +118% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $41,998 | $13,439 | $33,021 | +27% | $22,468 | +87% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $41,737 | $13,356 | $36,515 | +14% | $24,386 | +71% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $41,017 | $13,125 | $32,049 | +28% | $22,098 | +86% | ≈174% of Medicare |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $40,939 | $13,101 | $47,581 | −14% | $29,743 | +38% | — |
| 067 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $40,893 | $13,086 | $47,324 | −14% | $24,941 | +64% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $40,451 | $12,944 | $30,785 | +31% | $23,573 | +72% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $40,310 | $12,899 | $25,915 | +56% | $17,700 | +128% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $40,092 | $12,829 | $53,438 | −25% | $37,169 | +8% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $39,892 | $12,765 | $23,571 | +69% | $19,227 | +107% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $39,735 | $12,715 | $33,460 | +19% | $22,850 | +74% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $39,253 | $12,561 | $30,001 | +31% | $20,488 | +92% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $39,149 | $12,528 | $28,096 | +39% | $15,889 | +146% | — |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $39,115 | $12,517 | $28,993 | +35% | $15,764 | +148% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $39,003 | $12,481 | $36,541 | +7% | $31,321 | +25% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $38,825 | $12,424 | $25,404 | +53% | $17,038 | +128% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $38,679 | $12,377 | $31,440 | +23% | $21,275 | +82% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $38,389 | $12,284 | $70,062 | −45% | $40,108 | −4% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $38,203 | $12,225 | $22,375 | +71% | $20,781 | +84% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $37,927 | $12,137 | $26,012 | +46% | $21,056 | +80% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $37,684 | $12,059 | $48,102 | −22% | $31,159 | +21% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $37,513 | $12,004 | $33,135 | +13% | $20,901 | +79% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $37,181 | $11,898 | $57,110 | −35% | $36,431 | +2% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $36,921 | $11,815 | $38,046 | −3% | $23,617 | +56% | ≈182% of Medicare |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $36,696 | $11,743 | $32,453 | +13% | $22,888 | +60% | ≈189% of Medicare |
| 644 | ENDOCRINE DISORDERS WITH CC | $36,687 | $11,740 | $30,559 | +20% | $23,198 | +58% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $36,295 | $11,614 | $27,998 | +30% | $16,371 | +122% | — |
| 539 | OSTEOMYELITIS WITH MCC | $36,175 | $11,576 | $65,752 | −45% | $37,609 | −4% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $36,018 | $11,526 | $30,027 | +20% | $20,506 | +76% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $35,864 | $11,476 | $28,636 | +25% | $19,854 | +81% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $35,781 | $11,450 | $26,542 | +35% | $18,126 | +97% | — |
| 304 | HYPERTENSION WITH MCC | $35,160 | $11,251 | $38,189 | −8% | $26,080 | +35% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $35,015 | $11,205 | $38,286 | −9% | $27,043 | +29% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $34,817 | $11,142 | $22,189 | +57% | $13,651 | +155% | — |
| 151 | EPISTAXIS WITHOUT MCC | $34,748 | $11,119 | $24,640 | +41% | $13,032 | +167% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $34,664 | $11,092 | $21,714 | +60% | $14,689 | +136% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $34,601 | $11,072 | $30,025 | +15% | $22,024 | +57% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $34,581 | $11,066 | $26,458 | +31% | $17,559 | +97% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $34,539 | $11,052 | $31,282 | +10% | $21,363 | +62% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $34,313 | $10,980 | $23,577 | +46% | $16,767 | +105% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $34,163 | $10,932 | $26,656 | +28% | $18,204 | +88% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $34,135 | $10,923 | $34,135 | +0% | $23,749 | +44% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $33,991 | $10,877 | $28,937 | +17% | $16,846 | +102% | — |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $33,880 | $10,842 | $36,502 | −7% | $19,815 | +71% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $33,854 | $10,833 | $17,153 | +97% | $12,454 | +172% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $33,744 | $10,798 | $34,484 | −2% | $23,551 | +43% | — |
| 683 | RENAL FAILURE WITH CC | $33,573 | $10,743 | $28,240 | +19% | $19,130 | +76% | ≈185% of Medicare |
| 779 | ABORTION WITHOUT D&C | $32,542 | $10,413 | $24,442 | +33% | $15,327 | +112% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $32,541 | $10,413 | $73,658 | −56% | $41,892 | −22% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $32,437 | $10,380 | $35,462 | −9% | $20,926 | +55% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $32,110 | $10,275 | $40,263 | −20% | $28,320 | +13% | — |
| 101 | SEIZURES WITHOUT MCC | $31,711 | $10,148 | $27,251 | +16% | $20,461 | +55% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $31,590 | $10,109 | $32,260 | −2% | $22,033 | +43% | — |
| 603 | CELLULITIS WITHOUT MCC | $30,862 | $9,876 | $26,980 | +14% | $18,530 | +67% | — |
| 913 | TRAUMATIC INJURY WITH MCC | $30,780 | $9,850 | $52,603 | −41% | $24,198 | +27% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $30,584 | $9,787 | $30,349 | +1% | $16,968 | +80% | — |
| 200 | PNEUMOTHORAX WITH CC | $30,386 | $9,723 | $35,999 | −16% | $21,368 | +42% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $30,275 | $9,688 | $27,963 | +8% | $19,096 | +59% | — |
| 813 | COAGULATION DISORDERS | $30,108 | $9,635 | $50,318 | −40% | $33,296 | −10% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $30,037 | $9,612 | $30,037 | +0% | $20,232 | +48% | — |
| 305 | HYPERTENSION WITHOUT MCC | $29,789 | $9,533 | $24,403 | +22% | $18,086 | +65% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $29,721 | $9,511 | $25,365 | +17% | $17,322 | +72% | — |
| 865 | VIRAL ILLNESS WITH MCC | $29,015 | $9,285 | $47,977 | −40% | $26,910 | +8% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $28,584 | $9,147 | $26,090 | +10% | $17,674 | +62% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $27,556 | $8,818 | $23,522 | +17% | $17,578 | +57% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $27,277 | $8,729 | $22,635 | +21% | $12,252 | +123% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $26,562 | $8,500 | $33,031 | −20% | $19,264 | +38% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $26,519 | $8,486 | $30,933 | −14% | $22,458 | +18% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $25,650 | $8,208 | $26,321 | −3% | $16,699 | +54% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $24,947 | $7,983 | $32,974 | −24% | $20,422 | +22% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $24,641 | $7,885 | $19,995 | +23% | $15,183 | +62% | — |
| 694 | URINARY STONES WITHOUT MCC | $24,575 | $7,864 | $25,401 | −3% | $17,345 | +42% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $24,540 | $7,853 | $36,428 | −33% | $26,682 | −8% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $24,452 | $7,825 | $20,035 | +22% | $15,370 | +59% | — |
| 068 | PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $24,192 | $7,741 | $28,658 | −16% | $19,569 | +24% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $24,142 | $7,726 | $23,519 | +3% | $13,275 | +82% | — |
| 638 | DIABETES WITH CC | $24,014 | $7,685 | $27,612 | −13% | $19,661 | +22% | — |
| 639 | DIABETES WITHOUT CC/MCC | $23,531 | $7,530 | $20,369 | +16% | $13,910 | +69% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $23,336 | $7,468 | $21,435 | +9% | $14,638 | +59% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $23,226 | $7,432 | $26,477 | −12% | $18,081 | +28% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $23,175 | $7,416 | $23,926 | −3% | $14,648 | +58% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $23,025 | $7,368 | $24,033 | −4% | $17,303 | +33% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $22,985 | $7,355 | $17,785 | +29% | $13,361 | +72% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $22,627 | $7,241 | $24,195 | −6% | $15,019 | +51% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $22,204 | $7,105 | $24,085 | −8% | $16,450 | +35% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $20,749 | $6,640 | $19,748 | +5% | $13,642 | +52% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $20,671 | $6,615 | $29,472 | −30% | $20,181 | +2% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $20,374 | $6,520 | $24,979 | −18% | $15,428 | +32% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $20,323 | $6,503 | $31,347 | −35% | $17,226 | +18% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $20,318 | $6,502 | $20,688 | −2% | $14,128 | +44% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $20,249 | $6,480 | $20,288 | −0% | $12,324 | +64% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $20,188 | $6,460 | $20,188 | +0% | $12,078 | +67% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $19,707 | $6,306 | $25,087 | −21% | $15,452 | +28% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $19,533 | $6,251 | $44,259 | −56% | $27,633 | −29% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $18,560 | $5,939 | $33,151 | −44% | $17,601 | +5% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $18,472 | $5,911 | $49,239 | −62% | $31,105 | −41% | — |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $18,041 | $5,773 | $32,608 | −45% | $17,737 | +2% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $17,730 | $5,674 | $26,516 | −33% | $18,133 | −2% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $17,632 | $5,642 | $30,111 | −41% | $20,566 | −14% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $17,219 | $5,510 | $20,232 | −15% | $12,895 | +34% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $17,154 | $5,489 | $22,667 | −24% | $17,081 | +0% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $16,965 | $5,429 | $17,584 | −4% | $10,160 | +67% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $16,332 | $5,226 | $26,360 | −38% | $18,002 | −9% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $15,582 | $4,986 | $31,652 | −51% | $22,432 | −31% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $15,557 | $4,978 | $25,827 | −40% | $17,921 | −13% | — |
| 187 | PLEURAL EFFUSION WITH CC | $15,411 | $4,932 | $32,634 | −53% | $21,789 | −29% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $14,808 | $4,739 | $18,188 | −19% | $13,384 | +11% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $13,770 | $4,406 | $13,974 | −1% | $18,649 | −26% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $13,721 | $4,391 | $22,242 | −38% | $14,415 | −5% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $12,149 | $3,888 | $39,942 | −70% | $27,277 | −55% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $10,826 | $3,464 | $31,362 | −65% | $22,506 | −52% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $10,345 | $3,311 | $28,080 | −63% | $18,602 | −44% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $10,130 | $3,241 | $57,860 | −82% | $39,515 | −74% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $10,046 | $3,215 | $16,852 | −40% | $12,229 | −18% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,275 | $2,968 | $16,110 | −42% | $16,351 | −43% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $8,880 | $2,842 | $28,701 | −69% | $16,998 | −48% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $8,282 | $2,650 | $21,585 | −62% | $13,942 | −41% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $8,172 | $2,615 | $11,470 | −29% | $9,940 | −18% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $6,983 | $2,234 | $8,815 | −21% | $8,445 | −17% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $6,974 | $2,232 | $51,251 | −86% | $32,697 | −79% | — |
| 795 | NORMAL NEWBORN | $5,283 | $1,691 | $5,976 | −12% | $4,720 | +12% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $3,361 | $1,076 | $24,198 | −86% | $17,118 | −80% | — |
Procedures with negotiated rates only
These 5 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 |
|---|---|---|---|
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | — | 38 plans |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | — | 38 plans |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | — | 38 plans |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | — | 38 plans |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $2,390 – $25,590 · median $14,999 | 6 plans |
No procedures match that keyword.