Geisinger-Community Medical Center — Pricing
771 procedures published in this hospital's Machine-Readable File (MRF) — 701 with a comparable price, 70 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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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 771 procedures
Published charges
Showing all 701 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 107 procedures, this hospital's negotiated rates average ≈124% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. PA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 018 | CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES | $4,859,154 | $4,859,154 | $2,762,278 | +76% | $573,534 | +747% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $3,940,757 | — | $51,515 | +7550% | $54,196 | +7171% | — |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $1,694,305 | $1,050,469 | $1,694,305 | +0% | $461,389 | +267% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $1,283,855 | $795,990 | $384,339 | +234% | $371,366 | +246% | — |
| 005 | LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT | $1,224,847 | $759,405 | $1,224,847 | +0% | $164,641 | +644% | — |
| 650 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | $859,020 | $532,593 | $859,020 | +0% | $71,551 | +1101% | — |
| 014 | ALLOGENEIC BONE MARROW TRANSPLANT | $846,335 | $524,728 | $846,335 | +0% | $182,314 | +364% | — |
| 969 | HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC | $779,032 | $483,000 | $710,506 | +10% | $109,331 | +613% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $726,916 | $450,688 | $219,105 | +232% | $248,521 | +192% | — |
| 651 | KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC | $719,966 | $446,379 | $719,966 | +0% | $56,242 | +1180% | — |
| 426 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $696,870 | $432,059 | $172,907 | +303% | $142,326 | +390% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $665,838 | $412,820 | $210,591 | +216% | $90,401 | +637% | — |
| 850 | ACUTE LEUKEMIA WITH OTHER PROCEDURES | $658,677 | $408,380 | $658,677 | +0% | $121,563 | +442% | — |
| 020 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC | $648,024 | $401,775 | $533,733 | +21% | $148,686 | +336% | — |
| 006 | LIVER TRANSPLANT WITHOUT MCC | $640,760 | $397,271 | $640,760 | +0% | $84,407 | +659% | — |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $633,040 | $392,485 | $426,949 | +48% | $102,600 | +517% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE | $631,711 | $391,661 | $78,810 | +702% | $80,018 | +689% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $610,342 | $378,412 | $103,811 | +488% | $85,566 | +613% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $583,195 | $361,581 | $583,195 | +0% | $147,227 | +296% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $580,760 | $360,071 | $305,730 | +90% | $188,171 | +209% | — |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $577,517 | $358,061 | $110,367 | +423% | $126,098 | +358% | — |
| 333 | RECTAL RESECTION WITH CC | $576,556 | — | $555,454 | +4% | $37,154 | +1452% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $570,918 | $353,969 | $137,693 | +315% | $131,961 | +333% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC | $564,697 | $350,112 | $145,381 | +288% | $153,282 | +268% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $559,378 | $346,815 | $250,535 | +123% | $120,573 | +364% | — |
| 652 | KIDNEY TRANSPLANT | $533,230 | $330,603 | $533,230 | +0% | $54,720 | +874% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $501,234 | $310,765 | $212,913 | +135% | $144,569 | +247% | — |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $499,382 | $309,617 | $499,382 | +0% | $196,346 | +154% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $499,155 | $309,476 | $89,065 | +460% | $59,594 | +738% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $497,081 | $308,190 | $139,264 | +257% | $116,058 | +328% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $496,335 | $307,728 | $81,285 | +511% | $92,515 | +436% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $495,678 | $307,321 | $102,924 | +382% | $89,207 | +456% | — |
| 058 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $485,601 | — | $79,883 | +508% | $30,243 | +1506% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $473,144 | $293,349 | $243,653 | +94% | $19,686 | +2303% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $469,816 | $291,286 | $213,354 | +120% | $96,507 | +387% | ≈35% of Medicare |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC | $467,653 | $289,945 | $233,714 | +100% | $107,355 | +336% | — |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $463,047 | $287,089 | $297,710 | +56% | $123,995 | +273% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $460,046 | $285,229 | $281,849 | +63% | $83,441 | +451% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $451,965 | $280,218 | $138,008 | +227% | $148,832 | +204% | ≈27% of Medicare |
| 028 | SPINAL PROCEDURES WITH MCC | $449,821 | $278,889 | $350,420 | +28% | $113,077 | +298% | — |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $444,129 | $275,360 | $112,577 | +295% | $66,711 | +566% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $441,264 | $273,584 | $431,251 | +2% | $70,177 | +529% | — |
| 011 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $437,821 | $271,449 | $143,271 | +206% | $101,576 | +331% | — |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $435,281 | $269,874 | $301,734 | +44% | $143,242 | +204% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $434,381 | $269,316 | $430,185 | +1% | $208,939 | +108% | — |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $425,076 | $263,547 | $107,205 | +297% | $93,238 | +356% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $422,331 | $261,845 | $355,369 | +19% | $69,743 | +506% | — |
| 956 | LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $412,555 | $255,784 | $109,290 | +277% | $75,103 | +449% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $404,896 | $251,036 | $133,524 | +203% | $79,225 | +411% | — |
| 016 | AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC | $403,544 | $250,197 | $403,544 | +0% | $98,260 | +311% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $388,833 | $241,076 | $157,747 | +146% | $99,423 | +291% | ≈36% of Medicare |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $388,526 | $240,886 | $200,042 | +94% | $102,573 | +279% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $387,339 | $240,150 | $274,467 | +41% | $125,242 | +209% | — |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $386,312 | $239,513 | $275,203 | +40% | $113,855 | +239% | ≈28% of Medicare |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $384,880 | $238,626 | $95,155 | +304% | $61,470 | +526% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $383,394 | $237,705 | $212,612 | +80% | $60,098 | +538% | — |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $383,366 | $237,687 | $201,894 | +90% | $112,062 | +242% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $371,650 | $230,423 | $66,817 | +456% | $93,172 | +299% | ≈38% of Medicare |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $370,693 | — | $34,291 | +981% | $18,316 | +1924% | — |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | $370,677 | $229,820 | $257,334 | +44% | $108,472 | +242% | — |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $368,384 | $228,398 | $54,937 | +571% | $78,852 | +367% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $367,098 | $227,601 | $50,532 | +626% | $51,953 | +607% | — |
| 326 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $366,673 | $227,337 | $73,489 | +399% | $80,793 | +354% | — |
| 012 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $362,863 | $224,975 | $338,732 | +7% | $79,836 | +355% | — |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $359,713 | $223,022 | $113,871 | +216% | $96,192 | +274% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $358,204 | $222,086 | $140,076 | +156% | $90,775 | +295% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $354,241 | $219,629 | $169,413 | +109% | $111,320 | +218% | ≈44% of Medicare |
| 653 | MAJOR BLADDER PROCEDURES WITH MCC | $353,086 | $218,913 | $171,771 | +106% | $104,583 | +238% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $349,168 | $216,484 | $66,989 | +421% | $59,533 | +487% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $348,459 | $216,045 | $91,440 | +281% | $88,307 | +295% | ≈34% of Medicare |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $346,450 | $214,799 | $84,324 | +311% | $67,268 | +415% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $346,113 | $214,590 | $38,043 | +810% | $41,620 | +732% | — |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $342,330 | $212,245 | $130,154 | +163% | $105,899 | +223% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $341,478 | $211,717 | $38,759 | +781% | $40,362 | +746% | — |
| 584 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $341,362 | $211,644 | $52,481 | +550% | $35,030 | +874% | — |
| 823 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC | $341,109 | $211,487 | $166,484 | +105% | $87,761 | +289% | — |
| 023 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR | $334,503 | $207,392 | $165,488 | +102% | $106,778 | +213% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $330,653 | $205,005 | $122,711 | +169% | $70,847 | +367% | ≈55% of Medicare |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $329,271 | $204,148 | $90,735 | +263% | $79,116 | +316% | — |
| 405 | PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC | $328,773 | $203,839 | $210,217 | +56% | $102,128 | +222% | — |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $327,326 | $202,942 | $127,723 | +156% | $19,132 | +1611% | — |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $327,292 | $202,921 | $312,852 | +5% | $77,055 | +325% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $327,268 | $202,906 | $86,544 | +278% | $84,692 | +286% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $325,508 | $201,815 | $122,370 | +166% | $82,561 | +294% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $325,330 | $201,705 | $102,620 | +217% | $62,821 | +418% | — |
| 656 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC | $324,609 | $201,258 | $97,437 | +233% | $65,608 | +395% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $323,867 | $200,797 | $110,896 | +192% | $70,467 | +360% | — |
| 021 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC | $323,713 | $200,702 | $246,999 | +31% | $106,057 | +205% | — |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $320,745 | $198,862 | $274,164 | +17% | $90,331 | +255% | — |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $316,257 | $196,080 | $237,283 | +33% | $115,839 | +173% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $313,453 | $194,341 | $67,452 | +365% | $88,050 | +256% | ≈40% of Medicare |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $309,331 | $191,785 | $149,625 | +107% | $63,928 | +384% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $309,252 | $191,736 | $150,741 | +105% | $66,666 | +364% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $308,218 | $191,095 | $92,771 | +232% | $46,402 | +564% | — |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $307,114 | $190,411 | $178,236 | +72% | $92,217 | +233% | ≈38% of Medicare |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $304,338 | $188,690 | $178,432 | +71% | $81,998 | +271% | — |
| 585 | BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC | $303,685 | $188,285 | $56,395 | +438% | $32,574 | +832% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $300,394 | $186,244 | $105,590 | +184% | $77,817 | +286% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $298,417 | $185,019 | $298,417 | +0% | $61,832 | +383% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $294,978 | $182,887 | $160,856 | +83% | $82,247 | +259% | ≈50% of Medicare |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $294,487 | $182,582 | $95,436 | +209% | $61,872 | +376% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $294,214 | $182,413 | $74,070 | +297% | $66,685 | +341% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $292,699 | $181,474 | $67,871 | +331% | $76,001 | +285% | — |
| 040 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $286,317 | $177,516 | $107,210 | +167% | $74,257 | +286% | — |
| 427 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC | $286,246 | $177,473 | $286,246 | +0% | $132,794 | +116% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $283,388 | $175,701 | $151,112 | +88% | $53,864 | +426% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $281,879 | $174,765 | $112,373 | +151% | $90,195 | +213% | ≈34% of Medicare |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $280,985 | $174,211 | $157,841 | +78% | $70,371 | +299% | — |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $280,874 | $174,142 | $160,685 | +75% | $85,159 | +230% | ≈45% of Medicare |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $280,614 | $173,981 | $208,728 | +34% | $96,905 | +190% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $277,865 | $172,276 | $99,541 | +179% | $65,653 | +323% | ≈64% of Medicare |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $276,950 | $171,709 | $96,162 | +188% | $71,755 | +286% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $276,057 | $171,155 | $81,864 | +237% | $41,608 | +563% | — |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | $275,757 | $170,970 | $95,470 | +189% | $58,975 | +368% | — |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $274,493 | $170,185 | $38,216 | +618% | $52,178 | +426% | ≈71% of Medicare |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $273,389 | $169,501 | $69,243 | +295% | $58,228 | +370% | — |
| 533 | FRACTURES OF FEMUR WITH MCC | $272,833 | $169,157 | $72,401 | +277% | $25,945 | +952% | — |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $271,328 | $168,224 | $139,518 | +94% | $117,280 | +131% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $270,105 | $167,465 | $78,623 | +244% | $37,267 | +625% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC | $267,558 | $165,886 | $163,981 | +63% | $70,564 | +279% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $267,096 | $165,599 | $43,242 | +518% | $49,710 | +437% | ≈65% of Medicare |
| 026 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC | $266,110 | $164,988 | $48,760 | +446% | $64,523 | +312% | — |
| 582 | MASTECTOMY FOR MALIGNANCY WITH CC/MCC | $265,947 | $164,887 | $125,410 | +112% | $35,849 | +642% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $262,481 | $162,738 | $92,880 | +183% | $54,929 | +378% | ≈79% of Medicare |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $262,236 | $162,586 | $74,887 | +250% | $65,216 | +302% | — |
| 583 | MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC | $261,289 | $161,999 | $176,407 | +48% | $35,831 | +629% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $261,137 | $161,905 | $112,537 | +132% | $91,329 | +186% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $259,413 | $160,836 | $107,706 | +141% | $71,092 | +265% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $257,316 | $159,536 | $67,119 | +283% | $49,351 | +421% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $256,672 | $159,137 | $144,482 | +78% | $93,390 | +175% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $255,923 | $158,672 | $40,463 | +532% | $33,555 | +663% | — |
| 655 | MAJOR BLADDER PROCEDURES WITHOUT CC/MCC | $252,466 | $156,529 | $85,156 | +196% | $43,174 | +485% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $251,755 | $156,088 | $103,575 | +143% | $58,274 | +332% | — |
| 319 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC | $250,945 | $155,586 | $250,945 | +0% | $86,970 | +189% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $250,399 | $155,247 | $217,830 | +15% | $50,919 | +392% | — |
| 510 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $249,573 | $154,735 | $249,573 | +0% | $49,839 | +401% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $249,483 | $154,680 | $49,303 | +406% | $48,349 | +416% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $246,541 | $152,856 | $77,506 | +218% | $73,120 | +237% | — |
| 031 | VENTRICULAR SHUNT PROCEDURES WITH MCC | $245,526 | $152,226 | $245,526 | +0% | $72,962 | +237% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $243,725 | $151,109 | $73,390 | +232% | $68,508 | +256% | — |
| 323 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC | $243,579 | $151,019 | $117,913 | +107% | $101,510 | +140% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $243,245 | $150,812 | $74,652 | +226% | $54,583 | +346% | — |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $242,180 | $150,152 | $72,825 | +233% | $30,418 | +696% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $242,139 | $150,126 | $209,116 | +16% | $90,724 | +167% | — |
| 579 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $240,114 | $148,871 | $156,459 | +53% | $58,745 | +309% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $238,243 | $147,711 | $74,137 | +221% | $58,707 | +306% | — |
| 263 | VEIN LIGATION AND STRIPPING | $238,129 | $147,640 | $103,068 | +131% | $51,253 | +365% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $237,980 | $147,547 | $132,947 | +79% | $71,014 | +235% | — |
| 922 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $237,969 | $147,541 | $61,138 | +289% | $31,563 | +654% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $237,698 | $147,373 | $23,112 | +928% | $24,586 | +867% | — |
| 013 | TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC | $236,745 | $146,782 | $208,104 | +14% | $48,687 | +386% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $234,418 | $145,339 | $77,879 | +201% | $75,573 | +210% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $234,133 | $145,163 | $177,248 | +32% | $74,755 | +213% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $230,649 | $143,003 | $67,092 | +244% | $68,653 | +236% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $228,065 | $141,400 | $45,228 | +404% | $59,537 | +283% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $227,808 | $141,241 | $128,979 | +77% | $47,583 | +379% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $227,454 | $141,022 | $189,608 | +20% | $72,424 | +214% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $226,746 | $140,583 | $175,556 | +29% | $76,219 | +197% | — |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $224,858 | $139,412 | $91,060 | +147% | $71,464 | +215% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $223,960 | $138,855 | $83,845 | +167% | $81,706 | +174% | ≈66% of Medicare |
| 799 | SPLENIC PROCEDURES WITH MCC | $223,094 | $138,318 | $204,792 | +9% | $82,218 | +171% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $222,034 | $137,661 | $55,229 | +302% | $65,788 | +238% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $221,406 | $137,272 | $65,383 | +239% | $66,068 | +235% | — |
| 625 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $220,832 | $136,916 | $170,924 | +29% | $59,031 | +274% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $219,197 | $135,902 | $99,897 | +119% | $65,325 | +236% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $219,043 | $135,807 | $72,502 | +202% | $58,280 | +276% | ≈90% of Medicare |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $218,171 | $135,266 | $67,316 | +224% | $50,139 | +335% | — |
| 746 | VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC | $215,208 | $133,429 | $98,338 | +119% | $29,916 | +619% | — |
| 813 | COAGULATION DISORDERS | $214,528 | $133,007 | $40,699 | +427% | $33,296 | +544% | ≈33% of Medicare |
| 628 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $214,157 | $132,778 | $76,350 | +180% | $71,795 | +198% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $213,843 | $132,582 | $119,003 | +80% | $34,276 | +524% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $213,731 | $132,513 | $52,334 | +308% | $44,139 | +384% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $212,905 | $132,001 | $66,179 | +222% | $53,257 | +300% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $211,065 | $130,860 | $132,625 | +59% | $34,906 | +505% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $209,542 | $129,916 | $92,980 | +125% | $45,866 | +357% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $208,267 | $129,125 | $114,100 | +83% | $55,162 | +278% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $207,440 | $128,613 | $58,674 | +254% | $43,491 | +377% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $207,243 | $128,490 | $67,860 | +205% | $52,751 | +293% | ≈89% of Medicare |
| 042 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $206,974 | $128,324 | $68,050 | +204% | $39,018 | +430% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $206,911 | $128,285 | $72,024 | +187% | $27,119 | +663% | — |
| 498 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC | $202,724 | $125,689 | $156,374 | +30% | $49,423 | +310% | — |
| 347 | ANAL AND STOMAL PROCEDURES WITH MCC | $202,622 | $125,626 | $88,030 | +130% | $40,548 | +400% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $202,258 | $125,400 | $202,258 | +0% | $43,913 | +361% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $201,812 | $125,124 | $59,979 | +236% | $45,877 | +340% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $201,285 | $124,797 | $112,254 | +79% | $57,454 | +250% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $200,636 | $124,394 | $40,359 | +397% | $39,973 | +402% | ≈79% of Medicare |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $199,612 | $123,759 | $118,201 | +69% | $55,289 | +261% | — |
| 570 | SKIN DEBRIDEMENT WITH MCC | $199,049 | $123,411 | $39,384 | +405% | $52,435 | +280% | — |
| 143 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $198,981 | $123,368 | $181,922 | +9% | $52,908 | +276% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $198,887 | $123,310 | $86,280 | +131% | $47,945 | +315% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $198,086 | $122,813 | $86,329 | +129% | $56,755 | +249% | ≈76% of Medicare |
| 511 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC | $197,223 | $122,278 | $71,163 | +177% | $43,538 | +353% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | $196,996 | $122,137 | $76,694 | +157% | $59,651 | +230% | ≈72% of Medicare |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $196,869 | $122,059 | $108,015 | +82% | $42,415 | +364% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $196,796 | $122,013 | $54,668 | +260% | $42,901 | +359% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $195,259 | $121,061 | $76,563 | +155% | $50,607 | +286% | ≈104% of Medicare |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $194,727 | $120,731 | $131,865 | +48% | $65,573 | +197% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $194,570 | $120,633 | $80,877 | +141% | $51,985 | +274% | — |
| 061 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $194,410 | $120,534 | $72,225 | +169% | $62,264 | +212% | — |
| 615 | ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC | $192,554 | $119,383 | $140,683 | +37% | $32,833 | +486% | — |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $191,766 | $118,895 | $87,106 | +120% | $103,455 | +85% | — |
| 353 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC | $191,024 | $118,435 | $86,056 | +122% | $60,170 | +217% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $189,914 | $117,746 | $60,972 | +211% | $50,624 | +275% | — |
| 325 | CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE | $188,232 | $116,704 | $78,056 | +141% | $61,217 | +207% | — |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $187,802 | $116,437 | $67,900 | +177% | $29,079 | +546% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $185,130 | $114,781 | $91,613 | +102% | $59,629 | +210% | — |
| 406 | PANCREAS LIVER AND SHUNT PROCEDURES WITH CC | $184,577 | $114,438 | $84,427 | +119% | $58,043 | +218% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $183,196 | $113,582 | $56,468 | +224% | $42,914 | +327% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $182,535 | $113,172 | $101,263 | +80% | $38,878 | +370% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $181,473 | $112,513 | $67,997 | +167% | $59,790 | +204% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $181,173 | $112,327 | $33,551 | +440% | $35,569 | +409% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $180,839 | $112,120 | $82,087 | +120% | $77,990 | +132% | — |
| 629 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $180,604 | $111,975 | $53,400 | +238% | $47,737 | +278% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $179,529 | $111,308 | $62,838 | +186% | $53,451 | +236% | ≈85% of Medicare |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $179,099 | $111,042 | $77,958 | +130% | $43,298 | +314% | — |
| 139 | SALIVARY GLAND PROCEDURES | $178,575 | $110,717 | $79,446 | +125% | $23,612 | +656% | — |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $178,429 | $110,626 | $50,588 | +253% | $34,937 | +411% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $177,955 | $110,332 | $48,619 | +266% | $28,202 | +531% | — |
| 135 | SINUS AND MASTOID PROCEDURES WITH CC/MCC | $177,298 | $109,925 | $34,487 | +414% | $42,186 | +320% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $177,080 | $109,790 | $177,080 | +0% | $68,639 | +158% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $176,589 | $109,485 | $36,741 | +381% | $36,489 | +384% | ≈79% of Medicare |
| 626 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $175,633 | $108,893 | $55,562 | +216% | $33,454 | +425% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $175,389 | $108,741 | $24,805 | +607% | $31,105 | +464% | ≈104% of Medicare |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $174,971 | $108,482 | $40,048 | +337% | $33,851 | +417% | — |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $173,300 | $107,446 | $78,741 | +120% | $38,998 | +344% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $173,069 | $107,303 | $99,021 | +75% | $59,500 | +191% | ≈87% of Medicare |
| 327 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $172,477 | $106,935 | $79,339 | +117% | $59,421 | +190% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $172,007 | $106,644 | $56,452 | +205% | $37,387 | +360% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $171,839 | $106,540 | $66,509 | +158% | $34,459 | +399% | — |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $170,964 | $105,998 | $14,865 | +1050% | $15,680 | +990% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $169,871 | $105,320 | $130,829 | +30% | $40,562 | +319% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $169,027 | $104,797 | $40,731 | +315% | $32,443 | +421% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $168,605 | $104,535 | $66,571 | +153% | $34,749 | +385% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH CC/MCC | $168,523 | $104,484 | $77,976 | +116% | $43,080 | +291% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC | $167,460 | $103,825 | $67,548 | +148% | $39,955 | +319% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $167,398 | $103,786 | $37,750 | +343% | $39,619 | +323% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $167,328 | $103,743 | $122,414 | +37% | $27,808 | +502% | — |
| 658 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | $165,770 | $102,777 | $51,978 | +219% | $36,253 | +357% | — |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $164,985 | $102,291 | $94,398 | +75% | $25,390 | +550% | — |
| 503 | FOOT PROCEDURES WITH MCC | $164,927 | $102,255 | $77,559 | +113% | $47,540 | +247% | — |
| 165 | MAJOR CHEST PROCEDURES WITHOUT CC/MCC | $164,082 | $101,731 | $118,045 | +39% | $46,340 | +254% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $163,998 | $101,679 | $163,998 | +0% | $54,562 | +201% | — |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $163,801 | $101,557 | $58,674 | +179% | $35,770 | +358% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $163,715 | $101,503 | $89,000 | +84% | $34,607 | +373% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $163,643 | $101,459 | $34,794 | +370% | $23,443 | +598% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $163,540 | $101,395 | $58,683 | +179% | $45,333 | +261% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $163,209 | $101,190 | $47,856 | +241% | $50,394 | +224% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $163,040 | $101,085 | $94,682 | +72% | $27,426 | +494% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $162,797 | $100,934 | $48,371 | +237% | $42,679 | +281% | — |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $162,120 | $100,515 | $121,088 | +34% | $47,789 | +239% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $161,949 | $100,409 | $78,344 | +107% | $50,463 | +221% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $159,777 | $99,062 | $49,985 | +220% | $43,477 | +268% | — |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $159,761 | $99,052 | $26,920 | +493% | $23,206 | +588% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $159,212 | $98,711 | $75,941 | +110% | $58,809 | +171% | ≈107% of Medicare |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $159,109 | $98,647 | $108,910 | +46% | $70,132 | +127% | ≈52% of Medicare |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $157,906 | $97,901 | $37,921 | +316% | $43,943 | +259% | ≈98% of Medicare |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $157,903 | $97,900 | $77,402 | +104% | $48,682 | +224% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $157,275 | $97,511 | $41,794 | +276% | $32,944 | +377% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $157,255 | $97,498 | $40,981 | +284% | $39,627 | +297% | — |
| 495 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC | $157,246 | $97,492 | $157,246 | +0% | $56,964 | +176% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $156,404 | $96,970 | $36,001 | +334% | $38,070 | +311% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $155,779 | $96,583 | $147,417 | +6% | $50,498 | +208% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $155,753 | $96,567 | $25,237 | +517% | $27,152 | +474% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $154,917 | $96,048 | $69,799 | +122% | $52,405 | +196% | ≈65% of Medicare |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $154,904 | $96,040 | $123,449 | +25% | $49,066 | +216% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $154,092 | $95,537 | $35,948 | +329% | $43,650 | +253% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC | $154,038 | $95,504 | $39,935 | +286% | $40,642 | +279% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $152,451 | $94,520 | $128,626 | +19% | $46,066 | +231% | — |
| 146 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC | $152,355 | $94,460 | $64,594 | +136% | $40,108 | +280% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $151,953 | $94,211 | $43,043 | +253% | $40,552 | +275% | — |
| 041 | PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $151,680 | $94,042 | $77,160 | +97% | $49,418 | +207% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $150,705 | $93,437 | $62,211 | +142% | $41,892 | +260% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $150,523 | $93,324 | $42,070 | +258% | $39,181 | +284% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $150,397 | $93,246 | $82,127 | +83% | $46,090 | +226% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $149,935 | $92,960 | $91,573 | +64% | $40,694 | +268% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $149,529 | $92,708 | $27,577 | +442% | $19,657 | +661% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $149,322 | $92,580 | $48,099 | +210% | $42,881 | +248% | — |
| 100 | SEIZURES WITH MCC | $148,640 | $92,157 | $38,042 | +291% | $35,481 | +319% | — |
| 504 | FOOT PROCEDURES WITH CC | $148,303 | $91,948 | $36,434 | +307% | $38,960 | +281% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $147,970 | $91,742 | $54,572 | +171% | $44,606 | +232% | ≈122% of Medicare |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $146,928 | $91,095 | $50,724 | +190% | $46,724 | +214% | — |
| 688 | KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC | $146,785 | $91,006 | $16,774 | +775% | $12,593 | +1066% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $146,611 | $90,899 | $55,499 | +164% | $39,958 | +267% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $146,555 | $90,864 | $46,529 | +215% | $37,169 | +294% | — |
| 738 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC | $146,300 | $90,706 | $136,082 | +8% | $33,674 | +334% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $146,045 | $90,548 | $47,033 | +211% | $26,618 | +449% | ≈174% of Medicare |
| 154 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC | $146,015 | $90,530 | $34,740 | +320% | $27,633 | +428% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $145,598 | $90,271 | $45,730 | +218% | $39,211 | +271% | — |
| 144 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC | $145,464 | $90,188 | $54,879 | +165% | $30,553 | +376% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC | $145,094 | $89,958 | $52,667 | +175% | $46,283 | +213% | ≈89% of Medicare |
| 513 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $144,964 | $89,878 | $30,729 | +372% | $33,424 | +334% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $144,799 | $89,776 | $51,963 | +179% | $40,162 | +261% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $144,594 | $89,648 | $144,594 | +0% | $51,746 | +179% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $142,751 | $88,506 | $117,456 | +22% | $36,167 | +295% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $142,393 | $88,283 | $45,779 | +211% | $36,431 | +291% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $141,934 | $87,999 | $36,255 | +291% | $33,633 | +322% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $141,815 | $87,926 | $72,755 | +95% | $37,844 | +275% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $141,645 | $87,820 | $68,906 | +106% | $38,836 | +265% | — |
| 709 | PENIS PROCEDURES WITH CC/MCC | $141,223 | $87,558 | $76,621 | +84% | $34,535 | +309% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $140,786 | $87,288 | $58,650 | +140% | $36,792 | +283% | ≈106% of Medicare |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $140,677 | $87,220 | $135,789 | +4% | $17,193 | +718% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $140,223 | $86,938 | $75,357 | +86% | $49,184 | +185% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $139,647 | $86,581 | $70,442 | +98% | $35,453 | +294% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $138,727 | $86,011 | $46,335 | +199% | $39,106 | +255% | ≈97% of Medicare |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $138,647 | $85,961 | $38,640 | +259% | $38,666 | +259% | ≈88% of Medicare |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $138,217 | $85,695 | $76,815 | +80% | $25,748 | +437% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $138,171 | $85,666 | $46,643 | +196% | $33,876 | +308% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $137,994 | $85,556 | $41,441 | +233% | $44,117 | +213% | ≈126% of Medicare |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $137,455 | $85,222 | $58,571 | +135% | $36,505 | +277% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $137,452 | $85,220 | $54,941 | +150% | $50,618 | +172% | — |
| 407 | PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $136,853 | $84,849 | $136,853 | +0% | $46,727 | +193% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $136,778 | $84,802 | $34,464 | +297% | $34,354 | +298% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $136,168 | $84,424 | $130,375 | +4% | $34,434 | +295% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC | $136,077 | $84,368 | $67,258 | +102% | $36,988 | +268% | — |
| 580 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $134,812 | $83,584 | $58,337 | +131% | $38,101 | +254% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC | $134,398 | $83,327 | $65,542 | +105% | $47,711 | +182% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $134,114 | $83,151 | $48,171 | +178% | $32,841 | +308% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $134,008 | $83,085 | $37,807 | +254% | $35,419 | +278% | — |
| 830 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC | $132,832 | $82,356 | $114,860 | +16% | $31,170 | +326% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $132,744 | $82,301 | $44,722 | +197% | $37,950 | +250% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $132,100 | $81,902 | $40,478 | +226% | $33,103 | +299% | — |
| 062 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $131,669 | $81,635 | $58,712 | +124% | $52,075 | +153% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $131,094 | $81,278 | $15,608 | +740% | $16,998 | +671% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $130,963 | $81,197 | $52,852 | +148% | $21,847 | +499% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $130,640 | $80,997 | $74,080 | +76% | $36,658 | +256% | ≈101% of Medicare |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $129,940 | $80,563 | $47,804 | +172% | $33,048 | +293% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $129,819 | $80,488 | $72,811 | +78% | $43,800 | +196% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $129,286 | $80,157 | $48,918 | +164% | $29,949 | +332% | — |
| 630 | OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC | $128,713 | $79,802 | $128,713 | +0% | $22,393 | +475% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $128,426 | $79,624 | $38,062 | +237% | $29,611 | +334% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $128,368 | $79,588 | $49,330 | +160% | $35,465 | +262% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $128,133 | $79,443 | $40,215 | +219% | $35,628 | +260% | ≈96% of Medicare |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $127,560 | $79,087 | $36,912 | +246% | $36,820 | +246% | — |
| 116 | INTRAOCULAR PROCEDURES WITH CC/MCC | $127,181 | $78,852 | $76,344 | +67% | $29,126 | +337% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $126,773 | $78,599 | $69,265 | +83% | $33,985 | +273% | — |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $126,737 | $78,577 | $95,703 | +32% | $22,557 | +462% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $126,408 | $78,373 | $55,209 | +129% | $40,213 | +214% | ≈92% of Medicare |
| 896 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $126,326 | $78,322 | $53,712 | +135% | $31,159 | +305% | — |
| 758 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC | $126,029 | $78,138 | $22,434 | +462% | $20,901 | +503% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $126,003 | $78,122 | $72,566 | +74% | $44,546 | +183% | — |
| 604 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $125,941 | $78,084 | $47,554 | +165% | $28,140 | +348% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $125,940 | $78,083 | $31,976 | +294% | $33,393 | +277% | — |
| 602 | CELLULITIS WITH MCC | $125,788 | $77,989 | $36,257 | +247% | $30,598 | +311% | ≈129% of Medicare |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $125,043 | $77,527 | $36,177 | +246% | $33,255 | +276% | — |
| 512 | SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC | $124,853 | $77,409 | $73,367 | +70% | $35,692 | +250% | — |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $124,578 | $77,238 | $112,005 | +11% | $35,584 | +250% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $124,400 | $77,128 | $65,100 | +91% | $32,451 | +283% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $123,719 | $76,706 | $75,930 | +63% | $50,046 | +147% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $123,267 | $76,426 | $34,009 | +262% | $31,017 | +297% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $123,136 | $76,344 | $89,704 | +37% | $43,631 | +182% | — |
| 557 | TENDONITIS MYOSITIS AND BURSITIS WITH MCC | $122,911 | $76,205 | $37,392 | +229% | $32,877 | +274% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $122,833 | $76,157 | $122,833 | +0% | $44,363 | +177% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $122,148 | $75,731 | $41,303 | +196% | $30,784 | +297% | — |
| 265 | AICD LEAD PROCEDURES | $121,677 | $75,440 | $121,677 | +0% | $63,171 | +93% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $121,323 | $75,220 | $25,593 | +374% | $23,283 | +421% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $120,791 | $74,890 | $51,075 | +136% | $37,842 | +219% | ≈108% of Medicare |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $120,184 | $74,514 | $120,184 | +0% | $36,445 | +230% | — |
| 581 | OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $120,112 | $74,470 | $29,013 | +314% | $26,932 | +346% | — |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $119,960 | $74,375 | $39,656 | +203% | $31,951 | +275% | ≈115% of Medicare |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $118,858 | $73,692 | $49,949 | +138% | $41,955 | +183% | — |
| 514 | HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $118,848 | $73,686 | $23,996 | +395% | $22,635 | +425% | — |
| 296 | CARDIAC ARREST UNEXPLAINED WITH MCC | $118,708 | $73,599 | $40,692 | +192% | $33,661 | +253% | — |
| 199 | PNEUMOTHORAX WITH MCC | $118,437 | $73,431 | $23,929 | +395% | $33,787 | +251% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $118,400 | $73,408 | $40,612 | +192% | $32,065 | +269% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $117,578 | $72,899 | $36,807 | +219% | $34,017 | +246% | — |
| 328 | STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $117,116 | $72,612 | $50,979 | +130% | $39,006 | +200% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $116,997 | $72,538 | $39,246 | +198% | $36,937 | +217% | — |
| 285 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC | $116,793 | $72,412 | $63,637 | +84% | $10,480 | +1014% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $116,768 | $72,396 | $55,622 | +110% | $30,557 | +282% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $116,287 | $72,098 | $38,428 | +203% | $33,386 | +248% | — |
| 562 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC | $116,280 | $72,093 | $50,020 | +132% | $29,743 | +291% | — |
| 063 | ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $116,145 | $72,010 | $66,511 | +75% | $39,887 | +191% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $116,089 | $71,975 | $37,743 | +208% | $29,524 | +293% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $116,059 | $71,956 | $34,718 | +234% | $29,221 | +297% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $115,721 | $71,747 | $39,000 | +197% | $30,083 | +285% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $115,301 | $71,487 | $31,011 | +272% | $25,094 | +359% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $114,914 | $71,246 | $45,307 | +154% | $34,273 | +235% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $114,670 | $71,096 | $104,839 | +9% | $39,173 | +193% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $114,173 | $70,787 | $36,911 | +209% | $29,805 | +283% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $114,139 | $70,766 | $41,123 | +178% | $27,947 | +308% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $113,204 | $70,186 | $28,217 | +301% | $32,859 | +245% | — |
| 744 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $112,548 | $69,780 | $44,033 | +156% | $38,861 | +190% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $112,415 | $69,697 | $32,876 | +242% | $32,496 | +246% | ≈111% of Medicare |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $112,267 | $69,605 | $90,897 | +24% | $39,515 | +184% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $111,567 | $69,172 | $25,299 | +341% | $23,571 | +373% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $111,376 | $69,053 | $23,560 | +373% | $16,565 | +572% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $110,379 | $68,435 | $22,503 | +391% | $27,316 | +304% | ≈126% of Medicare |
| 712 | TESTES PROCEDURES WITHOUT CC/MCC | $109,674 | $67,998 | $100,041 | +10% | $18,898 | +480% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $109,622 | $67,966 | $38,133 | +187% | $28,320 | +287% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $109,273 | $67,749 | $36,414 | +200% | $26,870 | +307% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $109,043 | $67,607 | $30,412 | +259% | $33,563 | +225% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $108,833 | $67,477 | $46,010 | +137% | $39,020 | +179% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $108,275 | $67,131 | $53,587 | +102% | $27,394 | +295% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $107,643 | $66,739 | $21,902 | +391% | $26,051 | +313% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $107,505 | $66,653 | $44,066 | +144% | $32,628 | +229% | — |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $107,477 | $66,636 | $65,518 | +64% | $11,997 | +796% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $107,314 | $66,535 | $59,510 | +80% | $27,861 | +285% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $106,892 | $66,273 | $63,996 | +67% | $19,962 | +435% | — |
| 722 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC | $106,504 | $66,033 | $78,010 | +37% | $29,826 | +257% | — |
| 559 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $106,463 | $66,007 | $26,123 | +308% | $33,047 | +222% | — |
| 713 | TRANSURETHRAL PROSTATECTOMY WITH CC/MCC | $106,343 | $65,933 | $57,943 | +84% | $32,100 | +231% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $105,981 | $65,708 | $48,975 | +116% | $46,295 | +129% | — |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $105,797 | $65,594 | $77,326 | +37% | $24,941 | +324% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC | $105,346 | $65,314 | $36,515 | +189% | $30,828 | +242% | ≈118% of Medicare |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $104,919 | $65,049 | $24,931 | +321% | $20,084 | +422% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $104,767 | $64,956 | $30,980 | +238% | $31,264 | +235% | ≈140% of Medicare |
| 913 | TRAUMATIC INJURY WITH MCC | $104,512 | $64,797 | $52,261 | +100% | $24,198 | +332% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $104,304 | $64,668 | $34,934 | +199% | $27,843 | +275% | — |
| 539 | OSTEOMYELITIS WITH MCC | $104,198 | $64,602 | $54,560 | +91% | $37,609 | +177% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $103,389 | $64,101 | $29,184 | +254% | $34,192 | +202% | ≈116% of Medicare |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $102,963 | $63,837 | $43,429 | +137% | $35,074 | +194% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $102,790 | $63,730 | $102,790 | +0% | $41,591 | +147% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $101,330 | $62,825 | $95,948 | +6% | $20,616 | +392% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $101,222 | $62,758 | $24,065 | +321% | $19,846 | +410% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $101,061 | $62,658 | $50,519 | +100% | $24,944 | +305% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $100,694 | $62,430 | $38,347 | +163% | $33,707 | +199% | ≈115% of Medicare |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $100,100 | $62,062 | $46,875 | +114% | $38,094 | +163% | — |
| 422 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC | $99,644 | $61,779 | $75,802 | +31% | $25,073 | +297% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $99,149 | $61,472 | $28,022 | +254% | $20,727 | +378% | — |
| 885 | PSYCHOSES | $98,770 | $61,238 | $24,971 | +296% | $21,729 | +355% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $97,921 | $60,711 | $45,987 | +113% | $27,285 | +259% | ≈133% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $97,736 | $60,597 | $27,953 | +250% | $28,156 | +247% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $97,668 | $60,554 | $73,806 | +32% | $51,608 | +89% | — |
| 540 | OSTEOMYELITIS WITH CC | $97,645 | $60,540 | $18,888 | +417% | $26,676 | +266% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $97,590 | $60,506 | $38,270 | +155% | $32,637 | +199% | ≈111% of Medicare |
| 682 | RENAL FAILURE WITH MCC | $96,977 | $60,126 | $32,015 | +203% | $29,064 | +234% | ≈124% of Medicare |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $96,904 | $60,081 | $27,678 | +250% | $30,502 | +218% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $96,476 | $59,815 | $48,687 | +98% | $24,056 | +301% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $96,332 | $59,726 | $49,133 | +96% | $29,933 | +222% | ≈114% of Medicare |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $95,928 | $59,476 | $34,113 | +181% | $20,911 | +359% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $95,642 | $59,298 | $42,094 | +127% | $30,235 | +216% | — |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $95,259 | $59,061 | $95,259 | +0% | $24,550 | +288% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $95,082 | $58,951 | $33,084 | +187% | $33,834 | +181% | — |
| 747 | VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $94,592 | $58,647 | $60,102 | +57% | $19,594 | +383% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $94,236 | $58,426 | $53,331 | +77% | $50,011 | +88% | ≈81% of Medicare |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $93,579 | $58,019 | $32,308 | +190% | $28,226 | +232% | ≈111% of Medicare |
| 114 | ORBITAL PROCEDURES WITHOUT CC/MCC | $92,266 | $57,205 | $92,266 | +0% | $19,598 | +371% | — |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $92,156 | $57,137 | $92,156 | +0% | $24,544 | +275% | — |
| 723 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC | $91,925 | $56,994 | $25,069 | +267% | $19,815 | +364% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $91,842 | $56,942 | $26,786 | +243% | $23,319 | +294% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $91,620 | $56,804 | $61,265 | +50% | $36,354 | +152% | — |
| 754 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC | $91,561 | $56,768 | $34,177 | +168% | $32,433 | +182% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $90,745 | $56,262 | $31,179 | +191% | $27,043 | +236% | ≈154% of Medicare |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $90,647 | $56,201 | $29,841 | +204% | $19,264 | +371% | — |
| 606 | MINOR SKIN DISORDERS WITH MCC | $89,767 | $55,656 | $30,367 | +196% | $27,975 | +221% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $88,657 | $54,967 | $31,485 | +182% | $22,458 | +295% | — |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $88,555 | $54,904 | $61,111 | +45% | $26,463 | +235% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $88,508 | $54,875 | $22,943 | +286% | $18,126 | +388% | — |
| 088 | CONCUSSION WITH MCC | $88,482 | $54,859 | $49,394 | +79% | $24,402 | +263% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $88,397 | $54,806 | $29,540 | +199% | $27,543 | +221% | ≈144% of Medicare |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $88,366 | $54,787 | $38,853 | +127% | $30,959 | +185% | ≈157% of Medicare |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $88,094 | $54,618 | $33,227 | +165% | $30,010 | +194% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $87,144 | $54,029 | $34,471 | +153% | $33,653 | +159% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $87,027 | $53,957 | $46,197 | +88% | $27,617 | +215% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $86,631 | $53,711 | $50,848 | +70% | $25,652 | +238% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $86,543 | $53,656 | $20,317 | +326% | $20,247 | +327% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $86,525 | $53,646 | $24,651 | +251% | $25,970 | +233% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $86,399 | $53,567 | $35,509 | +143% | $27,277 | +217% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $86,017 | $53,331 | $27,270 | +215% | $26,776 | +221% | ≈151% of Medicare |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $85,538 | $53,034 | $79,923 | +7% | $32,031 | +167% | — |
| 865 | VIRAL ILLNESS WITH MCC | $85,393 | $52,944 | $36,697 | +133% | $26,910 | +217% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $85,040 | $52,725 | $20,087 | +323% | $18,466 | +361% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $83,485 | $51,761 | $27,008 | +209% | $26,682 | +213% | ≈65% of Medicare |
| 770 | ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY | $82,376 | $51,073 | $32,570 | +153% | $18,956 | +335% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $81,559 | $50,566 | $81,559 | +0% | $38,343 | +113% | — |
| 304 | HYPERTENSION WITH MCC | $81,530 | $50,548 | $35,870 | +127% | $26,080 | +213% | ≈165% of Medicare |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $80,917 | $50,169 | $26,532 | +205% | $24,914 | +225% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $80,892 | $50,153 | $51,841 | +56% | $15,549 | +420% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $80,648 | $50,002 | $24,729 | +226% | $26,580 | +203% | ≈151% of Medicare |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC | $79,872 | $49,521 | $28,486 | +180% | $32,021 | +149% | ≈190% of Medicare |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC | $79,793 | $49,472 | $39,276 | +103% | $25,463 | +213% | ≈160% of Medicare |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $79,620 | $49,364 | $72,824 | +9% | $31,300 | +154% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $79,522 | $49,303 | $79,522 | +0% | $42,126 | +89% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $79,012 | $48,987 | $40,440 | +95% | $24,552 | +222% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $78,526 | $48,686 | $31,186 | +152% | $22,763 | +245% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $78,380 | $48,596 | $31,820 | +146% | $25,034 | +213% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $78,351 | $48,577 | $49,728 | +58% | $17,698 | +343% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $78,262 | $48,522 | $25,997 | +201% | $23,551 | +232% | ≈193% of Medicare |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $78,129 | $48,440 | $20,219 | +286% | $18,649 | +319% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $77,528 | $48,067 | $21,963 | +253% | $27,401 | +183% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $77,373 | $47,971 | $71,179 | +9% | $23,498 | +229% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $77,272 | $47,908 | $26,398 | +193% | $23,573 | +228% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $77,205 | $47,867 | $33,537 | +130% | $22,033 | +250% | — |
| 627 | THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC | $77,120 | $47,815 | $62,207 | +24% | $28,125 | +174% | — |
| 145 | OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC | $76,639 | $47,516 | $76,639 | +0% | $25,712 | +198% | — |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $76,586 | $47,483 | $27,067 | +183% | $23,488 | +226% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $76,173 | $47,227 | $26,094 | +192% | $26,770 | +185% | ≈152% of Medicare |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $76,115 | $47,191 | $30,957 | +146% | $23,940 | +218% | ≈220% of Medicare |
| 302 | ATHEROSCLEROSIS WITH MCC | $76,037 | $47,143 | $35,347 | +115% | $22,446 | +239% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $76,031 | $47,139 | $27,167 | +180% | $27,275 | +179% | ≈140% of Medicare |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $75,754 | $46,968 | $34,893 | +117% | $23,617 | +221% | ≈177% of Medicare |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $75,321 | $46,699 | $31,428 | +140% | $36,249 | +108% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $75,144 | $46,589 | $42,047 | +79% | $32,645 | +130% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $75,133 | $46,583 | $64,704 | +16% | $27,989 | +168% | — |
| 138 | MOUTH PROCEDURES WITHOUT CC/MCC | $74,760 | $46,351 | $46,207 | +62% | $19,119 | +291% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $74,639 | $46,276 | $36,099 | +107% | $30,571 | +144% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $74,568 | $46,232 | $25,598 | +191% | $24,177 | +208% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $74,506 | $46,194 | $28,401 | +162% | $20,566 | +262% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $74,489 | $46,183 | $74,489 | +0% | $32,697 | +128% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $74,345 | $46,094 | $44,272 | +68% | $26,598 | +180% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC | $74,036 | $45,902 | $28,208 | +162% | $20,463 | +262% | ≈214% of Medicare |
| 151 | EPISTAXIS WITHOUT MCC | $73,497 | $45,568 | $15,177 | +384% | $13,032 | +464% | — |
| 391 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $73,494 | $45,566 | $30,100 | +144% | $28,050 | +162% | ≈165% of Medicare |
| 755 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC | $73,297 | $45,444 | $21,633 | +239% | $18,459 | +297% | — |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $73,164 | $45,362 | $31,520 | +132% | $25,279 | +189% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC | $72,800 | $45,136 | $72,800 | +0% | $25,581 | +185% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $72,713 | $45,082 | $29,947 | +143% | $21,449 | +239% | — |
| 007 | LUNG TRANSPLANT | $72,369 | $44,869 | $83,402 | −13% | $170,608 | −58% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $71,799 | $44,515 | $38,735 | +85% | $23,141 | +210% | ≈193% of Medicare |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $71,782 | $44,505 | $30,600 | +135% | $22,468 | +219% | — |
| 637 | DIABETES WITH MCC | $71,545 | $44,358 | $34,156 | +109% | $30,100 | +138% | ≈123% of Medicare |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $71,391 | $44,262 | $57,278 | +25% | $20,455 | +249% | — |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $71,220 | $44,156 | $71,220 | +0% | $20,980 | +239% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $71,084 | $44,072 | $34,322 | +107% | $31,321 | +127% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $70,368 | $43,628 | $39,013 | +80% | $27,163 | +159% | — |
| 693 | URINARY STONES WITH MCC | $70,283 | $43,575 | $47,160 | +49% | $23,892 | +194% | — |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $70,205 | $43,527 | $26,962 | +160% | $19,924 | +252% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $70,082 | $43,451 | $27,746 | +153% | $18,452 | +280% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC | $70,070 | $43,443 | $28,478 | +146% | $19,227 | +264% | — |
| 147 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC | $70,067 | $43,441 | $70,067 | +0% | $22,851 | +207% | — |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $70,002 | $43,401 | $32,835 | +113% | $19,569 | +258% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $69,938 | $43,362 | $36,145 | +93% | $22,148 | +216% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $69,629 | $43,170 | $28,561 | +144% | $22,850 | +205% | ≈193% of Medicare |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $69,596 | $43,150 | $22,988 | +203% | $21,275 | +227% | ≈208% of Medicare |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $69,506 | $43,094 | $33,736 | +106% | $20,232 | +244% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $69,446 | $43,057 | $26,886 | +158% | $17,700 | +292% | — |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $69,410 | $43,034 | $25,661 | +170% | $22,506 | +208% | ≈188% of Medicare |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $69,361 | $43,004 | $22,534 | +208% | $22,024 | +215% | ≈201% of Medicare |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $68,755 | $42,628 | $68,755 | +0% | $34,598 | +99% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $67,961 | $42,136 | $32,045 | +112% | $22,098 | +208% | ≈199% of Medicare |
| 592 | SKIN ULCERS WITH MCC | $67,459 | $41,824 | $35,156 | +92% | $33,246 | +103% | — |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $66,780 | $41,404 | $14,209 | +370% | $18,150 | +268% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $66,740 | $41,379 | $27,574 | +142% | $20,181 | +231% | ≈217% of Medicare |
| 757 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC | $66,559 | $41,267 | $52,865 | +26% | $26,280 | +153% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $66,340 | $41,131 | $42,379 | +57% | $20,259 | +227% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $66,132 | $41,002 | $22,258 | +197% | $15,837 | +318% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $65,613 | $40,680 | $30,123 | +118% | $21,894 | +200% | — |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $64,935 | $40,260 | $38,124 | +70% | $36,670 | +77% | — |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $64,773 | $40,159 | $64,773 | +0% | $33,694 | +92% | — |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $64,158 | $39,778 | $64,158 | +0% | $31,134 | +106% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $63,780 | $39,544 | $55,274 | +15% | $17,559 | +263% | — |
| 593 | SKIN ULCERS WITH CC | $63,659 | $39,469 | $30,584 | +108% | $22,886 | +178% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $63,533 | $39,391 | $27,603 | +130% | $23,749 | +168% | ≈183% of Medicare |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $63,446 | $39,337 | $22,832 | +178% | $22,888 | +177% | ≈199% of Medicare |
| 507 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC | $63,322 | $39,259 | $36,202 | +75% | $37,240 | +70% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $63,116 | $39,132 | $27,435 | +130% | $22,432 | +181% | ≈246% of Medicare |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $62,882 | $38,987 | $27,570 | +128% | $18,002 | +249% | ≈256% of Medicare |
| 292 | HEART FAILURE AND SHOCK WITH CC | $62,309 | $38,631 | $14,009 | +345% | $16,371 | +281% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $61,938 | $38,402 | $26,885 | +130% | $17,620 | +252% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $61,847 | $38,345 | $20,809 | +197% | $15,183 | +307% | — |
| 200 | PNEUMOTHORAX WITH CC | $61,645 | $38,220 | $28,074 | +120% | $21,368 | +188% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $61,531 | $38,149 | $20,915 | +194% | $21,363 | +188% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $61,276 | $37,991 | $33,424 | +83% | $20,422 | +200% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $61,148 | $37,912 | $45,775 | +34% | $27,297 | +124% | — |
| 605 | TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $61,126 | $37,898 | $34,431 | +78% | $20,506 | +198% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $60,565 | $37,550 | $26,249 | +131% | $20,488 | +196% | ≈226% of Medicare |
| 284 | ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC | $60,427 | $37,465 | $43,145 | +40% | $16,450 | +267% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $60,426 | $37,464 | $30,441 | +99% | $25,700 | +135% | — |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $59,969 | $37,181 | $59,969 | +0% | $11,847 | +406% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $59,784 | $37,066 | $23,563 | +154% | $24,127 | +148% | — |
| 187 | PLEURAL EFFUSION WITH CC | $59,691 | $37,009 | $27,686 | +116% | $21,789 | +174% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $59,667 | $36,994 | $22,872 | +161% | $16,767 | +256% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $59,445 | $36,856 | $23,602 | +152% | $21,396 | +178% | ≈214% of Medicare |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $59,149 | $36,672 | $35,613 | +66% | $25,303 | +134% | — |
| 197 | INTERSTITIAL LUNG DISEASE WITH CC | $58,810 | $36,462 | $23,570 | +150% | $21,941 | +168% | — |
| 123 | NEUROLOGICAL EYE DISORDERS | $58,601 | $36,333 | $20,741 | +183% | $19,745 | +197% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $58,384 | $36,198 | $31,828 | +83% | $16,520 | +253% | — |
| 537 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC | $58,302 | $36,147 | $45,455 | +28% | $18,072 | +223% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $58,286 | $36,137 | $29,017 | +101% | $18,640 | +213% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $58,263 | $36,123 | $26,209 | +122% | $23,198 | +151% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $58,085 | $36,013 | $22,477 | +158% | $20,957 | +177% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $56,995 | $35,337 | $34,012 | +68% | $19,854 | +187% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $56,690 | $35,148 | $23,926 | +137% | $24,386 | +132% | ≈192% of Medicare |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $56,367 | $34,947 | $24,724 | +128% | $12,229 | +361% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $56,268 | $34,886 | $23,962 | +135% | $20,895 | +169% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $56,074 | $34,766 | $16,866 | +232% | $18,004 | +211% | — |
| 923 | OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $56,017 | $34,731 | $17,707 | +216% | $17,601 | +218% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $55,950 | $34,689 | $21,603 | +159% | $15,855 | +253% | — |
| 935 | NON-EXTENSIVE BURNS | $55,895 | $34,655 | $39,987 | +40% | $31,701 | +76% | — |
| 076 | VIRAL MENINGITIS WITHOUT CC/MCC | $55,612 | $34,479 | $18,082 | +208% | $17,135 | +225% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $55,517 | $34,421 | $25,651 | +116% | $17,733 | +213% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $55,422 | $34,362 | $27,961 | +98% | $18,081 | +207% | ≈260% of Medicare |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $55,307 | $34,291 | $33,475 | +65% | $13,633 | +306% | — |
| 563 | FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC | $55,287 | $34,278 | $39,273 | +41% | $19,842 | +179% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $55,077 | $34,148 | $12,794 | +330% | $13,651 | +303% | — |
| 101 | SEIZURES WITHOUT MCC | $54,740 | $33,939 | $24,167 | +127% | $20,461 | +168% | ≈216% of Medicare |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $54,618 | $33,863 | $28,128 | +94% | $19,305 | +183% | — |
| 881 | DEPRESSIVE NEUROSES | $53,741 | $33,319 | $19,989 | +169% | $15,058 | +257% | — |
| 683 | RENAL FAILURE WITH CC | $53,354 | $33,079 | $25,886 | +106% | $19,130 | +179% | ≈187% of Medicare |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $52,969 | $32,841 | $21,905 | +142% | $20,781 | +155% | — |
| 848 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $52,293 | $32,422 | $39,446 | +33% | $14,501 | +261% | — |
| 603 | CELLULITIS WITHOUT MCC | $51,872 | $32,161 | $17,643 | +194% | $18,530 | +180% | ≈238% of Medicare |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $51,870 | $32,160 | $41,637 | +25% | $19,073 | +172% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $51,677 | $32,040 | $16,819 | +207% | $17,674 | +192% | ≈236% of Medicare |
| 745 | D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC | $51,342 | $31,832 | $51,342 | +0% | $18,348 | +180% | — |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $50,382 | $31,237 | $28,953 | +74% | $19,037 | +165% | — |
| 638 | DIABETES WITH CC | $50,360 | $31,223 | $20,282 | +148% | $19,661 | +156% | ≈222% of Medicare |
| 789 | NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $50,158 | $31,098 | $28,026 | +79% | $16,351 | +207% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $49,895 | $30,935 | $20,643 | +142% | $12,999 | +284% | — |
| 312 | SYNCOPE AND COLLAPSE | $49,104 | $30,445 | $28,263 | +74% | $19,342 | +154% | ≈202% of Medicare |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $49,001 | $30,380 | $44,098 | +11% | $16,776 | +192% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $48,972 | $30,363 | $23,114 | +112% | $14,209 | +245% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $48,844 | $30,283 | $17,082 | +186% | $15,370 | +218% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $48,803 | $30,258 | $48,803 | +0% | $22,525 | +117% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $48,770 | $30,237 | $35,526 | +37% | $18,126 | +169% | — |
| 103 | HEADACHES WITHOUT MCC | $48,726 | $30,210 | $29,873 | +63% | $21,280 | +129% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $48,586 | $30,123 | $14,485 | +235% | $14,053 | +246% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $48,251 | $29,916 | $18,465 | +161% | $17,081 | +182% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $48,058 | $29,796 | $24,910 | +93% | $18,807 | +156% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $48,056 | $29,795 | $20,760 | +131% | $17,921 | +168% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $48,051 | $29,792 | $30,347 | +58% | $17,226 | +179% | — |
| 155 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC | $47,768 | $29,616 | $35,313 | +35% | $16,968 | +182% | — |
| 121 | ACUTE MAJOR EYE INFECTIONS WITH CC/MCC | $47,663 | $29,551 | $18,291 | +161% | $19,412 | +146% | — |
| 089 | CONCUSSION WITH CC | $47,577 | $29,498 | $47,577 | +0% | $18,821 | +153% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $47,332 | $29,346 | $35,009 | +35% | $21,056 | +125% | ≈234% of Medicare |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $47,241 | $29,289 | $16,547 | +185% | $17,303 | +173% | ≈246% of Medicare |
| 538 | SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC | $47,125 | $29,217 | $36,209 | +30% | $11,909 | +296% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $46,598 | $28,891 | $24,449 | +91% | $19,096 | +144% | ≈246% of Medicare |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $46,526 | $28,846 | $24,638 | +89% | $18,528 | +151% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $46,519 | $28,842 | $24,435 | +90% | $14,716 | +216% | — |
| 697 | URETHRAL STRICTURE | $46,477 | $28,816 | $46,477 | +0% | $18,428 | +152% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $46,476 | $28,815 | $18,753 | +148% | $16,846 | +176% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $46,444 | $28,795 | $26,043 | +78% | $15,428 | +201% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | $46,406 | $28,772 | $16,049 | +189% | $17,038 | +172% | ≈255% of Medicare |
| 718 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC | $46,042 | $28,546 | $46,042 | +0% | $19,270 | +139% | — |
| 392 | ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $45,618 | $28,283 | $22,449 | +103% | $17,322 | +163% | ≈239% of Medicare |
| 558 | TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC | $45,534 | $28,231 | $19,030 | +139% | $18,602 | +145% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $45,504 | $28,213 | $18,641 | +144% | $18,488 | +146% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $45,382 | $28,137 | $26,493 | +71% | $18,204 | +149% | ≈251% of Medicare |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $45,175 | $28,009 | $24,303 | +86% | $12,559 | +260% | — |
| 305 | HYPERTENSION WITHOUT MCC | $44,930 | $27,857 | $21,108 | +113% | $18,086 | +148% | ≈228% of Medicare |
| 897 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $44,646 | $27,680 | $16,602 | +169% | $16,699 | +167% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $44,467 | $27,569 | $25,128 | +77% | $17,298 | +157% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $43,829 | $27,174 | $21,921 | +100% | $17,578 | +149% | ≈243% of Medicare |
| 950 | AFTERCARE WITHOUT CC/MCC | $43,355 | $26,880 | $40,992 | +6% | $13,527 | +220% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $43,246 | $26,813 | $13,652 | +217% | $13,275 | +226% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $42,890 | $26,592 | $24,167 | +77% | $15,889 | +170% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $42,813 | $26,544 | $19,012 | +125% | $14,797 | +189% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $42,767 | $26,516 | $26,466 | +62% | $15,038 | +184% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $42,378 | $26,274 | $15,792 | +168% | $13,942 | +204% | — |
| 725 | BENIGN PROSTATIC HYPERTROPHY WITH MCC | $42,191 | $26,159 | $40,099 | +5% | $22,320 | +89% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $41,827 | $25,933 | $23,178 | +80% | $18,133 | +131% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $41,721 | $25,867 | $15,702 | +166% | $14,128 | +195% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $41,534 | $25,751 | $19,153 | +117% | $15,019 | +177% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $41,057 | $25,455 | $26,772 | +53% | $20,926 | +96% | — |
| 694 | URINARY STONES WITHOUT MCC | $40,739 | $25,258 | $22,651 | +80% | $17,345 | +135% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $40,684 | $25,224 | $40,684 | +0% | $16,700 | +144% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $40,556 | $25,145 | $29,170 | +39% | $15,600 | +160% | — |
| 156 | OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $40,497 | $25,108 | $25,986 | +56% | $14,549 | +178% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $40,215 | $24,933 | $18,755 | +114% | $14,583 | +176% | — |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $39,589 | $24,545 | $39,589 | +0% | $40,365 | −2% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $39,377 | $24,414 | $20,289 | +94% | $17,724 | +122% | ≈210% of Medicare |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $39,098 | $24,241 | $22,957 | +70% | $15,452 | +153% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $39,062 | $24,218 | $24,303 | +61% | $17,118 | +128% | — |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $38,765 | $24,034 | $38,765 | +0% | $30,447 | +27% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $38,618 | $23,943 | $21,817 | +77% | $16,288 | +137% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $38,474 | $23,854 | $16,678 | +131% | $14,648 | +163% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $38,253 | $23,717 | $28,352 | +35% | $24,566 | +56% | — |
| 313 | CHEST PAIN | $38,239 | $23,708 | $21,597 | +77% | $16,440 | +133% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $37,556 | $23,285 | $37,556 | +0% | $17,124 | +119% | — |
| 148 | EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $37,504 | $23,253 | $37,504 | +0% | $13,586 | +176% | — |
| 759 | INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $37,465 | $23,228 | $25,400 | +48% | $14,250 | +163% | — |
| 149 | DYSEQUILIBRIUM | $37,458 | $23,224 | $32,411 | +16% | $18,096 | +107% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $37,431 | $23,207 | $14,924 | +151% | $14,368 | +161% | — |
| 311 | ANGINA PECTORIS | $37,422 | $23,202 | $35,368 | +6% | $15,502 | +141% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $37,116 | $23,012 | $18,634 | +99% | $14,927 | +149% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $37,106 | $23,006 | $16,800 | +121% | $14,415 | +157% | — |
| 976 | HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC | $37,028 | $22,957 | $37,028 | +0% | $16,212 | +128% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $36,941 | $22,903 | $15,427 | +139% | $12,460 | +196% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $36,548 | $22,660 | $21,832 | +67% | $16,634 | +120% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $36,441 | $22,593 | $14,635 | +149% | $12,454 | +193% | — |
| 756 | MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $35,898 | $22,257 | $35,219 | +2% | $15,589 | +130% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $35,661 | $22,110 | $14,416 | +147% | $13,642 | +161% | — |
| 102 | HEADACHES WITH MCC | $35,629 | $22,090 | $35,629 | +0% | $25,740 | +38% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $34,935 | $21,659 | $12,347 | +183% | $12,078 | +189% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $34,351 | $21,297 | $14,309 | +140% | $13,361 | +157% | ≈346% of Medicare |
| 894 | ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA | $33,878 | $21,004 | $25,524 | +33% | $12,324 | +175% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $33,036 | $20,483 | $20,830 | +59% | $11,421 | +189% | — |
| 639 | DIABETES WITHOUT CC/MCC | $32,748 | $20,304 | $18,483 | +77% | $13,910 | +135% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $32,588 | $20,205 | $17,493 | +86% | $14,689 | +122% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $31,383 | $19,458 | $21,696 | +45% | $14,638 | +114% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $30,521 | $18,923 | $14,635 | +109% | $13,384 | +128% | ≈372% of Medicare |
| 090 | CONCUSSION WITHOUT CC/MCC | $30,305 | $18,789 | $30,305 | +0% | $15,412 | +97% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $30,243 | $18,751 | $14,397 | +110% | $10,160 | +198% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $29,828 | $18,493 | $11,029 | +170% | $13,824 | +116% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $29,699 | $18,413 | $14,781 | +101% | $12,895 | +130% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $28,214 | $17,493 | $28,214 | +0% | $16,552 | +70% | — |
| 150 | EPISTAXIS WITH MCC | $28,164 | $17,462 | $28,164 | +0% | $23,171 | +22% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $25,800 | $15,996 | $10,317 | +150% | $9,940 | +160% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $25,766 | $15,975 | $25,766 | +0% | $14,014 | +84% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $25,757 | $15,969 | $18,488 | +39% | $14,514 | +77% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $23,322 | $14,459 | $23,322 | +0% | $11,071 | +111% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $21,479 | $13,317 | $14,744 | +46% | $12,252 | +75% | — |
| 779 | ABORTION WITHOUT D&C | $21,033 | $13,040 | $19,258 | +9% | $15,327 | +37% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $20,798 | $12,895 | $12,288 | +69% | $10,975 | +90% | — |
| 949 | AFTERCARE WITH CC/MCC | $20,718 | $12,845 | $20,718 | +0% | $23,953 | −14% | — |
| 182 | RESPIRATORY NEOPLASMS WITHOUT CC/MCC | $19,484 | $12,080 | $19,484 | +0% | $14,064 | +39% | — |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $15,719 | $9,746 | $29,792 | −47% | $31,044 | −49% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,517 | $8,381 | $13,517 | +0% | $8,445 | +60% | — |
| 724 | MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $13,125 | $8,138 | $13,125 | +0% | $12,768 | +3% | — |
| 795 | NORMAL NEWBORN | $8,630 | $5,351 | $4,205 | +105% | $4,720 | +83% | — |
Procedures with negotiated rates only
These 70 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 |
|---|---|---|---|
| 008 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT | $6,041 – $334,414 · median $13,437 | 18 plans |
| 010 | PANCREAS TRANSPLANT | $6,041 – $189,124 · median $13,437 | 18 plans |
| 017 | AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC | $6,041 – $185,652 · median $13,437 | 18 plans |
| 945 | REHABILITATION WITH CC/MCC | $500 – $52,596 · median $11,474 | 18 plans |
| 946 | REHABILITATION WITHOUT CC/MCC | $500 – $39,420 · median $11,474 | 18 plans |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | $6,041 – $351,128 · median $12,678 | 17 plans |
| 019 | SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS | $6,041 – $334,414 · median $12,678 | 17 plans |
| 022 | INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC | $6,041 – $163,632 · median $12,678 | 17 plans |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $6,041 – $52,206 · median $12,678 | 17 plans |
| 136 | SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC | $6,041 – $42,502 · median $12,678 | 17 plans |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $6,041 – $81,478 · median $12,678 | 17 plans |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $6,041 – $55,323 · median $12,678 | 17 plans |
| 245 | AICD GENERATOR PROCEDURES | $6,041 – $178,897 · median $12,678 | 17 plans |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $6,041 – $70,855 · median $12,678 | 17 plans |
| 257 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC | $6,041 – $27,343 · median $12,678 | 17 plans |
| 258 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC | $6,041 – $106,184 · median $12,678 | 17 plans |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $6,041 – $38,783 · median $12,678 | 17 plans |
| 295 | DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC | $6,041 – $31,416 · median $10,269 | 17 plans |
| 297 | CARDIAC ARREST UNEXPLAINED WITH CC | $6,041 – $24,898 · median $10,269 | 17 plans |
| 298 | CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC | $6,041 – $24,898 · median $9,853 | 17 plans |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $6,041 – $86,279 · median $12,678 | 17 plans |
| 332 | RECTAL RESECTION WITH MCC | $6,041 – $143,692 · median $12,678 | 17 plans |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $6,041 – $25,607 · median $11,916 | 17 plans |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $6,041 – $110,511 · median $12,678 | 17 plans |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $6,041 – $126,478 · median $12,678 | 17 plans |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $6,041 – $81,462 · median $12,678 | 17 plans |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $6,041 – $59,078 · median $12,678 | 17 plans |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $6,041 – $44,379 · median $12,678 | 17 plans |
| 508 | MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC | $6,041 – $51,286 · median $12,678 | 17 plans |
| 509 | ARTHROSCOPY | $6,041 – $56,138 · median $12,678 | 17 plans |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $6,041 – $26,145 · median $11,970 | 17 plans |
| 548 | SEPTIC ARTHRITIS WITH MCC | $6,041 – $63,788 · median $12,678 | 17 plans |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $6,041 – $24,898 · median $12,678 | 17 plans |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $6,041 – $187,398 · median $12,678 | 17 plans |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $6,041 – $104,944 · median $12,678 | 17 plans |
| 599 | MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $6,041 – $25,466 · median $10,422 | 17 plans |
| 618 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,041 – $33,514 · median $12,678 | 17 plans |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $6,041 – $27,045 · median $12,678 | 17 plans |
| 664 | MINOR BLADDER PROCEDURES WITHOUT CC/MCC | $6,041 – $40,837 · median $12,678 | 17 plans |
| 665 | PROSTATECTOMY WITH MCC | $6,041 – $108,096 · median $12,678 | 17 plans |
| 666 | PROSTATECTOMY WITH CC | $6,041 – $61,415 · median $12,678 | 17 plans |
| 671 | URETHRAL PROCEDURES WITH CC/MCC | $6,041 – $63,717 · median $12,678 | 17 plans |
| 672 | URETHRAL PROCEDURES WITHOUT CC/MCC | $6,041 – $38,287 · median $12,678 | 17 plans |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $6,041 – $53,694 · median $12,678 | 17 plans |
| 714 | TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC | $6,041 – $26,847 · median $11,783 | 17 plans |
| 716 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC | $6,041 – $46,504 · median $12,678 | 17 plans |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $6,041 – $37,225 · median $12,678 | 17 plans |
| 734 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $6,041 – $68,555 · median $12,678 | 17 plans |
| 735 | PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC | $6,041 – $42,148 · median $12,678 | 17 plans |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $6,041 – $136,041 · median $12,678 | 17 plans |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $6,041 – $36,481 · median $12,678 | 17 plans |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $6,041 – $45,371 · median $12,678 | 17 plans |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $6,041 – $70,412 · median $12,678 | 17 plans |
| 825 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC | $6,041 – $42,785 · median $12,678 | 17 plans |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $6,041 – $30,141 · median $12,464 | 17 plans |
| 849 | RADIOTHERAPY | $6,041 – $83,374 · median $12,678 | 17 plans |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $1,566 – $34,232 · median $6,826 | 17 plans |
| 895 | ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY | $6,041 – $49,869 · median $12,678 | 17 plans |
| 905 | SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC | $6,041 – $56,704 · median $12,678 | 17 plans |
| 927 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT | $6,041 – $697,207 | 17 plans |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $6,041 – $154,955 · median $12,678 | 17 plans |
| 929 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC | $6,041 – $59,278 · median $12,678 | 17 plans |
| 933 | EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT | $6,041 – $97,365 · median $12,678 | 17 plans |
| 959 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $6,041 – $93,114 · median $12,678 | 17 plans |
| 970 | HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC | $6,041 – $106,467 · median $12,678 | 17 plans |
| 667 | PROSTATECTOMY WITHOUT CC/MCC | $6,041 – $35,064 · median $11,474 | 16 plans |
| 317 | CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION | $6,041 – $184,767 · median $10,269 | 15 plans |
| 429 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC | $6,041 – $223,804 · median $10,269 | 15 plans |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $6,041 – $146,790 · median $10,269 | 15 plans |
| 450 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE | $6,041 – $138,193 · median $10,269 | 15 plans |
No procedures match that keyword.