Tidelands Waccamaw Community Hospital — Pricing
436 procedures published in this hospital's Machine-Readable File (MRF) — 436 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 436
Lowest published price $2,448
Average published price $48,827
Highest published price $316,917
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
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Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 436 procedures
Published charges
Showing all 436 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 55 procedures, this hospital's negotiated rates average ≈335% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. SC median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $316,917 | $205,996 | $228,033 | +39% | $191,314 | +66% | — |
| 004 | TRACH W MV >96 HRS OR PDX EXC FACE, MOUTH & NECK WITHOUT MAJOR O.R. | $306,758 | $199,393 | $306,758 | +0% | $245,241 | +25% | — |
| 362 | MASTECTOMY PROCEDURES | $302,353 | $196,529 | $302,353 | — | $122,668 | +146% | — |
| 580 | OTHER SKIN, SUBCUT TISS & BREAST PROC WITH COMPLICATION AND COMORBITY | $260,123 | $169,080 | $26,206 | +893% | $36,242 | +618% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $230,712 | $149,963 | $44,300 | +421% | $39,409 | +485% | — |
| 098 | OTHER EAR, NOSE, MOUTH, THROAT, CRANIOFACIAL, AND NECK PROCEDURES | $214,716 | $139,566 | $25,742 | +734% | $37,902 | +466% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $208,797 | $135,718 | $147,729 | +41% | $116,058 | +80% | — |
| 363 | BREAST PROCEDURES EXCEPT MASTECTOMY | $195,858 | $127,308 | $195,858 | — | $80,707 | +143% | — |
| 592 | SKIN ULCERS WITH MAJOR COMPLICATION AND COMORBITY | $195,052 | $126,784 | $55,756 | +250% | $32,662 | +497% | — |
| 463 | WND DEBRID & SKN GRFT EXC HAND, FOR MUSCULO-CONN TISS DIS WITH MAJOR COMPLICATION AND COMORBITY | $194,395 | $126,357 | $120,122 | +62% | $78,582 | +147% | — |
| 471 | CERVICAL SPINAL FUSION WITH MAJOR COMPLICATION AND COMORBITY | $192,402 | $125,061 | $129,295 | +49% | $92,515 | +108% | — |
| 021 | OPEN CRANIOTOMY EXCEPT TRAUMA | $169,574 | $110,223 | $82,593 | +105% | $101,235 | +68% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MAJOR COMPLICATION AND COMORBITY | $158,060 | $102,739 | $54,987 | +187% | $38,357 | +312% | — |
| 455 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $157,175 | $102,164 | $105,748 | — | $54,320 | +189% | ≈322% of Medicare |
| 454 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION AND COMORBITY | $154,103 | $100,167 | $111,602 | — | $69,101 | +123% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $153,018 | $99,462 | $122,950 | +24% | $138,008 | +11% | — |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCS OF LOWER EXTREMITY WITH MAJOR COMPLICATION AND COMORBITY | $149,534 | $97,197 | $93,269 | +60% | $108,472 | +38% | — |
| 922 | OTHER INJURY, POISONING & TOXIC EFFECT DIAGNOSIS WITH MAJOR COMPLICATION AND COMORBITY | $147,485 | $95,865 | $66,079 | +123% | $29,409 | +401% | — |
| 821 | LYMPHOMA & LEUKEMIA W MAJOR O.R. PROCEDURE WITH COMPLICATION AND COMORBITY | $138,449 | $89,992 | $85,309 | +62% | $44,053 | +214% | — |
| 020 | OPEN CRANIOTOMY FOR TRAUMA | $135,380 | $87,997 | $118,023 | +15% | $134,914 | +0% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MAJOR COMPLICATION AND COMORBITY | $132,052 | $85,834 | $100,873 | +31% | $99,423 | +33% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MAJOR COMPLICATION AND COMORBITY | $131,138 | $85,240 | $67,944 | +93% | $71,701 | +83% | — |
| 453 | COMBINED ANTERIOR/POSTERIOR SPINAL FUSION WITH COMPLICATION AND COMORBITY | $121,882 | $79,223 | $112,872 | — | $103,861 | +17% | — |
| 472 | CERVICAL SPINAL FUSION WITH COMPLICATION AND COMORBITY | $117,014 | $76,059 | $78,905 | +48% | $59,537 | +97% | ≈334% of Medicare |
| 026 | OTHER NERVOUS SYSTEM AND RELATED PROCEDURES | $116,321 | $75,609 | $79,606 | +46% | $63,475 | +83% | — |
| 853 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH MAJOR COMPLICATION AND COMORBITY | $114,722 | $74,569 | $81,510 | +41% | $87,018 | +32% | ≈302% of Medicare |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MAJOR COMPLICATION AND COMORBITY | $113,366 | $73,688 | $94,309 | — | $75,251 | +51% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $113,205 | $73,583 | $90,212 | +25% | $52,405 | +116% | — |
| 329 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH MAJOR COMPLICATION AND COMORBITY | $110,643 | $71,918 | $110,643 | +0% | $88,050 | +26% | ≈340% of Medicare |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH & NECK DIAGNOSES OR LARYNGECAT SCANOMY WITH MAJOR COMPLICATION AND COMORBITY | $110,620 | $71,903 | $80,878 | +37% | $86,953 | +27% | — |
| 326 | STOMACH, ESOPHAGEAL & DUODENAL PROC WITH MAJOR COMPLICATION AND COMORBITY | $107,751 | $70,038 | $107,751 | +0% | $80,747 | +33% | — |
| 951 | MODERATELY EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS | $106,217 | $69,041 | $17,641 | +502% | $9,385 | +1032% | — |
| 480 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MAJOR COMPLICATION AND COMORBITY | $106,125 | $68,981 | $95,050 | +12% | $63,984 | +66% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $105,262 | $68,420 | $73,994 | — | $50,815 | +107% | ≈306% of Medicare |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY W MCC OR TOTAL ANKLE REPLACEMENT | $105,006 | $68,254 | $75,312 | +39% | $65,254 | +61% | — |
| 981 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH MAJOR COMPLICATION AND COMORBITY | $104,680 | $68,042 | $104,680 | +0% | $86,390 | +21% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT COMPLICATION AND COMORBITY AND MAJOR COMPLICATION AND COMORBITY | $104,095 | $67,662 | $54,791 | +90% | $36,239 | +187% | — |
| 041 | NERVOUS SYSTEM MALIGNANCY | $99,111 | $64,422 | $33,559 | +195% | $44,989 | +120% | — |
| 130 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT > 96 HOURS | $99,043 | $64,378 | $99,043 | — | $23,289 | +325% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MAJOR COMPLICATION AND COMORBITY | $98,557 | $64,062 | $73,137 | +35% | $68,508 | +44% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB & TOE WITH MAJOR COMPLICATION AND COMORBITY | $97,885 | $63,625 | $97,885 | +0% | $87,565 | +12% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MAJOR COMPLICATION AND COMORBITY | $97,368 | $63,289 | $75,451 | +29% | $70,132 | +39% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH COMPLICATION AND COMORBITY | $96,792 | $62,915 | $58,144 | +66% | $43,266 | +124% | — |
| 698 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH MAJOR COMPLICATION AND COMORBITY | $95,940 | $62,361 | $50,264 | +91% | $30,058 | +219% | ≈262% of Medicare |
| 327 | STOMACH, ESOPHAGEAL & DUODENAL PROC WITH COMPLICATION AND COMORBITY | $94,992 | $61,745 | $67,463 | +41% | $54,824 | +73% | — |
| 169 | MAJOR ABDOMINAL VASCULAR PROCEDURES | $93,873 | $61,017 | $93,873 | — | $128,246 | −27% | — |
| 321 | SPINAL FUSION AND OTHER BACK AND NECK PROCEDURES EXCEPT FOR DISC PROCEDURES | $93,733 | $60,926 | $70,095 | +34% | $74,274 | +26% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MAJOR COMPLICATION AND COMORBITY | $93,006 | $60,454 | $30,598 | +204% | $38,885 | +139% | — |
| 710 | INFECTIOUS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE | $92,889 | $60,378 | $26,416 | +252% | $23,814 | +290% | — |
| 317 | TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES | $92,880 | $60,372 | $98,645 | −6% | $94,988 | −2% | — |
| 673 | OTHER KIDNEY & URINARY TRACT PROCEDURES WITH MAJOR COMPLICATION AND COMORBITY | $92,372 | $60,042 | $92,372 | +0% | $72,945 | +27% | — |
| 854 | INFECTIOUS & PARASITIC DISEASES WITH O.R. PROCEDURE WITH COMPLICATION AND COMORBITY | $92,032 | $59,821 | $57,626 | +60% | $43,524 | +111% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH COMPLICATION AND COMORBITY | $92,018 | $59,812 | $65,134 | +41% | $50,011 | +84% | ≈417% of Medicare |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $91,726 | $59,622 | $36,742 | +150% | $30,814 | +198% | — |
| 519 | BACK & NECK PROC EXC SPINAL FUSION WITH MAJOR COMPLICATION AND COMORBITY | $91,588 | $59,532 | $59,268 | +55% | $43,775 | +109% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MAJOR COMPLICATION AND COMORBITY | $91,497 | $59,473 | $70,860 | +29% | $71,755 | +28% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $90,398 | $58,759 | $59,316 | +52% | $40,063 | +126% | — |
| 220 | MAJOR STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES | $89,682 | $58,293 | $86,352 | +4% | $102,177 | −12% | — |
| 570 | SKIN DEBRIDEMENT WITH MAJOR COMPLICATION AND COMORBITY | $89,088 | $57,907 | $45,821 | +94% | $52,435 | +70% | — |
| 382 | MALIGNANT BREAST DISORDERS | $86,010 | $55,906 | $22,586 | +281% | $16,634 | +417% | — |
| 040 | PERIPHERAL/CRANIAL NERVE & OTHER NERVE SYSTEM PROCEDURE WITH MAJOR COMPLICATION AND COMORBITY | $84,391 | $54,854 | $71,130 | +19% | $74,257 | +14% | — |
| 405 | OTHER PROCEDURES FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS | $84,007 | $54,604 | $78,731 | +7% | $94,927 | −12% | — |
| 240 | AMPUTATION FOR CIRC SYS DISORDERS EXC UPPER LIMB & TOE WITH COMPLICATION AND COMORBITY | $83,708 | $54,410 | $62,350 | +34% | $54,475 | +54% | — |
| 950 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS | $83,381 | $54,197 | $13,857 | +502% | $13,527 | +516% | — |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE | $81,925 | $53,251 | $48,532 | +69% | $34,852 | +135% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH COMPLICATION AND COMORBITY | $81,522 | $52,989 | $64,502 | +26% | $49,470 | +65% | — |
| 227 | HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL AND UMBILICAL | $79,738 | $51,830 | $68,349 | — | $56,960 | +40% | — |
| 167 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH COMPLICATION AND COMORBITY | $79,637 | $51,764 | $53,273 | +49% | $40,563 | +96% | — |
| 518 | BACK & NECK PROC EXCEPT SPINAL FUSION WITH MAJOR COMPLICATION AND COMORBITY OR DISC DEVICE/NEUROSTIM | $78,468 | $51,004 | $69,335 | +13% | $64,776 | +21% | — |
| 330 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH COMPLICATION AND COMORBITY | $78,383 | $50,949 | $44,178 | +77% | $58,832 | +33% | ≈389% of Medicare |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH COMPLICATION AND COMORBITY | $78,098 | $50,764 | $52,960 | +47% | $42,126 | +85% | — |
| 097 | NON-BACTERIAL INFECT OF NERVOUS SYS EXC VIRAL MENINGITIS WITH MAJOR COMPLICATION AND COMORBITY | $77,415 | $50,320 | $57,740 | +34% | $57,855 | +34% | — |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS | $76,449 | $49,692 | $76,449 | — | $50,048 | +53% | — |
| 982 | EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS WITH COMPLICATION AND COMORBITY | $76,118 | $49,477 | $55,544 | +37% | $51,985 | +46% | — |
| 029 | SPINAL PROCEDURES W CC OR SPINAL NEUROSTIMULATORS | $75,760 | $49,244 | $61,260 | +24% | $64,152 | +18% | — |
| 028 | SPINAL PROCEDURES WITH MAJOR COMPLICATION AND COMORBITY | $75,745 | $49,234 | $78,738 | −4% | $95,858 | −21% | — |
| 492 | LOWER EXTREMITY & HUMERUS PROCEDURE EXCEPT HIP, FOOT, FEMUR WITH MAJOR COMPLICATION AND COMORBITY | $73,378 | $47,696 | $68,308 | +7% | $70,540 | +4% | — |
| 571 | SKIN DEBRIDEMENT WITH COMPLICATION AND COMORBITY | $73,002 | $47,451 | $34,961 | +109% | $34,901 | +109% | — |
| 629 | OTHER ENDOCRINE, NUTRITION & METABOLIC O.R. PROC WITH COMPLICATION AND COMORBITY | $72,491 | $47,119 | $63,791 | +14% | $45,059 | +61% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITH/WITH OUT C.D.E. WITH COMPLICATION AND COMORBITY | $72,137 | $46,889 | $51,542 | +40% | $43,398 | +66% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT COMPLICATION AND COMORBITY AND MAJOR COMPLICATION AND COMORBITY | $71,600 | $46,540 | $71,600 | +0% | $54,929 | +30% | ≈324% of Medicare |
| 473 | CERVICAL SPINAL FUSION WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $71,168 | $46,259 | $52,544 | +35% | $50,624 | +41% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $69,669 | $45,285 | $69,669 | +0% | $51,953 | +34% | — |
| 493 | LOWER EXTREM & HUMER PROC EXCEPT HIP, FOOT, FEMUR W CC | $69,566 | $45,218 | $69,566 | +0% | $56,394 | +23% | — |
| 494 | LOWER EXTREMITY & HUMERUS PROC EXCEPT HIP, FOOT, FEMUR WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $68,669 | $44,635 | $48,167 | +43% | $45,963 | +49% | — |
| 840 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH MAJOR COMPLICATION AND COMORBITY | $68,591 | $44,584 | $56,588 | +21% | $49,710 | +38% | — |
| 121 | OTHER RESPIRATORY AND CHEST PROCEDURES | $68,021 | $44,214 | $28,817 | +136% | $18,291 | +272% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH COMPLICATION AND COMORBITY | $67,342 | $43,772 | $44,492 | +51% | $25,010 | +169% | — |
| 331 | MAJOR SMALL & LARGE BOWEL PROCEDURES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $66,980 | $43,537 | $63,781 | +5% | $44,117 | +52% | — |
| 174 | PERCUTANEOUS CARDIAC INTERVENTION WITH AMI | $66,712 | $43,362 | $66,712 | — | $74,377 | −10% | — |
| 464 | WOUND DEBRID & SKIN GRAFT EXCEPT HAND, FOR MUSCULOSKELETAL CONNECIVE TISSUE DISORDERS WITH COMPLICATION AND COMORBITY | $65,625 | $42,656 | $63,858 | +3% | $54,313 | +21% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH COMPLICATION AND COMORBITY | $65,425 | $42,526 | $31,195 | +110% | $24,202 | +170% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH COMPLICATION AND COMORBITY | $65,251 | $42,413 | $51,969 | +26% | $53,746 | +21% | ≈380% of Medicare |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH COMPLICATION AND COMORBITY | $64,838 | $42,145 | $31,280 | +107% | $20,777 | +212% | — |
| 403 | PROCEDURES FOR OBESITY | $64,742 | $42,082 | $64,742 | — | $50,645 | +28% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MAJOR COMPLICATION AND COMORBITY | $64,312 | $41,803 | $45,594 | +41% | $37,950 | +69% | — |
| 224 | PERITONEAL ADHESIOLYSIS | $64,142 | $41,692 | $72,285 | — | $80,427 | −20% | — |
| 483 | MAJOR JOINT/LIMB REATTACHMENT PROCEDURE OF UPPER EXTREMITIES | $63,758 | $41,443 | $63,758 | +0% | $57,149 | +12% | — |
| 813 | OTHER COMPLICATIONS OF TREATMENT | $63,421 | $41,224 | $46,923 | +35% | $30,128 | +111% | — |
| 516 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITH COMPLICATION AND COMORBITY | $62,597 | $40,688 | $62,597 | +0% | $45,817 | +37% | ≈366% of Medicare |
| 643 | ENDOCRINE DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $62,508 | $40,630 | $62,508 | +0% | $32,996 | +89% | — |
| 223 | OTHER SMALL AND LARGE BOWEL PROCEDURES | $61,426 | $39,927 | $60,316 | — | $59,206 | +4% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA W THROMBOLYTIC AGENT W MCC | $60,903 | $39,587 | $60,903 | +0% | $57,963 | +5% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH COMPLICATION AND COMORBITY | $60,789 | $39,513 | $35,161 | +73% | $18,918 | +221% | ≈393% of Medicare |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFIRENTIATED NEOPLASMS WITH MAJOR O.R. PROC WITH COMPLICATION AND COMORBITY | $60,478 | $39,311 | $34,668 | +74% | $47,546 | +27% | — |
| 024 | OPEN EXTRACRANIAL VASCULAR PROCEDURES | $60,270 | $39,175 | $56,655 | +6% | $74,755 | −19% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $59,998 | $38,999 | $41,694 | +44% | $32,451 | +85% | — |
| 689 | KIDNEY & URINARY TRACT INFECTIONS WITH MAJOR COMPLICATION AND COMORBITY | $59,472 | $38,657 | $21,891 | +172% | $22,982 | +159% | ≈275% of Medicare |
| 841 | LYMPHOMA & NON-ACUTE LEUKEMIA WITH COMPLICATION AND COMORBITY | $59,102 | $38,416 | $39,420 | +50% | $31,059 | +90% | — |
| 175 | PULMONARY EMBOLISM WITH MAJOR COMPLICATION AND COMORBITY OR ACUTE COR PULMONALE | $58,551 | $38,058 | $52,847 | +11% | $29,757 | +97% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH COMPLICATION AND COMORBITY | $58,182 | $37,818 | $42,954 | +35% | $41,660 | +40% | — |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS | $58,136 | $37,789 | $58,136 | — | $47,150 | +23% | — |
| 263 | CHOLECYSTECTOMY | $58,025 | $37,716 | $49,590 | +17% | $44,938 | +29% | — |
| 246 | GASTROINTESTINAL VASCULAR INSUFFICIENCY | $57,399 | $37,309 | $45,691 | — | $33,983 | +69% | — |
| 660 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH COMPLICATION AND COMORBITY | $57,375 | $37,294 | $57,375 | +0% | $30,358 | +89% | — |
| 623 | SKIN GRAFTS & WITHOUND DEBRID FOR ENDOCRINE, NUTRITION & METABOLIC DISORDER WITH COMPLICATION AND COMORBITY | $56,726 | $36,872 | $34,149 | +66% | $33,165 | +71% | — |
| 912 | MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $56,636 | $36,813 | $56,636 | — | $88,781 | −36% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITION, & METABOLIC DISORDER WITH COMPLICATION AND COMORBITY | $56,631 | $36,810 | $55,456 | +2% | $42,881 | +32% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL & FEMORAL WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $56,386 | $36,651 | $47,763 | +18% | $31,978 | +76% | — |
| 850 | PROCEDURE WITH DIAGNOSIS OF REHABILITATION, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES | $56,149 | $36,497 | $102,073 | −45% | $121,563 | −54% | — |
| 328 | STOMACH, ESOPHAGEAL & DUODENAL PROC WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $56,111 | $36,472 | $56,111 | +0% | $35,375 | +59% | — |
| 481 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH COMPLICATION AND COMORBITY | $55,642 | $36,167 | $55,642 | +0% | $51,172 | +9% | ≈360% of Medicare |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS | $55,607 | $36,145 | $55,607 | — | $51,822 | +7% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARD CATH WITH MAJOR COMPLICATION AND COMORBITY | $55,442 | $36,037 | $43,681 | +27% | $44,600 | +24% | ≈248% of Medicare |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK | $55,304 | $35,948 | $55,304 | — | $82,174 | −33% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURE WITH/WITH OUT CORONARY ARTERY STENT WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $54,968 | $35,729 | $36,320 | +51% | $41,380 | +33% | — |
| 256 | UPPER LIMB & TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH COMPLICATION AND COMORBITY | $54,712 | $35,563 | $38,685 | +41% | $29,729 | +84% | — |
| 101 | SEIZURES WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $54,142 | $35,192 | $37,371 | +45% | $19,954 | +171% | — |
| 707 | MAJOR MALE PELVIC PROCEDURES WITH COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $54,017 | $35,111 | $44,036 | +23% | $43,080 | +25% | — |
| 432 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION AND COMORBITY | $53,526 | $34,792 | $26,634 | +101% | $36,933 | +45% | — |
| 022 | VENTRICULAR SHUNT PROCEDURES | $52,876 | $34,370 | $52,198 | +1% | $62,404 | −15% | — |
| 801 | SPLENECTOMY WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $52,428 | $34,078 | $43,436 | +21% | $28,634 | +83% | — |
| 095 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH COMPLICATION AND COMORBITY | $52,042 | $33,827 | $50,458 | +3% | $47,583 | +9% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITH/WITH OUT MV >96 HOURS WITH MAJOR COMPLICATION AND COMORBITY | $52,038 | $33,825 | $37,856 | +37% | $35,237 | +48% | ≈283% of Medicare |
| 166 | OTHER RESP SYSTEM O.R. PROCEDURES WITH MAJOR COMPLICATION AND COMORBITY | $50,849 | $33,052 | $52,008 | −2% | $72,782 | −30% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $50,477 | $32,810 | $39,281 | +29% | $49,197 | +3% | ≈398% of Medicare |
| 989 | NON-EXTENSIVE O.R. PROC UNRELATED TO PRINCIPAL DIAGNOSIS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $50,475 | $32,809 | $34,333 | +47% | $25,307 | +99% | — |
| 200 | CARDIAC STRUCTURAL AND VALVULAR DISORDERS | $50,244 | $32,659 | $28,364 | +77% | $20,573 | +144% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH COMPLICATION AND COMORBITY | $50,166 | $32,608 | $50,166 | +0% | $68,880 | −27% | ≈268% of Medicare |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $50,155 | $32,601 | $38,593 | +30% | $33,694 | +49% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MAJOR COMPLICATION AND COMORBITY | $49,915 | $32,445 | $26,558 | +88% | $32,502 | +54% | — |
| 433 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH COMPLICATION AND COMORBITY | $49,865 | $32,412 | $27,746 | +80% | $23,749 | +110% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPICATION AND COMORBITY | $49,785 | $32,360 | $36,043 | +38% | $25,267 | +97% | ≈425% of Medicare |
| 482 | HIP & FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $49,249 | $32,012 | $49,249 | +0% | $39,747 | +24% | ≈371% of Medicare |
| 517 | OTHER MUSCULOSKELET SYS & CONN TISS O.R. PROC WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $49,074 | $31,898 | $37,042 | +32% | $33,137 | +48% | — |
| 903 | WOUND DEBRIDEMENTS FOR INJURIES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $48,812 | $31,728 | $20,349 | +140% | $23,588 | +107% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MAJOR COMPLICATION AND COMORBITY | $48,617 | $31,601 | $37,797 | +29% | $36,641 | +33% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MAJOR COMPLICATION AND COMORBITY | $48,445 | $31,489 | $29,897 | +62% | $28,967 | +67% | ≈381% of Medicare |
| 082 | TRAUMATIC STUPOR & COMA, COMA >1 HR WITH MAJOR COMPLICATION AND COMORBITY | $47,685 | $30,995 | $40,496 | +18% | $36,237 | +32% | — |
| 177 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH MAJOR COMPLICATION AND COMORBITY | $47,402 | $30,811 | $47,402 | +0% | $31,840 | +49% | ≈434% of Medicare |
| 049 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM | $47,385 | $30,800 | $47,385 | — | $120,000 | −61% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS, ALCOHOLIC HEPATITIS WITH MAJOR COMPLICATION AND COMORBITY | $47,195 | $30,677 | $41,064 | +15% | $32,399 | +46% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL COMPLICATION AND COMORBITY OLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $46,729 | $30,374 | $34,171 | +37% | $35,542 | +31% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS, ALCOHOLIC HEPATITIS WITH COMPLICATION AND COMORBITY | $46,635 | $30,313 | $21,464 | +117% | $21,449 | +117% | — |
| 423 | INBORN ERRORS OF METABOLISM | $46,552 | $30,259 | $58,811 | −21% | $72,011 | −35% | — |
| 769 | POSTPARTUM & POST ABORTION DIAGNOSES WITH O.R. PROCEDURE | $46,517 | $30,236 | $33,584 | +39% | $24,561 | +89% | — |
| 178 | RESPIRATORY INFECTIONS & INFLAMMATIONS WITH COMPLICATION AND COMORBITY | $46,362 | $30,135 | $26,219 | +77% | $22,024 | +111% | ≈575% of Medicare |
| 742 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $46,112 | $29,973 | $46,112 | +0% | $40,552 | +14% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MAJOR COMPLICATION AND COMORBITY | $45,868 | $29,814 | $35,075 | +31% | $26,020 | +76% | — |
| 572 | SKIN DEBRIDEMENT WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $45,471 | $29,556 | $31,746 | +43% | $24,432 | +86% | — |
| 682 | RENAL FAILURE WITH MAJOR COMPLICATION AND COMORBITY | $45,398 | $29,509 | $38,221 | +19% | $27,854 | +63% | ≈347% of Medicare |
| 808 | MAJOR HEMATOLOGY/IMMUNOLOGY DIAGNOSIS EXCEPT SICKLE CELL CRISIS & COAGULATION WITH MAJOR COMPLICATION AND COMORBITY | $45,068 | $29,294 | $38,994 | +16% | $36,334 | +24% | — |
| 842 | LYMPHOMA & NON-ACUTE LEUKEMIA WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $45,029 | $29,269 | $30,938 | +46% | $17,550 | +157% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITH/WITH OUT C.D.E. WITH COMPLICATION AND COMORBITY | $44,909 | $29,191 | $44,909 | +0% | $42,119 | +7% | — |
| 738 | UTERINE & ADNEXA PROC FOR OVARIAN OR ADNEXAL MALIGNANCY WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $44,902 | $29,186 | $33,844 | +33% | $30,972 | +45% | — |
| 708 | MAJOR MALE PELVIC PROCEDURES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $44,806 | $29,124 | $36,997 | +21% | $32,911 | +36% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS W O.R. PROC WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $44,732 | $29,076 | $44,732 | +0% | $23,924 | +87% | — |
| 976 | HIV WITH MAJOR RELATED CONDITION WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $44,603 | $28,992 | $30,407 | +47% | $16,212 | +175% | — |
| 344 | OSTEOMYELITIS, SEPTIC ARTHRITIS AND OTHER MUSCULOSKELETAL INFECTIONS | $44,254 | $28,765 | $46,604 | −5% | $44,839 | −1% | — |
| 133 | RESPIRATORY FAILURE | $44,060 | $28,639 | $44,060 | — | $23,289 | +89% | — |
| 651 | OTHER PROCEDURES OF BLOOD AND BLOOD-FORMING ORGANS | $44,037 | $28,624 | $50,139 | — | $56,242 | −22% | — |
| 465 | URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION | $43,676 | $28,389 | $28,004 | +56% | $32,839 | +33% | — |
| 176 | PULMONARY EMBOLISM WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $43,562 | $28,315 | $33,723 | +29% | $18,081 | +141% | — |
| 896 | ALCOHOL/DRUG ABUSE OR DEPENDENCE W/O REHABILITATION THERAPY WITH MAJOR COMPLICATION AND COMORBITY | $43,191 | $28,074 | $43,191 | +0% | $30,275 | +43% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL COMPLICATION AND COMORBITY WITH OLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH COMPLICATION AND COMORBITY | $43,008 | $27,955 | $43,008 | +0% | $48,680 | −12% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $42,885 | $27,875 | $23,224 | +85% | $19,305 | +122% | — |
| 743 | UTERINE & ADNEXA PROC FOR NON-MALIGNANCY WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $42,651 | $27,723 | $39,135 | +9% | $27,369 | +56% | — |
| 137 | MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS | $42,635 | $27,713 | $31,991 | +33% | $24,348 | +75% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $41,895 | $27,232 | $25,984 | +61% | $18,623 | +125% | — |
| 520 | BACK & NECK PROC EXC SPINAL FUSION WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $41,788 | $27,162 | $33,069 | +26% | $31,816 | +31% | — |
| 279 | HEPATIC COMA AND OTHER MAJOR ACUTE LIVER DISORDERS | $41,745 | $27,134 | $52,797 | −21% | $57,277 | −27% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECAT SCANIONS WITH COMPLICATION AND COMORBITY | $41,595 | $27,037 | $38,593 | +8% | $22,850 | +82% | ≈299% of Medicare |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MAJOR COMPLICATION AND COMORBITY | $41,511 | $26,982 | $41,511 | +0% | $35,714 | +16% | ≈293% of Medicare |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $41,265 | $26,822 | $34,461 | +20% | $25,731 | +60% | — |
| 724 | OTHER INFECTIOUS AND PARASITIC DISEASES | $41,215 | $26,790 | $11,844 | +248% | $12,650 | +226% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MAJOR COMPLICATION AND COMORBITY | $41,086 | $26,706 | $33,482 | +23% | $36,658 | +12% | — |
| 100 | SEIZURES WITH MAJOR COMPLICATION AND COMORBITY | $40,437 | $26,284 | $40,437 | +0% | $35,194 | +15% | — |
| 407 | PANCREAS, LIVER & SHUNT PROCEDURES WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $40,232 | $26,151 | $34,270 | +17% | $40,232 | +0% | — |
| 814 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $39,555 | $25,711 | $34,941 | +13% | $32,483 | +22% | — |
| 863 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $39,542 | $25,702 | $23,640 | +67% | $20,007 | +98% | — |
| 915 | ALLERGIC REACTIONS WITH MAJOR COMPLICATION AND COMORBITY | $39,455 | $25,646 | $32,603 | +21% | $30,944 | +28% | — |
| 917 | POISONING & TOXIC EFFECTS OF DRUGS WITH MAJOR COMPLICATION AND COMORBITY | $39,392 | $25,605 | $24,475 | +61% | $28,134 | +40% | — |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES | $39,252 | $25,514 | $39,252 | — | $46,852 | −16% | — |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $39,232 | $25,501 | $29,443 | +33% | $28,156 | +39% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION AND COMORBITY | $39,158 | $25,453 | $19,286 | +103% | $18,459 | +112% | — |
| 770 | DRUG AND ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE | $38,875 | $25,269 | $24,521 | +59% | $17,943 | +117% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITH/WITH OUT MV >96 HOURS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $38,652 | $25,124 | $38,652 | +0% | $22,781 | +70% | ≈302% of Medicare |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $38,528 | $25,043 | $25,045 | +54% | $17,522 | +120% | — |
| 862 | POSTOPERATIVE & POST-TRAUMATIC INFECTIONS WITH MAJOR COMPLICATION AND COMORBITY | $38,503 | $25,027 | $32,781 | +17% | $30,394 | +27% | — |
| 349 | ANAL & STOMAL PROCEDURES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $38,052 | $24,734 | $25,418 | +50% | $19,854 | +92% | — |
| 115 | OTHER EAR, NOSE, MOUTH, THROAT AND CRANIAL OR FACIAL DIAGNOSES | $37,978 | $24,686 | $30,521 | +24% | $24,879 | +53% | — |
| 179 | RESPIRATORY INFECAT SCANIONS & INFLAMMATIONS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $37,911 | $24,642 | $20,657 | +84% | $14,444 | +162% | — |
| 348 | ANAL & STOMAL PROCEDURES WITH COMPLICATION AND COMORBITY | $37,631 | $24,460 | $28,582 | +32% | $27,947 | +35% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH COMPLICATION AND COMORBITY | $37,623 | $24,455 | $37,623 | +0% | $20,463 | +84% | ≈451% of Medicare |
| 774 | COCAINE ABUSE AND DEPENDENCE | $37,440 | $24,336 | $20,236 | — | $3,032 | +1135% | — |
| 377 | G.I. HEMORRHAGE WITH MAJOR COMPLICATION AND COMORBITY | $37,428 | $24,328 | $37,428 | +0% | $37,842 | −1% | ≈206% of Medicare |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITH/WITH OUT C.D.E. WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $37,277 | $24,230 | $37,277 | +0% | $34,887 | +7% | — |
| 248 | MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS | $37,225 | $24,196 | $35,686 | — | $34,146 | +9% | — |
| 501 | SOFT TISSUE PROCEDURES WITH COMPLICATION AND COMORBITY | $37,002 | $24,051 | $37,002 | +0% | $37,975 | −3% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES WITH MAJOR COMPLICATION AND COMORBITY | $36,868 | $23,964 | $30,214 | +22% | $32,936 | +12% | — |
| 512 | SHOULDER, ELBOW OR FOREARM PROC, EXC MAJOR JOINT PROC WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $36,732 | $23,876 | $30,595 | +20% | $35,692 | +3% | — |
| 074 | CRANIAL & PERIPHERAL NERVE DISORDERS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $36,391 | $23,654 | $28,479 | +28% | $23,141 | +57% | — |
| 699 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITH COMPLICATION AND COMORBITY | $36,300 | $23,595 | $30,507 | +19% | $20,732 | +75% | ≈364% of Medicare |
| 920 | COMPLICATIONS OF TREATMENT WITH COMPLICATION AND COMORBITY | $35,802 | $23,271 | $17,968 | +99% | $21,181 | +69% | — |
| 375 | DIGESTIVE MALIGNANCY WITH COMPLICATION AND COMORBITY | $35,589 | $23,133 | $32,089 | +11% | $27,219 | +31% | — |
| 346 | CONNECTIVE TISSUE DISORDERS | $35,348 | $22,976 | $35,348 | +0% | $26,146 | +35% | — |
| 640 | MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECAT SCANROLYTES WITH MAJOR COMPLICATION AND COMORBITY | $35,309 | $22,951 | $35,309 | +0% | $24,480 | +44% | ≈272% of Medicare |
| 351 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES | $35,118 | $22,827 | $30,151 | +16% | $33,792 | +4% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MAJOR COMPLICATION AND COMORBITY | $35,042 | $22,777 | $35,042 | +0% | $31,128 | +13% | — |
| 052 | ALTERATION IN CONSCIOUSNESS | $34,844 | $22,648 | $34,527 | +1% | $30,940 | +13% | — |
| 421 | MALNUTRITION, FAILURE TO THRIVE AND OTHER NUTRITIONAL DISORDERS | $34,828 | $22,638 | $26,779 | +30% | $36,333 | −4% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $34,791 | $22,614 | $21,712 | +60% | $25,426 | +37% | ≈384% of Medicare |
| 661 | KIDNEY & URETER PROCEDURES FOR NON-NEOPLASM WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $34,311 | $22,302 | $34,311 | +0% | $24,022 | +43% | — |
| 434 | CIRRHOSIS & ALCOHOLIC HEPATITIS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $34,172 | $22,212 | $23,203 | +47% | $12,405 | +175% | — |
| 798 | VAGINAL DELIVERY W STERILIZATION/D&C WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $33,975 | $22,084 | $30,755 | +10% | $18,238 | +86% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS, ALCOHOLIC HEPATITIS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $33,783 | $21,959 | $14,275 | +137% | $15,600 | +117% | — |
| 513 | HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC WITH COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $33,554 | $21,810 | $28,145 | +19% | $33,424 | +0% | — |
| 343 | MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FRACTURE DUE TO MUSCULOSKELETAL MALIGNANCY | $33,438 | $21,735 | $22,918 | — | $13,735 | +143% | — |
| 947 | SIGNS & SYMPTOMS WITH MAJOR COMPLICATION AND COMORBITY | $33,398 | $21,709 | $33,398 | +0% | $25,474 | +31% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $33,386 | $21,701 | $20,526 | +63% | $31,846 | +5% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARD CATH WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $32,835 | $21,343 | $25,086 | +31% | $31,190 | +5% | ≈371% of Medicare |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS | $32,832 | $21,341 | $32,832 | — | $27,175 | +21% | — |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCTION | $32,327 | $21,012 | $32,327 | — | $77,914 | −59% | — |
| 644 | ENDOCRINE DISORDERS WITH COMPLICATION AND COMORBITY | $32,271 | $20,976 | $32,271 | +0% | $22,941 | +41% | ≈322% of Medicare |
| 284 | DISORDERS OF GALLBLADDER AND BILIARY TRACT | $32,030 | $20,820 | $22,421 | +43% | $13,282 | +141% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MAJOR COMPLICATION AND COMORBITY | $31,600 | $20,540 | $30,203 | +5% | $35,014 | −10% | — |
| 581 | OTHER SKIN, SUBCUT TISS & BREAST PROC WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $31,422 | $20,424 | $33,345 | −6% | $25,243 | +24% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $31,394 | $20,406 | $18,523 | +69% | $14,880 | +111% | — |
| 188 | PLEURAL EFFUSION WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $31,211 | $20,287 | $21,097 | +48% | $14,110 | +121% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITH/WITH OUT C.D.E. WITH MAJOR COMPLICATION AND COMORBITY | $31,131 | $20,235 | $34,039 | −9% | $52,313 | −40% | — |
| 044 | INTRACRANIAL HEMORRHAGE | $31,011 | $20,157 | $31,011 | — | $85,065 | −64% | — |
| 541 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | $30,926 | $20,102 | $21,477 | +44% | $14,549 | +113% | — |
| 139 | OTHER PNEUMONIA | $30,618 | $19,902 | $25,444 | +20% | $21,014 | +46% | — |
| 312 | SYNCOPE & COLLAPSE | $30,451 | $19,793 | $30,451 | +0% | $19,342 | +57% | ≈278% of Medicare |
| 189 | PULMONARY EDEMA & RESPIRATORY FAILURE | $30,308 | $19,700 | $28,407 | +7% | $25,704 | +18% | ≈301% of Medicare |
| 691 | LYMPHOMA, MYELOMA AND NON-ACUTE LEUKEMIA | $30,306 | $19,699 | $30,306 | — | $31,905 | −5% | — |
| 142 | INTERSTITIAL AND ALVEOLAR LUNG DISEASES | $30,249 | $19,662 | $57,553 | −47% | $34,906 | −13% | — |
| 540 | CESAREAN SECTION WITHOUT STERILIZATION | $30,156 | $19,601 | $30,156 | +0% | $23,494 | +28% | — |
| 201 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS | $30,041 | $19,527 | $17,124 | +75% | $13,081 | +130% | — |
| 143 | OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS AND MISCELLANEOUS DIAGNOSES | $29,983 | $19,489 | $39,716 | −25% | $52,908 | −43% | — |
| 254 | OTHER DIGESTIVE SYSTEM DIAGNOSES | $29,955 | $19,471 | $28,976 | +3% | $38,836 | −23% | — |
| 662 | SICKLE CELL ANEMIA CRISIS | $29,942 | $19,462 | $53,267 | −44% | $54,483 | −45% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $29,832 | $19,391 | $27,432 | +9% | $24,980 | +19% | — |
| 690 | KIDNEY & URINARY TRACT INFECTIONS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $29,642 | $19,267 | $15,348 | +93% | $17,466 | +70% | ≈399% of Medicare |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MAJOR COMPLICATION AND COMORBITY | $29,615 | $19,250 | $40,164 | −26% | $46,402 | −36% | — |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS | $29,602 | $19,241 | $28,337 | +4% | $25,484 | +16% | — |
| 152 | OTITIS MEDIA & URI WITH MAJOR COMPLICATION AND COMORBITY | $29,592 | $19,235 | $23,757 | +25% | $19,795 | +49% | — |
| 103 | HEADACHES WITHOUT MAJOR COMPLICATION AND COMORBITY | $29,580 | $19,227 | $28,465 | +4% | $20,111 | +47% | — |
| 637 | DIABETES WITH MAJOR COMPLICATION AND COMORBITY | $29,378 | $19,096 | $29,378 | +0% | $28,819 | +2% | — |
| 747 | VAGINA, CERVIX & VULVA PROCEDURES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $29,303 | $19,047 | $22,355 | +31% | $19,326 | +52% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $29,266 | $19,023 | $29,266 | +0% | $27,934 | +5% | — |
| 241 | PEPTIC ULCER AND GASTRITIS | $29,175 | $18,964 | $27,077 | +8% | $24,229 | +20% | — |
| 113 | INFECTIONS OF UPPER RESPIRATORY TRACT | $29,103 | $18,917 | $43,086 | −32% | $35,642 | −18% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $29,071 | $18,896 | $24,872 | +17% | $14,128 | +106% | — |
| 136 | RESPIRATORY MALIGNANCY | $29,056 | $18,886 | $17,665 | +64% | $15,890 | +83% | — |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM | $29,017 | $18,861 | $28,084 | +3% | $29,609 | −2% | — |
| 060 | MULTIPLE SCLEROSIS & CEREBELLAR ATAXIA WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $28,903 | $18,787 | $27,958 | +3% | $21,261 | +36% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH COMPLICATION AND COMORBITY | $28,846 | $18,750 | $23,058 | +25% | $21,806 | +32% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH COMPLICATION AND COMORBITY | $28,615 | $18,600 | $28,131 | +2% | $30,766 | −7% | — |
| 383 | CELLULITIS AND OTHER SKIN INFECTIONS | $28,595 | $18,587 | $24,098 | +19% | $26,634 | +7% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $28,352 | $18,429 | $17,172 | +65% | $12,797 | +122% | — |
| 602 | CELLULITIS WITH MAJOR COMPLICATION AND COMORBITY | $28,351 | $18,428 | $28,351 | +0% | $29,347 | −3% | — |
| 378 | G.I. HEMORRHAGE WITH COMPLICATION AND COMORBITY | $28,302 | $18,396 | $28,302 | +0% | $21,886 | +29% | ≈335% of Medicare |
| 723 | VIRAL ILLNESS | $28,247 | $18,360 | $24,433 | +16% | $19,317 | +46% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $28,171 | $18,311 | $24,476 | +15% | $29,374 | −4% | — |
| 292 | HEART FAILURE & SHOCK WITH COMPLICATION AND COMORBITY | $28,075 | $18,249 | $21,223 | +32% | $16,212 | +73% | — |
| 186 | PLEURAL EFFUSION WITH MAJOR COMPLICATION AND COMORBITY | $27,997 | $18,198 | $27,997 | +0% | $32,468 | −14% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUT TISS & BREAST WITHOUT MAJOR COMPLICATION AND COMORBITY | $27,997 | $18,198 | $18,557 | +51% | $19,287 | +45% | — |
| 663 | OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS | $27,914 | $18,144 | $27,914 | +0% | $29,924 | −7% | — |
| 291 | HEART FAILURE & SHOCK WITH MAJOR COMPLICATION AND COMORBITY | $27,802 | $18,071 | $27,802 | +0% | $25,020 | +11% | ≈243% of Medicare |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH COMPLICATION AND COMORBITY | $27,792 | $18,065 | $27,792 | +0% | $19,579 | +42% | — |
| 245 | INFLAMMATORY BOWEL DISEASE | $27,734 | $18,027 | $79,381 | −65% | $72,076 | −62% | — |
| 810 | MAJOR HEMATOLOGY/IMMUNE DIAGNOSIS EXCEPT SICKLE CELL CRISIS & COAGULATION WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $27,637 | $17,964 | $21,592 | +28% | $18,428 | +50% | — |
| 514 | HAND OR WRIST PROC, EXCEPT MAJOR THUMB OR JOINT PROC WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $27,528 | $17,893 | $21,978 | +25% | $20,080 | +37% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITH/WITH OUT O.R. PROCEDURE WITH MAJOR COMPLICATION AND COMORBITY | $27,471 | $17,856 | $18,133 | +52% | $18,133 | +52% | — |
| 422 | HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS | $27,358 | $17,782 | $24,350 | +12% | $25,152 | +9% | — |
| 193 | SIMPLE PNEUMONIA & PLEURISY WITH MAJOR COMPLICATION AND COMORBITY | $27,338 | $17,770 | $27,338 | +0% | $26,158 | +5% | ≈262% of Medicare |
| 134 | PULMONARY EMBOLISM | $27,226 | $17,697 | $27,226 | — | $23,289 | +17% | — |
| 775 | ALCOHOL ABUSE AND DEPENDENCE | $27,150 | $17,647 | $15,091 | — | $3,242 | +738% | — |
| 059 | MAJOR SCLEROSIS & CEREBELLAR ATAXIA WITH COMPLICATION AND COMORBITY | $27,148 | $17,646 | $27,148 | +0% | $26,322 | +3% | — |
| 535 | FRACTURES OF HIP & PELVIS WITH MAJOR COMPLICATION AND COMORBITY | $27,145 | $17,644 | $27,145 | +0% | $23,350 | +16% | — |
| 053 | SEIZURE | $27,043 | $17,578 | $22,860 | +18% | $20,309 | +33% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS & MISC DIGESTIVE DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $27,028 | $17,568 | $27,028 | +0% | $27,244 | −1% | — |
| 532 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS | $26,994 | $17,546 | $26,994 | — | $23,165 | +17% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH COMPLICATION AND COMORBITY | $26,943 | $17,513 | $21,509 | +25% | $20,968 | +28% | — |
| 918 | POISONING & TOXIC EFFECTS OF DRUGS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $26,855 | $17,456 | $26,855 | +0% | $15,045 | +78% | — |
| 342 | FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK | $26,697 | $17,353 | $21,592 | — | $19,454 | +37% | — |
| 420 | DIABETES | $26,686 | $17,346 | $47,204 | −43% | $50,919 | −48% | — |
| 466 | MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE | $26,672 | $17,337 | $69,206 | −61% | $96,222 | −72% | — |
| 197 | PERIPHERAL AND OTHER VASCULAR DISORDERS | $26,540 | $17,251 | $21,292 | +25% | $20,106 | +32% | — |
| 347 | OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES | $26,540 | $17,251 | $39,941 | −34% | $40,548 | −35% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MAJOR COMPLICATION AND COMORBITY | $26,505 | $17,228 | $26,505 | +0% | $32,689 | −19% | — |
| 308 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $26,329 | $17,114 | $26,329 | +0% | $26,488 | −1% | ≈289% of Medicare |
| 379 | G.I. HEMORRHAGE WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $26,251 | $17,063 | $26,251 | +0% | $14,134 | +86% | — |
| 340 | FRACTURE OF FEMUR | $25,993 | $16,896 | $19,803 | — | $16,240 | +60% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION AND COMORBITY | $25,812 | $16,778 | $25,812 | +0% | $24,136 | +7% | — |
| 204 | SYNCOPE AND COLLAPSE | $25,735 | $16,728 | $19,727 | +30% | $16,866 | +53% | — |
| 812 | RED BLOOD CELL DISORDERS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $25,457 | $16,547 | $25,457 | +0% | $20,488 | +24% | ≈333% of Medicare |
| 373 | MAJOR GASTROINTESTINAL DISORDERS & PERITONEAL INFECAT SCANIONS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $25,411 | $16,517 | $19,010 | +34% | $16,104 | +58% | — |
| 500 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM | $25,407 | $16,515 | $41,602 | −39% | $57,479 | −56% | — |
| 046 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION | $25,268 | $16,424 | $25,268 | — | $46,173 | −45% | — |
| 111 | VERTIGO AND OTHER LABYRINTH DISORDERS | $25,207 | $16,384 | $25,207 | — | $32,376 | −22% | — |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS | $25,079 | $16,301 | $25,079 | — | $31,203 | −20% | — |
| 786 | CESAREAN SECTION W/O STERILIZATION WITH MAJOR COMPLICATION AND COMORBITY | $24,685 | $16,045 | $24,685 | +0% | $27,118 | −9% | — |
| 069 | TRANSIENT ISCHEMIA WITH/WITH OUT THROMBOLYTIC | $24,635 | $16,013 | $24,635 | +0% | $20,278 | +21% | — |
| 424 | OTHER ENDOCRINE DISORDERS | $24,333 | $15,817 | $32,640 | −25% | $39,253 | −38% | — |
| 135 | MAJOR CHEST AND RESPIRATORY TRAUMA | $24,310 | $15,802 | $36,802 | −34% | $40,065 | −39% | — |
| 563 | FRACTURE, SPRAIN, STRAIN & DISLOCATION EXCEPT FEMUR, HIP, PELVIS & THIGH WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $24,220 | $15,743 | $24,220 | +0% | $18,803 | +29% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH COMPLICATION AND COMORBITY | $24,089 | $15,658 | $24,089 | +0% | $24,177 | −0% | — |
| 194 | SIMPLE PNEUMONIA & PLEURISY WITH COMPLICATION AND COMORBITY | $24,071 | $15,646 | $24,071 | +0% | $18,204 | +32% | ≈320% of Medicare |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH COMPLICATION AND COMORBITY | $23,869 | $15,515 | $26,657 | −10% | $36,375 | −34% | — |
| 389 | G.I. OBSTRUCTION WITH COMPLICATION AND COMORBITY | $23,722 | $15,419 | $23,722 | +0% | $17,388 | +36% | ≈385% of Medicare |
| 603 | CELLULITIS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $23,572 | $15,322 | $22,386 | +5% | $18,530 | +27% | ≈354% of Medicare |
| 304 | HYPERTENSION WITH MAJOR COMPLICATION AND COMORBITY | $23,126 | $15,032 | $23,126 | +0% | $24,185 | −4% | — |
| 293 | HEART FAILURE & SHOCK WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $22,991 | $14,944 | $16,653 | +38% | $11,955 | +92% | — |
| 593 | SKIN ULCERS WITH COMPLICAITON AND COMORBITY | $22,855 | $14,856 | $20,959 | +9% | $20,470 | +12% | — |
| 787 | CESAREAN SECTION W/O STERILIZATION WITH COMPLICATION AND COMORBITY | $22,849 | $14,852 | $22,849 | +0% | $23,571 | −3% | — |
| 531 | FEMALE REPRODUCTIVE SYSTEM INFECTIONS | $22,805 | $14,823 | $22,805 | — | $37,084 | −39% | — |
| 783 | CESAREAN SECTION W STERILIZATION WITH MAJOR COMPLICATION AND COMORBITY | $22,625 | $14,706 | $22,702 | −0% | $28,375 | −20% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $22,517 | $14,636 | $15,605 | +44% | $17,731 | +27% | — |
| 622 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION | $22,493 | $14,620 | $51,761 | −57% | $60,861 | −63% | — |
| 785 | CESAREAN SECTION W STERILIZATION WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $21,874 | $14,218 | $21,874 | +0% | $19,815 | +10% | — |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE | $21,761 | $14,145 | $57,429 | −62% | $60,098 | −64% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH COMPLICATION AND COMORBITY | $21,655 | $14,076 | $21,655 | +0% | $19,091 | +13% | — |
| 773 | OPIOID ABUSE AND DEPENDENCE | $21,297 | $13,843 | $21,297 | — | $87,384 | −76% | — |
| 554 | BONE DISEASES & ARTHROPATHIES WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $21,272 | $13,827 | $17,649 | +21% | $18,253 | +17% | — |
| 305 | HYPERTENSION WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $21,255 | $13,816 | $21,255 | +0% | $17,144 | +24% | — |
| 921 | COMPLICATIONS OF TREATMENT WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $21,172 | $13,762 | $9,501 | +123% | $14,012 | +51% | — |
| 047 | TRANSIENT ISCHEMIA | $21,093 | $13,710 | $21,093 | — | $56,677 | −63% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH COMPLICATION AND COMORBITY OR TPA IN 24 HRS | $21,088 | $13,707 | $21,088 | +0% | $23,469 | −10% | ≈441% of Medicare |
| 309 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH COMPLICATION AND COMORBITY | $21,022 | $13,664 | $21,022 | +0% | $16,865 | +25% | ≈348% of Medicare |
| 249 | OTHER GASTROENTERITIS, NAUSEA AND VOMITING | $20,648 | $13,422 | $20,629 | — | $20,610 | +0% | — |
| 784 | CESAREAN SECTION W STERILIZATION WITH COMPLICATION AND COMORBITY | $20,574 | $13,373 | $20,574 | +0% | $22,560 | −9% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $20,558 | $13,363 | $16,506 | +25% | $15,607 | +32% | — |
| 313 | CHEST PAIN | $20,538 | $13,350 | $18,206 | +13% | $15,962 | +29% | — |
| 042 | DEGENERATIVE NERVOUS SYSTEM DISORDERS EXCEPT MULTIPLE SCLEROSIS | $20,436 | $13,283 | $26,424 | −23% | $39,018 | −48% | — |
| 556 | SIGNS & SYMPTOMS OF MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $20,398 | $13,259 | $20,398 | +0% | $17,715 | +15% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH COMPLICATION AND COMORBITY | $20,311 | $13,202 | $20,311 | +0% | $19,096 | +6% | — |
| 788 | CESAREAN SECTION W/O STERILIZATION WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $20,068 | $13,044 | $20,068 | +0% | $20,084 | −0% | — |
| 392 | ESOPHAGITIS, GASTROENT & MISC DIGESTIVE DISORDERS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $19,935 | $12,958 | $19,098 | +4% | $17,322 | +15% | ≈318% of Medicare |
| 155 | OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITH COMPLICATION AND COMORBITY | $19,722 | $12,819 | $17,517 | +13% | $16,642 | +19% | — |
| 159 | DENTAL & ORAL DISEASES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $19,652 | $12,774 | $15,703 | +25% | $13,368 | +47% | — |
| 303 | ATHEROSCLEROSIS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $19,497 | $12,673 | $18,378 | +6% | $14,927 | +31% | — |
| 202 | BRONCHITIS & ASTHMA WITH COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $19,488 | $12,667 | $19,488 | +0% | $17,273 | +13% | — |
| 641 | MISC DISORDERS OF NUTRITION, METABOLISM, FLUIDS/ELECTROLYTES WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $19,368 | $12,589 | $19,368 | +0% | $16,745 | +16% | ≈250% of Medicare |
| 141 | ASTHMA | $19,175 | $12,464 | $51,618 | −63% | $34,900 | −45% | — |
| 866 | VIRAL ILLNESS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $18,938 | $12,310 | $16,808 | +13% | $16,391 | +16% | — |
| 096 | BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $18,803 | $12,222 | $32,371 | −42% | $39,093 | −52% | — |
| 566 | OTHER MUSCULOSKELETAL SYS & CONNECTIVE TISSUE DIAGNOSES WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $18,662 | $12,130 | $18,662 | +0% | $14,337 | +30% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH COMPLICATION AND COMORBITY | $18,594 | $12,086 | $18,594 | +0% | $18,278 | +2% | — |
| 195 | SIMPLE PNEUMONIA & PLEURISY WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $18,571 | $12,071 | $14,923 | +24% | $13,824 | +34% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITH COMPLICATION AND COMORBITY | $18,548 | $12,056 | $20,321 | −9% | $24,452 | −24% | — |
| 638 | DIABETES WITH COMPLICATION AND COMORBITY | $18,440 | $11,986 | $18,440 | +0% | $18,821 | −2% | ≈257% of Medicare |
| 916 | ALLERGIC REACTIONS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $18,358 | $11,933 | $12,522 | +47% | $13,890 | +32% | — |
| 558 | TENDONITIS, MYOSITIS & BURSITIS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $18,292 | $11,890 | $18,292 | +0% | $17,367 | +5% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $18,138 | $11,790 | $16,874 | +7% | $16,418 | +10% | — |
| 154 | OTHER EAR, NOSE, MOUTH & THROAT DIAGNOSES WITH MAJOR COMPLICATION AND COMORBITY | $17,985 | $11,690 | $18,281 | −2% | $24,465 | −26% | — |
| 138 | BRONCHIOLITIS AND RSV PNEUMONIA | $17,952 | $11,669 | $17,070 | +5% | $17,383 | +3% | — |
| 607 | MINOR SKIN DISORDERS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $17,855 | $11,606 | $16,133 | +11% | $15,284 | +17% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $17,855 | $11,606 | $17,855 | +0% | $17,412 | +3% | — |
| 247 | INTESTINAL OBSTRUCTION | $17,842 | $11,597 | $19,753 | — | $21,663 | −18% | — |
| 181 | RESPIRATORY NEOPLASMS WITH COMPLICATION AND COMORBITY | $17,620 | $11,453 | $17,612 | +0% | $22,431 | −21% | — |
| 506 | MAJOR THUMB OR JOINT PROCEDURES | $17,535 | $11,398 | $20,093 | −13% | $28,983 | −39% | — |
| 893 | HIV WITH MULTIPLE SIGNIFICANT HIV RELATED CONDITIONS | $17,509 | $11,381 | $17,509 | — | $49,110 | −64% | — |
| 639 | DIABETES WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $17,457 | $11,347 | $17,457 | +0% | $13,910 | +25% | — |
| 776 | POSTPARTUM & POST ABORTION DIAGNOSES WITH/WITH OUT O.R. PROCEDURE | $17,425 | $11,326 | $15,382 | +13% | $12,381 | +41% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $17,086 | $11,106 | $17,086 | +0% | $17,700 | −3% | — |
| 700 | OTHER KIDNEY & URINARY TRACT DIAGNOSES WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $16,845 | $10,949 | $14,524 | +16% | $13,303 | +27% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $16,838 | $10,945 | $16,838 | +0% | $19,483 | −14% | ≈591% of Medicare |
| 310 | CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $16,785 | $10,910 | $16,785 | +0% | $13,384 | +25% | — |
| 694 | URINARY STONES WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $16,778 | $10,906 | $16,778 | +0% | $16,531 | +1% | — |
| 948 | SIGNS & SYMPTOMS WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $16,448 | $10,691 | $13,506 | +22% | $17,727 | −7% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $16,334 | $10,617 | $15,865 | +3% | $13,385 | +22% | — |
| 054 | MIGRAINE AND OTHER HEADACHES | $16,264 | $10,572 | $22,651 | −28% | $29,484 | −45% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MAJOR COMPLICATION AND COMORBITY | $16,223 | $10,545 | $16,223 | +0% | $21,213 | −24% | ≈304% of Medicare |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH COMPLICATION AND COMORBITY | $16,215 | $10,540 | $16,872 | −4% | $23,396 | −31% | — |
| 390 | G.I. OBSTRUCTION WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $16,066 | $10,443 | $16,066 | +0% | $13,318 | +21% | ≈377% of Medicare |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $15,760 | $10,244 | $10,204 | +54% | $15,072 | +5% | — |
| 043 | MULTIPLE SCLEROSIS, OTHER DEMYELINATING DISEASE AND INFLAMMATORY NEUROPATHIES | $15,673 | $10,187 | $15,673 | — | $46,703 | −66% | — |
| 768 | VAGINAL DELIVERY W O.R. PROC EXCEPT STERIL &/OR D&C | $15,618 | $10,152 | $15,618 | +0% | $17,103 | −9% | — |
| 683 | RENAL FAILURE WITH COMPLICATION AND COMORBITY | $15,543 | $10,103 | $15,543 | +0% | $18,620 | −17% | ≈456% of Medicare |
| 809 | MAJOR HEMATOLOGY/IMMUNOLOGY DIAGNOSIS EXCEPT SICKLE CELL CRISIS & COAGUL WITH COMPLICATION AND COMORBITY | $15,503 | $10,077 | $19,268 | −20% | $22,032 | −30% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH COMPLICATION AND COMORBITY | $15,017 | $9,761 | $15,709 | −4% | $22,713 | −34% | — |
| 805 | VAGINAL DELIVERY W/O STERILIZATION/D&C WITH MAJOR COMPLICATION AND COMORBITY | $14,955 | $9,721 | $14,955 | +0% | $15,370 | −3% | — |
| 696 | KIDNEY & URINARY TRACT SIGNS & SYMPTOMS WITHOUT MAJOR COMPLICATION AND COMORBITY | $14,894 | $9,681 | $14,894 | +0% | $14,441 | +3% | — |
| 634 | NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION | $14,760 | $9,594 | $14,760 | — | $37,527 | −61% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITH/WITH OUT O.R. PROCEDURE WITH COMPLICATION AND COMORBITY | $14,746 | $9,585 | $13,967 | +6% | $12,895 | +14% | — |
| 153 | OTITIS MEDIA & URI WITH/WITH OUT MAJOR COMPLICATION AND COMORBITY | $14,535 | $9,448 | $14,535 | +0% | $14,473 | +0% | — |
| 539 | OSTEOMYELITIS WITH MAJOR COMPLICATION AND COMORBITY | $14,274 | $9,278 | $25,709 | −44% | $33,746 | −58% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH MAJOR COMPLICATION AND COMORBITY | $14,231 | $9,250 | $15,714 | −9% | $19,073 | −25% | — |
| 542 | VAGINAL DELIVERY WITH O.R. PROCEDURE EXCEPT STERILIZATION AND/OR D&C | $14,222 | $9,245 | $23,981 | −41% | $35,114 | −59% | — |
| 203 | BRONCHITIS & ASTHMA WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $14,042 | $9,127 | $13,138 | +7% | $12,279 | +14% | — |
| 897 | ALCOHOL/DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MAJOR COMPLICATION AND COMORBITY | $13,949 | $9,067 | $25,468 | −45% | $16,049 | −13% | — |
| 075 | VIRAL MENINGITIS WITH COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $13,728 | $8,923 | $19,997 | −31% | $29,853 | −54% | — |
| 884 | ORGANIC DISTURBANCES & INTELLECTUAL DISABILITY | $13,363 | $8,686 | $31,954 | −58% | $25,208 | −47% | — |
| 894 | ALCOHOL/DRUG ABUSE OR DEPENDENCE, LEFT AMA | $13,363 | $8,686 | $27,842 | −52% | $12,013 | +11% | — |
| 311 | ANGINA PECTORIS | $13,357 | $8,682 | $12,807 | +4% | $15,165 | −12% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $13,348 | $8,676 | $13,348 | +0% | $15,070 | −11% | — |
| 198 | ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS | $12,473 | $8,107 | $12,698 | −2% | $13,654 | −9% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MAJOR COMPLICATION AND COMORBITY | $12,282 | $7,983 | $17,770 | −31% | $24,190 | −49% | ≈356% of Medicare |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $12,146 | $7,895 | $18,390 | −34% | $25,666 | −53% | — |
| 086 | TRAUMATIC STUPOR & COMA, COMA <1 HR WITH COMPLICATION AND COMORBITY | $12,120 | $7,878 | $20,041 | −40% | $23,115 | −48% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $12,048 | $7,831 | $12,048 | +0% | $14,861 | −19% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $11,835 | $7,693 | $11,714 | +1% | $14,368 | −18% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $11,712 | $7,613 | $13,806 | −15% | $18,150 | −35% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITH/WITH OUT O.R. PROCEDURE WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $11,526 | $7,492 | $8,200 | +41% | $9,076 | +27% | — |
| 816 | RETICULOENDOTHELIAL & IMMUNITY DISORDERS WITHOUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $11,311 | $7,352 | $11,532 | −2% | $13,485 | −16% | — |
| 684 | RENAL FAILURE WITH/WITH OUT COMPLICATION AND COMORBITY/MAJOR COMPLICATION AND COMORBITY | $11,162 | $7,255 | $11,162 | +0% | $13,623 | −18% | — |
| 815 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $11,074 | $7,198 | $13,728 | −19% | $18,017 | −39% | — |
| 722 | FEVER AND INFLAMMATORY CONDITIONS | $10,624 | $6,906 | $22,724 | −53% | $29,826 | −64% | — |
| 114 | DENTAL DISEASES AND DISORDERS | $10,411 | $6,767 | $20,602 | −49% | $19,598 | −47% | — |
| 806 | VAGINAL DELIVERY W/O STERILIZATION/D&C WITH COMPLICATION AND COMORBITY | $10,362 | $6,735 | $11,458 | −10% | $13,090 | −21% | — |
| 341 | FRACTURE OF PELVIS OR DISLOCATION OF HIP | $10,003 | $6,502 | $17,816 | — | $25,628 | −61% | — |
| 756 | ACUTE ANXIETY AND DELIRIUM STATES | $8,211 | $5,337 | $13,454 | −39% | $15,589 | −47% | — |
| 865 | VIRAL ILLNESS WITH MAJOR COMPLICATION AND COMORBITY | $8,192 | $5,325 | $18,278 | −55% | $26,088 | −69% | — |
| 626 | NEONATE BIRTH WEIGHT 2000-2499 GRAMS, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM | $7,325 | $4,761 | $30,475 | −76% | $27,279 | −73% | — |
| 807 | VAGINAL DELIVERY W/O STERILIZATION/D&C WITH AND WITHOUT COMPLICATIONS AND COMORBITY OR MAJOR COMPLICATIONS AND COMORBITY | $7,118 | $4,627 | $11,115 | −36% | $12,044 | −41% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $6,909 | $4,491 | $6,909 | +0% | $80,018 | −91% | — |
| 791 | PREMATURITY W MAJOR PROBLEMS | $6,862 | $4,460 | $7,118 | −4% | $39,563 | −83% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT COMPLICATION AND COMORBTIY/MAJOR COMPLICATION AND COMORBITY | $6,675 | $4,339 | $10,407 | −36% | $14,166 | −53% | — |
| 793 | FULL TERM NEONATE W MAJOR PROBLEMS | $5,677 | $3,690 | $8,712 | −35% | $16,719 | −66% | — |
| 792 | PREMATURITY W/O MAJOR PROBLEMS | $5,497 | $3,573 | $5,497 | +0% | $11,633 | −53% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $4,028 | $2,618 | $6,036 | −33% | $14,284 | −72% | — |
| 795 | NORMAL NEWBORN | $3,412 | $2,218 | $4,045 | −16% | $4,530 | −25% | — |
| 794 | NEONATE W OTHER SIGNIFICANT PROBLEMS | $3,326 | $2,162 | $4,562 | −27% | $7,961 | −58% | — |
| 199 | PNEUMOTHORAX WITH MAJOR COMPLICATION AND COMORBITY | $2,448 | $1,591 | $26,106 | −91% | $31,491 | −92% | — |
No procedures match that keyword.