Johnson City Medical Center — Pricing
690 procedures published in this hospital's Machine-Readable File (MRF) — 689 with a comparable price, 1 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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Showing all 690 procedures
Published charges
Showing all 689 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 110 procedures, this hospital's negotiated rates average ≈497% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. TN median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 589 | NEONATE BIRTH WEIGHT < 500G, OR BIRTH WEIGHT 500-999G AND GESTATIONAL AGE <24 WKS, OR BIRTH WEIGHT 500-749G WI | $1,196,796 | $179,519 | $1,196,796 | — | $1,447,596 | −17% | — |
| 576 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC | $1,139,865 | $170,980 | $73,030 | +1461% | $90,401 | +1161% | — |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | $1,004,125 | $150,619 | $362,617 | +177% | $461,389 | +118% | — |
| 215 | OTHER HEART ASSIST SYSTEM IMPLANT | $928,165 | $139,225 | $475,995 | +95% | $208,939 | +344% | — |
| 453 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC | $855,263 | $128,289 | $103,861 | +723% | $103,861 | +723% | — |
| 609 | NEONATE BIRTH WEIGHT 1500-2499G WITH MAJOR PROCEDURE | $777,696 | $116,654 | $777,696 | — | $1,256,233 | −38% | — |
| 447 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DE | $633,001 | $94,950 | $89,681 | +606% | $126,098 | +402% | — |
| 619 | O.R. PROCEDURES FOR OBESITY WITH MCC | $615,069 | $92,260 | $38,581 | +1494% | $51,746 | +1089% | — |
| 950 | EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS | $583,557 | $87,534 | $26,804 | +2077% | $13,527 | +4214% | — |
| 216 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | $548,191 | $82,229 | $466,934 | +17% | $188,171 | +191% | — |
| 219 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC | $542,114 | $81,317 | $102,814 | +427% | $143,242 | +278% | — |
| 591 | NEONATE BIRTH WEIGHT 500-749G WITHOUT MAJOR PROCEDURE | $531,163 | $79,674 | $531,163 | — | $1,159,755 | −54% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $527,676 | $79,151 | $293,456 | +80% | $75,251 | +601% | — |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROC | $520,468 | $78,070 | $527,787 | −1% | $371,366 | +40% | — |
| 212 | CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES | $514,418 | $77,163 | $142,952 | +260% | $196,346 | +162% | — |
| 405 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC | $510,887 | $76,633 | $73,455 | +596% | $102,128 | +400% | — |
| 448 | MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $501,512 | $75,227 | $250,187 | +100% | $81,998 | +512% | — |
| 023 | SPINAL PROCEDURES | $499,874 | $74,981 | $212,510 | +135% | $106,778 | +368% | ≈1068% of Medicare |
| 217 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC | $497,588 | $74,638 | $386,137 | +29% | $123,995 | +301% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $477,760 | $71,664 | $69,101 | +591% | $69,101 | +591% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $458,472 | $68,771 | $143,848 | +219% | $89,207 | +414% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $457,166 | $68,575 | $212,889 | +115% | $92,515 | +394% | — |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $455,022 | $68,253 | $271,925 | +67% | $79,116 | +475% | — |
| 165 | CORONARY BYPASS WITH AMI OR COMPLEX PDX | $449,260 | $67,389 | $127,726 | +252% | $46,340 | +869% | — |
| 028 | SPINAL PROCEDURES WITH MCC | $434,513 | $65,177 | $218,956 | +98% | $113,077 | +284% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $434,315 | $65,147 | $50,891 | +753% | $39,515 | +999% | — |
| 275 | CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC | $432,746 | $64,912 | $94,288 | +359% | $131,961 | +228% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $425,439 | $63,816 | $119,083 | +257% | $147,227 | +189% | — |
| 276 | CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR | $420,607 | $63,091 | $268,292 | +57% | $117,280 | +259% | — |
| 167 | OTHER CARDIOTHORACIC AND THORACIC VASCULAR PROCEDURES | $416,486 | $62,473 | $63,524 | +556% | $40,642 | +925% | — |
| 456 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC | $415,638 | $62,346 | $112,119 | +271% | $153,282 | +171% | — |
| 955 | CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA | $411,889 | $61,783 | $38,091 | +981% | $102,600 | +301% | — |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $411,110 | $61,667 | $178,331 | +131% | $56,836 | +623% | — |
| 957 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $402,188 | $60,328 | $118,104 | +241% | $120,573 | +234% | — |
| 233 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC | $402,084 | $60,313 | $103,817 | +287% | $144,569 | +178% | — |
| 266 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC | $385,490 | $57,823 | $80,603 | +378% | $113,855 | +239% | ≈735% of Medicare |
| 820 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC | $376,787 | $56,518 | $55,735 | +576% | $96,192 | +292% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $372,958 | $55,944 | $122,800 | +204% | $75,103 | +397% | ≈1116% of Medicare |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $368,548 | $55,282 | $381,515 | −3% | $105,899 | +248% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $364,367 | $54,655 | $11,107 | +3181% | $16,351 | +2128% | — |
| 430 | COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC | $357,003 | $53,550 | $101,618 | +251% | $101,618 | +251% | — |
| 179 | DEFIBRILLATOR IMPLANTS | $355,375 | $53,306 | $11,758 | +2922% | $14,648 | +2326% | — |
| 267 | ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC | $351,197 | $52,680 | $64,248 | +447% | $92,217 | +281% | — |
| 412 | CHOLECYSTECTOMY WITH C.D.E. WITH CC | $341,562 | $51,234 | $30,860 | +1007% | $42,906 | +696% | — |
| 710 | INFECTIONS AND PARASITIC DISEASES INCLUDING HIV WITH O.R. PROCEDURE | $335,833 | $50,375 | $127,033 | +164% | $26,436 | +1170% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE | $320,785 | $48,118 | $324,510 | −1% | $248,521 | +29% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $317,922 | $47,688 | $66,068 | +381% | $66,685 | +377% | — |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $314,065 | $47,110 | $35,990 | +773% | $40,362 | +678% | — |
| 218 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC | $310,893 | $46,634 | $80,075 | +288% | $103,455 | +201% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $307,728 | $46,159 | $153,649 | +100% | $99,423 | +210% | — |
| 268 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC | $307,020 | $46,053 | $89,209 | +244% | $125,242 | +145% | — |
| 834 | ACUTE LEUKEMIA WITH MCC | $303,727 | $45,559 | $85,566 | +255% | $85,566 | +255% | — |
| 235 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC | $298,045 | $44,707 | $79,247 | +276% | $112,062 | +166% | ≈540% of Medicare |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $296,151 | $44,423 | $125,958 | +135% | $80,793 | +267% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $293,261 | $43,989 | $53,307 | +450% | $59,594 | +392% | — |
| 451 | SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $289,450 | $43,418 | $181,659 | +59% | $65,216 | +344% | — |
| 277 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC | $288,220 | $43,233 | $288,220 | +0% | $91,329 | +216% | — |
| 220 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC | $285,763 | $42,864 | $71,776 | +298% | $111,320 | +157% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $278,284 | $41,743 | $142,388 | +95% | $51,625 | +439% | ≈978% of Medicare |
| 269 | AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | $270,228 | $40,534 | $172,120 | +57% | $85,159 | +217% | ≈655% of Medicare |
| 821 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC | $269,688 | $40,453 | $32,168 | +738% | $47,789 | +464% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $267,973 | $40,196 | $173,990 | +54% | $67,268 | +298% | — |
| 232 | CORONARY BYPASS WITH PTCA WITHOUT MCC | $265,513 | $39,827 | $82,102 | +223% | $115,839 | +129% | — |
| 613 | NEONATE BIRTH WEIGHT 1500-1999G WITH CONGENITAL/PERINATAL INFECTION | $261,431 | $39,215 | $261,431 | — | $245,258 | +7% | — |
| 827 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC | $255,950 | $38,393 | $33,823 | +657% | $50,498 | +407% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $255,605 | $38,341 | $98,989 | +158% | $77,817 | +228% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $253,748 | $38,062 | $127,657 | +99% | $93,172 | +172% | ≈563% of Medicare |
| 802 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC | $253,034 | $37,955 | $49,721 | +409% | $66,711 | +279% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $252,170 | $37,826 | $137,306 | +84% | $88,050 | +186% | — |
| 030 | PERCUTANEOUS INTRA AND EXTRACRANIAL VASCULAR PROCEDURES | $248,485 | $37,273 | $32,077 | +675% | $45,866 | +442% | — |
| 739 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC | $248,326 | $37,249 | $54,862 | +353% | $62,300 | +299% | — |
| 423 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC | $246,041 | $36,906 | $55,985 | +339% | $79,225 | +211% | — |
| 234 | CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | $245,648 | $36,847 | $72,075 | +241% | $102,573 | +139% | ≈595% of Medicare |
| 221 | CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC | $243,749 | $36,562 | $62,801 | +288% | $90,331 | +170% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $240,124 | $36,019 | $174,196 | +38% | $116,058 | +107% | — |
| 025 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | $239,714 | $35,957 | $195,030 | +23% | $88,307 | +171% | ≈683% of Medicare |
| 026 | OTHER NERVOUS SYSTEM AND RELATED PROCEDURES | $238,606 | $35,791 | $158,118 | +51% | $64,523 | +270% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $238,257 | $35,739 | $160,879 | +48% | $90,195 | +164% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $236,509 | $35,476 | $127,116 | +86% | $59,537 | +297% | — |
| 902 | WOUND DEBRIDEMENTS FOR INJURIES WITH CC | $236,243 | $35,436 | $27,823 | +749% | $40,562 | +482% | — |
| 584 | BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC | $233,143 | $34,971 | $236,120 | −1% | $35,030 | +566% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $232,477 | $34,872 | $20,048 | +1060% | $36,167 | +543% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $232,278 | $34,842 | $20,715 | +1021% | $80,018 | +190% | — |
| 278 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC | $232,277 | $34,842 | $148,626 | +56% | $93,238 | +149% | — |
| 181 | LOWER EXTREMITY ARTERIAL PROCEDURES | $226,682 | $34,002 | $44,379 | +411% | $23,573 | +862% | — |
| 089 | MAJOR CRANIAL/FACIAL BONE PROCEDURES | $226,606 | $33,991 | $18,369 | +1134% | $18,821 | +1104% | — |
| 607 | NEONATE BIRTH WEIGHT 1250-1499G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJ | $226,395 | $33,959 | $17,880 | +1166% | $15,889 | +1325% | — |
| 958 | OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC | $226,326 | $33,949 | $56,535 | +300% | $73,120 | +210% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $225,685 | $33,853 | $59,017 | +282% | $70,564 | +220% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $222,411 | $33,362 | $117,886 | +89% | $49,710 | +347% | — |
| 228 | OTHER CARDIOTHORACIC PROCEDURES WITH MCC | $220,520 | $33,078 | $200,802 | +10% | $96,905 | +128% | ≈479% of Medicare |
| 166 | CORONARY BYPASS WITHOUT AMI OR COMPLEX PDX | $220,471 | $33,071 | $63,343 | +248% | $75,573 | +192% | — |
| 695 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC | $219,531 | $32,930 | $34,520 | +536% | $24,566 | +794% | — |
| 171 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT AMI, HEART FAILURE OR SHOCK | $216,735 | $32,510 | $216,735 | — | $75,072 | +189% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $216,350 | $32,453 | $118,821 | +82% | $68,653 | +215% | — |
| 356 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC | $216,199 | $32,430 | $95,866 | +126% | $82,561 | +162% | — |
| 799 | SPLENIC PROCEDURES WITH MCC | $213,400 | $32,010 | $64,885 | +229% | $82,218 | +160% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $213,067 | $31,960 | $70,714 | +201% | $61,470 | +247% | — |
| 011 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC | $212,040 | $31,806 | $73,038 | +190% | $101,576 | +109% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $211,734 | $31,760 | $104,125 | +103% | $90,775 | +133% | ≈509% of Medicare |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $210,174 | $31,526 | $124,159 | +69% | $50,624 | +315% | — |
| 963 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC | $210,159 | $31,524 | $169,637 | +24% | $43,491 | +383% | — |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $203,252 | $30,488 | $40,289 | +404% | $49,839 | +308% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $202,375 | $30,356 | $103,783 | +95% | $71,092 | +185% | — |
| 274 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC | $202,295 | $30,344 | $43,701 | +363% | $65,573 | +209% | ≈682% of Medicare |
| 273 | PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC | $201,893 | $30,284 | $53,945 | +274% | $78,852 | +156% | — |
| 044 | INTRACRANIAL HEMORRHAGE | $201,770 | $30,265 | $201,770 | — | $85,065 | +137% | — |
| 236 | CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $201,441 | $30,216 | $56,565 | +256% | $82,247 | +145% | ≈635% of Medicare |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $201,416 | $30,212 | $201,416 | +0% | $148,832 | +35% | ≈426% of Medicare |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $199,724 | $29,959 | $140,647 | +42% | $70,847 | +182% | ≈636% of Medicare |
| 309 | OTHER SIGNIFICANT HIP AND FEMUR SURGERY | $199,253 | $29,888 | $26,087 | +664% | $17,303 | +1052% | ≈636% of Medicare |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $198,751 | $29,813 | $75,303 | +164% | $52,178 | +281% | — |
| 503 | FOOT PROCEDURES WITH MCC | $198,488 | $29,773 | $61,361 | +223% | $47,540 | +318% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $195,897 | $29,385 | $169,971 | +15% | $96,507 | +103% | — |
| 229 | OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC | $195,606 | $29,341 | $162,153 | +21% | $65,325 | +199% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $195,533 | $29,330 | $45,498 | +330% | $58,745 | +233% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $194,772 | $29,216 | $63,008 | +209% | $43,631 | +346% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $192,646 | $28,897 | $23,368 | +724% | $37,267 | +417% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $187,676 | $28,151 | $112,338 | +67% | $47,583 | +294% | — |
| 281 | MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS | $186,800 | $28,020 | $43,996 | +325% | $20,463 | +813% | ≈493% of Medicare |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $185,577 | $27,837 | $155,075 | +20% | $70,132 | +165% | ≈611% of Medicare |
| 792 | EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT | $185,486 | $27,823 | $11,361 | +1533% | $12,229 | +1417% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $185,094 | $27,764 | $128,144 | +44% | $65,653 | +182% | ≈688% of Medicare |
| 650 | SPLENECTOMY | $184,907 | $27,736 | $62,992 | +194% | $71,551 | +158% | — |
| 822 | LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $183,391 | $27,509 | $51,015 | +259% | $25,390 | +622% | — |
| 034 | CAROTID ARTERY STENT PROCEDURES WITH MCC | $182,991 | $27,449 | $53,665 | +241% | $76,219 | +140% | — |
| 815 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES | $179,462 | $26,919 | $29,015 | +519% | $19,264 | +832% | — |
| 279 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC | $178,319 | $26,748 | $145,618 | +22% | $63,928 | +179% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $178,147 | $26,722 | $173,267 | +3% | $59,533 | +199% | — |
| 169 | MAJOR ABDOMINAL VASCULAR PROCEDURES | $177,831 | $26,675 | $137,094 | +30% | $137,094 | +30% | — |
| 323 | NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT | $177,398 | $26,610 | $177,398 | +0% | $101,510 | +75% | — |
| 749 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC | $176,285 | $26,443 | $54,529 | +223% | $45,167 | +290% | — |
| 475 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC | $175,688 | $26,353 | $51,069 | +244% | $45,877 | +283% | — |
| 409 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC | $175,684 | $26,353 | $30,404 | +478% | $46,066 | +281% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $174,936 | $26,240 | $109,914 | +59% | $84,692 | +107% | — |
| 573 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC | $174,679 | $26,202 | $82,731 | +111% | $98,912 | +77% | — |
| 024 | CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC | $174,412 | $26,162 | $46,088 | +278% | $74,755 | +133% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $172,652 | $25,898 | $123,776 | +39% | $71,014 | +143% | ≈645% of Medicare |
| 032 | VENTRICULAR SHUNT PROCEDURES WITH CC | $171,421 | $25,713 | $82,687 | +107% | $46,724 | +267% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $170,883 | $25,632 | $128,201 | +33% | $74,257 | +130% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $169,795 | $25,469 | $148,353 | +14% | $93,390 | +82% | — |
| 027 | CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | $169,181 | $25,377 | $112,611 | +50% | $54,583 | +210% | — |
| 313 | KNEE AND LOWER LEG PROCEDURES EXCEPT FOOT | $169,085 | $25,363 | $21,819 | +675% | $16,440 | +929% | ≈495% of Medicare |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $165,744 | $24,862 | $165,744 | +0% | $70,177 | +136% | — |
| 061 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC | $164,475 | $24,671 | $112,488 | +46% | $62,264 | +164% | — |
| 611 | NEONATE BIRTH WEIGHT 1500-1999G WITH MAJOR ANOMALY | $163,019 | $24,453 | $163,019 | — | $143,990 | +13% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $162,483 | $24,372 | $56,708 | +187% | $34,017 | +378% | ≈1052% of Medicare |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $162,040 | $24,306 | $67,828 | +139% | $42,881 | +278% | — |
| 411 | CHOLECYSTECTOMY WITH C.D.E. WITH MCC | $160,349 | $24,052 | $38,709 | +314% | $48,358 | +232% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $159,945 | $23,992 | $88,410 | +81% | $71,755 | +123% | — |
| 164 | MAJOR CHEST PROCEDURES WITH CC | $159,528 | $23,929 | $137,471 | +16% | $56,755 | +181% | ≈773% of Medicare |
| 324 | CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC | $158,246 | $23,737 | $145,049 | +9% | $71,464 | +121% | — |
| 464 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC | $157,921 | $23,688 | $73,014 | +116% | $58,228 | +171% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $157,850 | $23,677 | $94,139 | +68% | $59,421 | +166% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $157,237 | $23,586 | $43,315 | +263% | $42,901 | +267% | — |
| 120 | MAJOR RESPIRATORY AND CHEST PROCEDURES | $156,509 | $23,476 | $156,509 | — | $71,194 | +120% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $155,664 | $23,350 | $83,277 | +87% | $43,650 | +257% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $154,126 | $23,119 | $64,245 | +140% | $59,651 | +158% | ≈731% of Medicare |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $154,006 | $23,101 | $154,006 | +0% | $65,788 | +134% | — |
| 033 | VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | $153,513 | $23,027 | $139,069 | +10% | $35,419 | +333% | — |
| 410 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC | $153,459 | $23,019 | $42,143 | +264% | $34,434 | +346% | — |
| 737 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC | $153,094 | $22,964 | $29,131 | +426% | $44,363 | +245% | — |
| 663 | OTHER ANEMIA AND DISORDERS OF BLOOD AND BLOOD-FORMING ORGANS | $152,851 | $22,928 | $58,736 | +160% | $33,103 | +362% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $152,464 | $22,870 | $102,052 | +49% | $61,872 | +146% | — |
| 952 | NON-EXTENSIVE O.R. PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS | $151,526 | $22,729 | $151,526 | — | $45,364 | +234% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $151,410 | $22,711 | $123,106 | +23% | $71,795 | +111% | — |
| 041 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR | $151,359 | $22,704 | $91,463 | +65% | $49,418 | +206% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $150,796 | $22,619 | $56,507 | +167% | $43,538 | +246% | — |
| 736 | UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC | $150,587 | $22,588 | $54,300 | +177% | $61,832 | +144% | — |
| 793 | MODERATELY EXTENSIVE O.R. PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT | $148,791 | $22,319 | $13,360 | +1014% | $18,649 | +698% | — |
| 012 | TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC | $148,008 | $22,201 | $56,456 | +162% | $79,836 | +85% | — |
| 856 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | $147,895 | $22,184 | $82,674 | +79% | $76,001 | +95% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $146,541 | $21,981 | $74,943 | +96% | $39,619 | +270% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $146,506 | $21,976 | $56,201 | +161% | $47,737 | +207% | — |
| 121 | OTHER RESPIRATORY AND CHEST PROCEDURES | $146,398 | $21,960 | $77,284 | +89% | $19,412 | +654% | — |
| 320 | OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC | $146,194 | $21,929 | $33,237 | +340% | $40,060 | +265% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $145,390 | $21,809 | $49,064 | +196% | $32,628 | +346% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $145,282 | $21,792 | $28,768 | +405% | $39,018 | +272% | — |
| 321 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES | $143,558 | $21,534 | $137,354 | +5% | $81,706 | +76% | ≈568% of Medicare |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $143,390 | $21,509 | $46,935 | +206% | $32,841 | +337% | — |
| 094 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $142,931 | $21,440 | $154,701 | −8% | $68,639 | +108% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $140,279 | $21,042 | $42,293 | +232% | $39,181 | +258% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $138,902 | $20,835 | $60,922 | +128% | $39,955 | +248% | — |
| 512 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY | $136,276 | $20,441 | $71,909 | +90% | $35,692 | +282% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $135,318 | $20,298 | $43,426 | +212% | $53,864 | +151% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $135,162 | $20,274 | $69,740 | +94% | $43,943 | +208% | — |
| 080 | NONTRAUMATIC STUPOR AND COMA WITH MCC | $135,087 | $20,263 | $49,024 | +176% | $36,249 | +273% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $134,437 | $20,166 | $54,196 | +148% | $54,196 | +148% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $134,386 | $20,158 | $15,421 | +771% | $42,679 | +215% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $133,196 | $19,979 | $71,381 | +87% | $54,929 | +142% | — |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $132,104 | $19,816 | $125,800 | +5% | $70,467 | +87% | ≈537% of Medicare |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $131,637 | $19,746 | $33,129 | +297% | $33,876 | +289% | — |
| 397 | APPENDIX PROCEDURES WITH MCC | $131,333 | $19,700 | $76,131 | +73% | $53,257 | +147% | — |
| 800 | SPLENIC PROCEDURES WITH CC | $131,171 | $19,676 | $41,012 | +220% | $49,184 | +167% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $131,020 | $19,653 | $51,655 | +154% | $39,973 | +228% | — |
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | $130,989 | $19,648 | $32,969 | +297% | $40,108 | +227% | — |
| 092 | FACIAL BONE PROCEDURES EXCEPT MAJOR CRANIAL/FACIAL BONE PROCEDURES | $130,784 | $19,618 | $30,798 | +325% | $24,914 | +425% | ≈1411% of Medicare |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $130,331 | $19,550 | $55,857 | +133% | $33,653 | +287% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $130,317 | $19,547 | $28,559 | +356% | $29,524 | +341% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $127,822 | $19,173 | $57,875 | +121% | $32,944 | +288% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $127,333 | $19,100 | $127,333 | +0% | $62,821 | +103% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $127,039 | $19,056 | $93,232 | +36% | $51,953 | +145% | — |
| 621 | NEONATE BIRTH WEIGHT 2000-2499G WITH MAJOR ANOMALY | $126,813 | $19,022 | $22,167 | +472% | $32,451 | +291% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $126,706 | $19,006 | $90,992 | +39% | $53,451 | +137% | — |
| 574 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC | $126,662 | $18,999 | $48,165 | +163% | $52,036 | +143% | — |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $125,940 | $18,891 | $45,881 | +174% | $38,070 | +231% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $125,886 | $18,883 | $97,667 | +29% | $58,707 | +114% | — |
| 817 | INTENTIONAL SELF-HARM AND ATTEMPTED SUICIDE | $125,635 | $18,845 | $35,750 | +251% | $39,173 | +221% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $124,552 | $18,683 | $82,520 | +51% | $36,820 | +238% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $123,464 | $18,520 | $82,516 | +50% | $52,751 | +134% | ≈668% of Medicare |
| 717 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC | $122,702 | $18,405 | $62,523 | +96% | $36,670 | +235% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $121,907 | $18,286 | $103,547 | +18% | $44,139 | +176% | ≈785% of Medicare |
| 138 | BRONCHIOLITIS AND RSV PNEUMONIA | $121,636 | $18,245 | $13,752 | +784% | $19,119 | +536% | — |
| 290 | ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC | $119,995 | $17,999 | $38,092 | +215% | $15,901 | +655% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $119,775 | $17,966 | $57,662 | +108% | $66,068 | +81% | — |
| 813 | COAGULATION DISORDERS | $119,492 | $17,924 | $40,340 | +196% | $33,296 | +259% | — |
| 142 | MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC | $118,652 | $17,798 | $23,602 | +403% | $34,906 | +240% | — |
| 711 | POST-OPERATIVE, POST-TRAUMA, OTHER DEVICE INFECTIONS WITH O.R. PROCEDURE | $117,960 | $17,694 | $34,625 | +241% | $38,343 | +208% | — |
| 304 | DORSAL AND LUMBAR FUSION PROCEDURE EXCEPT FOR CURVATURE OF BACK | $117,507 | $117,507 | $61,398 | +91% | $26,080 | +351% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $115,655 | $17,348 | $111,707 | +4% | $77,990 | +48% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $115,148 | $17,272 | $37,498 | +207% | $33,985 | +239% | ≈747% of Medicare |
| 035 | CAROTID ARTERY STENT PROCEDURES WITH CC | $114,315 | $17,147 | $32,719 | +249% | $49,066 | +133% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $113,524 | $17,029 | $113,974 | −0% | $50,011 | +127% | ≈538% of Medicare |
| 912 | MUSCULOSKELETAL AND OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $113,125 | $16,969 | $113,125 | — | $88,781 | +27% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $111,517 | $16,728 | $43,479 | +156% | $30,959 | +260% | ≈838% of Medicare |
| 408 | BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC | $111,065 | $16,660 | $138,630 | −20% | $62,583 | +77% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $110,652 | $16,598 | $90,581 | +22% | $50,139 | +121% | ≈495% of Medicare |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $110,628 | $16,594 | $82,861 | +34% | $46,090 | +140% | ≈649% of Medicare |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $110,424 | $16,564 | $78,474 | +41% | $39,887 | +177% | — |
| 406 | PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | $110,216 | $16,532 | $39,644 | +178% | $58,043 | +90% | — |
| 846 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC | $108,747 | $16,312 | $36,339 | +199% | $38,878 | +180% | — |
| 826 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC | $108,321 | $16,248 | $71,331 | +52% | $90,724 | +19% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $107,142 | $16,071 | $44,825 | +139% | $30,083 | +256% | — |
| 748 | FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES | $107,093 | $16,064 | $20,875 | +413% | $30,242 | +254% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $107,007 | $16,051 | $37,754 | +183% | $47,945 | +123% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $106,973 | $16,046 | $32,773 | +226% | $48,349 | +121% | — |
| 308 | HIP AND FEMUR FRACTURE REPAIR | $106,852 | $16,028 | $39,202 | +173% | $26,770 | +299% | ≈995% of Medicare |
| 073 | ORBIT AND EYE PROCEDURES | $106,602 | $15,990 | $44,855 | +138% | $30,010 | +255% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $106,540 | $15,981 | $43,649 | +144% | $27,152 | +292% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $105,853 | $15,878 | $105,853 | +0% | $52,075 | +103% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $105,439 | $15,816 | $44,293 | +138% | $35,628 | +196% | ≈638% of Medicare |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $104,944 | $15,742 | $90,228 | +16% | $58,280 | +80% | ≈564% of Medicare |
| 720 | SEPTICEMIA AND DISSEMINATED INFECTIONS | $104,936 | $15,740 | $37,911 | +177% | $45,066 | +133% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $104,033 | $15,605 | $91,676 | +13% | $51,985 | +100% | — |
| 253 | OTHER VASCULAR PROCEDURES WITH CC | $103,990 | $15,598 | $114,254 | −9% | $57,454 | +81% | ≈443% of Medicare |
| 571 | SKIN DEBRIDEMENT WITH CC | $103,879 | $15,582 | $61,879 | +68% | $37,169 | +179% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $102,986 | $15,448 | $101,243 | +2% | $50,463 | +104% | — |
| 223 | OTHER SMALL AND LARGE BOWEL PROCEDURES | $102,834 | $15,425 | $59,206 | +74% | $59,206 | +74% | — |
| 036 | CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC | $102,081 | $15,312 | $26,986 | +278% | $40,694 | +151% | — |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $101,656 | $15,248 | $64,995 | +56% | $50,607 | +101% | ≈604% of Medicare |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $101,643 | $15,246 | $24,768 | +310% | $27,316 | +272% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $101,585 | $15,238 | $62,676 | +62% | $44,606 | +128% | — |
| 612 | NEONATE BIRTH WEIGHT 1500-1999G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION | $101,491 | $15,224 | $101,491 | — | $249,205 | −59% | — |
| 244 | DIVERTICULITIS AND DIVERTICULOSIS | $101,335 | $15,200 | $107,530 | −6% | $41,591 | +144% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $101,250 | $15,188 | $32,829 | +208% | $42,415 | +139% | — |
| 322 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | $100,818 | $15,123 | $94,411 | +7% | $58,809 | +71% | ≈641% of Medicare |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $99,971 | $14,996 | $111,391 | −10% | $59,500 | +68% | — |
| 173 | ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM | $99,715 | $14,957 | $112,838 | −12% | $60,407 | +65% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $99,699 | $14,955 | $105,893 | −6% | $59,629 | +67% | — |
| 168 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $99,427 | $14,914 | $80,042 | +24% | $29,949 | +232% | — |
| 801 | SPLENIC PROCEDURES WITHOUT CC/MCC | $99,410 | $14,912 | $70,759 | +40% | $36,445 | +173% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $99,308 | $14,896 | $62,575 | +59% | $41,955 | +137% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $98,809 | $14,821 | $55,624 | +78% | $31,105 | +218% | — |
| 134 | PULMONARY EMBOLISM | $98,794 | $14,819 | $23,701 | +317% | $23,289 | +324% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $98,785 | $14,818 | $70,105 | +41% | $55,162 | +79% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $98,558 | $14,784 | $79,846 | +23% | $46,283 | +113% | ≈482% of Medicare |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $98,508 | $14,776 | $20,581 | +379% | $25,748 | +283% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $98,471 | $14,771 | $80,453 | +22% | $36,489 | +170% | ≈520% of Medicare |
| 740 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | $98,439 | $14,766 | $82,704 | +19% | $40,365 | +144% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $97,972 | $14,696 | $39,158 | +150% | $27,543 | +256% | — |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $97,956 | $14,693 | $56,824 | +72% | $33,633 | +191% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $97,924 | $14,689 | $58,251 | +68% | $36,658 | +167% | — |
| 252 | MALFUNCTION, REACTION AND COMPLICATION OF GI DEVICE OR PROCEDURE | $97,657 | $14,649 | $114,667 | −15% | $68,508 | +43% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $97,406 | $14,611 | $65,491 | +49% | $33,393 | +192% | — |
| 633 | NEONATE BIRTH WEIGHT > 2499G WITH MAJOR ANOMALY | $97,266 | $14,590 | $97,266 | — | $31,241 | +211% | — |
| 413 | CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC | $97,252 | $14,588 | $24,771 | +293% | $29,316 | +232% | — |
| 485 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC | $97,161 | $14,574 | $97,161 | +0% | $72,424 | +34% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $97,106 | $14,566 | $84,233 | +15% | $47,711 | +104% | — |
| 414 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC | $96,882 | $14,532 | $96,882 | +0% | $69,743 | +39% | — |
| 240 | DIGESTIVE MALIGNANCY | $96,835 | $14,525 | $77,863 | +24% | $59,790 | +62% | — |
| 836 | ACUTE LEUKEMIA WITHOUT CC/MCC | $96,501 | $14,475 | $19,686 | +390% | $19,686 | +390% | — |
| 546 | CONNECTIVE TISSUE DISORDERS WITH CC | $96,296 | $14,444 | $33,391 | +188% | $25,700 | +275% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $95,995 | $14,399 | $95,995 | +0% | $50,394 | +90% | — |
| 415 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC | $95,952 | $14,393 | $87,838 | +9% | $43,913 | +119% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $95,109 | $14,266 | $51,552 | +84% | $28,320 | +236% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $94,546 | $14,182 | $75,345 | +25% | $48,682 | +94% | — |
| 055 | HEAD TRAUMA WITH COMA > 1 HOUR OR HEMORRHAGE | $94,026 | $14,104 | $21,626 | +335% | $20,926 | +349% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $93,901 | $14,085 | $35,163 | +167% | $37,950 | +147% | ≈580% of Medicare |
| 140 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE | $93,376 | $14,006 | $31,950 | +192% | $60,098 | +55% | — |
| 261 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC | $92,994 | $13,949 | $69,604 | +34% | $42,126 | +121% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $92,974 | $13,946 | $196,654 | −53% | $70,371 | +32% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $92,771 | $13,916 | $48,565 | +91% | $39,106 | +137% | ≈532% of Medicare |
| 505 | FOOT PROCEDURES WITHOUT CC/MCC | $92,684 | $13,903 | $76,277 | +22% | $34,937 | +165% | — |
| 824 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC | $92,569 | $13,885 | $31,740 | +192% | $41,608 | +122% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $92,566 | $13,885 | $43,753 | +112% | $33,707 | +175% | ≈657% of Medicare |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $92,440 | $13,866 | $83,023 | +11% | $52,405 | +76% | ≈397% of Medicare |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $92,402 | $13,860 | $33,138 | +179% | $23,141 | +299% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $92,006 | $13,801 | $29,592 | +211% | $20,901 | +340% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $91,896 | $13,784 | $23,921 | +284% | $35,453 | +159% | — |
| 661 | COAGULATION AND PLATELET DISORDERS | $91,018 | $13,653 | $34,254 | +166% | $25,970 | +250% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $90,784 | $13,618 | $33,965 | +167% | $33,424 | +172% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $90,502 | $13,575 | $44,704 | +102% | $28,050 | +223% | ≈748% of Medicare |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $90,110 | $13,516 | $30,433 | +196% | $26,463 | +241% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $90,027 | $13,504 | $21,022 | +328% | $30,493 | +195% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $89,466 | $13,420 | $25,648 | +249% | $24,552 | +264% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $89,012 | $13,352 | $30,281 | +194% | $22,888 | +289% | ≈1082% of Medicare |
| 052 | ALTERATION IN CONSCIOUSNESS | $88,850 | $13,328 | $26,865 | +231% | $32,031 | +177% | — |
| 499 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC | $88,733 | $13,310 | $18,260 | +386% | $21,230 | +318% | — |
| 143 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC | $88,730 | $13,309 | $66,993 | +32% | $52,908 | +68% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $88,571 | $13,286 | $63,523 | +39% | $42,914 | +106% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $88,419 | $13,263 | $48,869 | +81% | $38,666 | +129% | ≈497% of Medicare |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $87,627 | $13,144 | $53,399 | +64% | $36,505 | +140% | — |
| 315 | SHOULDER, UPPER ARM AND FOREARM PROCEDURES EXCEPT JOINT REPLACEMENT | $87,580 | $13,137 | $23,220 | +277% | $21,363 | +310% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $85,908 | $12,886 | $82,429 | +4% | $46,295 | +86% | — |
| 496 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC | $85,579 | $12,837 | $82,484 | +4% | $43,800 | +95% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $84,946 | $12,742 | $21,597 | +293% | $26,870 | +216% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $84,408 | $12,661 | $42,323 | +99% | $39,627 | +113% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $84,259 | $12,639 | $76,276 | +10% | $34,276 | +146% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $84,033 | $12,605 | $24,447 | +244% | $31,300 | +168% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $83,586 | $12,538 | $45,504 | +84% | $33,255 | +151% | — |
| 504 | FOOT PROCEDURES WITH CC | $83,407 | $12,511 | $65,518 | +27% | $38,960 | +114% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $82,707 | $12,406 | $92,280 | −10% | $49,351 | +68% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $82,514 | $12,377 | $45,009 | +83% | $37,842 | +118% | ≈488% of Medicare |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $82,474 | $12,371 | $27,687 | +198% | $25,279 | +226% | — |
| 133 | RESPIRATORY FAILURE | $82,023 | $12,303 | $57,406 | +43% | $38,305 | +114% | — |
| 182 | OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES | $81,893 | $12,284 | $47,076 | +74% | $14,064 | +482% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $81,860 | $12,279 | $117,852 | −31% | $46,453 | +76% | — |
| 067 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $81,485 | $12,223 | $22,077 | +269% | $24,941 | +227% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $81,355 | $12,203 | $38,166 | +113% | $44,546 | +83% | — |
| 302 | ATHEROSCLEROSIS WITH MCC | $80,967 | $12,145 | $27,534 | +194% | $22,446 | +261% | — |
| 085 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC | $80,919 | $12,138 | $66,170 | +22% | $41,892 | +93% | ≈382% of Medicare |
| 075 | VIRAL MENINGITIS WITH CC/MCC | $80,661 | $12,099 | $25,549 | +216% | $30,447 | +165% | — |
| 407 | PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC | $80,459 | $12,069 | $30,914 | +160% | $46,727 | +72% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $80,391 | $12,059 | $74,533 | +8% | $45,333 | +77% | — |
| 100 | SEIZURES WITH MCC | $80,243 | $12,036 | $47,409 | +69% | $35,481 | +126% | ≈471% of Medicare |
| 634 | NEONATE BIRTH WEIGHT > 2499G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION | $80,055 | $12,008 | $80,055 | — | $37,527 | +113% | — |
| 850 | PROCEDURE WITH DIAGNOSIS OF REHAB, AFTERCARE OR OTHER CONTACT WITH HEALTH SERVICES | $79,752 | $11,963 | $121,563 | −34% | $121,563 | −34% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $79,021 | $11,853 | $63,856 | +24% | $30,784 | +157% | — |
| 070 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $77,926 | $11,689 | $42,835 | +82% | $31,951 | +144% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $77,922 | $11,688 | $31,052 | +151% | $29,221 | +167% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $77,921 | $11,688 | $32,044 | +143% | $27,277 | +186% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $77,500 | $11,625 | $60,778 | +28% | $34,459 | +125% | — |
| 865 | VIRAL ILLNESS WITH MCC | $77,410 | $11,612 | $46,423 | +67% | $26,910 | +188% | — |
| 131 | CYSTIC FIBROSIS - PULMONARY DISEASE | $77,265 | $11,590 | $55,762 | +39% | $23,289 | +232% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $77,004 | $11,551 | $55,276 | +39% | $35,465 | +117% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $76,956 | $11,543 | $59,685 | +29% | $37,844 | +103% | — |
| 625 | NEONATE BIRTH WEIGHT 2000-2499G WITH OTHER SIGNIFICANT CONDITION | $76,886 | $11,533 | $47,065 | +63% | $59,031 | +30% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $76,169 | $11,425 | $91,042 | −16% | $27,808 | +174% | — |
| 835 | ACUTE LEUKEMIA WITH CC | $75,806 | $11,371 | $51,594 | +47% | $35,569 | +113% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $75,566 | $11,335 | $58,994 | +28% | $38,094 | +98% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $75,154 | $11,273 | $53,719 | +40% | $36,792 | +104% | ≈509% of Medicare |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $74,682 | $11,202 | $61,052 | +22% | $38,836 | +92% | — |
| 054 | NERVOUS SYSTEM NEOPLASMS WITH MCC | $73,958 | $11,094 | $47,218 | +57% | $30,502 | +142% | ≈879% of Medicare |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $73,805 | $11,071 | $26,477 | +179% | $50,919 | +45% | — |
| 037 | EXTRACRANIAL PROCEDURES WITH MCC | $73,625 | $11,044 | $46,296 | +59% | $66,666 | +10% | — |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $73,616 | $11,042 | $36,218 | +103% | $29,933 | +146% | ≈524% of Medicare |
| 186 | PLEURAL EFFUSION WITH MCC | $73,369 | $11,005 | $33,339 | +120% | $33,834 | +117% | — |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $73,218 | $10,983 | $17,624 | +315% | $33,851 | +116% | — |
| 192 | CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS | $72,968 | $10,945 | $18,699 | +290% | $14,368 | +408% | — |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $72,921 | $10,938 | $69,645 | +5% | $28,202 | +159% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $72,889 | $10,933 | $57,295 | +27% | $34,273 | +113% | — |
| 602 | NEONATE BIRTH WEIGHT 1000-1249G WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJ | $72,775 | $72,775 | $46,242 | +57% | $30,598 | +138% | — |
| 928 | FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC | $72,741 | $10,911 | $89,353 | −19% | $89,353 | −19% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $72,356 | $10,853 | $49,595 | +46% | $34,607 | +109% | — |
| 734 | PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC | $72,012 | $10,802 | $30,486 | +136% | $42,795 | +68% | — |
| 487 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $71,780 | $10,767 | $61,697 | +16% | $35,074 | +105% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $71,576 | $10,736 | $42,250 | +69% | $30,828 | +132% | ≈555% of Medicare |
| 951 | MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS | $71,515 | $10,727 | $10,553 | +578% | $10,160 | +604% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $71,431 | $10,715 | $65,828 | +9% | $37,387 | +91% | — |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $71,118 | $10,668 | $39,320 | +81% | $29,743 | +139% | — |
| 284 | DISORDERS OF GALLBLADDER AND BILIARY TRACT | $71,039 | $10,656 | $12,811 | +455% | $16,450 | +332% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $70,983 | $10,648 | $42,908 | +65% | $32,637 | +117% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $70,796 | $10,619 | $64,036 | +11% | $40,213 | +76% | ≈394% of Medicare |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $70,482 | $10,572 | $39,619 | +78% | $20,422 | +245% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $70,157 | $10,524 | $43,030 | +63% | $31,017 | +126% | — |
| 592 | SKIN ULCERS WITH MCC | $69,679 | $10,452 | $41,533 | +68% | $33,246 | +110% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $69,541 | $10,431 | $64,628 | +8% | $32,859 | +112% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $69,519 | $10,428 | $66,524 | +5% | $40,552 | +71% | — |
| 199 | PNEUMOTHORAX WITH MCC | $69,395 | $10,409 | $34,682 | +100% | $33,787 | +105% | — |
| 259 | CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC | $69,335 | $10,400 | $78,313 | −11% | $39,020 | +78% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $69,251 | $10,388 | $39,965 | +73% | $34,192 | +103% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $68,553 | $10,283 | $24,448 | +180% | $36,354 | +89% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $68,517 | $10,278 | $53,483 | +28% | $46,402 | +48% | — |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $68,066 | $10,210 | $69,184 | −2% | $39,006 | +75% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $67,741 | $10,161 | $38,290 | +77% | $23,319 | +190% | ≈684% of Medicare |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $67,188 | $10,078 | $56,863 | +18% | $27,275 | +146% | ≈607% of Medicare |
| 347 | OTHER BACK AND NECK DISORDERS, FRACTURES AND INJURIES | $66,737 | $10,011 | $51,872 | +29% | $40,548 | +65% | — |
| 088 | CONCUSSION WITH MCC | $66,710 | $10,007 | $21,503 | +210% | $24,402 | +173% | — |
| 593 | NEONATE BIRTH WEIGHT 750-999G WITHOUT MAJOR PROCEDURE | $66,528 | $66,528 | $19,063 | +249% | $22,886 | +191% | — |
| 310 | VERTEBRAL AND INTERVERTEBRAL SPINAL PROCEDURES INCLUDING DISC PROCEDURES | $66,298 | $9,945 | $19,711 | +236% | $13,384 | +395% | ≈1519% of Medicare |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $66,215 | $9,932 | $54,164 | +22% | $50,046 | +32% | — |
| 906 | HAND PROCEDURES FOR INJURIES | $66,182 | $9,927 | $44,481 | +49% | $32,065 | +106% | — |
| 263 | CHOLECYSTECTOMY | $66,107 | $9,916 | $68,011 | −3% | $51,253 | +29% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $64,616 | $9,692 | $61,418 | +5% | $36,937 | +75% | — |
| 115 | EXTRAOCULAR PROCEDURES EXCEPT ORBIT | $64,412 | $9,662 | $23,065 | +179% | $25,703 | +151% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $63,953 | $9,593 | $41,795 | +53% | $38,101 | +68% | — |
| 930 | MULTIPLE SIGNIFICANT TRAUMA WITHOUT O.R. PROCEDURE | $63,772 | $9,566 | $72,498 | −12% | $72,498 | −12% | — |
| 561 | POSTPARTUM & POST ABORTION DIAGNOSES WTIHOUT PROCEDURE | $63,710 | $9,557 | $27,139 | +135% | $18,150 | +251% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $63,630 | $9,544 | $47,898 | +33% | $31,159 | +104% | — |
| 245 | AICD GENERATOR PROCEDURES | $63,617 | $9,543 | $27,260 | +133% | $72,076 | −12% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $63,295 | $9,494 | $29,549 | +114% | $29,916 | +112% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $63,254 | $9,488 | $56,971 | +11% | $26,932 | +135% | — |
| 364 | OTHER SKIN, SUBCUTANEOUS TISSUE AND RELATED PROCEDURES | $62,936 | $9,440 | $62,936 | — | $46,852 | +34% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $62,816 | $9,422 | $47,333 | +33% | $27,285 | +130% | ≈517% of Medicare |
| 102 | HEADACHES WITH MCC | $62,586 | $9,388 | $35,978 | +74% | $25,740 | +143% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $62,334 | $9,350 | $55,401 | +13% | $27,394 | +128% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $62,117 | $9,318 | $59,579 | +4% | $32,496 | +91% | ≈437% of Medicare |
| 022 | VENTRICULAR SHUNT PROCEDURES | $62,089 | $9,313 | $49,015 | +27% | $66,848 | −7% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $62,007 | $9,301 | $55,854 | +11% | $39,958 | +55% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $61,991 | $9,299 | $34,224 | +81% | $33,563 | +85% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $61,727 | $9,259 | $59,336 | +4% | $51,608 | +20% | — |
| 060 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $60,616 | $9,092 | $24,535 | +147% | $22,148 | +174% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $60,568 | $9,085 | $34,308 | +77% | $23,283 | +160% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $60,531 | $9,080 | $30,777 | +97% | $30,235 | +100% | ≈438% of Medicare |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $60,228 | $9,034 | $37,129 | +62% | $22,635 | +166% | — |
| 078 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $60,182 | $9,027 | $16,971 | +255% | $17,698 | +240% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $60,173 | $9,026 | $55,450 | +9% | $32,877 | +83% | — |
| 230 | MAJOR SMALL BOWEL PROCEDURES | $60,115 | $9,017 | $45,561 | +32% | $58,096 | +3% | — |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $59,836 | $8,975 | $17,544 | +241% | $24,544 | +144% | — |
| 398 | APPENDIX PROCEDURES WITH CC | $59,650 | $8,948 | $64,962 | −8% | $40,162 | +49% | — |
| 639 | NEONATE BIRTH WEIGHT > 2499G WITH OTHER SIGNIFICANT CONDITION | $59,394 | $8,909 | $19,699 | +202% | $13,910 | +327% | — |
| 538 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC | $59,030 | $8,855 | $11,909 | +396% | $11,909 | +396% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $58,869 | $8,830 | $37,560 | +57% | $28,226 | +109% | ≈456% of Medicare |
| 540 | CESAREAN SECTION WITHOUT STERILIZATION | $58,695 | $8,804 | $34,794 | +69% | $26,676 | +120% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $58,655 | $8,798 | $40,123 | +46% | $26,776 | +119% | ≈498% of Medicare |
| 578 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $58,266 | $8,740 | $25,133 | +132% | $29,079 | +100% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $57,551 | $8,633 | $21,277 | +170% | $27,119 | +112% | — |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $57,517 | $8,628 | $72,134 | −20% | $44,117 | +30% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $57,397 | $8,610 | $34,884 | +65% | $25,034 | +129% | — |
| 547 | ANTEPARTUM WITH O.R. PROCEDURE | $57,391 | $8,609 | $24,063 | +139% | $16,565 | +246% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $57,143 | $8,572 | $18,704 | +206% | $15,837 | +261% | — |
| 317 | TENDON, MUSCLE AND OTHER SOFT TISSUE PROCEDURES | $56,948 | $8,542 | $48,735 | +17% | $88,566 | −36% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $56,769 | $8,515 | $27,659 | +105% | $20,084 | +183% | — |
| 188 | PLEURAL EFFUSION WITHOUT CC/MCC | $56,589 | $8,488 | $12,723 | +345% | $14,514 | +290% | — |
| 539 | OSTEOMYELITIS WITH MCC | $56,331 | $8,450 | $50,351 | +12% | $37,609 | +50% | — |
| 039 | EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | $55,731 | $8,360 | $56,350 | −1% | $26,618 | +109% | ≈595% of Medicare |
| 744 | D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC | $55,728 | $8,359 | $52,301 | +7% | $38,861 | +43% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $55,719 | $8,358 | $13,385 | +316% | $14,014 | +298% | — |
| 843 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC | $55,696 | $8,354 | $57,799 | −4% | $36,431 | +53% | — |
| 769 | POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES | $55,573 | $8,336 | $46,193 | +20% | $25,094 | +121% | — |
| 337 | PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC | $55,226 | $8,284 | $60,837 | −9% | $39,211 | +41% | — |
| 086 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $55,142 | $8,271 | $36,217 | +52% | $27,043 | +104% | ≈489% of Medicare |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $54,806 | $8,221 | $12,252 | +347% | $18,459 | +197% | — |
| 721 | POST-OPERATIVE, POST-TRAUMATIC, OTHER DEVICE INFECTIONS | $54,164 | $8,125 | $17,375 | +212% | $30,000 | +81% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $53,820 | $8,073 | $28,901 | +86% | $23,571 | +128% | — |
| 184 | MAJOR CHEST TRAUMA WITH CC | $53,792 | $8,069 | $31,929 | +68% | $22,432 | +140% | ≈578% of Medicare |
| 660 | MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION | $53,248 | $7,987 | $44,636 | +19% | $31,264 | +70% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $52,859 | $7,929 | $36,938 | +43% | $23,940 | +121% | ≈619% of Medicare |
| 715 | OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC | $52,710 | $7,907 | $32,504 | +62% | $38,998 | +35% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $52,519 | $7,878 | $27,370 | +92% | $21,396 | +145% | ≈669% of Medicare |
| 541 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C | $52,417 | $7,862 | $29,513 | +78% | $15,215 | +245% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $52,229 | $7,834 | $50,457 | +4% | $24,386 | +114% | ≈552% of Medicare |
| 038 | EXTRACRANIAL PROCEDURES WITH CC | $52,063 | $7,810 | $58,337 | −11% | $35,770 | +46% | — |
| 289 | ACUTE AND SUBACUTE ENDOCARDITIS WITH CC | $51,947 | $7,792 | $46,673 | +11% | $32,697 | +59% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $51,754 | $7,763 | $27,597 | +88% | $22,033 | +135% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $51,714 | $7,757 | $21,743 | +138% | $17,700 | +192% | — |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $50,651 | $7,598 | $53,727 | −6% | $31,321 | +62% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $50,349 | $7,552 | $26,155 | +92% | $16,846 | +199% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $50,185 | $7,528 | $26,244 | +91% | $28,140 | +78% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $50,058 | $7,509 | $37,757 | +33% | $26,580 | +88% | ≈448% of Medicare |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $49,841 | $7,476 | $35,914 | +39% | $33,048 | +51% | — |
| 200 | PNEUMOTHORAX WITH CC | $49,046 | $7,357 | $25,828 | +90% | $21,368 | +130% | ≈260% of Medicare |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $48,591 | $7,289 | $48,840 | −1% | $27,401 | +77% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $48,427 | $7,264 | $30,136 | +61% | $16,371 | +196% | — |
| 361 | SKIN GRAFT FOR SKIN AND SUBCUTANEOUS TISSUE DIAGNOSES | $48,317 | $7,248 | $48,317 | — | $79,921 | −40% | — |
| 747 | VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC | $47,981 | $7,197 | $15,591 | +208% | $19,594 | +145% | — |
| 637 | DIABETES WITH MCC | $47,746 | $7,162 | $30,655 | +56% | $30,100 | +59% | ≈291% of Medicare |
| 644 | ENDOCRINE DISORDERS WITH CC | $47,469 | $7,120 | $31,330 | +52% | $23,198 | +105% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $47,070 | $7,061 | $52,780 | −11% | $25,463 | +85% | ≈289% of Medicare |
| 682 | RENAL FAILURE WITH MCC | $46,893 | $7,034 | $46,893 | +0% | $29,064 | +61% | ≈285% of Medicare |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $46,879 | $7,032 | $42,576 | +10% | $27,617 | +70% | — |
| 222 | OTHER STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES | $46,723 | $7,008 | $86,864 | −46% | $86,864 | −46% | — |
| 045 | CVA AND PRECEREBRAL OCCLUSION WITH INFARCT | $46,139 | $6,921 | $46,139 | — | $77,914 | −41% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $46,037 | $6,906 | $34,781 | +32% | $21,275 | +116% | ≈268% of Medicare |
| 084 | TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC | $45,966 | $6,895 | $15,603 | +195% | $19,924 | +131% | ≈295% of Medicare |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $45,561 | $6,834 | $13,602 | +235% | $19,962 | +128% | — |
| 694 | URINARY STONES WITHOUT MCC | $45,525 | $6,829 | $27,794 | +64% | $17,345 | +162% | — |
| 847 | CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC | $45,468 | $6,820 | $19,686 | +131% | $23,498 | +93% | — |
| 124 | OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT | $45,381 | $6,807 | $31,718 | +43% | $21,894 | +107% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $45,303 | $6,795 | $23,568 | +92% | $15,428 | +194% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $45,205 | $6,781 | $24,095 | +88% | $20,895 | +116% | — |
| 071 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $45,101 | $6,765 | $29,084 | +55% | $23,488 | +92% | ≈279% of Medicare |
| 077 | HYPERTENSIVE ENCEPHALOPATHY WITH MCC | $45,012 | $6,752 | $23,263 | +93% | $24,550 | +83% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $44,877 | $6,732 | $30,654 | +46% | $17,601 | +155% | — |
| 079 | HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC | $44,876 | $6,731 | $11,847 | +279% | $11,847 | +279% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $44,792 | $6,719 | $38,715 | +16% | $23,617 | +90% | ≈283% of Medicare |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $44,176 | $6,626 | $30,760 | +44% | $21,056 | +110% | ≈288% of Medicare |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $43,605 | $6,541 | $29,126 | +50% | $20,181 | +116% | ≈279% of Medicare |
| 549 | SEPTIC ARTHRITIS WITH CC | $43,371 | $6,506 | $24,180 | +79% | $24,056 | +80% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $42,864 | $6,430 | $44,199 | −3% | $22,024 | +95% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $42,762 | $6,414 | $34,536 | +24% | $23,551 | +82% | ≈253% of Medicare |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $42,736 | $6,410 | $16,841 | +154% | $15,370 | +178% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $42,714 | $6,407 | $21,106 | +102% | $20,957 | +104% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $42,633 | $6,395 | $33,491 | +27% | $22,098 | +93% | ≈297% of Medicare |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $42,174 | $6,326 | $30,303 | +39% | $17,733 | +138% | — |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $41,852 | $6,278 | $36,362 | +15% | $22,458 | +86% | — |
| 072 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $41,819 | $6,273 | $26,095 | +60% | $19,037 | +120% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $41,800 | $6,270 | $92,706 | −55% | $30,770 | +36% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $41,774 | $6,266 | $29,934 | +40% | $25,303 | +65% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $41,728 | $6,259 | $26,067 | +60% | $22,763 | +83% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $41,680 | $6,252 | $41,680 | +0% | $16,968 | +146% | — |
| 597 | MALIGNANT BREAST DISORDERS WITH MCC | $41,676 | $6,251 | $15,540 | +168% | $33,386 | +25% | — |
| 461 | KIDNEY AND URINARY TRACT MALIGNANCY | $41,417 | — | $76,071 | −46% | $108,472 | −62% | — |
| 465 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC | $41,143 | $6,171 | $31,915 | +29% | $32,443 | +27% | — |
| 965 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC | $41,103 | $6,165 | $45,871 | −10% | $20,259 | +103% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $41,098 | $6,165 | $42,477 | −3% | $32,021 | +28% | ≈310% of Medicare |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $40,986 | $6,148 | $40,302 | +2% | $22,506 | +82% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $40,847 | $6,127 | $27,102 | +51% | $18,002 | +127% | ≈380% of Medicare |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $40,768 | $6,115 | $50,512 | −19% | $33,661 | +21% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $40,636 | $6,095 | $29,836 | +36% | $19,846 | +105% | — |
| 831 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC | $40,560 | $6,084 | $19,057 | +113% | $18,133 | +124% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $40,441 | $6,066 | $15,598 | +159% | $20,911 | +93% | — |
| 144 | OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC | $40,427 | $6,064 | $30,553 | +32% | $30,553 | +32% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $40,380 | $6,057 | $36,298 | +11% | $33,555 | +20% | — |
| 348 | ANAL AND STOMAL PROCEDURES WITH CC | $40,196 | $6,029 | $45,396 | −11% | $27,947 | +44% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $39,786 | $5,968 | $12,534 | +217% | $12,559 | +217% | — |
| 068 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC | $39,684 | $5,953 | $28,413 | +40% | $19,569 | +103% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $39,603 | $5,940 | $30,250 | +31% | $24,177 | +64% | — |
| 861 | SIGNS, SYMPTOMS AND OTHER FACTORS INFLUENCING HEALTH STATUS | $39,318 | $5,898 | $39,318 | — | $26,085 | +51% | — |
| 103 | HEADACHES WITHOUT MCC | $39,091 | $5,864 | $30,163 | +30% | $21,280 | +84% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $39,019 | $5,853 | $22,793 | +71% | $20,232 | +93% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $38,788 | $5,818 | $18,191 | +113% | $25,652 | +51% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $38,750 | $5,813 | $71,281 | −46% | $34,749 | +12% | — |
| 838 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT | $38,689 | $5,803 | $29,518 | +31% | $31,134 | +24% | — |
| 117 | INTRAOCULAR PROCEDURES WITHOUT CC/MCC | $38,682 | $5,802 | $17,193 | +125% | $17,193 | +125% | — |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $38,463 | $5,769 | $18,707 | +106% | $21,847 | +76% | — |
| 087 | TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC | $38,271 | $5,741 | $25,188 | +52% | $16,520 | +132% | ≈291% of Medicare |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $38,065 | $5,710 | $38,065 | +0% | $18,452 | +106% | — |
| 939 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC | $37,981 | $5,697 | $44,389 | −14% | $55,289 | −31% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $37,863 | $5,679 | $21,818 | +74% | $12,454 | +204% | — |
| 638 | DIABETES WITH CC | $37,770 | $5,665 | $24,658 | +53% | $19,661 | +92% | ≈289% of Medicare |
| 683 | RENAL FAILURE WITH CC | $37,608 | $5,641 | $24,421 | +54% | $19,130 | +97% | ≈301% of Medicare |
| 262 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC | $37,528 | $5,629 | $73,182 | −49% | $33,694 | +11% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $37,330 | $5,599 | $28,101 | +33% | $22,468 | +66% | — |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | $37,321 | $5,598 | $24,468 | +53% | $19,305 | +93% | — |
| 185 | MAJOR CHEST TRAUMA WITHOUT CC/MCC | $37,279 | $5,592 | $26,898 | +39% | $17,124 | +118% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $37,043 | $5,556 | $45,505 | −19% | $20,247 | +83% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $36,959 | $5,544 | $32,674 | +13% | $19,096 | +94% | ≈290% of Medicare |
| 883 | DISORDERS OF PERSONALITY AND IMPULSE CONTROL | $36,381 | $5,457 | $27,256 | +33% | $23,206 | +57% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,920 | $5,388 | $44,280 | −19% | $33,047 | +9% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $35,906 | $5,386 | $27,046 | +33% | $21,449 | +67% | — |
| 125 | OTHER DISORDERS OF THE EYE WITHOUT MCC | $35,904 | $5,386 | $28,118 | +28% | $17,298 | +108% | — |
| 187 | PLEURAL EFFUSION WITH CC | $35,871 | $5,381 | $25,699 | +40% | $21,789 | +65% | — |
| 306 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC | $35,819 | $5,373 | $23,999 | +49% | $24,586 | +46% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $35,789 | $5,368 | $62,299 | −43% | $50,618 | −29% | — |
| 915 | ALLERGIC REACTIONS WITH MCC | $35,705 | $5,356 | $41,180 | −13% | $32,645 | +9% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $35,546 | $5,332 | $53,002 | −33% | $27,633 | +29% | — |
| 312 | SYNCOPE AND COLLAPSE | $35,447 | $5,317 | $26,853 | +32% | $19,342 | +83% | ≈309% of Medicare |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $35,335 | $5,300 | $27,876 | +27% | $20,781 | +70% | ≈331% of Medicare |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $35,010 | $5,251 | $20,672 | +69% | $24,127 | +45% | — |
| 090 | CONCUSSION WITHOUT CC/MCC | $34,872 | $5,231 | $14,321 | +144% | $15,412 | +126% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $34,646 | $5,197 | $14,627 | +137% | $19,854 | +75% | — |
| 550 | SEPTIC ARTHRITIS WITHOUT CC/MCC | $34,439 | $5,166 | $38,959 | −12% | $19,138 | +80% | — |
| 149 | DYSEQUILIBRIUM | $34,424 | $5,164 | $22,523 | +53% | $18,096 | +90% | ≈293% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $34,265 | $5,140 | $56,359 | −39% | $28,156 | +22% | — |
| 935 | NON-EXTENSIVE BURNS | $34,164 | $5,125 | $40,847 | −16% | $31,701 | +8% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $33,619 | $5,043 | $32,403 | +4% | $19,227 | +75% | ≈502% of Medicare |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $33,443 | $5,016 | $24,378 | +37% | $18,956 | +76% | — |
| 139 | OTHER PNEUMONIA | $33,303 | $4,995 | $33,303 | +0% | $23,612 | +41% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $33,175 | $4,976 | $33,175 | +0% | $18,204 | +82% | ≈285% of Medicare |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $32,922 | $4,938 | $22,922 | +44% | $22,850 | +44% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $32,872 | $4,931 | $30,514 | +8% | $23,749 | +38% | — |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $32,858 | $4,929 | $20,145 | +63% | $26,051 | +26% | — |
| 093 | OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC | $32,738 | $4,911 | $26,055 | +26% | $17,620 | +86% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $32,723 | $4,908 | $14,516 | +125% | $16,998 | +93% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $32,608 | $4,891 | $30,301 | +8% | $19,842 | +64% | ≈299% of Medicare |
| 123 | NEUROLOGICAL EYE DISORDERS | $32,587 | $4,888 | $33,346 | −2% | $19,745 | +65% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $32,398 | $4,860 | $28,032 | +16% | $19,657 | +65% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $32,388 | $4,858 | $16,007 | +102% | $13,642 | +137% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $32,256 | $4,838 | $21,274 | +52% | $15,183 | +112% | — |
| 059 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $32,182 | $4,827 | $28,523 | +13% | $27,163 | +18% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $31,919 | $4,788 | $43,100 | −26% | $26,682 | +20% | ≈284% of Medicare |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $31,732 | $4,760 | $28,035 | +13% | $20,488 | +55% | ≈271% of Medicare |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $31,707 | $4,756 | $29,171 | +9% | $18,081 | +75% | ≈275% of Medicare |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $31,670 | $4,751 | $24,018 | +32% | $17,118 | +85% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $31,562 | $4,734 | $38,521 | −18% | $26,280 | +20% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $31,349 | $4,702 | $27,649 | +13% | $20,506 | +53% | ≈323% of Medicare |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $31,239 | $4,686 | $19,357 | +61% | $27,297 | +14% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $31,162 | $4,674 | $24,999 | +25% | $31,563 | −1% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $30,987 | $4,648 | $15,019 | +106% | $15,019 | +106% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $30,839 | $4,626 | $24,486 | +26% | $17,921 | +72% | ≈302% of Medicare |
| 422 | HYPOVOLEMIA AND RELATED ELECTROLYTE DISORDERS | $30,683 | $4,602 | $21,619 | +42% | $25,073 | +22% | — |
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | $30,660 | $4,599 | $25,612 | +20% | $12,999 | +136% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $30,212 | $4,532 | $40,745 | −26% | $18,807 | +61% | — |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC | $30,193 | $4,529 | $11,913 | +153% | $18,316 | +65% | — |
| 135 | MAJOR CHEST AND RESPIRATORY TRAUMA | $30,085 | $4,513 | $21,783 | +38% | $42,186 | −29% | — |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $30,043 | $4,506 | $22,945 | +31% | $14,927 | +101% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $29,839 | $4,476 | $28,774 | +4% | $17,674 | +69% | ≈278% of Medicare |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $29,348 | $4,402 | $33,241 | −12% | $17,724 | +66% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $29,310 | $4,397 | $16,529 | +77% | $12,324 | +138% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $29,140 | $4,371 | $21,217 | +37% | $14,716 | +98% | — |
| 145 | ACUTE BRONCHITIS AND RELATED SYMPTOMS | $29,007 | $4,351 | $35,437 | −18% | $25,712 | +13% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $28,935 | $4,340 | $14,454 | +100% | $13,275 | +118% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $28,816 | $4,322 | $26,032 | +11% | $18,126 | +59% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $28,766 | $4,315 | $16,177 | +78% | $18,528 | +55% | — |
| 305 | HYPERTENSION WITHOUT MCC | $28,575 | $4,286 | $28,872 | −1% | $18,086 | +58% | ≈316% of Medicare |
| 101 | SEIZURES WITHOUT MCC | $28,280 | $4,242 | $25,796 | +10% | $20,461 | +38% | ≈294% of Medicare |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $28,279 | $4,242 | $38,490 | −27% | $18,004 | +57% | — |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $28,255 | $4,238 | $39,692 | −29% | $20,566 | +37% | — |
| 053 | SEIZURE | $28,218 | $4,233 | $15,153 | +86% | $20,455 | +38% | — |
| 081 | NONTRAUMATIC STUPOR AND COMA WITHOUT MCC | $28,120 | $4,218 | $17,625 | +60% | $16,552 | +70% | — |
| 352 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC | $28,089 | $4,213 | $51,535 | −45% | $27,843 | +1% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $28,069 | $4,210 | $17,249 | +63% | $15,038 | +87% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $27,943 | $4,191 | $52,322 | −47% | $30,571 | −9% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $27,804 | $4,171 | $24,811 | +12% | $16,699 | +67% | ≈282% of Medicare |
| 837 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC | $27,782 | $4,167 | $68,095 | −59% | $77,055 | −64% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $27,726 | $4,159 | $24,813 | +12% | $12,460 | +123% | — |
| 311 | ANGINA PECTORIS | $27,717 | $4,158 | $20,417 | +36% | $15,502 | +79% | — |
| 839 | CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC | $27,665 | $4,150 | $20,980 | +32% | $20,980 | +32% | — |
| 730 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $27,562 | $4,134 | $8,867 | +211% | $11,071 | +149% | — |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | $27,339 | $4,101 | $25,621 | +7% | $16,776 | +63% | — |
| 603 | CELLULITIS WITHOUT MCC | $27,323 | $4,098 | $28,375 | −4% | $18,530 | +47% | ≈295% of Medicare |
| 885 | PSYCHOSES | $27,090 | $4,064 | $29,910 | −9% | $21,729 | +25% | ≈283% of Medicare |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $26,920 | $4,038 | $26,362 | +2% | $17,322 | +55% | ≈290% of Medicare |
| 626 | NEONATE BIRTH WEIGHT 2000-2499G, NORMAL NEWBORN OR NEONATE WITH OTHER PROBLEM | $26,145 | $3,922 | $50,311 | −48% | $33,454 | −22% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $25,987 | $3,898 | $23,527 | +10% | $17,038 | +53% | ≈295% of Medicare |
| 882 | NEUROSES EXCEPT DEPRESSIVE | $25,521 | $3,828 | $18,025 | +42% | $15,680 | +63% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $25,252 | $3,788 | $10,118 | +150% | $12,895 | +96% | — |
| 298 | CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC | $25,163 | $3,774 | $8,927 | +182% | $8,927 | +182% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $25,027 | $3,754 | $17,472 | +43% | $13,942 | +80% | — |
| 294 | DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC | $24,633 | $3,695 | $19,132 | +29% | $19,132 | +29% | — |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $24,628 | $3,694 | $22,219 | +11% | $15,600 | +58% | — |
| 722 | FEVER AND INFLAMMATORY CONDITIONS | $24,543 | $3,681 | $25,633 | −4% | $29,826 | −18% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $24,359 | $3,654 | $23,474 | +4% | $17,578 | +39% | ≈286% of Medicare |
| 197 | PERIPHERAL AND OTHER VASCULAR DISORDERS | $24,270 | $3,641 | $28,474 | −15% | $21,941 | +11% | — |
| 151 | EPISTAXIS WITHOUT MCC | $24,044 | $3,607 | $6,972 | +245% | $13,032 | +85% | — |
| 158 | DENTAL AND ORAL DISEASES WITH CC | $24,004 | $3,601 | $24,004 | +0% | $18,466 | +30% | — |
| 914 | TRAUMATIC INJURY WITHOUT MCC | $23,814 | $3,572 | $24,833 | −4% | $15,855 | +50% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $23,379 | $3,507 | $21,596 | +8% | $18,488 | +26% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $23,246 | $3,487 | $25,476 | −9% | $15,452 | +50% | — |
| 132 | BPD AND OTHER CHRONIC RESPIRATORY DISEASES ARISING IN PERINATAL PERIOD | $23,005 | $3,451 | $23,005 | — | $23,289 | −1% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $22,593 | $3,389 | $14,272 | +58% | $12,078 | +87% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $22,546 | $3,382 | $13,904 | +62% | $14,053 | +60% | — |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $22,509 | $3,376 | $21,964 | +2% | $13,651 | +65% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $22,151 | $3,323 | $13,497 | +64% | $14,549 | +52% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $22,076 | $3,311 | $23,794 | −7% | $17,559 | +26% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $21,939 | $3,291 | $33,684 | −35% | $20,616 | +6% | — |
| 048 | PERIPHERAL, CRANIAL AND AUTONOMIC NERVE DISORDERS | $21,927 | $3,289 | $34,401 | −36% | $34,401 | −36% | — |
| 058 | OTHER DISORDERS OF NERVOUS SYSTEM | $21,828 | $3,274 | $32,194 | −32% | $30,243 | −28% | — |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $21,284 | $3,193 | $9,606 | +122% | $13,633 | +56% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $20,932 | $3,140 | $24,375 | −14% | $14,128 | +48% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $20,756 | $3,113 | $26,521 | −22% | $14,583 | +42% | — |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $20,511 | $3,077 | $45,474 | −55% | $24,944 | −18% | — |
| 096 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC | $20,075 | $3,011 | $95,112 | −79% | $41,620 | −52% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $20,069 | $3,010 | $17,180 | +17% | $13,361 | +50% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $19,626 | $2,944 | $20,073 | −2% | $16,767 | +17% | — |
| 425 | OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS | $19,467 | $2,920 | $61,560 | −68% | $26,598 | −27% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $19,166 | $2,875 | $21,587 | −11% | $18,602 | +3% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $18,706 | $2,806 | $12,813 | +46% | $14,797 | +26% | — |
| 949 | AFTERCARE WITH CC/MCC | $18,595 | $2,789 | $29,124 | −36% | $23,953 | −22% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $18,075 | $2,711 | $23,187 | −22% | $14,638 | +23% | — |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $18,072 | $2,711 | $38,581 | −53% | $18,072 | +0% | — |
| 247 | INTESTINAL OBSTRUCTION | $17,246 | $2,587 | $21,734 | −21% | $21,663 | −20% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $17,084 | $2,563 | $26,401 | −35% | $18,640 | −8% | — |
| 370 | MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC | $16,742 | $2,511 | $4,530 | +270% | $15,495 | +8% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $16,709 | $2,506 | $15,610 | +7% | $16,700 | +0% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $16,690 | $2,504 | $35,861 | −53% | $27,861 | −40% | — |
| 886 | BEHAVIORAL AND DEVELOPMENTAL DISORDERS | $16,335 | $2,450 | $21,422 | −24% | $26,510 | −38% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $16,275 | $2,441 | $27,174 | −40% | $17,226 | −6% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $16,131 | $2,420 | $31,738 | −49% | $17,081 | −6% | — |
| 729 | OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC | $15,513 | $2,327 | $3,118 | +397% | $17,483 | −11% | — |
| 998 | PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS | $15,321 | $2,298 | $20,180 | −24% | $15,215 | +1% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $15,216 | $2,282 | $27,187 | −44% | $13,824 | +10% | — |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $14,792 | $2,219 | $19,355 | −24% | $14,689 | +1% | — |
| 881 | DEPRESSIVE NEUROSES | $14,727 | $2,209 | $14,727 | +0% | $15,058 | −2% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $14,667 | $2,200 | $18,486 | −21% | $16,288 | −10% | — |
| 779 | ABORTION WITHOUT D&C | $14,454 | $2,168 | $15,715 | −8% | $15,327 | −6% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $14,254 | $2,138 | $11,173 | +28% | $9,940 | +43% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $14,001 | $2,100 | $12,235 | +14% | $12,252 | +14% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $13,460 | $2,019 | $10,849 | +24% | $8,445 | +59% | — |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $13,310 | $1,996 | $19,302 | −31% | $20,727 | −36% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $13,233 | $1,985 | $17,702 | −25% | $14,415 | −8% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $13,175 | $1,976 | $8,604 | +53% | $11,421 | +15% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $12,607 | $1,891 | $24,405 | −48% | $14,250 | −12% | — |
| 756 | ACUTE ANXIETY AND DELIRIUM STATES | $12,255 | $1,838 | $24,498 | −50% | $15,589 | −21% | — |
| 548 | POSTPARTUM & POST ABORTION DIAGNOSIS WITH O.R. PROCEDURE | $11,791 | $1,769 | $64,624 | −82% | $31,346 | −62% | — |
| 122 | ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC | $11,008 | $1,651 | $11,503 | −4% | $11,997 | −8% | — |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $10,463 | $1,569 | $28,798 | −64% | $13,586 | −23% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $10,298 | $1,545 | $27,858 | −63% | $18,126 | −43% | — |
| 249 | OTHER GASTROENTERITIS, NAUSA AND VOMITING | $10,253 | $1,538 | $20,610 | −50% | $20,610 | −50% | — |
| 723 | VIRAL ILLNESS | $9,903 | $1,485 | $16,440 | −40% | $19,815 | −50% | — |
| 775 | ALCOHOL ABUSE AND DEPENDENCE | $9,283 | $1,392 | $59,494 | −84% | $3,032 | +206% | — |
| 383 | CELLULITIS AND OTHER SKIN INFECTIONS | $8,851 | — | $54,426 | −84% | $27,426 | −68% | — |
| 342 | FRACTURES AND DISLOCATIONS EXCEPT FEMUR, PELVIS AND BACK | $8,620 | $1,293 | $36,805 | −77% | $16,487 | −48% | — |
| 595 | MAJOR SKIN DISORDERS WITH MCC | $8,473 | — | $92,180 | −91% | $34,598 | −76% | — |
| 795 | NORMAL NEWBORN | $7,424 | $1,114 | $5,787 | +28% | $4,720 | +57% | — |
| 636 | NEONATE BIRTH WEIGHT > 2499G WITH CONGENITAL/PERINATAL INFECTION | $5,727 | $859 | $5,727 | — | $59,860 | −90% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $5,274 | — | $20,619 | −74% | $29,805 | −82% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $1,780 | — | $8,971 | −80% | $10,975 | −84% | — |
Procedures with negotiated rates only
These 1 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 |
|---|---|---|---|
| 427 | THYROID DISORDERS | — | 1 plans |
No procedures match that keyword.