Oakbend Medical Center — Pricing
437 procedures published in this hospital's Machine-Readable File (MRF) — 435 with a comparable price, 2 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 437
Lowest published price $691
Average published price $34,101
Highest published price $477,329
Gross charges are the hospital's listed price — almost no one pays this amount. Your actual cost depends on your insurance plan. Use the cash price (when shown) as a guide for what uninsured patients are charged, and contact the hospital or your insurer for a personalized cost estimate.
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Find your insurer's rate
Choose your insurance company to add its median negotiated rate for each procedure as a column in the table below.
Rates come from the hospital's own published price file and are medians across that insurer's plans. Your specific plan, network tier, and benefit design can differ — confirm with your insurer.
Showing all 437 procedures
Published charges
Showing all 435 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.
| DRG | Description | Published price | Cash price | vs. TX median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | $477,329 | $95,466 | $660,173 | −28% | $371,366 | +29% | — |
| 668 | TRANSURETHRAL PROCEDURES WITH MCC | $176,857 | $35,371 | $51,424 | +244% | $47,126 | +275% | — |
| 876 | O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS | $165,098 | $33,020 | $54,196 | +205% | $54,196 | +205% | — |
| 870 | SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | $148,219 | $29,644 | $226,137 | −34% | $137,160 | +8% | — |
| 137 | MOUTH PROCEDURES WITH CC/MCC | $138,558 | $27,712 | $29,348 | +372% | $24,348 | +469% | — |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $136,780 | $27,356 | $154,549 | −11% | $84,825 | +61% | — |
| 901 | WOUND DEBRIDEMENTS FOR INJURIES WITH MCC | $132,425 | $26,485 | $73,266 | +81% | $68,847 | +92% | — |
| 344 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $132,301 | $26,460 | $53,785 | +146% | $44,839 | +195% | — |
| 166 | OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC | $127,014 | $25,403 | $98,765 | +29% | $72,274 | +76% | — |
| 270 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC | $105,340 | $21,068 | $105,340 | +0% | $99,423 | +6% | — |
| 459 | SPINAL FUSION EXCEPT CERVICAL WITH MCC | $105,311 | $21,062 | $78,699 | +34% | $75,251 | +40% | — |
| 471 | CERVICAL SPINAL FUSION WITH MCC | $104,655 | $20,931 | $66,842 | +57% | $92,515 | +13% | — |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $100,268 | $20,054 | $100,268 | +0% | $62,961 | +59% | — |
| 004 | TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES | $98,771 | $19,754 | $230,527 | −57% | $245,189 | −60% | — |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $95,622 | $19,124 | $95,604 | +0% | $63,984 | +49% | — |
| 030 | SPINAL PROCEDURES WITHOUT CC/MCC | $90,531 | $18,106 | $59,227 | +53% | $45,842 | +97% | — |
| 163 | MAJOR CHEST PROCEDURES WITH MCC | $86,689 | $17,338 | $142,222 | −39% | $88,341 | −2% | — |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $83,362 | $16,672 | $131,768 | −37% | $86,938 | −4% | — |
| 329 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | $80,556 | $16,111 | $149,263 | −46% | $88,050 | −9% | — |
| 157 | DENTAL AND ORAL DISEASES WITH MCC | $79,942 | $15,988 | $42,077 | +90% | $27,457 | +191% | — |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $79,016 | $15,803 | $57,163 | +38% | $32,976 | +140% | — |
| 934 | FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY | $77,672 | $15,534 | $31,044 | +150% | $31,044 | +150% | — |
| 074 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $76,356 | $15,271 | $30,961 | +147% | $23,141 | +230% | — |
| 466 | REVISION OF HIP OR KNEE REPLACEMENT WITH MCC | $75,802 | $15,161 | $82,870 | −9% | $94,320 | −20% | — |
| 239 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC | $74,911 | $14,982 | $109,817 | −32% | $87,575 | −14% | — |
| 250 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC | $74,115 | $14,823 | $60,574 | +22% | $51,339 | +44% | — |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $73,064 | $14,613 | $49,536 | +47% | $41,114 | +78% | — |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $72,855 | $14,571 | $72,886 | −0% | $68,331 | +7% | — |
| 674 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC | $72,438 | $14,488 | $59,086 | +23% | $49,631 | +46% | — |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $70,668 | $14,134 | $53,102 | +33% | $33,236 | +113% | — |
| 296 | CARDIAC ARREST, UNEXPLAINED WITH MCC | $70,593 | $14,119 | $49,765 | +42% | $30,768 | +129% | — |
| 492 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC | $70,564 | $14,113 | $115,433 | −39% | $70,540 | +0% | — |
| 518 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR | $70,323 | $14,065 | $60,017 | +17% | $64,488 | +9% | — |
| 260 | CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC | $68,587 | $13,717 | $70,613 | −3% | $67,215 | +2% | — |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $68,327 | $13,665 | $69,101 | −1% | $69,101 | −1% | — |
| 271 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC | $68,215 | $13,643 | $73,695 | −7% | $71,014 | −4% | — |
| 457 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC | $65,143 | $13,029 | $77,406 | −16% | $107,355 | −39% | — |
| 625 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC | $64,570 | $12,914 | $70,782 | −9% | $58,968 | +9% | — |
| 240 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC | $64,148 | $12,830 | $74,518 | −14% | $54,475 | +18% | — |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $63,561 | $12,712 | $44,566 | +43% | $54,929 | +16% | — |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $63,316 | $12,663 | $63,316 | +0% | $44,927 | +41% | — |
| 983 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $62,633 | $12,527 | $35,273 | +78% | $30,930 | +102% | — |
| 828 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC | $62,159 | $12,432 | $43,744 | +42% | $35,584 | +75% | — |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $61,588 | $12,318 | $64,932 | −5% | $51,950 | +19% | — |
| 662 | MINOR BLADDER PROCEDURES WITH MCC | $61,573 | $12,315 | $52,022 | +18% | $54,483 | +13% | — |
| 029 | SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS | $60,242 | $12,048 | $59,774 | +1% | $62,790 | −4% | — |
| 515 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC | $60,238 | $12,048 | $43,330 | +39% | $62,266 | −3% | — |
| 252 | OTHER VASCULAR PROCEDURES WITH MCC | $58,750 | $11,750 | $48,030 | +22% | $68,508 | −14% | — |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $58,702 | $11,740 | $58,702 | +0% | $61,353 | −4% | — |
| 840 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC | $58,561 | $11,712 | $58,561 | +0% | $49,710 | +18% | — |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $58,355 | $11,671 | $51,761 | +13% | $60,861 | −4% | — |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $58,327 | $11,665 | $52,001 | +12% | $46,477 | +25% | — |
| 264 | OTHER CIRCULATORY SYSTEM O.R. PROCEDURES | $58,243 | $11,649 | $48,557 | +20% | $51,953 | +12% | — |
| 975 | HIV WITH MAJOR RELATED CONDITION WITH CC | $57,687 | $11,537 | $21,642 | +167% | $25,071 | +130% | — |
| 255 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC | $55,964 | $11,193 | $49,325 | +13% | $43,697 | +28% | — |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $55,731 | $11,146 | $55,994 | −0% | $42,881 | +30% | — |
| 326 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC | $55,490 | $11,098 | $118,231 | −53% | $80,747 | −31% | — |
| 577 | SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC | $54,915 | $10,983 | $46,335 | +19% | $45,271 | +21% | — |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $54,724 | $10,945 | $68,604 | −20% | $52,405 | +4% | — |
| 673 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC | $54,664 | $10,933 | $57,570 | −5% | $72,879 | −25% | — |
| 272 | OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC | $54,107 | $10,821 | $54,107 | +0% | $55,162 | −2% | — |
| 829 | MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC | $54,054 | $10,811 | $48,636 | +11% | $53,817 | +0% | — |
| 071 | OTHER CEREBROVASCULAR DISORDERS WITH CC | $53,987 | $10,797 | $34,256 | +58% | $23,396 | +131% | — |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $53,879 | $10,776 | $47,893 | +12% | $29,031 | +86% | — |
| 757 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $53,457 | $10,691 | $37,241 | +44% | $23,734 | +125% | — |
| 207 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS | $53,412 | $10,682 | $210,247 | −75% | $116,058 | −54% | — |
| 062 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC | $53,169 | $10,634 | $57,889 | −8% | $47,635 | +12% | — |
| 040 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $53,113 | $10,623 | $106,284 | −50% | $74,257 | −28% | — |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $52,758 | $10,552 | $33,021 | +60% | $20,879 | +153% | — |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $52,348 | $10,470 | $68,532 | −24% | $55,147 | −5% | — |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $52,251 | $10,450 | $32,046 | +63% | $22,850 | +129% | — |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | $51,283 | $10,257 | $73,345 | −30% | $56,394 | −9% | — |
| 472 | CERVICAL SPINAL FUSION WITH CC | $51,075 | $10,215 | $51,075 | +0% | $59,537 | −14% | — |
| 458 | SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC | $50,978 | $10,196 | $59,237 | −14% | $83,441 | −39% | — |
| 251 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC | $50,968 | $10,194 | $50,793 | +0% | $40,801 | +25% | — |
| 350 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC | $50,327 | $10,065 | $75,392 | −33% | $45,937 | +10% | — |
| 956 | LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | $50,212 | $10,043 | $90,791 | −45% | $75,103 | −33% | — |
| 726 | BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC | $50,154 | $10,031 | $15,278 | +228% | $13,892 | +261% | — |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $50,110 | $10,022 | $55,658 | −10% | $45,916 | +9% | — |
| 063 | ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC | $49,728 | $9,946 | $45,663 | +9% | $35,693 | +39% | — |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $49,425 | $9,885 | $83,613 | −41% | $50,815 | −3% | ≈80% of Medicare |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $49,401 | $9,880 | $22,189 | +123% | $12,794 | +286% | — |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $48,834 | $9,767 | $66,292 | −26% | $50,998 | −4% | — |
| 243 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | $48,786 | $9,757 | $73,229 | −33% | $50,011 | −2% | — |
| 357 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC | $47,822 | $9,564 | $48,444 | −1% | $48,682 | −2% | — |
| 330 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $47,813 | $9,563 | $76,837 | −38% | $58,713 | −19% | — |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $47,560 | $9,512 | $50,305 | −5% | $34,354 | +38% | — |
| 592 | SKIN ULCERS WITH MCC | $47,504 | $9,501 | $32,263 | +47% | $32,662 | +45% | — |
| 242 | PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC | $47,484 | $9,497 | $58,314 | −19% | $70,132 | −32% | — |
| 095 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC | $47,477 | $9,495 | $50,472 | −6% | $47,583 | −0% | — |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $47,341 | $9,468 | $36,333 | +30% | $51,985 | −9% | — |
| 473 | CERVICAL SPINAL FUSION WITHOUT CC/MCC | $47,303 | $9,461 | $71,589 | −34% | $50,624 | −7% | — |
| 755 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC | $46,949 | $9,390 | $27,057 | +74% | $18,459 | +154% | — |
| 186 | PLEURAL EFFUSION WITH MCC | $46,534 | $9,307 | $51,361 | −9% | $32,385 | +44% | — |
| 226 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC | $46,512 | $9,302 | $72,618 | −36% | $72,618 | −36% | — |
| 288 | ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC | $46,440 | $9,288 | $52,032 | −11% | $45,497 | +2% | — |
| 511 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC | $46,121 | $9,224 | $39,653 | +16% | $43,538 | +6% | — |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $45,651 | $9,130 | $47,693 | −4% | $30,681 | +49% | — |
| 358 | OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $45,620 | $9,124 | $44,047 | +4% | $29,374 | +55% | — |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $45,392 | $9,078 | $38,950 | +17% | $27,597 | +64% | — |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $45,327 | $9,065 | $29,160 | +55% | $31,627 | +43% | — |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $45,314 | $9,063 | $39,204 | +16% | $26,098 | +74% | — |
| 504 | FOOT PROCEDURES WITH CC | $44,909 | $8,982 | $39,139 | +15% | $36,519 | +23% | — |
| 503 | FOOT PROCEDURES WITH MCC | $44,309 | $8,862 | $44,309 | +0% | $43,982 | +1% | — |
| 469 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT | $44,102 | $8,820 | $69,973 | −37% | $64,468 | −32% | — |
| 520 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC | $43,788 | $8,758 | $44,354 | −1% | $31,816 | +38% | — |
| 987 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $43,774 | $8,755 | $71,969 | −39% | $65,383 | −33% | — |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $43,649 | $8,730 | $43,019 | +1% | $38,166 | +14% | — |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $43,633 | $8,727 | $51,569 | −15% | $39,675 | +10% | — |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $43,571 | $8,714 | $51,010 | −15% | $32,804 | +33% | — |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $43,426 | $8,685 | $58,617 | −26% | $37,842 | +15% | — |
| 711 | TESTES PROCEDURES WITH CC/MCC | $43,422 | $8,684 | $62,108 | −30% | $34,846 | +25% | — |
| 098 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC | $42,901 | $8,580 | $31,349 | +37% | $37,681 | +14% | — |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $42,713 | $8,543 | $24,189 | +77% | $25,596 | +67% | — |
| 555 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $42,206 | $8,441 | $32,502 | +30% | $23,646 | +78% | — |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $42,048 | $8,410 | $43,556 | −3% | $29,957 | +40% | — |
| 374 | DIGESTIVE MALIGNANCY WITH MCC | $41,900 | $8,380 | $41,900 | +0% | $38,885 | +8% | — |
| 988 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $41,711 | $8,342 | $33,413 | +25% | $38,094 | +9% | — |
| 248 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS | $41,702 | $8,340 | $31,821 | +31% | $34,146 | +22% | — |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $41,558 | $8,312 | $32,843 | +27% | $25,474 | +63% | — |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $40,735 | $8,147 | $58,714 | −31% | $31,913 | +28% | — |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $40,589 | $8,118 | $19,845 | +105% | $22,231 | +83% | — |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $40,348 | $8,070 | $16,444 | +145% | $16,104 | +151% | — |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $40,295 | $8,059 | $58,326 | −31% | $34,876 | +16% | ≈84% of Medicare |
| 328 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | $40,228 | $8,046 | $40,079 | +0% | $35,375 | +14% | — |
| 949 | AFTERCARE WITH CC/MCC | $40,135 | $8,027 | $35,072 | +14% | $23,953 | +68% | — |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $40,115 | $8,023 | $63,641 | −37% | $43,444 | −8% | — |
| 327 | STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | $39,502 | $7,900 | $76,642 | −48% | $54,681 | −28% | — |
| 624 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC | $38,951 | $7,790 | $18,918 | +106% | $17,078 | +128% | — |
| 907 | OTHER O.R. PROCEDURES FOR INJURIES WITH MCC | $38,862 | $7,772 | $69,779 | −44% | $71,519 | −46% | — |
| 950 | AFTERCARE WITHOUT CC/MCC | $38,742 | $7,748 | $11,329 | +242% | $13,527 | +186% | — |
| 500 | SOFT TISSUE PROCEDURES WITH MCC | $38,719 | $7,744 | $44,320 | −13% | $57,181 | −32% | — |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $38,694 | $7,739 | $43,894 | −12% | $33,339 | +16% | — |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $38,610 | $7,722 | $20,728 | +86% | $22,065 | +75% | — |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $38,521 | $7,704 | $49,708 | −23% | $36,355 | +6% | — |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $38,450 | $7,690 | $26,192 | +47% | $18,288 | +110% | — |
| 287 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | $38,128 | $7,626 | $35,420 | +8% | $31,190 | +22% | — |
| 654 | MAJOR BLADDER PROCEDURES WITH CC | $37,985 | $7,597 | $39,822 | −5% | $53,868 | −29% | — |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $37,968 | $7,594 | $41,952 | −9% | $46,402 | −18% | — |
| 742 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC | $36,698 | $7,340 | $59,378 | −38% | $40,552 | −10% | — |
| 644 | ENDOCRINE DISORDERS WITH CC | $36,518 | $7,304 | $33,596 | +9% | $22,941 | +59% | — |
| 516 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | $36,472 | $7,294 | $39,148 | −7% | $45,594 | −20% | — |
| 964 | OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC | $36,468 | $7,294 | $46,575 | −22% | $25,854 | +41% | — |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $36,319 | $7,264 | $43,397 | −16% | $36,537 | −1% | — |
| 579 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC | $36,121 | $7,224 | $46,133 | −22% | $53,763 | −33% | — |
| 750 | OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC | $35,968 | $7,194 | $13,257 | +171% | $23,920 | +50% | — |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $35,856 | $7,171 | $35,004 | +2% | $31,743 | +13% | — |
| 152 | OTITIS MEDIA AND URI WITH MCC | $35,532 | $7,107 | $36,209 | −2% | $19,657 | +81% | — |
| 424 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC | $35,393 | $7,079 | $39,849 | −11% | $39,253 | −10% | — |
| 865 | VIRAL ILLNESS WITH MCC | $35,304 | $7,061 | $29,325 | +20% | $26,088 | +35% | — |
| 463 | WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC | $35,155 | $7,031 | $73,103 | −52% | $78,327 | −55% | — |
| 286 | CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC | $34,881 | $6,976 | $49,397 | −29% | $44,600 | −22% | — |
| 887 | OTHER MENTAL DISORDER DIAGNOSES | $34,866 | $6,973 | $18,631 | +87% | $20,557 | +70% | — |
| 884 | ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | $34,599 | $6,920 | $24,871 | +39% | $25,146 | +38% | — |
| 092 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $34,268 | $6,854 | $34,419 | −0% | $24,000 | +43% | — |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $34,231 | $6,846 | $68,668 | −50% | $49,071 | −30% | — |
| 479 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $34,160 | $6,832 | $32,141 | +6% | $31,909 | +7% | — |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $34,056 | $6,811 | $31,330 | +9% | $20,632 | +65% | — |
| 070 | OTHER CEREBROVASCULAR DISORDERS WITH MCC | $33,893 | $6,779 | $46,828 | −28% | $30,814 | +10% | — |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $33,876 | $6,775 | $43,181 | −22% | $41,660 | −19% | — |
| 053 | SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC | $33,702 | $6,740 | $29,949 | +13% | $20,313 | +66% | — |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $33,676 | $6,735 | $53,913 | −38% | $42,119 | −20% | — |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $33,591 | $6,718 | $39,072 | −14% | $32,417 | +4% | — |
| 710 | PENIS PROCEDURES WITHOUT CC/MCC | $33,303 | $6,661 | $23,485 | +42% | $23,814 | +40% | — |
| 057 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | $33,233 | $6,647 | $34,683 | −4% | $25,412 | +31% | — |
| 637 | DIABETES WITH MCC | $32,651 | $6,530 | $39,978 | −18% | $28,772 | +13% | — |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | $32,361 | $6,472 | $33,422 | −3% | $23,400 | +38% | — |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $32,227 | $6,445 | $45,806 | −30% | $29,521 | +9% | — |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $32,225 | $6,445 | $35,026 | −8% | $25,766 | +25% | ≈91% of Medicare |
| 909 | OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC | $31,944 | $6,389 | $39,906 | −20% | $28,156 | +13% | — |
| 571 | SKIN DEBRIDEMENT WITH CC | $31,873 | $6,375 | $37,792 | −16% | $34,773 | −8% | — |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $31,845 | $6,369 | $44,413 | −28% | $32,689 | −3% | — |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $31,845 | $6,369 | $48,152 | −34% | $36,880 | −14% | — |
| 858 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC | $31,533 | $6,307 | $35,632 | −12% | $23,474 | +34% | — |
| 420 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC | $31,361 | $6,272 | $49,003 | −36% | $50,919 | −38% | — |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $31,285 | $6,257 | $42,406 | −26% | $37,950 | −18% | — |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $30,929 | $6,186 | $40,821 | −24% | $31,029 | −0% | — |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $30,663 | $6,133 | $22,004 | +39% | $13,081 | +134% | — |
| 535 | FRACTURES OF HIP AND PELVIS WITH MCC | $30,478 | $6,096 | $39,831 | −23% | $22,874 | +33% | — |
| 339 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC | $30,434 | $6,087 | $18,474 | +65% | $18,474 | +65% | — |
| 354 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC | $30,371 | $6,074 | $55,298 | −45% | $43,266 | −30% | — |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $30,313 | $6,063 | $49,043 | −38% | $28,802 | +5% | — |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $30,203 | $6,041 | $42,832 | −29% | $34,564 | −13% | — |
| 231 | CORONARY BYPASS WITH PTCA WITH MCC | $29,950 | — | $128,088 | −77% | $145,864 | −79% | — |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $29,934 | $5,987 | $29,643 | +1% | $18,150 | +65% | — |
| 488 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC | $29,825 | $5,965 | $34,890 | −15% | $41,520 | −28% | — |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $29,659 | $5,932 | $33,372 | −11% | $24,008 | +24% | — |
| 489 | KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | $29,425 | $5,885 | $29,425 | +0% | $27,492 | +7% | — |
| 885 | PSYCHOSES | $29,361 | $5,872 | $22,469 | +31% | $21,489 | +37% | — |
| 638 | DIABETES WITH CC | $28,989 | $5,798 | $27,005 | +7% | $18,763 | +54% | — |
| 244 | PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC | $28,757 | $5,751 | $31,646 | −9% | $40,063 | −28% | — |
| 519 | BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC | $28,749 | $5,750 | $41,744 | −31% | $43,775 | −34% | — |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $28,504 | $5,701 | $115,941 | −75% | $76,954 | −63% | — |
| 483 | MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | $28,497 | $5,700 | $51,898 | −45% | $56,197 | −49% | — |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $28,418 | $5,684 | $27,480 | +3% | $17,562 | +62% | — |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $28,416 | $5,683 | $30,579 | −7% | $20,463 | +39% | — |
| 682 | RENAL FAILURE WITH MCC | $28,356 | $5,671 | $38,760 | −27% | $27,640 | +3% | — |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $28,271 | $5,654 | $34,816 | −19% | $28,403 | −0% | — |
| 069 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $28,076 | $5,615 | $26,012 | +8% | $20,253 | +39% | — |
| 334 | RECTAL RESECTION WITHOUT CC/MCC | $28,041 | $5,608 | $27,809 | +1% | $32,213 | −13% | — |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $27,996 | $5,599 | $29,922 | −6% | $22,870 | +22% | — |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $27,975 | $5,595 | $33,697 | −17% | $27,125 | +3% | — |
| 042 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC | $27,878 | $5,576 | $36,428 | −23% | $39,018 | −29% | — |
| 602 | CELLULITIS WITH MCC | $27,785 | $5,557 | $41,052 | −32% | $29,347 | −5% | — |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $27,749 | $5,550 | $27,856 | −0% | $19,096 | +45% | — |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $27,646 | $5,529 | $38,140 | −28% | $27,041 | +2% | — |
| 304 | HYPERTENSION WITH MCC | $27,407 | $5,482 | $33,511 | −18% | $23,945 | +14% | — |
| 100 | SEIZURES WITH MCC | $27,262 | $5,452 | $28,961 | −6% | $35,194 | −23% | — |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $27,233 | $5,447 | $33,060 | −18% | $22,610 | +20% | — |
| 345 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | $27,059 | $5,412 | $48,410 | −44% | $31,062 | −13% | — |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $27,007 | $5,401 | $33,079 | −18% | $22,590 | +20% | — |
| 476 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $26,960 | $5,392 | $22,625 | +19% | $21,025 | +28% | — |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $26,914 | $5,383 | $20,246 | +33% | $13,747 | +96% | — |
| 245 | AICD GENERATOR PROCEDURES | $26,757 | — | $66,564 | −60% | $72,076 | −63% | — |
| 575 | SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC | $26,555 | $5,311 | $21,210 | +25% | $29,109 | −9% | — |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $26,501 | $5,300 | $36,515 | −27% | $24,103 | +10% | — |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $26,239 | $5,248 | $43,199 | −39% | $30,362 | −14% | — |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $26,115 | $5,223 | $45,698 | −43% | $33,137 | −21% | — |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $26,089 | $5,218 | $21,345 | +22% | $19,448 | +34% | — |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $25,926 | $5,185 | $57,633 | −55% | $37,975 | −32% | — |
| 694 | URINARY STONES WITHOUT MCC | $25,857 | $5,171 | $22,050 | +17% | $16,451 | +57% | — |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $25,704 | $5,141 | $32,081 | −20% | $22,024 | +17% | — |
| 099 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $25,579 | $5,116 | $25,579 | +0% | $25,666 | −0% | — |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $25,566 | $5,113 | $32,698 | −22% | $24,932 | +3% | ≈76% of Medicare |
| 187 | PLEURAL EFFUSION WITH CC | $25,481 | $5,096 | $21,455 | +19% | $21,467 | +19% | — |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $25,461 | $5,092 | $32,504 | −22% | $20,007 | +27% | — |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $25,433 | $5,087 | $25,630 | −1% | $17,719 | +44% | — |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $25,389 | $5,078 | $61,278 | −59% | $36,195 | −30% | — |
| 102 | HEADACHES WITH MCC | $25,386 | $5,077 | $25,386 | +0% | $21,983 | +15% | — |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $25,271 | $5,054 | $39,626 | −36% | $27,674 | −9% | — |
| 614 | ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC | $25,152 | $5,030 | $32,773 | −23% | $43,313 | −42% | — |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $24,993 | $4,999 | $21,919 | +14% | $14,549 | +72% | — |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $24,860 | $4,972 | $62,477 | −60% | $35,714 | −30% | — |
| 700 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC | $24,594 | $4,919 | $22,563 | +9% | $13,303 | +85% | — |
| 091 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $24,569 | $4,914 | $35,990 | −32% | $35,990 | −32% | — |
| 783 | CESAREAN SECTION WITH STERILIZATION WITH MCC | $24,460 | $4,892 | $38,356 | −36% | $28,375 | −14% | — |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $24,369 | $4,874 | $28,002 | −13% | $18,815 | +30% | — |
| 758 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC | $24,345 | $4,869 | $31,637 | −23% | $19,091 | +28% | — |
| 198 | INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC | $24,321 | $4,864 | $18,649 | +30% | $13,654 | +78% | — |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $24,297 | $4,859 | $47,454 | −49% | $31,754 | −23% | — |
| 241 | AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC | $24,260 | $4,852 | $24,260 | +0% | $24,229 | +0% | — |
| 256 | UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC | $24,230 | $4,846 | $27,241 | −11% | $29,671 | −18% | — |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $24,096 | $4,819 | $35,694 | −32% | $39,409 | −39% | — |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $23,823 | $4,765 | $35,486 | −33% | $28,001 | −15% | — |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $23,696 | $4,739 | $117,803 | −80% | $71,755 | −67% | — |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $23,686 | $4,737 | $33,283 | −29% | $22,623 | +5% | — |
| 338 | APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $23,532 | $4,706 | $23,532 | +0% | $30,138 | −22% | — |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $23,494 | $4,699 | $32,061 | −27% | $21,886 | +7% | — |
| 796 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC | $23,413 | $4,683 | $31,343 | −25% | $22,557 | +4% | — |
| 746 | VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC | $23,281 | $4,656 | $24,928 | −7% | $29,916 | −22% | — |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $23,243 | $4,649 | $40,228 | −42% | $24,603 | −6% | ≈70% of Medicare |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $23,181 | $4,636 | $51,792 | −55% | $44,087 | −47% | — |
| 254 | OTHER VASCULAR PROCEDURES WITHOUT CC/MCC | $23,168 | $4,634 | $51,021 | −55% | $38,836 | −40% | — |
| 921 | COMPLICATIONS OF TREATMENT WITHOUT CC/MCC | $23,110 | $4,622 | $22,352 | +3% | $14,012 | +65% | — |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $22,897 | — | $47,649 | −52% | $68,421 | −67% | — |
| 881 | DEPRESSIVE NEUROSES | $22,756 | $4,551 | $15,058 | +51% | $15,058 | +51% | — |
| 683 | RENAL FAILURE WITH CC | $22,641 | $4,528 | $26,850 | −16% | $18,322 | +24% | — |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $22,613 | $4,523 | $21,634 | +5% | $15,598 | +45% | — |
| 382 | COMPLICATED PEPTIC ULCER WITHOUT CC/MCC | $22,597 | $4,519 | $24,358 | −7% | $16,634 | +36% | — |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $22,436 | $4,487 | $26,656 | −16% | $18,204 | +23% | — |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $22,367 | $4,473 | $23,926 | −7% | $17,379 | +29% | — |
| 200 | PNEUMOTHORAX WITH CC | $22,298 | $4,460 | $35,999 | −38% | $20,573 | +8% | — |
| 759 | INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $22,158 | $4,432 | $19,950 | +11% | $14,208 | +56% | — |
| 675 | OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC | $21,715 | $4,343 | $50,184 | −57% | $32,189 | −33% | — |
| 513 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC | $21,535 | $4,307 | $42,680 | −50% | $33,424 | −36% | — |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $21,393 | $4,279 | $22,375 | −4% | $19,483 | +10% | — |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $21,179 | $4,236 | $24,106 | −12% | $24,277 | −13% | — |
| 940 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC | $21,150 | $4,230 | $37,784 | −44% | $37,839 | −44% | — |
| 549 | SEPTIC ARTHRITIS WITH CC | $20,889 | $4,178 | $27,124 | −23% | $20,808 | +0% | — |
| 935 | NON-EXTENSIVE BURNS | $20,787 | $4,157 | $31,701 | −34% | $29,458 | −29% | — |
| 866 | VIRAL ILLNESS WITHOUT MCC | $20,757 | $4,151 | $24,453 | −15% | $16,348 | +27% | — |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $20,646 | $4,129 | $19,597 | +5% | $17,183 | +20% | — |
| 643 | ENDOCRINE DISORDERS WITH MCC | $20,587 | $4,117 | $44,725 | −54% | $32,953 | −38% | — |
| 227 | CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | $20,503 | $4,101 | $56,960 | −64% | $56,960 | −64% | — |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $20,443 | $4,089 | $48,914 | −58% | $33,790 | −39% | — |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $20,433 | $4,087 | $29,842 | −32% | $20,917 | −2% | — |
| 786 | CESAREAN SECTION WITHOUT STERILIZATION WITH MCC | $20,036 | $4,007 | $34,876 | −43% | $27,118 | −26% | — |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $20,029 | $4,006 | $27,131 | −26% | $17,579 | +14% | — |
| 149 | DYSEQUILIBRIUM | $19,916 | $3,983 | $23,899 | −17% | $17,203 | +16% | — |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $19,885 | $3,977 | $30,298 | −34% | $29,867 | −33% | — |
| 880 | ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION | $19,813 | $3,963 | $15,636 | +27% | $15,636 | +27% | — |
| 101 | SEIZURES WITHOUT MCC | $19,733 | $3,947 | $20,289 | −3% | $19,930 | −1% | — |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $19,537 | $3,907 | $31,408 | −38% | $21,449 | −9% | — |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $19,535 | $3,907 | $26,061 | −25% | $17,345 | +13% | — |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $19,527 | $3,906 | $34,380 | −43% | $21,666 | −10% | — |
| 803 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC | $19,499 | $3,900 | $27,713 | −30% | $33,415 | −42% | — |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $19,271 | $3,854 | $14,849 | +30% | $17,412 | +11% | — |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $19,134 | $3,827 | $24,033 | −20% | $16,645 | +15% | — |
| 376 | DIGESTIVE MALIGNANCY WITHOUT CC/MCC | $18,804 | $3,761 | $19,044 | −1% | $15,608 | +20% | — |
| 434 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $18,684 | $3,737 | $18,684 | +0% | $12,405 | +51% | — |
| 620 | O.R. PROCEDURES FOR OBESITY WITH CC | $18,599 | $3,720 | $44,265 | −58% | $35,453 | −48% | — |
| 292 | HEART FAILURE AND SHOCK WITH CC | $18,486 | $3,697 | $23,340 | −21% | $15,878 | +16% | — |
| 312 | SYNCOPE AND COLLAPSE | $18,275 | $3,655 | $28,324 | −35% | $19,342 | −6% | — |
| 603 | CELLULITIS WITHOUT MCC | $18,144 | $3,629 | $26,407 | −31% | $18,359 | −1% | — |
| 770 | ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY | $18,075 | $3,615 | $17,159 | +5% | $17,719 | +2% | — |
| 539 | OSTEOMYELITIS WITH MCC | $18,072 | $3,614 | $46,459 | −61% | $33,614 | −46% | — |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $18,044 | $3,609 | $18,804 | −4% | $13,455 | +34% | — |
| 341 | APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC | $18,016 | $3,603 | $25,628 | −30% | $25,628 | −30% | — |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $17,940 | $3,588 | $21,239 | −16% | $16,718 | +7% | — |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $17,939 | $3,588 | $24,482 | −27% | $18,243 | −2% | — |
| 621 | O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | $17,843 | $3,569 | $38,609 | −54% | $32,451 | −45% | — |
| 593 | SKIN ULCERS WITH CC | $17,753 | $3,551 | $27,293 | −35% | $20,470 | −13% | — |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $17,638 | $3,528 | $25,622 | −31% | $17,700 | −0% | — |
| 355 | HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC | $17,607 | $3,521 | $43,335 | −59% | $31,978 | −45% | — |
| 743 | UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | $17,430 | $3,486 | $37,079 | −53% | $27,369 | −36% | — |
| 421 | HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC | $17,370 | $3,474 | $37,991 | −54% | $36,333 | −52% | — |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $17,104 | $3,421 | $17,892 | −4% | $14,770 | +16% | — |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $17,047 | $3,409 | $21,459 | −21% | $14,368 | +19% | — |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $17,010 | $3,402 | $21,623 | −21% | $17,322 | −2% | — |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $16,953 | $3,391 | $39,954 | −58% | $29,777 | −43% | — |
| 284 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC | $16,927 | $3,385 | $18,250 | −7% | $13,278 | +27% | — |
| 154 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC | $16,894 | $3,379 | $24,302 | −30% | $24,465 | −31% | — |
| 285 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC | $16,844 | $3,369 | $18,018 | −7% | $10,039 | +68% | — |
| 346 | MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $16,764 | $3,353 | $28,324 | −41% | $26,146 | −36% | — |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $16,755 | $3,351 | $26,360 | −36% | $17,754 | −6% | — |
| 639 | DIABETES WITHOUT CC/MCC | $16,697 | $3,339 | $19,891 | −16% | $13,910 | +20% | — |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $16,682 | $3,336 | $26,477 | −37% | $17,693 | −6% | — |
| 785 | CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC | $16,624 | $3,325 | $27,571 | −40% | $19,815 | −16% | — |
| 741 | UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | $16,616 | $3,323 | $21,022 | −21% | $29,029 | −43% | — |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $16,587 | $3,317 | $25,515 | −35% | $19,854 | −16% | — |
| 819 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC | $16,548 | $3,310 | $24,781 | −33% | $17,851 | −7% | — |
| 600 | NON-MALIGNANT BREAST DISORDERS WITH CC/MCC | $16,477 | $3,295 | $16,953 | −3% | $16,418 | +0% | — |
| 897 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC | $16,461 | $3,292 | $18,461 | −11% | $15,923 | +3% | — |
| 941 | O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC | $16,409 | $3,282 | $33,892 | −52% | $29,524 | −44% | — |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $16,398 | $3,280 | $30,058 | −45% | $29,929 | −45% | — |
| 787 | CESAREAN SECTION WITHOUT STERILIZATION WITH CC | $16,366 | $3,273 | $34,116 | −52% | $23,571 | −31% | — |
| 385 | INFLAMMATORY BOWEL DISEASE WITH MCC | $16,310 | $3,262 | $24,282 | −33% | $25,998 | −37% | — |
| 601 | NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC | $16,139 | $3,228 | $18,214 | −11% | $10,975 | +47% | — |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $16,111 | $3,222 | $12,534 | +29% | $12,536 | +29% | — |
| 305 | HYPERTENSION WITHOUT MCC | $16,106 | $3,221 | $24,403 | −34% | $16,897 | −5% | — |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $16,076 | $3,215 | $18,188 | −12% | $13,384 | +20% | — |
| 082 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC | $16,020 | $3,204 | $33,308 | −52% | $36,237 | −56% | — |
| 842 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC | $15,989 | $3,198 | $16,847 | −5% | $17,308 | −8% | — |
| 072 | OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $15,973 | $3,195 | $24,384 | −34% | $16,654 | −4% | — |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $15,947 | $3,189 | $20,694 | −23% | $14,134 | +13% | — |
| 540 | OSTEOMYELITIS WITH CC | $15,929 | $3,186 | $19,990 | −20% | $23,494 | −32% | — |
| 663 | MINOR BLADDER PROCEDURES WITH CC | $15,924 | $3,185 | $39,409 | −60% | $29,924 | −47% | — |
| 626 | THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC | $15,778 | $3,156 | $31,822 | −50% | $26,998 | −42% | — |
| 788 | CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC | $15,663 | $3,133 | $29,419 | −47% | $20,084 | −22% | — |
| 798 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC | $15,566 | $3,113 | $15,335 | +2% | $18,038 | −14% | — |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $15,552 | $3,110 | $29,514 | −47% | $20,408 | −24% | — |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $15,538 | $3,108 | $15,418 | +1% | $15,045 | +3% | — |
| 793 | FULL TERM NEONATE WITH MAJOR PROBLEMS | $15,530 | $3,106 | $26,990 | −42% | $16,708 | −7% | — |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $15,379 | $3,076 | $32,129 | −52% | $23,749 | −35% | — |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $15,364 | $3,073 | $33,151 | −54% | $20,732 | −26% | — |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $15,323 | $3,065 | $15,323 | +0% | $14,880 | +3% | — |
| 894 | ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA | $15,307 | $3,061 | $14,944 | +2% | $12,013 | +27% | — |
| 818 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC | $15,243 | $3,049 | $21,306 | −28% | $23,646 | −36% | — |
| 805 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC | $15,205 | $3,041 | $20,031 | −24% | $15,370 | −1% | — |
| 478 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $15,179 | — | $76,015 | −80% | $50,139 | −70% | — |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $15,157 | $3,031 | $65,883 | −77% | $35,108 | −57% | — |
| 817 | OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC | $15,126 | $3,025 | $47,944 | −68% | $36,097 | −58% | — |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $14,909 | $2,982 | $36,066 | −59% | $24,177 | −38% | — |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $14,906 | $2,981 | $17,785 | −16% | $13,318 | +12% | — |
| 896 | ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC | $14,854 | $2,971 | $34,027 | −56% | $30,275 | −51% | — |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $14,800 | $2,960 | $27,927 | −47% | $18,104 | −18% | — |
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | $14,786 | $2,957 | $38,050 | −61% | $34,886 | −58% | — |
| 203 | BRONCHITIS AND ASTHMA WITHOUT CC/MCC | $14,651 | $2,930 | $15,167 | −3% | $12,275 | +19% | — |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $14,535 | $2,907 | $31,282 | −54% | $20,716 | −30% | — |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $14,387 | $2,877 | $22,948 | −37% | $17,296 | −17% | — |
| 425 | OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC | $14,361 | $2,872 | $23,257 | −38% | $25,484 | −44% | — |
| 052 | SPINAL DISORDERS AND INJURIES WITH CC/MCC | $14,323 | $2,865 | $32,258 | −56% | $30,940 | −54% | — |
| 395 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC | $14,136 | $2,827 | $20,688 | −32% | $14,128 | +0% | — |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $13,993 | $2,799 | $14,486 | −3% | $13,890 | +1% | — |
| 768 | VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C | $13,974 | $2,795 | $22,506 | −38% | $17,006 | −18% | — |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $13,912 | $2,782 | $13,068 | +6% | $12,205 | +14% | — |
| 139 | SALIVARY GLAND PROCEDURES | $13,339 | $2,668 | $21,014 | −37% | $21,014 | −37% | — |
| 199 | PNEUMOTHORAX WITH MCC | $13,328 | $2,666 | $56,291 | −76% | $31,085 | −57% | — |
| 791 | PREMATURITY WITH MAJOR PROBLEMS | $13,312 | $2,662 | $34,685 | −62% | $39,254 | −66% | — |
| 581 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC | $13,208 | $2,642 | $32,980 | −60% | $25,243 | −48% | — |
| 249 | PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC | $13,176 | $2,635 | $20,610 | −36% | $20,610 | −36% | — |
| 804 | OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC | $13,025 | $2,605 | $17,544 | −26% | $24,544 | −47% | — |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $12,992 | $2,598 | $19,570 | −34% | $14,861 | −13% | — |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $12,822 | $2,564 | $21,412 | −40% | $14,251 | −10% | — |
| 548 | SEPTIC ARTHRITIS WITH MCC | $12,805 | $2,561 | $43,438 | −71% | $31,019 | −59% | — |
| 790 | EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE | $12,745 | $2,549 | $80,018 | −84% | $80,018 | −84% | — |
| 141 | MAJOR HEAD AND NECK PROCEDURES WITH CC | $12,723 | $2,545 | $47,416 | −73% | $34,900 | −64% | — |
| 497 | LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC | $12,700 | $2,540 | $32,168 | −61% | $29,805 | −57% | — |
| 670 | TRANSURETHRAL PROCEDURES WITHOUT CC/MCC | $12,681 | $2,536 | $17,727 | −28% | $20,371 | −38% | — |
| 113 | ORBITAL PROCEDURES WITH CC/MCC | $12,582 | $2,516 | $32,482 | −61% | $35,642 | −65% | — |
| 598 | MALIGNANT BREAST DISORDERS WITH CC | $12,562 | $2,512 | $19,410 | −35% | $19,073 | −34% | — |
| 792 | PREMATURITY WITHOUT MAJOR PROBLEMS | $12,326 | $2,465 | $9,520 | +29% | $11,633 | +6% | — |
| 313 | CHEST PAIN | $12,167 | $2,433 | $20,378 | −40% | $15,837 | −23% | — |
| 806 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC | $12,056 | $2,411 | $18,069 | −33% | $13,090 | −8% | — |
| 807 | VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC | $12,044 | $2,409 | $17,903 | −33% | $11,957 | +1% | — |
| 922 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC | $12,023 | $2,405 | $52,248 | −77% | $29,409 | −59% | — |
| 437 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC | $11,948 | $2,390 | $25,521 | −53% | $13,385 | −11% | — |
| 989 | NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC | $11,856 | $2,371 | $37,559 | −68% | $25,206 | −53% | — |
| 055 | NERVOUS SYSTEM NEOPLASMS WITHOUT MCC | $11,854 | $2,371 | $18,873 | −37% | $19,868 | −40% | — |
| 977 | HIV WITH OR WITHOUT OTHER RELATED CONDITION | $11,781 | $2,356 | $31,755 | −63% | $22,525 | −48% | — |
| 073 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC | $11,696 | $2,339 | $26,548 | −56% | $28,252 | −59% | — |
| 311 | ANGINA PECTORIS | $11,609 | $2,322 | $15,034 | −23% | $15,165 | −23% | — |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $11,587 | $2,317 | $23,388 | −50% | $18,005 | −36% | — |
| 383 | UNCOMPLICATED PEPTIC ULCER WITH MCC | $11,571 | $2,314 | $35,114 | −67% | $26,616 | −57% | — |
| 797 | VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC | $11,432 | $2,286 | $28,547 | −60% | $19,001 | −40% | — |
| 083 | TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | $11,338 | $2,268 | $31,933 | −64% | $24,118 | −53% | — |
| 760 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC | $11,328 | $2,266 | $20,528 | −45% | $18,199 | −38% | — |
| 140 | MAJOR HEAD AND NECK PROCEDURES WITH MCC | $11,307 | — | $59,066 | −81% | $60,098 | −81% | — |
| 761 | MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC | $11,264 | $2,253 | $11,421 | −1% | $11,421 | −1% | — |
| 436 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC | $10,987 | $2,197 | $36,655 | −70% | $24,017 | −54% | — |
| 687 | KIDNEY AND URINARY TRACT NEOPLASMS WITH CC | $10,771 | $2,154 | $34,217 | −69% | $18,000 | −40% | — |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $10,750 | $2,150 | $20,900 | −49% | $17,731 | −39% | — |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $10,677 | $2,135 | $24,506 | −56% | $28,385 | −62% | — |
| 832 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC | $10,562 | $2,112 | $19,537 | −46% | $12,895 | −18% | — |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $10,520 | $2,104 | $23,808 | −56% | $16,622 | −37% | — |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $10,083 | $2,017 | $58,269 | −83% | $36,658 | −72% | — |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $10,043 | $2,009 | $17,277 | −42% | $14,166 | −29% | — |
| 566 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC | $9,967 | $1,993 | $24,315 | −59% | $14,337 | −30% | — |
| 179 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | $9,910 | $1,982 | $19,271 | −49% | $14,411 | −31% | — |
| 594 | SKIN ULCERS WITHOUT CC/MCC | $9,849 | $1,970 | $15,334 | −36% | $14,209 | −31% | — |
| 789 | NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY | $9,698 | $1,940 | $17,621 | −45% | $14,121 | −31% | — |
| 816 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC | $9,361 | $1,872 | $17,778 | −47% | $13,485 | −31% | — |
| 784 | CESAREAN SECTION WITH STERILIZATION WITH CC | $8,599 | $1,720 | $35,205 | −76% | $22,587 | −62% | — |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $8,583 | $1,717 | $33,833 | −75% | $24,244 | −65% | — |
| 904 | SKIN GRAFTS FOR INJURIES WITH CC/MCC | $8,560 | — | $53,307 | −84% | $55,002 | −84% | — |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $7,972 | $1,594 | $19,287 | −59% | $19,287 | −59% | — |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $7,520 | $1,504 | $42,807 | −82% | $31,067 | −76% | — |
| 097 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC | $7,410 | — | $49,718 | −85% | $57,855 | −87% | — |
| 534 | FRACTURES OF FEMUR WITHOUT MCC | $7,221 | $1,444 | $26,458 | −73% | $17,194 | −58% | — |
| 813 | COAGULATION DISORDERS | $6,437 | $1,287 | $44,051 | −85% | $30,128 | −79% | — |
| 923 | OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC | $6,284 | $1,257 | $33,151 | −81% | $16,431 | −62% | — |
| 148 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC | $5,857 | $1,171 | $10,073 | −42% | $13,586 | −57% | — |
| 756 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC | $5,590 | $1,118 | $17,100 | −67% | $15,589 | −64% | — |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $5,528 | $1,106 | $5,751 | −4% | $9,385 | −41% | — |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $5,455 | $1,091 | $20,543 | −73% | $16,622 | −67% | — |
| 156 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC | $5,429 | $1,086 | $18,755 | −71% | $13,198 | −59% | — |
| 833 | OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC | $4,707 | $941 | $10,795 | −56% | $9,063 | −48% | — |
| 794 | NEONATE WITH OTHER SIGNIFICANT PROBLEMS | $4,135 | $827 | $8,330 | −50% | $7,896 | −48% | — |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $3,992 | $798 | $22,897 | −83% | $16,804 | −76% | — |
| 795 | NORMAL NEWBORN | $3,034 | $607 | $4,862 | −38% | $4,521 | −33% | — |
| 607 | MINOR SKIN DISORDERS WITHOUT MCC | $2,863 | — | $14,410 | −80% | $15,276 | −81% | — |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $2,841 | — | $17,226 | −84% | $17,226 | −84% | — |
| 297 | CARDIAC ARREST, UNEXPLAINED WITH CC | $1,924 | — | $12,336 | −84% | $12,336 | −84% | — |
| 754 | MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC | $1,895 | — | $32,249 | −94% | $29,476 | −94% | — |
| 845 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC | $691 | — | $16,204 | −96% | $14,055 | −95% | — |
Procedures with negotiated rates only
These 2 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 |
|---|---|---|---|
| 146 | EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC | — | 22 plans |
| 384 | UNCOMPLICATED PEPTIC ULCER WITHOUT MCC | — | 22 plans |
No procedures match that keyword.