Windham Community Memorial Hospital — Pricing
241 published charges from this hospital's Machine-Readable File (MRF). Gross charges shown are list prices — actual cost depends on your insurance plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 241
Lowest gross charge $8,240
Average gross charge $43,389
Highest gross charge $415,866
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.
Published charges
Showing all 241 procedures with a published gross charge, sorted from highest to lowest.
| DRG | Description | Gross charge | Cash price |
|---|---|---|---|
| 58 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC | $415,866 | $415,866 |
| 397 | APPENDIX PROCEDURES WITH MCC | $185,150 | $185,150 |
| 196 | INTERSTITIAL LUNG DISEASE WITH MCC | $130,447 | $130,447 |
| 477 | BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $120,214 | $120,214 |
| 428 | MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC | $117,683 | $117,683 |
| 351 | INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC | $111,446 | $111,446 |
| 629 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC | $107,158 | $107,158 |
| 335 | PERITONEAL ADHESIOLYSIS WITH MCC | $102,019 | $102,019 |
| 617 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $100,127 | $100,127 |
| 622 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $95,520 | $95,520 |
| 91 | OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC | $95,152 | $95,152 |
| 616 | AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC | $94,420 | $94,420 |
| 814 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC | $93,082 | $93,082 |
| 686 | KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC | $91,512 | $91,512 |
| 460 | SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | $86,879 | $86,879 |
| 454 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | $83,737 | $83,737 |
| 455 | COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | $83,601 | $83,601 |
| 522 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | $82,075 | $82,075 |
| 659 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC | $79,485 | $79,485 |
| 402 | SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL | $79,070 | $79,070 |
| 510 | SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC | $78,256 | $78,256 |
| 467 | REVISION OF HIP OR KNEE REPLACEMENT WITH CC | $75,233 | $75,233 |
| 628 | OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC | $74,915 | $74,915 |
| 564 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC | $74,564 | $74,564 |
| 693 | URINARY STONES WITH MCC | $70,951 | $70,951 |
| 398 | APPENDIX PROCEDURES WITH CC | $70,124 | $70,124 |
| 539 | OSTEOMYELITIS WITH MCC | $69,701 | $69,701 |
| 380 | COMPLICATED PEPTIC ULCER WITH MCC | $69,500 | $69,500 |
| 643 | ENDOCRINE DISORDERS WITH MCC | $67,096 | $67,096 |
| 331 | MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | $64,696 | $64,696 |
| 604 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC | $64,410 | $64,410 |
| 834 | ACUTE LEUKEMIA WITH MCC | $63,445 | $63,445 |
| 481 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | $62,915 | $62,915 |
| 180 | RESPIRATORY NEOPLASMS WITH MCC | $62,305 | $62,305 |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | $61,964 | $61,964 |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $59,940 | $59,940 |
| 863 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC | $59,310 | $59,310 |
| 486 | KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC | $58,686 | $58,686 |
| 40 | PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC | $58,076 | $58,076 |
| 521 | HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC | $57,952 | $57,952 |
| 418 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | $57,871 | $57,871 |
| 307 | CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC | $56,751 | $56,751 |
| 580 | OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC | $56,638 | $56,638 |
| 862 | POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC | $56,501 | $56,501 |
| 596 | MAJOR SKIN DISORDERS WITHOUT MCC | $55,146 | $55,146 |
| 857 | POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC | $54,992 | $54,992 |
| 416 | CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC | $54,833 | $54,833 |
| 571 | SKIN DEBRIDEMENT WITH CC | $54,311 | $54,311 |
| 377 | GASTROINTESTINAL HEMORRHAGE WITH MCC | $53,223 | $53,223 |
| 100 | SEIZURES WITH MCC | $52,783 | $52,783 |
| 723 | MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC | $52,776 | $52,776 |
| 867 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC | $52,699 | $52,699 |
| 974 | HIV WITH MAJOR RELATED CONDITION WITH MCC | $52,471 | $52,471 |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $51,758 | $51,758 |
| 336 | PERITONEAL ADHESIOLYSIS WITH CC | $51,577 | $51,577 |
| 417 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | $51,517 | $51,517 |
| 657 | KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC | $50,843 | $50,843 |
| 419 | LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC | $50,261 | $50,261 |
| 205 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC | $49,505 | $49,505 |
| 669 | TRANSURETHRAL PROCEDURES WITH CC | $49,397 | $49,397 |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $48,268 | $48,268 |
| 533 | FRACTURES OF FEMUR WITH MCC | $47,954 | $47,954 |
| 308 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | $47,141 | $47,141 |
| 74 | CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | $46,947 | $46,947 |
| 698 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | $45,355 | $45,355 |
| 67 | NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC | $45,197 | $45,197 |
| 572 | SKIN DEBRIDEMENT WITHOUT CC/MCC | $45,026 | $45,026 |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC | $44,457 | $44,457 |
| 64 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $44,229 | $44,229 |
| 206 | OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | $44,163 | $44,163 |
| 470 | MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | $44,055 | $44,055 |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $43,855 | $43,855 |
| 494 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC | $43,853 | $43,853 |
| 871 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | $43,560 | $43,560 |
| 371 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC | $43,469 | $43,469 |
| 844 | OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC | $43,354 | $43,354 |
| 177 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | $43,285 | $43,285 |
| 920 | COMPLICATIONS OF TREATMENT WITH CC | $43,213 | $43,213 |
| 71 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | $43,200 | $43,200 |
| 474 | AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC | $42,847 | $42,847 |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | $42,669 | $42,669 |
| 369 | MAJOR ESOPHAGEAL DISORDERS WITH CC | $42,647 | $42,647 |
| 623 | SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC | $42,598 | $42,598 |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | $42,537 | $42,537 |
| 280 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | $42,131 | $42,131 |
| 556 | SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC | $41,917 | $41,917 |
| 540 | OSTEOMYELITIS WITH CC | $41,754 | $41,754 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $41,329 | $41,329 |
| 537 | SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC | $41,043 | $41,043 |
| 399 | APPENDIX PROCEDURES WITHOUT CC/MCC | $40,954 | $40,954 |
| 602 | CELLULITIS WITH MCC | $40,945 | $40,945 |
| 642 | INBORN AND OTHER DISORDERS OF METABOLISM | $40,665 | $40,665 |
| 438 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC | $40,192 | $40,192 |
| 388 | GASTROINTESTINAL OBSTRUCTION WITH MCC | $40,149 | $40,149 |
| 501 | SOFT TISSUE PROCEDURES WITH CC | $39,995 | $39,995 |
| 372 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | $39,906 | $39,906 |
| 660 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC | $39,519 | $39,519 |
| 504 | FOOT PROCEDURES WITH CC | $39,429 | $39,429 |
| 661 | KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | $39,286 | $39,286 |
| 570 | SKIN DEBRIDEMENT WITH MCC | $39,067 | $39,067 |
| 70 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | $39,021 | $39,021 |
| 283 | ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC | $38,967 | $38,967 |
| 694 | URINARY STONES WITHOUT MCC | $38,690 | $38,690 |
| 644 | ENDOCRINE DISORDERS WITH CC | $38,264 | $38,264 |
| 557 | TENDONITIS, MYOSITIS AND BURSITIS WITH MCC | $37,950 | $37,950 |
| 947 | SIGNS AND SYMPTOMS WITH MCC | $37,768 | $37,768 |
| 699 | OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC | $37,308 | $37,308 |
| 432 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC | $37,112 | $37,112 |
| 208 | RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | $37,101 | $37,101 |
| 389 | GASTROINTESTINAL OBSTRUCTION WITH CC | $36,874 | $36,874 |
| 682 | RENAL FAILURE WITH MCC | $36,835 | $36,835 |
| 728 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC | $36,722 | $36,722 |
| 99 | NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC | $36,666 | $36,666 |
| 394 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | $36,633 | $36,633 |
| 65 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | $36,614 | $36,614 |
| 554 | BONE DISEASES AND ARTHROPATHIES WITHOUT MCC | $36,120 | $36,120 |
| 175 | PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | $36,086 | $36,086 |
| 314 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC | $35,985 | $35,985 |
| 637 | DIABETES WITH MCC | $35,877 | $35,877 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $35,825 | $35,825 |
| 872 | SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | $35,778 | $35,778 |
| 90 | CONCUSSION WITHOUT CC/MCC | $35,662 | $35,662 |
| 155 | OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC | $35,441 | $35,441 |
| 193 | SIMPLE PNEUMONIA AND PLEURISY WITH MCC | $35,290 | $35,290 |
| 299 | PERIPHERAL VASCULAR DISORDERS WITH MCC | $35,255 | $35,255 |
| 381 | COMPLICATED PEPTIC ULCER WITH CC | $35,120 | $35,120 |
| 841 | LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | $34,895 | $34,895 |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | $34,678 | $34,678 |
| 375 | DIGESTIVE MALIGNANCY WITH CC | $34,635 | $34,635 |
| 545 | CONNECTIVE TISSUE DISORDERS WITH MCC | $34,460 | $34,460 |
| 201 | PNEUMOTHORAX WITHOUT CC/MCC | $34,369 | $34,369 |
| 72 | NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC | $34,262 | $34,262 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | $34,253 | $34,253 |
| 517 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC | $33,939 | $33,939 |
| 304 | HYPERTENSION WITH MCC | $33,905 | $33,905 |
| 178 | RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | $33,867 | $33,867 |
| 312 | SYNCOPE AND COLLAPSE | $33,696 | $33,696 |
| 551 | MEDICAL BACK PROBLEMS WITH MCC | $33,694 | $33,694 |
| 502 | SOFT TISSUE PROCEDURES WITHOUT CC/MCC | $33,654 | $33,654 |
| 917 | POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC | $33,487 | $33,487 |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $33,424 | $33,424 |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $33,266 | $33,266 |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $33,234 | $33,234 |
| 558 | TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC | $33,192 | $33,192 |
| 373 | MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC | $33,131 | $33,131 |
| 281 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | $32,894 | $32,894 |
| 696 | KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC | $32,883 | $32,883 |
| 189 | PULMONARY EDEMA AND RESPIRATORY FAILURE | $32,735 | $32,735 |
| 378 | GASTROINTESTINAL HEMORRHAGE WITH CC | $32,217 | $32,217 |
| 813 | COAGULATION DISORDERS | $32,182 | $32,182 |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $31,872 | $31,872 |
| 444 | DISORDERS OF THE BILIARY TRACT WITH MCC | $31,375 | $31,375 |
| 300 | PERIPHERAL VASCULAR DISORDERS WITH CC | $31,209 | $31,209 |
| 441 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC | $31,203 | $31,203 |
| 468 | REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | $30,980 | $30,980 |
| 183 | MAJOR CHEST TRAUMA WITH MCC | $30,872 | $30,872 |
| 386 | INFLAMMATORY BOWEL DISEASE WITH CC | $30,828 | $30,828 |
| 184 | MAJOR CHEST TRAUMA WITH CC | $30,748 | $30,748 |
| 435 | MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC | $30,601 | $30,601 |
| 553 | BONE DISEASES AND ARTHROPATHIES WITH MCC | $30,363 | $30,363 |
| 387 | INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC | $30,219 | $30,219 |
| 202 | BRONCHITIS AND ASTHMA WITH CC/MCC | $29,905 | $29,905 |
| 445 | DISORDERS OF THE BILIARY TRACT WITH CC | $29,840 | $29,840 |
| 683 | RENAL FAILURE WITH CC | $29,779 | $29,779 |
| 603 | CELLULITIS WITHOUT MCC | $29,685 | $29,685 |
| 181 | RESPIRATORY NEOPLASMS WITH CC | $29,608 | $29,608 |
| 305 | HYPERTENSION WITHOUT MCC | $29,458 | $29,458 |
| 194 | SIMPLE PNEUMONIA AND PLEURISY WITH CC | $29,125 | $29,125 |
| 101 | SEIZURES WITHOUT MCC | $29,102 | $29,102 |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $28,979 | $28,979 |
| 349 | ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC | $28,709 | $28,709 |
| 66 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | $28,548 | $28,548 |
| 727 | INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC | $28,389 | $28,389 |
| 78 | HYPERTENSIVE ENCEPHALOPATHY WITH CC | $28,357 | $28,357 |
| 149 | DYSEQUILIBRIUM | $28,296 | $28,296 |
| 315 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC | $27,821 | $27,821 |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $27,789 | $27,789 |
| 918 | POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC | $27,509 | $27,509 |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $27,457 | $27,457 |
| 645 | ENDOCRINE DISORDERS WITHOUT CC/MCC | $27,437 | $27,437 |
| 565 | OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC | $27,385 | $27,385 |
| 368 | MAJOR ESOPHAGEAL DISORDERS WITH MCC | $27,338 | $27,338 |
| 638 | DIABETES WITH CC | $27,334 | $27,334 |
| 855 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC | $27,261 | $27,261 |
| 514 | HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC | $27,171 | $27,171 |
| 195 | SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC | $26,998 | $26,998 |
| 866 | VIRAL ILLNESS WITHOUT MCC | $26,957 | $26,957 |
| 640 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | $26,860 | $26,860 |
| 313 | CHEST PAIN | $26,800 | $26,800 |
| 808 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC | $26,797 | $26,797 |
| 292 | HEART FAILURE AND SHOCK WITH CC | $26,634 | $26,634 |
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $26,477 | $26,477 |
| 809 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC | $26,414 | $26,414 |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $26,124 | $26,124 |
| 186 | PLEURAL EFFUSION WITH MCC | $25,962 | $25,962 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | $25,727 | $25,727 |
| 176 | PULMONARY EMBOLISM WITHOUT MCC | $25,691 | $25,691 |
| 865 | VIRAL ILLNESS WITH MCC | $25,665 | $25,665 |
| 69 | TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | $25,652 | $25,652 |
| 433 | CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC | $25,524 | $25,524 |
| 153 | OTITIS MEDIA AND URI WITHOUT MCC | $25,259 | $25,259 |
| 390 | GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | $24,152 | $24,152 |
| 379 | GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC | $24,027 | $24,027 |
| 948 | SIGNS AND SYMPTOMS WITHOUT MCC | $23,989 | $23,989 |
| 303 | ATHEROSCLEROSIS WITHOUT MCC | $23,880 | $23,880 |
| 103 | HEADACHES WITHOUT MCC | $23,828 | $23,828 |
| 951 | OTHER FACTORS INFLUENCING HEALTH STATUS | $23,765 | $23,765 |
| 442 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC | $23,660 | $23,660 |
| 868 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC | $23,638 | $23,638 |
| 393 | OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | $23,376 | $23,376 |
| 815 | RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC | $22,935 | $22,935 |
| 86 | TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC | $22,617 | $22,617 |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $22,188 | $22,188 |
| 159 | DENTAL AND ORAL DISEASES WITHOUT CC/MCC | $22,036 | $22,036 |
| 302 | ATHEROSCLEROSIS WITH MCC | $22,035 | $22,035 |
| 92 | OTHER DISORDERS OF NERVOUS SYSTEM WITH CC | $21,379 | $21,379 |
| 60 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC | $21,323 | $21,323 |
| 282 | ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | $21,270 | $21,270 |
| 869 | OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC | $21,165 | $21,165 |
| 864 | FEVER AND INFLAMMATORY CONDITIONS | $21,110 | $21,110 |
| 541 | OSTEOMYELITIS WITHOUT CC/MCC | $20,962 | $20,962 |
| 94 | BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC | $20,677 | $20,677 |
| 446 | DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | $20,594 | $20,594 |
| 908 | OTHER O.R. PROCEDURES FOR INJURIES WITH CC | $19,867 | $19,867 |
| 59 | MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC | $19,867 | $19,867 |
| 684 | RENAL FAILURE WITHOUT CC/MCC | $19,506 | $19,506 |
| 204 | RESPIRATORY SIGNS AND SYMPTOMS | $19,465 | $19,465 |
| 199 | PNEUMOTHORAX WITH MCC | $19,331 | $19,331 |
| 916 | ALLERGIC REACTIONS WITHOUT MCC | $19,084 | $19,084 |
| 311 | ANGINA PECTORIS | $18,909 | $18,909 |
| 187 | PLEURAL EFFUSION WITH CC | $18,609 | $18,609 |
| 552 | MEDICAL BACK PROBLEMS WITHOUT MCC | $18,083 | $18,083 |
| 639 | DIABETES WITHOUT CC/MCC | $17,993 | $17,993 |
| 776 | POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES | $17,710 | $17,710 |
| 547 | CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC | $15,706 | $15,706 |
| 316 | OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC | $15,323 | $15,323 |
| 605 | TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC | $15,137 | $15,137 |
| 301 | PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC | $14,105 | $14,105 |
| 810 | MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC | $12,678 | $12,678 |
| 443 | DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC | $11,874 | $11,874 |
| 919 | COMPLICATIONS OF TREATMENT WITH MCC | $8,240 | $8,240 |