Providence Alaska Medical Center — Pricing

776 procedures published in this hospital's Machine-Readable File (MRF) — 776 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 776
Lowest published price $6,495
Average published price $77,160
Highest published price $1,225,854

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.

Showing all 776 procedures

Published charges

Showing all 776 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. Cash-pay prices not published for this hospital.

Across 129 procedures, this hospital's negotiated rates average ≈372% of what Medicare pays.

DRG Description Published price vs. AK median vs. National median vs Medicare
018 Chimeric Antigen Receptor (Car) T-Cell And Other Immunotherapies $1,225,854 $854,920 — $498,715 +146% —
001 Heart Transplant Or Implant Of Heart Assist System With Mcc $915,612 $639,114 — $431,073 +112% —
927 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft $771,162 $736,762 +5% $306,087 +152% —
003 Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major $696,636 $486,794 +43% $371,366 +88% —
004 Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck Without Major O.R. $459,298 $459,298 +0% $245,241 +87% —
014 Allogeneic Bone Marrow Transplant $425,874 $298,451 — $182,314 +134% —
007 Lung Transplant $424,801 $297,705 — $170,608 +149% —
002 Heart Transplant Or Implant Of Heart Assist System Without Mcc $358,220 $256,840 — $169,977 +111% —
212 Concomitant Aortic And Mitral Valve Procedures $354,104 $248,528 — $171,338 +107% —
005 Liver Transplant With Mcc Or Intestinal Transplant $346,156 $242,999 — $159,181 +117% —
215 Other Heart Assist System Implant $344,388 $241,768 — $191,314 +80% —
426 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or Custom-Made $340,728 $239,179 — $142,326 +139% —
216 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc $313,708 $220,428 — $175,437 +79% —
850 Acute Leukemia With Other Procedures $299,434 $210,498 — $121,563 +146% —
453 Combined Anterior And Posterior Spinal Fusion With Mcc $288,060 $195,960 — $103,861 +177% —
231 Coronary Bypass With Ptca With Mcc $275,447 $193,813 — $146,474 +88% —
456 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $275,291 $348,605 −21% $151,029 +82% —
429 Combined Anterior And Posterior Cervical Spinal Fusion With Mcc $271,110 $190,797 — $120,174 +126% —
020 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc $262,024 $184,477 — $134,914 +94% —
010 Pancreas Transplant $259,167 $179,554 — $99,940 +159% —
019 Simultaneous Pancreas And Kidney Transplant With Hemodialysis $257,675 $181,451 — $105,228 +145% —
233 Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc $254,070 $178,944 — $138,868 +83% ≈328% of Medicare
219 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Mcc $251,508 $251,508 +0% $143,242 +76% —
957 Other O.R. Procedures For Multiple Significant Trauma With Mcc $242,624 $206,053 +18% $120,587 +101% —
427 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical With Cc $230,759 $162,750 — $121,728 +90% —
275 Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc $229,712 $229,712 +0% $131,961 +74% —
870 Septicemia Or Severe Sepsis With Mv >96 Hours $226,137 $197,663 +14% $138,008 +64% —
955 Craniotomy For Multiple Significant Trauma $221,956 $221,956 +0% $105,612 +110% —
447 Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody $217,935 $153,808 — $114,914 +90% —
928 Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc $217,100 $217,100 +0% $89,353 +143% —
268 Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc $216,732 $152,971 +42% $118,589 +83% —
459 Spinal Fusion Except Cervical With Mcc $215,598 $155,816 +38% $75,251 +187% —
207 Respiratory System Diagnosis With Ventilator Support >96 Hours $210,247 $184,616 +14% $116,058 +81% —
217 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Cc $209,912 $148,227 — $121,714 +72% —
969 Hiv With Extensive O.R. Procedures With Mcc $205,572 $179,696 +14% $109,331 +88% —
276 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator $201,350 $142,271 — $117,280 +72% —
317 Concomitant Left Atrial Appendage Closure And Cardiac Ablation $201,090 $142,090 — $94,988 +112% —
573 Skin Graft For Skin Ulcer Or Cellulitis With Mcc $200,173 $141,452 — $98,912 +102% —
461 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc $199,487 $140,973 — $108,472 +84% —
454 Combined Anterior And Posterior Spinal Fusion With Cc $198,824 $158,599 +25% $69,101 +188% ≈297% of Medicare
232 Coronary Bypass With Ptca Without Mcc $198,564 $140,333 — $106,238 +87% —
028 Spinal Procedures With Mcc $197,615 $119,783 +65% $95,858 +106% —
016 Autologous Bone Marrow Transplant With Cc/Mcc $196,197 $138,687 — $98,260 +100% —
017 Autologous Bone Marrow Transplant Without Cc/Mcc $196,197 $138,687 — $81,176 +142% —
266 Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc $194,731 $137,667 — $113,855 +71% ≈348% of Medicare
218 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization Without Cc/Mcc $193,389 $136,732 — $92,238 +110% —
790 Extreme Immaturity Or Respiratory Distress Syndrome, Neonate $193,255 $72,843 +165% $80,018 +142% —
235 Coronary Bypass Without Cardiac Catheterization With Mcc $191,266 $135,257 — $112,062 +71% ≈344% of Medicare
820 Lymphoma And Leukemia With Major O.R. Procedures With Mcc $189,254 $137,883 +37% $96,192 +97% —
457 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $186,559 $186,559 +0% $107,355 +74% —
023 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis With Mcc Or Antineopla $185,444 $131,207 — $106,778 +74% ≈403% of Medicare
653 Major Bladder Procedures With Mcc $181,202 $75,310 +141% $97,046 +87% —
021 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc $179,677 $127,193 — $101,235 +77% —
834 Acute Leukemia With Mcc $179,664 $74,709 +140% $76,583 +135% —
428 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Without Cc/Mcc $178,959 $126,686 — $105,899 +69% —
430 Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc $177,818 $125,902 — $93,783 +90% —
008 Simultaneous Pancreas And Kidney Transplant $176,865 $131,662 — $86,459 +105% —
405 Pancreas, Liver And Shunt Procedures With Mcc $176,462 $130,938 +35% $94,927 +86% —
463 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $175,562 $175,562 +0% $78,582 +123% ≈303% of Medicare
011 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc $175,396 $178,921 −2% $86,953 +102% —
576 Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc $175,373 $173,396 +1% $82,527 +113% —
234 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc $172,935 $122,505 — $102,573 +69% ≈383% of Medicare
220 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization With Cc $172,168 $172,168 +0% $102,177 +68% ≈381% of Medicare
450 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody F $167,402 $118,657 — $79,944 +109% —
270 Other Major Cardiovascular Procedures With Mcc $166,853 $173,784 −4% $99,423 +68% ≈354% of Medicare
466 Revision Of Hip Or Knee Replacement With Mcc $165,602 $110,659 +50% $96,222 +72% —
326 Stomach, Esophageal And Duodenal Procedures With Mcc $165,094 $131,264 +26% $80,747 +104% ≈272% of Medicare
239 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc $163,723 $146,411 +12% $87,565 +87% —
837 Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemotherapy Agent With Mc $162,757 $115,426 — $70,735 +130% —
278 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures With Mcc $162,630 $135,838 +20% $84,861 +92% —
853 Infectious And Parasitic Diseases With O.R. Procedures With Mcc $162,585 $134,024 +21% $87,018 +87% ≈341% of Medicare
228 Other Cardiothoracic Procedures With Mcc $161,980 $114,886 — $96,905 +67% —
245 Aicd Generator Procedures $158,847 $112,705 — $72,076 +120% —
471 Cervical Spinal Fusion With Mcc $157,888 $157,888 +0% $92,515 +71% —
006 Liver Transplant Without Mcc $157,624 $121,016 — $84,407 +87% —
826 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Mcc $155,229 $72,124 +115% $88,691 +75% —
799 Splenic Procedures With Mcc $154,556 $67,257 +130% $78,821 +96% —
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $154,549 $140,513 +10% $86,390 +79% ≈310% of Medicare
267 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc $152,927 $108,588 — $92,217 +66% ≈360% of Medicare
823 Lymphoma And Non-Acute Leukemia With Other Procedures With Mcc $152,108 $122,754 +24% $80,885 +88% —
277 Cardiac Defibrillator Implant Without Mcc $151,230 $151,230 +0% $91,329 +66% ≈465% of Medicare
163 Major Chest Procedures With Mcc $149,823 $149,823 +0% $88,341 +70% —
650 Kidney Transplant With Hemodialysis With Mcc $149,761 $106,376 — $71,551 +109% —
455 Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc $149,715 $140,814 +6% $54,320 +176% —
221 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheterization Without Cc/M $149,283 $149,283 +0% $90,331 +65% —
329 Major Small And Large Bowel Procedures With Mcc $149,263 $149,263 +0% $88,050 +70% ≈347% of Medicare
856 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Mcc $146,650 $114,142 +28% $72,859 +101% —
474 Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc $145,775 $138,991 +5% $76,954 +89% —
025 Craniotomy And Endovascular Intracranial Procedures With Mcc $145,372 $145,372 +0% $88,307 +65% ≈367% of Medicare
901 Wound Debridements For Injuries With Mcc $144,014 $144,014 +0% $68,847 +109% —
319 Other Endovascular Cardiac Valve Procedures With Mcc $142,788 $101,498 — $75,585 +89% —
933 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft $140,649 $140,649 +0% $59,352 +137% —
458 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive Fusions With $140,356 $119,508 +17% $83,441 +68% —
356 Other Digestive System O.R. Procedures With Mcc $138,656 $99,175 +40% $82,561 +68% —
323 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc $138,455 $98,466 — $88,049 +57% —
140 Major Head And Neck Procedures With Mcc $137,473 $102,342 +34% $60,098 +129% —
031 Ventricular Shunt Procedures With Mcc $136,215 $96,899 — $68,659 +98% —
673 Other Kidney And Urinary Tract Procedures With Mcc $136,205 $96,888 +41% $72,945 +87% ≈333% of Medicare
793 Full Term Neonate With Major Problems $135,575 $21,681 +525% $16,719 +711% —
269 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc $135,243 $133,884 +1% $83,065 +63% ≈373% of Medicare
236 Coronary Bypass Without Cardiac Catheterization Without Mcc $133,663 $95,114 — $82,247 +63% ≈430% of Medicare
958 Other O.R. Procedures For Multiple Significant Trauma With Cc $133,588 $133,588 +0% $66,853 +100% —
012 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc $133,390 $95,928 +39% $73,029 +83% —
448 Multiple Level Spinal Fusion Except Cervical Without Mcc $132,734 $94,464 — $81,998 +62% —
423 Other Hepatobiliary Or Pancreas O.R. Procedures With Mcc $132,210 $132,210 +0% $72,011 +84% —
791 Prematurity With Major Problems $131,983 $55,887 +136% $39,563 +234% —
907 Other O.R. Procedures For Injuries With Mcc $129,493 $73,886 +75% $71,701 +81% ≈372% of Medicare
739 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Mcc $129,402 $92,132 — $57,521 +125% —
628 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Mcc $128,283 $128,283 +0% $68,006 +89% —
736 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc $127,991 $127,991 +0% $61,832 +107% —
876 O.R. Procedures With Principal Diagnosis Of Mental Illness $127,734 $90,965 +40% $54,196 +136% —
402 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical $127,727 $90,849 — $75,492 +69% —
273 Percutaneous And Other Intracardiac Procedures With Mcc $127,103 $90,524 — $78,852 +61% ≈347% of Medicare
034 Carotid Artery Stent Procedures With Mcc $126,404 $95,657 +32% $72,908 +73% —
616 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Mcc $125,637 $94,044 +34% $62,961 +100% —
904 Skin Grafts For Injuries With Cc/Mcc $125,507 $138,272 −9% $55,097 +128% —
166 Other Respiratory System O.R. Procedures With Mcc $125,185 $100,725 +24% $72,782 +72% —
956 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma $124,249 $124,249 +0% $75,103 +65% —
024 Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Without Mcc $123,573 $88,054 — $74,755 +65% —
040 Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc $122,611 $71,435 +72% $74,257 +65% —
622 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc $121,707 $121,707 +0% $60,861 +100% —
460 Spinal Fusion Except Cervical Without Mcc $118,908 $128,720 −8% $50,815 +134% ≈297% of Medicare
094 Bacterial And Tuberculous Infections Of Nervous System With Mcc $118,599 $113,053 +5% $62,524 +90% —
335 Peritoneal Adhesiolysis With Mcc $117,803 $103,921 +13% $71,755 +64% —
097 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Mcc $116,532 $75,855 +54% $57,855 +101% —
802 Other O.R. Procedures Of The Blood And Blood Forming Organs With Mcc $116,525 $68,259 +71% $59,425 +96% —
518 Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurostimulator $116,499 $96,681 +20% $64,776 +80% —
265 Aicd Lead Procedures $115,950 $82,721 — $56,695 +105% —
492 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc $115,433 $105,538 +9% $70,540 +64% ≈345% of Medicare
022 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/Mcc $114,764 $81,889 — $62,404 +84% —
420 Hepatobiliary Diagnostic Procedures With Mcc $114,724 $84,304 +36% $50,919 +125% —
495 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Mcc $114,435 $65,314 +75% $56,964 +101% —
414 Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc $113,892 $92,756 +23% $68,399 +67% —
987 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Mcc $113,873 $138,087 −18% $65,383 +74% —
408 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc $113,811 $69,660 +63% $59,207 +92% —
264 Other Circulatory System O.R. Procedures $113,610 $115,773 −2% $51,953 +119% —
651 Kidney Transplant With Hemodialysis Without Mcc $112,872 $84,557 — $56,242 +101% —
332 Rectal Resection With Mcc $112,751 $80,483 — $58,125 +94% —
574 Skin Graft For Skin Ulcer Or Cellulitis With Cc $112,628 $59,744 +89% $49,065 +130% —
271 Other Major Cardiovascular Procedures With Cc $111,968 $111,968 +0% $71,014 +58% ≈330% of Medicare
477 Biopsies Of Musculoskeletal System And Connective Tissue With Mcc $111,786 $83,498 +34% $62,269 +80% —
665 Prostatectomy With Mcc $111,610 $49,239 +127% $54,072 +106% —
252 Other Vascular Procedures With Mcc $111,506 $111,506 +0% $68,508 +63% ≈346% of Medicare
467 Revision Of Hip Or Knee Replacement With Cc $111,334 $94,122 +18% $68,880 +62% ≈343% of Medicare
260 Cardiac Pacemaker Revision Except Device Replacement With Mcc $110,746 $79,074 — $67,901 +63% —
242 Permanent Cardiac Pacemaker Implant With Mcc $110,265 $107,681 +2% $70,132 +57% ≈361% of Medicare
029 Spinal Procedures With Cc Or Spinal Neurostimulators $109,111 $109,111 +0% $64,152 +70% —
037 Extracranial Procedures With Mcc $107,947 $87,677 +23% $64,749 +67% —
143 Other Ear, Nose, Mouth And Throat O.R. Procedures With Mcc $107,329 $84,133 +28% $52,908 +103% —
469 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc Or Total Ankle Repl $106,250 $99,084 +7% $65,254 +63% —
579 Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc $105,944 $90,605 +17% $54,129 +96% —
656 Kidney And Ureter Procedures For Neoplasm With Mcc $105,899 $94,831 +12% $64,465 +64% —
485 Knee Procedures With Principal Diagnosis Of Infection With Mcc $104,790 $109,304 −4% $64,956 +61% —
279 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures Without Mcc $104,160 $104,160 +0% $57,277 +82% —
324 Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc $103,861 $103,861 +0% $66,819 +55% —
840 Lymphoma And Non-Acute Leukemia With Mcc $103,679 $64,063 +62% $49,710 +109% —
929 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc $103,379 $103,379 +0% $44,472 +132% —
939 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Mcc $103,171 $103,171 +0% $51,142 +102% —
500 Soft Tissue Procedures With Mcc $102,999 $102,999 +0% $57,479 +79% —
274 Percutaneous And Other Intracardiac Procedures Without Mcc $101,449 $72,575 — $65,573 +55% ≈350% of Medicare
662 Minor Bladder Procedures With Mcc $101,403 $72,543 — $54,483 +86% —
229 Other Cardiothoracic Procedures Without Mcc $100,971 $72,241 — $65,325 +55% —
515 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Mcc $100,519 $71,924 +40% $62,821 +60% —
451 Single Level Spinal Fusion Except Cervical Without Mcc $100,311 $71,779 — $65,216 +54% —
829 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures With Cc/Mcc $100,239 $69,487 +44% $53,817 +86% —
652 Kidney Transplant $99,836 $77,278 — $54,720 +82% —
173 Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary Embolism $99,745 $99,745 +0% $53,555 +86% —
026 Craniotomy And Endovascular Intracranial Procedures With Cc $99,420 $99,420 +0% $63,475 +57% ≈356% of Medicare
570 Skin Debridement With Mcc $97,860 $54,707 +79% $52,435 +87% —
974 Hiv With Major Related Condition With Mcc $97,067 $97,067 +0% $46,402 +109% —
464 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $95,851 $63,615 +51% $54,313 +76% —
480 Hip And Femur Procedures Except Major Joint With Mcc $95,604 $150,669 −37% $63,984 +49% ≈392% of Medicare
353 Hernia Procedures Except Inguinal And Femoral With Mcc $95,337 $130,051 −27% $60,140 +59% —
668 Transurethral Procedures With Mcc $94,794 $94,794 +0% $47,277 +101% —
521 Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc $94,746 $110,188 −14% $67,764 +40% ≈319% of Medicare
800 Splenic Procedures With Cc $94,713 $67,863 — $49,184 +93% —
240 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc $94,661 $94,661 +0% $54,475 +74% —
472 Cervical Spinal Fusion With Cc $94,173 $94,173 +0% $59,537 +58% ≈414% of Medicare
625 Thyroid, Parathyroid And Thyroglossal Procedures With Mcc $93,195 $66,800 — $58,968 +58% —
462 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc $93,088 $96,380 −3% $56,758 +64% —
325 Coronary Intravascular Lithotripsy Without Intraluminal Device $93,036 $66,688 — $53,551 +74% —
510 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc $92,906 $68,940 +35% $49,055 +89% —
321 Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ Arteries/Intraluminal $92,538 $92,538 +0% $74,274 +25% ≈392% of Medicare
654 Major Bladder Procedures With Cc $91,732 $50,505 +82% $53,868 +70% —
406 Pancreas, Liver And Shunt Procedures With Cc $91,287 $83,465 +9% $58,043 +57% —
258 Cardiac Pacemaker Device Replacement With Mcc $91,196 $91,196 +0% $48,907 +86% —
411 Cholecystectomy With C.D.E. With Mcc $88,953 $38,709 +130% $48,358 +84% —
288 Acute And Subacute Endocarditis With Mcc $88,787 $79,782 +11% $45,497 +95% —
619 O.R. Procedures For Obesity With Mcc $88,628 $63,604 — $44,973 +97% —
963 Other Multiple Significant Trauma With Mcc $88,309 $152,317 −42% $43,491 +103% —
061 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Mcc $87,874 $87,874 +0% $57,963 +52% —
344 Minor Small And Large Bowel Procedures With Mcc $87,587 $43,335 +102% $44,839 +95% —
208 Respiratory System Diagnosis With Ventilator Support <=96 Hours $87,253 $92,452 −6% $52,405 +66% ≈319% of Medicare
263 Vein Ligation And Stripping $87,181 $87,181 +0% $44,938 +94% —
849 Radiotherapy $86,824 $62,343 — $37,862 +129% —
577 Skin Graft Except For Skin Ulcer Or Cellulitis With Cc $86,554 $72,640 +19% $45,432 +91% —
970 Hiv With Extensive O.R. Procedures Without Mcc $86,248 $57,856 +49% $40,947 +111% —
013 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc $86,138 $61,863 — $45,290 +90% —
503 Foot Procedures With Mcc $86,030 $86,030 +0% $43,901 +96% —
959 Other O.R. Procedures For Multiple Significant Trauma Without Cc/Mcc $85,939 $83,874 +2% $40,277 +113% —
468 Revision Of Hip Or Knee Replacement Without Cc/Mcc $85,273 $97,822 −13% $54,929 +55% —
255 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc $85,049 $66,018 +29% $43,697 +95% —
749 Other Female Reproductive System O.R. Procedures With Cc/Mcc $84,142 $84,142 +0% $41,703 +102% —
659 Kidney And Ureter Procedures For Non-Neoplasm With Mcc $84,005 $69,730 +20% $48,094 +75% ≈343% of Medicare
846 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc $83,010 $83,010 +0% $38,878 +114% —
253 Other Vascular Procedures With Cc $82,988 $66,217 +25% $53,746 +54% ≈377% of Medicare
483 Major Joint Or Limb Reattachment Procedures Of Upper Extremities $82,832 $81,042 +2% $57,149 +45% —
817 Other Antepartum Diagnoses With O.R. Procedures With Mcc $82,409 $82,409 +0% $36,097 +128% —
545 Connective Tissue Disorders With Mcc $82,136 $42,585 +93% $39,657 +107% —
498 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc/Mcc $82,071 $82,071 +0% $46,659 +76% —
164 Major Chest Procedures With Cc $81,814 $81,814 +0% $53,141 +54% ≈356% of Medicare
056 Degenerative Nervous System Disorders With Mcc $81,398 $91,260 −11% $39,409 +107% —
272 Other Major Cardiovascular Procedures Without Cc/Mcc $81,333 $77,812 +5% $55,162 +47% —
397 Appendix Procedures With Mcc $80,540 $65,152 +24% $52,319 +54% —
027 Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc $80,215 $60,052 +34% $52,332 +53% ≈367% of Medicare
792 Prematurity Without Major Problems $79,636 $34,988 +128% $11,633 +585% —
982 Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $79,594 $75,245 +6% $51,985 +53% —
327 Stomach, Esophageal And Duodenal Procedures With Cc $78,931 $73,024 +8% $54,824 +44% —
350 Inguinal And Femoral Hernia Procedures With Mcc $78,661 $58,501 +34% $46,591 +69% —
135 Sinus And Mastoid Procedures With Cc/Mcc $78,372 $41,414 +89% $40,065 +96% —
493 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc $78,050 $78,050 +0% $56,394 +38% ≈386% of Medicare
095 Bacterial And Tuberculous Infections Of Nervous System With Cc $77,920 $113,386 −31% $47,583 +64% —
096 Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc $77,920 $77,788 +0% $39,093 +99% —
417 Laparoscopic Cholecystectomy Without C.D.E. With Mcc $77,253 $77,253 +0% $52,313 +48% —
473 Cervical Spinal Fusion Without Cc/Mcc $76,951 $83,528 −8% $50,624 +52% ≈434% of Medicare
347 Anal And Stomal Procedures With Mcc $76,932 $44,107 +74% $40,548 +90% —
330 Major Small And Large Bowel Procedures With Cc $76,837 $84,970 −10% $58,832 +31% ≈416% of Medicare
827 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures With Cc $76,707 $57,968 +32% $47,546 +61% —
478 Biopsies Of Musculoskeletal System And Connective Tissue With Cc $76,015 $76,015 +0% $50,139 +52% —
082 Traumatic Stupor And Coma >1 Hour With Mcc $75,420 $59,164 +27% $36,237 +108% —
320 Other Endovascular Cardiac Valve Procedures Without Mcc $75,241 $54,239 — $36,080 +109% —
250 Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc $75,179 $75,179 +0% $51,339 +46% —
674 Other Kidney And Urinary Tract Procedures With Cc $75,036 $31,460 +139% $49,631 +51% —
146 Ear, Nose, Mouth And Throat Malignancy With Mcc $74,568 $46,142 +62% $37,080 +101% —
808 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $74,455 $53,124 +40% $36,334 +105% —
424 Other Hepatobiliary Or Pancreas O.R. Procedures With Cc $74,217 $52,917 +40% $39,253 +89% —
614 Adrenal And Pituitary Procedures With Cc/Mcc $74,077 $32,773 +126% $43,586 +70% —
035 Carotid Artery Stent Procedures With Cc $73,941 $53,330 — $46,430 +59% ≈366% of Medicare
085 Traumatic Stupor And Coma <1 Hour With Mcc $73,658 $77,635 −5% $37,064 +99% —
041 Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Peripheral Neurostimulator $73,421 $69,344 +6% $44,989 +63% —
715 Other Male Reproductive System O.R. Procedures For Malignancy With Cc/Mcc $73,408 $52,956 — $38,998 +88% —
113 Orbital Procedures With Cc/Mcc $73,356 $73,356 +0% $35,642 +106% —
243 Permanent Cardiac Pacemaker Implant With Cc $73,229 $65,240 +12% $50,011 +46% ≈380% of Medicare
357 Other Digestive System O.R. Procedures With Cc $73,203 $60,314 +21% $48,682 +50% —
629 Other Endocrine, Nutritional And Metabolic O.R. Procedures With Cc $73,145 $44,865 +63% $45,059 +62% —
709 Penis Procedures With Cc/Mcc $73,044 $52,701 — $34,535 +112% —
821 Lymphoma And Leukemia With Major O.R. Procedures With Cc $72,563 $62,163 +17% $44,053 +65% —
030 Spinal Procedures Without Cc/Mcc $72,335 $79,180 −9% $45,818 +58% —
286 Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc $71,948 $99,117 −27% $44,600 +61% ≈367% of Medicare
824 Lymphoma And Non-Acute Leukemia With Other Procedures With Cc $71,493 $30,859 +132% $38,382 +86% —
935 Non-Extensive Burns $71,396 $44,233 +61% $29,458 +142% —
906 Hand Procedures For Injuries $70,944 $43,924 +62% $31,520 +125% —
857 Postoperative Or Post-Traumatic Infections With O.R. Procedures With Cc $70,830 $73,502 −4% $41,900 +69% —
098 Non-Bacterial Infection Of Nervous System Except Viral Meningitis With Cc $70,511 $42,504 +66% $37,902 +86% —
475 Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc $70,121 $69,924 +0% $44,553 +57% —
314 Other Circulatory System Diagnoses With Mcc $70,001 $53,775 +30% $38,357 +82% ≈346% of Medicare
141 Major Head And Neck Procedures With Cc $69,835 $59,757 +17% $34,900 +100% —
934 Full Thickness Burn Without Skin Graft Or Inhalation Injury $69,751 $56,311 +24% $31,044 +125% —
867 Other Infectious And Parasitic Diseases Diagnoses With Mcc $69,702 $70,499 −1% $36,850 +89% —
835 Acute Leukemia With Cc $69,429 $34,190 +103% $35,569 +95% —
407 Pancreas, Liver And Shunt Procedures Without Cc/Mcc $69,422 $69,422 +0% $40,232 +73% —
032 Ventricular Shunt Procedures With Cc $69,419 $69,419 +0% $45,622 +52% —
412 Cholecystectomy With C.D.E. With Cc $69,289 $34,878 +99% $37,654 +84% —
333 Rectal Resection With Cc $69,081 $49,930 — $34,352 +101% —
486 Knee Procedures With Principal Diagnosis Of Infection With Cc $68,938 $68,938 +0% $46,477 +48% —
595 Major Skin Disorders With Mcc $68,753 $30,646 +124% $31,785 +116% —
336 Peritoneal Adhesiolysis With Cc $68,668 $67,288 +2% $49,470 +39% —
374 Digestive Malignancy With Mcc $68,639 $64,291 +7% $38,885 +77% ≈283% of Medicare
940 O.R. Procedures With Diagnoses Of Other Contact With Health Services With Cc $68,633 $52,377 +31% $38,420 +79% —
522 Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc $68,532 $64,854 +6% $56,519 +21% ≈372% of Medicare
734 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc $68,353 $67,694 +1% $35,686 +92% —
409 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Cc $68,145 $58,067 +17% $46,066 +48% —
814 Reticuloendothelial And Immunity Disorders With Mcc $67,950 $54,705 +24% $32,483 +109% —
655 Major Bladder Procedures Without Cc/Mcc $67,524 $48,840 +38% $41,651 +62% —
481 Hip And Femur Procedures Except Major Joint With Cc $67,449 $90,625 −26% $51,172 +32% ≈386% of Medicare
592 Skin Ulcers With Mcc $66,841 $62,415 +7% $32,662 +105% —
584 Breast Biopsy, Local Excision And Other Breast Procedures With Cc/Mcc $66,552 $48,160 +38% $34,089 +95% —
838 Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Chemotherapy Agent $65,928 $47,723 — $30,661 +115% —
539 Osteomyelitis With Mcc $65,752 $53,348 +23% $33,746 +95% —
908 Other O.R. Procedures For Injuries With Cc $65,567 $64,317 +2% $41,660 +57% ≈402% of Medicare
548 Septic Arthritis With Mcc $65,486 $65,486 +0% $31,019 +111% —
052 Spinal Disorders And Injuries With Cc/Mcc $65,418 $65,418 +0% $30,940 +111% —
516 Other Musculoskeletal System And Connective Tissue O.R. Procedures With Cc $65,392 $65,392 +0% $45,817 +43% ≈364% of Medicare
737 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc $64,959 $67,056 −3% $44,363 +46% —
854 Infectious And Parasitic Diseases With O.R. Procedures With Cc $64,956 $64,956 +0% $43,524 +49% ≈371% of Medicare
575 Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc $64,901 $47,005 +38% $29,109 +123% —
064 Intracranial Hemorrhage Or Cerebral Infarction With Mcc $64,660 $64,660 +0% $35,714 +81% ≈374% of Medicare
080 Nontraumatic Stupor And Coma With Mcc $64,618 $46,806 — $35,139 +84% —
100 Seizures With Mcc $64,533 $64,280 +0% $35,194 +83% ≈366% of Medicare
585 Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc $64,527 $54,459 +18% $29,633 +118% —
415 Cholecystectomy Except By Laparoscope Without C.D.E. With Cc $64,299 $64,299 +0% $43,398 +48% —
496 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur With Cc $64,134 $68,570 −6% $43,800 +46% —
519 Back And Neck Procedures Except Spinal Fusion With Cc $64,095 $64,095 +0% $43,775 +46% ≈404% of Medicare
488 Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc $63,886 $60,323 +6% $41,520 +54% —
871 Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc $63,789 $63,061 +1% $35,237 +81% ≈321% of Medicare
511 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc $63,760 $68,650 −7% $43,538 +46% —
432 Cirrhosis And Alcoholic Hepatitis With Mcc $63,685 $92,277 −31% $36,933 +72% ≈363% of Medicare
283 Acute Myocardial Infarction, Expired With Mcc $63,565 $63,565 +0% $35,014 +82% ≈294% of Medicare
941 O.R. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/Mcc $63,526 $27,453 +131% $29,524 +115% —
744 D&C, Conization, Laparoscopy And Tubal Interruption With Cc/Mcc $63,516 $39,600 +60% $33,050 +92% —
707 Major Male Pelvic Procedures With Cc/Mcc $63,080 $50,396 +25% $43,080 +46% —
507 Major Shoulder Or Elbow Joint Procedures With Cc/Mcc $63,002 $73,648 −14% $36,202 +74% —
617 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc $62,810 $64,326 −2% $42,881 +46% ≈376% of Medicare
380 Complicated Peptic Ulcer With Mcc $62,554 $62,554 +0% $36,641 +71% —
623 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc $62,219 $47,430 +31% $33,165 +88% —
711 Testes Procedures With Cc/Mcc $62,108 $51,226 +21% $34,852 +78% —
261 Cardiac Pacemaker Revision Except Device Replacement With Cc $61,679 $88,041 −30% $42,126 +46% —
902 Wound Debridements For Injuries With Cc $61,679 $44,751 +38% $35,459 +74% —
843 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mcc $61,539 $61,870 −1% $36,280 +70% —
441 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc $61,448 $61,448 +0% $32,399 +90% —
205 Other Respiratory System Diagnoses With Mcc $61,364 $77,099 −20% $32,204 +91% —
686 Kidney And Urinary Tract Neoplasms With Mcc $61,296 $59,072 +4% $32,981 +86% —
470 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc $61,292 $61,292 +0% $49,197 +25% —
494 Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc $61,292 $61,292 +0% $45,963 +33% ≈333% of Medicare
196 Interstitial Lung Disease With Mcc $61,250 $56,512 +8% $30,766 +99% ≈354% of Medicare
542 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Mcc $60,623 $65,894 −8% $35,114 +73% ≈331% of Medicare
165 Major Chest Procedures Without Cc/Mcc $60,590 $55,703 +9% $41,380 +46% —
883 Disorders Of Personality And Impulse Control $60,346 $23,356 +158% $22,698 +166% —
559 Aftercare, Musculoskeletal System And Connective Tissue With Mcc $60,337 $45,730 +32% $30,974 +95% —
717 Other Male Reproductive System O.R. Procedures Except Malignancy With Cc/Mcc $60,314 $60,314 +0% $32,538 +85% —
058 Multiple Sclerosis And Cerebellar Ataxia With Mcc $59,999 $41,307 +45% $29,609 +103% —
783 Cesarean Section With Sterilization With Mcc $59,878 $59,878 +0% $28,375 +111% —
862 Postoperative And Post-Traumatic Infections With Mcc $59,768 $41,965 +42% $30,394 +97% ≈348% of Medicare
036 Carotid Artery Stent Procedures Without Cc/Mcc $59,586 $53,950 +10% $40,694 +46% ≈389% of Medicare
657 Kidney And Ureter Procedures For Neoplasm With Cc $59,423 $46,479 +28% $40,583 +46% —
167 Other Respiratory System O.R. Procedures With Cc $59,394 $59,394 +0% $40,563 +46% —
742 Uterine And Adnexa Procedures For Non-Malignancy With Cc/Mcc $59,378 $59,378 +0% $40,552 +46% —
435 Malignancy Of Hepatobiliary System Or Pancreas With Mcc $59,309 $61,022 −3% $37,950 +56% —
919 Complications Of Treatment With Mcc $59,274 $37,039 +60% $29,031 +104% ≈382% of Medicare
091 Other Disorders Of Nervous System With Mcc $59,254 $58,002 +2% $36,375 +63% ≈373% of Medicare
740 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy With Cc $59,105 $42,949 — $36,597 +62% —
377 Gastrointestinal Hemorrhage With Mcc $59,101 $59,101 +0% $37,842 +56% ≈371% of Medicare
754 Malignancy, Female Reproductive System With Mcc $58,812 $58,812 +0% $29,476 +100% —
322 Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc $58,809 $58,809 +0% $54,772 +7% ≈382% of Medicare
244 Permanent Cardiac Pacemaker Implant Without Cc/Mcc $58,666 $46,983 +25% $40,063 +46% ≈391% of Medicare
789 Neonates, Died Or Transferred To Another Acute Care Facility $58,601 $26,590 +120% $14,284 +310% —
886 Behavioral And Developmental Disorders $58,396 $26,841 +118% $24,836 +135% —
501 Soft Tissue Procedures With Cc $58,022 $56,642 +2% $37,975 +53% —
062 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With Cc $57,889 $63,841 −9% $48,680 +19% —
896 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc $57,889 $57,889 +0% $30,275 +91% ≈350% of Medicare
803 Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc $57,860 $42,078 — $33,564 +72% —
479 Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/Mcc $57,723 $57,723 +0% $31,909 +81% —
580 Other Skin, Subcutaneous Tissue And Breast Procedures With Cc $57,632 $83,057 −31% $36,242 +59% —
199 Pneumothorax With Mcc $57,382 $60,022 −4% $31,491 +82% —
259 Cardiac Pacemaker Device Replacement Without Mcc $57,135 $57,135 +0% $35,673 +60% —
042 Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc $57,131 $51,568 +11% $39,018 +46% —
144 Other Ear, Nose, Mouth And Throat O.R. Procedures With Cc $57,102 $57,102 +0% $29,558 +93% —
509 Arthroscopy $57,099 $41,546 — $25,994 +120% —
597 Malignant Breast Disorders With Mcc $57,099 $41,546 +37% $31,846 +79% —
504 Foot Procedures With Cc $57,070 $68,406 −17% $36,598 +56% —
505 Foot Procedures Without Cc/Mcc $57,070 $46,918 +22% $31,716 +80% —
582 Mastectomy For Malignancy With Cc/Mcc $56,923 $30,512 +87% $34,264 +66% —
254 Other Vascular Procedures Without Cc/Mcc $56,865 $62,362 −9% $38,836 +46% ≈433% of Medicare
371 Major Gastrointestinal Disorders And Peritoneal Infections With Mcc $56,832 $56,832 +0% $31,758 +79% —
180 Respiratory Neoplasms With Mcc $56,813 $69,694 −18% $36,658 +55% —
070 Other Cerebrovascular Disorders With Mcc $56,520 $91,378 −38% $30,814 +83% ≈356% of Medicare
915 Allergic Reactions With Mcc $56,491 $56,264 +0% $30,944 +83% —
465 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective Tissue Disorders Wit $56,429 $56,429 +0% $32,839 +72% —
722 Malignancy, Male Reproductive System With Mcc $56,198 $56,198 +0% $29,826 +88% —
671 Urethral Procedures With Cc/Mcc $56,029 $40,798 — $27,233 +106% —
075 Viral Meningitis With Cc/Mcc $55,990 $26,435 +112% $29,853 +88% —
988 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis With Cc $55,782 $55,782 +0% $38,094 +46% —
551 Medical Back Problems With Mcc $55,467 $62,386 −11% $31,086 +78% —
354 Hernia Procedures Except Inguinal And Femoral With Cc $55,298 $51,278 +8% $43,266 +28% —
256 Upper Limb And Toe Amputation For Circulatory System Disorders With Cc $55,054 $41,718 +32% $29,729 +85% —
578 Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/Mcc $54,947 $50,461 +9% $28,578 +92% —
922 Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc $54,911 $54,911 +0% $29,409 +87% —
444 Disorders Of The Biliary Tract With Mcc $54,758 $54,758 +0% $31,128 +76% —
698 Other Kidney And Urinary Tract Diagnoses With Mcc $54,641 $49,016 +11% $30,058 +82% ≈357% of Medicare
571 Skin Debridement With Cc $54,443 $64,684 −16% $34,901 +56% —
746 Vagina, Cervix And Vulva Procedures With Cc/Mcc $54,433 $30,641 +78% $29,916 +82% —
884 Organic Disturbances And Intellectual Disability $54,290 $45,246 +20% $25,208 +115% ≈289% of Medicare
368 Major Esophageal Disorders With Mcc $54,284 $54,225 +0% $33,607 +62% —
116 Intraocular Procedures With Cc/Mcc $54,238 $39,384 +38% $28,103 +93% —
983 Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $54,225 $43,173 +26% $30,930 +75% —
438 Disorders Of Pancreas Except Malignancy With Mcc $54,086 $54,086 +0% $32,502 +66% —
413 Cholecystectomy With C.D.E. Without Cc/Mcc $54,040 $54,040 +0% $27,548 +96% —
418 Laparoscopic Cholecystectomy Without C.D.E. With Cc $53,913 $53,913 +0% $42,119 +28% ≈489% of Medicare
334 Rectal Resection Without Cc/Mcc $53,910 $46,656 +16% $32,213 +67% —
643 Endocrine Disorders With Mcc $53,874 $54,040 −0% $32,996 +63% ≈408% of Medicare
393 Other Digestive System Diagnoses With Mcc $53,829 $46,483 +16% $32,689 +65% ≈377% of Medicare
331 Major Small And Large Bowel Procedures Without Cc/Mcc $53,669 $53,669 +0% $44,117 +22% ≈409% of Medicare
905 Skin Grafts For Injuries Without Cc/Mcc $53,575 $53,575 +0% $25,197 +113% —
666 Prostatectomy With Cc $53,546 $30,470 +76% $30,016 +78% —
583 Mastectomy For Malignancy Without Cc/Mcc $53,393 $38,954 — $31,566 +69% —
801 Splenic Procedures Without Cc/Mcc $53,367 $53,367 +0% $28,634 +86% —
280 Acute Myocardial Infarction, Discharged Alive With Mcc $53,361 $56,759 −6% $28,967 +84% ≈367% of Medicare
917 Poisoning And Toxic Effects Of Drugs With Mcc $53,299 $53,299 +0% $28,134 +89% ≈367% of Medicare
296 Cardiac Arrest, Unexplained With Mcc $53,257 $53,257 +0% $30,910 +72% —
421 Hepatobiliary Diagnostic Procedures With Cc $53,231 $47,791 +11% $36,333 +47% —
157 Dental And Oral Diseases With Mcc $53,227 $26,305 +102% $27,457 +94% —
154 Other Ear, Nose, Mouth And Throat Diagnoses With Mcc $52,863 $48,387 +9% $24,465 +116% —
855 Infectious And Parasitic Diseases With O.R. Procedures Without Cc/Mcc $52,840 $38,566 — $27,168 +94% —
385 Inflammatory Bowel Disease With Mcc $52,814 $35,206 +50% $26,020 +103% —
913 Traumatic Injury With Mcc $52,603 $36,360 +45% $24,198 +117% —
299 Peripheral Vascular Disorders With Mcc $52,587 $26,442 +99% $25,731 +104% ≈390% of Medicare
177 Respiratory Infections And Inflammations With Mcc $52,548 $60,032 −12% $31,840 +65% ≈368% of Medicare
786 Cesarean Section Without Sterilization With Mcc $52,525 $47,934 +10% $27,118 +94% —
038 Extracranial Procedures With Cc $52,372 $48,334 +8% $35,770 +46% —
606 Minor Skin Disorders With Mcc $52,340 $33,261 +57% $25,434 +106% —
512 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures Without Cc/Mcc $52,262 $44,869 +16% $35,692 +46% —
828 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.R. Procedures Without C $52,103 $52,103 +0% $35,584 +46% —
620 O.R. Procedures For Obesity With Cc $51,911 $37,916 — $35,453 +46% —
033 Ventricular Shunt Procedures Without Cc/Mcc $51,862 $37,882 — $33,984 +53% —
328 Stomach, Esophageal And Duodenal Procedures Without Cc/Mcc $51,797 $51,797 +0% $35,375 +46% —
183 Major Chest Trauma With Mcc $51,595 $42,543 +21% $28,924 +78% —
482 Hip And Femur Procedures Except Major Joint Without Cc/Mcc $51,569 $59,211 −13% $39,747 +30% —
487 Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc $51,365 $44,378 +16% $33,490 +53% —
186 Pleural Effusion With Mcc $51,361 $38,304 +34% $32,468 +58% —
289 Acute And Subacute Endocarditis With Cc $51,251 $52,404 −2% $29,371 +74% —
142 Major Head And Neck Procedures Without Cc/Mcc $51,111 $38,385 +33% $34,906 +46% —
564 Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc $51,010 $49,006 +4% $32,936 +55% —
841 Lymphoma And Non-Acute Leukemia With Cc $50,968 $50,968 +0% $31,059 +64% —
675 Other Kidney And Urinary Tract Procedures Without Cc/Mcc $50,880 $50,880 +0% $32,490 +57% —
251 Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc $50,793 $50,793 +0% $41,380 +23% —
410 Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. Without Cc/Mcc $50,419 $36,872 — $34,434 +46% —
557 Tendonitis, Myositis And Bursitis With Mcc $50,376 $50,376 +0% $28,646 +76% —
813 Coagulation Disorders $50,318 $50,318 +0% $30,128 +67% ≈56% of Medicare
669 Transurethral Procedures With Cc $50,305 $47,200 +7% $34,354 +46% —
077 Hypertensive Encephalopathy With Mcc $50,263 $50,263 +0% $24,036 +109% —
425 Other Hepatobiliary Or Pancreas O.R. Procedures Without Cc/Mcc $50,246 $36,752 — $25,484 +97% —
073 Cranial And Peripheral Nerve Disorders With Mcc $50,240 $53,142 −5% $28,252 +78% —
337 Peritoneal Adhesiolysis Without Cc/Mcc $49,899 $45,071 +11% $36,239 +38% —
115 Extraocular Procedures Except Orbit $49,765 $44,326 +12% $24,879 +100% —
663 Minor Bladder Procedures With Cc $49,648 $50,524 −2% $29,924 +66% —
945 Rehabilitation With Cc/Mcc $49,619 $36,726 — $23,834 +108% —
533 Fractures Of Femur With Mcc $49,567 $22,986 +116% $25,945 +91% —
262 Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc $49,336 $36,115 — $33,694 +46% —
738 Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc $49,307 $49,307 +0% $30,972 +59% —
398 Appendix Procedures With Cc $49,193 $46,351 +6% $39,107 +26% —
241 Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc $49,079 $35,935 — $24,229 +103% —
626 Thyroid, Parathyroid And Thyroglossal Procedures With Cc $49,060 $57,072 −14% $27,279 +80% —
513 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/Mcc $48,940 $51,351 −5% $33,424 +46% —
351 Inguinal And Femoral Hernia Procedures With Cc $48,914 $40,176 +22% $33,792 +45% —
658 Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc $48,888 $48,888 +0% $35,528 +38% —
682 Renal Failure With Mcc $48,826 $55,243 −12% $27,854 +75% ≈357% of Medicare
710 Penis Procedures Without Cc/Mcc $48,803 $35,742 — $23,814 +105% —
964 Other Multiple Significant Trauma With Cc $48,767 $47,806 +2% $25,854 +89% —
054 Nervous System Neoplasms With Mcc $48,732 $54,473 −11% $29,484 +65% ≈405% of Medicare
506 Major Thumb Or Joint Procedures $48,728 $44,759 +9% $28,983 +68% —
306 Cardiac Congenital And Valvular Disorders With Mcc $48,676 $28,795 +69% $24,450 +99% —
517 Other Musculoskeletal System And Connective Tissue O.R. Procedures Without Cc/Mcc $48,520 $61,489 −21% $33,137 +46% —
345 Minor Small And Large Bowel Procedures With Cc $48,410 $48,410 +0% $31,062 +56% —
604 Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc $48,296 $35,386 +36% $28,140 +72% —
708 Major Male Pelvic Procedures Without Cc/Mcc $48,189 $48,189 +0% $32,911 +46% —
865 Viral Illness With Mcc $47,977 $33,152 +45% $26,088 +84% —
693 Urinary Stones With Mcc $47,795 $23,892 +100% $22,525 +112% —
388 Gastrointestinal Obstruction With Mcc $47,786 $39,573 +21% $28,780 +66% —
602 Cellulitis With Mcc $47,766 $52,777 −9% $29,347 +63% —
422 Hepatobiliary Diagnostic Procedures Without Cc/Mcc $47,763 $35,014 — $25,152 +90% —
727 Inflammation Of The Male Reproductive System With Mcc $47,763 $44,316 +8% $25,786 +85% —
562 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh With Mcc $47,581 $47,065 +1% $29,211 +63% —
830 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Without Cc/Mcc $47,539 $34,857 — $25,149 +89% —
621 O.R. Procedures For Obesity Without Cc/Mcc $47,516 $47,516 +0% $32,451 +46% —
637 Diabetes With Mcc $47,340 $52,825 −10% $28,819 +64% —
067 Precerebral Occlusion Without Infarction With Mcc $47,324 $34,701 — $24,941 +90% —
895 Alcohol, Drug Abuse Or Dependence With Rehabilitation Therapy $47,067 $34,527 — $21,986 +114% —
713 Transurethral Prostatectomy With Cc/Mcc $47,002 $33,985 +38% $29,663 +58% —
977 Hiv With Or Without Other Related Condition $46,869 $34,389 — $22,525 +108% —
581 Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc $46,781 $34,793 +34% $25,243 +85% —
520 Back And Neck Procedures Except Spinal Fusion Without Cc/Mcc $46,586 $59,218 −21% $31,816 +46% —
615 Adrenal And Pituitary Procedures Without Cc/Mcc $46,580 $35,133 +33% $31,812 +46% —
975 Hiv With Major Related Condition With Cc $46,203 $32,941 +40% $25,010 +85% —
716 Other Male Reproductive System O.R. Procedures For Malignancy Without Cc/Mcc $46,134 $33,874 — $21,615 +113% —
757 Infections, Female Reproductive System With Mcc $46,004 $39,229 +17% $23,734 +94% —
088 Concussion With Mcc $45,855 $33,679 — $24,402 +88% —
885 Psychoses $45,819 $23,861 +92% $21,489 +113% ≈300% of Medicare
175 Pulmonary Embolism With Mcc Or Acute Cor Pulmonale $45,806 $45,806 +0% $29,757 +54% ≈296% of Medicare
811 Red Blood Cell Disorders With Mcc $45,731 $42,400 +8% $27,934 +64% ≈446% of Medicare
063 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent Without Cc/Mcc $45,663 $51,603 −12% $35,542 +28% —
630 Other Endocrine, Nutritional And Metabolic O.R. Procedures Without Cc/Mcc $45,549 $33,465 — $24,452 +86% —
137 Mouth Procedures With Cc/Mcc $45,461 $70,830 −36% $24,348 +87% —
502 Soft Tissue Procedures Without Cc/Mcc $45,416 $45,416 +0% $30,006 +51% —
099 Non-Bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc $45,289 $21,277 +113% $25,666 +76% —
083 Traumatic Stupor And Coma >1 Hour With Cc $45,195 $45,195 +0% $24,118 +87% —
769 Postpartum And Post Abortion Diagnoses With O.R. Procedures $45,169 $26,925 +68% $24,561 +84% —
150 Epistaxis With Mcc $44,928 $38,881 +16% $21,133 +113% —
741 Uterine And Adnexa Procedures For Non-Ovarian And Non-Adnexal Malignancy Without Cc/Mcc $44,649 $32,835 — $29,050 +54% —
139 Salivary Gland Procedures $44,629 $44,629 +0% $21,014 +112% —
839 Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $44,545 $32,762 — $20,980 +112% —
416 Cholecystectomy Except By Laparoscope Without C.D.E. Without Cc/Mcc $44,541 $44,541 +0% $30,418 +46% —
748 Female Reproductive System Reconstructive Procedures $44,281 $31,556 +40% $24,980 +77% —
358 Other Digestive System O.R. Procedures Without Cc/Mcc $44,047 $43,358 +2% $29,374 +50% —
794 Neonate With Other Significant Problems $44,013 $9,534 +362% $7,961 +453% —
168 Other Respiratory System O.R. Procedures Without Cc/Mcc $44,008 $32,127 +37% $28,527 +54% —
555 Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc $43,771 $43,771 +0% $23,723 +85% —
497 Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc $43,657 $43,657 +0% $29,805 +46% —
660 Kidney And Ureter Procedures For Non-Neoplasm With Cc $43,556 $55,031 −21% $30,358 +43% ≈385% of Medicare
057 Degenerative Nervous System Disorders Without Mcc $43,387 $78,958 −45% $25,426 +71% ≈340% of Medicare
355 Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc $43,335 $40,351 +7% $31,978 +36% —
535 Fractures Of Hip And Pelvis With Mcc $43,231 $43,231 +0% $23,350 +85% —
640 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With Mcc $43,173 $52,291 −17% $24,480 +76% ≈337% of Medicare
193 Simple Pneumonia And Pleurisy With Mcc $42,838 $46,508 −8% $26,158 +64% ≈387% of Medicare
419 Laparoscopic Cholecystectomy Without C.D.E. Without Cc/Mcc $42,832 $44,419 −4% $34,887 +23% —
086 Traumatic Stupor And Coma <1 Hour With Cc $42,636 $42,636 +0% $23,115 +84% —
553 Bone Diseases And Arthropathies With Mcc $42,464 $31,304 +36% $23,956 +77% —
291 Heart Failure And Shock With Mcc $42,419 $54,208 −22% $25,020 +70% ≈356% of Medicare
124 Other Disorders Of The Eye With Mcc Or Thrombolytic Agent $42,383 $42,383 +0% $21,029 +102% —
540 Osteomyelitis With Cc $42,077 $28,514 +48% $23,494 +79% —
508 Major Shoulder Or Elbow Joint Procedures Without Cc/Mcc $41,954 $41,954 +0% $22,811 +84% —
750 Other Female Reproductive System O.R. Procedures Without Cc/Mcc $41,918 $30,924 — $23,920 +75% —
858 Postoperative Or Post-Traumatic Infections With O.R. Procedures Without Cc/Mcc $41,882 $33,122 +26% $23,924 +75% —
818 Other Antepartum Diagnoses With O.R. Procedures With Cc $41,869 $39,928 +5% $24,316 +72% —
947 Signs And Symptoms With Mcc $41,808 $48,723 −14% $25,474 +64% —
391 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc $41,769 $52,748 −21% $27,244 +53% ≈508% of Medicare
796 Vaginal Delivery With Sterilization And/Or D&C With Mcc $41,499 $36,593 +13% $22,557 +84% —
836 Acute Leukemia Without Cc/Mcc $41,307 $33,083 +25% $19,686 +110% —
847 Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc $41,304 $41,304 +0% $22,275 +85% ≈424% of Medicare
909 Other O.R. Procedures For Injuries Without Cc/Mcc $41,226 $41,226 +0% $28,156 +46% —
627 Thyroid, Parathyroid And Thyroglossal Procedures Without Cc/Mcc $41,180 $36,415 +13% $25,623 +61% —
383 Uncomplicated Peptic Ulcer With Mcc $41,096 $40,288 +2% $26,634 +54% —
725 Benign Prostatic Hypertrophy With Mcc $41,060 $25,019 +64% $19,894 +106% —
348 Anal And Stomal Procedures With Cc $40,920 $40,920 +0% $27,947 +46% —
346 Minor Small And Large Bowel Procedures Without Cc/Mcc $40,478 $27,767 +46% $26,146 +55% —
618 Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $40,472 $36,189 +12% $19,354 +109% —
147 Ear, Nose, Mouth And Throat Malignancy With Cc $40,462 $32,116 +26% $21,860 +85% —
642 Inborn And Other Disorders Of Metabolism $40,345 $38,051 +6% $20,727 +95% —
489 Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc $40,263 $39,944 +1% $27,492 +46% —
809 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $40,260 $30,551 +32% $22,032 +83% —
189 Pulmonary Edema And Respiratory Failure $40,228 $52,396 −23% $25,704 +57% ≈330% of Medicare
718 Other Male Reproductive System O.R. Procedures Except Malignancy Without Cc/Mcc $40,042 $40,042 +0% $20,147 +99% —
825 Lymphoma And Non-Acute Leukemia With Other Procedures Without Cc/Mcc $40,007 $40,007 +0% $27,321 +46% —
375 Digestive Malignancy With Cc $39,942 $38,034 +5% $27,219 +47% —
294 Deep Vein Thrombophlebitis With Cc/Mcc $39,916 $29,524 — $19,132 +109% —
059 Multiple Sclerosis And Cerebellar Ataxia With Cc $39,773 $27,303 +46% $26,322 +51% —
593 Skin Ulcers With Cc $39,743 $39,743 +0% $20,470 +94% —
903 Wound Debridements For Injuries Without Cc/Mcc $39,626 $28,378 +40% $23,588 +68% —
735 Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc $39,457 $39,457 +0% $23,297 +69% —
308 Cardiac Arrhythmia And Conduction Disorders With Mcc $39,204 $50,214 −22% $26,488 +48% ≈383% of Medicare
549 Septic Arthritis With Cc $39,171 $40,885 −4% $20,938 +87% —
743 Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc $38,963 $38,963 +0% $27,369 +42% —
844 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Cc $38,849 $18,707 +108% $20,421 +90% —
887 Other Mental Disorder Diagnoses $38,661 $19,989 +93% $20,602 +88% —
145 Other Ear, Nose, Mouth And Throat O.R. Procedures Without Cc/Mcc $38,511 $26,511 +45% $20,842 +85% —
114 Orbital Procedures Without Cc/Mcc $38,427 $28,482 — $19,598 +96% —
304 Hypertension With Mcc $38,189 $47,503 −20% $24,185 +58% —
689 Kidney And Urinary Tract Infections With Mcc $38,046 $47,610 −20% $22,982 +66% ≈387% of Medicare
302 Atherosclerosis With Mcc $37,812 $36,241 +4% $20,844 +81% —
121 Acute Major Eye Infections With Cc/Mcc $37,809 $37,831 −0% $18,291 +107% —
476 Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc $37,806 $37,806 +0% $21,062 +79% —
499 Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without Cc/Mcc $37,734 $37,734 +0% $22,532 +67% —
102 Headaches With Mcc $37,689 $34,736 +9% $22,544 +67% —
546 Connective Tissue Disorders With Cc $37,634 $49,088 −23% $24,202 +55% —
989 Non-Extensive O.R. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc $37,559 $26,736 +40% $25,307 +48% —
831 Other Antepartum Diagnoses Without O.R. Procedures With Mcc $37,413 $26,458 +41% $18,133 +106% —
822 Lymphoma And Leukemia With Major O.R. Procedures Without Cc/Mcc $37,175 $37,175 +0% $25,390 +46% —
572 Skin Debridement Without Cc/Mcc $37,136 $51,417 −28% $24,432 +52% —
560 Aftercare, Musculoskeletal System And Connective Tissue With Cc $37,019 $35,174 +5% $24,452 +51% —
039 Extracranial Procedures Without Cc/Mcc $37,000 $39,554 −6% $25,267 +46% ≈452% of Medicare
152 Otitis Media And Uri With Mcc $36,886 $35,478 +4% $19,795 +86% —
695 Kidney And Urinary Tract Signs And Symptoms With Mcc $36,658 $27,245 — $20,741 +77% —
436 Malignancy Of Hepatobiliary System Or Pancreas With Cc $36,655 $36,655 +0% $24,017 +53% —
399 Appendix Procedures Without Cc/Mcc $36,541 $36,541 +0% $30,314 +21% —
190 Chronic Obstructive Pulmonary Disease With Mcc $36,515 $41,877 −13% $24,190 +51% —
723 Malignancy, Male Reproductive System With Cc $36,502 $19,448 +88% $19,317 +89% —
946 Rehabilitation Without Cc/Mcc $36,291 $36,291 +0% $17,685 +105% —
181 Respiratory Neoplasms With Cc $36,090 $34,744 +4% $22,431 +61% —
755 Malignancy, Female Reproductive System With Cc $36,086 $46,104 −22% $18,459 +95% —
200 Pneumothorax With Cc $35,999 $33,057 +9% $20,573 +75% —
804 Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc $35,937 $35,937 +0% $24,544 +46% —
352 Inguinal And Femoral Hernia Procedures Without Cc/Mcc $35,839 $36,539 −2% $25,162 +42% —
729 Other Male Reproductive System Diagnoses With Cc/Mcc $35,784 $29,719 +20% $17,483 +105% —
768 Vaginal Delivery With O.R. Procedures Except Sterilization And/Or D&C $35,638 $31,147 +14% $17,103 +108% —
672 Urethral Procedures Without Cc/Mcc $35,573 $18,325 +94% $17,398 +104% —
055 Nervous System Neoplasms Without Mcc $35,462 $26,511 +34% $19,868 +78% —
287 Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc $35,420 $43,487 −19% $31,190 +14% ≈419% of Medicare
381 Complicated Peptic Ulcer With Cc $35,404 $36,098 −2% $24,177 +46% —
445 Disorders Of The Biliary Tract With Cc $35,251 $35,251 +0% $21,806 +62% ≈436% of Medicare
784 Cesarean Section With Sterilization With Cc $35,205 $34,964 +1% $22,560 +56% —
596 Major Skin Disorders Without Mcc $35,140 $27,503 +28% $17,226 +104% —
664 Minor Bladder Procedures Without Cc/Mcc $35,101 $35,101 +0% $18,126 +94% —
598 Malignant Breast Disorders With Cc $35,072 $26,135 +34% $19,073 +84% —
949 Aftercare With Cc/Mcc $35,072 $31,058 +13% $23,953 +46% —
117 Intraocular Procedures Without Cc/Mcc $35,062 $34,475 +2% $17,193 +104% —
770 Abortion With D&C, Aspiration Curettage Or Hysterotomy $34,975 $29,974 +17% $17,943 +95% —
089 Concussion With Cc $34,851 $53,586 −35% $18,293 +91% —
300 Peripheral Vascular Disorders With Cc $34,799 $51,961 −33% $19,579 +78% —
433 Cirrhosis And Alcoholic Hepatitis With Cc $34,773 $39,555 −12% $23,749 +46% —
712 Testes Procedures Without Cc/Mcc $34,770 $34,770 +0% $18,898 +84% —
184 Major Chest Trauma With Cc $34,718 $34,718 +0% $20,842 +67% —
787 Cesarean Section Without Sterilization With Cc $34,516 $35,063 −2% $23,571 +46% —
543 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With Cc $34,484 $40,339 −15% $23,496 +47% ≈378% of Medicare
092 Other Disorders Of Nervous System With Cc $34,419 $42,465 −19% $24,136 +43% ≈384% of Medicare
071 Other Cerebrovascular Disorders With Cc $34,256 $48,122 −29% $23,396 +46% —
687 Kidney And Urinary Tract Neoplasms With Cc $34,217 $32,666 +5% $18,478 +85% —
842 Lymphoma And Non-Acute Leukemia Without Cc/Mcc $34,191 $25,519 +34% $17,550 +95% —
868 Other Infectious And Parasitic Diseases Diagnoses With Cc $34,133 $34,133 +0% $22,231 +54% —
074 Cranial And Peripheral Nerve Disorders Without Mcc $33,886 $34,141 −1% $23,141 +46% ≈383% of Medicare
644 Endocrine Disorders With Cc $33,596 $28,662 +17% $22,941 +46% —
872 Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc $33,515 $38,521 −13% $22,781 +47% ≈401% of Medicare
372 Major Gastrointestinal Disorders And Peritoneal Infections With Cc $33,460 $41,809 −20% $22,850 +46% ≈370% of Medicare
667 Prostatectomy Without Cc/Mcc $33,408 $31,527 +6% $16,703 +100% —
661 Kidney And Ureter Procedures For Non-Neoplasm Without Cc/Mcc $33,372 $32,703 +2% $24,022 +39% —
745 D&C, Conization, Laparoscopy And Tubal Interruption Without Cc/Mcc $33,313 $28,310 +18% $16,495 +102% —
699 Other Kidney And Urinary Tract Diagnoses With Cc $33,151 $33,151 +0% $20,732 +60% ≈371% of Medicare
923 Other Injury, Poisoning And Toxic Effect Diagnoses Without Mcc $33,151 $68,284 −51% $16,571 +100% —
514 Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc $33,144 $31,867 +4% $20,080 +65% —
565 Other Musculoskeletal System And Connective Tissue Diagnoses With Cc $33,144 $32,011 +4% $21,545 +54% —
758 Infections, Female Reproductive System With Cc $33,135 $22,809 +45% $19,091 +74% —
369 Major Esophageal Disorders With Cc $33,079 $31,257 +6% $22,713 +46% —
065 Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours $33,060 $61,978 −47% $23,469 +41% ≈403% of Medicare
815 Reticuloendothelial And Immunity Disorders With Cc $33,031 $29,602 +12% $18,017 +83% —
920 Complications Of Treatment With Cc $33,021 $33,021 +0% $21,181 +56% ≈357% of Medicare
187 Pleural Effusion With Cc $32,634 $32,634 +0% $21,467 +52% —
624 Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc $32,608 $16,213 +101% $17,078 +91% —
976 Hiv With Major Related Condition Without Cc/Mcc $32,602 $24,407 — $16,212 +101% —
697 Urethral Stricture $32,566 $16,196 +101% $17,705 +84% —
863 Postoperative And Post-Traumatic Infections Without Mcc $32,504 $32,504 +0% $20,007 +62% —
805 Vaginal Delivery Without Sterilization Or D&C With Mcc $32,439 $25,225 +29% $15,370 +111% —
078 Hypertensive Encephalopathy With Cc $32,436 $32,436 +0% $17,434 +86% —
386 Inflammatory Bowel Disease With Cc $32,260 $26,151 +23% $20,968 +54% —
178 Respiratory Infections And Inflammations With Cc $32,250 $33,013 −2% $22,024 +46% ≈389% of Medicare
197 Interstitial Lung Disease With Cc $32,179 $32,179 +0% $20,106 +60% —
378 Gastrointestinal Hemorrhage With Cc $32,049 $41,701 −23% $21,886 +46% ≈391% of Medicare
760 Menstrual And Other Female Reproductive System Disorders With Cc/Mcc $32,036 $32,036 +0% $18,282 +75% —
290 Acute And Subacute Endocarditis Without Cc/Mcc $31,825 $36,148 −12% $15,901 +100% —
136 Sinus And Mastoid Procedures Without Cc/Mcc $31,799 $16,140 +97% $15,890 +100% —
797 Vaginal Delivery With Sterilization And/Or D&C With Cc $31,474 $33,426 −6% $19,001 +66% —
798 Vaginal Delivery With Sterilization And/Or D&C Without Cc/Mcc $31,474 $32,299 −3% $18,238 +73% —
202 Bronchitis And Asthma With Cc/Mcc $31,425 $31,425 +0% $17,273 +82% —
442 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Cc $31,408 $27,077 +16% $21,449 +46% —
552 Medical Back Problems Without Mcc $31,330 $43,920 −29% $21,213 +48% ≈378% of Medicare
315 Other Circulatory System Diagnoses With Cc $31,282 $31,607 −1% $20,777 +51% —
882 Neuroses Except Depressive $31,269 $29,831 +5% $15,680 +99% —
880 Acute Adjustment Reaction And Psychosocial Dysfunction $31,161 $27,900 +12% $15,636 +99% —
600 Non-Malignant Breast Disorders With Cc/Mcc $31,116 $23,363 — $16,418 +90% —
084 Traumatic Stupor And Coma >1 Hour Without Cc/Mcc $31,077 $34,814 −11% $18,191 +71% —
670 Transurethral Procedures Without Cc/Mcc $31,064 $31,064 +0% $20,371 +52% —
747 Vagina, Cervix And Vulva Procedures Without Cc/Mcc $31,048 $31,048 +0% $19,326 +61% —
756 Malignancy, Female Reproductive System Without Cc/Mcc $31,041 $17,870 +74% $15,589 +99% —
810 Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Coagulation Disorders $30,937 $21,940 +41% $18,428 +68% —
394 Other Digestive System Diagnoses With Cc $30,599 $32,093 −5% $18,918 +62% ≈389% of Medicare
158 Dental And Oral Diseases With Cc $30,573 $30,573 +0% $17,700 +73% —
714 Transurethral Prostatectomy Without Cc/Mcc $30,544 $30,544 +0% $17,108 +79% —
779 Abortion Without D&C $30,385 $21,552 +41% $15,327 +98% —
155 Other Ear, Nose, Mouth And Throat Diagnoses With Cc $30,349 $29,000 +5% $16,642 +82% —
307 Cardiac Congenital And Valvular Disorders Without Mcc $30,111 $15,217 +98% $18,608 +62% —
605 Trauma To The Skin, Subcutaneous Tissue And Breast Without Mcc $30,027 $30,027 +0% $19,287 +56% —
812 Red Blood Cell Disorders Without Mcc $30,001 $32,483 −8% $20,488 +46% ≈388% of Medicare
281 Acute Myocardial Infarction, Discharged Alive With Cc $29,965 $42,225 −29% $20,463 +46% ≈405% of Medicare
101 Seizures Without Mcc $29,959 $29,946 +0% $19,954 +50% —
053 Spinal Disorders And Injuries Without Cc/Mcc $29,949 $43,312 −31% $20,309 +47% —
537 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh With Cc/Mcc $29,871 $28,078 +6% $16,352 +83% —
638 Diabetes With Cc $29,816 $29,816 +0% $18,821 +58% ≈385% of Medicare
076 Viral Meningitis Without Cc/Mcc $29,806 $26,680 +12% $15,474 +93% —
914 Traumatic Injury Without Mcc $29,786 $31,032 −4% $15,593 +91% —
881 Depressive Neuroses $29,715 $17,544 +69% $15,058 +97% —
965 Other Multiple Significant Trauma Without Cc/Mcc $29,663 $29,188 +2% $17,585 +69% —
206 Other Respiratory System Diagnoses Without Mcc $29,445 $24,721 +19% $17,731 +66% —
788 Cesarean Section Without Sterilization Without Cc/Mcc $29,419 $32,642 −10% $20,084 +46% —
081 Nontraumatic Stupor And Coma Without Mcc $29,413 $19,032 +55% $15,077 +95% —
864 Fever And Inflammatory Conditions $29,188 $27,746 +5% $17,412 +68% —
563 Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc $29,052 $32,704 −11% $18,803 +55% —
060 Multiple Sclerosis And Cerebellar Ataxia Without Cc/Mcc $29,009 $29,009 +0% $21,261 +36% —
257 Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc $28,993 $21,882 — $15,764 +84% —
683 Renal Failure With Cc $28,896 $33,211 −13% $18,620 +55% ≈390% of Medicare
866 Viral Illness Without Mcc $28,759 $26,520 +8% $16,391 +75% —
918 Poisoning And Toxic Effects Of Drugs Without Mcc $28,749 $25,864 +11% $15,045 +91% ≈386% of Medicare
087 Traumatic Stupor And Coma <1 Hour Without Cc/Mcc $28,736 $26,917 +7% $15,869 +81% —
376 Digestive Malignancy Without Cc/Mcc $28,701 $22,042 +30% $15,608 +84% —
897 Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc $28,678 $29,917 −4% $16,049 +79% ≈380% of Medicare
068 Precerebral Occlusion Without Infarction Without Mcc $28,658 $28,658 +0% $19,569 +46% —
349 Anal And Stomal Procedures Without Cc/Mcc $28,636 $28,636 +0% $19,854 +44% —
603 Cellulitis Without Mcc $28,636 $32,700 −12% $18,530 +55% ≈387% of Medicare
785 Cesarean Section With Sterilization Without Cc/Mcc $28,441 $30,357 −6% $19,815 +44% —
541 Osteomyelitis Without Cc/Mcc $28,437 $21,047 +35% $14,549 +95% —
312 Syncope And Collapse $28,324 $32,579 −13% $19,342 +46% ≈403% of Medicare
384 Uncomplicated Peptic Ulcer Without Mcc $28,268 $24,181 +17% $19,305 +46% —
607 Minor Skin Disorders Without Mcc $28,096 $22,774 +23% $15,284 +84% —
558 Tendonitis, Myositis And Bursitis Without Mcc $28,080 $28,899 −3% $17,367 +62% —
550 Septic Arthritis Without Cc/Mcc $28,024 $28,249 −1% $16,156 +73% —
292 Heart Failure And Shock With Cc $27,998 $29,105 −4% $16,212 +73% —
439 Disorders Of Pancreas Except Malignancy With Cc $27,963 $33,959 −18% $19,096 +46% —
191 Chronic Obstructive Pulmonary Disease With Cc $27,927 $27,927 +0% $18,278 +53% —
090 Concussion Without Cc/Mcc $27,865 $21,894 +27% $14,873 +87% —
599 Malignant Breast Disorders Without Cc/Mcc $27,790 $14,290 +94% $14,290 +94% —
103 Headaches Without Mcc $27,638 $36,280 −24% $20,111 +37% —
594 Skin Ulcers Without Cc/Mcc $27,586 $27,586 +0% $14,209 +94% —
182 Respiratory Neoplasms Without Cc/Mcc $27,225 $14,064 +94% $14,064 +94% —
845 Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses Without Cc/Mcc $27,199 $20,627 — $14,055 +94% —
554 Bone Diseases And Arthropathies Without Mcc $27,131 $24,416 +11% $18,253 +49% —
125 Other Disorders Of The Eye Without Mcc $26,841 $25,361 +6% $15,876 +69% —
194 Simple Pneumonia And Pleurisy With Cc $26,656 $28,683 −7% $18,204 +46% —
848 Chemotherapy Without Acute Leukemia As Secondary Diagnosis Without Cc/Mcc $26,620 $26,620 +0% $13,822 +93% —
561 Aftercare, Musculoskeletal System And Connective Tissue Without Cc/Mcc $26,578 $28,593 −7% $18,150 +46% —
728 Inflammation Of The Male Reproductive System Without Mcc $26,562 $17,942 +48% $16,837 +58% —
556 Signs And Symptoms Of Musculoskeletal System And Connective Tissue Without Mcc $26,542 $48,842 −46% $17,715 +50% —
819 Other Antepartum Diagnoses With O.R. Procedures Without Cc/Mcc $26,542 $35,229 −25% $17,928 +48% —
176 Pulmonary Embolism Without Mcc $26,477 $28,651 −8% $18,081 +46% —
534 Fractures Of Femur Without Mcc $26,458 $30,065 −12% $17,195 +54% —
138 Mouth Procedures Without Cc/Mcc $26,445 $30,222 −12% $17,383 +52% —
204 Respiratory Signs And Symptoms $26,360 $35,456 −26% $16,866 +56% —
536 Fractures Of Hip And Pelvis Without Mcc $26,360 $38,240 −31% $18,002 +46% —
123 Neurological Eye Disorders $26,110 $28,622 −9% $17,831 +46% —
690 Kidney And Urinary Tract Infections Without Mcc $26,090 $32,028 −19% $17,466 +49% ≈397% of Medicare
389 Gastrointestinal Obstruction With Cc $26,061 $30,263 −14% $17,388 +50% ≈409% of Medicare
148 Ear, Nose, Mouth And Throat Malignancy Without Cc/Mcc $26,029 $19,807 +31% $13,586 +92% —
069 Transient Ischemia Without Thrombolytic $26,012 $31,986 −19% $20,278 +28% ≈321% of Medicare
446 Disorders Of The Biliary Tract Without Cc/Mcc $25,915 $25,915 +0% $17,700 +46% —
948 Signs And Symptoms Without Mcc $25,827 $34,325 −25% $17,727 +46% —
295 Deep Vein Thrombophlebitis Without Cc/Mcc $25,674 $19,560 — $13,445 +91% —
093 Other Disorders Of Nervous System Without Cc/Mcc $25,658 $31,547 −19% $17,522 +46% —
437 Malignancy Of Hepatobiliary System Or Pancreas Without Cc/Mcc $25,521 $13,385 +91% $13,385 +91% —
641 Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Without Mcc $25,404 $43,237 −41% $16,745 +52% ≈392% of Medicare
694 Urinary Stones Without Mcc $25,401 $25,401 +0% $16,531 +54% —
392 Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders Without Mcc $25,365 $30,667 −17% $17,322 +46% ≈403% of Medicare
645 Endocrine Disorders Without Cc/Mcc $25,323 $23,016 +10% $14,166 +79% —
185 Major Chest Trauma Without Cc/Mcc $25,278 $25,278 +0% $15,858 +59% —
179 Respiratory Infections And Inflammations Without Cc/Mcc $25,021 $16,241 +54% $14,444 +73% —
151 Epistaxis Without Mcc $24,640 $24,506 +1% $13,032 +89% —
544 Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy Without Cc/Mcc $24,566 $24,566 +0% $16,776 +46% —
305 Hypertension Without Mcc $24,403 $35,721 −32% $17,144 +42% —
072 Other Cerebrovascular Disorders Without Cc/Mcc $24,384 $24,384 +0% $16,654 +46% —
382 Complicated Peptic Ulcer Without Cc/Mcc $24,358 $24,358 +0% $16,634 +46% —
566 Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/Mcc $24,315 $28,252 −14% $14,337 +70% —
149 Dysequilibrium $24,299 $23,758 +2% $17,203 +41% —
832 Other Antepartum Diagnoses Without O.R. Procedures With Cc $24,293 $17,784 +37% $12,895 +88% —
547 Connective Tissue Disorders Without Cc/Mcc $24,257 $30,870 −21% $14,861 +63% —
726 Benign Prostatic Hypertrophy Without Mcc $24,195 $24,195 +0% $13,892 +74% —
284 Acute Myocardial Infarction, Expired With Cc $24,085 $24,085 +0% $13,282 +81% —
309 Cardiac Arrhythmia And Conduction Disorders With Cc $24,033 $24,820 −3% $16,865 +42% ≈353% of Medicare
188 Pleural Effusion Without Cc/Mcc $23,864 $23,864 +0% $14,110 +69% —
724 Malignancy, Male Reproductive System Without Cc/Mcc $23,685 $15,596 +52% $12,650 +87% —
373 Major Gastrointestinal Disorders And Peritoneal Infections Without Cc/Mcc $23,577 $25,914 −9% $16,104 +46% —
282 Acute Myocardial Infarction, Discharged Alive Without Cc/Mcc $23,571 $23,545 +0% $18,623 +27% —
688 Kidney And Urinary Tract Neoplasms Without Cc/Mcc $23,542 $16,448 +43% $12,593 +87% —
806 Vaginal Delivery Without Sterilization Or D&C With Cc $23,519 $22,708 +4% $13,090 +80% —
869 Other Infectious And Parasitic Diseases Diagnoses Without Cc/Mcc $23,389 $23,389 +0% $12,537 +87% —
776 Postpartum And Post Abortion Diagnoses Without O.R. Procedures $23,191 $17,417 +33% $12,381 +87% —
301 Peripheral Vascular Disorders Without Cc/Mcc $23,187 $23,187 +0% $15,607 +49% —
313 Chest Pain $23,187 $24,891 −7% $15,962 +45% —
153 Otitis Media And Uri Without Mcc $23,135 $21,663 +7% $14,473 +60% —
297 Cardiac Arrest, Unexplained With Cc $22,898 $17,617 — $12,336 +86% —
443 Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis Without Cc/Mcc $22,840 $26,422 −14% $15,600 +46% —
198 Interstitial Lung Disease Without Cc/Mcc $22,768 $24,243 −6% $13,654 +67% —
311 Angina Pectoris $22,706 $24,697 −8% $15,165 +50% —
370 Major Esophageal Disorders Without Cc/Mcc $22,687 $20,475 +11% $15,072 +51% —
434 Cirrhosis And Alcoholic Hepatitis Without Cc/Mcc $22,638 $20,483 +11% $12,405 +82% —
203 Bronchitis And Asthma Without Cc/Mcc $22,635 $20,569 +10% $12,279 +84% —
700 Other Kidney And Urinary Tract Diagnoses Without Cc/Mcc $22,563 $12,583 +79% $13,303 +70% —
696 Kidney And Urinary Tract Signs And Symptoms Without Mcc $22,485 $22,636 −1% $14,441 +56% —
066 Intracranial Hemorrhage Or Cerebral Infarction Without Cc/Mcc $22,375 $39,398 −43% $19,483 +15% ≈400% of Medicare
921 Complications Of Treatment Without Cc/Mcc $22,352 $23,294 −4% $14,012 +60% —
316 Other Circulatory System Diagnoses Without Cc/Mcc $22,189 $17,489 +27% $12,797 +73% —
122 Acute Major Eye Infections Without Cc/Mcc $22,050 $18,965 +16% $11,997 +84% —
201 Pneumothorax Without Cc/Mcc $22,004 $21,480 +2% $13,081 +68% —
156 Other Ear, Nose, Mouth And Throat Diagnoses Without Cc/Mcc $21,858 $22,129 −1% $13,198 +66% —
303 Atherosclerosis Without Mcc $21,858 $26,292 −17% $14,927 +46% —
538 Sprains, Strains, And Dislocations Of Hip, Pelvis And Thigh Without Cc/Mcc $21,829 $16,869 — $11,909 +83% —
387 Inflammatory Bowel Disease Without Cc/Mcc $21,790 $36,585 −40% $14,880 +46% —
079 Hypertensive Encephalopathy Without Cc/Mcc $21,673 $21,673 +0% $11,847 +83% —
916 Allergic Reactions Without Mcc $21,585 $21,539 +0% $13,890 +55% —
159 Dental And Oral Diseases Without Cc/Mcc $21,442 $20,215 +6% $13,368 +60% —
816 Reticuloendothelial And Immunity Disorders Without Cc/Mcc $21,435 $18,756 +14% $13,485 +59% —
192 Chronic Obstructive Pulmonary Disease Without Cc/Mcc $21,039 $21,039 +0% $14,368 +46% —
759 Infections, Female Reproductive System Without Cc/Mcc $20,801 $20,754 +0% $14,208 +46% —
807 Vaginal Delivery Without Sterilization Or D&C Without Cc/Mcc $20,714 $19,685 +5% $12,044 +72% —
379 Gastrointestinal Hemorrhage Without Cc/Mcc $20,694 $20,694 +0% $14,134 +46% —
395 Other Digestive System Diagnoses Without Cc/Mcc $20,688 $21,519 −4% $14,128 +46% —
761 Menstrual And Other Female Reproductive System Disorders Without Cc/Mcc $20,606 $18,816 +10% $11,421 +80% —
639 Diabetes Without Cc/Mcc $20,369 $25,780 −21% $13,910 +46% —
894 Alcohol, Drug Abuse Or Dependence, Left Ama $20,288 $20,288 +0% $12,013 +69% —
195 Simple Pneumonia And Pleurisy Without Cc/Mcc $20,246 $25,301 −20% $13,824 +46% —
440 Disorders Of Pancreas Except Malignancy Without Cc/Mcc $19,995 $25,427 −21% $15,070 +33% —
684 Renal Failure Without Cc/Mcc $19,748 $18,114 +9% $13,623 +45% —
730 Other Male Reproductive System Diagnoses Without Cc/Mcc $19,729 $11,071 +78% $11,071 +78% —
601 Non-Malignant Breast Disorders Without Cc/Mcc $19,488 $16,116 +21% $10,975 +78% —
950 Aftercare Without Cc/Mcc $19,052 $17,835 +7% $13,527 +41% —
951 Other Factors Influencing Health Status $18,428 $24,666 −25% $9,385 +96% ≈365% of Medicare
285 Acute Myocardial Infarction, Expired Without Cc/Mcc $18,246 $14,363 — $10,039 +82% —
310 Cardiac Arrhythmia And Conduction Disorders Without Cc/Mcc $18,188 $18,715 −3% $13,384 +36% —
293 Heart Failure And Shock Without Cc/Mcc $17,846 $19,060 −6% $11,955 +49% —
390 Gastrointestinal Obstruction Without Cc/Mcc $17,785 $23,853 −25% $13,318 +34% ≈397% of Medicare
833 Other Antepartum Diagnoses Without O.R. Procedures Without Cc/Mcc $16,897 $15,038 +12% $9,076 +86% —
298 Cardiac Arrest, Unexplained Without Cc/Mcc $14,355 $14,355 +0% $8,927 +61% —
795 Normal Newborn $6,495 $5,256 +24% $4,530 +43% —
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