Helen Keller Hospital — Pricing

706 procedures published in this hospital's Machine-Readable File (MRF) — 706 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 706
Lowest published price $4,835
Average published price $88,310
Highest published price $1,026,387

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 706 procedures

Published charges

Showing all 706 procedures with a comparable published price (gross, cash, or insurance-negotiated median), sorted highest to lowest. Green = this hospital prices below the median; amber = above.

Across 32 procedures, this hospital's negotiated rates average ≈218% of what Medicare pays.

DRG Description Published price Cash price vs. AL median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $1,026,387 $1,026,387 $554,063 +85% $431,073 +138% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $922,295 $922,295 $533,942 +73% $171,338 +438% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROC $779,579 $779,579 $514,267 +52% $371,366 +110% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $623,860 $623,860 $84,844 +635% $109,331 +471% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $533,188 $533,188 $121,563 +339% $121,563 +339% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $515,701 $515,701 $56,271 +816% $50,919 +913% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $442,458 $442,458 $223,526 +98% $191,314 +131% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $436,875 $436,875 $166,756 +162% $175,437 +149% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $396,535 $396,535 $197,223 +101% $143,242 +177% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURE $372,783 $372,783 $232,659 +60% $245,241 +52% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $370,466 $370,466 $102,020 +263% $118,589 +212% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $360,652 $360,652 $94,742 +281% $121,728 +196% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICA $360,128 $360,128 $137,630 +162% $142,326 +153% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DE $355,833 $355,833 $146,642 +143% $114,914 +210% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $355,387 $355,387 $106,929 +232% $134,914 +163% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $326,001 $326,001 $68,095 +379% $70,735 +361% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $323,280 $323,280 $77,406 +318% $107,355 +201% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $320,719 $320,719 $99,339 +223% $120,587 +166% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $315,998 $315,998 $74,414 +325% $105,899 +198% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $305,461 $305,461 $103,861 +194% $103,861 +194% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $297,606 $297,606 $144,689 +106% $138,868 +114% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $293,297 $293,297 $43,218 +579% $53,817 +445% —
231 CORONARY BYPASS WITH PTCA WITH MCC $289,914 $289,914 $194,975 +49% $146,474 +98% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $287,375 $287,375 $92,943 +209% $121,714 +136% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $282,104 $282,104 $91,253 +209% $105,612 +167% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $280,603 $280,603 $86,661 +224% $116,058 +142% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $273,856 $273,856 $53,307 +414% $55,097 +397% —
653 MAJOR BLADDER PROCEDURES WITH MCC $273,262 $273,262 $75,310 +263% $97,046 +182% —
028 SPINAL PROCEDURES WITH MCC $266,227 $266,227 $81,731 +226% $95,858 +178% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $260,730 $260,730 $59,237 +340% $83,441 +212% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $258,880 $258,880 $49,015 +428% $62,404 +315% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLA $256,059 $256,059 $174,511 +47% $106,778 +140% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $255,993 $255,993 $177,169 +44% $102,177 +151% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $251,866 $251,866 $133,427 +89% $113,855 +121% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $250,626 $250,626 $167,038 +50% $112,062 +124% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $249,697 $249,697 $49,721 +402% $59,425 +320% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $248,003 $248,003 $83,680 +196% $88,307 +181% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $247,725 $247,725 $73,103 +239% $78,582 +215% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $245,719 $245,719 $75,251 +227% $75,251 +227% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $245,357 $245,357 $61,750 +297% $72,859 +237% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $244,638 $244,638 $75,812 +223% $75,103 +226% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $244,378 $244,378 $155,528 +57% $93,783 +161% —
834 ACUTE LEUKEMIA WITH MCC $237,634 $237,634 $74,709 +218% $76,583 +210% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $237,515 $237,515 $237,515 +0% $131,961 +80% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $235,084 $235,084 $151,859 +55% $94,988 +147% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $234,133 — $23,878 +881% $21,615 +983% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $232,770 $232,770 $34,332 +578% $40,548 +474% —
668 TRANSURETHRAL PROCEDURES WITH MCC $232,546 $232,546 $55,341 +320% $47,277 +392% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $228,582 $228,582 $228,582 +0% $45,432 +403% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $228,277 $228,277 $129,196 +77% $102,573 +123% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $225,988 $225,988 $124,851 +81% $138,008 +64% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $224,357 $224,357 $75,528 +197% $80,747 +178% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $220,273 $220,273 $82,102 +168% $106,238 +107% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $217,737 $217,737 $64,248 +239% $92,217 +136% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVI $217,368 $217,368 $69,912 +211% $79,944 +172% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $216,267 $216,267 $47,224 +358% $58,968 +267% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $215,738 $215,738 $110,483 +95% $120,174 +80% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $211,441 $211,441 $130,843 +62% $83,065 +155% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $211,161 $211,161 $76,990 +174% $80,885 +161% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $211,097 $211,097 $53,970 +291% $75,492 +180% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $210,923 $210,923 $78,460 +169% $96,192 +119% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $209,788 $209,788 $137,942 +52% $99,423 +111% —
799 SPLENIC PROCEDURES WITH MCC $209,278 $209,278 $68,428 +206% $78,821 +166% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $207,261 $207,261 $115,547 +79% $90,331 +129% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $206,388 $206,388 $60,208 +243% $75,585 +173% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $205,381 $205,381 $69,346 +196% $81,998 +150% —
471 CERVICAL SPINAL FUSION WITH MCC $202,733 $202,733 $78,025 +160% $92,515 +119% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $200,151 $200,151 $107,038 +87% $96,222 +108% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $198,803 $198,803 $51,736 +284% $65,383 +204% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $195,330 $195,330 $134,426 +45% $64,956 +201% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $193,828 $193,828 $73,455 +164% $94,927 +104% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $190,827 $190,827 $74,709 +155% $101,235 +88% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $190,748 $190,748 $49,718 +284% $57,855 +230% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $190,462 $190,462 $80,267 +137% $82,247 +132% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $190,054 $190,054 $56,456 +237% $73,029 +160% —
333 RECTAL RESECTION WITH CC $188,566 $188,566 $30,778 +513% $34,352 +449% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $188,397 $188,397 $64,874 +190% $86,390 +118% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $187,397 $187,397 $52,936 +254% $74,755 +151% —
709 PENIS PROCEDURES WITH CC/MCC $184,730 $184,730 $32,359 +471% $34,535 +435% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $182,741 $182,741 $61,938 +195% $87,018 +110% ≈230% of Medicare
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $178,584 $178,584 $91,539 +95% $82,527 +116% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $177,866 $177,866 $89,127 +100% $34,264 +419% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $176,252 $176,252 $135,367 +30% $57,277 +208% —
163 MAJOR CHEST PROCEDURES WITH MCC $174,593 $174,593 $63,017 +177% $88,341 +98% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $174,406 $174,406 $54,898 +218% $71,701 +143% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $173,774 $173,774 $9,850 +1664% $14,284 +1117% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $173,126 $173,126 $173,126 +0% $56,758 +205% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $172,446 $172,446 $42,976 +301% $60,861 +183% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $170,655 $170,655 $126,923 +34% $117,280 +46% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $170,499 $170,499 $65,262 +161% $88,050 +94% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $169,968 $169,968 $56,535 +201% $66,853 +154% —
037 EXTRACRANIAL PROCEDURES WITH MCC $167,348 $167,348 $70,105 +139% $64,749 +158% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $166,810 $166,810 $162,433 +3% $88,049 +89% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $164,383 $164,383 $47,607 +245% $63,475 +159% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $162,919 $162,919 $35,670 +357% $55,162 +195% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $162,778 $162,778 $50,222 +224% $71,755 +127% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $162,570 $162,570 $53,665 +203% $72,908 +123% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $162,094 $162,094 $47,899 +238% $71,014 +128% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $161,926 $161,926 $87,092 +86% $82,561 +96% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $161,284 $161,284 $71,942 +124% $68,880 +134% —
913 TRAUMATIC INJURY WITH MCC $160,116 $160,116 $24,198 +562% $24,198 +562% —
245 AICD GENERATOR PROCEDURES $159,024 $159,024 $66,564 +139% $72,076 +121% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $158,766 $158,766 $43,247 +267% $65,216 +143% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $156,347 $156,347 $53,357 +193% $62,961 +148% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $155,526 $155,526 $48,637 +220% $59,207 +163% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $155,387 $155,387 $155,387 +0% $91,329 +70% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $154,981 $154,981 $112,937 +37% $84,861 +83% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $154,910 $154,910 $59,199 +162% $64,152 +141% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $152,654 $152,654 $45,498 +236% $54,129 +182% —
252 OTHER VASCULAR PROCEDURES WITH MCC $152,117 $152,117 $61,496 +147% $68,508 +122% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $150,722 $150,722 $74,169 +103% $64,776 +133% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $147,306 $147,306 $44,389 +232% $51,142 +188% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $143,373 $143,373 $57,584 +149% $68,659 +109% —
999 UNGROUPABLE $141,383 $141,383 $93,765 +51% $28,822 +391% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $138,653 $138,653 $48,863 +184% $32,538 +326% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $138,326 $138,326 $31,940 +333% $49,710 +178% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $137,769 $137,769 $87,217 +58% $65,325 +111% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $137,322 $137,322 $66,707 +106% $54,929 +150% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $137,095 $137,095 $65,570 +109% $72,011 +90% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $135,943 $135,943 $37,447 +263% $52,908 +157% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $135,601 $135,601 $29,767 +356% $34,089 +298% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $135,518 $135,518 $45,618 +197% $65,254 +108% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $133,162 $133,162 $33,751 +295% $33,050 +303% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $132,689 $132,689 $113,799 +17% $96,905 +37% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $131,608 $131,608 $43,330 +204% $62,821 +109% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $131,596 $131,596 $32,168 +309% $44,053 +199% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $130,686 $130,686 $57,570 +127% $72,945 +79% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $129,581 $129,581 $73,038 +77% $86,953 +49% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $128,708 $128,708 $24,851 +418% $28,103 +358% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $127,814 $127,814 $57,741 +121% $65,573 +95% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $127,579 $127,579 $82,458 +55% $108,472 +18% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $127,550 $127,550 $41,261 +209% $60,140 +112% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $127,522 $127,522 $113,452 +12% $88,691 +44% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $127,509 $127,509 $34,205 +273% $41,520 +207% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $126,873 $126,873 $40,850 +211% $41,900 +203% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $126,246 $126,246 $58,114 +117% $63,984 +97% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $125,512 $125,512 $41,464 +203% $54,313 +131% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $125,249 $125,249 $38,581 +225% $44,973 +178% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $125,075 $125,075 $28,957 +332% $31,566 +296% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $124,964 $124,964 $93,264 +34% $76,954 +62% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $122,113 $122,113 $61,787 +98% $62,524 +95% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $122,063 $122,063 $51,322 +138% $68,847 +77% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $121,536 $121,536 $46,057 +164% $52,332 +132% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $120,983 $120,983 $12,593 +861% $12,593 +861% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $120,537 $120,537 $37,631 +220% $40,947 +194% —
472 CERVICAL SPINAL FUSION WITH CC $120,432 $120,432 $64,812 +86% $59,537 +102% —
654 MAJOR BLADDER PROCEDURES WITH CC $120,218 $120,218 $76,059 +58% $53,868 +123% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $120,159 $120,159 $51,769 +132% $54,824 +119% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $119,594 $119,594 $29,518 +305% $30,661 +290% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $119,428 $119,428 $95,151 +26% $70,540 +69% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $118,672 $118,672 $28,958 +310% $29,633 +300% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $118,434 $118,434 $30,912 +283% $45,622 +160% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $117,563 $117,563 $66,649 +76% $67,764 +73% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $116,992 $116,992 $67,344 +74% $72,782 +61% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $115,245 $115,245 $75,430 +53% $62,269 +85% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $114,963 $114,963 $36,691 +213% $43,491 +164% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $114,940 $114,940 $22,167 +419% $32,451 +254% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $114,932 $114,932 $32,504 +254% $38,998 +195% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $113,193 $113,193 $50,453 +124% $39,253 +188% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $112,335 $112,335 $41,101 +173% $80,018 +40% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $112,122 $112,122 $108,003 +4% $78,852 +42% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $111,646 $111,646 $59,020 +89% $51,953 +115% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $110,635 $110,635 $31,740 +249% $38,382 +188% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $110,381 $110,381 $32,327 +241% $46,477 +137% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $110,264 $110,264 $24,963 +342% $36,850 +199% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $110,150 $110,150 $44,663 +147% $66,819 +65% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $109,614 $109,614 $78,579 +39% $68,006 +61% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $109,199 $109,199 $34,970 +212% $51,985 +110% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $109,123 $109,123 $44,288 +146% $50,139 +118% —
597 MALIGNANT BREAST DISORDERS WITH MCC $107,983 $107,983 $30,109 +259% $31,846 +239% —
835 ACUTE LEUKEMIA WITH CC $107,692 $107,692 $51,483 +109% $35,569 +203% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $107,626 $107,626 $54,862 +96% $57,521 +87% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $107,624 $107,624 $78,147 +38% $68,399 +57% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $107,593 $107,593 $26,794 +302% $36,597 +194% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $107,519 $107,519 $48,458 +122% $70,132 +53% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $107,000 $107,000 $21,022 +409% $29,050 +268% —
164 MAJOR CHEST PROCEDURES WITH CC $106,987 $106,987 $38,030 +181% $53,141 +101% —
253 OTHER VASCULAR PROCEDURES WITH CC $106,200 $106,200 $42,816 +148% $53,746 +98% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $105,507 $105,507 $33,823 +212% $47,546 +122% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $104,635 $104,635 $30,914 +238% $40,232 +160% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $103,899 $103,899 $75,272 +38% $64,465 +61% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $103,430 $103,430 $37,153 +178% $43,697 +137% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $103,405 $103,405 $55,708 +86% $49,197 +110% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $102,990 $102,990 $67,385 +53% $57,963 +78% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $102,321 $102,321 $61,205 +67% $58,832 +74% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $101,541 $101,541 $72,728 +40% $87,565 +16% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $100,703 $100,703 $51,300 +96% $56,394 +79% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $100,617 $100,617 $100,617 +0% $74,274 +35% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $99,938 $99,938 $57,011 +75% $57,149 +75% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,311 $99,311 $17,834 +457% $35,584 +179% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $99,309 $99,309 $34,307 +189% $39,093 +154% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $99,083 $99,083 $32,077 +209% $45,818 +116% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $98,922 $98,922 $27,287 +263% $30,974 +219% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $98,889 $98,889 $39,644 +149% $58,043 +70% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $98,823 $98,823 $88,815 +11% $74,257 +33% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $97,635 $97,635 $31,862 +206% $27,168 +259% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $96,869 $96,869 $42,371 +129% $48,094 +101% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $96,713 $96,713 $35,964 +169% $46,659 +107% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $95,864 $95,864 $44,664 +115% $46,430 +106% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $95,776 $95,776 $22,714 +322% $35,528 +170% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $95,656 $95,656 $33,920 +182% $50,624 +89% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $95,436 $95,436 $35,037 +172% $46,066 +107% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $94,429 $94,429 $37,509 +152% $40,277 +134% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $94,022 $94,022 $48,165 +95% $49,065 +92% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $93,942 $93,942 $38,070 +147% $45,497 +106% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $93,757 $93,757 $32,773 +186% $43,586 +115% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $93,721 $93,721 $39,801 +135% $48,682 +93% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $93,487 $93,487 $22,435 +317% $32,911 +184% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $93,017 $93,017 $29,453 +216% $29,374 +217% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $92,886 $92,886 $40,341 +130% $53,551 +73% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $92,498 $92,498 $50,801 +82% $44,117 +110% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $92,473 $92,473 $30,079 +207% $35,714 +159% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $92,414 $92,414 $34,039 +171% $52,313 +77% —
500 SOFT TISSUE PROCEDURES WITH MCC $92,316 $92,316 $48,848 +89% $57,479 +61% —
503 FOOT PROCEDURES WITH MCC $92,300 $92,300 $37,544 +146% $43,901 +110% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $92,119 $92,119 $30,924 +198% $35,453 +160% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $91,734 $91,734 $45,717 +101% $43,266 +112% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $91,684 $91,684 $33,895 +170% $40,563 +126% —
791 PREMATURITY WITH MAJOR PROBLEMS $91,654 $91,654 $21,432 +328% $39,563 +132% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $91,134 $91,134 $23,902 +281% $33,984 +168% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $91,093 $91,093 $40,626 +124% $43,538 +109% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $90,913 $90,913 $22,265 +308% $25,152 +261% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $90,025 $90,025 $34,321 +162% $40,694 +121% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $89,895 $89,895 $33,182 +171% $35,139 +156% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $89,750 $89,750 $22,807 +294% $31,978 +181% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $89,606 $89,606 $53,625 +67% $38,420 +133% —
606 MINOR SKIN DISORDERS WITH MCC $89,448 $89,448 $23,208 +285% $25,434 +252% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $89,169 $89,169 $48,656 +83% $34,900 +156% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $88,746 $88,746 $32,590 +172% $35,375 +151% —
506 MAJOR THUMB OR JOINT PROCEDURES $88,672 $88,672 $32,182 +176% $28,983 +206% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $87,421 $87,421 $37,703 +132% $51,172 +71% ≈223% of Medicare
800 SPLENIC PROCEDURES WITH CC $87,314 $87,314 $41,012 +113% $49,184 +78% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $86,667 $86,667 $21,793 +298% $31,812 +172% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $86,319 $86,319 $56,817 +52% $47,583 +81% —
334 RECTAL RESECTION WITHOUT CC/MCC $86,295 $86,295 $31,864 +171% $32,213 +168% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $86,236 $86,236 $79,418 +9% $51,339 +68% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $85,707 $85,707 $69,202 +24% $44,989 +91% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $85,185 $85,185 $41,835 +104% $36,202 +135% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $84,889 $84,889 $54,300 +56% $61,832 +37% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $84,818 $84,818 $27,823 +205% $35,459 +139% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $84,439 $84,439 $52,138 +62% $38,094 +122% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $84,314 $84,314 $62,845 +34% $35,673 +136% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $84,272 $84,272 $28,559 +195% $29,524 +185% —
374 DIGESTIVE MALIGNANCY WITH MCC $84,120 $84,120 $34,408 +144% $38,885 +116% —
336 PERITONEAL ADHESIOLYSIS WITH CC $83,927 $83,927 $42,937 +95% $49,470 +70% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $83,858 $83,858 $37,588 +123% $45,290 +85% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $83,856 $83,856 $26,903 +212% $40,552 +107% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $83,744 $83,744 $23,602 +255% $34,906 +140% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $83,669 $83,669 $34,880 +140% $43,775 +91% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $83,387 $83,387 $31,349 +166% $37,902 +120% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $82,518 $82,518 $40,289 +105% $49,055 +68% —
397 APPENDIX PROCEDURES WITH MCC $82,327 $82,327 $35,850 +130% $52,319 +57% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $81,889 $81,889 $16,495 +396% $16,495 +396% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $81,526 $81,526 $61,267 +33% $50,011 +63% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $81,422 $81,422 $36,870 +121% $38,836 +110% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $81,182 $81,182 $22,882 +255% $30,972 +162% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $81,176 $81,176 $44,648 +82% $37,950 +114% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $80,679 $80,679 $20,117 +301% $21,029 +284% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $80,639 $80,639 $50,132 +61% $28,634 +182% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $80,452 $80,452 $80,452 +0% $33,564 +140% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $80,060 $80,060 $47,403 +69% $67,901 +18% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $80,057 $80,057 $20,978 +282% $30,418 +163% —
570 SKIN DEBRIDEMENT WITH MCC $79,893 $79,893 $42,263 +89% $52,435 +52% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $79,841 $79,841 $42,054 +90% $36,333 +120% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $79,582 $79,582 $48,887 +63% $56,964 +40% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $79,508 $79,508 $36,339 +119% $38,878 +105% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $79,380 $79,380 $38,027 +109% $52,405 +51% —
180 RESPIRATORY NEOPLASMS WITH MCC $79,141 $79,141 $25,879 +206% $36,658 +116% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $79,133 $79,133 $46,379 +71% $37,064 +114% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $79,053 $79,053 $46,886 +69% $54,475 +45% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $79,013 $79,013 $37,028 +113% $45,817 +72% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $78,938 $78,938 $35,132 +125% $32,490 +143% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $78,749 $78,749 $40,652 +94% $29,609 +166% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $78,662 $78,662 $30,017 +162% $35,542 +121% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $78,462 $78,462 $64,386 +22% $48,680 +61% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $77,584 $77,584 $62,167 +25% $41,380 +87% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $77,110 $77,110 $57,185 +35% $56,519 +36% ≈234% of Medicare
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $76,268 $76,268 $26,006 +193% $39,018 +95% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $76,172 $76,172 $29,127 +162% $43,524 +75% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $75,957 $75,957 $31,144 +144% $38,357 +98% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $75,942 $75,942 $29,131 +161% $44,363 +71% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $75,912 $75,912 $33,308 +128% $36,237 +109% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $75,779 $75,779 $37,134 +104% $31,909 +137% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $75,223 $75,223 $41,952 +79% $46,402 +62% —
663 MINOR BLADDER PROCEDURES WITH CC $74,753 $74,753 $32,018 +133% $29,924 +150% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $73,767 $73,767 $32,919 +124% $36,334 +103% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $73,593 $73,593 $34,781 +112% $41,660 +77% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $72,633 $72,633 $30,658 +137% $35,237 +106% ≈186% of Medicare
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $72,586 $72,586 $60,955 +19% $60,098 +21% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $72,562 $72,562 $39,681 +83% $33,792 +115% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $72,270 $72,270 $28,264 +156% $42,881 +69% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $72,164 $72,164 $41,729 +73% $45,963 +57% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $72,125 $72,125 $24,470 +195% $28,252 +155% —
504 FOOT PROCEDURES WITH CC $72,043 $72,043 $25,972 +177% $36,598 +97% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $71,605 $71,605 $27,767 +158% $36,280 +97% —
505 FOOT PROCEDURES WITHOUT CC/MCC $71,568 $71,568 $25,972 +176% $31,716 +126% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $71,529 $71,529 $28,868 +148% $43,398 +65% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $71,247 $71,247 $43,574 +64% $15,901 +348% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $70,797 $70,797 $25,056 +183% $31,128 +127% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $70,598 $70,598 $42,062 +68% $39,657 +78% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $70,232 $70,232 $19,764 +255% $26,322 +167% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $70,162 $70,162 $48,419 +45% $54,772 +28% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $70,053 $70,053 $21,833 +221% $32,689 +114% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $69,704 $69,704 $33,812 +106% $25,243 +176% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $69,052 $69,052 $32,818 +110% $35,114 +97% —
539 OSTEOMYELITIS WITH MCC $68,879 $68,879 $29,443 +134% $33,746 +104% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $68,774 $68,774 $35,472 +94% $35,014 +96% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC $68,627 $68,627 $25,727 +167% $32,839 +109% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $68,573 $68,573 $55,770 +23% $40,063 +71% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $68,296 $68,296 $52,218 +31% $40,583 +68% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $68,053 $68,053 $35,579 +91% $28,527 +139% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $67,962 $67,962 $27,720 +145% $31,059 +119% —
915 ALLERGIC REACTIONS WITH MCC $67,660 $67,660 $36,882 +83% $30,944 +119% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $67,443 $67,443 $25,827 +161% $37,842 +78% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $67,353 $67,353 $27,647 +144% $30,766 +119% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $66,620 $66,620 $53,113 +25% $48,907 +36% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $66,348 $66,348 $28,801 +130% $43,800 +51% —
100 SEIZURES WITH MCC $66,193 $66,193 $28,961 +129% $35,194 +88% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $65,710 $65,710 $41,156 +60% $39,747 +65% ≈237% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $65,386 $65,386 $34,271 +91% $32,399 +102% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $65,121 $65,121 $26,853 +143% $36,375 +79% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $64,900 $64,900 $24,189 +168% $25,731 +152% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $64,495 $64,495 $31,193 +107% $44,553 +45% —
038 EXTRACRANIAL PROCEDURES WITH CC $63,724 $63,724 $42,944 +48% $35,770 +78% —
398 APPENDIX PROCEDURES WITH CC $63,462 $63,462 $33,460 +90% $39,107 +62% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $63,354 $63,354 $32,981 +92% $46,591 +36% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $63,262 $63,262 $20,808 +204% $20,421 +210% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $63,191 $63,191 $30,365 +108% $42,119 +50% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $62,853 $62,853 $23,703 +165% $33,490 +88% —
595 MAJOR SKIN DISORDERS WITH MCC $62,815 $62,815 $30,646 +105% $31,785 +98% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $62,441 $62,441 $55,732 +12% $49,631 +26% —
380 COMPLICATED PEPTIC ULCER WITH MCC $62,344 $62,344 $28,169 +121% $36,641 +70% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $62,121 $62,121 $16,640 +273% $20,727 +200% —
849 RADIOTHERAPY $61,954 $61,954 $37,862 +64% $37,862 +64% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $61,844 $61,844 $24,869 +149% $33,607 +84% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $61,540 $61,540 $19,132 +222% $19,132 +222% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $61,505 $61,505 $26,027 +136% $30,058 +105% ≈184% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $61,106 $61,106 $24,846 +146% $30,930 +98% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $60,756 $60,756 $28,621 +112% $36,933 +65% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $60,630 $60,630 $39,656 +53% $44,600 +36% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $60,169 $60,169 $51,311 +17% $42,126 +43% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $60,139 $60,139 $28,296 +113% $29,484 +104% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $59,755 $59,755 $28,912 +107% $30,394 +97% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $59,351 $59,351 $23,326 +154% $34,434 +72% —
199 PNEUMOTHORAX WITH MCC $59,185 $59,185 $33,873 +75% $31,491 +88% —
501 SOFT TISSUE PROCEDURES WITH CC $59,018 $59,018 $29,594 +99% $37,975 +55% —
551 MEDICAL BACK PROBLEMS WITH MCC $59,017 $59,017 $25,341 +133% $31,086 +90% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $59,007 $59,007 $17,298 +241% $24,202 +144% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $58,970 $58,970 $19,357 +205% $26,146 +126% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $58,900 $58,900 $22,175 +166% $25,149 +134% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $58,648 $58,648 $25,820 +127% $31,840 +84% ≈201% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $58,531 $58,531 $22,571 +159% $28,967 +102% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $58,419 $58,419 $27,695 +111% $32,204 +81% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $58,364 $58,364 $22,664 +158% $25,854 +126% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $58,287 $58,287 $19,169 +204% $27,321 +113% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $58,220 $58,220 $27,031 +115% $35,692 +63% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $57,744 $57,744 $28,617 +102% $33,137 +74% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $57,421 $57,421 $20,885 +175% $24,017 +139% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $57,197 $57,197 $38,075 +50% $41,703 +37% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $57,034 $57,034 $27,668 +106% $32,981 +73% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $56,995 $56,995 $25,761 +121% $30,814 +85% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $56,977 $56,977 $27,634 +106% $33,165 +72% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $56,877 $56,877 $29,617 +92% $36,239 +57% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $56,253 $56,253 $23,796 +136% $25,623 +120% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $56,187 $56,187 $18,260 +208% $22,532 +149% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $55,925 $55,925 $22,628 +147% $24,450 +129% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $55,854 $55,854 $55,854 +0% $41,380 +35% —
919 COMPLICATIONS OF TREATMENT WITH MCC $55,625 $55,625 $27,399 +103% $29,031 +92% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $55,501 $55,501 $17,768 +212% $19,317 +187% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $55,468 $55,468 $17,602 +215% $18,459 +200% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $55,426 $55,426 $17,978 +208% $32,936 +68% —
665 PROSTATECTOMY WITH MCC $55,269 $55,269 $51,514 +7% $54,072 +2% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $55,261 $55,261 $33,122 +67% $45,059 +23% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $55,253 $55,253 $21,961 +152% $29,663 +86% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $55,136 $55,136 $19,655 +181% $28,156 +96% —
811 RED BLOOD CELL DISORDERS WITH MCC $54,452 $54,452 $21,454 +154% $27,934 +95% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $54,098 $54,098 $20,976 +158% $24,316 +122% —
181 RESPIRATORY NEOPLASMS WITH CC $53,742 $53,742 $17,604 +205% $22,431 +140% —
571 SKIN DEBRIDEMENT WITH CC $53,568 $53,568 $24,925 +115% $34,901 +53% —
348 ANAL AND STOMAL PROCEDURES WITH CC $53,414 $53,414 $19,533 +173% $27,947 +91% —
865 VIRAL ILLNESS WITH MCC $53,412 $53,412 $29,161 +83% $26,088 +105% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $53,381 $53,381 $15,598 +242% $20,371 +162% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $53,307 $53,307 $31,030 +72% $22,811 +134% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $52,751 $52,751 $27,711 +90% $24,022 +120% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $52,751 $52,751 $22,791 +131% $24,229 +118% —
102 HEADACHES WITH MCC $52,686 $52,686 $18,243 +189% $22,544 +134% —
637 DIABETES WITH MCC $52,644 $52,644 $22,095 +138% $28,819 +83% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $52,639 $52,639 $16,872 +212% $23,396 +125% —
186 PLEURAL EFFUSION WITH MCC $52,608 $52,608 $23,701 +122% $32,468 +62% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $52,268 $52,268 $21,483 +143% $29,757 +76% —
602 CELLULITIS WITH MCC $52,084 $52,084 $17,925 +191% $29,347 +77% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $52,078 $52,078 $20,014 +160% $27,369 +90% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $51,823 $51,823 $17,269 +200% $21,806 +138% —
123 NEUROLOGICAL EYE DISORDERS $51,762 $51,762 $18,892 +174% $17,831 +190% —
920 COMPLICATIONS OF TREATMENT WITH CC $51,653 $51,653 $16,379 +215% $21,181 +144% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $51,373 $51,373 $28,136 +83% $27,492 +87% —
882 NEUROSES EXCEPT DEPRESSIVE $51,157 $51,157 $12,723 +302% $15,680 +226% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $51,031 $51,031 $21,492 +137% $17,585 +190% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $51,020 $51,020 $25,121 +103% $29,409 +73% —
669 TRANSURETHRAL PROCEDURES WITH CC $50,944 $50,944 $46,946 +9% $34,354 +48% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $50,783 $50,783 $26,206 +94% $36,242 +40% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $50,743 $50,743 $16,392 +210% $23,469 +116% ≈231% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $50,649 $50,649 $23,796 +113% $28,924 +75% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $50,551 $50,551 $24,787 +104% $32,502 +56% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $50,410 $50,410 $25,881 +95% $31,758 +59% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $50,219 $50,219 $23,307 +115% $28,646 +75% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $49,850 $49,850 $21,277 +134% $25,666 +94% —
157 DENTAL AND ORAL DISEASES WITH MCC $49,801 $49,801 $36,475 +37% $27,457 +81% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $49,476 $49,476 $30,958 +60% $25,267 +96% —
643 ENDOCRINE DISORDERS WITH MCC $49,348 $49,348 $36,646 +35% $32,996 +50% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $48,646 $48,646 $24,302 +100% $24,465 +99% —
139 SALIVARY GLAND PROCEDURES $48,460 $48,460 $21,014 +131% $21,014 +131% —
375 DIGESTIVE MALIGNANCY WITH CC $48,441 $48,441 $19,141 +153% $27,219 +78% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $48,386 $48,386 $29,934 +62% $30,275 +60% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $48,093 $48,093 $32,969 +46% $37,080 +30% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $48,015 $48,015 $26,303 +83% $24,118 +99% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $47,975 $47,975 $26,677 +80% $29,476 +63% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $47,697 $47,697 $29,176 +63% $23,956 +99% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $47,675 $47,675 $23,192 +106% $30,006 +59% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $47,247 $47,247 $21,228 +123% $24,561 +92% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $47,127 $47,127 $36,542 +29% $30,358 +55% —
682 RENAL FAILURE WITH MCC $46,278 $46,278 $22,687 +104% $27,854 +66% ≈203% of Medicare
813 COAGULATION DISORDERS $46,274 $46,274 $21,647 +114% $30,128 +54% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $46,155 $46,155 $33,406 +38% $27,279 +69% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $46,098 $46,098 $18,469 +150% $29,558 +56% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $46,033 $46,033 $16,207 +184% $20,842 +121% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $46,025 $46,025 $20,688 +122% $22,032 +109% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $45,945 $45,945 $36,463 +26% $30,910 +49% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $45,927 $45,927 $11,352 +305% $14,110 +225% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $45,877 $45,877 $19,916 +130% $23,924 +92% —
549 SEPTIC ARTHRITIS WITH CC $45,562 $45,562 $18,835 +142% $20,938 +118% —
711 TESTES PROCEDURES WITH CC/MCC $45,395 $45,395 $36,693 +24% $34,852 +30% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $45,393 $45,393 $18,038 +152% $25,390 +79% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $45,302 $45,302 $20,513 +121% $25,426 +78% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $44,360 $44,360 $37,826 +17% $23,115 +92% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC $44,315 $44,315 $15,547 +185% $18,428 +140% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $44,172 $44,172 $18,845 +134% $26,488 +67% ≈216% of Medicare
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $43,876 $43,876 $14,627 +200% $19,854 +121% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $43,685 $43,685 $20,848 +110% $16,719 +161% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $43,682 $43,682 $27,907 +57% $34,887 +25% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $43,469 $43,469 $24,739 +76% $29,916 +45% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $43,210 $43,210 $15,734 +175% $21,449 +101% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $43,145 $43,145 $20,430 +111% $24,480 +76% ≈186% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $42,846 $42,846 $24,871 +72% $25,208 +70% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $42,794 $42,794 $22,265 +92% $25,786 +66% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $42,452 $42,452 $15,797 +169% $11,633 +265% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $42,325 $42,325 $28,922 +46% $25,704 +65% ≈222% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $42,301 $42,301 $19,391 +118% $21,261 +99% —
089 CONCUSSION WITH CC $42,178 $42,178 $17,109 +147% $18,293 +131% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $42,151 $42,151 $13,822 +205% $13,822 +205% —
291 HEART FAILURE AND SHOCK WITH MCC $42,118 $42,118 $18,994 +122% $25,020 +68% ≈208% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $42,049 $42,049 $20,296 +107% $26,158 +61% ≈202% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $42,026 $42,026 $20,959 +101% $23,496 +79% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $41,983 $41,983 $19,350 +117% $21,860 +92% —
592 SKIN ULCERS WITH MCC $41,930 $41,930 $35,974 +17% $32,662 +28% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $41,910 $41,910 $31,853 +32% $31,816 +32% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $41,902 $41,902 $28,768 +46% $33,424 +25% —
158 DENTAL AND ORAL DISEASES WITH CC $41,552 $41,552 $13,237 +214% $17,700 +135% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $41,483 $41,483 $22,516 +84% $31,062 +34% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $41,451 $41,451 $36,232 +14% $29,729 +39% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $41,445 $41,445 $17,079 +143% $23,749 +75% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $41,439 $41,439 $18,383 +125% $22,982 +80% ≈196% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $41,293 $41,293 $16,043 +157% $20,106 +105% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $41,200 $41,200 $41,200 +0% $44,839 −8% —
200 PNEUMOTHORAX WITH CC $41,169 $41,169 $17,568 +134% $20,573 +100% —
088 CONCUSSION WITH MCC $40,949 $40,949 $21,503 +90% $24,402 +68% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $40,779 $40,779 $19,686 +107% $22,275 +83% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $40,676 $40,676 $22,272 +83% $28,780 +41% —
540 OSTEOMYELITIS WITH CC $40,577 $40,577 $20,712 +96% $23,494 +73% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $40,499 $40,499 $19,865 +104% $27,244 +49% —
914 TRAUMATIC INJURY WITHOUT MCC $40,331 $40,331 $10,952 +268% $15,593 +159% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $40,274 $40,274 $16,935 +138% $24,136 +67% —
947 SIGNS AND SYMPTOMS WITH MCC $40,249 $40,249 $19,887 +102% $25,474 +58% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $40,056 $40,056 $40,056 +0% $33,694 +19% —
304 HYPERTENSION WITH MCC $39,776 $39,776 $19,848 +100% $24,185 +64% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $39,694 $39,694 $21,563 +84% $23,734 +67% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $39,460 $39,460 $28,559 +38% $23,920 +65% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $39,455 $39,455 $16,171 +144% $20,007 +97% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $39,230 $39,230 $16,847 +133% $17,550 +124% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $39,165 $39,165 $12,534 +212% $12,537 +212% —
302 ATHEROSCLEROSIS WITH MCC $38,966 $38,966 $18,292 +113% $20,844 +87% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $38,777 $38,777 $12,127 +220% $19,483 +99% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $38,736 $38,736 $17,086 +127% $21,886 +77% ≈215% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $38,734 $38,734 $17,770 +118% $24,190 +60% ≈197% of Medicare
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $38,672 $38,672 $28,803 +34% $14,055 +175% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $38,595 $38,595 $30,673 +26% $30,940 +25% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $38,564 $38,564 $37,153 +4% $29,211 +32% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $38,550 $38,550 $32,677 +18% $32,483 +19% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $38,543 $38,543 $17,037 +126% $15,072 +156% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $38,454 $38,454 $14,396 +167% $18,478 +108% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $38,211 $38,211 $12,770 +199% $14,861 +157% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $37,875 $37,875 $16,575 +129% $22,781 +66% ≈207% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $37,874 $37,874 $19,002 +99% $23,723 +60% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $37,844 $37,844 $14,861 +155% $19,579 +93% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $37,834 $37,834 $23,189 +63% $28,140 +34% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $37,788 $37,788 $13,791 +174% $17,715 +113% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $37,667 $37,667 $16,070 +134% $22,024 +71% ≈233% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $37,610 $37,610 $16,429 +129% $21,545 +75% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $37,381 $37,381 $16,823 +122% $22,231 +68% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $37,206 $37,206 $16,423 +127% $19,091 +95% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $37,109 $37,109 $12,331 +201% $17,522 +112% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $37,084 $37,084 $37,084 +0% $29,371 +26% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $36,946 $36,946 $27,967 +32% $23,350 +58% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $36,934 $36,934 $13,579 +172% $20,278 +82% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $36,878 $36,878 $25,928 +42% $24,544 +50% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $36,301 $36,301 $19,581 +85% $19,894 +82% —
598 MALIGNANT BREAST DISORDERS WITH CC $36,276 $36,276 $17,977 +102% $19,073 +90% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $36,266 $36,266 $36,097 +0% $36,097 +0% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $36,262 $36,262 $15,808 +129% $22,560 +61% —
184 MAJOR CHEST TRAUMA WITH CC $36,233 $36,233 $17,057 +112% $20,842 +74% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $36,036 $36,036 $23,217 +55% $23,588 +53% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $36,003 $36,003 $25,633 +40% $29,826 +21% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $35,464 $35,464 $14,941 +137% $21,213 +67% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $35,405 $35,405 $20,918 +69% $18,191 +95% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $35,356 $35,356 $18,455 +92% $18,918 +87% —
187 PLEURAL EFFUSION WITH CC $35,305 $35,305 $17,721 +99% $21,467 +64% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $35,205 $35,205 $21,695 +62% $30,314 +16% —
694 URINARY STONES WITHOUT MCC $35,041 $35,041 $13,336 +163% $16,531 +112% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $34,583 $34,583 $17,973 +92% $24,452 +41% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $34,271 $34,271 $27,842 +23% $31,190 +10% —
541 OSTEOMYELITIS WITHOUT CC/MCC $34,080 $34,080 $12,594 +171% $14,549 +134% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $33,935 $33,935 $16,434 +106% $22,557 +50% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $33,835 $33,835 $22,780 +49% $28,375 +19% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $33,808 $33,808 $26,112 +29% $26,020 +30% —
103 HEADACHES WITHOUT MCC $33,777 $33,777 $15,688 +115% $20,111 +68% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $33,662 $33,662 $12,555 +168% $15,607 +116% —
075 VIRAL MENINGITIS WITH CC/MCC $33,649 $33,649 $25,549 +32% $29,853 +13% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $33,575 $33,575 $18,021 +86% $24,432 +37% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $33,307 $33,307 $24,529 +36% $22,850 +46% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $33,235 $33,235 $30,155 +10% $41,651 −20% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $33,212 $33,212 $15,061 +121% $23,141 +44% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $32,991 $32,991 $17,144 +92% $19,868 +66% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $32,884 $32,884 $21,642 +52% $25,010 +31% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $32,812 $32,812 $20,619 +59% $29,805 +10% —
644 ENDOCRINE DISORDERS WITH CC $32,629 $32,629 $16,607 +96% $22,941 +42% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $32,535 $32,535 $13,855 +135% $16,654 +95% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $32,504 $32,504 $13,542 +140% $17,700 +84% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $32,492 $32,492 $16,212 +100% $16,212 +100% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $32,150 $32,150 $16,832 +91% $19,569 +64% —
150 EPISTAXIS WITH MCC $32,065 $32,065 $21,133 +52% $21,133 +52% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $31,464 $31,464 $15,684 +101% $20,777 +51% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $31,365 $31,365 $14,358 +118% $19,096 +64% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $31,349 $31,349 $15,183 +106% $19,287 +63% —
263 VEIN LIGATION AND STRIPPING $31,304 $31,304 $33,529 −7% $44,938 −30% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $31,273 $31,273 $17,505 +79% $25,162 +24% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $31,080 $31,080 $20,702 +50% $27,118 +15% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $30,851 $30,851 $17,210 +79% $20,463 +51% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,844 $30,844 $14,654 +110% $15,608 +98% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $30,625 $30,625 $16,402 +87% $22,713 +35% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $30,558 $30,558 $16,388 +86% $23,571 +30% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $30,225 $30,225 $12,919 +134% $16,634 +82% —
312 SYNCOPE AND COLLAPSE $30,191 $30,191 $14,502 +108% $19,342 +56% ≈197% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $30,148 $30,148 $14,755 +104% $17,731 +70% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $30,112 $30,112 $24,097 +25% $12,336 +144% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $30,094 $30,094 $20,261 +49% $16,642 +81% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $29,940 $29,940 $20,349 +47% $16,837 +78% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,692 $29,692 $15,454 +92% $19,815 +50% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $29,585 $29,585 $17,832 +66% $20,741 +43% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $29,484 $29,484 $7,651 +285% $13,303 +122% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $29,457 $29,457 $22,099 +33% $14,012 +110% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $29,409 $29,409 $10,057 +192% $16,571 +77% —
638 DIABETES WITH CC $29,332 $29,332 $15,098 +94% $18,821 +56% —
152 OTITIS MEDIA AND URI WITH MCC $29,323 $29,323 $17,922 +64% $19,795 +48% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $29,060 $29,060 $20,027 +45% $15,600 +86% —
204 RESPIRATORY SIGNS AND SYMPTOMS $29,038 $29,038 $17,742 +64% $16,866 +72% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $28,944 $28,944 $32,497 −11% $39,409 −27% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $28,922 $28,922 $28,922 +0% $36,080 −20% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $28,731 $28,731 $16,431 +75% $20,732 +39% —
292 HEART FAILURE AND SHOCK WITH CC $28,706 $28,706 $14,372 +100% $16,212 +77% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $28,631 $28,631 $12,204 +135% $18,017 +59% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $28,620 $28,620 $14,344 +100% $18,278 +57% ≈198% of Medicare
683 RENAL FAILURE WITH CC $28,528 $28,528 $14,731 +94% $18,620 +53% ≈215% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $28,517 $28,517 $16,076 +77% $20,968 +36% —
149 DYSEQUILIBRIUM $28,492 $28,492 $16,173 +76% $17,203 +66% —
176 PULMONARY EMBOLISM WITHOUT MCC $28,417 $28,417 $13,765 +106% $18,081 +57% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $28,242 $28,242 $14,937 +89% $15,077 +87% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $28,167 $28,167 $13,506 +109% $17,727 +59% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $28,156 $28,156 $25,133 +12% $28,578 −1% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $28,144 $28,144 $12,605 +123% $18,623 +51% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $28,076 $28,076 $16,554 +70% $18,253 +54% —
265 AICD lead procedures $28,051 $28,051 $28,051 +0% $56,695 −51% —
906 HAND PROCEDURES FOR INJURIES $27,969 $27,969 $24,446 +14% $31,520 −11% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $27,441 $27,441 $13,288 +107% $15,858 +73% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $27,330 $27,330 $21,470 +27% $16,418 +66% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $27,249 $27,249 $18,536 +47% $19,598 +39% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $27,037 $27,037 $19,354 +40% $19,354 +40% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $26,875 $26,875 $13,598 +98% $17,388 +55% ≈219% of Medicare
594 SKIN ULCERS WITHOUT CC/MCC $26,842 $26,842 $10,788 +149% $14,209 +89% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $26,691 $26,691 $15,591 +71% $19,326 +38% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $26,492 $26,492 $11,423 +132% $13,282 +99% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $26,171 $26,171 $16,722 +57% $18,238 +43% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $26,147 $26,147 $14,795 +77% $18,803 +39% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $26,025 $26,025 $14,119 +84% $18,204 +43% ≈230% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $25,937 $25,937 $22,552 +15% $24,177 +7% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $25,887 $25,887 $15,636 +66% $15,636 +66% —
305 HYPERTENSION WITHOUT MCC $25,870 $25,870 $12,937 +100% $17,144 +51% ≈243% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $25,636 $25,636 $12,789 +100% $16,865 +52% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $25,445 $25,445 $14,383 +77% $16,156 +57% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $25,059 $25,059 $12,609 +99% $16,104 +56% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $24,617 $24,617 $15,124 +63% $20,488 +20% ≈228% of Medicare
712 TESTES PROCEDURES WITHOUT CC/MCC $24,568 $24,568 $17,076 +44% $18,898 +30% —
885 PSYCHOSES $24,285 $24,285 $20,878 +16% $21,489 +13% —
137 MOUTH PROCEDURES WITH CC/MCC $24,194 $24,194 $22,770 +6% $24,348 −1% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $24,183 $24,183 $13,719 +76% $18,002 +34% ≈272% of Medicare
603 CELLULITIS WITHOUT MCC $24,070 $24,070 $14,626 +65% $18,530 +30% ≈227% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $24,065 $24,065 $19,602 +23% $26,634 −10% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $23,996 $23,996 $15,986 +50% $18,282 +31% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $23,866 $23,866 $13,002 +84% $16,776 +42% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $23,772 $23,772 $17,159 +39% $17,943 +32% —
101 SEIZURES WITHOUT MCC $23,728 $23,728 $15,157 +57% $19,954 +19% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $23,684 $23,684 $15,127 +57% $20,084 +18% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $23,664 $23,664 $13,738 +72% $14,444 +64% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $23,623 $23,623 $11,594 +104% $14,368 +64% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $23,518 $23,518 $16,427 +43% $20,080 +17% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $23,213 $23,213 $21,443 +8% $15,869 +46% —
313 CHEST PAIN $23,107 $23,107 $12,453 +86% $15,962 +45% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $23,061 $23,061 $16,816 +37% $17,273 +34% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $23,012 $23,012 $14,630 +57% $14,880 +55% —
916 ALLERGIC REACTIONS WITHOUT MCC $22,997 $22,997 $11,813 +95% $13,890 +66% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $22,915 $22,915 $11,490 +99% $12,895 +78% —
593 SKIN ULCERS WITH CC $22,886 $22,886 $17,058 +34% $20,470 +12% —
684 RENAL FAILURE WITHOUT CC/MCC $22,808 $22,808 $14,391 +58% $13,623 +67% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $22,795 $22,795 $14,644 +56% $16,049 +42% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $22,643 $22,643 $13,321 +70% $17,322 +31% ≈233% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $22,580 $22,580 $14,480 +56% $19,305 +17% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $22,544 $22,544 $20,980 +7% $20,980 +7% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $22,525 $22,525 $22,525 +0% $16,352 +38% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $22,434 $22,434 $21,514 +4% $19,001 +18% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $22,404 $22,404 $13,336 +68% $16,745 +34% ≈229% of Medicare
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $22,388 $22,388 $12,704 +76% $17,367 +29% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $22,367 $22,367 $15,777 +42% $17,928 +25% —
303 ATHEROSCLEROSIS WITHOUT MCC $22,148 $22,148 $11,508 +92% $14,927 +48% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,137 $22,137 $18,191 +22% $25,307 −13% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $22,123 $22,123 $13,876 +59% $15,370 +44% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $22,073 $22,073 $12,055 +83% $12,797 +72% —
201 PNEUMOTHORAX WITHOUT CC/MCC $21,963 $21,963 $13,796 +59% $13,081 +68% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $21,957 $21,957 $17,701 +24% $13,445 +63% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $21,226 $21,226 $13,658 +55% $17,103 +24% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $21,208 $21,208 $11,752 +80% $13,485 +57% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $21,107 $21,107 $17,408 +21% $18,126 +16% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $21,097 $21,097 $13,385 +58% $13,385 +58% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $21,006 $21,006 $11,177 +88% $15,070 +39% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $20,987 $20,987 $11,458 +83% $14,134 +48% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $20,938 $20,938 $13,300 +57% $14,166 +48% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $20,902 $20,902 $15,217 +37% $18,608 +12% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $20,739 $20,739 $13,259 +56% $14,337 +45% —
607 MINOR SKIN DISORDERS WITHOUT MCC $20,719 $20,719 $14,410 +44% $15,284 +36% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $20,711 $20,711 $15,094 +37% $15,474 +34% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $20,540 $20,540 $12,713 +62% $14,441 +42% —
864 FEVER AND INFLAMMATORY CONDITIONS $20,395 $20,395 $12,155 +68% $17,412 +17% —
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $20,336 $20,336 $3,032 +571% $3,032 +571% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $20,261 $20,261 $10,316 +96% $11,955 +69% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $20,208 $20,208 $12,071 +67% $18,291 +10% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $20,017 $20,017 $15,886 +26% $13,368 +50% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $19,867 $19,867 $8,067 +146% $14,128 +41% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $19,854 $19,854 $10,296 +93% $13,318 +49% —
090 CONCUSSION WITHOUT CC/MCC $19,839 $19,839 $19,839 +0% $14,873 +33% —
311 ANGINA PECTORIS $19,578 $19,578 $12,257 +60% $15,165 +29% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $19,534 $19,534 $13,911 +40% $15,876 +23% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $19,370 $19,370 $16,113 +20% $13,892 +39% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $19,185 $19,185 $11,294 +70% $12,013 +60% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $19,156 $19,156 $9,622 +99% $13,198 +45% —
639 DIABETES WITHOUT CC/MCC $18,908 $18,908 $11,928 +59% $13,910 +36% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $18,849 $18,849 $13,290 +42% $17,226 +9% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $18,797 $18,797 $15,243 +23% $22,698 −17% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,677 $18,677 $18,290 +2% $21,062 −11% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $18,562 $18,562 $14,978 +24% $22,525 −18% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $18,422 $18,422 $12,049 +53% $12,381 +49% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $18,335 $18,335 $13,752 +33% $17,383 +5% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $18,248 $18,248 $18,248 +0% $28,134 −35% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $18,164 $18,164 $14,770 +23% $15,764 +15% —
693 URINARY STONES WITH MCC $18,158 $18,158 $20,218 −10% $22,525 −19% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,123 $18,123 $7,960 +128% $18,133 −0% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $17,883 $17,883 $13,611 +31% $17,466 +2% ≈152% of Medicare
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $17,595 $17,595 $11,355 +55% $13,090 +34% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $17,421 $17,421 $9,714 +79% $13,654 +28% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,397 $17,397 $15,601 +12% $18,150 −4% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $17,353 $17,353 $32,855 −47% $54,196 −68% —
534 FRACTURES OF FEMUR WITHOUT MCC $17,290 $17,290 $13,759 +26% $17,195 +1% —
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $17,090 $17,090 $3,032 +464% $3,242 +427% —
881 DEPRESSIVE NEUROSES $17,084 $17,084 $11,399 +50% $15,058 +13% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $16,976 $16,976 $10,354 +64% $11,421 +49% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $16,741 $16,741 $10,456 +60% $13,384 +25% ≈259% of Medicare
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,700 $16,700 $11,501 +45% $14,208 +18% —
779 ABORTION WITHOUT D&C $16,495 $16,495 $15,327 +8% $15,327 +8% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $15,639 $15,639 $10,682 +46% $7,961 +96% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,633 $15,633 $10,563 +48% $12,044 +30% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $15,322 $15,322 $11,276 +36% $13,824 +11% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $15,215 $15,215 $9,703 +57% $15,655 −3% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,076 $15,076 $13,655 +10% $12,405 +22% —
866 VIRAL ILLNESS WITHOUT MCC $15,071 $15,071 $14,678 +3% $16,391 −8% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $14,790 $14,790 $10,553 +40% $9,385 +58% —
153 OTITIS MEDIA AND URI WITHOUT MCC $13,786 $13,786 $12,431 +11% $14,473 −5% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $13,298 $13,298 $13,550 −2% $15,045 −12% —
151 EPISTAXIS WITHOUT MCC $12,677 $12,677 $12,854 −1% $13,032 −3% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $12,066 $12,066 $11,071 +9% $11,071 +9% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,973 $10,973 $10,975 −0% $10,975 −0% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,427 $10,427 $14,283 −27% $24,836 −58% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $10,255 $10,255 $10,255 +0% $11,997 −15% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $9,986 $9,986 $9,986 +0% $12,279 −19% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $9,781 $9,781 $10,131 −3% $10,039 −3% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,477 $9,477 $8,022 +18% $9,076 +4% —
935 NON-EXTENSIVE BURNS $9,460 $9,460 $26,681 −65% $29,458 −68% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,476 $8,476 $8,981 −6% $11,909 −29% —
766 CESAREAN SECTION W/O CC/MCC $7,573 $7,573 $6,454 +17% $5,336 +42% —
795 NORMAL NEWBORN $4,835 $4,835 $4,397 +10% $4,530 +7% —
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