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 $88,547
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 ≈378% 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 $718,275 +43% $461,389 +122% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $922,295 $922,295 $729,317 +26% $196,346 +370% —
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 $751,582 +4% $371,366 +110% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $623,860 $623,860 $354,352 +76% $109,331 +471% —
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $533,188 $533,188 $327,375 +63% $121,563 +339% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $515,701 $515,701 $515,701 +0% $50,919 +913% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $442,458 $442,458 $310,531 +42% $208,939 +112% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $436,875 $436,875 $265,460 +65% $188,171 +132% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $396,535 $396,535 $309,633 +28% $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 $302,721 +23% $248,521 +50% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $370,466 $370,466 $136,236 +172% $125,242 +196% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $360,652 $360,652 $142,113 +154% $132,794 +172% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICA $360,128 $360,128 $248,879 +45% $142,326 +153% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DE $355,833 $355,833 $203,604 +75% $126,098 +182% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $355,387 $355,387 $231,158 +54% $148,686 +139% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $326,001 $326,001 $197,048 +65% $77,055 +323% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $323,280 $323,280 $204,211 +58% $107,355 +201% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $320,719 $320,719 $224,607 +43% $120,573 +166% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $315,998 $315,998 $195,206 +62% $105,899 +198% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $305,461 $305,461 $204,661 +49% $103,861 +194% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $297,606 $297,606 $255,521 +16% $144,569 +106% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $293,297 $293,297 $43,218 +579% $53,864 +445% —
231 CORONARY BYPASS WITH PTCA WITH MCC $289,914 $289,914 $242,444 +20% $147,227 +97% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $287,375 $287,375 $174,671 +65% $123,995 +132% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $282,104 $282,104 $186,678 +51% $102,600 +175% —
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 $162,114 +69% $59,594 +360% —
653 MAJOR BLADDER PROCEDURES WITH MCC $273,262 $273,262 $136,026 +101% $104,583 +161% —
028 SPINAL PROCEDURES WITH MCC $266,227 $266,227 $81,731 +226% $113,077 +135% —
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 $153,947 +68% $66,848 +287% —
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 $202,418 +26% $111,320 +130% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $251,866 $251,866 $186,251 +35% $113,855 +121% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $250,626 $250,626 $250,626 +0% $112,062 +124% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $249,697 $249,697 $149,709 +67% $66,711 +274% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $248,003 $248,003 $103,925 +139% $88,307 +181% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $247,725 $247,725 $102,016 +143% $89,207 +178% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $245,719 $245,719 $245,719 +0% $75,251 +227% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $245,357 $245,357 $82,005 +199% $76,001 +223% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $244,638 $244,638 $75,992 +222% $75,103 +226% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $244,378 $244,378 $237,070 +3% $101,618 +140% —
834 ACUTE LEUKEMIA WITH MCC $237,634 $237,634 $74,709 +218% $85,566 +178% —
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 $199,299 +18% $88,566 +165% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $234,133 — $130,137 +80% $22,620 +935% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $232,770 $232,770 $34,751 +570% $40,548 +474% —
668 TRANSURETHRAL PROCEDURES WITH MCC $232,546 $232,546 $145,525 +60% $51,608 +351% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $228,582 $228,582 $228,582 +0% $47,945 +377% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $228,277 $228,277 $206,410 +11% $102,573 +123% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $225,988 $225,988 $174,192 +30% $148,832 +52% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $224,357 $224,357 $121,723 +84% $80,793 +178% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $220,273 $220,273 $129,325 +70% $115,839 +90% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $217,737 $217,737 $118,690 +83% $92,217 +136% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVI $217,368 $217,368 $143,640 +51% $99,943 +117% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $216,267 $216,267 $54,042 +300% $59,031 +266% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $215,738 $215,738 $163,111 +32% $144,774 +49% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $211,441 $211,441 $156,400 +35% $85,159 +148% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $211,161 $211,161 $119,156 +77% $87,761 +141% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $211,097 $211,097 $53,970 +291% $79,116 +167% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $210,923 $210,923 $144,691 +46% $96,192 +119% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $209,788 $209,788 $209,788 +0% $99,423 +111% —
799 SPLENIC PROCEDURES WITH MCC $209,278 $209,278 $140,625 +49% $82,218 +155% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $207,261 $207,261 $137,177 +51% $90,331 +129% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $206,388 $206,388 $206,388 +0% $86,970 +137% —
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $205,381 $205,381 $118,575 +73% $81,998 +150% —
471 CERVICAL SPINAL FUSION WITH MCC $202,733 $202,733 $81,378 +149% $92,515 +119% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $200,151 $200,151 $126,472 +58% $96,507 +107% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $198,803 $198,803 $74,365 +167% $66,068 +201% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $195,330 $195,330 $142,510 +37% $72,424 +170% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $193,828 $193,828 $133,642 +45% $102,128 +90% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $190,827 $190,827 $132,768 +44% $106,057 +80% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $190,748 $190,748 $190,748 +0% $59,533 +220% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $190,462 $190,462 $153,072 +24% $82,247 +132% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $190,054 $190,054 $123,255 +54% $79,836 +138% —
333 RECTAL RESECTION WITH CC $188,566 $188,566 $109,672 +72% $37,154 +408% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $188,397 $188,397 $64,874 +190% $90,775 +108% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $187,397 $187,397 $53,336 +251% $74,755 +151% —
709 PENIS PROCEDURES WITH CC/MCC $184,730 $184,730 $93,982 +97% $34,535 +435% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $182,741 $182,741 $68,020 +169% $93,172 +96% ≈368% of Medicare
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $178,584 $178,584 $121,192 +47% $90,401 +98% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $177,866 $177,866 $165,099 +8% $35,849 +396% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $176,252 $176,252 $166,736 +6% $63,928 +176% —
163 MAJOR CHEST PROCEDURES WITH MCC $174,593 $174,593 $104,146 +68% $90,195 +94% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $174,406 $174,406 $108,123 +61% $77,817 +124% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $173,774 $173,774 $12,846 +1253% $16,351 +963% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $173,126 $173,126 $173,126 +0% $58,975 +194% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $172,446 $172,446 $51,761 +233% $61,470 +181% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $170,655 $170,655 $170,655 +0% $117,280 +46% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $170,499 $170,499 $132,372 +29% $88,050 +94% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $169,968 $169,968 $169,968 +0% $73,120 +132% —
037 EXTRACRANIAL PROCEDURES WITH MCC $167,348 $167,348 $129,451 +29% $66,666 +151% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $166,810 $166,810 $162,433 +3% $101,510 +64% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $164,383 $164,383 $101,266 +62% $64,523 +155% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $162,919 $162,919 $131,035 +24% $55,162 +195% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $162,778 $162,778 $90,060 +81% $71,755 +127% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $162,570 $162,570 $99,940 +63% $76,219 +113% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $162,094 $162,094 $90,009 +80% $71,014 +128% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $161,926 $161,926 $104,205 +55% $82,561 +96% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $161,284 $161,284 $87,399 +85% $70,847 +128% —
913 TRAUMATIC INJURY WITH MCC $160,116 $160,116 $31,567 +407% $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 $101,267 +57% $65,216 +143% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $156,347 $156,347 $54,792 +185% $66,685 +134% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $155,526 $155,526 $102,082 +52% $62,583 +149% —
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 $154,981 +0% $93,238 +66% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $154,910 $154,910 $113,274 +37% $67,268 +130% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $152,654 $152,654 $45,498 +236% $58,745 +160% —
252 OTHER VASCULAR PROCEDURES WITH MCC $152,117 $152,117 $92,352 +65% $68,508 +122% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $150,722 $150,722 $98,628 +53% $71,092 +112% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $147,306 $147,306 $44,579 +230% $55,289 +166% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $143,373 $143,373 $92,325 +55% $72,962 +97% —
999 UNGROUPABLE $141,383 $141,383 $141,383 +0% $29,674 +376% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $138,653 $138,653 $52,571 +164% $36,670 +278% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $138,326 $138,326 $40,640 +240% $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 $75,180 +82% $79,225 +73% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $135,943 $135,943 $46,049 +195% $52,908 +157% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $135,601 $135,601 $40,567 +234% $35,030 +287% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $135,518 $135,518 $49,519 +174% $65,788 +106% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $133,162 $133,162 $44,887 +197% $38,861 +243% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $132,689 $132,689 $132,689 +0% $96,905 +37% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $131,608 $131,608 $50,940 +158% $62,821 +109% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $131,596 $131,596 $55,904 +135% $47,789 +175% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $130,686 $130,686 $57,570 +127% $77,990 +68% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $129,581 $129,581 $73,038 +77% $101,576 +28% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $128,708 $128,708 $76,780 +68% $29,126 +342% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $127,814 $127,814 $91,888 +39% $65,573 +95% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $127,579 $127,579 $127,579 +0% $108,472 +18% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $127,550 $127,550 $70,810 +80% $60,170 +112% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $127,522 $127,522 $127,522 +0% $90,724 +41% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $127,509 $127,509 $81,045 +57% $43,631 +192% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $126,873 $126,873 $67,983 +87% $45,333 +180% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $126,246 $126,246 $73,272 +72% $65,653 +92% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $125,512 $125,512 $41,967 +199% $58,228 +116% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $125,249 $125,249 $125,249 +0% $51,746 +142% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $125,075 $125,075 $77,016 +62% $35,831 +249% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $124,964 $124,964 $109,114 +15% $84,692 +48% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $122,113 $122,113 $73,023 +67% $68,639 +78% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $122,063 $122,063 $60,697 +101% $70,177 +74% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $121,536 $121,536 $73,113 +66% $54,583 +123% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $120,983 $120,983 $66,788 +81% $12,593 +861% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $120,537 $120,537 $79,084 +52% $44,222 +173% —
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% $58,274 +106% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $120,159 $120,159 $69,486 +73% $59,421 +102% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $119,594 $119,594 $74,556 +60% $31,134 +284% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $119,428 $119,428 $112,844 +6% $70,564 +69% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $118,672 $118,672 $31,331 +279% $32,574 +264% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $118,434 $118,434 $59,186 +100% $46,724 +153% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $117,563 $117,563 $85,592 +37% $70,467 +67% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $116,992 $116,992 $81,522 +44% $75,573 +55% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $115,245 $115,245 $78,181 +47% $68,653 +68% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $114,963 $114,963 $38,454 +199% $43,491 +164% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $114,940 $114,940 $35,572 +223% $32,451 +254% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $114,932 $114,932 $73,718 +56% $38,998 +195% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $113,193 $113,193 $50,453 +124% $42,415 +167% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $112,335 $112,335 $41,229 +172% $80,018 +40% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $112,122 $112,122 $112,122 +0% $78,852 +42% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $111,646 $111,646 $111,646 +0% $51,953 +115% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $110,635 $110,635 $36,232 +205% $41,608 +166% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $110,381 $110,381 $53,909 +105% $49,351 +124% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $110,264 $110,264 $27,994 +294% $38,070 +190% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $110,150 $110,150 $108,736 +1% $71,464 +54% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $109,614 $109,614 $109,614 +0% $71,795 +53% —
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 $55,006 +98% $50,139 +118% —
597 MALIGNANT BREAST DISORDERS WITH MCC $107,983 $107,983 $34,224 +216% $33,386 +223% —
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% $62,300 +73% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $107,624 $107,624 $107,624 +0% $69,743 +54% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $107,593 $107,593 $67,193 +60% $40,365 +167% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $107,519 $107,519 $77,989 +38% $70,132 +53% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $107,000 $107,000 $64,011 +67% $30,493 +251% —
164 MAJOR CHEST PROCEDURES WITH CC $106,987 $106,987 $106,987 +0% $56,755 +89% —
253 OTHER VASCULAR PROCEDURES WITH CC $106,200 $106,200 $81,275 +31% $57,454 +85% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $105,507 $105,507 $69,665 +51% $50,498 +109% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $104,635 $104,635 $104,635 +0% $46,727 +124% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $103,899 $103,899 $77,437 +34% $65,608 +58% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $103,430 $103,430 $53,743 +92% $46,453 +123% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $103,405 $103,405 $57,088 +81% $50,607 +104% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $102,990 $102,990 $76,660 +34% $62,264 +65% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $102,321 $102,321 $64,196 +59% $59,500 +72% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $101,541 $101,541 $76,983 +32% $93,390 +9% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $100,703 $100,703 $68,285 +47% $59,651 +69% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $100,617 $100,617 $100,617 +0% $81,706 +23% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $99,938 $99,938 $57,011 +75% $58,707 +70% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $99,311 $99,311 $23,998 +314% $35,584 +179% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $99,309 $99,309 $66,399 +50% $41,620 +139% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $99,083 $99,083 $52,413 +89% $45,866 +116% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $98,922 $98,922 $33,924 +192% $33,047 +199% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $98,889 $98,889 $69,267 +43% $58,043 +70% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $98,823 $98,823 $98,823 +0% $74,257 +33% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $97,635 $97,635 $59,194 +65% $28,202 +246% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $96,869 $96,869 $48,182 +101% $52,178 +86% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $96,713 $96,713 $35,964 +169% $49,423 +96% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $95,864 $95,864 $79,449 +21% $49,066 +95% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $95,776 $95,776 $36,984 +159% $36,253 +164% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $95,656 $95,656 $62,436 +53% $50,624 +89% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $95,436 $95,436 $65,329 +46% $46,066 +107% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $94,429 $94,429 $90,168 +5% $41,422 +128% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $94,022 $94,022 $63,151 +49% $52,036 +81% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $93,942 $93,942 $38,646 +143% $50,618 +86% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $93,757 $93,757 $78,448 +20% $48,349 +94% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $93,721 $93,721 $51,031 +84% $48,682 +93% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $93,487 $93,487 $40,874 +129% $36,988 +153% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $93,017 $93,017 $38,125 +144% $30,083 +209% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $92,886 $92,886 $92,886 +0% $61,217 +52% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $92,498 $92,498 $57,602 +61% $44,117 +110% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $92,473 $92,473 $29,012 +219% $39,106 +136% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $92,414 $92,414 $34,039 +171% $53,451 +73% —
500 SOFT TISSUE PROCEDURES WITH MCC $92,316 $92,316 $83,882 +10% $61,872 +49% —
503 FOOT PROCEDURES WITH MCC $92,300 $92,300 $92,300 +0% $47,540 +94% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $92,119 $92,119 $65,023 +42% $35,453 +160% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $91,734 $91,734 $55,956 +64% $43,477 +111% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $91,684 $91,684 $40,498 +126% $40,642 +126% —
791 PREMATURITY WITH MAJOR PROBLEMS $91,654 $91,654 $27,807 +230% $42,679 +115% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $91,134 $91,134 $55,337 +65% $35,419 +157% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $91,093 $91,093 $48,048 +90% $43,538 +109% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $90,913 $90,913 $56,589 +61% $25,073 +263% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $90,025 $90,025 $60,574 +49% $40,694 +121% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $89,895 $89,895 $37,371 +141% $36,249 +148% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $89,750 $89,750 $48,473 +85% $32,841 +173% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $89,606 $89,606 $54,457 +65% $43,650 +105% —
606 MINOR SKIN DISORDERS WITH MCC $89,448 $89,448 $24,094 +271% $27,975 +220% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $89,169 $89,169 $66,233 +35% $37,267 +139% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $88,746 $88,746 $39,932 +122% $39,006 +128% —
506 MAJOR THUMB OR JOINT PROCEDURES $88,672 $88,672 $60,582 +46% $30,557 +190% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $87,421 $87,421 $58,910 +48% $52,751 +66% ≈358% of Medicare
800 SPLENIC PROCEDURES WITH CC $87,314 $87,314 $87,314 +0% $49,184 +78% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $86,667 $86,667 $30,510 +184% $32,833 +164% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $86,319 $86,319 $86,319 +0% $47,583 +81% —
334 RECTAL RESECTION WITHOUT CC/MCC $86,295 $86,295 $51,103 +69% $36,820 +134% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $86,236 $86,236 $82,827 +4% $59,629 +45% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $86,105 $86,105 $47,596 +81% $39,973 +115% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $85,707 $85,707 $70,751 +21% $49,418 +73% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $85,185 $85,185 $85,185 +0% $37,240 +129% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $84,889 $84,889 $84,889 +0% $61,832 +37% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $84,818 $84,818 $53,652 +58% $40,562 +109% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $84,439 $84,439 $65,775 +28% $38,094 +122% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $84,314 $84,314 $84,314 +0% $39,020 +116% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $84,272 $84,272 $37,493 +125% $29,524 +185% —
374 DIGESTIVE MALIGNANCY WITH MCC $84,120 $84,120 $48,306 +74% $39,958 +111% —
336 PERITONEAL ADHESIOLYSIS WITH CC $83,927 $83,927 $58,173 +44% $50,463 +66% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $83,858 $83,858 $60,723 +38% $48,687 +72% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $83,856 $83,856 $36,779 +128% $40,552 +107% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $83,744 $83,744 $53,673 +56% $34,906 +140% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $83,669 $83,669 $55,833 +50% $44,139 +90% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $83,387 $83,387 $57,368 +45% $42,901 +94% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $82,518 $82,518 $61,404 +34% $49,839 +66% —
397 APPENDIX PROCEDURES WITH MCC $82,327 $82,327 $38,157 +116% $53,257 +55% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $81,889 $81,889 $33,911 +141% $18,348 +346% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $81,526 $81,526 $76,990 +6% $50,011 +63% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $81,422 $81,422 $64,111 +27% $38,836 +110% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $81,182 $81,182 $52,032 +56% $33,674 +141% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $81,176 $81,176 $49,273 +65% $37,950 +114% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $80,679 $80,679 $20,117 +301% $21,894 +268% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $80,639 $80,639 $50,132 +61% $36,445 +121% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $80,452 $80,452 $80,452 +0% $39,515 +104% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $80,060 $80,060 $63,731 +26% $70,371 +14% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $80,057 $80,057 $29,808 +169% $30,418 +163% —
570 SKIN DEBRIDEMENT WITH MCC $79,893 $79,893 $59,564 +34% $52,435 +52% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $79,841 $79,841 $60,948 +31% $36,354 +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 $27,341 +189% $36,658 +116% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $79,133 $79,133 $69,644 +14% $41,892 +89% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $79,053 $79,053 $71,501 +11% $59,790 +32% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $79,013 $79,013 $44,752 +77% $46,090 +71% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $78,938 $78,938 $35,132 +125% $34,749 +127% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $78,749 $78,749 $53,885 +46% $30,243 +160% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $78,662 $78,662 $34,728 +127% $39,887 +97% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $78,462 $78,462 $78,462 +0% $52,075 +51% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $77,584 $77,584 $70,240 +10% $46,340 +67% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $77,110 $77,110 $60,758 +27% $58,280 +32% ≈392% of Medicare
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $77,017 $77,017 $54,196 +42% $54,196 +42% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $76,268 $76,268 $44,220 +72% $39,018 +95% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $76,172 $76,172 $29,127 +162% $43,943 +73% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $75,957 $75,957 $47,606 +60% $38,666 +96% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $75,942 $75,942 $75,942 +0% $44,363 +71% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $75,912 $75,912 $47,629 +59% $36,489 +108% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $75,779 $75,779 $46,664 +62% $34,276 +121% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $75,223 $75,223 $45,494 +65% $46,402 +62% —
663 MINOR BLADDER PROCEDURES WITH CC $74,753 $74,753 $37,185 +101% $33,103 +126% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $73,767 $73,767 $32,919 +124% $39,181 +88% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $73,593 $73,593 $35,527 +107% $42,914 +71% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $72,633 $72,633 $29,659 +145% $35,628 +104% ≈357% 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 $42,244 +72% $36,505 +99% —
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 $50,468 +43% $47,711 +51% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $72,125 $72,125 $25,687 +181% $30,010 +140% —
504 FOOT PROCEDURES WITH CC $72,043 $72,043 $37,327 +93% $38,960 +85% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $71,605 $71,605 $27,767 +158% $36,431 +97% —
505 FOOT PROCEDURES WITHOUT CC/MCC $71,568 $71,568 $40,384 +77% $34,937 +105% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $71,529 $71,529 $28,868 +148% $43,913 +63% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $71,247 $71,247 $71,247 +0% $15,901 +348% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $70,797 $70,797 $27,164 +161% $34,273 +107% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $70,598 $70,598 $48,134 +47% $40,362 +75% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $70,232 $70,232 $26,569 +164% $27,163 +159% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $70,162 $70,162 $70,162 +0% $58,809 +19% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $70,053 $70,053 $24,687 +184% $34,192 +105% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $69,704 $69,704 $33,812 +106% $26,932 +159% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $69,052 $69,052 $53,546 +29% $36,792 +88% —
539 OSTEOMYELITIS WITH MCC $68,879 $68,879 $49,161 +40% $37,609 +83% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $68,774 $68,774 $60,500 +14% $39,955 +72% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MC $68,627 $68,627 $47,177 +45% $32,443 +112% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $68,573 $68,573 $66,896 +3% $41,591 +65% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $68,296 $68,296 $65,119 +5% $43,298 +58% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $68,053 $68,053 $51,137 +33% $29,949 +127% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $67,962 $67,962 $66,136 +3% $33,633 +102% —
915 ALLERGIC REACTIONS WITH MCC $67,660 $67,660 $36,882 +83% $32,645 +107% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $67,443 $67,443 $26,792 +152% $37,842 +78% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $67,353 $67,353 $36,946 +82% $32,637 +106% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $66,620 $66,620 $66,620 +0% $52,986 +26% —
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 $44,133 +50% $35,481 +87% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $65,710 $65,710 $43,627 +51% $41,955 +57% ≈380% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $65,386 $65,386 $27,729 +136% $33,985 +92% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $65,121 $65,121 $24,072 +171% $37,387 +74% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $64,900 $64,900 $24,189 +168% $27,316 +138% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $64,495 $64,495 $43,851 +47% $45,877 +41% —
038 EXTRACRANIAL PROCEDURES WITH CC $63,724 $63,724 $63,724 +0% $35,770 +78% —
398 APPENDIX PROCEDURES WITH CC $63,462 $63,462 $38,439 +65% $40,162 +58% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $63,354 $63,354 $34,586 +83% $50,046 +27% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $63,262 $63,262 $22,909 +176% $21,847 +190% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $63,191 $63,191 $36,542 +73% $44,606 +42% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $62,853 $62,853 $31,460 +100% $35,074 +79% —
595 MAJOR SKIN DISORDERS WITH MCC $62,815 $62,815 $30,646 +105% $34,598 +82% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $62,441 $62,441 $62,441 +0% $50,394 +24% —
380 COMPLICATED PEPTIC ULCER WITH MCC $62,344 $62,344 $40,365 +54% $39,627 +57% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $62,121 $62,121 $16,640 +273% $20,727 +200% —
849 RADIOTHERAPY $61,954 $61,954 $61,954 +0% $37,862 +64% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $61,844 $61,844 $26,548 +133% $33,876 +83% —
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 $34,851 +76% $32,496 +89% ≈361% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $61,106 $61,106 $40,139 +52% $34,607 +77% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $60,756 $60,756 $28,621 +112% $40,213 +51% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $60,630 $60,630 $50,143 +21% $46,283 +31% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $60,169 $60,169 $60,169 +0% $42,126 +43% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $60,139 $60,139 $41,787 +44% $30,502 +97% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $59,755 $59,755 $54,413 +10% $32,859 +82% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $59,351 $59,351 $41,338 +44% $34,434 +72% —
199 PNEUMOTHORAX WITH MCC $59,185 $59,185 $26,106 +127% $33,787 +75% —
501 SOFT TISSUE PROCEDURES WITH CC $59,018 $59,018 $57,446 +3% $39,619 +49% —
551 MEDICAL BACK PROBLEMS WITH MCC $59,017 $59,017 $25,341 +133% $34,017 +73% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $59,007 $59,007 $18,220 +224% $25,700 +130% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $58,970 $58,970 $23,060 +156% $27,297 +116% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $58,900 $58,900 $36,355 +62% $31,170 +89% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $58,648 $58,648 $24,997 +135% $33,707 +74% ≈331% of Medicare
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $58,531 $58,531 $24,497 +139% $30,828 +90% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $58,419 $58,419 $27,695 +111% $33,255 +76% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $58,364 $58,364 $22,664 +158% $27,394 +113% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $58,287 $58,287 $38,728 +51% $27,323 +113% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $58,220 $58,220 $30,001 +94% $35,692 +63% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $57,744 $57,744 $43,264 +33% $33,393 +73% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $57,421 $57,421 $20,885 +175% $25,034 +129% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $57,197 $57,197 $40,581 +41% $45,167 +27% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $57,034 $57,034 $27,668 +106% $37,844 +51% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $56,995 $56,995 $25,998 +119% $31,951 +78% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $56,977 $56,977 $28,020 +103% $34,459 +65% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $56,877 $56,877 $40,782 +39% $39,211 +45% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $56,253 $56,253 $38,333 +47% $28,125 +100% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $56,187 $56,187 $37,223 +51% $21,230 +165% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $55,925 $55,925 $22,628 +147% $24,586 +127% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $55,854 $55,854 $55,854 +0% $46,295 +21% —
919 COMPLICATIONS OF TREATMENT WITH MCC $55,625 $55,625 $37,017 +50% $31,105 +79% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $55,501 $55,501 $33,885 +64% $19,815 +180% —
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% $33,653 +65% —
665 PROSTATECTOMY WITH MCC $55,269 $55,269 $55,269 +0% $54,072 +2% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $55,261 $55,261 $44,191 +25% $47,737 +16% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $55,253 $55,253 $38,607 +43% $32,100 +72% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $55,136 $55,136 $29,205 +89% $28,156 +96% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $54,892 $54,892 $29,651 +85% $30,235 +82% —
811 RED BLOOD CELL DISORDERS WITH MCC $54,452 $54,452 $20,015 +172% $28,226 +93% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $54,098 $54,098 $33,051 +64% $26,870 +101% —
181 RESPIRATORY NEOPLASMS WITH CC $53,742 $53,742 $19,834 +171% $23,573 +128% —
571 SKIN DEBRIDEMENT WITH CC $53,568 $53,568 $24,925 +115% $37,169 +44% —
348 ANAL AND STOMAL PROCEDURES WITH CC $53,414 $53,414 $36,474 +46% $27,947 +91% —
865 VIRAL ILLNESS WITH MCC $53,412 $53,412 $40,279 +33% $26,910 +98% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $53,381 $53,381 $30,470 +75% $20,911 +155% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $53,307 $53,307 $47,712 +12% $22,811 +134% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $52,751 $52,751 $30,610 +72% $25,970 +103% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $52,751 $52,751 $33,163 +59% $30,770 +71% —
102 HEADACHES WITH MCC $52,686 $52,686 $35,465 +49% $25,740 +105% —
637 DIABETES WITH MCC $52,644 $52,644 $22,095 +138% $30,100 +75% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $52,639 $52,639 $16,872 +212% $23,488 +124% —
186 PLEURAL EFFUSION WITH MCC $52,608 $52,608 $31,640 +66% $33,834 +55% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $52,268 $52,268 $21,483 +143% $30,959 +69% —
602 CELLULITIS WITH MCC $52,084 $52,084 $20,094 +159% $30,598 +70% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $52,078 $52,078 $43,575 +20% $30,784 +69% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $51,823 $51,823 $17,269 +200% $23,319 +122% —
123 NEUROLOGICAL EYE DISORDERS $51,762 $51,762 $23,803 +117% $19,745 +162% —
920 COMPLICATIONS OF TREATMENT WITH CC $51,653 $51,653 $16,379 +215% $22,468 +130% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $51,373 $51,373 $41,811 +23% $28,320 +81% —
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 $51,031 +0% $20,259 +152% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $51,020 $51,020 $25,121 +103% $31,563 +62% —
669 TRANSURETHRAL PROCEDURES WITH CC $50,944 $50,944 $50,944 +0% $34,354 +48% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $50,783 $50,783 $38,494 +32% $38,101 +33% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $50,743 $50,743 $16,392 +210% $23,940 +112% ≈398% of Medicare
183 MAJOR CHEST TRAUMA WITH MCC $50,649 $50,649 $31,526 +61% $29,933 +69% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $50,551 $50,551 $35,876 +41% $32,628 +55% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $50,410 $50,410 $25,881 +95% $33,555 +50% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $50,219 $50,219 $23,307 +115% $32,877 +53% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $49,850 $49,850 $21,277 +134% $27,119 +84% —
157 DENTAL AND ORAL DISEASES WITH MCC $49,801 $49,801 $48,503 +3% $31,300 +59% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $49,476 $49,476 $43,890 +13% $26,618 +86% —
643 ENDOCRINE DISORDERS WITH MCC $49,348 $49,348 $46,277 +7% $33,563 +47% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $48,646 $48,646 $34,453 +41% $27,633 +76% —
139 SALIVARY GLAND PROCEDURES $48,460 $48,460 $48,460 +0% $23,612 +105% —
375 DIGESTIVE MALIGNANCY WITH CC $48,441 $48,441 $19,141 +153% $27,277 +78% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $48,386 $48,386 $31,681 +53% $31,159 +55% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $48,093 $48,093 $40,531 +19% $40,108 +20% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $48,015 $48,015 $31,123 +54% $27,285 +76% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $47,975 $47,975 $36,971 +30% $32,433 +48% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $47,697 $47,697 $32,197 +48% $26,051 +83% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $47,675 $47,675 $30,820 +55% $31,017 +54% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $47,247 $47,247 $23,162 +104% $25,094 +88% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $47,127 $47,127 $42,796 +10% $31,264 +51% —
682 RENAL FAILURE WITH MCC $46,278 $46,278 $22,687 +104% $29,064 +59% ≈344% of Medicare
813 COAGULATION DISORDERS $46,274 $46,274 $30,969 +49% $33,296 +39% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $46,155 $46,155 $45,091 +2% $33,454 +38% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $46,098 $46,098 $25,994 +77% $30,553 +51% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $46,033 $46,033 $18,572 +148% $25,712 +79% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $46,025 $46,025 $23,685 +94% $22,458 +105% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $45,945 $45,945 $45,945 +0% $33,661 +36% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $45,927 $45,927 $12,723 +261% $14,514 +216% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $45,877 $45,877 $24,570 +87% $25,748 +78% —
549 SEPTIC ARTHRITIS WITH CC $45,562 $45,562 $31,807 +43% $24,056 +89% —
711 TESTES PROCEDURES WITH CC/MCC $45,395 $45,395 $45,395 +0% $38,343 +18% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $45,393 $45,393 $45,393 +0% $25,390 +79% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $45,302 $45,302 $19,694 +130% $27,543 +64% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $44,360 $44,360 $39,818 +11% $27,043 +64% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC $44,315 $44,315 $17,408 +155% $18,316 +142% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $44,172 $44,172 $18,845 +134% $26,770 +65% ≈346% of Medicare
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $43,876 $43,876 $27,381 +60% $19,854 +121% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $43,685 $43,685 $28,540 +53% $18,649 +134% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $43,682 $43,682 $30,243 +44% $36,937 +18% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $43,469 $43,469 $34,199 +27% $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 $18,313 +136% $25,463 +69% ≈378% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $42,846 $42,846 $24,871 +72% $26,682 +61% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $42,794 $42,794 $22,265 +92% $26,463 +62% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $42,452 $42,452 $17,135 +148% $12,229 +247% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $42,325 $42,325 $28,922 +46% $26,580 +59% ≈364% of Medicare
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $42,301 $42,301 $31,840 +33% $22,148 +91% —
089 CONCUSSION WITH CC $42,178 $42,178 $29,643 +42% $18,821 +124% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $42,151 $42,151 $42,151 +0% $14,501 +191% —
291 HEART FAILURE AND SHOCK WITH MCC $42,118 $42,118 $18,066 +133% $26,776 +57% ≈373% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $42,049 $42,049 $20,296 +107% $27,275 +54% ≈358% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $42,026 $42,026 $16,963 +148% $23,551 +78% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $41,983 $41,983 $19,350 +117% $22,851 +84% —
592 SKIN ULCERS WITH MCC $41,930 $41,930 $32,928 +27% $33,246 +26% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $41,910 $41,910 $41,910 +0% $35,465 +18% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $41,902 $41,902 $41,902 +0% $33,424 +25% —
158 DENTAL AND ORAL DISEASES WITH CC $41,552 $41,552 $15,402 +170% $18,466 +125% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $41,483 $41,483 $26,023 +59% $33,048 +26% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $41,451 $41,451 $41,451 +0% $32,944 +26% —
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% $23,617 +75% ≈382% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $41,293 $41,293 $16,043 +157% $21,941 +88% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $41,200 $41,200 $41,200 +0% $44,546 −8% —
200 PNEUMOTHORAX WITH CC $41,169 $41,169 $17,568 +134% $21,368 +93% —
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 $30,233 +35% $23,498 +74% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $40,676 $40,676 $23,117 +76% $30,571 +33% —
540 OSTEOMYELITIS WITH CC $40,577 $40,577 $19,990 +103% $26,676 +52% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $40,499 $40,499 $19,865 +104% $28,050 +44% —
914 TRAUMATIC INJURY WITHOUT MCC $40,331 $40,331 $10,952 +268% $15,855 +154% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $40,274 $40,274 $16,935 +138% $24,914 +62% —
947 SIGNS AND SYMPTOMS WITH MCC $40,249 $40,249 $19,887 +102% $27,401 +47% —
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 $23,945 +66% $26,080 +53% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $39,694 $39,694 $21,563 +84% $26,280 +51% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $39,460 $39,460 $38,324 +3% $27,989 +41% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $39,455 $39,455 $16,171 +144% $20,957 +88% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $39,230 $39,230 $16,847 +133% $19,657 +100% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $39,165 $39,165 $13,066 +200% $12,559 +212% —
302 ATHEROSCLEROSIS WITH MCC $38,966 $38,966 $21,574 +81% $22,446 +74% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $38,777 $38,777 $12,127 +220% $20,781 +87% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $38,736 $38,736 $16,538 +134% $22,098 +75% ≈390% of Medicare
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $38,734 $38,734 $17,770 +118% $24,386 +59% ≈354% of Medicare
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $38,672 $38,672 $38,672 +0% $14,055 +175% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $38,595 $38,595 $32,031 +20% $32,031 +20% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $38,564 $38,564 $38,564 +0% $29,743 +30% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $38,550 $38,550 $38,550 +0% $33,851 +14% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $38,543 $38,543 $20,902 +84% $15,495 +149% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $38,454 $38,454 $14,396 +167% $20,232 +90% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $38,211 $38,211 $12,879 +197% $16,565 +131% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $37,875 $37,875 $16,575 +129% $22,888 +65% ≈383% of Medicare
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $37,874 $37,874 $19,043 +99% $24,127 +57% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $37,844 $37,844 $17,089 +121% $20,422 +85% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $37,834 $37,834 $22,477 +68% $28,140 +34% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $37,788 $37,788 $13,791 +174% $18,126 +108% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $37,667 $37,667 $16,070 +134% $22,024 +71% ≈384% of Medicare
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $37,610 $37,610 $16,429 +129% $22,506 +67% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $37,381 $37,381 $16,823 +122% $22,763 +64% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $37,206 $37,206 $26,814 +39% $20,901 +78% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $37,109 $37,109 $13,438 +176% $17,620 +111% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $37,084 $37,084 $37,084 +0% $32,697 +13% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $36,946 $36,946 $32,283 +14% $24,552 +50% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $36,934 $36,934 $13,044 +183% $21,056 +75% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $36,878 $36,878 $27,211 +36% $24,544 +50% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $36,301 $36,301 $36,301 +0% $22,320 +63% —
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 $36,181 +0% $39,173 −7% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $36,262 $36,262 $16,396 +121% $23,283 +56% —
184 MAJOR CHEST TRAUMA WITH CC $36,233 $36,233 $17,057 +112% $22,432 +62% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $36,036 $36,036 $26,331 +37% $25,581 +41% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $36,003 $36,003 $36,003 +0% $29,826 +21% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $35,464 $35,464 $13,747 +158% $21,396 +66% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $35,405 $35,405 $26,233 +35% $19,924 +78% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $35,356 $35,356 $16,933 +109% $20,181 +75% —
187 PLEURAL EFFUSION WITH CC $35,305 $35,305 $16,225 +118% $21,789 +62% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $35,205 $35,205 $25,281 +39% $31,321 +12% —
694 URINARY STONES WITHOUT MCC $35,041 $35,041 $13,336 +163% $17,345 +102% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $34,583 $34,583 $17,973 +92% $25,279 +37% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $34,271 $34,271 $31,056 +10% $32,021 +7% —
541 OSTEOMYELITIS WITHOUT CC/MCC $34,080 $34,080 $14,549 +134% $15,215 +124% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $33,935 $33,935 $25,185 +35% $22,557 +50% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $33,835 $33,835 $22,780 +49% $29,221 +16% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $33,808 $33,808 $26,848 +26% $27,617 +22% —
103 HEADACHES WITHOUT MCC $33,777 $33,777 $15,688 +115% $21,280 +59% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $33,662 $33,662 $12,555 +168% $15,837 +113% —
075 VIRAL MENINGITIS WITH CC/MCC $33,649 $33,649 $29,599 +14% $30,447 +11% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $33,575 $33,575 $29,709 +13% $24,944 +35% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $33,307 $33,307 $24,660 +35% $22,850 +46% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $33,235 $33,235 $33,235 +0% $43,174 −23% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $33,212 $33,212 $16,723 +99% $23,141 +44% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $32,991 $32,991 $17,354 +90% $20,926 +58% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $32,884 $32,884 $21,642 +52% $27,808 +18% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $32,812 $32,812 $31,950 +3% $29,805 +10% —
644 ENDOCRINE DISORDERS WITH CC $32,629 $32,629 $16,607 +96% $23,198 +41% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $32,535 $32,535 $22,604 +44% $19,037 +71% —
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 $24,352 +33% $16,212 +100% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $32,150 $32,150 $20,513 +57% $19,569 +64% —
150 EPISTAXIS WITH MCC $32,065 $32,065 $32,065 +0% $23,171 +38% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $31,464 $31,464 $15,684 +101% $21,363 +47% —
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% $20,506 +53% —
263 VEIN LIGATION AND STRIPPING $31,304 $31,304 $31,304 +0% $51,253 −39% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $31,273 $31,273 $17,505 +79% $27,843 +12% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $31,080 $31,080 $20,702 +50% $27,152 +14% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $30,851 $30,851 $16,184 +91% $20,463 +51% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $30,844 $30,844 $30,844 +0% $16,998 +81% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $30,625 $30,625 $16,402 +87% $25,303 +21% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $30,558 $30,558 $17,595 +74% $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% ≈338% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $30,148 $30,148 $14,950 +102% $18,488 +63% —
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 $25,211 +19% $16,968 +77% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $29,940 $29,940 $26,352 +14% $17,118 +75% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $29,692 $29,692 $16,060 +85% $19,846 +50% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $29,585 $29,585 $29,585 +0% $24,566 +20% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $29,484 $29,484 $9,669 +205% $14,797 +99% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $29,457 $29,457 $29,457 +0% $14,415 +104% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $29,409 $29,409 $16,431 +79% $17,601 +67% —
638 DIABETES WITH CC $29,332 $29,332 $15,098 +94% $19,661 +49% —
152 OTITIS MEDIA AND URI WITH MCC $29,323 $29,323 $17,922 +64% $20,247 +45% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $29,060 $29,060 $26,117 +11% $15,600 +86% —
204 RESPIRATORY SIGNS AND SYMPTOMS $29,038 $29,038 $17,932 +62% $18,004 +61% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $28,922 $28,922 $28,922 +0% $40,060 −28% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $28,731 $28,731 $16,431 +75% $21,275 +35% —
292 HEART FAILURE AND SHOCK WITH CC $28,706 $28,706 $13,653 +110% $16,371 +75% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $28,631 $28,631 $16,382 +75% $19,264 +49% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $28,620 $28,620 $14,344 +100% $18,807 +52% ≈335% of Medicare
683 RENAL FAILURE WITH CC $28,528 $28,528 $14,731 +94% $19,130 +49% ≈361% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $28,517 $28,517 $16,076 +77% $22,033 +29% —
149 DYSEQUILIBRIUM $28,492 $28,492 $20,694 +38% $18,096 +57% —
176 PULMONARY EMBOLISM WITHOUT MCC $28,417 $28,417 $13,765 +106% $18,081 +57% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $28,281 $28,281 $14,644 +93% $16,699 +69% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $28,242 $28,242 $28,242 +0% $16,552 +71% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $28,167 $28,167 $13,506 +109% $17,921 +57% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $28,156 $28,156 $27,750 +1% $29,079 −3% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $28,144 $28,144 $12,605 +123% $19,227 +46% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $28,076 $28,076 $21,051 +33% $18,528 +52% —
265 AICD lead procedures $28,051 $28,051 $28,051 +0% $63,171 −56% —
906 HAND PROCEDURES FOR INJURIES $27,969 $27,969 $27,969 +0% $32,065 −13% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $27,441 $27,441 $13,288 +107% $17,124 +60% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $27,330 $27,330 $27,330 +0% $16,700 +64% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $27,249 $27,249 $27,249 +0% $19,598 +39% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $27,037 $27,037 $27,037 +0% $19,354 +40% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $26,875 $26,875 $12,055 +123% $17,578 +53% ≈361% of Medicare
594 SKIN ULCERS WITHOUT CC/MCC $26,842 $26,842 $14,209 +89% $14,209 +89% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $26,691 $26,691 $26,691 +0% $19,594 +36% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $26,492 $26,492 $12,811 +107% $16,450 +61% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $26,171 $26,171 $21,394 +22% $18,452 +42% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $26,147 $26,147 $14,795 +77% $19,842 +32% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $26,025 $26,025 $13,978 +86% $18,204 +43% ≈381% 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 $17,409 +49% $17,733 +46% —
305 HYPERTENSION WITHOUT MCC $25,870 $25,870 $12,937 +100% $18,086 +43% ≈401% of Medicare
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $25,636 $25,636 $12,789 +100% $17,303 +48% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $25,445 $25,445 $14,383 +77% $19,138 +33% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $25,059 $25,059 $12,609 +99% $16,767 +49% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $24,617 $24,617 $15,172 +62% $20,488 +20% ≈402% of Medicare
885 PSYCHOSES $24,613 $24,613 $20,878 +18% $21,729 +13% —
712 TESTES PROCEDURES WITHOUT CC/MCC $24,568 $24,568 $24,568 +0% $18,898 +30% —
137 MOUTH PROCEDURES WITH CC/MCC $24,194 $24,194 $24,194 +0% $27,861 −13% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $24,183 $24,183 $13,719 +76% $18,002 +34% ≈436% of Medicare
603 CELLULITIS WITHOUT MCC $24,070 $24,070 $14,626 +65% $18,530 +30% ≈390% of Medicare
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $24,065 $24,065 $21,834 +10% $27,426 −12% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $23,996 $23,996 $18,301 +31% $20,895 +15% —
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 $22,303 +7% $18,956 +25% —
101 SEIZURES WITHOUT MCC $23,728 $23,728 $15,157 +57% $20,461 +16% —
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 $13,184 +79% $14,648 +62% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $23,623 $23,623 $10,876 +117% $14,368 +64% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $23,518 $23,518 $19,973 +18% $22,635 +4% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $23,213 $23,213 $22,703 +2% $16,520 +41% —
313 CHEST PAIN $23,107 $23,107 $11,135 +108% $16,440 +41% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $23,061 $23,061 $15,741 +47% $17,724 +30% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $23,012 $23,012 $14,630 +57% $16,288 +41% —
916 ALLERGIC REACTIONS WITHOUT MCC $22,997 $22,997 $11,813 +95% $13,942 +65% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $22,915 $22,915 $13,130 +75% $12,895 +78% —
593 SKIN ULCERS WITH CC $22,886 $22,886 $19,063 +20% $22,886 +0% —
684 RENAL FAILURE WITHOUT CC/MCC $22,808 $22,808 $11,077 +106% $13,642 +67% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $22,643 $22,643 $12,642 +79% $17,322 +31% ≈384% 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 $21,762 +4% $20,980 +7% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $22,525 $22,525 $22,525 +0% $18,072 +25% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $22,434 $22,434 $22,434 +0% $19,962 +12% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $22,404 $22,404 $13,059 +72% $17,038 +31% ≈378% of Medicare
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $22,388 $22,388 $14,405 +55% $18,602 +20% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $22,367 $22,367 $15,777 +42% $18,126 +23% —
303 ATHEROSCLEROSIS WITHOUT MCC $22,148 $22,148 $11,921 +86% $14,927 +48% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $22,137 $22,137 $20,164 +10% $25,652 −14% —
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% $13,651 +62% —
201 PNEUMOTHORAX WITHOUT CC/MCC $21,963 $21,963 $18,062 +22% $14,053 +56% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $21,957 $21,957 $21,957 +0% $13,445 +63% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $21,226 $21,226 $13,658 +55% $16,846 +26% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $21,208 $21,208 $11,752 +80% $14,638 +45% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $21,107 $21,107 $21,107 +0% $22,314 −5% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $21,097 $21,097 $13,385 +58% $14,014 +51% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $21,006 $21,006 $10,110 +108% $15,183 +38% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $20,987 $20,987 $13,240 +59% $15,038 +40% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $20,938 $20,938 $17,119 +22% $15,428 +36% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $20,902 $20,902 $18,060 +16% $20,566 +2% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $20,760 $20,760 $14,675 +41% $15,452 +34% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $20,739 $20,739 $16,821 +23% $14,716 +41% —
607 MINOR SKIN DISORDERS WITHOUT MCC $20,719 $20,719 $17,564 +18% $15,889 +30% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $20,711 $20,711 $20,711 +0% $17,135 +21% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $20,540 $20,540 $12,173 +69% $14,689 +40% —
864 FEVER AND INFLAMMATORY CONDITIONS $20,395 $20,395 $12,155 +68% $18,640 +9% —
774 VAGINAL DELIVERY W COMPLICATING DIAGNOSES $20,336 $20,336 $20,336 +0% $3,032 +571% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $20,261 $20,261 $10,316 +96% $12,999 +56% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $20,208 $20,208 $15,827 +28% $19,412 +4% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $20,017 $20,017 $20,017 +0% $13,633 +47% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $19,867 $19,867 $10,332 +92% $14,128 +41% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $19,854 $19,854 $10,296 +93% $13,361 +49% —
090 CONCUSSION WITHOUT CC/MCC $19,839 $19,839 $19,839 +0% $15,412 +29% —
311 ANGINA PECTORIS $19,578 $19,578 $18,689 +5% $15,502 +26% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $19,534 $19,534 $19,534 +0% $17,298 +13% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $19,370 $19,370 $19,370 +0% $15,019 +29% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $19,185 $19,185 $11,368 +69% $12,324 +56% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $19,156 $19,156 $11,921 +61% $14,549 +32% —
639 DIABETES WITHOUT CC/MCC $18,908 $18,908 $11,327 +67% $13,910 +36% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $18,849 $18,849 $15,258 +24% $17,226 +9% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $18,797 $18,797 $18,797 +0% $23,206 −19% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $18,677 $18,677 $18,484 +1% $23,443 −20% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $18,562 $18,562 $17,062 +9% $22,525 −18% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $18,422 $18,422 $12,550 +47% $12,454 +48% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $18,335 $18,335 $18,335 +0% $19,119 −4% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $18,164 $18,164 $16,467 +10% $15,764 +15% —
693 URINARY STONES WITH MCC $18,158 $18,158 $18,158 +0% $23,892 −24% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $18,123 $18,123 $13,267 +37% $18,133 −0% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $17,883 $17,883 $13,505 +32% $17,674 +1% ≈404% of Medicare
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $17,595 $17,595 $11,355 +55% $13,275 +33% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $17,421 $17,421 $12,284 +42% $15,549 +12% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $17,397 $17,397 $17,397 +0% $18,150 −4% —
534 FRACTURES OF FEMUR WITHOUT MCC $17,290 $17,290 $13,759 +26% $17,559 −2% —
775 VAGINAL DELIVERY W/O COMPLICATING DIAGNOSES $17,090 $17,090 $17,090 +0% $3,032 +464% —
881 DEPRESSIVE NEUROSES $17,084 $17,084 $15,058 +13% $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 $9,995 +68% $13,384 +25% ≈415% of Medicare
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,700 $16,700 $14,100 +18% $14,250 +17% —
779 ABORTION WITHOUT D&C $16,495 $16,495 $15,911 +4% $15,327 +8% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $15,639 $15,639 $13,436 +16% $8,445 +85% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $15,633 $15,633 $10,563 +48% $12,078 +29% —
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 $15,215 +0% $15,215 +0% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,076 $15,076 $13,655 +10% $12,460 +21% —
866 VIRAL ILLNESS WITHOUT MCC $15,071 $15,071 $15,071 +0% $17,081 −12% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $14,790 $14,790 $10,553 +40% $10,160 +46% —
153 OTITIS MEDIA AND URI WITHOUT MCC $13,786 $13,786 $13,109 +5% $14,583 −5% —
151 EPISTAXIS WITHOUT MCC $12,677 $12,677 $12,677 +0% $13,032 −3% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $12,066 $12,066 $11,568 +4% $11,071 +9% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $10,973 $10,973 $10,973 +0% $10,975 −0% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $10,427 $10,427 $10,427 +0% $26,510 −61% —
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% $12,252 −18% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $9,781 $9,781 $9,781 +0% $10,480 −7% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $9,477 $9,477 $9,477 +0% $9,940 −5% —
935 NON-EXTENSIVE BURNS $9,460 $9,460 $12,254 −23% $31,701 −70% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $8,476 $8,476 $8,476 +0% $11,909 −29% —
766 CESAREAN SECTION W/O CC/MCC $7,573 $7,573 $7,573 +0% $5,336 +42% —
795 NORMAL NEWBORN $4,835 $4,835 $4,460 +8% $4,720 +2% —
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