Medical West, an Affiliate of UAB Health System — Pricing

400 procedures published in this hospital's Machine-Readable File (MRF) — 400 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 400
Lowest published price $1,827
Average published price $48,620
Highest published price $468,216

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 400 procedures

Published charges

Showing all 400 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 18 procedures, this hospital's negotiated rates average ≈129% of what Medicare pays.

DRG Description Published price Cash price vs. AL median vs. National median vs Medicare
289 Acute and subacute endocarditis with cc $468,216 $117,054 $37,084 +1163% $29,891 +1466% —
097 Non-bacterial infection of nervous system except viral meningitis with mcc $270,197 $67,549 $49,718 +443% $57,855 +367% —
321 Percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $248,369 $62,092 $100,617 +147% $74,274 +234% —
004 Tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $232,659 $58,165 $232,659 +0% $245,189 −5% —
204 Respiratory signs and symptoms $225,048 $56,262 $17,742 +1168% $16,804 +1239% —
296 Cardiac arrest, unexplained with mcc $173,037 $43,259 $36,463 +375% $30,768 +462% —
907 Other o.r. procedures for injuries with mcc $156,401 $39,100 $54,898 +185% $71,519 +119% —
981 Extensive o.r. procedures unrelated to principal diagnosis with mcc $150,653 $37,663 $64,874 +132% $84,825 +78% —
485 Knee procedures with principal diagnosis of infection with mcc $150,594 $37,649 $134,426 +12% $64,956 +132% —
542 Pathological fractures and musculoskeletal and connective tissue malignancy with mcc $144,338 $36,084 $32,818 +340% $34,886 +314% —
003 Ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $142,884 $35,721 $514,267 −72% $371,366 −62% —
329 Major small and large bowel procedures with mcc $132,372 $33,093 $65,262 +103% $88,050 +50% —
870 Septicemia or severe sepsis with mv >96 hours $124,851 $31,213 $124,851 +0% $137,160 −9% —
095 Bacterial and tuberculous infections of nervous system with cc $122,938 $30,734 $56,817 +116% $47,583 +158% —
207 Respiratory system diagnosis with ventilator support >96 hours $121,596 $30,399 $86,661 +40% $116,058 +5% —
576 Skin graft except for skin ulcer or cellulitis with mcc $121,192 $30,298 $91,539 +32% $82,527 +47% —
027 Craniotomy and endovascular intracranial procedures without cc/mcc $115,974 $28,994 $46,057 +152% $52,332 +122% —
335 Peritoneal adhesiolysis with mcc $114,558 $28,639 $50,222 +128% $71,755 +60% —
486 Knee procedures with principal diagnosis of infection with cc $113,715 $28,429 $32,327 +252% $46,477 +145% —
183 Major chest trauma with mcc $113,546 $28,387 $23,796 +377% $28,924 +293% —
500 Soft tissue procedures with mcc $112,152 $28,038 $48,848 +130% $57,181 +96% —
353 Hernia procedures except inguinal and femoral with mcc $109,877 $27,469 $41,261 +166% $60,140 +83% —
466 Revision of hip or knee replacement with mcc $107,038 $26,759 $107,038 +0% $94,320 +13% —
255 Upper limb and toe amputation for circulatory system disorders with mcc $105,685 $26,421 $37,153 +184% $43,697 +142% —
026 Craniotomy and endovascular intracranial procedures with cc $101,266 $25,317 $47,607 +113% $63,310 +60% —
034 Carotid artery stent procedures with mcc $99,940 $24,985 $53,665 +86% $72,908 +37% —
853 Infectious and parasitic diseases with o.r. procedures with mcc $99,261 $24,815 $61,938 +60% $86,938 +14% ≈79% of Medicare
492 Lower extremity and humerus procedures except hip, foot and femur with mcc $99,008 $24,752 $95,151 +4% $70,540 +40% —
269 Aortic and heart assist procedures except pulsation balloon without mcc $96,602 $24,151 $130,843 −26% $83,065 +16% —
239 Amputation for circulatory system disorders except upper limb and toe with mcc $94,233 $23,558 $72,728 +30% $87,575 +8% —
535 Fractures of hip and pelvis with mcc $94,135 $23,534 $27,967 +237% $22,874 +312% —
031 Ventricular shunt procedures with mcc $92,325 $23,081 $57,584 +60% $68,590 +35% —
673 Other kidney and urinary tract procedures with mcc $90,331 $22,583 $57,570 +57% $72,879 +24% —
326 Stomach, esophageal and duodenal procedures with mcc $87,597 $21,899 $75,528 +16% $80,747 +8% —
467 Revision of hip or knee replacement with cc $87,399 $21,850 $71,942 +21% $68,421 +28% —
252 Other vascular procedures with mcc $87,339 $21,835 $61,496 +42% $68,508 +27% —
240 Amputation for circulatory system disorders except upper limb and toe with cc $85,497 $21,374 $46,886 +82% $54,475 +57% —
493 Lower extremity and humerus procedures except hip, foot and femur with cc $85,100 $21,275 $51,300 +66% $56,394 +51% —
073 Cranial and peripheral nerve disorders with mcc $85,004 $21,251 $24,470 +247% $28,252 +201% —
163 Major chest procedures with mcc $84,785 $21,196 $63,017 +35% $88,341 −4% —
435 Malignancy of hepatobiliary system or pancreas with mcc $84,770 $21,193 $44,648 +90% $37,950 +123% —
471 Cervical spinal fusion with mcc $84,730 $21,182 $78,025 +9% $92,515 −8% —
472 Cervical spinal fusion with cc $84,631 $21,158 $64,812 +31% $59,537 +42% —
268 Aortic and heart assist procedures except pulsation balloon with mcc $84,451 $21,113 $102,020 −17% $115,937 −27% —
521 Hip replacement with principal diagnosis of hip fracture with mcc $81,916 $20,479 $66,649 +23% $66,765 +23% —
166 Other respiratory system o.r. procedures with mcc $81,522 $20,380 $67,344 +21% $72,274 +13% —
488 Knee procedures without principal diagnosis of infection with cc/mcc $81,045 $20,261 $34,205 +137% $41,520 +95% —
473 Cervical spinal fusion without cc/mcc $80,796 $20,199 $33,920 +138% $50,624 +60% —
152 Otitis media and uri with mcc $80,021 $20,005 $17,922 +346% $19,657 +307% —
035 Carotid artery stent procedures with cc $79,449 $19,862 $44,664 +78% $46,306 +72% —
987 Non-extensive o.r. procedures unrelated to principal diagnosis with mcc $78,790 $19,698 $51,736 +52% $65,383 +21% —
713 Transurethral prostatectomy with cc/mcc $77,246 $19,312 $21,961 +252% $29,630 +161% —
091 Other disorders of nervous system with mcc $76,486 $19,122 $26,853 +185% $35,990 +113% —
956 Limb reattachment, hip and femur procedures for multiple significant trauma $75,812 $18,953 $75,812 +0% $75,103 +1% —
025 Craniotomy and endovascular intracranial procedures with mcc $75,691 $18,923 $83,680 −10% $88,307 −14% —
477 Biopsies of musculoskeletal system and connective tissue with mcc $72,680 $18,170 $75,430 −4% $61,353 +18% —
856 Postoperative or post-traumatic infections with o.r. procedures with mcc $72,610 $18,153 $61,750 +18% $72,843 −0% —
480 Hip and femur procedures except major joint with mcc $71,980 $17,995 $58,114 +24% $63,984 +12% —
469 Major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $71,189 $17,797 $45,618 +56% $64,468 +10% —
330 Major small and large bowel procedures with cc $70,912 $17,728 $61,205 +16% $58,713 +21% —
478 Biopsies of musculoskeletal system and connective tissue with cc $70,867 $17,717 $44,288 +60% $50,139 +41% —
334 Rectal resection without cc/mcc $70,864 $17,716 $31,864 +122% $32,213 +120% —
474 Amputation for musculoskeletal system and connective tissue disorders with mcc $70,313 $17,578 $93,264 −25% $76,954 −9% —
037 Extracranial procedures with mcc $70,105 $17,526 $70,105 +0% $64,749 +8% —
253 Other vascular procedures with cc $69,898 $17,474 $42,816 +63% $53,746 +30% —
327 Stomach, esophageal and duodenal procedures with cc $69,486 $17,372 $51,769 +34% $54,681 +27% —
057 Degenerative nervous system disorders without mcc $69,231 $17,308 $20,513 +237% $25,412 +172% —
470 Major hip and knee joint replacement or reattachment of lower extremity without mcc $68,952 $17,238 $55,708 +24% $48,801 +41% —
742 Uterine and adnexa procedures for non-malignancy with cc/mcc $68,402 $17,101 $26,903 +154% $40,552 +69% —
674 Other kidney and urinary tract procedures with cc $67,371 $16,843 $55,732 +21% $49,631 +36% —
151 Epistaxis without mcc $66,507 $16,627 $12,854 +417% $13,032 +410% —
841 Lymphoma and non-acute leukemia with cc $66,136 $16,534 $27,720 +139% $30,224 +119% —
038 Extracranial procedures with cc $65,922 $16,481 $42,944 +54% $35,770 +84% —
657 Kidney and ureter procedures for neoplasm with cc $65,119 $16,280 $52,218 +25% $40,583 +60% —
481 Hip and femur procedures except major joint with cc $65,035 $16,259 $37,703 +72% $50,998 +28% ≈136% of Medicare
557 Tendonitis, myositis and bursitis with mcc $64,917 $16,229 $23,307 +179% $28,385 +129% —
314 Other circulatory system diagnoses with mcc $64,782 $16,195 $31,144 +108% $38,166 +70% —
669 Transurethral procedures with cc $64,715 $16,179 $46,946 +38% $34,354 +88% —
355 Hernia procedures except inguinal and femoral without cc/mcc $64,607 $16,152 $22,807 +183% $31,978 +102% —
843 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $64,565 $16,141 $27,767 +133% $36,241 +78% —
565 Other musculoskeletal system and connective tissue diagnoses with cc $63,473 $15,868 $16,429 +286% $21,499 +195% —
441 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $63,420 $15,855 $34,271 +85% $31,913 +99% —
354 Hernia procedures except inguinal and femoral with cc $63,374 $15,844 $45,717 +39% $43,266 +46% —
871 Septicemia or severe sepsis without mv >96 hours with mcc $63,355 $15,839 $30,658 +107% $34,876 +82% ≈134% of Medicare
597 Malignant breast disorders with mcc $61,858 $15,464 $30,109 +105% $31,846 +94% —
371 Major gastrointestinal disorders and peritoneal infections with mcc $61,537 $15,384 $25,881 +138% $31,627 +95% —
165 Major chest procedures without cc/mcc $61,438 $15,360 $62,167 −1% $41,380 +48% —
199 Pneumothorax with mcc $61,170 $15,292 $33,873 +81% $31,085 +97% —
522 Hip replacement with principal diagnosis of hip fracture without mcc $60,758 $15,190 $57,185 +6% $55,147 +10% —
637 Diabetes with mcc $60,560 $15,140 $22,095 +174% $28,772 +110% —
283 Acute myocardial infarction, expired with mcc $60,500 $15,125 $35,472 +71% $35,108 +72% —
337 Peritoneal adhesiolysis without cc/mcc $60,481 $15,120 $29,617 +104% $35,961 +68% —
497 Local excision and removal of internal fixation devices except hip and femur without cc/mcc $60,420 $15,105 $20,619 +193% $29,805 +103% —
254 Other vascular procedures without cc/mcc $60,283 $15,071 $36,870 +64% $38,836 +55% —
616 Amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $59,596 $14,899 $53,357 +12% $62,961 −5% —
570 Skin debridement with mcc $59,564 $14,891 $42,263 +41% $51,501 +16% —
056 Degenerative nervous system disorders with mcc $59,497 $14,874 $32,497 +83% $39,409 +51% —
823 Lymphoma and non-acute leukemia with other procedures with mcc $59,312 $14,828 $76,990 −23% $80,885 −27% —
350 Inguinal and femoral hernia procedures with mcc $59,225 $14,806 $32,981 +80% $45,937 +29% —
032 Ventricular shunt procedures with cc $59,186 $14,797 $30,912 +91% $44,719 +32% —
423 Other hepatobiliary or pancreas o.r. procedures with mcc $59,130 $14,782 $65,570 −10% $71,873 −18% —
464 Wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $58,551 $14,638 $41,464 +41% $54,313 +8% —
331 Major small and large bowel procedures without cc/mcc $58,450 $14,613 $50,801 +15% $44,087 +33% —
494 Lower extremity and humerus procedures except hip, foot and femur without cc/mcc $58,449 $14,612 $41,729 +40% $45,916 +27% —
336 Peritoneal adhesiolysis with cc $58,173 $14,543 $42,937 +35% $49,071 +19% —
511 Shoulder, elbow or forearm procedures, except major joint procedures with cc $58,034 $14,509 $40,626 +43% $43,538 +33% —
468 Revision of hip or knee replacement without cc/mcc $57,486 $14,372 $66,707 −14% $54,929 +5% —
380 Complicated peptic ulcer with mcc $57,470 $14,367 $28,169 +104% $36,537 +57% —
175 Pulmonary embolism with mcc or acute cor pulmonale $57,440 $14,360 $21,483 +167% $29,521 +95% —
256 Upper limb and toe amputation for circulatory system disorders with cc $57,231 $14,308 $36,232 +58% $29,671 +93% —
949 Aftercare with cc/mcc $56,690 $14,172 $17,198 +230% $23,953 +137% —
263 Vein ligation and stripping $56,613 $14,153 $33,529 +69% $44,938 +26% —
475 Amputation for musculoskeletal system and connective tissue disorders with cc $56,508 $14,127 $31,193 +81% $44,553 +27% —
501 Soft tissue procedures with cc $55,874 $13,969 $29,594 +89% $37,975 +47% —
983 Extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $55,431 $13,858 $24,846 +123% $30,930 +79% —
092 Other disorders of nervous system with cc $55,138 $13,784 $16,935 +226% $24,000 +130% —
581 Other skin, subcutaneous tissue and breast procedures without cc/mcc $55,121 $13,780 $33,812 +63% $25,243 +118% —
357 Other digestive system o.r. procedures with cc $54,509 $13,627 $39,801 +37% $48,682 +12% —
982 Extensive o.r. procedures unrelated to principal diagnosis with cc $54,433 $13,608 $34,970 +56% $51,985 +5% —
862 Postoperative and post-traumatic infections with mcc $54,413 $13,603 $28,912 +88% $29,867 +82% —
064 Intracranial hemorrhage or cerebral infarction with mcc $54,381 $13,595 $30,079 +81% $35,714 +52% —
739 Uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with mcc $54,187 $13,547 $54,862 −1% $57,521 −6% —
876 O.r. procedures with principal diagnosis of mental illness $53,469 $13,367 $32,855 +63% $54,196 −1% —
563 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $52,755 $13,189 $14,795 +257% $18,243 +189% —
717 Other male reproductive system o.r. procedures except malignancy with cc/mcc $52,521 $13,130 $48,863 +7% $32,538 +61% —
988 Non-extensive o.r. procedures unrelated to principal diagnosis with cc $52,138 $13,035 $52,138 +0% $38,094 +37% —
208 Respiratory system diagnosis with ventilator support <=96 hours $52,130 $13,033 $38,027 +37% $52,405 −1% —
559 Aftercare, musculoskeletal system and connective tissue with mcc $51,935 $12,984 $27,287 +90% $30,681 +69% —
580 Other skin, subcutaneous tissue and breast procedures with cc $51,644 $12,911 $26,206 +97% $36,355 +42% —
584 Breast biopsy, local excision and other breast procedures with cc/mcc $51,631 $12,908 $29,767 +73% $34,089 +51% —
385 Inflammatory bowel disease with mcc $50,949 $12,737 $26,112 +95% $25,998 +96% —
356 Other digestive system o.r. procedures with mcc $50,872 $12,718 $87,092 −42% $82,561 −38% —
288 Acute and subacute endocarditis with mcc $50,833 $12,708 $38,070 +34% $45,497 +12% —
264 Other circulatory system o.r. procedures $50,452 $12,613 $59,020 −15% $51,953 −3% —
854 Infectious and parasitic diseases with o.r. procedures with cc $50,366 $12,592 $29,127 +73% $43,444 +16% —
536 Fractures of hip and pelvis without mcc $50,263 $12,566 $13,719 +266% $17,754 +183% —
344 Minor small and large bowel procedures with mcc $49,999 $12,500 $41,200 +21% $44,839 +12% —
146 Ear, nose, mouth and throat malignancy with mcc $49,835 $12,459 $32,969 +51% $37,080 +34% —
628 Other endocrine, nutritional and metabolic o.r. procedures with mcc $49,538 $12,384 $78,579 −37% $68,331 −28% —
545 Connective tissue disorders with mcc $49,517 $12,379 $42,062 +18% $39,657 +25% —
417 Laparoscopic cholecystectomy without c.d.e. with mcc $49,394 $12,349 $34,039 +45% $51,950 −5% —
617 Amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $49,012 $12,253 $28,264 +73% $42,881 +14% —
244 Permanent cardiac pacemaker implant without cc/mcc $48,806 $12,201 $55,770 −12% $40,063 +22% —
189 Pulmonary edema and respiratory failure $48,649 $12,162 $28,922 +68% $24,603 +98% ≈153% of Medicare
963 Other multiple significant trauma with mcc $48,465 $12,116 $36,691 +32% $43,491 +11% —
242 Permanent cardiac pacemaker implant with mcc $48,458 $12,115 $48,458 +0% $70,132 −31% —
181 Respiratory neoplasms with cc $48,356 $12,089 $17,604 +175% $22,065 +119% —
299 Peripheral vascular disorders with mcc $48,289 $12,072 $24,189 +100% $25,596 +89% —
036 Carotid artery stent procedures without cc/mcc $48,243 $12,061 $34,321 +41% $40,694 +19% —
659 Kidney and ureter procedures for non-neoplasm with mcc $48,006 $12,001 $42,371 +13% $47,574 +1% —
919 Complications of treatment with mcc $47,828 $11,957 $27,399 +75% $29,031 +65% —
271 Other major cardiovascular procedures with cc $47,692 $11,923 $47,899 −0% $71,014 −33% —
377 Gastrointestinal hemorrhage with mcc $47,476 $11,869 $25,827 +84% $37,842 +25% —
458 Spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc $47,273 $11,818 $59,237 −20% $83,441 −43% —
813 Coagulation disorders $47,159 $11,790 $21,647 +118% $30,128 +57% —
791 Prematurity with major problems $46,995 $11,749 $21,432 +119% $39,254 +20% —
243 Permanent cardiac pacemaker implant with cc $46,976 $11,744 $61,267 −23% $50,011 −6% —
747 Vagina, cervix and vulva procedures without cc/mcc $46,384 $11,596 $15,591 +197% $19,326 +140% —
196 Interstitial lung disease with mcc $46,245 $11,561 $27,647 +67% $30,362 +52% —
358 Other digestive system o.r. procedures without cc/mcc $45,985 $11,496 $29,453 +56% $29,374 +57% —
560 Aftercare, musculoskeletal system and connective tissue with cc $45,804 $11,451 $17,973 +155% $24,277 +89% —
670 Transurethral procedures without cc/mcc $45,342 $11,335 $15,598 +191% $20,371 +123% —
245 Aicd generator procedures $45,245 $11,311 $66,564 −32% $72,076 −37% —
743 Uterine and adnexa procedures for non-malignancy without cc/mcc $45,092 $11,273 $20,014 +125% $27,369 +65% —
516 Other musculoskeletal system and connective tissue o.r. procedures with cc $44,752 $11,188 $37,028 +21% $45,594 −2% —
917 Poisoning and toxic effects of drugs with mcc $44,702 $11,176 $18,248 +145% $28,001 +60% —
432 Cirrhosis and alcoholic hepatitis with mcc $44,672 $11,168 $28,621 +56% $36,880 +21% —
280 Acute myocardial infarction, discharged alive with mcc $44,624 $11,156 $22,571 +98% $28,802 +55% ≈127% of Medicare
562 Fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $44,586 $11,147 $37,153 +20% $29,011 +54% —
939 O.r. procedures with diagnoses of other contact with health services with mcc $44,579 $11,145 $44,389 +0% $51,142 −13% —
393 Other digestive system diagnoses with mcc $44,296 $11,074 $21,833 +103% $32,689 +36% —
100 Seizures with mcc $44,133 $11,033 $28,961 +52% $35,194 +25% —
653 Major bladder procedures with mcc $44,055 $11,014 $75,310 −42% $97,028 −55% —
626 Thyroid, parathyroid and thyroglossal procedures with cc $44,028 $11,007 $33,406 +32% $26,998 +63% —
292 Heart failure and shock with cc $43,823 $10,956 $14,372 +205% $15,878 +176% —
909 Other o.r. procedures for injuries without cc/mcc $43,660 $10,915 $19,655 +122% $28,156 +55% —
482 Hip and femur procedures except major joint without cc/mcc $43,627 $10,907 $41,156 +6% $39,675 +10% —
989 Non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $43,535 $10,884 $18,191 +139% $25,206 +73% —
262 Cardiac pacemaker revision except device replacement without cc/mcc $43,509 $10,877 $40,056 +9% $33,694 +29% —
975 Hiv with major related condition with cc $43,404 $10,851 $21,642 +101% $25,071 +73% —
039 Extracranial procedures without cc/mcc $43,020 $10,755 $30,958 +39% $25,267 +70% —
328 Stomach, esophageal and duodenal procedures without cc/mcc $42,773 $10,693 $32,590 +31% $35,375 +21% —
885 Psychoses $42,696 $10,674 $20,878 +105% $21,489 +99% —
698 Other kidney and urinary tract diagnoses with mcc $42,659 $10,665 $26,027 +64% $29,929 +43% —
857 Postoperative or post-traumatic infections with o.r. procedures with cc $42,587 $10,647 $40,850 +4% $41,114 +4% —
261 Cardiac pacemaker revision except device replacement with cc $42,454 $10,613 $51,311 −17% $42,126 +1% —
421 Hepatobiliary diagnostic procedures with cc $42,054 $10,514 $42,054 +0% $36,333 +16% —
383 Uncomplicated peptic ulcer with mcc $42,042 $10,511 $19,602 +114% $26,616 +58% —
060 Multiple sclerosis and cerebellar ataxia without cc/mcc $41,945 $10,486 $19,391 +116% $21,323 +97% —
489 Knee procedures without principal diagnosis of infection without cc/mcc $41,811 $10,453 $28,136 +49% $27,492 +52% —
438 Disorders of pancreas except malignancy with mcc $41,605 $10,401 $24,787 +68% $32,417 +28% —
790 Extreme immaturity or respiratory distress syndrome, neonate $40,974 $10,243 $41,101 −0% $80,018 −49% —
682 Renal failure with mcc $40,616 $10,154 $22,687 +79% $27,640 +47% —
749 Other female reproductive system o.r. procedures with cc/mcc $40,581 $10,145 $38,075 +7% $41,596 −2% —
193 Simple pneumonia and pleurisy with mcc $40,422 $10,106 $20,296 +99% $25,766 +57% ≈124% of Medicare
505 Foot procedures without cc/mcc $40,384 $10,096 $25,972 +55% $31,716 +27% —
300 Peripheral vascular disorders with cc $39,990 $9,997 $14,861 +169% $19,448 +106% —
607 Minor skin disorders without mcc $39,963 $9,991 $14,410 +177% $15,276 +162% —
286 Circulatory disorders except ami, with cardiac catheterization with mcc $39,656 $9,914 $39,656 +0% $44,600 −11% —
186 Pleural effusion with mcc $39,580 $9,895 $23,701 +67% $32,385 +22% —
504 Foot procedures with cc $39,313 $9,828 $25,972 +51% $36,519 +8% —
579 Other skin, subcutaneous tissue and breast procedures with mcc $39,295 $9,824 $45,498 −14% $53,763 −27% —
689 Kidney and urinary tract infections with mcc $39,208 $9,802 $18,383 +113% $22,870 +71% ≈130% of Medicare
177 Respiratory infections and inflammations with mcc $38,958 $9,739 $25,820 +51% $31,754 +23% ≈113% of Medicare
351 Inguinal and femoral hernia procedures with cc $38,657 $9,664 $39,681 −3% $33,790 +14% —
398 Appendix procedures with cc $38,439 $9,610 $33,460 +15% $38,574 −0% —
645 Endocrine disorders without cc/mcc $38,386 $9,596 $13,300 +189% $14,166 +171% —
397 Appendix procedures with mcc $38,157 $9,539 $35,850 +6% $52,319 −27% —
866 Viral illness without mcc $38,106 $9,527 $14,678 +160% $16,348 +133% —
974 Hiv with major related condition with mcc $37,949 $9,487 $41,952 −10% $46,402 −18% —
555 Signs and symptoms of musculoskeletal system and connective tissue with mcc $37,829 $9,457 $19,002 +99% $23,646 +60% —
517 Other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $37,533 $9,383 $28,617 +31% $33,137 +13% —
374 Digestive malignancy with mcc $37,260 $9,315 $34,408 +8% $38,885 −4% —
750 Other female reproductive system o.r. procedures without cc/mcc $37,187 $9,297 $28,559 +30% $23,920 +55% —
368 Major esophageal disorders with mcc $37,177 $9,294 $24,869 +49% $33,339 +12% —
694 Urinary stones without mcc $37,040 $9,260 $13,336 +178% $16,451 +125% —
815 Reticuloendothelial and immunity disorders with cc $37,018 $9,255 $12,204 +203% $18,005 +106% —
643 Endocrine disorders with mcc $36,646 $9,162 $36,646 +0% $32,953 +11% —
418 Laparoscopic cholecystectomy without c.d.e. with cc $36,542 $9,136 $30,365 +20% $42,119 −13% —
660 Kidney and ureter procedures for non-neoplasm with cc $36,542 $9,136 $36,542 +0% $29,957 +22% —
391 Esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $36,272 $9,068 $19,865 +83% $27,041 +34% —
824 Lymphoma and non-acute leukemia with other procedures with cc $36,232 $9,058 $31,740 +14% $38,382 −6% —
554 Bone diseases and arthropathies without mcc $36,208 $9,052 $16,554 +119% $17,579 +106% —
552 Medical back problems without mcc $35,908 $8,977 $14,941 +140% $20,632 +74% —
908 Other o.r. procedures for injuries with cc $35,527 $8,882 $34,781 +2% $41,660 −15% —
602 Cellulitis with mcc $35,250 $8,813 $17,925 +97% $29,347 +20% —
409 Biliary tract procedures except only cholecystectomy with or without c.d.e. with cc $35,223 $8,806 $35,037 +1% $46,066 −24% —
347 Anal and stomal procedures with mcc $34,751 $8,688 $34,332 +1% $40,548 −14% —
840 Lymphoma and non-acute leukemia with mcc $34,543 $8,636 $31,940 +8% $49,710 −31% —
947 Signs and symptoms with mcc $34,538 $8,635 $19,887 +74% $25,474 +36% —
433 Cirrhosis and alcoholic hepatitis with cc $34,475 $8,619 $17,079 +102% $23,749 +45% —
372 Major gastrointestinal disorders and peritoneal infections with cc $34,417 $8,604 $24,529 +40% $22,850 +51% —
260 Cardiac pacemaker revision except device replacement with mcc $34,313 $8,578 $47,403 −28% $67,215 −49% —
748 Female reproductive system reconstructive procedures $34,204 $8,551 $19,595 +75% $24,928 +37% —
399 Appendix procedures without cc/mcc $33,997 $8,499 $21,695 +57% $30,259 +12% —
167 Other respiratory system o.r. procedures with cc $33,895 $8,474 $33,895 +0% $40,563 −16% —
096 Bacterial and tuberculous infections of nervous system without cc/mcc $33,889 $8,472 $34,307 −1% $39,093 −13% —
723 Malignancy, male reproductive system with cc $33,885 $8,471 $17,768 +91% $19,317 +75% —
623 Skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $33,767 $8,442 $27,634 +22% $33,236 +2% —
744 D&c, conization, laparoscopy and tubal interruption with cc/mcc $33,751 $8,438 $33,751 +0% $32,901 +3% —
818 Other antepartum diagnoses with o.r. procedures with cc $33,294 $8,324 $20,976 +59% $23,646 +41% —
872 Septicemia or severe sepsis without mv >96 hours without mcc $33,285 $8,321 $16,575 +101% $22,623 +47% ≈135% of Medicare
190 Chronic obstructive pulmonary disease with mcc $33,144 $8,286 $17,770 +87% $24,103 +38% ≈114% of Medicare
629 Other endocrine, nutritional and metabolic o.r. procedures with cc $33,122 $8,280 $33,122 +0% $44,927 −26% —
814 Reticuloendothelial and immunity disorders with mcc $32,677 $8,169 $32,677 +0% $32,506 +1% —
178 Respiratory infections and inflammations with cc $32,514 $8,129 $16,070 +102% $22,024 +48% —
373 Major gastrointestinal disorders and peritoneal infections without cc/mcc $32,420 $8,105 $12,609 +157% $16,104 +101% —
593 Skin ulcers with cc $32,379 $8,095 $17,058 +90% $20,470 +58% —
349 Anal and stomal procedures without cc/mcc $32,346 $8,087 $14,627 +121% $19,854 +63% —
074 Cranial and peripheral nerve disorders without mcc $32,199 $8,050 $15,061 +114% $23,141 +39% —
308 Cardiac arrhythmia and conduction disorders with mcc $32,123 $8,031 $18,845 +70% $26,098 +23% —
070 Nonspecific cerebrovascular disorders with mcc $31,745 $7,936 $25,761 +23% $30,814 +3% —
479 Biopsies of musculoskeletal system and connective tissue without cc/mcc $31,717 $7,929 $37,134 −15% $31,909 −1% —
906 Hand procedures for injuries $31,685 $7,921 $24,446 +30% $31,520 +1% —
896 Alcohol, drug abuse or dependence without rehabilitation therapy with mcc $31,681 $7,920 $29,934 +6% $30,275 +5% —
194 Simple pneumonia and pleurisy with cc $31,678 $7,919 $14,119 +124% $18,204 +74% ≈179% of Medicare
442 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $31,270 $7,818 $15,734 +99% $21,449 +46% —
191 Chronic obstructive pulmonary disease with cc $30,937 $7,734 $14,344 +116% $18,104 +71% —
369 Major esophageal disorders with cc $30,923 $7,731 $16,402 +89% $22,590 +37% —
153 Otitis media and uri without mcc $30,877 $7,719 $12,431 +148% $14,251 +117% —
863 Postoperative and post-traumatic infections without mcc $30,717 $7,679 $16,171 +90% $20,007 +54% —
661 Kidney and ureter procedures for non-neoplasm without cc/mcc $30,610 $7,653 $27,711 +10% $24,008 +27% —
683 Renal failure with cc $30,576 $7,644 $14,731 +108% $18,322 +67% —
419 Laparoscopic cholecystectomy without c.d.e. without cc/mcc $30,243 $7,561 $27,907 +8% $34,564 −13% —
571 Skin debridement with cc $30,227 $7,557 $24,925 +21% $34,773 −13% —
603 Cellulitis without mcc $30,202 $7,550 $14,626 +106% $18,359 +65% ≈131% of Medicare
291 Heart failure and shock with mcc $30,133 $7,533 $18,994 +59% $24,932 +21% ≈98% of Medicare
884 Organic disturbances and intellectual disability $29,981 $7,495 $24,871 +21% $25,146 +19% —
690 Kidney and urinary tract infections without mcc $29,944 $7,486 $13,611 +120% $17,379 +72% ≈158% of Medicare
638 Diabetes with cc $29,730 $7,432 $15,098 +97% $18,763 +58% —
572 Skin debridement without cc/mcc $29,709 $7,427 $18,021 +65% $24,426 +22% —
640 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $29,695 $7,424 $20,430 +45% $24,244 +22% ≈88% of Medicare
832 Other antepartum diagnoses without o.r. procedures with cc $29,694 $7,424 $11,490 +158% $12,895 +130% —
551 Medical back problems with mcc $29,597 $7,399 $25,341 +17% $31,067 −5% —
817 Other antepartum diagnoses with o.r. procedures with mcc $29,571 $7,393 $36,097 −18% $36,097 −18% —
065 Intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $29,509 $7,377 $16,392 +80% $22,610 +31% —
903 Wound debridements for injuries without cc/mcc $29,445 $7,361 $23,217 +27% $23,588 +25% —
176 Pulmonary embolism without mcc $29,301 $7,325 $13,765 +113% $17,693 +66% —
444 Disorders of the biliary tract with mcc $29,272 $7,318 $25,056 +17% $31,029 −6% —
553 Bone diseases and arthropathies with mcc $29,176 $7,294 $29,176 +0% $23,956 +22% —
920 Complications of treatment with cc $29,053 $7,263 $16,379 +77% $20,879 +39% —
583 Mastectomy for malignancy without cc/mcc $28,957 $7,239 $28,957 +0% $31,566 −8% —
180 Respiratory neoplasms with mcc $28,802 $7,201 $25,879 +11% $36,658 −21% —
312 Syncope and collapse $28,734 $7,184 $14,502 +98% $19,342 +49% ≈129% of Medicare
386 Inflammatory bowel disease with cc $28,649 $7,162 $16,076 +78% $20,917 +37% —
378 Gastrointestinal hemorrhage with cc $28,430 $7,107 $17,086 +66% $21,886 +30% ≈118% of Medicare
315 Other circulatory system diagnoses with cc $28,214 $7,054 $15,684 +80% $20,716 +36% —
305 Hypertension without mcc $28,184 $7,046 $12,937 +118% $16,897 +67% —
514 Hand or wrist procedures, except major thumb or joint procedures without cc/mcc $28,110 $7,028 $16,427 +71% $20,076 +40% —
384 Uncomplicated peptic ulcer without mcc $27,974 $6,994 $14,480 +93% $19,305 +45% —
627 Thyroid, parathyroid and thyroglossal procedures without cc/mcc $27,956 $6,989 $23,796 +17% $25,621 +9% —
496 Local excision and removal of internal fixation devices except hip and femur with cc $27,943 $6,986 $28,801 −3% $43,252 −35% —
811 Red blood cell disorders with mcc $27,915 $6,979 $21,454 +30% $27,674 +1% —
179 Respiratory infections and inflammations without cc/mcc $27,866 $6,966 $13,738 +103% $14,411 +93% —
287 Circulatory disorders except ami, with cardiac catheterization without mcc $27,842 $6,960 $27,842 +0% $31,190 −11% —
392 Esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $27,486 $6,871 $13,321 +106% $17,322 +59% ≈139% of Medicare
381 Complicated peptic ulcer with cc $27,253 $6,813 $22,552 +21% $24,177 +13% —
598 Malignant breast disorders with cc $27,245 $6,811 $17,977 +52% $19,073 +43% —
071 Nonspecific cerebrovascular disorders with cc $27,238 $6,809 $16,872 +61% $23,396 +16% —
103 Headaches without mcc $27,098 $6,774 $15,688 +73% $20,076 +35% —
710 Penis procedures without cc/mcc $26,896 $6,724 $22,681 +19% $23,814 +13% —
445 Disorders of the biliary tract with cc $26,888 $6,722 $17,269 +56% $21,666 +24% —
918 Poisoning and toxic effects of drugs without mcc $26,560 $6,640 $13,550 +96% $15,045 +77% —
819 Other antepartum diagnoses with o.r. procedures without cc/mcc $26,469 $6,617 $15,777 +68% $17,851 +48% —
443 Disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc $26,117 $6,529 $20,027 +30% $15,600 +67% —
345 Minor small and large bowel procedures with cc $26,023 $6,506 $22,516 +16% $31,062 −16% —
440 Disorders of pancreas except malignancy without cc/mcc $26,014 $6,504 $11,177 +133% $14,770 +76% —
313 Chest pain $25,795 $6,449 $12,453 +107% $15,837 +63% —
446 Disorders of the biliary tract without cc/mcc $25,479 $6,370 $13,542 +88% $17,700 +44% —
370 Major esophageal disorders without cc/mcc $25,362 $6,340 $17,037 +49% $15,072 +68% —
063 Ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $25,287 $6,322 $30,017 −16% $35,693 −29% —
867 Other infectious and parasitic diseases diagnoses with mcc $24,963 $6,241 $24,963 +0% $36,850 −32% —
068 Nonspecific cva and precerebral occlusion without infarction without mcc $24,932 $6,233 $16,832 +48% $19,569 +27% —
897 Alcohol, drug abuse or dependence without rehabilitation therapy without mcc $24,820 $6,205 $14,644 +69% $15,923 +56% —
197 Interstitial lung disease with cc $24,756 $6,189 $16,043 +54% $20,105 +23% —
281 Acute myocardial infarction, discharged alive with cc $24,691 $6,173 $17,210 +43% $20,463 +21% —
439 Disorders of pancreas except malignancy with cc $24,625 $6,156 $14,358 +72% $19,096 +29% —
746 Vagina, cervix and vulva procedures with cc/mcc $24,550 $6,138 $24,739 −1% $29,916 −18% —
558 Tendonitis, myositis and bursitis without mcc $24,363 $6,091 $12,704 +92% $17,296 +41% —
881 Depressive neuroses $24,340 $6,085 $11,399 +114% $15,058 +62% —
202 Bronchitis and asthma with cc/mcc $24,294 $6,073 $16,816 +44% $17,183 +41% —
592 Skin ulcers with mcc $24,246 $6,061 $35,974 −33% $32,662 −26% —
394 Other digestive system diagnoses with cc $24,024 $6,006 $18,455 +30% $18,815 +28% —
388 Gastrointestinal obstruction with mcc $23,962 $5,990 $22,272 +8% $28,403 −16% —
304 Hypertension with mcc $23,945 $5,986 $19,848 +21% $23,945 +0% —
436 Malignancy of hepatobiliary system or pancreas with cc $23,941 $5,985 $20,885 +15% $24,017 −0% —
072 Nonspecific cerebrovascular disorders without cc/mcc $23,939 $5,985 $13,855 +73% $16,654 +44% —
699 Other kidney and urinary tract diagnoses with cc $23,737 $5,934 $16,431 +44% $20,732 +14% —
809 Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $23,685 $5,921 $20,688 +14% $22,010 +8% —
306 Cardiac congenital and valvular disorders with mcc $23,681 $5,920 $22,628 +5% $24,450 −3% —
808 Major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $23,480 $5,870 $32,919 −29% $36,195 −35% —
476 Amputation for musculoskeletal system and connective tissue disorders without cc/mcc $23,261 $5,815 $18,290 +27% $21,025 +11% —
502 Soft tissue procedures without cc/mcc $23,192 $5,798 $23,192 +0% $29,777 −22% —
769 Postpartum and post abortion diagnoses with o.r. procedures $23,162 $5,790 $21,228 +9% $24,561 −6% —
346 Minor small and large bowel procedures without cc/mcc $23,060 $5,765 $19,357 +19% $26,146 −12% —
101 Seizures without mcc $22,938 $5,735 $15,157 +51% $19,930 +15% —
948 Signs and symptoms without mcc $22,797 $5,699 $13,506 +69% $17,719 +29% —
311 Angina pectoris $22,758 $5,690 $12,257 +86% $15,165 +50% —
644 Endocrine disorders with cc $22,754 $5,688 $16,607 +37% $22,941 −1% —
641 Miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $22,712 $5,678 $13,336 +70% $16,718 +36% —
655 Major bladder procedures without cc/mcc $22,330 $5,583 $30,155 −26% $41,701 −46% —
606 Minor skin disorders with mcc $22,321 $5,580 $23,208 −4% $25,434 −12% —
770 Abortion with d&c, aspiration curettage or hysterotomy $22,303 $5,576 $17,159 +30% $17,719 +26% —
639 Diabetes without cc/mcc $21,654 $5,414 $11,928 +82% $13,910 +56% —
389 Gastrointestinal obstruction with cc $21,576 $5,394 $13,598 +59% $17,345 +24% —
087 Traumatic stupor and coma <1 hour without cc/mcc $21,443 $5,361 $21,443 +0% $15,818 +36% —
540 Osteomyelitis with cc $21,433 $5,358 $20,712 +3% $23,494 −9% —
798 Vaginal delivery with sterilization and/or d&c without cc/mcc $21,394 $5,349 $16,722 +28% $18,038 +19% —
309 Cardiac arrhythmia and conduction disorders with cc $21,029 $5,257 $12,789 +64% $16,645 +26% —
915 Allergic reactions with mcc $20,698 $5,175 $36,882 −44% $30,944 −33% —
410 Biliary tract procedures except only cholecystectomy with or without c.d.e. without cc/mcc $20,514 $5,129 $23,326 −12% $34,434 −40% —
605 Trauma to the skin, subcutaneous tissue and breast without mcc $20,466 $5,116 $15,183 +35% $19,287 +6% —
282 Acute myocardial infarction, discharged alive without cc/mcc $20,438 $5,109 $12,605 +62% $18,288 +12% —
728 Inflammation of the male reproductive system without mcc $20,349 $5,087 $20,349 +0% $16,622 +22% —
894 Alcohol, drug abuse or dependence, left ama $20,273 $5,068 $11,294 +79% $12,013 +69% —
387 Inflammatory bowel disease without cc/mcc $20,136 $5,034 $14,630 +38% $14,880 +35% —
786 Cesarean section without sterilization with mcc $19,765 $4,941 $20,702 −5% $27,118 −27% —
787 Cesarean section without sterilization with cc $19,577 $4,894 $16,388 +19% $23,571 −17% —
147 Ear, nose, mouth and throat malignancy with cc $19,010 $4,753 $19,350 −2% $21,860 −13% —
585 Breast biopsy, local excision and other breast procedures without cc/mcc $18,474 $4,619 $28,958 −36% $29,598 −38% —
561 Aftercare, musculoskeletal system and connective tissue without cc/mcc $18,443 $4,611 $15,601 +18% $18,150 +2% —
785 Cesarean section with sterilization without cc/mcc $18,235 $4,559 $15,454 +18% $19,815 −8% —
375 Digestive malignancy with cc $18,163 $4,541 $19,141 −5% $27,125 −33% —
192 Chronic obstructive pulmonary disease without cc/mcc $17,976 $4,494 $11,594 +55% $14,368 +25% —
604 Trauma to the skin, subcutaneous tissue and breast with mcc $17,747 $4,437 $23,189 −23% $27,597 −36% —
812 Red blood cell disorders without mcc $17,675 $4,419 $15,124 +17% $20,408 −13% —
664 Minor bladder procedures without cc/mcc $17,187 $4,297 $17,408 −1% $18,126 −5% —
784 Cesarean section with sterilization with cc $16,983 $4,246 $15,808 +7% $22,587 −25% —
788 Cesarean section without sterilization without cc/mcc $16,083 $4,021 $15,127 +6% $20,084 −20% —
783 Cesarean section with sterilization with mcc $15,935 $3,984 $22,780 −30% $28,375 −44% —
390 Gastrointestinal obstruction without cc/mcc $15,876 $3,969 $10,296 +54% $13,318 +19% —
776 Postpartum and post abortion diagnoses without o.r. procedures $15,635 $3,909 $12,049 +30% $12,205 +28% —
760 Menstrual and other female reproductive system disorders with cc/mcc $15,619 $3,905 $15,986 −2% $18,199 −14% —
379 Gastrointestinal hemorrhage without cc/mcc $15,539 $3,885 $11,458 +36% $14,134 +10% —
310 Cardiac arrhythmia and conduction disorders without cc/mcc $15,491 $3,873 $10,456 +48% $13,384 +16% —
187 Pleural effusion with cc $15,099 $3,775 $17,721 −15% $21,467 −30% —
864 Fever and inflammatory conditions $14,659 $3,665 $12,155 +21% $17,412 −16% —
150 Epistaxis with mcc $13,799 $3,450 $21,133 −35% $21,133 −35% —
715 Other male reproductive system o.r. procedures for malignancy with cc/mcc $13,185 $3,296 $32,504 −59% $38,998 −66% —
200 Pneumothorax with cc $12,961 $3,240 $17,568 −26% $20,573 −37% —
797 Vaginal delivery with sterilization and/or d&c with cc $12,933 $3,233 $21,514 −40% $19,001 −32% —
069 Transient ischemia without thrombolytic $12,510 $3,128 $13,579 −8% $20,253 −38% —
916 Allergic reactions without mcc $11,557 $2,889 $11,813 −2% $13,890 −17% —
155 Other ear, nose, mouth and throat diagnoses with cc $11,278 $2,820 $20,261 −44% $16,622 −32% —
793 Full term neonate with major problems $11,252 $2,813 $20,848 −46% $16,708 −33% —
376 Digestive malignancy without cc/mcc $11,160 $2,790 $14,654 −24% $15,608 −28% —
792 Prematurity without major problems $8,696 $2,174 $15,797 −45% $11,633 −25% —
806 Vaginal delivery without sterilization or d&c with cc $8,633 $2,158 $11,355 −24% $13,090 −34% —
805 Vaginal delivery without sterilization or d&c with mcc $8,477 $2,119 $13,876 −39% $15,370 −45% —
768 Vaginal delivery with o.r. procedures except sterilization and/or d&c $8,473 $2,118 $13,658 −38% $17,006 −50% —
382 Complicated peptic ulcer without cc/mcc $8,364 $2,091 $12,919 −35% $16,634 −50% —
807 Vaginal delivery without sterilization or d&c without cc/mcc $7,953 $1,988 $10,563 −25% $11,957 −33% —
833 Other antepartum diagnoses without o.r. procedures without cc/mcc $7,754 $1,939 $8,022 −3% $9,063 −14% —
794 Neonate with other significant problems $7,176 $1,794 $10,682 −33% $7,896 −9% —
779 Abortion without d&c $6,934 $1,733 $15,327 −55% $15,327 −55% —
395 Other digestive system diagnoses without cc/mcc $4,857 $1,214 $8,067 −40% $14,128 −66% —
789 Neonates, died or transferred to another acute care facility $4,855 $1,214 $9,850 −51% $14,121 −66% —
831 Other antepartum diagnoses without o.r. procedures with mcc $4,697 $1,174 $7,960 −41% $18,133 −74% —
795 Normal newborn $3,230 $808 $4,397 −27% $4,521 −29% —
700 Other kidney and urinary tract diagnoses without cc/mcc $1,827 — $7,651 −76% $13,303 −86% —
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