Procedures published 536
Lowest published price $1,334
Average published price $32,290
Highest published price $508,875

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 536 procedures

Published charges

Showing all 536 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 68 procedures, this hospital's negotiated rates average ≈200% of what Medicare pays.

DRG Description Published price Cash price vs. AR median vs. National median vs Medicare
001 craniotomy age >17 w cc $508,875 $356,212 $306,172 +66% $431,073 +18% —
216 biopsies of musculoskeletal system & connective tissue $302,047 $211,433 $100,264 +201% $175,437 +72% —
260 cardiac pacemaker revision except device replacement with mcc $219,247 $153,473 $41,180 +432% $67,901 +223% —
004 no longer valid $184,657 $129,260 $165,793 +11% $245,241 −25% —
218 cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc $178,403 $124,882 $60,691 +194% $92,238 +93% —
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $167,318 $117,123 $70,945 +136% $121,714 +37% —
456 no longer valid $162,929 $114,050 $91,657 +78% $151,029 +8% —
356 female reproductive system reconstructive procedures $135,113 $94,579 $50,893 +165% $82,561 +64% —
233 coronary bypass with cardiac catheterization or open ablation with mcc $133,334 $93,334 $92,206 +45% $138,868 −4% —
332 other kidney & urinary tract diagnoses age >17 w/o cc $133,245 $93,271 $37,874 +252% $58,125 +129% —
232 arthroscopy $131,048 $91,734 $62,705 +109% $106,238 +23% —
325 coronary intravascular lithotripsy without intraluminal device $119,129 $83,390 $28,822 +313% $53,551 +122% —
219 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc $118,955 $83,268 $82,272 +45% $143,242 −17% —
215 no longer valid $115,362 $80,753 $115,362 +0% $191,314 −40% ≈129% of Medicare
235 coronary bypass without cardiac catheterization with mcc $115,242 $80,669 $60,909 +89% $112,062 +3% —
545 connective tissue disorders with mcc $113,159 $79,211 $40,578 +179% $39,657 +185% —
252 fx, sprn, strn & disl of forearm, hand, foot age 0-17 $112,941 $79,059 $41,363 +173% $68,508 +65% —
234 coronary bypass with cardiac catheterization or open ablation without mcc $112,306 $78,615 $63,365 +77% $102,573 +9% —
654 major bladder procedures with cc $106,286 $74,400 $32,027 +232% $53,868 +97% —
278 cellulitis age >17 w/o cc $105,639 $73,947 $49,752 +112% $84,861 +24% —
279 cellulitis age 0-17 $104,711 $73,298 $38,994 +169% $57,277 +83% —
271 other major cardiovascular procedures with cc $102,733 $71,913 $47,899 +114% $71,014 +45% ≈339% of Medicare
270 other major cardiovascular procedures with mcc $98,933 $69,253 $83,809 +18% $99,423 −0% —
003 craniotomy age 0-17 $95,020 $66,514 $198,053 −52% $371,366 −74% —
870 septicemia or severe sepsis with mv >96 hours $89,864 $62,905 $89,864 +0% $138,008 −35% —
207 disorders of the biliary tract w cc $89,248 $62,474 $72,527 +23% $116,058 −23% —
034 carotid artery stent procedures with mcc $86,543 $60,580 $38,479 +125% $72,908 +19% —
268 aortic and heart assist procedures except pulsation balloon with mcc $85,812 $60,068 $75,317 +14% $118,589 −28% —
220 cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc $85,373 $59,761 $65,804 +30% $102,177 −16% —
236 coronary bypass without cardiac catheterization without mcc $84,223 $58,956 $42,039 +100% $82,247 +2% ≈251% of Medicare
956 limb reattachment, hip and femur procedures for multiple significant trauma $83,485 $58,439 $39,208 +113% $75,103 +11% —
515 cardiac defibrillator implant w/o cardiac cath $82,768 $57,937 $34,932 +137% $62,821 +32% —
916 allergic reactions without mcc $82,014 $57,410 $6,794 +1107% $13,890 +490% —
164 appendectomy w complicated principal diag w cc $81,842 $57,289 $31,043 +164% $53,141 +54% —
094 bacterial and tuberculous infections of nervous system with mcc $79,844 $55,891 $50,550 +58% $62,524 +28% —
853 infectious and parasitic diseases with o.r. procedures with mcc $78,320 $54,824 $62,923 +24% $87,018 −10% ≈192% of Medicare
323 coronary intravascular lithotripsy with intraluminal device with mcc $72,602 $50,821 $58,476 +24% $88,049 −18% —
255 fx, sprn, strn & disl of uparm,lowleg ex foot age 0-17 $72,369 $50,659 $26,915 +169% $43,697 +66% —
957 other o.r. procedures for multiple significant trauma with mcc $72,066 $50,446 $72,066 +0% $120,587 −40% —
163 major chest procedures with mcc $71,712 $50,198 $48,191 +49% $88,341 −19% —
915 allergic reactions with mcc $71,522 $50,065 $17,836 +301% $30,944 +131% —
221 cardiac valve and other major cardiothoracic procedures without cardiac catheterization without cc/mcc $70,293 $49,205 $47,826 +47% $90,331 −22% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $69,941 $48,959 $44,642 +57% $76,954 −9% —
095 bacterial and tuberculous infections of nervous system with cc $69,830 $48,881 $27,079 +158% $47,583 +47% —
324 coronary intravascular lithotripsy with intraluminal device without mcc $68,831 $48,182 $44,663 +54% $66,819 +3% —
668 transurethral procedures with mcc $68,529 $47,970 $29,850 +130% $47,277 +45% —
463 signs & symptoms w cc $68,035 $47,624 $63,893 +6% $78,582 −13% —
242 permanent cardiac pacemaker implant with mcc $67,677 $47,374 $41,315 +64% $70,132 −4% —
329 major small and large bowel procedures with mcc $66,485 $46,540 $62,607 +6% $88,050 −24% ≈172% of Medicare
429 combined anterior and posterior cervical spinal fusion with mcc $64,975 $45,482 $82,801 −22% $120,174 −46% —
453 combined anterior and posterio $64,975 $45,482 $91,284 −29% $103,861 −37% —
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $64,928 $45,450 $39,975 +62% $68,006 −5% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $61,886 $43,320 $40,142 +54% $74,274 −17% ≈262% of Medicare
570 major small & large bowel procedures w cc w/o major gi dx $60,952 $42,666 $42,263 +44% $52,435 +16% —
326 kidney & urinary tract signs & symptoms age >17 w/o cc $59,451 $41,615 $56,052 +6% $80,747 −26% —
457 no longer valid $58,785 $41,150 $59,798 −2% $107,355 −45% —
826 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with mcc $58,334 $40,834 $48,931 +19% $88,691 −34% —
426 depressive neuroses $58,326 $40,828 $103,978 −44% $142,326 −59% —
288 acute and subacute endocarditis with mcc $57,443 $40,210 $27,777 +107% $45,497 +26% —
408 biliary tract procedures except only cholecystectomy with or without c.d.e. with mcc $57,436 $40,205 $39,875 +44% $59,207 −3% —
028 traumatic stupor & coma, coma <1 hr age >17 w cc $57,373 $40,161 $56,954 +1% $95,858 −40% —
856 postoperative or post-traumatic infections with o.r. procedures with mcc $56,848 $39,794 $50,660 +12% $72,859 −22% —
656 kidney and ureter procedures for neoplasm with mcc $55,831 $39,082 $50,655 +10% $64,465 −13% —
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $55,101 $38,571 $47,937 +15% $86,390 −36% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $54,639 $38,247 $43,808 +25% $51,985 +5% —
243 medical back problems $54,406 $38,084 $32,433 +68% $50,011 +9% ≈292% of Medicare
272 major skin disorders w cc $54,162 $37,913 $28,265 +92% $55,162 −2% —
251 percutaneous cardiovascular procedures without intraluminal device without mcc $53,915 $37,740 $23,475 +130% $41,380 +30% —
173 digestive malignancy w/o cc $53,869 $37,708 $32,334 +67% $53,555 +1% —
673 other kidney and urinary tract procedures with mcc $53,805 $37,664 $48,172 +12% $72,945 −26% —
336 peritoneal adhesiolysis with cc $52,680 $36,876 $34,586 +52% $49,470 +6% —
450 poisoning & toxic effects of drugs age >17 w/o cc $52,620 $36,834 $52,620 +0% $79,944 −34% —
244 bone diseases & specific arthropathies w cc $51,817 $36,272 $26,617 +95% $40,063 +29% —
466 aftercare w/o history of malignancy as secondary diagnosis $51,652 $36,156 $51,652 +0% $96,222 −46% —
653 major bladder procedures with mcc $50,776 $35,543 $55,009 −8% $97,046 −48% —
245 bone diseases & specific arthropathies w/o cc $50,437 $35,306 $49,276 +2% $72,076 −30% —
799 splenic procedures with mcc $50,348 $35,244 $49,246 +2% $78,821 −36% —
571 major esophageal disorders $49,791 $34,853 $17,213 +189% $34,901 +43% —
521 alcohol/drug abuse or dependence w cc $49,771 $34,839 $45,397 +10% $67,764 −27% —
480 hip and femur procedures except major joint with mcc $49,345 $34,542 $45,162 +9% $63,984 −23% ≈208% of Medicare
121 acute major eye infections with cc/mcc $49,253 $34,477 $11,568 +326% $18,291 +169% —
549 coronary bypass w/o cardiac cath w major cv dx $49,074 $34,352 $12,498 +293% $20,938 +134% —
165 appendectomy w complicated principal diag w/o cc $49,048 $34,334 $22,373 +119% $41,380 +19% —
322 kidney & urinary tract infections age 0-17 $48,596 $34,017 $26,676 +82% $54,772 −11% ≈344% of Medicare
464 signs & symptoms w/o cc $47,792 $33,455 $30,650 +56% $54,313 −12% —
485 limb reattachment, hip and femur proc for multiple significant trauma $47,469 $33,228 $46,223 +3% $64,956 −27% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $47,332 $33,132 $41,798 +13% $74,257 −36% —
266 endovascular cardiac valve replacement and supplement procedures with mcc $47,321 $33,125 $71,195 −34% $113,855 −58% —
273 major skin disorders w/o cc $47,262 $33,084 $46,728 +1% $78,852 −40% —
274 malignant breast disorders w cc $46,931 $32,851 $43,701 +7% $65,573 −28% ≈181% of Medicare
267 perianal & pilonidal procedures $45,817 $32,072 $51,750 −11% $92,217 −50% ≈111% of Medicare
314 other circulatory system diagnoses with mcc $45,712 $31,999 $25,216 +81% $38,357 +19% ≈263% of Medicare
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $45,542 $31,879 $45,542 +0% $62,961 −28% —
327 kidney & urinary tract signs & symptoms age 0-17 $45,422 $31,795 $52,694 −14% $54,824 −17% —
658 kidney and ureter procedures for neoplasm without cc/mcc $44,918 $31,443 $19,107 +135% $35,528 +26% —
035 carotid artery stent procedures with cc $44,810 $31,367 $23,446 +91% $46,430 −3% —
477 biopsies of musculoskeletal system and connective tissue with mcc $44,709 $31,297 $39,648 +13% $62,269 −28% —
511 non-extensive burns w/o cc or significant trauma $44,575 $31,202 $22,679 +97% $43,538 +2% —
674 other kidney and urinary tract procedures with cc $44,332 $31,032 $28,590 +55% $49,631 −11% —
330 major small and large bowel procedures with cc $44,282 $30,997 $39,077 +13% $58,832 −25% ≈232% of Medicare
655 major bladder procedures without cc/mcc $43,668 $30,568 $21,606 +102% $41,651 +5% —
478 biopsies of musculoskeletal system and connective tissue with cc $43,648 $30,554 $28,818 +51% $50,139 −13% —
250 fx, sprn, strn & disl of forearm, hand, foot age >17 w cc $43,533 $30,473 $38,371 +13% $51,339 −15% —
584 breast biopsy, local excision and other breast procedures with cc/mcc $43,182 $30,227 $24,892 +73% $34,089 +27% —
722 malignancy, male reproductive system with mcc $42,607 $29,825 $16,991 +151% $29,826 +43% —
036 carotid artery stent procedures without cc/mcc $42,458 $29,720 $22,815 +86% $40,694 +4% ≈287% of Medicare
253 other vascular procedures with cc $42,448 $29,713 $34,238 +24% $53,746 −21% —
240 amputation for circulatory system disorders except upper limb and toe with cc $42,108 $29,476 $40,991 +3% $54,475 −23% —
351 inguinal and femoral hernia procedures with cc $40,538 $28,377 $32,656 +24% $33,792 +20% —
828 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures without cc/mcc $40,469 $28,328 $16,764 +141% $35,584 +14% —
328 urethral stricture age >17 w cc $40,081 $28,056 $18,000 +123% $35,375 +13% —
099 non-bacterial infection of nervous system except viral meningitis without cc/mcc $39,990 $27,993 $13,657 +193% $25,666 +56% —
447 allergic reactions age >17 $39,932 $27,952 $66,573 −40% $114,914 −65% —
071 laryngotracheitis $39,858 $27,901 $19,939 +100% $23,396 +70% —
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $39,809 $27,866 $23,542 +69% $32,399 +23% —
958 other o.r. procedures for multiple significant trauma with cc $39,604 $27,723 $45,662 −13% $66,853 −41% —
471 cervical spinal fusion with mcc $39,469 $27,628 $48,919 −19% $92,515 −57% —
269 aortic and heart assist procedures except pulsation balloon without mcc $39,250 $27,475 $50,161 −22% $83,065 −53% ≈106% of Medicare
862 postoperative and post-traumatic infections with mcc $39,105 $27,374 $28,496 +37% $30,394 +29% —
459 no longer valid $38,975 $27,283 $59,852 −35% $75,251 −48% —
289 acute and subacute endocarditis with cc $38,880 $27,216 $15,576 +150% $29,371 +32% —
486 knee procedures with principal diagnosis of infection with cc $38,678 $27,075 $34,700 +11% $46,477 −17% —
657 kidney and ureter procedures for neoplasm with cc $38,381 $26,867 $22,968 +67% $40,583 −5% —
183 esophagitis, gastroent & misc digest disorders age >17 w/o cc $38,356 $26,849 $15,428 +149% $28,924 +33% —
167 appendectomy w/o complicated principal diag w/o cc $38,169 $26,718 $18,733 +104% $40,563 −6% —
739 uterine and adnexa procedures for non-ovarian and non-adnexal malignancy with mcc $38,154 $26,708 $37,985 +0% $57,521 −34% —
264 other circulatory system o.r. procedures $38,049 $26,634 $35,029 +9% $51,953 −27% —
254 fx, sprn, strn & disl of uparm,lowleg ex foot age >17 w/o cc $37,982 $26,588 $22,494 +69% $38,836 −2% —
427 neuroses except depressive $37,474 $26,232 $65,722 −43% $121,728 −69% —
467 other factors influencing health status $37,465 $26,226 $37,465 +0% $68,880 −46% —
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $37,436 $26,205 $24,846 +51% $30,930 +21% —
058 multiple sclerosis and cerebellar ataxia with mcc $37,422 $26,196 $22,914 +63% $29,609 +26% —
042 peripheral, cranial nerve and other nervous system procedures without cc/mcc $37,365 $26,156 $22,429 +67% $39,018 −4% —
077 hypertensive encephalopathy with mcc $36,968 $25,878 $23,263 +59% $24,036 +54% —
353 hernia procedures except inguinal and femoral with mcc $36,923 $25,846 $36,923 +0% $60,140 −39% —
539 lymphoma & leukemia w major or procedure w cc $36,800 $25,760 $21,493 +71% $33,746 +9% —
643 endocrine disorders with mcc $36,654 $25,658 $21,674 +69% $32,996 +11% —
472 cervical spinal fusion with cc $36,438 $25,506 $30,262 +20% $59,537 −39% —
348 benign prostatic hypertrophy w cc $36,362 $25,453 $13,217 +175% $27,947 +30% —
708 major male pelvic procedures without cc/mcc $36,339 $25,437 $22,435 +62% $32,911 +10% —
815 reticuloendothelial and immunity disorders with cc $36,082 $25,258 $10,367 +248% $18,017 +100% —
397 appendix procedures with mcc $35,873 $25,111 $29,741 +21% $52,319 −31% —
519 cervical spinal fusion w cc $35,669 $24,968 $20,905 +71% $43,775 −19% —
606 minor skin disorders with mcc $35,517 $24,862 $15,393 +131% $25,434 +40% —
331 other kidney & urinary tract diagnoses age >17 w cc $34,939 $24,457 $25,124 +39% $44,117 −21% ≈265% of Medicare
622 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc $34,937 $24,456 $34,868 +0% $60,861 −43% —
344 other male reproductive system o.r. procedures for malignancy $34,899 $24,429 $31,506 +11% $44,839 −22% —
458 no longer valid $34,544 $24,181 $44,810 −23% $83,441 −59% —
417 laparoscopic cholecystectomy without c.d.e. with mcc $34,532 $24,173 $34,039 +1% $52,313 −34% —
617 amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $34,463 $24,124 $28,264 +22% $42,881 −20% —
256 other musculoskeletal system & connective tissue diagnoses $34,268 $23,988 $20,049 +71% $29,729 +15% —
448 allergic reactions age 0-17 $33,971 $23,780 $41,461 −18% $81,998 −59% —
208 disorders of the biliary tract w/o cc $33,786 $23,650 $27,250 +24% $52,405 −36% ≈149% of Medicare
451 poisoning & toxic effects of drugs age 0-17 $33,714 $23,600 $33,714 +0% $65,216 −48% —
813 coagulation disorders $33,512 $23,458 $19,690 +70% $30,128 +11% —
857 postoperative or post-traumatic infections with o.r. procedures with cc $33,457 $23,420 $26,828 +25% $41,900 −20% —
261 breast proc for non-malignancy except biopsy & local excision $33,440 $23,408 $19,611 +71% $42,126 −21% —
907 other o.r. procedures for injuries with mcc $33,405 $23,384 $38,722 −14% $71,701 −53% —
572 major gastrointestinal disorders and peritoneal infections $33,371 $23,360 $21,221 +57% $24,432 +37% —
430 combined anterior and posterior cervical spinal fusion without mcc $33,203 $23,242 $50,649 −34% $93,783 −65% —
455 combined anterior and posterio $33,203 $23,242 $41,236 −19% $54,320 −39% ≈85% of Medicare
409 biliary tract procedures except only cholecystectomy with or without c.d.e. with cc $33,146 $23,202 $25,798 +28% $46,066 −28% —
481 bone marrow transplant $32,716 $22,901 $32,716 +0% $51,172 −36% ≈200% of Medicare
468 extensive o.r. procedure unrelated to principal diagnosis $32,643 $22,850 $27,101 +20% $54,929 −41% —
473 cervical spinal fusion without cc/mcc $32,602 $22,821 $26,082 +25% $50,624 −36% ≈165% of Medicare
522 alc/drug abuse or depend w rehabilitation therapy w/o cc $32,590 $22,813 $32,590 +0% $56,519 −42% ≈194% of Medicare
951 other factors influencing health status $32,580 $22,806 $7,673 +325% $9,385 +247% —
454 combined anterior and posterio $32,440 $22,708 $54,520 −40% $69,101 −53% ≈66% of Medicare
428 disorders of personality & impulse control $32,399 $22,680 $59,214 −45% $105,899 −69% —
239 amputation for circulatory system disorders except upper limb and toe with mcc $32,174 $22,522 $48,872 −34% $87,565 −63% —
352 inguinal and femoral hernia procedures without cc/mcc $32,096 $22,467 $14,390 +123% $25,162 +28% —
790 extreme immaturity or respiratory distress syndrome, neonate $31,984 $22,389 $56,929 −44% $80,018 −60% —
518 back and neck procedures except spinal fusion with mcc or disc device or neurostimulator $31,853 $22,297 $35,374 −10% $64,776 −51% —
435 malignancy of hepatobiliary system or pancreas with mcc $31,758 $22,231 $19,194 +65% $37,950 −16% —
357 other digestive system o.r. procedures with cc $31,389 $21,973 $27,982 +12% $48,682 −36% —
368 major esophageal disorders with mcc $31,225 $21,857 $17,243 +81% $33,607 −7% —
884 organic disturbances and intellectual disability $31,197 $21,838 $19,761 +58% $25,208 +24% ≈237% of Medicare
144 other circulatory system diagnoses w cc $31,049 $21,734 $18,110 +71% $29,558 +5% —
845 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses without cc/mcc $31,042 $21,730 $8,785 +253% $14,055 +121% —
493 laparoscopic cholecystectomy w/o c.d.e. w cc $31,038 $21,726 $32,697 −5% $56,394 −45% —
901 wound debridements for injuries with mcc $30,850 $21,595 $41,927 −26% $68,847 −55% —
854 infectious and parasitic diseases with o.r. procedures with cc $30,731 $21,512 $30,731 +0% $43,524 −29% —
286 circulatory disorders except ami, with cardiac catheterization with mcc $30,701 $21,491 $30,701 +0% $44,600 −31% ≈177% of Medicare
037 extracranial procedures with mcc $30,694 $21,486 $34,104 −10% $64,749 −53% —
769 postpartum and post abortion diagnoses with o.r. procedures $30,214 $21,150 $16,368 +85% $24,561 +23% —
663 minor bladder procedures with cc $30,167 $21,117 $19,293 +56% $29,924 +1% —
377 gastrointestinal hemorrhage with mcc $30,146 $21,102 $22,644 +33% $37,842 −20% ≈201% of Medicare
241 amputation for circulatory system disorders except upper limb and toe without cc/mcc $30,094 $21,066 $15,201 +98% $24,229 +24% —
418 laparoscopic cholecystectomy without c.d.e. with cc $30,019 $21,013 $21,416 +40% $42,119 −29% —
906 hand procedures for injuries $29,972 $20,981 $25,113 +19% $31,520 −5% —
975 hiv with major related condition with cc $29,902 $20,931 $14,432 +107% $25,010 +20% —
520 back and neck procedures except spinal fusion without cc/mcc $29,828 $20,879 $19,539 +53% $31,816 −6% —
029 spinal procedures with cc or spinal neurostimulators $29,648 $20,754 $30,978 −4% $64,152 −54% —
350 inflammation of the male reproductive system $29,590 $20,713 $29,590 +0% $46,591 −36% —
436 malignancy of hepatobiliary system or pancreas with cc $29,577 $20,704 $14,708 +101% $24,017 +23% —
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $29,477 $20,634 $17,716 +66% $38,094 −23% —
492 chemotherapy w acute leukemia or w use of hi dose chemoagent $29,353 $20,547 $36,304 −19% $70,540 −58% —
541 ecmo or trach w mv 96+hrs or pdx exc face, mouth & neck w maj o.r. $29,302 $20,511 $8,561 +242% $14,549 +101% —
402 lymphoma & non-acute leukemia w other o.r. proc w/o cc $29,283 $20,498 $41,487 −29% $75,492 −61% —
517 no longer valid $28,980 $20,286 $22,568 +28% $33,137 −13% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $28,804 $20,163 $21,027 +37% $33,165 −13% —
444 disorders of the biliary tract with mcc $28,703 $20,092 $17,478 +64% $31,128 −8% —
903 wound debridements for injuries without cc/mcc $28,252 $19,777 $15,740 +79% $23,588 +20% —
908 other o.r. procedures for injuries with cc $28,189 $19,732 $28,782 −2% $41,660 −32% —
516 other musculoskeletal system and connective tissue o.r. procedures with cc $28,173 $19,721 $25,991 +8% $45,817 −39% —
864 fever and inflammatory conditions $28,143 $19,700 $14,548 +93% $17,412 +62% —
438 disorders of pancreas except malignancy with mcc $28,114 $19,680 $16,921 +66% $32,502 −13% —
727 inflammation of the male reproductive system with mcc $28,097 $19,668 $16,052 +75% $25,786 +9% —
909 other o.r. procedures for injuries without cc/mcc $28,028 $19,619 $18,351 +53% $28,156 −0% —
098 bronchitis & asthma age 0-17 $27,981 $19,587 $25,003 +12% $37,902 −26% —
013 multiple sclerosis & cerebellar ataxia $27,753 $19,427 $27,753 +0% $45,290 −39% —
841 lymphoma and non-acute leukemia with cc $27,581 $19,307 $16,277 +69% $31,059 −11% —
871 septicemia or severe sepsis without mv >96 hours with mcc $27,570 $19,299 $19,992 +38% $35,237 −22% ≈171% of Medicare
372 major gastrointestinal disorders and peritoneal infections with cc $27,538 $19,276 $16,553 +66% $22,850 +21% —
579 postoperative or post-traumatic infections w or procedure $27,390 $19,173 $30,373 −10% $54,129 −49% —
512 shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc $27,076 $18,953 $19,311 +40% $35,692 −24% —
580 other skin, subcutaneous tissue and breast procedures with cc $26,940 $18,858 $21,963 +23% $36,242 −26% —
398 appendix procedures with cc $26,859 $18,802 $19,963 +35% $39,107 −31% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $26,760 $18,732 $41,189 −35% $65,254 −59% —
659 kidney and ureter procedures for non-neoplasm with mcc $26,672 $18,670 $27,190 −2% $48,094 −45% —
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $26,445 $18,512 $27,056 −2% $49,197 −46% ≈177% of Medicare
432 cirrhosis and alcoholic hepatitis with mcc $26,210 $18,347 $23,051 +14% $36,933 −29% —
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $26,083 $18,258 $26,083 +0% $36,334 −28% —
713 transurethral prostatectomy with cc/mcc $25,922 $18,146 $19,581 +32% $29,663 −13% —
011 nervous system neoplasms w/o cc $25,916 $18,141 $46,130 −44% $86,953 −70% —
280 acute myocardial infarction, discharged alive with mcc $25,901 $18,131 $21,438 +21% $28,967 −11% ≈201% of Medicare
419 fever of unknown origin age >17 w cc $25,848 $18,093 $24,335 +6% $34,887 −26% —
941 o.r. procedures with diagnoses of other contact with health services without cc/mcc $25,723 $18,006 $18,797 +37% $29,524 −13% —
345 minor small and large bowel procedures with cc $25,556 $17,889 $19,076 +34% $31,062 −18% —
501 knee procedures w pdx of infection w cc $25,540 $17,878 $25,540 +0% $37,975 −33% —
166 appendectomy w/o complicated principal diag w cc $25,511 $17,857 $35,686 −29% $72,782 −65% —
374 digestive malignancy with mcc $25,488 $17,842 $21,778 +17% $38,885 −34% —
460 no longer valid $25,466 $17,826 $40,164 −37% $50,815 −50% ≈81% of Medicare
030 spinal procedures without cc/mcc $25,328 $17,729 $22,951 +10% $45,818 −45% —
742 uterine and adnexa procedures for non-malignancy with cc/mcc $25,206 $17,644 $18,466 +36% $40,552 −38% —
080 nontraumatic stupor and coma with mcc $24,915 $17,441 $24,915 +0% $35,139 −29% —
479 biopsies of musculoskeletal system and connective tissue without cc/mcc $24,838 $17,387 $19,226 +29% $31,909 −22% —
437 malignancy of hepatobiliary system or pancreas without cc/mcc $24,783 $17,348 $10,852 +128% $13,385 +85% —
038 extracranial procedures with cc $24,769 $17,338 $24,107 +3% $35,770 −31% —
287 circulatory disorders except ami, with cardiac catheterization without mcc $24,648 $17,254 $17,337 +42% $31,190 −21% ≈314% of Medicare
494 laparoscopic cholecystectomy w/o c.d.e. w/o cc $24,397 $17,078 $27,664 −12% $45,963 −47% —
371 cesarean section w/o cc $24,307 $17,015 $18,121 +34% $31,758 −23% —
919 complications of treatment with mcc $24,284 $16,999 $18,713 +30% $29,031 −16% —
947 signs and symptoms with mcc $24,090 $16,863 $21,926 +10% $25,474 −5% —
602 cellulitis with mcc $24,026 $16,818 $22,262 +8% $29,347 −18% —
669 transurethral procedures with cc $23,443 $16,410 $23,279 +1% $34,354 −32% —
380 abortion w/o d&c $23,385 $16,370 $23,385 +0% $36,641 −36% —
963 other multiple significant trauma with mcc $23,382 $16,367 $28,233 −17% $43,491 −46% —
168 mouth procedures w cc $23,243 $16,270 $14,034 +66% $28,527 −19% —
354 hernia procedures except inguinal and femoral with cc $23,184 $16,229 $23,184 +0% $43,266 −46% —
483 major joint or limb reattachment procedures of upper extremities $23,096 $16,167 $28,785 −20% $57,149 −60% —
489 hiv w major related condition $23,091 $16,164 $19,267 +20% $27,492 −16% —
337 peritoneal adhesiolysis without cc/mcc $23,090 $16,163 $19,427 +19% $36,239 −36% —
031 concussion age >17 w cc $23,062 $16,143 $41,291 −44% $68,659 −66% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $23,042 $16,129 $24,878 −7% $45,059 −49% —
399 appendix procedures without cc/mcc $22,987 $16,091 $22,987 +0% $30,314 −24% —
482 hip and femur procedures except major joint without cc/mcc $22,888 $16,021 $23,784 −4% $39,747 −42% ≈189% of Medicare
184 esophagitis, gastroent & misc digest disorders age 0-17 $22,828 $15,980 $17,057 +34% $20,842 +10% —
660 kidney and ureter procedures for non-neoplasm with cc $22,783 $15,948 $15,087 +51% $30,358 −25% —
582 mastectomy for malignancy with cc/mcc $22,716 $15,901 $20,245 +12% $34,264 −34% —
698 other kidney and urinary tract diagnoses with mcc $22,676 $15,873 $17,225 +32% $30,058 −25% ≈167% of Medicare
876 o.r. procedures with principal diagnosis of mental illness $22,431 $15,702 $36,418 −38% $54,196 −59% —
445 disorders of the biliary tract with cc $22,369 $15,658 $11,834 +89% $21,806 +3% —
158 anal & stomal procedures w/o cc $22,340 $15,638 $10,105 +121% $17,700 +26% —
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $22,195 $15,536 $22,192 +0% $29,211 −24% —
711 testes procedures with cc/mcc $22,190 $15,533 $21,582 +3% $34,852 −36% —
922 other injury, poisoning and toxic effect diagnoses with mcc $22,059 $15,442 $17,056 +29% $29,409 −25% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $21,989 $15,393 $24,545 −10% $35,114 −37% —
355 hernia procedures except inguinal and femoral without cc/mcc $21,972 $15,381 $17,158 +28% $31,978 −31% —
798 vaginal delivery with sterilization and/or d&c without cc/mcc $21,927 $15,349 $11,560 +90% $18,238 +20% —
032 concussion age >17 w/o cc $21,922 $15,345 $21,170 +4% $45,622 −52% —
387 inflammatory bowel disease without cc/mcc $21,904 $15,333 $10,913 +101% $14,880 +47% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $21,845 $15,292 $20,421 +7% $29,633 −26% —
033 concussion age 0-17 $21,832 $15,282 $19,240 +13% $33,984 −36% —
497 local excision and removal of internal fixation devices except hip and femur without cc/mcc $21,823 $15,276 $20,619 +6% $29,805 −27% —
755 malignancy, female reproductive system with cc $21,762 $15,234 $15,024 +45% $18,459 +18% —
662 minor bladder procedures with mcc $21,677 $15,174 $29,209 −26% $54,483 −60% —
177 respiratory infections and inflammations with mcc $21,656 $15,159 $17,449 +24% $31,840 −32% ≈164% of Medicare
180 g.i. obstruction w cc $21,646 $15,153 $19,072 +13% $36,658 −41% —
100 respiratory signs & symptoms w/o cc $21,541 $15,079 $18,515 +16% $35,194 −39% —
187 dental extractions & restorations $21,518 $15,062 $13,302 +62% $21,467 +0% —
664 minor bladder procedures without cc/mcc $21,331 $14,932 $13,955 +53% $18,126 +18% —
964 other multiple significant trauma with cc $21,323 $14,926 $15,367 +39% $25,854 −18% —
284 acute myocardial infarction, expired with cc $21,308 $14,916 $9,435 +126% $13,282 +60% —
446 disorders of the biliary tract without cc/mcc $21,295 $14,907 $8,282 +157% $17,700 +20% —
867 other infectious and parasitic diseases diagnoses with mcc $21,280 $14,896 $23,709 −10% $36,850 −42% —
138 cardiac arrhythmia & conduction disorders w cc $21,190 $14,833 $8,586 +147% $17,383 +22% —
917 poisoning and toxic effects of drugs with mcc $21,087 $14,761 $16,402 +29% $28,134 −25% —
709 penis procedures with cc/mcc $20,999 $14,699 $22,382 −6% $34,535 −39% —
670 transurethral procedures without cc/mcc $20,975 $14,683 $15,598 +34% $20,371 +3% —
506 full thickness burn w skin graft or inhal inj w cc or sig trauma $20,922 $14,645 $18,082 +16% $28,983 −28% —
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $20,810 $14,567 $17,916 +16% $22,032 −6% —
600 non-malignant breast disorders with cc/mcc $20,661 $14,462 $9,948 +108% $16,418 +26% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $20,575 $14,402 $20,575 +0% $25,243 −18% —
557 percutaneous cardiovascular proc w drug-eluting stent w major cv dx $20,479 $14,335 $23,307 −12% $28,646 −29% —
488 knee procedures without principal diagnosis of infection with cc/mcc $20,388 $14,271 $30,266 −33% $41,520 −51% —
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $20,353 $14,247 $12,321 +65% $24,480 −17% ≈204% of Medicare
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $20,334 $14,234 $21,535 −6% $33,424 −39% —
626 thyroid, parathyroid and thyroglossal procedures with cc $20,189 $14,132 $15,579 +30% $27,279 −26% —
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $20,182 $14,128 $12,665 +59% $18,428 +10% —
300 endocrine disorders w cc $20,170 $14,119 $10,453 +93% $19,579 +3% —
281 acute myocardial infarction, discharged alive with cc $20,144 $14,101 $12,340 +63% $20,463 −2% ≈306% of Medicare
514 no longer valid $20,084 $14,059 $11,926 +68% $20,080 +0% —
496 combined anterior/posterior spinal fusion $20,063 $14,044 $24,687 −19% $43,800 −54% —
791 prematurity with major problems $19,940 $13,958 $34,211 −42% $39,563 −50% —
821 lymphoma and leukemia with major o.r. procedures with cc $19,893 $13,925 $21,749 −9% $44,053 −55% —
544 major joint replacement or reattachment of lower extremity $19,842 $13,890 $7,880 +152% $16,776 +18% —
989 non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $19,804 $13,863 $18,191 +9% $25,307 −22% —
598 malignant breast disorders with cc $19,777 $13,844 $11,847 +67% $19,073 +4% —
296 cardiac arrest, unexplained with mcc $19,633 $13,743 $19,633 +0% $30,910 −36% —
369 major esophageal disorders with cc $19,534 $13,674 $11,104 +76% $22,713 −14% —
804 other o.r. procedures of the blood and blood forming organs without cc/mcc $19,418 $13,593 $11,725 +66% $24,544 −21% —
920 complications of treatment with cc $19,296 $13,507 $13,448 +43% $21,181 −9% —
825 lymphoma and non-acute leukemia with other procedures without cc/mcc $19,275 $13,493 $12,746 +51% $27,321 −29% —
039 extracranial procedures without cc/mcc $19,240 $13,468 $17,967 +7% $25,267 −24% —
578 infectious & parasitic diseases w or procedure $19,211 $13,448 $18,828 +2% $28,578 −33% —
858 postoperative or post-traumatic infections with o.r. procedures without cc/mcc $19,196 $13,437 $16,267 +18% $23,924 −20% —
596 major skin disorders without mcc $19,168 $13,418 $10,927 +75% $17,226 +11% —
067 nonspecific cva and precerebral occlusion without infarction with mcc $19,165 $13,415 $14,935 +28% $24,941 −23% —
378 ectopic pregnancy $19,120 $13,384 $15,990 +20% $21,886 −13% ≈253% of Medicare
550 coronary bypass w/o cardiac cath w/o major cv dx $19,112 $13,379 $9,325 +105% $16,156 +18% —
716 other male reproductive system o.r. procedures for malignancy without cc/mcc $19,097 $13,368 $14,725 +30% $21,615 −12% —
200 hepatobiliary diagnostic procedure for non-malignancy $19,075 $13,352 $12,333 +55% $20,573 −7% —
205 disorders of liver except malig,cirr,alc hepa w cc $18,906 $13,234 $18,906 +0% $32,204 −41% —
282 acute myocardial infarction, discharged alive without cc/mcc $18,901 $13,231 $14,704 +29% $18,623 +1% ≈428% of Medicare
682 renal failure with mcc $18,878 $13,215 $17,222 +10% $27,854 −32% ≈155% of Medicare
059 multiple sclerosis and cerebellar ataxia with cc $18,824 $13,177 $14,055 +34% $26,322 −28% —
433 alcohol/drug abuse or dependence, left ama $18,799 $13,160 $11,565 +63% $23,749 −21% ≈240% of Medicare
297 cardiac arrest, unexplained with cc $18,773 $13,141 $7,122 +164% $12,336 +52% —
811 red blood cell disorders with mcc $18,649 $13,054 $17,000 +10% $27,934 −33% —
974 hiv with major related condition with mcc $18,572 $13,001 $27,750 −33% $46,402 −60% —
597 malignant breast disorders with mcc $18,556 $12,989 $17,603 +5% $31,846 −42% —
103 headaches without mcc $18,547 $12,983 $8,632 +115% $20,111 −8% —
181 g.i. obstruction w/o cc $18,422 $12,895 $14,929 +23% $22,431 −18% —
186 dental & oral dis except extractions & restorations, age 0-17 $18,391 $12,874 $17,331 +6% $32,468 −43% —
124 circulatory disorders except ami, w card cath & complex diag $18,328 $12,830 $13,291 +38% $21,029 −13% —
346 malignancy, male reproductive system, w cc $18,229 $12,760 $12,919 +41% $26,146 −30% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $18,214 $12,750 $22,316 −18% $44,553 −59% —
384 other antepartum diagnoses w/o medical complications $18,038 $12,627 $11,734 +54% $19,305 −7% —
817 other antepartum diagnoses with o.r. procedures with mcc $18,029 $12,620 $22,697 −21% $36,097 −50% —
064 ear, nose, mouth & throat malignancy $17,953 $12,567 $20,207 −11% $35,714 −50% ≈113% of Medicare
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $17,737 $12,416 $30,646 −42% $65,383 −73% —
137 cardiac congenital & valvular disorders age 0-17 $17,655 $12,358 $14,462 +22% $24,348 −27% —
754 malignancy, female reproductive system with mcc $17,510 $12,257 $17,940 −2% $29,476 −41% —
375 digestive malignancy with cc $17,428 $12,200 $12,547 +39% $27,219 −36% —
190 chronic obstructive pulmonary disease with mcc $17,384 $12,169 $17,384 +0% $24,190 −28% ≈219% of Medicare
661 kidney and ureter procedures for non-neoplasm without cc/mcc $17,376 $12,163 $16,518 +5% $24,022 −28% —
089 concussion with cc $17,358 $12,151 $14,967 +16% $18,293 −5% —
695 kidney and urinary tract signs and symptoms with mcc $17,260 $12,082 $11,155 +55% $20,741 −17% —
699 other kidney and urinary tract diagnoses with cc $17,254 $12,078 $16,431 +5% $20,732 −17% ≈210% of Medicare
175 pulmonary embolism with mcc or acute cor pulmonale $17,212 $12,048 $16,880 +2% $29,757 −42% —
092 interstitial lung disease w cc $17,152 $12,006 $17,299 −1% $24,136 −29% —
381 abortion w d&c, aspiration curettage or hysterotomy $16,951 $11,866 $12,272 +38% $24,177 −30% —
743 uterine and adnexa procedures for non-malignancy without cc/mcc $16,940 $11,858 $16,592 +2% $27,369 −38% —
746 vagina, cervix and vulva procedures with cc/mcc $16,837 $11,786 $16,837 +0% $29,916 −44% —
301 endocrine disorders w/o cc $16,812 $11,768 $12,453 +35% $15,607 +8% —
091 other disorders of nervous system with mcc $16,791 $11,754 $17,521 −4% $36,375 −54% —
842 lymphoma and non-acute leukemia without cc/mcc $16,770 $11,739 $13,963 +20% $17,550 −4% —
154 other ear, nose, mouth and throat diagnoses with mcc $16,735 $11,714 $16,471 +2% $24,465 −32% —
605 trauma to the skin, subcutaneous tissue and breast without mcc $16,655 $11,659 $9,613 +73% $19,287 −14% —
784 cesarean section with sterilization with cc $16,592 $11,614 $16,104 +3% $22,560 −26% —
886 behavioral and developmental disorders $16,579 $11,606 $16,043 +3% $24,836 −33% —
304 hypertension with mcc $16,554 $11,588 $15,366 +8% $24,185 −32% —
787 cesarean section without sterilization with cc $16,535 $11,574 $16,535 +0% $23,571 −30% —
189 pulmonary edema and respiratory failure $16,494 $11,546 $12,808 +29% $25,704 −36% ≈169% of Medicare
193 biliary tract proc except only cholecyst w or w/o c.d.e. w cc $16,450 $11,515 $13,695 +20% $26,158 −37% ≈159% of Medicare
465 aftercare w history of malignancy as secondary diagnosis $16,393 $11,475 $20,656 −21% $32,839 −50% —
559 acute ischemic stroke with use of thrombolytic agent $16,372 $11,460 $25,693 −36% $30,974 −47% —
065 dysequilibrium $16,299 $11,409 $17,784 −8% $23,469 −31% ≈200% of Medicare
073 cranial and peripheral nerve disorders with mcc $16,270 $11,389 $15,547 +5% $28,252 −42% —
865 viral illness with mcc $16,232 $11,363 $19,291 −16% $26,088 −38% —
476 amputation for musculoskeletal system and connective tissue disorders without cc/mcc $16,222 $11,356 $14,457 +12% $21,062 −23% —
197 cholecystectomy except by laparoscope w/o c.d.e. w cc $16,172 $11,321 $9,840 +64% $20,106 −20% —
546 connective tissue disorders with cc $16,164 $11,315 $12,165 +33% $24,202 −33% —
786 cesarean section without sterilization with mcc $16,162 $11,313 $16,567 −2% $27,118 −40% —
291 heart failure and shock with mcc $16,124 $11,287 $16,124 +0% $25,020 −36% ≈162% of Medicare
101 other respiratory system diagnoses w cc $15,916 $11,141 $10,815 +47% $19,954 −20% —
283 acute myocardial infarction, expired with mcc $15,832 $11,083 $18,395 −14% $35,014 −55% —
202 bronchitis and asthma with cc/mcc $15,832 $11,082 $15,148 +5% $17,273 −8% —
565 other musculoskeletal system and connective tissue diagnoses with cc $15,827 $11,079 $15,307 +3% $21,545 −27% —
689 kidney and urinary tract infections with mcc $15,811 $11,068 $12,425 +27% $22,982 −31% ≈174% of Medicare
819 other antepartum diagnoses with o.r. procedures without cc/mcc $15,805 $11,064 $8,581 +84% $17,928 −12% —
593 skin ulcers with cc $15,705 $10,994 $12,350 +27% $20,470 −23% —
299 inborn errors of metabolism $15,646 $10,952 $16,167 −3% $25,731 −39% —
315 other circulatory system diagnoses with cc $15,582 $10,907 $9,984 +56% $20,777 −25% —
788 cesarean section without sterilization without cc/mcc $15,569 $10,898 $14,437 +8% $20,084 −22% —
057 degenerative nervous system disorders without mcc $15,558 $10,891 $20,513 −24% $25,426 −39% —
393 other digestive system diagnoses with mcc $15,505 $10,853 $17,026 −9% $32,689 −53% —
306 cardiac congenital and valvular disorders with mcc $15,407 $10,785 $15,407 +0% $24,450 −37% —
638 diabetes with cc $15,311 $10,718 $10,690 +43% $18,821 −19% —
785 cesarean section with sterilization without cc/mcc $15,311 $10,718 $13,889 +10% $19,815 −23% —
783 cesarean section with sterilization with mcc $15,308 $10,715 $18,780 −18% $28,375 −46% —
759 infections, female reproductive system without cc/mcc $15,254 $10,678 $6,944 +120% $14,208 +7% —
194 biliary tract proc except only cholecyst w or w/o c.d.e. w/o cc $15,222 $10,655 $13,837 +10% $18,204 −16% ≈286% of Medicare
386 inflammatory bowel disease with cc $15,187 $10,631 $10,830 +40% $20,968 −28% —
308 cardiac arrhythmia and conduction disorders with mcc $15,059 $10,542 $16,377 −8% $26,488 −43% ≈161% of Medicare
066 epistaxis $15,019 $10,513 $13,500 +11% $19,483 −23% —
394 other o.r. procedures of the blood and blood forming organs $14,981 $10,487 $13,404 +12% $18,918 −21% —
068 otitis media & uri age >17 w cc $14,945 $10,462 $9,098 +64% $19,569 −24% —
564 headaches age >17 $14,790 $10,353 $19,681 −25% $32,936 −55% —
830 myeloproliferative disorders or poorly differentiated neoplasms with other procedures without cc/mcc $14,777 $10,344 $14,813 −0% $25,149 −41% —
535 cardiac defib implant w cardiac cath w ami/hf/shock $14,674 $10,272 $14,674 +0% $23,350 −37% —
499 back & neck procedures except spinal fusion w cc $14,639 $10,247 $13,319 +10% $22,532 −35% —
872 septicemia or severe sepsis without mv >96 hours without mcc $14,636 $10,245 $12,660 +16% $22,781 −36% ≈196% of Medicare
723 malignancy, male reproductive system with cc $14,630 $10,241 $11,232 +30% $19,317 −24% —
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $14,554 $10,188 $11,816 +23% $18,803 −23% —
072 nasal trauma & deformity $14,481 $10,136 $13,842 +5% $16,654 −13% —
792 prematurity without major problems $14,445 $10,112 $17,802 −19% $11,633 +24% —
836 acute leukemia without cc/mcc $14,375 $10,062 $13,887 +4% $19,686 −27% —
199 hepatobiliary diagnostic procedure for malignancy $14,366 $10,057 $18,335 −22% $31,491 −54% —
637 diabetes with mcc $14,318 $10,023 $16,011 −11% $28,819 −50% ≈125% of Medicare
178 uncomplicated peptic ulcer w/o cc $14,138 $9,897 $14,279 −1% $22,024 −36% ≈196% of Medicare
349 anal and stomal procedures without cc/mcc $13,976 $9,784 $13,976 +0% $19,854 −30% —
561 aftercare, musculoskeletal system and connective tissue without cc/mcc $13,946 $9,762 $13,075 +7% $18,150 −23% —
918 poisoning and toxic effects of drugs without mcc $13,841 $9,689 $8,496 +63% $15,045 −8% —
257 total mastectomy for malignancy w cc $13,812 $9,668 $9,458 +46% $15,764 −12% —
069 otitis media & uri age >17 w/o cc $13,802 $9,662 $10,882 +27% $20,278 −32% ≈235% of Medicare
603 cellulitis without mcc $13,779 $9,646 $9,611 +43% $18,530 −26% ≈229% of Medicare
560 aftercare, musculoskeletal system and connective tissue with cc $13,774 $9,642 $18,228 −24% $24,452 −44% —
305 kidney and ureter procedures for non-neoplasm without cc $13,653 $9,557 $13,295 +3% $17,144 −20% ≈256% of Medicare
885 psychoses $13,586 $9,510 $17,655 −23% $21,489 −37% ≈120% of Medicare
191 chronic obstructive pulmonary disease with cc $13,573 $9,501 $13,566 +0% $18,278 −26% ≈224% of Medicare
683 renal failure with cc $13,479 $9,435 $14,137 −5% $18,620 −28% ≈208% of Medicare
504 exten. burns or full thickness burn w/mv 96+hrs w/skin gft $13,429 $9,401 $25,972 −48% $36,598 −63% —
818 other antepartum diagnoses with o.r. procedures with cc $13,426 $9,398 $13,835 −3% $24,316 −45% —
149 dysequilibrium $13,365 $9,355 $7,397 +81% $17,203 −22% —
551 medical back problems with mcc $13,340 $9,338 $15,192 −12% $31,086 −57% —
379 gastrointestinal hemorrhage without cc/mcc $13,284 $9,299 $11,458 +16% $14,134 −6% —
056 degenerative nervous system disorders with mcc $13,249 $9,274 $35,694 −63% $39,409 −66% —
558 percutaneous cardiovascular proc w drug-eluting stent w/o maj cv dx $13,137 $9,196 $10,707 +23% $17,367 −24% —
863 postoperative and post-traumatic infections without mcc $13,092 $9,165 $10,246 +28% $20,007 −35% —
309 cardiac arrhythmia and conduction disorders with cc $13,080 $9,156 $12,789 +2% $16,865 −22% ≈260% of Medicare
675 other kidney and urinary tract procedures without cc/mcc $13,079 $9,155 $15,629 −16% $32,490 −60% —
385 inflammatory bowel disease with mcc $13,010 $9,107 $15,492 −16% $26,020 −50% —
388 gastrointestinal obstruction with mcc $12,849 $8,994 $19,152 −33% $28,780 −55% —
312 urethral procedures, age >17 w cc $12,796 $8,957 $12,515 +2% $19,342 −34% —
054 nervous system neoplasms with mcc $12,753 $8,927 $13,908 −8% $29,484 −57% —
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $12,731 $8,912 $9,704 +31% $16,745 −24% ≈244% of Medicare
055 nervous system neoplasms without mcc $12,698 $8,888 $11,936 +6% $19,868 −36% —
303 atherosclerosis without mcc $12,674 $8,872 $6,915 +83% $14,927 −15% —
292 heart failure and shock with cc $12,670 $8,869 $13,521 −6% $16,212 −22% ≈199% of Medicare
196 cholecystectomy w c.d.e. w/o cc $12,552 $8,786 $18,055 −30% $30,766 −59% —
644 endocrine disorders with cc $12,550 $8,785 $12,550 +0% $22,941 −45% —
556 percutaneous cardiovasc proc w non-drug-eluting stent w/o maj cv dx $12,523 $8,766 $7,722 +62% $17,715 −29% —
700 other kidney and urinary tract diagnoses without cc/mcc $12,482 $8,737 $9,728 +28% $13,303 −6% —
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $12,394 $8,676 $12,394 +0% $21,449 −42% —
812 red blood cell disorders without mcc $12,326 $8,628 $11,005 +12% $20,488 −40% —
840 lymphoma and non-acute leukemia with mcc $12,266 $8,586 $32,596 −62% $49,710 −75% —
543 craniotomy w major device implant or acute complex cns principal diagnosis $12,217 $8,552 $12,217 +0% $23,496 −48% —
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $12,137 $8,496 $18,235 −33% $30,275 −60% —
395 other digestive system diagnoses without cc/mcc $12,088 $8,462 $8,177 +48% $14,128 −14% —
639 diabetes without cc/mcc $12,062 $8,443 $11,327 +6% $13,910 −13% —
728 inflammation of the male reproductive system without mcc $11,772 $8,241 $10,333 +14% $16,837 −30% —
313 chest pain $11,712 $8,198 $9,403 +25% $15,962 −27% —
684 renal failure without cc/mcc $11,687 $8,181 $8,126 +44% $13,623 −14% —
834 acute leukemia with mcc $11,669 $8,168 $57,413 −80% $76,583 −85% —
948 signs and symptoms without mcc $11,596 $8,117 $11,027 +5% $17,727 −35% —
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $11,593 $8,115 $8,018 +45% $17,322 −33% ≈223% of Medicare
607 minor skin disorders without mcc $11,469 $8,028 $8,740 +31% $15,284 −25% —
439 disorders of pancreas except malignancy with cc $11,409 $7,986 $11,434 −0% $19,096 −40% —
078 hypertensive encephalopathy with cc $11,350 $7,945 $9,870 +15% $17,434 −35% —
206 disorders of liver except malig,cirr,alc hepa w/o cc $11,317 $7,922 $9,255 +22% $17,731 −36% —
645 endocrine disorders without cc/mcc $11,253 $7,877 $7,959 +41% $14,166 −21% —
389 gastrointestinal obstruction with cc $11,211 $7,848 $10,925 +3% $17,388 −36% ≈230% of Medicare
176 complicated peptic ulcer $11,163 $7,814 $11,415 −2% $18,081 −38% —
192 chronic obstructive pulmonary disease without cc/mcc $11,108 $7,775 $8,340 +33% $14,368 −23% —
536 cardiac defib implant w cardiac cath w/o ami/hf/shock $11,078 $7,754 $9,650 +15% $18,002 −38% —
690 kidney and urinary tract infections without mcc $10,874 $7,612 $8,833 +23% $17,466 −38% ≈194% of Medicare
086 pleural effusion w/o cc $10,800 $7,560 $11,930 −9% $23,115 −53% —
880 acute adjustment reaction and psychosocial dysfunction $10,716 $7,501 $9,391 +14% $15,636 −31% —
443 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc $10,636 $7,446 $8,959 +19% $15,600 −32% —
552 medical back problems without mcc $10,629 $7,440 $13,295 −20% $21,213 −50% ≈154% of Medicare
195 cholecystectomy w c.d.e. w cc $10,501 $7,351 $8,080 +30% $13,824 −24% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $10,472 $7,330 $13,113 −20% $27,244 −62% ≈107% of Medicare
041 extraocular procedures except orbit age 0-17 $10,418 $7,293 $22,925 −55% $44,989 −77% —
687 kidney and urinary tract neoplasms with cc $10,332 $7,233 $10,332 +0% $18,478 −44% —
868 other infectious and parasitic diseases diagnoses with cc $10,313 $7,219 $10,172 +1% $22,231 −54% —
310 cardiac arrhythmia and conduction disorders without cc/mcc $10,220 $7,154 $10,338 −1% $13,384 −24% ≈335% of Medicare
085 pleural effusion w cc $10,219 $7,153 $19,177 −47% $37,064 −72% —
866 viral illness without mcc $10,215 $7,150 $9,377 +9% $16,391 −38% —
693 urinary stones with mcc $10,095 $7,066 $13,761 −27% $22,525 −55% —
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $10,005 $7,003 $11,541 −13% $17,103 −42% —
806 vaginal delivery without sterilization or d&c with cc $9,933 $6,953 $9,933 +0% $13,090 −24% —
882 neuroses except depressive $9,868 $6,908 $9,569 +3% $15,680 −37% —
307 cardiac congenital and valvular disorders without mcc $9,853 $6,897 $9,359 +5% $18,608 −47% —
921 complications of treatment without cc/mcc $9,843 $6,890 $7,512 +31% $14,012 −30% —
805 vaginal delivery without sterilization or d&c with mcc $9,816 $6,871 $13,876 −29% $15,370 −36% —
553 bone diseases and arthropathies with mcc $9,754 $6,828 $12,934 −25% $23,956 −59% —
881 depressive neuroses $9,561 $6,692 $9,561 +0% $15,058 −37% —
185 dental & oral dis except extractions & restorations, age >17 $9,502 $6,651 $9,502 +0% $15,858 −40% —
726 benign prostatic hypertrophy without mcc $9,358 $6,551 $7,665 +22% $13,892 −33% —
316 other circulatory system diagnoses without cc/mcc $9,243 $6,470 $7,460 +24% $12,797 −28% —
807 vaginal delivery without sterilization or d&c without cc/mcc $9,218 $6,453 $9,218 +0% $12,044 −23% —
179 inflammatory bowel disease $9,194 $6,436 $8,026 +15% $14,444 −36% —
074 cranial and peripheral nerve disorders without mcc $9,150 $6,405 $10,738 −15% $23,141 −60% —
913 traumatic injury with mcc $9,131 $6,392 $14,869 −39% $24,198 −62% —
293 heart failure and shock without cc/mcc $8,866 $6,206 $7,302 +21% $11,955 −26% —
914 traumatic injury without mcc $8,756 $6,129 $8,756 +0% $15,593 −44% —
832 other antepartum diagnoses without o.r. procedures with cc $8,720 $6,104 $9,352 −7% $12,895 −32% —
547 connective tissue disorders without cc/mcc $8,676 $6,073 $8,396 +3% $14,861 −42% —
203 bronchitis and asthma without cc/mcc $8,556 $5,990 $6,839 +25% $12,279 −30% —
440 disorders of pancreas except malignancy without cc/mcc $8,541 $5,979 $9,219 −7% $15,070 −43% —
814 reticuloendothelial and immunity disorders with mcc $8,522 $5,965 $19,728 −57% $32,483 −74% —
538 local excis & remov of int fix dev except hip & femur w/o cc $8,486 $5,940 $7,108 +19% $11,909 −29% —
093 interstitial lung disease w/o cc $8,418 $5,893 $8,554 −2% $17,522 −52% —
153 otitis media and uri without mcc $8,332 $5,832 $6,649 +25% $14,473 −42% —
835 acute leukemia with cc $8,332 $5,832 $20,101 −59% $35,569 −77% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $8,307 $5,815 $8,620 −4% $16,049 −48% —
642 inborn and other disorders of metabolism $8,242 $5,770 $12,997 −37% $20,727 −60% —
070 otitis media & uri age 0-17 $8,141 $5,699 $25,761 −68% $30,814 −74% —
776 postpartum and post abortion diagnoses without o.r. procedures $8,043 $5,630 $7,244 +11% $12,381 −35% —
060 multiple sclerosis and cerebellar ataxia without cc/mcc $7,909 $5,536 $9,054 −13% $21,261 −63% —
087 pulmonary edema & respiratory failure $7,849 $5,495 $7,636 +3% $15,869 −51% —
554 bone diseases and arthropathies without mcc $7,429 $5,200 $8,375 −11% $18,253 −59% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $7,383 $5,168 $5,251 +41% $9,076 −19% —
390 gastrointestinal obstruction without cc/mcc $7,102 $4,972 $8,559 −17% $13,318 −47% ≈225% of Medicare
696 kidney and urinary tract signs and symptoms without mcc $7,074 $4,952 $7,074 +0% $14,441 −51% —
923 other injury, poisoning and toxic effect diagnoses without mcc $6,959 $4,871 $10,018 −31% $16,571 −58% —
204 disorders of pancreas except malignancy $6,904 $4,833 $7,973 −13% $16,866 −59% —
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $6,729 $4,710 $6,910 −3% $16,104 −58% —
311 angina pectoris $6,685 $4,680 $7,220 −7% $15,165 −56% —
793 full term neonate with major problems $6,394 $4,475 $16,285 −61% $16,719 −62% —
998 principal diagnosis invalid as discharge diagnosis $6,225 $4,358 $6,225 +0% $15,655 −60% —
779 abortion without d&c $6,018 $4,213 $9,013 −33% $15,327 −61% —
789 neonates, died or transferred to another acute care facility $5,974 $4,182 $10,540 −43% $14,284 −58% —
894 alcohol, drug abuse or dependence, left ama $5,536 $3,875 $5,759 −4% $12,013 −54% —
730 other male reproductive system diagnoses without cc/mcc $5,463 $3,824 $5,767 −5% $11,071 −51% —
595 major skin disorders with mcc $5,334 $3,733 $20,294 −74% $31,785 −83% —
843 other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc $4,895 $3,427 $18,289 −73% $36,280 −87% —
592 skin ulcers with mcc $4,523 $3,166 $19,395 −77% $32,662 −86% —
831 other antepartum diagnoses without o.r. procedures with mcc $4,448 $3,114 $8,308 −46% $18,133 −75% —
794 neonate with other significant problems $4,052 $2,836 $9,383 −57% $7,961 −49% —
084 major chest trauma w/o cc $3,920 $2,744 $9,320 −58% $18,191 −78% —
816 reticuloendothelial and immunity disorders without cc/mcc $3,918 $2,743 $6,696 −41% $13,485 −71% —
795 normal newborn $3,379 $2,365 $3,447 −2% $4,530 −25% —
694 urinary stones without mcc $1,334 $934 $7,816 −83% $16,531 −92% —