Conway Regional Medical Center, Inc — Pricing

499 procedures published in this hospital's Machine-Readable File (MRF) — 499 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 499
Lowest published price $3,448
Average published price $47,120
Highest published price $729,080

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 499 procedures

Published charges

Showing all 499 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 57 procedures, this hospital's negotiated rates average ≈115% of what Medicare pays.

DRG Description Published price Cash price vs. AR median vs. National median vs Medicare
003 ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures $729,080 $189,561 $198,053 +268% $371,366 +96% —
004 tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures $426,039 $110,770 $165,793 +157% $245,241 +74% —
001 heart transplant or implant of heart assist system with mcc $326,281 $84,833 $306,172 +7% $431,073 −24% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $323,115 $84,010 $41,189 +684% $65,254 +395% —
326 stomach, esophageal and duodenal procedures with mcc $313,095 $81,405 $56,052 +459% $80,747 +288% —
625 thyroid, parathyroid and thyroglossal procedures with mcc $246,302 $64,039 $29,491 +735% $58,968 +318% —
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $243,648 $63,348 $100,264 +143% $175,437 +39% —
242 permanent cardiac pacemaker implant with mcc $242,826 $63,135 $41,315 +488% $70,132 +246% —
207 respiratory system diagnosis with ventilator support >96 hours $236,516 $61,494 $72,527 +226% $116,058 +104% ≈136% of Medicare
867 other infectious and parasitic diseases diagnoses with mcc $213,523 $55,516 $23,709 +801% $36,850 +479% —
802 other o.r. procedures of the blood and blood forming organs with mcc $171,001 $44,460 $43,036 +297% $59,425 +188% —
870 septicemia or severe sepsis with mv >96 hours $165,745 $43,094 $89,864 +84% $138,008 +20% ≈109% of Medicare
492 lower extremity and humerus procedures except hip, foot and femur with mcc $163,202 $42,433 $36,304 +350% $70,540 +131% —
485 knee procedures with principal diagnosis of infection with mcc $146,431 $38,072 $46,223 +217% $64,956 +125% —
252 other vascular procedures with mcc $141,260 $36,728 $41,363 +242% $68,508 +106% —
957 other o.r. procedures for multiple significant trauma with mcc $137,063 $35,636 $72,066 +90% $120,587 +14% —
163 major chest procedures with mcc $133,553 $34,724 $48,191 +177% $88,341 +51% —
335 peritoneal adhesiolysis with mcc $131,170 $34,104 $40,930 +220% $71,755 +83% —
659 kidney and ureter procedures for non-neoplasm with mcc $130,578 $33,950 $27,190 +380% $48,094 +172% —
480 hip and femur procedures except major joint with mcc $129,105 $33,567 $45,162 +186% $63,984 +102% ≈211% of Medicare
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $124,969 $32,492 $63,893 +96% $78,582 +59% —
269 aortic and heart assist procedures except pulsation balloon without mcc $123,861 $32,204 $50,161 +147% $83,065 +49% —
915 allergic reactions with mcc $122,076 $31,740 $17,836 +584% $30,944 +295% —
853 infectious and parasitic diseases with o.r. procedures with mcc $120,596 $31,355 $62,923 +92% $87,018 +39% ≈105% of Medicare
457 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc $119,750 $31,135 $59,798 +100% $107,355 +12% —
564 other musculoskeletal system and connective tissue diagnoses with mcc $117,658 $30,591 $19,681 +498% $32,936 +257% —
823 lymphoma and non-acute leukemia with other procedures with mcc $113,751 $29,575 $55,874 +104% $80,885 +41% —
350 inguinal and femoral hernia procedures with mcc $112,367 $29,216 $29,590 +280% $46,591 +141% —
228 other cardiothoracic procedures with mcc $107,197 $27,871 $57,732 +86% $96,905 +11% —
958 other o.r. procedures for multiple significant trauma with cc $106,023 $27,566 $45,662 +132% $66,853 +59% —
791 prematurity with major problems $105,733 $27,491 $34,211 +209% $39,563 +167% —
656 kidney and ureter procedures for neoplasm with mcc $104,615 $27,200 $50,655 +107% $64,465 +62% —
356 other digestive system o.r. procedures with mcc $102,679 $26,697 $50,893 +102% $82,561 +24% —
264 other circulatory system o.r. procedures $101,843 $26,479 $35,029 +191% $51,953 +96% —
571 skin debridement with cc $98,773 $25,681 $17,213 +474% $34,901 +183% —
270 other major cardiovascular procedures with mcc $97,924 $25,460 $83,809 +17% $99,423 −2% —
956 limb reattachment, hip and femur procedures for multiple significant trauma $95,899 $24,934 $39,208 +145% $75,103 +28% —
344 minor small and large bowel procedures with mcc $94,297 $24,517 $31,506 +199% $44,839 +110% —
271 other major cardiovascular procedures with cc $94,290 $24,515 $47,899 +97% $71,014 +33% —
239 amputation for circulatory system disorders except upper limb and toe with mcc $91,827 $23,875 $48,872 +88% $87,565 +5% —
834 acute leukemia with mcc $91,641 $23,827 $57,413 +60% $76,583 +20% —
559 aftercare, musculoskeletal system and connective tissue with mcc $88,813 $23,091 $25,693 +246% $30,974 +187% —
907 other o.r. procedures for injuries with mcc $87,740 $22,813 $38,722 +127% $71,701 +22% —
254 other vascular procedures without cc/mcc $86,747 $22,554 $22,494 +286% $38,836 +123% —
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $86,713 $22,545 $47,937 +81% $86,390 +0% —
501 soft tissue procedures with cc $86,548 $22,502 $25,540 +239% $37,975 +128% —
500 soft tissue procedures with mcc $86,002 $22,360 $32,562 +164% $57,479 +50% —
841 lymphoma and non-acute leukemia with cc $85,857 $22,323 $16,277 +427% $31,059 +176% —
258 cardiac pacemaker device replacement with mcc $85,589 $22,253 $28,707 +198% $48,907 +75% —
244 permanent cardiac pacemaker implant without cc/mcc $85,420 $22,209 $26,617 +221% $40,063 +113% —
323 coronary intravascular lithotripsy with intraluminal device with mcc $85,100 $22,126 $58,476 +46% $88,049 −3% —
483 major joint or limb reattachment procedures of upper extremities $84,405 $21,945 $28,785 +193% $57,149 +48% —
939 o.r. procedures with diagnoses of other contact with health services with mcc $83,541 $21,721 $33,066 +153% $51,142 +63% —
208 respiratory system diagnosis with ventilator support <=96 hours $82,130 $21,354 $27,250 +201% $52,405 +57% ≈122% of Medicare
261 cardiac pacemaker revision except device replacement with cc $80,997 $21,059 $19,611 +313% $42,126 +92% —
368 major esophageal disorders with mcc $80,763 $20,998 $17,243 +368% $33,607 +140% —
058 multiple sclerosis and cerebellar ataxia with mcc $80,407 $20,906 $22,914 +251% $29,609 +172% —
592 skin ulcers with mcc $79,961 $20,790 $19,395 +312% $32,662 +145% —
080 nontraumatic stupor and coma with mcc $79,222 $20,598 $24,915 +218% $35,139 +125% —
091 other disorders of nervous system with mcc $79,053 $20,554 $17,521 +351% $36,375 +117% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $78,381 $20,379 $40,142 +95% $74,274 +6% ≈112% of Medicare
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $78,373 $20,377 $26,083 +200% $36,334 +116% —
840 lymphoma and non-acute leukemia with mcc $77,924 $20,260 $32,596 +139% $49,710 +57% —
288 acute and subacute endocarditis with mcc $76,563 $19,907 $27,777 +176% $45,497 +68% —
251 percutaneous cardiovascular procedures without intraluminal device without mcc $76,112 $19,789 $23,475 +224% $41,380 +84% —
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $75,302 $19,579 $70,945 +6% $121,714 −38% —
166 other respiratory system o.r. procedures with mcc $75,256 $19,566 $35,686 +111% $72,782 +3% —
388 gastrointestinal obstruction with mcc $75,250 $19,565 $19,152 +293% $28,780 +161% —
173 ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism $74,156 $19,280 $32,334 +129% $53,555 +38% —
327 stomach, esophageal and duodenal procedures with cc $73,540 $19,120 $52,694 +40% $54,824 +34% —
827 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with cc $73,531 $19,118 $24,120 +205% $47,546 +55% —
715 other male reproductive system o.r. procedures for malignancy with cc/mcc $72,465 $18,841 $27,859 +160% $38,998 +86% —
518 back and neck procedures except spinal fusion with mcc or disc device or neurostimulator $72,201 $18,772 $35,374 +104% $64,776 +11% —
283 acute myocardial infarction, expired with mcc $72,194 $18,770 $18,395 +292% $35,014 +106% —
657 kidney and ureter procedures for neoplasm with cc $70,059 $18,215 $22,968 +205% $40,583 +73% —
250 percutaneous cardiovascular procedures without intraluminal device with mcc $69,143 $17,977 $38,371 +80% $51,339 +35% —
673 other kidney and urinary tract procedures with mcc $67,498 $17,549 $48,172 +40% $72,945 −7% —
467 revision of hip or knee replacement with cc $66,819 $17,373 $37,465 +78% $68,880 −3% —
428 multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc $66,604 $17,317 $59,214 +12% $105,899 −37% —
460 spinal fusion except cervical $66,604 $17,317 $40,164 +66% $50,815 +31% —
545 connective tissue disorders with mcc $65,890 $17,131 $40,578 +62% $39,657 +66% —
322 percutaneous cardiovascular procedures with intraluminal device without mcc $65,814 $17,112 $26,676 +147% $54,772 +20% ≈159% of Medicare
432 cirrhosis and alcoholic hepatitis with mcc $65,376 $16,998 $23,051 +184% $36,933 +77% —
493 lower extremity and humerus procedures except hip, foot and femur with cc $64,905 $16,875 $32,697 +99% $56,394 +15% —
477 biopsies of musculoskeletal system and connective tissue with mcc $64,750 $16,835 $39,648 +63% $62,269 +4% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $63,389 $16,481 $41,798 +52% $74,257 −15% —
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $62,976 $16,374 $34,932 +80% $62,821 +0% —
329 major small and large bowel procedures with mcc $62,607 $16,278 $62,607 +0% $88,050 −29% ≈51% of Medicare
029 spinal procedures with cc or spinal neurostimulators $61,727 $16,049 $30,978 +99% $64,152 −4% —
478 biopsies of musculoskeletal system and connective tissue with cc $61,479 $15,984 $28,818 +113% $50,139 +23% —
037 extracranial procedures with mcc $61,215 $15,916 $34,104 +79% $64,749 −5% —
643 endocrine disorders with mcc $61,089 $15,883 $21,674 +182% $32,996 +85% —
353 hernia procedures except inguinal and femoral with mcc $60,900 $15,834 $36,923 +65% $60,140 +1% —
420 hepatobiliary diagnostic procedures with mcc $60,828 $15,815 $42,156 +44% $50,919 +19% —
790 extreme immaturity or respiratory distress syndrome, neonate $60,798 $15,807 $56,929 +7% $80,018 −24% —
471 cervical spinal fusion with mcc $60,139 $15,636 $48,919 +23% $92,515 −35% —
229 other cardiothoracic procedures without mcc $60,074 $15,619 $39,572 +52% $65,325 −8% —
215 other heart assist system implant $59,993 $15,598 $115,362 −48% $191,314 −69% —
865 viral illness with mcc $59,614 $15,500 $19,291 +209% $26,088 +129% —
183 major chest trauma with mcc $59,410 $15,447 $15,428 +285% $28,924 +105% —
253 other vascular procedures with cc $58,901 $15,314 $34,238 +72% $53,746 +10% —
070 nonspecific cerebrovascular disorders with mcc $58,302 $15,158 $25,761 +126% $30,814 +89% —
064 intracranial hemorrhage or cerebral infarction with mcc $58,096 $15,105 $20,207 +187% $35,714 +63% ≈129% of Medicare
540 osteomyelitis with cc $58,027 $15,087 $15,945 +264% $23,494 +147% —
035 carotid artery stent procedures with cc $57,929 $15,062 $23,446 +147% $46,430 +25% —
054 nervous system neoplasms with mcc $57,338 $14,908 $13,908 +312% $29,484 +94% —
181 respiratory neoplasms with cc $57,325 $14,905 $14,929 +284% $22,431 +156% —
522 hip replacement with principal diagnosis of hip fracture without mcc $57,029 $14,828 $32,590 +75% $56,519 +1% ≈114% of Medicare
521 hip replacement with principal diagnosis of hip fracture with mcc $56,847 $14,780 $45,397 +25% $67,764 −16% —
717 other male reproductive system o.r. procedures except malignancy with cc/mcc $56,716 $14,746 $19,073 +197% $32,538 +74% —
330 major small and large bowel procedures with cc $56,647 $14,728 $39,077 +45% $58,832 −4% ≈101% of Medicare
674 other kidney and urinary tract procedures with cc $56,549 $14,703 $28,590 +98% $49,631 +14% —
056 degenerative nervous system disorders with mcc $56,498 $14,690 $35,694 +58% $39,409 +43% —
451 single level spinal fusion except cervical without mcc $56,403 $14,665 $33,714 +67% $65,216 −14% —
345 minor small and large bowel procedures with cc $56,346 $14,650 $19,076 +195% $31,062 +81% —
711 testes procedures with cc/mcc $55,854 $14,522 $21,582 +159% $34,852 +60% —
374 digestive malignancy with mcc $55,434 $14,413 $21,778 +155% $38,885 +43% —
038 extracranial procedures with cc $55,305 $14,379 $24,107 +129% $35,770 +55% —
286 circulatory disorders except ami, with cardiac catheterization with mcc $54,789 $14,245 $30,701 +78% $44,600 +23% —
713 transurethral prostatectomy with cc/mcc $54,537 $14,180 $19,581 +179% $29,663 +84% —
157 dental and oral diseases with mcc $54,317 $14,122 $16,483 +230% $27,457 +98% —
414 cholecystectomy except by laparoscope without c.d.e. with mcc $54,268 $14,110 $39,579 +37% $68,399 −21% —
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $54,042 $14,051 $39,975 +35% $68,006 −21% —
089 concussion with cc $54,009 $14,042 $14,967 +261% $18,293 +195% —
036 carotid artery stent procedures without cc/mcc $53,290 $13,855 $22,815 +134% $40,694 +31% —
423 other hepatobiliary or pancreas o.r. procedures with mcc $53,288 $13,855 $39,710 +34% $72,011 −26% —
385 inflammatory bowel disease with mcc $53,212 $13,835 $15,492 +243% $26,020 +105% —
488 knee procedures without principal diagnosis of infection with cc/mcc $53,146 $13,818 $30,266 +76% $41,520 +28% —
582 mastectomy for malignancy with cc/mcc $52,814 $13,732 $20,245 +161% $34,264 +54% —
510 shoulder, elbow or forearm procedures, except major joint procedures with mcc $52,172 $13,565 $29,094 +79% $49,055 +6% —
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $52,058 $13,535 $18,817 +177% $48,680 +7% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $51,870 $13,486 $22,316 +132% $44,553 +16% —
742 uterine and adnexa procedures for non-malignancy with cc/mcc $51,867 $13,485 $18,466 +181% $40,552 +28% —
097 non-bacterial infection of nervous system except viral meningitis with mcc $51,463 $13,380 $43,411 +19% $57,855 −11% —
602 cellulitis with mcc $51,448 $13,377 $22,262 +131% $29,347 +75% —
240 amputation for circulatory system disorders except upper limb and toe with cc $50,973 $13,253 $40,991 +24% $54,475 −6% —
095 bacterial and tuberculous infections of nervous system with cc $50,832 $13,216 $27,079 +88% $47,583 +7% —
814 reticuloendothelial and immunity disorders with mcc $50,688 $13,179 $19,728 +157% $32,483 +56% —
296 cardiac arrest, unexplained with mcc $50,639 $13,166 $19,633 +158% $30,910 +64% —
557 tendonitis, myositis and bursitis with mcc $50,583 $13,151 $23,307 +117% $28,646 +77% —
708 major male pelvic procedures without cc/mcc $50,379 $13,099 $22,435 +125% $32,911 +53% —
975 hiv with major related condition with cc $50,325 $13,084 $14,432 +249% $25,010 +101% —
686 kidney and urinary tract neoplasms with mcc $49,972 $12,993 $18,952 +164% $32,981 +52% —
486 knee procedures with principal diagnosis of infection with cc $49,545 $12,882 $34,700 +43% $46,477 +7% —
871 septicemia or severe sepsis without mv >96 hours with mcc $49,110 $12,769 $19,992 +146% $35,237 +39% ≈107% of Medicare
178 respiratory infections and inflammations with cc $49,043 $12,751 $14,279 +243% $22,024 +123% ≈211% of Medicare
983 extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $49,008 $12,742 $24,846 +97% $30,930 +58% —
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $48,896 $12,713 $22,192 +120% $29,211 +67% —
481 hip and femur procedures except major joint with cc $48,678 $12,656 $32,716 +49% $51,172 −5% ≈102% of Medicare
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $48,485 $12,606 $30,646 +58% $65,383 −26% —
331 major small and large bowel procedures without cc/mcc $48,435 $12,593 $25,124 +93% $44,117 +10% ≈131% of Medicare
574 skin graft for skin ulcer or cellulitis with cc $48,426 $12,591 $34,390 +41% $49,065 −1% —
472 cervical spinal fusion with cc $48,196 $12,531 $30,262 +59% $59,537 −19% —
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $47,974 $12,473 $45,542 +5% $62,961 −24% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $47,750 $12,415 $43,808 +9% $51,985 −8% —
280 acute myocardial infarction, discharged alive with mcc $47,731 $12,410 $21,438 +123% $28,967 +65% ≈131% of Medicare
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $47,605 $12,377 $22,925 +108% $44,989 +6% —
824 lymphoma and non-acute leukemia with other procedures with cc $47,365 $12,315 $22,857 +107% $38,382 +23% —
617 amputation of lower limb for endocrine, nutritional and metabolic disorders with cc $46,786 $12,164 $28,264 +66% $42,881 +9% ≈114% of Medicare
351 inguinal and femoral hernia procedures with cc $46,394 $12,062 $32,656 +42% $33,792 +37% —
418 laparoscopic cholecystectomy without c.d.e. with cc $46,368 $12,056 $21,416 +117% $42,119 +10% ≈123% of Medicare
205 other respiratory system diagnoses with mcc $46,323 $12,044 $18,906 +145% $32,204 +44% —
857 postoperative or post-traumatic infections with o.r. procedures with cc $46,209 $12,014 $26,828 +72% $41,900 +10% —
964 other multiple significant trauma with cc $45,962 $11,950 $15,367 +199% $25,854 +78% —
055 nervous system neoplasms without mcc $45,781 $11,903 $11,936 +284% $19,868 +130% —
658 kidney and ureter procedures for neoplasm without cc/mcc $45,759 $11,897 $19,107 +139% $35,528 +29% —
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $45,630 $11,864 $17,716 +158% $38,094 +20% —
506 major thumb or joint procedures $45,435 $11,813 $18,082 +151% $28,983 +57% —
357 other digestive system o.r. procedures with cc $45,344 $11,789 $27,982 +62% $48,682 −7% —
595 major skin disorders with mcc $44,769 $11,640 $20,294 +121% $31,785 +41% —
551 medical back problems with mcc $44,648 $11,608 $15,192 +194% $31,086 +44% —
579 other skin, subcutaneous tissue and breast procedures with mcc $44,311 $11,521 $30,373 +46% $54,129 −18% —
352 inguinal and femoral hernia procedures without cc/mcc $44,306 $11,519 $14,390 +208% $25,162 +76% —
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $44,173 $11,485 $21,427 +106% $35,542 +24% —
180 respiratory neoplasms with mcc $44,157 $11,481 $19,072 +132% $36,658 +20% —
908 other o.r. procedures for injuries with cc $43,980 $11,435 $28,782 +53% $41,660 +6% —
337 peritoneal adhesiolysis without cc/mcc $43,949 $11,427 $19,427 +126% $36,239 +21% —
175 pulmonary embolism with mcc or acute cor pulmonale $42,977 $11,174 $16,880 +155% $29,757 +44% —
670 transurethral procedures without cc/mcc $42,896 $11,153 $15,598 +175% $20,371 +111% —
520 back and neck procedures except spinal fusion without cc/mcc $42,739 $11,112 $19,539 +119% $31,816 +34% —
862 postoperative and post-traumatic infections with mcc $42,664 $11,093 $28,496 +50% $30,394 +40% —
409 biliary tract procedures except only cholecystectomy with or without c.d.e. with cc $42,487 $11,047 $25,798 +65% $46,066 −8% —
815 reticuloendothelial and immunity disorders with cc $42,242 $10,983 $10,367 +307% $18,017 +134% —
300 peripheral vascular disorders with cc $41,954 $10,908 $10,453 +301% $19,579 +114% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $41,927 $10,901 $21,027 +99% $33,165 +26% —
884 organic disturbances and intellectual disability $41,689 $10,839 $19,761 +111% $25,208 +65% —
186 pleural effusion with mcc $41,453 $10,778 $17,331 +139% $32,468 +28% —
287 circulatory disorders except ami, with cardiac catheterization without mcc $41,350 $10,751 $17,337 +139% $31,190 +33% ≈175% of Medicare
482 hip and femur procedures except major joint without cc/mcc $41,314 $10,742 $23,784 +74% $39,747 +4% ≈113% of Medicare
744 d&c, conization, laparoscopy and tubal interruption with cc/mcc $41,277 $10,732 $19,286 +114% $33,050 +25% —
663 minor bladder procedures with cc $41,193 $10,710 $19,293 +114% $29,924 +38% —
637 diabetes with mcc $41,045 $10,672 $16,011 +156% $28,819 +42% ≈115% of Medicare
627 thyroid, parathyroid and thyroglossal procedures without cc/mcc $40,942 $10,645 $12,662 +223% $25,623 +60% —
450 single level spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $40,242 $10,463 $52,620 −24% $79,944 −50% —
811 red blood cell disorders with mcc $39,800 $10,348 $17,000 +134% $27,934 +42% ≈128% of Medicare
417 laparoscopic cholecystectomy without c.d.e. with mcc $39,604 $10,297 $34,039 +16% $52,313 −24% —
057 degenerative nervous system disorders without mcc $39,519 $10,275 $20,513 +93% $25,426 +55% —
620 o.r. procedures for obesity with cc $39,348 $10,231 $20,288 +94% $35,453 +11% —
437 malignancy of hepatobiliary system or pancreas without cc/mcc $39,000 $10,140 $10,852 +259% $13,385 +191% —
669 transurethral procedures with cc $38,949 $10,127 $23,279 +67% $34,354 +13% —
896 alcohol, drug abuse or dependence without rehabilitation therapy with mcc $38,901 $10,114 $18,235 +113% $30,275 +28% —
243 permanent cardiac pacemaker implant with cc $38,812 $10,091 $32,433 +20% $50,011 −22% —
336 peritoneal adhesiolysis with cc $38,562 $10,026 $34,586 +11% $49,470 −22% —
039 extracranial procedures without cc/mcc $38,523 $10,016 $17,967 +114% $25,267 +52% —
302 atherosclerosis with mcc $38,376 $9,978 $11,530 +233% $20,844 +84% —
578 skin graft except for skin ulcer or cellulitis without cc/mcc $38,348 $9,971 $18,828 +104% $28,578 +34% —
698 other kidney and urinary tract diagnoses with mcc $38,339 $9,968 $17,225 +123% $30,058 +28% ≈98% of Medicare
371 major gastrointestinal disorders and peritoneal infections with mcc $38,142 $9,917 $18,121 +110% $31,758 +20% —
177 respiratory infections and inflammations with mcc $37,979 $9,875 $17,449 +118% $31,840 +19% ≈96% of Medicare
593 skin ulcers with cc $37,864 $9,845 $12,350 +207% $20,470 +85% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $37,829 $9,836 $44,642 −15% $76,954 −51% —
854 infectious and parasitic diseases with o.r. procedures with cc $37,639 $9,786 $30,731 +22% $43,524 −14% ≈76% of Medicare
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $37,568 $9,768 $7,722 +387% $17,715 +112% —
947 signs and symptoms with mcc $37,404 $9,725 $21,926 +71% $25,474 +47% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $37,373 $9,717 $24,545 +52% $35,114 +6% —
856 postoperative or post-traumatic infections with o.r. procedures with mcc $37,105 $9,647 $50,660 −27% $72,859 −49% —
448 multiple level spinal fusion except cervical without mcc $36,776 $9,562 $41,461 −11% $81,998 −55% —
255 upper limb and toe amputation for circulatory system disorders with mcc $36,690 $9,539 $26,915 +36% $43,697 −16% —
184 major chest trauma with cc $36,647 $9,528 $17,057 +115% $20,842 +76% —
059 multiple sclerosis and cerebellar ataxia with cc $36,646 $9,528 $14,055 +161% $26,322 +39% —
034 carotid artery stent procedures with mcc $36,446 $9,476 $38,479 −5% $72,908 −50% —
377 gastrointestinal hemorrhage with mcc $36,376 $9,458 $22,644 +61% $37,842 −4% ≈87% of Medicare
687 kidney and urinary tract neoplasms with cc $36,328 $9,445 $10,332 +252% $18,478 +97% —
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $36,295 $9,437 $30,650 +18% $54,313 −33% —
398 appendix procedures with cc $36,186 $9,408 $19,963 +81% $39,107 −7% —
444 disorders of the biliary tract with mcc $36,163 $9,402 $17,478 +107% $31,128 +16% —
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $35,956 $9,349 $23,542 +53% $32,399 +11% —
307 cardiac congenital and valvular disorders without mcc $35,826 $9,315 $9,359 +283% $18,608 +93% —
256 upper limb and toe amputation for circulatory system disorders with cc $35,591 $9,254 $20,049 +78% $29,729 +20% —
100 seizures with mcc $35,546 $9,242 $18,515 +92% $35,194 +1% —
304 hypertension with mcc $35,510 $9,233 $15,366 +131% $24,185 +47% —
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $35,342 $9,189 $27,056 +31% $49,197 −28% —
494 lower extremity and humerus procedures except hip, foot and femur without cc/mcc $35,314 $9,182 $27,664 +28% $45,963 −23% —
866 viral illness without mcc $35,215 $9,156 $9,377 +276% $16,391 +115% —
621 o.r. procedures for obesity without cc/mcc $35,198 $9,152 $22,167 +59% $32,451 +8% —
419 laparoscopic cholecystectomy without c.d.e. without cc/mcc $35,174 $9,145 $24,335 +45% $34,887 +1% —
282 acute myocardial infarction, discharged alive without cc/mcc $35,081 $9,121 $14,704 +139% $18,623 +88% ≈261% of Medicare
436 malignancy of hepatobiliary system or pancreas with cc $35,006 $9,102 $14,708 +138% $24,017 +46% —
291 heart failure and shock with mcc $34,863 $9,064 $16,124 +116% $25,020 +39% ≈114% of Medicare
397 appendix procedures with mcc $34,696 $9,021 $29,741 +17% $52,319 −34% —
185 major chest trauma without cc/mcc $34,607 $8,998 $9,502 +264% $15,858 +118% —
072 nonspecific cerebrovascular disorders without cc/mcc $34,546 $8,982 $13,842 +150% $16,654 +107% —
864 fever and inflammatory conditions $34,021 $8,845 $14,548 +134% $17,412 +95% —
615 adrenal and pituitary procedures without cc/mcc $33,855 $8,802 $15,005 +126% $31,812 +6% —
354 hernia procedures except inguinal and femoral with cc $33,829 $8,795 $23,184 +46% $43,266 −22% —
497 local excision and removal of internal fixation devices except hip and femur without cc/mcc $33,824 $8,794 $20,619 +64% $29,805 +13% —
963 other multiple significant trauma with mcc $33,734 $8,771 $28,233 +19% $43,491 −22% —
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $33,571 $8,728 $17,784 +89% $23,469 +43% ≈174% of Medicare
386 inflammatory bowel disease with cc $33,511 $8,713 $10,830 +209% $20,968 +60% —
835 acute leukemia with cc $33,300 $8,658 $20,101 +66% $35,569 −6% —
083 traumatic stupor and coma >1 hour with cc $33,232 $8,640 $15,128 +120% $24,118 +38% —
098 non-bacterial infection of nervous system except viral meningitis with cc $33,145 $8,618 $25,003 +33% $37,902 −13% —
328 stomach, esophageal and duodenal procedures without cc/mcc $33,130 $8,614 $18,000 +84% $35,375 −6% —
281 acute myocardial infarction, discharged alive with cc $33,060 $8,596 $12,340 +168% $20,463 +62% ≈167% of Medicare
369 major esophageal disorders with cc $32,819 $8,533 $11,104 +196% $22,713 +44% —
940 o.r. procedures with diagnoses of other contact with health services with cc $32,722 $8,508 $25,440 +29% $38,420 −15% —
869 other infectious and parasitic diseases diagnoses without cc/mcc $32,676 $8,496 $7,162 +356% $12,537 +161% —
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $32,651 $8,489 $22,679 +44% $43,538 −25% —
372 major gastrointestinal disorders and peritoneal infections with cc $32,588 $8,473 $16,553 +97% $22,850 +43% —
103 headaches without mcc $32,576 $8,470 $8,632 +277% $20,111 +62% —
438 disorders of pancreas except malignancy with mcc $32,537 $8,460 $16,921 +92% $32,502 +0% —
580 other skin, subcutaneous tissue and breast procedures with cc $32,510 $8,453 $21,963 +48% $36,242 −10% —
430 combined anterior and posterior cervical spinal fusion without mcc $32,489 $8,447 $50,649 −36% $93,783 −65% —
455 combined anterior and posterio $32,489 $8,447 $41,236 −21% $54,320 −40% —
358 other digestive system o.r. procedures without cc/mcc $32,382 $8,419 $15,407 +110% $29,374 +10% —
435 malignancy of hepatobiliary system or pancreas with mcc $32,300 $8,398 $19,194 +68% $37,950 −15% —
378 gastrointestinal hemorrhage with cc $32,283 $8,394 $15,990 +102% $21,886 +48% ≈144% of Medicare
906 hand procedures for injuries $32,283 $8,394 $25,113 +29% $31,520 +2% —
402 single level combined anterior and posterior spinal fusion except cervical $32,212 $8,375 $41,487 −22% $75,492 −57% —
682 renal failure with mcc $31,782 $8,263 $17,222 +85% $27,854 +14% ≈95% of Medicare
068 nonspecific cva and precerebral occlusion without infarction without mcc $31,646 $8,228 $9,098 +248% $19,569 +62% —
355 hernia procedures except inguinal and femoral without cc/mcc $31,545 $8,202 $17,158 +84% $31,978 −1% —
607 minor skin disorders without mcc $31,343 $8,149 $8,740 +259% $15,284 +105% —
028 spinal procedures with mcc $31,121 $8,091 $56,954 −45% $95,858 −68% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $31,006 $8,061 $20,421 +52% $29,633 +5% —
433 cirrhosis and alcoholic hepatitis with cc $30,847 $8,020 $11,565 +167% $23,749 +30% —
949 aftercare with cc/mcc $30,795 $8,007 $16,276 +89% $23,953 +29% —
066 intracranial hemorrhage or cerebral infarction without cc/mcc $30,250 $7,865 $13,500 +124% $19,483 +55% —
077 hypertensive encephalopathy with mcc $30,217 $7,856 $23,263 +30% $24,036 +26% —
513 hand or wrist procedures, except major thumb or joint procedures with cc/mcc $30,206 $7,854 $21,535 +40% $33,424 −10% —
810 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc $30,199 $7,852 $12,665 +138% $18,428 +64% —
380 complicated peptic ulcer with mcc $30,034 $7,809 $23,385 +28% $36,641 −18% —
606 minor skin disorders with mcc $29,940 $7,784 $15,393 +95% $25,434 +18% —
155 other ear, nose, mouth and throat diagnoses with cc $29,903 $7,775 $8,802 +240% $16,642 +80% —
797 vaginal delivery with sterilization and/or d&c with cc $29,861 $7,764 $11,597 +157% $19,001 +57% —
553 bone diseases and arthropathies with mcc $29,723 $7,728 $12,934 +130% $23,956 +24% —
393 other digestive system diagnoses with mcc $29,493 $7,668 $17,026 +73% $32,689 −10% —
383 uncomplicated peptic ulcer with mcc $29,220 $7,597 $13,008 +125% $26,634 +10% —
584 breast biopsy, local excision and other breast procedures with cc/mcc $29,182 $7,587 $24,892 +17% $34,089 −14% —
306 cardiac congenital and valvular disorders with mcc $29,037 $7,550 $15,407 +88% $24,450 +19% —
743 uterine and adnexa procedures for non-malignancy without cc/mcc $29,009 $7,542 $16,592 +75% $27,369 +6% —
727 inflammation of the male reproductive system with mcc $28,977 $7,534 $16,052 +81% $25,786 +12% —
552 medical back problems without mcc $28,940 $7,525 $13,295 +118% $21,213 +36% ≈149% of Medicare
504 foot procedures with cc $28,800 $7,488 $25,972 +11% $36,598 −21% —
487 knee procedures with principal diagnosis of infection without cc/mcc $28,775 $7,482 $16,244 +77% $33,490 −14% —
813 coagulation disorders $28,721 $7,467 $19,690 +46% $30,128 −5% —
974 hiv with major related condition with mcc $28,564 $7,427 $27,750 +3% $46,402 −38% —
314 other circulatory system diagnoses with mcc $28,547 $7,422 $25,216 +13% $38,357 −26% ≈64% of Medicare
196 interstitial lung disease with mcc $28,514 $7,414 $18,055 +58% $30,766 −7% —
550 septic arthritis without cc/mcc $28,505 $7,411 $9,325 +206% $16,156 +76% —
535 fractures of hip and pelvis with mcc $28,304 $7,359 $14,674 +93% $23,350 +21% —
158 dental and oral diseases with cc $28,257 $7,347 $10,105 +180% $17,700 +60% —
189 pulmonary edema and respiratory failure $28,244 $7,344 $12,808 +121% $25,704 +10% ≈96% of Medicare
769 postpartum and post abortion diagnoses with o.r. procedures $28,130 $7,314 $16,368 +72% $24,561 +15% —
798 vaginal delivery with sterilization and/or d&c without cc/mcc $28,012 $7,283 $11,560 +142% $18,238 +54% —
053 spinal disorders and injuries without cc/mcc $27,881 $7,249 $9,555 +192% $20,309 +37% —
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $27,707 $7,204 $12,321 +125% $24,480 +13% ≈89% of Medicare
644 endocrine disorders with cc $27,654 $7,190 $12,550 +120% $22,941 +21% —
399 appendix procedures without cc/mcc $27,651 $7,189 $22,987 +20% $30,314 −9% —
473 cervical spinal fusion without cc/mcc $27,518 $7,155 $26,082 +6% $50,624 −46% —
199 pneumothorax with mcc $27,467 $7,141 $18,335 +50% $31,491 −13% —
439 disorders of pancreas except malignancy with cc $27,455 $7,138 $11,434 +140% $19,096 +44% —
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $27,267 $7,090 $12,217 +123% $23,496 +16% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $27,227 $7,079 $20,575 +32% $25,243 +8% —
726 benign prostatic hypertrophy without mcc $27,197 $7,071 $7,665 +255% $13,892 +96% —
638 diabetes with cc $27,120 $7,051 $10,690 +154% $18,821 +44% ≈153% of Medicare
502 soft tissue procedures without cc/mcc $27,077 $7,040 $15,245 +78% $30,006 −10% —
370 major esophageal disorders without cc/mcc $26,895 $6,993 $7,402 +263% $15,072 +78% —
718 other male reproductive system o.r. procedures except malignancy without cc/mcc $26,824 $6,974 $12,552 +114% $20,147 +33% —
596 major skin disorders without mcc $26,798 $6,967 $10,927 +145% $17,226 +56% —
206 other respiratory system diagnoses without mcc $26,750 $6,955 $9,255 +189% $17,731 +51% —
315 other circulatory system diagnoses with cc $26,736 $6,951 $9,984 +168% $20,777 +29% —
786 cesarean section without sterilization with mcc $26,695 $6,941 $16,567 +61% $27,118 −2% —
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $26,672 $6,935 $12,394 +115% $21,449 +24% —
689 kidney and urinary tract infections with mcc $26,658 $6,931 $12,425 +115% $22,982 +16% ≈99% of Medicare
812 red blood cell disorders without mcc $26,631 $6,924 $11,005 +142% $20,488 +30% —
347 anal and stomal procedures with mcc $26,604 $6,917 $24,792 +7% $40,548 −34% —
920 complications of treatment with cc $26,433 $6,873 $13,448 +97% $21,181 +25% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $26,386 $6,860 $24,878 +6% $45,059 −41% —
700 other kidney and urinary tract diagnoses without cc/mcc $26,265 $6,829 $9,728 +170% $13,303 +97% —
514 hand or wrist procedures, except major thumb or joint procedures without cc/mcc $26,163 $6,802 $11,926 +119% $20,080 +30% —
193 simple pneumonia and pleurisy with mcc $26,158 $6,801 $13,695 +91% $26,158 +0% ≈90% of Medicare
755 malignancy, female reproductive system with cc $26,034 $6,769 $15,024 +73% $18,459 +41% —
639 diabetes without cc/mcc $25,754 $6,696 $11,327 +127% $13,910 +85% —
445 disorders of the biliary tract with cc $25,747 $6,694 $11,834 +118% $21,806 +18% —
787 cesarean section without sterilization with cc $25,708 $6,684 $16,535 +55% $23,571 +9% —
305 hypertension without mcc $25,695 $6,681 $13,295 +93% $17,144 +50% ≈156% of Medicare
534 fractures of femur without mcc $25,629 $6,664 $8,315 +208% $17,195 +49% —
081 nontraumatic stupor and coma without mcc $25,593 $6,654 $9,214 +178% $15,077 +70% —
292 heart failure and shock with cc $25,531 $6,638 $13,521 +89% $16,212 +57% —
389 gastrointestinal obstruction with cc $25,379 $6,599 $10,925 +132% $17,388 +46% ≈148% of Medicare
309 cardiac arrhythmia and conduction disorders with cc $25,225 $6,559 $12,789 +97% $16,865 +50% ≈163% of Medicare
187 pleural effusion with cc $25,219 $6,557 $13,302 +90% $21,467 +17% —
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $25,164 $6,543 $20,656 +22% $32,839 −23% —
872 septicemia or severe sepsis without mv >96 hours without mcc $25,097 $6,525 $12,660 +98% $22,781 +10% ≈113% of Medicare
699 other kidney and urinary tract diagnoses with cc $24,848 $6,460 $16,431 +51% $20,732 +20% —
092 other disorders of nervous system with cc $24,733 $6,431 $17,299 +43% $24,136 +2% —
496 local excision and removal of internal fixation devices except hip and femur with cc $24,687 $6,419 $24,687 +0% $43,800 −44% —
476 amputation for musculoskeletal system and connective tissue disorders without cc/mcc $24,668 $6,414 $14,457 +71% $21,062 +17% —
074 cranial and peripheral nerve disorders without mcc $24,640 $6,406 $10,738 +129% $23,141 +6% —
384 uncomplicated peptic ulcer without mcc $24,539 $6,380 $11,734 +109% $19,305 +27% —
661 kidney and ureter procedures for non-neoplasm without cc/mcc $24,523 $6,376 $16,518 +48% $24,022 +2% —
446 disorders of the biliary tract without cc/mcc $24,432 $6,352 $8,282 +195% $17,700 +38% —
572 skin debridement without cc/mcc $24,421 $6,349 $21,221 +15% $24,432 −0% —
660 kidney and ureter procedures for non-neoplasm with cc $24,421 $6,349 $15,087 +62% $30,358 −20% ≈79% of Medicare
919 complications of treatment with mcc $24,155 $6,280 $18,713 +29% $29,031 −17% —
394 other digestive system diagnoses with cc $24,043 $6,251 $13,404 +79% $18,918 +27% —
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $23,994 $6,238 $22,568 +6% $33,137 −28% —
468 revision of hip or knee replacement without cc/mcc $23,931 $6,222 $27,101 −12% $54,929 −56% —
516 other musculoskeletal system and connective tissue o.r. procedures with cc $23,809 $6,190 $25,991 −8% $45,817 −48% —
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $23,803 $6,189 $6,910 +244% $16,104 +48% —
539 osteomyelitis with mcc $23,788 $6,185 $21,493 +11% $33,746 −30% —
783 cesarean section with sterilization with mcc $23,742 $6,173 $18,780 +26% $28,375 −16% —
603 cellulitis without mcc $23,672 $6,155 $9,611 +146% $18,530 +28% ≈128% of Medicare
141 major head and neck procedures with cc $23,346 $6,070 $21,974 +6% $34,900 −33% —
086 traumatic stupor and coma <1 hour with cc $23,345 $6,070 $11,930 +96% $23,115 +1% —
299 peripheral vascular disorders with mcc $23,327 $6,065 $16,167 +44% $25,731 −9% —
788 cesarean section without sterilization without cc/mcc $23,226 $6,039 $14,437 +61% $20,084 +16% —
101 seizures without mcc $23,191 $6,030 $10,815 +114% $19,954 +16% —
903 wound debridements for injuries without cc/mcc $23,183 $6,028 $15,740 +47% $23,588 −2% —
917 poisoning and toxic effects of drugs with mcc $23,135 $6,015 $16,402 +41% $28,134 −18% —
154 other ear, nose, mouth and throat diagnoses with mcc $23,112 $6,009 $16,471 +40% $24,465 −6% —
395 other digestive system diagnoses without cc/mcc $23,070 $5,998 $8,177 +182% $14,128 +63% —
645 endocrine disorders without cc/mcc $23,058 $5,995 $7,959 +190% $14,166 +63% —
084 traumatic stupor and coma >1 hour without cc/mcc $23,017 $5,985 $9,320 +147% $18,191 +27% —
188 pleural effusion without cc/mcc $22,908 $5,956 $6,929 +231% $14,110 +62% —
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $22,889 $5,951 $11,541 +98% $17,103 +34% —
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $22,738 $5,912 $9,704 +134% $16,745 +36% ≈144% of Medicare
558 tendonitis, myositis and bursitis without mcc $22,690 $5,899 $10,707 +112% $17,367 +31% —
069 transient ischemia without thrombolytic $22,676 $5,896 $10,882 +108% $20,278 +12% —
885 psychoses $22,664 $5,893 $17,655 +28% $21,489 +5% ≈73% of Medicare
149 dysequilibrium $22,642 $5,887 $7,397 +206% $17,203 +32% —
818 other antepartum diagnoses with o.r. procedures with cc $22,556 $5,865 $13,835 +63% $24,316 −7% —
909 other o.r. procedures for injuries without cc/mcc $22,430 $5,832 $18,351 +22% $28,156 −20% —
805 vaginal delivery without sterilization or d&c with mcc $22,386 $5,820 $13,876 +61% $15,370 +46% —
758 infections, female reproductive system with cc $22,077 $5,740 $11,030 +100% $19,091 +16% —
312 syncope and collapse $21,993 $5,718 $12,515 +76% $19,342 +14% ≈117% of Medicare
806 vaginal delivery without sterilization or d&c with cc $21,850 $5,681 $9,933 +120% $13,090 +67% —
784 cesarean section with sterilization with cc $21,757 $5,657 $16,104 +35% $22,560 −4% —
308 cardiac arrhythmia and conduction disorders with mcc $21,757 $5,657 $16,377 +33% $26,488 −18% ≈78% of Medicare
565 other musculoskeletal system and connective tissue diagnoses with cc $21,612 $5,619 $15,307 +41% $21,545 +0% —
684 renal failure without cc/mcc $21,590 $5,613 $8,126 +166% $13,623 +58% —
770 abortion with d&c, aspiration curettage or hysterotomy $21,565 $5,607 $9,773 +121% $17,943 +20% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $21,456 $5,578 $8,620 +149% $16,049 +34% —
152 otitis media and uri with mcc $21,280 $5,533 $11,310 +88% $19,795 +8% —
921 complications of treatment without cc/mcc $21,200 $5,512 $7,512 +182% $14,012 +51% —
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $21,187 $5,509 $11,816 +79% $18,803 +13% —
948 signs and symptoms without mcc $21,164 $5,503 $11,027 +92% $17,727 +19% —
088 concussion with mcc $21,114 $5,490 $18,029 +17% $24,402 −13% —
725 benign prostatic hypertrophy with mcc $21,072 $5,479 $12,441 +69% $19,894 +6% —
690 kidney and urinary tract infections without mcc $21,006 $5,462 $8,833 +138% $17,466 +20% ≈129% of Medicare
683 renal failure with cc $20,995 $5,459 $14,137 +49% $18,620 +13% ≈112% of Medicare
785 cesarean section with sterilization without cc/mcc $20,833 $5,417 $13,889 +50% $19,815 +5% —
626 thyroid, parathyroid and thyroglossal procedures with cc $20,648 $5,369 $15,579 +33% $27,279 −24% —
387 inflammatory bowel disease without cc/mcc $20,526 $5,337 $10,913 +88% $14,880 +38% —
880 acute adjustment reaction and psychosocial dysfunction $20,458 $5,319 $9,391 +118% $15,636 +31% —
642 inborn and other disorders of metabolism $20,359 $5,293 $12,997 +57% $20,727 −2% —
604 trauma to the skin, subcutaneous tissue and breast with mcc $20,350 $5,291 $16,002 +27% $28,140 −28% —
204 respiratory signs and symptoms $20,298 $5,277 $7,973 +155% $16,866 +20% —
313 chest pain $20,249 $5,265 $9,403 +115% $15,962 +27% —
989 non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $20,235 $5,261 $18,191 +11% $25,307 −20% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $20,128 $5,233 $13,113 +54% $27,244 −26% —
694 urinary stones without mcc $20,120 $5,231 $7,816 +157% $16,531 +22% —
381 complicated peptic ulcer with cc $20,108 $5,228 $12,272 +64% $24,177 −17% —
311 angina pectoris $20,054 $5,214 $7,220 +178% $15,165 +32% —
807 vaginal delivery without sterilization or d&c without cc/mcc $20,041 $5,211 $9,218 +117% $12,044 +66% —
349 anal and stomal procedures without cc/mcc $20,006 $5,202 $13,976 +43% $19,854 +1% —
071 nonspecific cerebrovascular disorders with cc $19,939 $5,184 $19,939 +0% $23,396 −15% —
479 biopsies of musculoskeletal system and connective tissue without cc/mcc $19,895 $5,173 $19,226 +3% $31,909 −38% —
605 trauma to the skin, subcutaneous tissue and breast without mcc $19,876 $5,168 $9,613 +107% $19,287 +3% —
145 other ear, nose, mouth and throat o.r. procedures without cc/mcc $19,708 $5,124 $13,384 +47% $20,842 −5% —
195 simple pneumonia and pleurisy without cc/mcc $19,701 $5,122 $8,080 +144% $13,824 +43% —
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $19,685 $5,118 $8,018 +146% $17,322 +14% ≈129% of Medicare
375 digestive malignancy with cc $19,477 $5,064 $12,547 +55% $27,219 −28% —
190 chronic obstructive pulmonary disease with mcc $19,112 $4,969 $17,384 +10% $24,190 −21% ≈76% of Medicare
194 simple pneumonia and pleurisy with cc $19,035 $4,949 $13,837 +38% $18,204 +5% ≈114% of Medicare
914 traumatic injury without mcc $18,971 $4,932 $8,756 +117% $15,593 +22% —
710 penis procedures without cc/mcc $18,950 $4,927 $14,769 +28% $23,814 −20% —
712 testes procedures without cc/mcc $18,728 $4,869 $11,216 +67% $18,898 −1% —
536 fractures of hip and pelvis without mcc $18,561 $4,826 $9,650 +92% $18,002 +3% ≈116% of Medicare
886 behavioral and developmental disorders $18,551 $4,823 $16,043 +16% $24,836 −25% —
748 female reproductive system reconstructive procedures $18,486 $4,806 $13,901 +33% $24,980 −26% —
560 aftercare, musculoskeletal system and connective tissue with cc $18,483 $4,806 $18,228 +1% $24,452 −24% —
881 depressive neuroses $18,443 $4,795 $9,561 +93% $15,058 +22% —
303 atherosclerosis without mcc $18,404 $4,785 $6,915 +166% $14,927 +23% —
819 other antepartum diagnoses with o.r. procedures without cc/mcc $18,301 $4,758 $8,581 +113% $17,928 +2% —
159 dental and oral diseases without cc/mcc $18,204 $4,733 $6,899 +164% $13,368 +36% —
693 urinary stones with mcc $18,125 $4,712 $13,761 +32% $22,525 −20% —
176 pulmonary embolism without mcc $18,115 $4,710 $11,415 +59% $18,081 +0% —
202 bronchitis and asthma with cc/mcc $18,078 $4,700 $15,148 +19% $17,273 +5% —
440 disorders of pancreas except malignancy without cc/mcc $18,035 $4,689 $9,219 +96% $15,070 +20% —
123 neurological eye disorders $17,888 $4,651 $8,156 +119% $17,831 +0% —
191 chronic obstructive pulmonary disease with cc $17,809 $4,630 $13,566 +31% $18,278 −3% —
192 chronic obstructive pulmonary disease without cc/mcc $17,607 $4,578 $8,340 +111% $14,368 +23% —
156 other ear, nose, mouth and throat diagnoses without cc/mcc $17,446 $4,536 $6,457 +170% $13,198 +32% —
918 poisoning and toxic effects of drugs without mcc $17,272 $4,491 $8,496 +103% $15,045 +15% —
301 peripheral vascular disorders without cc/mcc $16,895 $4,393 $12,453 +36% $15,607 +8% —
125 other disorders of the eye without mcc $16,806 $4,370 $8,417 +100% $15,876 +6% —
664 minor bladder procedures without cc/mcc $16,787 $4,365 $13,955 +20% $18,126 −7% —
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $16,564 $4,307 $17,916 −8% $22,032 −25% —
793 full term neonate with major problems $16,285 $4,234 $16,285 +0% $16,719 −3% —
747 vagina, cervix and vulva procedures without cc/mcc $16,285 $4,234 $12,614 +29% $19,326 −16% —
179 respiratory infections and inflammations without cc/mcc $15,935 $4,143 $8,026 +99% $14,444 +10% —
310 cardiac arrhythmia and conduction disorders without cc/mcc $15,779 $4,103 $10,338 +53% $13,384 +18% ≈170% of Medicare
200 pneumothorax with cc $15,742 $4,093 $12,333 +28% $20,573 −23% —
316 other circulatory system diagnoses without cc/mcc $15,736 $4,091 $7,460 +111% $12,797 +23% —
868 other infectious and parasitic diseases diagnoses with cc $15,630 $4,064 $10,172 +54% $22,231 −30% —
696 kidney and urinary tract signs and symptoms without mcc $15,219 $3,957 $7,074 +115% $14,441 +5% —
792 prematurity without major problems $14,989 $3,897 $17,802 −16% $11,633 +29% —
779 abortion without d&c $14,631 $3,804 $9,013 +62% $15,327 −5% —
151 epistaxis without mcc $14,581 $3,791 $7,671 +90% $13,032 +12% —
789 neonates, died or transferred to another acute care facility $14,447 $3,756 $10,540 +37% $14,284 +1% —
505 foot procedures without cc/mcc $14,054 $3,654 $17,117 −18% $31,716 −56% —
093 other disorders of nervous system without cc/mcc $13,963 $3,630 $8,554 +63% $17,522 −20% —
761 menstrual and other female reproductive system disorders without cc/mcc $13,799 $3,588 $6,071 +127% $11,421 +21% —
379 gastrointestinal hemorrhage without cc/mcc $13,671 $3,554 $11,458 +19% $14,134 −3% —
894 alcohol, drug abuse or dependence, left ama $13,443 $3,495 $5,759 +133% $12,013 +12% —
883 disorders of personality and impulse control $13,399 $3,484 $14,080 −5% $22,698 −41% —
923 other injury, poisoning and toxic effect diagnoses without mcc $13,310 $3,461 $10,018 +33% $16,571 −20% —
760 menstrual and other female reproductive system disorders with cc/mcc $13,209 $3,434 $11,506 +15% $18,282 −28% —
935 non-extensive burns $13,039 $3,390 $14,954 −13% $29,458 −56% —
201 pneumothorax without cc/mcc $12,813 $3,331 $9,555 +34% $13,081 −2% —
776 postpartum and post abortion diagnoses without o.r. procedures $12,714 $3,306 $7,244 +75% $12,381 +3% —
390 gastrointestinal obstruction without cc/mcc $12,624 $3,282 $8,559 +48% $13,318 −5% ≈139% of Medicare
153 otitis media and uri without mcc $12,389 $3,221 $6,649 +86% $14,473 −14% —
950 aftercare without cc/mcc $12,361 $3,214 $6,216 +99% $13,527 −9% —
697 urethral stricture $12,121 $3,152 $10,255 +18% $17,705 −32% —
887 other mental disorder diagnoses $11,885 $3,090 $11,885 +0% $20,602 −42% —
916 allergic reactions without mcc $11,819 $3,073 $6,794 +74% $13,890 −15% —
832 other antepartum diagnoses without o.r. procedures with cc $11,795 $3,067 $9,352 +26% $12,895 −9% —
817 other antepartum diagnoses with o.r. procedures with mcc $11,673 $3,035 $22,697 −49% $36,097 −68% —
728 inflammation of the male reproductive system without mcc $11,437 $2,974 $10,333 +11% $16,837 −32% —
863 postoperative and post-traumatic infections without mcc $11,395 $2,963 $10,246 +11% $20,007 −43% —
759 infections, female reproductive system without cc/mcc $11,250 $2,925 $6,944 +62% $14,208 −21% —
882 neuroses except depressive $11,246 $2,924 $9,569 +18% $15,680 −28% —
549 septic arthritis with cc $10,181 $2,647 $12,498 −19% $20,938 −51% —
695 kidney and urinary tract signs and symptoms with mcc $10,001 $2,600 $11,155 −10% $20,741 −52% —
082 traumatic stupor and coma >1 hour with mcc $9,594 $2,494 $23,497 −59% $36,237 −74% —
284 acute myocardial infarction, expired with cc $9,435 $2,453 $9,435 +0% $13,282 −29% —
382 complicated peptic ulcer without cc/mcc $9,037 $2,350 $7,257 +25% $16,634 −46% —
794 neonate with other significant problems $8,770 $2,280 $9,383 −7% $7,961 +10% —
203 bronchitis and asthma without cc/mcc $8,501 $2,210 $6,839 +24% $12,279 −31% —
831 other antepartum diagnoses without o.r. procedures with mcc $7,723 $2,008 $8,308 −7% $18,133 −57% —
795 normal newborn $7,426 $1,931 $3,447 +115% $4,530 +64% —
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $7,261 $1,888 $7,261 +0% $14,337 −49% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $6,552 $1,704 $5,251 +25% $9,076 −28% —
554 bone diseases and arthropathies without mcc $6,313 $1,641 $8,375 −25% $18,253 −65% —
951 other factors influencing health status $3,778 $982 $7,673 −51% $9,385 −60% —
147 ear, nose, mouth and throat malignancy with cc $3,448 — $12,259 −72% $21,860 −84% —
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