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 $204,317 +257% $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 $184,103 +131% $248,521 +71% —
001 heart transplant or implant of heart assist system with mcc $326,281 $84,833 $326,281 +0% $461,389 −29% —
469 major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement $323,115 $84,010 $45,618 +608% $65,788 +391% —
326 stomach, esophageal and duodenal procedures with mcc $313,095 $81,405 $59,451 +427% $80,793 +288% —
625 thyroid, parathyroid and thyroglossal procedures with mcc $246,302 $64,039 $34,948 +605% $59,031 +317% —
216 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc $243,648 $63,348 $113,706 +114% $188,171 +29% —
242 permanent cardiac pacemaker implant with mcc $242,826 $63,135 $47,218 +414% $70,132 +246% —
207 respiratory system diagnosis with ventilator support >96 hours $236,516 $61,494 $73,010 +224% $116,058 +104% ≈136% of Medicare
867 other infectious and parasitic diseases diagnoses with mcc $213,523 $55,516 $27,367 +680% $38,070 +461% —
802 other o.r. procedures of the blood and blood forming organs with mcc $171,001 $44,460 $49,721 +244% $66,711 +156% —
870 septicemia or severe sepsis with mv >96 hours $165,745 $43,094 $89,864 +84% $148,832 +11% ≈109% of Medicare
492 lower extremity and humerus procedures except hip, foot and femur with mcc $163,202 $42,433 $42,794 +281% $70,564 +131% —
485 knee procedures with principal diagnosis of infection with mcc $146,431 $38,072 $44,977 +226% $72,424 +102% —
252 other vascular procedures with mcc $141,260 $36,728 $47,717 +196% $68,508 +106% —
957 other o.r. procedures for multiple significant trauma with mcc $137,063 $35,636 $72,066 +90% $120,573 +14% —
163 major chest procedures with mcc $133,553 $34,724 $55,604 +140% $90,195 +48% —
335 peritoneal adhesiolysis with mcc $131,170 $34,104 $45,576 +188% $71,755 +83% —
659 kidney and ureter procedures for non-neoplasm with mcc $130,578 $33,950 $27,708 +371% $52,178 +150% —
480 hip and femur procedures except major joint with mcc $129,105 $33,567 $43,263 +198% $65,653 +97% ≈211% of Medicare
463 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc $124,969 $32,492 $68,035 +84% $89,207 +40% —
269 aortic and heart assist procedures except pulsation balloon without mcc $123,861 $32,204 $57,196 +117% $85,159 +45% —
915 allergic reactions with mcc $122,076 $31,740 $21,793 +460% $32,645 +274% —
853 infectious and parasitic diseases with o.r. procedures with mcc $120,596 $31,355 $64,242 +88% $93,172 +29% ≈105% of Medicare
457 spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc $119,750 $31,135 $60,810 +97% $107,355 +12% —
564 other musculoskeletal system and connective tissue diagnoses with mcc $117,658 $30,591 $23,123 +409% $33,653 +250% —
823 lymphoma and non-acute leukemia with other procedures with mcc $113,751 $29,575 $63,928 +78% $87,761 +30% —
350 inguinal and femoral hernia procedures with mcc $112,367 $29,216 $32,088 +250% $50,046 +125% —
228 other cardiothoracic procedures with mcc $107,197 $27,871 $62,762 +71% $96,905 +11% —
958 other o.r. procedures for multiple significant trauma with cc $106,023 $27,566 $48,826 +117% $73,120 +45% —
791 prematurity with major problems $105,733 $27,491 $38,919 +172% $42,679 +148% —
656 kidney and ureter procedures for neoplasm with mcc $104,615 $27,200 $45,479 +130% $65,608 +59% —
356 other digestive system o.r. procedures with mcc $102,679 $26,697 $58,558 +75% $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 $24,925 +296% $37,169 +166% —
270 other major cardiovascular procedures with mcc $97,924 $25,460 $69,695 +41% $99,423 −2% —
956 limb reattachment, hip and femur procedures for multiple significant trauma $95,899 $24,934 $39,605 +142% $75,103 +28% —
344 minor small and large bowel procedures with mcc $94,297 $24,517 $34,899 +170% $44,546 +112% —
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 $51,100 +80% $93,390 −2% —
834 acute leukemia with mcc $91,641 $23,827 $58,863 +56% $85,566 +7% —
559 aftercare, musculoskeletal system and connective tissue with mcc $88,813 $23,091 $26,490 +235% $33,047 +169% —
907 other o.r. procedures for injuries with mcc $87,740 $22,813 $40,269 +118% $77,817 +13% —
254 other vascular procedures without cc/mcc $86,747 $22,554 $25,899 +235% $38,836 +123% —
981 extensive o.r. procedures unrelated to principal diagnosis with mcc $86,713 $22,545 $55,101 +57% $90,775 −4% —
501 soft tissue procedures with cc $86,548 $22,502 $25,949 +234% $39,619 +118% —
500 soft tissue procedures with mcc $86,002 $22,360 $38,441 +124% $61,872 +39% —
841 lymphoma and non-acute leukemia with cc $85,857 $22,323 $16,277 +427% $33,633 +155% —
258 cardiac pacemaker device replacement with mcc $85,589 $22,253 $34,156 +151% $52,986 +62% —
244 permanent cardiac pacemaker implant without cc/mcc $85,420 $22,209 $26,617 +221% $41,591 +105% —
323 coronary intravascular lithotripsy with intraluminal device with mcc $85,100 $22,126 $58,476 +46% $101,510 −16% —
483 major joint or limb reattachment procedures of upper extremities $84,405 $21,945 $28,785 +193% $58,707 +44% —
939 o.r. procedures with diagnoses of other contact with health services with mcc $83,541 $21,721 $38,728 +116% $55,289 +51% —
208 respiratory system diagnosis with ventilator support <=96 hours $82,130 $21,354 $31,088 +164% $52,405 +57% ≈122% of Medicare
261 cardiac pacemaker revision except device replacement with cc $80,997 $21,059 $23,717 +242% $42,126 +92% —
368 major esophageal disorders with mcc $80,763 $20,998 $21,056 +284% $33,876 +138% —
058 multiple sclerosis and cerebellar ataxia with mcc $80,407 $20,906 $27,152 +196% $30,243 +166% —
592 skin ulcers with mcc $79,961 $20,790 $20,018 +299% $33,246 +141% —
080 nontraumatic stupor and coma with mcc $79,222 $20,598 $26,954 +194% $36,249 +119% —
091 other disorders of nervous system with mcc $79,053 $20,554 $18,130 +336% $37,387 +111% —
321 percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices $78,381 $20,379 $40,142 +95% $81,706 −4% ≈112% of Medicare
808 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc $78,373 $20,377 $29,501 +166% $39,181 +100% —
840 lymphoma and non-acute leukemia with mcc $77,924 $20,260 $32,812 +137% $49,710 +57% —
288 acute and subacute endocarditis with mcc $76,563 $19,907 $33,211 +131% $50,618 +51% —
251 percutaneous cardiovascular procedures without intraluminal device without mcc $76,112 $19,789 $23,475 +224% $46,295 +64% —
217 cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc $75,302 $19,579 $75,302 +0% $123,995 −39% —
166 other respiratory system o.r. procedures with mcc $75,256 $19,566 $38,661 +95% $75,573 −0% —
388 gastrointestinal obstruction with mcc $75,250 $19,565 $20,248 +272% $30,571 +146% —
173 ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism $74,156 $19,280 $37,678 +97% $60,407 +23% —
327 stomach, esophageal and duodenal procedures with cc $73,540 $19,120 $45,422 +62% $59,421 +24% —
827 myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with cc $73,531 $19,118 $28,971 +154% $50,498 +46% —
715 other male reproductive system o.r. procedures for malignancy with cc/mcc $72,465 $18,841 $32,504 +123% $38,998 +86% —
518 back and neck procedures except spinal fusion with mcc or disc device or neurostimulator $72,201 $18,772 $38,923 +85% $71,092 +2% —
283 acute myocardial infarction, expired with mcc $72,194 $18,770 $19,070 +279% $39,955 +81% —
657 kidney and ureter procedures for neoplasm with cc $70,059 $18,215 $26,921 +160% $43,298 +62% —
250 percutaneous cardiovascular procedures without intraluminal device with mcc $69,143 $17,977 $33,209 +108% $59,629 +16% —
673 other kidney and urinary tract procedures with mcc $67,498 $17,549 $53,805 +25% $77,990 −13% —
467 revision of hip or knee replacement with cc $66,819 $17,373 $37,465 +78% $70,847 −6% —
428 multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc $66,604 $17,317 $60,061 +11% $105,899 −37% —
460 spinal fusion except cervical $66,604 $17,317 $42,725 +56% $51,625 +29% —
545 connective tissue disorders with mcc $65,890 $17,131 $35,990 +83% $40,362 +63% —
322 percutaneous cardiovascular procedures with intraluminal device without mcc $65,814 $17,112 $26,676 +147% $58,809 +12% ≈159% of Medicare
432 cirrhosis and alcoholic hepatitis with mcc $65,376 $16,998 $27,416 +138% $40,213 +63% —
493 lower extremity and humerus procedures except hip, foot and femur with cc $64,905 $16,875 $32,697 +99% $59,651 +9% —
477 biopsies of musculoskeletal system and connective tissue with mcc $64,750 $16,835 $44,709 +45% $68,653 −6% —
040 peripheral, cranial nerve and other nervous system procedures with mcc $63,389 $16,481 $44,565 +42% $74,257 −15% —
515 other musculoskeletal system and connective tissue o.r. procedures with mcc $62,976 $16,374 $39,131 +61% $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 $32,307 +91% $67,268 −8% —
478 biopsies of musculoskeletal system and connective tissue with cc $61,479 $15,984 $33,546 +83% $50,139 +23% —
037 extracranial procedures with mcc $61,215 $15,916 $40,200 +52% $66,666 −8% —
643 endocrine disorders with mcc $61,089 $15,883 $24,704 +147% $33,563 +82% —
353 hernia procedures except inguinal and femoral with mcc $60,900 $15,834 $39,092 +56% $60,170 +1% —
420 hepatobiliary diagnostic procedures with mcc $60,828 $15,815 $49,003 +24% $50,919 +19% —
790 extreme immaturity or respiratory distress syndrome, neonate $60,798 $15,807 $58,478 +4% $80,018 −24% —
471 cervical spinal fusion with mcc $60,139 $15,636 $50,596 +19% $92,515 −35% —
229 other cardiothoracic procedures without mcc $60,074 $15,619 $43,510 +38% $65,325 −8% —
215 other heart assist system implant $59,993 $15,598 $117,796 −49% $208,939 −71% —
865 viral illness with mcc $59,614 $15,500 $22,350 +167% $26,910 +122% —
183 major chest trauma with mcc $59,410 $15,447 $16,130 +268% $29,933 +98% —
253 other vascular procedures with cc $58,901 $15,314 $35,283 +67% $57,454 +3% —
070 nonspecific cerebrovascular disorders with mcc $58,302 $15,158 $25,761 +126% $31,951 +82% —
064 intracranial hemorrhage or cerebral infarction with mcc $58,096 $15,105 $20,207 +187% $39,106 +49% ≈129% of Medicare
540 osteomyelitis with cc $58,027 $15,087 $17,968 +223% $26,676 +118% —
035 carotid artery stent procedures with cc $57,929 $15,062 $28,082 +106% $49,066 +18% —
054 nervous system neoplasms with mcc $57,338 $14,908 $14,391 +298% $30,502 +88% —
181 respiratory neoplasms with cc $57,325 $14,905 $17,604 +226% $23,573 +143% —
522 hip replacement with principal diagnosis of hip fracture without mcc $57,029 $14,828 $32,590 +75% $58,280 −2% ≈114% of Medicare
521 hip replacement with principal diagnosis of hip fracture with mcc $56,847 $14,780 $41,024 +39% $70,467 −19% —
717 other male reproductive system o.r. procedures except malignancy with cc/mcc $56,716 $14,746 $23,175 +145% $36,670 +55% —
330 major small and large bowel procedures with cc $56,647 $14,728 $39,077 +45% $59,500 −5% ≈101% of Medicare
674 other kidney and urinary tract procedures with cc $56,549 $14,703 $33,155 +71% $50,394 +12% —
056 degenerative nervous system disorders with mcc $56,498 $14,690 $35,694 +58% $39,973 +41% —
451 single level spinal fusion except cervical without mcc $56,403 $14,665 $38,481 +47% $65,216 −14% —
345 minor small and large bowel procedures with cc $56,346 $14,650 $22,516 +150% $33,048 +70% —
711 testes procedures with cc/mcc $55,854 $14,522 $21,886 +155% $38,343 +46% —
374 digestive malignancy with mcc $55,434 $14,413 $23,633 +135% $39,958 +39% —
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 $31,311 +75% $46,283 +18% —
713 transurethral prostatectomy with cc/mcc $54,537 $14,180 $21,961 +148% $32,100 +70% —
157 dental and oral diseases with mcc $54,317 $14,122 $17,171 +216% $31,300 +74% —
414 cholecystectomy except by laparoscope without c.d.e. with mcc $54,268 $14,110 $44,124 +23% $69,743 −22% —
628 other endocrine, nutritional and metabolic o.r. procedures with mcc $54,042 $14,051 $54,042 +0% $71,795 −25% —
089 concussion with cc $54,009 $14,042 $16,573 +226% $18,821 +187% —
036 carotid artery stent procedures without cc/mcc $53,290 $13,855 $26,986 +97% $40,694 +31% —
423 other hepatobiliary or pancreas o.r. procedures with mcc $53,288 $13,855 $41,557 +28% $79,225 −33% —
385 inflammatory bowel disease with mcc $53,212 $13,835 $16,055 +231% $27,617 +93% —
488 knee procedures without principal diagnosis of infection with cc/mcc $53,146 $13,818 $30,266 +76% $43,631 +22% —
582 mastectomy for malignancy with cc/mcc $52,814 $13,732 $22,716 +132% $35,849 +47% —
510 shoulder, elbow or forearm procedures, except major joint procedures with mcc $52,172 $13,565 $34,692 +50% $49,839 +5% —
062 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc $52,058 $13,535 $22,562 +131% $52,075 −0% —
475 amputation for musculoskeletal system and connective tissue disorders with cc $51,870 $13,486 $31,193 +66% $45,877 +13% —
742 uterine and adnexa procedures for non-malignancy with cc/mcc $51,867 $13,485 $18,557 +180% $40,552 +28% —
097 non-bacterial infection of nervous system except viral meningitis with mcc $51,463 $13,380 $49,718 +4% $59,533 −14% —
602 cellulitis with mcc $51,448 $13,377 $22,262 +131% $30,598 +68% —
240 amputation for circulatory system disorders except upper limb and toe with cc $50,973 $13,253 $40,991 +24% $59,790 −15% —
095 bacterial and tuberculous infections of nervous system with cc $50,832 $13,216 $30,693 +66% $47,583 +7% —
814 reticuloendothelial and immunity disorders with mcc $50,688 $13,179 $20,062 +153% $33,851 +50% —
296 cardiac arrest, unexplained with mcc $50,639 $13,166 $22,788 +122% $33,661 +50% —
557 tendonitis, myositis and bursitis with mcc $50,583 $13,151 $23,307 +117% $32,877 +54% —
708 major male pelvic procedures without cc/mcc $50,379 $13,099 $22,435 +125% $36,988 +36% —
975 hiv with major related condition with cc $50,325 $13,084 $18,037 +179% $27,808 +81% —
686 kidney and urinary tract neoplasms with mcc $49,972 $12,993 $23,310 +114% $37,844 +32% —
486 knee procedures with principal diagnosis of infection with cc $49,545 $12,882 $30,721 +61% $49,351 +0% —
871 septicemia or severe sepsis without mv >96 hours with mcc $49,110 $12,769 $24,488 +101% $35,628 +38% ≈107% of Medicare
178 respiratory infections and inflammations with cc $49,043 $12,751 $14,420 +240% $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% $34,607 +42% —
562 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc $48,896 $12,713 $22,189 +120% $29,743 +64% —
481 hip and femur procedures except major joint with cc $48,678 $12,656 $32,716 +49% $52,751 −8% ≈102% of Medicare
987 non-extensive o.r. procedures unrelated to principal diagnosis with mcc $48,485 $12,606 $32,476 +49% $66,068 −27% —
331 major small and large bowel procedures without cc/mcc $48,435 $12,593 $24,873 +95% $44,117 +10% ≈131% of Medicare
574 skin graft for skin ulcer or cellulitis with cc $48,426 $12,591 $41,277 +17% $52,036 −7% —
472 cervical spinal fusion with cc $48,196 $12,531 $31,445 +53% $59,537 −19% —
616 amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc $47,974 $12,473 $46,758 +3% $66,685 −28% —
982 extensive o.r. procedures unrelated to principal diagnosis with cc $47,750 $12,415 $37,418 +28% $51,985 −8% —
280 acute myocardial infarction, discharged alive with mcc $47,731 $12,410 $21,438 +123% $30,828 +55% ≈131% of Medicare
041 peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator $47,605 $12,377 $23,114 +106% $49,418 −4% —
824 lymphoma and non-acute leukemia with other procedures with cc $47,365 $12,315 $27,298 +74% $41,608 +14% —
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 $27,688 +68% $36,505 +27% —
418 laparoscopic cholecystectomy without c.d.e. with cc $46,368 $12,056 $24,718 +88% $44,606 +4% ≈123% of Medicare
205 other respiratory system diagnoses with mcc $46,323 $12,044 $18,906 +145% $33,255 +39% —
857 postoperative or post-traumatic infections with o.r. procedures with cc $46,209 $12,014 $29,530 +56% $45,333 +2% —
964 other multiple significant trauma with cc $45,962 $11,950 $15,504 +196% $27,394 +68% —
055 nervous system neoplasms without mcc $45,781 $11,903 $12,698 +261% $20,926 +119% —
658 kidney and ureter procedures for neoplasm without cc/mcc $45,759 $11,897 $22,714 +101% $36,253 +26% —
988 non-extensive o.r. procedures unrelated to principal diagnosis with cc $45,630 $11,864 $25,466 +79% $38,094 +20% —
506 major thumb or joint procedures $45,435 $11,813 $20,922 +117% $30,557 +49% —
357 other digestive system o.r. procedures with cc $45,344 $11,789 $31,389 +44% $48,682 −7% —
595 major skin disorders with mcc $44,769 $11,640 $20,895 +114% $34,598 +29% —
551 medical back problems with mcc $44,648 $11,608 $16,047 +178% $34,017 +31% —
579 other skin, subcutaneous tissue and breast procedures with mcc $44,311 $11,521 $30,373 +46% $58,745 −25% —
352 inguinal and femoral hernia procedures without cc/mcc $44,306 $11,519 $17,505 +153% $27,843 +59% —
063 ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc $44,173 $11,485 $21,427 +106% $39,887 +11% —
180 respiratory neoplasms with mcc $44,157 $11,481 $20,359 +117% $36,658 +20% —
908 other o.r. procedures for injuries with cc $43,980 $11,435 $28,782 +53% $42,914 +2% —
337 peritoneal adhesiolysis without cc/mcc $43,949 $11,427 $23,090 +90% $39,211 +12% —
175 pulmonary embolism with mcc or acute cor pulmonale $42,977 $11,174 $17,000 +153% $30,959 +39% —
670 transurethral procedures without cc/mcc $42,896 $11,153 $15,598 +175% $20,911 +105% —
520 back and neck procedures except spinal fusion without cc/mcc $42,739 $11,112 $21,795 +96% $35,465 +21% —
862 postoperative and post-traumatic infections with mcc $42,664 $11,093 $27,058 +58% $32,859 +30% —
409 biliary tract procedures except only cholecystectomy with or without c.d.e. with cc $42,487 $11,047 $30,404 +40% $46,066 −8% —
815 reticuloendothelial and immunity disorders with cc $42,242 $10,983 $10,418 +305% $19,264 +119% —
300 peripheral vascular disorders with cc $41,954 $10,908 $11,399 +268% $20,422 +105% —
623 skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc $41,927 $10,901 $28,020 +50% $34,459 +22% —
884 organic disturbances and intellectual disability $41,689 $10,839 $19,761 +111% $26,682 +56% —
186 pleural effusion with mcc $41,453 $10,778 $21,046 +97% $33,834 +23% —
287 circulatory disorders except ami, with cardiac catheterization without mcc $41,350 $10,751 $17,337 +139% $32,021 +29% ≈175% of Medicare
482 hip and femur procedures except major joint without cc/mcc $41,314 $10,742 $23,784 +74% $41,955 −2% ≈113% of Medicare
744 d&c, conization, laparoscopy and tubal interruption with cc/mcc $41,277 $10,732 $23,920 +73% $38,861 +6% —
663 minor bladder procedures with cc $41,193 $10,710 $23,018 +79% $33,103 +24% —
637 diabetes with mcc $41,045 $10,672 $16,549 +148% $30,100 +36% ≈115% of Medicare
627 thyroid, parathyroid and thyroglossal procedures without cc/mcc $40,942 $10,645 $12,863 +218% $28,125 +46% —
450 single level spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device $40,242 $10,463 $53,617 −25% $99,943 −60% —
811 red blood cell disorders with mcc $39,800 $10,348 $20,051 +98% $28,226 +41% ≈128% of Medicare
417 laparoscopic cholecystectomy without c.d.e. with mcc $39,604 $10,297 $34,039 +16% $53,451 −26% —
057 degenerative nervous system disorders without mcc $39,519 $10,275 $20,513 +93% $27,543 +43% —
620 o.r. procedures for obesity with cc $39,348 $10,231 $23,921 +64% $35,453 +11% —
437 malignancy of hepatobiliary system or pancreas without cc/mcc $39,000 $10,140 $13,385 +191% $14,014 +178% —
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 $18,389 +112% $31,159 +25% —
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 $31,925 +21% $50,463 −24% —
039 extracranial procedures without cc/mcc $38,523 $10,016 $17,967 +114% $26,618 +45% —
302 atherosclerosis with mcc $38,376 $9,978 $11,731 +227% $22,446 +71% —
578 skin graft except for skin ulcer or cellulitis without cc/mcc $38,348 $9,971 $19,211 +100% $29,079 +32% —
698 other kidney and urinary tract diagnoses with mcc $38,339 $9,968 $18,499 +107% $32,496 +18% ≈98% of Medicare
371 major gastrointestinal disorders and peritoneal infections with mcc $38,142 $9,917 $21,214 +80% $33,555 +14% —
177 respiratory infections and inflammations with mcc $37,979 $9,875 $17,449 +118% $33,707 +13% ≈96% of Medicare
593 skin ulcers with cc $37,864 $9,845 $12,350 +207% $22,886 +65% —
474 amputation for musculoskeletal system and connective tissue disorders with mcc $37,829 $9,836 $53,021 −29% $84,692 −55% —
854 infectious and parasitic diseases with o.r. procedures with cc $37,639 $9,786 $29,929 +26% $43,943 −14% ≈76% of Medicare
556 signs and symptoms of musculoskeletal system and connective tissue without mcc $37,568 $9,768 $8,301 +353% $18,126 +107% —
947 signs and symptoms with mcc $37,404 $9,725 $19,887 +88% $27,401 +37% —
542 pathological fractures and musculoskeletal and connective tissue malignancy with mcc $37,373 $9,717 $27,101 +38% $36,792 +2% —
856 postoperative or post-traumatic infections with o.r. procedures with mcc $37,105 $9,647 $53,754 −31% $76,001 −51% —
448 multiple level spinal fusion except cervical without mcc $36,776 $9,562 $42,382 −13% $81,998 −55% —
255 upper limb and toe amputation for circulatory system disorders with mcc $36,690 $9,539 $31,802 +15% $46,453 −21% —
184 major chest trauma with cc $36,647 $9,528 $17,057 +115% $22,432 +63% —
059 multiple sclerosis and cerebellar ataxia with cc $36,646 $9,528 $16,440 +123% $27,163 +35% —
034 carotid artery stent procedures with mcc $36,446 $9,476 $39,310 −7% $76,219 −52% —
377 gastrointestinal hemorrhage with mcc $36,376 $9,458 $24,718 +47% $37,842 −4% ≈87% of Medicare
687 kidney and urinary tract neoplasms with cc $36,328 $9,445 $10,608 +242% $20,232 +80% —
464 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc $36,295 $9,437 $36,295 +0% $58,228 −38% —
398 appendix procedures with cc $36,186 $9,408 $22,834 +58% $40,162 −10% —
444 disorders of the biliary tract with mcc $36,163 $9,402 $18,202 +99% $34,273 +6% —
441 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc $35,956 $9,349 $27,729 +30% $33,985 +6% —
307 cardiac congenital and valvular disorders without mcc $35,826 $9,315 $9,606 +273% $20,566 +74% —
256 upper limb and toe amputation for circulatory system disorders with cc $35,591 $9,254 $20,049 +78% $32,944 +8% —
100 seizures with mcc $35,546 $9,242 $18,515 +92% $35,481 +0% —
304 hypertension with mcc $35,510 $9,233 $15,366 +131% $26,080 +36% —
470 major hip and knee joint replacement or reattachment of lower extremity without mcc $35,342 $9,189 $27,666 +28% $50,607 −30% —
494 lower extremity and humerus procedures except hip, foot and femur without cc/mcc $35,314 $9,182 $27,664 +28% $47,711 −26% —
866 viral illness without mcc $35,215 $9,156 $9,770 +260% $17,081 +106% —
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% $36,937 −5% —
282 acute myocardial infarction, discharged alive without cc/mcc $35,081 $9,121 $12,605 +178% $19,227 +82% ≈261% of Medicare
436 malignancy of hepatobiliary system or pancreas with cc $35,006 $9,102 $17,830 +96% $25,034 +40% —
291 heart failure and shock with mcc $34,863 $9,064 $16,124 +116% $26,776 +30% ≈114% of Medicare
397 appendix procedures with mcc $34,696 $9,021 $34,696 +0% $53,257 −35% —
185 major chest trauma without cc/mcc $34,607 $8,998 $11,395 +204% $17,124 +102% —
072 nonspecific cerebrovascular disorders without cc/mcc $34,546 $8,982 $13,203 +162% $19,037 +81% —
864 fever and inflammatory conditions $34,021 $8,845 $14,548 +134% $18,640 +83% —
615 adrenal and pituitary procedures without cc/mcc $33,855 $8,802 $18,399 +84% $32,833 +3% —
354 hernia procedures except inguinal and femoral with cc $33,829 $8,795 $25,272 +34% $43,477 −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 $30,983 +9% $43,491 −22% —
065 intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours $33,571 $8,728 $16,392 +105% $23,940 +40% ≈174% of Medicare
386 inflammatory bowel disease with cc $33,511 $8,713 $12,418 +170% $22,033 +52% —
835 acute leukemia with cc $33,300 $8,658 $21,159 +57% $35,569 −6% —
083 traumatic stupor and coma >1 hour with cc $33,232 $8,640 $17,756 +87% $27,285 +22% —
098 non-bacterial infection of nervous system except viral meningitis with cc $33,145 $8,618 $25,003 +33% $42,901 −23% —
328 stomach, esophageal and duodenal procedures without cc/mcc $33,130 $8,614 $20,938 +58% $39,006 −15% —
281 acute myocardial infarction, discharged alive with cc $33,060 $8,596 $15,158 +118% $20,463 +62% ≈167% of Medicare
369 major esophageal disorders with cc $32,819 $8,533 $13,753 +139% $25,303 +30% —
940 o.r. procedures with diagnoses of other contact with health services with cc $32,722 $8,508 $30,294 +8% $43,650 −25% —
869 other infectious and parasitic diseases diagnoses without cc/mcc $32,676 $8,496 $7,347 +345% $12,559 +160% —
511 shoulder, elbow or forearm procedures, except major joint procedures with cc $32,651 $8,489 $23,791 +37% $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 $9,808 +232% $21,280 +53% —
438 disorders of pancreas except malignancy with mcc $32,537 $8,460 $17,204 +89% $32,628 −0% —
580 other skin, subcutaneous tissue and breast procedures with cc $32,510 $8,453 $21,963 +48% $38,101 −15% —
430 combined anterior and posterior cervical spinal fusion without mcc $32,489 $8,447 $54,330 −40% $101,618 −68% —
455 combined anterior and posterio $32,489 $8,447 $49,269 −34% $56,836 −43% —
358 other digestive system o.r. procedures without cc/mcc $32,382 $8,419 $17,053 +90% $30,083 +8% —
435 malignancy of hepatobiliary system or pancreas with mcc $32,300 $8,398 $19,910 +62% $37,950 −15% —
378 gastrointestinal hemorrhage with cc $32,283 $8,394 $15,990 +102% $22,098 +46% ≈144% of Medicare
906 hand procedures for injuries $32,283 $8,394 $29,972 +8% $32,065 +1% —
402 single level combined anterior and posterior spinal fusion except cervical $32,212 $8,375 $42,088 −23% $79,116 −59% —
682 renal failure with mcc $31,782 $8,263 $18,878 +68% $29,064 +9% ≈95% of Medicare
068 nonspecific cva and precerebral occlusion without infarction without mcc $31,646 $8,228 $11,866 +167% $19,569 +62% —
355 hernia procedures except inguinal and femoral without cc/mcc $31,545 $8,202 $20,380 +55% $32,841 −4% —
607 minor skin disorders without mcc $31,343 $8,149 $10,104 +210% $15,889 +97% —
028 spinal procedures with mcc $31,121 $8,091 $57,373 −46% $113,077 −72% —
585 breast biopsy, local excision and other breast procedures without cc/mcc $31,006 $8,061 $21,845 +42% $32,574 −5% —
433 cirrhosis and alcoholic hepatitis with cc $30,847 $8,020 $17,079 +81% $23,749 +30% —
949 aftercare with cc/mcc $30,795 $8,007 $16,737 +84% $23,953 +29% —
066 intracranial hemorrhage or cerebral infarction without cc/mcc $30,250 $7,865 $13,500 +124% $20,781 +46% —
077 hypertensive encephalopathy with mcc $30,217 $7,856 $23,263 +30% $24,550 +23% —
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 $15,547 +94% $18,316 +65% —
380 complicated peptic ulcer with mcc $30,034 $7,809 $25,777 +17% $39,627 −24% —
606 minor skin disorders with mcc $29,940 $7,784 $15,846 +89% $27,975 +7% —
155 other ear, nose, mouth and throat diagnoses with cc $29,903 $7,775 $9,513 +214% $16,968 +76% —
797 vaginal delivery with sterilization and/or d&c with cc $29,861 $7,764 $13,602 +120% $19,962 +50% —
553 bone diseases and arthropathies with mcc $29,723 $7,728 $13,315 +123% $26,051 +14% —
393 other digestive system diagnoses with mcc $29,493 $7,668 $20,857 +41% $34,192 −14% —
383 uncomplicated peptic ulcer with mcc $29,220 $7,597 $13,406 +118% $27,426 +7% —
584 breast biopsy, local excision and other breast procedures with cc/mcc $29,182 $7,587 $29,182 +0% $35,030 −17% —
306 cardiac congenital and valvular disorders with mcc $29,037 $7,550 $19,018 +53% $24,586 +18% —
743 uterine and adnexa procedures for non-malignancy without cc/mcc $29,009 $7,542 $17,231 +68% $30,784 −6% —
727 inflammation of the male reproductive system with mcc $28,977 $7,534 $16,945 +71% $26,463 +9% —
552 medical back problems without mcc $28,940 $7,525 $13,725 +111% $21,396 +35% ≈149% of Medicare
504 foot procedures with cc $28,800 $7,488 $25,972 +11% $38,960 −26% —
487 knee procedures with principal diagnosis of infection without cc/mcc $28,775 $7,482 $19,974 +44% $35,074 −18% —
813 coagulation disorders $28,721 $7,467 $23,285 +23% $33,296 −14% —
974 hiv with major related condition with mcc $28,564 $7,427 $28,157 +1% $46,402 −38% —
314 other circulatory system diagnoses with mcc $28,547 $7,422 $27,694 +3% $38,666 −26% ≈64% of Medicare
196 interstitial lung disease with mcc $28,514 $7,414 $18,629 +53% $32,637 −13% —
550 septic arthritis without cc/mcc $28,505 $7,411 $14,383 +98% $19,138 +49% —
535 fractures of hip and pelvis with mcc $28,304 $7,359 $17,565 +61% $24,552 +15% —
158 dental and oral diseases with cc $28,257 $7,347 $10,625 +166% $18,466 +53% —
189 pulmonary edema and respiratory failure $28,244 $7,344 $13,395 +111% $26,580 +6% ≈96% of Medicare
769 postpartum and post abortion diagnoses with o.r. procedures $28,130 $7,314 $17,141 +64% $25,094 +12% —
798 vaginal delivery with sterilization and/or d&c without cc/mcc $28,012 $7,283 $13,602 +106% $18,452 +52% —
053 spinal disorders and injuries without cc/mcc $27,881 $7,249 $12,354 +126% $20,455 +36% —
640 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc $27,707 $7,204 $12,682 +118% $25,463 +9% ≈89% of Medicare
644 endocrine disorders with cc $27,654 $7,190 $16,431 +68% $23,198 +19% —
399 appendix procedures without cc/mcc $27,651 $7,189 $22,152 +25% $31,321 −12% —
473 cervical spinal fusion without cc/mcc $27,518 $7,155 $27,518 +0% $50,624 −46% —
199 pneumothorax with mcc $27,467 $7,141 $22,220 +24% $33,787 −19% —
439 disorders of pancreas except malignancy with cc $27,455 $7,138 $12,908 +113% $19,096 +44% —
543 pathological fractures and musculoskeletal and connective tissue malignancy with cc $27,267 $7,090 $14,590 +87% $23,551 +16% —
581 other skin, subcutaneous tissue and breast procedures without cc/mcc $27,227 $7,079 $20,575 +32% $26,932 +1% —
726 benign prostatic hypertrophy without mcc $27,197 $7,071 $8,511 +220% $15,019 +81% —
638 diabetes with cc $27,120 $7,051 $13,558 +100% $19,661 +38% ≈153% of Medicare
502 soft tissue procedures without cc/mcc $27,077 $7,040 $18,286 +48% $31,017 −13% —
370 major esophageal disorders without cc/mcc $26,895 $6,993 $9,828 +174% $15,495 +74% —
718 other male reproductive system o.r. procedures except malignancy without cc/mcc $26,824 $6,974 $15,867 +69% $19,270 +39% —
596 major skin disorders without mcc $26,798 $6,967 $17,226 +56% $17,226 +56% —
206 other respiratory system diagnoses without mcc $26,750 $6,955 $10,673 +151% $18,488 +45% —
315 other circulatory system diagnoses with cc $26,736 $6,951 $14,428 +85% $21,363 +25% —
786 cesarean section without sterilization with mcc $26,695 $6,941 $18,634 +43% $27,152 −2% —
442 disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc $26,672 $6,935 $15,734 +70% $21,449 +24% —
689 kidney and urinary tract infections with mcc $26,658 $6,931 $14,359 +86% $23,617 +13% ≈99% of Medicare
812 red blood cell disorders without mcc $26,631 $6,924 $13,749 +94% $20,488 +30% —
347 anal and stomal procedures with mcc $26,604 $6,917 $25,698 +4% $40,548 −34% —
920 complications of treatment with cc $26,433 $6,873 $16,379 +61% $22,468 +18% —
629 other endocrine, nutritional and metabolic o.r. procedures with cc $26,386 $6,860 $26,386 +0% $47,737 −45% —
700 other kidney and urinary tract diagnoses without cc/mcc $26,265 $6,829 $12,204 +115% $14,797 +77% —
514 hand or wrist procedures, except major thumb or joint procedures without cc/mcc $26,163 $6,802 $13,325 +96% $22,635 +16% —
193 simple pneumonia and pleurisy with mcc $26,158 $6,801 $16,450 +59% $27,275 −4% ≈90% of Medicare
755 malignancy, female reproductive system with cc $26,034 $6,769 $17,602 +48% $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% $23,319 +10% —
787 cesarean section without sterilization with cc $25,708 $6,684 $16,074 +60% $23,571 +9% —
305 hypertension without mcc $25,695 $6,681 $12,937 +99% $18,086 +42% ≈156% of Medicare
534 fractures of femur without mcc $25,629 $6,664 $11,037 +132% $17,559 +46% —
081 nontraumatic stupor and coma without mcc $25,593 $6,654 $12,075 +112% $16,552 +55% —
292 heart failure and shock with cc $25,531 $6,638 $13,521 +89% $16,371 +56% —
389 gastrointestinal obstruction with cc $25,379 $6,599 $11,211 +126% $17,578 +44% ≈148% of Medicare
309 cardiac arrhythmia and conduction disorders with cc $25,225 $6,559 $12,789 +97% $17,303 +46% ≈163% of Medicare
187 pleural effusion with cc $25,219 $6,557 $16,225 +55% $21,789 +16% —
465 wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc $25,164 $6,543 $22,910 +10% $32,443 −22% —
872 septicemia or severe sepsis without mv >96 hours without mcc $25,097 $6,525 $15,263 +64% $22,888 +10% ≈113% of Medicare
699 other kidney and urinary tract diagnoses with cc $24,848 $6,460 $16,431 +51% $21,275 +17% —
092 other disorders of nervous system with cc $24,733 $6,431 $17,152 +44% $24,914 −1% —
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 $16,431 +50% $23,443 +5% —
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 $14,480 +69% $19,305 +27% —
661 kidney and ureter procedures for non-neoplasm without cc/mcc $24,523 $6,376 $16,518 +48% $25,970 −6% —
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 $18,021 +36% $24,944 −2% —
660 kidney and ureter procedures for non-neoplasm with cc $24,421 $6,349 $17,836 +37% $31,264 −22% ≈79% of Medicare
919 complications of treatment with mcc $24,155 $6,280 $18,910 +28% $31,105 −22% —
394 other digestive system diagnoses with cc $24,043 $6,251 $13,404 +79% $20,181 +19% —
517 other musculoskeletal system and connective tissue o.r. procedures without cc/mcc $23,994 $6,238 $22,568 +6% $33,393 −28% —
468 revision of hip or knee replacement without cc/mcc $23,931 $6,222 $30,010 −20% $54,929 −56% —
516 other musculoskeletal system and connective tissue o.r. procedures with cc $23,809 $6,190 $25,991 −8% $46,090 −48% —
373 major gastrointestinal disorders and peritoneal infections without cc/mcc $23,803 $6,189 $7,486 +218% $16,767 +42% —
539 osteomyelitis with mcc $23,788 $6,185 $22,641 +5% $37,609 −37% —
783 cesarean section with sterilization with mcc $23,742 $6,173 $19,927 +19% $29,221 −19% —
603 cellulitis without mcc $23,672 $6,155 $10,745 +120% $18,530 +28% ≈128% of Medicare
141 major head and neck procedures with cc $23,346 $6,070 $22,660 +3% $37,267 −37% —
086 traumatic stupor and coma <1 hour with cc $23,345 $6,070 $12,415 +88% $27,043 −14% —
299 peripheral vascular disorders with mcc $23,327 $6,065 $16,296 +43% $27,316 −15% —
788 cesarean section without sterilization without cc/mcc $23,226 $6,039 $14,304 +62% $20,084 +16% —
101 seizures without mcc $23,191 $6,030 $10,815 +114% $20,461 +13% —
903 wound debridements for injuries without cc/mcc $23,183 $6,028 $19,017 +22% $25,581 −9% —
917 poisoning and toxic effects of drugs with mcc $23,135 $6,015 $21,087 +10% $30,235 −23% —
154 other ear, nose, mouth and throat diagnoses with mcc $23,112 $6,009 $17,626 +31% $27,633 −16% —
395 other digestive system diagnoses without cc/mcc $23,070 $5,998 $10,309 +124% $14,128 +63% —
645 endocrine disorders without cc/mcc $23,058 $5,995 $8,685 +165% $15,428 +49% —
084 traumatic stupor and coma >1 hour without cc/mcc $23,017 $5,985 $9,770 +136% $19,924 +16% —
188 pleural effusion without cc/mcc $22,908 $5,956 $7,294 +214% $14,514 +58% —
768 vaginal delivery with o.r. procedures except sterilization and/or d&c $22,889 $5,951 $13,160 +74% $16,846 +36% —
641 miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc $22,738 $5,912 $11,112 +105% $17,038 +33% ≈144% of Medicare
558 tendonitis, myositis and bursitis without mcc $22,690 $5,899 $12,355 +84% $18,602 +22% —
069 transient ischemia without thrombolytic $22,676 $5,896 $13,579 +67% $21,056 +8% —
885 psychoses $22,664 $5,893 $17,655 +28% $21,729 +4% ≈73% of Medicare
149 dysequilibrium $22,642 $5,887 $7,632 +197% $18,096 +25% —
818 other antepartum diagnoses with o.r. procedures with cc $22,556 $5,865 $14,012 +61% $26,870 −16% —
909 other o.r. procedures for injuries without cc/mcc $22,430 $5,832 $19,003 +18% $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 $11,514 +92% $20,901 +6% —
312 syncope and collapse $21,993 $5,718 $12,796 +72% $19,342 +14% ≈117% of Medicare
806 vaginal delivery without sterilization or d&c with cc $21,850 $5,681 $10,644 +105% $13,275 +65% —
784 cesarean section with sterilization with cc $21,757 $5,657 $15,808 +38% $23,283 −7% —
308 cardiac arrhythmia and conduction disorders with mcc $21,757 $5,657 $16,377 +33% $26,770 −19% ≈78% of Medicare
565 other musculoskeletal system and connective tissue diagnoses with cc $21,612 $5,619 $15,827 +37% $22,506 −4% —
684 renal failure without cc/mcc $21,590 $5,613 $11,077 +95% $13,642 +58% —
770 abortion with d&c, aspiration curettage or hysterotomy $21,565 $5,607 $10,074 +114% $18,956 +14% —
897 alcohol, drug abuse or dependence without rehabilitation therapy without mcc $21,456 $5,578 $10,042 +114% $16,699 +28% —
152 otitis media and uri with mcc $21,280 $5,533 $11,439 +86% $20,247 +5% —
921 complications of treatment without cc/mcc $21,200 $5,512 $8,677 +144% $14,415 +47% —
563 fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc $21,187 $5,509 $14,554 +46% $19,842 +7% —
948 signs and symptoms without mcc $21,164 $5,503 $12,284 +72% $17,921 +18% —
088 concussion with mcc $21,114 $5,490 $21,114 +0% $24,402 −13% —
725 benign prostatic hypertrophy with mcc $21,072 $5,479 $12,942 +63% $22,320 −6% —
690 kidney and urinary tract infections without mcc $21,006 $5,462 $10,874 +93% $17,674 +19% ≈129% of Medicare
683 renal failure with cc $20,995 $5,459 $14,731 +43% $19,130 +10% ≈112% of Medicare
785 cesarean section with sterilization without cc/mcc $20,833 $5,417 $13,884 +50% $19,846 +5% —
626 thyroid, parathyroid and thyroglossal procedures with cc $20,648 $5,369 $17,884 +15% $33,454 −38% —
387 inflammatory bowel disease without cc/mcc $20,526 $5,337 $11,894 +73% $16,288 +26% —
880 acute adjustment reaction and psychosocial dysfunction $20,458 $5,319 $10,053 +103% $17,733 +15% —
642 inborn and other disorders of metabolism $20,359 $5,293 $16,149 +26% $20,727 −2% —
604 trauma to the skin, subcutaneous tissue and breast with mcc $20,350 $5,291 $16,823 +21% $28,140 −28% —
204 respiratory signs and symptoms $20,298 $5,277 $8,249 +146% $18,004 +13% —
313 chest pain $20,249 $5,265 $11,410 +77% $16,440 +23% —
989 non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc $20,235 $5,261 $18,191 +11% $25,652 −21% —
391 esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc $20,128 $5,233 $19,865 +1% $28,050 −28% —
694 urinary stones without mcc $20,120 $5,231 $8,583 +134% $17,345 +16% —
381 complicated peptic ulcer with cc $20,108 $5,228 $16,951 +19% $24,177 −17% —
311 angina pectoris $20,054 $5,214 $12,257 +64% $15,502 +29% —
807 vaginal delivery without sterilization or d&c without cc/mcc $20,041 $5,211 $9,890 +103% $12,078 +66% —
349 anal and stomal procedures without cc/mcc $20,006 $5,202 $14,627 +37% $19,854 +1% —
071 nonspecific cerebrovascular disorders with cc $19,939 $5,184 $16,872 +18% $23,488 −15% —
479 biopsies of musculoskeletal system and connective tissue without cc/mcc $19,895 $5,173 $19,895 +0% $34,276 −42% —
605 trauma to the skin, subcutaneous tissue and breast without mcc $19,876 $5,168 $11,372 +75% $20,506 −3% —
145 other ear, nose, mouth and throat o.r. procedures without cc/mcc $19,708 $5,124 $15,978 +23% $25,712 −23% —
195 simple pneumonia and pleurisy without cc/mcc $19,701 $5,122 $10,050 +96% $13,824 +43% —
392 esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc $19,685 $5,118 $11,593 +70% $17,322 +14% ≈129% of Medicare
375 digestive malignancy with cc $19,477 $5,064 $12,620 +54% $27,277 −29% —
190 chronic obstructive pulmonary disease with mcc $19,112 $4,969 $17,384 +10% $24,386 −22% ≈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 $8,989 +111% $15,855 +20% —
710 penis procedures without cc/mcc $18,950 $4,927 $16,859 +12% $26,436 −28% —
712 testes procedures without cc/mcc $18,728 $4,869 $14,146 +32% $18,898 −1% —
536 fractures of hip and pelvis without mcc $18,561 $4,826 $12,398 +50% $18,002 +3% ≈116% of Medicare
886 behavioral and developmental disorders $18,551 $4,823 $16,579 +12% $26,510 −30% —
748 female reproductive system reconstructive procedures $18,486 $4,806 $16,193 +14% $30,242 −39% —
560 aftercare, musculoskeletal system and connective tissue with cc $18,483 $4,806 $17,973 +3% $25,279 −27% —
881 depressive neuroses $18,443 $4,795 $9,689 +90% $15,058 +22% —
303 atherosclerosis without mcc $18,404 $4,785 $7,255 +154% $14,927 +23% —
819 other antepartum diagnoses with o.r. procedures without cc/mcc $18,301 $4,758 $11,186 +64% $18,126 +1% —
159 dental and oral diseases without cc/mcc $18,204 $4,733 $9,327 +95% $13,633 +34% —
693 urinary stones with mcc $18,125 $4,712 $14,238 +27% $23,892 −24% —
176 pulmonary embolism without mcc $18,115 $4,710 $13,765 +32% $18,081 +0% —
202 bronchitis and asthma with cc/mcc $18,078 $4,700 $15,148 +19% $17,724 +2% —
440 disorders of pancreas except malignancy without cc/mcc $18,035 $4,689 $9,449 +91% $15,183 +19% —
123 neurological eye disorders $17,888 $4,651 $8,157 +119% $19,745 −9% —
191 chronic obstructive pulmonary disease with cc $17,809 $4,630 $13,959 +28% $18,807 −5% —
192 chronic obstructive pulmonary disease without cc/mcc $17,607 $4,578 $10,412 +69% $14,368 +23% —
156 other ear, nose, mouth and throat diagnoses without cc/mcc $17,446 $4,536 $6,681 +161% $14,549 +20% —
918 poisoning and toxic effects of drugs without mcc $17,272 $4,491 $8,784 +97% $15,452 +12% —
301 peripheral vascular disorders without cc/mcc $16,895 $4,393 $12,453 +36% $15,837 +7% —
125 other disorders of the eye without mcc $16,806 $4,370 $8,450 +99% $17,298 −3% —
664 minor bladder procedures without cc/mcc $16,787 $4,365 $16,787 +0% $22,314 −25% —
809 major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc $16,564 $4,307 $19,268 −14% $22,458 −26% —
793 full term neonate with major problems $16,285 $4,234 $16,601 −2% $18,649 −13% —
747 vagina, cervix and vulva procedures without cc/mcc $16,285 $4,234 $15,591 +4% $19,594 −17% —
179 respiratory infections and inflammations without cc/mcc $15,935 $4,143 $9,194 +73% $14,648 +9% —
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 $15,742 +0% $21,368 −26% —
316 other circulatory system diagnoses without cc/mcc $15,736 $4,091 $7,606 +107% $13,651 +15% —
868 other infectious and parasitic diseases diagnoses with cc $15,630 $4,064 $10,313 +52% $22,763 −31% —
696 kidney and urinary tract signs and symptoms without mcc $15,219 $3,957 $7,124 +114% $14,689 +4% —
792 prematurity without major problems $14,989 $3,897 $19,142 −22% $12,229 +23% —
779 abortion without d&c $14,631 $3,804 $9,117 +60% $15,327 −5% —
151 epistaxis without mcc $14,581 $3,791 $10,351 +41% $13,032 +12% —
789 neonates, died or transferred to another acute care facility $14,447 $3,756 $13,100 +10% $16,351 −12% —
505 foot procedures without cc/mcc $14,054 $3,654 $17,565 −20% $34,937 −60% —
093 other disorders of nervous system without cc/mcc $13,963 $3,630 $8,689 +61% $17,620 −21% —
761 menstrual and other female reproductive system disorders without cc/mcc $13,799 $3,588 $6,261 +120% $11,421 +21% —
379 gastrointestinal hemorrhage without cc/mcc $13,671 $3,554 $11,458 +19% $15,038 −9% —
894 alcohol, drug abuse or dependence, left ama $13,443 $3,495 $5,914 +127% $12,324 +9% —
883 disorders of personality and impulse control $13,399 $3,484 $14,657 −9% $23,206 −42% —
923 other injury, poisoning and toxic effect diagnoses without mcc $13,310 $3,461 $10,038 +33% $17,601 −24% —
760 menstrual and other female reproductive system disorders with cc/mcc $13,209 $3,434 $13,209 +0% $20,895 −37% —
935 non-extensive burns $13,039 $3,390 $17,380 −25% $31,701 −59% —
201 pneumothorax without cc/mcc $12,813 $3,331 $11,982 +7% $14,053 −9% —
776 postpartum and post abortion diagnoses without o.r. procedures $12,714 $3,306 $7,644 +66% $12,454 +2% —
390 gastrointestinal obstruction without cc/mcc $12,624 $3,282 $9,773 +29% $13,361 −6% ≈139% of Medicare
153 otitis media and uri without mcc $12,389 $3,221 $7,026 +76% $14,583 −15% —
950 aftercare without cc/mcc $12,361 $3,214 $6,268 +97% $13,527 −9% —
697 urethral stricture $12,121 $3,152 $11,188 +8% $18,428 −34% —
887 other mental disorder diagnoses $11,885 $3,090 $11,925 −0% $20,616 −42% —
916 allergic reactions without mcc $11,819 $3,073 $11,813 +0% $13,942 −15% —
832 other antepartum diagnoses without o.r. procedures with cc $11,795 $3,067 $9,984 +18% $12,895 −9% —
817 other antepartum diagnoses with o.r. procedures with mcc $11,673 $3,035 $25,740 −55% $39,173 −70% —
728 inflammation of the male reproductive system without mcc $11,437 $2,974 $11,437 +0% $17,118 −33% —
863 postoperative and post-traumatic infections without mcc $11,395 $2,963 $10,246 +11% $20,957 −46% —
759 infections, female reproductive system without cc/mcc $11,250 $2,925 $7,229 +56% $14,250 −21% —
882 neuroses except depressive $11,246 $2,924 $9,868 +14% $15,680 −28% —
549 septic arthritis with cc $10,181 $2,647 $13,739 −26% $24,056 −58% —
695 kidney and urinary tract signs and symptoms with mcc $10,001 $2,600 $11,451 −13% $24,566 −59% —
082 traumatic stupor and coma >1 hour with mcc $9,594 $2,494 $24,815 −61% $36,489 −74% —
284 acute myocardial infarction, expired with cc $9,435 $2,453 $11,123 −15% $16,450 −43% —
382 complicated peptic ulcer without cc/mcc $9,037 $2,350 $7,527 +20% $16,634 −46% —
794 neonate with other significant problems $8,770 $2,280 $10,055 −13% $8,445 +4% —
203 bronchitis and asthma without cc/mcc $8,501 $2,210 $7,792 +9% $12,252 −31% —
831 other antepartum diagnoses without o.r. procedures with mcc $7,723 $2,008 $8,798 −12% $18,133 −57% —
795 normal newborn $7,426 $1,931 $4,129 +80% $4,720 +57% —
566 other musculoskeletal system and connective tissue diagnoses without cc/mcc $7,261 $1,888 $7,513 −3% $14,716 −51% —
833 other antepartum diagnoses without o.r. procedures without cc/mcc $6,552 $1,704 $5,902 +11% $9,940 −34% —
554 bone diseases and arthropathies without mcc $6,313 $1,641 $8,901 −29% $18,528 −66% —
951 other factors influencing health status $3,778 $982 $8,260 −54% $10,160 −63% —
147 ear, nose, mouth and throat malignancy with cc $3,448 — $12,870 −73% $22,851 −85% —
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