Dignity Health St. Joseph's Hospital and Medical Center — Pricing

805 procedures published in this hospital's Machine-Readable File (MRF) — 805 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 805
Lowest published price $11,451
Average published price $46,516
Highest published price $641,743

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 805 procedures

Published charges

Showing all 805 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. Cash-pay prices not published for this hospital.

Across 113 procedures, this hospital's negotiated rates average ≈121% of what Medicare pays.

DRG Description Published price vs. AZ median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES $641,743 $586,074 +9% $498,715 +29% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $486,976 $431,073 +13% $431,073 +13% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $412,183 $419,301 −2% $306,087 +35% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $371,366 $339,144 +10% $371,366 +0% ≈133% of Medicare
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $248,521 $233,838 +6% $245,189 +1% ≈136% of Medicare
007 LUNG TRANSPLANT $230,667 $195,119 +18% $170,608 +35% ≈116% of Medicare
014 ALLOGENEIC BONE MARROW TRANSPLANT $227,681 $182,314 +25% $182,314 +25% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $198,463 $194,769 +2% $169,977 +17% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $196,346 $171,338 +15% $171,338 +15% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $191,314 $162,493 +18% $191,314 +0% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $189,963 $164,641 +15% $159,181 +19% —
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $189,537 $189,537 +0% $142,326 +33% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $175,437 $154,381 +14% $175,437 +0% ≈116% of Medicare
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $168,048 $168,048 +0% $121,563 +38% —
231 CORONARY BYPASS WITH PTCA WITH MCC $155,631 $129,088 +21% $145,864 +7% —
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $153,621 $153,621 +0% $119,071 +29% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH MCC $153,282 $134,083 +14% $151,029 +1% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $148,686 $134,449 +11% $135,380 +10% ≈116% of Medicare
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $146,435 $127,163 +15% $105,228 +39% —
010 PANCREAS TRANSPLANT $144,934 $144,934 +0% $99,940 +45% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $144,569 $124,077 +17% $138,868 +4% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $143,242 $122,661 +17% $143,242 +0% ≈121% of Medicare
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $136,374 $115,058 +19% $120,573 +13% —
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $132,794 $132,794 +0% $121,728 +9% ≈117% of Medicare
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $131,961 $111,924 +18% $131,961 +0% —
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $126,098 $126,098 +0% $114,665 +10% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $125,675 $96,876 +30% $104,881 +20% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $125,432 $110,079 +14% $89,353 +40% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $125,242 $109,045 +15% $115,937 +8% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $124,290 $110,795 +12% $137,160 −9% ≈127% of Medicare
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $121,714 $101,250 +20% $121,714 +0% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $117,280 $98,784 +19% $117,280 +0% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $117,196 $109,331 +7% $109,331 +7% —
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $117,146 $117,146 +0% $93,934 +25% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $116,058 $109,888 +6% $116,058 +0% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $115,839 $94,633 +22% $106,219 +9% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $114,401 $98,912 +16% $98,912 +16% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $114,040 $108,472 +5% $108,472 +5% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $113,855 $99,357 +15% $113,855 +0% ≈113% of Medicare
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $113,157 $90,624 +25% $92,238 +23% —
028 SPINAL PROCEDURES WITH MCC $113,077 $95,858 +18% $95,858 +18% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $112,062 $93,551 +20% $112,062 +0% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $108,802 $98,260 +11% $98,260 +11% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $108,802 $98,260 +11% $81,176 +34% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $108,750 $96,192 +13% $96,192 +13% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITH CC $107,355 $96,637 +11% $107,355 +0% ≈118% of Medicare
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME NEONATE $107,269 $95,444 +12% $80,018 +34% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $106,778 $90,179 +18% $106,778 +0% ≈127% of Medicare
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $106,057 $97,687 +9% $101,280 +5% —
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $105,899 $105,899 +0% $105,899 +0% —
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $105,333 $105,333 +0% $93,783 +12% —
653 MAJOR BLADDER PROCEDURES WITH MCC $104,583 $86,122 +21% $97,028 +8% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $102,573 $82,686 +24% $102,573 +0% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $102,337 $83,704 +22% $86,459 +18% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $102,177 $83,434 +22% $102,177 +0% —
405 PANCREAS LIVER AND SHUNT PROCEDURES WITH MCC $102,128 $87,570 +17% $95,375 +7% ≈118% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $101,662 $90,099 +13% $78,327 +30% —
011 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $101,576 $82,018 +24% $86,953 +17% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $101,566 $90,401 +12% $82,527 +23% —
834 ACUTE LEUKEMIA WITH MCC $100,245 $89,065 +13% $76,004 +32% —
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $99,943 $99,943 +0% $79,944 +25% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $99,423 $80,443 +24% $99,423 +0% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $97,241 $70,947 +37% $84,861 +15% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $96,905 $80,157 +21% $96,905 +0% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $96,507 $82,511 +17% $94,320 +2% —
326 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $96,245 $80,793 +19% $80,747 +19% ≈116% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $95,536 $76,467 +25% $87,575 +9% —
245 AICD GENERATOR PROCEDURES $95,281 $72,076 +32% $72,076 +32% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $94,937 $79,521 +19% $86,938 +9% ≈129% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $92,515 $78,248 +18% $92,515 +0% —
006 LIVER TRANSPLANT WITHOUT MCC $92,378 $76,944 +20% $84,407 +9% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $92,217 $77,628 +19% $92,217 +0% ≈117% of Medicare
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $91,495 $77,055 +19% $70,779 +29% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $91,329 $76,069 +20% $91,329 +0% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $91,138 $73,619 +24% $85,882 +6% —
799 SPLENIC PROCEDURES WITH MCC $90,790 $78,821 +15% $78,821 +15% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $90,775 $75,210 +21% $84,825 +7% ≈109% of Medicare
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $90,579 $71,551 +27% $71,551 +27% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $90,331 $73,953 +22% $90,331 +0% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $89,523 $71,615 +25% $80,885 +11% —
163 MAJOR CHEST PROCEDURES WITH MCC $88,341 $74,987 +18% $88,341 +0% ≈110% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $88,307 $70,247 +26% $88,307 +0% ≈121% of Medicare
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $88,050 $71,853 +23% $88,050 +0% ≈134% of Medicare
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $86,970 $69,388 +25% $75,585 +15% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $86,699 $70,438 +23% $72,843 +19% ≈121% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $86,246 $68,449 +26% $76,954 +12% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $85,334 $68,847 +24% $68,847 +24% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $84,725 $65,856 +29% $87,495 −3% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $84,217 $60,098 +40% $60,098 +40% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE MALIGNANCY INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $83,441 $72,076 +16% $83,441 +0% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $83,065 $66,159 +26% $83,065 +0% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $82,561 $68,067 +21% $82,561 +0% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $82,247 $64,281 +28% $82,247 +0% ≈122% of Medicare
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $81,998 $81,998 +0% $81,998 +0% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $81,298 $65,490 +24% $68,590 +19% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $81,281 $58,825 +38% $72,879 +12% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $80,049 $80,049 +0% $59,352 +35% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $79,939 $64,345 +24% $66,853 +20% —
012 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $79,836 $63,709 +25% $73,029 +9% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $79,225 $62,214 +27% $71,873 +10% —
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $79,116 $79,116 +0% $75,492 +5% ≈116% of Medicare
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $78,852 $61,991 +27% $78,852 +0% ≈119% of Medicare
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $77,817 $59,175 +32% $71,519 +9% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $77,770 $57,521 +35% $57,521 +35% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $77,418 $66,954 +16% $16,708 +363% —
628 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $77,178 $63,868 +21% $68,331 +13% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $77,041 $61,832 +25% $61,832 +25% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $76,907 $59,366 +30% $54,196 +42% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $76,219 $62,054 +23% $72,908 +5% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $75,820 $62,961 +20% $62,961 +20% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $75,754 $51,794 +46% $55,002 +38% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $75,573 $64,552 +17% $72,274 +5% ≈117% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $75,557 $65,188 +16% $39,254 +92% —
956 LIMB REATTACHMENT HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $75,103 $61,689 +22% $75,103 +0% ≈137% of Medicare
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $74,755 $60,273 +24% $74,755 +0% ≈124% of Medicare
040 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $74,257 $61,259 +21% $74,257 +0% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $73,751 $60,861 +21% $60,861 +21% —
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $72,461 $62,404 +16% $62,404 +16% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $71,755 $56,869 +26% $71,755 +0% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $71,486 $55,008 +30% $56,242 +27% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $71,106 $54,578 +30% $59,425 +20% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $71,092 $58,094 +22% $64,488 +10% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $71,014 $54,976 +29% $71,014 +0% —
265 AICD LEAD PROCEDURES $70,810 $56,216 +26% $56,216 +26% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH MCC $70,540 $55,071 +28% $70,540 +0% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $70,371 $52,733 +33% $67,215 +5% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $70,175 $50,919 +38% $50,919 +38% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $70,132 $54,960 +28% $70,132 +0% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $70,026 $56,964 +23% $56,964 +23% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $69,743 $56,073 +24% $68,399 +2% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $69,724 $53,719 +30% $65,383 +7% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $69,701 $59,207 +18% $59,207 +18% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $69,597 $51,953 +34% $51,953 +34% —
332 RECTAL RESECTION WITH MCC $69,152 $58,125 +19% $58,125 +19% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $69,089 $54,180 +28% $48,745 +42% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $68,653 $53,592 +28% $61,353 +12% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $68,639 $57,632 +19% $61,206 +12% —
143 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH MCC $68,616 $52,908 +30% $52,908 +30% —
665 PROSTATECTOMY WITH MCC $68,562 $49,138 +40% $54,072 +27% —
252 OTHER VASCULAR PROCEDURES WITH MCC $68,508 $53,353 +28% $68,508 +0% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $68,421 $55,453 +23% $68,421 +0% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $67,560 $57,855 +17% $57,855 +17% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $67,268 $54,530 +23% $62,790 +7% ≈109% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $66,976 $50,919 +32% $57,277 +17% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $66,819 $47,229 +41% $66,819 +0% —
037 EXTRACRANIAL PROCEDURES WITH MCC $66,666 $53,703 +24% $64,749 +3% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $66,572 $51,158 +30% $44,472 +50% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $65,788 $52,971 +24% $64,468 +2% —
579 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $65,631 $53,162 +23% $53,763 +22% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $65,608 $49,917 +31% $64,465 +2% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $65,573 $51,556 +27% $65,573 +0% ≈117% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $65,325 $50,585 +29% $65,325 +0% —
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $65,216 $65,216 +0% $65,216 +0% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $64,956 $52,399 +24% $64,956 +0% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $64,691 $48,915 +32% $53,555 +21% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $64,523 $46,974 +37% $63,310 +2% ≈130% of Medicare
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $64,194 $51,142 +26% $51,142 +26% —
500 SOFT TISSUE PROCEDURES WITH MCC $64,105 $51,587 +24% $57,181 +12% —
570 SKIN DEBRIDEMENT WITH MCC $63,709 $46,481 +37% $51,501 +24% —
662 MINOR BLADDER PROCEDURES WITH MCC $63,279 $47,674 +33% $54,483 +16% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $62,821 $50,299 +25% $62,266 +1% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $62,677 $50,172 +25% $53,817 +16% —
652 KIDNEY TRANSPLANT $62,468 $47,786 +31% $54,720 +14% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $62,334 $47,627 +31% $66,765 −7% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $61,217 $42,059 +46% $53,787 +14% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $60,959 $45,734 +33% $74,274 −18% ≈120% of Medicare
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $60,905 $49,710 +23% $49,710 +23% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $60,402 $47,738 +27% $54,313 +11% ≈123% of Medicare
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $60,274 $46,911 +28% $63,984 −6% ≈121% of Medicare
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $60,265 $43,093 +40% $48,907 +23% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $60,140 $46,513 +29% $60,140 +0% —
668 TRANSURETHRAL PROCEDURES WITH MCC $59,859 $44,827 +34% $47,126 +27% —
800 SPLENIC PROCEDURES WITH CC $59,817 $44,827 +33% $49,184 +22% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $59,790 $44,684 +34% $54,475 +10% —
472 CERVICAL SPINAL FUSION WITH CC $59,537 $47,006 +27% $59,537 +0% ≈121% of Medicare
625 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $59,031 $59,031 +0% $58,968 +0% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $58,975 $45,272 +30% $56,758 +4% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $58,935 $41,407 +42% $44,973 +31% —
510 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH MCC $58,880 $43,284 +36% $49,055 +20% —
654 MAJOR BLADDER PROCEDURES WITH CC $58,274 $43,554 +34% $53,868 +8% —
406 PANCREAS LIVER AND SHUNT PROCEDURES WITH CC $58,043 $45,924 +26% $58,043 +0% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $57,493 $46,402 +24% $46,402 +24% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $56,832 $48,358 +18% $48,358 +18% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $56,278 $44,811 +26% $36,097 +56% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $56,127 $43,586 +29% $44,839 +25% —
263 VEIN LIGATION AND STRIPPING $55,918 $44,938 +24% $44,938 +24% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $55,594 $42,139 +32% $45,271 +23% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $55,434 $44,222 +25% $40,947 +35% —
013 TRACHEOSTOMY FOR FACE MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $55,378 $42,727 +30% $45,558 +22% —
503 FOOT PROCEDURES WITH MCC $55,321 $42,663 +30% $43,982 +26% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $55,276 $40,277 +37% $40,277 +37% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $55,162 $38,814 +42% $55,162 +0% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $54,929 $42,473 +29% $54,929 +0% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $54,815 $43,697 +25% $43,697 +25% —
397 APPENDIX PROCEDURES WITH MCC $54,751 $35,744 +53% $52,319 +5% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $54,583 $38,703 +41% $52,332 +4% ≈118% of Medicare
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $54,345 $40,039 +36% $41,596 +31% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $54,273 $41,184 +32% $47,574 +14% —
253 OTHER VASCULAR PROCEDURES WITH CC $53,746 $40,580 +32% $53,746 +0% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $53,666 $39,514 +36% $56,197 −5% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $53,274 $41,534 +28% $46,659 +14% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $53,208 $41,248 +29% $45,497 +17% —
164 MAJOR CHEST PROCEDURES WITH CC $53,141 $40,564 +31% $53,141 +0% ≈120% of Medicare
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $52,959 $43,491 +22% $43,491 +22% —
061 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $52,735 $44,588 +18% $57,030 −8% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $52,405 $42,934 +22% $52,405 +0% —
849 RADIOTHERAPY $52,191 $42,807 +22% $37,862 +38% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $51,985 $39,546 +31% $51,985 +0% ≈109% of Medicare
327 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $51,645 $39,721 +30% $54,681 −6% ≈125% of Medicare
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $51,487 $38,178 +35% $45,937 +12% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $51,387 $35,410 +45% $35,806 +44% —
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $51,359 $42,186 +22% $40,065 +28% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $51,339 $37,398 +37% $51,339 +0% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC $51,189 $38,209 +34% $56,394 −9% ≈125% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $50,777 $36,873 +38% $51,950 −2% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $50,624 $39,148 +29% $50,624 +0% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $50,614 $40,548 +25% $40,548 +25% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $50,562 $37,732 +34% $58,713 −14% ≈121% of Medicare
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $50,498 $36,857 +37% $47,546 +6% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $50,218 $38,878 +29% $38,878 +29% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $50,139 $37,923 +32% $50,139 +0% —
041 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $50,131 $35,489 +41% $44,989 +11% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $50,011 $36,237 +38% $50,011 +0% ≈123% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $49,765 $39,657 +25% $39,657 +25% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $49,631 $37,891 +31% $49,631 +0% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $49,382 $38,082 +30% $39,409 +25% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $49,209 $33,914 +45% $39,253 +25% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $49,137 $35,823 +37% $43,313 +13% ≈129% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $49,066 $36,587 +34% $46,306 +6% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $48,788 $35,123 +39% $38,998 +25% —
113 ORBITAL PROCEDURES WITH CC/MCC $48,760 $39,880 +22% $35,642 +37% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $48,682 $34,948 +39% $48,682 +0% —
629 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $48,634 $35,998 +35% $44,927 +8% —
709 PENIS PROCEDURES WITH CC/MCC $48,600 $34,535 +41% $34,535 +41% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $48,467 $39,339 +23% $11,633 +317% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $48,353 $35,505 +36% $44,022 +10% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $48,235 $36,889 +31% $45,842 +5% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $47,797 $35,521 +35% $38,382 +25% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $47,696 $32,960 +45% $34,900 +37% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $47,583 $37,923 +25% $47,583 +0% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $47,583 $34,678 +37% $39,093 +22% —
906 HAND PROCEDURES FOR INJURIES $47,513 $29,938 +59% $31,520 +51% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $47,452 $33,978 +40% $41,114 +15% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $47,089 $34,121 +38% $44,553 +6% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $46,799 $33,596 +39% $55,147 −15% ≈123% of Medicare
407 PANCREAS LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $46,727 $34,217 +37% $39,923 +17% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $46,724 $34,264 +36% $44,719 +4% ≈128% of Medicare
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $46,657 $32,865 +42% $37,654 +24% —
333 RECTAL RESECTION WITH CC $46,551 $33,087 +41% $34,352 +36% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $46,477 $31,942 +46% $46,477 +0% —
336 PERITONEAL ADHESIOLYSIS WITH CC $46,332 $33,485 +38% $49,071 −6% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $46,317 $34,471 +34% $37,839 +22% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $46,288 $36,237 +28% $36,237 +28% ≈121% of Medicare
734 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $46,172 $34,583 +34% $35,381 +30% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $46,066 $31,131 +48% $46,066 +0% —
146 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH MCC $45,849 $33,580 +37% $37,080 +24% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $45,785 $34,837 +31% $36,195 +26% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $45,743 $33,533 +36% $41,701 +10% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $45,703 $33,008 +38% $50,998 −10% ≈128% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $45,376 $36,157 +25% $36,318 +25% ≈106% of Medicare
584 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $45,240 $31,162 +45% $34,089 +33% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $44,730 $31,878 +40% $41,660 +7% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $44,639 $32,467 +37% $45,594 −2% ≈129% of Medicare
286 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITH MCC $44,489 $34,296 +30% $44,600 −0% ≈111% of Medicare
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $44,363 $31,401 +41% $43,320 +2% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $44,357 $32,419 +37% $43,444 +2% ≈142% of Medicare
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $44,326 $32,546 +36% $29,109 +52% —
935 NON-EXTENSIVE BURNS $44,205 $32,467 +36% $29,458 +50% —
585 BREAST BIOPSY LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $44,068 $26,788 +65% $29,598 +49% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $43,913 $31,433 +40% $41,847 +5% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $43,800 $31,624 +39% $43,252 +1% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $43,775 $31,322 +40% $43,775 +0% ≈128% of Medicare
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $43,749 $34,280 +28% $37,681 +16% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $43,631 $33,517 +30% $41,520 +5% —
511 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITH CC $43,538 $31,719 +37% $43,538 +0% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $43,483 $33,310 +31% $38,166 +14% ≈119% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $43,384 $29,524 +47% $29,524 +47% —
744 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $43,378 $29,938 +45% $32,901 +32% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $43,354 $33,294 +30% $31,044 +40% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $43,328 $33,278 +30% $36,850 +18% —
835 ACUTE LEUKEMIA WITH CC $43,187 $35,569 +21% $35,569 +21% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $43,080 $31,210 +38% $43,080 +0% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $43,027 $33,914 +27% $36,202 +19% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $42,881 $31,576 +36% $42,881 +0% —
595 MAJOR SKIN DISORDERS WITH MCC $42,837 $34,598 +24% $31,772 +35% —
374 DIGESTIVE MALIGNANCY WITH MCC $42,775 $33,389 +28% $38,885 +10% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITH CC $42,463 $29,604 +43% $33,236 +28% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $42,423 $33,851 +25% $32,506 +31% —
711 TESTES PROCEDURES WITH CC/MCC $42,414 $33,771 +26% $34,846 +22% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $42,126 $29,938 +41% $42,126 +0% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $42,126 $29,985 +40% $35,029 +20% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $41,857 $29,938 +40% $48,801 −14% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITHOUT CC/MCC $41,855 $29,731 +41% $45,916 −9% —
592 SKIN ULCERS WITH MCC $41,848 $33,246 +26% $32,662 +28% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $41,380 $29,842 +39% $41,380 +0% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $41,375 $31,846 +30% $30,661 +35% —
539 OSTEOMYELITIS WITH MCC $41,277 $31,560 +31% $33,614 +23% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $41,191 $28,856 +43% $32,538 +27% —
548 SEPTIC ARTHRITIS WITH MCC $41,146 $31,019 +33% $31,019 +33% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $41,111 $30,940 +33% $30,940 +33% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $40,894 $28,188 +45% $28,375 +44% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $40,719 $31,862 +28% $35,714 +14% ≈125% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $40,695 $35,139 +16% $35,139 +16% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $40,694 $28,760 +41% $40,694 +0% —
100 SEIZURES WITH MCC $40,653 $31,544 +29% $35,194 +16% ≈119% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $40,583 $29,333 +38% $40,583 +0% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $40,563 $28,951 +40% $40,563 +0% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $40,552 $28,347 +43% $40,552 +0% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $40,365 $28,426 +42% $35,989 +12% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $40,263 $31,544 +28% $34,876 +15% ≈128% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $40,213 $30,478 +32% $36,880 +9% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $40,163 $28,999 +38% $54,772 −27% ≈137% of Medicare
283 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH MCC $40,150 $31,353 +28% $35,108 +14% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $40,063 $29,110 +38% $40,063 +0% —
380 COMPLICATED PEPTIC ULCER WITH MCC $39,627 $31,003 +28% $36,537 +8% —
501 SOFT TISSUE PROCEDURES WITH CC $39,619 $27,615 +43% $37,975 +4% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $39,515 $29,556 +34% $33,415 +18% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $39,422 $29,651 +33% $31,909 +24% —
580 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $39,360 $27,790 +42% $36,355 +8% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $39,105 $29,604 +32% $36,241 +8% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $39,057 $29,079 +34% $31,913 +22% ≈128% of Medicare
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $39,020 $29,699 +31% $35,673 +9% —
042 PERIPHERAL CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $39,018 $27,679 +41% $39,018 +0% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $39,013 $28,792 +35% $31,743 +23% ≈114% of Medicare
144 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITH CC $38,998 $27,536 +42% $29,558 +32% —
509 ARTHROSCOPY $38,998 $38,998 +0% $25,994 +50% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $38,978 $29,254 +33% $32,976 +18% —
504 FOOT PROCEDURES WITH CC $38,960 $27,472 +42% $36,519 +7% —
505 FOOT PROCEDURES WITHOUT CC/MCC $38,960 $27,138 +44% $31,716 +23% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $38,951 $30,144 +29% $30,362 +28% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $38,876 $27,695 +40% $34,158 +14% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $38,836 $27,599 +41% $38,836 +0% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $38,631 $29,015 +33% $34,886 +11% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $38,541 $29,763 +29% $32,839 +17% —
559 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $38,483 $29,444 +31% $30,681 +25% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $38,443 $29,826 +29% $22,698 +69% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $38,308 $27,488 +39% $29,609 +29% —
671 URETHRAL PROCEDURES WITH CC/MCC $38,265 $27,233 +41% $27,233 +41% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $38,187 $29,301 +30% $29,867 +28% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $38,094 $26,995 +41% $38,094 +0% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $37,950 $27,997 +36% $37,950 +0% —
919 COMPLICATIONS OF TREATMENT WITH MCC $37,933 $29,031 +31% $29,031 +31% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $37,921 $28,458 +33% $35,990 +5% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $37,842 $28,474 +33% $37,842 +0% ≈111% of Medicare
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $37,764 $27,329 +38% $43,266 −13% —
754 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH MCC $37,692 $29,476 +28% $29,476 +28% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $37,599 $26,088 +44% $29,671 +27% —
789 NEONATES DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $37,579 $28,935 +30% $14,121 +166% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $37,526 $25,627 +46% $28,578 +31% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $37,477 $26,756 +40% $24,447 +53% —
062 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $37,214 $29,779 +25% $47,635 −22% ≈129% of Medicare
896 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $37,213 $28,283 +32% $30,275 +23% —
746 VAGINA CERVIX AND VULVA PROCEDURES WITH CC/MCC $37,175 $26,661 +39% $29,916 +24% —
571 SKIN DEBRIDEMENT WITH CC $37,169 $26,915 +38% $34,773 +7% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $37,042 $29,126 +27% $28,103 +32% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $37,033 $26,008 +42% $30,930 +20% —
199 PNEUMOTHORAX WITH MCC $36,952 $28,220 +31% $31,085 +19% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $36,907 $24,020 +54% $27,277 +35% —
334 RECTAL RESECTION WITHOUT CC/MCC $36,820 $25,531 +44% $32,213 +14% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $36,816 $26,008 +42% $42,119 −13% —
597 MALIGNANT BREAST DISORDERS WITH MCC $36,807 $25,468 +45% $31,846 +16% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $36,661 $27,806 +32% $31,627 +16% —
180 RESPIRATORY NEOPLASMS WITH MCC $36,658 $27,647 +33% $36,658 +0% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $36,651 $26,597 +38% $44,087 −17% ≈142% of Medicare
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $36,589 $25,197 +45% $25,197 +45% —
666 PROSTATECTOMY WITH CC $36,569 $27,313 +34% $30,016 +22% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $36,506 $28,474 +28% $30,814 +18% —
915 ALLERGIC REACTIONS WITH MCC $36,491 $28,220 +29% $30,944 +18% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $36,467 $24,211 +51% $31,566 +16% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $36,445 $28,474 +28% $28,554 +28% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $36,354 $27,202 +34% $36,333 +0% —
722 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH MCC $36,340 $29,826 +22% $29,826 +22% —
075 VIRAL MENINGITIS WITH CC/MCC $36,230 $30,447 +19% $29,751 +22% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $36,087 $27,074 +33% $27,074 +33% —
551 MEDICAL BACK PROBLEMS WITH MCC $35,961 $27,074 +33% $31,067 +16% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $35,872 $27,838 +29% $27,118 +32% —
038 EXTRACRANIAL PROCEDURES WITH CC $35,770 $25,452 +41% $35,770 +0% —
512 SHOULDER ELBOW OR FOREARM PROCEDURES EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $35,692 $25,674 +39% $35,692 +0% —
922 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $35,675 $27,758 +29% $29,409 +21% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $35,591 $25,977 +37% $31,029 +15% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $35,584 $26,088 +36% $35,584 +0% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $35,532 $26,311 +35% $29,929 +19% ≈125% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $35,453 $25,802 +37% $35,453 +0% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $35,419 $25,818 +37% $33,962 +4% ≈121% of Medicare
328 STOMACH ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $35,375 $25,404 +39% $35,375 +0% ≈123% of Medicare
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $35,352 $27,949 +26% $25,146 +41% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $35,349 $26,279 +35% $33,339 +6% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $35,243 $26,549 +33% $32,417 +9% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $35,217 $25,261 +39% $39,675 −11% —
643 ENDOCRINE DISORDERS WITH MCC $35,135 $26,168 +34% $32,953 +7% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $35,113 $25,770 +36% $32,689 +7% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $35,080 $24,577 +43% $33,425 +5% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $34,906 $24,577 +42% $34,906 +0% —
280 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC $34,867 $25,245 +38% $28,802 +21% ≈131% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $34,839 $25,388 +37% $28,001 +24% —
296 CARDIAC ARREST UNEXPLAINED WITH MCC $34,817 $25,499 +37% $30,768 +13% —
157 DENTAL AND ORAL DISEASES WITH MCC $34,802 $27,154 +28% $27,457 +27% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $34,749 $25,245 +38% $32,189 +8% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $34,689 $25,245 +37% $40,801 −15% —
154 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH MCC $34,613 $24,465 +41% $24,465 +41% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $34,588 $24,927 +39% $25,998 +33% —
913 TRAUMATIC INJURY WITH MCC $34,479 $23,781 +45% $24,198 +42% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $34,467 $25,070 +37% $25,596 +35% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $34,448 $26,979 +28% $31,754 +8% ≈126% of Medicare
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $34,434 $24,895 +38% $34,434 +0% —
669 TRANSURETHRAL PROCEDURES WITH CC $34,354 $24,418 +41% $34,354 +0% —
606 MINOR SKIN DISORDERS WITH MCC $34,344 $25,229 +36% $25,434 +35% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $34,316 $25,484 +35% $25,484 +35% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $34,078 $23,797 +43% $35,961 −5% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $33,987 $24,879 +37% $24,879 +37% —
183 MAJOR CHEST TRAUMA WITH MCC $33,957 $25,054 +36% $28,924 +17% —
663 MINOR BLADDER PROCEDURES WITH CC $33,907 $23,209 +46% $29,924 +13% —
186 PLEURAL EFFUSION WITH MCC $33,834 $24,688 +37% $32,385 +4% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $33,779 $23,511 +44% $29,891 +13% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $33,694 $26,168 +29% $33,694 +0% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $33,674 $21,714 +55% $30,888 +9% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $33,653 $24,847 +35% $32,804 +3% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $33,633 $25,038 +34% $30,224 +11% —
398 APPENDIX PROCEDURES WITH CC $33,592 $24,068 +40% $38,574 −13% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $33,519 $22,175 +51% $24,229 +38% —
626 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $33,506 $23,734 +41% $26,998 +24% —
513 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $33,424 $25,786 +30% $33,424 +0% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $33,399 $23,161 +44% $33,790 −1% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $33,388 $23,543 +42% $35,528 −6% —
710 PENIS PROCEDURES WITHOUT CC/MCC $33,330 $20,632 +62% $23,814 +40% —
557 TENDONITIS MYOSITIS AND BURSITIS WITH MCC $33,325 $24,768 +35% $28,385 +17% —
813 COAGULATION DISORDERS $33,296 $24,815 +34% $30,128 +11% —
506 MAJOR THUMB OR JOINT PROCEDURES $33,279 $23,272 +43% $28,983 +15% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $33,267 $24,036 +38% $24,036 +38% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $33,256 $24,068 +38% $28,252 +18% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $33,137 $23,766 +39% $33,137 +0% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $33,048 $24,513 +35% $31,062 +6% —
945 REHABILITATION WITH CC/MCC $32,934 $32,934 +0% $23,834 +38% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $32,911 $23,209 +42% $32,911 +0% —
533 FRACTURES OF FEMUR WITH MCC $32,907 $25,945 +27% $25,945 +27% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $32,620 $22,445 +45% $25,152 +30% —
682 RENAL FAILURE WITH MCC $32,520 $23,877 +36% $27,640 +18% ≈128% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $32,490 $23,877 +36% $25,854 +26% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $32,473 $23,447 +38% $29,049 +12% ≈129% of Medicare
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $32,467 $25,149 +29% $25,149 +29% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $32,451 $24,131 +34% $32,451 +0% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $32,445 $24,450 +33% $24,450 +33% —
604 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITH MCC $32,248 $23,956 +35% $27,597 +17% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $32,100 $23,082 +39% $29,630 +8% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $32,088 $23,702 +35% $7,896 +306% —
865 VIRAL ILLNESS WITH MCC $32,083 $26,088 +23% $26,088 +23% —
693 URINARY STONES WITH MCC $31,990 $22,525 +42% $22,525 +42% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $31,982 $23,129 +38% $28,403 +13% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $31,974 $25,786 +24% $25,786 +24% —
602 CELLULITIS WITH MCC $31,970 $23,670 +35% $29,347 +9% —
581 OTHER SKIN SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $31,950 $21,427 +49% $25,243 +27% —
562 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITH MCC $31,874 $24,195 +32% $29,011 +10% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $31,816 $22,779 +40% $31,816 +0% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $31,812 $23,400 +36% $31,812 +0% —
637 DIABETES WITH MCC $31,753 $23,050 +38% $28,772 +10% ≈124% of Medicare
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $31,730 $22,541 +41% $24,874 +28% —
895 ALCOHOL DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $31,612 $25,595 +24% $21,986 +44% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $31,511 $22,525 +40% $22,525 +40% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $31,508 $22,620 +39% $21,615 +46% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $31,166 $21,682 +44% $25,071 +24% —
630 OTHER ENDOCRINE NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $31,108 $22,207 +40% $23,456 +33% —
757 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH MCC $31,063 $23,734 +31% $23,734 +31% —
137 MOUTH PROCEDURES WITH CC/MCC $31,048 $23,941 +30% $24,348 +28% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $31,017 $22,000 +41% $29,777 +4% —
088 CONCUSSION WITH MCC $30,986 $24,402 +27% $24,402 +27% —
885 PSYCHOSES $30,968 $21,729 +43% $21,489 +44% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $30,959 $22,318 +39% $29,521 +5% ≈128% of Medicare
811 RED BLOOD CELL DISORDERS WITH MCC $30,922 $22,334 +38% $27,674 +12% —
063 ISCHEMIC STROKE PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $30,887 $23,654 +31% $35,693 −13% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $30,846 $24,561 +26% $24,561 +26% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $30,693 $20,998 +46% $25,666 +20% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $30,645 $21,570 +42% $24,118 +27% ≈126% of Medicare
150 EPISTAXIS WITH MCC $30,507 $20,918 +46% $21,133 +44% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $30,493 $20,664 +48% $29,029 +5% —
139 SALIVARY GLAND PROCEDURES $30,480 $18,898 +61% $21,014 +45% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $30,418 $21,300 +43% $30,418 +0% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $30,308 $20,727 +46% $20,980 +44% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $30,242 $22,350 +35% $24,928 +21% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $30,083 $20,377 +48% $29,374 +2% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $30,056 $21,570 +39% $28,509 +5% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $29,894 $22,254 +34% $23,646 +26% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $29,805 $22,700 +31% $29,805 +0% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $29,747 $21,411 +39% $29,957 −1% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $29,623 $21,682 +37% $25,412 +17% ≈117% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $29,596 $21,682 +37% $31,978 −7% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $29,523 $20,632 +43% $22,874 +29% —
640 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITH MCC $29,481 $20,918 +41% $24,244 +22% ≈119% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $29,252 $21,109 +39% $25,766 +14% ≈124% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $29,250 $20,886 +40% $34,564 −15% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $29,117 $20,950 +39% $23,039 +26% ≈120% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $28,993 $21,507 +35% $23,956 +21% —
291 HEART FAILURE AND SHOCK WITH MCC $28,966 $20,425 +42% $24,932 +16% ≈130% of Medicare
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $28,946 $21,029 +38% $21,029 +38% —
540 OSTEOMYELITIS WITH CC $28,728 $20,648 +39% $23,494 +22% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $28,651 $22,811 +26% $22,811 +26% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $28,626 $21,634 +32% $23,920 +20% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $28,602 $20,409 +40% $23,474 +22% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $28,593 $22,763 +26% $23,646 +21% —
947 SIGNS AND SYMPTOMS WITH MCC $28,553 $19,916 +43% $25,474 +12% —
391 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $28,515 $20,298 +40% $27,041 +5% ≈118% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $28,340 $22,557 +26% $22,557 +26% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $28,209 $22,461 +26% $19,686 +43% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $28,209 $19,296 +46% $22,226 +27% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $28,156 $21,570 +31% $28,156 +0% —
627 THYROID PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $28,125 $19,661 +43% $25,621 +10% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $28,065 $22,238 +26% $26,616 +5% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $28,029 $19,741 +42% $19,894 +41% —
348 ANAL AND STOMAL PROCEDURES WITH CC $27,947 $20,695 +35% $27,947 +0% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $27,645 $20,489 +35% $26,146 +6% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $27,641 $18,484 +50% $19,354 +43% —
147 EAR NOSE MOUTH AND THROAT MALIGNANCY WITH CC $27,634 $19,661 +41% $21,860 +26% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $27,552 $20,727 +33% $20,727 +33% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $27,494 $19,152 +44% $22,010 +25% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $27,492 $19,693 +40% $27,492 +0% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $27,470 $19,598 +40% $24,603 +12% ≈120% of Medicare
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $27,348 $18,707 +46% $20,147 +36% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $27,323 $20,536 +33% $27,319 +0% —
375 DIGESTIVE MALIGNANCY WITH CC $27,277 $19,057 +43% $27,125 +1% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $27,261 $17,403 +57% $19,132 +42% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $27,163 $18,882 +44% $26,158 +4% —
593 SKIN ULCERS WITH CC $27,143 $19,248 +41% $20,470 +33% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $27,063 $19,757 +37% $23,588 +15% —
735 PELVIC EVISCERATION RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $26,948 $26,948 +0% $22,920 +18% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $26,770 $19,121 +40% $26,098 +3% ≈133% of Medicare
549 SEPTIC ARTHRITIS WITH CC $26,753 $19,184 +39% $20,808 +29% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $26,611 $18,484 +44% $27,369 −3% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $26,533 $18,405 +44% $20,148 +32% —
887 OTHER MENTAL DISORDER DIAGNOSES $26,404 $20,616 +28% $20,557 +28% —
145 OTHER EAR NOSE MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $26,302 $19,423 +35% $20,837 +26% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $26,242 $19,598 +34% $19,598 +34% —
304 HYPERTENSION WITH MCC $26,080 $18,278 +43% $23,945 +9% ≈127% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $25,980 $18,675 +39% $22,870 +14% ≈122% of Medicare
302 ATHEROSCLEROSIS WITH MCC $25,825 $17,832 +45% $20,810 +24% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $25,822 $20,377 +27% $18,291 +41% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,820 $18,723 +38% $21,025 +23% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $25,769 $20,520 +26% $22,532 +14% —
102 HEADACHES WITH MCC $25,740 $19,200 +34% $21,983 +17% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $25,700 $19,073 +35% $24,146 +6% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $25,652 $17,180 +49% $25,206 +2% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $25,552 $17,100 +49% $18,133 +41% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $25,390 $19,709 +29% $25,390 +0% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $25,361 $18,134 +40% $24,426 +4% —
560 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $25,279 $18,007 +40% $24,277 +4% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $25,267 $18,150 +39% $25,267 +0% —
152 OTITIS MEDIA AND URI WITH MCC $25,192 $18,898 +33% $19,657 +28% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $25,037 $19,025 +32% $20,741 +21% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $25,034 $17,514 +43% $24,017 +4% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $24,948 $17,705 +41% $30,259 −18% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $24,930 $17,530 +42% $24,103 +3% ≈122% of Medicare
723 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITH CC $24,928 $17,721 +41% $19,317 +29% —
946 REHABILITATION WITHOUT CC/MCC $24,786 $24,786 +0% $17,685 +40% —
181 RESPIRATORY NEOPLASMS WITH CC $24,648 $17,514 +41% $22,065 +12% —
755 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITH CC $24,644 $17,259 +43% $18,459 +34% —
200 PNEUMOTHORAX WITH CC $24,586 $17,132 +44% $20,573 +20% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $24,544 $19,248 +28% $24,544 +0% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $24,477 $17,641 +39% $25,038 −2% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $24,439 $15,971 +53% $17,483 +40% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $24,337 $19,375 +26% $17,006 +43% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $24,295 $14,921 +63% $17,398 +40% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $24,220 $17,069 +42% $19,868 +22% —
287 CIRCULATORY DISORDERS EXCEPT AMI WITH CARDIAC CATHETERIZATION WITHOUT MCC $24,191 $17,212 +41% $31,190 −22% ≈131% of Medicare
381 COMPLICATED PEPTIC ULCER WITH CC $24,177 $17,069 +42% $24,177 +0% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $24,075 $17,291 +39% $21,666 +11% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $24,042 $16,289 +48% $22,587 +6% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $24,000 $16,050 +50% $17,226 +39% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $23,971 $16,894 +42% $18,126 +32% —
949 AFTERCARE WITH CC/MCC $23,953 $17,069 +40% $23,953 +0% —
598 MALIGNANT BREAST DISORDERS WITH CC $23,951 $19,073 +26% $19,073 +26% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $23,944 $19,057 +26% $17,193 +39% —
770 ABORTION WITH D&C ASPIRATION CURETTAGE OR HYSTEROTOMY $23,887 $12,710 +88% $17,719 +35% —
089 CONCUSSION WITH CC $23,800 $18,293 +30% $18,293 +30% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $23,767 $16,973 +40% $19,448 +22% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $23,749 $16,400 +45% $23,749 +0% —
712 TESTES PROCEDURES WITHOUT CC/MCC $23,745 $18,898 +26% $18,898 +26% —
184 MAJOR CHEST TRAUMA WITH CC $23,711 $16,735 +42% $20,842 +14% ≈129% of Medicare
222 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $86,864 −73% —
223 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $59,206 −60% —
224 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $80,427 −71% —
225 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $57,380 −59% —
226 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $72,618 −67% —
227 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $56,960 −58% —
246 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $33,983 −30% —
247 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $21,663 +9% —
248 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $34,146 −31% —
249 NO ACTIVE CODE DESCRIPTION $23,643 $23,643 +0% $20,610 +15% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $23,571 $16,719 +41% $23,571 +0% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $23,551 $17,355 +36% $23,400 +1% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $23,503 $16,321 +44% $24,000 −2% ≈99% of Medicare
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $23,396 $16,894 +38% $23,396 +0% ≈121% of Medicare
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $23,369 $16,623 +41% $18,000 +30% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $23,352 $16,957 +38% $17,308 +35% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $23,312 $17,275 +35% $22,231 +5% —
015 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
129 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
130 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
131 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
132 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
133 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
134 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
338 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $30,138 −23% —
339 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $18,474 +26% —
340 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $16,240 +43% —
341 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $25,628 −9% —
342 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $19,454 +20% —
343 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $13,735 +70% —
453 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $103,861 −78% ≈28% of Medicare
454 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $69,101 −66% ≈44% of Medicare
455 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $54,320 −57% ≈59% of Medicare
459 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $75,251 −69% —
460 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $50,815 −54% ≈75% of Medicare
484 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
984 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
985 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
986 NO ACTIVE CODE DESCRIPTION $23,289 $23,289 +0% $23,289 +0% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $23,141 $16,321 +42% $23,141 +0% —
644 ENDOCRINE DISORDERS WITH CC $22,941 $16,894 +36% $22,941 +0% ≈118% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $22,888 $16,385 +40% $22,623 +1% ≈133% of Medicare
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $22,850 $16,575 +38% $22,850 +0% —
667 PROSTATECTOMY WITHOUT CC/MCC $22,817 $16,703 +37% $16,703 +37% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $22,790 $16,671 +37% $24,008 −5% —
745 D&C CONIZATION LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $22,750 $16,480 +38% $16,495 +38% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $22,641 $16,241 +39% $20,732 +9% ≈117% of Medicare
923 OTHER INJURY POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $22,641 $16,082 +41% $16,431 +38% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $22,637 $15,891 +42% $21,499 +5% —
514 HAND OR WRIST PROCEDURES EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $22,635 $16,575 +37% $20,076 +13% —
758 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITH CC $22,628 $15,796 +43% $19,091 +19% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $22,590 $15,716 +44% $22,590 +0% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $22,575 $16,162 +40% $22,610 −0% ≈134% of Medicare
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $22,557 $15,812 +43% $18,005 +25% —
920 COMPLICATIONS OF TREATMENT WITH CC $22,552 $16,448 +37% $20,879 +8% ≈104% of Medicare
187 PLEURAL EFFUSION WITH CC $22,288 $15,844 +41% $21,467 +4% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $22,268 $17,737 +26% $17,078 +30% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $22,266 $13,442 +66% $16,212 +37% —
697 URETHRAL STRICTURE $22,239 $17,705 +26% $17,705 +26% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $22,197 $16,003 +39% $20,007 +11% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $22,155 $16,035 +38% $15,370 +44% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $22,153 $16,178 +37% $17,268 +28% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $22,033 $15,462 +42% $20,917 +5% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $22,024 $15,701 +40% $22,024 +0% —
197 INTERSTITIAL LUNG DISEASE WITH CC $21,977 $15,876 +38% $20,105 +9% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $21,886 $15,653 +40% $21,886 +0% ≈119% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $21,880 $15,828 +38% $18,199 +20% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $21,733 $17,259 +26% $15,901 +37% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $21,716 $21,716 +0% $15,890 +37% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $21,494 $15,844 +36% $19,001 +13% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $21,494 $13,283 +62% $18,038 +19% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $21,460 $15,239 +41% $17,183 +25% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $21,449 $15,144 +42% $21,449 +0% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $21,396 $15,366 +39% $20,632 +4% ≈123% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $21,363 $15,382 +39% $20,716 +3% —
882 NEUROSES EXCEPT DEPRESSIVE $21,356 $14,937 +43% $15,680 +36% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $21,280 $15,191 +40% $15,636 +36% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $21,236 $16,321 +30% $16,418 +29% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $21,225 $14,635 +45% $18,060 +18% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $21,216 $15,319 +38% $20,371 +4% —
747 VAGINA CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $21,205 $14,110 +50% $19,326 +10% —
756 MALIGNANCY FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $21,201 $21,201 +0% $15,589 +36% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $21,129 $15,987 +32% $18,316 +15% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $20,896 $14,905 +40% $18,815 +11% ≈117% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $20,881 $14,937 +40% $17,751 +18% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $20,861 $15,255 +37% $17,108 +22% —
779 ABORTION WITHOUT D&C $20,752 $15,732 +32% $15,327 +35% —
155 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITH CC $20,725 $15,064 +38% $16,622 +25% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $20,566 $15,001 +37% $18,323 +12% —
605 TRAUMA TO THE SKIN SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $20,506 $14,460 +42% $19,287 +6% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $20,488 $14,333 +43% $20,408 +0% —
281 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH CC $20,463 $14,523 +41% $20,463 +0% ≈121% of Medicare
101 SEIZURES WITHOUT MCC $20,461 $14,476 +41% $19,930 +3% ≈131% of Medicare
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $20,455 $15,653 +31% $20,313 +1% —
537 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITH CC/MCC $20,401 $15,382 +33% $16,352 +25% —
638 DIABETES WITH CC $20,361 $14,301 +42% $18,763 +9% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $20,355 $14,682 +39% $15,474 +32% —
914 TRAUMATIC INJURY WITHOUT MCC $20,344 $14,444 +41% $15,586 +31% —
881 DEPRESSIVE NEUROSES $20,293 $14,428 +41% $15,058 +35% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $20,259 $15,207 +33% $17,585 +15% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $20,108 $14,539 +38% $17,731 +13% ≈139% of Medicare
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $20,086 $14,476 +39% $15,007 +34% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $20,084 $13,601 +48% $20,084 +0% —
864 FEVER AND INFLAMMATORY CONDITIONS $19,935 $14,046 +42% $17,412 +14% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $19,914 $15,764 +26% $15,764 +26% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $19,854 $15,526 +28% $19,854 +0% —
563 FRACTURE SPRAIN STRAIN AND DISLOCATION EXCEPT FEMUR HIP PELVIS AND THIGH WITHOUT MCC $19,842 $14,253 +39% $18,243 +9% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $19,815 $13,776 +44% $19,815 +0% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $19,811 $14,269 +39% $21,323 −7% —
683 RENAL FAILURE WITH CC $19,733 $14,333 +38% $18,322 +8% ≈122% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $19,642 $14,603 +35% $16,348 +20% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $19,638 $13,696 +43% $15,045 +31% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $19,624 $14,094 +39% $15,818 +24% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $19,602 $14,173 +38% $15,608 +26% —
897 ALCOHOL DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $19,584 $13,617 +44% $15,923 +23% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $19,569 $13,855 +41% $19,569 +0% —
603 CELLULITIS WITHOUT MCC $19,553 $14,078 +39% $18,359 +7% ≈129% of Medicare
138 MOUTH PROCEDURES WITHOUT CC/MCC $19,492 $13,776 +41% $17,383 +12% —
541 OSTEOMYELITIS WITHOUT CC/MCC $19,422 $13,648 +42% $14,549 +33% —
312 SYNCOPE AND COLLAPSE $19,342 $13,744 +41% $19,342 +0% ≈139% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $19,305 $13,935 +39% $19,305 +0% —
607 MINOR SKIN DISORDERS WITHOUT MCC $19,185 $14,221 +35% $15,276 +26% —
558 TENDONITIS MYOSITIS AND BURSITIS WITHOUT MCC $19,176 $13,967 +37% $17,296 +11% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $19,138 $15,017 +27% $16,156 +18% —
292 HEART FAILURE AND SHOCK WITH CC $19,118 $13,633 +40% $15,878 +20% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $19,096 $13,601 +40% $19,096 +0% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $19,072 $13,505 +41% $18,104 +5% —
090 CONCUSSION WITHOUT CC/MCC $19,032 $14,873 +28% $14,873 +28% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $18,978 $10,706 +77% $14,290 +33% —
103 HEADACHES WITHOUT MCC $18,874 $13,394 +41% $20,076 −6% ≈121% of Medicare
594 SKIN ULCERS WITHOUT CC/MCC $18,841 $12,519 +50% $14,209 +33% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $18,592 $12,710 +46% $14,064 +32% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $18,577 $13,760 +35% $14,055 +32% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $18,528 $13,076 +42% $17,579 +5% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $18,330 $12,694 +44% $15,876 +15% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $18,204 $13,076 +39% $18,204 +0% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $18,179 $13,299 +37% $13,822 +32% —
561 AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $18,150 $12,408 +46% $18,150 +0% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $18,139 $12,726 +43% $16,622 +9% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $18,126 $13,108 +38% $17,562 +3% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $18,126 $14,428 +26% $17,851 +2% —
176 PULMONARY EMBOLISM WITHOUT MCC $18,081 $12,980 +39% $17,693 +2% ≈121% of Medicare
534 FRACTURES OF FEMUR WITHOUT MCC $18,070 $12,885 +40% $17,194 +5% —
204 RESPIRATORY SIGNS AND SYMPTOMS $18,004 $13,092 +38% $16,804 +7% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $18,002 $12,519 +44% $17,754 +1% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $17,953 $17,953 +0% $15,594 +15% —
999 UNGROUPABLE $17,953 $17,953 +0% $28,387 −37% —
123 NEUROLOGICAL EYE DISORDERS $17,831 $12,789 +39% $17,831 +0% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $17,817 $12,837 +39% $17,379 +3% ≈118% of Medicare
389 GASTROINTESTINAL OBSTRUCTION WITH CC $17,795 $12,662 +41% $17,345 +3% —
148 EAR NOSE MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $17,775 $17,775 +0% $13,586 +31% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $17,762 $12,710 +40% $20,253 −12% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $17,700 $12,758 +39% $17,700 +0% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $17,638 $12,742 +38% $17,719 −0% ≈117% of Medicare
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $17,533 $12,678 +38% $13,445 +30% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $17,522 $12,312 +42% $17,522 +0% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $17,431 $13,219 +32% $13,385 +30% —
641 MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC $17,347 $12,424 +40% $16,718 +4% ≈121% of Medicare
694 URINARY STONES WITHOUT MCC $17,347 $12,455 +39% $16,451 +5% —
392 ESOPHAGITIS GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $17,322 $12,503 +39% $17,322 +0% ≈60% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $17,287 $12,105 +43% $14,166 +22% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $17,265 $12,026 +44% $15,858 +9% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $17,087 $12,137 +41% $14,411 +19% —
151 EPISTAXIS WITHOUT MCC $16,827 $12,265 +37% $13,032 +29% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $16,776 $12,217 +37% $16,776 +0% —
305 HYPERTENSION WITHOUT MCC $16,665 $11,994 +39% $16,897 −1% ≈147% of Medicare
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $16,654 $12,455 +34% $16,654 +0% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $16,634 $12,042 +38% $16,634 +0% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $16,607 $11,946 +39% $14,337 +16% —
149 DYSEQUILIBRIUM $16,594 $11,851 +40% $17,203 −4% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $16,592 $11,740 +41% $12,895 +29% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $16,565 $13,092 +27% $14,861 +11% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $16,525 $11,628 +42% $13,892 +19% —
284 ACUTE MYOCARDIAL INFARCTION EXPIRED WITH CC $16,450 $11,771 +40% $13,278 +24% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $16,412 $11,851 +38% $16,645 −1% ≈141% of Medicare
188 PLEURAL EFFUSION WITHOUT CC/MCC $16,299 $11,883 +37% $14,252 +14% —
724 MALIGNANCY MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,175 $12,885 +26% $12,650 +28% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $16,104 $11,406 +41% $16,104 +0% —
282 ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITHOUT CC/MCC $16,097 $11,421 +41% $18,288 −12% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $16,077 $12,424 +29% $12,593 +28% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $16,064 $11,883 +35% $13,090 +23% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $15,975 $10,992 +45% $12,536 +27% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $15,839 $11,406 +39% $12,205 +30% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $15,837 $11,294 +40% $15,598 +2% —
313 CHEST PAIN $15,837 $11,517 +38% $15,837 +0% —
153 OTITIS MEDIA AND URI WITHOUT MCC $15,799 $11,692 +35% $14,251 +11% —
297 CARDIAC ARREST UNEXPLAINED WITH CC $15,637 $11,596 +35% $12,336 +27% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,600 $11,374 +37% $15,600 +0% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $15,549 $12,376 +26% $13,654 +14% —
311 ANGINA PECTORIS $15,502 $11,103 +40% $15,165 +2% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $15,495 $11,835 +31% $15,072 +3% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $15,464 $11,056 +40% $12,275 +26% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $15,462 $10,658 +45% $12,405 +25% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $15,411 $11,262 +37% $13,303 +16% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $15,358 $11,008 +40% $14,210 +8% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $15,280 $10,944 +40% $19,483 −22% ≈124% of Medicare
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $15,267 $11,103 +37% $14,012 +9% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $15,156 $11,024 +37% $12,794 +18% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $15,058 $11,851 +27% $11,997 +26% —
201 PNEUMOTHORAX WITHOUT CC/MCC $15,031 $11,231 +34% $13,081 +15% —
156 OTHER EAR NOSE MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $14,927 $10,435 +43% $13,198 +13% —
303 ATHEROSCLEROSIS WITHOUT MCC $14,927 $10,467 +43% $14,927 +0% —
538 SPRAINS STRAINS AND DISLOCATIONS OF HIP PELVIS AND THIGH WITHOUT CC/MCC $14,907 $11,278 +32% $11,909 +25% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $14,880 $10,881 +37% $14,880 +0% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $14,800 $11,787 +26% $11,847 +25% —
916 ALLERGIC REACTIONS WITHOUT MCC $14,743 $10,483 +41% $13,890 +6% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $14,643 $10,737 +36% $13,362 +10% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $14,638 $11,294 +30% $13,485 +9% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $14,368 $10,213 +41% $14,368 +0% —
759 INFECTIONS FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $14,208 $10,276 +38% $14,208 +0% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $14,148 $10,403 +36% $11,957 +18% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $14,134 $10,069 +40% $14,134 +0% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $14,128 $10,308 +37% $14,128 +0% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $14,072 $9,640 +46% $11,421 +23% —
639 DIABETES WITHOUT CC/MCC $13,910 $9,910 +40% $13,910 +0% —
894 ALCOHOL DRUG ABUSE OR DEPENDENCE LEFT AMA $13,855 $9,147 +51% $12,013 +15% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $13,824 $9,958 +39% $13,747 +1% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $13,683 $9,799 +40% $14,770 −7% —
684 RENAL FAILURE WITHOUT CC/MCC $13,642 $9,688 +41% $13,455 +1% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $13,639 $9,894 +38% $11,071 +23% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $13,599 $10,085 +35% $10,975 +24% —
950 AFTERCARE WITHOUT CC/MCC $13,527 $10,165 +33% $13,527 +0% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $13,425 $9,385 +43% $9,385 +43% —
285 ACUTE MYOCARDIAL INFARCTION EXPIRED WITHOUT CC/MCC $13,395 $7,779 +72% $10,039 +33% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $13,384 $8,797 +52% $13,384 +0% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $13,326 $8,940 +49% $11,826 +13% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $13,318 $8,892 +50% $13,318 +0% ≈137% of Medicare
298 CARDIAC ARREST UNEXPLAINED WITHOUT CC/MCC $12,751 $6,999 +82% $8,927 +43% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $11,539 $8,145 +42% $9,063 +27% —
795 NORMAL NEWBORN $11,451 $3,213 +256% $4,521 +153% —
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