Adventist Health Bakersfield — Pricing

664 procedures published in this hospital's Machine-Readable File (MRF) — 663 with a comparable price, 1 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 664
Lowest published price $3,681
Average published price $113,787
Highest published price $889,210

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 664 procedures

Published charges

Showing all 663 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 79 procedures, this hospital's negotiated rates average ≈124% of what Medicare pays.

DRG Description Published price Cash price vs. CA median vs. National median vs Medicare
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $889,210 $133,381 $486,976 +83% $431,073 +106% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $828,828 $124,324 $371,366 +123% $371,366 +123% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $749,272 $112,391 $196,346 +282% $171,338 +337% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $694,878 $104,232 $248,521 +180% $245,241 +183% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $694,692 $104,204 $189,963 +266% $159,181 +336% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $613,864 $92,080 $144,569 +325% $138,868 +342% —
231 CORONARY BYPASS WITH PTCA WITH MCC $579,352 $86,903 $155,631 +272% $146,474 +296% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $550,980 $82,647 $131,961 +318% $131,961 +318% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $547,702 $82,155 $112,062 +389% $112,062 +389% —
653 MAJOR BLADDER PROCEDURES WITH MCC $485,381 $72,807 $104,583 +364% $97,046 +400% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $454,346 $68,152 $102,573 +343% $102,573 +343% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $431,760 $64,764 $191,314 +126% $191,314 +126% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $412,205 $61,831 $116,058 +255% $116,058 +255% ≈37% of Medicare
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $410,571 $61,586 $143,242 +187% $143,242 +187% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $409,438 $61,416 $117,196 +249% $109,331 +274% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $406,149 $60,922 $124,290 +227% $138,008 +194% ≈57% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $404,823 $60,723 $107,355 +277% $107,355 +277% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $401,222 $60,183 $82,247 +388% $82,247 +388% ≈110% of Medicare
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $386,095 $57,914 $55,434 +596% $40,947 +843% —
471 CERVICAL SPINAL FUSION WITH MCC $375,912 $56,387 $92,515 +306% $92,515 +306% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $372,829 $55,924 $153,282 +143% $151,029 +147% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $366,585 $54,988 $175,437 +109% $175,437 +109% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $360,399 $54,060 $148,686 +142% $134,914 +167% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $354,990 $53,248 $106,778 +232% $106,778 +232% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $352,502 $52,875 $117,280 +201% $117,280 +201% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $345,414 $51,812 $102,177 +238% $102,177 +238% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $322,791 $48,419 $91,329 +253% $91,329 +253% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $319,182 $47,877 $113,157 +182% $92,238 +246% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $313,439 $47,016 $121,714 +158% $121,714 +158% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $307,758 $46,164 $108,750 +183% $96,192 +220% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $304,852 $45,728 $91,138 +234% $88,691 +244% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $304,074 $45,611 $36,340 +737% $29,826 +919% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $300,617 $45,093 $85,334 +252% $68,847 +337% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $297,753 $44,663 $32,911 +805% $32,911 +805% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $296,773 $44,516 $97,241 +205% $84,861 +250% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $287,768 $43,165 $33,256 +765% $28,252 +919% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $285,693 $42,854 $66,976 +327% $57,277 +399% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $283,686 $42,553 $23,289 +1118% $54,320 +422% ≈48% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $283,671 $42,551 $90,775 +212% $86,390 +228% ≈78% of Medicare
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $279,655 $41,948 $43,080 +549% $43,080 +549% —
163 MAJOR CHEST PROCEDURES WITH MCC $278,775 $41,816 $88,341 +216% $88,341 +216% ≈50% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $276,912 $41,537 $63,279 +338% $54,483 +408% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $276,694 $41,504 $90,331 +206% $90,331 +206% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $270,907 $40,636 $89,523 +203% $80,885 +235% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $266,578 $39,987 $42,423 +528% $32,483 +721% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $263,648 $39,547 $113,855 +132% $113,855 +132% ≈34% of Medicare
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $256,817 $38,522 $88,307 +191% $88,307 +191% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $255,088 $38,263 $34,817 +633% $30,910 +725% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $253,466 $38,020 $68,616 +269% $52,908 +379% —
265 AICD LEAD PROCEDURES $251,123 $37,668 $70,810 +255% $56,695 +343% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $248,825 $37,324 $65,608 +279% $64,465 +286% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $241,468 $36,220 $69,724 +246% $65,383 +269% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $236,940 $35,541 $94,937 +150% $87,018 +172% ≈48% of Medicare
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $232,865 $34,930 $23,289 +900% $69,101 +237% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $231,994 $34,799 $48,235 +381% $45,818 +406% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $230,596 $34,589 $101,662 +127% $78,582 +193% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $230,547 $34,582 $71,092 +224% $64,776 +256% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $226,429 $33,964 $88,050 +157% $88,050 +157% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $225,899 $33,885 $96,905 +133% $96,905 +133% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $224,900 $33,735 $96,245 +134% $80,747 +179% —
665 PROSTATECTOMY WITH MCC $222,768 $33,415 $68,562 +225% $54,072 +312% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $222,652 $33,398 $81,281 +174% $72,945 +205% ≈95% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $222,645 $33,397 $40,583 +449% $40,583 +449% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $222,161 $33,324 $67,268 +230% $64,152 +246% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $221,422 $33,213 $92,217 +140% $92,217 +140% ≈44% of Medicare
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $218,199 $32,730 $82,561 +164% $82,561 +164% —
245 AICD GENERATOR PROCEDURES $218,017 $32,703 $95,281 +129% $72,076 +202% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $215,808 $32,371 $75,754 +185% $55,097 +292% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $212,011 $31,802 $84,725 +150% $88,049 +141% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $211,602 $31,740 $83,065 +155% $83,065 +155% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $210,939 $31,641 $86,246 +145% $76,954 +174% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $209,756 $31,463 $78,852 +166% $78,852 +166% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $208,754 $31,313 $52,405 +298% $52,405 +298% ≈75% of Medicare
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $208,736 $31,310 $31,511 +562% $22,525 +827% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $206,839 $31,026 $101,576 +104% $86,953 +138% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $206,531 $30,980 $40,563 +409% $40,563 +409% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $206,130 $30,920 $52,735 +291% $57,963 +256% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $204,022 $30,603 $50,498 +304% $47,546 +329% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $202,643 $30,396 $41,380 +390% $41,380 +390% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $200,822 $30,123 $99,423 +102% $99,423 +102% ≈120% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $200,753 $30,113 $36,087 +456% $27,168 +639% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $200,662 $30,099 $86,970 +131% $75,585 +165% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $197,179 $29,577 $125,675 +57% $105,612 +87% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $196,429 $29,464 $49,382 +298% $39,409 +398% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $195,690 $29,353 $62,677 +212% $53,817 +264% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $194,075 $29,111 $54,583 +256% $52,332 +271% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $193,875 $29,081 $86,699 +124% $72,859 +166% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $193,597 $29,040 $75,103 +158% $75,103 +158% —
028 SPINAL PROCEDURES WITH MCC $192,211 $28,832 $113,077 +70% $95,858 +101% —
037 EXTRACRANIAL PROCEDURES WITH MCC $192,187 $28,828 $66,666 +188% $64,749 +197% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $192,055 $28,808 $20,401 +841% $16,352 +1075% —
164 MAJOR CHEST PROCEDURES WITH CC $191,358 $28,704 $53,141 +260% $53,141 +260% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $189,891 $28,484 $136,374 +39% $120,587 +57% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $189,474 $28,421 $76,219 +149% $72,908 +160% —
302 ATHEROSCLEROSIS WITH MCC $187,512 $28,127 $25,825 +626% $20,844 +800% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $184,553 $27,683 $51,487 +258% $46,591 +296% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $184,177 $27,626 $53,666 +243% $57,149 +222% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $182,959 $27,444 $51,339 +256% $51,339 +256% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $182,779 $27,417 $64,956 +181% $64,956 +181% —
800 SPLENIC PROCEDURES WITH CC $182,020 $27,303 $59,817 +204% $49,184 +270% —
947 SIGNS AND SYMPTOMS WITH MCC $180,054 $27,008 $28,553 +531% $25,474 +607% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $178,611 $26,792 $23,499 +660% $50,815 +251% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $178,031 $26,705 $70,132 +154% $70,132 +154% ≈65% of Medicare
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $175,103 $26,265 $47,583 +268% $47,583 +268% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $174,928 $26,239 $53,274 +228% $46,659 +275% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $174,920 $26,238 $60,959 +187% $74,274 +136% ≈88% of Medicare
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $174,081 $26,112 $38,876 +348% $34,264 +408% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $173,246 $25,987 $64,523 +169% $63,475 +173% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $173,216 $25,982 $52,959 +227% $43,491 +298% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $172,659 $25,899 $50,624 +241% $50,624 +241% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $171,609 $25,741 $47,583 +261% $39,093 +339% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $170,555 $25,583 $68,421 +149% $68,880 +148% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $170,058 $25,509 $68,639 +148% $62,524 +172% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $169,995 $25,499 $26,242 +548% $19,598 +767% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $169,932 $25,490 $39,515 +330% $33,564 +406% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $168,392 $25,259 $67,560 +149% $57,855 +191% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $167,890 $25,184 $31,812 +428% $31,812 +428% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $167,202 $25,080 $75,820 +121% $62,961 +166% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $166,646 $24,997 $36,651 +355% $44,117 +278% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $165,792 $24,869 $65,573 +153% $65,573 +153% ≈71% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $164,885 $24,733 $70,371 +134% $67,901 +143% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $164,850 $24,728 $81,298 +103% $68,659 +140% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $164,697 $24,705 $65,325 +152% $65,325 +152% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $164,668 $24,700 $43,775 +276% $43,775 +276% —
253 OTHER VASCULAR PROCEDURES WITH CC $164,371 $24,656 $53,746 +206% $53,746 +206% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $162,272 $24,341 $46,724 +247% $45,622 +256% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $160,986 $24,148 $68,653 +134% $62,269 +159% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $160,106 $24,016 $62,334 +157% $67,764 +136% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $158,220 $23,733 $50,562 +213% $58,832 +169% —
252 OTHER VASCULAR PROCEDURES WITH MCC $158,067 $23,710 $68,508 +131% $68,508 +131% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $155,899 $23,385 $60,274 +159% $63,984 +144% ≈82% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $155,260 $23,289 $54,273 +186% $48,094 +223% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $154,772 $23,216 $43,328 +257% $36,850 +320% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $153,572 $23,036 $96,507 +59% $96,222 +60% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $153,492 $23,024 $35,419 +333% $33,984 +352% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $153,175 $22,976 $77,817 +97% $71,701 +114% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $152,806 $22,921 $34,078 +348% $36,239 +322% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $152,422 $22,863 $50,131 +204% $44,989 +239% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $152,205 $22,831 $70,540 +116% $70,540 +116% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $152,170 $22,825 $22,628 +572% $19,091 +697% —
669 TRANSURETHRAL PROCEDURES WITH CC $151,328 $22,699 $34,354 +340% $34,354 +340% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $150,700 $22,605 $51,387 +193% $36,080 +318% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $150,086 $22,513 $79,225 +89% $72,011 +108% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $149,083 $22,362 $62,821 +137% $62,821 +137% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $148,562 $22,284 $71,106 +109% $59,425 +150% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $148,307 $22,246 $75,573 +96% $72,782 +104% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $148,189 $22,228 $70,175 +111% $50,919 +191% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $147,404 $22,111 $37,033 +298% $30,930 +377% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $146,690 $22,003 $65,631 +124% $54,129 +171% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $146,501 $21,975 $39,105 +275% $36,280 +304% —
472 CERVICAL SPINAL FUSION WITH CC $146,232 $21,935 $59,537 +146% $59,537 +146% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $146,182 $21,927 $35,375 +313% $35,375 +313% —
570 SKIN DEBRIDEMENT WITH MCC $145,765 $21,865 $63,709 +129% $52,435 +178% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $145,199 $21,780 $66,819 +117% $66,819 +117% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $144,611 $21,692 $46,477 +211% $46,477 +211% —
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $144,230 $21,634 $23,643 +510% $34,146 +322% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $143,580 $21,537 $50,011 +187% $50,011 +187% ≈95% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $143,260 $21,489 $58,880 +143% $49,055 +192% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $141,899 $21,285 $71,014 +100% $71,014 +100% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $141,601 $21,240 $43,913 +222% $43,398 +226% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $140,858 $21,129 $46,288 +204% $36,237 +289% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $138,738 $20,811 $45,240 +207% $34,089 +307% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $138,311 $20,747 $46,799 +196% $56,519 +145% ≈114% of Medicare
620 O.R. PROCEDURES FOR OBESITY WITH CC $138,113 $20,717 $35,453 +290% $35,453 +290% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $137,952 $20,693 $58,975 +134% $56,758 +143% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $137,229 $20,584 $28,029 +390% $19,894 +590% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $136,340 $20,451 $114,401 +19% $98,912 +38% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $136,025 $20,404 $41,857 +225% $49,197 +176% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $135,703 $20,355 $102,128 +33% $94,927 +43% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $135,416 $20,312 $74,755 +81% $74,755 +81% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $135,415 $20,312 $33,388 +306% $35,528 +281% —
551 MEDICAL BACK PROBLEMS WITH MCC $135,210 $20,282 $35,961 +276% $31,086 +335% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $135,170 $20,275 $60,402 +124% $54,313 +149% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $134,722 $20,208 $51,645 +161% $54,824 +146% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $134,433 $20,165 $36,445 +269% $28,634 +369% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $132,316 $19,847 $95,536 +38% $87,565 +51% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $130,067 $19,510 $31,017 +319% $30,006 +333% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $129,368 $19,405 $54,929 +136% $54,929 +136% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $128,613 $19,292 $27,492 +368% $27,492 +368% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $128,224 $19,234 $77,178 +66% $68,006 +89% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $128,109 $19,216 $43,483 +195% $38,357 +234% ≈110% of Medicare
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $127,983 $19,198 $125,432 +2% $89,353 +43% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $127,736 $19,160 $51,189 +150% $56,394 +127% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $126,618 $18,993 $44,639 +184% $45,817 +176% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $126,514 $18,977 $55,162 +129% $55,162 +129% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $125,695 $18,854 $40,552 +210% $40,552 +210% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $125,519 $18,828 $31,816 +295% $31,816 +295% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $125,232 $18,785 $40,719 +208% $35,714 +251% ≈116% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $125,226 $18,784 $60,140 +108% $60,140 +108% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $124,460 $18,669 $48,353 +157% $44,053 +183% —
915 ALLERGIC REACTIONS WITH MCC $124,184 $18,628 $36,491 +240% $30,944 +301% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $123,826 $18,574 $43,631 +184% $41,520 +198% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $123,409 $18,511 $61,217 +102% $53,551 +130% —
693 URINARY STONES WITH MCC $122,666 $18,400 $31,990 +283% $22,525 +445% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $122,383 $18,357 $43,027 +184% $36,202 +238% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $122,026 $18,304 $45,703 +167% $51,172 +138% ≈116% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $121,812 $18,272 $33,330 +265% $23,814 +412% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $121,700 $18,255 $37,764 +222% $43,266 +181% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $121,186 $18,178 $60,905 +99% $49,710 +144% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $121,059 $18,159 $43,800 +176% $43,800 +176% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $120,953 $18,143 $101,566 +19% $82,527 +47% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $120,939 $18,141 $71,755 +69% $71,755 +69% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $120,478 $18,072 $34,588 +248% $26,020 +363% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $119,736 $17,960 $40,263 +197% $35,237 +240% ≈111% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $119,591 $17,939 $37,214 +221% $48,680 +146% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $119,353 $17,903 $32,467 +268% $25,149 +375% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $118,778 $17,817 $30,887 +285% $35,542 +234% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $118,630 $17,795 $65,788 +80% $65,254 +82% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $118,542 $17,781 $37,175 +219% $29,916 +296% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $118,320 $17,748 $40,163 +195% $54,772 +116% ≈110% of Medicare
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $116,711 $17,507 $69,597 +68% $51,953 +125% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $116,130 $17,419 $29,596 +292% $31,978 +263% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $115,819 $17,373 $59,790 +94% $54,475 +113% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $115,362 $17,304 $69,089 +67% $49,065 +135% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $114,990 $17,248 $57,493 +100% $46,402 +148% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $114,984 $17,248 $48,788 +136% $38,998 +195% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $114,564 $17,185 $48,634 +136% $45,059 +154% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $114,164 $17,125 $41,855 +173% $45,963 +148% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $113,476 $17,021 $25,390 +347% $25,390 +347% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $113,139 $16,971 $84,217 +34% $60,098 +88% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $112,875 $16,931 $33,399 +238% $33,792 +234% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $112,684 $16,903 $44,326 +154% $29,109 +287% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $112,637 $16,896 $30,056 +275% $28,527 +295% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $112,449 $16,867 $35,243 +219% $32,502 +246% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $112,047 $16,807 $60,265 +86% $48,907 +129% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $112,026 $16,804 $30,645 +266% $24,118 +364% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $112,005 $16,801 $33,653 +233% $32,936 +240% —
503 FOOT PROCEDURES WITH MCC $111,741 $16,761 $55,321 +102% $43,901 +155% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $111,326 $16,699 $32,490 +243% $25,854 +331% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $111,027 $16,654 $35,584 +212% $35,584 +212% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $110,891 $16,634 $125,242 −11% $118,589 −6% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $109,102 $16,365 $51,985 +110% $51,985 +110% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $108,710 $16,307 $107,269 +1% $80,018 +36% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $108,199 $16,230 $47,452 +128% $41,900 +158% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $107,692 $16,154 $56,278 +91% $36,097 +198% —
180 RESPIRATORY NEOPLASMS WITH MCC $107,384 $16,108 $36,658 +193% $36,658 +193% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $106,985 $16,048 $53,208 +101% $45,497 +135% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $106,033 $15,905 $29,747 +256% $30,358 +249% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $105,983 $15,897 $33,137 +220% $33,137 +220% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $105,657 $15,849 $44,489 +137% $44,600 +137% ≈88% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $105,615 $15,842 $29,623 +257% $25,426 +315% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $105,471 $15,821 $40,063 +163% $40,063 +163% ≈109% of Medicare
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $105,206 $15,781 $27,261 +286% $19,132 +450% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $104,747 $15,712 $24,477 +328% $25,162 +316% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $104,575 $15,686 $34,839 +200% $28,134 +272% ≈110% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $104,448 $15,667 $38,094 +174% $38,094 +174% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $102,860 $15,429 $32,445 +217% $24,450 +321% —
100 SEIZURES WITH MCC $102,337 $15,351 $40,653 +152% $35,194 +191% ≈111% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $102,335 $15,350 $58,935 +74% $44,973 +128% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $102,316 $15,347 $25,700 +298% $24,202 +323% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $101,665 $15,250 $33,048 +208% $31,062 +227% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $101,590 $15,238 $34,689 +193% $41,380 +146% —
336 PERITONEAL ADHESIOLYSIS WITH CC $101,139 $15,171 $46,332 +118% $49,470 +104% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $100,985 $15,148 $37,921 +166% $36,375 +178% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $100,881 $15,132 $38,978 +159% $32,981 +206% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $100,852 $15,128 $30,959 +226% $29,757 +239% ≈110% of Medicare
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $100,653 $15,098 $25,267 +298% $25,267 +298% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $100,327 $15,049 $34,448 +191% $31,840 +215% ≈114% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $100,176 $15,026 $44,357 +126% $43,524 +130% ≈114% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $99,737 $14,961 $43,538 +129% $43,538 +129% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $99,376 $14,906 $32,451 +206% $32,451 +206% —
038 EXTRACRANIAL PROCEDURES WITH CC $98,919 $14,838 $35,770 +177% $35,770 +177% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $98,773 $14,816 $47,696 +107% $34,900 +183% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $98,631 $14,795 $27,645 +257% $26,146 +277% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $98,616 $14,792 $49,631 +99% $49,631 +99% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $98,111 $14,717 $40,695 +141% $35,139 +179% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $96,822 $14,523 $44,730 +116% $41,660 +132% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $96,534 $14,480 $26,611 +263% $27,369 +253% —
504 FOOT PROCEDURES WITH CC $96,255 $14,438 $38,960 +147% $36,598 +163% —
333 RECTAL RESECTION WITH CC $95,913 $14,387 $46,551 +106% $34,352 +179% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $95,910 $14,387 $45,376 +111% $37,064 +159% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $95,401 $14,310 $47,797 +100% $38,382 +149% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $95,307 $14,296 $49,137 +94% $43,586 +119% —
541 OSTEOMYELITIS WITHOUT CC/MCC $94,870 $14,230 $19,422 +388% $14,549 +552% —
919 COMPLICATIONS OF TREATMENT WITH MCC $94,732 $14,210 $37,933 +150% $29,031 +226% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $94,413 $14,162 $50,777 +86% $52,313 +80% ≈95% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $94,321 $14,148 $43,378 +117% $33,050 +185% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $93,913 $14,087 $36,661 +156% $31,758 +196% ≈127% of Medicare
397 APPENDIX PROCEDURES WITH MCC $93,858 $14,079 $54,751 +71% $52,319 +79% —
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $93,820 $14,073 $23,643 +297% $20,610 +355% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $93,418 $14,013 $20,725 +351% $16,642 +461% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $93,306 $13,996 $31,063 +200% $23,734 +293% —
813 COAGULATION DISORDERS $93,074 $13,961 $33,296 +180% $30,128 +209% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $93,060 $13,959 $40,894 +128% $28,375 +228% —
671 URETHRAL PROCEDURES WITH CC/MCC $92,987 $13,948 $38,265 +143% $27,233 +241% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $92,982 $13,947 $14,368 +547% $14,368 +547% —
263 VEIN LIGATION AND STRIPPING $92,641 $13,896 $55,918 +66% $44,938 +106% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $92,501 $13,875 $49,765 +86% $39,657 +133% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $92,487 $13,873 $40,213 +130% $36,933 +150% ≈108% of Medicare
835 ACUTE LEUKEMIA WITH CC $92,459 $13,869 $43,187 +114% $35,569 +160% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $92,352 $13,853 $37,842 +144% $37,842 +144% ≈116% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $92,192 $13,829 $40,150 +130% $35,014 +163% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $91,783 $13,768 $33,633 +173% $31,059 +196% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $91,482 $13,722 $38,836 +136% $38,836 +136% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $91,375 $13,706 $35,532 +157% $30,058 +204% ≈113% of Medicare
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $90,753 $13,613 $50,139 +81% $50,139 +81% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $90,662 $13,599 $48,682 +86% $48,682 +86% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $90,203 $13,530 $32,100 +181% $29,663 +204% —
199 PNEUMOTHORAX WITH MCC $89,737 $13,461 $36,952 +143% $31,491 +185% —
374 DIGESTIVE MALIGNANCY WITH MCC $89,697 $13,455 $42,775 +110% $38,885 +131% —
598 MALIGNANT BREAST DISORDERS WITH CC $89,610 $13,442 $23,951 +274% $19,073 +370% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $89,596 $13,439 $23,396 +283% $23,396 +283% —
666 PROSTATECTOMY WITH CC $89,001 $13,350 $36,569 +143% $30,016 +197% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $88,960 $13,344 $34,906 +155% $34,906 +155% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $88,847 $13,327 $35,675 +149% $29,409 +202% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $88,809 $13,321 $39,020 +128% $35,673 +149% —
500 SOFT TISSUE PROCEDURES WITH MCC $88,689 $13,303 $64,105 +38% $57,479 +54% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $88,614 $13,292 $31,874 +178% $29,211 +203% —
380 COMPLICATED PEPTIC ULCER WITH MCC $88,173 $13,226 $39,627 +123% $36,641 +141% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $88,144 $13,222 $34,867 +153% $28,967 +204% ≈104% of Medicare
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $88,144 $13,222 $29,805 +196% $29,805 +196% —
913 TRAUMATIC INJURY WITH MCC $87,723 $13,159 $34,479 +154% $24,198 +263% —
348 ANAL AND STOMAL PROCEDURES WITH CC $87,463 $13,119 $27,947 +213% $27,947 +213% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $87,446 $13,117 $37,213 +135% $30,275 +189% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $87,347 $13,102 $25,769 +239% $22,532 +288% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $87,195 $13,079 $27,323 +219% $27,321 +219% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $86,891 $13,034 $37,599 +131% $29,729 +192% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $86,746 $13,012 $47,089 +84% $44,553 +95% —
643 ENDOCRINE DISORDERS WITH MCC $86,653 $12,998 $35,135 +147% $32,996 +163% —
834 ACUTE LEUKEMIA WITH MCC $86,593 $12,989 $100,245 −14% $76,583 +13% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $86,347 $12,952 $29,252 +195% $26,158 +230% ≈133% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $86,135 $12,920 $35,080 +146% $33,490 +157% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $85,515 $12,827 $37,526 +128% $28,578 +199% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $85,456 $12,818 $27,163 +215% $26,322 +225% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $85,289 $12,793 $45,785 +86% $36,334 +135% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $84,821 $12,723 $38,951 +118% $30,766 +176% —
592 SKIN ULCERS WITH MCC $84,628 $12,694 $41,848 +102% $32,662 +159% —
123 NEUROLOGICAL EYE DISORDERS $83,679 $12,552 $17,831 +369% $17,831 +369% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $83,456 $12,518 $50,218 +66% $38,878 +115% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $83,182 $12,477 $27,494 +203% $22,032 +278% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $83,140 $12,471 $36,816 +126% $42,119 +97% ≈125% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $82,921 $12,438 $42,463 +95% $33,165 +150% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $82,602 $12,390 $70,026 +18% $56,964 +45% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $82,153 $12,323 $46,066 +78% $46,066 +78% —
935 NON-EXTENSIVE BURNS $82,125 $12,319 $43,274 +90% $29,458 +179% —
791 PREMATURITY WITH MAJOR PROBLEMS $81,793 $12,269 $75,557 +8% $39,563 +107% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $81,774 $12,266 $21,280 +284% $15,636 +423% —
075 VIRAL MENINGITIS WITH CC/MCC $81,213 $12,182 $36,230 +124% $29,853 +172% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $81,206 $12,181 $39,360 +106% $36,242 +124% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $80,987 $12,148 $22,790 +255% $24,022 +237% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $80,915 $12,137 $69,743 +16% $68,399 +18% —
637 DIABETES WITH MCC $80,888 $12,133 $31,753 +155% $28,819 +181% ≈124% of Medicare
865 VIRAL ILLNESS WITH MCC $80,348 $12,052 $32,083 +150% $26,088 +208% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $80,045 $12,007 $30,693 +161% $25,666 +212% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $79,727 $11,959 $42,881 +86% $42,881 +86% ≈119% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $79,626 $11,944 $35,217 +126% $39,747 +100% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $79,493 $11,924 $39,013 +104% $32,204 +147% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $79,375 $11,906 $29,117 +173% $23,115 +243% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $79,213 $11,882 $28,993 +173% $23,956 +231% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $79,144 $11,872 $19,138 +314% $16,156 +390% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $78,884 $11,833 $28,125 +180% $25,623 +208% —
548 SEPTIC ARTHRITIS WITH MCC $78,844 $11,827 $41,146 +92% $31,019 +154% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $78,611 $11,792 $23,141 +240% $23,141 +240% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $78,583 $11,787 $16,565 +374% $14,861 +429% —
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $78,334 $11,750 $31,730 +147% $24,941 +214% —
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $78,230 $11,734 $36,506 +114% $30,814 +154% —
682 RENAL FAILURE WITH MCC $78,187 $11,728 $32,520 +140% $27,854 +181% ≈130% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $77,527 $11,629 $21,977 +253% $20,106 +286% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $77,351 $11,603 $30,846 +151% $24,561 +215% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $77,303 $11,596 $34,467 +124% $25,731 +200% ≈121% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $76,799 $11,520 $33,907 +126% $29,924 +157% —
505 FOOT PROCEDURES WITHOUT CC/MCC $76,751 $11,513 $38,960 +97% $31,716 +142% —
186 PLEURAL EFFUSION WITH MCC $76,737 $11,511 $33,834 +127% $32,468 +136% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $76,337 $11,451 $39,422 +94% $31,909 +139% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $76,312 $11,447 $34,613 +120% $24,465 +212% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $76,222 $11,433 $17,522 +335% $17,522 +335% —
540 OSTEOMYELITIS WITH CC $76,198 $11,430 $28,728 +165% $23,494 +224% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $76,007 $11,401 $58,043 +31% $58,043 +31% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $75,748 $11,362 $37,950 +100% $37,950 +100% ≈112% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $75,656 $11,348 $14,638 +417% $13,485 +461% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $75,505 $11,326 $19,305 +291% $19,305 +291% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $75,368 $11,305 $31,950 +136% $25,243 +199% —
102 HEADACHES WITH MCC $75,284 $11,293 $25,740 +192% $22,544 +234% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $75,195 $11,279 $35,113 +114% $32,689 +130% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $75,045 $11,257 $27,470 +173% $25,704 +192% ≈143% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $74,505 $11,176 $49,066 +52% $46,430 +60% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $74,326 $11,149 $73,751 +1% $60,861 +22% —
184 MAJOR CHEST TRAUMA WITH CC $74,322 $11,148 $23,711 +213% $20,842 +257% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $74,143 $11,121 $24,439 +203% $17,483 +324% —
885 PSYCHOSES $73,598 $73,598 $30,968 +138% $21,489 +242% —
088 CONCUSSION WITH MCC $73,533 $11,030 $30,986 +137% $24,402 +201% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $73,237 $10,986 $24,930 +194% $24,190 +203% ≈147% of Medicare
539 OSTEOMYELITIS WITH MCC $72,914 $10,937 $41,277 +77% $33,746 +116% —
304 HYPERTENSION WITH MCC $72,875 $10,931 $26,080 +179% $24,185 +201% ≈131% of Medicare
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $72,762 $10,914 $32,578 +123% $14,284 +409% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $72,652 $10,898 $20,566 +253% $18,608 +290% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $72,621 $10,893 $21,363 +240% $20,777 +250% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $72,457 $10,869 $39,057 +86% $32,399 +124% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $71,970 $10,795 $17,431 +313% $13,385 +438% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $71,369 $10,705 $21,880 +226% $18,282 +290% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $71,334 $10,700 $23,312 +206% $22,231 +221% —
187 PLEURAL EFFUSION WITH CC $71,191 $10,679 $22,288 +219% $21,467 +232% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $71,036 $10,655 $35,591 +100% $31,128 +128% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $70,759 $10,614 $19,638 +260% $15,045 +370% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $70,717 $10,608 $21,216 +233% $20,371 +247% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $70,643 $10,596 $33,267 +112% $24,036 +194% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $70,574 $10,586 $25,279 +179% $24,452 +189% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $70,551 $10,583 $37,692 +87% $29,476 +139% —
183 MAJOR CHEST TRAUMA WITH MCC $70,493 $10,574 $33,957 +108% $28,924 +144% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $70,409 $10,561 $35,872 +96% $27,118 +160% —
668 TRANSURETHRAL PROCEDURES WITH MCC $70,191 $10,529 $59,859 +17% $47,277 +48% —
291 HEART FAILURE AND SHOCK WITH MCC $70,039 $10,506 $28,966 +142% $25,020 +180% ≈138% of Medicare
602 CELLULITIS WITH MCC $70,008 $10,501 $31,970 +119% $29,347 +139% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $69,573 $10,436 $35,352 +97% $25,208 +176% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $69,443 $10,417 $21,225 +227% $18,191 +282% —
501 SOFT TISSUE PROCEDURES WITH CC $69,342 $10,401 $39,619 +75% $37,975 +83% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $69,058 $10,359 $36,467 +89% $31,566 +119% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $68,796 $10,319 $17,638 +290% $17,727 +288% —
709 PENIS PROCEDURES WITH CC/MCC $68,625 $10,294 $48,600 +41% $34,535 +99% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $68,531 $10,280 $33,325 +106% $28,646 +139% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $68,310 $10,247 $56,127 +22% $44,839 +52% —
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $68,276 $10,241 $19,569 +249% $19,569 +249% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $68,262 $10,239 $35,349 +93% $33,607 +103% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $68,236 $10,235 $40,694 +68% $40,694 +68% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $68,000 $10,200 $29,481 +131% $24,480 +178% ≈131% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $67,985 $10,198 $23,352 +191% $17,550 +287% —
181 RESPIRATORY NEOPLASMS WITH CC $67,881 $10,182 $24,648 +175% $22,431 +203% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $67,784 $10,168 $31,982 +112% $28,780 +136% ≈117% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $67,470 $10,120 $31,974 +111% $25,786 +162% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $67,295 $10,094 $34,749 +94% $32,490 +107% —
549 SEPTIC ARTHRITIS WITH CC $67,046 $10,057 $26,753 +151% $20,938 +220% —
606 MINOR SKIN DISORDERS WITH MCC $67,001 $10,050 $34,344 +95% $25,434 +163% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $66,957 $10,044 $28,602 +134% $23,924 +180% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $66,936 $10,040 $26,533 +152% $20,421 +228% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $66,560 $9,984 $32,248 +106% $28,140 +137% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $66,228 $9,934 $23,749 +179% $23,749 +179% —
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $65,965 $9,895 $28,946 +128% $21,029 +214% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $65,816 $9,872 $21,460 +207% $17,273 +281% —
667 PROSTATECTOMY WITHOUT CC/MCC $65,743 $9,861 $22,817 +188% $16,703 +294% —
811 RED BLOOD CELL DISORDERS WITH MCC $65,648 $9,847 $30,922 +112% $27,934 +135% —
398 APPENDIX PROCEDURES WITH CC $65,639 $9,846 $33,592 +95% $39,107 +68% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $65,580 $9,837 $43,749 +50% $37,902 +73% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $65,523 $9,828 $38,483 +70% $30,974 +112% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $65,407 $9,811 $23,767 +175% $19,579 +234% ≈147% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $65,055 $9,758 $25,980 +150% $22,982 +183% ≈136% of Medicare
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $64,599 $9,690 $16,654 +288% $16,654 +288% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $64,533 $9,680 $26,770 +141% $26,488 +144% ≈132% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $64,457 $9,669 $22,197 +190% $20,007 +222% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $63,765 $9,565 $19,811 +222% $21,261 +200% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $63,439 $9,516 $41,191 +54% $32,538 +95% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $63,175 $9,476 $32,473 +95% $29,484 +114% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $62,724 $9,409 $23,369 +168% $18,478 +239% —
375 DIGESTIVE MALIGNANCY WITH CC $62,471 $9,371 $27,277 +129% $27,219 +130% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $62,145 $9,322 $24,191 +157% $31,190 +99% ≈134% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $62,136 $9,320 $28,515 +118% $27,244 +128% ≈132% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $62,042 $9,306 $28,209 +120% $22,275 +179% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $61,966 $9,295 $21,733 +185% $15,901 +290% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $61,201 $9,180 $29,250 +109% $34,887 +75% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $60,673 $9,101 $22,575 +169% $23,469 +159% ≈183% of Medicare
644 ENDOCRINE DISORDERS WITH CC $60,310 $9,046 $22,941 +163% $22,941 +163% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $60,308 $9,046 $36,354 +66% $36,333 +66% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $59,890 $8,983 $25,652 +133% $25,307 +137% —
312 SYNCOPE AND COLLAPSE $59,837 $8,976 $19,342 +209% $19,342 +209% ≈155% of Medicare
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $59,746 $8,962 $20,259 +195% $17,585 +240% —
506 MAJOR THUMB OR JOINT PROCEDURES $59,448 $8,917 $33,279 +79% $28,983 +105% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $59,376 $8,906 $24,000 +147% $17,226 +245% —
201 PNEUMOTHORAX WITHOUT CC/MCC $59,358 $8,904 $15,031 +295% $13,081 +354% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $59,275 $8,891 $30,242 +96% $24,980 +137% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $59,224 $8,884 $18,204 +225% $18,204 +225% ≈181% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $59,068 $8,860 $23,571 +151% $23,571 +151% —
090 CONCUSSION WITHOUT CC/MCC $58,980 $8,847 $19,032 +210% $14,873 +297% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $58,953 $8,843 $16,634 +254% $16,634 +254% —
571 SKIN DEBRIDEMENT WITH CC $58,946 $8,842 $37,169 +59% $34,901 +69% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $58,776 $8,816 $22,590 +160% $22,713 +159% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $58,709 $8,806 $31,108 +89% $24,452 +140% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $58,611 $8,792 $22,888 +156% $22,781 +157% ≈177% of Medicare
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $58,339 $8,751 $22,024 +165% $22,024 +165% —
150 EPISTAXIS WITH MCC $58,022 $8,703 $30,507 +90% $21,133 +175% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $57,140 $8,571 $38,631 +48% $35,114 +63% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $57,094 $8,564 $27,063 +111% $23,588 +142% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $56,766 $8,515 $21,396 +165% $21,213 +168% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $56,685 $8,503 $25,034 +126% $24,017 +136% —
683 RENAL FAILURE WITH CC $56,351 $8,453 $19,733 +186% $18,620 +203% ≈157% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $55,979 $8,397 $29,523 +90% $23,350 +140% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $55,975 $8,396 $17,265 +224% $15,858 +253% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $55,869 $8,380 $21,886 +155% $21,886 +155% ≈150% of Medicare
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $55,815 $8,372 $38,187 +46% $30,394 +84% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $55,284 $8,293 $16,299 +239% $14,110 +292% —
149 DYSEQUILIBRIUM $55,233 $8,285 $16,594 +233% $17,203 +221% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $54,898 $8,235 $23,887 +130% $17,943 +206% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $54,887 $8,233 $18,150 +202% $18,150 +202% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $54,675 $8,201 $20,084 +172% $20,084 +172% —
089 CONCUSSION WITH CC $54,525 $8,179 $23,800 +129% $18,293 +198% —
151 EPISTAXIS WITHOUT MCC $54,385 $8,158 $16,827 +223% $13,032 +317% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $54,131 $8,120 $22,850 +137% $22,850 +137% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $53,989 $8,098 $23,503 +130% $24,136 +124% ≈157% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $53,919 $8,088 $19,642 +175% $16,391 +229% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $53,918 $8,088 $27,348 +97% $20,147 +168% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $53,892 $8,084 $19,072 +183% $18,278 +195% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $53,737 $8,061 $20,488 +162% $20,488 +162% —
200 PNEUMOTHORAX WITH CC $53,722 $8,058 $24,586 +119% $20,573 +161% —
593 SKIN ULCERS WITH CC $53,680 $8,052 $27,143 +98% $20,470 +162% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $53,465 $8,020 $18,126 +195% $17,928 +198% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $53,423 $8,013 $17,762 +201% $20,278 +163% ≈176% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $53,403 $8,010 $20,463 +161% $20,463 +161% ≈179% of Medicare
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $53,291 $7,994 $18,592 +187% $14,064 +279% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $53,184 $7,978 $24,948 +113% $30,314 +75% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $53,171 $7,976 $17,347 +207% $16,745 +218% ≈177% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $53,137 $7,970 $15,280 +248% $19,483 +173% ≈220% of Medicare
103 HEADACHES WITHOUT MCC $52,825 $7,924 $18,874 +180% $20,111 +163% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $52,728 $7,909 $25,037 +111% $20,741 +154% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $52,720 $7,908 $38,998 +35% $29,558 +78% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $52,685 $7,903 $21,129 +149% $18,428 +186% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $52,545 $7,882 $22,641 +132% $16,571 +217% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $52,477 $7,872 $25,820 +103% $21,062 +149% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $52,437 $7,866 $24,042 +118% $22,560 +132% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $52,267 $7,840 $15,462 +238% $12,405 +321% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $52,031 $7,805 $15,464 +236% $12,279 +324% —
101 SEIZURES WITHOUT MCC $51,984 $7,798 $20,461 +154% $19,954 +161% ≈147% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $51,704 $7,756 $15,799 +227% $14,473 +257% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $51,653 $7,748 $17,795 +190% $17,388 +197% ≈223% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $51,550 $7,733 $24,075 +114% $21,806 +136% ≈146% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $51,492 $7,724 $21,494 +140% $18,238 +182% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $51,349 $7,702 $22,641 +127% $20,732 +148% ≈140% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $51,347 $7,702 $28,593 +80% $24,316 +111% —
597 MALIGNANT BREAST DISORDERS WITH MCC $50,812 $7,622 $36,807 +38% $31,846 +60% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $50,614 $7,592 $69,701 −27% $59,207 −15% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $50,348 $7,552 $22,033 +129% $20,968 +140% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $50,271 $7,541 $20,896 +141% $18,918 +166% ≈148% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $50,227 $7,534 $24,220 +107% $19,868 +153% —
603 CELLULITIS WITHOUT MCC $50,225 $7,534 $19,553 +157% $18,530 +171% ≈212% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $50,143 $7,521 $49,209 +2% $39,253 +28% —
313 CHEST PAIN $50,107 $7,516 $15,837 +216% $15,962 +214% ≈179% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $49,941 $7,491 $17,287 +189% $14,166 +253% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $49,858 $7,479 $20,355 +145% $15,474 +222% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $49,779 $7,467 $22,153 +125% $17,434 +186% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $49,602 $7,440 $13,824 +259% $13,824 +259% —
305 HYPERTENSION WITHOUT MCC $49,471 $7,421 $16,665 +197% $17,144 +189% ≈181% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $49,321 $7,398 $14,643 +237% $13,368 +269% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $49,106 $7,366 $28,156 +74% $28,156 +74% —
137 MOUTH PROCEDURES WITH CC/MCC $49,052 $7,358 $31,048 +58% $24,348 +101% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $48,473 $7,271 $30,083 +61% $29,374 +65% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $48,447 $7,267 $20,506 +136% $19,287 +151% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $48,439 $7,266 $22,637 +114% $21,545 +125% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $48,234 $7,235 $29,894 +61% $23,723 +103% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $48,097 $7,215 $19,815 +143% $19,815 +143% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $47,662 $7,149 $21,494 +122% $19,001 +151% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $47,513 $7,127 $17,533 +171% $13,445 +253% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $47,354 $7,103 $28,340 +67% $22,557 +110% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $47,339 $7,101 $16,412 +188% $16,865 +181% ≈196% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $46,787 $7,018 $19,118 +145% $16,212 +189% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $46,513 $6,977 $18,528 +151% $18,253 +155% —
638 DIABETES WITH CC $46,478 $6,972 $20,361 +128% $18,821 +147% ≈185% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $45,714 $6,857 $15,358 +198% $14,441 +217% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $45,702 $6,855 $43,384 +5% $29,524 +55% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $45,608 $6,841 $23,551 +94% $23,496 +94% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $45,531 $6,830 $26,302 +73% $20,842 +118% —
158 DENTAL AND ORAL DISEASES WITH CC $45,432 $6,815 $20,881 +118% $17,700 +157% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $45,359 $6,804 $38,308 +18% $29,609 +53% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $45,344 $6,802 $20,861 +117% $17,108 +165% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $45,223 $6,784 $17,817 +154% $17,466 +159% ≈186% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $45,025 $6,754 $16,097 +180% $18,623 +142% ≈193% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $44,946 $6,742 $33,779 +33% $29,371 +53% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $44,860 $6,729 $15,837 +183% $15,607 +187% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $44,730 $6,710 $17,322 +158% $17,322 +158% ≈187% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $44,237 $6,636 $22,552 +96% $21,181 +109% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $44,087 $6,613 $18,126 +143% $17,715 +149% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $44,051 $6,608 $15,975 +176% $12,537 +251% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $43,915 $6,587 $20,108 +118% $17,731 +148% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $43,603 $6,540 $25,361 +72% $24,432 +78% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $43,443 $6,516 $18,139 +139% $16,837 +158% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $43,239 $6,486 $34,434 +26% $34,434 +26% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $43,083 $6,462 $19,854 +117% $19,854 +117% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $42,980 $6,447 $42,126 +2% $35,459 +21% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $42,849 $6,427 $19,096 +124% $19,096 +124% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $42,402 $6,360 $21,449 +98% $21,449 +98% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $42,364 $6,355 $19,842 +114% $18,803 +125% —
176 PULMONARY EMBOLISM WITHOUT MCC $42,187 $6,328 $18,081 +133% $18,081 +133% —
303 ATHEROSCLEROSIS WITHOUT MCC $41,945 $6,292 $14,927 +181% $14,927 +181% —
949 AFTERCARE WITH CC/MCC $41,930 $6,289 $23,953 +75% $23,953 +75% —
595 MAJOR SKIN DISORDERS WITH MCC $41,817 $6,273 $42,837 −2% $31,785 +32% —
534 FRACTURES OF FEMUR WITHOUT MCC $41,813 $6,272 $18,070 +131% $17,195 +143% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $41,724 $6,259 $15,600 +167% $15,600 +167% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $41,295 $6,194 $17,087 +142% $14,444 +186% —
864 FEVER AND INFLAMMATORY CONDITIONS $40,955 $6,143 $19,935 +105% $17,412 +135% —
712 TESTES PROCEDURES WITHOUT CC/MCC $40,863 $6,130 $23,745 +72% $18,898 +116% —
381 COMPLICATED PEPTIC ULCER WITH CC $40,809 $6,121 $24,177 +69% $24,177 +69% —
311 ANGINA PECTORIS $40,565 $6,085 $15,502 +162% $15,165 +167% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $40,341 $6,051 $24,928 +62% $19,317 +109% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $40,321 $6,048 $14,907 +170% $11,909 +239% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $40,255 $6,038 $54,815 −27% $43,697 −8% —
684 RENAL FAILURE WITHOUT CC/MCC $40,053 $6,008 $13,642 +194% $13,623 +194% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $39,926 $5,989 $55,594 −28% $45,432 −12% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $39,878 $5,982 $25,552 +56% $18,133 +120% —
533 FRACTURES OF FEMUR WITH MCC $39,781 $5,967 $32,907 +21% $25,945 +53% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $39,690 $5,954 $42,126 −6% $42,126 −6% —
882 NEUROSES EXCEPT DEPRESSIVE $39,592 $5,939 $21,356 +85% $15,680 +153% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $39,176 $5,876 $19,624 +100% $15,869 +147% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $39,170 $5,876 $19,176 +104% $17,367 +126% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $38,998 $5,850 $13,855 +181% $12,013 +225% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $38,946 $5,842 $33,424 +17% $33,424 +17% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $37,720 $5,658 $19,584 +93% $16,049 +135% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $37,708 $5,656 $31,166 +21% $25,010 +51% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $37,379 $5,607 $13,326 +180% $11,955 +213% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $37,356 $5,603 $27,634 +35% $21,860 +71% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $36,910 $5,537 $13,683 +170% $15,070 +145% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $36,859 $5,529 $64,194 −43% $51,142 −28% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $36,433 $5,465 $14,927 +144% $13,198 +176% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $35,880 $5,382 $16,776 +114% $16,776 +114% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $35,200 $5,280 $19,602 +80% $15,608 +126% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $35,020 $5,253 $18,179 +93% $13,822 +153% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $35,004 $5,251 $15,637 +124% $12,336 +184% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $34,922 $5,238 $15,267 +129% $14,012 +149% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $34,429 $5,164 $13,384 +157% $13,384 +157% ≈240% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $34,035 $5,105 $13,318 +156% $13,318 +156% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $33,990 $5,098 $22,557 +51% $18,017 +89% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $33,814 $5,072 $15,839 +113% $12,381 +173% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $33,810 $5,071 $16,104 +110% $16,104 +110% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $33,696 $5,054 $14,128 +139% $14,128 +139% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $33,641 $5,046 $24,337 +38% $17,103 +97% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $33,622 $5,043 $27,552 +22% $20,727 +62% —
607 MINOR SKIN DISORDERS WITHOUT MCC $33,484 $5,023 $19,185 +75% $15,284 +119% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $33,273 $4,991 $14,134 +135% $14,134 +135% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $33,215 $4,982 $16,077 +107% $12,593 +164% —
914 TRAUMATIC INJURY WITHOUT MCC $33,166 $4,975 $20,344 +63% $15,593 +113% —
157 DENTAL AND ORAL DISEASES WITH MCC $32,610 $4,891 $34,802 −6% $27,457 +19% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $32,585 $4,888 $57,323 −43% $16,719 +95% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $32,525 $4,879 $33,987 −4% $24,879 +31% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $32,307 $4,846 $17,700 +83% $17,700 +83% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $32,083 $4,812 $13,425 +139% $9,385 +242% —
711 TESTES PROCEDURES WITH CC/MCC $32,069 $4,810 $42,414 −24% $34,852 −8% —
639 DIABETES WITHOUT CC/MCC $31,824 $4,774 $13,910 +129% $13,910 +129% —
906 HAND PROCEDURES FOR INJURIES $31,543 $4,731 $47,513 −34% $31,520 +0% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $31,234 — $74,257 −58% $74,257 −58% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $30,577 $4,587 $18,330 +67% $15,876 +93% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $30,457 $4,569 $36,589 −17% $25,197 +21% —
950 AFTERCARE WITHOUT CC/MCC $29,454 $4,418 $13,527 +118% $13,527 +118% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $29,443 $4,416 $24,644 +19% $18,459 +60% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $29,175 — $115,839 −75% $106,238 −73% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $29,167 $4,375 $22,155 +32% $15,370 +90% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $28,584 $4,288 $16,525 +73% $13,892 +106% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $27,963 $4,194 $16,064 +74% $13,090 +114% —
916 ALLERGIC REACTIONS WITHOUT MCC $27,656 $4,148 $14,743 +88% $13,890 +99% —
697 URETHRAL STRICTURE $27,227 $4,084 $22,239 +22% $17,705 +54% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $27,209 $4,081 $18,002 +51% $18,002 +51% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $26,698 $4,005 $31,612 −16% $21,986 +21% —
152 OTITIS MEDIA AND URI WITH MCC $26,516 $3,977 $25,192 +5% $19,795 +34% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $26,388 $3,958 $34,603 −24% $11,633 +127% —
694 URINARY STONES WITHOUT MCC $26,351 $3,953 $17,347 +52% $16,531 +59% —
204 RESPIRATORY SIGNS AND SYMPTOMS $26,344 $3,952 $18,004 +46% $16,866 +56% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $25,415 $3,812 $15,411 +65% $13,303 +91% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $25,008 $3,751 $14,880 +68% $14,880 +68% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $24,511 $3,677 $14,148 +73% $12,044 +104% —
779 ABORTION WITHOUT D&C $23,649 $3,547 $20,752 +14% $15,327 +54% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $23,534 $3,530 $21,236 +11% $16,418 +43% —
836 ACUTE LEUKEMIA WITHOUT CC/MCC $23,014 $3,452 $28,209 −18% $19,686 +17% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $22,888 $3,433 $17,953 +27% $15,655 +46% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $21,594 $3,239 $50,614 −57% $40,548 −47% —
594 SKIN ULCERS WITHOUT CC/MCC $21,357 $3,204 $18,841 +13% $14,209 +50% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $20,985 $3,148 $11,539 +82% $9,076 +131% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $20,126 $3,019 $16,592 +21% $12,895 +56% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $19,364 $2,905 $16,450 +18% $13,282 +46% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $19,274 $2,891 $20,086 −4% $15,077 +28% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,931 $2,840 $25,822 −27% $18,291 +3% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,556 $2,333 $14,208 +9% $14,208 +9% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $14,928 $2,239 $30,418 −51% $30,418 −51% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $12,656 $1,898 $15,156 −16% $12,797 −1% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $12,346 $1,852 $14,072 −12% $11,421 +8% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $12,043 $1,806 $16,713 −28% $7,961 +51% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $11,854 $1,778 $44,068 −73% $29,633 −60% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $9,878 $1,482 $13,639 −28% $11,071 −11% —
887 OTHER MENTAL DISORDER DIAGNOSES $7,696 $1,154 $26,404 −71% $20,602 −63% —
795 NORMAL NEWBORN $3,681 $552 $6,880 −46% $4,530 −19% —

Procedures with negotiated rates only

These 1 procedures have published per-payer insurance agreements but no single comparable dollar amount in the MRF — typically because the agreement is expressed as a percentage of charge, a fee schedule reference, or a contract algorithm. The number of payers indicates how many insurance plans have a negotiated rate on file.

DRG Description Insurance rate range Payers
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC — 15 plans
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