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 $114,416
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 ≈253% 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% $461,389 +93% —
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% $196,346 +282% —
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% $248,521 +180% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $694,692 $104,204 $189,963 +266% $164,641 +322% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $613,864 $92,080 $144,569 +325% $144,569 +325% —
231 CORONARY BYPASS WITH PTCA WITH MCC $579,352 $86,903 $155,631 +272% $147,227 +294% —
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% —
885 PSYCHOSES $490,654 $73,598 $30,968 +1484% $21,729 +2158% —
653 MAJOR BLADDER PROCEDURES WITH MCC $485,381 $72,807 $104,583 +364% $104,583 +364% —
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% $208,939 +107% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $412,205 $61,831 $116,058 +255% $116,058 +255% ≈258% 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% $148,832 +173% ≈215% 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% ≈248% of Medicare
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $386,095 $57,914 $55,434 +596% $44,222 +773% —
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% $153,282 +143% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $366,585 $54,988 $175,437 +109% $188,171 +95% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $360,399 $54,060 $148,686 +142% $148,686 +142% —
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% $111,320 +210% —
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% $103,455 +209% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $313,439 $47,016 $121,714 +158% $123,995 +153% —
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% $90,724 +236% —
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% $70,177 +328% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $297,753 $44,663 $32,911 +805% $36,988 +705% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $296,773 $44,516 $97,241 +205% $93,238 +218% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $287,768 $43,165 $33,256 +765% $30,010 +859% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $285,693 $42,854 $66,976 +327% $63,928 +347% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $283,686 $42,553 $23,289 +1118% $56,836 +399% ≈237% of Medicare
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $283,671 $42,551 $90,775 +212% $90,775 +212% ≈243% 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% $90,195 +209% ≈241% of Medicare
662 MINOR BLADDER PROCEDURES WITH MCC $276,912 $41,537 $63,279 +338% $54,562 +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% $87,761 +209% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $266,578 $39,987 $42,423 +528% $33,851 +688% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $263,648 $39,547 $113,855 +132% $113,855 +132% ≈229% 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% $33,661 +658% —
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% $63,171 +298% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $248,825 $37,324 $65,608 +279% $65,608 +279% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $241,468 $36,220 $69,724 +246% $66,068 +265% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $236,940 $35,541 $94,937 +150% $93,172 +154% ≈257% of Medicare
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $232,865 $34,930 $36,442 +539% $69,101 +237% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $231,994 $34,799 $48,235 +381% $45,866 +406% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $230,596 $34,589 $101,662 +127% $89,207 +158% —
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $230,547 $34,582 $71,092 +224% $71,092 +224% —
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% $80,793 +178% —
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% $77,990 +185% ≈287% of Medicare
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $222,645 $33,397 $40,583 +449% $43,298 +414% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $222,161 $33,324 $67,268 +230% $67,268 +230% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $221,422 $33,213 $92,217 +140% $92,217 +140% ≈232% 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% $59,594 +262% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $212,011 $31,802 $84,725 +150% $101,510 +109% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $211,602 $31,740 $83,065 +155% $85,159 +148% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $210,939 $31,641 $86,246 +145% $84,692 +149% —
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% ≈228% 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% $101,576 +104% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $206,531 $30,980 $40,563 +409% $40,642 +408% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $206,130 $30,920 $52,735 +291% $62,264 +231% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $204,022 $30,603 $50,498 +304% $50,498 +304% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $202,643 $30,396 $41,380 +390% $46,340 +337% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $200,822 $30,123 $99,423 +102% $99,423 +102% ≈271% of Medicare
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $200,753 $30,113 $36,087 +456% $28,202 +612% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $200,662 $30,099 $86,970 +131% $86,970 +131% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $197,179 $29,577 $125,675 +57% $102,600 +92% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $196,429 $29,464 $49,382 +298% $39,973 +391% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $195,690 $29,353 $62,677 +212% $53,864 +263% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $194,075 $29,111 $54,583 +256% $54,583 +256% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $193,875 $29,081 $86,699 +124% $76,001 +155% —
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% $113,077 +70% —
037 EXTRACRANIAL PROCEDURES WITH MCC $192,187 $28,828 $66,666 +188% $66,666 +188% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $192,055 $28,808 $20,401 +841% $18,072 +963% —
164 MAJOR CHEST PROCEDURES WITH CC $191,358 $28,704 $53,141 +260% $56,755 +237% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $189,891 $28,484 $136,374 +39% $120,573 +57% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $189,474 $28,421 $76,219 +149% $76,219 +149% —
302 ATHEROSCLEROSIS WITH MCC $187,512 $28,127 $25,825 +626% $22,446 +735% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $184,553 $27,683 $51,487 +258% $50,046 +269% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $184,177 $27,626 $53,666 +243% $58,707 +214% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $182,959 $27,444 $51,339 +256% $59,629 +207% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $182,779 $27,417 $64,956 +181% $72,424 +152% —
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% $27,401 +557% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $178,611 $26,792 $35,899 +398% $51,625 +246% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $178,031 $26,705 $70,132 +154% $70,132 +154% ≈230% 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% $49,423 +254% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $174,920 $26,238 $60,959 +187% $81,706 +114% ≈235% of Medicare
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $174,081 $26,112 $38,876 +348% $35,849 +386% —
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $173,246 $25,987 $64,523 +169% $64,523 +169% —
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% $41,620 +312% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $170,555 $25,583 $68,421 +149% $70,847 +141% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $170,058 $25,509 $68,639 +148% $68,639 +148% —
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% $39,515 +330% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $168,392 $25,259 $67,560 +149% $59,533 +183% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $167,890 $25,184 $31,812 +428% $32,833 +411% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $167,202 $25,080 $75,820 +121% $66,685 +151% —
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% ≈258% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $164,885 $24,733 $70,371 +134% $70,371 +134% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $164,850 $24,728 $81,298 +103% $72,962 +126% —
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% $44,139 +273% —
253 OTHER VASCULAR PROCEDURES WITH CC $164,371 $24,656 $53,746 +206% $57,454 +186% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $162,272 $24,341 $46,724 +247% $46,724 +247% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $160,986 $24,148 $68,653 +134% $68,653 +134% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $160,106 $24,016 $62,334 +157% $70,467 +127% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $158,220 $23,733 $50,562 +213% $59,500 +166% —
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% $65,653 +137% ≈258% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $155,260 $23,289 $54,273 +186% $52,178 +198% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $154,772 $23,216 $43,328 +257% $38,070 +307% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $153,572 $23,036 $96,507 +59% $96,507 +59% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $153,492 $23,024 $35,419 +333% $35,419 +333% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $153,175 $22,976 $77,817 +97% $77,817 +97% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $152,806 $22,921 $34,078 +348% $39,211 +290% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $152,422 $22,863 $50,131 +204% $49,418 +208% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $152,205 $22,831 $70,540 +116% $70,564 +116% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $152,170 $22,825 $22,628 +572% $20,901 +628% —
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% $40,060 +276% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $150,086 $22,513 $79,225 +89% $79,225 +89% —
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% $66,711 +123% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $148,307 $22,246 $75,573 +96% $75,573 +96% —
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% $34,607 +326% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $146,690 $22,003 $65,631 +124% $58,745 +150% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $146,501 $21,975 $39,105 +275% $36,431 +302% —
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% $39,006 +275% —
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% $71,464 +103% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $144,611 $21,692 $46,477 +211% $49,351 +193% —
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% ≈224% of Medicare
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $143,260 $21,489 $58,880 +143% $49,839 +187% —
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% $43,913 +222% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $140,858 $21,129 $46,288 +204% $36,489 +286% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $138,738 $20,811 $45,240 +207% $35,030 +296% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $138,311 $20,747 $46,799 +196% $58,280 +137% ≈259% 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% $58,975 +134% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $137,229 $20,584 $28,029 +390% $22,320 +515% —
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% $50,607 +169% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $135,703 $20,355 $102,128 +33% $102,128 +33% —
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% $36,253 +274% —
551 MEDICAL BACK PROBLEMS WITH MCC $135,210 $20,282 $35,961 +276% $34,017 +297% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $135,170 $20,275 $60,402 +124% $58,228 +132% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $134,722 $20,208 $51,645 +161% $59,421 +127% —
801 SPLENIC PROCEDURES WITHOUT CC/MCC $134,433 $20,165 $36,445 +269% $36,445 +269% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $132,316 $19,847 $95,536 +38% $93,390 +42% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $130,067 $19,510 $31,017 +319% $31,017 +319% —
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% $28,320 +354% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $128,224 $19,234 $77,178 +66% $71,795 +79% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $128,109 $19,216 $43,483 +195% $38,666 +231% ≈248% 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% $59,651 +114% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $126,618 $18,993 $44,639 +184% $46,090 +175% —
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% $35,465 +254% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $125,232 $18,785 $40,719 +208% $39,106 +220% ≈260% of Medicare
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $125,226 $18,784 $60,140 +108% $60,170 +108% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $124,460 $18,669 $48,353 +157% $47,789 +160% —
915 ALLERGIC REACTIONS WITH MCC $124,184 $18,628 $36,491 +240% $32,645 +280% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $123,826 $18,574 $43,631 +184% $43,631 +184% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $123,409 $18,511 $61,217 +102% $61,217 +102% —
693 URINARY STONES WITH MCC $122,666 $18,400 $31,990 +283% $23,892 +413% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $122,383 $18,357 $43,027 +184% $37,240 +229% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $122,026 $18,304 $45,703 +167% $52,751 +131% ≈267% of Medicare
710 PENIS PROCEDURES WITHOUT CC/MCC $121,812 $18,272 $33,330 +265% $26,436 +361% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $121,700 $18,255 $37,764 +222% $43,477 +180% —
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% $90,401 +34% —
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% $27,617 +336% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $119,736 $17,960 $40,263 +197% $35,628 +236% ≈249% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $119,591 $17,939 $37,214 +221% $52,075 +130% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $119,353 $17,903 $32,467 +268% $31,170 +283% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $118,778 $17,817 $30,887 +285% $39,887 +198% —
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% $65,788 +80% —
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% $58,809 +101% ≈248% 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% $32,841 +254% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $115,819 $17,373 $59,790 +94% $59,790 +94% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $115,362 $17,304 $69,089 +67% $52,036 +122% —
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% $47,737 +140% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $114,164 $17,125 $41,855 +173% $47,711 +139% —
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% $36,505 +209% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $112,684 $16,903 $44,326 +154% $29,611 +281% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $112,637 $16,896 $30,056 +275% $29,949 +276% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $112,449 $16,867 $35,243 +219% $32,628 +245% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $112,047 $16,807 $60,265 +86% $52,986 +111% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $112,026 $16,804 $30,645 +266% $27,285 +311% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $112,005 $16,801 $33,653 +233% $33,653 +233% —
503 FOOT PROCEDURES WITH MCC $111,741 $16,761 $55,321 +102% $47,540 +135% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $111,326 $16,699 $32,490 +243% $27,394 +306% —
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% $125,242 −11% —
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% $45,333 +139% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $107,692 $16,154 $56,278 +91% $39,173 +175% —
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% $50,618 +111% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $106,033 $15,905 $29,747 +256% $31,264 +239% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $105,983 $15,897 $33,137 +220% $33,393 +217% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $105,657 $15,849 $44,489 +137% $46,283 +128% ≈258% of Medicare
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $105,615 $15,842 $29,623 +257% $27,543 +283% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $105,471 $15,821 $40,063 +163% $41,591 +154% ≈244% 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% $27,843 +276% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $104,575 $15,686 $34,839 +200% $30,235 +246% ≈248% 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% $24,586 +318% —
100 SEIZURES WITH MCC $102,337 $15,351 $40,653 +152% $35,481 +188% ≈251% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $102,335 $15,350 $58,935 +74% $51,746 +98% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $102,316 $15,347 $25,700 +298% $25,700 +298% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $101,665 $15,250 $33,048 +208% $33,048 +208% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $101,590 $15,238 $34,689 +193% $46,295 +119% —
336 PERITONEAL ADHESIOLYSIS WITH CC $101,139 $15,171 $46,332 +118% $50,463 +100% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $100,985 $15,148 $37,921 +166% $37,387 +170% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $100,881 $15,132 $38,978 +159% $37,844 +167% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $100,852 $15,128 $30,959 +226% $30,959 +226% ≈219% of Medicare
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $100,653 $15,098 $25,267 +298% $26,618 +278% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $100,327 $15,049 $34,448 +191% $33,707 +198% ≈245% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $100,176 $15,026 $44,357 +126% $43,943 +128% ≈258% 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% $37,267 +165% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $98,631 $14,795 $27,645 +257% $27,297 +261% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $98,616 $14,792 $49,631 +99% $50,394 +96% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $98,111 $14,717 $40,695 +141% $36,249 +171% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $96,822 $14,523 $44,730 +116% $42,914 +126% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $96,534 $14,480 $26,611 +263% $30,784 +214% —
504 FOOT PROCEDURES WITH CC $96,255 $14,438 $38,960 +147% $38,960 +147% —
333 RECTAL RESECTION WITH CC $95,913 $14,387 $46,551 +106% $37,154 +158% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $95,910 $14,387 $45,376 +111% $41,892 +129% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $95,401 $14,310 $47,797 +100% $41,608 +129% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $95,307 $14,296 $49,137 +94% $48,349 +97% —
541 OSTEOMYELITIS WITHOUT CC/MCC $94,870 $14,230 $19,422 +388% $15,215 +524% —
919 COMPLICATIONS OF TREATMENT WITH MCC $94,732 $14,210 $37,933 +150% $31,105 +205% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $94,413 $14,162 $50,777 +86% $53,451 +77% ≈245% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $94,321 $14,148 $43,378 +117% $38,861 +143% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $93,913 $14,087 $36,661 +156% $33,555 +180% ≈286% of Medicare
397 APPENDIX PROCEDURES WITH MCC $93,858 $14,079 $54,751 +71% $53,257 +76% —
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% $16,968 +451% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $93,306 $13,996 $31,063 +200% $26,280 +255% —
813 COAGULATION DISORDERS $93,074 $13,961 $33,296 +180% $33,296 +180% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $93,060 $13,959 $40,894 +128% $29,221 +218% —
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% $51,253 +81% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $92,501 $13,875 $49,765 +86% $40,362 +129% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $92,487 $13,873 $40,213 +130% $40,213 +130% ≈243% 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% ≈262% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $92,192 $13,829 $40,150 +130% $39,955 +131% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $91,783 $13,768 $33,633 +173% $33,633 +173% —
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% $32,496 +181% ≈255% 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% $32,100 +181% —
199 PNEUMOTHORAX WITH MCC $89,737 $13,461 $36,952 +143% $33,787 +166% —
374 DIGESTIVE MALIGNANCY WITH MCC $89,697 $13,455 $42,775 +110% $39,958 +124% —
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% $23,488 +281% —
666 PROSTATECTOMY WITH CC $89,001 $13,350 $36,569 +143% $31,906 +179% —
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% $31,563 +181% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $88,809 $13,321 $39,020 +128% $39,020 +128% —
500 SOFT TISSUE PROCEDURES WITH MCC $88,689 $13,303 $64,105 +38% $61,872 +43% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $88,614 $13,292 $31,874 +178% $29,743 +198% —
380 COMPLICATED PEPTIC ULCER WITH MCC $88,173 $13,226 $39,627 +123% $39,627 +123% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $88,144 $13,222 $34,867 +153% $30,828 +186% ≈226% 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% $31,159 +181% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $87,347 $13,102 $25,769 +239% $21,230 +311% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $87,195 $13,079 $27,323 +219% $27,323 +219% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $86,891 $13,034 $37,599 +131% $32,944 +164% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $86,746 $13,012 $47,089 +84% $45,877 +89% —
643 ENDOCRINE DISORDERS WITH MCC $86,653 $12,998 $35,135 +147% $33,563 +158% —
834 ACUTE LEUKEMIA WITH MCC $86,593 $12,989 $100,245 −14% $85,566 +1% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $86,347 $12,952 $29,252 +195% $27,275 +217% ≈251% of Medicare
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $86,135 $12,920 $35,080 +146% $35,074 +146% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $85,515 $12,827 $37,526 +128% $29,079 +194% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $85,456 $12,818 $27,163 +215% $27,163 +215% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $85,289 $12,793 $45,785 +86% $39,181 +118% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $84,821 $12,723 $38,951 +118% $32,637 +160% —
592 SKIN ULCERS WITH MCC $84,628 $12,694 $41,848 +102% $33,246 +155% —
123 NEUROLOGICAL EYE DISORDERS $83,679 $12,552 $17,831 +369% $19,745 +324% —
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% $22,458 +270% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $83,140 $12,471 $36,816 +126% $44,606 +86% ≈277% of Medicare
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $82,921 $12,438 $42,463 +95% $34,459 +141% —
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% $31,701 +159% —
791 PREMATURITY WITH MAJOR PROBLEMS $81,793 $12,269 $70,373 +16% $42,679 +92% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $81,774 $12,266 $21,280 +284% $17,733 +361% —
075 VIRAL MENINGITIS WITH CC/MCC $81,213 $12,182 $36,230 +124% $30,447 +167% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $81,206 $12,181 $39,360 +106% $38,101 +113% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $80,987 $12,148 $22,790 +255% $25,970 +212% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $80,915 $12,137 $69,743 +16% $69,743 +16% —
637 DIABETES WITH MCC $80,888 $12,133 $31,753 +155% $30,100 +169% ≈244% of Medicare
865 VIRAL ILLNESS WITH MCC $80,348 $12,052 $32,083 +150% $26,910 +199% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $80,045 $12,007 $30,693 +161% $27,119 +195% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $79,727 $11,959 $42,881 +86% $42,881 +86% ≈1032% of Medicare
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $79,626 $11,944 $35,217 +126% $41,955 +90% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $79,493 $11,924 $39,013 +104% $33,255 +139% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $79,375 $11,906 $29,117 +173% $27,043 +194% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $79,213 $11,882 $28,993 +173% $26,051 +204% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $79,144 $11,872 $19,138 +314% $19,138 +314% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $78,884 $11,833 $28,125 +180% $28,125 +180% —
548 SEPTIC ARTHRITIS WITH MCC $78,844 $11,827 $41,146 +92% $31,346 +152% —
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% $16,565 +374% —
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% $31,951 +145% —
682 RENAL FAILURE WITH MCC $78,187 $11,728 $32,520 +140% $29,064 +169% ≈94% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $77,527 $11,629 $21,977 +253% $21,941 +253% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $77,351 $11,603 $30,846 +151% $25,094 +208% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $77,303 $11,596 $34,467 +124% $27,316 +183% ≈265% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $76,799 $11,520 $33,907 +126% $33,103 +132% —
505 FOOT PROCEDURES WITHOUT CC/MCC $76,751 $11,513 $38,960 +97% $34,937 +120% —
186 PLEURAL EFFUSION WITH MCC $76,737 $11,511 $33,834 +127% $33,834 +127% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $76,337 $11,451 $39,422 +94% $34,276 +123% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $76,312 $11,447 $34,613 +120% $27,633 +176% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $76,222 $11,433 $17,522 +335% $17,620 +333% —
540 OSTEOMYELITIS WITH CC $76,198 $11,430 $28,728 +165% $26,676 +186% —
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% ≈251% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $75,656 $11,348 $14,638 +417% $14,638 +417% —
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% $26,932 +180% —
102 HEADACHES WITH MCC $75,284 $11,293 $25,740 +192% $25,740 +192% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $75,195 $11,279 $35,113 +114% $34,192 +120% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $75,045 $11,257 $27,470 +173% $26,580 +182% ≈252% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $74,505 $11,176 $49,066 +52% $49,066 +52% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $74,326 $11,149 $73,751 +1% $61,470 +21% —
184 MAJOR CHEST TRAUMA WITH CC $74,322 $11,148 $23,711 +213% $22,432 +231% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $74,143 $11,121 $24,439 +203% $17,483 +324% —
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% $24,386 +200% ≈255% of Medicare
539 OSTEOMYELITIS WITH MCC $72,914 $10,937 $41,277 +77% $37,609 +94% —
304 HYPERTENSION WITH MCC $72,875 $10,931 $26,080 +179% $26,080 +179% ≈254% of Medicare
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $72,762 $10,914 $28,935 +151% $16,351 +345% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $72,652 $10,898 $20,566 +253% $20,566 +253% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $72,621 $10,893 $21,363 +240% $21,363 +240% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $72,457 $10,869 $39,057 +86% $33,985 +113% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $71,970 $10,795 $17,431 +313% $14,014 +414% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $71,369 $10,705 $21,880 +226% $20,895 +242% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $71,334 $10,700 $23,312 +206% $22,763 +213% —
187 PLEURAL EFFUSION WITH CC $71,191 $10,679 $22,288 +219% $21,789 +227% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $71,036 $10,655 $35,591 +100% $34,273 +107% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $70,759 $10,614 $19,638 +260% $15,452 +358% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $70,717 $10,608 $21,216 +233% $20,911 +238% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $70,643 $10,596 $33,267 +112% $24,550 +188% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $70,574 $10,586 $25,279 +179% $25,279 +179% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $70,551 $10,583 $37,692 +87% $32,433 +118% —
183 MAJOR CHEST TRAUMA WITH MCC $70,493 $10,574 $33,957 +108% $29,933 +135% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $70,409 $10,561 $35,872 +96% $27,152 +159% —
668 TRANSURETHRAL PROCEDURES WITH MCC $70,191 $10,529 $59,859 +17% $51,608 +36% —
291 HEART FAILURE AND SHOCK WITH MCC $70,039 $10,506 $28,966 +142% $26,776 +162% ≈255% of Medicare
602 CELLULITIS WITH MCC $70,008 $10,501 $31,970 +119% $30,598 +129% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $69,573 $10,436 $35,352 +97% $26,682 +161% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $69,443 $10,417 $21,225 +227% $19,924 +249% —
501 SOFT TISSUE PROCEDURES WITH CC $69,342 $10,401 $39,619 +75% $39,619 +75% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $69,058 $10,359 $36,467 +89% $35,831 +93% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $68,796 $10,319 $17,638 +290% $17,921 +284% —
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% $32,877 +108% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $68,310 $10,247 $56,127 +22% $44,546 +53% —
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% $33,876 +102% —
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% $25,463 +167% ≈253% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $67,985 $10,198 $23,352 +191% $19,657 +246% —
181 RESPIRATORY NEOPLASMS WITH CC $67,881 $10,182 $24,648 +175% $23,573 +188% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $67,784 $10,168 $31,982 +112% $30,571 +122% ≈248% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $67,470 $10,120 $31,974 +111% $26,463 +155% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $67,295 $10,094 $34,749 +94% $34,749 +94% —
549 SEPTIC ARTHRITIS WITH CC $67,046 $10,057 $26,753 +151% $24,056 +179% —
606 MINOR SKIN DISORDERS WITH MCC $67,001 $10,050 $34,344 +95% $27,975 +139% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $66,957 $10,044 $28,602 +134% $25,748 +160% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $66,936 $10,040 $26,533 +152% $21,847 +206% —
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% $21,894 +201% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $65,816 $9,872 $21,460 +207% $17,724 +271% —
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% $28,226 +133% —
398 APPENDIX PROCEDURES WITH CC $65,639 $9,846 $33,592 +95% $40,162 +63% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $65,580 $9,837 $43,749 +50% $42,901 +53% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $65,523 $9,828 $38,483 +70% $33,047 +98% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $65,407 $9,811 $23,767 +175% $20,422 +220% ≈254% of Medicare
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $65,055 $9,758 $25,980 +150% $23,617 +175% ≈262% of Medicare
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $64,599 $9,690 $16,654 +288% $19,037 +239% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $64,533 $9,680 $26,770 +141% $26,770 +141% ≈258% of Medicare
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $64,457 $9,669 $22,197 +190% $20,957 +208% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $63,765 $9,565 $19,811 +222% $22,148 +188% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $63,439 $9,516 $41,191 +54% $36,670 +73% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $63,175 $9,476 $32,473 +95% $30,502 +107% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $62,724 $9,409 $23,369 +168% $20,232 +210% —
375 DIGESTIVE MALIGNANCY WITH CC $62,471 $9,371 $27,277 +129% $27,277 +129% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $62,145 $9,322 $24,191 +157% $32,021 +94% ≈249% of Medicare
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $62,136 $9,320 $28,515 +118% $28,050 +122% ≈241% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $62,042 $9,306 $28,209 +120% $23,498 +164% —
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% $36,937 +66% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $60,673 $9,101 $22,575 +169% $23,940 +153% ≈371% of Medicare
644 ENDOCRINE DISORDERS WITH CC $60,310 $9,046 $22,941 +163% $23,198 +160% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $60,308 $9,046 $36,354 +66% $36,354 +66% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $59,890 $8,983 $25,652 +133% $25,652 +133% —
312 SYNCOPE AND COLLAPSE $59,837 $8,976 $19,342 +209% $19,342 +209% ≈275% of Medicare
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $59,746 $8,962 $20,259 +195% $20,259 +195% —
506 MAJOR THUMB OR JOINT PROCEDURES $59,448 $8,917 $33,279 +79% $30,557 +95% —
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% $14,053 +322% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $59,275 $8,891 $30,242 +96% $30,242 +96% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $59,224 $8,884 $18,204 +225% $18,204 +225% ≈305% 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% $15,412 +283% —
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% $37,169 +59% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $58,776 $8,816 $22,590 +160% $25,303 +132% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $58,709 $8,806 $31,108 +89% $22,393 +162% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $58,611 $8,792 $22,888 +156% $22,888 +156% ≈100% 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% $23,171 +150% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $57,140 $8,571 $38,631 +48% $36,792 +55% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $57,094 $8,564 $27,063 +111% $25,581 +123% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $56,766 $8,515 $21,396 +165% $21,396 +165% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $56,685 $8,503 $25,034 +126% $25,034 +126% —
683 RENAL FAILURE WITH CC $56,351 $8,453 $19,733 +186% $19,130 +195% ≈274% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $55,979 $8,397 $29,523 +90% $24,552 +128% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $55,975 $8,396 $17,265 +224% $17,124 +227% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $55,869 $8,380 $21,886 +155% $22,098 +153% ≈260% of Medicare
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $55,815 $8,372 $38,187 +46% $32,859 +70% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $55,284 $8,293 $16,299 +239% $14,514 +281% —
149 DYSEQUILIBRIUM $55,233 $8,285 $16,594 +233% $18,096 +205% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $54,898 $8,235 $23,887 +130% $18,956 +190% —
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% $18,821 +190% —
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% $24,914 +117% ≈266% of Medicare
866 VIRAL ILLNESS WITHOUT MCC $53,919 $8,088 $19,642 +175% $17,081 +216% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $53,918 $8,088 $27,348 +97% $19,270 +180% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $53,892 $8,084 $19,072 +183% $18,807 +187% —
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% $21,368 +151% —
593 SKIN ULCERS WITH CC $53,680 $8,052 $27,143 +98% $22,886 +135% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $53,465 $8,020 $18,126 +195% $18,126 +195% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $53,423 $8,013 $17,762 +201% $21,056 +154% ≈618% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $53,403 $8,010 $20,463 +161% $20,463 +161% ≈103% 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% $31,321 +70% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $53,171 $7,976 $17,347 +207% $17,038 +212% ≈309% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $53,137 $7,970 $15,280 +248% $20,781 +156% ≈762% of Medicare
103 HEADACHES WITHOUT MCC $52,825 $7,924 $18,874 +180% $21,280 +148% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $52,728 $7,909 $25,037 +111% $24,566 +115% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $52,720 $7,908 $38,998 +35% $30,553 +73% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $52,685 $7,903 $21,129 +149% $18,316 +188% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $52,545 $7,882 $22,641 +132% $17,601 +199% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $52,477 $7,872 $25,820 +103% $23,443 +124% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $52,437 $7,866 $24,042 +118% $23,283 +125% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $52,267 $7,840 $15,462 +238% $12,460 +319% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $52,031 $7,805 $15,464 +236% $12,252 +325% —
101 SEIZURES WITHOUT MCC $51,984 $7,798 $20,461 +154% $20,461 +154% ≈257% of Medicare
153 OTITIS MEDIA AND URI WITHOUT MCC $51,704 $7,756 $15,799 +227% $14,583 +255% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $51,653 $7,748 $17,795 +190% $17,578 +194% ≈141% of Medicare
445 DISORDERS OF THE BILIARY TRACT WITH CC $51,550 $7,733 $24,075 +114% $23,319 +121% ≈253% of Medicare
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $51,492 $7,724 $21,494 +140% $18,452 +179% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $51,349 $7,702 $22,641 +127% $21,275 +141% ≈243% of Medicare
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $51,347 $7,702 $28,593 +80% $26,870 +91% —
597 MALIGNANT BREAST DISORDERS WITH MCC $50,812 $7,622 $36,807 +38% $33,386 +52% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $50,614 $7,592 $69,701 −27% $62,583 −19% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $50,348 $7,552 $22,033 +129% $22,033 +129% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $50,271 $7,541 $20,896 +141% $20,181 +149% ≈256% of Medicare
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $50,227 $7,534 $24,220 +107% $20,926 +140% —
603 CELLULITIS WITHOUT MCC $50,225 $7,534 $19,553 +157% $18,530 +171% ≈103% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $50,143 $7,521 $49,209 +2% $42,415 +18% —
313 CHEST PAIN $50,107 $7,516 $15,837 +216% $16,440 +205% ≈348% of Medicare
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $49,941 $7,491 $17,287 +189% $15,428 +224% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $49,858 $7,479 $20,355 +145% $17,135 +191% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $49,779 $7,467 $22,153 +125% $17,698 +181% —
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% $18,086 +174% ≈316% of Medicare
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $49,321 $7,398 $14,643 +237% $13,633 +262% —
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% $27,861 +76% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $48,473 $7,271 $30,083 +61% $30,083 +61% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $48,447 $7,267 $20,506 +136% $20,506 +136% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $48,439 $7,266 $22,637 +114% $22,506 +115% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $48,234 $7,235 $29,894 +61% $24,127 +100% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $48,097 $7,215 $19,815 +143% $19,846 +142% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $47,662 $7,149 $21,494 +122% $19,962 +139% —
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% $17,303 +174% ≈346% of Medicare
292 HEART FAILURE AND SHOCK WITH CC $46,787 $7,018 $19,118 +145% $16,371 +186% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $46,513 $6,977 $18,528 +151% $18,528 +151% —
638 DIABETES WITH CC $46,478 $6,972 $20,361 +128% $19,661 +136% ≈86% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $45,714 $6,857 $15,358 +198% $14,689 +211% —
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% $23,551 +94% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $45,531 $6,830 $26,302 +73% $25,712 +77% —
158 DENTAL AND ORAL DISEASES WITH CC $45,432 $6,815 $20,881 +118% $18,466 +146% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $45,359 $6,804 $38,308 +18% $30,243 +50% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $45,344 $6,802 $20,861 +117% $17,934 +153% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $45,223 $6,784 $17,817 +154% $17,674 +156% ≈1325% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $45,025 $6,754 $16,097 +180% $19,227 +134% ≈375% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $44,946 $6,742 $33,779 +33% $32,697 +37% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $44,860 $6,729 $15,837 +183% $15,837 +183% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $44,730 $6,710 $17,322 +158% $17,322 +158% ≈101% of Medicare
920 COMPLICATIONS OF TREATMENT WITH CC $44,237 $6,636 $22,552 +96% $22,468 +97% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $44,087 $6,613 $18,126 +143% $18,126 +143% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $44,051 $6,608 $15,975 +176% $12,559 +251% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $43,915 $6,587 $20,108 +118% $18,488 +138% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $43,603 $6,540 $25,361 +72% $24,944 +75% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $43,443 $6,516 $18,139 +139% $17,118 +154% —
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% $40,562 +6% —
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% $19,842 +114% —
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% $34,598 +21% —
534 FRACTURES OF FEMUR WITHOUT MCC $41,813 $6,272 $18,070 +131% $17,559 +138% —
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% $14,648 +182% —
864 FEVER AND INFLAMMATORY CONDITIONS $40,955 $6,143 $19,935 +105% $18,640 +120% —
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% $15,502 +162% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $40,341 $6,051 $24,928 +62% $19,815 +104% —
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% $46,453 −13% —
684 RENAL FAILURE WITHOUT CC/MCC $40,053 $6,008 $13,642 +194% $13,642 +194% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $39,926 $5,989 $55,594 −28% $47,945 −17% —
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% $16,520 +137% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $39,170 $5,876 $19,176 +104% $18,602 +111% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $38,998 $5,850 $13,855 +181% $12,324 +216% —
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% $16,699 +126% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $37,708 $5,656 $31,166 +21% $27,808 +36% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $37,379 $5,607 $13,326 +180% $12,999 +188% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $37,356 $5,603 $27,634 +35% $22,851 +63% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $36,910 $5,537 $13,683 +170% $15,183 +143% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $36,859 $5,529 $64,194 −43% $55,289 −33% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $36,433 $5,465 $14,927 +144% $14,549 +150% —
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% $16,998 +107% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $35,020 $5,253 $18,179 +93% $14,501 +141% —
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% $14,415 +142% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $34,429 $5,164 $13,384 +157% $13,384 +157% ≈123% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $34,035 $5,105 $13,318 +156% $13,361 +155% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $33,990 $5,098 $22,557 +51% $19,264 +76% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $33,814 $5,072 $15,839 +113% $12,454 +172% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $33,810 $5,071 $16,104 +110% $16,767 +102% —
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% $16,846 +100% —
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% $15,889 +111% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $33,273 $4,991 $14,134 +135% $15,038 +121% —
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% $15,855 +109% —
157 DENTAL AND ORAL DISEASES WITH MCC $32,610 $4,891 $34,802 −6% $31,300 +4% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $32,585 $4,888 $57,323 −43% $18,649 +75% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $32,525 $4,879 $33,987 −4% $25,703 +27% —
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% $10,160 +216% —
711 TESTES PROCEDURES WITH CC/MCC $32,069 $4,810 $42,414 −24% $38,343 −16% —
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% $32,065 −2% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $31,234 $4,685 $74,257 −58% $74,257 −58% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $30,577 $4,587 $18,330 +67% $17,298 +77% —
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% $115,839 −75% —
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% $15,019 +90% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $27,963 $4,194 $16,064 +74% $13,275 +111% —
916 ALLERGIC REACTIONS WITHOUT MCC $27,656 $4,148 $14,743 +88% $13,942 +98% —
697 URETHRAL STRICTURE $27,227 $4,084 $22,239 +22% $18,428 +48% —
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% $20,247 +31% —
792 PREMATURITY WITHOUT MAJOR PROBLEMS $26,388 $3,958 $34,988 −25% $12,229 +116% —
694 URINARY STONES WITHOUT MCC $26,351 $3,953 $17,347 +52% $17,345 +52% —
204 RESPIRATORY SIGNS AND SYMPTOMS $26,344 $3,952 $18,004 +46% $18,004 +46% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $25,415 $3,812 $15,411 +65% $14,797 +72% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $25,008 $3,751 $14,880 +68% $16,288 +54% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $24,511 $3,677 $14,148 +73% $12,078 +103% —
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% $16,700 +41% —
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% $15,215 +50% —
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% $9,940 +111% —
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% $16,450 +18% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $19,274 $2,891 $20,086 −4% $16,552 +16% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $18,931 $2,840 $25,822 −27% $19,412 −2% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $15,556 $2,333 $14,208 +9% $14,250 +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% $13,651 −7% —
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 $17,665 −32% $8,445 +43% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $11,854 $1,778 $44,068 −73% $32,574 −64% —
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% $20,616 −63% —
795 NORMAL NEWBORN $3,681 $552 $6,664 −45% $4,720 −22% —

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 $37,045 – $37,045 · median $37,045 1 plans
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