Adventist Health Glendale (Acute Care) — Pricing

361 procedures published in this hospital's Machine-Readable File (MRF) — 361 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 361
Lowest published price $1,507
Average published price $23,440
Highest published price $212,400

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 361 procedures

Published charges

Showing all 361 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 104 procedures, this hospital's negotiated rates average ≈361% 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 $212,400 $229,209 $486,976 −56% $431,073 −51% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $118,490 $127,867 $248,521 −52% $245,241 −52% ≈248% of Medicare
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $116,887 $126,137 $117,196 −0% $109,331 +7% —
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $115,294 $124,418 $196,346 −41% $171,338 −33% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $112,504 $143,608 $191,314 −41% $191,314 −41% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $97,594 $136,220 $115,839 −16% $106,238 −8% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $97,594 $106,385 $82,247 +19% $82,247 +19% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $97,533 $109,415 $144,569 −33% $138,868 −30% —
231 CORONARY BYPASS WITH PTCA WITH MCC $96,506 $133,590 $155,631 −38% $146,474 −34% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $94,448 $106,582 $143,242 −34% $143,242 −34% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $92,683 $100,758 $121,714 −24% $121,714 −24% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $90,845 $127,514 $175,437 −48% $175,437 −48% ≈279% of Medicare
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $85,446 $92,208 $102,177 −16% $102,177 −16% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $82,361 $88,879 $125,242 −34% $118,589 −31% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $80,797 $87,191 $371,366 −78% $371,366 −78% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $79,687 $85,993 $117,280 −32% $117,280 −32% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $77,542 $83,678 $102,573 −24% $102,573 −24% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $76,975 $83,067 $116,058 −34% $116,058 −34% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $75,783 $81,780 $112,062 −32% $112,062 −32% ≈407% of Medicare
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $75,272 $81,229 $95,536 −21% $87,565 −14% —
037 EXTRACRANIAL PROCEDURES WITH MCC $70,791 $76,394 $66,666 +6% $64,749 +9% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $70,074 $75,619 $101,576 −31% $86,953 −19% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $65,852 $71,063 $54,815 +20% $43,697 +51% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $64,750 $69,875 $96,245 −33% $80,747 −20% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $62,978 $67,962 $91,329 −31% $91,329 −31% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $62,976 $67,960 $90,331 −30% $90,331 −30% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $60,967 $65,792 $75,573 −19% $72,782 −16% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $59,047 $63,719 $131,961 −55% $131,961 −55% —
334 RECTAL RESECTION WITHOUT CC/MCC $56,714 $61,202 $36,820 +54% $32,213 +76% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $54,665 $58,991 $49,631 +10% $49,631 +10% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $53,323 $57,543 $51,645 +3% $54,824 −3% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $52,353 $56,497 $81,281 −36% $72,945 −28% ≈454% of Medicare
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $51,412 $55,481 $88,050 −42% $88,050 −42% ≈381% of Medicare
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $51,205 $55,257 $86,246 −41% $76,954 −33% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $50,690 $54,702 $86,699 −42% $72,859 −30% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $50,635 $54,642 $53,208 −5% $45,497 +11% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $50,451 $54,444 $124,290 −59% $138,008 −63% ≈229% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $48,592 $52,437 $64,956 −25% $64,956 −25% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $48,402 $52,232 $38,951 +24% $30,766 +57% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $48,254 $52,073 $35,584 +36% $35,584 +36% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $46,341 $67,214 $65,788 −30% $65,254 −29% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $46,123 $49,774 $99,423 −54% $99,423 −54% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $45,366 $48,956 $77,817 −42% $71,701 −37% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $44,638 $48,170 $82,561 −46% $82,561 −46% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $44,543 $48,068 $77,178 −42% $68,006 −35% —
163 MAJOR CHEST PROCEDURES WITH MCC $43,774 $47,238 $88,341 −50% $88,341 −50% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $42,247 $45,591 $83,065 −49% $83,065 −49% —
668 TRANSURETHRAL PROCEDURES WITH MCC $41,532 $44,818 $59,859 −31% $47,277 −12% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $40,887 $44,123 $57,493 −29% $46,402 −12% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $40,033 $43,201 $50,562 −21% $58,832 −32% ≈603% of Medicare
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $39,891 $43,047 $71,014 −44% $71,014 −44% —
245 AICD GENERATOR PROCEDURES $39,884 $43,041 $95,281 −58% $72,076 −45% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $39,730 $42,874 $51,985 −24% $51,985 −24% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $39,610 $42,745 $68,421 −42% $68,880 −42% —
501 SOFT TISSUE PROCEDURES WITH CC $39,497 $42,623 $39,619 −0% $37,975 +4% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $39,113 $42,208 $96,905 −60% $96,905 −60% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $38,851 $41,926 $15,600 +149% $15,600 +149% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $38,624 $41,680 $43,538 −11% $43,538 −11% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $38,485 $41,530 $59,790 −36% $54,475 −29% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $37,651 $40,630 $46,799 −20% $56,519 −33% ≈631% of Medicare
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $37,047 $46,171 $94,937 −61% $87,018 −57% ≈295% of Medicare
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $36,632 $39,531 $65,325 −44% $65,325 −44% —
252 OTHER VASCULAR PROCEDURES WITH MCC $36,137 $38,997 $68,508 −47% $68,508 −47% ≈358% of Medicare
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $36,126 $38,985 $92,217 −61% $92,217 −61% ≈258% of Medicare
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $36,045 $47,898 $60,959 −41% $74,274 −51% ≈518% of Medicare
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $35,783 $38,614 $54,929 −35% $54,929 −35% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $35,629 $38,448 $29,623 +20% $25,426 +40% ≈1000% of Medicare
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $35,101 $37,879 $62,677 −44% $53,817 −35% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $34,900 $37,662 $113,855 −69% $113,855 −69% ≈188% of Medicare
336 PERITONEAL ADHESIOLYSIS WITH CC $34,831 $37,587 $46,332 −25% $49,470 −30% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $34,830 $37,587 $62,334 −44% $67,764 −49% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $34,702 $37,448 $45,703 −24% $51,172 −32% ≈606% of Medicare
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $34,205 $36,912 $69,089 −50% $49,065 −30% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $33,777 $36,450 $90,775 −63% $86,390 −61% ≈264% of Medicare
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $33,731 $36,400 $70,132 −52% $70,132 −52% ≈286% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $33,512 $36,164 $41,857 −20% $49,197 −32% ≈323% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $33,510 $36,161 $48,682 −31% $48,682 −31% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $32,917 $35,521 $35,080 −6% $33,490 −2% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $32,883 $35,486 $76,219 −57% $72,908 −55% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $32,564 $35,141 $73,751 −56% $60,861 −46% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $32,453 $35,021 $40,563 −20% $40,563 −20% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $32,380 $34,942 $40,552 −20% $40,552 −20% —
199 PNEUMOTHORAX WITH MCC $31,633 $34,136 $36,952 −14% $31,491 +0% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $31,452 $33,941 $60,274 −48% $63,984 −51% ≈386% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $31,256 $33,730 $36,816 −15% $42,119 −26% ≈649% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $30,560 $32,978 $25,034 +22% $24,017 +27% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $30,081 $32,462 $65,631 −54% $54,129 −44% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $29,781 $32,138 $25,267 +18% $25,267 +18% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $29,581 $31,922 $38,836 −24% $38,836 −24% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $29,545 $33,203 $50,011 −41% $50,011 −41% ≈470% of Medicare
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $29,445 $31,775 $41,380 −29% $41,380 −29% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $29,240 $31,554 $37,033 −21% $30,930 −5% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $28,409 $30,657 $43,631 −35% $41,520 −32% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $28,390 $30,636 $66,976 −58% $57,277 −50% —
200 PNEUMOTHORAX WITH CC $28,298 $30,538 $24,586 +15% $20,573 +38% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $27,926 $30,136 $84,725 −67% $88,049 −68% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $27,884 $30,091 $29,523 −6% $23,350 +19% —
849 RADIOTHERAPY $27,820 $30,021 $52,191 −47% $37,862 −27% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $27,731 $29,926 $35,692 −22% $35,692 −22% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $26,884 $29,012 $27,492 −2% $27,492 −2% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $26,758 $28,875 $50,498 −47% $47,546 −44% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $26,479 $28,574 $114,401 −77% $98,912 −73% —
253 OTHER VASCULAR PROCEDURES WITH CC $26,134 $28,202 $53,746 −51% $53,746 −51% ≈377% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $25,956 $28,010 $37,214 −30% $48,680 −47% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $25,910 $27,961 $52,405 −51% $52,405 −51% ≈330% of Medicare
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $25,792 $27,833 $69,597 −63% $51,953 −50% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $25,780 $27,821 $43,749 −41% $37,902 −32% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $25,725 $27,761 $65,573 −61% $65,573 −61% ≈234% of Medicare
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $24,723 $27,910 $34,689 −29% $41,380 −40% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $24,673 $26,625 $34,078 −28% $36,239 −32% —
100 SEIZURES WITH MCC $24,213 $26,129 $40,653 −40% $35,194 −31% ≈445% of Medicare
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $24,211 $26,127 $44,357 −45% $43,524 −44% ≈444% of Medicare
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $24,100 $26,007 $40,163 −40% $54,772 −56% ≈456% of Medicare
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $24,049 $25,952 $39,020 −38% $35,673 −33% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $23,528 $25,390 $40,150 −41% $35,014 −33% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $23,476 $25,334 $35,217 −33% $39,747 −41% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $23,205 $25,041 $34,749 −33% $32,490 −29% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $22,814 $24,619 $43,328 −47% $36,850 −38% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $22,776 $24,578 $79,225 −71% $72,011 −68% —
919 COMPLICATIONS OF TREATMENT WITH MCC $22,546 $24,331 $37,933 −41% $29,031 −22% —
834 ACUTE LEUKEMIA WITH MCC $22,539 $24,323 $100,245 −78% $76,583 −71% —
164 MAJOR CHEST PROCEDURES WITH CC $22,186 $23,942 $53,141 −58% $53,141 −58% —
038 EXTRACRANIAL PROCEDURES WITH CC $22,150 $23,903 $35,770 −38% $35,770 −38% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $22,002 $45,952 $78,852 −72% $78,852 −72% ≈317% of Medicare
666 PROSTATECTOMY WITH CC $21,971 $23,710 $36,569 −40% $30,016 −27% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $21,913 $23,647 $45,849 −52% $37,080 −41% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $21,491 $23,192 $48,634 −56% $45,059 −52% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $21,481 $23,181 $25,390 −15% $25,390 −15% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $21,347 $23,036 $85,334 −75% $68,847 −69% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $21,215 $22,894 $30,959 −31% $29,757 −29% ≈537% of Medicare
593 SKIN ULCERS WITH CC $21,137 $22,810 $27,143 −22% $20,470 +3% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $21,098 $22,767 $42,881 −51% $42,881 −51% —
935 NON-EXTENSIVE BURNS $20,992 $22,653 $43,274 −51% $29,458 −29% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $20,920 $22,575 $44,639 −53% $45,817 −54% ≈363% of Medicare
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $20,903 $22,557 $40,263 −48% $35,237 −41% ≈367% of Medicare
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $20,498 $22,121 $42,126 −51% $35,459 −42% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $20,358 $21,969 $54,273 −62% $48,094 −58% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $20,281 $21,886 $68,653 −70% $62,269 −67% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $20,262 $21,866 $31,874 −36% $29,211 −31% ≈504% of Medicare
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $20,177 $21,774 $30,056 −33% $28,527 −29% —
637 DIABETES WITH MCC $20,156 $21,751 $31,753 −37% $28,819 −30% ≈532% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $20,123 $21,716 $21,363 −6% $20,777 −3% ≈735% of Medicare
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $19,966 $21,546 $40,213 −50% $36,933 −46% ≈347% of Medicare
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $19,946 $21,524 $51,339 −61% $51,339 −61% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $19,813 $21,381 $29,481 −33% $24,480 −19% ≈534% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $19,741 $21,303 $40,063 −51% $40,063 −51% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $19,508 $21,052 $29,250 −33% $34,887 −44% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $19,427 $20,965 $38,631 −50% $35,114 −45% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $19,274 $20,800 $42,463 −55% $33,165 −42% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $19,219 $20,740 $31,063 −38% $23,734 −19% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $18,737 $20,219 $34,448 −46% $31,840 −41% ≈398% of Medicare
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $18,612 $20,084 $39,057 −52% $32,399 −43% ≈374% of Medicare
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $18,457 $19,918 $38,094 −52% $38,094 −52% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $18,447 $19,907 $34,867 −47% $28,967 −36% ≈428% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $18,443 $19,903 $44,730 −59% $41,660 −56% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $18,432 $19,891 $32,100 −43% $29,663 −38% ≈443% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $18,366 $19,819 $75,820 −76% $62,961 −71% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $18,192 $19,631 $49,382 −63% $39,409 −54% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $18,065 $19,494 $33,424 −46% $33,424 −46% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $18,046 $19,474 $49,066 −63% $46,430 −61% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $17,689 $27,981 $44,489 −60% $44,600 −60% ≈371% of Medicare
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $17,596 $18,988 $33,137 −47% $33,137 −47% ≈438% of Medicare
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $17,525 $18,912 $24,544 −29% $24,544 −29% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $17,405 $19,010 $42,126 −59% $42,126 −59% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $17,320 $18,691 $46,477 −63% $46,477 −63% —
291 HEART FAILURE AND SHOCK WITH MCC $17,188 $18,548 $28,966 −41% $25,020 −31% ≈484% of Medicare
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $17,164 $18,522 $37,921 −55% $36,375 −53% —
311 ANGINA PECTORIS $17,040 $2,556 $15,502 +10% $15,165 +12% —
302 ATHEROSCLEROSIS WITH MCC $16,990 $18,334 $25,825 −34% $20,844 −18% —
180 RESPIRATORY NEOPLASMS WITH MCC $16,927 $18,267 $36,658 −54% $36,658 −54% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $16,903 $18,240 $33,325 −49% $28,646 −41% —
313 CHEST PAIN $16,793 $18,122 $15,837 +6% $15,962 +5% ≈866% of Medicare
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $16,648 $17,965 $62,821 −73% $62,821 −73% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $16,631 $17,947 $14,208 +17% $14,208 +17% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $16,517 $17,824 $51,189 −68% $56,394 −71% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $16,403 $17,701 $40,694 −60% $40,694 −60% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $16,172 $17,452 $47,089 −66% $44,553 −64% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $16,168 $17,447 $22,575 −28% $23,469 −31% ≈609% of Medicare
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $15,894 $17,152 $43,483 −63% $38,357 −59% ≈266% of Medicare
504 FOOT PROCEDURES WITH CC $15,810 $17,061 $38,960 −59% $36,598 −57% —
380 COMPLICATED PEPTIC ULCER WITH MCC $15,742 $16,988 $39,627 −60% $36,641 −57% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $15,714 $16,958 $40,719 −61% $35,714 −56% ≈277% of Medicare
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $15,698 $16,940 $29,252 −46% $26,158 −40% ≈428% of Medicare
399 APPENDIX PROCEDURES WITHOUT CC/MCC $15,509 $16,737 $24,948 −38% $30,314 −49% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $15,382 $16,600 $32,473 −53% $29,484 −48% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $15,320 $16,532 $41,855 −63% $45,963 −67% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $15,318 $16,531 $17,522 −13% $17,522 −13% —
811 RED BLOOD CELL DISORDERS WITH MCC $15,287 $16,497 $30,922 −51% $27,934 −45% ≈368% of Medicare
595 MAJOR SKIN DISORDERS WITH MCC $15,228 $16,433 $42,837 −64% $31,785 −52% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $15,030 $16,219 $22,790 −34% $24,022 −37% —
304 HYPERTENSION WITH MCC $15,028 $16,217 $26,080 −42% $24,185 −38% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $14,862 $16,039 $19,638 −24% $15,045 −1% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $14,810 $15,982 $20,896 −29% $18,918 −22% ≈582% of Medicare
375 DIGESTIVE MALIGNANCY WITH CC $14,759 $15,927 $27,277 −46% $27,219 −46% ≈426% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $14,746 $15,913 $42,775 −66% $38,885 −62% ≈232% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $14,723 $15,888 $20,463 −28% $20,463 −28% ≈589% of Medicare
540 OSTEOMYELITIS WITH CC $14,668 $15,829 $28,728 −49% $23,494 −38% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $14,484 $15,630 $27,470 −47% $25,704 −44% ≈404% of Medicare
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $14,309 $15,441 $22,628 −37% $19,091 −25% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $14,266 $15,395 $24,220 −41% $19,868 −28% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $14,263 $15,392 $24,191 −41% $31,190 −54% ≈435% of Medicare
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $14,200 $15,324 $37,842 −62% $37,842 −62% ≈299% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $14,144 $15,264 $22,635 −38% $20,080 −30% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $14,024 $15,134 $47,583 −71% $47,583 −71% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $13,882 $14,981 $28,515 −51% $27,244 −49% ≈390% of Medicare
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $13,694 $14,778 $26,770 −49% $26,488 −48% ≈381% of Medicare
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $13,588 $14,663 $19,569 −31% $19,569 −31% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $13,513 $14,583 $14,072 −4% $11,421 +18% —
665 PROSTATECTOMY WITH MCC $13,432 $14,495 $68,562 −80% $54,072 −75% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $13,300 $1,995 $31,982 −58% $28,780 −54% ≈64% of Medicare
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $13,187 $14,231 $15,280 −14% $19,483 −32% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $13,105 $14,142 $55,162 −76% $55,162 −76% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $13,053 $14,086 $70,371 −81% $67,901 −81% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $12,925 $13,947 $33,048 −61% $31,062 −58% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $12,904 $13,926 $22,641 −43% $16,571 −22% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $12,773 $13,783 $35,375 −64% $35,375 −64% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $12,668 $13,670 $35,349 −64% $33,607 −62% —
602 CELLULITIS WITH MCC $12,568 $13,563 $31,970 −61% $29,347 −57% ≈333% of Medicare
312 SYNCOPE AND COLLAPSE $12,556 $13,549 $19,342 −35% $19,342 −35% ≈529% of Medicare
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $12,481 — $36,506 −66% $30,814 −59% ≈48% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $12,442 $13,426 $23,551 −47% $23,496 −47% —
682 RENAL FAILURE WITH MCC $12,372 $13,351 $32,520 −62% $27,854 −56% ≈302% of Medicare
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $12,232 $13,200 $23,503 −48% $24,136 −49% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $12,171 $13,135 $16,412 −26% $16,865 −28% ≈609% of Medicare
335 PERITONEAL ADHESIOLYSIS WITH MCC $11,906 — $71,755 −83% $71,755 −83% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $11,855 $12,794 $29,747 −60% $30,358 −61% ≈322% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $11,845 $12,782 $38,960 −70% $31,716 −63% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,732 $12,661 $34,839 −66% $28,134 −58% ≈280% of Medicare
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,643 — $36,651 −68% $44,117 −74% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $11,631 $12,552 $23,749 −51% $23,749 −51% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $11,607 $12,525 $22,850 −49% $22,850 −49% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $11,543 $12,456 $60,905 −81% $49,710 −77% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $11,430 $12,335 $21,449 −47% $21,449 −47% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $11,391 $12,292 $24,930 −54% $24,190 −53% ≈379% of Medicare
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $11,305 $12,200 $17,762 −36% $20,278 −44% ≈525% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $11,189 $12,075 $19,096 −41% $19,096 −41% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,156 $12,039 $27,645 −60% $26,146 −57% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $11,024 $11,897 $39,360 −72% $36,242 −70% —
639 DIABETES WITHOUT CC/MCC $10,968 $11,835 $13,910 −21% $13,910 −21% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $10,962 $11,830 $31,974 −66% $25,786 −57% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $10,962 $11,830 $34,467 −68% $25,731 −57% ≈252% of Medicare
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $10,851 $11,710 $16,104 −33% $16,104 −33% —
684 RENAL FAILURE WITHOUT CC/MCC $10,831 $11,688 $13,642 −21% $13,623 −21% —
183 MAJOR CHEST TRAUMA WITH MCC $10,711 $11,559 $33,957 −68% $28,924 −63% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $10,539 $11,373 $43,354 −76% $31,044 −66% —
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $10,538 $11,372 $50,218 −79% $38,878 −73% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $10,508 $11,339 $25,652 −59% $25,307 −58% —
571 SKIN DEBRIDEMENT WITH CC $10,477 $16,670 $37,169 −72% $34,901 −70% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $10,477 $12,320 $22,888 −54% $22,781 −54% ≈410% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $10,333 $11,151 $23,767 −57% $19,579 −47% ≈350% of Medicare
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $10,308 $11,123 $38,187 −73% $30,394 −66% —
906 HAND PROCEDURES FOR INJURIES $10,287 $11,102 $47,513 −78% $31,520 −67% —
348 ANAL AND STOMAL PROCEDURES WITH CC $10,266 $11,079 $27,947 −63% $27,947 −63% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $10,258 $11,070 $18,002 −43% $18,002 −43% ≈501% of Medicare
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $10,251 $11,063 $22,641 −55% $20,732 −51% ≈355% of Medicare
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $10,174 $10,979 $17,817 −43% $17,466 −42% ≈466% of Medicare
683 RENAL FAILURE WITH CC $10,082 $10,880 $19,733 −49% $18,620 −46% ≈417% of Medicare
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $10,042 $10,837 $18,330 −45% $15,876 −37% —
149 DYSEQUILIBRIUM $9,962 $10,751 $16,594 −40% $17,203 −42% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $9,817 $10,594 $16,097 −39% $18,623 −47% ≈559% of Medicare
592 SKIN ULCERS WITH MCC $9,695 $10,462 $41,848 −77% $32,662 −70% —
644 ENDOCRINE DISORDERS WITH CC $9,634 $10,396 $22,941 −58% $22,941 −58% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $9,599 $10,359 $28,156 −66% $28,156 −66% —
186 PLEURAL EFFUSION WITH MCC $9,429 $10,175 $33,834 −72% $32,468 −71% ≈214% of Medicare
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $9,301 $10,037 $33,633 −72% $31,059 −70% —
643 ENDOCRINE DISORDERS WITH MCC $9,288 $10,023 $35,135 −74% $32,996 −72% ≈213% of Medicare
123 NEUROLOGICAL EYE DISORDERS $9,226 $9,956 $17,831 −48% $17,831 −48% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $9,181 $9,907 $35,591 −74% $31,128 −71% ≈195% of Medicare
378 GASTROINTESTINAL HEMORRHAGE WITH CC $9,137 $9,860 $21,886 −58% $21,886 −58% ≈349% of Medicare
101 SEIZURES WITHOUT MCC $8,878 $9,581 $20,461 −57% $19,954 −56% ≈357% of Medicare
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $8,811 $9,508 $15,839 −44% $12,381 −29% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,725 $9,415 $22,197 −61% $20,007 −56% —
534 FRACTURES OF FEMUR WITHOUT MCC $8,334 $8,994 $18,070 −54% $17,195 −52% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $8,221 $8,871 $46,066 −82% $46,066 −82% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $8,205 $8,854 $20,108 −59% $17,731 −54% ≈338% of Medicare
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $8,180 $8,827 $27,494 −70% $22,032 −63% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $8,153 $8,798 $25,980 −69% $22,982 −65% ≈249% of Medicare
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $8,117 $8,759 $31,950 −75% $25,243 −68% —
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $8,108 $8,750 $23,396 −65% $23,396 −65% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $8,098 $8,739 $16,634 −51% $16,634 −51% —
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $8,095 $8,736 $16,654 −51% $16,654 −51% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $8,037 $8,673 $35,532 −77% $30,058 −73% ≈207% of Medicare
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $7,948 $8,577 $28,209 −72% $22,275 −64% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $7,727 $8,338 $17,322 −55% $17,322 −55% ≈379% of Medicare
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $7,697 $8,307 $39,013 −80% $32,204 −76% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $7,643 $8,248 $13,824 −45% $13,824 −45% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $7,628 $8,232 $17,795 −57% $17,388 −56% ≈368% of Medicare
603 CELLULITIS WITHOUT MCC $7,497 $8,090 $19,553 −62% $18,530 −60% ≈333% of Medicare
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $7,301 $7,879 $16,592 −56% $12,895 −43% —
305 HYPERTENSION WITHOUT MCC $7,158 $7,725 $16,665 −57% $17,144 −58% ≈359% of Medicare
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $7,154 $7,720 $13,855 −48% $12,013 −40% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $6,940 $7,489 $30,645 −77% $24,118 −71% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $6,936 $7,485 $35,243 −80% $32,502 −79% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $6,893 $7,438 $45,785 −85% $36,334 −81% —
157 DENTAL AND ORAL DISEASES WITH MCC $6,889 $7,435 $34,802 −80% $27,457 −75% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $6,874 $7,418 $26,533 −74% $20,421 −66% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $6,787 $7,324 $19,072 −64% $18,278 −63% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $6,752 $7,286 $13,425 −50% $9,385 −28% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $6,694 $7,223 $21,396 −69% $21,213 −68% ≈264% of Medicare
386 INFLAMMATORY BOWEL DISEASE WITH CC $6,628 $7,152 $22,033 −70% $20,968 −68% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $6,423 $6,931 $22,557 −72% $18,017 −64% —
187 PLEURAL EFFUSION WITH CC $6,399 $6,905 $22,288 −71% $21,467 −70% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,349 $6,852 $15,799 −60% $14,473 −56% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $6,332 $6,833 $36,661 −83% $31,758 −80% ≈164% of Medicare
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $6,288 $6,786 $19,842 −68% $18,803 −67% ≈267% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,255 $6,750 $17,638 −65% $17,727 −65% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $6,227 $6,720 $32,445 −81% $24,450 −75% —
381 COMPLICATED PEPTIC ULCER WITH CC $6,126 $6,610 $24,177 −75% $24,177 −75% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,969 $6,441 $14,134 −58% $14,134 −58% —
184 MAJOR CHEST TRAUMA WITH CC $5,815 $6,275 $23,711 −75% $20,842 −72% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $5,803 $6,262 $18,139 −68% $16,837 −66% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $5,755 $6,211 $15,837 −64% $15,607 −63% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $5,668 $6,117 $35,113 −84% $32,689 −83% ≈151% of Medicare
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,594 $6,037 $13,318 −58% $13,318 −58% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $5,543 $5,981 $21,460 −74% $17,273 −68% ≈215% of Medicare
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $5,531 $5,968 $17,347 −68% $16,745 −67% ≈269% of Medicare
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,518 $5,955 $13,384 −59% $13,384 −59% ≈421% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $5,486 $5,920 $18,204 −70% $18,204 −70% ≈250% of Medicare
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $5,457 $5,889 $17,087 −68% $14,444 −62% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $5,447 $5,878 $22,590 −76% $22,713 −76% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $5,306 $5,726 $31,511 −83% $22,525 −76% —
551 MEDICAL BACK PROBLEMS WITH MCC $5,192 $5,603 $35,961 −86% $31,086 −83% ≈145% of Medicare
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $5,186 $5,596 $19,584 −74% $16,049 −68% ≈240% of Medicare
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $5,169 $5,578 $25,279 −80% $24,452 −79% —
920 COMPLICATIONS OF TREATMENT WITH CC $5,110 $5,515 $22,552 −77% $21,181 −76% —
303 ATHEROSCLEROSIS WITHOUT MCC $5,106 $5,510 $14,927 −66% $14,927 −66% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $5,082 $5,485 $19,305 −74% $19,305 −74% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $5,059 $5,459 $23,369 −78% $18,478 −73% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $4,810 $5,191 $17,700 −73% $17,700 −73% ≈225% of Medicare
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $4,662 $5,031 $18,592 −75% $14,064 −67% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $4,638 $5,005 $25,700 −82% $24,202 −81% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $4,615 $4,980 $38,483 −88% $30,974 −85% —
176 PULMONARY EMBOLISM WITHOUT MCC $4,595 $4,958 $18,081 −75% $18,081 −75% —
885 PSYCHOSES $4,556 $8,519 $30,968 −85% $21,489 −79% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $4,477 $4,832 $37,213 −88% $30,275 −85% —
882 NEUROSES EXCEPT DEPRESSIVE $4,200 $4,186 $21,356 −80% $15,680 −73% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $4,089 $4,412 $15,156 −73% $12,797 −68% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $4,089 $27,884 $47,452 −91% $41,900 −90% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $4,007 $4,325 $13,683 −71% $15,070 −73% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $3,967 $4,281 $22,024 −82% $22,024 −82% ≈194% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $3,939 $4,251 $20,488 −81% $20,488 −81% ≈192% of Medicare
642 INBORN AND OTHER DISORDERS OF METABOLISM $3,917 $4,227 $27,552 −86% $20,727 −81% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $3,884 $4,192 $19,176 −80% $17,367 −78% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $3,651 $7,002 $38,443 −91% $22,698 −84% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $3,455 $3,728 $24,000 −86% $17,226 −80% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $3,433 $3,705 $20,566 −83% $18,608 −82% —
541 OSTEOMYELITIS WITHOUT CC/MCC $3,403 $3,673 $19,422 −82% $14,549 −77% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $3,367 $3,632 $21,280 −84% $15,636 −78% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $3,351 $3,616 $37,950 −91% $37,950 −91% ≈96% of Medicare
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $3,169 $3,420 $14,880 −79% $14,880 −79% —
638 DIABETES WITH CC $3,022 $3,262 $20,361 −85% $18,821 −84% ≈159% of Medicare
549 SEPTIC ARTHRITIS WITH CC $2,962 $3,196 $26,753 −89% $20,938 −86% —
292 HEART FAILURE AND SHOCK WITH CC $2,929 $3,161 $19,118 −85% $16,212 −82% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $2,750 $2,741 $35,352 −92% $25,208 −89% ≈53% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $2,710 $2,924 $23,141 −88% $23,141 −88% —
881 DEPRESSIVE NEUROSES $2,488 $4,415 $20,293 −88% $15,058 −83% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $2,379 $2,567 $19,602 −88% $15,608 −85% —
866 VIRAL ILLNESS WITHOUT MCC $2,350 $2,535 $19,642 −88% $16,391 −86% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $2,050 $44,626 $26,611 −92% $27,369 −93% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $1,549 $1,671 $20,506 −92% $19,287 −92% —
914 TRAUMATIC INJURY WITHOUT MCC $1,507 $1,626 $20,344 −93% $15,593 −90% —
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