Procedures published 663
Lowest published price $7,733
Average published price $173,256
Highest published price $1,303,542

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 663 procedures

Published charges

Showing all 662 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 42 procedures, this hospital's negotiated rates average ≈179% of what Medicare pays.

DRG Description Published price Cash price vs. CA median vs. National median vs Medicare
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $1,303,542 $234,638 $153,282 +750% $153,282 +750%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $1,093,260 $196,787 $371,366 +194% $371,366 +194%
028 SPINAL PROCEDURES WITH MCC $1,020,853 $183,754 $113,077 +803% $113,077 +803%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $953,736 $171,673 $91,495 +942% $77,055 +1138%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $943,902 $169,902 $89,523 +954% $87,761 +976%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $825,800 $148,644 $248,521 +232% $248,521 +232%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $812,271 $146,209 $71,092 +1043% $71,092 +1043%
215 OTHER HEART ASSIST SYSTEM IMPLANT $797,416 $143,535 $191,314 +317% $208,939 +282%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $692,785 $124,701 $125,242 +453% $125,242 +453%
265 AICD LEAD PROCEDURES $666,722 $120,010 $70,810 +842% $63,171 +955%
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $654,489 $117,808 $69,089 +847% $52,036 +1158%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $653,614 $117,651 $175,437 +273% $188,171 +247%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $653,319 $117,597 $117,196 +457% $109,331 +498%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $632,878 $113,918 $43,328 +1361% $38,070 +1562%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $619,922 $111,586 $70,175 +783% $50,919 +1117%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $593,825 $106,889 $75,573 +686% $75,573 +686%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $574,067 $103,332 $53,208 +979% $50,618 +1034%
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $569,568 $102,522 $23,289 +2346% $103,861 +448%
471 CERVICAL SPINAL FUSION WITH MCC $562,407 $101,233 $92,515 +508% $92,515 +508%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $561,657 $101,098 $86,970 +546% $86,970 +546%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $560,588 $100,906 $144,569 +288% $144,569 +288%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $555,453 $99,982 $131,961 +321% $131,961 +321%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $525,683 $94,623 $77,041 +582% $61,832 +750%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $523,843 $94,292 $124,290 +321% $148,832 +252% ≈146% of Medicare
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $517,319 $93,117 $114,401 +352% $98,912 +423%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $508,265 $91,488 $107,269 +374% $80,018 +535%
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $497,575 $89,564 $99,423 +400% $99,423 +400% ≈100% of Medicare
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $493,565 $88,842 $117,280 +321% $117,280 +321%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $491,264 $88,428 $102,573 +379% $102,573 +379%
834 ACUTE LEUKEMIA WITH MCC $486,722 $87,610 $100,245 +386% $85,566 +469%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $477,802 $86,004 $106,057 +351% $106,057 +351%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $476,907 $85,843 $67,560 +606% $59,533 +701%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $471,749 $84,915 $486,976 −3% $461,389 +2%
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $469,720 $84,550 $102,128 +360% $102,128 +360%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $465,654 $83,818 $96,507 +383% $96,507 +383%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $456,326 $82,139 $74,257 +515% $74,257 +515%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $455,794 $82,043 $112,062 +307% $112,062 +307%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $450,895 $81,161 $67,268 +570% $67,268 +570%
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $449,001 $80,820 $116,058 +287% $116,058 +287%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $439,173 $79,051 $113,855 +286% $113,855 +286%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $425,985 $76,677 $92,217 +362% $92,217 +362%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $420,585 $75,705 $34,817 +1108% $33,661 +1149%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $419,086 $75,436 $58,043 +622% $58,043 +622%
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $418,840 $75,391 $51,487 +713% $50,046 +737%
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $414,193 $74,555 $70,371 +489% $70,371 +489%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $413,145 $74,366 $90,775 +355% $90,775 +355%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $408,652 $73,557 $121,714 +236% $123,995 +230%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $408,292 $73,493 $71,014 +475% $71,014 +475%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $401,787 $72,322 $102,177 +293% $111,320 +261%
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $400,127 $72,023 $106,778 +275% $106,778 +275%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $398,889 $71,800 $76,219 +423% $76,219 +423%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $396,272 $71,329 $96,905 +309% $96,905 +309%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $395,074 $71,113 $50,131 +688% $49,418 +699%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $393,491 $70,828 $143,242 +175% $143,242 +175%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $380,476 $68,486 $82,247 +363% $82,247 +363%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $373,121 $67,162 $84,725 +340% $101,510 +268%
163 MAJOR CHEST PROCEDURES WITH MCC $370,386 $66,669 $88,341 +319% $90,195 +311%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $370,078 $66,614 $101,576 +264% $101,576 +264%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $369,097 $66,438 $88,307 +318% $88,307 +318%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $368,570 $66,343 $31,812 +1059% $32,833 +1023%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $365,663 $65,819 $94,937 +285% $93,172 +292% ≈127% of Medicare
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $364,375 $65,587 $107,355 +239% $107,355 +239%
835 ACUTE LEUKEMIA WITH CC $362,835 $65,310 $43,187 +740% $35,569 +920%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $359,566 $64,722 $96,245 +274% $80,793 +345%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $358,497 $64,529 $60,905 +489% $49,710 +621%
592 SKIN ULCERS WITH MCC $358,269 $64,488 $41,848 +756% $33,246 +978%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $357,330 $64,319 $148,686 +140% $148,686 +140%
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $355,031 $63,906 $36,442 +874% $69,101 +414%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $353,562 $63,641 $91,329 +287% $91,329 +287%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $348,915 $62,805 $82,561 +323% $82,561 +323%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $342,805 $61,705 $57,493 +496% $46,402 +639%
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $341,928 $61,547 $23,289 +1368% $75,251 +354%
263 VEIN LIGATION AND STRIPPING $340,869 $61,356 $55,918 +510% $51,253 +565%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $339,333 $61,080 $83,065 +309% $85,159 +298%
668 TRANSURETHRAL PROCEDURES WITH MCC $339,305 $61,075 $59,859 +467% $51,608 +557%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $338,687 $60,964 $60,959 +456% $81,706 +315% ≈158% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $332,476 $59,846 $108,750 +206% $96,192 +246%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $327,471 $58,945 $81,298 +303% $72,962 +349%
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $324,972 $58,495 $81,281 +300% $77,990 +317%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $324,960 $58,493 $95,536 +240% $93,390 +248%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $324,711 $58,448 $113,157 +187% $103,455 +214%
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $324,297 $58,373 $48,353 +571% $47,789 +579%
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $323,876 $58,298 $50,139 +546% $50,139 +546%
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $321,812 $57,926 $91,138 +253% $90,724 +255%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $316,249 $56,925 $66,819 +373% $71,464 +343%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $315,725 $56,830 $77,178 +309% $71,795 +340%
164 MAJOR CHEST PROCEDURES WITH CC $310,460 $55,883 $53,141 +484% $56,755 +447%
665 PROSTATECTOMY WITH MCC $310,318 $55,857 $68,562 +353% $54,072 +474%
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $305,906 $55,063 $101,662 +201% $89,207 +243%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $305,811 $55,046 $86,699 +253% $76,001 +302%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $304,285 $54,771 $62,821 +384% $62,821 +384%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $293,228 $52,781 $70,132 +318% $70,132 +318%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $291,303 $52,434 $59,031 +393% $59,031 +393%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $283,594 $51,047 $47,696 +495% $37,267 +661%
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $282,142 $50,785 $97,241 +190% $93,238 +203%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $281,814 $50,727 $59,790 +371% $59,790 +371%
653 MAJOR BLADDER PROCEDURES WITH MCC $281,267 $50,628 $104,583 +169% $104,583 +169%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $279,705 $50,347 $77,770 +260% $62,300 +349%
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $279,190 $50,254 $66,976 +317% $63,928 +337%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $273,918 $49,305 $88,050 +211% $88,050 +211%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $273,511 $49,232 $35,375 +673% $39,006 +601%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $270,702 $48,726 $70,026 +287% $56,964 +375%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $269,222 $48,460 $61,217 +340% $61,217 +340%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $268,879 $48,398 $36,087 +645% $28,202 +853%
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $268,200 $48,276 $75,820 +254% $66,685 +302%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $264,285 $47,571 $53,666 +392% $58,707 +350% ≈179% of Medicare
791 PREMATURITY WITH MAJOR PROBLEMS $263,455 $47,422 $70,373 +274% $42,679 +517%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $262,519 $47,253 $16,776 +1465% $16,776 +1465%
335 PERITONEAL ADHESIOLYSIS WITH MCC $259,648 $46,737 $71,755 +262% $71,755 +262%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $259,378 $46,688 $51,339 +405% $59,629 +335%
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $257,997 $46,439 $44,326 +482% $29,611 +771%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $256,637 $46,195 $71,106 +261% $66,711 +285%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $255,763 $46,037 $74,755 +242% $74,755 +242%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $255,240 $45,943 $86,246 +196% $84,692 +201%
037 EXTRACRANIAL PROCEDURES WITH MCC $251,926 $45,347 $66,666 +278% $66,666 +278%
196 INTERSTITIAL LUNG DISEASE WITH MCC $251,809 $45,326 $38,951 +546% $32,637 +672%
252 OTHER VASCULAR PROCEDURES WITH MCC $250,899 $45,162 $68,508 +266% $68,508 +266% ≈124% of Medicare
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $250,670 $45,121 $78,852 +218% $78,852 +218%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $249,633 $44,934 $69,597 +259% $51,953 +380%
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $248,804 $44,785 $40,150 +520% $39,955 +523%
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $247,876 $44,618 $38,631 +542% $36,792 +574%
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $246,278 $44,330 $47,089 +423% $45,877 +437%
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $245,604 $44,209 $38,836 +532% $38,836 +532%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $245,383 $44,169 $75,103 +227% $75,103 +227%
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $244,648 $44,037 $23,289 +950% $56,836 +330%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $242,425 $43,637 $43,483 +458% $38,666 +527% ≈159% of Medicare
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $241,854 $43,534 $50,011 +384% $50,011 +384%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $240,096 $43,217 $55,434 +333% $44,222 +443%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $234,664 $42,240 $35,675 +558% $31,563 +643%
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $233,558 $42,040 $40,063 +483% $41,591 +462%
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $233,027 $41,945 $35,899 +549% $51,625 +351%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $232,864 $41,916 $60,402 +286% $58,228 +300%
671 URETHRAL PROCEDURES WITH CC/MCC $232,513 $41,852 $38,265 +508% $27,233 +754%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $231,809 $41,726 $49,137 +372% $48,349 +379%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $231,369 $41,646 $101,566 +128% $90,401 +156%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $230,043 $41,408 $49,631 +364% $50,394 +356%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $229,111 $41,240 $51,985 +341% $51,985 +341%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $228,245 $41,084 $46,288 +393% $36,489 +526%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $227,930 $41,027 $28,602 +697% $25,748 +785%
654 MAJOR BLADDER PROCEDURES WITH CC $226,638 $40,795 $58,274 +289% $58,274 +289%
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $225,583 $40,605 $28,626 +688% $27,989 +706%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $225,431 $40,578 $40,163 +461% $58,809 +283%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $224,568 $40,422 $85,334 +163% $70,177 +220%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $223,911 $40,304 $69,743 +221% $69,743 +221%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $223,387 $40,210 $73,751 +203% $61,470 +263%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $222,111 $39,980 $70,540 +215% $70,564 +215%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $221,942 $39,950 $43,749 +407% $42,901 +417%
075 VIRAL MENINGITIS WITH CC/MCC $220,568 $39,702 $36,230 +509% $30,447 +624%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $219,964 $39,594 $65,788 +234% $65,788 +234%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $219,724 $39,550 $65,573 +235% $65,573 +235%
545 CONNECTIVE TISSUE DISORDERS WITH MCC $219,499 $39,510 $49,765 +341% $40,362 +444%
472 CERVICAL SPINAL FUSION WITH CC $218,762 $39,377 $59,537 +267% $59,537 +267%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $217,685 $39,183 $58,975 +269% $58,975 +269%
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $217,520 $39,154 $50,562 +330% $59,500 +266%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $217,204 $39,097 $65,325 +232% $65,325 +232%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $217,203 $39,096 $77,817 +179% $77,817 +179%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $216,510 $38,972 $52,405 +313% $52,405 +313% ≈131% of Medicare
253 OTHER VASCULAR PROCEDURES WITH CC $210,962 $37,973 $53,746 +293% $57,454 +267%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $210,565 $37,902 $31,166 +576% $27,808 +657%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $210,374 $37,867 $39,020 +439% $39,020 +439%
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $210,068 $37,812 $45,376 +363% $41,892 +401%
915 ALLERGIC REACTIONS WITH MCC $208,289 $37,492 $36,491 +471% $32,645 +538%
711 TESTES PROCEDURES WITH CC/MCC $207,753 $37,395 $42,414 +390% $38,343 +442%
374 DIGESTIVE MALIGNANCY WITH MCC $207,074 $37,273 $42,775 +384% $39,958 +418%
504 FOOT PROCEDURES WITH CC $206,873 $37,237 $38,960 +431% $38,960 +431%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $205,698 $37,026 $29,894 +588% $24,127 +753%
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $205,518 $36,993 $47,452 +333% $45,333 +353%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $204,727 $36,851 $55,162 +271% $55,162 +271%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $204,521 $36,814 $79,225 +158% $79,225 +158%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $203,277 $36,590 $31,511 +545% $22,525 +802%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $202,626 $36,473 $68,421 +196% $70,847 +186%
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $202,316 $36,417 $51,189 +295% $59,651 +239%
500 SOFT TISSUE PROCEDURES WITH MCC $201,726 $36,311 $64,105 +215% $61,872 +226%
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $201,658 $36,299 $43,080 +368% $43,080 +368%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $201,269 $36,228 $64,691 +211% $60,407 +233%
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $200,456 $36,082 $69,701 +188% $62,583 +220%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $199,358 $35,885 $57,323 +248% $18,649 +969%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $196,972 $35,455 $45,849 +330% $40,108 +391%
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $194,722 $35,050 $54,273 +259% $52,178 +273%
697 URETHRAL STRICTURE $194,379 $34,988 $22,239 +774% $18,428 +955%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $194,201 $34,956 $40,719 +377% $39,106 +397% ≈212% of Medicare
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $194,167 $34,950 $30,242 +542% $30,242 +542%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $194,133 $34,944 $60,274 +222% $65,653 +196%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $190,371 $34,267 $15,975 +1092% $12,559 +1416%
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $190,212 $34,238 $51,645 +268% $59,421 +220%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $189,998 $34,200 $33,388 +469% $36,253 +424%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $189,515 $34,113 $54,929 +245% $54,929 +245%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $188,465 $33,924 $46,799 +303% $58,280 +223%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $188,235 $33,882 $54,583 +245% $54,583 +245%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $187,406 $33,733 $65,631 +186% $58,745 +219%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $187,159 $33,689 $33,653 +456% $33,653 +456%
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $186,513 $33,572 $62,334 +199% $70,467 +165%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $186,412 $33,554 $31,017 +501% $31,017 +501%
813 COAGULATION DISORDERS $185,686 $33,423 $33,296 +458% $33,296 +458%
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $185,270 $33,349 $30,959 +498% $30,959 +498%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $184,648 $33,237 $39,105 +372% $36,431 +407%
669 TRANSURETHRAL PROCEDURES WITH CC $183,629 $33,053 $34,354 +435% $34,354 +435%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $183,186 $32,973 $47,583 +285% $47,583 +285%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $182,795 $32,903 $62,677 +192% $53,864 +239%
102 HEADACHES WITH MCC $182,206 $32,797 $25,740 +608% $25,740 +608%
595 MAJOR SKIN DISORDERS WITH MCC $181,911 $32,744 $42,837 +325% $34,598 +426%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $180,192 $32,435 $38,187 +372% $32,859 +448%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $179,133 $32,244 $55,594 +222% $47,945 +274%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $179,116 $32,241 $40,263 +345% $35,628 +403% ≈175% of Medicare
038 EXTRACRANIAL PROCEDURES WITH CC $178,442 $32,119 $35,770 +399% $35,770 +399%
906 HAND PROCEDURES FOR INJURIES $178,427 $32,117 $47,513 +276% $32,065 +456%
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $178,318 $32,097 $43,775 +307% $44,139 +304%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $178,145 $32,066 $52,735 +238% $62,264 +186%
950 AFTERCARE WITHOUT CC/MCC $177,561 $31,961 $13,527 +1213% $13,527 +1213%
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $176,219 $31,719 $19,602 +799% $16,998 +937%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $175,472 $31,585 $64,523 +172% $64,523 +172%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $175,254 $31,546 $42,881 +309% $42,881 +309%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $175,179 $31,532 $36,506 +380% $31,951 +448%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $175,074 $31,513 $42,126 +316% $42,126 +316%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $174,543 $31,418 $44,357 +293% $43,943 +297% ≈150% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $174,165 $31,350 $35,961 +384% $34,017 +412%
539 OSTEOMYELITIS WITH MCC $171,874 $30,937 $41,277 +316% $37,609 +357%
100 SEIZURES WITH MCC $170,679 $30,722 $40,653 +320% $35,481 +381%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $170,551 $30,699 $50,624 +237% $50,624 +237%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $169,192 $30,455 $34,689 +388% $46,295 +265%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $168,929 $30,407 $47,797 +253% $41,608 +306%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $167,167 $30,090 $28,935 +478% $16,351 +922%
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $166,492 $29,969 $50,777 +228% $53,451 +211%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $165,782 $29,841 $34,448 +381% $33,707 +392% ≈159% of Medicare
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $164,754 $29,656 $43,538 +278% $43,538 +278%
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $164,161 $29,549 $48,682 +237% $48,682 +237%
336 PERITONEAL ADHESIOLYSIS WITH CC $164,096 $29,537 $46,332 +254% $50,463 +225%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $163,557 $29,440 $37,764 +333% $43,477 +276%
180 RESPIRATORY NEOPLASMS WITH MCC $163,431 $29,418 $36,658 +346% $36,658 +346%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $162,751 $29,295 $53,274 +206% $49,423 +229%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $162,034 $29,166 $68,639 +136% $68,639 +136%
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $161,857 $29,134 $69,724 +132% $66,068 +145%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $160,620 $28,912 $40,563 +296% $40,642 +295%
549 SEPTIC ARTHRITIS WITH CC $160,344 $28,862 $26,753 +499% $24,056 +567%
637 DIABETES WITH MCC $159,804 $28,765 $31,753 +403% $30,100 +431% ≈179% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $159,639 $28,735 $50,218 +218% $38,878 +311%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $159,411 $28,694 $50,498 +216% $50,498 +216%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $159,002 $28,620 $18,577 +756% $14,055 +1031%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $158,592 $28,547 $41,380 +283% $46,340 +242%
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $158,324 $28,498 $46,317 +242% $43,650 +263%
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $158,156 $28,468 $43,631 +262% $43,631 +262%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $158,052 $28,449 $65,608 +141% $65,608 +141%
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $157,801 $28,404 $45,703 +245% $52,751 +199%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $157,017 $28,263 $35,243 +346% $32,628 +381%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $156,492 $28,169 $32,911 +376% $36,988 +323%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $156,132 $28,104 $24,220 +545% $20,926 +646%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $155,815 $28,047 $44,489 +250% $46,283 +237%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $155,452 $27,981 $34,588 +349% $27,617 +463%
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $154,982 $27,897 $55,378 +180% $48,687 +218%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $153,236 $27,582 $40,213 +281% $40,213 +281%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $152,602 $27,468 $27,323 +459% $27,323 +459%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $151,706 $27,307 $40,365 +276% $40,365 +276%
505 FOOT PROCEDURES WITHOUT CC/MCC $151,589 $27,286 $38,960 +289% $34,937 +334%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $151,174 $27,211 $46,477 +225% $49,351 +206%
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $151,072 $27,193 $46,172 +227% $42,795 +253%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $150,424 $27,076 $33,399 +350% $36,505 +312%
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $150,343 $27,062 $38,443 +291% $23,206 +548%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $149,747 $26,954 $36,661 +308% $33,555 +346%
302 ATHEROSCLEROSIS WITH MCC $149,414 $26,895 $25,825 +479% $22,446 +566%
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $149,250 $26,865 $52,959 +182% $43,491 +243%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $148,841 $26,791 $39,018 +281% $39,018 +281%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $148,815 $26,787 $34,867 +327% $30,828 +383% ≈112% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $148,255 $26,686 $27,470 +440% $26,580 +458% ≈187% of Medicare
501 SOFT TISSUE PROCEDURES WITH CC $147,842 $26,612 $39,619 +273% $39,619 +273%
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $147,705 $26,587 $43,800 +237% $43,800 +237%
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $147,384 $26,529 $49,209 +200% $42,415 +247%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $147,277 $26,510 $49,382 +198% $39,973 +268%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $147,270 $26,509 $30,846 +377% $25,094 +487%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $147,087 $26,476 $22,268 +561% $17,737 +729%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $147,072 $26,473 $37,921 +288% $37,387 +293%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $146,718 $26,409 $35,532 +313% $32,496 +351% ≈166% of Medicare
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $146,571 $26,383 $37,842 +287% $37,842 +287% ≈145% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $146,256 $26,326 $37,214 +293% $52,075 +181%
380 COMPLICATED PEPTIC ULCER WITH MCC $146,219 $26,319 $39,627 +269% $39,627 +269%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $146,213 $26,318 $30,887 +373% $39,887 +267%
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $145,806 $26,245 $40,552 +260% $40,552 +260%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $145,165 $26,130 $34,613 +319% $27,633 +425%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $144,378 $25,988 $48,634 +197% $47,737 +202%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $143,799 $25,884 $32,100 +348% $32,100 +348%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $143,487 $25,828 $44,639 +221% $46,090 +211%
643 ENDOCRINE DISORDERS WITH MCC $143,479 $25,826 $35,135 +308% $33,563 +327%
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $142,945 $25,730 $22,641 +531% $17,601 +712%
116 INTRAOCULAR PROCEDURES WITH CC/MCC $142,288 $25,612 $37,042 +284% $29,126 +389%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $142,077 $25,574 $34,906 +307% $34,906 +307%
666 PROSTATECTOMY WITH CC $141,464 $25,464 $36,569 +287% $31,906 +343%
030 SPINAL PROCEDURES WITHOUT CC/MCC $140,733 $25,332 $48,235 +192% $45,866 +207%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $140,306 $25,255 $45,785 +206% $39,181 +258%
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $139,654 $25,138 $31,730 +340% $24,941 +460%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $139,374 $25,087 $41,855 +233% $47,711 +192%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $139,153 $25,048 $29,747 +368% $31,264 +345%
682 RENAL FAILURE WITH MCC $138,996 $25,019 $32,520 +327% $29,064 +378% ≈176% of Medicare
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $138,607 $24,949 $27,163 +410% $27,163 +410%
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $138,585 $24,945 $43,378 +219% $38,861 +257%
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $138,019 $24,843 $36,816 +275% $44,606 +209%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $137,728 $24,791 $30,418 +353% $30,418 +353%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $137,210 $24,698 $35,591 +286% $34,273 +300%
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $136,999 $24,660 $35,113 +290% $34,192 +301% ≈141% of Medicare
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $136,596 $24,587 $41,191 +232% $36,670 +273%
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $135,691 $24,424 $17,775 +663% $13,586 +899%
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $135,239 $24,343 $33,048 +309% $33,048 +309%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $135,149 $24,327 $47,583 +184% $41,620 +225%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $134,909 $24,284 $42,463 +218% $34,459 +292%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $134,609 $24,230 $30,493 +341% $30,493 +341%
598 MALIGNANT BREAST DISORDERS WITH CC $133,305 $23,995 $23,951 +457% $19,073 +599%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $133,241 $23,983 $60,140 +122% $60,170 +121%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $133,228 $23,981 $36,651 +264% $44,117 +202%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $133,189 $23,974 $42,126 +216% $40,562 +228%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $133,073 $23,953 $39,057 +241% $33,985 +292% ≈131% of Medicare
533 FRACTURES OF FEMUR WITH MCC $132,913 $23,924 $32,907 +304% $25,945 +412%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $132,797 $23,903 $44,363 +199% $44,363 +199%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $132,405 $23,833 $54,345 +144% $45,167 +193%
139 SALIVARY GLAND PROCEDURES $131,942 $23,749 $30,480 +333% $23,612 +459%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $131,471 $23,665 $43,913 +199% $43,913 +199%
535 FRACTURES OF HIP AND PELVIS WITH MCC $131,362 $23,645 $29,523 +345% $24,552 +435%
397 APPENDIX PROCEDURES WITH MCC $131,294 $23,633 $54,751 +140% $53,257 +147%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $131,235 $23,622 $37,950 +246% $37,950 +246%
662 MINOR BLADDER PROCEDURES WITH MCC $131,234 $23,622 $63,279 +107% $54,562 +141%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $131,073 $23,593 $75,754 +73% $59,594 +120%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $130,880 $23,558 $54,815 +139% $46,453 +182%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $130,423 $23,476 $24,930 +423% $24,386 +435%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $129,972 $23,395 $31,816 +309% $35,465 +266%
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $129,690 $23,344 $29,117 +345% $27,043 +380%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $129,688 $23,344 $25,267 +413% $26,618 +387%
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $129,395 $23,291 $32,620 +297% $25,073 +416%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $129,213 $23,258 $22,575 +472% $23,940 +440% ≈229% of Medicare
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $128,810 $23,186 $24,191 +432% $32,021 +302%
811 RED BLOOD CELL DISORDERS WITH MCC $128,676 $23,162 $30,922 +316% $28,226 +356% ≈161% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $128,655 $23,158 $34,839 +269% $30,235 +326%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $128,635 $23,154 $33,256 +287% $30,010 +329%
375 DIGESTIVE MALIGNANCY WITH CC $127,209 $22,898 $27,277 +366% $27,277 +366%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $126,681 $22,803 $30,693 +313% $27,119 +367%
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $126,396 $22,751 $41,857 +202% $50,607 +150% ≈155% of Medicare
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $126,356 $22,744 $35,349 +257% $33,876 +273%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $126,179 $22,712 $68,616 +84% $52,908 +138%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $126,151 $22,707 $20,401 +518% $18,072 +598%
184 MAJOR CHEST TRAUMA WITH CC $125,943 $22,670 $23,711 +431% $22,432 +461%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $125,702 $22,626 $21,205 +493% $19,594 +542%
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $125,230 $22,541 $25,034 +400% $25,034 +400%
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $124,516 $22,413 $19,624 +534% $16,520 +654%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $124,407 $22,393 $56,127 +122% $44,546 +179%
347 ANAL AND STOMAL PROCEDURES WITH MCC $124,161 $22,349 $50,614 +145% $40,548 +206%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $123,908 $22,303 $30,308 +309% $20,980 +491%
920 COMPLICATIONS OF TREATMENT WITH CC $123,825 $22,289 $22,552 +449% $22,468 +451%
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $123,732 $22,272 $30,645 +304% $27,285 +353%
919 COMPLICATIONS OF TREATMENT WITH MCC $123,521 $22,234 $37,933 +226% $31,105 +297%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $123,131 $22,164 $28,209 +336% $23,498 +424%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $122,838 $22,111 $25,279 +386% $25,279 +386%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $122,781 $22,101 $33,633 +265% $33,633 +265%
602 CELLULITIS WITH MCC $122,460 $22,043 $31,970 +283% $30,598 +300%
035 CAROTID ARTERY STENT PROCEDURES WITH CC $122,365 $22,026 $49,066 +149% $49,066 +149%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $122,140 $21,985 $38,094 +221% $38,094 +221%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $122,036 $21,967 $28,946 +322% $21,894 +457%
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $121,840 $21,931 $21,716 +461% $17,404 +600%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $121,767 $21,918 $28,651 +325% $22,811 +434%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $121,639 $21,895 $34,467 +253% $27,316 +345%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $121,593 $21,887 $33,506 +263% $33,454 +263%
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $120,691 $21,724 $32,473 +272% $30,502 +296%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $120,647 $21,716 $45,240 +167% $35,030 +244%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $120,456 $21,682 $26,770 +350% $26,770 +350% ≈208% of Medicare
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $120,421 $21,676 $35,692 +237% $35,692 +237%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $120,410 $21,674 $37,175 +224% $29,916 +302%
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $120,194 $21,635 $25,361 +374% $24,944 +382%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $119,906 $21,583 $29,623 +305% $27,543 +335%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $119,731 $21,552 $18,592 +544% $14,064 +751%
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $119,469 $21,504 $64,956 +84% $72,424 +65%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $119,468 $21,504 $23,369 +411% $20,232 +491%
865 VIRAL ILLNESS WITH MCC $119,108 $21,439 $32,083 +271% $26,910 +343%
291 HEART FAILURE AND SHOCK WITH MCC $118,972 $21,415 $28,966 +311% $26,776 +344% ≈179% of Medicare
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $117,991 $21,238 $22,153 +433% $17,698 +567%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $117,960 $21,233 $22,637 +421% $22,506 +424%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $117,696 $21,185 $35,217 +234% $41,955 +181%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $116,927 $21,047 $33,137 +253% $33,393 +250%
949 AFTERCARE WITH CC/MCC $116,831 $21,030 $23,953 +388% $23,953 +388%
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $115,551 $20,799 $14,907 +675% $11,909 +870%
398 APPENDIX PROCEDURES WITH CC $115,396 $20,771 $33,592 +244% $40,162 +187%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $115,389 $20,770 $22,790 +406% $25,970 +344%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $115,387 $20,770 $15,462 +646% $12,460 +826%
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $115,246 $20,744 $38,483 +199% $33,047 +249%
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $115,170 $20,731 $15,495 +643% $15,495 +643%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $115,014 $20,702 $29,252 +293% $27,275 +322% ≈191% of Medicare
181 RESPIRATORY NEOPLASMS WITH CC $114,124 $20,542 $24,648 +363% $23,573 +384%
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $113,883 $20,499 $37,033 +208% $34,607 +229%
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $113,627 $20,453 $29,250 +288% $36,937 +208%
158 DENTAL AND ORAL DISEASES WITH CC $113,621 $20,452 $20,881 +444% $18,466 +515%
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $113,253 $20,385 $43,384 +161% $29,524 +284%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $113,199 $20,376 $39,515 +186% $39,515 +186%
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $112,740 $20,293 $40,894 +176% $29,221 +286%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $112,533 $20,256 $39,360 +186% $38,101 +195%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $112,140 $20,185 $18,150 +518% $18,150 +518%
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $112,127 $20,183 $33,267 +237% $24,550 +357%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $111,922 $20,146 $24,928 +349% $19,815 +465%
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $111,542 $20,078 $26,611 +319% $30,784 +262%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $111,433 $20,058 $46,066 +142% $46,066 +142%
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $111,059 $19,991 $23,551 +372% $23,551 +372%
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $110,783 $19,941 $23,352 +374% $19,657 +464%
571 SKIN DEBRIDEMENT WITH CC $110,617 $19,911 $37,169 +198% $37,169 +198%
913 TRAUMATIC INJURY WITH MCC $110,531 $19,896 $34,479 +221% $24,198 +357%
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $110,234 $19,842 $29,596 +272% $32,841 +236%
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $109,832 $19,770 $23,141 +375% $23,141 +375%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $109,739 $19,753 $32,445 +238% $24,586 +346%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $109,613 $19,730 $42,423 +158% $33,851 +224%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $109,309 $19,676 $25,980 +321% $23,617 +363% ≈190% of Medicare
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $109,200 $19,656 $37,692 +190% $32,433 +237%
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $109,130 $19,643 $31,982 +241% $30,571 +257%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $109,060 $19,631 $28,029 +289% $22,320 +389%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $108,581 $19,545 $16,525 +557% $15,019 +623%
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $108,182 $19,473 $14,638 +639% $14,638 +639%
540 OSTEOMYELITIS WITH CC $107,818 $19,407 $28,728 +275% $26,676 +304%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $107,628 $19,373 $40,583 +165% $43,298 +149%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $107,538 $19,357 $16,607 +548% $14,716 +631%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $107,099 $19,278 $41,111 +161% $32,031 +234%
570 SKIN DEBRIDEMENT WITH MCC $107,051 $19,269 $63,709 +68% $52,435 +104%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $106,890 $19,240 $19,176 +457% $18,602 +475%
348 ANAL AND STOMAL PROCEDURES WITH CC $106,871 $19,237 $27,947 +282% $27,947 +282%
596 MAJOR SKIN DISORDERS WITHOUT MCC $106,726 $19,211 $24,000 +345% $17,226 +520%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $106,598 $19,188 $37,526 +184% $29,079 +267%
304 HYPERTENSION WITH MCC $106,566 $19,182 $26,080 +309% $26,080 +309%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $106,521 $19,174 $22,557 +372% $19,264 +453%
693 URINARY STONES WITH MCC $106,380 $19,148 $31,990 +233% $23,892 +345%
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $106,128 $19,103 $22,590 +370% $25,303 +319%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $106,078 $19,094 $28,515 +272% $28,050 +278%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $105,818 $19,047 $38,541 +175% $32,443 +226%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $105,632 $19,014 $19,811 +433% $22,148 +377%
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $104,673 $18,841 $23,396 +347% $23,488 +346%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $104,585 $18,825 $16,077 +551% $12,593 +730%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $103,915 $18,705 $35,352 +194% $26,682 +289%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $103,124 $18,562 $33,325 +209% $32,877 +214%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $102,919 $18,525 $36,340 +183% $29,826 +245%
593 SKIN ULCERS WITH CC $102,888 $18,520 $27,143 +279% $22,886 +350%
663 MINOR BLADDER PROCEDURES WITH CC $102,859 $18,515 $33,907 +203% $33,103 +211%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $102,845 $18,512 $33,694 +205% $33,694 +205%
333 RECTAL RESECTION WITH CC $102,621 $18,472 $46,551 +120% $37,154 +176%
509 ARTHROSCOPY $102,151 $18,387 $38,998 +162% $25,994 +293%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $100,860 $18,155 $37,599 +168% $32,944 +206%
200 PNEUMOTHORAX WITH CC $100,794 $18,143 $24,586 +310% $21,368 +372%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $100,751 $18,135 $20,086 +402% $16,552 +509%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $99,811 $17,966 $29,805 +235% $29,805 +235%
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $99,780 $17,960 $44,730 +123% $42,914 +133%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $99,621 $17,932 $24,644 +304% $18,459 +440%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $99,619 $17,931 $40,694 +145% $40,694 +145%
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $99,520 $17,914 $29,481 +238% $25,463 +291% ≈148% of Medicare
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $98,777 $17,780 $20,463 +383% $20,463 +383% ≈215% of Medicare
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $98,348 $17,703 $16,634 +491% $16,634 +491%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $97,859 $17,615 $19,072 +413% $18,807 +420%
552 MEDICAL BACK PROBLEMS WITHOUT MCC $97,645 $17,576 $21,396 +356% $21,396 +356% ≈200% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $97,638 $17,575 $23,767 +311% $20,422 +378%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $96,219 $17,319 $17,287 +457% $15,428 +524%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $96,064 $17,291 $31,063 +209% $26,280 +266%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $95,992 $17,279 $22,641 +324% $21,275 +351% ≈198% of Medicare
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $95,293 $17,153 $28,125 +239% $28,125 +239%
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $94,754 $17,056 $21,449 +342% $21,449 +342%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $94,505 $17,011 $22,024 +329% $22,024 +329%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $93,998 $16,920 $34,078 +176% $39,211 +140%
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $93,645 $16,856 $19,569 +379% $19,569 +379%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $93,470 $16,825 $39,013 +140% $33,255 +181%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $93,271 $16,789 $56,278 +66% $39,173 +138%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $93,133 $16,764 $35,872 +160% $27,152 +243%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $92,902 $16,722 $23,749 +291% $23,749 +291%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $92,843 $16,712 $28,593 +225% $26,870 +246%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $92,767 $16,698 $15,280 +507% $20,781 +346%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $92,707 $16,687 $27,645 +235% $27,297 +240%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $92,468 $16,644 $34,988 +164% $12,229 +656%
606 MINOR SKIN DISORDERS WITH MCC $92,361 $16,625 $34,344 +169% $27,975 +230%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $91,951 $16,551 $24,477 +276% $27,843 +230%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $91,943 $16,550 $22,850 +302% $22,850 +302%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $91,589 $16,486 $25,390 +261% $25,390 +261%
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $91,472 $16,465 $22,888 +300% $22,888 +300% ≈194% of Medicare
311 ANGINA PECTORIS $91,470 $16,465 $15,502 +490% $15,502 +490%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $90,894 $16,361 $21,886 +315% $22,098 +311% ≈192% of Medicare
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $90,750 $16,335 $19,305 +370% $19,305 +370%
199 PNEUMOTHORAX WITH MCC $90,626 $16,313 $36,952 +145% $33,787 +168%
644 ENDOCRINE DISORDERS WITH CC $90,247 $16,245 $22,941 +293% $23,198 +289%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $89,854 $16,174 $18,126 +396% $18,126 +396%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $89,748 $16,155 $24,948 +260% $31,321 +187%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $89,732 $16,152 $23,503 +282% $24,914 +260%
386 INFLAMMATORY BOWEL DISEASE WITH CC $89,659 $16,139 $22,033 +307% $22,033 +307%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $88,665 $15,960 $13,639 +550% $11,071 +701%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $88,661 $15,959 $20,896 +324% $20,181 +339% ≈210% of Medicare
103 HEADACHES WITHOUT MCC $88,617 $15,951 $18,874 +370% $21,280 +316%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $88,428 $15,917 $37,213 +138% $31,159 +184%
186 PLEURAL EFFUSION WITH MCC $88,315 $15,897 $33,834 +161% $33,834 +161%
445 DISORDERS OF THE BILIARY TRACT WITH CC $88,005 $15,841 $24,075 +266% $23,319 +277%
887 OTHER MENTAL DISORDER DIAGNOSES $87,895 $15,821 $26,404 +233% $20,616 +326%
503 FOOT PROCEDURES WITH MCC $87,795 $15,803 $55,321 +59% $47,540 +85%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $87,553 $15,760 $14,880 +488% $16,288 +438%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $87,301 $15,714 $17,762 +392% $21,056 +315%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $87,271 $15,709 $19,842 +340% $19,842 +340%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $86,695 $15,605 $21,225 +308% $19,924 +335%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $86,631 $15,594 $20,566 +321% $20,566 +321%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $86,553 $15,580 $38,308 +126% $30,243 +186%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $86,333 $15,540 $36,467 +137% $35,831 +141%
381 COMPLICATED PEPTIC ULCER WITH CC $86,292 $15,533 $24,177 +257% $24,177 +257%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $85,453 $15,382 $15,549 +450% $15,549 +450%
312 SYNCOPE AND COLLAPSE $83,674 $15,061 $19,342 +333% $19,342 +333% ≈194% of Medicare
134 OTHER EAR, NOSE, MOUTH & THROAT O.R. PROCEDURES W/O CC/MCC $83,537 $15,037 $23,289 +259% $23,289 +259%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $83,208 $14,977 $21,494 +287% $18,452 +351%
176 PULMONARY EMBOLISM WITHOUT MCC $83,202 $14,976 $18,081 +360% $18,081 +360%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $82,975 $14,935 $14,368 +478% $14,368 +478%
638 DIABETES WITH CC $82,638 $14,875 $20,361 +306% $19,661 +320% ≈187% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $82,499 $14,850 $20,108 +310% $18,488 +346%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $82,416 $14,835 $28,065 +194% $27,426 +200%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $82,415 $14,835 $14,643 +463% $13,633 +505%
188 PLEURAL EFFUSION WITHOUT CC/MCC $82,210 $14,798 $16,299 +404% $14,514 +466%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $82,055 $14,770 $17,522 +368% $17,620 +366%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $82,037 $14,767 $25,652 +220% $25,652 +220%
683 RENAL FAILURE WITH CC $81,598 $14,688 $19,733 +314% $19,130 +327% ≈186% of Medicare
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $81,420 $14,656 $31,974 +155% $26,463 +208%
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $81,334 $14,640 $27,492 +196% $28,320 +187%
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $81,260 $14,627 $16,097 +405% $19,227 +323%
548 SEPTIC ARTHRITIS WITH MCC $80,526 $14,495 $41,146 +96% $31,346 +157%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $80,325 $14,459 $22,628 +255% $20,901 +284%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $80,198 $14,436 $27,641 +190% $19,354 +314%
305 HYPERTENSION WITHOUT MCC $79,298 $14,274 $16,665 +376% $18,086 +338%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $79,065 $14,232 $31,950 +147% $26,932 +194%
597 MALIGNANT BREAST DISORDERS WITH MCC $79,011 $14,222 $36,807 +115% $33,386 +137%
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $78,926 $14,207 $23,571 +235% $23,571 +235%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $78,875 $14,198 $16,412 +381% $17,303 +356%
546 CONNECTIVE TISSUE DISORDERS WITH CC $78,806 $14,185 $25,700 +207% $25,700 +207%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $78,763 $14,177 $18,330 +330% $17,298 +355%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $78,553 $14,140 $27,634 +184% $22,851 +244%
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $78,506 $14,131 $19,096 +311% $19,096 +311%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $78,081 $14,055 $18,002 +334% $18,002 +334%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $77,749 $13,995 $23,971 +224% $22,314 +248%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $77,324 $13,918 $27,348 +183% $19,270 +301%
157 DENTAL AND ORAL DISEASES WITH MCC $77,195 $13,895 $34,802 +122% $31,300 +147%
303 ATHEROSCLEROSIS WITHOUT MCC $76,973 $13,855 $14,927 +416% $14,927 +416%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $76,841 $13,831 $20,861 +268% $17,934 +328%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $76,785 $13,821 $15,837 +385% $15,837 +385%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $76,632 $13,794 $44,068 +74% $32,574 +135%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $76,609 $13,790 $16,565 +362% $16,565 +362%
603 CELLULITIS WITHOUT MCC $76,470 $13,765 $19,553 +291% $18,530 +313% ≈185% of Medicare
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $76,309 $13,736 $18,204 +319% $18,204 +319%
947 SIGNS AND SYMPTOMS WITH MCC $76,098 $13,698 $28,553 +167% $27,401 +178%
292 HEART FAILURE AND SHOCK WITH CC $75,879 $13,658 $19,118 +297% $16,371 +363%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $74,266 $13,368 $38,876 +91% $35,849 +107%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $73,357 $13,204 $24,042 +205% $23,283 +215%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $71,558 $12,881 $15,600 +359% $15,600 +359%
694 URINARY STONES WITHOUT MCC $71,549 $12,879 $17,347 +312% $17,345 +313%
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $71,403 $12,853 $33,779 +111% $32,697 +118%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $71,249 $12,825 $27,494 +159% $22,458 +217%
149 DYSEQUILIBRIUM $70,600 $12,708 $16,594 +325% $18,096 +290%
076 VIRAL MENINGITIS WITHOUT CC/MCC $70,482 $12,687 $20,355 +246% $17,135 +311%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $70,463 $12,683 $20,084 +251% $20,084 +251%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $70,026 $12,605 $22,750 +208% $18,348 +282%
152 OTITIS MEDIA AND URI WITH MCC $69,908 $12,583 $25,192 +177% $20,247 +245%
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $69,871 $12,577 $32,490 +115% $27,394 +155%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $69,707 $12,547 $19,815 +252% $19,846 +251%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $69,640 $12,535 $13,855 +403% $12,324 +465%
541 OSTEOMYELITIS WITHOUT CC/MCC $69,472 $12,505 $19,422 +258% $15,215 +357%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $69,006 $12,421 $21,494 +221% $19,962 +246%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $68,969 $12,414 $21,460 +221% $17,724 +289%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $68,430 $12,317 $22,197 +208% $20,957 +227%
313 CHEST PAIN $68,146 $12,266 $15,837 +330% $16,440 +315%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $68,039 $12,247 $17,322 +293% $17,322 +293%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $68,019 $12,243 $19,584 +247% $16,699 +307%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $67,629 $12,173 $22,266 +204% $16,212 +317%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $67,486 $12,147 $17,817 +279% $17,674 +282% ≈200% of Medicare
948 SIGNS AND SYMPTOMS WITHOUT MCC $67,290 $12,112 $17,638 +282% $17,921 +275%
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $66,856 $12,034 $32,248 +107% $28,140 +138%
534 FRACTURES OF FEMUR WITHOUT MCC $66,397 $11,951 $18,070 +267% $17,559 +278%
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $66,051 $11,889 $17,700 +273% $17,700 +273%
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $65,890 $11,860 $41,375 +59% $31,134 +112%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $65,543 $11,798 $27,063 +142% $25,581 +156%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $65,510 $11,792 $17,347 +278% $17,038 +284% ≈215% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $65,313 $11,756 $28,340 +130% $22,557 +190%
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $64,950 $11,691 $13,683 +375% $15,183 +328%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $63,252 $11,385 $17,795 +255% $17,578 +260% ≈184% of Medicare
812 RED BLOOD CELL DISORDERS WITHOUT MCC $63,024 $11,344 $20,488 +208% $20,488 +208%
183 MAJOR CHEST TRAUMA WITH MCC $62,419 $11,235 $33,957 +84% $29,933 +109%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $62,021 $11,164 $14,134 +339% $15,038 +312%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $61,986 $11,157 $18,139 +242% $17,118 +262%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $61,869 $11,136 $31,874 +94% $29,743 +108%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $61,379 $11,048 $15,411 +298% $14,797 +315%
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $61,245 $11,024 $20,506 +199% $20,506 +199%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $61,117 $11,001 $33,987 +80% $25,703 +138%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $60,989 $10,978 $16,104 +279% $16,767 +264%
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $60,100 $10,818 $21,880 +175% $20,895 +188%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $60,057 $10,810 $23,887 +151% $18,956 +217%
684 RENAL FAILURE WITHOUT CC/MCC $59,950 $10,791 $13,642 +339% $13,642 +339%
712 TESTES PROCEDURES WITHOUT CC/MCC $59,883 $10,779 $23,745 +152% $18,898 +217%
914 TRAUMATIC INJURY WITHOUT MCC $59,299 $10,674 $20,344 +191% $15,855 +274%
101 SEIZURES WITHOUT MCC $58,304 $10,495 $20,461 +185% $20,461 +185%
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $57,922 $10,426 $28,993 +100% $26,051 +122%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $57,892 $10,421 $22,155 +161% $15,370 +277%
607 MINOR SKIN DISORDERS WITHOUT MCC $57,470 $10,345 $19,185 +200% $15,889 +262%
639 DIABETES WITHOUT CC/MCC $57,220 $10,300 $13,910 +311% $13,910 +311%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $56,769 $10,218 $24,439 +132% $17,483 +225%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $56,502 $10,170 $18,126 +212% $18,126 +212%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $56,257 $10,126 $13,384 +320% $13,384 +320%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $56,130 $10,103 $24,337 +131% $16,846 +233%
123 NEUROLOGICAL EYE DISORDERS $55,566 $10,002 $17,831 +212% $19,745 +181%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $55,225 $9,941 $21,236 +160% $16,700 +231%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $55,054 $9,910 $19,854 +177% $19,854 +177%
866 VIRAL ILLNESS WITHOUT MCC $54,437 $9,799 $19,642 +177% $17,081 +219%
916 ALLERGIC REACTIONS WITHOUT MCC $54,411 $9,794 $14,743 +269% $13,942 +290%
204 RESPIRATORY SIGNS AND SYMPTOMS $54,234 $9,762 $18,004 +201% $18,004 +201%
201 PNEUMOTHORAX WITHOUT CC/MCC $54,051 $9,729 $15,031 +260% $14,053 +285%
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $53,613 $9,650 $18,978 +182% $14,290 +275%
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $53,261 $9,587 $13,395 +298% $10,480 +408%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $53,226 $9,581 $13,824 +285% $13,824 +285%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $53,053 $9,550 $26,302 +102% $25,712 +106%
864 FEVER AND INFLAMMATORY CONDITIONS $52,663 $9,479 $19,935 +164% $18,640 +183%
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $52,311 $9,416 $21,733 +141% $15,901 +229%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $51,266 $9,228 $17,087 +200% $14,648 +250%
885 PSYCHOSES $50,723 $9,130 $30,968 +64% $21,729 +133% ≈129% of Medicare
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $50,115 $9,021 $15,358 +226% $14,689 +241%
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $49,912 $8,984 $76,907 −35% $54,196 −8%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $49,625 $8,932 $19,638 +153% $15,452 +221%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $49,226 $8,861 $38,978 +26% $37,844 +30%
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $49,183 $8,853 $21,363 +130% $21,363 +130%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $49,165 $8,850 $38,998 +26% $30,553 +61%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $48,847 $8,792 $25,822 +89% $19,412 +152%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $48,507 $8,731 $21,129 +130% $18,316 +165%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $48,261 $8,687 $15,839 +205% $12,454 +288%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $48,120 $8,662 $13,318 +261% $13,361 +260%
187 PLEURAL EFFUSION WITH CC $48,089 $8,656 $22,288 +116% $21,789 +121%
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $47,769 $8,598 $31,612 +51% $21,986 +117%
138 MOUTH PROCEDURES WITHOUT CC/MCC $47,421 $8,536 $19,492 +143% $19,119 +148%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $46,737 $8,413 $16,064 +191% $13,275 +252%
935 NON-EXTENSIVE BURNS $46,038 $8,287 $43,274 +6% $31,701 +45%
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $45,958 $8,272 $23,944 +92% $17,193 +167%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $45,355 $8,164 $13,599 +234% $10,975 +313%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $45,311 $8,156 $20,725 +119% $16,968 +167%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $44,814 $8,067 $15,464 +190% $12,252 +266%
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $43,866 $7,896 $23,312 +88% $22,763 +93%
882 NEUROSES EXCEPT DEPRESSIVE $43,601 $7,848 $21,356 +104% $15,680 +178%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $42,760 $7,697 $25,552 +67% $18,133 +136%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $42,751 $7,695 $17,665 +142% $8,445 +406%
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $42,477 $7,646 $18,528 +129% $18,528 +129%
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $42,217 $7,599 $16,654 +153% $19,037 +122%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $41,801 $7,524 $14,148 +195% $12,078 +246%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $41,656 $7,498 $16,450 +153% $16,450 +153%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $41,373 $7,447 $28,156 +47% $28,156 +47%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $40,824 $7,348 $14,128 +189% $14,128 +189%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $40,253 $7,246 $15,156 +166% $13,651 +195%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $39,447 $7,100 $19,138 +106% $19,138 +106%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $38,808 $6,985 $16,592 +134% $12,895 +201%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $38,295 $6,893 $14,208 +170% $14,250 +169%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $38,173 $6,871 $26,533 +44% $21,847 +75%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $37,953 $6,831 $13,326 +185% $12,999 +192%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $37,645 $6,776 $14,927 +152% $14,549 +159%
779 ABORTION WITHOUT D&C $37,304 $6,715 $20,752 +80% $15,327 +143%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $35,097 $6,317 $30,056 +17% $29,949 +17%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $34,748 $6,255 $14,072 +147% $11,421 +204%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $34,625 $6,232 $21,280 +63% $17,733 +95%
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $34,216 $6,159 $14,800 +131% $11,847 +189%
881 DEPRESSIVE NEUROSES $34,083 $6,135 $20,293 +68% $15,058 +126%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $33,861 $6,095 $18,179 +86% $14,501 +134%
153 OTITIS MEDIA AND URI WITHOUT MCC $33,293 $5,993 $15,799 +111% $14,583 +128%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $30,808 $5,546 $15,267 +102% $14,415 +114%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $30,578 $5,504 $17,431 +75% $14,014 +118%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $29,024 $5,224 $11,539 +152% $9,940 +192%
151 EPISTAXIS WITHOUT MCC $27,161 $4,889 $16,827 +61% $13,032 +108%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $26,034 $4,686 $15,058 +73% $11,997 +117%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $25,891 $4,660 $48,788 −47% $38,998 −34%
089 CONCUSSION WITH CC $25,356 $4,564 $23,800 +7% $18,821 +35%
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $24,447 $4,400 $37,477 −35% $26,510 −8%
642 INBORN AND OTHER DISORDERS OF METABOLISM $23,347 $4,202 $27,552 −15% $20,727 +13%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $19,357 $3,484 $13,425 +44% $10,160 +91%
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $16,579 $2,984 $12,751 +30% $8,927 +86%
795 NORMAL NEWBORN $9,090 $1,636 $6,664 +36% $4,720 +93%
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $7,733 $1,392 $17,953 −57% $15,215 −49%

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
999 UNGROUPABLE $850 – $8,363 · median $4,770 15 plans