Procedures published 717
Lowest published price $8,317
Average published price $118,257
Highest published price $1,729,371

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 717 procedures

Published charges

Showing all 717 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 154 procedures, this hospital's negotiated rates average ≈102% of what Medicare pays.

DRG Description Published price Cash price vs. CA median vs. National median vs Medicare
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $1,729,371 $137,069 $116,058 +1390% $116,058 +1390%
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $1,115,615 $59,917 $81,298 +1272% $68,590 +1527%
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $885,169 $116,678 $371,366 +138% $371,366 +138%
799 SPLENIC PROCEDURES WITH MCC $863,526 $42,899 $90,790 +851% $78,821 +996%
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $744,651 $76,158 $248,521 +200% $245,189 +204%
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $692,084 $157,845 $486,976 +42% $431,073 +61%
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $676,568 $27,148 $38,308 +1666% $29,609 +2185%
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $563,472 $43,282 $148,686 +279% $135,380 +316%
850 ACUTE LEUKEMIA WITH OTHER PROCEDURES $532,437 $47,627 $168,048 +217% $121,563 +338%
653 MAJOR BLADDER PROCEDURES WITH MCC $530,238 $28,597 $104,583 +407% $97,028 +446%
426 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $506,197 $60,605 $189,537 +167% $142,326 +256%
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $485,754 $15,592 $55,434 +776% $40,947 +1086%
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $480,307 $38,023 $124,290 +286% $137,160 +250% ≈87% of Medicare
215 OTHER HEART ASSIST SYSTEM IMPLANT $468,246 $54,757 $191,314 +145% $191,314 +145%
212 CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES $429,020 $59,797 $196,346 +119% $171,338 +150%
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $411,785 $42,053 $144,569 +185% $138,868 +197%
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $409,992 $46,220 $153,282 +167% $151,029 +171%
213 ENDOVASCULAR ABDOMINAL AORTA WITH ILIAC BRANCH PROCEDURES $398,223 $31,402 $78,423 +408% $119,143 +234%
430 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITHOUT MCC $393,896 $31,733 $105,333 +274% $93,783 +320%
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $383,262 $23,480 $84,217 +355% $60,098 +538%
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $375,079 $33,357 $115,839 +224% $106,219 +253%
447 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $364,225 $36,758 $126,098 +189% $114,665 +218%
137 MOUTH PROCEDURES WITH CC/MCC $361,885 $7,602 $31,048 +1066% $24,348 +1386%
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $358,322 $53,800 $175,437 +104% $175,437 +104%
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $349,015 $27,087 $95,536 +265% $87,575 +299%
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $343,037 $14,913 $53,208 +545% $45,497 +654%
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $338,702 $34,003 $143,242 +136% $143,242 +136% ≈107% of Medicare
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $333,820 $29,589 $101,662 +228% $78,327 +326%
429 COMBINED ANTERIOR AND POSTERIOR CERVICAL SPINAL FUSION WITH MCC $324,845 $49,551 $153,621 +111% $119,071 +173%
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $317,984 $17,502 $72,461 +339% $62,404 +410%
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $316,752 $37,837 $125,242 +153% $115,937 +173%
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $310,642 $33,679 $117,196 +165% $109,331 +184%
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $310,173 $39,225 $131,961 +135% $131,961 +135%
428 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC $309,606 $30,936 $105,899 +192% $105,899 +192%
427 MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC $302,725 $39,709 $132,794 +128% $121,728 +149%
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $302,536 $26,442 $91,495 +231% $70,779 +327%
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $294,370 $25,027 $88,307 +233% $88,307 +233% ≈103% of Medicare
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $287,985 $33,262 $114,040 +153% $108,472 +165%
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $286,206 $12,916 $59,790 +379% $54,475 +425%
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $281,843 $36,174 $121,714 +132% $121,714 +132%
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $281,039 $30,060 $102,573 +174% $102,573 +174%
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $280,744 $29,132 $106,057 +165% $101,280 +177%
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $275,572 $12,086 $49,137 +461% $43,313 +536%
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $271,914 $20,720 $75,103 +262% $75,103 +262%
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $268,442 $37,030 $125,675 +114% $104,881 +156%
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $265,244 $25,548 $102,177 +160% $102,177 +160% ≈95% of Medicare
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $263,608 $25,747 $91,138 +189% $85,882 +207%
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $253,574 $17,127 $64,523 +293% $63,310 +301%
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $250,963 $19,381 $68,639 +266% $61,206 +310%
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $248,273 $18,306 $70,026 +255% $56,964 +336%
317 CONCOMITANT LEFT ATRIAL APPENDAGE CLOSURE AND CARDIAC ABLATION $244,390 $36,785 $117,146 +109% $93,934 +160%
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $242,869 $27,448 $96,245 +152% $80,747 +201%
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $242,530 $21,538 $74,755 +224% $74,755 +224%
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $241,651 $21,539 $88,050 +174% $88,050 +174% ≈106% of Medicare
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $240,752 $29,036 $99,423 +142% $99,423 +142%
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $238,283 $30,013 $101,576 +135% $86,953 +174%
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $236,523 $32,291 $112,062 +111% $112,062 +111%
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $235,442 $6,861 $27,163 +767% $26,158 +800%
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $234,368 $10,257 $39,515 +493% $33,415 +601%
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $227,745 $25,824 $90,775 +151% $84,825 +168% ≈92% of Medicare
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR ANTINEOPLASTIC IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $225,774 $31,087 $106,778 +111% $106,778 +111%
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $225,187 $21,139 $77,817 +189% $71,519 +215% ≈97% of Medicare
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $223,513 $30,629 $97,241 +130% $84,861 +163%
335 PERITONEAL ADHESIOLYSIS WITH MCC $222,621 $19,664 $71,755 +210% $71,755 +210%
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $222,534 $11,544 $43,328 +414% $36,850 +504%
500 SOFT TISSUE PROCEDURES WITH MCC $218,614 $17,433 $64,105 +241% $57,181 +282%
333 RECTAL RESECTION WITH CC $217,902 $12,912 $46,551 +368% $34,352 +534%
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $214,814 $18,789 $67,268 +219% $62,790 +242%
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $214,792 $13,905 $54,583 +294% $52,332 +310%
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $213,321 $17,818 $60,905 +250% $49,710 +329%
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $212,810 $106,466 $412,183 −48% $306,087 −30%
503 FOOT PROCEDURES WITH MCC $212,799 $15,379 $55,321 +285% $43,982 +384%
359 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITH MCC $210,834 $18,937 $110,102 +91% $110,102 +91%
332 RECTAL RESECTION WITH MCC $210,558 $19,938 $69,152 +204% $58,125 +262%
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $208,773 $8,633 $34,613 +503% $24,465 +753%
402 SINGLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL $208,650 $22,135 $79,116 +164% $75,492 +176%
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $207,127 $36,174 $113,157 +83% $92,238 +125%
245 AICD GENERATOR PROCEDURES $207,098 $25,113 $95,281 +117% $72,076 +187%
150 EPISTAXIS WITH MCC $206,721 $7,358 $30,507 +578% $21,133 +878%
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $205,161 $27,180 $94,937 +116% $86,938 +136% ≈104% of Medicare
163 MAJOR CHEST PROCEDURES WITH MCC $205,145 $19,589 $88,341 +132% $88,341 +132% ≈87% of Medicare
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $204,219 $19,981 $64,194 +218% $51,142 +299%
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $203,138 $19,998 $71,092 +186% $64,488 +215%
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $201,071 $23,822 $84,725 +137% $87,495 +130% ≈95% of Medicare
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $199,569 $17,775 $64,956 +207% $64,956 +207%
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $199,065 $19,886 $82,247 +142% $82,247 +142% ≈107% of Medicare
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $198,413 $19,859 $66,976 +196% $57,277 +246%
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $197,798 $8,625 $34,817 +468% $30,768 +543%
448 MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $196,722 $23,346 $81,998 +140% $81,998 +140%
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR $195,672 $33,049 $117,280 +67% $117,280 +67%
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $193,961 $19,889 $67,560 +187% $57,855 +235%
450 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE $193,204 $29,329 $99,943 +93% $79,944 +142%
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $191,756 $15,914 $60,274 +218% $63,984 +200% ≈108% of Medicare
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $189,522 $32,270 $108,750 +74% $96,192 +97%
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $189,329 $15,901 $57,493 +229% $46,402 +308%
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $189,307 $16,638 $59,031 +221% $58,968 +221%
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $187,743 $8,732 $96,507 +95% $94,320 +99%
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $186,482 $9,655 $35,675 +423% $29,409 +534%
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $185,768 $23,249 $83,065 +124% $83,065 +124% ≈93% of Medicare
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $184,675 $21,515 $102,128 +81% $95,375 +94%
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $183,827 $12,653 $43,749 +320% $37,681 +388%
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $182,896 $15,146 $52,405 +249% $52,405 +249% ≈87% of Medicare
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $181,223 $15,064 $52,959 +242% $43,491 +317%
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $180,942 $19,584 $71,014 +155% $71,014 +155% ≈94% of Medicare
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $180,452 $19,635 $69,701 +159% $59,207 +205%
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $179,625 $17,587 $70,132 +156% $70,132 +156%
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $179,584 $32,702 $107,269 +67% $80,018 +124%
668 TRANSURETHRAL PROCEDURES WITH MCC $177,842 $16,088 $59,859 +197% $47,126 +277%
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $176,948 $15,979 $58,043 +205% $58,043 +205%
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $176,757 $16,521 $86,699 +104% $72,843 +143%
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $175,298 $16,710 $65,788 +166% $64,468 +172%
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $175,202 $32,810 $107,355 +63% $107,355 +63%
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $173,223 $27,229 $96,905 +79% $96,905 +79% ≈89% of Medicare
472 CERVICAL SPINAL FUSION WITH CC $172,276 $16,231 $59,537 +189% $59,537 +189% ≈94% of Medicare
471 CERVICAL SPINAL FUSION WITH MCC $172,160 $26,576 $92,515 +86% $92,515 +86%
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $171,540 $17,357 $66,819 +157% $66,819 +157% ≈97% of Medicare
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $170,465 $12,343 $48,353 +253% $44,022 +287%
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $169,862 $18,764 $70,175 +142% $50,919 +234%
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $169,319 $21,312 $76,219 +122% $72,908 +132%
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $169,218 $8,111 $33,674 +403% $30,888 +448%
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $168,640 $17,683 $61,217 +175% $53,787 +214%
028 SPINAL PROCEDURES WITH MCC $167,691 $28,713 $113,077 +48% $95,858 +75%
654 MAJOR BLADDER PROCEDURES WITH CC $166,384 $15,123 $58,274 +186% $53,868 +209%
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $165,654 $10,063 $38,541 +330% $32,839 +404%
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $165,173 $3,977 $15,549 +962% $13,654 +1110%
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $164,425 $24,181 $82,561 +99% $82,561 +99%
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $163,952 $14,659 $58,975 +178% $56,758 +189%
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $163,937 $18,399 $69,597 +136% $51,953 +216%
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $162,706 $14,151 $54,345 +199% $41,596 +291%
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $162,510 $11,399 $43,913 +270% $41,847 +288%
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $161,761 $25,421 $91,329 +77% $91,329 +77%
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $161,076 $24,566 $86,970 +85% $75,585 +113%
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $160,609 $17,838 $65,631 +145% $53,763 +199%
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $160,197 $13,186 $70,540 +127% $70,540 +127%
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $160,148 $52,849 $41,855 +283% $45,916 +249%
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $159,624 $20,581 $75,573 +111% $72,274 +121% ≈85% of Medicare
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $159,563 $11,033 $43,775 +265% $43,775 +265%
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $159,470 $15,989 $60,140 +165% $60,140 +165%
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $158,895 $14,215 $47,583 +234% $39,093 +306%
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $158,684 $11,113 $25,769 +516% $22,532 +604%
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $158,651 $19,421 $68,421 +132% $68,421 +132% ≈109% of Medicare
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $157,613 $13,215 $50,562 +212% $58,713 +168% ≈98% of Medicare
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $157,269 $13,978 $51,189 +207% $56,394 +179% ≈106% of Medicare
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $156,990 $19,118 $69,089 +127% $48,745 +222%
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $156,472 $20,965 $74,257 +111% $74,257 +111%
834 ACUTE LEUKEMIA WITH MCC $156,319 $30,210 $100,245 +56% $76,004 +106%
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $155,214 $22,863 $79,225 +96% $71,873 +116%
336 PERITONEAL ADHESIOLYSIS WITH CC $154,613 $11,629 $46,332 +234% $49,071 +215% ≈100% of Medicare
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $153,867 $15,814 $62,334 +147% $66,765 +130% ≈102% of Medicare
037 EXTRACRANIAL PROCEDURES WITH MCC $153,483 $18,132 $66,666 +130% $64,749 +137%
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $153,375 $14,993 $60,959 +152% $74,274 +107% ≈91% of Medicare
915 ALLERGIC REACTIONS WITH MCC $151,456 $9,282 $36,491 +315% $30,944 +389%
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $151,301 $22,971 $83,441 +81% $83,441 +81%
451 SINGLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $150,473 $17,793 $65,216 +131% $65,216 +131% ≈99% of Medicare
263 VEIN LIGATION AND STRIPPING $149,956 $16,843 $55,918 +168% $44,938 +234%
791 PREMATURITY WITH MAJOR PROBLEMS $149,949 $22,347 $75,557 +98% $39,254 +282%
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $149,695 $11,365 $44,363 +237% $43,320 +246%
662 MINOR BLADDER PROCEDURES WITH MCC $149,463 $16,865 $63,279 +136% $54,483 +174%
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $149,462 $23,632 $86,246 +73% $76,954 +94%
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $148,762 $7,029 $27,634 +438% $21,860 +581%
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $148,330 $9,436 $58,880 +152% $49,055 +202%
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $147,938 $33,718 $113,855 +30% $113,855 +30% ≈90% of Medicare
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $142,432 $47,002 $68,653 +107% $61,353 +132%
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $142,257 $13,457 $50,624 +181% $50,624 +181%
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $142,255 $26,203 $92,217 +54% $92,217 +54% ≈89% of Medicare
113 ORBITAL PROCEDURES WITH CC/MCC $142,032 $12,961 $48,760 +191% $35,642 +298%
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $142,013 $17,406 $62,677 +127% $53,817 +164%
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $141,655 $15,142 $54,929 +158% $54,929 +158% ≈106% of Medicare
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $141,534 $13,155 $50,777 +179% $51,950 +172% ≈97% of Medicare
397 APPENDIX PROCEDURES WITH MCC $141,214 $13,202 $54,751 +158% $52,319 +170%
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $140,548 $15,274 $53,666 +162% $56,197 +150% ≈102% of Medicare
619 O.R. PROCEDURES FOR OBESITY WITH MCC $139,824 $15,908 $58,935 +137% $44,973 +211%
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $139,709 $6,571 $43,538 +221% $43,538 +221%
030 SPINAL PROCEDURES WITHOUT CC/MCC $139,419 $12,105 $48,235 +189% $45,842 +204%
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $138,773 $17,537 $65,608 +112% $64,465 +115%
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $137,391 $9,590 $36,354 +278% $36,333 +278%
570 SKIN DEBRIDEMENT WITH MCC $136,910 $12,473 $63,709 +115% $51,501 +166%
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $136,358 $8,869 $37,526 +263% $28,578 +377%
334 RECTAL RESECTION WITHOUT CC/MCC $136,182 $9,042 $36,820 +270% $32,213 +323%
318 PERCUTANEOUS CORONARY ATHERECTOMY WITHOUT INTRALUMINAL DEVICE $134,821 $13,352 $75,411 $58,739 +130%
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $134,200 $9,006 $33,633 +299% $30,224 +344%
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $133,480 $11,461 $44,639 +199% $45,594 +193% ≈103% of Medicare
164 MAJOR CHEST PROCEDURES WITH CC $133,344 $13,911 $53,141 +151% $53,141 +151% ≈97% of Medicare
671 URETHRAL PROCEDURES WITH CC/MCC $132,883 $9,905 $38,265 +247% $27,233 +388%
642 INBORN AND OTHER DISORDERS OF METABOLISM $132,806 $7,856 $27,552 +382% $20,727 +541%
360 PERCUTANEOUS CORONARY ATHERECTOMY WITH INTRALUMINAL DEVICE WITHOUT MCC $132,639 $13,309 $70,942 +87% $93,769 +41%
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $132,088 $11,533 $46,477 +184% $46,477 +184%
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $131,612 $10,098 $40,583 +224% $40,583 +224%
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $130,896 $14,215 $47,583 +175% $47,583 +175%
253 OTHER VASCULAR PROCEDURES WITH CC $130,511 $14,305 $53,746 +143% $53,746 +143% ≈95% of Medicare
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $130,350 $13,055 $50,139 +160% $50,139 +160% ≈101% of Medicare
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $129,506 $10,124 $40,552 +219% $40,552 +219%
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $129,442 $5,060 $20,566 +529% $18,323 +606%
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $129,103 $9,289 $36,651 +252% $44,087 +193% ≈101% of Medicare
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $129,098 $18,881 $69,724 +85% $65,383 +97%
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $128,639 $19,730 $77,770 +65% $57,521 +124%
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $128,526 $6,621 $37,921 +239% $35,990 +257% ≈92% of Medicare
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $128,345 $10,926 $40,150 +220% $35,108 +266%
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $128,318 $11,679 $46,799 +174% $55,147 +133% ≈104% of Medicare
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $127,834 $8,538 $43,800 +192% $43,252 +196%
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $127,400 $12,201 $44,489 +186% $44,600 +186% ≈106% of Medicare
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $127,078 $9,974 $40,063 +217% $40,063 +217%
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $127,041 $19,684 $77,041 +65% $61,832 +105%
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $126,809 $11,022 $44,357 +186% $43,444 +192% ≈97% of Medicare
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $126,655 $13,473 $51,645 +145% $54,681 +132% ≈93% of Medicare
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $126,390 $19,206 $75,820 +67% $62,961 +101%
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $125,676 $9,986 $40,365 +211% $35,989 +249%
620 O.R. PROCEDURES FOR OBESITY WITH CC $124,879 $8,836 $35,453 +252% $35,453 +252%
592 SKIN ULCERS WITH MCC $124,415 $10,676 $41,848 +197% $32,662 +281%
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $124,101 $9,730 $51,985 +139% $51,985 +139% ≈68% of Medicare
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $123,620 $9,337 $36,816 +236% $42,119 +194% ≈100% of Medicare
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $123,119 $11,551 $45,703 +169% $50,998 +141% ≈109% of Medicare
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $121,243 $23,130 $81,281 +49% $72,879 +66% ≈100% of Medicare
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $121,163 $14,004 $54,273 +123% $47,574 +155%
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $120,375 $16,482 $52,735 +128% $57,030 +111%
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $120,332 $9,730 $40,163 +200% $54,772 +120% ≈95% of Medicare
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $120,248 $12,065 $49,209 +144% $39,253 +206%
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $119,912 $11,500 $43,483 +176% $38,166 +214% ≈103% of Medicare
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $119,697 $9,832 $38,836 +208% $38,836 +208%
665 PROSTATECTOMY WITH MCC $119,667 $17,193 $68,562 +75% $54,072 +121%
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $119,520 $12,719 $62,821 +90% $62,266 +92%
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $119,426 $8,190 $31,974 +274% $25,786 +363%
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $119,205 $14,071 $55,162 +116% $55,162 +116%
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $119,019 $17,314 $77,178 +54% $68,331 +74%
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $117,537 $11,092 $40,719 +189% $35,714 +229% ≈101% of Medicare
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $117,164 $8,766 $34,434 +240% $34,434 +240%
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $116,248 $7,550 $30,056 +287% $28,509 +308%
252 OTHER VASCULAR PROCEDURES WITH MCC $116,122 $19,210 $68,508 +70% $68,508 +70% ≈100% of Medicare
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $115,779 $10,640 $47,089 +146% $44,553 +160%
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $115,695 $13,688 $73,751 +57% $60,861 +90%
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $115,530 $6,631 $25,652 +350% $25,206 +358%
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $115,339 $8,847 $35,375 +226% $35,375 +226% ≈98% of Medicare
835 ACUTE LEUKEMIA WITH CC $115,220 $11,503 $43,187 +167% $35,569 +224%
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $114,963 $9,536 $39,018 +195% $39,018 +195%
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $114,859 $17,349 $65,325 +76% $65,325 +76% ≈92% of Medicare
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $114,627 $11,673 $45,743 +151% $41,701 +175%
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $114,604 $7,665 $30,242 +279% $24,928 +360%
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $114,585 $10,642 $44,068 +160% $29,598 +287%
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $114,451 $11,153 $39,020 +193% $35,673 +221%
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITH MCC $114,344 $12,035 $51,339 +123% $51,339 +123%
950 AFTERCARE WITHOUT CC/MCC $114,081 $16,231 $13,527 +743% $13,527 +743%
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $113,897 $10,281 $39,105 +191% $36,241 +214%
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $113,677 $3,177 $14,072 +708% $11,421 +895%
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $113,503 $7,255 $28,156 +303% $28,156 +303%
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $113,165 $22,712 $78,852 +44% $78,852 +44% ≈99% of Medicare
551 MEDICAL BACK PROBLEMS WITH MCC $112,824 $9,252 $35,961 +214% $31,067 +263%
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $112,539 $8,193 $36,589 +208% $25,197 +347%
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $112,389 $12,041 $114,401 −2% $98,912 +14%
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $111,763 $12,893 $49,631 +125% $49,631 +125%
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $111,394 $7,887 $48,634 +129% $44,927 +148%
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $111,293 $25,236 $89,523 +24% $80,885 +38%
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $111,028 $8,789 $35,349 +214% $33,339 +233%
265 AICD LEAD PROCEDURES $110,648 $19,924 $70,810 +56% $56,216 +97%
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $110,592 $27,738 $90,331 +22% $90,331 +22%
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $110,490 $18,130 $65,573 +69% $65,573 +69% ≈95% of Medicare
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $110,322 $9,698 $37,214 +196% $47,635 +132%
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $109,795 $8,419 $33,399 +229% $33,790 +225%
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $109,789 $9,004 $35,217 +212% $39,675 +177% ≈108% of Medicare
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $109,358 $11,034 $43,080 +154% $43,080 +154%
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $109,194 $8,312 $32,467 +236% $25,149 +334%
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $109,027 $10,087 $37,842 +188% $37,842 +188% ≈102% of Medicare
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $108,707 $11,184 $43,384 +151% $29,524 +268%
540 OSTEOMYELITIS WITH CC $108,669 $7,165 $28,728 +278% $23,494 +363%
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $108,577 $8,125 $31,508 +245% $21,615 +402%
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $108,365 $8,251 $31,816 +241% $31,816 +241%
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $107,974 $10,716 $40,263 +168% $34,876 +210% ≈101% of Medicare
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $107,786 $6,133 $44,730 +141% $41,660 +159%
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $107,274 $16,620 $53,274 +101% $46,659 +130%
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $107,037 $6,472 $28,029 +282% $19,894 +438%
865 VIRAL ILLNESS WITH MCC $106,948 $8,275 $32,083 +233% $26,088 +310%
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $106,554 $14,235 $56,127 +90% $44,839 +138%
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $105,921 $9,968 $43,027 +146% $36,202 +193%
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $105,815 $6,459 $24,477 +332% $25,038 +323%
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $105,421 $7,878 $30,493 +246% $29,029 +263%
444 DISORDERS OF THE BILIARY TRACT WITH MCC $105,336 $9,224 $35,591 +196% $31,029 +239% ≈105% of Medicare
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $105,286 $8,660 $34,839 +202% $28,001 +276% ≈100% of Medicare
180 RESPIRATORY NEOPLASMS WITH MCC $104,979 $9,746 $36,658 +186% $36,658 +186% ≈94% of Medicare
398 APPENDIX PROCEDURES WITH CC $104,903 $8,359 $33,592 +212% $38,574 +172% ≈104% of Medicare
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $104,637 $11,512 $41,375 +153% $30,661 +241%
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $104,237 $9,112 $34,448 +203% $31,754 +228% ≈99% of Medicare
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $104,104 $3,665 $14,907 +598% $11,909 +774%
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $103,826 $11,966 $51,359 +102% $40,065 +159%
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $103,796 $12,742 $50,498 +106% $47,546 +118%
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $103,626 $6,019 $24,644 +320% $18,459 +461%
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $103,357 $6,527 $25,820 +300% $21,025 +392%
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $103,261 $8,331 $32,451 +218% $32,451 +218%
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $102,545 $10,162 $37,692 +172% $29,476 +248%
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $101,087 $19,619 $69,743 +45% $68,399 +48%
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $101,041 $8,244 $39,422 +156% $31,909 +217%
070 OTHER CEREBROVASCULAR DISORDERS WITH MCC $100,847 $8,174 $36,506 +176% $30,814 +227% ≈95% of Medicare
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $100,468 $17,916 $70,371 +43% $67,215 +49%
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $100,262 $10,561 $41,380 +142% $41,380 +142% ≈104% of Medicare
813 COAGULATION DISORDERS $100,116 $8,423 $33,296 +201% $30,128 +232% ≈102% of Medicare
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $99,954 $10,938 $47,452 +111% $41,114 +143% ≈112% of Medicare
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $99,937 $10,641 $41,857 +139% $48,801 +105% ≈101% of Medicare
643 ENDOCRINE DISORDERS WITH MCC $99,267 $9,087 $35,135 +183% $32,953 +201% ≈99% of Medicare
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $98,672 $6,860 $26,611 +271% $27,369 +261%
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $98,490 $8,569 $16,077 +513% $12,593 +682%
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $98,473 $10,430 $42,126 +134% $42,126 +134%
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $98,160 $10,063 $38,187 +157% $29,867 +229% ≈92% of Medicare
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $98,107 $7,590 $30,959 +217% $29,521 +232% ≈103% of Medicare
374 DIGESTIVE MALIGNANCY WITH MCC $97,999 $11,794 $42,775 +129% $38,885 +152%
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $97,880 $9,074 $38,094 +157% $38,094 +157%
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $97,417 $10,135 $37,950 +157% $37,950 +157% ≈105% of Medicare
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $97,277 $9,749 $38,631 +152% $34,886 +179%
181 RESPIRATORY NEOPLASMS WITH CC $97,068 $5,927 $24,648 +294% $22,065 +340%
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $97,031 $8,569 $33,388 +191% $35,528 +173%
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $96,761 $8,856 $34,867 +178% $28,802 +236% ≈104% of Medicare
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $96,377 $10,898 $45,376 +112% $36,318 +165%
100 SEIZURES WITH MCC $96,370 $10,685 $40,653 +137% $35,194 +174% ≈103% of Medicare
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $95,532 $9,460 $37,033 +158% $30,930 +209%
571 SKIN DEBRIDEMENT WITH CC $94,747 $9,326 $37,169 +155% $34,773 +172%
881 DEPRESSIVE NEUROSES $94,465 $8,937 $20,293 +366% $15,058 +527%
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $94,411 $9,537 $39,360 +140% $36,355 +160%
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $94,264 $9,000 $35,243 +167% $32,417 +191%
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $94,108 $20,226 $75,754 +24% $55,002 +71%
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $93,984 $16,398 $64,691 +45% $53,555 +75%
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $93,712 $7,649 $33,519 +180% $24,229 +287%
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $93,622 $12,174 $45,785 +104% $36,195 +159%
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $93,254 $11,751 $50,011 +86% $50,011 +86% ≈89% of Medicare
035 CAROTID ARTERY STENT PROCEDURES WITH CC $92,876 $13,178 $49,066 +89% $46,306 +101% ≈96% of Medicare
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $92,760 $12,821 $48,682 +91% $48,682 +91% ≈98% of Medicare
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $92,748 $7,255 $31,982 +190% $28,403 +227% ≈99% of Medicare
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $92,410 $8,286 $34,316 +169% $25,484 +263%
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $92,209 $8,858 $33,256 +177% $28,252 +226%
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $92,126 $6,658 $26,770 +244% $26,098 +253% ≈100% of Medicare
546 CONNECTIVE TISSUE DISORDERS WITH CC $92,114 $30,398 $25,700 +258% $24,146 +281%
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $91,946 $4,861 $19,811 +364% $21,323 +331%
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $91,810 $7,723 $30,083 +205% $29,374 +213%
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT INTRALUMINAL DEVICE WITHOUT MCC $91,782 $8,254 $34,689 +165% $40,801 +125%
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $91,505 $11,677 $45,849 +100% $37,080 +147%
682 RENAL FAILURE WITH MCC $91,306 $8,180 $32,520 +181% $27,640 +230% ≈97% of Medicare
186 PLEURAL EFFUSION WITH MCC $90,831 $8,606 $33,834 +168% $32,385 +180% ≈111% of Medicare
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $90,804 $7,165 $28,993 +213% $23,956 +279%
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $89,927 $10,430 $41,191 +118% $32,538 +176%
380 COMPLICATED PEPTIC ULCER WITH MCC $89,830 $10,824 $39,627 +127% $36,537 +146%
593 SKIN ULCERS WITH CC $89,418 $6,335 $27,143 +229% $20,470 +337%
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $89,418 $8,472 $32,911 +172% $32,911 +172% ≈110% of Medicare
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $89,138 $7,547 $29,250 +205% $34,564 +158% ≈104% of Medicare
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $88,999 $8,131 $32,248 +176% $27,597 +222%
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $88,978 $8,364 $28,651 +211% $22,811 +290%
157 DENTAL AND ORAL DISEASES WITH MCC $88,764 $8,896 $34,802 +155% $27,457 +223%
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $88,417 $12,124 $50,131 +76% $44,989 +97%
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $88,388 $7,011 $28,515 +210% $27,041 +227% ≈98% of Medicare
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $87,993 $5,691 $23,551 +274% $23,400 +276% ≈105% of Medicare
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $87,890 $5,634 $22,641 +288% $16,431 +435%
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $87,703 $7,756 $30,887 +184% $35,693 +146%
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $87,638 $5,793 $21,129 +315% $18,316 +378%
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $87,444 $12,601 $46,288 +89% $36,237 +141%
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $87,401 $7,972 $31,950 +174% $25,243 +246%
032 VENTRICULAR SHUNT PROCEDURES WITH CC $87,260 $9,410 $46,724 +87% $44,719 +95%
088 CONCUSSION WITH MCC $86,949 $7,470 $30,986 +181% $24,402 +256%
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $86,800 $5,002 $22,266 +290% $16,212 +435%
539 OSTEOMYELITIS WITH MCC $86,742 $10,866 $41,277 +110% $33,614 +158%
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $86,503 $10,103 $39,013 +122% $31,743 +173%
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $86,423 $4,364 $17,265 +401% $15,858 +445%
548 SEPTIC ARTHRITIS WITH MCC $86,401 $10,652 $41,146 +110% $31,019 +179%
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $86,268 $7,422 $27,348 +215% $20,147 +328%
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $86,071 $10,857 $40,213 +114% $36,880 +133% ≈95% of Medicare
072 OTHER CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $86,043 $4,197 $16,654 +417% $16,654 +417%
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $85,912 $5,614 $22,557 +281% $18,005 +377%
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $85,579 $4,417 $17,522 +388% $17,522 +388%
637 DIABETES WITH MCC $85,110 $7,937 $31,753 +168% $28,772 +196% ≈97% of Medicare
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $85,023 $11,302 $43,378 +96% $32,901 +158%
375 DIGESTIVE MALIGNANCY WITH CC $84,888 $6,689 $27,277 +211% $27,125 +213% ≈109% of Medicare
913 TRAUMATIC INJURY WITH MCC $84,667 $9,024 $34,479 +146% $24,198 +250%
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $84,423 $9,327 $30,846 +174% $24,561 +244%
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $84,105 $10,718 $40,694 +107% $40,694 +107% ≈100% of Medicare
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $83,766 $6,455 $28,340 +196% $22,557 +271%
183 MAJOR CHEST TRAUMA WITH MCC $83,533 $8,449 $33,957 +146% $28,924 +189%
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $83,511 $3,839 $14,927 +459% $13,198 +533%
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $83,250 $6,681 $29,805 +179% $29,805 +179%
381 COMPLICATED PEPTIC ULCER WITH CC $83,208 $5,996 $24,177 +244% $24,177 +244%
836 ACUTE LEUKEMIA WITHOUT CC/MCC $83,008 $6,910 $28,209 +194% $19,686 +322%
597 MALIGNANT BREAST DISORDERS WITH MCC $82,875 $9,203 $36,807 +125% $31,846 +160%
347 ANAL AND STOMAL PROCEDURES WITH MCC $82,291 $12,656 $50,614 +63% $40,548 +103%
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $82,111 $9,180 $35,419 +132% $33,962 +142%
882 NEUROSES EXCEPT DEPRESSIVE $81,785 $5,942 $21,356 +283% $15,680 +422%
811 RED BLOOD CELL DISORDERS WITH MCC $81,653 $7,759 $30,922 +164% $27,674 +195% ≈95% of Medicare
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $81,608 $6,179 $27,492 +197% $27,492 +197%
102 HEADACHES WITH MCC $81,162 $6,201 $25,740 +215% $21,983 +269%
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $80,790 $11,728 $42,423 +90% $32,506 +149%
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $80,774 $8,303 $32,100 +152% $29,630 +173%
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $80,585 $6,731 $26,533 +204% $20,148 +300%
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $80,304 $9,904 $39,057 +106% $31,913 +152%
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $80,065 $5,318 $21,280 +276% $15,636 +412%
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $80,029 $9,372 $37,599 +113% $29,671 +170%
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $79,783 $14,288 $50,218 +59% $38,878 +105%
302 ATHEROSCLEROSIS WITH MCC $79,486 $6,617 $25,825 +208% $20,810 +282%
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $79,359 $7,264 $29,252 +171% $25,766 +208% ≈106% of Medicare
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $78,971 $7,200 $29,117 +171% $23,039 +243% ≈100% of Medicare
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $78,911 $8,464 $32,490 +143% $25,854 +205%
693 URINARY STONES WITH MCC $78,696 $7,430 $31,990 +146% $22,525 +249%
504 FOOT PROCEDURES WITH CC $78,434 $10,313 $38,960 +101% $36,519 +115%
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $78,425 $8,477 $34,078 +130% $35,961 +118%
975 HIV WITH MAJOR RELATED CONDITION WITH CC $78,406 $7,158 $31,166 +152% $25,071 +213%
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $78,218 $7,617 $35,532 +120% $29,929 +161% ≈104% of Medicare
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $78,064 $8,310 $33,048 +136% $31,062 +151%
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $78,063 $6,658 $25,390 +207% $25,390 +207%
801 SPLENIC PROCEDURES WITHOUT CC/MCC $78,012 $10,531 $36,445 +114% $28,554 +173%
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $77,913 $14,608 $55,594 +40% $45,271 +72%
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $77,746 $9,952 $40,563 +92% $40,563 +92%
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $77,581 $15,602 $60,402 +28% $54,313 +43%
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $77,546 $5,922 $24,191 +221% $31,190 +149% ≈99% of Medicare
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $77,516 $8,079 $38,483 +101% $30,681 +153%
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $77,433 $8,486 $33,137 +134% $33,137 +134%
501 SOFT TISSUE PROCEDURES WITH CC $77,404 $9,648 $39,619 +95% $37,975 +104%
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $77,266 $10,319 $42,881 +80% $42,881 +80% ≈110% of Medicare
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $77,258 $8,878 $43,631 +77% $41,520 +86%
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $77,170 $8,693 $33,424 +131% $33,424 +131%
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $77,124 $8,281 $33,506 +130% $26,998 +186%
666 PROSTATECTOMY WITH CC $76,930 $8,949 $36,569 +110% $30,016 +156%
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $76,797 $4,434 $20,463 +275% $20,463 +275% ≈103% of Medicare
114 ORBITAL PROCEDURES WITHOUT CC/MCC $76,498 $7,477 $26,242 +192% $19,598 +290%
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $76,463 $7,731 $31,812 +140% $31,812 +140%
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $76,332 $6,501 $25,267 +202% $25,267 +202% ≈99% of Medicare
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $76,230 $5,706 $23,141 +229% $23,141 +229%
038 EXTRACRANIAL PROCEDURES WITH CC $76,203 $8,958 $35,770 +113% $35,770 +113%
669 TRANSURETHRAL PROCEDURES WITH CC $76,142 $8,570 $34,354 +122% $34,354 +122%
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $76,104 $7,341 $28,125 +171% $25,621 +197%
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $75,824 $9,287 $37,764 +101% $43,266 +75%
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $75,259 $6,292 $22,750 +231% $16,495 +356%
348 ANAL AND STOMAL PROCEDURES WITH CC $74,833 $7,234 $27,947 +168% $27,947 +168%
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $74,756 $9,014 $34,467 +117% $25,596 +192% ≈103% of Medicare
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $74,746 $4,015 $16,097 +364% $18,288 +309% ≈113% of Medicare
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $74,588 $7,381 $29,481 +153% $24,244 +208% ≈104% of Medicare
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $74,423 $8,830 $35,113 +112% $32,689 +128% ≈92% of Medicare
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $73,867 $12,189 $43,354 +70% $31,044 +138%
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $73,782 $12,006 $46,066 +60% $46,066 +60%
386 INFLAMMATORY BOWEL DISEASE WITH CC $73,743 $5,407 $22,033 +235% $20,917 +253%
594 SKIN ULCERS WITHOUT CC/MCC $73,317 $4,805 $18,841 +289% $14,209 +416%
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $73,202 $8,883 $35,352 +107% $25,146 +191%
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $73,191 $12,336 $48,788 +50% $38,998 +88%
947 SIGNS AND SYMPTOMS WITH MCC $73,071 $6,856 $28,553 +156% $25,474 +187%
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $73,039 $3,851 $23,503 +211% $24,000 +204% ≈106% of Medicare
300 PERIPHERAL VASCULAR DISORDERS WITH CC $73,008 $5,908 $23,767 +207% $19,448 +275% ≈102% of Medicare
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $72,985 $6,830 $27,470 +166% $24,603 +197% ≈96% of Medicare
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $72,911 $13,735 $51,487 +42% $45,937 +59%
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $72,773 $7,835 $27,641 +163% $19,354 +276%
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $72,736 $9,061 $34,749 +109% $32,189 +126%
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $72,408 $5,412 $21,216 +241% $20,371 +255%
445 DISORDERS OF THE BILIARY TRACT WITH CC $72,238 $6,056 $24,075 +200% $21,666 +233% ≈102% of Medicare
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $72,221 $8,432 $32,473 +122% $29,049 +149% ≈111% of Medicare
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $72,154 $6,257 $25,034 +188% $24,017 +200%
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $71,669 $5,575 $24,930 +187% $24,103 +197% ≈103% of Medicare
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $71,522 $5,594 $23,352 +206% $17,308 +313%
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $71,398 $5,645 $24,220 +195% $19,868 +259%
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $71,334 $6,418 $25,980 +175% $22,870 +212% ≈100% of Medicare
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $71,291 $5,538 $22,590 +216% $22,590 +216%
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $71,279 $8,760 $54,815 +30% $43,697 +63%
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $71,233 $4,766 $21,205 +236% $19,326 +269%
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $71,142 $5,846 $23,749 +200% $23,749 +200%
297 CARDIAC ARREST, UNEXPLAINED WITH CC $71,109 $3,526 $15,637 +355% $12,336 +476%
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $70,934 $7,629 $28,065 +153% $26,616 +167%
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $70,632 $9,631 $37,213 +90% $30,275 +133%
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $70,621 $8,524 $33,653 +110% $32,804 +115%
644 ENDOCRINE DISORDERS WITH CC $70,564 $5,674 $22,941 +208% $22,941 +208% ≈97% of Medicare
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $70,539 $7,257 $33,779 +109% $29,891 +136%
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $70,476 $23,257 $29,747 +137% $29,957 +135% ≈70% of Medicare
071 OTHER CEREBROVASCULAR DISORDERS WITH CC $70,397 $5,680 $23,396 +201% $23,396 +201% ≈101% of Medicare
535 FRACTURES OF HIP AND PELVIS WITH MCC $70,127 $7,086 $29,523 +138% $22,874 +207%
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $70,065 $8,998 $33,694 +108% $33,694 +108%
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $69,857 $5,232 $22,024 +217% $22,024 +217% ≈105% of Medicare
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $69,794 $5,075 $20,506 +240% $19,287 +262%
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $69,721 $9,520 $42,463 +64% $33,236 +110%
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $69,674 $26,975 $101,566 −31% $82,527 −16%
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $69,634 $12,807 $49,382 +41% $39,409 +77%
291 HEART FAILURE AND SHOCK WITH MCC $69,448 $7,096 $28,966 +140% $24,932 +179% ≈101% of Medicare
139 SALIVARY GLAND PROCEDURES $68,844 $6,832 $30,480 +126% $21,014 +228%
378 GASTROINTESTINAL HEMORRHAGE WITH CC $68,828 $5,431 $21,886 +214% $21,886 +214% ≈105% of Medicare
067 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $68,495 $8,112 $31,730 +116% $24,874 +175%
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $68,172 $9,785 $36,661 +86% $31,627 +116% ≈98% of Medicare
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $68,040 $12,883 $46,317 +47% $37,839 +80%
399 APPENDIX PROCEDURES WITHOUT CC/MCC $67,485 $6,332 $24,948 +171% $30,259 +123%
385 INFLAMMATORY BOWEL DISEASE WITH MCC $67,103 $8,737 $34,588 +94% $25,998 +158%
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $67,087 $6,998 $27,494 +144% $22,010 +205% ≈102% of Medicare
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $67,022 $5,335 $21,363 +214% $20,716 +224% ≈97% of Medicare
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $66,899 $9,988 $40,695 +64% $35,139 +90%
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $66,620 $10,629 $38,876 +71% $34,158 +95%
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $66,530 $4,739 $19,305 +245% $19,305 +245%
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $66,427 $9,587 $37,175 +79% $29,916 +122%
075 VIRAL MENINGITIS WITH CC/MCC $66,172 $10,579 $36,230 +83% $29,751 +122%
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $66,069 $4,606 $18,126 +264% $17,562 +276%
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $66,020 $9,995 $41,111 +61% $30,940 +113%
919 COMPLICATIONS OF TREATMENT WITH MCC $65,538 $10,102 $37,933 +73% $29,031 +126% ≈94% of Medicare
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $65,369 $8,151 $28,626 +128% $23,920 +173%
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $64,999 $7,438 $31,017 +110% $29,777 +118%
598 MALIGNANT BREAST DISORDERS WITH CC $64,862 $6,258 $23,951 +171% $19,073 +240%
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $64,835 $11,939 $47,797 +36% $38,382 +69%
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $64,619 $13,259 $51,387 +26% $35,806 +80%
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $64,613 $6,996 $33,325 +94% $28,385 +128%
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $64,590 $3,790 $15,156 +326% $12,794 +405%
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $64,513 $3,861 $31,874 +102% $29,011 +122%
784 CESAREAN SECTION WITH STERILIZATION WITH CC $63,975 $5,867 $24,042 +166% $22,587 +183%
200 PNEUMOTHORAX WITH CC $63,949 $6,082 $24,586 +160% $20,573 +211% ≈102% of Medicare
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $63,830 $5,665 $22,888 +179% $22,623 +182% ≈107% of Medicare
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $63,793 $7,712 $30,645 +108% $24,118 +165% ≈98% of Medicare
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $63,722 $17,308 $60,265 +6% $48,907 +30%
124 OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT $63,523 $7,312 $28,946 +119% $21,029 +202%
202 BRONCHITIS AND ASTHMA WITH CC/MCC $63,323 $5,379 $21,460 +195% $17,183 +269%
812 RED BLOOD CELL DISORDERS WITHOUT MCC $63,302 $5,087 $20,488 +209% $20,408 +210% ≈103% of Medicare
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $63,206 $7,433 $29,596 +114% $31,978 +98%
199 PNEUMOTHORAX WITH MCC $63,175 $9,736 $36,952 +71% $31,085 +103%
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $62,988 $9,106 $35,872 +76% $27,118 +132%
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $62,848 $5,593 $22,575 +178% $22,610 +178% ≈105% of Medicare
197 INTERSTITIAL LUNG DISEASE WITH CC $62,656 $3,639 $21,977 +185% $20,105 +212%
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $62,385 $7,457 $27,323 +128% $27,319 +128%
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $61,591 $5,663 $29,623 +108% $25,412 +142% ≈101% of Medicare
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $61,146 $5,068 $19,624 +212% $15,818 +287% ≈108% of Medicare
552 MEDICAL BACK PROBLEMS WITHOUT MCC $61,109 $5,324 $21,396 +186% $20,632 +196% ≈108% of Medicare
663 MINOR BLADDER PROCEDURES WITH CC $61,020 $8,395 $33,907 +80% $29,924 +104%
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $60,952 $6,560 $27,645 +120% $26,146 +133%
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $60,800 $4,681 $19,072 +219% $18,104 +236%
187 PLEURAL EFFUSION WITH CC $60,750 $5,477 $22,288 +173% $21,467 +183%
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $60,728 $5,078 $20,725 +193% $16,622 +265%
638 DIABETES WITH CC $60,609 $4,966 $20,361 +198% $18,763 +223% ≈106% of Medicare
545 CONNECTIVE TISSUE DISORDERS WITH MCC $60,599 $13,679 $49,765 +22% $39,657 +53%
312 SYNCOPE AND COLLAPSE $60,592 $4,831 $19,342 +213% $19,342 +213% ≈103% of Medicare
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $60,502 $3,808 $15,495 +290% $15,072 +301%
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $60,376 $8,476 $33,987 +78% $24,879 +143%
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $60,352 $5,305 $19,815 +205% $19,815 +205%
602 CELLULITIS WITH MCC $59,986 $5,249 $31,970 +88% $29,347 +104% ≈101% of Medicare
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $59,972 $6,179 $23,571 +154% $23,571 +154%
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $59,915 $5,619 $22,641 +165% $20,732 +189% ≈100% of Medicare
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $59,864 $5,578 $21,880 +174% $18,199 +229%
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $59,822 $3,159 $22,850 +162% $22,850 +162% ≈103% of Medicare
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $59,790 $19,731 $17,775 +236% $13,586 +340%
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $59,391 $9,564 $38,998 +52% $29,558 +101%
949 AFTERCARE WITH CC/MCC $59,335 $6,579 $23,953 +148% $23,953 +148%
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $59,223 $4,326 $17,322 +242% $17,322 +242% ≈110% of Medicare
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $59,141 $4,588 $17,700 +234% $17,700 +234%
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $59,130 $10,716 $18,592 +218% $14,064 +320%
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $59,109 $6,434 $25,822 +129% $18,291 +223%
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $58,942 $4,709 $18,179 +224% $13,822 +326%
076 VIRAL MENINGITIS WITHOUT CC/MCC $58,729 $4,576 $20,355 +189% $15,474 +280%
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $58,419 $7,493 $24,544 +138% $24,544 +138%
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $58,233 $8,269 $36,087 +61% $27,074 +115%
711 TESTES PROCEDURES WITH CC/MCC $57,975 $11,493 $42,414 +37% $34,846 +66%
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $57,893 $4,051 $15,975 +262% $12,536 +362%
305 HYPERTENSION WITHOUT MCC $57,810 $4,191 $16,665 +247% $16,897 +242% ≈105% of Medicare
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $57,749 $19,057 $18,528 +212% $17,579 +229%
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $57,645 $4,470 $18,204 +217% $18,204 +217% ≈107% of Medicare
123 NEUROLOGICAL EYE DISORDERS $57,514 $4,430 $17,831 +223% $17,831 +223%
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $57,421 $20,630 $68,616 −16% $52,908 +9%
864 FEVER AND INFLAMMATORY CONDITIONS $57,305 $4,920 $19,935 +187% $17,412 +229%
389 GASTROINTESTINAL OBSTRUCTION WITH CC $57,242 $4,382 $17,795 +222% $17,345 +230% ≈106% of Medicare
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $57,147 $4,664 $19,096 +199% $19,096 +199% ≈114% of Medicare
683 RENAL FAILURE WITH CC $57,038 $4,854 $19,733 +189% $18,322 +211% ≈100% of Medicare
068 PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $56,371 $4,792 $19,569 +188% $19,569 +188%
090 CONCUSSION WITHOUT CC/MCC $56,302 $4,565 $19,032 +196% $14,873 +279%
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $56,278 $4,731 $17,431 +223% $13,385 +320%
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $55,826 $4,499 $18,139 +208% $16,622 +236%
684 RENAL FAILURE WITHOUT CC/MCC $55,779 $3,340 $13,642 +309% $13,455 +315%
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $55,533 $4,490 $17,817 +212% $17,379 +220% ≈108% of Medicare
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $55,373 $4,810 $19,602 +182% $15,608 +255%
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $55,265 $5,731 $22,790 +142% $24,008 +130%
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $55,057 $4,893 $19,584 +181% $15,923 +246% ≈113% of Medicare
596 MAJOR SKIN DISORDERS WITHOUT MCC $55,055 $5,990 $24,000 +129% $17,226 +220%
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $54,971 $10,562 $42,126 +30% $35,029 +57%
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $54,942 $6,412 $28,593 +92% $23,646 +132%
948 SIGNS AND SYMPTOMS WITHOUT MCC $54,928 $4,441 $17,638 +211% $17,719 +210% ≈108% of Medicare
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $54,873 $5,708 $23,312 +135% $22,231 +147%
304 HYPERTENSION WITH MCC $54,653 $6,581 $26,080 +110% $23,945 +128% ≈106% of Medicare
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $54,480 $6,341 $25,361 +115% $24,426 +123%
101 SEIZURES WITHOUT MCC $54,428 $5,002 $20,461 +166% $19,930 +173% ≈107% of Medicare
196 INTERSTITIAL LUNG DISEASE WITH MCC $54,102 $10,412 $38,951 +39% $30,362 +78%
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $53,562 $5,396 $22,637 +137% $21,499 +149%
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $53,461 $5,294 $21,225 +152% $18,060 +196%
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $53,419 $3,152 $13,326 +301% $11,826 +352%
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $53,294 $4,039 $16,104 +231% $16,104 +231%
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $53,132 $3,803 $15,280 +248% $19,483 +173% ≈107% of Medicare
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $53,085 $5,659 $22,635 +135% $20,076 +164%
292 HEART FAILURE AND SHOCK WITH CC $52,998 $4,707 $19,118 +177% $15,878 +234%
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $52,974 $21,935 $71,106 −25% $59,425 −11%
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $52,957 $7,230 $28,209 +88% $22,226 +138% ≈103% of Medicare
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $52,876 $5,310 $17,953 +195% $15,594 +239%
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $52,804 $4,188 $16,776 +215% $16,776 +215%
920 COMPLICATIONS OF TREATMENT WITH CC $52,738 $5,549 $22,552 +134% $20,879 +153% ≈98% of Medicare
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $52,475 $5,015 $21,449 +145% $21,449 +145%
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $52,416 $17,297 $18,126 +189% $17,851 +194%
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $52,381 $4,950 $19,176 +173% $17,296 +203%
639 DIABETES WITHOUT CC/MCC $52,326 $3,455 $13,910 +276% $13,910 +276%
697 URETHRAL STRICTURE $52,308 $5,964 $22,239 +135% $17,705 +195%
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $52,301 $7,533 $30,418 +72% $30,418 +72%
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $52,135 $4,084 $16,412 +218% $16,645 +213% ≈108% of Medicare
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $51,419 $5,213 $20,108 +156% $17,731 +190%
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $51,382 $3,957 $15,462 +232% $12,405 +314%
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $51,377 $4,963 $19,842 +159% $18,243 +182% ≈109% of Medicare
505 FOOT PROCEDURES WITHOUT CC/MCC $51,181 $9,893 $38,960 +31% $31,716 +61%
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $51,175 $5,027 $22,197 +131% $20,007 +156%
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $51,163 $5,852 $20,861 +145% $17,108 +199%
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $51,161 $5,310 $20,084 +155% $20,084 +155%
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $50,622 $5,183 $20,896 +142% $18,815 +169% ≈99% of Medicare
313 CHEST PAIN $50,576 $16,690 $15,837 +219% $15,837 +219%
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $50,444 $7,696 $28,602 +76% $23,474 +115%
603 CELLULITIS WITHOUT MCC $49,948 $4,827 $19,553 +155% $18,359 +172% ≈110% of Medicare
158 DENTAL AND ORAL DISEASES WITH CC $49,815 $16,439 $20,881 +139% $17,751 +181%
152 OTITIS MEDIA AND URI WITH MCC $49,811 $6,538 $25,192 +98% $19,657 +153%
176 PULMONARY EMBOLISM WITHOUT MCC $49,718 $3,728 $18,081 +175% $17,693 +181% ≈110% of Medicare
103 HEADACHES WITHOUT MCC $49,693 $4,637 $18,874 +163% $20,076 +148%
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $49,238 $4,480 $18,002 +174% $17,754 +177% ≈110% of Medicare
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $49,109 $3,515 $14,638 +235% $13,485 +264%
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $49,069 $4,318 $17,347 +183% $16,718 +194% ≈108% of Medicare
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $49,063 $13,533 $40,894 +20% $28,375 +73%
184 MAJOR CHEST TRAUMA WITH CC $49,021 $5,889 $23,711 +107% $20,842 +135% ≈104% of Medicare
201 PNEUMOTHORAX WITHOUT CC/MCC $48,861 $3,971 $15,031 +225% $13,081 +274%
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $48,716 $3,887 $15,600 +212% $15,600 +212%
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $48,692 $7,976 $30,308 +61% $20,980 +132%
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $48,632 $12,027 $47,696 +2% $34,900 +39%
906 HAND PROCEDURES FOR INJURIES $48,475 $10,836 $47,513 +2% $31,520 +54%
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $48,435 $8,648 $35,080 +38% $33,425 +45%
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $48,397 $5,301 $21,494 +125% $18,038 +168%
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $48,141 $4,431 $17,762 +171% $20,253 +138%
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $47,985 $6,321 $24,928 +92% $19,317 +148%
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $47,932 $8,701 $32,445 +48% $24,450 +96%
606 MINOR SKIN DISORDERS WITH MCC $47,762 $8,357 $34,344 +39% $25,434 +88%
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $47,753 $5,877 $21,236 +125% $16,418 +191%
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $47,712 $3,845 $16,450 +190% $13,278 +259%
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $47,561 $4,441 $16,634 +186% $16,634 +186%
694 URINARY STONES WITHOUT MCC $46,856 $4,337 $17,347 +170% $16,451 +185%
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $46,799 $5,972 $22,155 +111% $15,370 +204%
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $46,593 $3,825 $15,267 +205% $14,012 +233%
710 PENIS PROCEDURES WITHOUT CC/MCC $46,504 $7,741 $33,330 +40% $23,814 +95%
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $46,371 $3,366 $13,599 +241% $10,975 +323%
534 FRACTURES OF FEMUR WITHOUT MCC $46,171 $4,471 $18,070 +156% $17,194 +169%
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $45,998 $5,930 $24,337 +89% $17,006 +170%
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $45,934 $8,814 $34,906 +32% $34,906 +32%
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $45,650 $7,173 $31,511 +45% $22,525 +103%
951 OTHER FACTORS INFLUENCING HEALTH STATUS $45,448 $3,097 $13,425 +239% $9,385 +384%
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $45,186 $9,986 $36,340 +24% $29,826 +51%
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $44,965 $3,088 $18,150 +148% $18,150 +148%
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $44,730 $3,495 $13,824 +224% $13,747 +225%
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $44,339 $9,518 $36,467 +22% $31,566 +40%
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $44,237 $14,598 $56,278 −21% $36,097 +23%
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $43,866 $3,997 $15,837 +177% $15,598 +181%
595 MAJOR SKIN DISORDERS WITH MCC $43,771 $11,695 $42,837 +2% $31,772 +38%
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $43,715 $6,648 $26,302 +66% $20,837 +110%
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $43,695 $4,264 $17,287 +153% $14,166 +208% ≈120% of Medicare
667 PROSTATECTOMY WITHOUT CC/MCC $43,542 $6,120 $22,817 +91% $16,703 +161%
204 RESPIRATORY SIGNS AND SYMPTOMS $43,107 $14,225 $18,004 +139% $16,804 +157%
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $42,866 $5,286 $20,401 +110% $16,352 +162%
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $42,818 $3,152 $13,384 +220% $13,384 +220% ≈125% of Medicare
303 ATHEROSCLEROSIS WITHOUT MCC $42,768 $3,741 $14,927 +187% $14,927 +187%
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $42,582 $7,910 $31,063 +37% $23,734 +79%
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $42,568 $11,805 $45,240 −6% $34,089 +25%
149 DYSEQUILIBRIUM $42,004 $4,076 $16,594 +153% $17,203 +144%
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $41,933 $4,927 $25,279 +66% $24,277 +73%
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $41,748 $6,699 $22,268 +87% $17,078 +144%
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $41,675 $3,432 $13,855 +201% $12,013 +247%
914 TRAUMATIC INJURY WITHOUT MCC $41,569 $4,908 $20,344 +104% $15,586 +167%
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $41,174 $6,327 $25,037 +64% $20,741 +99%
188 PLEURAL EFFUSION WITHOUT CC/MCC $41,003 $3,983 $16,299 +152% $14,252 +188%
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $40,869 $3,785 $14,880 +175% $14,880 +175%
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $40,806 $4,826 $19,854 +106% $19,854 +106%
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $40,758 $4,261 $18,330 +122% $15,876 +157%
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $40,646 $3,775 $15,358 +165% $14,210 +186%
151 EPISTAXIS WITHOUT MCC $40,486 $13,360 $16,827 +141% $13,032 +211%
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $40,482 $13,359 $29,894 +35% $23,646 +71%
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $40,456 $5,539 $21,494 +88% $19,001 +113%
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $40,290 $9,953 $38,978 +3% $32,976 +22%
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $39,814 $3,639 $15,839 +151% $12,205 +226%
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $39,784 $4,845 $19,138 +108% $16,156 +146%
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $39,718 $4,721 $18,577 +114% $14,055 +183%
089 CONCUSSION WITH CC $39,313 $6,079 $23,800 +65% $18,293 +115%
887 OTHER MENTAL DISORDER DIAGNOSES $39,164 $5,926 $26,404 +48% $20,557 +91%
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $38,860 $3,031 $13,318 +192% $13,318 +192% ≈115% of Medicare
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $38,301 $3,456 $13,683 +180% $14,770 +159%
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $38,248 $3,734 $13,639 +180% $11,071 +245%
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $37,939 $22,954 $57,323 −34% $16,708 +127%
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $37,736 $4,185 $16,064 +135% $13,090 +188%
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $37,613 $6,469 $27,063 +39% $23,588 +59%
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $37,414 $5,552 $23,887 +57% $17,719 +111%
153 OTITIS MEDIA AND URI WITHOUT MCC $37,056 $4,098 $15,799 +135% $14,251 +160%
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $36,722 $4,752 $19,638 +87% $15,045 +144%
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $36,595 $3,506 $14,134 +159% $14,134 +159%
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $36,549 $5,799 $23,369 +56% $18,000 +103%
607 MINOR SKIN DISORDERS WITHOUT MCC $36,522 $5,022 $19,185 +90% $15,276 +139%
549 SEPTIC ARTHRITIS WITH CC $36,294 $6,675 $26,753 +36% $20,808 +74%
866 VIRAL ILLNESS WITHOUT MCC $36,278 $4,820 $19,642 +85% $16,348 +122%
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $35,855 $9,138 $35,692 +0% $35,692 +0%
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $35,806 $5,423 $20,455 +75% $20,313 +76%
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $34,319 $3,688 $14,208 +142% $14,208 +142%
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $34,213 $3,935 $14,643 +134% $13,362 +156%
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $33,662 $3,608 $14,128 +138% $14,128 +138%
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $33,645 $5,421 $22,628 +49% $19,091 +76%
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $33,240 $23,103 $85,334 −61% $68,847 −52%
779 ABORTION WITHOUT D&C $33,142 $4,665 $20,752 +60% $15,327 +116%
138 MOUTH PROCEDURES WITHOUT CC/MCC $32,852 $4,911 $19,492 +69% $17,383 +89%
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $32,800 $9,404 $35,584 −8% $35,584 −8%
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $32,792 $3,833 $15,411 +113% $13,303 +146%
533 FRACTURES OF FEMUR WITH MCC $32,742 $8,656 $32,907 −1% $25,945 +26%
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $32,737 $4,360 $15,058 +117% $11,997 +173%
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $32,672 $4,009 $16,525 +98% $13,892 +135%
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $32,578 $9,945 $32,578 +0% $14,121 +131%
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $31,779 $5,795 $23,971 +33% $18,126 +75%
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $31,504 $4,444 $17,087 +84% $14,411 +119%
935 NON-EXTENSIVE BURNS $31,336 $11,362 $43,274 −28% $29,458 +6%
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $30,655 $3,746 $14,148 +117% $11,957 +156%
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $30,469 $4,963 $20,086 +52% $15,007 +103%
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $30,276 $3,723 $15,464 +96% $12,275 +147%
999 UNGROUPABLE $29,729 $4,318 $17,953 +66% $28,387 +5%
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $28,663 $4,159 $16,607 +73% $14,337 +100%
885 PSYCHOSES $27,561 $7,717 $30,968 −11% $21,489 +28%
541 OSTEOMYELITIS WITHOUT CC/MCC $26,707 $4,369 $19,422 +38% $14,549 +84%
712 TESTES PROCEDURES WITHOUT CC/MCC $26,356 $6,085 $23,745 +11% $18,898 +39%
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $25,939 $6,650 $25,552 +2% $18,133 +43%
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $25,362 $4,637 $16,565 +53% $14,861 +71%
311 ANGINA PECTORIS $23,058 $7,609 $15,502 +49% $15,165 +52%
916 ALLERGIC REACTIONS WITHOUT MCC $22,832 $3,703 $14,743 +55% $13,890 +64%
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $22,562 $4,007 $16,592 +36% $12,895 +75%
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $20,361 $3,982 $30,693 −34% $25,666 −21%
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $19,718 $3,570 $14,368 +37% $14,368 +37%
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $18,860 $2,915 $11,539 +63% $9,063 +108%
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $16,192 $5,859 $24,439 −34% $17,483 −7%
792 PREMATURITY WITHOUT MAJOR PROBLEMS $15,339 $13,500 $34,603 −56% $11,633 +32%
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $11,518 $8,152 $16,713 −31% $7,896 +46%
795 NORMAL NEWBORN $8,317 $1,140 $6,880 +21% $4,521 +84%