Fresno Surgical Hospital — Pricing

782 procedures published in this hospital's Machine-Readable File (MRF) — 781 with a comparable price, 1 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.

Procedures published 782
Lowest published price $3,757
Average published price $15,403
Highest published price $216,170

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 782 procedures

Published charges

Showing all 781 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. Cash-pay prices not published for this hospital.

DRG Description Published price vs. CA median vs. National median vs Medicare
018 CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL IMMUNOTHERAPY $216,170 $641,743 −66% $498,715 −57% —
001 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC $159,595 $486,976 −67% $431,073 −63% —
927 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITH SKIN GRAFT $155,300 $412,183 −62% $306,087 −49% —
003 ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES $126,047 $371,366 −66% $371,366 −66% —
004 TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOUT MAJOR O.R. PROCEDURES $87,609 $248,521 −65% $245,241 −64% —
007 LUNG TRANSPLANT $73,480 $230,667 −68% $170,608 −57% —
002 HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC $73,350 $198,463 −63% $169,977 −57% —
014 ALLOGENEIC BONE MARROW TRANSPLANT $68,803 $227,681 −70% $182,314 −62% —
212 CONCOMITANT AORTIC AND MITRAL VALVE�PROCEDURES $64,796 $196,346 −67% $171,338 −62% —
005 LIVER TRANSPLANT WITH MCC OR INTESTINAL TRANSPLANT $62,353 $189,963 −67% $159,181 −61% —
215 OTHER HEART ASSIST SYSTEM IMPLANT $61,568 $191,314 −68% $191,314 −68% —
216 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC $58,610 $175,437 −67% $175,437 −67% —
453 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC $53,710 $23,289 +131% $103,861 −48% —
020 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC $51,336 $148,686 −65% $134,914 −62% —
456 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC $51,202 $153,282 −67% $151,029 −66% —
231 CORONARY BYPASS WITH PTCA WITH MCC $49,378 $155,631 −68% $146,474 −66% —
019 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS $48,671 $146,435 −67% $105,228 −54% —
233 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC $47,545 $144,569 −67% $138,868 −66% —
219 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC $47,032 $143,242 −67% $143,242 −67% —
957 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC $44,253 $136,374 −68% $120,587 −63% —
275 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC $43,111 $131,961 −67% $131,961 −67% —
870 SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS $42,699 $124,290 −66% $138,008 −69% —
928 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC $42,437 $125,432 −66% $89,353 −53% —
207 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS $42,369 $116,058 −63% $116,058 −63% —
969 HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC $42,163 $117,196 −64% $109,331 −61% —
268 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC $42,059 $125,242 −66% $118,589 −65% —
461 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC $41,849 $114,040 −63% $108,472 −61% —
459 SPINAL FUSION EXCEPT CERVICAL WITH MCC $40,768 $23,289 +75% $75,251 −46% —
217 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC $39,218 $121,714 −68% $121,714 −68% —
266 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC $38,526 $113,855 −66% $113,855 −66% —
573 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH MCC $38,363 $114,401 −66% $98,912 −61% —
276 CARDIAC DEFIBRILLATOR IMPLANT WITH MCC $38,317 $117,280 −67% $117,280 −67% —
016 AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC $38,125 $108,802 −65% $98,260 −61% —
017 AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC $38,125 $108,802 −65% $81,176 −53% —
021 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC $37,918 $106,057 −64% $101,235 −63% —
454 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC $37,772 $23,289 +62% $69,101 −45% —
955 CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA $37,621 $125,675 −70% $105,612 −64% —
457 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC $37,534 $107,355 −65% $107,355 −65% —
820 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC $37,368 $108,750 −66% $96,192 −61% —
028 SPINAL PROCEDURES WITH MCC $37,249 $113,077 −67% $95,858 −61% —
790 EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE $37,098 $107,269 −65% $80,018 −54% —
232 CORONARY BYPASS WITH PTCA WITHOUT MCC $36,799 $115,839 −68% $106,238 −65% —
235 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC $36,404 $112,062 −68% $112,062 −68% —
218 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC $35,336 $113,157 −69% $92,238 −62% —
576 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH MCC $35,257 $101,566 −65% $82,527 −57% —
023 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR $35,174 $106,778 −67% $106,778 −67% —
463 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC $35,144 $101,662 −65% $78,582 −55% —
834 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC $34,769 $100,245 −65% $76,583 −55% —
405 PANCREAS, LIVER AND SHUNT PROCEDURES WITH MCC $34,224 $102,128 −66% $94,927 −64% —
653 MAJOR BLADDER PROCEDURES WITH MCC $33,692 $104,583 −68% $97,046 −65% —
008 SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT $32,810 $102,337 −68% $86,459 −62% —
220 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC $32,711 $102,177 −68% $102,177 −68% —
234 CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC $32,440 $102,573 −68% $102,573 −68% —
466 REVISION OF HIP OR KNEE REPLACEMENT WITH MCC $32,374 $96,507 −66% $96,222 −66% —
011 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC $32,198 $101,576 −68% $86,953 −63% —
326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC $31,750 $96,245 −67% $80,747 −61% —
270 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC $31,621 $99,423 −68% $99,423 −68% —
228 OTHER CARDIOTHORACIC PROCEDURES WITH MCC $31,516 $96,905 −67% $96,905 −67% —
853 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC $31,287 $94,937 −67% $87,018 −64% —
799 SPLENECTOMY WITH MCC $31,027 $90,790 −66% $78,821 −61% —
471 CERVICAL SPINAL FUSION WITH MCC $30,821 $92,515 −67% $92,515 −67% —
267 ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC $30,595 $92,217 −67% $92,217 −67% —
006 LIVER TRANSPLANT WITHOUT MCC $30,344 $92,378 −67% $84,407 −64% —
010 PANCREAS TRANSPLANT $30,209 $144,934 −79% $99,940 −70% —
239 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH MCC $30,169 $95,536 −68% $87,565 −66% —
277 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC $30,028 $91,329 −67% $91,329 −67% —
837 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC $29,878 $91,495 −67% $70,735 −58% —
981 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $29,784 $90,775 −67% $86,390 −66% —
163 MAJOR CHEST PROCEDURES WITH MCC $29,628 $88,341 −66% $88,341 −66% —
221 CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC $29,251 $90,331 −68% $90,331 −68% —
455 COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC $29,001 $23,289 +25% $54,320 −47% ≈106% of Medicare
245 AICD GENERATOR PROCEDURES $28,570 $95,281 −70% $72,076 −60% —
458 SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC $28,568 $83,441 −66% $83,441 −66% —
329 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $28,486 $88,050 −68% $88,050 −68% —
823 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC $28,399 $89,523 −68% $80,885 −65% —
650 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC $28,373 $90,579 −69% $71,551 −60% —
278 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITH MCC $28,158 $97,241 −71% $84,861 −67% —
856 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC $27,972 $86,699 −68% $72,859 −62% —
025 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC $27,900 $88,307 −68% $88,307 −68% —
826 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC $27,742 $91,138 −70% $88,691 −69% —
319 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC $27,586 $86,970 −68% $75,585 −64% —
901 WOUND DEBRIDEMENTS FOR INJURIES WITH MCC $27,388 $85,334 −68% $68,847 −60% —
474 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC $27,243 $86,246 −68% $76,954 −65% —
356 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC $27,103 $82,561 −67% $82,561 −67% —
793 FULL TERM NEONATE WITH MAJOR PROBLEMS $26,700 $57,323 −53% $16,719 +60% —
269 AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC $26,406 $83,065 −68% $83,065 −68% —
323 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITH MCC $26,298 $84,725 −69% $88,049 −70% —
031 VENTRICULAR SHUNT PROCEDURES WITH MCC $26,162 $81,298 −68% $68,659 −62% —
791 PREMATURITY WITH MAJOR PROBLEMS $26,052 $75,557 −66% $39,563 −34% —
166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC $25,821 $75,573 −66% $72,782 −65% —
958 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC $25,745 $79,939 −68% $66,853 −61% —
236 CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $25,724 $82,247 −69% $82,247 −69% —
628 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC $25,569 $77,178 −67% $68,006 −62% —
012 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC $25,513 $79,836 −68% $73,029 −65% —
616 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $25,239 $75,820 −67% $62,961 −60% —
423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC $24,968 $79,225 −68% $72,011 −65% —
034 CAROTID ARTERY STENT PROCEDURES WITH MCC $24,913 $76,219 −67% $72,908 −66% —
273 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC $24,887 $78,852 −68% $78,852 −68% —
736 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC $24,830 $77,041 −68% $61,832 −60% —
956 LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA $24,778 $75,103 −67% $75,103 −67% —
040 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC $24,617 $74,257 −67% $74,257 −67% —
622 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC $24,472 $73,751 −67% $60,861 −60% —
024 CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC $24,259 $74,755 −68% $74,755 −68% —
140 MAJOR HEAD AND NECK PROCEDURES WITH MCC $24,197 $84,217 −71% $60,098 −60% —
876 O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS $23,926 $76,907 −69% $54,196 −56% —
408 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC $23,872 $69,701 −66% $59,207 −60% —
907 OTHER O.R. PROCEDURES FOR INJURIES WITH MCC $23,856 $77,817 −69% $71,701 −67% —
673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC $23,732 $81,281 −71% $72,945 −67% —
460 SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC $23,499 $23,499 +0% $50,815 −54% ≈17% of Medicare
518 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR $23,463 $71,092 −67% $64,776 −64% —
097 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC $23,377 $67,560 −65% $57,855 −60% —
332 RECTAL RESECTION WITH MCC $23,323 $69,152 −66% $58,125 −60% —
094 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC $23,294 $68,639 −66% $62,524 −63% —
739 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC $23,257 $77,770 −70% $57,521 −60% —
495 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC $23,053 $70,026 −67% $56,964 −60% —
335 PERITONEAL ADHESIOLYSIS WITH MCC $23,017 $71,755 −68% $71,755 −68% —
265 AICD LEAD PROCEDURES $22,780 $70,810 −68% $56,695 −60% —
414 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC $22,728 $69,743 −67% $68,399 −67% —
467 REVISION OF HIP OR KNEE REPLACEMENT WITH CC $22,502 $68,421 −67% $68,880 −67% ≈17% of Medicare
022 INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC $22,447 $72,461 −69% $62,404 −64% —
492 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC $22,362 $70,540 −68% $70,540 −68% —
651 KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC $22,340 $71,486 −69% $56,242 −60% —
271 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC $22,328 $71,014 −69% $71,014 −69% —
242 PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC $22,321 $70,132 −68% $70,132 −68% —
029 SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS $22,165 $67,268 −67% $64,152 −65% —
574 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITH CC $22,035 $69,089 −68% $49,065 −55% —
802 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC $21,945 $71,106 −69% $59,425 −63% —
987 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC $21,866 $69,724 −69% $65,383 −67% —
037 EXTRACRANIAL PROCEDURES WITH MCC $21,860 $66,666 −67% $64,749 −66% —
477 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $21,821 $68,653 −68% $62,269 −65% —
252 OTHER VASCULAR PROCEDURES WITH MCC $21,733 $68,508 −68% $68,508 −68% —
579 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH MCC $21,666 $65,631 −67% $54,129 −60% —
469 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT $21,594 $65,788 −67% $65,254 −67% —
143 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH MCC $21,569 $68,616 −69% $52,908 −59% —
260 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC $21,509 $70,371 −69% $67,901 −68% —
485 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC $21,386 $64,956 −67% $64,956 −67% —
264 OTHER CIRCULATORY SYSTEM O.R. PROCEDURES $21,223 $69,597 −70% $51,953 −59% —
904 SKIN GRAFTS FOR INJURIES WITH CC/MCC $21,166 $75,754 −72% $55,097 −62% —
500 SOFT TISSUE PROCEDURES WITH MCC $21,089 $64,105 −67% $57,479 −63% —
274 PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC $21,077 $65,573 −68% $65,573 −68% —
929 FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC $20,930 $66,572 −69% $44,472 −53% —
939 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC $20,929 $64,194 −67% $51,142 −59% —
420 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC $20,845 $70,175 −70% $50,919 −59% —
279 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS OF PERIPHERAL VASCULAR STRUCTURES WITHOUT MCC $20,844 $66,976 −69% $57,277 −64% —
229 OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC $20,722 $65,325 −68% $65,325 −68% —
515 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC $20,617 $62,821 −67% $62,821 −67% —
829 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC $20,572 $62,677 −67% $53,817 −62% —
656 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC $20,478 $65,608 −69% $64,465 −68% —
840 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC $20,406 $60,905 −66% $49,710 −59% —
665 PROSTATECTOMY WITH MCC $20,196 $68,562 −71% $54,072 −63% —
173 ULTRASOUND ACCELERATED AND OTHER THROMBOLYSIS WITH PRINCIPAL DIAGNOSIS PULMONARY EMBOLISM $20,114 $64,691 −69% $53,555 −62% —
933 EXTENSIVE BURNS OR FULL THICKNESS BURNS WITH MV >96 HOURS WITHOUT SKIN GRAFT $19,865 $80,049 −75% $59,352 −67% —
652 KIDNEY TRANSPLANT $19,705 $62,468 −68% $54,720 −64% —
464 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC $19,687 $60,402 −67% $54,313 −64% —
662 MINOR BLADDER PROCEDURES WITH MCC $19,660 $63,279 −69% $54,483 −64% —
521 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC $19,645 $62,334 −68% $67,764 −71% —
324 CORONARY INTRAVASCULAR LITHOTRIPSY WITH INTRALUMINAL DEVICE WITHOUT MCC $19,497 $66,819 −71% $66,819 −71% —
472 CERVICAL SPINAL FUSION WITH CC $19,420 $59,537 −67% $59,537 −67% ≈110% of Medicare
026 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC $19,407 $64,523 −70% $63,475 −69% —
480 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC $19,382 $60,274 −68% $63,984 −70% —
353 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC $19,239 $60,140 −68% $60,140 −68% —
570 SKIN DEBRIDEMENT WITH MCC $19,227 $63,709 −70% $52,435 −63% —
625 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC $19,221 $59,031 −67% $58,968 −67% —
974 HIV WITH MAJOR RELATED CONDITION WITH MCC $19,194 $57,493 −67% $46,402 −59% —
406 PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC $19,025 $58,043 −67% $58,043 −67% —
411 CHOLECYSTECTOMY WITH C.D.E. WITH MCC $18,985 $56,832 −67% $48,358 −61% —
321 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/INTRALUMINAL DEVICES $18,952 $60,959 −69% $74,274 −74% —
462 BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC $18,787 $58,975 −68% $56,758 −67% —
263 VEIN LIGATION AND STRIPPING $18,664 $55,918 −67% $44,938 −58% —
668 TRANSURETHRAL PROCEDURES WITH MCC $18,622 $59,859 −69% $47,277 −61% —
800 SPLENECTOMY WITH CC $18,621 $59,817 −69% $49,184 −62% —
240 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITH CC $18,571 $59,790 −69% $54,475 −66% —
061 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC $18,534 $52,735 −65% $57,963 −68% —
255 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH MCC $18,212 $54,815 −67% $43,697 −58% —
344 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC $18,172 $56,127 −68% $44,839 −59% —
654 MAJOR BLADDER PROCEDURES WITH CC $18,155 $58,274 −69% $53,868 −66% —
963 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC $18,136 $52,959 −66% $43,491 −58% —
510 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC $18,057 $58,880 −69% $49,055 −63% —
258 CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC $17,987 $60,265 −70% $48,907 −63% —
208 RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS $17,959 $52,405 −66% $52,405 −66% —
849 RADIOTHERAPY $17,887 $52,191 −66% $37,862 −53% —
013 TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC $17,854 $55,378 −68% $45,290 −61% —
503 FOOT PROCEDURES WITH MCC $17,832 $55,321 −68% $43,901 −59% —
468 REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC $17,761 $54,929 −68% $54,929 −68% ≈21% of Medicare
135 SINUS AND MASTOID PROCEDURES WITH CC/MCC $17,659 $51,359 −66% $40,065 −56% —
577 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITH CC $17,642 $55,594 −68% $45,432 −61% —
325 CORONARY INTRAVASCULAR LITHOTRIPSY WITHOUT INTRALUMINAL DEVICE $17,614 $61,217 −71% $53,551 −67% —
498 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC $17,420 $53,274 −67% $46,659 −63% —
288 ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC $17,316 $53,208 −67% $45,497 −62% —
659 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC $17,292 $54,273 −68% $48,094 −64% —
619 O.R. PROCEDURES FOR OBESITY WITH MCC $17,290 $58,935 −71% $44,973 −62% —
253 OTHER VASCULAR PROCEDURES WITH CC $17,073 $53,746 −68% $53,746 −68% —
164 MAJOR CHEST PROCEDURES WITH CC $17,069 $53,141 −68% $53,141 −68% —
347 ANAL AND STOMAL PROCEDURES WITH MCC $17,061 $50,614 −66% $40,548 −58% —
959 OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $16,964 $55,276 −69% $40,277 −58% —
749 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC $16,876 $54,345 −69% $41,703 −60% —
113 ORBITAL PROCEDURES WITH CC/MCC $16,818 $48,760 −66% $35,642 −53% —
327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC $16,761 $51,645 −68% $54,824 −69% —
545 CONNECTIVE TISSUE DISORDERS WITH MCC $16,737 $49,765 −66% $39,657 −58% —
982 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $16,695 $51,985 −68% $51,985 −68% —
483 MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES $16,684 $53,666 −69% $57,149 −71% ≈22% of Medicare
792 PREMATURITY WITHOUT MAJOR PROBLEMS $16,616 $34,603 −52% $11,633 +43% —
473 CERVICAL SPINAL FUSION WITHOUT CC/MCC $16,547 $50,624 −67% $50,624 −67% ≈24% of Medicare
846 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC $16,451 $50,218 −67% $38,878 −58% —
272 OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC $16,425 $55,162 −70% $55,162 −70% —
027 CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC $16,386 $54,583 −70% $52,332 −69% —
970 HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC $16,221 $55,434 −71% $40,947 −60% —
493 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC $16,205 $51,189 −68% $56,394 −71% —
350 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC $16,195 $51,487 −69% $46,591 −65% —
056 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC $16,161 $49,382 −67% $39,409 −59% —
095 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC $16,104 $47,583 −66% $47,583 −66% —
478 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $16,101 $50,139 −68% $50,139 −68% —
674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC $16,092 $49,631 −68% $49,631 −68% —
330 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $16,033 $50,562 −68% $58,832 −73% —
250 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITH MCC $15,910 $51,339 −69% $51,339 −69% —
030 SPINAL PROCEDURES WITHOUT CC/MCC $15,725 $48,235 −67% $45,818 −66% —
417 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC $15,718 $50,777 −69% $52,313 −70% —
827 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC $15,715 $50,498 −69% $47,546 −67% —
035 CAROTID ARTERY STENT PROCEDURES WITH CC $15,612 $49,066 −68% $46,430 −66% —
082 TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC $15,489 $46,288 −67% $36,237 −57% —
243 PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC $15,485 $50,011 −69% $50,011 −69% —
085 TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC $15,457 $45,376 −66% $37,064 −58% —
629 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC $15,399 $48,634 −68% $45,059 −66% —
817 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC $15,354 $56,278 −73% $36,097 −57% —
614 ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC $15,338 $49,137 −69% $43,586 −65% —
397 APPENDIX PROCEDURES WITH MCC $15,305 $54,751 −72% $52,319 −71% —
835 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC $15,240 $43,187 −65% $35,569 −57% —
824 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC $15,225 $47,797 −68% $38,382 −60% —
821 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC $15,221 $48,353 −69% $44,053 −65% —
041 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR $15,212 $50,131 −70% $44,989 −66% —
320 OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC $15,185 $51,387 −70% $36,080 −58% —
080 NONTRAUMATIC STUPOR AND COMA WITH MCC $15,085 $40,695 −63% $35,139 −57% —
715 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC $15,078 $48,788 −69% $38,998 −61% —
357 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC $15,016 $48,682 −69% $48,682 −69% —
808 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC $14,977 $45,785 −67% $36,334 −59% —
096 BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC $14,916 $47,583 −69% $39,093 −62% —
595 MAJOR SKIN DISORDERS WITH MCC $14,889 $42,837 −65% $31,785 −53% —
734 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC $14,881 $46,172 −68% $35,686 −58% —
940 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC $14,840 $46,317 −68% $38,420 −61% —
286 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC $14,776 $44,489 −67% $44,600 −67% —
098 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC $14,770 $43,749 −66% $37,902 −61% —
032 VENTRICULAR SHUNT PROCEDURES WITH CC $14,766 $46,724 −68% $45,622 −68% —
407 PANCREAS, LIVER AND SHUNT PROCEDURES WITHOUT CC/MCC $14,750 $46,727 −68% $40,232 −63% —
475 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC $14,713 $47,089 −69% $44,553 −67% —
857 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC $14,661 $47,452 −69% $41,900 −65% —
507 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC $14,638 $43,027 −66% $36,202 −60% —
814 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC $14,617 $42,423 −66% $32,483 −55% —
711 TESTES PROCEDURES WITH CC/MCC $14,587 $42,414 −66% $34,852 −58% —
709 PENIS PROCEDURES WITH CC/MCC $14,570 $48,600 −70% $34,535 −58% —
522 HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC $14,524 $46,799 −69% $56,519 −74% —
146 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC $14,517 $45,849 −68% $37,080 −61% —
655 MAJOR BLADDER PROCEDURES WITHOUT CC/MCC $14,499 $45,743 −68% $41,651 −65% —
488 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC $14,492 $43,631 −67% $41,520 −65% —
336 PERITONEAL ADHESIOLYSIS WITH CC $14,484 $46,332 −69% $49,470 −71% —
374 DIGESTIVE MALIGNANCY WITH MCC $14,448 $42,775 −66% $38,885 −63% —
314 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC $14,416 $43,483 −67% $38,357 −62% —
934 FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY $14,410 $43,354 −67% $31,044 −54% —
867 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC $14,409 $43,328 −67% $36,850 −61% —
592 SKIN ULCERS WITH MCC $14,396 $41,848 −66% $32,662 −56% —
424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC $14,380 $49,209 −71% $39,253 −63% —
333 RECTAL RESECTION WITH CC $14,335 $46,551 −69% $34,352 −58% —
481 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC $14,308 $45,703 −69% $51,172 −72% —
141 MAJOR HEAD AND NECK PROCEDURES WITH CC $14,289 $47,696 −70% $34,900 −59% —
575 SKIN GRAFT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $14,140 $44,326 −68% $29,109 −51% —
412 CHOLECYSTECTOMY WITH C.D.E. WITH CC $14,137 $46,657 −70% $37,654 −62% —
935 NON-EXTENSIVE BURNS $14,112 $43,274 −67% $29,458 −52% —
516 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC $14,110 $44,639 −68% $45,817 −69% —
854 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC $14,095 $44,357 −68% $43,524 −68% —
486 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC $13,921 $46,477 −70% $46,477 −70% —
908 OTHER O.R. PROCEDURES FOR INJURIES WITH CC $13,897 $44,730 −69% $41,660 −67% —
064 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC $13,890 $40,719 −66% $35,714 −61% —
511 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC $13,837 $43,538 −68% $43,538 −68% —
496 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC $13,800 $43,800 −68% $43,800 −68% —
617 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,783 $42,881 −68% $42,881 −68% —
539 OSTEOMYELITIS WITH MCC $13,782 $41,277 −67% $33,746 −59% —
871 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC $13,772 $40,263 −66% $35,237 −61% —
100 SEIZURES WITH MCC $13,771 $40,653 −66% $35,194 −61% —
415 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC $13,733 $43,913 −69% $43,398 −68% —
737 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC $13,721 $44,363 −69% $44,363 −69% —
283 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC $13,707 $40,150 −66% $35,014 −61% —
519 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC $13,691 $43,775 −69% $43,775 −69% —
707 MAJOR MALE PELVIC PROCEDURES WITH CC/MCC $13,652 $43,080 −68% $43,080 −68% —
584 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC $13,633 $45,240 −70% $34,089 −60% —
409 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC $13,625 $46,066 −70% $46,066 −70% —
838 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT $13,597 $41,375 −67% $30,661 −56% —
548 SEPTIC ARTHRITIS WITH MCC $13,582 $41,146 −67% $31,019 −56% —
380 COMPLICATED PEPTIC ULCER WITH MCC $13,574 $39,627 −66% $36,641 −63% —
052 SPINAL DISORDERS AND INJURIES WITH CC/MCC $13,551 $41,111 −67% $30,940 −56% —
432 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC $13,385 $40,213 −67% $36,933 −64% —
075 VIRAL MENINGITIS WITH CC/MCC $13,373 $36,230 −63% $29,853 −55% —
196 INTERSTITIAL LUNG DISEASE WITH MCC $13,266 $38,951 −66% $30,766 −57% —
902 WOUND DEBRIDEMENTS FOR INJURIES WITH CC $13,204 $42,126 −69% $35,459 −63% —
744 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC $13,190 $43,378 −70% $33,050 −60% —
261 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC $13,187 $42,126 −69% $42,126 −69% —
470 MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC $13,186 $41,857 −68% $49,197 −73% ≈29% of Medicare
906 HAND PROCEDURES FOR INJURIES $13,186 $47,513 −72% $31,520 −58% —
165 MAJOR CHEST PROCEDURES WITHOUT CC/MCC $13,155 $41,380 −68% $41,380 −68% —
883 DISORDERS OF PERSONALITY AND IMPULSE CONTROL $13,150 $38,443 −66% $22,698 −42% —
722 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC $13,146 $36,340 −64% $29,826 −56% —
062 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC $13,128 $37,214 −65% $48,680 −73% —
465 WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $13,123 $38,541 −66% $32,839 −60% —
494 LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC $13,114 $41,855 −69% $45,963 −71% —
259 CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC $13,098 $39,020 −66% $35,673 −63% —
479 BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $13,083 $39,422 −67% $31,909 −59% —
623 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC $13,068 $42,463 −69% $33,165 −61% —
843 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC $13,064 $39,105 −67% $36,280 −64% —
803 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC $13,050 $39,515 −67% $33,564 −61% —
941 O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC $13,037 $43,384 −70% $29,524 −56% —
754 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC $13,017 $37,692 −65% $29,476 −56% —
559 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $13,005 $38,483 −66% $30,974 −58% —
657 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC $12,968 $40,583 −68% $40,583 −68% —
862 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC $12,956 $38,187 −66% $30,394 −57% —
686 KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC $12,941 $38,978 −67% $32,981 −61% —
116 INTRAOCULAR PROCEDURES WITH CC/MCC $12,891 $37,042 −65% $28,103 −54% —
244 PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC $12,883 $40,063 −68% $40,063 −68% —
441 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC $12,876 $39,057 −67% $32,399 −60% —
919 COMPLICATIONS OF TREATMENT WITH MCC $12,855 $37,933 −66% $29,031 −56% —
542 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC $12,849 $38,631 −67% $35,114 −63% —
322 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC $12,848 $40,163 −68% $54,772 −77% —
167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC $12,827 $40,563 −68% $40,563 −68% —
789 NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY $12,824 $32,578 −61% $14,284 −10% —
717 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC $12,791 $41,191 −69% $32,538 −61% —
205 OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC $12,772 $39,013 −67% $32,204 −60% —
036 CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC $12,759 $40,694 −69% $40,694 −69% —
377 GASTROINTESTINAL HEMORRHAGE WITH MCC $12,655 $37,842 −67% $37,842 −67% —
801 SPLENECTOMY WITHOUT CC/MCC $12,652 $36,445 −65% $28,634 −56% —
070 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC $12,651 $36,506 −65% $30,814 −59% —
091 OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC $12,649 $37,921 −67% $36,375 −65% —
740 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC $12,636 $40,365 −69% $36,597 −65% —
742 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC $12,607 $40,552 −69% $40,552 −69% —
896 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC $12,585 $37,213 −66% $30,275 −58% —
199 PNEUMOTHORAX WITH MCC $12,561 $36,952 −66% $31,491 −60% —
915 ALLERGIC REACTIONS WITH MCC $12,561 $36,491 −66% $30,944 −59% —
783 CESAREAN SECTION WITH STERILIZATION WITH MCC $12,548 $40,894 −69% $28,375 −56% —
435 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC $12,479 $37,950 −67% $37,950 −67% —
884 ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY $12,462 $35,352 −65% $25,208 −51% —
786 CESAREAN SECTION WITHOUT STERILIZATION WITH MCC $12,419 $35,872 −65% $27,118 −54% —
371 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC $12,408 $36,661 −66% $31,758 −61% —
580 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITH CC $12,402 $39,360 −68% $36,242 −66% —
922 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC $12,392 $35,675 −65% $29,409 −58% —
042 PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC $12,362 $39,018 −68% $39,018 −68% —
180 RESPIRATORY NEOPLASMS WITH MCC $12,353 $36,658 −66% $36,658 −66% —
501 SOFT TISSUE PROCEDURES WITH CC $12,338 $39,619 −69% $37,975 −68% —
254 OTHER VASCULAR PROCEDURES WITHOUT CC/MCC $12,335 $38,836 −68% $38,836 −68% —
144 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITH CC $12,308 $38,998 −68% $29,558 −58% —
058 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC $12,293 $38,308 −68% $29,609 −58% —
504 FOOT PROCEDURES WITH CC $12,289 $38,960 −68% $36,598 −66% —
354 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC $12,235 $37,764 −68% $43,266 −72% —
666 PROSTATECTOMY WITH CC $12,232 $36,569 −67% $30,016 −59% —
671 URETHRAL PROCEDURES WITH CC/MCC $12,200 $38,265 −68% $27,233 −55% —
421 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC $12,187 $36,354 −66% $36,333 −66% —
157 DENTAL AND ORAL DISEASES WITH MCC $12,172 $34,802 −65% $27,457 −56% —
505 FOOT PROCEDURES WITHOUT CC/MCC $12,164 $38,960 −69% $31,716 −62% —
551 MEDICAL BACK PROBLEMS WITH MCC $12,142 $35,961 −66% $31,086 −61% —
855 INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC $12,142 $36,087 −66% $27,168 −55% —
988 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC $12,114 $38,094 −68% $38,094 −68% —
177 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC $12,110 $34,448 −65% $31,840 −62% —
571 SKIN DEBRIDEMENT WITH CC $12,084 $37,169 −67% $34,901 −65% —
585 BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC $12,038 $44,068 −73% $29,633 −59% —
886 BEHAVIORAL AND DEVELOPMENTAL DISORDERS $12,025 $37,477 −68% $24,836 −52% —
746 VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC $11,992 $37,175 −68% $29,916 −60% —
331 MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $11,969 $36,651 −67% $44,117 −73% —
438 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC $11,950 $35,243 −66% $32,502 −63% —
582 MASTECTOMY FOR MALIGNANCY WITH CC/MCC $11,940 $38,876 −69% $34,264 −65% —
698 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC $11,866 $35,532 −67% $30,058 −61% —
368 MAJOR ESOPHAGEAL DISORDERS WITH MCC $11,853 $35,349 −66% $33,607 −65% —
262 CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC $11,814 $33,694 −65% $33,694 −65% —
643 ENDOCRINE DISORDERS WITH MCC $11,812 $35,135 −66% $32,996 −64% —
828 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $11,785 $35,584 −67% $35,584 −67% —
865 VIRAL ILLNESS WITH MCC $11,782 $32,083 −63% $26,088 −55% —
256 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITH CC $11,781 $37,599 −69% $29,729 −60% —
983 EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $11,755 $37,033 −68% $30,930 −62% —
418 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC $11,752 $36,816 −68% $42,119 −72% —
444 DISORDERS OF THE BILIARY TRACT WITH MCC $11,743 $35,591 −67% $31,128 −62% —
533 FRACTURES OF FEMUR WITH MCC $11,733 $32,907 −64% $25,945 −55% —
033 VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC $11,684 $35,419 −67% $33,984 −66% —
620 O.R. PROCEDURES FOR OBESITY WITH CC $11,680 $35,453 −67% $35,453 −67% —
513 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC $11,673 $33,424 −65% $33,424 −65% —
727 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC $11,673 $31,974 −63% $25,786 −55% —
393 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC $11,664 $35,113 −67% $32,689 −64% —
512 SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC $11,631 $35,692 −67% $35,692 −67% —
578 SKIN GRAFT EXCEPT FOR SKIN ULCER OR CELLULITIS WITHOUT CC/MCC $11,612 $37,526 −69% $28,578 −59% —
895 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY $11,602 $31,612 −63% $21,986 −47% —
334 RECTAL RESECTION WITHOUT CC/MCC $11,580 $36,820 −69% $32,213 −64% —
296 CARDIAC ARREST, UNEXPLAINED WITH MCC $11,569 $34,817 −67% $30,910 −63% —
425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC $11,562 $34,316 −66% $25,484 −55% —
597 MALIGNANT BREAST DISORDERS WITH MCC $11,554 $36,807 −69% $31,846 −64% —
038 EXTRACRANIAL PROCEDURES WITH CC $11,550 $35,770 −68% $35,770 −68% —
328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC $11,535 $35,375 −67% $35,375 −67% —
917 POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC $11,527 $34,839 −67% $28,134 −59% —
482 HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC $11,483 $35,217 −67% $39,747 −71% —
251 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITHOUT CORONARY ARTERY STENT WITHOUT MCC $11,475 $34,689 −67% $41,380 −72% —
280 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC $11,472 $34,867 −67% $28,967 −60% —
675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC $11,472 $34,749 −67% $32,490 −65% —
606 MINOR SKIN DISORDERS WITH MCC $11,468 $34,344 −67% $25,434 −55% —
905 SKIN GRAFTS FOR INJURIES WITHOUT CC/MCC $11,456 $36,589 −69% $25,197 −55% —
830 MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC $11,441 $32,467 −65% $25,149 −55% —
299 PERIPHERAL VASCULAR DISORDERS WITH MCC $11,412 $34,467 −67% $25,731 −56% —
183 MAJOR CHEST TRAUMA WITH MCC $11,403 $33,957 −66% $28,924 −61% —
841 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC $11,397 $33,633 −66% $31,059 −63% —
385 INFLAMMATORY BOWEL DISEASE WITH MCC $11,358 $34,588 −67% $26,020 −56% —
410 BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC $11,349 $34,434 −67% $34,434 −67% —
115 EXTRAOCULAR PROCEDURES EXCEPT ORBIT $11,344 $33,987 −67% $24,879 −54% —
564 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC $11,329 $33,653 −66% $32,936 −66% —
813 COAGULATION DISORDERS $11,318 $33,296 −66% $30,128 −62% —
557 TENDONITIS, MYOSITIS AND BURSITIS WITH MCC $11,300 $33,325 −66% $28,646 −61% —
186 PLEURAL EFFUSION WITH MCC $11,273 $33,834 −67% $32,468 −65% —
142 MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC $11,231 $34,906 −68% $34,906 −68% —
487 KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $11,231 $35,080 −68% $33,490 −66% —
769 POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES $11,225 $30,846 −64% $24,561 −54% —
345 MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC $11,206 $33,048 −66% $31,062 −64% —
154 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC $11,192 $34,613 −68% $24,465 −54% —
306 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC $11,184 $32,445 −66% $24,450 −54% —
669 TRANSURETHRAL PROCEDURES WITH CC $11,171 $34,354 −67% $34,354 −67% —
088 CONCUSSION WITH MCC $11,166 $30,986 −64% $24,402 −54% —
583 MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC $11,097 $36,467 −70% $31,566 −65% —
562 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC $11,090 $31,874 −65% $29,211 −62% —
621 O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC $11,070 $32,451 −66% $32,451 −66% —
398 APPENDIX PROCEDURES WITH CC $11,047 $33,592 −67% $39,107 −72% —
073 CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC $11,045 $33,256 −67% $28,252 −61% —
077 HYPERTENSIVE ENCEPHALOPATHY WITH MCC $11,033 $33,267 −67% $24,036 −54% —
413 CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC $11,026 $36,907 −70% $27,548 −60% —
945 REHABILITATION WITH CC/MCC $11,025 $32,934 −67% $23,834 −54% —
604 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC $11,006 $32,248 −66% $28,140 −61% —
137 MOUTH PROCEDURES WITH CC/MCC $10,997 $31,048 −65% $24,348 −55% —
964 OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC $10,976 $32,490 −66% $25,854 −58% —
682 RENAL FAILURE WITH MCC $10,975 $32,520 −66% $27,854 −61% —
337 PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC $10,949 $34,078 −68% $36,239 −70% —
913 TRAUMATIC INJURY WITH MCC $10,938 $34,479 −68% $24,198 −55% —
517 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC $10,937 $33,137 −67% $33,137 −67% —
626 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC $10,923 $33,506 −67% $27,279 −60% —
757 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC $10,921 $31,063 −65% $23,734 −54% —
794 NEONATE WITH OTHER SIGNIFICANT PROBLEMS $10,911 $16,713 −35% $7,961 +37% —
602 CELLULITIS WITH MCC $10,897 $31,970 −66% $29,347 −63% —
063 ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC $10,893 $30,887 −65% $35,542 −69% —
658 KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC $10,856 $33,388 −67% $35,528 −69% —
289 ACUTE AND SUBACUTE ENDOCARDITIS WITH CC $10,841 $33,779 −68% $29,371 −63% —
054 NERVOUS SYSTEM NEOPLASMS WITH MCC $10,816 $32,473 −67% $29,484 −63% —
615 ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC $10,802 $31,812 −66% $31,812 −66% —
506 MAJOR THUMB OR JOINT PROCEDURES $10,753 $33,279 −68% $28,983 −63% —
663 MINOR BLADDER PROCEDURES WITH CC $10,732 $33,907 −68% $29,924 −64% —
708 MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC $10,729 $32,911 −67% $32,911 −67% —
351 INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC $10,712 $33,399 −68% $33,792 −68% —
388 GASTROINTESTINAL OBSTRUCTION WITH MCC $10,700 $31,982 −67% $28,780 −63% —
713 TRANSURETHRAL PROSTATECTOMY WITH CC/MCC $10,684 $32,100 −67% $29,663 −64% —
637 DIABETES WITH MCC $10,676 $31,753 −66% $28,819 −63% —
508 MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC $10,587 $28,651 −63% $22,811 −54% —
520 BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC $10,572 $31,816 −67% $31,816 −67% —
497 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC $10,548 $29,805 −65% $29,805 −65% —
716 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC $10,518 $31,508 −67% $21,615 −51% —
796 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC $10,496 $28,340 −63% $22,557 −53% —
067 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC $10,488 $31,730 −67% $24,941 −58% —
693 URINARY STONES WITH MCC $10,484 $31,990 −67% $22,525 −53% —
977 HIV WITH OR WITHOUT OTHER RELATED CONDITION $10,483 $31,511 −67% $22,525 −53% —
422 HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC $10,453 $32,620 −68% $25,152 −58% —
748 FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES $10,418 $30,242 −66% $24,980 −58% —
811 RED BLOOD CELL DISORDERS WITH MCC $10,410 $30,922 −66% $27,934 −63% —
175 PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE $10,407 $30,959 −66% $29,757 −65% —
555 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC $10,384 $29,894 −65% $23,723 −56% —
383 UNCOMPLICATED PEPTIC ULCER WITH MCC $10,379 $28,065 −63% $26,634 −61% —
630 OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC $10,368 $31,108 −67% $24,452 −58% —
241 AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS EXCEPT UPPER LIMB AND TOE WITHOUT CC/MCC $10,330 $33,519 −69% $24,229 −57% —
502 SOFT TISSUE PROCEDURES WITHOUT CC/MCC $10,289 $31,017 −67% $30,006 −66% —
885 PSYCHOSES $10,194 $30,968 −67% $21,489 −53% —
738 UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC $10,184 $33,674 −70% $30,972 −67% —
975 HIV WITH MAJOR RELATED CONDITION WITH CC $10,176 $31,166 −67% $25,010 −59% —
057 DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC $10,176 $29,623 −66% $25,426 −60% —
355 HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC $10,172 $29,596 −66% $31,978 −68% —
750 OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,157 $28,626 −65% $23,920 −58% —
083 TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC $10,136 $30,645 −67% $24,118 −58% —
909 OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC $10,136 $28,156 −64% $28,156 −64% —
168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $10,132 $30,056 −66% $28,527 −64% —
553 BONE DISEASES AND ARTHROPATHIES WITH MCC $10,108 $28,993 −65% $23,956 −58% —
581 OTHER SKIN, SUBCUTANEOUS TISSUE AND BREAST PROCEDURES WITHOUT CC/MCC $10,080 $31,950 −68% $25,243 −60% —
660 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC $10,075 $29,747 −66% $30,358 −67% —
416 CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC $10,036 $30,418 −67% $30,418 −67% —
193 SIMPLE PNEUMONIA AND PLEURISY WITH MCC $9,963 $29,252 −66% $26,158 −62% —
509 ARTHROSCOPY $9,961 $38,998 −74% $25,994 −62% —
124 OTHER DISORDERS OF THE EYE WITH MCC $9,936 $28,946 −66% $21,029 −53% —
099 NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC $9,926 $30,693 −68% $25,666 −61% —
086 TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC $9,908 $29,117 −66% $23,115 −57% —
640 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC $9,897 $29,481 −66% $24,480 −60% —
150 EPISTAXIS WITH MCC $9,893 $30,507 −68% $21,133 −53% —
419 LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC $9,885 $29,250 −66% $34,887 −72% —
642 INBORN AND OTHER DISORDERS OF METABOLISM $9,828 $27,552 −64% $20,727 −53% —
839 CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $9,827 $30,308 −68% $20,980 −53% —
348 ANAL AND STOMAL PROCEDURES WITH CC $9,817 $27,947 −65% $27,947 −65% —
741 UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC $9,805 $30,493 −68% $29,050 −66% —
540 OSTEOMYELITIS WITH CC $9,798 $28,728 −66% $23,494 −58% —
535 FRACTURES OF HIP AND PELVIS WITH MCC $9,790 $29,523 −67% $23,350 −58% —
887 OTHER MENTAL DISORDER DIAGNOSES $9,783 $26,404 −63% $20,602 −53% —
825 LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC $9,759 $27,323 −64% $27,321 −64% —
499 LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC $9,750 $25,769 −62% $22,532 −57% —
346 MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC $9,738 $27,645 −65% $26,146 −63% —
291 HEART FAILURE AND SHOCK WITH MCC $9,715 $28,966 −66% $25,020 −61% —
858 POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC $9,712 $28,602 −66% $23,924 −59% —
121 ACUTE MAJOR EYE INFECTIONS WITH CC/MCC $9,700 $25,822 −62% $18,291 −47% —
358 OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC $9,699 $30,083 −68% $29,374 −67% —
391 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC $9,668 $28,515 −66% $27,244 −65% —
735 PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC $9,578 $26,948 −64% $23,297 −59% —
947 SIGNS AND SYMPTOMS WITH MCC $9,528 $28,553 −67% $25,474 −63% —
903 WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC $9,469 $27,063 −65% $23,588 −60% —
725 BENIGN PROSTATIC HYPERTROPHY WITH MCC $9,466 $28,029 −66% $19,894 −52% —
822 LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,453 $25,390 −63% $25,390 −63% —
489 KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC $9,447 $27,492 −66% $27,492 −66% —
627 THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC $9,437 $28,125 −66% $25,623 −63% —
147 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC $9,436 $27,634 −66% $21,860 −57% —
710 PENIS PROCEDURES WITHOUT CC/MCC $9,427 $33,330 −72% $23,814 −60% —
189 PULMONARY EDEMA AND RESPIRATORY FAILURE $9,414 $27,470 −66% $25,704 −63% —
114 ORBITAL PROCEDURES WITHOUT CC/MCC $9,413 $26,242 −64% $19,598 −52% —
145 OTHER EAR, NOSE, MOUTH AND THROAT O.R. PROCEDURES WITHOUT CC/MCC $9,351 $26,302 −64% $20,842 −55% —
768 VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C $9,333 $24,337 −62% $17,103 −45% —
847 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC $9,301 $28,209 −67% $22,275 −58% —
804 OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC $9,289 $24,544 −62% $24,544 −62% —
593 SKIN ULCERS WITH CC $9,286 $27,143 −66% $20,470 −55% —
102 HEADACHES WITH MCC $9,267 $25,740 −64% $22,544 −59% —
549 SEPTIC ARTHRITIS WITH CC $9,264 $26,753 −65% $20,938 −56% —
809 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC $9,254 $27,494 −66% $22,032 −58% —
308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC $9,241 $26,770 −65% $26,488 −65% —
546 CONNECTIVE TISSUE DISORDERS WITH CC $9,224 $25,700 −64% $24,202 −62% —
598 MALIGNANT BREAST DISORDERS WITH CC $9,221 $23,951 −61% $19,073 −52% —
117 INTRAOCULAR PROCEDURES WITHOUT CC/MCC $9,219 $23,944 −61% $17,193 −46% —
375 DIGESTIVE MALIGNANCY WITH CC $9,218 $27,277 −66% $27,219 −66% —
836 ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC $9,213 $28,209 −67% $19,686 −53% —
695 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC $9,205 $25,037 −63% $20,741 −56% —
712 TESTES PROCEDURES WITHOUT CC/MCC $9,161 $23,745 −61% $18,898 −52% —
152 OTITIS MEDIA AND URI WITH MCC $9,160 $25,192 −64% $19,795 −54% —
139 SALIVARY GLAND PROCEDURES $9,157 $30,480 −70% $21,014 −56% —
059 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC $9,154 $27,163 −66% $26,322 −65% —
476 AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $9,094 $25,820 −65% $21,062 −57% —
718 OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC $9,088 $27,348 −67% $20,147 −55% —
689 KIDNEY AND URINARY TRACT INFECTIONS WITH MCC $9,080 $25,980 −65% $22,982 −60% —
818 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC $9,072 $28,593 −68% $24,316 −63% —
743 UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC $9,008 $26,611 −66% $27,369 −67% —
618 AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $9,005 $27,641 −67% $19,354 −53% —
844 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC $8,980 $26,533 −66% $20,421 −56% —
089 CONCUSSION WITH CC $8,937 $23,800 −62% $18,293 −51% —
304 HYPERTENSION WITH MCC $8,932 $26,080 −66% $24,185 −63% —
039 EXTRACRANIAL PROCEDURES WITHOUT CC/MCC $8,886 $25,267 −65% $25,267 −65% —
572 SKIN DEBRIDEMENT WITHOUT CC/MCC $8,878 $25,361 −65% $24,432 −64% —
560 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC $8,834 $25,279 −65% $24,452 −64% —
302 ATHEROSCLEROSIS WITH MCC $8,770 $25,825 −66% $20,844 −58% —
624 SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC $8,732 $22,268 −61% $17,078 −49% —
723 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC $8,731 $24,928 −65% $19,317 −55% —
399 APPENDIX PROCEDURES WITHOUT CC/MCC $8,724 $24,948 −65% $30,314 −71% —
697 URETHRAL STRICTURE $8,724 $22,239 −61% $17,705 −51% —
352 INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC $8,700 $24,477 −64% $25,162 −65% —
190 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC $8,659 $24,930 −65% $24,190 −64% —
181 RESPIRATORY NEOPLASMS WITH CC $8,654 $24,648 −65% $22,431 −61% —
436 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC $8,652 $25,034 −65% $24,017 −64% —
294 DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC $8,611 $27,261 −68% $19,132 −55% —
543 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC $8,594 $23,551 −64% $23,496 −63% —
445 DISORDERS OF THE BILIARY TRACT WITH CC $8,571 $24,075 −64% $21,806 −61% —
868 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC $8,563 $23,312 −63% $22,231 −61% —
755 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,559 $24,644 −65% $18,459 −54% —
287 CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC $8,541 $24,191 −65% $31,190 −73% —
989 NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $8,533 $25,652 −67% $25,307 −66% —
200 PNEUMOTHORAX WITH CC $8,514 $24,586 −65% $20,573 −59% —
055 NERVOUS SYSTEM NEOPLASMS WITHOUT MCC $8,492 $24,220 −65% $19,868 −57% —
381 COMPLICATED PEPTIC ULCER WITH CC $8,491 $24,177 −65% $24,177 −65% —
300 PERIPHERAL VASCULAR DISORDERS WITH CC $8,456 $23,767 −64% $19,579 −57% —
842 LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC $8,453 $23,352 −64% $17,550 −52% —
071 NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC $8,426 $23,396 −64% $23,396 −64% —
644 ENDOCRINE DISORDERS WITH CC $8,425 $22,941 −63% $22,941 −63% —
664 MINOR BLADDER PROCEDURES WITHOUT CC/MCC $8,425 $23,971 −65% $18,126 −54% —
184 MAJOR CHEST TRAUMA WITH CC $8,368 $23,711 −65% $20,842 −60% —
787 CESAREAN SECTION WITHOUT STERILIZATION WITH CC $8,364 $23,571 −65% $23,571 −65% —
667 PROSTATECTOMY WITHOUT CC/MCC $8,355 $22,817 −63% $16,703 −50% —
661 KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC $8,348 $22,790 −63% $24,022 −65% —
687 KIDNEY AND URINARY TRACT NEOPLASMS WITH CC $8,330 $23,369 −64% $18,478 −55% —
372 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC $8,313 $22,850 −64% $22,850 −64% —
514 HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC $8,308 $22,635 −63% $20,080 −59% —
949 AFTERCARE WITH CC/MCC $8,277 $23,953 −65% $23,953 −65% —
745 D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC $8,275 $22,750 −64% $16,495 −50% —
920 COMPLICATIONS OF TREATMENT WITH CC $8,263 $22,552 −63% $21,181 −61% —
433 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC $8,247 $23,749 −65% $23,749 −65% —
872 SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC $8,241 $22,888 −64% $22,781 −64% —
074 CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC $8,219 $23,141 −64% $23,141 −64% —
092 OTHER DISORDERS OF NERVOUS SYSTEM WITH CC $8,219 $23,503 −65% $24,136 −66% —
600 NON-MALIGNANT BREAST DISORDERS WITH CC/MCC $8,215 $21,236 −61% $16,418 −50% —
290 ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC $8,213 $21,733 −62% $15,901 −48% —
784 CESAREAN SECTION WITH STERILIZATION WITH CC $8,207 $24,042 −66% $22,560 −64% —
699 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC $8,188 $22,641 −64% $20,732 −61% —
078 HYPERTENSIVE ENCEPHALOPATHY WITH CC $8,165 $22,153 −63% $17,434 −53% —
065 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS $8,162 $22,575 −64% $23,469 −65% —
946 REHABILITATION WITHOUT CC/MCC $8,141 $24,786 −67% $17,685 −54% —
923 OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC $8,133 $22,641 −64% $16,571 −51% —
831 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC $8,124 $25,552 −68% $18,133 −55% —
596 MAJOR SKIN DISORDERS WITHOUT MCC $8,119 $24,000 −66% $17,226 −53% —
805 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC $8,115 $22,155 −63% $15,370 −47% —
863 POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC $8,099 $22,197 −64% $20,007 −60% —
810 MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC $8,093 $21,129 −62% $18,428 −56% —
729 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC $8,090 $24,439 −67% $17,483 −54% —
565 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC $8,064 $22,637 −64% $21,545 −63% —
197 INTERSTITIAL LUNG DISEASE WITH CC $8,052 $21,977 −63% $20,106 −60% —
187 PLEURAL EFFUSION WITH CC $8,046 $22,288 −64% $21,467 −63% —
797 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC $8,043 $21,494 −63% $19,001 −58% —
760 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC $8,040 $21,880 −63% $18,282 −56% —
815 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC $8,033 $22,557 −64% $18,017 −55% —
758 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC $8,024 $22,628 −65% $19,091 −58% —
257 UPPER LIMB AND TOE AMPUTATION FOR CIRCULATORY SYSTEM DISORDERS WITHOUT CC/MCC $8,015 $19,914 −60% $15,764 −49% —
756 MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $8,007 $21,201 −62% $15,589 −49% —
779 ABORTION WITHOUT D&C $8,004 $20,752 −61% $15,327 −48% —
369 MAJOR ESOPHAGEAL DISORDERS WITH CC $7,999 $22,590 −65% $22,713 −65% —
178 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC $7,990 $22,024 −64% $22,024 −64% —
053 SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC $7,973 $20,455 −61% $20,309 −61% —
378 GASTROINTESTINAL HEMORRHAGE WITH CC $7,973 $21,886 −64% $21,886 −64% —
349 ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC $7,926 $19,854 −60% $19,854 −60% —
386 INFLAMMATORY BOWEL DISEASE WITH CC $7,902 $22,033 −64% $20,968 −62% —
315 OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC $7,877 $21,363 −63% $20,777 −62% —
537 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC $7,875 $20,401 −61% $16,352 −52% —
552 MEDICAL BACK PROBLEMS WITHOUT MCC $7,871 $21,396 −63% $21,213 −63% —
670 TRANSURETHRAL PROCEDURES WITHOUT CC/MCC $7,850 $21,216 −63% $20,371 −61% —
714 TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC $7,826 $20,861 −62% $17,108 −54% —
202 BRONCHITIS AND ASTHMA WITH CC/MCC $7,820 $21,460 −64% $17,273 −55% —
965 OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC $7,811 $20,259 −61% $17,585 −56% —
880 ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION $7,803 $21,280 −63% $15,636 −50% —
442 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC $7,785 $21,449 −64% $21,449 −64% —
155 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC $7,757 $20,725 −63% $16,642 −53% —
307 CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC $7,734 $20,566 −62% $18,608 −58% —
882 NEUROSES EXCEPT DEPRESSIVE $7,715 $21,356 −64% $15,680 −51% —
136 SINUS AND MASTOID PROCEDURES WITHOUT CC/MCC $7,713 $21,716 −64% $15,890 −51% —
158 DENTAL AND ORAL DISEASES WITH CC $7,710 $20,881 −63% $17,700 −56% —
394 OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC $7,701 $20,896 −63% $18,918 −59% —
090 CONCUSSION WITHOUT CC/MCC $7,688 $19,032 −60% $14,873 −48% —
672 URETHRAL PROCEDURES WITHOUT CC/MCC $7,618 $24,295 −69% $17,398 −56% —
076 VIRAL MENINGITIS WITHOUT CC/MCC $7,617 $20,355 −63% $15,474 −51% —
550 SEPTIC ARTHRITIS WITHOUT CC/MCC $7,607 $19,138 −60% $16,156 −53% —
084 TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC $7,601 $21,225 −64% $18,191 −58% —
866 VIRAL ILLNESS WITHOUT MCC $7,589 $19,642 −61% $16,391 −54% —
206 OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC $7,565 $20,108 −62% $17,731 −57% —
281 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC $7,562 $20,463 −63% $20,463 −63% —
101 SEIZURES WITHOUT MCC $7,542 $20,461 −63% $19,954 −62% —
081 NONTRAUMATIC STUPOR AND COMA WITHOUT MCC $7,542 $20,086 −62% $15,077 −50% —
605 TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC $7,537 $20,506 −63% $19,287 −61% —
914 TRAUMATIC INJURY WITHOUT MCC $7,531 $20,344 −63% $15,593 −52% —
819 OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC $7,528 $18,126 −58% $17,928 −58% —
881 DEPRESSIVE NEUROSES $7,524 $20,293 −63% $15,058 −50% —
683 RENAL FAILURE WITH CC $7,491 $19,733 −62% $18,620 −60% —
812 RED BLOOD CELL DISORDERS WITHOUT MCC $7,490 $20,488 −63% $20,488 −63% —
638 DIABETES WITH CC $7,483 $20,361 −63% $18,821 −60% —
060 MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC $7,471 $19,811 −62% $21,261 −65% —
563 FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC $7,461 $19,842 −62% $18,803 −60% —
607 MINOR SKIN DISORDERS WITHOUT MCC $7,449 $19,185 −61% $15,284 −51% —
376 DIGESTIVE MALIGNANCY WITHOUT CC/MCC $7,436 $19,602 −62% $15,608 −52% —
148 EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC $7,427 $17,775 −58% $13,586 −45% —
747 VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC $7,412 $21,205 −65% $19,326 −62% —
087 TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC $7,406 $19,624 −62% $15,869 −53% —
603 CELLULITIS WITHOUT MCC $7,398 $19,553 −62% $18,530 −60% —
864 FEVER AND INFLAMMATORY CONDITIONS $7,387 $19,935 −63% $17,412 −58% —
558 TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC $7,361 $19,176 −62% $17,367 −58% —
384 UNCOMPLICATED PEPTIC ULCER WITHOUT MCC $7,345 $19,305 −62% $19,305 −62% —
068 NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC $7,318 $19,569 −63% $19,569 −63% —
785 CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC $7,291 $19,815 −63% $19,815 −63% —
138 MOUTH PROCEDURES WITHOUT CC/MCC $7,287 $19,492 −63% $17,383 −58% —
845 OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC $7,283 $18,577 −61% $14,055 −48% —
312 SYNCOPE AND COLLAPSE $7,274 $19,342 −62% $19,342 −62% —
918 POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC $7,259 $19,638 −63% $15,045 −52% —
541 OSTEOMYELITIS WITHOUT CC/MCC $7,242 $19,422 −63% $14,549 −50% —
292 HEART FAILURE AND SHOCK WITH CC $7,234 $19,118 −62% $16,212 −55% —
897 ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC $7,229 $19,584 −63% $16,049 −55% —
439 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC $7,226 $19,096 −62% $19,096 −62% —
788 CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC $7,225 $20,084 −64% $20,084 −64% —
191 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC $7,190 $19,072 −62% $18,278 −61% —
976 HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC $7,169 $22,266 −68% $16,212 −56% —
103 HEADACHES WITHOUT MCC $7,152 $18,874 −62% $20,111 −64% —
437 MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC $7,086 $17,431 −59% $13,385 −47% —
556 SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC $7,047 $18,126 −61% $17,715 −60% —
204 RESPIRATORY SIGNS AND SYMPTOMS $7,039 $18,004 −61% $16,866 −58% —
194 SIMPLE PNEUMONIA AND PLEURISY WITH CC $7,035 $18,204 −61% $18,204 −61% —
554 BONE DISEASES AND ARTHROPATHIES WITHOUT MCC $7,032 $18,528 −62% $18,253 −61% —
176 PULMONARY EMBOLISM WITHOUT MCC $6,996 $18,081 −61% $18,081 −61% —
547 CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC $6,984 $16,565 −58% $14,861 −53% —
798 VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC $6,971 $21,494 −68% $18,238 −62% —
534 FRACTURES OF FEMUR WITHOUT MCC $6,964 $18,070 −61% $17,195 −59% —
724 MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,961 $16,175 −57% $12,650 −45% —
690 KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC $6,946 $17,817 −61% $17,466 −60% —
123 NEUROLOGICAL EYE DISORDERS $6,929 $17,831 −61% $17,831 −61% —
446 DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC $6,915 $17,700 −61% $17,700 −61% —
948 SIGNS AND SYMPTOMS WITHOUT MCC $6,912 $17,638 −61% $17,727 −61% —
728 INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC $6,906 $18,139 −62% $16,837 −59% —
069 TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC $6,898 $17,762 −61% $20,278 −66% —
770 ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY $6,898 $23,887 −71% $17,943 −62% —
125 OTHER DISORDERS OF THE EYE WITHOUT MCC $6,891 $18,330 −62% $15,876 −57% —
389 GASTROINTESTINAL OBSTRUCTION WITH CC $6,885 $17,795 −61% $17,388 −60% —
594 SKIN ULCERS WITHOUT CC/MCC $6,833 $18,841 −64% $14,209 −52% —
536 FRACTURES OF HIP AND PELVIS WITHOUT MCC $6,831 $18,002 −62% $18,002 −62% —
392 ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC $6,822 $17,322 −61% $17,322 −61% —
072 NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC $6,807 $16,654 −59% $16,654 −59% —
694 URINARY STONES WITHOUT MCC $6,805 $17,347 −61% $16,531 −59% —
641 MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC $6,798 $17,347 −61% $16,745 −59% —
688 KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC $6,795 $16,077 −58% $12,593 −46% —
561 AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC $6,791 $18,150 −63% $18,150 −63% —
198 INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC $6,779 $15,549 −56% $13,654 −50% —
093 OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC $6,757 $17,522 −61% $17,522 −61% —
151 EPISTAXIS WITHOUT MCC $6,736 $16,827 −60% $13,032 −48% —
544 PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC $6,717 $16,776 −60% $16,776 −60% —
179 RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC $6,693 $17,087 −61% $14,444 −54% —
645 ENDOCRINE DISORDERS WITHOUT CC/MCC $6,679 $17,287 −61% $14,166 −53% —
848 CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC $6,671 $18,179 −63% $13,822 −52% —
182 RESPIRATORY NEOPLASMS WITHOUT CC/MCC $6,668 $18,592 −64% $14,064 −53% —
382 COMPLICATED PEPTIC ULCER WITHOUT CC/MCC $6,657 $16,634 −60% $16,634 −60% —
185 MAJOR CHEST TRAUMA WITHOUT CC/MCC $6,649 $17,265 −61% $15,858 −58% —
305 HYPERTENSION WITHOUT MCC $6,636 $16,665 −60% $17,144 −61% —
566 OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC $6,618 $16,607 −60% $14,337 −54% —
806 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC $6,596 $16,064 −59% $13,090 −50% —
188 PLEURAL EFFUSION WITHOUT CC/MCC $6,595 $16,299 −60% $14,110 −53% —
149 DYSEQUILIBRIUM $6,585 $16,594 −60% $17,203 −62% —
309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC $6,585 $16,412 −60% $16,865 −61% —
122 ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC $6,584 $15,058 −56% $11,997 −45% —
370 MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC $6,579 $15,495 −58% $15,072 −56% —
079 HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC $6,562 $14,800 −56% $11,847 −45% —
284 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC $6,556 $16,450 −60% $13,282 −51% —
832 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC $6,544 $16,592 −61% $12,895 −49% —
153 OTITIS MEDIA AND URI WITHOUT MCC $6,527 $15,799 −59% $14,473 −55% —
726 BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC $6,505 $16,525 −61% $13,892 −53% —
297 CARDIAC ARREST, UNEXPLAINED WITH CC $6,491 $15,637 −58% $12,336 −47% —
313 CHEST PAIN $6,462 $15,837 −59% $15,962 −60% —
282 ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC $6,430 $16,097 −60% $18,623 −65% —
776 POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES $6,422 $15,839 −59% $12,381 −48% —
373 MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC $6,421 $16,104 −60% $16,104 −60% —
443 DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,411 $15,600 −59% $15,600 −59% —
816 RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC $6,384 $14,638 −56% $13,485 −53% —
301 PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC $6,382 $15,837 −60% $15,607 −59% —
538 SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC $6,378 $14,907 −57% $11,909 −46% —
700 OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC $6,373 $15,411 −59% $13,303 −52% —
201 PNEUMOTHORAX WITHOUT CC/MCC $6,361 $15,031 −58% $13,081 −51% —
311 ANGINA PECTORIS $6,314 $15,502 −59% $15,165 −58% —
921 COMPLICATIONS OF TREATMENT WITHOUT CC/MCC $6,312 $15,267 −59% $14,012 −55% —
203 BRONCHITIS AND ASTHMA WITHOUT CC/MCC $6,296 $15,464 −59% $12,279 −49% —
316 OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC $6,283 $15,156 −59% $12,797 −51% —
696 KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC $6,279 $15,358 −59% $14,441 −57% —
869 OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC $6,271 $15,975 −61% $12,537 −50% —
066 INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC $6,253 $15,280 −59% $19,483 −68% —
387 INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC $6,233 $14,880 −58% $14,880 −58% —
159 DENTAL AND ORAL DISEASES WITHOUT CC/MCC $6,181 $14,643 −58% $13,368 −54% —
434 CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC $6,148 $15,462 −60% $12,405 −50% —
916 ALLERGIC REACTIONS WITHOUT MCC $6,086 $14,743 −59% $13,890 −56% —
222 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC $6,082 $23,643 −74% $86,864 −93% —
223 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC $6,082 $23,643 −74% $59,206 −90% —
225 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC $6,082 $23,643 −74% $57,380 −89% —
226 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC $6,082 $23,643 −74% $72,618 −92% —
227 CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC $6,082 $23,643 −74% $56,960 −89% —
246 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $6,082 $23,643 −74% $33,983 −82% —
247 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC $6,082 $23,643 −74% $21,663 −72% —
248 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES OR STENTS $6,082 $23,643 −74% $34,146 −82% —
249 PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH NON-DRUG-ELUTING STENT WITHOUT MCC $6,082 $23,643 −74% $20,610 −70% —
338 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $6,082 $23,289 −74% $30,138 −80% —
339 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $6,082 $23,289 −74% $18,474 −67% —
340 APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,082 $23,289 −74% $16,240 −63% —
341 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC $6,082 $23,289 −74% $25,628 −76% —
342 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC $6,082 $23,289 −74% $19,454 −69% —
343 APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC $6,082 $23,289 −74% $13,735 −56% —
998 PRINCIPAL DIAGNOSIS INVALID AS DISCHARGE DIAGNOSIS $6,082 $17,953 −66% $15,655 −61% —
999 UNGROUPABLE $6,082 $17,953 −66% $28,822 −79% —
303 ATHEROSCLEROSIS WITHOUT MCC $6,082 $14,927 −59% $14,927 −59% —
156 OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC $6,067 $14,927 −59% $13,198 −54% —
807 VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC $6,060 $14,148 −57% $12,044 −50% —
395 OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $6,020 $14,128 −57% $14,128 −57% —
759 INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC $6,013 $14,208 −58% $14,208 −58% —
192 CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC $5,987 $14,368 −58% $14,368 −58% —
295 DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC $5,927 $17,533 −66% $13,445 −56% —
379 GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC $5,924 $14,134 −58% $14,134 −58% —
950 AFTERCARE WITHOUT CC/MCC $5,908 $13,527 −56% $13,527 −56% —
599 MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,869 $18,978 −69% $14,290 −59% —
601 NON-MALIGNANT BREAST DISORDERS WITHOUT CC/MCC $5,864 $13,599 −57% $10,975 −47% —
195 SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC $5,853 $13,824 −58% $13,824 −58% —
639 DIABETES WITHOUT CC/MCC $5,824 $13,910 −58% $13,910 −58% —
730 OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC $5,816 $13,639 −57% $11,071 −47% —
440 DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC $5,759 $13,683 −58% $15,070 −62% —
684 RENAL FAILURE WITHOUT CC/MCC $5,693 $13,642 −58% $13,623 −58% —
761 MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC $5,666 $14,072 −60% $11,421 −50% —
951 OTHER FACTORS INFLUENCING HEALTH STATUS $5,520 $13,425 −59% $9,385 −41% —
894 ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA $5,375 $13,855 −61% $12,013 −55% —
293 HEART FAILURE AND SHOCK WITHOUT CC/MCC $5,253 $13,326 −61% $11,955 −56% —
390 GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC $5,230 $13,318 −61% $13,318 −61% —
310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC $5,174 $13,384 −61% $13,384 −61% —
833 OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC $4,858 $11,539 −58% $9,076 −46% —
285 ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC $4,776 $13,395 −64% $10,039 −52% —
298 CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC $4,602 $12,751 −64% $8,927 −48% —
795 NORMAL NEWBORN $3,757 $6,880 −45% $4,530 −17% —

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
224 CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC $6,082 – $6,082 · median $6,082 1 plans
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