Kaweah Health Medical Center — Pricing
601 procedures published in this hospital's Machine-Readable File (MRF) — 601 with a comparable price, 0 with per-payer negotiated rates only. Prices shown are pre-insurance; actual cost depends on your plan, Medicare/Medicaid coverage, or cash-pay discounts.
Procedures published 601
Lowest published price $2,327
Average published price $71,988
Highest published price $899,745
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.
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Showing all 601 procedures
Published charges
Showing all 601 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 120 procedures, this hospital's negotiated rates average ≈103% of what Medicare pays.
| DRG | Description | Published price | Cash price | vs. CA median | vs. National median | vs Medicare | ||
|---|---|---|---|---|---|---|---|---|
| 003 | ecmo or tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures | $899,745 | $139,500 | $371,366 | +142% | $371,366 | +142% | — |
| 212 | concomitant aortic and mitral valve procedures | $881,018 | $55,500 | $196,346 | +349% | $171,338 | +414% | — |
| 004 | tracheostomy with mv >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures | $720,609 | $118,500 | $248,521 | +190% | $245,241 | +194% | ≈81% of Medicare |
| 268 | aortic and heart assist procedures except pulsation balloon with mcc | $489,217 | $85,200 | $125,242 | +291% | $118,589 | +313% | — |
| 231 | coronary bypass with ptca with mcc | $475,688 | $64,400 | $155,631 | +206% | $146,474 | +225% | — |
| 040 | peripheral, cranial nerve and other nervous system procedures with mcc | $430,096 | $108,000 | $74,257 | +479% | $74,257 | +479% | — |
| 216 | cardiac valve and other major cardiothoracic procedures with cardiac catheterization with mcc | $341,819 | $132,000 | $175,437 | +95% | $175,437 | +95% | — |
| 233 | coronary bypass with cardiac catheterization or open ablation with mcc | $335,641 | $80,000 | $144,569 | +132% | $138,868 | +142% | ≈110% of Medicare |
| 577 | skin graft except for skin ulcer or cellulitis with cc | $333,187 | $167,500 | $55,594 | +499% | $45,432 | +633% | — |
| 955 | craniotomy for multiple significant trauma | $308,348 | $41,500 | $125,675 | +145% | $105,612 | +192% | — |
| 799 | splenic procedures with mcc | $279,946 | $38,000 | $90,790 | +208% | $78,821 | +255% | — |
| 215 | other heart assist system implant | $279,679 | $54,000 | $191,314 | +46% | $191,314 | +46% | — |
| 023 | craniotomy with major device implant or acute complex cns principal diagnosis with mcc or chemotherapy implant or epilepsy with neurostimulator | $266,734 | $45,000 | $106,778 | +150% | $106,778 | +150% | — |
| 957 | other o.r. procedures for multiple significant trauma with mcc | $260,248 | $45,000 | $136,374 | +91% | $120,587 | +116% | — |
| 031 | ventricular shunt procedures with mcc | $259,362 | $38,000 | $81,298 | +219% | $68,659 | +278% | — |
| 870 | septicemia or severe sepsis with mv >96 hours | $259,039 | $49,000 | $124,290 | +108% | $138,008 | +88% | ≈59% of Medicare |
| 217 | cardiac valve and other major cardiothoracic procedures with cardiac catheterization with cc | $257,011 | $54,000 | $121,714 | +111% | $121,714 | +111% | — |
| 163 | major chest procedures with mcc | $248,213 | $34,500 | $88,341 | +181% | $88,341 | +181% | — |
| 466 | revision of hip or knee replacement with mcc | $244,799 | $10,000 | $96,507 | +154% | $96,222 | +154% | — |
| 219 | cardiac valve and other major cardiothoracic procedures without cardiac catheterization with mcc | $244,210 | $54,000 | $143,242 | +70% | $143,242 | +70% | — |
| 028 | spinal procedures with mcc | $242,789 | $27,500 | $113,077 | +115% | $95,858 | +153% | — |
| 207 | respiratory system diagnosis with ventilator support >96 hours | $242,085 | $52,500 | $116,058 | +109% | $116,058 | +109% | ≈72% of Medicare |
| 333 | rectal resection with cc | $225,822 | $118,500 | $46,551 | +385% | $34,352 | +557% | — |
| 275 | cardiac defibrillator implant with cardiac catheterization and mcc | $215,471 | $31,000 | $131,961 | +63% | $131,961 | +63% | — |
| 029 | spinal procedures with cc or spinal neurostimulators | $212,619 | $34,500 | $67,268 | +216% | $64,152 | +231% | — |
| 270 | other major cardiovascular procedures with mcc | $203,946 | $54,000 | $99,423 | +105% | $99,423 | +105% | ≈97% of Medicare |
| 235 | coronary bypass without cardiac catheterization with mcc | $203,714 | $59,200 | $112,062 | +82% | $112,062 | +82% | — |
| 405 | pancreas, liver and shunt procedures with mcc | $201,427 | $52,000 | $102,128 | +97% | $94,927 | +112% | — |
| 234 | coronary bypass with cardiac catheterization or open ablation without mcc | $200,881 | $59,200 | $102,573 | +96% | $102,573 | +96% | ≈111% of Medicare |
| 269 | aortic and heart assist procedures except pulsation balloon without mcc | $200,313 | $54,000 | $83,065 | +141% | $83,065 | +141% | — |
| 220 | cardiac valve and other major cardiothoracic procedures without cardiac catheterization with cc | $190,701 | $54,000 | $102,177 | +87% | $102,177 | +87% | — |
| 329 | major small and large bowel procedures with mcc | $188,222 | $41,500 | $88,050 | +114% | $88,050 | +114% | ≈103% of Medicare |
| 856 | postoperative or post-traumatic infections with o.r. procedures with mcc | $186,147 | $48,500 | $86,699 | +115% | $72,859 | +155% | — |
| 124 | other disorders of the eye with mcc or thrombolytic agent | $174,758 | $7,000 | $28,946 | +504% | $21,029 | +731% | — |
| 853 | infectious and parasitic diseases with o.r. procedures with mcc | $172,889 | $45,000 | $94,937 | +82% | $87,018 | +99% | ≈90% of Medicare |
| 326 | stomach, esophageal and duodenal procedures with mcc | $171,109 | $24,000 | $96,245 | +78% | $80,747 | +112% | — |
| 518 | back and neck procedures except spinal fusion with mcc or disc device or neurostimulator | $170,947 | $48,500 | $71,092 | +140% | $64,776 | +164% | — |
| 276 | cardiac defibrillator implant with mcc or carotid sinus neurostimulator | $165,848 | $24,000 | $117,280 | +41% | $117,280 | +41% | — |
| 250 | percutaneous cardiovascular procedures without intraluminal device with mcc | $165,269 | $43,750 | $51,339 | +222% | $51,339 | +222% | — |
| 515 | other musculoskeletal system and connective tissue o.r. procedures with mcc | $164,674 | $31,000 | $62,821 | +162% | $62,821 | +162% | — |
| 236 | coronary bypass without cardiac catheterization without mcc | $163,441 | $24,000 | $82,247 | +99% | $82,247 | +99% | — |
| 034 | carotid artery stent procedures with mcc | $163,143 | $47,500 | $76,219 | +114% | $72,908 | +124% | — |
| 963 | other multiple significant trauma with mcc | $162,965 | $66,500 | $52,959 | +208% | $43,491 | +275% | — |
| 218 | cardiac valve and other major cardiothoracic procedures with cardiac catheterization without cc/mcc | $162,906 | $54,000 | $113,157 | +44% | $92,238 | +77% | — |
| 266 | endovascular cardiac valve replacement and supplement procedures with mcc | $162,416 | $54,000 | $113,855 | +43% | $113,855 | +43% | — |
| 052 | spinal disorders and injuries with cc/mcc | $162,345 | $73,500 | $41,111 | +295% | $30,940 | +425% | — |
| 408 | biliary tract procedures except only cholecystectomy with or without c.d.e. with mcc | $158,956 | $34,500 | $69,701 | +128% | $59,207 | +168% | — |
| 750 | other female reproductive system o.r. procedures without cc/mcc | $157,908 | $34,500 | $28,626 | +452% | $23,920 | +560% | — |
| 908 | other o.r. procedures for injuries with cc | $157,740 | $27,500 | $44,730 | +253% | $41,660 | +279% | — |
| 542 | pathological fractures and musculoskeletal and connective tissue malignancy with mcc | $157,703 | $63,000 | $38,631 | +308% | $35,114 | +349% | — |
| 353 | hernia procedures except inguinal and femoral with mcc | $155,213 | $24,000 | $60,140 | +158% | $60,140 | +158% | — |
| 981 | extensive o.r. procedures unrelated to principal diagnosis with mcc | $155,006 | $38,000 | $90,775 | +71% | $86,390 | +79% | ≈85% of Medicare |
| 272 | other major cardiovascular procedures without cc/mcc | $150,079 | $54,000 | $55,162 | +172% | $55,162 | +172% | — |
| 336 | peritoneal adhesiolysis with cc | $149,476 | $27,500 | $46,332 | +223% | $49,470 | +202% | — |
| 488 | knee procedures without principal diagnosis of infection with cc/mcc | $147,827 | $31,000 | $43,631 | +239% | $41,520 | +256% | — |
| 025 | craniotomy and endovascular intracranial procedures with mcc | $146,516 | $31,000 | $88,307 | +66% | $88,307 | +66% | — |
| 478 | biopsies of musculoskeletal system and connective tissue with cc | $145,007 | $41,500 | $50,139 | +189% | $50,139 | +189% | — |
| 273 | percutaneous and other intracardiac procedures with mcc | $144,188 | $36,250 | $78,852 | +83% | $78,852 | +83% | — |
| 166 | other respiratory system o.r. procedures with mcc | $143,216 | $34,500 | $75,573 | +90% | $72,782 | +97% | — |
| 262 | cardiac pacemaker revision except device replacement without cc/mcc | $142,523 | $69,600 | $33,694 | +323% | $33,694 | +323% | — |
| 939 | o.r. procedures with diagnoses of other contact with health services with mcc | $141,497 | $69,500 | $64,194 | +120% | $51,142 | +177% | — |
| 164 | major chest procedures with cc | $140,398 | $41,500 | $53,141 | +164% | $53,141 | +164% | — |
| 539 | osteomyelitis with mcc | $140,393 | $63,000 | $41,277 | +240% | $33,746 | +316% | — |
| 356 | other digestive system o.r. procedures with mcc | $139,776 | $24,000 | $82,561 | +69% | $82,561 | +69% | — |
| 823 | lymphoma and non-acute leukemia with other procedures with mcc | $139,279 | $41,500 | $89,523 | +56% | $80,885 | +72% | — |
| 221 | cardiac valve and other major cardiothoracic procedures without cardiac catheterization without cc/mcc | $138,730 | $54,000 | $90,331 | +54% | $90,331 | +54% | — |
| 324 | coronary intravascular lithotripsy with intraluminal device without mcc | $136,745 | $10,000 | $66,819 | +105% | $66,819 | +105% | — |
| 474 | amputation for musculoskeletal system and connective tissue disorders with mcc | $136,505 | $38,000 | $86,246 | +58% | $76,954 | +77% | — |
| 277 | cardiac defibrillator implant without mcc | $135,134 | $17,000 | $91,329 | +48% | $91,329 | +48% | — |
| 958 | other o.r. procedures for multiple significant trauma with cc | $133,495 | $34,500 | $79,939 | +67% | $66,853 | +100% | — |
| 239 | amputation for circulatory system disorders except upper limb and toe with mcc | $132,686 | $41,500 | $95,536 | +39% | $87,565 | +52% | ≈94% of Medicare |
| 271 | other major cardiovascular procedures with cc | $132,177 | $54,000 | $71,014 | +86% | $71,014 | +86% | ≈147% of Medicare |
| 669 | transurethral procedures with cc | $131,891 | $24,000 | $34,354 | +284% | $34,354 | +284% | — |
| 094 | bacterial and tuberculous infections of nervous system with mcc | $130,599 | $45,500 | $68,639 | +90% | $62,524 | +109% | — |
| 323 | coronary intravascular lithotripsy with intraluminal device with mcc | $129,493 | $27,500 | $84,725 | +53% | $88,049 | +47% | — |
| 824 | lymphoma and non-acute leukemia with other procedures with cc | $129,197 | $20,500 | $47,797 | +170% | $38,382 | +237% | — |
| 746 | vagina, cervix and vulva procedures with cc/mcc | $127,580 | $52,000 | $37,175 | +243% | $29,916 | +326% | — |
| 616 | amputation of lower limb for endocrine, nutritional and metabolic disorders with mcc | $127,344 | $38,000 | $75,820 | +68% | $62,961 | +102% | — |
| 974 | hiv with major related condition with mcc | $127,249 | $24,500 | $57,493 | +121% | $46,402 | +174% | — |
| 659 | kidney and ureter procedures for non-neoplasm with mcc | $126,723 | $31,000 | $54,273 | +133% | $48,094 | +163% | — |
| 026 | craniotomy and endovascular intracranial procedures with cc | $124,380 | $31,000 | $64,523 | +93% | $63,475 | +96% | — |
| 956 | limb reattachment, hip and femur procedures for multiple significant trauma | $123,384 | $20,500 | $75,103 | +64% | $75,103 | +64% | — |
| 671 | urethral procedures with cc/mcc | $122,888 | $31,000 | $38,265 | +221% | $27,233 | +351% | — |
| 574 | skin graft for skin ulcer or cellulitis with cc | $121,550 | $66,000 | $69,089 | +76% | $49,065 | +148% | — |
| 097 | non-bacterial infection of nervous system except viral meningitis with mcc | $119,730 | $49,000 | $67,560 | +77% | $57,855 | +107% | — |
| 173 | ultrasound accelerated and other thrombolysis with principal diagnosis pulmonary embolism | $119,539 | $24,000 | $64,691 | +85% | $53,555 | +123% | — |
| 321 | percutaneous cardiovascular procedures with intraluminal device with mcc or 4+ arteries/intraluminal devices | $114,905 | $17,000 | $60,959 | +88% | $74,274 | +55% | ≈56% of Medicare |
| 673 | other kidney and urinary tract procedures with mcc | $114,354 | $41,500 | $81,281 | +41% | $72,945 | +57% | ≈90% of Medicare |
| 264 | other circulatory system o.r. procedures | $113,742 | $69,600 | $69,597 | +63% | $51,953 | +119% | ≈201% of Medicare |
| 744 | d&c, conization, laparoscopy and tubal interruption with cc/mcc | $113,664 | $31,000 | $43,378 | +162% | $33,050 | +244% | — |
| 628 | other endocrine, nutritional and metabolic o.r. procedures with mcc | $113,478 | $41,500 | $77,178 | +47% | $68,006 | +67% | — |
| 800 | splenic procedures with cc | $112,408 | $17,000 | $59,817 | +88% | $49,184 | +129% | — |
| 486 | knee procedures with principal diagnosis of infection with cc | $111,679 | $24,000 | $46,477 | +140% | $46,477 | +140% | — |
| 429 | combined anterior and posterior cervical spinal fusion with mcc | $110,068 | $17,000 | $153,621 | −28% | $120,174 | −8% | — |
| 453 | combined anterior and posterio | $110,068 | $17,000 | $23,289 | +373% | $103,861 | +6% | — |
| 987 | non-extensive o.r. procedures unrelated to principal diagnosis with mcc | $109,787 | $34,500 | $69,724 | +57% | $65,383 | +68% | — |
| 327 | stomach, esophageal and duodenal procedures with cc | $109,690 | $17,000 | $51,645 | +112% | $54,824 | +100% | — |
| 229 | other cardiothoracic procedures without mcc | $109,304 | $54,000 | $65,325 | +67% | $65,325 | +67% | — |
| 519 | back and neck procedures except spinal fusion with cc | $108,218 | $20,500 | $43,775 | +147% | $43,775 | +147% | — |
| 622 | skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc | $107,299 | $31,000 | $73,751 | +45% | $60,861 | +76% | — |
| 096 | bacterial and tuberculous infections of nervous system without cc/mcc | $106,767 | $35,000 | $47,583 | +124% | $39,093 | +173% | — |
| 829 | myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc | $106,652 | $17,000 | $62,677 | +70% | $53,817 | +98% | — |
| 242 | permanent cardiac pacemaker implant with mcc | $106,013 | $54,000 | $70,132 | +51% | $70,132 | +51% | ≈123% of Medicare |
| 790 | extreme immaturity or respiratory distress syndrome, neonate | $105,664 | $62,400 | $107,269 | −1% | $80,018 | +32% | — |
| 167 | other respiratory system o.r. procedures with cc | $105,340 | $27,500 | $40,563 | +160% | $40,563 | +160% | — |
| 982 | extensive o.r. procedures unrelated to principal diagnosis with cc | $104,986 | $20,500 | $51,985 | +102% | $51,985 | +102% | ≈87% of Medicare |
| 826 | myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures with mcc | $104,555 | $13,500 | $91,138 | +15% | $88,691 | +18% | — |
| 454 | combined anterior and posterio | $104,096 | $13,500 | $23,289 | +347% | $69,101 | +51% | ≈20% of Medicare |
| 252 | other vascular procedures with mcc | $103,824 | $28,750 | $68,508 | +52% | $68,508 | +52% | ≈78% of Medicare |
| 260 | cardiac pacemaker revision except device replacement with mcc | $103,632 | $59,200 | $70,371 | +47% | $67,901 | +53% | — |
| 426 | multiple level combined anterior and posterior spinal fusion except cervical with mcc or custom-made anatomically designed interbody fusion device | $103,169 | $24,000 | $189,537 | −46% | $142,326 | −28% | — |
| 459 | spinal fusion except cervical | $103,169 | $24,000 | $23,289 | +343% | $75,251 | +37% | — |
| 901 | wound debridements for injuries with mcc | $100,904 | $17,000 | $85,334 | +18% | $68,847 | +47% | — |
| 279 | ultrasound accelerated and other thrombolysis of peripheral vascular structures without mcc | $100,503 | $17,000 | $66,976 | +50% | $57,277 | +75% | — |
| 095 | bacterial and tuberculous infections of nervous system with cc | $100,196 | $49,000 | $47,583 | +111% | $47,583 | +111% | — |
| 480 | hip and femur procedures except major joint with mcc | $98,400 | $31,000 | $60,274 | +63% | $63,984 | +54% | ≈110% of Medicare |
| 154 | other ear, nose, mouth and throat diagnoses with mcc | $98,010 | $24,500 | $34,613 | +183% | $24,465 | +301% | — |
| 245 | aicd generator procedures | $97,936 | $17,000 | $95,281 | +3% | $72,076 | +36% | — |
| 357 | other digestive system o.r. procedures with cc | $97,173 | $20,500 | $48,682 | +100% | $48,682 | +100% | — |
| 469 | major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement | $97,087 | $17,000 | $65,788 | +48% | $65,254 | +49% | — |
| 253 | other vascular procedures with cc | $96,218 | $28,750 | $53,746 | +79% | $53,746 | +79% | ≈106% of Medicare |
| 346 | minor small and large bowel procedures without cc/mcc | $94,749 | $13,500 | $27,645 | +243% | $26,146 | +262% | — |
| 208 | respiratory system diagnosis with ventilator support <=96 hours | $94,143 | $21,000 | $52,405 | +80% | $52,405 | +80% | ≈74% of Medicare |
| 406 | pancreas, liver and shunt procedures with cc | $94,049 | $27,500 | $58,043 | +62% | $58,043 | +62% | — |
| 078 | hypertensive encephalopathy with cc | $93,563 | $17,500 | $22,153 | +322% | $17,434 | +437% | — |
| 037 | extracranial procedures with mcc | $92,939 | $24,000 | $66,666 | +39% | $64,749 | +44% | — |
| 654 | major bladder procedures with cc | $91,608 | $24,000 | $58,274 | +57% | $53,868 | +70% | — |
| 510 | shoulder, elbow or forearm procedures, except major joint procedures with mcc | $91,606 | $10,000 | $58,880 | +56% | $49,055 | +87% | — |
| 492 | lower extremity and humerus procedures except hip, foot and femur with mcc | $90,977 | $27,500 | $70,540 | +29% | $70,540 | +29% | — |
| 693 | urinary stones with mcc | $90,331 | $42,000 | $31,990 | +182% | $22,525 | +301% | — |
| 335 | peritoneal adhesiolysis with mcc | $90,182 | $41,500 | $71,755 | +26% | $71,755 | +26% | — |
| 082 | traumatic stupor and coma >1 hour with mcc | $89,667 | $24,500 | $46,288 | +94% | $36,237 | +147% | ≈94% of Medicare |
| 579 | other skin, subcutaneous tissue and breast procedures with mcc | $89,553 | $24,000 | $65,631 | +36% | $54,129 | +65% | — |
| 503 | foot procedures with mcc | $88,675 | $20,500 | $55,321 | +60% | $43,901 | +102% | — |
| 727 | inflammation of the male reproductive system with mcc | $88,558 | $49,000 | $31,974 | +177% | $25,786 | +243% | — |
| 421 | hepatobiliary diagnostic procedures with cc | $88,409 | $17,000 | $36,354 | +143% | $36,333 | +143% | — |
| 570 | skin debridement with mcc | $88,274 | $48,500 | $63,709 | +39% | $52,435 | +68% | — |
| 330 | major small and large bowel procedures with cc | $88,265 | $17,000 | $50,562 | +75% | $58,832 | +50% | ≈72% of Medicare |
| 038 | extracranial procedures with cc | $87,751 | $17,000 | $35,770 | +145% | $35,770 | +145% | — |
| 267 | endovascular cardiac valve replacement and supplement procedures without mcc | $87,645 | $54,000 | $92,217 | −5% | $92,217 | −5% | ≈104% of Medicare |
| 241 | amputation for circulatory system disorders except upper limb and toe without cc/mcc | $87,451 | $38,000 | $33,519 | +161% | $24,229 | +261% | — |
| 348 | anal and stomal procedures with cc | $87,227 | $27,500 | $27,947 | +212% | $27,947 | +212% | — |
| 274 | percutaneous and other intracardiac procedures without mcc | $87,072 | $25,000 | $65,573 | +33% | $65,573 | +33% | — |
| 521 | hip replacement with principal diagnosis of hip fracture with mcc | $86,161 | $31,000 | $62,334 | +38% | $67,764 | +27% | — |
| 351 | inguinal and femoral hernia procedures with cc | $86,075 | $13,500 | $33,399 | +158% | $33,792 | +155% | — |
| 477 | biopsies of musculoskeletal system and connective tissue with mcc | $85,952 | $34,500 | $68,653 | +25% | $62,269 | +38% | — |
| 288 | acute and subacute endocarditis with mcc | $85,372 | $35,000 | $53,208 | +60% | $45,497 | +88% | — |
| 493 | lower extremity and humerus procedures except hip, foot and femur with cc | $85,314 | $24,000 | $51,189 | +67% | $56,394 | +51% | ≈96% of Medicare |
| 463 | wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc | $84,865 | $48,500 | $101,662 | −17% | $78,582 | +8% | — |
| 485 | knee procedures with principal diagnosis of infection with mcc | $84,152 | $17,000 | $64,956 | +30% | $64,956 | +30% | — |
| 457 | spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions with cc | $83,788 | $17,000 | $107,355 | −22% | $107,355 | −22% | — |
| 516 | other musculoskeletal system and connective tissue o.r. procedures with cc | $83,666 | $27,500 | $44,639 | +87% | $45,817 | +83% | — |
| 655 | major bladder procedures without cc/mcc | $83,292 | $6,500 | $45,743 | +82% | $41,651 | +100% | — |
| 854 | infectious and parasitic diseases with o.r. procedures with cc | $82,315 | $24,000 | $44,357 | +86% | $43,524 | +89% | — |
| 265 | aicd lead procedures | $82,218 | $69,600 | $70,810 | +16% | $56,695 | +45% | — |
| 668 | transurethral procedures with mcc | $82,184 | $17,000 | $59,859 | +37% | $47,277 | +74% | — |
| 041 | peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator | $82,018 | $13,500 | $50,131 | +64% | $44,989 | +82% | — |
| 448 | multiple level spinal fusion except cervical without mcc | $81,952 | $10,000 | $81,998 | −0% | $81,998 | −0% | — |
| 988 | non-extensive o.r. procedures unrelated to principal diagnosis with cc | $81,727 | $17,000 | $38,094 | +115% | $38,094 | +115% | — |
| 545 | connective tissue disorders with mcc | $81,527 | $7,000 | $49,765 | +64% | $39,657 | +106% | — |
| 841 | lymphoma and non-acute leukemia with cc | $80,903 | $10,500 | $33,633 | +141% | $31,059 | +160% | — |
| 959 | other o.r. procedures for multiple significant trauma without cc/mcc | $80,341 | $17,000 | $55,276 | +45% | $40,277 | +99% | — |
| 907 | other o.r. procedures for injuries with mcc | $79,373 | $10,000 | $77,817 | +2% | $71,701 | +11% | — |
| 254 | other vascular procedures without cc/mcc | $78,623 | $25,000 | $38,836 | +102% | $38,836 | +102% | — |
| 165 | major chest procedures without cc/mcc | $78,187 | $17,000 | $41,380 | +89% | $41,380 | +89% | — |
| 707 | major male pelvic procedures with cc/mcc | $77,911 | $13,500 | $43,080 | +81% | $43,080 | +81% | — |
| 322 | percutaneous cardiovascular procedures with intraluminal device without mcc | $76,984 | $10,000 | $40,163 | +92% | $54,772 | +41% | ≈55% of Medicare |
| 718 | other male reproductive system o.r. procedures except malignancy without cc/mcc | $76,749 | $10,000 | $27,348 | +181% | $20,147 | +281% | — |
| 085 | traumatic stupor and coma <1 hour with mcc | $76,135 | $28,000 | $45,376 | +68% | $37,064 | +105% | — |
| 871 | septicemia or severe sepsis without mv >96 hours with mcc | $75,567 | $21,000 | $40,263 | +88% | $35,237 | +114% | ≈99% of Medicare |
| 430 | combined anterior and posterior cervical spinal fusion without mcc | $75,097 | $10,000 | $105,333 | −29% | $93,783 | −20% | — |
| 455 | combined anterior and posterio | $75,097 | $10,000 | $23,289 | +222% | $54,320 | +38% | ≈20% of Medicare |
| 259 | cardiac pacemaker device replacement without mcc | $75,043 | $54,000 | $39,020 | +92% | $35,673 | +110% | — |
| 350 | inguinal and femoral hernia procedures with mcc | $74,566 | $6,500 | $51,487 | +45% | $46,591 | +60% | — |
| 409 | biliary tract procedures except only cholecystectomy with or without c.d.e. with cc | $74,344 | $10,000 | $46,066 | +61% | $46,066 | +61% | — |
| 500 | soft tissue procedures with mcc | $74,221 | $10,000 | $64,105 | +16% | $57,479 | +29% | — |
| 840 | lymphoma and non-acute leukemia with mcc | $73,770 | $24,500 | $60,905 | +21% | $49,710 | +48% | — |
| 417 | laparoscopic cholecystectomy without c.d.e. with mcc | $73,741 | $17,000 | $50,777 | +45% | $52,313 | +41% | ≈70% of Medicare |
| 653 | major bladder procedures with mcc | $73,535 | $17,000 | $104,583 | −30% | $97,046 | −24% | — |
| 846 | chemotherapy without acute leukemia as secondary diagnosis with mcc | $73,338 | $42,000 | $50,218 | +46% | $38,878 | +89% | — |
| 435 | malignancy of hepatobiliary system or pancreas with mcc | $73,314 | $21,000 | $37,950 | +93% | $37,950 | +93% | — |
| 479 | biopsies of musculoskeletal system and connective tissue without cc/mcc | $71,646 | $17,000 | $39,422 | +82% | $31,909 | +125% | — |
| 467 | revision of hip or knee replacement with cc | $71,349 | $20,500 | $68,421 | +4% | $68,880 | +4% | — |
| 064 | intracranial hemorrhage or cerebral infarction with mcc | $71,050 | $21,000 | $40,719 | +74% | $35,714 | +99% | ≈107% of Medicare |
| 121 | acute major eye infections with cc/mcc | $71,038 | $35,000 | $25,822 | +175% | $18,291 | +288% | — |
| 374 | digestive malignancy with mcc | $70,776 | $24,500 | $42,775 | +65% | $38,885 | +82% | — |
| 251 | percutaneous cardiovascular procedures without intraluminal device without mcc | $70,498 | $25,000 | $34,689 | +103% | $41,380 | +70% | — |
| 487 | knee procedures with principal diagnosis of infection without cc/mcc | $70,292 | $13,500 | $35,080 | +100% | $33,490 | +110% | — |
| 428 | multiple level combined anterior and posterior spinal fusion except cervical without cc/mcc | $69,529 | $10,000 | $105,899 | −34% | $105,899 | −34% | — |
| 604 | trauma to the skin, subcutaneous tissue and breast with mcc | $69,418 | $10,500 | $32,248 | +115% | $28,140 | +147% | — |
| 427 | multiple level combined anterior and posterior spinal fusion except cervical with cc | $68,781 | $10,000 | $132,794 | −48% | $121,728 | −43% | — |
| 549 | septic arthritis with cc | $68,612 | $24,500 | $26,753 | +156% | $20,938 | +228% | — |
| 286 | circulatory disorders except ami, with cardiac catheterization with mcc | $68,566 | $23,250 | $44,489 | +54% | $44,600 | +54% | ≈105% of Medicare |
| 481 | hip and femur procedures except major joint with cc | $68,529 | $20,500 | $45,703 | +50% | $51,172 | +34% | ≈96% of Medicare |
| 555 | signs and symptoms of musculoskeletal system and connective tissue with mcc | $68,433 | $14,000 | $29,894 | +129% | $23,723 | +188% | — |
| 674 | other kidney and urinary tract procedures with cc | $68,073 | $24,000 | $49,631 | +37% | $49,631 | +37% | ≈114% of Medicare |
| 062 | ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc | $67,691 | $17,500 | $37,214 | +82% | $48,680 | +39% | — |
| 354 | hernia procedures except inguinal and femoral with cc | $67,599 | $10,000 | $37,764 | +79% | $43,266 | +56% | — |
| 657 | kidney and ureter procedures for neoplasm with cc | $67,302 | $6,500 | $40,583 | +66% | $40,583 | +66% | — |
| 337 | peritoneal adhesiolysis without cc/mcc | $67,237 | $13,500 | $34,078 | +97% | $36,239 | +86% | — |
| 708 | major male pelvic procedures without cc/mcc | $66,884 | $6,500 | $32,911 | +103% | $32,911 | +103% | — |
| 585 | breast biopsy, local excision and other breast procedures without cc/mcc | $66,545 | $10,000 | $44,068 | +51% | $29,633 | +125% | — |
| 511 | shoulder, elbow or forearm procedures, except major joint procedures with cc | $66,445 | $13,500 | $43,538 | +53% | $43,538 | +53% | — |
| 760 | menstrual and other female reproductive system disorders with cc/mcc | $66,364 | $14,000 | $21,880 | +203% | $18,282 | +263% | — |
| 803 | other o.r. procedures of the blood and blood forming organs with cc | $66,294 | $24,000 | $39,515 | +68% | $33,564 | +98% | — |
| 424 | other hepatobiliary or pancreas o.r. procedures with cc | $66,232 | $24,000 | $49,209 | +35% | $39,253 | +69% | — |
| 314 | other circulatory system diagnoses with mcc | $65,816 | $21,000 | $43,483 | +51% | $38,357 | +72% | ≈98% of Medicare |
| 240 | amputation for circulatory system disorders except upper limb and toe with cc | $65,766 | $31,000 | $59,790 | +10% | $54,475 | +21% | ≈114% of Medicare |
| 199 | pneumothorax with mcc | $65,622 | $14,000 | $36,952 | +78% | $31,491 | +108% | — |
| 397 | appendix procedures with mcc | $65,272 | $10,000 | $54,751 | +19% | $52,319 | +25% | — |
| 328 | stomach, esophageal and duodenal procedures without cc/mcc | $64,883 | $10,000 | $35,375 | +83% | $35,375 | +83% | — |
| 380 | complicated peptic ulcer with mcc | $64,755 | $14,000 | $39,627 | +63% | $36,641 | +77% | — |
| 711 | testes procedures with cc/mcc | $64,587 | $24,000 | $42,414 | +52% | $34,852 | +85% | — |
| 418 | laparoscopic cholecystectomy without c.d.e. with cc | $63,779 | $13,500 | $36,816 | +73% | $42,119 | +51% | ≈86% of Medicare |
| 475 | amputation for musculoskeletal system and connective tissue disorders with cc | $63,583 | $31,000 | $47,089 | +35% | $44,553 | +43% | — |
| 717 | other male reproductive system o.r. procedures except malignancy with cc/mcc | $63,458 | $17,000 | $41,191 | +54% | $32,538 | +95% | — |
| 769 | postpartum and post abortion diagnoses with o.r. procedures | $63,287 | $17,000 | $30,846 | +105% | $24,561 | +158% | — |
| 056 | degenerative nervous system disorders with mcc | $63,093 | $42,000 | $49,382 | +28% | $39,409 | +60% | — |
| 080 | nontraumatic stupor and coma with mcc | $63,045 | $17,500 | $40,695 | +55% | $35,139 | +79% | — |
| 513 | hand or wrist procedures, except major thumb or joint procedures with cc/mcc | $62,313 | $17,000 | $33,424 | +86% | $33,424 | +86% | — |
| 073 | cranial and peripheral nerve disorders with mcc | $62,079 | $7,000 | $33,256 | +87% | $28,252 | +120% | — |
| 423 | other hepatobiliary or pancreas o.r. procedures with mcc | $61,636 | $17,000 | $79,225 | −22% | $72,011 | −14% | — |
| 243 | permanent cardiac pacemaker implant with cc | $61,617 | $54,000 | $50,011 | +23% | $50,011 | +23% | ≈228% of Medicare |
| 035 | carotid artery stent procedures with cc | $61,359 | $25,000 | $49,066 | +25% | $46,430 | +32% | ≈105% of Medicare |
| 088 | concussion with mcc | $61,234 | $10,500 | $30,986 | +98% | $24,402 | +151% | — |
| 063 | ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent without cc/mcc | $60,859 | $10,500 | $30,887 | +97% | $35,542 | +71% | — |
| 244 | permanent cardiac pacemaker implant without cc/mcc | $60,732 | $54,000 | $40,063 | +52% | $40,063 | +52% | — |
| 813 | coagulation disorders | $60,639 | $10,500 | $33,296 | +82% | $30,128 | +101% | — |
| 076 | viral meningitis without cc/mcc | $60,521 | $14,000 | $20,355 | +197% | $15,474 | +291% | — |
| 725 | benign prostatic hypertrophy with mcc | $60,176 | $17,500 | $28,029 | +115% | $19,894 | +202% | — |
| 352 | inguinal and femoral hernia procedures without cc/mcc | $59,816 | $10,000 | $24,477 | +144% | $25,162 | +138% | — |
| 522 | hip replacement with principal diagnosis of hip fracture without mcc | $59,764 | $17,000 | $46,799 | +28% | $56,519 | +6% | ≈81% of Medicare |
| 331 | major small and large bowel procedures without cc/mcc | $59,416 | $10,000 | $36,651 | +62% | $44,117 | +35% | ≈63% of Medicare |
| 473 | cervical spinal fusion without cc/mcc | $59,214 | $6,500 | $50,624 | +17% | $50,624 | +17% | — |
| 398 | appendix procedures with cc | $59,169 | $10,000 | $33,592 | +76% | $39,107 | +51% | — |
| 964 | other multiple significant trauma with cc | $59,130 | $14,000 | $32,490 | +82% | $25,854 | +129% | — |
| 255 | upper limb and toe amputation for circulatory system disorders with mcc | $59,049 | $20,500 | $54,815 | +8% | $43,697 | +35% | — |
| 834 | acute leukemia with mcc | $58,757 | $17,500 | $100,245 | −41% | $76,583 | −23% | — |
| 637 | diabetes with mcc | $58,639 | $17,500 | $31,753 | +85% | $28,819 | +103% | ≈123% of Medicare |
| 438 | disorders of pancreas except malignancy with mcc | $57,721 | $14,000 | $35,243 | +64% | $32,502 | +78% | — |
| 441 | disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with mcc | $56,927 | $17,500 | $39,057 | +46% | $32,399 | +76% | ≈89% of Medicare |
| 196 | interstitial lung disease with mcc | $56,773 | $14,000 | $38,951 | +46% | $30,766 | +85% | — |
| 686 | kidney and urinary tract neoplasms with mcc | $56,504 | $17,500 | $38,978 | +45% | $32,981 | +71% | — |
| 629 | other endocrine, nutritional and metabolic o.r. procedures with cc | $56,480 | $24,000 | $48,634 | +16% | $45,059 | +25% | — |
| 283 | acute myocardial infarction, expired with mcc | $55,756 | $10,500 | $40,150 | +39% | $35,014 | +59% | ≈36% of Medicare |
| 571 | skin debridement with cc | $55,712 | $31,000 | $37,169 | +50% | $34,901 | +60% | — |
| 535 | fractures of hip and pelvis with mcc | $55,590 | $21,000 | $29,523 | +88% | $23,350 | +138% | — |
| 157 | dental and oral diseases with mcc | $55,547 | $7,000 | $34,802 | +60% | $27,457 | +102% | — |
| 835 | acute leukemia with cc | $55,390 | $7,000 | $43,187 | +28% | $35,569 | +56% | — |
| 383 | uncomplicated peptic ulcer with mcc | $55,070 | $38,500 | $28,065 | +96% | $26,634 | +107% | — |
| 512 | shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc | $55,017 | $10,000 | $35,692 | +54% | $35,692 | +54% | — |
| 451 | single level spinal fusion except cervical without mcc | $54,303 | $6,500 | $65,216 | −17% | $65,216 | −17% | — |
| 460 | spinal fusion except cervical | $54,303 | $6,500 | $23,499 | +131% | $50,815 | +7% | — |
| 741 | uterine and adnexa procedures for non-ovarian and non-adnexal malignancy without cc/mcc | $54,274 | $6,500 | $30,493 | +78% | $29,050 | +87% | — |
| 922 | other injury, poisoning and toxic effect diagnoses with mcc | $54,231 | $21,000 | $35,675 | +52% | $29,409 | +84% | — |
| 540 | osteomyelitis with cc | $53,989 | $17,500 | $28,728 | +88% | $23,494 | +130% | — |
| 494 | lower extremity and humerus procedures except hip, foot and femur without cc/mcc | $53,805 | $13,500 | $41,855 | +29% | $45,963 | +17% | — |
| 419 | laparoscopic cholecystectomy without c.d.e. without cc/mcc | $53,564 | $13,500 | $29,250 | +83% | $34,887 | +54% | — |
| 432 | cirrhosis and alcoholic hepatitis with mcc | $53,450 | $14,000 | $40,213 | +33% | $36,933 | +45% | ≈70% of Medicare |
| 471 | cervical spinal fusion with mcc | $53,330 | — | $92,515 | −42% | $92,515 | −42% | — |
| 042 | peripheral, cranial nerve and other nervous system procedures without cc/mcc | $53,265 | $24,000 | $39,018 | +37% | $39,018 | +37% | — |
| 175 | pulmonary embolism with mcc or acute cor pulmonale | $52,720 | $14,000 | $30,959 | +70% | $29,757 | +77% | ≈96% of Medicare |
| 551 | medical back problems with mcc | $52,637 | $14,000 | $35,961 | +46% | $31,086 | +69% | ≈85% of Medicare |
| 057 | degenerative nervous system disorders without mcc | $52,404 | $38,500 | $29,623 | +77% | $25,426 | +106% | ≈321% of Medicare |
| 675 | other kidney and urinary tract procedures without cc/mcc | $52,400 | $24,000 | $34,749 | +51% | $32,490 | +61% | — |
| 666 | prostatectomy with cc | $52,380 | $6,500 | $36,569 | +43% | $30,016 | +75% | — |
| 617 | amputation of lower limb for endocrine, nutritional and metabolic disorders with cc | $52,147 | $20,500 | $42,881 | +22% | $42,881 | +22% | ≈96% of Medicare |
| 791 | prematurity with major problems | $51,969 | $38,400 | $75,557 | −31% | $39,563 | +31% | — |
| 280 | acute myocardial infarction, discharged alive with mcc | $51,571 | $14,000 | $34,867 | +48% | $28,967 | +78% | ≈88% of Medicare |
| 184 | major chest trauma with cc | $51,532 | $14,000 | $23,711 | +117% | $20,842 | +147% | — |
| 818 | other antepartum diagnoses with o.r. procedures with cc | $51,470 | $10,000 | $28,593 | +80% | $24,316 | +112% | — |
| 189 | pulmonary edema and respiratory failure | $51,367 | $14,000 | $27,470 | +87% | $25,704 | +100% | ≈103% of Medicare |
| 828 | myeloproliferative disorders or poorly differentiated neoplasms with major o.r. procedures without cc/mcc | $51,303 | $13,500 | $35,584 | +44% | $35,584 | +44% | — |
| 261 | cardiac pacemaker revision except device replacement with cc | $51,064 | $54,000 | $42,126 | +21% | $42,126 | +21% | — |
| 177 | respiratory infections and inflammations with mcc | $50,693 | $17,500 | $34,448 | +47% | $31,840 | +59% | ≈103% of Medicare |
| 564 | other musculoskeletal system and connective tissue diagnoses with mcc | $50,625 | $14,000 | $33,653 | +50% | $32,936 | +54% | — |
| 371 | major gastrointestinal disorders and peritoneal infections with mcc | $50,406 | $28,000 | $36,661 | +37% | $31,758 | +59% | ≈152% of Medicare |
| 843 | other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc | $50,320 | $14,000 | $39,105 | +29% | $36,280 | +39% | — |
| 906 | hand procedures for injuries | $50,091 | $10,000 | $47,513 | +5% | $31,520 | +59% | — |
| 517 | other musculoskeletal system and connective tissue o.r. procedures without cc/mcc | $50,010 | $6,500 | $33,137 | +51% | $33,137 | +51% | — |
| 623 | skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc | $49,868 | $24,000 | $42,463 | +17% | $33,165 | +50% | — |
| 543 | pathological fractures and musculoskeletal and connective tissue malignancy with cc | $49,813 | $7,000 | $23,551 | +112% | $23,496 | +112% | — |
| 388 | gastrointestinal obstruction with mcc | $49,744 | $14,000 | $31,982 | +56% | $28,780 | +73% | ≈94% of Medicare |
| 533 | fractures of femur with mcc | $49,681 | $14,000 | $32,907 | +51% | $25,945 | +91% | — |
| 377 | gastrointestinal hemorrhage with mcc | $49,508 | $14,000 | $37,842 | +31% | $37,842 | +31% | ≈77% of Medicare |
| 658 | kidney and ureter procedures for neoplasm without cc/mcc | $49,130 | $6,500 | $33,388 | +47% | $35,528 | +38% | — |
| 180 | respiratory neoplasms with mcc | $48,975 | $14,000 | $36,658 | +34% | $36,658 | +34% | ≈83% of Medicare |
| 482 | hip and femur procedures except major joint without cc/mcc | $48,706 | $13,500 | $35,217 | +38% | $39,747 | +23% | ≈85% of Medicare |
| 059 | multiple sclerosis and cerebellar ataxia with cc | $48,332 | $17,500 | $27,163 | +78% | $26,322 | +84% | — |
| 071 | nonspecific cerebrovascular disorders with cc | $48,294 | $17,500 | $23,396 | +106% | $23,396 | +106% | ≈159% of Medicare |
| 857 | postoperative or post-traumatic infections with o.r. procedures with cc | $48,287 | $17,000 | $47,452 | +2% | $41,900 | +15% | — |
| 091 | other disorders of nervous system with mcc | $47,975 | $14,000 | $37,921 | +27% | $36,375 | +32% | — |
| 520 | back and neck procedures except spinal fusion without cc/mcc | $47,919 | $6,500 | $31,816 | +51% | $31,816 | +51% | — |
| 205 | other respiratory system diagnoses with mcc | $47,751 | $10,500 | $39,013 | +22% | $32,204 | +48% | — |
| 067 | nonspecific cva and precerebral occlusion without infarction with mcc | $47,682 | $3,500 | $31,730 | +50% | $24,941 | +91% | — |
| 742 | uterine and adnexa procedures for non-malignancy with cc/mcc | $47,653 | $10,000 | $40,552 | +18% | $40,552 | +18% | — |
| 054 | nervous system neoplasms with mcc | $47,585 | $14,000 | $32,473 | +47% | $29,484 | +61% | — |
| 501 | soft tissue procedures with cc | $47,569 | $10,000 | $39,619 | +20% | $37,975 | +25% | — |
| 643 | endocrine disorders with mcc | $47,484 | $17,500 | $35,135 | +35% | $32,996 | +44% | — |
| 086 | traumatic stupor and coma <1 hour with cc | $47,478 | $10,500 | $29,117 | +63% | $23,115 | +105% | ≈85% of Medicare |
| 081 | nontraumatic stupor and coma without mcc | $47,335 | $10,500 | $20,086 | +136% | $15,077 | +214% | — |
| 560 | aftercare, musculoskeletal system and connective tissue with cc | $47,243 | $45,500 | $25,279 | +87% | $24,452 | +93% | — |
| 299 | peripheral vascular disorders with mcc | $46,855 | $14,000 | $34,467 | +36% | $25,731 | +82% | ≈86% of Medicare |
| 581 | other skin, subcutaneous tissue and breast procedures without cc/mcc | $46,480 | $6,500 | $31,950 | +45% | $25,243 | +84% | — |
| 296 | cardiac arrest, unexplained with mcc | $46,400 | $3,500 | $34,817 | +33% | $30,910 | +50% | — |
| 098 | non-bacterial infection of nervous system except viral meningitis with cc | $46,271 | $17,500 | $43,749 | +6% | $37,902 | +22% | — |
| 559 | aftercare, musculoskeletal system and connective tissue with mcc | $46,267 | $38,500 | $38,483 | +20% | $30,974 | +49% | — |
| 660 | kidney and ureter procedures for non-neoplasm with cc | $46,187 | $10,000 | $29,747 | +55% | $30,358 | +52% | — |
| 187 | pleural effusion with cc | $46,111 | $21,000 | $22,288 | +107% | $21,467 | +115% | — |
| 391 | esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc | $45,868 | $17,500 | $28,515 | +61% | $27,244 | +68% | ≈134% of Medicare |
| 656 | kidney and ureter procedures for neoplasm with mcc | $45,566 | $13,500 | $65,608 | −31% | $64,465 | −29% | — |
| 197 | interstitial lung disease with cc | $45,479 | $10,500 | $21,977 | +107% | $20,106 | +126% | — |
| 682 | renal failure with mcc | $45,434 | $17,500 | $32,520 | +40% | $27,854 | +63% | ≈119% of Medicare |
| 055 | nervous system neoplasms without mcc | $45,425 | $14,000 | $24,220 | +88% | $19,868 | +129% | — |
| 393 | other digestive system diagnoses with mcc | $45,400 | $14,000 | $35,113 | +29% | $32,689 | +39% | ≈83% of Medicare |
| 940 | o.r. procedures with diagnoses of other contact with health services with cc | $45,322 | $38,000 | $46,317 | −2% | $38,420 | +18% | — |
| 504 | foot procedures with cc | $45,257 | $20,500 | $38,960 | +16% | $36,598 | +24% | — |
| 663 | minor bladder procedures with cc | $45,149 | $6,500 | $33,907 | +33% | $29,924 | +51% | — |
| 917 | poisoning and toxic effects of drugs with mcc | $45,100 | $14,000 | $34,839 | +29% | $28,134 | +60% | — |
| 083 | traumatic stupor and coma >1 hour with cc | $45,064 | $14,000 | $30,645 | +47% | $24,118 | +87% | ≈101% of Medicare |
| 698 | other kidney and urinary tract diagnoses with mcc | $44,866 | $17,500 | $35,532 | +26% | $30,058 | +49% | ≈106% of Medicare |
| 867 | other infectious and parasitic diseases diagnoses with mcc | $44,784 | $28,000 | $43,328 | +3% | $36,850 | +22% | — |
| 505 | foot procedures without cc/mcc | $44,565 | $13,500 | $38,960 | +14% | $31,716 | +41% | — |
| 384 | uncomplicated peptic ulcer without mcc | $44,536 | $14,000 | $19,305 | +131% | $19,305 | +131% | — |
| 872 | septicemia or severe sepsis without mv >96 hours without mcc | $44,308 | $14,000 | $22,888 | +94% | $22,781 | +94% | ≈139% of Medicare |
| 284 | acute myocardial infarction, expired with cc | $44,207 | $3,500 | $16,450 | +169% | $13,282 | +233% | — |
| 100 | seizures with mcc | $44,145 | $14,000 | $40,653 | +9% | $35,194 | +25% | ≈70% of Medicare |
| 464 | wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc | $43,925 | $24,000 | $60,402 | −27% | $54,313 | −19% | — |
| 670 | transurethral procedures without cc/mcc | $43,810 | $10,000 | $21,216 | +106% | $20,371 | +115% | — |
| 544 | pathological fractures and musculoskeletal and connective tissue malignancy without cc/mcc | $43,600 | $3,500 | $16,776 | +160% | $16,776 | +160% | — |
| 185 | major chest trauma without cc/mcc | $43,482 | $7,000 | $17,265 | +152% | $15,858 | +174% | — |
| 472 | cervical spinal fusion with cc | $43,432 | $6,500 | $59,537 | −27% | $59,537 | −27% | — |
| 712 | testes procedures without cc/mcc | $43,357 | $10,000 | $23,745 | +83% | $18,898 | +129% | — |
| 358 | other digestive system o.r. procedures without cc/mcc | $43,340 | $13,500 | $30,083 | +44% | $29,374 | +48% | — |
| 436 | malignancy of hepatobiliary system or pancreas with cc | $43,192 | $10,500 | $25,034 | +73% | $24,017 | +80% | — |
| 497 | local excision and removal of internal fixation devices except hip and femur without cc/mcc | $43,185 | $6,500 | $29,805 | +45% | $29,805 | +45% | — |
| 425 | other hepatobiliary or pancreas o.r. procedures without cc/mcc | $42,962 | $13,500 | $34,316 | +25% | $25,484 | +69% | — |
| 036 | carotid artery stent procedures without cc/mcc | $42,929 | $25,000 | $40,694 | +5% | $40,694 | +5% | ≈139% of Medicare |
| 687 | kidney and urinary tract neoplasms with cc | $42,889 | $14,000 | $23,369 | +84% | $18,478 | +132% | — |
| 306 | cardiac congenital and valvular disorders with mcc | $42,824 | $17,500 | $32,445 | +32% | $24,450 | +75% | — |
| 444 | disorders of the biliary tract with mcc | $42,588 | $14,000 | $35,591 | +20% | $31,128 | +37% | — |
| 949 | aftercare with cc/mcc | $42,574 | $38,500 | $23,953 | +78% | $23,953 | +78% | — |
| 186 | pleural effusion with mcc | $42,440 | $17,500 | $33,834 | +25% | $32,468 | +31% | ≈107% of Medicare |
| 193 | simple pneumonia and pleurisy with mcc | $42,191 | $14,000 | $29,252 | +44% | $26,158 | +61% | ≈107% of Medicare |
| 502 | soft tissue procedures without cc/mcc | $42,156 | $6,500 | $31,017 | +36% | $30,006 | +40% | — |
| 552 | medical back problems without mcc | $42,131 | $14,000 | $21,396 | +97% | $21,213 | +99% | ≈150% of Medicare |
| 075 | viral meningitis with cc/mcc | $42,043 | $10,500 | $36,230 | +16% | $29,853 | +41% | — |
| 257 | upper limb and toe amputation for circulatory system disorders without cc/mcc | $41,663 | $24,000 | $19,914 | +109% | $15,764 | +164% | — |
| 965 | other multiple significant trauma without cc/mcc | $41,369 | $10,500 | $20,259 | +104% | $17,585 | +135% | — |
| 582 | mastectomy for malignancy with cc/mcc | $41,334 | $6,500 | $38,876 | +6% | $34,264 | +21% | — |
| 072 | nonspecific cerebrovascular disorders without cc/mcc | $41,297 | $7,000 | $16,654 | +148% | $16,654 | +148% | — |
| 402 | single level combined anterior and posterior spinal fusion except cervical | $41,295 | $10,000 | $79,116 | −48% | $75,492 | −45% | — |
| 070 | nonspecific cerebrovascular disorders with mcc | $41,273 | $17,500 | $36,506 | +13% | $30,814 | +34% | ≈93% of Medicare |
| 865 | viral illness with mcc | $41,229 | $14,000 | $32,083 | +29% | $26,088 | +58% | — |
| 287 | circulatory disorders except ami, with cardiac catheterization without mcc | $41,134 | $12,000 | $24,191 | +70% | $31,190 | +32% | ≈117% of Medicare |
| 644 | endocrine disorders with cc | $41,006 | $10,500 | $22,941 | +79% | $22,941 | +79% | — |
| 183 | major chest trauma with mcc | $40,812 | $14,000 | $33,957 | +20% | $28,924 | +41% | — |
| 983 | extensive o.r. procedures unrelated to principal diagnosis without cc/mcc | $40,712 | $13,500 | $37,033 | +10% | $30,930 | +32% | — |
| 200 | pneumothorax with cc | $40,647 | $10,500 | $24,586 | +65% | $20,573 | +98% | — |
| 256 | upper limb and toe amputation for circulatory system disorders with cc | $40,626 | $17,000 | $37,599 | +8% | $29,729 | +37% | — |
| 536 | fractures of hip and pelvis without mcc | $40,580 | $21,000 | $18,002 | +125% | $18,002 | +125% | ≈294% of Medicare |
| 565 | other musculoskeletal system and connective tissue diagnoses with cc | $40,576 | $24,500 | $22,637 | +79% | $21,545 | +88% | — |
| 458 | spinal fusion except cervical with spinal curvature, malignancy, infection or extensive fusions without cc/mcc | $40,500 | $6,500 | $83,441 | −51% | $83,441 | −51% | — |
| 862 | postoperative and post-traumatic infections with mcc | $40,243 | $14,000 | $38,187 | +5% | $30,394 | +32% | — |
| 605 | trauma to the skin, subcutaneous tissue and breast without mcc | $40,199 | $7,000 | $20,506 | +96% | $19,287 | +108% | — |
| 714 | transurethral prostatectomy without cc/mcc | $40,153 | $6,500 | $20,861 | +92% | $17,108 | +135% | — |
| 399 | appendix procedures without cc/mcc | $40,063 | $6,500 | $24,948 | +61% | $30,314 | +32% | — |
| 065 | intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours | $39,862 | $10,500 | $22,575 | +77% | $23,469 | +70% | ≈110% of Medicare |
| 755 | malignancy, female reproductive system with cc | $39,737 | $17,500 | $24,644 | +61% | $18,459 | +115% | — |
| 817 | other antepartum diagnoses with o.r. procedures with mcc | $39,553 | $6,500 | $56,278 | −30% | $36,097 | +10% | — |
| 597 | malignant breast disorders with mcc | $39,552 | $17,500 | $36,807 | +7% | $31,846 | +24% | — |
| 947 | signs and symptoms with mcc | $39,500 | $10,500 | $28,553 | +38% | $25,474 | +55% | — |
| 695 | kidney and urinary tract signs and symptoms with mcc | $39,436 | $7,000 | $25,037 | +58% | $20,741 | +90% | — |
| 077 | hypertensive encephalopathy with mcc | $39,225 | $7,000 | $33,267 | +18% | $24,036 | +63% | — |
| 470 | major hip and knee joint replacement or reattachment of lower extremity without mcc | $39,217 | $13,500 | $41,857 | −6% | $49,197 | −20% | — |
| 294 | deep vein thrombophlebitis with cc/mcc | $39,156 | $7,000 | $27,261 | +44% | $19,132 | +105% | — |
| 914 | traumatic injury without mcc | $38,997 | $10,500 | $20,344 | +92% | $15,593 | +150% | — |
| 355 | hernia procedures except inguinal and femoral without cc/mcc | $38,982 | $6,500 | $29,596 | +32% | $31,978 | +22% | — |
| 556 | signs and symptoms of musculoskeletal system and connective tissue without mcc | $38,809 | $10,500 | $18,126 | +114% | $17,715 | +119% | — |
| 950 | aftercare without cc/mcc | $38,162 | $31,500 | $13,527 | +182% | $13,527 | +182% | — |
| 640 | miscellaneous disorders of nutrition, metabolism, fluids and electrolytes with mcc | $38,072 | $10,500 | $29,481 | +29% | $24,480 | +56% | ≈77% of Medicare |
| 810 | major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc | $38,024 | $14,000 | $21,129 | +80% | $18,428 | +106% | — |
| 375 | digestive malignancy with cc | $37,957 | $14,000 | $27,277 | +39% | $27,219 | +39% | ≈118% of Medicare |
| 507 | major shoulder or elbow joint procedures with cc/mcc | $37,913 | $17,000 | $43,027 | −12% | $36,202 | +5% | — |
| 896 | alcohol, drug abuse or dependence without rehabilitation therapy with mcc | $37,794 | $14,000 | $37,213 | +2% | $30,275 | +25% | — |
| 596 | major skin disorders without mcc | $37,771 | $17,500 | $24,000 | +57% | $17,226 | +119% | — |
| 815 | reticuloendothelial and immunity disorders with cc | $37,769 | $10,500 | $22,557 | +67% | $18,017 | +110% | — |
| 476 | amputation for musculoskeletal system and connective tissue disorders without cc/mcc | $37,764 | $20,500 | $25,820 | +46% | $21,062 | +79% | — |
| 155 | other ear, nose, mouth and throat diagnoses with cc | $37,634 | $17,500 | $20,725 | +82% | $16,642 | +126% | — |
| 661 | kidney and ureter procedures for non-neoplasm without cc/mcc | $37,608 | $10,000 | $22,790 | +65% | $24,022 | +57% | — |
| 546 | connective tissue disorders with cc | $37,533 | $10,500 | $25,700 | +46% | $24,202 | +55% | — |
| 308 | cardiac arrhythmia and conduction disorders with mcc | $37,432 | $10,500 | $26,770 | +40% | $26,488 | +41% | ≈86% of Medicare |
| 158 | dental and oral diseases with cc | $37,428 | $17,500 | $20,881 | +79% | $17,700 | +111% | — |
| 602 | cellulitis with mcc | $37,356 | $21,000 | $31,970 | +17% | $29,347 | +27% | ≈146% of Medicare |
| 410 | biliary tract procedures except only cholecystectomy with or without c.d.e. without cc/mcc | $37,262 | $10,000 | $34,434 | +8% | $34,434 | +8% | — |
| 092 | other disorders of nervous system with cc | $37,258 | $10,500 | $23,503 | +59% | $24,136 | +54% | ≈105% of Medicare |
| 433 | cirrhosis and alcoholic hepatitis with cc | $37,196 | $14,000 | $23,749 | +57% | $23,749 | +57% | ≈135% of Medicare |
| 689 | kidney and urinary tract infections with mcc | $37,132 | $14,000 | $25,980 | +43% | $22,982 | +62% | ≈119% of Medicare |
| 291 | heart failure and shock with mcc | $37,092 | $14,000 | $28,966 | +28% | $25,020 | +48% | ≈107% of Medicare |
| 369 | major esophageal disorders with cc | $37,011 | $10,500 | $22,590 | +64% | $22,713 | +63% | — |
| 561 | aftercare, musculoskeletal system and connective tissue without cc/mcc | $37,005 | $38,500 | $18,150 | +104% | $18,150 | +104% | — |
| 563 | fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc | $36,927 | $10,500 | $19,842 | +86% | $18,803 | +96% | ≈124% of Medicare |
| 541 | osteomyelitis without cc/mcc | $36,898 | $10,500 | $19,422 | +90% | $14,549 | +154% | — |
| 445 | disorders of the biliary tract with cc | $36,784 | $10,500 | $24,075 | +53% | $21,806 | +69% | ≈104% of Medicare |
| 190 | chronic obstructive pulmonary disease with mcc | $36,775 | $14,000 | $24,930 | +48% | $24,190 | +52% | ≈131% of Medicare |
| 204 | respiratory signs and symptoms | $36,469 | $7,000 | $18,004 | +103% | $16,866 | +116% | — |
| 868 | other infectious and parasitic diseases diagnoses with cc | $36,451 | $10,500 | $23,312 | +56% | $22,231 | +64% | — |
| 368 | major esophageal disorders with mcc | $36,355 | $10,500 | $35,349 | +3% | $33,607 | +8% | — |
| 580 | other skin, subcutaneous tissue and breast procedures with cc | $36,242 | $13,500 | $39,360 | −8% | $36,242 | +0% | — |
| 630 | other endocrine, nutritional and metabolic o.r. procedures without cc/mcc | $36,204 | $10,000 | $31,108 | +16% | $24,452 | +48% | — |
| 058 | multiple sclerosis and cerebellar ataxia with mcc | $35,969 | $7,000 | $38,308 | −6% | $29,609 | +21% | — |
| 282 | acute myocardial infarction, discharged alive without cc/mcc | $35,883 | $7,000 | $16,097 | +123% | $18,623 | +93% | — |
| 312 | syncope and collapse | $35,880 | $10,500 | $19,342 | +85% | $19,342 | +85% | ≈125% of Medicare |
| 039 | extracranial procedures without cc/mcc | $35,856 | $6,500 | $25,267 | +42% | $25,267 | +42% | ≈61% of Medicare |
| 152 | otitis media and uri with mcc | $35,682 | $7,000 | $25,192 | +42% | $19,795 | +80% | — |
| 915 | allergic reactions with mcc | $35,593 | $7,000 | $36,491 | −2% | $30,944 | +15% | — |
| 281 | acute myocardial infarction, discharged alive with cc | $35,465 | $10,500 | $20,463 | +73% | $20,463 | +73% | ≈118% of Medicare |
| 093 | other disorders of nervous system without cc/mcc | $35,430 | $7,000 | $17,522 | +102% | $17,522 | +102% | — |
| 089 | concussion with cc | $35,380 | $7,000 | $23,800 | +49% | $18,293 | +93% | — |
| 919 | complications of treatment with mcc | $35,348 | $17,500 | $37,933 | −7% | $29,031 | +22% | ≈90% of Medicare |
| 809 | major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc | $35,232 | $10,500 | $27,494 | +28% | $22,032 | +60% | — |
| 713 | transurethral prostatectomy with cc/mcc | $34,885 | $6,500 | $32,100 | +9% | $29,663 | +18% | — |
| 557 | tendonitis, myositis and bursitis with mcc | $34,830 | $14,000 | $33,325 | +5% | $28,646 | +22% | — |
| 304 | hypertension with mcc | $34,762 | $10,500 | $26,080 | +33% | $24,185 | +44% | ≈96% of Medicare |
| 102 | headaches with mcc | $34,638 | $7,000 | $25,740 | +35% | $22,544 | +54% | — |
| 884 | organic disturbances and intellectual disability | $34,581 | $6,400 | $35,352 | −2% | $25,208 | +37% | ≈39% of Medicare |
| 584 | breast biopsy, local excision and other breast procedures with cc/mcc | $34,539 | $13,500 | $45,240 | −24% | $34,089 | +1% | — |
| 638 | diabetes with cc | $34,534 | $10,500 | $20,361 | +70% | $18,821 | +83% | ≈120% of Medicare |
| 437 | malignancy of hepatobiliary system or pancreas without cc/mcc | $34,454 | $14,000 | $17,431 | +98% | $13,385 | +157% | — |
| 977 | hiv with or without other related condition | $34,305 | $10,500 | $31,511 | +9% | $22,525 | +52% | — |
| 168 | other respiratory system o.r. procedures without cc/mcc | $34,193 | $6,500 | $30,056 | +14% | $28,527 | +20% | — |
| 743 | uterine and adnexa procedures for non-malignancy without cc/mcc | $34,123 | $10,000 | $26,611 | +28% | $27,369 | +25% | — |
| 300 | peripheral vascular disorders with cc | $33,834 | $10,500 | $23,767 | +42% | $19,579 | +73% | ≈99% of Medicare |
| 123 | neurological eye disorders | $33,702 | $3,500 | $17,831 | +89% | $17,831 | +89% | — |
| 814 | reticuloendothelial and immunity disorders with mcc | $33,669 | $7,000 | $42,423 | −21% | $32,483 | +4% | — |
| 149 | dysequilibrium | $33,161 | $7,000 | $16,594 | +100% | $17,203 | +93% | — |
| 729 | other male reproductive system diagnoses with cc/mcc | $33,013 | $10,500 | $24,439 | +35% | $17,483 | +89% | — |
| 394 | other digestive system diagnoses with cc | $32,996 | $10,500 | $20,896 | +58% | $18,918 | +74% | ≈109% of Medicare |
| 181 | respiratory neoplasms with cc | $32,801 | $7,000 | $24,648 | +33% | $22,431 | +46% | — |
| 372 | major gastrointestinal disorders and peritoneal infections with cc | $32,746 | $14,000 | $22,850 | +43% | $22,850 | +43% | — |
| 758 | infections, female reproductive system with cc | $32,691 | $14,000 | $22,628 | +44% | $19,091 | +71% | — |
| 066 | intracranial hemorrhage or cerebral infarction without cc/mcc | $32,683 | $7,000 | $15,280 | +114% | $19,483 | +68% | ≈110% of Medicare |
| 191 | chronic obstructive pulmonary disease with cc | $32,551 | $10,500 | $19,072 | +71% | $18,278 | +78% | ≈136% of Medicare |
| 592 | skin ulcers with mcc | $32,546 | $10,500 | $41,848 | −22% | $32,662 | −0% | — |
| 811 | red blood cell disorders with mcc | $32,525 | $10,500 | $30,922 | +5% | $27,934 | +16% | — |
| 864 | fever and inflammatory conditions | $32,221 | $10,500 | $19,935 | +62% | $17,412 | +85% | — |
| 087 | traumatic stupor and coma <1 hour without cc/mcc | $32,180 | $3,500 | $19,624 | +64% | $15,869 | +103% | — |
| 198 | interstitial lung disease without cc/mcc | $32,172 | $10,500 | $15,549 | +107% | $13,654 | +136% | — |
| 975 | hiv with major related condition with cc | $32,068 | $17,500 | $31,166 | +3% | $25,010 | +28% | — |
| 816 | reticuloendothelial and immunity disorders without cc/mcc | $32,050 | $10,500 | $14,638 | +119% | $13,485 | +138% | — |
| 378 | gastrointestinal hemorrhage with cc | $32,030 | $10,500 | $21,886 | +46% | $21,886 | +46% | ≈108% of Medicare |
| 303 | atherosclerosis without mcc | $31,985 | $10,500 | $14,927 | +114% | $14,927 | +114% | — |
| 808 | major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc | $31,835 | $10,500 | $45,785 | −30% | $36,334 | −12% | — |
| 642 | inborn and other disorders of metabolism | $31,794 | $10,500 | $27,552 | +15% | $20,727 | +53% | — |
| 822 | lymphoma and leukemia with major o.r. procedures without cc/mcc | $31,584 | $6,500 | $25,390 | +24% | $25,390 | +24% | — |
| 315 | other circulatory system diagnoses with cc | $31,564 | $7,000 | $21,363 | +48% | $20,777 | +52% | ≈76% of Medicare |
| 099 | non-bacterial infection of nervous system except viral meningitis without cc/mcc | $31,545 | $14,000 | $30,693 | +3% | $25,666 | +23% | — |
| 618 | amputation of lower limb for endocrine, nutritional and metabolic disorders without cc/mcc | $31,498 | $13,500 | $27,641 | +14% | $19,354 | +63% | — |
| 069 | transient ischemia without thrombolytic | $31,447 | $7,000 | $17,762 | +77% | $20,278 | +55% | ≈94% of Medicare |
| 446 | disorders of the biliary tract without cc/mcc | $31,307 | $7,000 | $17,700 | +77% | $17,700 | +77% | — |
| 496 | local excision and removal of internal fixation devices except hip and femur with cc | $31,292 | $6,500 | $43,800 | −29% | $43,800 | −29% | — |
| 550 | septic arthritis without cc/mcc | $31,155 | $42,000 | $19,138 | +63% | $16,156 | +93% | — |
| 593 | skin ulcers with cc | $31,025 | $17,500 | $27,143 | +14% | $20,470 | +52% | — |
| 909 | other o.r. procedures for injuries without cc/mcc | $30,988 | $6,500 | $28,156 | +10% | $28,156 | +10% | — |
| 060 | multiple sclerosis and cerebellar ataxia without cc/mcc | $30,975 | $10,500 | $19,811 | +56% | $21,261 | +46% | — |
| 645 | endocrine disorders without cc/mcc | $30,829 | $10,500 | $17,287 | +78% | $14,166 | +118% | — |
| 607 | minor skin disorders without mcc | $30,742 | $14,000 | $19,185 | +60% | $15,284 | +101% | — |
| 084 | traumatic stupor and coma >1 hour without cc/mcc | $30,677 | $3,500 | $21,225 | +45% | $18,191 | +69% | — |
| 344 | minor small and large bowel procedures with mcc | $30,631 | $10,000 | $56,127 | −45% | $44,839 | −32% | — |
| 534 | fractures of femur without mcc | $30,591 | $10,500 | $18,070 | +69% | $17,195 | +78% | — |
| 439 | disorders of pancreas except malignancy with cc | $30,551 | $10,500 | $19,096 | +60% | $19,096 | +60% | — |
| 598 | malignant breast disorders with cc | $30,468 | $17,500 | $23,951 | +27% | $19,073 | +60% | — |
| 554 | bone diseases and arthropathies without mcc | $30,304 | $10,500 | $18,528 | +64% | $18,253 | +66% | — |
| 103 | headaches without mcc | $30,252 | $7,000 | $18,874 | +60% | $20,111 | +50% | — |
| 370 | major esophageal disorders without cc/mcc | $30,246 | $14,000 | $15,495 | +95% | $15,072 | +101% | — |
| 101 | seizures without mcc | $30,206 | $7,000 | $20,461 | +48% | $19,954 | +51% | ≈78% of Medicare |
| 194 | simple pneumonia and pleurisy with cc | $30,015 | $10,500 | $18,204 | +65% | $18,204 | +65% | ≈132% of Medicare |
| 948 | signs and symptoms without mcc | $29,977 | $10,500 | $17,638 | +70% | $17,727 | +69% | — |
| 468 | revision of hip or knee replacement without cc/mcc | $29,974 | $6,500 | $54,929 | −45% | $54,929 | −45% | — |
| 465 | wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc | $29,968 | $17,000 | $38,541 | −22% | $32,839 | −9% | — |
| 386 | inflammatory bowel disease with cc | $29,738 | $10,500 | $22,033 | +35% | $20,968 | +42% | — |
| 989 | non-extensive o.r. procedures unrelated to principal diagnosis without cc/mcc | $29,614 | $6,500 | $25,652 | +15% | $25,307 | +17% | — |
| 566 | other musculoskeletal system and connective tissue diagnoses without cc/mcc | $29,270 | $10,500 | $16,607 | +76% | $14,337 | +104% | — |
| 074 | cranial and peripheral nerve disorders without mcc | $29,250 | $7,000 | $23,141 | +26% | $23,141 | +26% | — |
| 913 | traumatic injury with mcc | $29,120 | $10,500 | $34,479 | −16% | $24,198 | +20% | — |
| 387 | inflammatory bowel disease without cc/mcc | $29,082 | $10,500 | $14,880 | +95% | $14,880 | +95% | — |
| 697 | urethral stricture | $29,053 | $7,000 | $22,239 | +31% | $17,705 | +64% | — |
| 381 | complicated peptic ulcer with cc | $29,005 | $10,500 | $24,177 | +20% | $24,177 | +20% | — |
| 442 | disorders of liver except malignancy, cirrhosis or alcoholic hepatitis with cc | $28,976 | $10,500 | $21,449 | +35% | $21,449 | +35% | ≈108% of Medicare |
| 489 | knee procedures without principal diagnosis of infection without cc/mcc | $28,938 | $6,500 | $27,492 | +5% | $27,492 | +5% | — |
| 125 | other disorders of the eye without mcc | $28,937 | $10,500 | $18,330 | +58% | $15,876 | +82% | — |
| 385 | inflammatory bowel disease with mcc | $28,804 | $7,000 | $34,588 | −17% | $26,020 | +11% | — |
| 572 | skin debridement without cc/mcc | $28,789 | $13,500 | $25,361 | +14% | $24,432 | +18% | — |
| 880 | acute adjustment reaction and psychosocial dysfunction | $28,754 | $4,800 | $21,280 | +35% | $15,636 | +84% | — |
| 176 | pulmonary embolism without mcc | $28,731 | $10,500 | $18,081 | +59% | $18,081 | +59% | ≈133% of Medicare |
| 639 | diabetes without cc/mcc | $28,722 | $7,000 | $13,910 | +106% | $13,910 | +106% | — |
| 558 | tendonitis, myositis and bursitis without mcc | $28,613 | $14,000 | $19,176 | +49% | $17,367 | +65% | — |
| 292 | heart failure and shock with cc | $28,539 | $10,500 | $19,118 | +49% | $16,212 | +76% | ≈125% of Medicare |
| 309 | cardiac arrhythmia and conduction disorders with cc | $28,532 | $10,500 | $16,412 | +74% | $16,865 | +69% | ≈148% of Medicare |
| 389 | gastrointestinal obstruction with cc | $28,145 | $10,500 | $17,795 | +58% | $17,388 | +62% | ≈160% of Medicare |
| 916 | allergic reactions without mcc | $28,077 | $3,500 | $14,743 | +90% | $13,890 | +102% | — |
| 683 | renal failure with cc | $28,029 | $10,500 | $19,733 | +42% | $18,620 | +51% | ≈124% of Medicare |
| 699 | other kidney and urinary tract diagnoses with cc | $27,958 | $10,500 | $22,641 | +23% | $20,732 | +35% | ≈106% of Medicare |
| 392 | esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc | $27,880 | $7,000 | $17,322 | +61% | $17,322 | +61% | ≈94% of Medicare |
| 305 | hypertension without mcc | $27,784 | $7,000 | $16,665 | +67% | $17,144 | +62% | ≈100% of Medicare |
| 068 | nonspecific cva and precerebral occlusion without infarction without mcc | $27,546 | $3,500 | $19,569 | +41% | $19,569 | +41% | — |
| 179 | respiratory infections and inflammations without cc/mcc | $27,504 | $10,500 | $17,087 | +61% | $14,444 | +90% | — |
| 606 | minor skin disorders with mcc | $27,491 | $10,500 | $34,344 | −20% | $25,434 | +8% | — |
| 178 | respiratory infections and inflammations with cc | $27,215 | $7,000 | $22,024 | +24% | $22,024 | +24% | ≈75% of Medicare |
| 641 | miscellaneous disorders of nutrition, metabolism, fluids and electrolytes without mcc | $27,137 | $7,000 | $17,347 | +56% | $16,745 | +62% | ≈93% of Medicare |
| 812 | red blood cell disorders without mcc | $27,041 | $7,000 | $20,488 | +32% | $20,488 | +32% | ≈78% of Medicare |
| 700 | other kidney and urinary tract diagnoses without cc/mcc | $26,837 | $10,500 | $15,411 | +74% | $13,303 | +102% | — |
| 301 | peripheral vascular disorders without cc/mcc | $26,750 | $7,000 | $15,837 | +69% | $15,607 | +71% | — |
| 395 | other digestive system diagnoses without cc/mcc | $26,722 | $10,500 | $14,128 | +89% | $14,128 | +89% | — |
| 690 | kidney and urinary tract infections without mcc | $26,604 | $10,500 | $17,817 | +49% | $17,466 | +52% | ≈138% of Medicare |
| 920 | complications of treatment with cc | $26,570 | $10,500 | $22,552 | +18% | $21,181 | +25% | — |
| 863 | postoperative and post-traumatic infections without mcc | $26,452 | $14,000 | $22,197 | +19% | $20,007 | +32% | — |
| 796 | vaginal delivery with sterilization and/or d&c with mcc | $26,452 | $7,500 | $28,340 | −7% | $22,557 | +17% | — |
| 382 | complicated peptic ulcer without cc/mcc | $26,364 | $7,000 | $16,634 | +58% | $16,634 | +58% | — |
| 684 | renal failure without cc/mcc | $26,129 | $7,000 | $13,642 | +92% | $13,623 | +92% | — |
| 918 | poisoning and toxic effects of drugs without mcc | $25,709 | $7,000 | $19,638 | +31% | $15,045 | +71% | — |
| 728 | inflammation of the male reproductive system without mcc | $25,669 | $14,000 | $18,139 | +42% | $16,837 | +52% | — |
| 188 | pleural effusion without cc/mcc | $25,545 | $3,500 | $16,299 | +57% | $14,110 | +81% | — |
| 923 | other injury, poisoning and toxic effect diagnoses without mcc | $25,386 | $10,500 | $22,641 | +12% | $16,571 | +53% | — |
| 921 | complications of treatment without cc/mcc | $25,346 | $10,500 | $15,267 | +66% | $14,012 | +81% | — |
| 603 | cellulitis without mcc | $25,164 | $10,500 | $19,553 | +29% | $18,530 | +36% | ≈123% of Medicare |
| 376 | digestive malignancy without cc/mcc | $25,035 | $3,500 | $19,602 | +28% | $15,608 | +60% | — |
| 601 | non-malignant breast disorders without cc/mcc | $24,901 | $21,000 | $13,599 | +83% | $10,975 | +127% | — |
| 694 | urinary stones without mcc | $24,833 | $7,000 | $17,347 | +43% | $16,531 | +50% | — |
| 373 | major gastrointestinal disorders and peritoneal infections without cc/mcc | $24,712 | $10,500 | $16,104 | +53% | $16,104 | +53% | — |
| 934 | full thickness burn without skin graft or inhalation injury | $24,645 | $3,500 | $43,354 | −43% | $31,044 | −21% | — |
| 310 | cardiac arrhythmia and conduction disorders without cc/mcc | $24,420 | $7,000 | $13,384 | +82% | $13,384 | +82% | ≈144% of Medicare |
| 151 | epistaxis without mcc | $24,310 | $14,000 | $16,827 | +44% | $13,032 | +87% | — |
| 434 | cirrhosis and alcoholic hepatitis without cc/mcc | $24,004 | $10,500 | $15,462 | +55% | $12,405 | +94% | — |
| 897 | alcohol, drug abuse or dependence without rehabilitation therapy without mcc | $23,599 | $10,500 | $19,584 | +20% | $16,049 | +47% | ≈133% of Medicare |
| 192 | chronic obstructive pulmonary disease without cc/mcc | $23,206 | $7,000 | $14,368 | +62% | $14,368 | +62% | — |
| 759 | infections, female reproductive system without cc/mcc | $22,818 | $7,000 | $14,208 | +61% | $14,208 | +61% | — |
| 885 | psychoses | $22,810 | $12,800 | $30,968 | −26% | $21,489 | +6% | — |
| 302 | atherosclerosis with mcc | $22,635 | $10,500 | $25,825 | −12% | $20,844 | +9% | — |
| 311 | angina pectoris | $22,556 | $7,000 | $15,502 | +46% | $15,165 | +49% | — |
| 313 | chest pain | $22,487 | $3,500 | $15,837 | +42% | $15,962 | +41% | ≈51% of Medicare |
| 831 | other antepartum diagnoses without o.r. procedures with mcc | $22,378 | $10,500 | $25,552 | −12% | $18,133 | +23% | — |
| 726 | benign prostatic hypertrophy without mcc | $22,295 | $7,000 | $16,525 | +35% | $13,892 | +60% | — |
| 869 | other infectious and parasitic diseases diagnoses without cc/mcc | $22,157 | $7,000 | $15,975 | +39% | $12,537 | +77% | — |
| 390 | gastrointestinal obstruction without cc/mcc | $21,909 | $7,000 | $13,318 | +65% | $13,318 | +65% | — |
| 202 | bronchitis and asthma with cc/mcc | $21,823 | $7,000 | $21,460 | +2% | $17,273 | +26% | — |
| 379 | gastrointestinal hemorrhage without cc/mcc | $21,797 | $7,000 | $14,134 | +54% | $14,134 | +54% | — |
| 443 | disorders of liver except malignancy, cirrhosis or alcoholic hepatitis without cc/mcc | $21,427 | $7,000 | $15,600 | +37% | $15,600 | +37% | — |
| 951 | other factors influencing health status | $21,331 | $7,000 | $13,425 | +59% | $9,385 | +127% | ≈127% of Medicare |
| 440 | disorders of pancreas except malignancy without cc/mcc | $21,326 | $7,000 | $13,683 | +56% | $15,070 | +42% | — |
| 483 | major joint or limb reattachment procedures of upper extremities | $21,000 | $6,500 | $53,666 | −61% | $57,149 | −63% | — |
| 903 | wound debridements for injuries without cc/mcc | $20,415 | $6,500 | $27,063 | −25% | $23,588 | −13% | — |
| 761 | menstrual and other female reproductive system disorders without cc/mcc | $20,381 | $7,000 | $14,072 | +45% | $11,421 | +78% | — |
| 195 | simple pneumonia and pleurisy without cc/mcc | $20,307 | $7,000 | $13,824 | +47% | $13,824 | +47% | ≈129% of Medicare |
| 307 | cardiac congenital and valvular disorders without mcc | $20,234 | $7,000 | $20,566 | −2% | $18,608 | +9% | — |
| 696 | kidney and urinary tract signs and symptoms without mcc | $20,083 | $7,000 | $15,358 | +31% | $14,441 | +39% | — |
| 786 | cesarean section without sterilization with mcc | $20,039 | $9,500 | $35,872 | −44% | $27,118 | −26% | — |
| 797 | vaginal delivery with sterilization and/or d&c with cc | $19,694 | $7,500 | $21,494 | −8% | $19,001 | +4% | — |
| 206 | other respiratory system diagnoses without mcc | $19,617 | $3,500 | $20,108 | −2% | $17,731 | +11% | — |
| 153 | otitis media and uri without mcc | $19,368 | $7,000 | $15,799 | +23% | $14,473 | +34% | — |
| 858 | postoperative or post-traumatic infections with o.r. procedures without cc/mcc | $19,367 | $6,500 | $28,602 | −32% | $23,924 | −19% | — |
| 201 | pneumothorax without cc/mcc | $19,290 | $10,500 | $15,031 | +28% | $13,081 | +47% | — |
| 316 | other circulatory system diagnoses without cc/mcc | $19,230 | $3,500 | $15,156 | +27% | $12,797 | +50% | — |
| 847 | chemotherapy without acute leukemia as secondary diagnosis with cc | $18,891 | $14,000 | $28,209 | −33% | $22,275 | −15% | — |
| 723 | malignancy, male reproductive system with cc | $18,814 | $7,000 | $24,928 | −25% | $19,317 | −3% | — |
| 941 | o.r. procedures with diagnoses of other contact with health services without cc/mcc | $18,724 | $10,000 | $43,384 | −57% | $29,524 | −37% | — |
| 787 | cesarean section without sterilization with cc | $18,685 | $9,500 | $23,571 | −21% | $23,571 | −21% | — |
| 894 | alcohol, drug abuse or dependence, left ama | $18,675 | $3,500 | $13,855 | +35% | $12,013 | +55% | — |
| 562 | fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc | $18,267 | $10,500 | $31,874 | −43% | $29,211 | −37% | — |
| 156 | other ear, nose, mouth and throat diagnoses without cc/mcc | $18,066 | $3,500 | $14,927 | +21% | $13,198 | +37% | — |
| 783 | cesarean section with sterilization with mcc | $17,985 | $9,500 | $40,894 | −56% | $28,375 | −37% | — |
| 537 | sprains, strains, and dislocations of hip, pelvis and thigh with cc/mcc | $17,852 | $7,000 | $20,401 | −12% | $16,352 | +9% | — |
| 293 | heart failure and shock without cc/mcc | $17,563 | $7,000 | $13,326 | +32% | $11,955 | +47% | — |
| 757 | infections, female reproductive system with mcc | $16,898 | $3,500 | $31,063 | −46% | $23,734 | −29% | — |
| 788 | cesarean section without sterilization without cc/mcc | $16,890 | $9,500 | $20,084 | −16% | $20,084 | −16% | — |
| 776 | postpartum and post abortion diagnoses without o.r. procedures | $16,519 | $7,000 | $15,839 | +4% | $12,381 | +33% | — |
| 784 | cesarean section with sterilization with cc | $16,019 | $9,500 | $24,042 | −33% | $22,560 | −29% | — |
| 770 | abortion with d&c, aspiration curettage or hysterotomy | $15,757 | $6,500 | $23,887 | −34% | $17,943 | −12% | — |
| 798 | vaginal delivery with sterilization and/or d&c without cc/mcc | $15,655 | $7,500 | $21,494 | −27% | $18,238 | −14% | — |
| 883 | disorders of personality and impulse control | $15,186 | $6,400 | $38,443 | −60% | $22,698 | −33% | — |
| 785 | cesarean section with sterilization without cc/mcc | $14,851 | $9,500 | $19,815 | −25% | $19,815 | −25% | — |
| 881 | depressive neuroses | $14,791 | $8,000 | $20,293 | −27% | $15,058 | −2% | — |
| 866 | viral illness without mcc | $14,591 | $7,000 | $19,642 | −26% | $16,391 | −11% | — |
| 819 | other antepartum diagnoses with o.r. procedures without cc/mcc | $13,971 | $6,500 | $18,126 | −23% | $17,928 | −22% | — |
| 203 | bronchitis and asthma without cc/mcc | $13,622 | $7,000 | $15,464 | −12% | $12,279 | +11% | — |
| 882 | neuroses except depressive | $13,053 | $6,400 | $21,356 | −39% | $15,680 | −17% | — |
| 805 | vaginal delivery without sterilization or d&c with mcc | $12,890 | $7,500 | $22,155 | −42% | $15,370 | −16% | — |
| 902 | wound debridements for injuries with cc | $12,187 | $6,500 | $42,126 | −71% | $35,459 | −66% | — |
| 806 | vaginal delivery without sterilization or d&c with cc | $12,056 | $7,500 | $16,064 | −25% | $13,090 | −8% | — |
| 768 | vaginal delivery with o.r. procedures except sterilization and/or d&c | $12,005 | $7,500 | $24,337 | −51% | $17,103 | −30% | — |
| 793 | full term neonate with major problems | $11,816 | $9,600 | $57,323 | −79% | $16,719 | −29% | — |
| 159 | dental and oral diseases without cc/mcc | $11,797 | $7,000 | $14,643 | −19% | $13,368 | −12% | — |
| 935 | non-extensive burns | $11,351 | $10,500 | $43,274 | −74% | $29,458 | −61% | — |
| 789 | neonates, died or transferred to another acute care facility | $10,928 | — | $32,578 | −66% | $14,284 | −23% | — |
| 832 | other antepartum diagnoses without o.r. procedures with cc | $10,765 | $7,000 | $16,592 | −35% | $12,895 | −17% | — |
| 779 | abortion without d&c | $10,121 | $3,500 | $20,752 | −51% | $15,327 | −34% | — |
| 807 | vaginal delivery without sterilization or d&c without cc/mcc | $9,868 | $7,500 | $14,148 | −30% | $12,044 | −18% | — |
| 833 | other antepartum diagnoses without o.r. procedures without cc/mcc | $5,932 | $3,500 | $11,539 | −49% | $9,076 | −35% | — |
| 792 | prematurity without major problems | $5,418 | $9,600 | $34,603 | −84% | $11,633 | −53% | — |
| 794 | neonate with other significant problems | $4,045 | $6,000 | $16,713 | −76% | $7,961 | −49% | — |
| 795 | normal newborn | $2,327 | $1,100 | $6,880 | −66% | $4,530 | −49% | — |
No procedures match that keyword.